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Exam (elaborations)

CAIB 1-Chapter 1

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  • October 3, 2024
  • 33
  • 2024/2025
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92 Multiple choice questions

Term 1 of 92
What 3 Elements are found in the Indemnity Agreement?

1) ACV 2) Financial Interest 3) Amount of Insurance

DID / SHOULD X LOSS = SETTLEMENT

Chance of Financial Loss only

must be legal and cannot violate the public good

Term 2 of 92
What type of losses are co-insurance applied to?

Agreed value

Agency agreement

Total losses

Partial losses

Term 3 of 92
Define "Action"

Action against the insurer is barred unless commenced within 6 months after loss or
damage occurs

To have never existed


Action against the insurer is barred unless commenced within 1 year after loss or damage
occurs

In the event of value disagreement

,Term 4 of 92
How much will PACICC pay for claims?

$250K for unpaid loss or up to 70% unearned premium up to $700

$1m for liability claims or up to 90% of earned premium up to $2000


$100k for property damage or up to 50% of earned premium up to $500


$500k for medical expenses or up to 80% of unearned premium up to $1000

Term 5 of 92
Define "Notice" - INSURED to INSURER - When is Notice required?

Where the Peril Actually Attacks the Object of Insurance


Expiration, Request for Appraisal, Notice of Legal Action

Complete and Total Honesty of all Parties - a Higher Degree of Honesty

Termination, Request for Appraisal, Notice of Legal Action

Term 6 of 92
Define "Proprietary Insurers"

They exist to make a profit and are owned by their shareholders. Majority of insurance
companies are written by incorporated proprietary insurers

The insured must give immediate notice to the authorities when loss is due to malicious acts
/ theft / burglary so as to improve the chances of recovery and reduce the amount of the
claim

To reduce the frequency or severity of the loss

Deliberate attempt to deceive with the intent of securing profit

,Term 7 of 92
How is payment calculated for co-insurance?

Pure risk

Agency agreement

Immediately prior to loss


DID / SHOULD X LOSS = SETTLEMENT

Term 8 of 92
What does the PACICC do?

Property And Casualty Insurance Compensation Corp - protects clients in the event of an
insurance company becoming insolvent


Collects fees from every federal insurer into a pool so in the event an insurer becomes
insolvent (financially unstable) claims and cancelled policies will still be paid

1) Contents of Insurance Policies 2) Removal Coverage 3) Limitation of Liability Coverage 4)
Right of Subrogation 5) Waiver of Term or Condition 6) Effect of Delivery of Policy

1) Proof of Loss must be filed 2) Submit written application for appraisal 3) insurer and
insured must each select appraisers to represent them 4) if both appraisers cannot
determine the value they submit it to an umpire. 5) each party must pay their own
representative and then equal parts to the umpire

Term 9 of 92
Discuss "Removal Coverage"

Any insured property that is removed from the location to prevent loss shall be covered at
the property not insured up to 7 days


Allows the insurer to recover the amount of loss from the responsible party

Protection for property that is relocated within the same building for up to 7 days

Insurance for property that is temporarily stored in a different city for up to 7 days

, Term 10 of 92
List 2 Types of Risks

1) Speculative Risk 2) Pure Risk

1) ACV 2) Financial Interest 3) Amount of Insurance

basic level of honesty


To shift the financial obligation to someone better equipped to handle it (an insurance
company)

Term 11 of 92
When can courts choose the appraiser or umpire?

1) Proof of Loss must be filed 2) Submit written application for appraisal 3) insurer and
insured must each select appraisers to represent them 4) if both appraisers cannot
determine the value they submit it to an umpire. 5) each party must pay their own
representative and then equal parts to the umpire

1) if one of the parties fails to appoint one with 7 days 2) if the appraisers fail to agree with
15 days 3) when appraiser or umpire refuses to act/is incapable of acting or dies

1) Contents of Insurance Policies 2) Removal Coverage 3) Limitation of Liability Coverage 4)
Right of Subrogation 5) Waiver of Term or Condition 6) Effect of Delivery of Policy

They oversee the content of policies, the licensing of agents and brokers and ensure
provincially licensed insurers are solvent

Term 12 of 92
Define "Appraisal"

In the event of value disagreement


Basic level of honesty

Deliberate attempt to deceive with the intent of securing profit

Action against the insurer is barred unless commenced within 1 year after loss or damage
occurs

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