Solve mixed cases and repair your weak spots

What you will learn

• Use a consistent sequence to solve mixed insurance scenarios.
• Diagnose whether an error concerns a rule, a fact, a calculation or a version.
• Retry changed cases after a break and select the lesson that repairs the missed step.

Before you start

Before you start, complete Lessons 01–38. Keep an error log and a calculator available; attempt each round before opening its explanations.

Explain why, not just which answer

A useful answer identifies the deciding fact and the rule that uses it. A familiar number without its trigger is not enough. In this lesson, combine policy reading, calculations and Nevada requirements. Work from the facts supplied, write your reasoning before opening the answers, and return to the earlier lesson when you cannot explain a step. These are study exercises, not a prediction of your exam result.

Use a five-question route

1. What is the problem? Coverage, valuation, a policy condition, legal authority or a statutory duty?
2. Which source governs? The actual policy and endorsements, the applicable Nevada provision, or a separate federal program?
3. What fact triggers the rule? Identify the property, cause, person, timing and exception that matter.
4. What follows? Apply the rule and any stated calculation order. Do not invent a missing term.
5. What would change the answer? Name one changed fact and explain its effect.

Use this as an organizing routine, not as permission to skip the rest of a real policy or statute.

Worked case: choose the relevant clause

A fictional business has two contracts. Contract A covers direct physical damage to its scheduled building from accidental fire and excludes flood. Contract B covers the listed cargo only while in transit. A fire damages the building, not the cargo. Start with A's building-and-fire grant, then check its remaining terms; B's cargo label does not fit the damaged interest. Change only the cause to flood: A's stated exclusion now matters. The declarations' building limit cannot erase that exclusion. These supplied clauses are classroom assumptions, not claims about every building or cargo form.

Worked case: label each number

Use this fictional calculation rule: required insurance equals 80% of the stated property value; if the carried amount is below that requirement, multiply the covered loss by carried divided by required. Then subtract the deductible, floor at zero and apply the stated payment limit. Value is $500,000, carried insurance and payment limit are $300,000, covered loss is $40,000 and the deductible is $2,000. Required insurance is $400,000. The fraction is $300,000 ÷ $400,000 = 0.75. Adjusted loss is $30,000; after the deductible, payment is $28,000, below the limit. The 80% requirement is not an instruction to pay 80% of every loss.

Pause and predict

You got the arithmetic right but used a percentage of the loss when the question specified a percentage of the coverage limit. What belongs in your error log, and how can you test the repair?

Round one: retrieve the rule before looking

1. Change the math: Using the worked rule and other numbers unchanged, increase both carried insurance and the payment limit to $400,000. What is the payment?
2. TRIA: Assume all federal payment conditions are met and no cap or adjustment changes the result. Eligible insurer losses are $50 million and its program deductible is $30 million. What is the 80% federal share of the excess? Does this mean a customer's covered payment is automatically reduced to 80%?
3. Regulator: A hearing notice proposes a penalty. Is it proof of a final revocation? For a qualifying requested hearing under NRS 679B.310, absent mutually agreed postponement, is the 60-day holding period measured from application filing or receipt of the hearing notice?
4. License and appointment: A licensed producer wants to act as an insurer's agent in an ordinary Property transaction. Does the license alone replace appointment? A nonexempt licensee completes 30 approved CE hours but none in ethics. Is the total alone sufficient?
5. Unfair practices: A producer uses a false comparison to induce a customer to replace an existing policy. Why is this more than simply making a truthful comparison between products?
6. Trust account: Under NAC 683A.420, use gross receivables of $15,000, uncollected commissions of $3,000 and trust deposits of $2,000 for Side A. Side B is $12,000 owed to producers plus $3,000 of receivables more than 90 days old. Is there a deficiency, and how much? After the Commissioner's deficiency notice is received, what two actions does .430 require within five days?
7. NIGA: Assume all eligibility, exhaustion and other requirements are satisfied. A non-workers'-compensation covered claim is $90,000 under a $150,000 applicable policy limit. Does the $300,000 per-occurrence ceiling create a $300,000 payment? What is the distinct unearned-premium ceiling per policy?
8. Cancellation: A non-industrial policy governed by .320 has been effective 100 days, with no more favorable term. Compare the minimum notice for nonpayment with a qualifying fraud ground. Is either the general commercial nonrenewal period under .340?
9. Binder: A written binder becomes effective now. Who receives copies, and what starts the 24-hour period? Does .186's refusal-of-proof penalty apply automatically when coverage is exactly $1 million?

Check round one

Repair the reason for the miss

Record one sentence: “I chose ___ because I confused ___ with ___; the deciding fact is ___.” Then answer a changed example without looking at the original answer.

Return after a break with different facts

Leave the next round closed until a later study session—for example, tomorrow. Start without notes. For each answer, write the rule, its trigger and the fact that changes the result. If you remember only the number, reopen the relevant earlier lesson and explain the surrounding rule before retrying. The schedule is a suggested study routine, not an official exam requirement.

Round two: delayed, changed-fact practice

1. A building loss is now caused by the flood expressly excluded from fictional Contract A. Can its $300,000 limit alone establish payment? What missing or changed contract term would you investigate?
2. Under the worked coinsurance rule, use value $200,000, carried insurance and limit $120,000, loss $12,000 and deductible $500. Calculate payment.
3. A news report calls an event terrorism. Has that completed the required federal certification? Are the $5 million certification threshold and $200 million industry payment trigger interchangeable?
4. A qualifying hearing application was filed ten days before the notice arrived. Does receiving the notice restart the .310 holding clock? Is every final order universally due in 30 days, regardless of proceeding?
5. A producer seeks the ordinary late-renewal route 45 days after the renewal date. Is that inside its 30-day window? Does possible reinstatement itself authorize activity before reinstatement is completed?
6. Under .420, Side A totals $18,000 and Side B totals $17,000. Is there a deficiency under that comparison? If a different account is deficient, does an intended deposit replace the written explanation required by .430?
7. For NIGA's general net-worth exclusions, distinguish first-party $10 million from third-party $25 million. Do these figures describe claim-payment caps? Keep the prior-year consolidated measure and statutory exceptions in your explanation.
8. A commercial policy receives ordinary nonrenewal notice 50 days before expiration, with no exception. Does that meet .340's general rule? Can an insured's agreement alone authorize extending a binder beyond 90 days under .182?
9. A motor insurer receives a qualifying statement for satisfactorily completed repairs. Does .300's 30-day payment period run from the accident or receipt of that statement? A separate-fee appraiser has only a producer license: is that alone an exemption under684B.020?

Check round two and choose what to revisit

End with a specific next step

Choose the two distinctions you could not explain without the answers. Revisit their lessons, write one changed-fact question for each and try again after a delay. Track the error you repaired, not just how many answers looked familiar. Completing this course or these exercises does not establish an official score, eligibility determination or guaranteed exam outcome.