Types of Exposure: 1. Property losseconomic loss because your property is damaged, destroyed, or stolen. You should: Thoroughly inventory your property. Identify perils (cause of loss) to be insured against. 4
Types of liability protection: Homeowners policy Automobile policy Umbrella policyadded coverage not provided by homeowners or auto policy; usually include limits of $1 million+ Professional policy, such as malpractice 5 2. Liabilitydamage you cause others, either through your actions or negligence.
The insured is entitled to payment from the insurance company only if a loss covered by the policy has been suffered. The amount of payment should not be greater than the economic value of the loss. 6
Actual cash value vs. replacement costYou can collect, at most, the depreciated value of your property unless you have replacement cost coverage. Right of Subgrogation--Right of an insurer who has paid an insureds claim to request reimbursement from either the person who caused the loss or that persons insurer. 7
Insurance companies do not want you to be able to profit from a loss; they wish to prevent the moral hazard that the insured would be tempted to destroy property in order to gain. 8 Other insuranceIf multiple companies insure the property, the companies together will not pay you more than your economic loss. Other insuranceIf multiple companies insure the property, the companies together will not pay you more than your economic loss.
You must buy insurance in an amount equal to at least a certain percentage of the replacement value of your property, usually 80%. Otherwise, the insurance company will not fully repay you for your loss. You have become the "coinsurer" and must bear part of the loss. 9
Policies state the conditions (perils) under which the policy will pay and also stipulate the property that's covered and the extent to which it's covered. Perildefined as a cause of loss. Ex: fire, lightning, windstorm. 11
Type of structure Wood, brick Location of home Local crime rates, proximity to fire hydrant Other factors Pool, trampoline, large dog
This part is divided into 2 sections. Section I deals with loss to your property, under what conditions it will be covered, and the extent of coverage. Section II deals with liability which may arise in connection to this property, either through your actions or negligence. 13 Perils & Property Covered: Perils & Property Covered:
Home businesses or offices may need separate coverage in addition to homeowners policy. Personal Property Floater (PPF) needed for items whose value exceeds policy limits (furs, jewelry, PCs, silver, fine art, etc.) 14 Perils which are rarely covered are flood, earthquake, and acts of war. Your policy may also exclude other perils. Perils which are rarely covered are flood, earthquake, and acts of war. Your policy may also exclude other perils.
Direct loss of property. Indirect loss occurring as a result of loss of use of damaged property. Additional expenses resulting from direct and indirect losses. 15
16 States who is covered under the policy, such as the homeowner and residents of the household. Coverage for guests and students away at college may be limited. Locations Covered: Locations Covered: Most policies cover your personal property worldwide unless it's at a second home. Persons Covered: Persons Covered:
17 Policy Limits are placed on the property covered and depend on the amount of coverage on the home. Policy Limits are placed on the property covered and depend on the amount of coverage on the home. Ex: Your home is covered for $100,000. Its contents are covered also, up to 50% of policy amount, or $50,000. Its contents are covered also, up to 50% of policy amount, or $50,000. Other structures are covered, up to 10% of policy amount, or $10,000. Other structures are covered, up to 10% of policy amount, or $10,000. Coverage for loss of use, liability, and medical payments to others also limited. Coverage for loss of use, liability, and medical payments to others also limited.
Replacement Cost is the amount necessary to restore your property at today's prices. This coverage for both the home and its contents is much more desirable and usually does not add much to the cost. Inflation Protection Rideralso very desirable. Automatically adjusts coverage in keeping with inflation. 18 Actual Cash Value is what the property is worth today (depreciated value). Actual Cash Value is what the property is worth today (depreciated value).
Money$ 200 Securities$1,000 Watercraft$1,000 Jewelry$1,000 Firearms$2,000 Silverware$2,500 19 Internal Limits also apply to specific items. For example: Internal Limits also apply to specific items. For example:
Deductibles help hold down insurance costs because they eliminate frequent small loss claims which are proportionately more expensive to administer. 20 Deductible is the amount you must pay out of pocket on covered losses. Deductible is the amount you must pay out of pocket on covered losses.
Differ from company to company 21 Differ depending on type of structure, location of property, and hazards on property (ex: swimming pool, large dog). Differ depending on type of structure, location of property, and hazards on property (ex: swimming pool, large dog). Differ on discounts offered, such as for nonsmokers or for security systems. Differ on discounts offered, such as for nonsmokers or for security systems.
Adding an inflation rider so that your coverage will keep pace with inflation. Replacement cost coverage rather than actual cash value so that you will have enough to replace your property. Increasing liability and medical payments limits, as standard coverage in these areas is usually quite low. Increase your deductible. Better to bear small costs out of pocket and insure adequately against the catastrophic. 22
Contents of apartments and condos are not covered by the insurance on the structure. Cost of renters or condo owners insurance usually very reasonable. Policies include coverage on contents as well as liability coverage; protect you at home and away. Replacement cost coverage also available. 23
Part A: Liability Required in most states. Pays injury and property damages to others when you are responsible for the loss. Covers costs of settling or defending civil claims for damages. 25
Insurance company will likely limit the total damages paid for any one accident. Typical single dollar limits are $50,000, $100,000, $300,000 and $500,000. Some insurers split the limits of liability coverage available. 26
$20,000 bodily injury per person. $40,000 bodily injury per accident. $15,000 property damage per accident. Who pays if the costs exceed these limits? 27 If you only have the minimum, your insurer will cover at most:
Insured person – the named insured, family member(s), person using a covered auto, any person/organization that may be held responsible for your actions. Covered autos – vehicles shown in declarations page of policy, auto acquired during policy period, auto trailer owned, any auto or trailer being used as temporary substitute while yours is being repaired. 28
Reimburses for medical expenses resulting from an accident. Covers the insured, family members, and passengers in covered autos. Covers injuries sustained as a pedestrian or while riding a bicycle. 29 Part B: Medical Payments
Pays when other driver has no insurance or in the case of hit-and-run. Must meet these criteria: 1. Other driver was at fault. 2. Other driver had no insurance. 3. Damages were incurred. Usually pays only for bodily injuries, not property damage. Additional coverage available for protection against underinsured motorists. 30 Part C: Uninsured Motorists
Part D: Damage to Your Car 31 Pays no matter who is at fault. Pays no matter who is at fault. Usually required for financed cars (lender wants to protect the investment). Usually required for financed cars (lender wants to protect the investment). Collision: Pays the actual cash value of the damage (loss), minus any deductibles. Pays the actual cash value of the damage (loss), minus any deductibles.
Protects against loss to insured auto caused by perils other than collision. Examples: hail, fire, theft, falling objects. 32 Comprehensive:
Reimburses parties involved in an accident without regard to negligence. Each insured party is compensated by own insurance company, regardless of who caused the accident Legal remedies and payments for pain and suffering are restricted. State laws governing no-fault insurance vary widely as to amount of no-fault benefits and degree to which restrictions for legal actions apply. No-Fault Automobile Insurance
Where the car will be driven. Amount vehicle will be driven. Personal characteristics of the driver. Type of automobile. Driving record of the insured. 34
Comparison shop. Take driver's education. Take defensive driving. Be a good student. Have airbags and a security system. Raise your deductibles. 35
Compulsory auto insurance laws – require motorists to show evidence of insurance coverage before receiving their license plates. Other – requires motorists to show evidence of their insurance coverage only after they are involved in an accident. 36
Captive agent – one who represents only one insurance company Independent agents – typically represent between two and ten different insurance companies and may place your coverage with any of the agencies they have a relationship with. Professional designationsgiven to agents who meet various experiential and educational requirements. 38
Earthquake & floodnot included in standard homeowner's policies. Other forms of transportationmobile homes, RVs, boats, etc. Personal liability umbrellaadditional liability coverage. 39
After an accident, get names, addresses, phone numbers, driver's license numbers, insurance policy numbers, and description of vehicle of all parties involved. Take pictures or sketch the accident. Get names, addresses, and phone numbers of any witnesses. Contact the police immediately. Contact your insurance agent immediately. 40
Require timely notice of accident. Investigate the claim. Require you to prove your loss. The Claims Adjustor Will: Evaluate the claim. Recommend settlement of the amount requested or a lesser amount, or recommend denial of the claim. 41 Your Company Will: