Texas All Lines
Adjuster Laws &
Regulation Review
Quiz
Lifetime income benefits are paid until the covered employee’s death for all of
the following except:
A. total and permanent loss of sight in both eyes
B. loss of both feet at or above the ankle
C. loss of one finger
D. loss of both hands at or above the wrist.
Answer:
C. Lifetime income benefits are paid for extremely serious injuries including
loss of sight or loss of both feet or hands. Loss of one finger is not considered a
serious enough injury to provide lifetime benefits becasue the disablement may
not result in any job restriction or permanent disability.
Which one of the following is legally responsible for maintaining a record of
each employee-reported injury?
A. Commission
B. Employer
C. Insurer
D. Employee
Answer:
B. An employer must maintain a record of each employee injury as reported by
an employee or otherwise made known to the employer. The record must be
available to the commission at reasonable times but is not maintained by them.
What is the time limit for a person to file a claim for death benefits after an
employee’s death?
A. 7-days after the death of the employee
B. 30 days after the death of the employee
C. No later than the first anniversary of the death of the employee
D. No later than the second anniversary of the death of the employee
Answer:
C. A person must file a claim for death benefits with the commission not later
than the first anniversary of the date of the employee’s death.
Workers’ compensation insurance in the state of Texas is regulated primarily
by the?
A. Industrial Relations Board
B. Labor Code
C. Insurance Code of 1951
D. Labor Relations Code
Answer:
B. Although the Insurance Code pertains to the actions of agents and insurers
who sell workers’ compensation insurance, mosst of the provisions that govern
workers’ compensation law are contained in the state’s Labor Code.
Which one of the following persons would be considered an employee under the
laws of the state of Texas?
A. An employee of an independent contractor engaged in construction work
B. A temporary employee
C. A person employed by a residential property owner
D. A person with no other health insurance
Answer:
B. The term employee includes a temporary employee, a person other than an
independent contractor or the employee of an independent contractor who
performs services to the insured and a trainee under the Texans Work
program. The law applies to business risks, not residential employers.
An injury that occurs to an employee who is traveling to and from work is not
covered if…
A. transportation is paid by the employer
B. transportation is provided in the employer’s vehicles
C. employee is directed to proceed from one place to another as a condition of
employment
D. employee is traveling on personal errands.
Answer:
D. Employees are generally not covered for workers’ compensation while
traveling except under certain limited circumstances as outlined in answers A,
B and C. When an employee is traveling on personal or private affairs, he or
she is not covered for workers’ compensation.
An insurer will consider an injured worker to have reached maximum medical
improvement when:
A. the occupational disease is cured
B. two years have passed since the date income benefits were first due
C. the condition can only be remedied by surgery
D. three years after the time the employee notifies the insured of his or her
injury