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Cheat sheet

Texas Property & Casualty Cheat Sheet

Property Policy Types

22%of exam

HomeownersDwelling FormsCommercial PropertyInland MarineFlood

General Concepts

15%of exam

RiskHazardsValuationCoinsuranceBinders

Contract Law

13%of exam

Policy PartsDutiesMortgageeSubrogationTRIA

Casualty Policy Types

23%of exam

CGLAutoWorkers CompCrimeBonds

Casualty Concepts

15%of exam

NegligenceDamagesOccurrenceClaims-madeAudit

Policy Provisions

12%of exam

DeclarationsExclusionsProof LossOther InsuranceSettlement

TX Common Rules

60%of exam

TDILicensingCEMarketingProducer Duties

TX Specific Rules

40%of exam

TWIAFAIR PlanTAIPAAuto MinimumsWorkers Comp

Quick Facts

Exam
InsTX-PC06
License
General Lines P&C
Time
150 minutes
Total
145 questions
Scored
130 questions
Pretest
15 questions
Split
100 general + 30 TX
Pass
70 scaled
Fee
$49
Provider
Pearson VUE / TDI

Named vs Open

Named

  • Only listed
  • Insured proves peril

Open

  • All except exclusions
  • Insurer proves exclusion

Listed vs excluded

Property Picker

  1. Owner occupied homeHO policy(Personal lines)
  2. Rental dwellingDP policy(Dwelling fire)
  3. Tenant contentsHO-4(Renters)
  4. Condo unitHO-6(Unit owners)
  5. Older homeHO-8(Modified form)
  6. Small businessBOP(Package)

Property Forms

HO-2
Broad named perils
HO-3
Open dwelling
HO-4
Renters contents
HO-5
Open property
HO-6
Condo unit
HO-8
Modified older home
DP-1
Basic named perils
DP-3
Open dwelling

HO-3 vs HO-5

HO-3

  • Open dwelling
  • Named contents

HO-5

  • Open dwelling
  • Open contents

Contents difference

Commercial Property

CPP
Package platform
BOP
Small business package
Building
Owned structures
BPP
Business contents
Basic causes
Named perils
Special causes
Open perils
Business income
Lost earnings
Extra expense
Continue operations

Marine + Special

Inland marine
Moveable property
Personal floater
Scheduled valuables
Commercial floater
Business property transit
Builders risk
Construction property
NFIP
Federal flood
Earthquake
Earth movement
Watercraft
Boat coverage
Farm owners
Farm package

Hazards

Physical condition, moral lies, morale careless.

Physical: conditionMoral: dishonestMorale: careless

Property vs Casualty

Property

  • First-party loss
  • Physical things
  • Direct damage

Casualty

  • Third-party claims
  • Legal liability
  • Injury/damage owed

Own stuff vs liability

Loss Picker

  1. Direct physical damageProperty coverage(First party)
  2. Use lost after lossALE(Homeowners)
  3. Business shuts downBusiness income(Time element)
  4. Need reopen fundsExtra expense(Operations)
  5. Car hits objectCollision(Impact)
  6. Car stolenComprehensive(Other loss)

Risk Concepts

Risk
Chance of loss
Pure risk
Loss/no loss
Speculative risk
Gain or loss
Peril
Cause of loss
Hazard
Increases loss chance
Physical hazard
Tangible condition
Moral hazard
Dishonest behavior
Morale hazard
Careless attitude

ACV vs RC

ACV

  • Depreciation deducted
  • Older value

RC

  • New cost
  • No depreciation

Old vs new

Valuation

ACV
RC minus depreciation
Replacement cost
New-for-old cost
Market value
Sale price
Agreed value
Value set upfront
Stated value
Listed limit
Salvage value
Post-loss value
Coinsurance
Insurance-to-value clause
Deductible
Insured pays first

Policy DICE

DICE: Declarations, Insuring, Conditions, Exclusions.

D: who/limitsI: promiseC: dutiesE: no coverage

Policy Parts

Declarations
Who/what/limits
Insuring agreement
Coverage promise
Conditions
Policy duties
Exclusions
Not covered
Definitions
Term meanings
Endorsement
Policy change
Binder
Temporary coverage
Application
Underwriting source

CGL ABC

A BI/PD, B ads, C med.

A: injury/damageB: personal adsC: med pay

Collision vs Comp

Collision

  • Impact
  • Upset
  • Vehicle crash

Comp

  • Theft
  • Fire/weather
  • Animal impact

Crash vs other

Liability Picker

  1. Business premises BICGL A(BI/PD)
  2. Ad libel claimCGL B(Personal ads)
  3. Small no-fault injuryMed Pay(Coverage C)
  4. Professional errorE&O(Expert service)
  5. Director suedD&O(Management)
  6. Limits exhaustedUmbrella(Excess)

CGL

Coverage A
BI/PD liability
Coverage B
Personal advertising
Coverage C
Medical payments
Premises ops
Location/work liability
Products ops
Goods liability
Completed ops
Finished work liability
Occurrence limit
Per event
Aggregate
Policy total

Surety vs Fidelity

Surety

  • Three parties
  • Performance guarantee

Fidelity

  • Employee dishonesty
  • Crime coverage

Guarantee vs dishonesty

Auto

Liability
BI/PD owed
Med Pay
No-fault medical
UM
Uninsured driver
UIM
Underinsured driver
Collision
Impact/upset
Comprehensive
Other-than-collision
Owned auto
Listed vehicle
Hired auto
Borrowed/rented business

Commercial Casualty

Workers comp
Statutory work injuries
Employers liability
Employer lawsuits
Crime
Dishonesty losses
Fidelity bond
Employee dishonesty
Surety bond
Performance guarantee
E&O
Professional mistakes
D&O
Director liability
Umbrella
Extra liability

Occurrence vs Claims-made

Occurrence

  • Event date
  • Late claim okay

Claims-made

  • Claim date
  • Retro date matters

Event vs claim

Casualty Terms

Tort
Civil wrong
Negligence
Breach of duty
Absolute liability
No fault needed
Strict liability
Activity-based fault
Vicarious liability
Others' acts
Occurrence
Event trigger
Claims-made
Claim trigger
Retro date
Prior acts boundary

Damages

Compensatory
Repay actual loss
Special
Measurable expenses
General
Intangible harm
Punitive
Punish wrongdoer
Deposit premium
Estimated premium
Audit
Final exposure review
Certificate
Evidence only
Indemnity
Restore position

Claim Provisions

Notice
Report claim
Proof loss
Sworn details
Appraisal
Amount dispute
Subrogation
Insurer recovers
Other insurance
Coverage coordination
Mortgagee
Lender rights
Supplementary
Extra payments
Consent settle
Approval needed

Exam Split

General 100, Texas 30, pretest 15.

100 general30 Texas15 pretest70 pass

TX Compliance Picker

  1. Exam passedApply(12 months)
  2. Insurer authorizes agentAppointment(Required)
  3. Renew licenseCE(24 hours)
  4. Move addressNotify TDI(Update)
  5. Client funds heldFiduciary(No mixing)
  6. Claim receivedPrompt action(Deadlines)

Exam Map

PC06
General Lines P&C
General
100 scored
Texas
30 scored
General pretest
10 items
Texas pretest
5 items
Total
145 items
Pass
70 scaled
Apply
Within 12 months

TX Licensing

TDI
Insurance regulator
Commissioner
Governor appointed
Minimum age
18 years
Application
Within 12 months
Fingerprinting
Background check
Appointment
Insurer authorization
CE
24 hours
Ethics CE
2 hours

TX Entity Types

Domestic
Texas insurer
Foreign
Other-state insurer
Alien
Non-US insurer
Admitted
Authorized insurer
Nonadmitted
Not authorized
Stock
Shareholder owned
Mutual
Policyholder owned
Texas Lloyds
Underwriter association

TX Marketing

Misrepresentation
False policy facts
False advertising
Misleading promotion
Defamation
False insurer attack
Rebating
Illegal inducement
Discrimination
Unfair class treatment
Fraud
Intentional deception
Boycott
Coercive restraint
Controlled business
Self-interest selling

Auto Minimums

30 person, 60 accident, 25 property.

30 BI person60 BI accident25 PD accident

TWIA vs FAIR

TWIA

  • Coastal areas
  • Wind/hail only

FAIR

  • Home last resort
  • Limited property

Wind vs home

TX Market Picker

  1. Coastal wind deniedTWIA(Wind/hail)
  2. Home coverage deniedFAIR Plan(Last resort)
  3. Auto liability deniedTAIPA(Assigned risk)
  4. Admitted market unavailableSurplus lines(Nonadmitted)
  5. Insurer insolventTPCIGA(Covered claims)
  6. Work injury benefitsWorkers comp(Subscriber)

TX Property Rules

TWIA
Coastal wind/hail
FAIR Plan
Home last resort
Surplus lines
Eligible nonadmitted
Rates/forms
Filed with TDI
Liquidated demand
Fire claim rule
Cancellation
Statutory notice
Nonrenewal
Renewal refusal
Windstorm code
TWIA eligibility

TX Last Resorts

TWIA wind, FAIR home, TAIPA auto.

TWIA: wind/hailFAIR: homeTAIPA: auto

TAIPA vs UM

TAIPA

  • Cannot get liability
  • Assigned risk

UM

  • Other driver uninsured
  • Optional protection

Buy coverage vs claim

TX Auto Rules

30/60/25
Minimum liability
30
BI per person
60
BI per accident
25
PD per accident
PIP
Offer required
UM/UIM
Offer required
TAIPA
Auto last resort
TNC
Rideshare coverage

Subscriber vs Nonsubscriber

Subscriber

  • Carries WC
  • Exclusive remedy

Nonsubscriber

  • No WC
  • Loses defenses

Coverage vs exposure

TX Workers Comp

Private employers
May opt out
Subscriber
Carries coverage
Nonsubscriber
No WC coverage
DWC
Regulates WC
Medical
Work injury care
Income
Wage benefits
Death
Survivor benefits
Exclusive remedy
Subscriber protection

TX Guaranty

TPCIGA
Insolvency safety net
Most claims
$300K cap
Unearned premium
$25K cap
Workers comp
Statutory benefits
Other insurance
Exhaust first
Punitive damages
Not covered
Surplus lines
Not covered
Advertising
No sales pitch

Common Traps

Question counts

145 total 130 scored

General vs Texas

General is 100 Texas is 30

Pretest vs scored

Pretest unscored Scored affects pass

Peril vs hazard

Peril causes loss Hazard increases chance

Moral vs morale

Moral is dishonest Morale is careless

Mortgagee rights

Lender protected Insured may breach

Certificate of insurance

Evidence only No coverage change

PIP vs Med Pay

PIP broader Med Pay medical

TWIA vs flood

TWIA wind/hail NFIP flood

Guaranty advertising

Limits protect Never a pitch

Last Minute

  1. 1.Exam: 145 total
  2. 2.Scored: 130 questions
  3. 3.General: 100 scored
  4. 4.Texas: 30 scored
  5. 5.Pass: 70 scaled
  6. 6.Apply within 12 months
  7. 7.DICE policy parts
  8. 8.Peril causes loss
  9. 9.Hazard increases chance
  10. 10.ACV subtracts depreciation
  11. 11.HO-3: open dwelling
  12. 12.CGL A/B/C
  13. 13.Auto minimum: 30/60/25
  14. 14.TWIA covers wind/hail
  15. 15.FAIR Plan: home last-resort
  16. 16.TAIPA: auto last-resort
  17. 17.Private WC can opt-out
  18. 18.TPCIGA: never a pitch
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