Your clients suffered a fire loss totalling $87,555. When making the proof of loss, they claimed $1,500 for a stereo unit which they never owned. In the event that the fraud is discovered by the insurer, what portion of the claim, if any, is required to be paid under policy? - Answer- When the insu...
CAIB 1 Practice Exam (Questions and Answers )
Your clients suffered a fire loss totalling $87,555. When making the proof of loss, they claimed $1,500 for a stereo unit which they never owned. In the event that the fraud is discovered by the insurer, what portion of the claim, if any, is required to be paid under policy? - Answer- When the insurer is able to prove fraud, it is entitled to deny the entire
claim, and not just that part which was fraudulent. (1 mark
The insurer always has the right to decide on how the claim will be settled. It may make payment in the form of cash or rebuild, repair or replace the lost or damaged property. When must the insurer provide the insured with its notice of intention to rebuild, repair or
replace? - Answer- If the insurer decides to repair, rebuild or replace the lost or damaged property, it must advise the insured in writing within 30 days of the receipt of the proof of loss. (1 mark
Your client filed a proof of loss 15 days ago. In this case, how much time does the insurer have remaining before the claim must be paid? - Answer- The loss is payable within 60 days after completion of the proof of loss, unless the contract provides for a shorter period. In this case, as the proof of loss was filed 15 days ago, the claim must be paid within the next 45 days. (1 mark)
Your client's home is insured under an IBC Comprehensive Homeowners Form (IBC 1155). The dwelling is insured on a Guaranteed Replacement Cost basis
Briefly state the guarantee provided by this endorsement. - Answer- The insurer agrees to pay the full cost of repairs or replacement of the dwelling even if it is more than the amount of insurance purchased. (1 mark)
Your client's home is insured under an IBC Comprehensive Homeowners Form (IBC 1155). The dwelling is insured on a Guaranteed Replacement Cost basis
Indicate whether this guarantee of the insurer would extend to include the payment of additional costs to rebuild in compliance with an existing by-law regulating rebuilding after a loss. State YES/NO and explain the reason. - Answer- NO - additional costs to comply with building by-law are not insured. (1 mark)
Your client's home is insured under an IBC Comprehensive Homeowners Form (IBC 1155). The dwelling is insured on a Guaranteed Replacement Cost basis
What obligation does the insured have to the insurer when improvements, extensions or
additions have been made to the dwelling building? - Answer- When any changes are made to the dwelling building, the insured must notify the insurer within 90 days of the start of work. (1 mark)
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