Nevada Adjuster Regulations
A visual breakdown of the Nevada rules an adjuster is tested on — including the vocabulary inversion in the four credentials, the statute with no frequency element, the two punitive-damages carve-outs, and the damages-based UIM measure.
Nevada gives an adjuster a great deal of law — and then inverts the vocabulary. There is no single adjuster license: there are four, they are separate instruments, and § 684A.050(1) bars holding more than one at a time. Two of the four are not what their names suggest. The person almost every other state calls a staff adjuster — the carrier’s own salaried employee — is in Nevada a company adjuster, and that license is voluntary: § 684A.040(4) switches off the licensure mandate, the gross misdemeanor and the $1,000 fine for any salaried employee of an insurer. What Nevada calls a staff adjuster works for a third-party administrator and handles nothing but workers’ compensation.
The claims law runs on two levels, and the levels have different rules. The statute, § 686A.310, enumerates sixteen unfair practices — including advising a claimant not to seek legal counsel and misleading anyone about a limitations period — and contains no general business practice element at all, so a single act is a violation. It also creates a private right of action in terms: an insurer “is liable to its insured.” The regulations, NAC 686A.600 to .690, carry every numeric deadline, and it is there, in the scope provision, that the frequency qualifier lives — governing only the regulations themselves. Two tests, one level apart.
Those levels explain Nevada’s exposure. Punitive damages against a bad-faith insurer are uncapped under § 42.005(2)(b), and — a provision almost nobody charts — § 42.005(5) switches off the harder statutory definitions too, so the common-law meanings of malice and oppression apply instead. By another express statute, § 684A.035, an individual adjuster can be sued personally under the whole of § 686A.310. But workers’ compensation runs the opposite way: § 616D.030 abolished the comp bad-faith action outright in 1995, and administrative fines are the exclusive remedy. On the auto side, UM is mandatory while UIM need only be offered — with opposite written-consent defaults — the UIM measure is damages-based rather than difference-in-limits, comparative fault is measured against the combined fault of all defendants, and the famous 65% is a titling definition that does not govern claim settlement at all. Ten scenario questions at the end, several built on what published Nevada material gets wrong.
§ 684A.050(1) bars being “licensed concurrently under the same license or separate licenses as more than one such type of adjuster.” The person almost every other state calls a staff adjuster is here a company adjuster — and that license is VOLUNTARY. Nevada’s staff adjuster works for a third-party administrator and handles nothing but workers’ compensation.
| Credential | Defined at | Licensure |
|---|---|---|
| Independent adjuster | § 684A.030(1) | REQUIRED — contracts as an independent contractor, treated as one for tax purposes, may handle comp |
| Public adjuster | § 684A.030(2) | REQUIRED — ⚠ may NEVER handle workers’ compensation |
| Company adjuster | § 684A.030(3) | ⚠ VOLUNTARY — the carrier’s own salaried employee |
| Staff adjuster | § 684A.030(4) | ⚠ REQUIRED — a WORKERS’ COMP role at a registered TPA |
| Temporary emergency | § 684A.060(3)–(7) | Catastrophe route — 90 days |
| Temporary independent | § 684A.150 | ⚠ DEATH OR DISABILITY — not the catastrophe provision |
| Business entity | § 684A.080 | Available |
| — | ⚠ ABOLISHED 1 January 2020 — zero occurrences in the chapter |
§ 684A.030(4): “‘Staff adjuster’ means a person who investigates, negotiates or settles workers’ compensation claims under the authority of a third-party administrator who holds a certificate of registration issued by the Commissioner pursuant to NRS 6·8·3A.0·8·5·2·4.”
⚠ In every other state, “staff adjuster” means the carrier’s own employee. In Nevada that person is a COMPANY adjuster. This is not a state that merely differs from the national pattern — it swaps two terms, so a candidate who imports the ordinary meanings answers two questions wrong and never sees why.
⚠ AND § 684A.060(2) ADDS ANOTHER WITH AN UNUSUAL TRIGGER: “No license shall be required of a nonresident salaried adjuster for the adjustment in this state of one or more losses arising out of a catastrophe… where such losses are designated to be a catastrophe by responsible insurance associations or the Commissioner.” A PRIVATE BODY can trigger it. No governmental declaration is required at all, and one of the two permitted designators is not a government actor — unusual even among states that dispense with a declaration.
⚠ AND § 684A.055 IS A FLAT BAR NOBODY EXPECTS: “No person who is engaged in the business of repairing the bodies of automobiles may: 1. Be licensed pursuant to this chapter. 2. Own a controlling interest in a business entity licensed pursuant to NRS 684A.080.” Not a disclosure rule and not a consent rule — a body-shop owner cannot cure it by disclosing. The license is simply unavailable.
⚠ THE INSURER APPLIES, NOT THE ADJUSTER. § 684A.060(3): “In the event of a catastrophe, an insurer shall notify the Commissioner by an application for the issuance of a temporary emergency license for each individual who is not already licensed in this State…”
⚠ WORK MAY LAWFULLY PRECEDE THE FILING. § 684A.060(4): an individual not already licensed “but who is otherwise qualified to adjust claims may act as an emergency adjuster and adjust claims if, within 5 days after deployment…” the filing is made.
Term: not more than 90 days unless extended (subsection 5). Minimum age 18; “competent, trustworthy, financially responsible and of good reputation”; and ⚠ NEVER convicted of or pleaded to “forgery, embezzlement, obtaining money under false pretenses, larceny, extortion or conspiracy to defraud” (subsection 6). Fee: $1·8·5 — the same as a full license (subsection 7).
⚠ AND A TENSION ON THE FACE OF THE STATUTE. Subsection 2 says no license is required of a nonresident salaried adjuster; subsection 3 says the insurer shall apply for one for each individual not already licensed. Read (2) as the narrower carve-out and (3) as the general rule — but a candidate who notices the friction is not misreading anything.
The passing score is 70 POINTS, scaled — not 70 percent, and it was 80 before July 2018. The term is three years, not two, so “24 hours per biennium” overstates the annual burden by fifty percent. The 20 prelicensing hours are real and adjuster-specific — and rest on a regulation the Division does not publish. Fingerprints are required of residents only.
⚠ NOW CHASE THE AUTHORITY. The regulations come from R028-18, whose authority string cites NRS 679B.130 (general rulemaking), NRS 684A.235 (“may promulgate reasonable regulations as are necessary or proper to carry out the purposes of this chapter” — also general) and NRS 684A.070. But § 684A.070 contains NO education requirement, and its only express rulemaking grant is subsection 3(c) — regulations on obtaining fingerprint and criminal-history information. And § 684A.100 requires an EXAMINATION, not a course.
⚠ CONCLUSION: no Nevada statute requires adjuster prelicensing education. The twenty hours rests on general rulemaking authority. The requirement is nonetheless on the books and it binds — what is wrong is only the claim that a statute imposes it.
⚠ AND THE DIVISION DOES NOT PUBLISH IT ANYWHERE. Checked individually and silent: the Independent, Public, Company, Staff and index adjuster pages; the Education Providers page; the Prelicensing Education Providers page. And Pearson’s handbook conditions prelicensing on “If required for your desired license type” without listing adjusters among the types requiring it. Only the Division’s Prelicensing Education Provider FAQs connects them.
| Exam | Name | Time | Taken by |
|---|---|---|---|
| 15 | NV Property and Casualty Adjuster | 2 hours | Independent · Company · Public |
| 16 | NV Workers Compensation Adjuster | 1 hour | Independent · Company · Staff |
| Fee or charge | Amount | Traces to |
|---|---|---|
| Application and license | $1·2·5 | § 680B.010(8)(a) |
| Add-on, initial and triennial | $6·0 | § 680C.110 — extended to company and staff adjusters by § 684A.050(2) |
| Published total, initial and renewal | $1·8·5 | arithmetic |
| Late renewal within the grace window | +$6·2.5·0 | § 684A.130(2)(a) — 150% of the $1·2·5 line only → $2·4·7.5·0 total |
| Temporary emergency (catastrophe) license | $1·8·5 | § 684A.060(7) |
| “DRL Association” fee | $5·0 | ⚠ DOES NOT TRACE — Division page only |
| “License Modification” fee | $5·0 | ⚠ DOES NOT TRACE — Division page only |
| Examination | $3·7 | ⚠ Vendor price, not a statutory fee |
| Temporary license — § 684A.150 | none | ⚠ NO FEE PRESCRIBED — a genuine statutory gap |
The statute — § 686A.310 — enumerates sixteen unfair practices, has NO frequency element, and creates a private right of action for the insured only. The regulations — NAC 686A.600 to .690 — carry all the numeric deadlines, and it is there, in the scope provision, that the general-business-practice qualifier lives.
The tail is where Nevada goes further than most states:
(l) failing to settle promptly under one portion of coverage “in order to influence settlements under other portions”
(m) failing to comply with NRS 687B.310 to 687B.390 or 687B.410
(n) failing to provide promptly “a reasonable explanation of the basis in the insurance policy… for the denial of the claim or for an offer to settle”
(o) “Advising an insured or claimant not to seek legal counsel.”
(p) “Misleading an insured or claimant concerning any applicable statute of limitations.”
⚠ THERE IS NO (q). The list ends at sixteen.
⚠ (o) AND (p) ARE SQUARELY ADJUSTER CONDUCT, AND VERY FEW STATES ENUMERATE THEM. Neither requires a pattern. Neither requires bad faith. Both describe things an adjuster does personally rather than things a company does institutionally — and § 684A.035 applies this entire section to adjusters by name. They are the two paragraphs most likely to reach an individual.
⚠ Note the drafting asymmetry, which is deliberate: (a), (j), (k), (o) and (p) say “insureds or claimants”; (n) says only “an insured”; (g) says “a claim by an insured.”
| Duty | Time | Cite & unit |
|---|---|---|
| Acknowledge a claim, unless payment is made within that time | 20 | NAC 686A.665(1) — working |
| Respond to a Division inquiry about a claim | 10 | NAC 686A.665(2) — working (+20 on request) |
| Reply to any other pertinent communication from a claimant | 20 | NAC 686A.665(3) — working |
| Provide claim forms and instructions — ⚠ SAFE HARBOR: satisfies subsection (1) | 20 | NAC 686A.665(4) — working |
| BEGIN an investigation, and mail notice of items required | 20 | NAC 686A.670(1) — working |
| COMPLETE the investigation, unless not reasonably possible | 30 | NAC 686A.670(2) — ⚠ CALENDAR |
| Advise a first-party claimant of acceptance or denial, after properly executed proofs of loss | 30 | NAC 686A.675(1) — working |
| PAY after acceptance — interest under NRS 99.040 if late | 30 | NAC 686A.675(1) — ⚠ CALENDAR |
| Notify more time is needed, with reasons — then update every 30 days | 30 | NAC 686A.675(3) — working |
| Written notice before the statute of limitations expires | 60 | NAC 686A.675(5) — calendar |
| Respond to a Division inquiry about anything other than a claim | 20 | NAC 686A.690 — working |
So the deadlines that use “claimant” REACH third parties — NAC 686A.665 (acknowledgment; replies) and NAC 686A.670 (investigation). But NAC 686A.675(1), the accept-or-deny clock, uses “FIRST-PARTY claimant” — that protection stops at the insured.
And the damages remedy runs only to the insured. § 686A.310(2) makes an insurer “liable to its insured.” Gunny v. Allstate, Docket No. 22318, Nev. Sup. Ct., 13 May 1992: “Greg has no private right of action as a third-party claimant under NRS 686A.310.”
⚠ AND THE LEGISLATURE CONFIRMED IT EXPRESSLY IN 2005. § 686A.325 requires notice when an insurer pays $5,0·0·0 or more to a claimant’s representative — and subsection 2 says failure to give it “does not: (a) Create… a cause of action for any natural person or entity other than the Commissioner. (b) Establish… a defense for any party to any cause of action.” A rare, deliberately remedy-less mandate — and a double negative.
⚠ PUT IT TOGETHER AND TEACH IT AS ONE DESIGN DECISION. A Nevada third-party claimant is covered by the acknowledgment and investigation standards; is not covered by accept-or-deny; cannot sue under § 686A.310; cannot sue for common-law bad faith, because there is no privity; and is expressly denied an action under § 686A.325. Four rules, one decision.
Punitive damages against a bad-faith insurer are UNCAPPED, the harder statutory definitions of malice and oppression do not apply to insurers either, and by express statute an individual adjuster can be sued personally. But on the workers’ compensation side the Legislature abolished the bad-faith action outright in 1995. Same conduct, same state, opposite answers — and the dividing line is which chapter the claim arises under.
“A bad-faith action applies to more than just an insurer’s denial or delay in paying a claim.”
“An insurer’s failure to adequately inform an insured of a settlement offer may also constitute grounds for a bad-faith claim.”
“An insurer must equally consider the insured’s interests and its own.”
But only a party in contractual PRIVITY may sue. United Fire Ins. Co. v. McClelland, Docket 18705, Nev. Sup. Ct., 6 Sept. 1989 reversed a non-contracting family member’s recovery because “a contractual basis did not exist between her and the insurer.”
⚠ AXIS ONE — WHO MAY SUE? Only someone in privity. A third-party claimant cannot sue the tortfeasor’s insurer for bad faith. ⚠ AXIS TWO — WHAT CONDUCT COUNTS? Not merely first-party denial — liability-claim mishandling counts too.
Get them separately and Miller, Gunny and McClelland all fit together. Conflate them and you will conclude either that Nevada has no third-party bad faith — wrong, it has third-party claim-handling bad faith brought by the insured — or that a claimant may sue the other driver’s carrier, which Gunny squarely forecloses.
| Punitive damages — § 42.005 | Rule |
|---|---|
| Compensatory award $1·0·0,0·0·0 or more | 3× compensatory |
| Compensatory award less than $1·0·0,0·0·0 | $3·0·0,0·0·0 |
| Action against an insurer acting in bad faith re coverage obligations | ⚠ NO CAP — § 42.005(2)(b) |
| Statutory definitions in § 42.001 (“despicable” conduct, “willful and deliberate”) | ⚠ DO NOT APPLY — common law governs — § 42.005(5) |
| Burden of proof | Clear and convincing (added 1995) |
| Bifurcation | MANDATORY, same trier of fact, special verdict |
| The jury and the caps | “must not be instructed, or otherwise advised” |
| Financial-condition evidence | Inadmissible until phase two |
INVERSION TWO — § 42.005(5), and this is the one that gets omitted: “For the purposes of an action brought against an insurer who acts in bad faith regarding its obligations to provide insurance coverage, the definitions set forth in NRS 42.001 are not applicable and the corresponding provisions of the common law apply.”
§ 42.001’s definitions are markedly HARDER than the common law. “Malice” requires conduct intended to injure or “despicable conduct” with conscious disregard. “Oppression” requires “despicable conduct that subjects a person to cruel and unjust hardship.” “Conscious disregard” requires “a willful and deliberate failure to act.” A bad-faith insurer defendant gets the benefit of none of them. § 42.001’s own preamble confirms it, carving out “except as otherwise provided in subsection 5 of NRS 42.005.”
⚠ NO CAP, AND NO DEFINITIONAL PROTECTION. Both come from the same statute, both cut the same way, and they must be taught together.
Apply the substitution to § 686A.310(2) and it reads: “…an adjuster is liable to its insured for any damages sustained by the insured as a result of the commission of any act set forth in subsection 1 as an unfair practice.”
⚠ AN INDIVIDUAL ADJUSTER CAN BE SUED PERSONALLY IN NEVADA, AND THE ENTIRE (a)–(p) LIST BINDS ADJUSTERS DIRECTLY. Most states reach adjusters only through the insurer, if at all. Read it alongside (o) and (p) — advising a claimant not to seek counsel, and misleading anyone about a limitations period — and the exposure becomes concrete.
Note the limits, because two published summaries get them wrong. The statute does not deem an adjuster an insurer; it applies two specific sections and rewrites the noun. It imports only § 683A.341 and § 686A.310 — not the rest of chapter 686A. And it says “adjusters” without distinguishing among the four types.
⚠ THERE IS A WEAK JOINT, AND IT IS HONEST TO NAME IT. After the substitution the section reads that an adjuster is liable “to its insured.” An adjuster has no insured of its own. Whether a court reads that as “the insurer’s insured” — the sensible construction, and the one the “unless the context requires” clause seems to invite — or as a defect defeating the claim is unresolved, because no reported decision applies § 684A.035 at all.
Common-law bad faith against an adjuster is a different question, and the likely answer is NO — the tort requires privity and an adjuster has none. So the probable position is: no common-law tort against an adjuster, but YES a statutory claim. An inference from two instruments, not a holding.
UM is mandatory; UIM need only be OFFERED — with opposite written-consent defaults. The UIM measure is DAMAGES-based, not difference-in-limits. Comparative fault is measured against the COMBINED fault of all defendants. And the famous 65% is a TITLING definition that does not govern claim settlement at all.
⚠ PARSE IT. The quantity that must exceed the tortfeasor’s limits is the insured’s DAMAGES — not the insured’s own limits. The insured’s limits function only as the CAP.
Why it decides claims: under true difference-in-limits, a claimant with 25/50 UIM facing a 25/50 tortfeasor recovers NOTHING, however badly injured — the limits are equal. Under the Nevada text, the question is whether DAMAGES exceed the tortfeasor’s $2·5,0·0·0 — and if they do, UIM responds up to the insured’s own limit. Do not publish, and do not answer, “difference in limits” for Nevada.
Note the definition also has a REGISTRATION element — the vehicle must be “of a type which is subject to registration.”
Four carve-outs: a nonrepairable vehicle; a vehicle 10 model years old or older which, to restore it and ⚠ “regardless of cost,” requires replacement of only the hood, the trunk lid, a fender, two or fewer of {doors, a grill assembly, a bumper assembly, a headlight assembly, a taillight assembly}, or any combination; repair cost below 65% “regardless of the age of the vehicle”; and a stolen-and-recovered vehicle that has no structural damage and is “missing only tires, wheels, audio or video equipment, or some combination thereof.”
⚠ AND SUBSECTION 3 SUPPLIES THE TRIGGER FOR THE AGE TEST, WHICH ALMOST NOBODY QUOTES: “For the purposes of this section, the model year of manufacture is calculated based on a year beginning on January 1 of the calendar year in which the damage occurs.” Measured from 1 January of the year of loss — not the loss date, and not the settlement date.
⚠ NOW THE POINT. § 487.790 SITS IN THE DMV’S CHAPTER ON REPAIR, REMOVAL AND DISPOSAL OF VEHICLES. IT IS A TITLING AND BRANDING DEFINITION. § 487.770 defines “salvage vehicle” and contains no percentage of its own — it inherits .790’s. § 487.800 is TRANSACTIONAL: the insurer’s duty attaches when it “acquires a motor vehicle as a result of a settlement in which the motor vehicle is determined to be a salvage vehicle,” then 180 days to forward the endorsed title, with an “as soon as practicable” fallback if the owner does not supply title within 30 days.
⚠ NOTHING IN CHAPTER 487 OBLIGES AN INSURER TO DECLARE A TOTAL LOSS AT 65%, AND NOTHING FORBIDS TOTALING BELOW IT. The claim-settlement rule is NAC 686A.680, and it contains no percentage at all — it requires either a replacement vehicle with transfer costs covered or a cash settlement on comparables “within the most previous 90 days,” from a database covering “at least 85 percent of all makes and models” within “the most recent 15 model years,” with deductions “measurable, discernible, itemized and specified as to the amount” and the vehicle “restored to its condition before the loss at no additional cost to the claimant.”
⚠ AND AN 80% NEVADA THRESHOLD IS LOOSE IN THE WILD. Assembly Bill 368 (2017) would have raised it from 65 to 80 and cut the exemptions — IT DIED IN COMMITTEE. The section’s source note ends at 2011. Check that a number comes from an ENACTED act, not merely a well-covered one.
(1) “An insurer that issues a policy of property insurance may exclude the peril of wildfire from the coverage provided under the policy.”
(2) an insurer may issue a policy that solely covers wildfire.
(3) the policy may use a varying definition of wildfire if the Commissioner has approved the variance.
(4) “wildfire” means “an unplanned and uncontrolled fire in an area of combustible vegetation that originated from outside any residential or commercial property.”
⚠ WHAT IT DOES NOT DO IS THE TESTED PART. There is no requirement to offer standalone wildfire coverage — subsection 2 is permissive. There is no notice or disclosure duty about the exclusion. And there is no Commissioner approval requirement for the exclusion itself — approval is needed only to vary the definition.
⚠ THE EFFECTIVE DATE IS PHASED, AND THE SUNSET DOES NOT REACH IT. AB 376 § 27 makes one section effective on passage, some on 1 July 2025, and most — including wildfire — on 1 January 2026. Separately §§ 2 to 20 expire on 1 January 2030, but the wildfire section is not in that band. A sweep that stopped at “passed in 2025” gets the date wrong; one that read only the current NRS text misses the sunset architecture.
⚠ AND NOTE THE DEFINITION’S BOUNDARY: a fire ORIGINATING INSIDE a residential or commercial property is not a “wildfire,” however far it spreads. On a wildland-urban-interface loss, where the fire started may decide whether the exclusion applies at all.
Each one is a claim you could be handed on a Monday morning. Read the fact pattern before the options, and ask which instrument you are in before you ask what the rule says. Several questions carry a plausible wrong answer that is simply the rule of a different state, and one carries a number that comes from a bill that never passed.
2. “STAFF ADJUSTER” IS A WORKERS’ COMP ROLE AT A TPA. The carrier’s employee is a COMPANY adjuster — and that license is VOLUNTARY.
3. § 684A.040(4) SWITCHES OFF THE MANDATE, THE GROSS MISDEMEANOR AND THE $1,0·0·0 FINE for any salaried insurer employee.
4. A PUBLIC ADJUSTER MAY NEVER HANDLE WORKERS’ COMP — the exclusion is inside the definition, and the exam matrix proves it.
5. NO LIFE OR HEALTH ADJUSTER LICENSING AT ALL — § 684A.010. And body shop owners may not be licensed — § 684A.055.
6. CATASTROPHE IS § 684A.060, NOT § 684A.150. A private body may designate it, the insurer applies, and work may precede the filing by 5 days. Term 90 days.
7. 20 PRELICENSING HOURS — 5 + 15, within 2 years — ON A REGULATION ONLY. No statute requires it and the Division does not publish it.
8. 70 POINTS, SCALED — not 70 percent. It was 80 before 1 July 2018, and question counts are not published.
9. FINGERPRINTS: RESIDENTS ONLY, at their own expense. Nonresidents and entities are not printed.
10. $1·2·5 + $6·0 = $1·8·5, and § 684A.050(2) is the bridge that makes company and staff adjusters pay at all. Two $5·0 Division charges do not trace.
11. THREE-YEAR TERM ON A ROLLING MONTH-END, and 24 CE HOURS PER THREE YEARS — not per biennium. No carry-over.
12. NRS 686A.310 HAS NO FREQUENCY ELEMENT — A SINGLE ACT IS A VIOLATION. The general-business-practice test is in NAC 686A.600(1) and reaches .600–.680 only.
13. SIXTEEN PRACTICES, (a) THROUGH (p). (o) advising against counsel and (p) misleading about a limitations period are squarely adjuster conduct.
14. THE PRIVATE RIGHT RUNS TO “ITS INSURED” ONLY. Gunny (1992) bars third-party claimants; § 686A.325(2) confirms it by creating no action for anyone but the Commissioner.
15. WATCH THE UNITS. NAC 686A.670 runs 20 WORKING then 30 CALENDAR from the same trigger; 686A.675(1) runs 30 WORKING to decide and 30 CALENDAR to pay.
16. THE BAD-FAITH TEST IS CONJUNCTIVE — the “or” is inside the scienter prong, never between the prongs.
17. PUNITIVE DAMAGES vs. A BAD-FAITH INSURER ARE UNCAPPED — § 42.005(2)(b) — AND THE § 42.001 DEFINITIONS DO NOT APPLY EITHER — § 42.005(5). Almost nobody charts the second.
18. AN ADJUSTER CAN BE SUED PERSONALLY — § 684A.035 applies § 686A.310 to adjusters and rewrites the noun.
19. UM IS MANDATORY, REJECTED IN WRITING. UIM IS OFFERED ONLY, PURCHASED IN WRITING — AND RE-OFFERED AT EVERY RENEWAL.
20. THE UIM MEASURE IS DAMAGES-BASED, not difference-in-limits. Comparative fault is against the COMBINED fault, and a 50/50 split RECOVERS.
21. THE 65% IS A TITLING DEFINITION, excluding painting, spec electronics and towing. The 80% figure is a failed 2017 bill. The claim rule, NAC 686A.680, has no percentage at all.
22. WILDFIRE MAY BE EXCLUDED since 1 January 2026 — with no duty to offer standalone coverage and no disclosure duty.
23. GUARANTY: WC UNCAPPED · UNEARNED PREMIUM $1·0,0·0·0 · ALL OTHER $3·0·0,0·0·0 · NO CLAIMANT DEDUCTIBLE. Filing bar 25 months from the ORDER OF LIQUIDATION.
24. FRAUD REPORTING IS MANDATORY, WITH NO DEADLINE AND NO IMMUNITY — and no general fraud warning statement is required.
25. COMP: 30 DAYS TO ACCEPT OR DENY, TREBLE ON THE ADMINISTRATOR’S ORDER FOR UNREASONABLE DELAY, AND NO PRESUMPTION EITHER WAY.
26. COMP BAD FAITH IS BARRED. § 616D.030 reversed Falline; Madera (1998) applied it. Administrative fines are the exclusive remedy.
Like learning this way? There's a whole library of them.
If the old manual you inherited from the office breakroom isn't cutting it and this format fits how your brain actually works, you'll want the rest. There are 56 Interactive Mind Maps like this one in the TESTivity Platinum Insurance Adjuster package — covering the full curriculum, right alongside the practice questions, exam simulators, and study guides.
Studying for a different state?
This concept is the same wherever you sit for the exam — but your study guide and prep package should match your state. Find your state's L&H and P&C guides here →