Exam Identity and Quick Use
| Item | Reference |
|---|
| Official provider | Alberta Insurance Council |
| Official exam title | Alberta Insurance Council - General Insurance Level 3 |
| Official exam code | AIC L3 |
| Page purpose | Independent exam-prep quick reference for high-yield review and practice support |
| Best use | Review decision rules, then apply them to timed scenario questions |
Level 3 preparation should be more than memorizing policy terms. Expect scenarios that require a senior broker, agent, supervisor, or manager mindset: identify the coverage issue, recognize the conduct risk, document the advice, and choose the action that protects the client, insurer, brokerage, and public interest.
Level 3 Answer Mindset
| If the question asks about… | Think first about… | Strong answer pattern |
|---|
| A producer’s authority | Actual, implied, apparent authority; binding limits | Confirm authority before promising coverage; document insurer confirmation |
| Client advice | Needs analysis, suitability, disclosure, alternatives | Ask for missing facts; explain limitations; record recommendation |
| Staff error | Supervision, correction, client notice, insurer notice, E&O | Mitigate harm; escalate; document; do not conceal |
| Premium handling | Fiduciary/trust treatment, segregation, reconciliation, remittance | Follow law, agency contract, and accounting controls |
| Replacement or non-renewal | Client notice, market search, coverage gaps | Communicate early; document options and consequences |
| Claims disagreement | Policy wording, duties after loss, coverage position, escalation | Separate advocacy from coverage determination |
| Conflict of interest | Compensation, relationships, dual agency, referral arrangements | Disclose, obtain informed consent where appropriate, avoid improper influence |
| Regulatory conduct | Licensing, advertising, privacy, complaints, records | Choose transparent, documented, compliant conduct |
Alberta Regulatory and Market Conduct Reference
Use current Alberta Insurance Council materials, Alberta legislation, regulations, and bulletins for exact rule wording. For exam scenarios, focus on principle-based conduct: proper licensing, honest dealing, fair treatment, and evidence of supervision.
| Concept | Exam-ready meaning | Common trap |
|---|
| Licensing authority | Only perform insurance activities permitted by the licence/certificate class and agency authority | “Experienced employee” does not equal authorized licensee |
| Holding out | Public communications must not mislead about licence status, authority, products, or insurer relationships | Using titles that imply broader authority than held |
| Insurer appointment or contract | Agency/brokerage authority comes from insurer contracts, binding agreements, and underwriting rules | Binding coverage outside granted authority |
| Actual authority | Express authority in contract, binder, underwriting manual, or direct insurer instruction | Assuming prior practice equals current authority |
| Implied authority | Authority reasonably necessary to carry out express authority | Extending implied authority to unusual risks or non-standard terms |
| Apparent authority | Authority a third party reasonably believes exists because of the principal’s conduct | Client reliance may create E&O and insurer dispute risk |
| Fiduciary handling of funds | Premiums and client funds require strict separation, accounting, reconciliation, and remittance controls | Using premium funds for operating expenses |
| Misrepresentation | False or misleading statements by client, producer, or insurer representative can affect coverage and discipline | “Small” facts can be material if they affect underwriting |
| Non-disclosure | Failure to disclose material facts may void or restrict coverage depending on wording and law | Completing applications from assumptions instead of client answers |
| Rebates and inducements | Compensation, gifts, or incentives must comply with law, insurer rules, and disclosure obligations | Treating sales incentives as harmless if not documented |
| Privacy | Collect, use, disclose, secure, and retain personal information only for legitimate insurance purposes | Emailing sensitive information without proper controls |
| Complaints | Need a process for intake, acknowledgement, investigation, response, and escalation | Ignoring oral complaints because they are not in writing |
| Records | Files should evidence facts gathered, advice given, options declined, notices, and binding confirmations | If it is not documented, it is difficult to prove |
| Continuing obligations | Renewal, continuing education, licence maintenance, and disclosure obligations continue after licensing | Treating compliance as an annual-only task |
| Discipline risk | Misconduct may involve client harm, dishonesty, incompetence, failure to supervise, or non-cooperation | Fixing the client problem does not erase the conduct issue |
Brokerage and Agency Management Controls
Level 3 scenarios often reward the answer that adds supervision, systems, and documentation, not only the answer that fixes one file.
| Control area | What strong management looks like | Exam cue |
|---|
| Licensing roster | Track active licences, classes, restrictions, renewals, CE, and roles | New hire, leave of absence, delegated tasks |
| Authority register | Maintain insurer binding limits, prohibited classes, referral rules, and underwriting contacts | Producer wants to bind unusual risk |
| File audit | Review applications, notes, coverage comparisons, binders, renewals, and E&O-sensitive files | Repeated missing documentation |
| Trust/premium accounting | Segregation, reconciliation, aged receivables, remittance, refund controls | Premium collected but not remitted |
| Renewal diary | Advance notice, remarketing triggers, non-renewal handling, client follow-up | Client missed renewal deadline |
| Binder log | Track oral/written binders, effective dates, subjectivities, confirmations, and expiries | Coverage promised before insurer approval |
| Complaint register | Log issue, owner, timeline, evidence, outcome, corrective action | Client alleges bad advice |
| Privacy program | Consent, access control, secure transmission, retention/destruction, breach escalation | Lost laptop or misdirected email |
| Training program | Product knowledge, ethics, conduct, workflows, escalation rules | Junior staff handling complex commercial account |
| E&O risk management | Timely reporting, no admissions without advice, file preservation | Possible coverage gap caused by staff |
Supervision Decision Rule
| Situation | Poor Level 3 response | Better Level 3 response |
|---|
| Junior employee gives incorrect coverage advice | Correct the employee only | Contact client, correct advice, assess harm, notify insurer/E&O if needed, document, train |
| Producer binds outside authority | Hope insurer accepts it | Escalate immediately, notify insurer, protect client position, review authority controls |
| Client refuses recommended coverage | Delete coverage silently | Explain consequences, obtain written acknowledgement, document alternatives |
| Insurer declines renewal | Wait for client to call | Notify client promptly, market alternatives, explain gaps and deadlines |
| Repeated file deficiencies | Blame workload | Audit, identify root cause, retrain, adjust workflow, monitor compliance |
Client File Workflow
flowchart TD
A[Gather facts] --> B[Identify exposures]
B --> C[Match coverage options]
C --> D[Explain limits, exclusions, deductibles, conditions]
D --> E{Client accepts?}
E -->|Yes| F[Bind within authority and confirm in writing]
E -->|No| G[Document declination and consequences]
F --> H[Deliver documents and diary follow-up]
G --> H
H --> I[Review at renewal or material change]
| File stage | Evidence to create | Common exam issue |
|---|
| New business | Applications, exposure notes, prior insurance, loss history, coverage comparison | Application completed without client verification |
| Quotation | Markets approached, options, conditions, subjectivities, quote expiry | Quote confused with bound coverage |
| Binding | Effective date/time, insurer, limits, deductibles, endorsements, conditions | Verbal binder not confirmed |
| Policy review | Compare policy to binder and application | Policy issued with incorrect named insured or limit |
| Mid-term change | Client instruction, underwriting approval, endorsement request, confirmation | Coverage assumed before insurer approval |
| Renewal | Updated exposures, claims, changes in operations, remarketing decision | Automatic renewal despite changed risk |
| Cancellation/non-renewal | Reason, notice, effective date, alternatives, premium accounting | Client left uninsured without clear warning |
| Claim | Date of loss, notice to insurer, coverage issues, client duties, adjuster contacts | Producer admits liability or coverage |
Policy Architecture and Wording Traps
| Policy part | What it does | Level 3 trap |
|---|
| Declarations | Identifies insured, policy period, premises, limits, deductibles, forms | Wrong named insured can defeat coverage |
| Insuring agreement | Grants coverage; usually the starting point | Do not start with exclusions before confirming grant |
| Definitions | Controls meaning of key terms | Ordinary meaning may be overridden by defined wording |
| Exclusions | Remove coverage that may otherwise be granted | Some exclusions have exceptions that restore coverage |
| Conditions | Duties and rules for coverage, claims, changes, cancellation | Breach may prejudice coverage |
| Warranties | Strict promises about risk facts or conduct | Breach may have severe consequences |
| Endorsements | Add, restrict, or amend coverage | Latest endorsement can override base wording |
| Statutory conditions | Required conditions for certain classes/coverages | Do not ignore because they are not emphasized in scenario |
| Deductibles and self-insured retentions | Allocate first layer of loss | SIR may require insured to handle/finance defence obligations |
| Limits and aggregates | Cap insurer payment | Aggregate exhaustion is a major liability-policy issue |
Interpreting a Coverage Scenario
- Identify the named insured and any additional insureds.
- Confirm policy period and retroactive date if claims-made.
- Identify the loss trigger: occurrence, accident, claim made, discovery, or reporting.
- Find the insuring agreement.
- Apply definitions.
- Apply exclusions and exceptions.
- Apply conditions, warranties, deductibles, limits, and other insurance clauses.
- Consider endorsements.
- Separate coverage analysis from claims-handling conduct.
Commercial Property Reference
| Topic | Exam-ready distinction | Watch for |
|---|
| Named perils | Covers only listed perils | Client assumes “insurance” means all causes |
| Broad/all risks wording | Covers direct physical loss unless excluded | “All risks” does not mean every loss |
| Building | Structure and attached property | Tenant improvements may need separate treatment |
| Contents | Business personal property | Property of others may have sublimits or conditions |
| Stock | Merchandise, raw materials, finished goods | Valuation may fluctuate seasonally |
| Equipment | Machinery, tools, fixtures | Breakdown may need separate equipment breakdown coverage |
| Tenants improvements | Improvements paid for by tenant | Lease may determine responsibility |
| Property of others | Client may have legal or contractual responsibility | Bailee exposure may require special wording |
| Off-premises property | Property away from described location | Sublimits, territory, and transit conditions matter |
| Newly acquired property | Temporary automatic coverage may apply | Diary expiry and report values |
| Debris removal | Cost to remove damaged property | Often limited; pollution debris may differ |
| Bylaws/ordinance | Increased cost due to building code | Standard property wording may not fully respond |
| Vacancy/unoccupancy | Increased hazard condition | Material change and vacancy clauses are high-yield |
| Protective safeguards | Alarms, sprinklers, security promises | Warranty/condition breach risk |
| Earthquake/flood/sewer backup | Often excluded or specially endorsed | Do not assume water coverage is uniform |
| Equipment breakdown | Sudden accidental breakdown of insured equipment | Not the same as wear and tear or maintenance |
Property Valuation
| Valuation basis | Meaning | Best exam cue |
|---|
| Actual cash value | Replacement cost less depreciation or market-based value depending on wording/context | Older property, no replacement cost endorsement |
| Replacement cost | Cost to repair/replace with like kind and quality, usually subject to conditions | Insured must actually repair/replace within required terms |
| Selling price | Finished stock valued at selling price less unincurred expenses | Manufacturer or retailer stock loss |
| Agreed value | Insurer and insured agree to value method or amount | Reduces valuation dispute but does not remove all conditions |
| Stated amount | Maximum or scheduled amount; not necessarily guaranteed value | Client confuses stated amount with agreed value |
Business Interruption and Extra Expense
| Concept | Meaning | Common trap |
|---|
| Business interruption | Covers loss of income due to insured physical damage causing interruption | No covered property damage means no BI trigger unless wording says otherwise |
| Gross earnings/gross profits | Formula-based income coverage depending on wording | Accounting terms are policy-defined, not generic |
| Indemnity period | Period during which loss is measured | May not equal time to rebuild if customers do not return |
| Waiting period | Time deductible | Often expressed in hours or days |
| Extra expense | Reasonable additional costs to reduce loss or continue operations | Must be necessary and tied to covered interruption |
| Ordinary payroll | Payroll treatment varies by form | Major exposure for service businesses |
| Contingent BI | Loss due to damage at supplier/customer/dependent property | Requires specific extension and covered peril |
| Civil authority | Access prohibited by authority due to covered cause nearby | Mere reduced traffic may not be enough |
| Ingress/egress | Access impaired even without damage at insured premises | Wording-specific trigger |
| Period of restoration | Time reasonably needed to repair/replace | Delays from financing, permits, or upgrades may be limited |
| Co-insurance in BI | Penalty if limit inadequate | Sales trend and seasonal values matter |
Liability Coverage Reference
| Coverage issue | Key distinction | Exam cue |
|---|
| Bodily injury/property damage liability | Third-party injury or damage caused by insured’s operations/products/premises | Slip and fall, fire spread, defective work damage |
| Occurrence trigger | Event during policy period causes injury/damage | Claim may be reported later |
| Claims-made trigger | Claim first made, and sometimes reported, during policy period | Retroactive date and extended reporting period matter |
| Duty to defend | Insurer may defend allegations potentially within coverage | Defence can apply even if claim later proves uncovered |
| Duty to indemnify | Obligation to pay covered damages | Narrower than duty to defend |
| Products-completed operations | Liability after product sold or work completed | Contractor and manufacturer exposure |
| Premises liability | Ownership/occupancy/control of premises | Snow removal, maintenance, security |
| Tenants legal liability | Damage to premises rented/occupied by insured | Fire damage to leased unit |
| Contractual liability | Liability assumed under contract | Hold harmless clauses may exceed insurance |
| Professional liability/E&O | Negligent professional advice or services | CGL usually not enough for advice-based work |
| Directors and officers | Management liability for wrongful acts | Entity vs individual coverage issues |
| Employment practices | Wrongful dismissal, harassment, discrimination allegations | Not standard CGL bodily injury |
| Cyber liability | Privacy breach, network security, data restoration, cyber extortion | Property and CGL gaps are common |
| Pollution liability | Environmental release, cleanup, third-party claims | Standard exclusions are significant |
| Umbrella/excess | Additional limits above underlying policies | Follow-form vs broader umbrella matters |
| Aggregate limit | Maximum over policy period | Multiple claims can exhaust protection |
Claims-Made Checklist
| Item | Why it matters |
|---|
| Retroactive date | Acts before this date may be excluded |
| Prior and pending litigation date | Known disputes may be excluded |
| Claim definition | Demand, suit, regulatory proceeding, notice of circumstance may differ |
| Reporting requirement | Some forms require claim made and reported in the policy period |
| Extended reporting period | Allows reporting after expiry, not new acts after expiry |
| Continuity | Gaps between policies can create uninsured claims |
| Consent to settle | Insured refusal may affect insurer obligation |
| Defence costs | May be inside or outside limits depending on wording |
Automobile and Fleet Reference
Confirm current Alberta forms and endorsements in the materials you are using. For exam purposes, understand purpose, not just form numbers.
| Form or endorsement | Core use | High-yield issue |
|---|
| SPF 1 Owner’s Automobile Policy | Standard owner’s automobile coverage | Named insured, described automobile, drivers, use, territory, exclusions |
| SPF 4 Garage Automobile Policy | Garage operations involving customers’ vehicles and dealer/service risks | Difference between owned, customers’, and garage operations exposures |
| SPF 6 Non-Owned Automobile Policy | Liability for employer/business exposure from vehicles not owned by insured | Employees using personal vehicles for business |
| SEF 20 Loss of Use | Transportation replacement costs after insured loss | Subject to coverage trigger and limits |
| SEF 27 Legal Liability for Damage to Non-Owned Automobiles | Physical damage liability for certain non-owned vehicles | Rental vehicles and contractual assumptions |
| SEF 44 Family Protection | Protection against inadequately insured at-fault motorists | Must coordinate with auto policy conditions |
| SEF 19 Limitation of Amount | Limits recovery to stated value | Client may expect replacement cost |
| SEF 43R Limited Waiver of Depreciation | Waives depreciation for eligible newer vehicles subject to terms | Time, vehicle eligibility, and wording restrictions |
Fleet Underwriting Cues
| Exposure | Underwriting information to seek |
|---|
| Drivers | Abstracts, age/experience, training, turnover, disciplinary controls |
| Vehicles | Type, value, radius, garaging, maintenance, ownership/lease |
| Use | Delivery, passenger transport, hazardous goods, seasonal use |
| Territory | Urban/rural, interprovincial, cross-border, radius |
| Cargo | Owned goods vs goods of others, temperature control, theft attractiveness |
| Contracts | Additional insured, waiver, indemnity, cargo limits required |
| Loss control | Telematics, driver policy, maintenance logs, incident review |
| Claims | Frequency vs severity, preventability, trend, reserve development |
Surety, Crime, and Specialty Lines
| Line | What it is | Not the same as | Exam trap |
|---|
| Contract surety | Surety guarantees principal’s contract obligation to obligee | Insurance for principal’s own loss | Surety expects indemnity from principal |
| Bid bond | Supports contractor’s bid commitment | Performance bond | Usually connected to tender process |
| Performance bond | Guarantees completion/performance | Warranty of perfect work | Surety may finance, replace, or settle |
| Labour and material payment bond | Protects eligible subcontractors/suppliers | General liability | Claimants and notice rules matter |
| Commercial surety | Guarantees statutory, court, fiduciary, or licence obligations | Casualty insurance | Underwriting focuses on character, capacity, capital |
| Crime insurance | Employee dishonesty, theft, forgery, computer fraud depending on wording | Cyber insurance | Discovery period and employee definition matter |
| Fiduciary liability | Administration of benefit plans | D&O or E&O | Benefit plan decisions may be excluded elsewhere |
| Builders risk | Property under construction | Contractor CGL | Soft costs, delay, testing, occupancy, and handover issues |
| Wrap-up liability | Project-specific liability covering multiple participants | Individual contractor CGL only | Completed operations and enrolled parties |
| Marine/cargo | Transit and marine-related property exposures | Standard property extension | Incoterms, valuation, conveyance, and territory |
| Equipment breakdown | Breakdown of pressure, mechanical, electrical equipment | Wear and tear coverage | Consequential BI may need endorsement |
| Environmental liability | Pollution cleanup and third-party environmental claims | Standard CGL | Gradual pollution and regulatory cleanup are key gaps |
| Cyber | Data breach, privacy, network interruption, cybercrime | Crime or property alone | Social engineering may need specific coverage |
Reinsurance and Insurer Risk Transfer
| Concept | Meaning | When chosen |
|---|
| Reinsurance | Insurance purchased by an insurer to transfer part of its risk | Capacity, catastrophe protection, stabilization |
| Ceding insurer | Insurer that transfers risk | Wants capital relief or volatility control |
| Reinsurer | Assumes risk from ceding insurer | Prices portfolio or individual risk |
| Retention | Amount insurer keeps net | Higher retention means more volatility retained |
| Facultative reinsurance | Reinsurance for an individual risk | Large, unusual, or hazardous account |
| Treaty reinsurance | Reinsurance for a class/portfolio | Automatic capacity for defined business |
| Pro rata/quota share | Reinsurer shares premiums and losses by percentage | Growth, capacity, portfolio sharing |
| Surplus share | Reinsurer takes amount above insurer retention up to treaty limit | Larger policies with variable sums insured |
| Excess of loss | Reinsurer pays losses above retention up to limit | Severity or catastrophe protection |
| Catastrophe excess | Protects against accumulation from one event | Earthquake, hail, wildfire, flood accumulation |
| Ceding commission | Reinsurer allowance to ceding insurer for acquisition/admin costs | Pro rata treaties |
| Reinstatement | Restores exhausted reinsurance limit, often for additional premium | Catastrophe programs |
| Fronting | Licensed insurer issues policy while transferring most risk | Requires attention to credit and control risk |
Underwriting, Pricing, and Portfolio Measures
| Measure | Plain formula | Interpretation |
|---|
| Written premium | Premium booked for policies written | Production volume, not fully earned yet |
| Earned premium | Written premium recognized over elapsed policy period | Used with incurred losses |
| Incurred losses | Paid losses plus reserves, adjusted for recoveries depending on basis | Better than paid-only for profitability |
| Loss ratio | Incurred losses / earned premium | Claims cost relative to earned premium |
| Expense ratio | Underwriting expenses / premium base used by insurer | Acquisition and operating cost load |
| Combined ratio | Loss ratio + expense ratio | Below 100% indicates underwriting profit before investment income |
| Rate adequacy | Premium sufficient for expected losses, expenses, profit/risk load | Hard-market driver |
| Frequency | Number of claims per exposure | Often managed by loss control/deductibles |
| Severity | Average cost per claim | Often managed by limits, underwriting, reinsurance |
| Retention | Insured’s deductible/SIR or insurer’s net retained risk | Aligns incentives and controls small losses |
| Adverse selection | Higher-risk insureds more likely to buy/keep coverage | Underwriting and pricing must counter it |
| Moral hazard | Behaviour changes because insurance exists | Deductibles, conditions, inspections |
| Morale hazard | Carelessness or indifference to loss | Loss control and underwriting judgment |
\[
\text{Earned premium} = \text{written premium} \times \frac{\text{expired policy days}}{\text{policy term days}}
\]\[
\text{Loss ratio} = \frac{\text{incurred losses}}{\text{earned premium}}
\]\[
\text{Combined ratio} = \text{loss ratio} + \text{expense ratio}
\]\[
\text{Insurance required} = \text{property value} \times \text{co-insurance percentage}
\]\[
\text{Co-insurance recovery before deductible} = \min(\text{loss}, \text{limit}) \times \frac{\text{insurance carried}}{\text{insurance required}}
\]\[
\text{Premium} = \text{exposure units} \times \text{rate} \times \text{modification factors}
\]
Calculation traps:
- Use earned premium with incurred losses for loss ratio.
- Apply the policy wording for deductible and co-insurance order.
- Co-insurance does not increase the policy limit.
- A low combined ratio is favourable; a high loss ratio may still be acceptable if expenses are low and pricing strategy supports it.
- Do not confuse insurer retention with insured deductible.
Claims Handling and Coverage Disputes
| Claims step | Key action | Level 3 issue |
|---|
| First notice of loss | Record facts, date, contact details, immediate needs | Late notice and incomplete facts |
| Acknowledge duties | Tell insured to protect property, cooperate, preserve evidence, avoid unauthorized admissions | Producer must not adjust beyond role |
| Notify insurer | Promptly report according to policy and agency procedures | Delay can prejudice coverage |
| Coverage review | Compare facts to wording, endorsements, conditions | Do not promise coverage before insurer position |
| Reservation of rights | Insurer may investigate while preserving coverage defences | Not the same as denial |
| Proof of loss | Formal sworn claim document where required | Deadlines and accuracy matter |
| Investigation | Cause, amount, liability, damages, fraud indicators | Bias or incomplete investigation creates conduct risk |
| Reserves | Estimate expected claim cost | Reserve changes do not equal admission |
| Defence | Liability insurer may appoint defence counsel | Conflict may require separate counsel consideration |
| Settlement | Must align with coverage, liability, damages, authority | Unauthorized settlement can breach conditions |
| Subrogation | Insurer seeks recovery from responsible third party after payment | Insured must preserve rights |
| Salvage | Insurer may recover value from damaged property | Ownership and valuation issues |
| Complaint/escalation | Use internal and regulatory complaint process as required | Poor communication can become separate misconduct |
Ethics and Professional Judgment
| Scenario | Correct instinct |
|---|
| Client asks to backdate coverage | Refuse; explain fraud/misrepresentation risk; document and escalate if needed |
| Client omits material information | Do not submit as-is; obtain accurate information or decline to proceed |
| Producer discovers application error after binding | Notify insurer, correct file, inform client of impact |
| Insurer offers higher commission product | Recommend based on client needs; disclose conflicts where required |
| Client cannot afford recommended coverage | Explain risk and alternatives; document declination |
| Friend or related business seeks special treatment | Apply same underwriting, disclosure, and documentation standards |
| Claim may be excluded | Assist with reporting, but do not guarantee coverage |
| Staff member lacks licence for task | Reassign to licensed person or supervise only where legally permitted |
| Client wants minimum premium only | Explain coverage consequences, not just price |
| Market unavailable | Document markets approached, alternatives, risk improvements, and residual options if applicable |
High-Yield Distinctions
| Distinction | Testable point |
|---|
| Broker/agent advice vs insurer underwriting | Producer advises and submits; insurer accepts, declines, or sets terms |
| Quote vs binder | Quote is an offer/estimate; binder is temporary evidence of coverage if validly authorized |
| Binder vs policy | Binder is temporary; policy wording ultimately governs subject to legal principles |
| Warranty vs representation | Warranty is usually stricter; representation may require materiality analysis |
| Material change vs ordinary change | Material change affects risk and must be disclosed according to policy/law |
| Vacancy vs unoccupancy | Vacancy usually implies no occupant/contents/use; unoccupancy may be temporary absence |
| Replacement cost vs market value | Replacement cost is repair/replace cost; market value is sale value |
| ACV vs depreciation waiver | ACV accounts for depreciation; waiver endorsement may restrict depreciation for eligible auto losses |
| Occurrence vs claims-made | Occurrence focuses on event date; claims-made focuses on claim/report date |
| Deductible vs SIR | Deductible often paid/reimbursed after insurer involvement; SIR may be retained and handled by insured before insurer responds |
| Excess vs umbrella | Excess may follow underlying wording; umbrella may provide broader coverage subject to terms |
| Surety vs insurance | Surety expects principal reimbursement; insurance spreads fortuitous loss |
| Indemnity vs valued policy | Indemnity restores financial position; valued approach may pre-agree amount subject to wording |
| Direct loss vs consequential loss | Physical damage vs resulting income/extra expense loss |
| Moral hazard vs morale hazard | Intentional incentive problem vs carelessness/indifference |
Scenario Selection Matrix
| Facts in question | Likely best answer |
|---|
| Commercial client changed operations | Treat as material risk change; update underwriting and coverage |
| Client signs lease with insurance requirements | Compare contract to policies; identify gaps; do not assume compliance |
| Contractor starts new project type | Review CGL, builders risk, wrap-up, bonds, professional exposure |
| Business stores customer property | Review property of others, bailee, legal liability, limits |
| Manufacturer imports products | Review products liability, territory, vendors, recall, contractual requirements |
| Company uses employee vehicles | Review SPF 6/non-owned auto and driver controls |
| New cyber exposure appears | Do not rely on CGL/property; consider cyber and crime gaps |
| Large property value increase | Reassess limits, co-insurance, inflation, appraisal |
| Several small claims | Analyze frequency, deductibles, loss control, marketability |
| One catastrophic exposure | Analyze severity, limits, umbrella/excess, reinsurance/insurer capacity |
| Producer lacks binding authority | Submit to insurer; do not bind or imply coverage |
| File has no notes | Reconstruct facts, improve process, recognize E&O weakness |
| Client disputes premium finance/cancellation | Review notices, authority, accounting, and client communications |
| Policy issued differently from binder | Escalate immediately; correct or explain discrepancy |
| Claim denied for exclusion | Verify wording, facts, endorsements, and appeal/escalation options |
Last-Week Review Checklist
- Know the difference between advice, underwriting, binding, issuing, and adjusting.
- Review Alberta market conduct principles: licensing, honesty, disclosure, privacy, complaints, records, and premium handling.
- Practice coverage analysis in order: grant, definitions, exclusions, conditions, endorsements, limits.
- Memorize the purpose of common auto forms and endorsements, but rely on wording for the final answer.
- Drill commercial property valuation, co-insurance, business interruption, and liability triggers.
- Separate occurrence and claims-made logic.
- Review surety relationships: principal, obligee, surety.
- Understand reinsurance types and why insurers use them.
- Practise management scenarios: supervision, file audits, complaints, staff errors, and E&O escalation.
- For every scenario, ask: What facts are missing? Who must be notified? What must be documented?
Next Step
Use this Quick Reference as a checklist, then complete mixed AIC L3 practice scenarios under timed conditions. After each question, write the rule you applied, the conduct issue you spotted, and the file note that should exist.