Homeowners Insurance, Section II

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Penn Foster College *

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BUS330

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Jan 9, 2024

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12/26/23, 8:09 PM Homeowners Insurance, Section II https://courses.portal2learn.com/d2l/le/enhancedSequenceViewer/27390?url=https%3A%2F%2F1351421d-1840-4a1c-8089-3b27e80640ca.sequences.api.brightspace.com%2F27390%2Factivity%2F976138%3Ffilte… 1/6 Read this section. ±en, read Chapter 23 in your textbook. ±e purpose of personal liability insurance is to protect the named insured and any family members from legal liability that may come out of their own acts. With this, the insurer provides legal defense services and pays any sums that the insured may be obligated to pay, up to the monetary limit of the policy. Section II coverage in the ISO HO-3 policy includes liability coverages under Coverage E and Coverage F. Coverage E protects the insured when a claim or suit for damages is brought because of bodily injury or property damage that an insured's negligence allegedly caused. ±e coverage is broad and based on legal liability. ±e policy contains a per-occurrence limit. An occurrence is de²ned as an accident that results in bodily injury or property damage during the policy period. ±e insurer provides a legal defense, even if the suit is frivolous or fraudulent. Coverage F is a mini-accident policy that's part of a homeowners policy. Medical payments to others aren't based on legal liability. ±is coverage pays the reasonable medical expenses of another person who is accidentally injured while on an insured location, or due to the activities of an insured, resident employee, or animal that the insured cares for or owns. ±e policy states the situations under which coverage applies.
12/26/23, 8:09 PM Homeowners Insurance, Section II https://courses.portal2learn.com/d2l/le/enhancedSequenceViewer/27390?url=https%3A%2F%2F1351421d-1840-4a1c-8089-3b27e80640ca.sequences.api.brightspace.com%2F27390%2Factivity%2F976138%3Ffilte… 2/6 ±ere are several exclusions in Section II. Exclusions may apply to only one coverage, but other exclusions apply both to Coverage E and Coverage F. ±e following breaks down how exclusions apply to each coverage. Some exclusions apply to both Coverage E and Coverage F: Liability arising out of the use of an auto, certain watercraft, aircraft, or hovercraft Expected or intentional injury Business activities, with some exceptions Professional services Liability arising out of the use of an uninsured location War or other hostile military acts Liability arising out of the transmission of a communicable disease Bodily injury or property damage arising out of sexual molestation, corporal punishment, or physical or mental abuse Liability arising out of the use, sale, manufacture, delivery, transfer, or possession of controlled substances Several exclusions apply only to Coverage E: Contractual liability Property the insured owns Property in the care of the insured, with some exceptions Workers' compensation Liability arising out of nuclear energy Bodily injury to an insured
12/26/23, 8:09 PM Homeowners Insurance, Section II https://courses.portal2learn.com/d2l/le/enhancedSequenceViewer/27390?url=https%3A%2F%2F1351421d-1840-4a1c-8089-3b27e80640ca.sequences.api.brightspace.com%2F27390%2Factivity%2F976138%3Ffilte… 3/6 Other exclusions apply only to Coverage F: Injury to a resident employee o³ an insured location Workers' compensation Injuries that result from nuclear energy Persons regularly residing on the insured location Homeowner policies automatically include several coverage additions such as claim expenses, ²rst aid, damage to property of others, and loss- assessment charges. Claim expenses are paid as an additional coverage. ±e insurer will pay court costs, attorney fees, and other legal expenses that are incurred in providing a legal defense. First-aid expenses are paid by the insurer for expenses incurred by the insured for bodily injury that's covered by the policy. Damage to the property of others coverage is paid up to $1,000 per occurrence for property damage an insured causes. ±ere are a set of exclusions that apply under this coverage. Here are a few of the more signi²cant ones: Property covered under Section I Intentional property damage by an insured age 13 or older Property owned by an insured Property owned by or rented to a tenant Business liability Act or omission in connection with the premises Motor vehicles, aircraft, watercraft, or hovercraft
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12/26/23, 8:09 PM Homeowners Insurance, Section II https://courses.portal2learn.com/d2l/le/enhancedSequenceViewer/27390?url=https%3A%2F%2F1351421d-1840-4a1c-8089-3b27e80640ca.sequences.api.brightspace.com%2F27390%2Factivity%2F976138%3Ffilte… 4/6 Loss assessment covered under a policy provides coverage for up to $1,000 for certain lability loss assessments. However, a higher limit is available under endorsements. In the previous chapter, the conditions that fall under both Section I and Section II were listed. ±e conditions that follow apply to Section II only. Limit of liability. ±e insurer's total liability under Coverage E for all damages arising from one occurrence won't be more than the limit shown in the declarations. ±e insurer's total liability for medical expenses for bodily injury to one person resulting from an accident won't exceed the Coverage F limit shown in the declarations. Duties after an "occurrence." An insured has the following duties after an occurrence: Provide written notice of the event to the insurer, including the time, place, circumstances, and names of any claimants and witnesses. ±e injured person (or a representative) must provide written proof of the claim and authorize the insurer to obtain copies of medical records. No suit against insurer. ±e insured can't sue the insurer unless the insured has complied with the conditions in Section II. Other insurance. If other insurance is present, the policy will be counted as excess over other valid and collectible insurance except for other insurance that's speci²cally written to be excess coverage over the limits of liability. Concealment and fraud. No coverage is provided to an insured who before or after a loss has concealed or misrepresented any event or material fact, was engaged in fraudulent conduct, or made false statements about the insurance. Property owners with special needs can purchase a variety of endorsements: An in±ation-guard endorsement provides for an annual pro rata increase in the limits of insurance in the Section I coverages. An earthquake coverage endorsement covers earthquakes, landslides, volcanic eruptions, and earth movement. When a personal property replacement cost loss settlement endorsement is added to the policy, claims are paid based on replacement cost with no deduction for depreciation.
12/26/23, 8:09 PM Homeowners Insurance, Section II https://courses.portal2learn.com/d2l/le/enhancedSequenceViewer/27390?url=https%3A%2F%2F1351421d-1840-4a1c-8089-3b27e80640ca.sequences.api.brightspace.com%2F27390%2Factivity%2F976138%3Ffilte… 5/6 ±e scheduled personal property endorsement (with agreed value loss settlement) provides additional coverage for nine classes of property (jewelry, furs, cameras, musical instruments, silverware, golfer's equipment, ²ne arts, postage stamps, and rare and current coins), and the insurer agrees to pay the stated amount for a scheduled item if a total loss occurs. A personal injury endorsement extends liability coverage to legal liability arising out of personal injury; for example, false arrest or slander. A watercraft endorsement provides liability and medical payments coverage on any inboard or inboard-outdrive powered watercraft, sailing vessels 26 feet or more in length, and watercraft powered by one or more outboard motors exceeding 25 total horsepower. A home business insurance coverage endorsement covers both business property and legal liability arising out of a home-based business. An identity theft endorsement reimburses crime victims for the cost of restoring their identity and cleaning up their credit reports. Here are some of the major rating and underwriting factors: Type of construction Location of home Fire-protection class, which depends on the quality of the public ²re department, accessibility to the ²re department, water supply, and ²re hydrants Construction costs Age of the home Type of policy and deductible amount Insurance score: a credit-based score that's highly predictive of future claim costs Insurers also use reports that reveal the prior claim history of a home. A Comprehensive Loss Underwriting Exchange (CLUE) report shows up to seven years of information on property claims, including the date of loss, type of loss, and amounts paid. ±e use of CLUE reports is controversial.
12/26/23, 8:09 PM Homeowners Insurance, Section II https://courses.portal2learn.com/d2l/le/enhancedSequenceViewer/27390?url=https%3A%2F%2F1351421d-1840-4a1c-8089-3b27e80640ca.sequences.api.brightspace.com%2F27390%2Factivity%2F976138%3Ffilte… 6/6 Here are some basic things to consider when shopping for a homeowner's policy. Carry adequate insurance. Does the coverage provide ²nancial security in the case of a loss? ±is needs to be considered based on the dwelling and property one owns. Add the necessary endorsements. For example, someone in California may want to add an earthquake endorsement to provide coverage for a catastrophic event. Shop around for a homeowners policy. ±e cheapest may not be the best for your needs; compare companies to ²nd the best ²t. Consider a higher property insurance deductible. It will often provide more coverage while lowering the premium. Take advantage of discounts. While researching insurance, see what discounts may be available. Don't ignore ±oods and earthquakes. If you're living in a zone with a history of natural disasters, consider adding the endorsement that will cover them. Improve credit records. A better credit record will result in a higher insurance score that will lower premiums. Making payments on time, paying o³ high-balance cards, and keeping a cash-to-debt ratio in the positive is one way to accomplish this. Consider purchasing a personal umbrella policy. ±is policy adds $1 million to $10 million in additional coverages after the underlying coverage limit is exhausted. It can help cover liability from personal injury and provide coverage for libel, slander, and defamation of character.
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