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  • 7/28/2019 INS 22 Chapter 05

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    5 .Homeowners Insurance

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    Homeowners Policy

    Basic Homeowners policy provides coverage for an individuals orfamilys common property and liability exposures, with certainconditions and exclusions attached, in return for the convenience ofsingle premium paid.

    ISO 2000 Homeowners (HO) insurance program offers six policies

    HO-2 Broad Form (Named Perils Coverage Form Owner Occupation - DOP)

    HO-3 Special Form (Open Perils Owner Occupation Higher Coverage - DO)

    HO-4 Contents Broad Form (Tenants personal Property on Named Peril basis)

    HO-5 Comprehensive Form (Open Perils Owner Occupation Higher Coverage

    - DOP)HO-6 Unit-Owners Form (Named Perils Personal Property)

    HO-8 Modified Coverage form (Limited Named Perils Basis DOP Valued underFunctions Replacement cost basis)

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    Homeowners Insurance Policy Rating

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    Homeowners Policy Rating Factors

    Base Premium Factorso Location

    o Public Protection Class (Ranking of Fire Protection)

    o Construction + BCEGS (Frame and Masonry)

    o Coverage Amount

    o Policy Form

    Base Premium Adjustmentso Endorsements

    o Unusual Construction Type

    o Deductibles

    Final Adjustmentso Claim History

    o

    Credit Score or Insurance Scoreo Package Policy credits

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    HO-3

    Homeowners Special Form PolicyFor Owner Occupants

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    HO-3 Structure

    Declarations

    Agreement

    Definitions

    Section I Property

    o Property Coverages

    o Perils Insured against

    o Exclusions

    o Conditions

    Section II - Liability

    o Liability Coverageso Exclusions

    o Additional Coverages

    o Conditions

    Section I and II Conditions

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    HO-3 Declarations

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    HO-3

    Policy holder Residence Address

    Scheduled Coverages and Limits

    Premium

    Section-I Deductible

    Deductibles apply to all perils

    $250,$500

    Catastrophe prone area insurers use higher deductible for specific perils

    Dollar amount or Percentage

    Policy Period

    Forms and endorsements

    Mortgage Holder

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    HO-3 Agreement & Definitions

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    HO-3

    Agreement

    Definitions

    Helps both the insured and insurer Contains words and phrases

    that are later referred in the policy

    You and Your, We, us, our, Named Insured and Other Insureds

    Residence Premises and Insured Location

    Deductible

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    Residence Premises

    and

    Insured Location

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    Residence Premises and Insured Location

    Residence Premises

    o 1-to-4 Family Dwelling

    o Part of any Building where the named insured resides

    o Other structures and ground at the Residence Location

    Insured Locationo Residence Premises

    o Temporary residence

    o Newly acquired residence

    o Vacant Land other than farm land, owned by or rented to insuredo An insured land where 1-4 family residence is being constructed

    o Individual or family cemetery plots

    o Any part of a premises occasionally rented to an insured for non-

    business purposes

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    Homeowners HO-3 Property Coverages

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    HO-3 Section I Property Coverages

    Coverage A - Dwelling

    Coverage B - Other Structures

    Coverage C - Personal Property

    Coverage D - Loss of Use

    Additional Coverages

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    Homeowners HO-3 Property Coverages A and B

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    HO-3 Section I Property Coverages A and B

    Coverage A - Dwelling

    Coverage B - Other Structures

    o Covers 10% of the Coverage A Limit for all Structures at the residencePremises

    o Limit can be increased by endorsement

    o Exclusions

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    Exclusions to Other Structures

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    Coverage B Exclusions

    Rented to Otherso But exclusion does not apply

    When Structure is rented to family Member

    When Rented as Garage

    Where Business activities are performed

    o But exclusion does not apply When Structure is used for volunteer activities or Daycare Services

    A Business with an earnings less than $2000/yr in the preceding year

    Structures with Storage of Business Property

    o But exclusion does not apply

    When Business Property is used only by insured Other than gaseous or Liquid Fuel

    Gaseous or Liquid Fuel in the tank of a vehicle is allowed

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    HO-3 Section I Coverage C

    Personal Property Coverage

    o Covers 50% of the Coverage A Limit

    o Limit can be increased by scheduling the limit in Declarations page

    o 10% of Coverage C or $ 1000( whichever greater at the secondary Location.Can be increased by endorsement

    o Exceptions to 10% Coverage at secondary location

    o Special Limits of Liability or Special Sublimits

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    HO-3 Section I Coverage C Personal PropertySpecial Sub Limits

    200 - Money and precious metals

    1500 - Securities, Documents, Records and Stamps

    1500 - water Crafts, Trailers

    1500 - Theft of Jewellery and Furs

    2500 - Theft of Firearms

    2500 - Theft of gold ware, Silverware,Platinumware, pewter ware

    500 - For on the residence Premises used primarily for business

    Purposes

    500 - For property away from the residence Premises used for business

    Purposes

    1500 - For electronic apparatus and equipment to be operated by

    Power from Motor Vehicle while in or upon vehicle

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    HO-3 Section I Coverage D Loss of Use

    Loss of Use Coverage

    o Covers 30% of the Coverage A Limit

    o Limit can be increased by scheduling the limit in Declarations page

    o Additional Living Expenses

    Fair Rental value

    Loss of use due to Civil authority

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    HO-3 Section I Property Additional Coverages

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    HO-3 Section I Additional Coverages

    Debris Removal ( 5 % - In excess over the Coverage Limit of A,B,C)

    Reasonable Repairs

    Trees, shrubs, and Other Plants ( 5% of Cov A and not more than

    $500 for any one tree, plant )

    Fire Department Service Charge ( $ 500)

    Property removed

    Credit Card, electronic Fund transfer card or access device and

    Counterfeit Money ( $ 500)

    Loss Assessment( $ 1000)

    Collapse

    Breakage of Glass

    Landlords furnishings ( $ 2500)

    Ordinance or Law

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    HO-3 section I Property Perils Covered against

    Coverages A and B Special Form

    Coverage C Covered on Named Perils

    Coverage D and Additional Coverages Perils not listed out

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    HO-3 Coverage A and B Exclusions

    Section 1 Exclusions

    Collapse

    Freezing of Plumbing, Heating, Air Conditioning or sprinkler system or ahouse hold appliance

    Theft of construction materials

    Vandalism

    Mold, Fungus or wet rot

    Natural Deterioration

    Smoke from agricultural smudging or Industrial Operations

    Pollutants

    Settling of the DwellingAnimals

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    HO-3 Coverage C Named Perils

    Fire or Lightning

    Windstorm or Hail

    Explosion

    Riot or Civil Commotion

    Aircraft

    Vehicles

    Smoke

    Vandalism

    Theft

    Falling objects

    Weight of Ice, snow or sleet

    Accidental discharge of water

    Sudden or accidental tearing apart, cracks, burning or bulging

    Freezing

    Volcanic erruption

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    HO-3 Section 1 Exclusions

    Ordinance or Law

    Earth Movement

    Water Damage

    Power Failure

    Neglect

    War

    Nuclear Hazard

    Intentional Loss

    Governmental Action

    Perils Excluded for Coverages A and B only

    Weather Conditions

    Acts or Decisions

    Faulty Workmanship

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    HO-3 Coverages A &B Loss Settlements

    Coverages A and B Loss Settlement

    o Replacement Cost

    o ACV

    o Coinsurance

    Case A: Limit Of Insurance is 80% or more of Replacement Cost

    Replacement Cost up to limit of Coverage

    Case B: Limit Of Insurance is less than 80% of Replacement Cost

    Greater of

    ACV

    or( Limit of Insurance * Replacement Cost of the Loss/ 0.8 ) * Replacement Cost

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    HO-3 Coverage C Loss Settlement

    Coverages C Loss settlement

    Loss is Settled on the lesser of

    ACV

    or

    Repair or Replacement Cost

    Loss to a pair or Set

    o Replacement Cost of the Missing Pair

    o Difference between the ACV of Pair and ACV of the Remaining Single Item

    Appraisal

    Other Insurance

    Other Insurance and Service agreement

    Law Suit against Insurer

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    HO-3 Policy Loss Settlement

    Insurers Option

    Loss Payment Abandonment of the Property

    Mortgage Clause

    No Benefit to Bailee

    Nuclear Hazard

    Recovered Property Volcanic Eruption Period

    Policy Period

    Concealment/ Mis Represenation or Fraud

    Loss Payable Clause

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    HO-3 Section I - Conditions

    Insurable Interest and Limit of Liability

    Your Duties after Losso Give Prompt Notice of the Loss

    o Notify Police

    o Inform Credit Card, Electronic Fund Transfer card Company

    o Prevent Further Damage

    o Cooperate with the Insurero Prepare an inventory of Loss Items and verify loss

    o Sign a sworn Proof of Loss