Wis. Admin. Code Office of the Commissioner of Insurance, ch. Ins 26, app 2M

Current through November 25, 2024
Appendix 2M - Personal Lines Insurance Cource Requirements

SECTION A

I. Principles of Insurance - 1 Hour

A. Definition of risk

B. Risk management

C. Insurable and noninsurable risk

D. Pooling concept-law of large numbers

E. Types of insurance companies

F. Reinsurance

II. General Wisconsin Insurance Laws - 4 Hours

A. Duties and powers of Insurance Commissioner-

statutory and rule-making

B. Knowledge of administrative action process, including

hearings and penalties

C. Purpose of licensing, including procedures and who

must be licensed

D. Record keeping and changes in agent status, including

change of name or address

E. Agent license expiration, revocation, suspension, and

limitation

F. General regulations regarding misrepresentation,

knowledge of acts of agent, rebating

G. Regulation of specific insurance contract changes

regarding cancellation, nonrenewal, notice of proof of

loss, and payment of claims

H. Unfair claims methods and practices-timely payment

of claims

I. Fair rating practices

J. Home and telephone solicitation requirements

K. Section 628.32, Wis. Stat., written disclosure of fees

other than commissions

L. Controlled business

M. Proper exchange of business

N. Unfair marketing practices

1. Misrepresentation

2. Unfair inducement

3. Unfair discrimination

4. Extra charges

5. Influencing employers

6. Unfair use of official position

7. Returning indicia of agency

8. Churning

9. Twisting

10. Restraint of competition

11. Unfair restriction of contracting parties choice of

insurer

O. Insurance contracts in Wisconsin

III. Ethics - 3 Hours

A. Fiduciary duties, and responsibilities

B. Conflict of interest

C. Ethical marketing practices, including fair and ethical

treatment of policyholders

D. Appropriate claims practices

E. Suitability of product to client

F. Social responsibility of insurance agent

G. Agent/company relationships

H. Maintaining appropriate insurance expertise

SECTION B

IV. Terms, Concepts and Policies - 10 Hours

A. Insurance terms and related concepts

1. Insurance

2. Risks

3. Peril (causes of loss)

a. Specified (named) perils

(1) Standard fire

(2) Extended coverage

(3) Broad form

b. Open perils (all physical loss)

4. Hazards

5. Loss

a. Direct

b. Indirect

6. Accident

7. Occurrence

8. Indemnity

9. Insurable interest

10. Actual cash value

11. Deductible

12. Limits of liability

13. Replacement cost

14. Negligence

a. Contributory

b. Comparative

15. Proximate cause

16. Warranties

17. Representations

18. Concealment

19. Liability

20. Bodily injury liability

21. Property damage liability

22. Personal injury liability

23. Incidental contracts

24. Binders

25. Coinsurance

26. Pair and set clause

27. Extensions of coverage

28. Additional coverages

29. Cancellation

30. Nonrenewal

31. Vacancy and unoccupancy

32. Right of salvage

33. Abandonment

34. Negligence

B. Policy provisions

1. Elements of a contract

2. Declarations

3. Insuring agreement

4. Sources of insurability information

5. Conditions

6. Exclusions

7. Limitations

8. Warranties, representations, and concealment

a. Warranty

b. Affirmative

9. Promissory

10. Breach of warranty

11. Concealment

12. Binders

13. Definition of the insured

14. Duties of the insured

15. Obligations of the insurance company

16. Mortgagee rights

17. Cancellation and nonrenewal provisions

18. Supplementary payment (additional coverages)

19. Proof of loss

20. Notice of claim

21. Appraisal

22. Assignment

23. Arbitration

24. Pro rata liability (other insurance)

25. Salvage

26. Consent to settle a loss

27. Subrogation

28. Compliance with provisions of Fair Credit

Reporting Act

C. Types of policies and related terms

1. Automobile Insurance - personal & family auto

a. Bodily injury

b. Property damage

c. Limits

(1) Split

(2) Single

d. Medical payments

e. Supplementary payments

f. Physical damage

(1) Collision

(2) Comprehensive

g. Uninsured motorist

h Underinsured motorist

i. Named insureds

j. Insureds

k. Owned automobile

L. Nonowned automobile

m. Temporary substitute auto

n. Hired auto

o. Cancellation and nonrenewal

p. Towing and labor

q. Personal auto policy

r. Family auto policy

2. Personal Watercraft

3. Standard fire

4. Personal lines

a. Dwelling (DP forms)

b. Homeowners (HO) forms

c. Mobile homes

5. Homeowners policy

6. Farm and ranch insurance

7. Flood insurance

8. Inland marine - Personal floaters

9. Earthquake insurance

10. Personal Umbrella/excess liability

V. Wisconsin Property and Casualty Insurance Law - 2 Hours

A. General rate standards

B. Prohibited classification of risks

C. Surplus lines

1. Definition

2. Prohibitions and restrictions

3. Responsibilities of agents and brokers

D. Oral contracts

E. Automobile liability

1. Financial responsibility

a. Definition

b. Persons required to show proof

2. Required coverages and prohibited exclusions

a. Uninsured motorist

3. Cancellation or nonrenewal

4. Responsibility for minors operating motor vehicles

5. Wisconsin Automobile Insurance Plan

F. Definition of loss

G. Wisconsin Insurance Plan

H. Valued policy law

I. Vacancy rule

J. Time period for filing claim

Wis. Admin. Code Office of the Commissioner of Insurance, ch. Ins 26, app 2M