AAIS AMENDMENT OF POLICY TERMS ENDORSEMENTS

(May 2024)

 

AAIS introduced the following Amendment of Policy Terms Endorsements effective 01 15 and their use is considered mandatory.

·         HO 1301–Amendment of Policy Terms – Form HO 0001

·         HO 1302–Amendment of Policy Terms – Form HO 0002

·         HO 1303–Amendment of Policy Terms – Form HO 0003

·         HO 1304–Amendment of Policy Terms – Form HO 0004

·         HO 1305–Amendment of Policy Terms – Form HO 0005

·         HO 1306–Amendment of Policy Terms – Form HO 0006

·         HO 1308–Amendment of Policy Terms – Form HO 0008

The changes are significant and should be carefully reviewed because they modify major parts of the coverage form to which they are attached. Because the changes are similar in all forms, this article will first review the HO 1303 endorsement which modifies the HO 0003. The differences with the other endorsements will be discussed at the end of this article.

ANALYSIS OF HO 1303–AMENDMENT OF POLICY TERMS

The changes made in this endorsement track with the flow of the coverage form. Only the changed areas are discussed because all other terms and conditions in the coverage are unchanged.

Property Coverages

Three Property related items are changed:

INCIDENTAL PROPERTY COVERAGES

1.     Collapse

The Collapse incidental Property Coverage is deleted and replaced in its entirety.

The changes are as follows:

a.     The opening paragraph a. is changed to insert the word “abrupt” before the term collapse. This makes it clear that only abrupt collapse is being covered.

b.    The prior covered cause of collapse item a. 1) was a peril insured against in Coverage C. This has been eliminated. This means that under this incidental coverage there is no coverage for collapse caused by a Coverage C peril. This wording has been moved to the Collapse or Impairment Exclusion as an exception.

c.     The new item a. 1) is glass breakage or safety glazing material but only when it is part of a building. So, if glass that is part of a building breaks and causes a collapse – there is coverage.

d.    Items a. 2), a. 3) and a. 6) are changed by the addition of the phrase “of a building or a part of a building.” Previously only the peril was shown but not what property that peril would have damaged which left it open to broad interpretation. It is now much more specific.

e.     Item a. 6) is expanded to apply to renovation in addition to repair and construction.

f.      Item b. is changed to insert the word “abrupt” before the term collapse. This is consistent with the opening paragraph change.

g.    Item b. is broken into two parts. The new item c. is only the second part of item b. in the prior edition with no change in wording.

h.    The reference to Coverage C perils at the end of prior item b. is eliminated.

i.      Prior item c that referred to the Coverage C. peril of Weight of Ice and Snow is moved to Collapse or Impairment Exclusion as part of the exception.

j.      Item e. has a slight rewording with no change in intent.

 

2.     Debris Removal

Only paragraph a. is changed. The prior paragraph a. provided debris removal coverage for losses caused by Perils Insured Against. The amendment adds protection against losses caused by Collapse Incidental Property Coverage.

 

PERILS INSURED AGAINST – COVERAGES A, B, C, AND D

1.     Coverage A – Residence and Coverage B – Related Private Structures

a.     The opening sentence is changed by the removal of two words. Instead of being covered “for risk of direct physical loss,” the property is covered for “direct physical loss.”

b.    Two exclusions that apply to Coverage A and Coverage B are changed.

1)    Water, Humidity, Moisture or Vapor is changed to add the wording “and such loss is not otherwise excluded by this policy.” This prevents a conflict between this exclusion and the Water exclusion. Within this exclusion wording is added to the Water exclusion stating that the surface water and water below the surface part of that exclusion do not apply when certain continuous or repeated discharge from plumbing systems events occur provided no insured was aware or could have been aware.

2)    Collapse or Impairment is changed to mesh more closely with the rewritten Incidental Property Coverage Collapse. The lead sentence is very important because it is more open-ended by stating that the insurance company does not pay for loss involving collapse. It then lists what is included as collapse but states that collapse is not limited to only that which is listed. The items highlighted in Collapse Incidental Wording are eliminated but are found here with very little change.

EXCLUSIONS THAT APPLY TO PROPERTY COVERAGES

The change in this section is the total replacement of the Earth Movement exclusion. The major reason for this change is earthquakes resulting from manmade causes. This exclusion is much more restrictive. The changes are as follows:

a.     The opening paragraph states changes resulting from or “caused by human or animal forces or an act of nature” to “results from a natural cause, a manmade cause, or a combination.”

b.     A section is added to explain exactly what is meant by manmade causes. Seven items consisting of multiple causes are listed but it is important to realize that these are all intended to be examples of manmade causes so that the term is not limited to only those causes listed. The listing includes mining, blasting, construction, hydrofracking, storage of substances, including wastewater, below surface and many more. This all-inclusive listing should be carefully reviewed with any insured so they can understand what is excluded.

c.     The explanation of earth movement is significantly expanded.

1)    The earthquake item is expanded with earth tremors, earth temblor and aftershocks. Added wording is stated that how these are manifested is irrelevant.

2)    Soil liquefaction is added regardless of how caused

3)    The landslide item is expanded to include the movement of matter being carried by mudslide, mudflow, or mudslide.

4)    The subsidence item is changed to eliminate erosion.

5)    The any other earth movement is expanded to include movement when caused by six different actions. Movement caused by erosion or water below the earth’s surface is also earth movement.

d.    For the first time a definition of earth is provided. Earth is ground, soil, sediments, substrates, and strata but as in so many other statements, is not limited to only these.

e.     A new item is added to explain that when earth movement is due to manmade cause or a combination of natural and manmade causes the exclusion continues to apply regardless of errors or omission of other parties, regardless of where the cause originated and regardless of an insured’s activities.

Liability Coverages

Three Liability related items are changed and one is added:

1.     Coverage L’s opening sentence is changed to say “those” sums instead of “all” sums.

2.     Incidental Liability Coverages Claims and Defense Costs are changed to not pay for attorney fees or attorney fees that are taxed against an insured.

3.     Exclusions That Apply to Liability Coverages exclusion i. is replaced. This is the intentional acts exclusion and the changes appear to address the many issues that have arisen regarding innocent insureds. Basically, this exclusion makes it clear that no insured is covered for intended or criminal actions committed by them or by any other insured. The following changes are significant:

a.     The opening sentence begins with the following added language: “any liability of anyone who is an insured under this policy.” This makes it very clear that the actions described in this endorsement are excluded if those actions are committed by an insured.

b.    The prior paragraph referred to the described activities as being committed by “an insured.” That has been changed in this endorsement to “any insured.”

c.     A new paragraph is added to explain that coverage is eliminated for anyone considered an insured because of acts described in the exclusion. This exclusion applies regardless of any legal arguments or claims for relief advance in the courts.

4.     Exclusions That Apply to Liability Coverages gets a new exclusion. Coverage L and Coverage M are not available when bodily injury or property damage comes from electronic aggression. Examples of electronic aggression are harassment and bullying but the term is not limited to those. This aggression is not covered when committed in any type of electronic forum or other means such as texting or emailing but not limited to those.

Differences in the Amendment of Policy Terms Endorsements

HO 1301–Amendment of Policy Terms – Form HO 0001

All changes are identical except for the Incidental Property Coverages and Perils Insured Against – Coverages A, B, C, and D because none of the items described as changed are part of the HO 0001.

HO 1302–Amendment of Policy Terms – Form HO 0002

All changes are identical except for the Perils Insured Against – Coverages A, B, C, and D because neither of the items described as changed are part of the HO 0002.

HO 1304–Amendment of Policy Terms – Form HO 0004

All changes are identical except for the Perils Insured Against – Coverages A, B, C, and D because neither of the items described as changed are part of the HO 0004.

HO 1305–Amendment of Policy Terms – Form HO 0005

All changes are identical except for the Perils Insured Against – Coverages A, B, C, and D where references are added for Coverage C.

HO 1306–Amendment of Policy Terms – Form HO 0006

All changes are identical except for the Perils Insured Against – Coverages A, B, C, and D because neither of the items described as changed are part of the HO 0006.

HO 1308–Amendment of Policy Terms – Form HO 0008

All changes are identical except for the Incidental Property Coverages and Perils Insured Against – Coverages A, B, C, and D because none of the items described as changed are part of the HO 0008.