Study 6 - Anatomy of a Property Policy (Exclusions): Summary Flashcards
The need for exclusions in a property policy
- All property policies contain exclusions
- Exclusions remove certain losses from the policy’s coverage (i.e. types of property not insured, perils that are never / sometimes not insured against)
- Never expand coverage, always restrict it
- May exclude only a part of the coverage
- Remove exposures to loss that are considered undesirable or uninsurable
- May be temporary or permanent
- May be amended by special endorsements or wordings
Step 3 Policy Reading - Reviewing Exclusions
- Determine the coverage
- Determine if exclusions apply
- Determine if there is an exception
Property excluded on comprehensive form also excluded on broad and basic forms. Perils excluded on comprehensive form also excluded (or not insured) on broad and basic forms.
Buildings for business or farming exclusion
Habitational coverage must clearly not apply to business risks
Property on exhibit exclusion
Exhibits can be insured under an exhibition floater
Property illegally acquired or subject to forfeiture exclusion
Denies coverage for property that was acquired illegally, or acquired from someone who acquired it illegally
Evidence of debt or title exclusion
Denies coverage for property that may be insured by other forms specifically designed for it
Sporting equipment exclusion
Excluded where the loss is due to use
Animals, birds or fish exclusion
Excluded from loss, unless caused by a specified peril (other than impact by aircraft or land vehicle)
Property lawfully seized
Coverage is restored if seized / destroyed by government to prevent the spread of fire
Outdoor radio and TV antennae, including satellite receivers exclusion
Weather-related loss not covered
Exclusions in homeowners forms concerning loss or damage not insured (part 1)
- Marring, scratching, abrasion, chipping, or breakage
- Wear and tear
- Faulty design, material, or workmanship
- Settling, expansion, contraction, moving, bulging, buckling, or cracking
- Data or data problem
- Vacancy
- Nuclear incident
- Radioactive contamination
- War risks
- Intentional or criminal acts
- Property being worked on
- Water damage
- Watermains
Exclusions in homeowners forms concerning loss or damage not insured (part 2)
- Pests
- Smudging and industrial smoke
- Earth movement
- Theft from part of the dwelling rented to others
- Vandalism or malicious acts or glass breakage while dwelling under construction or vacant
- Theft from a dwelling under construction
- Rust or corrosion, wet or dry rot, fungi or spores
- Fuel oil
- Trickery or fraud
- Terrorism
- Electrical, electronic, and mechanical breakdown
Examples of four types of water damage covered
- A leaking water heater
- Escape from a domestic water container
- A broken watermain
- A hole in the roof created by wind damage