Personal Lines

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Personal Lines by Mind Map: Personal Lines

1. Personal Inland Marine Insurance

2. Personal Auto Policy

3. Home Owner's Policy

3.1. HP 2 Broad Form

3.1.1. Broad Form =Named Peril

3.1.1.1. Owner's premises, dwelling and other structures

3.1.2. .

3.1.3. Losses

3.1.3.1. Structures;

3.1.3.1.1. replacement cost basis

3.1.3.2. .

3.1.3.3. contents and personal property

3.1.3.3.1. actual cash value

3.1.3.4. .

3.1.4. .

3.1.5. Wharves

3.1.5.1. Wind, hail, aircraft, riot, vehicles, explosion, and smoke (WHARVES), and volcanic eruption

3.1.6. .

3.1.7. VMM

3.1.7.1. excludes loss for vandalism occurring after 60 days of vacancy

3.1.8. .

3.1.9. Does not cover

3.1.9.1. loss to a fence, driveway or walk caused by a vehicle owned or operated by the insured.

3.2. .

3.3. HP 3

3.3.1. Special Form = Open Peril

3.3.1.1. Special Form = Open Peril

3.3.1.1.1. Owner's premises, dwelling and other structures

3.3.1.2. .

3.3.1.3. Losses

3.3.1.3.1. Structures;

3.3.1.3.2. .

3.3.1.3.3. Broad form: contents and personal property

3.3.1.4. .

3.3.1.5. Does not cover

3.3.1.5.1. loss to a fence, driveway or walk caused by a vehicle owned or operated by the insured.

3.3.1.6. .

3.3.1.7. HP 3 contains HP 2

3.4. .

3.5. HP 4 Renter's Form

3.5.1. 'Content Only' Broad Form - Renter's Form

3.5.1.1. contents and personal property.

3.5.2. .

3.5.3. Losses are paid on an actual cash value

3.6. .

3.7. HO-5 (Comprehensive Form) Open Peril

3.7.1. .

3.7.2. Special Form = Open Peril

3.7.2.1. Open Peril

3.7.2.1.1. Owner's premises, dwelling and other structures

3.7.2.2. .

3.7.2.3. Open Peril

3.7.2.3.1. contents and personal property

3.7.2.4. .

3.7.2.5. Losses

3.7.2.5.1. Structures;

3.7.2.5.2. .

3.7.2.5.3. contents and personal property

3.7.2.6. .

3.8. .

3.9. HO-6 (Unit-Owners Form) Broad Form

3.9.1. condominium unit-owner

3.9.2. .

3.9.3. real property for which the insured is responsible under the association’s agreement

3.9.4. .

3.9.5. personal property while anywhere in the world.

3.9.5.1. Actual Cash Value

3.10. .

3.11. HO-8 (Modified Form)

3.11.1. older Home where replacement value and market value are disproportionate

3.11.1.1. Could create a Moral Hazard

3.11.2. .

3.11.3. For example older home

3.11.3.1. Replacement Value would be much higher than Market Value

3.11.4. .

3.11.5. of the dwelling, and losses to the contents are paid on an actual cash value basis.

3.11.6. .

3.11.7. Losses

3.11.7.1. Owner's premises

3.11.7.1.1. market value

3.11.8. .

3.12. .

3.13. Coverages that can be added to any HomeOwner Form

3.13.1. A- Dwelling

3.13.1.1. .

3.13.1.2. Does Apply

3.13.1.2.1. residence premises including structures attached to the dwelling

3.13.1.2.2. .

3.13.1.2.3. building equipment and outdoor equipment located on the described location are considered as dwelling

3.13.1.2.4. .

3.13.1.3. .

3.13.1.4. Does not Apply

3.13.1.4.1. land, including land on which the dwelling is located

3.13.1.4.2. .

3.13.1.4.3. Vandalism and malicious mischief if dwelling has been vacant for more than 60 days.

3.13.1.5. .

3.13.1.6. A limits of Insurance

3.13.1.6.1. qualify for replacement cost, the amount of insurance at the time of the loss must equal or exceed 80% of the replacement cost

3.13.2. .

3.13.3. B - Other Structures

3.13.3.1. Does Apply

3.13.3.1.1. clear space from the dwelling detached from the dwelling, such as a detached garage, carport, outdoors storage building

3.13.3.1.2. .

3.13.3.1.3. rent a private garage to another for garage purposes

3.13.3.2. .

3.13.3.3. Does not Apply

3.13.3.3.1. land, including land on which the dwelling is located

3.13.3.3.2. .

3.13.3.3.3. cannot be used for mercantile or manufacturing business

3.13.3.4. .

3.13.3.5. B limit of insurance

3.13.3.5.1. 10% of the Coverage A limit for all forms

3.13.4. .

3.13.5. C - Personal Property

3.13.5.1. Does Apply

3.13.5.1.1. household and personal property

3.13.5.1.2. .

3.13.5.1.3. property of a guest or servant

3.13.5.1.4. .

3.13.5.1.5. newly acquired principal residence for 30 days

3.13.5.1.6. .

3.13.5.1.7. .

3.13.5.1.8. It would cover theft of an insured’s camera stolen by a visitor

3.13.5.2. .

3.13.5.3. C limit of insurance

3.13.5.3.1. 50% of the Coverage A

3.13.5.3.2. .

3.13.5.3.3. Secondary residence

3.13.5.3.4. .

3.13.5.3.5. student’s property when away at school

3.13.5.3.6. .

3.13.5.3.7. new principal residence is covered automatically for up to 30 days without the 10% limit.

3.13.5.3.8. .

3.13.5.3.9. Personal property with special limits are:

3.13.5.3.10. .

3.13.5.4. .

3.13.5.5. Does not Apply

3.13.5.5.1. Articles separately described and specifically insured in this or other insurance. b. Animals, birds, and fish (pets) including guard dogs. c. Motor vehicles or motorized land conveyances, unless exempt from motor vehicle registration and used to service the insured’s residence or assist the handicapped. d. Aircraft and aircraft parts. e. Credit cards and fund transfer cards. (Unauthorized use of cards is covered.) f. Property of a roomer, boarder or tenant. g. Radio equipment permanently installed in an auto. h. Windstorm damage to personal property contained in the building unless the opening is caused by a covered peril. i. Committed by an insured. j. Watercraft, trailers, and campers while away from the residence premise. NOTE: It would cover theft of an insured’s camera stolen by a visitor

3.13.5.5.2. .

3.13.5.5.3. roomers or boarders

3.13.5.6. .

3.13.6. .

3.13.7. D - Loss of Use

3.13.7.1. indirect loss

3.13.7.1.1. Does Apply

3.13.7.1.2. .

3.13.7.1.3. Does not Apply

3.13.7.1.4. .

3.13.7.1.5. D limit of insurance

3.13.7.1.6. .

3.13.8. .

3.13.9. .

3.14. .

3.15. .

3.15.1. General Exclusions

3.15.1.1. Ordinance or Law

3.15.1.1.1. example, remodeling necessary to make a building compliant with the Americans With Disabilities Act

3.15.1.2. .

3.15.1.3. Earth Movement

3.15.1.3.1. If a direct loss by fire, explosion, or breakage of glass or safety glazing material should ensue from earth movement, the policy would then pay only for the ensuing loss.

3.15.1.4. .

3.15.1.5. Water Damage

3.15.1.5.1. not pay for losses caused by flood, tidal water, water that backs up through sewers or drains, or water below the surface of the ground which seeps through basement walls.

3.15.1.5.2. .

3.15.1.5.3. If a direct loss by fire or explosion resulting from water damage should occur the ensuing damage would be covered.

3.15.1.6. .

3.15.1.7. Power Failure

3.15.1.7.1. will not pay for losses caused by the failure of power or other utility service if the failure takes place off the described premises

3.15.1.7.2. .

3.15.1.7.3. If an insured peril ensues on the described location as a result of the power failure, the ensuing loss would be covered.

3.15.1.8. .

3.15.1.9. Neglect

3.15.1.10. .

3.15.1.11. War

3.15.1.12. .

3.15.1.13. Nuclear Hazard

3.15.1.14. .

3.15.1.15. Intentional Loss

3.15.1.16. .

3.15.1.17. Governmental Action

3.15.1.17.1. The destruction, confiscation, or seizure of property

3.16. .

3.17. Selected Property Endorsements

3.17.1. Mobile Home Insurance

3.17.1.1. Mobile Home Endorsement to or by writing a separate Mobile Homeowners Policy.

3.17.1.2. .

3.17.1.3. Coverage C (Personal-Property) is generally written at 40% of Coverage A, instead of 50% under the Homeowners Policy.

3.17.2. .

3.17.3. Increased Limit – Other Structures Endorsement

3.17.3.1. if the automatic amount equal to 10% of the dwelling coverage is inadequate for other structures

3.17.4. .

3.17.5. Inflation Guard Endorsement

3.17.6. .

3.17.7. Guaranteed/Extended Replacement Cost Endorsement

3.17.8. ,

3.17.9. Personal Property Endorsement

3.17.9.1. provided on an open-peril basis with certain exceptions for jewelry, furs, cameras, musical instruments, silverware, golfer’s equipment, fine arts, postage stamps and rare and current coins.

3.17.9.2. .

3.17.9.3. also called a Personal Article Floater

3.17.9.3.1. Newly acquired property of a class already insured is automatically covered. The insurer must be notified within 30 days (90 days for fine arts) of the acquisition of the property.

3.17.10. .

3.17.11. Workers’ Compensation Residence Employees Endorsement

3.17.11.1. a. Been engaged in such employment by the insured for no less than 52 hours b. Earned no less than $100 in wages.

3.17.12. ,

3.17.13. California Residential Property Insurance Disclosure Form

3.17.13.1. indicates the method of valuation

3.18. .

3.19. Home Owner's Liability Coverage; HO SECTION II

3.19.1. Overview

3.19.1.1. Protection is provided for legal claims against the insured or family members from occurrences in and around the premises, personal activities, and pets, both on and away from premises. Coverage is intended to protect against non-business, non-automobile exposures.

3.19.2. .

3.19.3. Coverage E - Personal Liability

3.19.3.1. If there is a covered Occurance

3.19.3.1.1. bodily injury or property damage

3.19.4. .

3.19.5. Coverage F - Medical Payments to Others

3.19.5.1. pay necessary medical expenses that are incurred or medically ascertained within 3 years from the date of an accident causing bodily injury

3.19.5.2. .

3.19.5.3. 1. A person on the insured location with the permission of an insured. 2. A person off the insured location if the bodily injury: a. Arises out of a condition on the insured location or the ways immediately adjoining. b. Is caused by the activities of an insured. c. Is caused by a residence employee in the course of employment of the insured. d. Is caused by an animal owned by or in the care of an insured

3.19.5.4. .

3.19.5.5. Additional Coverages

3.19.5.5.1. Claim Expenses (Supplementary Payments)

3.19.5.5.2. .

3.19.5.5.3. First Aid Expenses

3.19.5.5.4. .

3.19.5.5.5. Damage to Property of Others

3.19.5.6. .

3.19.5.7. No Fault

3.19.5.7.1. Payment is made regardless of negligence.

3.19.5.7.2. .

3.19.5.8. .

3.19.5.9. No Covered

3.19.5.9.1. an insured or regular residents

3.19.5.9.2. .

3.19.5.9.3. a. Any property that is covered under Section I. b. Damage caused intentionally by an insured who is 13 years of age or older. c. Damage to any property owned by an insured. d. Damage to property owned by or rented to a tenant. e. Damage arising out of business pursuits engaged in by an insured.

3.19.6. .

3.19.7. Exclusions

3.19.7.1. Same as the Dwelling exclusions.

3.19.8. .

3.19.9. .

4. Dwelling Policy Non owner occupied [landlord insurance]

4.1. DP 1

4.1.1. Basic Form

4.1.1.1. Perils

4.1.1.1.1. FLIE

4.1.1.2. .

4.1.1.3. Basic is the only for available for Manufactured homes only

4.1.1.4. .

4.1.1.5. No more than 4 units

4.1.1.6. .

4.1.1.7. up to 5 boarders

4.1.1.8. .

4.1.1.9. Losses are paid on Actual cash value = Replacement value - Depreciation

4.2. .

4.3. DP 2

4.3.1. Broad Form= Named Perils

4.3.1.1. ECE = Extended Coverage Endorsement

4.3.1.1.1. WHARVES

4.3.1.2. .

4.3.1.3. All Perils from DP1 included in DP2

4.3.1.4. .

4.3.1.5. VMM = Vandalism and Malicious Mischief Endorsement

4.3.1.5.1. excludes loss for vandalism occurring after 60 days of vacancy

4.3.1.6. .

4.3.1.7. FWA-SAFA-HA

4.3.1.7.1. Falling Objects

4.3.1.7.2. .

4.3.1.7.3. weight of snow, ice, and sleet

4.3.1.7.4. .

4.3.1.7.5. Accidental Discharge

4.3.1.7.6. .

4.3.1.7.7. tearing apart

4.3.1.7.8. .

4.3.1.7.9. steam or hot water heating system

4.3.1.7.10. .

4.3.1.7.11. air conditioning

4.3.1.7.12. .

4.3.1.7.13. freezing of a plumbing

4.3.1.7.14. .

4.3.1.7.15. automatic fire protective sprinkler system

4.3.1.7.16. .

4.3.1.7.17. household appliance

4.3.1.7.18. .

4.3.1.7.19. artificially generated electrical current.

4.3.1.7.20. .

4.3.1.8. .

4.3.1.9. .

4.3.1.9.1. dwelling and other structures are paid on a replacement cost basis, and losses to contents are paid on an actual cash value

4.3.1.10. .

4.3.1.11. burglary damage peril includes damage to the covered property caused by the burglar, but not theft of property

4.4. .

4.5. DP 3 Special Forms = Open Perils

4.5.1. .

4.5.2. Theft of property that is part of the dwelling or other structures are covered as long as the dwelling or other structures have not been vacant for more than 60 days.

4.5.3. .

4.5.4. dwelling and other structures are covered for all direct physical damage (open peril), except for perils specifically excluded.

4.5.5. .

4.5.6. Losses to the dwelling and other structures are paid on a replacement cost basis, and losses to contents are paid on an actual cash value

4.5.7. .

4.5.8. Personal property or contents are covered for the Broad Form (DP-2) perils

4.6. .

4.7. Coverages that can be added to any Dwelling Form

4.7.1. A- Dwelling

4.7.1.1. Does Apply

4.7.1.1.1. dwelling including structures attached to the dwelling

4.7.1.1.2. .

4.7.1.1.3. building equipment and outdoor equipment located on the described location are considered as dwelling

4.7.1.2. .

4.7.1.3. Does not Apply

4.7.1.3.1. land, including land on which the dwelling is located

4.7.2. .

4.7.3. B - Other Structures

4.7.3.1. Does Apply

4.7.3.1.1. detached from the dwelling, such as a detached garage, carport, outdoors storage building

4.7.3.1.2. .

4.7.3.1.3. rent a private garage to another for garage purposes

4.7.3.2. .

4.7.3.3. Does not Apply

4.7.3.3.1. land, including land on which the dwelling is located

4.7.3.4. .

4.7.3.5. B limit of insurance

4.7.3.5.1. 10% of the Coverage A limit for all forms

4.7.4. .

4.7.5. C - Personal Property

4.7.5.1. Does Apply

4.7.5.1.1. household and personal property

4.7.5.1.2. .

4.7.5.1.3. property of a guest or servant

4.7.5.1.4. .

4.7.5.1.5. newly acquired principal residence for 30 days

4.7.5.2. .

4.7.5.3. Does not Apply

4.7.5.3.1. accounts, bank notes, coins and currency; birds, animals, and fish; watercraft other than rowboats or canoes; motor vehicles other than those used to service the described location or to assist the handicapped; electronic data processing tapes, wires, and records; and credit cards or fund transfer cards.

4.7.5.4. .

4.7.5.5. C limit of insurance

4.7.5.5.1. 50% of Coverage A.

4.7.5.5.2. .

4.7.5.5.3. secondary coverage

4.7.6. .

4.7.7. D - Fair Rental Vlaue

4.7.7.1. indirect loss coverage

4.7.7.1.1. Does Apply

4.7.7.1.2. .

4.7.7.1.3. Does not Apply

4.7.7.1.4. .

4.7.7.1.5. D limit of insurance

4.7.8. .

4.7.9. E - Additional Living Expense

4.7.9.1. indirect loss coverage

4.7.9.1.1. Does Apply

4.7.9.1.2. .

4.7.9.1.3. Does not Apply

4.7.9.1.4. .

4.7.9.1.5. E limit of insurance

4.7.10. .

4.7.11. Other Coverages

4.7.11.1. Debris Removal

4.7.11.2. .

4.7.11.3. Improvements, Alterations, and Additions

4.7.11.3.1. tenant, and at their own expense make improvements

4.7.11.4. .

4.7.11.5. Reasonable Repairs

4.7.11.5.1. insurer will pay the reasonable costs incurred by the insured for necessary measures taken to protect the property

4.7.11.6. .

4.7.11.7. Trees, Shrubs, and Other Plants

4.7.11.7.1. DP-2 and DP-3 forms, coverage is provided for trees, shrubs, plants or lawns on the described location

4.7.11.7.2. .

4.7.11.7.3. 5% of the Coverage A limit, with no more than $500 for any one tree, shrub, or plant

4.7.11.8. .

4.7.11.9. Fire Department Service Charge

4.7.11.9.1. $500 for the insured’s liability assumed by contract or agreement for fire department charges

4.7.11.9.2. .

4.7.11.9.3. no coverage in City Limits

4.7.11.10. .

4.7.11.11. Collapse

4.7.11.11.1. DP-2 and DP-3 forms, coverage is provided for direct physical loss to covered property involving collapse of a structure

4.7.11.11.2. .

4.7.11.11.3. No increase the limit of the insurance

4.7.11.12. Glass or Safety Glazing Material

4.7.11.12.1. .

4.7.11.12.2. breakage of glass or safety glazing material

4.7.11.12.3. .

4.7.11.12.4. not included when vacant for more than 30 consecutive days.

4.7.11.13. .

4.7.11.14. Broad Theft

4.7.11.14.1. none of the Dwelling Forms automatically cover theft of personal property or contents,

4.7.11.15. .

4.7.11.16. Dwelling Under Construction

4.7.11.16.1. dwelling (Coverage A) while under construction. The premium is based on an average amount of insurance during construction

4.7.11.17. .

4.8. .

4.9. General Exclusions

4.9.1. Ordinance or Law

4.9.1.1. example, remodeling necessary to make a building compliant with the Americans With Disabilities Act

4.9.2. .

4.9.3. Earth Movement

4.9.3.1. If a direct loss by fire, explosion, or breakage of glass or safety glazing material should ensue from earth movement, the policy would then pay only for the ensuing loss.

4.9.4. .

4.9.5. Water Damage

4.9.5.1. not pay for losses caused by flood, tidal water, water that backs up through sewers or drains, or water below the surface of the ground which seeps through basement walls.

4.9.5.2. .

4.9.5.3. If a direct loss by fire or explosion resulting from water damage should occur the ensuing damage would be covered.

4.9.6. .

4.9.7. Power Failure

4.9.7.1. will not pay for losses caused by the failure of power or other utility service if the failure takes place off the described premises

4.9.7.2. .

4.9.7.3. If an insured peril ensues on the described location as a result of the power failure, the ensuing loss would be covered.

4.9.8. .

4.9.9. Neglect

4.9.10. .

4.9.11. War

4.9.12. .

4.9.13. Nuclear Hazard

4.9.14. .

4.9.15. Intentional Loss

4.9.16. .

4.10. .

4.11. Dwelling Forms do not automatically cover personal liability

4.11.1. Coverage L

4.11.1.1. Personal Liability

4.11.1.1.1. residence premises as well as personal (non-business) activities worldwide resulting in bodily injury or property damage to a third party arising out of the insured’s negligence.

4.11.2. .

4.11.3. Coverage M

4.11.3.1. Medical Payments to Others

4.11.3.1.1. medical payments to a third party for injury after an accident if the accident occurs on the insured location, as well as off the premises under certain conditions, regardless of fault or negligence

4.11.3.1.2. .

4.11.3.1.3. provides additional coverages for claim expenses, first aid expenses, and physical damage to the property of others.

4.11.4. .

5. Bonus/ Life Insurance