Chapter 10 Residential Property Claims Flashcards
What are the three types of residential policies?
Homeowners (A, B, C & D)
Tenants (C & D)
Condo (C & D)
What is in coverage A of Section I?
Dwelling
- Main building, attached structures, permanently installed outdoor equipment, outdoor swimming pool
What is in coverage B of Section I?
Detached Private Structures
- Structures separated from the main building by a clear space (garden shed, greenhouse, gazebo, barn/stable, boathouse)
What is in coverage C of Section I?
Personal Property
- Contents usual to a home (located at the property/temp removed)
What is in coverage D of Section I?
Additional Living Expenses
- Extra costs incurred when an insured person incurs additional cost while property is unfit to occupy as result of insured peril
Under what are swimming pools covered in Quebec?
Endorsement
What are the three other coverages specific to a Condo?
Unit improvements and betterments
Loss assessment
Unit additional protection
What questions must an adjuster ask when comparing heat and fire?
Has heat been applied?
What resulting products of fire are in evidence?
What are the permitted exclusions of the fire peril in Ontario?
Riot,
civil commotion,
war,
invasion,
act of foreign enemy,
hostilities,
civil war,
rebellion,
revolution,
insurrection
military powered
What are some typical things an adjuster can recommend to help minimize damage?
There may be some urgency to board up exposed areas
There may be a need to air and deodorize the premises
Washing walls should be attempted as soon as possible to determine what painting would be required
Protective barriers or fencing may be required to limit any trespassing or further damage
Complex or large losses still under investigation, property may require on-site security
Define water hammer
Pressure shock wave induced in plumbing supply systems when a sudden change occurs to the stability of the water, causing a banging noise in pipes
Explain the water hammer exclusion
Exclusion under explosion
Is not excluded in an all-risk form or Quebec policy forms
What is the common exclusion of smoke?
Agricultural smudging or industrial operations
What are some common examples of falling objects that may cause damage?
Falling trees, meteorites, aircraft parts and debris from blasting operations
What are the four main occurrences covered under the water peril?
Sudden and accidental escape of water from a watermain
Sudden and accidental escape of water or steam from within a plumbing, heating, sprinkler or ac system or domestic water container located inside the dwelling
Sudden and accidental escape of water from a domestic water container located outside the building (not insured if caused by freezing)
Water that enters dwelling from an opening created suddenly and accidentally by another insured peril
What must an insured do to obtain coverage for frozen pipes rupturing if they are away for more than four consecutive days?
Insured arranged for someone to enter the house each day to ensure that heating was being maintained
Insured shut off the water supply and drained all the pipes and domestic water containers
What are the common water exclusions?
Continuous or repeated seepage or leakage
Backup from a sewer, sump or septic tank
Ground water or rising water table
Surface water
Shoreline ice building
Damage by waterborne ice or other objects, whether by rain or otherwise
What are the common roofing problems that have nothing to do with hail?
Moisture trapped in the roofing material may cause bubbling
Sheathing that expands and contracts may cause wrinkling
Oils evaporating from the roofing materials may cause an alligator-type pattern on the roofing surface
What are the perils within transportation?
Collision
Derailment
Upset
Stranding
Overturn
Sinking
What are the restrictions of the theft peril?
Caused by a tenant in a part that is rented out, the tenants family or tenants employees
Dwelling under construction
Animals, birds, or fish
When by fraud or trickery; a change of ownership in property takes place with the insured’s agreement
What are the typical extensions of property?
Debris removal
Cost of removing property from premises to protect it from loss for up to 30 days or until the policy term ends (whichever is first)
Property removed from insured’s property to protect it from damage
Personal property in transit to another home
Fire department assessments
Property coverage from change in temperature due to insured peril
Loss of freezer food due to interruption of electrical power or mechanical breakdown up to $2000
Replacement or re-keying of locks if keys are stolen
Tearing out for repair due to water damage (swimming pool & watermain not covered)
Arson conviction rewards
Coverage for credit card, debit card, forgery and counterfeit money up to $1000
What is the difference between vacant and unoccupied?
Vacant - no contents & no occupants
Unoccupied - contents & no occupants
What facts would an adjuster want to determine regarding a property a claim?
When the loss occurred
Specific location from which the loss occurred
Who discovered the loss and what time of day it was
How the loss was discovered
Whether police were notified
Name of the landlord, if applicable
Brief description of the residence, to include its age and the type of construction
Names of household occupants
Nature of any repairs already completed
Insured’s story of what they believe happened
Description of item or items damaged that includes the following: ownership of the item, location of the item, make/model/size/serial number, identifying marks on item, details of purchase, storage/repair
Whether a financing contract exists for damaged items: amount owed, to whom
What additional information is required for theft and burglary claims?
How entry was gained to the premises
Whether visible signs of the entry exist
Confirmation whether doors and windows are kept locked
Whether an alarm is in place
Whether an alarm is kept activated
