February 2010, Volume 38
Inflated value doesn’t mean inflated payment

Jerry and Becky paid $76,950 for a new manufactured home. Jane, their insurance agent, sold them a homeowners policy on it with a replacement cost limit of $173,200. When a fire destroyed the home in 2003, they decided to build from scratch rather than purchasing another manufactured home.

The claims adjuster's research revealed that a new manufactured home could be purchased for $80,187.18 and he offered that amount to settle the claim.

Jerry and Becky sued both State Farm and their agent, contending that State Farm breached the contract by refusing to pay the policy limit. If it was determined that State Farm did not breach the contract, they argued that Jane should be found negligent because she calculated the $173,200 replacement amount.

The court determined that Jerry and Becky were not injured because State Farm offered to pay the value they lost, and there was no case against State Farm or Jane because there was no injury.

Click here for more details on this court case.

Settlement value versus limit of insurance

The limit of insurance appears on the homeowners policy declarations, but the way losses are actually settled is tucked away under the condition titled “How Much We Pay For Loss Or Occurrence.”

The limit of insurance is similar to a speed limit. The driver can drive slower than the speed limit without any consequences but flashing lights may suddenly appear if the speed limit is exceeded.

In a similar manner, the value of a home under a homeowners policy may be significantly less than the limit of insurance and be fully covered. On the other hand, there are serious consequences if the value of the home exceeds the limit.

Click here to review the PF&M analysis of ISO HO 00 03 Section I Conditions.

It’s not just a personal lines issue.

Commercial property loss settlement options are similar. However, there is an additional penalty when the limit is less than required. A given insured may be sadly surprised in cases where the loss amount is less than the limit and the settlement amount is less than full value because a coinsurance penalty is imposed.

Click here to review the PF&M analysis of coinsurance that includes an explanation you can provide to your customer.

Have your asked lately?

Renewing homeowners policies automatically is easy but may lead to coverage needs and premium opportunities that are not addressed. An insurance review checklist could assist both you and your client.

Click here to review a homeowners insurance review checklist.

Updates

We've updated the Manufacturing and Service Producer’s Commercial Lines Risk Evaluation System questionnaires. There are 225 classifications in these two categories. Here are just few of them:

Adhesives
Cement
Dry Ice
Insecticides
Pet Food
Refractory
Soap and Detergent
Wire
Auditors
Bail Agents
Dry Cleaners
Real Estate Agents

Feedback

Have you found what you need in the Producer OnLine? Is there a classification
to add to the Producer's Commercial Lines Risk Evaluation System or a subject that you would like to see covered in PF&M?  Contact us now.

 
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