Real estate insurance
Broad theft coverage limits
$200 for moneys $2500 for silverware $1500 for security $1500 water crafts and trailers and furnishings $1500 for trailers w no watercraft $1500 theft of jewelry $2500 for them of fire arms $1500 for electronic apparatus
Coinsurance formula
(amount of insurance carried divided by amount of insurance required) x (amount of loss) = (claim payment minus deductible)
Split limits
10/20/15 10,000 - per person in accident, bodily injury or death of one person in any one accident 20,000 - for bodily injury per accident subject to limit for one person per bodily injury or death of two or more persons in one accident 15,000 - property damage
Misrepresentation
A lie
Auto policy coverage sections
A- liability B- med payments C- uninsured motorist coverage D- coverage for damage to your auto E- duties after accident or loss F- general per visions
Vacant
Absence of people and personal property
Coverage E
Additional living expenses Only available to policy owners who occupy the dwellings Broad and special forms only Includes motel, dining, laundry, transportation expenses during period of repair of property for a max of 2 weeks
Rating
Age,sex,marital status, drivers ed, type of vehicle, distance to school or work, use of vehicle, value of vehicle, no accidents, points
Open peril
Aka all risk or special All perils will be covered unless specifically excluded
A binder
An oral or written agreement that provides temporary evidence of insurance until a policy can be issued
Representation
Answers to questions in an insurance application
Personal Floater Coverages Claims Paid
Appraised items will be paid by agreed value. Others will. E the cheapest of the different ways.
DP2 - broad form
Broad perils
Endorsements and other coverage options of dp3
Building ordinance or law- provides coverage for demolition costs and increased construction costs and broad theft coverage- only available to owner occupant dwellings limited theft coverage-no owner occupant which include $1500 for water craft and trailers, $1500 for trailer not used w water craft $2500 firearms and related equipment
Short rate
Cancellation means you'll recieve a prorated refund minus a penalty
Eligibility requirements (HO2-8, not 4 and 6)
Cannot be occupied by more than four families Mobile homes eligible if endorsement is attached Dwellings under construction, secondary, or seasonal residences are eligible Must be exclusive as a residence
Section 2 additional coverages
Claim expenses- Loss of earnings occurred up to $250 a day for assisting us in investigation of a claim, pre judgement interest, post judgement interest, premium on bonds First aid expenses- first aid to others not the insured Damage to property of others- up to $1000 coverage provided per occurrence by the damage to property caused by uninsured Loss assessments- up to $1000 applies to assessments against the insured
Home owners insurance
Combines property and liability coverage
Law of agency
Contract between the producer and insurance company
Replacement cost value
Cost to replace an item at its preloss condition
Section 1 how limits are calculated
Coverage A primary insured limit for 2,3,5,8 Coverage B one or two families dwelling, 10% of coverage A, 3 or 4 fam dwelling 5% of A Coverage C one or two family 50% of A, 3 fam is 30%, 4 fam is 25% Coverage D 30% of coverage A for 2,3,5 and 10% for HO8
Section 1 property coverage
Coverage A- dwelling, structures attached, materials and supplies for repair of dwelling Coverage B- other structures on premises, 10% of coverage A Coverage C- personal property, 50% of coverage A ( limits are $200 for money, $1500 securities, $1500 for water crafts, $1500 trailers, $2500 property used for buss. purposes, $500 property away from residence used for buss. purposes, $1500 electronic apparatus, $1500 jewelry, $2500 silver, gold, pewter ware, $2500 firearms ) personal property usually located at a residence is covered for up to 10% of or $1000, whichever is greater Coverage D- loss of use. applies of covered loss renders the insured dwelling and inhabitable. Additional living expense, fair rental value, civil authority prohibits use, loss of expense not covered.
Limits of liability
Coverage E- $100,000 per occurrence Coverage f- $1000 per person per occurrence
Section 2 liability coverage
Coverage E- personal liability Coverage F- medical payments to others Both apply to all HO policies
Inland Marine Coverage
Coverage that moves with the property to protect it at different locations.
Section 1 additional coverages
Debris removal (except for fallen trees, only trees w damaged structure or blocking access to driveway, the tree must have fallen due to a covered peril, a maximum of $1000 available for tree debris removal with a max of $500 per tree) Reasonable repairs- Tree, shrubs and other plants- ($500 per each) Fire dep service charge- (up to $500 w no deductibles) Property removed- up to max of 30 days Money fraud- up to $500, no deductible Loss assessment- up to $1000 for loss assessments against insured by association for direct loss to property owned by all members of a covered peril Collapse- for HO-2-HO-6 covers direct physical loss to property, glass or safety glazing material not applied if it's been vacant for more than 60 days Landlords furnishings- HO 2,3,5 insured up to $2500 for household furnishings Ordinance or Law- pays up to 10% of coverage A Grave Markers- insures up to $5000 for damage to grave markers caused by covered peril
Moral hazard results from...
Decision to do something wrong
Coinsurance
Describes a splitting or spreading of risks among the insurance company and the insured
Section 2 conditions
Duties of an injured person- coverage F- injured person will provide insurance co with written proof of claim asap and authorize insurance co to obtain copies of reports and records and submit to physical exam selected by insurance co. Payment of claim- payment by insurance co is not admission of liability Other insurance- Policy period-
Coverage A
Dwelling, building materials and equipment
Part E and F Auto
E-Duties following an Accident or Loss. Meaning insured must follow guidelines to have insurance pay for damages. 1) call insurance company, contact police, move vehicle to safety, obtain copy of accident report F- General Provisions Bankruptcy- if filed during accident insurance company still pays for its responsibilities Changes- written contract takes place over oral agreement if conflict arises. Insurer must issue endorsements. Fraud Legal Action Against Us- no legal action can be brought against the insurance companies until the insured fully complies with all the terms of then Our Right to Recover Payment- subrogation division, meaning the insurance company pays you and then sues the negligent party Policy Territory- US Canada and Puerto Rico Cancellation- insured can cancel at anytime with. Written notice. Insurer can cancel in 10 days if non payment, or suspended drivers license or lied on policy info No renewal- if insurer does not renew they just mail a notice 20 days before Automatic Termination and Other Term Provisions Transfer of your interest in this policy goes to spouse or legal rep until policy period expires Two or more Auto Policies Endorsements Towing and Labor -$25 basic coverage Misc Type Vehicles Extended Non-Owner Coverage for named individuals- usually for use of furnished company vehicle used regularly Named nonowner coverage- designed for individuals who do not own an automobile,but may drive rented or borrowed Joint ownership coverage- individuals in same household other than spouses, non resident relatives. Optional limits transportation expenses coverage 20-600, 30-900, 40-1200, $50-1500
Two types of Flood Insurance
Emergency- initial phase and goes in effect when community applies for insurance until gov finalizes there rates. Building $35,000/ PP $10,000 Regular- Building $250,000/ PP $100,000
Supplementary payments
Extra benefits that include up to 250 for cost of bail bonds, premiums on pill bonds, post judgement interest, up to 200 per day for loss of earnings because of attendance, other reasonable expenses
Coverage D
Fair rental value Reimburses the insured for the fair rental value of the covered property if it becomes uninhabitable from damage by covered peril Payable at 1/12 of the 10% limit of coverage A for each month
NFIP ( national flood insurance program)
Flood coverage for participating communities that meet FEMA guidelines but dies nit exoect assistancd from Federal Disaster Asistance.
section 1 perils insured against
HO-2 provides broad peril coverage for the dwelling, other structures and personal property HO-3 provides open peril coverage for the dwelling and other structures, broad peril for personal property HO-4 provides personal property for tenants HO-5 open peril for dwelling, structures, and personal property (the only HO insuring against mysterious disappearances) HO-6 condo owners form, standard coverage A limit is $1000 and coverage D is 50% of coverage C HO-8 provides coverage for a older home with a replacement value much higher than its current market value, offers basic coverage on dwelling and personal property with extended coverage perils and VM&M coverage.
Coverage table
HO-2- broad perils for ABC HO-3- open perils for AB and broad for C HO-4- broad perils for C HO-5- open perils for ABC HO-6- limited coverage for A and broad for C HO-8- basic perils for ABC
Deductibles
Help minimize frequent claims and eliminate small claims
Loss ratio
Helps an insurer to determine if the business they're righting is profitable
Arbitration
If the insurance company and the insured disagree on whether the insured is legally entitled to recover damages
6 eligible Marine risks
Imports, Exports, domestic shipments, instrumentalities of transportarion or communication, personal property floater risk, commercial prop floater risks
DP2 broad form
Includes all of the basic form perils and extended perils plus damage by burglars, fallen objects, weight of ice snow and sleet, accidental discharge or overflow or water, sudden and accidental tearing apart burning or bulging, freezing, volcanic eruptions, sudden and accidental damage from artificially generated electrical current
Endorsements
Inflation guard endorsement- provides annual increase in coverages a and b Permitted incidental occupancies- overrules exclusions of business activities conducted on premises. With coverage b limited to 10% of coverage a Home day care- up to three children Business pursuits- insureds working from home for their employer Limited fungi, rot, bacteria- used only w HO3 and HO5 Watercraft- extends coverage e and f for liability no rising out of ownership and or use of certain types of watercraft Personal property replacement cost- changes coverage c from ACV to RCV Special coverage- provides open peril coverage to both building and personal Scheduled personal property- allows you to separately give each 9 major categories of valuable property a separate amount of insurance. Personal injury- extends the liability insurance coverage to include legal damages
Aleatory
Insurance policys contract of unequal values unilateral, insurance contracts are one sided because the policy is legally binding on insurance company only
Alien company
Insurer whose home office is located in a different country
Estoppel
Loss of legal defense
DP1 basic form conditions
Loss settlement- covered property losses settled at the lesser cash value or cost of repair/replace Other insurance- if other insurance exists the policy settles losses on a pro rata base
DP2 conditions
Loss settlement- settled on a replacement loss basis up to 80% or more Other insurance- if other insurance exists the policy settles losses on pro rate basis
Loss ratio formula
Losses divided by earned premium = loss ratio
A peril is the cause of...
Losses such as fire, accident, disease, flood, death, and explosion
Coverage F
Medpay- pays all necessary medical and related expenses incurred within three years from date of accident that causes bodily injury to guest on residence premises, payment made without regard to insureds legal liability, funeral services not inculded. Limit of $1000 per person per accident
Insurance
Method for spreading risk of a financial loss among a large number of people
Coverage C exclusions
Money Deeds Gold Silver Animals Aircrafts Motor vehicles Boats Hovercraft Water Graves Credit cards Data
Part A- liability coverage
Name insured & members of their family Anyone using auto with permission Driving car for work purposes
DP3 special form
Offers same coverage as DP2 but is open peril meaning that all direct physical losses are covered unless excluded and personal property is covered on broad peril basis
Combined single limit
One amount of coverage used for either body or property
A binder terminates when...
One issuance of a policy Expiration Cancelation
Occupancy
Only absence of people
Dwelling policies
Only provide property coverage unless endorsed such as rental property and vacation homes
DP3- special form
Open peril for buildings and broad peril for personal property
Uninsured Motorist Property Damage
Optional coverage if you don't have collision. It pays for damages to ur vehicle caused by an at fault owner of an uninsured motor vehicle. Only covers actual cash value or ur vehicle or cost of repair or replace, whichever is less
Part D- Coverage for damage to your auto
Optional unless still making payments on car. (Physical damage or full coverage) Collision- covers auto impact with another auto or object. Other Than Collision OTC- comprehensive coverage that covers all direct and accidental loss not covered by collision coverage like fire, theft, glass breakage, etc When collision and OTC are combined it's open peril. Transportation expense- no deductible for transportation expenses. 24 hour waiting period and 48 hour if due to theft. Max benefit is $20 per day or $600 with no deductible. Part D pays losses at the lesser of actual cash value or the cost to repair or replace the auto. A special limit of $1500 applies for losses to a non owned trailer.
Coverage B
Other structures insures building on the residence separated by a clear space or connected by a fence, utility line, or similar connections, may not be used for commercial or farming. Additional 10% to coverage A amount Does not cover land, business, nontenant dwellings
Exclusions
Part of policy that states what perils are not covered
Underinsured Motorist Coverage
Pays difference between what the insurance will pay and what is owed.
Auto Part B Medical Payments
Pays for injuries received in an accident regardless who is at fault UM payments are for both medical costs and pain and suffering UM is automatically in each personal auto policy
Part C uninsured motorist
Pays insured for BI made by an uninsured motorist, does not pay for damages to the car
Uninsured Motorist
Person that either has no BI liability coverage, does not meet state standards minimum liability requirement, hit and run, invalid insurance
Agent
Person who acts for another person or entity
DP3 other endorsements
Personal liability endorsements- adds medpay Modified loss settlement- changes coverage A and B to replacement value Windstorm or hail percentage- specifies a deductible on a percentage rate Automatic increase in insurance- provides annual increase in coverage A ans B Additional living expense- Tree shrubs and plants- Permitted incidental occupancies- Watercraft-
Coverage C
Personal property The insured chooses the personal property limit and 10% of the limit may be used to cover the insureds personal property whole anywhere in the world
Physical hazard
Physical source that causes chance of a loss
Contract of adhesion
Policy owner agrees to accept terms of policy as offered
Risk
Possibility or chance of a loss
Risk must be...
Predictable laws, chance occurrence, non catastrophic, measurable and definitive, and affordable
Underwriting
Process of classification, rating, and selection of risks
Pro rata
Proportion of total coverage in place for all policies covering the same risk
Coverage E liability
Protects insured from legal liability, bodily injury, property damage to others.
Broad peril policy
Provides a list of all perils in policy
Flat rate
Receive entire premium back
Loss cost
Represents amount insurer should collect to cover expected losses
Five types of risk management
Sharing risks Transfer risks Avoid risks Reduce risks Retain risks
Foreign company
State other than home state where the insurer is admitted to conduct business
Domestic company
State the home office is located
Warranty
Statement garrunteed to be true
The principle of indemnity
States that insurance companies will restore you to the same financial stance you were in before the loss
Cancellation
Ten days for late payment, thirty days for other
Principle
The other person or entity
DP2 Other available coverages
Up to 10% of coverage A under coverage B, debris removal, up to 10% of coverage C, worldwide coverage up to 10% of coverage C, rental value and additional living spaces up to 10% of coverage A in coverage D and E, reasonable repairs, property removed will be covered for 30 days, trees, shrubs and other plants up to $500 for any one, fire dep service charge up to $500, collapse coverage, gLass or safety glazing materials not applied if it's been vacant for 60 days before loss, ordinance or law, up to 10% of coverage A
Personal Articles Floaters
Used for certain types of Inland Marine Policies that are used to insure certain types of moveable property whether or not its in transit. Supplements your homeowners coverage for possessions of higher monetary value. Provides all-risk protection for ur most valuable possessions in the event of loss thru theft, accident or natural disaster.
Dwelling policy eligibility requirements
Used solely for residential purposes, maximum of 5 roofers, building containing four or fewer apartments, townhouse or row house, dwelling building under constructions, dwelling building occupied by owner that has values lower than insurance company minimums, permanently installed mobile home, farm, ranch, orchard, or grove
Reinsurance
When an insurance company transfers some of the risks to another insurance company
Endorsements
Written modification that either adds or deletes one or more provisions of the standard policy
Morale hazard is created when...
Your careless or reckless actions cause a loss
Consideration
Your premium + your statements
ACV
actual cash value computed by subtracting depreciation by the replacement cost
DP1 - basic form
basic perils only extended coverages can be added
DP1 perils
fire Lightning Internal explosion
Watercraft liability exclusion for HO
in storage,
Extended coverages of DP1
when stone or hail, explosion, riot, aircraft, vehicles, smoke, volcanic eruption, vandalism and malicious mischief (VM not for dwellings vacant 60+ days before loss