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Underwriting Cylce
alternating soft (low prices, high supply) and hard (high prices, low supply) markets
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Combined Ratio
- underwriting profitability measure;
- =(losses + expenses) / (premiums)
Usually >1, but ideally it would be <1 because we want premiums > losses
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CPP (Commercial Package Policy)
organization gets to basically pick and choose components of coverage; commercial property insurance, boiler and machinery insurance, commercial crime insurance, commercial inland marine insurance, farm insurance
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Common Declarations
- apply to the entire policy; a summary of the entire package; typically includes:
- 1. Name and Address of Insured
- 2. Policy Period
- 3. Business Description
- 4. Coverage Parts that Apply
- 5. Premium
- 6. Forms Applicable
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Commercial Property Declarations
specific to the coverage; summary of the specified part (in this case CP); goes into more detail about the coverage and usually includes deductible and limits of insurance
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Common Conditions (6)
- 1. Cancellation
- 2. Changes
- 3. Examination of Books/ Records
- 4. Physical Inspections
- 5. Premiums
- 6. Assignment
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Commercial Property Declarations (7)
- 1. Named Insured
- 2. Description of Premises
- 3. CP Coverages
- 4. Deductibles, Limits, Coins
- 5. Causes-of-Loss Forms Applicable
- 6. Optional Coverages/ Endorsements
- 7. Mortgage Holders (if any)
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Commercial Property Conditions (8)
- 1. Concealment, Misrepresentation or Fraud
- 2. Control of Property
- 3. Insurance Under 2+ Coverages/ Other Insurance
- 4. Legal Action Against "Us"
- 5. Liberalization
- 6. No Benefit to Bailee
- 7. Transfer of Rights of Recovery Against Others to Us (Subrogation)
- 8. Policy Period and Coverage Territory
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What are the 3 broad categories of covered property under BPP coverage form?
- 1. Building
- 2. "Your" buisness personal property
- 3. Personal Property of Others
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Cancellation (Common Condition)
- tells insured what the rules are and how to cancel the policy; usually if premium isnt paid an insurance company can cancel policy with 10 days notice to the insured.
- *insurer and cancel for any other reason with 30 days notice, but this varies by state (in GA insurers must give 45 days notice)
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Changes (Common Condition)
states that they must be done in writing to be valid; however, insurance companies are still on the hook if an agent makes a promise about a policy without putting it in writing first (this is the reason for E&O insurance)
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Examination of Books/ Records (Common Condition)
states that if a company is buying an insurance policy from the insurer it must allow the insurer to see all records relvant/ pertaining to the policy
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Physical Inspections (Common Condition)
states that a company must let an insurer physically inspect the property that is referenced in the written policy
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Premiums (Common Condition)
basically says that the named insured is on the hook for paying premiums of the policy bc his or her name is on the declarations page
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Assignment (Common Condition)
Insurance policies follow individuals, NOT property! When property is sold, insurance doesnt transfer to the new owner unless the insurer wants to renew with said new owner.
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Concealment (CP Condition Part 1)
when the insured fails to bring up or omits pertinent info regarding a policy; if the omitted fact is material, the insurer reserves the right to deny the claim and/or cancel the policy
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Misrepresentation (CP Condition Part 1)
basically a lie when you sign up for your policy; if the lie is material, the insurer reserves the right to deny the claim and/or cancel the policy
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Control of Property (CP Condition)
for property to be covered, the insured (or a representative of the insured) must maintain in physical control of said property
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Insurance Under 2 or More Policies/ Other Insurance (CP Condition)
if property suffers a loss and is covered by multiple policies, the loss is paid for either by the equal shares rule, the pro-rata rule, or the excess sharing rule. However, the insured cannot be overindemnified for the loss.
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Equal Shares Rule
n insurers, each insurer pays (1/n) of the loss (loss is spread equally between insurers), this method is uncommon
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Pro-Rata Rule
each insurer pays their proportion of the loss; i.e. insurer A pays (Insurer A's limit/ Total Insurance Limit) and the other insurers pay their fraction of the limit.
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Excess Sharing Rule
when there are primary and excess policies (the most specific policy is usually the primary policy), the primary pays for a loss first, and excess policies pay any amount over the primary policy limit.
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Legal Action Against "Us" (CP Condition)
sets a statute of limitations for an insured suing an insurer; usually 2 years
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Liberalization (CP Condition)
in force for the entire policy period; if the base policy changes to include broader coverage at no additional premium, then the insured would also receive this extra coverage at no additional premium; converse of this is not true (if base coverage narrows, insured's premiums wont rise and coverage will stay the same)
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No Benefit to Bailee (CP Condition)
insurance coverage does not extend to the person in possession of your property
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Transfer of Rights of Recovery Against Others to Us (Subrogation) (CP Condition)
insured transfers the rights of recovery to insurer in order to collect from liable party
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Policy Period and Coverage Territory (CP Condition)
- policies generally last 1 year, but they can span from 2-5 years
- policies generally start at 12:01 AM
- 3 countries are generally covered: US, Puerto Rico, Canada
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Things Included Under Building Section of BPP
- building/structure described in the declarations
- completed additions
- permanently installed fixtures, machinery, and equipment
- outdoor fixtures
- personal property owned by you used to service/maintain the premises
- additions under construction, alterations, and repairs to the building or structure
- materials, equipment, supplies and temporary structures within 100 feet of the premises used for additions, alterations, or repairs to the building or structure
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Are foundations covered under the BPP?
No; foundations (i.e. anything below the bottom floor) are not covered bc it is difficult to assess the damage to it
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Things Included Under Your Personal Property Section of BPP
- furniture and fixtures
- machinery anf equipment
- stock/ inventory
- all other personal property owned by you and used in your buisness
- leased personal property
- improvements and betterments
- labor, materials, or services furnished on property of others
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Whata are the characteristics of the Personal Property of Others Section of the BPP?
- payment is made to the owner of the property, not the insured
- payment is not based upon legal liability
- $2500 sublimit
- ordinarily purchased by those with a bailment exposure
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Exclusions to the Building Section of the BPP
- land
- water
- bridges
- roadways, walks, patios
- retaining walls
- piers, wharfs, or docks
- cost of excavations, grading, back fillings, or filling
- pilings
- underground foundations
- underground pipes, flues, or drains
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Personal Property Exclusions to the BPP
- Vehicles
- Animals
- Contraband
- Valuable Papers and Records
- DEMCABS
- Property Covered Elsewhere
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Additional Coverages (6)
- make it easier to handle certain claims bc they eliminate 'ands' and 'buts'
- 1. Debris Removal
- 2. Pollutant cleanup and removal
- 3. Preservatin of Property
- 4. Fire department service charge
- 5. Increased cost of consrtuction
- 6. Electronic Data
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Coverage Extenstions (6)
- 1. Newly acquired or constructed property
- 2. Personal effects and property of others
- 3. Valuable papers and records
- 4. Property off-premises
- 5. Outdoor property
- 6. Non-owned detached trailers
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How are deductibles applied to a loss?
on a per occurance basis, only applied ONCE p/o; deducted from the LOSS amount, NOT the LIMIT amount
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What does coinsurance help to prevent?
underinsurance
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How is the indemnity amount calculated when there is a coinsurance clause?
{[limit amount / (coinsurance amount in decimal form)(value of property at the time of loss)] * loss amount} - deductible
- AKA
- [(did/should) * loss] - deductible
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What is an OFC (optional federal charter)?
pertains to the last in class article; allows insurance cos to purchase one charter that allows them to operate nationally instead of having to obtain 50 individual state licenses
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How are debris removal costs calculated?
- 1. smaller of 25% of the loss amount or the remaining policy limit
- 2. up to $10,000 additional insurance if needed
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What does DEMCABS stand for?
- Deeds
- Evidence of Debt
- Money
- Currency
- Accounts
- Bills
- Securities
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What is the exception to the vehicle exclusion of the YPP section?
- 2 stipulations:
- 1. vehicle is not licensed for the road AND 2. vehicle is used to service the premises
- ex: mall security vehicles
- ALSO, vehicles that are part of inventory (like boats)
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Pollutant Cleanup and Removal Coverage
$10,000 per year, ATL; usually only covered when it stems from a covered peril (like a fire); reinforces an exclusion
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Preservation of Property Coverage
subject to regular limit; insurer will pay (up to the limit amount) for expenses incurred to help preserve damaged property/ reduce the loss amount
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Fire Department Service Charge Coverage
$1,000 ATL, P/O
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Increased Cost of Construction Coverage
smaller of 5% of the limit or $10,000 ATL, P/O; excluded as a peril and reniforces an exclusion; example of coverage would be if a building needs to be brought up to code
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Electronic Data Coverage
$2,500 aggregate ATL; difficult loss to assign value to bc often intangible; reinforces and exclusion
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Newly Acquired or Constructed Property Extension
- Buildings: $250,000 P/O, ATL
- Personal Property: $100,000 P/O, ATL
- temporary solution; only extension that may be subject to an explicit extra premium (sometimes enforced retroactively)
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Personal effects and property of others Extension
$2500 P/O, ATL; not for businesses who regularly care for others' property (e.g. dry cleaners)
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Valuable Papers and Records (Non Electronic) Extension
$2,500 ATL, per loss, per location; reinforces an exclusion
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Property Off-Premises Extension
$10,000 P/O, ATL; protects property when it is not in your control and is off you property premises; exclusions to this: 1. property is in your control (unless at a trade show) or 2. property is in transit
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Outdoor Property Extension
- $1,000 P/O, ATL
- $250 limit per tree/ shrub (so max of 4)
- Only 5 perils are covered, the rest are excluded (LFEAR)
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What does LFEAR stand for and what does it pertain to?
- pertains to the outdoor property coverage extension;
- Lightning
- Fire
- Explosion
- Aircraft
- Riots
- these are the only 5 perils covered under the extension
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Non-Owned Detached Trailers Extension
$5,000 P/O, ATL; trailer is not yours and is not attached to anything
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