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. www.InsuranceCommunityUniversity.com Topics Covered in Presentation 1.Discussion of the procedures for determining if a claim is covered 2.The course.

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Presentation on theme: ". www.InsuranceCommunityUniversity.com Topics Covered in Presentation 1.Discussion of the procedures for determining if a claim is covered 2.The course."— Presentation transcript:

1 . Topics Covered in Presentation 1.Discussion of the procedures for determining if a claim is covered 2.The course utilizes ISO forms as a reference point to discuss the Cause of Loss forms. The presentation will review of the types of coverage provided in the Basic, Broad and Special Cause of Loss Forms 3.Review of the endorsements available to modify the Cause of Loss Forms 4.Specific review of the exclusions/limitations for building ordinances will be examined and the endorsement available in the ISO form series. 1

2 . Procedure to determine if there is coverage WhoWhatWhenWhereHow 2

3 . Who is insured Naming Insureds Correctly Whose Property (insured/others) 3

4 . What is insured Property is Covered Property Not Covered 4

5 . When did the loss occur Was it within the policy period There are situations when it must be both in the policy period and reported in the policy period 5

6 . Where did the loss occur Where was the property when the loss occurred Located at the insured premises? Within the coverage territory? Did the cause of loss stem on premises or off premises due to a power loss 6

7 . How did the loss occur This is what the cause of loss forms deal with What caused the loss Was the cause of loss a covered situation Was the cause of loss NOT a covered situation Was there an endorsement added to the policy to add back the cause of loss or sub- limit a recovery 7

8 . 8 Comparison Chart CAUSES OF LOSS BASIC (10 10) BROAD (10 20) SPECIAL (10 30) FireXXX LightningXXX ExplosionXXX Windstorm or HailXXX SmokeXXX Aircraft or VehiclesXXX Riot or Civil CommotionXXX VandalismXXX Sprinkler LeakageXXX Sinkhole CollapseXXX Volcanic ActionXXX Additional Coverage – limited coverage for Fungus, Wet Rot, Dry Rot and Bacteria XXX

9 . 9 Comparison Chart CAUSES OF LOSSBASIC (10 10) BROAD (10 20) SPECIAL (10 30) Additional Coverage – limited coverage for Fungus, Wet Rot, Dry Rot and Bacteria XXX Falling ObjectsXX Weight of Snow, Ice, or SleetXX Water DamageXX Additional Coverage – CollapseXX Risks of Physical LossX


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