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FL state law · part 2 of 5
Florida 6-20 All-Lines Adjuster Practice Test: Florida law, Part 2
25 more Florida law questions for the Florida 6-20 All-Lines Adjuster exam. Every explanation cites the statute or rule it is based on, so you can read the source when a rule surprises you. Start with part 1 on the main Florida 6-20 page if you have not done it yet.
Subtopics in this part: Discipline, reporting and records, Salvage, fraud and DFS inquiries, Adjuster code of ethics, Adjuster identification and inspection notice, Claim handling deadlines (s. 627.70131).
0 of 25 answered
Discipline, reporting and records · Challenging
DFS finds that an independent adjuster in Hialeah told an insured that her policy excluded a loss it actually covered, intending to settle the claim for less than the policy provided. Under s. 626.611, F.S., how must DFS respond to this finding?
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Correct answer: A. It must take compulsory action, such as suspending or revoking the license
Section 626.611(1), F.S., lists grounds for compulsory action: when DFS finds one, it shall require license reexamination or deny, suspend, revoke, or refuse to renew or continue the license or appointment (the reexamination option was added by ch. 2026-174). Paragraph (1)(f) covers an adjuster who materially misrepresents policy terms and coverage to effect settlement on less favorable terms than the contract provides. Section 626.621, F.S., lists the discretionary grounds. The same conduct is an unfair claim settlement practice under s. 626.9541(1)(i)2.
A Lakeland insurer pays a total loss on Mr. Ruiz's pickup truck and receives the certificate of title from him on a Monday morning. Under s. 319.30, F.S., within what time must the insurer forward the title to the state for processing?
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Correct answer: A. 72 hours
Section 319.30(3)(b), F.S., requires an insurer that pays a total loss on a motor vehicle or mobile home to obtain the title, notify the National Motor Vehicle Title Information System, and forward the title within 72 hours after receiving it. The 30-day figure is when an insurer that cannot obtain the title may apply for a salvage certificate or certificate of destruction after paying the claim.
When the DFS Division of Consumer Services sends a licensed adjuster a written request for documents and information about a consumer complaint, how quickly must the adjuster respond under s. 624.307(10)(b), F.S.?
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Correct answer: B. Within 14 days
Section 624.307(10)(b), F.S., requires anyone licensed by DFS or OIR to respond in writing or electronically within 14 days after receiving the division's written request, addressing the complaint's issues and including requested documents not protected by privilege. The division may impose penalties for failing to respond: up to $1,000 per violation for an individual licensee and up to $5,000 per violation for an entity.
While inspecting a Kissimmee water loss, an independent adjuster finds strong evidence that the insured deliberately broke a supply line to stage the claim. Under s. 626.989(6), F.S., what must the adjuster do?
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Correct answer: D. Send a report to the DFS Division of Criminal Investigations
Section 626.989(6)(a), F.S., requires insurers, agents, and other licensees who know or believe a fraudulent insurance act is being or has been committed to send a report to the DFS Division of Criminal Investigations. Under s. 626.989(4)(c), a person who files a required report without malice is not civilly liable absent fraud or bad faith. Insurers must also maintain an anti-fraud unit and plan under s. 626.9891, F.S.
Rule 69B-220.201, F.A.C., says an adjuster must put the duty for fair and honest treatment of which person above the adjuster's own interests in every instance?
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Correct answer: B. The claimant presenting the claim
The code of ethics in rule 69B-220.201(3), F.A.C., opens by stating that adjusting claims engages the public trust and that an adjuster shall put the duty for fair and honest treatment of the claimant above the adjuster's own interests in every instance. The rule binds company employee, independent, and public adjusters, including apprentice and emergency licensees, and any breach is an unfair claims settlement practice.
Keisha, an independent adjuster, is handling a liability claim after her insured's dog bit a neighbor in Fort Myers. She knows the neighbor has hired an attorney. The neighbor calls Keisha and offers to settle directly for $4,000. What does rule 69B-220.201, F.A.C., require?
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Correct answer: A. She may not negotiate or settle without his attorney's consent
Rule 69B-220.201(3)(g), F.A.C., prohibits an adjuster from negotiating or effecting settlement, directly or indirectly, with a third-party claimant the adjuster knows is represented by an attorney, except with the attorney's consent. Who starts the conversation does not matter, and there is no dollar threshold. Public adjusters cannot handle bodily injury claims anyway under s. 626.854(3), F.S.
Rule 69B-220.201(3)(g), F.A.C., bars settlement talks with a represented third-party claimant without the attorney's consent. Which person is NOT a third-party claimant as that rule defines the term?
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Correct answer: B. The insured's son who lives in the insured's household
Rule 69B-220.201(3)(g), F.A.C., states that the term third-party claimant does not include the insured or the insured's resident relatives, so the resident son falls outside it. The other three people are making claims against the insured, so an adjuster who knows any of them has a lawyer may not negotiate or settle with that person without the lawyer's consent.
After a roof claim in Melbourne, the insured asks staff adjuster Paul whether she should hire a public adjuster or a lawyer. Which response would violate rule 69B-220.201, F.A.C.?
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Correct answer: D. Telling her that hiring either one would be a waste of money
Rule 69B-220.201(3)(h), F.A.C., bars an adjuster from advising a claimant to refrain from seeking legal advice, or advising against retaining counsel or employing a public adjuster to protect the claimant's interest. Neutral information about those options is fine, and paragraph (3)(j) requires the adjuster not to knowingly fail to advise the claimant of claim options under the policy.
Hours after a house fire in Daytona Beach destroyed their home, an adjuster arrives and finds the insured sobbing and visibly in shock. The adjuster had planned to take a recorded statement that day. What does the code of ethics require?
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Correct answer: A. Wait until the insured is no longer in shock or serious distress
Rule 69B-220.201(3)(i), F.A.C., prohibits an adjuster from negotiating with or obtaining any statement from a claimant or witness who is, or would reasonably be expected to be, in shock or serious mental or emotional distress from the loss, and from concluding a settlement that would be disadvantageous to a claimant in that state. The statement should wait.
Victor, an independent adjuster in Fort Walton Beach, secretly co-owns a water mitigation company. On a claim, he recommends that company to the insured without mentioning his ownership. How does rule 69B-220.201, F.A.C., treat this?
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Correct answer: B. It is a violation, because he has an undisclosed financial interest
Rule 69B-220.201(3)(a), F.A.C., forbids an adjuster from directly or indirectly referring or steering a claimant needing repairs or other services to anyone in whom the adjuster has an undisclosed financial interest, or from whom the adjuster expects compensation for the referral or resulting business. Reasonable pricing or the claimant's freedom of choice does not cure the undisclosed conflict.
Darnell holds a 6-20 license and has handled only homeowners claims. His adjusting firm assigns him a complex boiler and machinery loss at a Jacksonville plant, a coverage he does not understand. What does rule 69B-220.201, F.A.C., require?
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Correct answer: C. He should not undertake a claim beyond his current competence and knowledge
Rule 69B-220.201(3)(k), F.A.C., says an adjuster shall not undertake a claim when the adjuster is not currently competent and knowledgeable about the coverage terms, or when the claim otherwise exceeds current expertise. The all-lines license (s. 626.869, F.S.) authorizes adjusting all lines except life and annuities, but legal authority is not the same as competence.
Nadia worked as a public adjuster and represented the Moreno family on a 2024 windstorm claim. She is now a company employee adjuster in St. Petersburg, and her insurer assigns her to a new claim filed by the Morenos. Under rule 69B-220.201, F.A.C., what applies?
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Correct answer: D. She may not act for the insurer against her former public adjuster clients
Rule 69B-220.201(3)(l), F.A.C., provides that no person may, as a company employee or independent adjuster, represent himself or herself or any insurer or independent adjusting firm against any person or entity the adjuster previously represented as a public adjuster. The rule has no exception for a new loss, internal disclosure, or the passage of time. Paragraph (4)(f) is the mirror rule for public adjusters.
Under rule 69B-220.201(3)(m), F.A.C., what must an adjuster use when preparing a detailed estimate of the loss on a residential property claim?
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Correct answer: A. An electronic estimating program using itemized, per-unit local market prices
As amended in 2025, rule 69B-220.201(3)(m), F.A.C., requires an electronic estimating program that produces an itemized, per-unit estimate of equipment, materials, labor, and supplies using market prices for the relevant geographic area. Changing program prices or inputs is prohibited unless documented, with the modifying adjuster's name, and any change from a prior estimate must be explained. An insurer may still settle on the insured's contractor's quote.
Adjuster identification and inspection notice · Recall
An independent adjuster working for an insurer needs to inspect a Pembroke Pines home on a residential claim. The insureds have hired a public adjuster. Under s. 626.854(14), F.S., at least how much notice must be given before scheduling the onsite inspection?
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Correct answer: B. 48 hours
Section 626.854(14), F.S., requires a company employee adjuster, independent adjuster, attorney, investigator, or anyone else acting for the insurer to give at least 48 hours' notice to the insured or claimant, public adjuster, or legal representative before scheduling a meeting or onsite inspection. The insured may deny access if notice was not given, or may waive it. The rule applies to residential and condominium unit owner policies.
Adjuster identification and inspection notice · Recall
Under s. 627.70131(3), F.S., what must the insurer's licensed adjuster give a residential policyholder when physically inspecting the property?
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Correct answer: C. A document with the adjuster's name and state license number
Section 627.70131(3)(b), F.S., requires the licensed adjuster assigned to physically inspect the property to give the policyholder a printed or electronic document containing the adjuster's name and state adjuster license number. Under (3)(c), every later communication about the claim must also include the name and license number of the adjuster communicating, and subsection (4) requires the insurer to log each adjuster who communicates with the policyholder.
Adjuster identification and inspection notice · Recall
Under s. 626.878(2), F.S., a licensed adjuster who places an advertisement, makes a solicitation, or signs a written document must identify himself or herself based on what?
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Correct answer: B. The adjuster appointment type he or she holds
Section 626.878(2), F.S., requires any licensed adjuster to identify himself or herself in any advertisement, solicitation, or written document according to the adjuster appointment type held, such as company employee, independent, or public adjuster apprentice. This tells the public whom the adjuster represents. Section 626.878(1) also requires every adjuster to subscribe to the DFS code of ethics.
Under s. 627.70131(1), F.S., a residential property insurer that receives a communication about a claim must review and acknowledge it within how many calendar days, unless payment is made first?
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Correct answer: A. 7 calendar days
Section 627.70131(1)(a), F.S., requires acknowledgment within 7 calendar days, unless payment is made within that time or factors beyond the insurer's control prevent it. A communication to the insurer's authorized representative counts as a communication to the insurer, and an oral acknowledgment must be noted and dated in the claim file. The deadline was 14 days before SB 2-A (2022).
Claim handling deadlines (s. 627.70131) · Application
An insurer receives notice of Grace Okafor's initial homeowners claim on September 2. With no tolling and no factors beyond the insurer's control, by what date must the insurer pay or deny the claim under s. 627.70131(7)(a), F.S.?
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Correct answer: C. November 1
Section 627.70131(7)(a), F.S., requires a residential insurer to pay or deny an initial, reopened, or supplemental claim, or a portion of it, within 60 days after receiving notice. Counting 60 days from September 2 (28 days remaining in September, 31 in October, then 1 more) gives November 1. A late payment bears interest from the date the insurer received notice of the claim.
Claim handling deadlines (s. 627.70131) · Application
An insurer receives Ahmed Haddad's proof-of-loss statement for wind damage to his Port St. Lucie home on May 1 and decides a physical inspection is needed. Under s. 627.70131(3), F.S., which timeline applies?
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Correct answer: D. Begin investigating within 7 days and inspect within 30 days after receiving the proof of loss
Section 627.70131(3), F.S., requires the insurer to begin its investigation within 7 days after receiving proof-of-loss statements and, if the investigation involves a physical inspection, to conduct it within 30 days after receiving them. The 14-day start and 45-day inspection figures reflect older law; SB 2-A (2022) shortened both. Sixty days is the separate pay-or-deny deadline in subsection (7).
The insurer's field adjuster finishes a detailed estimate of hurricane damage to the Alvarez home in Homestead. Under s. 627.70131(3)(e), F.S., when must the insurer send the policyholder a copy of that estimate?
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Correct answer: A. Within 7 days after the estimate is generated
Section 627.70131(3)(e), F.S., requires the insurer to send the policyholder a copy of any detailed estimate of the amount of the loss within 7 days after the insurer's adjuster generates it, although a detailed estimate is not required when not reasonably necessary. If the insurer later pays less than its detailed estimate, subsection (7)(a) requires a written explanation of the difference.
Claim handling deadlines (s. 627.70131) · Challenging
On day 20 after notice of a residential claim, the insurer sends the insured a written request for repair invoices it needs to evaluate the loss. The insured does not provide them within 10 days. Under s. 627.70131(8), F.S., what happens to the 60-day pay-or-deny deadline?
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Correct answer: B. It is tolled until the insurer receives the requested information
Under s. 627.70131(8)(b), F.S., the section's requirements are tolled when the policyholder or representative fails to provide requested material claim information within 10 days after receiving the request, and tolling ends when the insurer receives the information. It applies only to requests sent at least 15 days before the pay-or-deny deadline, which a day-20 request meets. DFS mediation or policy ADR also tolls the deadlines.
Claim handling deadlines (s. 627.70131) · Challenging
On day 50 after receiving notice of a residential claim, an insurer first asks the insured for a contractor's moisture readings, and the insured does not reply within 10 days. Does this toll the 60-day pay-or-deny deadline under s. 627.70131(8)(b), F.S.?
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Correct answer: C. No, because the request was sent fewer than 15 days before the deadline
Tolling under s. 627.70131(8)(b), F.S., applies only to requests sent at least 15 days before the insurer must pay or deny under subsection (7). A request on day 50 leaves only 10 days before the day-60 deadline, so the insured's silence does not stop the clock. To rely on this tolling, the insurer needed to send its request by day 45.
Claim handling deadlines (s. 627.70131) · Application
When a residential property insurer pays a covered claim after the 60-day deadline in s. 627.70131(7)(a), F.S., from what date does the statutory interest begin to accrue?
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Correct answer: D. The date the insurer received notice of the claim
Section 627.70131(7)(a), F.S., says late payments bear interest at the s. 55.03 rate and that interest begins to accrue from the date the insurer receives notice of the claim, not from the missed deadline. The insured chooses between this interest and any prejudgment interest, and the policy cannot waive it. A violation breaches the insurance code but cannot be the sole basis for a private lawsuit.
Claim handling deadlines (s. 627.70131) · Challenging
Which of these commercial property claims is subject to the 60-day pay-or-deny requirement of s. 627.70131(7), F.S.?
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Correct answer: A. A structure claim on a 9,500 square foot office building in Ocala
For subsection (7), s. 627.70131, F.S., defines a claim to include residential coverage, commercial structure or contents claims if the insured structure is 10,000 square feet or less, and commercial tenant contents claims if the premises are 10,000 square feet or less. It excludes policies covering nonresidential commercial structures or contents in more than one state. Only the 9,500 square foot building fits.
Under s. 627.7142, F.S., within how many days after receiving an initial communication on a personal lines residential claim must the insurer provide the Homeowner Claims Bill of Rights?
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Correct answer: C. 14 days
Section 627.7142, F.S., requires insurers to provide the Homeowner Claims Bill of Rights within 14 days after receiving an initial communication about a personal lines residential claim. It summarizes rights such as acknowledgment within 7 days, a copy of any detailed estimate within 7 days, a pay-or-deny decision within 60 days, and free DFS mediation. It does not create a civil cause of action.