Study 6 - The Residential Basic Form C12

1) AGREEMENT      Between insurer (Coverage) and insured (Premium) including indirect losses.


2) DEFINITIONS      Insured:         1) Legal party to contract.               3) Relatives in household.
                                                            2) Spouse (Legal/Common-Law).            4) Anyone < age of 21.

                                    Other:             Business                               Premises
                                                            Civil Authority                       Vacant
                                                            Domestic Appliance                        Water - Ground/Surface
                                                            Dwelling       
                                                           

A) BUILDING

1) Dwelling               a) Building itself.                                          c) Attached Structures (deck/patio).
                                    b) Construction Supplies (renovation).    d) Outdoor Equipment (fence/swing).

2) Extensions          At insured’s option, up to 10% of dwelling insurance can apply to:

            a) Fixtures / Fittings                         Temporarily removed for repair / storage (X Sale).
            b) Detached Private Structures     Others on premises (Average Distribution Clause).
            c) Fair Rental Value                                    Loss (Revenue) due to:      i) Insured peril.
                                                                                                                        ii) Civil authority.


B) PERSONAL PROPERTY

1) Contents              All moveable or temporary property owned by the insured.

2) Extensions          At insured’s option, up to 10% of personal property insurance can apply to:

            a) Uninsured Property of Others               Visitors (X Roomers/Boarders).
            b) Property Away From Premises             Anywhere in territory (X Warehouse/Watercraft).
            c) Additional Living Expense                     Loss (Accommodation) due to:     i) Insured peril.
                                                                                                                                                ii) Civil authority.

3) Special Limits     Insurers option to limit maximum exposure for specific property:

            a) Business Property                       Professional books, tools or instruments:           $ 2,000
            b) Garden-type Tractors                  Including equipment/accessories:                                   $ 5,000
            c) Watercraft                                      Including equipment/accessories:                                   $ 1,000
            b) Computer Software                     On or off premises:                                                  $ 2,500
            c) Spare Automobile Parts             Maintaining/repairing vehicle:                               $ 1,000





C) EXTENSIONS OF COVERAGE

1) Debris Removal             Remove debris resulting from an insured loss (Fire).

2) Property Removed        Protect from further loss or damage - 30 Days.

3) Fire Dept. Charges        Save dwelling/personal property from further loss or damage.

4) Tear Out                           Removing parts of dwelling to repair water damage.

5) Inflation Protection        Automatic increase of dwelling coverage on renewal (4 %).


D) INSURED PERILS

1) Fire or Lightning           

2) Explosion                                    X Water hammer.    

3) Smoke                              + Sudden, unusual, or faulty operation of a heating or cooking unit
                                                X Smoke from a fireplace

4) Falling Object                 Building exterior.

5) Impact by Aircraft          X Vehicles owned/operated by insured/employees.
    or Land Vehicle              X Animals.   
                                                                                   
6) Riot                                               

7) Vandalism or                   X Construction.                                X Vacancy (> 30 days).
    Malicious Acts                 X Theft / Attempted Theft.               X Intentional Acts of Insured.

8) Water Damage                + Plumbing, heating, sprinkler, A/C system, pool, appliance, watermain.

                                                X Seepage / leakage.                      X System itself.       
                                                X Sewer back-up.                            X Under Construction or Vacant.
                                                X Ground / surface water.              X Freezing.

9) Windstorm or Hail          + Opening created in dwelling.

                                                X Fences.                                          X Ice or Snow.
                                                X Radio / TV antennae.                  X Waves or Flood.

10) Electricity                       + Artificial current.




E) NOTICE OF AUTHORITIES

Loss must be reported to local law enforcement, discourages criminal acts (Arson/Fraud).


F) EXCLUSIONS

1) Business / Farm Dwellings                                           9) Nuclear Incident
2) Property at Exhibition                                                     10) Radioactive Contamination
3) Property Illegally Acquired/Kept                                   11) War
4) Evidence of Debt / Title                                                  12) Intentional or Criminal Acts of Insured
5) Money / Bullion / Securities                                          13) Application of Heat
6) Outdoor Lawns / Trees / Shrubs / Plants                    14) Snowslide / Earthquake / Landslide
7) Property Lawfully Confiscated                                      15) Pollution
8) Vacancy                                                   


G) BASIS OF CLAIM PAYMENT

1) Actual Cash Value          Current replacement value less depreciation.
2) Replacement Cost          Same description, kind and quality.
3) Pair and Set                     Value proportionate to total value of set.
4) Parts                                  Value proportionate to total value of item.
5) Deductibles                      Insurer responsible only for damage in excess of.
6) Amounts Not Reduced  Losses do not reduce the limit of insurance.
7) More Than 1 Policy         Rateable contribution.
8) Subrogation                     Insurer assumes right of recovery against responsible party.

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NAMED PERILS      a) Listed individually in the wording (Description / Limitations / Exclusions).
                                    b) Recovery: i) Insured proves insured property lost through insured peril.
                                                            ii) Insurer refutes these assertions or pays claim.


ALL RISKS               Wordings define coverage by describing only what is not covered.

            Exclusions   1) Property                 Describes (Money, securities, aircraft, watercraft).
                                    2) Loss                       Clarifies (Delay, loss of use, occupancy).
                                    3) Risk                        Defines (Misappropriation, conversion, dishonesty).
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14)        If the owner of a building worth $ 600,000 buys $ 450,000 of insurance on a policy with an 85% coinsurance clause, then suffers a loss of $ 100,000, the amount of the loss (rounded to the nearest $ 100) he would have to pay will be

a)     $ 36,300
b)    $ 88,200
c)     $ 63,800
d)    $ 11,800

15)        If the owner of a building worth $ 125,000 buys $ 90,000 of insurance on a policy with an 80% coinsurance clause, then suffers a loss of $ 50,000, his recovery under the policy will be

a)     $ 45,000
b)    $ 50,000
c)     $ 90,000
d)    $ 42,500

16)        If the owner of a building worth $ 300,000 buys $ 200,000 of insurance on a policy with an 80% coinsurance clause and a 2% coinsurance waiver, then suffers a loss of $ 8,000, his recovery under the policy (rounded to the nearest $ 100) will be

a)     $ 5,300
b)    $ 6,700
c)     $ 7,400
d)    $ 8,000

17)        If the owner of a building worth $ 125,000 buys $ 100,000 of insurance on a policy with a 90% coinsurance clause and a 2% coinsurance waiver, then suffers a loss of $ 20,000, his recovery under the policy will be approximately

 

a)     $ 20,000
b)    $ 17,800
a)     $   8,800
b)    $   4,000

18)        If the owner of a building worth $ 200,000 buys $ 150,000 of insurance on a policy with a 90% coinsurance clause and a 2% Waiver of Coinsurance clause and then suffers a loss of $ 8,000, his recovery under the policy (rounded to the nearest $ 100) will be

 

a)     $ 5,000
b)    $ 6,400
c)     $ 6,700
d)    $ 8,000

19)        If the owner of a building worth $ 200,000 buys $ 150,000 of insurance on a policy with a 90% coinsurance clause and a 2% Waiver of Coinsurance clause and then suffers a loss of $ 12,000, his recovery under the policy will be approximately

 

a)     $ 9,600
b)    $ 10,000
c)     $ 10,800
d)    $ 12,000

20)        If the owner of a building worth $ 150,000 buys $ 90,000 of insurance on a policy with an 80% coinsurance clause, then suffers a loss of $ 60,000, his recovery under the policy will be

 

a)     $ 42,500
b)    $ 45,000
c)     $ 60,000
d)    $ 90,000



Suggested Answer Key

1) c                  11) c
2) b                 12) b
                        3) b                 13) a
                        4) c                  14) d
                        5) c                  15) a
                        6) a                 16) b
                        7) a                 17) b
                        8) b                 18) c
                        9) a                 19) b
10) b               20) b

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