MS Public Adjuster study materials
MS Public Adjuster study resources

MS Public Adjuster cheat sheet

MS Public Adjuster · Keep the key ideas within reach.

Quick reference

Adjuster Licensing and Regulation

  • Mississippi licenses public adjusters under Miss. Code Ann. § 83-17-501 et seq.; a public adjuster represents the insured for compensation, while a company or independent adjuster represents the insurer.

  • Public adjuster license applicants must be at least 18, pass the state exam, submit fingerprints for a background check, and pay the prescribed fee; a surety bond or proof of financial responsibility is required.

  • A public adjuster license must be renewed biennially; continuing education (including ethics hours) must be completed before expiration or the license lapses and cannot be used until reinstated.

  • A public adjuster may not solicit a client within a statutory cooling-off period after a loss event; solicitation at the scene of a loss or during declared emergencies is restricted.

  • Compensation must be a stated percentage of the claim recovery and must be disclosed in a written contract signed by the insured; fees on undisputed policy proceeds are capped by statute.

  • A public adjuster contract must contain a right of rescission allowing the insured to cancel within a set number of days after signing, and the adjuster must give the insured a copy.

  • Licensees must report administrative actions, criminal charges, and changes of address to the Mississippi Department of Insurance within the statutory time frame.

  • Acting as a public adjuster without a license, or aiding an unlicensed person, is a violation subject to fines, restitution, and license revocation.

Quick reference

Insurance Principles and Policy Basics

  • Indemnity principle: the insured should be restored to pre-loss financial position, no better; valued-policy and replacement-cost endorsements modify this baseline.

  • Insurable interest must exist at the time of loss for property coverage and at inception for life coverage; absence of insurable interest voids recovery.

  • Declarations page states named insured, policy period, limits, deductibles, and forms; the insuring agreement grants coverage, and exclusions remove it.

  • Duties after loss typically include prompt notice, proof of loss, protection of property, cooperation, and submission to examination under oath.

  • Coinsurance formula for property: (insurance carried ÷ insurance required) × loss = recovery, subject to the policy limit and deductible.

  • Actual cash value = replacement cost − depreciation; replacement cost pays new-for-old without depreciation, usually after repair or replacement occurs.

  • Utmost good faith imposes disclosure duties on both parties; material misrepresentation in the application can allow rescission of the policy.

  • Subrogation lets the insurer pursue third parties after paying a claim; the insured must not impair that right, and recovery is shared per policy terms.

Quick reference

Property Insurance Coverage and Claims

  • Dwelling policies (DP-1, DP-2, DP-3) differ by perils covered: DP-1 basic named perils, DP-2 broad named perils, DP-3 open peril on the dwelling.

  • HO-3 covers the dwelling on an open-peril basis and personal property on a named-peril basis; HO-5 covers both on open peril.

  • Standard property exclusions include earth movement, flood, ordinance or law, intentional loss, neglect, and wear and tear; flood requires a separate policy or endorsement.

  • Loss settlement: apply deductible first, then coinsurance penalty if applicable, then policy limit; recoverable depreciation is released after proof of repair.

  • Additional coverages commonly include debris removal, reasonable repairs, trees and shrubs, and loss of use (fair rental value or additional living expense).

  • Proof of loss is a sworn statement of amounts claimed; failure to submit within the policy period can bar the claim unless the insurer waives the requirement.

  • Business income coverage pays net income loss plus continuing expenses during the period of restoration, typically with a 72-hour waiting period for civil authority.

  • Mortgagee clause gives the lender rights to receive loss payment and notice; the insured's acts do not always defeat the mortgagee's interest.

Quick reference

Casualty Insurance Coverage and Claims

  • CGL occurrence-form policies cover bodily injury and property damage during the policy period; claims-made forms cover claims reported during the period, subject to retroactive date.

  • Liability determination requires duty, breach, proximate cause, and damages; the adjuster evaluates both liability exposure and damages exposure.

  • Comparative and contributory negligence rules vary by jurisdiction and reduce or bar recovery; joint and several liability rules affect allocation among defendants.

  • Limits structure: each occurrence limit, general aggregate, products-completed operations aggregate, and personal and advertising injury limit apply separately.

  • Additional insured endorsements extend coverage to parties such as landlords or general contractors, usually limited to liability arising from the named insured's work.

  • Medical payments coverage pays reasonable medical expenses regardless of fault, subject to a per-person limit, without requiring a liability determination.

  • Workers' compensation provides statutory benefits (medical, indemnity, death) on a no-fault basis; the exclusive remedy doctrine generally bars employee tort suits against the employer.

  • Reserves for casualty claims reflect estimated indemnity plus allocated loss adjustment expense; reserve adequacy is reviewed as liability and damages information develops.

Quick reference

Claims Handling Practices and Ethics

  • Unfair claim settlement practices include misrepresenting policy provisions, failing to investigate promptly, and offering substantially less than the amount owed without a reasonable basis.

  • The adjuster must acknowledge the claim, begin investigation within statutory time frames, and communicate material status updates to the insured in writing.

  • A reservation-of-rights letter preserves the insurer's coverage defenses while investigation continues; it is not a denial and must state the specific issues.

  • Settlement offers must be based on documented damages; the adjuster should explain the basis of the valuation and provide copies of estimates and reports on request.

  • Conflicts of interest must be disclosed; a public adjuster cannot represent both the insured and the insurer on the same claim or accept referral fees from contractors.

  • Claim files must document every contact, decision, and payment; contemporaneous notes support the insurer's burden to show a reasonable investigation.

  • Bad-faith exposure arises from unreasonable delay or denial without a reasonable basis; documented, prompt, and consistent handling is the primary defense.

  • Privacy rules require safeguarding nonpublic personal information; disclosure to third parties is limited to claim-related needs and authorized recipients.