UT Property & Casualty study materials
UT Property & Casualty study resources

UT Property & Casualty cheat sheet

UT Property & Casualty · Keep the key ideas within reach.

Quick reference

Insurance Principles and Concepts

  • Insurable interest requires a financial relationship such that a loss causes monetary harm; in property insurance it must exist at the time of loss, in life insurance at policy inception.

  • ACV = replacement cost − depreciation. Indemnity restores the insured to the pre-loss financial position, never better and never worse.

  • Property coinsurance formula: payment = (limit carried ÷ limit required) × loss, less the deductible, where limit required = coinsurance percentage × value at risk at time of loss.

  • Pure risk (loss or no loss) is insurable; speculative risk (loss, no loss, or gain) is not.

  • Hazard categories: physical (icy steps, defective wiring), moral (dishonesty, claim exaggeration), morale (carelessness, indifference to loss). Perils are the actual causes of loss.

  • Contract characteristics: adhesion (insurer drafts the wording), aleatory (unequal exchange of values), unilateral (only the insurer makes an enforceable promise), conditional (duties after loss must be met).

  • Utmost good faith duties: accurate representations, warranties honored, no material concealment; material misrepresentation or fraud voids coverage.

  • Negligence requires four elements: legal duty owed, breach of that duty, proximate cause, and actual damages - all four must be proven.

  • Subrogation transfers the insured's recovery rights against a third party to the insurer after payment; contribution divides a loss among concurrent policies covering the same interest.

Quick reference

Property Insurance Coverages and Policy Provisions

  • HO-3 covers the dwelling and other structures on open perils and personal property on named perils; HO-5 covers both on open perils; HO-2 is named perils throughout.

  • Homeowners limits: Coverage B other structures is typically 10% of Coverage A; Coverage C personal property 50% of Coverage A; Coverage D loss of use a stated percentage of Coverage A.

  • Coverage C personal property follows the insured off premises at 10% of the Coverage C limit, and special sub-limits cap categories such as money, theft of jewelry, and theft of firearms.

  • Replacement-cost settlement on Coverage A requires the limit to be at least 80% of full replacement cost; if not, loss settles at actual cash value.

  • Dwelling forms DP-1 (basic), DP-2 (broad), and DP-3 (special) insure the dwelling and contents but include no liability or medical payments coverage.

  • Commercial property coinsurance: limit required = coinsurance percentage × insurable value at time of loss; carrying less reduces the loss payment proportionally, and no penalty applies if the limit equals or exceeds the requirement.

  • Business income = net income loss + continuing normal operating expenses during restoration; extra expense pays reasonable costs to resume or continue operations.

  • Mortgage (loss payable) clause: the lender receives loss payments, may pay premium to keep the policy in force, and is entitled to advance notice of cancellation or nonrenewal.

  • Standard property exclusions include flood, earth movement, ordinance or law, neglect, intentional loss, and war; homeowners forms exclude vandalism when the dwelling has been vacant over 60 consecutive days.

Quick reference

Casualty Insurance Coverages and Policy Provisions

  • CGL structure: Coverage A bodily injury and property damage, Coverage B personal and advertising injury, Coverage C medical payments (no-fault, short reporting window).

  • CGL limits to read: each occurrence, general aggregate, products-completed operations aggregate, personal and advertising injury limit, and damage to premises rented to you.

  • Claims-made CGL covers injury occurring after the retroactive date but first made or reported during the policy period; occurrence CGL covers injury during the period regardless of when reported.

  • Key CGL exclusions: expected or intended injury, contractual liability, your product, your work, impaired property, pollution, employer's liability, and damage to your own property.

  • Personal auto parts: A liability, B medical payments, C uninsured/underinsured motorists, D damage to your auto (collision and other than collision), E duties after an accident or loss.

  • Personal auto covers a newly acquired auto for 14 days (longer only if it replaces a listed auto) and covers a temporary substitute auto while a covered auto is out of service.

  • Business auto symbols 1 through 9 designate which autos are covered; symbol 1 means any auto, including hired and non-owned autos.

  • Workers compensation: exclusive remedy for covered work injuries; Part One statutory benefits, Part Two employers liability, Part Three other states coverage. Benefits include medical, disability income, rehabilitation, and death.

  • A surety bond is a three-party arrangement (surety, principal, obligee) driven by the principal's default; a fidelity bond is two-party insurance against employee dishonesty.

Quick reference

Utah Insurance Laws, Rules, and Regulations

  • Utah insurance law is codified in Title 31A; the Utah Insurance Department is headed by a Commissioner appointed by the Governor with Senate consent, with authority to license, examine, investigate, and penalize.

  • Resident producer licenses renew biennially and require 24 continuing education credit hours per two-year term, at least 3 of which must be ethics.

  • Utah auto policies must include personal injury protection of at least $3,000 per person for medical expenses, work loss, and replacement services; Utah is a modified no-fault state with a tort threshold.

  • Utah's unfair claims settlement practices provisions prohibit misrepresenting policy provisions, failing to investigate promptly, and refusing to pay a claim without a reasonable basis.

  • Prohibited unfair trade practices include misrepresentation, false advertising, defamation, boycott, coercion, intimidation, unfair discrimination, rebating, and twisting.

  • A producer receiving premium is a fiduciary: premium funds must be held for the insurer or insured and may not be commingled with the producer's own operating or personal funds.

  • Utah generally requires at least 10 days' written notice of cancellation for nonpayment of premium and a longer period for other cancellations; nonrenewal requires advance written notice.

  • The Utah Property and Casualty Insurance Guaranty Association pays covered claims of insolvent member P&C insurers, subject to statutory limits and exclusions, funded by assessments on member insurers.

  • Acting as a producer without a license is unlawful; commissions may be paid only to properly licensed producers, and licensees must notify the Department of address changes and administrative actions.

Quick reference

Producer Licensing, Marketing, and Ethical Practices

  • License versus appointment: the state license grants legal authority to transact insurance; the appointment authorizes the producer to act on behalf of a specific insurer.

  • Fiduciary standard: premiums belong to the insurer or the insured, not the producer; commingling, misappropriation, or late remittance is grounds for license suspension or revocation.

  • Twisting is misrepresentation that induces a policyholder to lapse or replace coverage; churning is unnecessary replacement driven by commission; both are prohibited.

  • Rebating - offering anything of value not stated in the policy as an inducement to buy - is illegal in Utah, as is sharing commissions with unlicensed persons.

  • Unfair discrimination means charging different rates or refusing coverage to individuals in the same risk class without actuarial justification.

  • Producer authority types: express (granted in the agency contract), implied (acts customary to the role), and apparent (created by the insurer's conduct or representations).

  • Federal marketing rules: GLBA requires privacy notice and opt-out rights, FCRA governs consumer reports and adverse action notices, and the TCPA and CAN-SPAM Act restrict calls, texts, and email marketing.

  • Errors and omissions coverage protects the producer against claims arising from negligent acts, errors, or omissions in professional services.

  • Replacement and suitability: annuity and life transactions require replacement notices and documented needs analysis, and all sales require an insurable interest and accurate, non-misleading illustrations.

Quick reference

Insurance Principles and Concepts

  • Insurable interest requires a financial relationship such that a loss causes monetary harm; in property insurance it must exist at the time of loss, in life insurance at policy inception.

  • ACV = replacement cost − depreciation. Indemnity restores the insured to the pre-loss financial position, never better and never worse.

  • Property coinsurance formula: payment = (limit carried ÷ limit required) × loss, less the deductible, where limit required = coinsurance percentage × value at risk at time of loss.

  • Pure risk (loss or no loss) is insurable; speculative risk (loss, no loss, or gain) is not.

  • Hazard categories: physical (icy steps, defective wiring), moral (dishonesty, claim exaggeration), morale (carelessness, indifference to loss). Perils are the actual causes of loss.

  • Contract characteristics: adhesion (insurer drafts the wording), aleatory (unequal exchange of values), unilateral (only the insurer makes an enforceable promise), conditional (duties after loss must be met).

  • Utmost good faith duties: accurate representations, warranties honored, no material concealment; material misrepresentation or fraud voids coverage.

  • Negligence requires four elements: legal duty owed, breach of that duty, proximate cause, and actual damages - all four must be proven.

  • Subrogation transfers the insured's recovery rights against a third party to the insurer after payment; contribution divides a loss among concurrent policies covering the same interest.

Quick reference

Property Insurance Coverages and Policy Provisions

  • HO-3 covers the dwelling and other structures on open perils and personal property on named perils; HO-5 covers both on open perils; HO-2 is named perils throughout.

  • Homeowners limits: Coverage B other structures is typically 10% of Coverage A; Coverage C personal property 50% of Coverage A; Coverage D loss of use a stated percentage of Coverage A.

  • Coverage C personal property follows the insured off premises at 10% of the Coverage C limit, and special sub-limits cap categories such as money, theft of jewelry, and theft of firearms.

  • Replacement-cost settlement on Coverage A requires the limit to be at least 80% of full replacement cost; if not, loss settles at actual cash value.

  • Dwelling forms DP-1 (basic), DP-2 (broad), and DP-3 (special) insure the dwelling and contents but include no liability or medical payments coverage.

  • Commercial property coinsurance: limit required = coinsurance percentage × insurable value at time of loss; carrying less reduces the loss payment proportionally, and no penalty applies if the limit equals or exceeds the requirement.

  • Business income = net income loss + continuing normal operating expenses during restoration; extra expense pays reasonable costs to resume or continue operations.

  • Mortgage (loss payable) clause: the lender receives loss payments, may pay premium to keep the policy in force, and is entitled to advance notice of cancellation or nonrenewal.

  • Standard property exclusions include flood, earth movement, ordinance or law, neglect, intentional loss, and war; homeowners forms exclude vandalism when the dwelling has been vacant over 60 consecutive days.

Quick reference

Casualty Insurance Coverages and Policy Provisions

  • CGL structure: Coverage A bodily injury and property damage, Coverage B personal and advertising injury, Coverage C medical payments (no-fault, short reporting window).

  • CGL limits to read: each occurrence, general aggregate, products-completed operations aggregate, personal and advertising injury limit, and damage to premises rented to you.

  • Claims-made CGL covers injury occurring after the retroactive date but first made or reported during the policy period; occurrence CGL covers injury during the period regardless of when reported.

  • Key CGL exclusions: expected or intended injury, contractual liability, your product, your work, impaired property, pollution, employer's liability, and damage to your own property.

  • Personal auto parts: A liability, B medical payments, C uninsured/underinsured motorists, D damage to your auto (collision and other than collision), E duties after an accident or loss.

  • Personal auto covers a newly acquired auto for 14 days (longer only if it replaces a listed auto) and covers a temporary substitute auto while a covered auto is out of service.

  • Business auto symbols 1 through 9 designate which autos are covered; symbol 1 means any auto, including hired and non-owned autos.

  • Workers compensation: exclusive remedy for covered work injuries; Part One statutory benefits, Part Two employers liability, Part Three other states coverage. Benefits include medical, disability income, rehabilitation, and death.

  • A surety bond is a three-party arrangement (surety, principal, obligee) driven by the principal's default; a fidelity bond is two-party insurance against employee dishonesty.

Quick reference

Utah Insurance Laws, Rules, and Regulations

  • Utah insurance law is codified in Title 31A; the Utah Insurance Department is headed by a Commissioner appointed by the Governor with Senate consent, with authority to license, examine, investigate, and penalize.

  • Resident producer licenses renew biennially and require 24 continuing education credit hours per two-year term, at least 3 of which must be ethics.

  • Utah auto policies must include personal injury protection of at least $3,000 per person for medical expenses, work loss, and replacement services; Utah is a modified no-fault state with a tort threshold.

  • Utah's unfair claims settlement practices provisions prohibit misrepresenting policy provisions, failing to investigate promptly, and refusing to pay a claim without a reasonable basis.

  • Prohibited unfair trade practices include misrepresentation, false advertising, defamation, boycott, coercion, intimidation, unfair discrimination, rebating, and twisting.

  • A producer receiving premium is a fiduciary: premium funds must be held for the insurer or insured and may not be commingled with the producer's own operating or personal funds.

  • Utah generally requires at least 10 days' written notice of cancellation for nonpayment of premium and a longer period for other cancellations; nonrenewal requires advance written notice.

  • The Utah Property and Casualty Insurance Guaranty Association pays covered claims of insolvent member P&C insurers, subject to statutory limits and exclusions, funded by assessments on member insurers.

  • Acting as a producer without a license is unlawful; commissions may be paid only to properly licensed producers, and licensees must notify the Department of address changes and administrative actions.

Quick reference

Producer Licensing, Marketing, and Ethical Practices

  • License versus appointment: the state license grants legal authority to transact insurance; the appointment authorizes the producer to act on behalf of a specific insurer.

  • Fiduciary standard: premiums belong to the insurer or the insured, not the producer; commingling, misappropriation, or late remittance is grounds for license suspension or revocation.

  • Twisting is misrepresentation that induces a policyholder to lapse or replace coverage; churning is unnecessary replacement driven by commission; both are prohibited.

  • Rebating - offering anything of value not stated in the policy as an inducement to buy - is illegal in Utah, as is sharing commissions with unlicensed persons.

  • Unfair discrimination means charging different rates or refusing coverage to individuals in the same risk class without actuarial justification.

  • Producer authority types: express (granted in the agency contract), implied (acts customary to the role), and apparent (created by the insurer's conduct or representations).

  • Federal marketing rules: GLBA requires privacy notice and opt-out rights, FCRA governs consumer reports and adverse action notices, and the TCPA and CAN-SPAM Act restrict calls, texts, and email marketing.

  • Errors and omissions coverage protects the producer against claims arising from negligent acts, errors, or omissions in professional services.

  • Replacement and suitability: annuity and life transactions require replacement notices and documented needs analysis, and all sales require an insurable interest and accurate, non-misleading illustrations.

Quick reference

Insurance Principles and Concepts

  • Insurable interest requires a financial relationship such that a loss causes monetary harm; in property insurance it must exist at the time of loss, in life insurance at policy inception.

  • ACV = replacement cost − depreciation. Indemnity restores the insured to the pre-loss financial position, never better and never worse.

  • Property coinsurance formula: payment = (limit carried ÷ limit required) × loss, less the deductible, where limit required = coinsurance percentage × value at risk at time of loss.

  • Pure risk (loss or no loss) is insurable; speculative risk (loss, no loss, or gain) is not.

  • Hazard categories: physical (icy steps, defective wiring), moral (dishonesty, claim exaggeration), morale (carelessness, indifference to loss). Perils are the actual causes of loss.

  • Contract characteristics: adhesion (insurer drafts the wording), aleatory (unequal exchange of values), unilateral (only the insurer makes an enforceable promise), conditional (duties after loss must be met).

  • Utmost good faith duties: accurate representations, warranties honored, no material concealment; material misrepresentation or fraud voids coverage.

  • Negligence requires four elements: legal duty owed, breach of that duty, proximate cause, and actual damages - all four must be proven.

  • Subrogation transfers the insured's recovery rights against a third party to the insurer after payment; contribution divides a loss among concurrent policies covering the same interest.

Quick reference

Property Insurance Coverages and Policy Provisions

  • HO-3 covers the dwelling and other structures on open perils and personal property on named perils; HO-5 covers both on open perils; HO-2 is named perils throughout.

  • Homeowners limits: Coverage B other structures is typically 10% of Coverage A; Coverage C personal property 50% of Coverage A; Coverage D loss of use a stated percentage of Coverage A.

  • Coverage C personal property follows the insured off premises at 10% of the Coverage C limit, and special sub-limits cap categories such as money, theft of jewelry, and theft of firearms.

  • Replacement-cost settlement on Coverage A requires the limit to be at least 80% of full replacement cost; if not, loss settles at actual cash value.

  • Dwelling forms DP-1 (basic), DP-2 (broad), and DP-3 (special) insure the dwelling and contents but include no liability or medical payments coverage.

  • Commercial property coinsurance: limit required = coinsurance percentage × insurable value at time of loss; carrying less reduces the loss payment proportionally, and no penalty applies if the limit equals or exceeds the requirement.

  • Business income = net income loss + continuing normal operating expenses during restoration; extra expense pays reasonable costs to resume or continue operations.

  • Mortgage (loss payable) clause: the lender receives loss payments, may pay premium to keep the policy in force, and is entitled to advance notice of cancellation or nonrenewal.

  • Standard property exclusions include flood, earth movement, ordinance or law, neglect, intentional loss, and war; homeowners forms exclude vandalism when the dwelling has been vacant over 60 consecutive days.

Quick reference

Casualty Insurance Coverages and Policy Provisions

  • CGL structure: Coverage A bodily injury and property damage, Coverage B personal and advertising injury, Coverage C medical payments (no-fault, short reporting window).

  • CGL limits to read: each occurrence, general aggregate, products-completed operations aggregate, personal and advertising injury limit, and damage to premises rented to you.

  • Claims-made CGL covers injury occurring after the retroactive date but first made or reported during the policy period; occurrence CGL covers injury during the period regardless of when reported.

  • Key CGL exclusions: expected or intended injury, contractual liability, your product, your work, impaired property, pollution, employer's liability, and damage to your own property.

  • Personal auto parts: A liability, B medical payments, C uninsured/underinsured motorists, D damage to your auto (collision and other than collision), E duties after an accident or loss.

  • Personal auto covers a newly acquired auto for 14 days (longer only if it replaces a listed auto) and covers a temporary substitute auto while a covered auto is out of service.

  • Business auto symbols 1 through 9 designate which autos are covered; symbol 1 means any auto, including hired and non-owned autos.

  • Workers compensation: exclusive remedy for covered work injuries; Part One statutory benefits, Part Two employers liability, Part Three other states coverage. Benefits include medical, disability income, rehabilitation, and death.

  • A surety bond is a three-party arrangement (surety, principal, obligee) driven by the principal's default; a fidelity bond is two-party insurance against employee dishonesty.

Quick reference

Utah Insurance Laws, Rules, and Regulations

  • Utah insurance law is codified in Title 31A; the Utah Insurance Department is headed by a Commissioner appointed by the Governor with Senate consent, with authority to license, examine, investigate, and penalize.

  • Resident producer licenses renew biennially and require 24 continuing education credit hours per two-year term, at least 3 of which must be ethics.

  • Utah auto policies must include personal injury protection of at least $3,000 per person for medical expenses, work loss, and replacement services; Utah is a modified no-fault state with a tort threshold.

  • Utah's unfair claims settlement practices provisions prohibit misrepresenting policy provisions, failing to investigate promptly, and refusing to pay a claim without a reasonable basis.

  • Prohibited unfair trade practices include misrepresentation, false advertising, defamation, boycott, coercion, intimidation, unfair discrimination, rebating, and twisting.

  • A producer receiving premium is a fiduciary: premium funds must be held for the insurer or insured and may not be commingled with the producer's own operating or personal funds.

  • Utah generally requires at least 10 days' written notice of cancellation for nonpayment of premium and a longer period for other cancellations; nonrenewal requires advance written notice.

  • The Utah Property and Casualty Insurance Guaranty Association pays covered claims of insolvent member P&C insurers, subject to statutory limits and exclusions, funded by assessments on member insurers.

  • Acting as a producer without a license is unlawful; commissions may be paid only to properly licensed producers, and licensees must notify the Department of address changes and administrative actions.

Quick reference

Producer Licensing, Marketing, and Ethical Practices

  • License versus appointment: the state license grants legal authority to transact insurance; the appointment authorizes the producer to act on behalf of a specific insurer.

  • Fiduciary standard: premiums belong to the insurer or the insured, not the producer; commingling, misappropriation, or late remittance is grounds for license suspension or revocation.

  • Twisting is misrepresentation that induces a policyholder to lapse or replace coverage; churning is unnecessary replacement driven by commission; both are prohibited.

  • Rebating - offering anything of value not stated in the policy as an inducement to buy - is illegal in Utah, as is sharing commissions with unlicensed persons.

  • Unfair discrimination means charging different rates or refusing coverage to individuals in the same risk class without actuarial justification.

  • Producer authority types: express (granted in the agency contract), implied (acts customary to the role), and apparent (created by the insurer's conduct or representations).

  • Federal marketing rules: GLBA requires privacy notice and opt-out rights, FCRA governs consumer reports and adverse action notices, and the TCPA and CAN-SPAM Act restrict calls, texts, and email marketing.

  • Errors and omissions coverage protects the producer against claims arising from negligent acts, errors, or omissions in professional services.

  • Replacement and suitability: annuity and life transactions require replacement notices and documented needs analysis, and all sales require an insurable interest and accurate, non-misleading illustrations.

Quick reference

Insurance Principles and Concepts

  • Insurable interest requires a financial relationship such that a loss causes monetary harm; in property insurance it must exist at the time of loss, in life insurance at policy inception.

  • ACV = replacement cost − depreciation. Indemnity restores the insured to the pre-loss financial position, never better and never worse.

  • Property coinsurance formula: payment = (limit carried ÷ limit required) × loss, less the deductible, where limit required = coinsurance percentage × value at risk at time of loss.

  • Pure risk (loss or no loss) is insurable; speculative risk (loss, no loss, or gain) is not.

  • Hazard categories: physical (icy steps, defective wiring), moral (dishonesty, claim exaggeration), morale (carelessness, indifference to loss). Perils are the actual causes of loss.

  • Contract characteristics: adhesion (insurer drafts the wording), aleatory (unequal exchange of values), unilateral (only the insurer makes an enforceable promise), conditional (duties after loss must be met).

  • Utmost good faith duties: accurate representations, warranties honored, no material concealment; material misrepresentation or fraud voids coverage.

  • Negligence requires four elements: legal duty owed, breach of that duty, proximate cause, and actual damages - all four must be proven.

  • Subrogation transfers the insured's recovery rights against a third party to the insurer after payment; contribution divides a loss among concurrent policies covering the same interest.

Quick reference

Property Insurance Coverages and Policy Provisions

  • HO-3 covers the dwelling and other structures on open perils and personal property on named perils; HO-5 covers both on open perils; HO-2 is named perils throughout.

  • Homeowners limits: Coverage B other structures is typically 10% of Coverage A; Coverage C personal property 50% of Coverage A; Coverage D loss of use a stated percentage of Coverage A.

  • Coverage C personal property follows the insured off premises at 10% of the Coverage C limit, and special sub-limits cap categories such as money, theft of jewelry, and theft of firearms.

  • Replacement-cost settlement on Coverage A requires the limit to be at least 80% of full replacement cost; if not, loss settles at actual cash value.

  • Dwelling forms DP-1 (basic), DP-2 (broad), and DP-3 (special) insure the dwelling and contents but include no liability or medical payments coverage.

  • Commercial property coinsurance: limit required = coinsurance percentage × insurable value at time of loss; carrying less reduces the loss payment proportionally, and no penalty applies if the limit equals or exceeds the requirement.

  • Business income = net income loss + continuing normal operating expenses during restoration; extra expense pays reasonable costs to resume or continue operations.

  • Mortgage (loss payable) clause: the lender receives loss payments, may pay premium to keep the policy in force, and is entitled to advance notice of cancellation or nonrenewal.

  • Standard property exclusions include flood, earth movement, ordinance or law, neglect, intentional loss, and war; homeowners forms exclude vandalism when the dwelling has been vacant over 60 consecutive days.

Quick reference

Casualty Insurance Coverages and Policy Provisions

  • CGL structure: Coverage A bodily injury and property damage, Coverage B personal and advertising injury, Coverage C medical payments (no-fault, short reporting window).

  • CGL limits to read: each occurrence, general aggregate, products-completed operations aggregate, personal and advertising injury limit, and damage to premises rented to you.

  • Claims-made CGL covers injury occurring after the retroactive date but first made or reported during the policy period; occurrence CGL covers injury during the period regardless of when reported.

  • Key CGL exclusions: expected or intended injury, contractual liability, your product, your work, impaired property, pollution, employer's liability, and damage to your own property.

  • Personal auto parts: A liability, B medical payments, C uninsured/underinsured motorists, D damage to your auto (collision and other than collision), E duties after an accident or loss.

  • Personal auto covers a newly acquired auto for 14 days (longer only if it replaces a listed auto) and covers a temporary substitute auto while a covered auto is out of service.

  • Business auto symbols 1 through 9 designate which autos are covered; symbol 1 means any auto, including hired and non-owned autos.

  • Workers compensation: exclusive remedy for covered work injuries; Part One statutory benefits, Part Two employers liability, Part Three other states coverage. Benefits include medical, disability income, rehabilitation, and death.

  • A surety bond is a three-party arrangement (surety, principal, obligee) driven by the principal's default; a fidelity bond is two-party insurance against employee dishonesty.

Quick reference

Utah Insurance Laws, Rules, and Regulations

  • Utah insurance law is codified in Title 31A; the Utah Insurance Department is headed by a Commissioner appointed by the Governor with Senate consent, with authority to license, examine, investigate, and penalize.

  • Resident producer licenses renew biennially and require 24 continuing education credit hours per two-year term, at least 3 of which must be ethics.

  • Utah auto policies must include personal injury protection of at least $3,000 per person for medical expenses, work loss, and replacement services; Utah is a modified no-fault state with a tort threshold.

  • Utah's unfair claims settlement practices provisions prohibit misrepresenting policy provisions, failing to investigate promptly, and refusing to pay a claim without a reasonable basis.

  • Prohibited unfair trade practices include misrepresentation, false advertising, defamation, boycott, coercion, intimidation, unfair discrimination, rebating, and twisting.

  • A producer receiving premium is a fiduciary: premium funds must be held for the insurer or insured and may not be commingled with the producer's own operating or personal funds.

  • Utah generally requires at least 10 days' written notice of cancellation for nonpayment of premium and a longer period for other cancellations; nonrenewal requires advance written notice.

  • The Utah Property and Casualty Insurance Guaranty Association pays covered claims of insolvent member P&C insurers, subject to statutory limits and exclusions, funded by assessments on member insurers.

  • Acting as a producer without a license is unlawful; commissions may be paid only to properly licensed producers, and licensees must notify the Department of address changes and administrative actions.

Quick reference

Producer Licensing, Marketing, and Ethical Practices

  • License versus appointment: the state license grants legal authority to transact insurance; the appointment authorizes the producer to act on behalf of a specific insurer.

  • Fiduciary standard: premiums belong to the insurer or the insured, not the producer; commingling, misappropriation, or late remittance is grounds for license suspension or revocation.

  • Twisting is misrepresentation that induces a policyholder to lapse or replace coverage; churning is unnecessary replacement driven by commission; both are prohibited.

  • Rebating - offering anything of value not stated in the policy as an inducement to buy - is illegal in Utah, as is sharing commissions with unlicensed persons.

  • Unfair discrimination means charging different rates or refusing coverage to individuals in the same risk class without actuarial justification.

  • Producer authority types: express (granted in the agency contract), implied (acts customary to the role), and apparent (created by the insurer's conduct or representations).

  • Federal marketing rules: GLBA requires privacy notice and opt-out rights, FCRA governs consumer reports and adverse action notices, and the TCPA and CAN-SPAM Act restrict calls, texts, and email marketing.

  • Errors and omissions coverage protects the producer against claims arising from negligent acts, errors, or omissions in professional services.

  • Replacement and suitability: annuity and life transactions require replacement notices and documented needs analysis, and all sales require an insurable interest and accurate, non-misleading illustrations.

Quick reference

Insurance Principles and Concepts

  • Insurable interest requires a financial relationship such that a loss causes monetary harm; in property insurance it must exist at the time of loss, in life insurance at policy inception.

  • ACV = replacement cost − depreciation. Indemnity restores the insured to the pre-loss financial position, never better and never worse.

  • Property coinsurance formula: payment = (limit carried ÷ limit required) × loss, less the deductible, where limit required = coinsurance percentage × value at risk at time of loss.

  • Pure risk (loss or no loss) is insurable; speculative risk (loss, no loss, or gain) is not.

  • Hazard categories: physical (icy steps, defective wiring), moral (dishonesty, claim exaggeration), morale (carelessness, indifference to loss). Perils are the actual causes of loss.

  • Contract characteristics: adhesion (insurer drafts the wording), aleatory (unequal exchange of values), unilateral (only the insurer makes an enforceable promise), conditional (duties after loss must be met).

  • Utmost good faith duties: accurate representations, warranties honored, no material concealment; material misrepresentation or fraud voids coverage.

  • Negligence requires four elements: legal duty owed, breach of that duty, proximate cause, and actual damages - all four must be proven.

  • Subrogation transfers the insured's recovery rights against a third party to the insurer after payment; contribution divides a loss among concurrent policies covering the same interest.

Quick reference

Property Insurance Coverages and Policy Provisions

  • HO-3 covers the dwelling and other structures on open perils and personal property on named perils; HO-5 covers both on open perils; HO-2 is named perils throughout.

  • Homeowners limits: Coverage B other structures is typically 10% of Coverage A; Coverage C personal property 50% of Coverage A; Coverage D loss of use a stated percentage of Coverage A.

  • Coverage C personal property follows the insured off premises at 10% of the Coverage C limit, and special sub-limits cap categories such as money, theft of jewelry, and theft of firearms.

  • Replacement-cost settlement on Coverage A requires the limit to be at least 80% of full replacement cost; if not, loss settles at actual cash value.

  • Dwelling forms DP-1 (basic), DP-2 (broad), and DP-3 (special) insure the dwelling and contents but include no liability or medical payments coverage.

  • Commercial property coinsurance: limit required = coinsurance percentage × insurable value at time of loss; carrying less reduces the loss payment proportionally, and no penalty applies if the limit equals or exceeds the requirement.

  • Business income = net income loss + continuing normal operating expenses during restoration; extra expense pays reasonable costs to resume or continue operations.

  • Mortgage (loss payable) clause: the lender receives loss payments, may pay premium to keep the policy in force, and is entitled to advance notice of cancellation or nonrenewal.

  • Standard property exclusions include flood, earth movement, ordinance or law, neglect, intentional loss, and war; homeowners forms exclude vandalism when the dwelling has been vacant over 60 consecutive days.

Quick reference

Casualty Insurance Coverages and Policy Provisions

  • CGL structure: Coverage A bodily injury and property damage, Coverage B personal and advertising injury, Coverage C medical payments (no-fault, short reporting window).

  • CGL limits to read: each occurrence, general aggregate, products-completed operations aggregate, personal and advertising injury limit, and damage to premises rented to you.

  • Claims-made CGL covers injury occurring after the retroactive date but first made or reported during the policy period; occurrence CGL covers injury during the period regardless of when reported.

  • Key CGL exclusions: expected or intended injury, contractual liability, your product, your work, impaired property, pollution, employer's liability, and damage to your own property.

  • Personal auto parts: A liability, B medical payments, C uninsured/underinsured motorists, D damage to your auto (collision and other than collision), E duties after an accident or loss.

  • Personal auto covers a newly acquired auto for 14 days (longer only if it replaces a listed auto) and covers a temporary substitute auto while a covered auto is out of service.

  • Business auto symbols 1 through 9 designate which autos are covered; symbol 1 means any auto, including hired and non-owned autos.

  • Workers compensation: exclusive remedy for covered work injuries; Part One statutory benefits, Part Two employers liability, Part Three other states coverage. Benefits include medical, disability income, rehabilitation, and death.

  • A surety bond is a three-party arrangement (surety, principal, obligee) driven by the principal's default; a fidelity bond is two-party insurance against employee dishonesty.

Quick reference

Utah Insurance Laws, Rules, and Regulations

  • Utah insurance law is codified in Title 31A; the Utah Insurance Department is headed by a Commissioner appointed by the Governor with Senate consent, with authority to license, examine, investigate, and penalize.

  • Resident producer licenses renew biennially and require 24 continuing education credit hours per two-year term, at least 3 of which must be ethics.

  • Utah auto policies must include personal injury protection of at least $3,000 per person for medical expenses, work loss, and replacement services; Utah is a modified no-fault state with a tort threshold.

  • Utah's unfair claims settlement practices provisions prohibit misrepresenting policy provisions, failing to investigate promptly, and refusing to pay a claim without a reasonable basis.

  • Prohibited unfair trade practices include misrepresentation, false advertising, defamation, boycott, coercion, intimidation, unfair discrimination, rebating, and twisting.

  • A producer receiving premium is a fiduciary: premium funds must be held for the insurer or insured and may not be commingled with the producer's own operating or personal funds.

  • Utah generally requires at least 10 days' written notice of cancellation for nonpayment of premium and a longer period for other cancellations; nonrenewal requires advance written notice.

  • The Utah Property and Casualty Insurance Guaranty Association pays covered claims of insolvent member P&C insurers, subject to statutory limits and exclusions, funded by assessments on member insurers.

  • Acting as a producer without a license is unlawful; commissions may be paid only to properly licensed producers, and licensees must notify the Department of address changes and administrative actions.

Quick reference

Producer Licensing, Marketing, and Ethical Practices

  • License versus appointment: the state license grants legal authority to transact insurance; the appointment authorizes the producer to act on behalf of a specific insurer.

  • Fiduciary standard: premiums belong to the insurer or the insured, not the producer; commingling, misappropriation, or late remittance is grounds for license suspension or revocation.

  • Twisting is misrepresentation that induces a policyholder to lapse or replace coverage; churning is unnecessary replacement driven by commission; both are prohibited.

  • Rebating - offering anything of value not stated in the policy as an inducement to buy - is illegal in Utah, as is sharing commissions with unlicensed persons.

  • Unfair discrimination means charging different rates or refusing coverage to individuals in the same risk class without actuarial justification.

  • Producer authority types: express (granted in the agency contract), implied (acts customary to the role), and apparent (created by the insurer's conduct or representations).

  • Federal marketing rules: GLBA requires privacy notice and opt-out rights, FCRA governs consumer reports and adverse action notices, and the TCPA and CAN-SPAM Act restrict calls, texts, and email marketing.

  • Errors and omissions coverage protects the producer against claims arising from negligent acts, errors, or omissions in professional services.

  • Replacement and suitability: annuity and life transactions require replacement notices and documented needs analysis, and all sales require an insurable interest and accurate, non-misleading illustrations.