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This article explains various additional coverages and limits available for homeowners, including debris removal coverage, reasonable repairs, tree and shrub replacement, fire department service charge, loss assessment, property removal, credit card fraud, collapse and glass breakage, ordinance or law coverage, landlord's furnishings, building additions and alterations, grave markers, and exclusions.
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Debris Removal Coverage • Pays to: remove & dispose of debris of covered property if damaged by a covered peril • Limit: the limit for the type of property involved • Debris from Dwelling: subject to Coverage A limit • Debris from Other Structures: subject to Coverage B limit • Debris from Personal Property: subject to coverage C limit
Additional Debris Removal Coverage • When needed Debris Removal can pay an additional 5% of the applicable limit: • Coverage A property: 5% of Coverage A limit • Coverage B property: 5% of Coverage B limit • Coverage C property: 5% of Coverage C limit • Bill’s Coverage B limit is $15,000. He sustains: • $12,000 in damage to his detached garage • $3,000 in damage to fencing • $700 in damage to shed on a permanent foundation • $1200 in debris removal • All of these items are insured under Coverage B, but the total damage is $16,900. Bill’s Debris Removal coverage would provide an additional 5% of the Coverage B limit (5% of $15,000 is $750) • Bill’s total allowance: $15,750
Reasonable Repairs • Coverage reimburses homeowner for expenses to protect property from further damage • Remember: it is the policyholder’s duty to protect his property from further damage after an occurrence. For example, if a burglar kicks in Savon’s door and rains comes in through the door he may have to pay for a repairman to fix the door. • This clause, Reasonable Repairs, would reimburse Savon for the expense of these temporary repairs.
Tree, Shrubs, etc. • Pays to replace plantings lost to certain named perils: • Lightning • Vandalism • Fire • Coverage limited to $500 per tree, shrub, etc
Fire Department Service Charge • Limit: $500 • Additional Insurance • No deductible
Loss Assessment • For condo owners under HO-6 • Pays when condo association charges an assessment after a loss • Limit: typically $1000 or $2500 per claim
Property Removal • Provides coverage for items that the insured removes from danger if a covered peril is imminent • Property remains covered under the original peril for up to 30 days • No matter what damages the property during this time, it will still be covered under the peril that the insured was trying to protect it from • Example: Property coverage would cover Aramis’ TV even though she was unsuccessful in her attempt to remove it from the impending storm.
Credit Card Fraud • Reimburses the policyholder for fraudulent credit card charges • Includes forgery of checks • Limit: $500
Collapse & Glass Breakage • Applies if the collapse was caused by: • Hidden decay or insect damage • Weight of contents, including people • Weight of precipitation on roof • Use of defective materials if during construction • NOTE: Collapse is not covered if caused by earth movement, such as settling, shrinking, expansion, cracking, or bulging • The following is excluded – awning, fences, patios, swimming pools, underground pipes, septic tanks, foundations, retaining walls, and docks.
Ordinance or Law • Pays difference between old construction & new code-required construction during repair or damage due to a covered peril • Example: code-required wiring upgrade when repairing fir damage • Pays up to 10% OF THE COVERAGE a LIMIT AS ADDITIONAL INSURANCE • Does not cover Ordinances or Laws as perils; this is specifically excluded • Example: law requires you to tear down your shed
Ordinance and Law is also an Exclusion • You may not make a claim because you find out your local building code requires you to demolish your shed because it's too close to wetlands. • But suppose your kitchen walls are severely burned in a fire that is covered by your policy. During the rebuild your electrician finds old "knob and tube" wiring. If upgraded wiring is required in order to obtain the necessary permits for repair, the coverage for Ordinance or Law pays the upgrade cost, up to the limits of liability of this coverage
Landlord’s Furnishings • Designed to protect a landlord who rents out a furnished room • Pays in addition to the Coverage A limit • Limit: $2500
Building Additions and Alterations • For HO-4 & HO-6 only • Covers structural alterations made at renter’s or unit owner’s own expense
Grave Markers • Protects against damage to grave plots due to covered perils • Limit: $5,000 • Grave Markers coverage would pay to replace a marble gravestone that was destroyed by vandals
Exclusion • Risks or causes of loss that the insurer decides not to cover • Named peril = few exclusions – narrow coverage • Open peril = many exclusions – wide coverage
Other exclusions • Ordinance and law • Earth movement • Water damage • Off-premises power failure • Neglect • War • Nuclear hazard • Intentional acts
Section I Conditions • Insurable Interest • Insured’s duties after loss • Loss settlement • Recoverable depreciation • Appraisal of damaged or lost property • Mortgagee clause • Other insurance • Lawsuit against the insurer • Abandonment • Intentional acts
Loss Settlement Personal Property is usually covered at ACV: • ACV valuation subtracts depreciation from cost of new item • Age and condition (wear * tear) of item are factors of its depreciation • If residence and other structures are covered for RC: • Replacement is of like, kind, quality or original structure • Insured must show what has already been spent on repair, if any
In review, The HO policy coverage form is split into two parts. Part one discusses Property coverage which is provided by four coverage forms. • Coverage A includes the dwelling itself, structures attached to the dwelling, and also materials located near the dwelling. • Coverage B incorporates the detached structures that are also owned by the homeowner. This includes detached garages, gazebos, fences, mailboxes, sheds and the like. However, it does not include detached structures that are wholly rented out to someone else. • Coverage C discusses personal property inside the dwelling, otherwise known as "contents." This includes furniture, jewelry, kitchenware, and other objects. • Coverage D provides any additional living expenses needed when an indirect loss is the result of a direct loss. For instance, if you need to live in a hotel because your house burns down, Coverage D would pay for the hotel expenses
Coverage E – Personal Liability • Pays for bodily injury and property damage to 3rd party if insured is found negligent • Applies event if the insured’s property causes a 3rd party damages • Never pays the insured Example • If your improperly secured ladder falls and damages your neighbor’s roof, Coverage E would pay for your neighbor’s repairs costs.
Coverage F – Medical Payments Eligible expenses include reasonable charges for: Medical services Surgery X-Rays Dental costs Ambulance services Hospital stays Professional Nursing Prosthetic Devices, and Funeral Services • No Fault Coverage • For medical expenses incurred by 3rd party due to an accident on insured’s premises • Only necessary, reasonable medical charges • $1000 min limit