Chapter 8 Flashcards
What are the four subsections of a CGL policy?
Coverage A- bodily injury and property damage liability
Coverage B- personal and advertising injury liability
Coverage C- medical payments
Coverage D- tenants legal liability
Define negligence
Failure to use the degree of care expected from a reasonable and prudent person
Define compensatory damages
A sum of money to which a plaintiff is entitled that makes amends for an actual loss sustained and nothing more
What are the exclusions under a CGL policy?
Injury to employees
Automobile, watercraft, and aircraft
Care, custody or control-does not cover personal property of the insured is using it or holding in for someone else
Pollution
Define named insured, additional insured, additional named insured, and subsidiary
Named insured-party contracting with the insurer
Additional insured-an entity that is insured with respect to liability arising out of the operations of the named insured only
Additional named insured- effectively the same as a named insured. Policy affords protection for all that entities legal liabilities
Subsidiary- 50% or more is owned by the parent company
Explain the policy territory under a CGL wordings
Provides coverage for losses anywhere in the world, but requires lawsuits to be brought in Canada or the United States
Define drop-down coverage
A clause in umbrella policies, providing that the umbrella will “drop down” over reduced or exhausted, underlying policy aggregate limits. Some umbrellas maintain their own coverage terms when they drop down; others assume those of the primary policy
Explain excess policy
Excess liability insurance supplements coverage by adding other layers of insurance above the primary or underline policy
Excess policies respond once the primary policy is exhausted
Explain follow-form and standalone excess liability
Follow-form- provisions of the excess policy will follow the requirements of the primary policy
Standalone-have distinct insurance agreements, conditions, definitions, exclusions, and all the other parts that make up policy wording. It can be identical to primary or more restrictive
Explain umbrella insurance
Takes effect when the underlying policy limits are exhausted
Can provide coverage for losses excluded on the underlying policy
Higher liability limits and broader coverage
What case brought up excess liability and umbrella policies in regards to defence causes? What was the outcome?
Alie vs Bertrand & frere construction
-From this case, it led to the influence of whether or not a policy will respond to the pay of the judgement
-Covers defence when stands in place of primary
In this case, the Ontario appeals court allocated, the defence cost between the primary and excess insurers
What type of occupations would fall under professionals?
Accountants
Lawyers
Insurance brokers
Doctors
Dentists
Other medical practitioners
Define professionals
Those who hold themselves out as having a special body of knowledge, skill, or experience
Define claims made basis policy
A provision in some insurance and reinsurance contracts covering only claims made during the term of the contract
Define occurrence basis policies
Under liability policy a basis for coverage on which the policy responds to a claim for a covered incident that occurred during the policy regardless of when the claim is made