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Cheat sheet

California P&C Insurance Cheat Sheet

CDI + Licensing

25%of exam

CDIPSIAB 943Ethics CourseFingerprintsCE

California Property

25%of exam

FAIR PlanCEAHomeownersEarthquakeWildfireFlood

California Casualty

25%of exam

Auto MinimumsProp 103Workers CompUM/UIMCGLBonds

Ethics + Practices

25%of exam

Claims TimelinesCIGAUnfair PracticesProducer DutiesTrust FundsSurplus Lines

Quick Facts

Exam
Property and Casualty
License
Property/Casualty Broker-Agent
Regulator
CDI
Provider
PSI
Questions
150
Time
3 hours
Pass
60%
Prelicense
12-hour ethics/code
Fingerprint
Capital Live Scan
Auto minimum
30/60/15

License Sequence

Exam, ethics, fingerprints, application, issuance.

Pass exam12-hour courseLive ScanCDI license

License Picker

  1. Need both linesP&C combined(One exam)
  2. Only propertyProperty broker-agent
  3. Only liabilityCasualty broker-agent
  4. Personal auto onlyLimited lines auto
  5. Business package focusCommercial lines
  6. Client shoppingBroker authority
  7. Carrier appointmentAgent authority
  8. Adjust claimsAdjuster license

Exam Map

P&C combined
150 questions
Property only
75 questions
Casualty only
75 questions
Time
3 hours
Passing
60 percent
Delivery
PSI computer exam
Remote
PSI proctored option
Result
Immediate screen report

License Path

Age
18 or older
Exam
Pass within year
Ethics/code
12 hours required
Fraud study
Included hour
Certificate
Three-year validity
Application
Submit to CDI
Fingerprints
After application
Background
DOJ/FBI review

CDI Rules

Commissioner
Elected official
Term
Four years
CDI
Insurance regulator
Rate review
Prior approval
Market conduct
Insurer practices
Licensing
Producer authority
Complaints
Consumer protection
Fraud
Investigate/prosecute

CE + Renewal

License term
Two years
CE total
24 hours
Ethics CE
3 hours
Home valuation
One-time training
Address change
Report promptly
Background change
30 days
Nonresident CE
Home-state compliance
Late renewal
Penalty risk

Property Gaps

Fire standard; quake and flood separate.

Homeowners fireCEA quakeNFIP flood

FAIR vs Standard

FAIR Plan

  • Last resort
  • Basic property
  • Coverage gaps

Standard policy

  • Voluntary market
  • Broader package
  • Normal underwriting

FAIR after diligent shopping

Property Market Picker

  1. Standard home availableVoluntary insurer
  2. Declined for wildfireFAIR Plan
  3. Need broader packageWraparound policy
  4. Need earthquakeCEA partner
  5. Need floodNFIP/private flood
  6. Commercial high riskFAIR commercial
  7. Moveable business propertyInland marine
  8. Under constructionBuilders risk

Property Forms

HO-3
Open dwelling
HO-4
Renters contents
HO-5
Open property
HO-6
Condo unit
DP-1
Basic named perils
DP-3
Open dwelling
CPP
Commercial package
BOP
Small business package

CEA vs Homeowners

CEA

  • Earthquake shaking
  • Separate policy
  • Partner sold

Homeowners

  • Fire/wind/theft
  • Earth movement excluded
  • Companion policy

Earthquake needs separate coverage

FAIR Plan

Purpose
Basic property access
Role
Insurer of last resort
Eligible
Cannot obtain coverage
Association
Insurer-run plan
Residential limit
$3 million
Commercial limit
$20 million
Wildfire discount
Mitigation credit
Companion policy
Wraparound coverage

RC vs ACV

Replacement cost

  • New-for-old
  • No depreciation
  • Higher premium

ACV

  • RC minus depreciation
  • Lower settlement
  • Older property issue

Depreciation is the divider

CEA Earthquake

CEA
Residential earthquake insurer
Partner insurers
Sell/service policies
Standalone
Not available
Dwelling
Home structure
Personal property
Contents coverage
Loss of use
No deductible
Deductible
Percentage based
Purchase timing
Before earthquake

Disaster Property

Earth movement
Usually excluded
Flood
Separate policy
Smoke damage
Covered fire loss
Wildfire
Fire peril issue
Moratorium
Cancel/nonrenew pause
ALE
Extra living expense
Debris removal
Policy limit issue
Replacement cost
No depreciation

Auto Rating Order

Safe miles experience drive California auto rates.

Safety recordAnnual milesDriving experience

UM vs UIM

UM

  • No insurance
  • Hit-and-run
  • Your policy responds

UIM

  • Too little insurance
  • Damages exceed limits
  • Gap coverage

None versus not enough

Auto Picker

  1. Legal minimum30/60/15
  2. Low-income driverCLCA(10/20/3)
  3. Other driver uninsuredUM
  4. Other limits too lowUIM
  5. Hit vehicle/objectCollision
  6. Theft/fire/glassComprehensive
  7. Business vehicleCommercial auto
  8. Rideshare periodTNC coverage

Prop 103

Prior approval
Rates approved first
Rate standard
Not excessive
Commissioner
Elected by voters
Intervention
Consumer participation
Good driver
Mandatory discount
Discount
At least 20%
Take-all-comers
Qualified good drivers
Primary use
Auto rating rules

Prior Approval vs File-Use

Prior approval

  • CDI approves first
  • Prop 103 system
  • Consumer intervention

File-use

  • File then use
  • Not California default
  • Less restrictive

California tests prior approval

Auto Rating

First factor
Driving safety record
Second factor
Annual miles
Third factor
Driving experience
Optional factors
Commissioner approved
Credit score
Not primary factor
Occupation
Restricted rating use
Education
Restricted rating use
ZIP code
Limited territory role

Auto Coverage

BI person
$30,000 minimum
BI accident
$60,000 minimum
PD
$15,000 minimum
30/60/15
Standard 2025 limits
CLCA
Low-cost program
CLCA limits
10/20/3
UM
Uninsured driver
UIM
Underinsured driver

Workers Comp

One employee
Coverage required
Family labor
Still employee
Medical
Work injury care
Temporary disability
Wage replacement
Permanent disability
Impairment benefit
Death benefits
Dependents paid
State Fund
Public insurer
Uninsured employer
Criminal offense

Claims Clock

Fifteen starts, forty decides, thirty pays.

15 acknowledge40 accept/deny30 pay

Agent vs Broker

Agent

  • Represents insurer
  • Appointment authority
  • May bind coverage

Broker

  • Represents insured
  • Client fiduciary
  • Shops markets

Authority follows representation

Claims Picker

  1. Claim receivedAcknowledge(15 days)
  2. Need documentsForms/help(15 days)
  3. Proof receivedAccept/deny(40 days)
  4. More time neededStatus notice(30 days)
  5. Settlement reachedPay claim(30 days)
  6. Denial issuedWritten basis
  7. Insurer insolventCIGA
  8. Surplus policyNo CIGA

Claims Timelines

Acknowledge claim
15 days
Send forms
15 days
Accept/deny
40 days
Status notice
Every 30 days
Pay settlement
30 days
Auto repairs
10 days
Denial
Written reason
CDI response
21 days

CIGA Memory

Admitted insolvent insurer, not sales pitch.

Admitted onlyInsolvency$500,000No advertising

Admitted vs Surplus

Admitted

  • CDI authorized
  • CIGA applies
  • Filed rates

Surplus

  • Nonadmitted carrier
  • No CIGA
  • Disclosure required

Protection differs sharply

CIGA

Purpose
Insolvent insurer claims
Trigger
Court liquidation
Member
Admitted P&C insurer
Most claims
$500,000 cap
Policy limit
Also caps claim
Workers comp
No statutory cap
Surplus lines
Not covered
Sales use
Do not advertise

CIGA vs CEA

CIGA

  • Insolvency backstop
  • Admitted insurers
  • Claim caps

CEA

  • Earthquake insurer
  • Residential risks
  • Partner serviced

Backstop versus insurer

Producer Conduct

Agent
Represents insurer
Broker
Represents insured
Fiduciary
Broker duty
Misrepresentation
False policy statement
Rebating
Illegal inducement
Twisting
Misleading replacement
Commingling
Mixing premium funds
Records
Keep five years

Surplus Lines

Admitted
CDI authorized
Nonadmitted
Surplus market
Diligent search
Admitted declinations
Broker
Special license
Disclosure
Nonadmitted notice
CIGA
No protection
Taxes
Broker remits
Use case
Hard-to-place risk

Common Traps

Old Auto Limits

15/30/5 obsolete 30/60/15 current

Prelicensing Timing

Exam allowed first License needs 12 hours

FAIR Plan Scope

Basic property only Not full homeowners

Earthquake Coverage

Homeowners excludes earth movement CEA policy separate

CIGA Sales

Protection exists Advertising prohibited

Claim Denial

Oral denial insufficient Written basis required

Worker Classification

Family can be employee Contractor label insufficient

Broker Duty

Agent serves insurer Broker serves insured

Last Minute

  1. 1.P&C: 150 questions, 3 hours
  2. 2.Producer pass score is 60%
  3. 3.AB 943 keeps 12 hours
  4. 4.Ethics/code before license issuance
  5. 5.Auto minimum is 30/60/15
  6. 6.Prop 103 = prior approval
  7. 7.Rating order: safety, miles, experience
  8. 8.Good driver discount: 20%
  9. 9.FAIR Plan is last resort
  10. 10.CEA sells through partners
  11. 11.Claims: 15, 40, 30
  12. 12.CIGA: admitted insolvency backstop
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