Exam IIC C11 Questions Answers | C11 Latest Exam Pattern
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IIC Principles and Practice of Insurance Sample Questions (Q74-Q79):
NEW QUESTION # 74
What best describes a direct loss?
- A. A loss not covered on the policy but covered by an endorsement
- B. A loss covered by an insured peril, but not caused directly by the peril
- C. Damage to property caused directly by the insured
- D. Damage to property by direct action of a peril insured against
Answer: D
Explanation:
Adirect lossis damage that resultsimmediately and directlyfrom the action of an insured peril. For example, fire burning a building, wind damaging a roof, or theft taking merchandise. The loss must be theproximate (dominant) causeand must flow directly from the peril named or covered in the policy.
Option A is incorrect because direct loss refers to a peril's action, not to who caused it.
Option C describes extensions of coverage, not direct losses.
Option D describes anindirect (consequential) loss, such as business interruption resulting from a fire-not the physical damage itself.
Therefore, the correct definition of a direct loss isB: Damage to property by the direct action of an insured peril.
NEW QUESTION # 75
What is the definition of subrogation?
- A. The process allowing an insurer that paid a claim to recover the amount from the legally responsible party
- B. The full payout an insurer makes before receiving the deductible
- C. A promise by one party to release another from responsibility in exchange for money
- D. The right of the insurer to take action against the insured in cases of fraud
Answer: A
Explanation:
Subrogationallows an insurer that has indemnified an insured to pursue recovery from the partylegally responsiblefor the loss. It prevents the insured from collecting twice and shifts the financial burden back to the negligent third party. Subrogation is a fundamental principle tied to indemnity.
Option A describes insurer action in fraud cases-not subrogation.
Option B is incorrect; deductibles are always retained by the insured, not reimbursed later.
Option C describes a release or waiver, not subrogation.
Thus, the correct definition isD.
[Insurance as a Contract - Utmost Good Faith / Material Facts]
NEW QUESTION # 76
Which statement best explains the concept of utmost good faith?
- A. Requires a high standard of honesty
- B. Is a requirement of all legal contracts
- C. Implies the ability to void an insurance policy
- D. Is a lack of conduct that exceeds mere negligence
Answer: A
Explanation:
The principle of utmost good faith (uberrima fides) is fundamental to all insurance contracts. It requires a higher standard of honesty than ordinary commercial agreements because the insurer must rely on the applicant to disclose all material facts that could affect the underwriting decision. The insured has superior knowledge of the risk, and failure to disclose material information can jeopardize the insurer's ability to assess the exposure properly.
Option B is incorrect because utmost good faith is not required inalllegal contracts-only in specific types where one party must rely heavily on the full disclosure of the other, such as insurance. Option C is partially related-breachescanlead to policy voidance-but that is a consequence, not the definition. Option D is incorrect because utmost good faith refers to the presence of elevated honesty, not the absence of negligence.
Therefore, the best explanation is A: Requires a high standard of honesty.
NEW QUESTION # 77
What is the correct placement of statutory conditions to their respective insurance policy?
- A. A: accident & sickness, B: fire, C: automobile
- B. A: automobile, B: accident & sickness, C: fire
- C. A: accident & sickness, B: automobile, C: fire
- D. A: fire, B: accident & sickness, C: automobile
Answer: D
Explanation:
In Canadian insurance law,statutory conditionsapply differently depending on the class of insurance:
Fire insurance policiescontainStatutory Conditionsunder provincial Insurance Acts.
Accident & sickness policiescontainStatutory Conditionsspecific to health and travel insurance.
Automobile insuranceincludesStatutory ConditionsorGeneral Conditions(depending on the province).
The table shown in your image lists headings:
A: Rights of examination,B: Action,C: Prohibited use by insured.
These correspond directly to statutory condition categories found infire insuranceandaccident & sickness insurance, not automobile.
The correct ordering is:
A = Fire,B = Accident & Sickness,C = Automobile.
This matches optionB.
NEW QUESTION # 78
How are staff adjusters and independent adjusters similar?
- A. Neither has any limitation on their authority to settle claims
- B. Both work on behalf of, and are paid by, the insurer
- C. Both are licensed only in Quebec and New Brunswick
- D. Neither is allowed to perform an investigation
Answer: B
Explanation:
This question is identical to Question 25, so the correct answer and reasoning are the same. Whether an adjuster is a staff employee or an independent contractor, they are hiredto represent the insurerin the claims process. They are both compensated by the insurer-staff adjusters through salary and benefits, independent adjusters through fees or billing arrangements. Both must meet licensing requirements established by provincial regulatory bodies, conduct investigations, and report their findings to the insurer. They are also both subject to authority limits on claim settlement.
Thus, the only option that correctly reflects their similarity isB: both serve and are paid by insurers.
NEW QUESTION # 79
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