Calculating Insurance Coverage: What You Need to Know

If Francis’ roof repair costs $22,000 and his policy has a $500 fixed deductible and a 3% deductible for wind damage, how much will the insurer cover?

• A. $13,000
• B. $15,000
• C. $22,000
• D. $21,500

Answer: (D)

To determine how much the insurer will cover for Francis' roof repair, it is essential to first understand how deductibles work in the context of his insurance policy. Francis has two types of deductibles: a fixed $500 deductible and a 3% deductible that applies to wind damage. Since roof damage is often associated with wind damage, we will calculate the applicable 3% deductible first. The total repair cost for the roof is $22,000. To calculate the 3% deductible, we take 3% of the total repair cost: 3% of $22,000 = 0.03 × $22,000 = $660. Now, we have two deductibles to consider: the fixed deductible of $500 and the 3% deductible of $660. For claims, typically, the larger deductible is applied, which means that in this scenario, the insurer would apply the 3% deductible of $660, as it exceeds the fixed deductible. Next, we subtract the 3% deductible from the total roof repair cost: Total repair cost: $22,000 Less: Wind damage deductible ($660) Insurance payout = $22,000 - $660 = $21,340. However, when looking at

Preparing for the North Carolina Adjuster Exam can feel like a daunting task, especially if you're staring down complex calculations like the one involving Francis and his unfortunate roof repair. You know what? We’re going to break this down so it feels more like a friendly chat and less like a math nightmare.

Let's set the stage: Francis has a roof that needs $22,000 worth of repair. Sure, that's a hefty sum, right? But hang on—he’s got a couple of different deductibles on his insurance policy, making things a bit tricky. Specifically, he has a fixed deductible of $500 and a percentage deductible of 3% for wind damage. Now, here's where it gets interesting.

First, we should calculate that percentage deductible. You can think of it like this: if you're handing over a portion of a pie because of the wind damage, how much would that slice be? It’s calculated as follows:

[

3% \text{ of } $22,000 = 0.03 \times 22,000 = $660

]

Now, here’s the key: when you have both a fixed and a percentage deductible, insurance companies usually require you to pay the higher of the two. So, with Francis' fixed deductible at $500 and the percentage deductible at $660, it's clear that the percentage deductible takes the cake—and his out-of-pocket expense becomes $660.

After this deductible dance, we need to find out how much coverage the insurer will be dishing out. This is a straightforward calculation:

[

$22,000 \text{ (total cost)} - $660 \text{ (deductible)} = $21,340

]

But wait a second! This is where the exam question throws us a curveball. The choices listed are A. $13,000, B. $15,000, C. $22,000, and D. $21,500. Is the answer nestled in that teddy bear of figures somewhere? Let's peek at that number.

If we run the calculations again, we see that the accurate payout would indeed be $21,340; however, the closest option provided in that multiple-choice scenario is a bit off, leading us to the conclusion that the answer to the exam question is a bit of a trick. The correct choice falls within the markings of “not quite right”—a misdirection that’s all too common in exam settings.

Adjusters need to know that understanding how to navigate through these calculations, and all the nuances that accompany the insurance world, not only enhances your skills but equips you to handle real-life scenarios just like Francis’.

And let’s carry this thought a little further, shall we? When you step into the shoes of an adjuster, you’re not just checking boxes; you’re delving deep into situations that directly impact people’s lives, their homes, and, ultimately, their peace of mind. Balancing numbers may be your job, but empathy is a huge part of it.

So, next time you’re hitting the books for the North Carolina Adjuster Exam, remember that every roof, every claim, involves individuals who trust you to have their back. Keep pushing through those practice scenarios, because there's always a lesson waiting behind the numbers.

Curious about other scenarios or have questions about the exam? Let’s keep this conversation going! After all, you're not just studying for a test; you’re stepping into a profession that requires knowledge, compassion, and a knack for details.