454.6-1
(January
2023)
The
WT 00 01–Watercraft Policy lists Part C as reserved for future use. This
endorsement fills that gap and provides Uninsured Watercraft Coverage which is
similar to uninsured motorists coverage. It is subject to all provisions and
conditions within the WT 00 01 except as noted.
An Each Accident
Limit of Liability must be entered along with the policy premium. In some cases,
the Watercraft Policy Declarations may have this coverage listed and then this
schedule would not need to be completed.
A. Insuring Agreement
1. The insuring agreement agrees to
protect an “insured” against “bodily injury” damages caused by an accident with
an uninsured watercraft. In other words, an insured boater can rely on his own
policy to take care of injuries resulting from an accident where the person who
caused the injuries lacks the coverage to take care of his or her legal
obligation. However, this coverage is not bound by any judgment for damages
that are determined by a lawsuit that’s filed without the company’s written
consent.
2. The uninsured watercraft coverage
insuring agreement defines who is considered an insured. An insured includes
the named insured and resident spouse, any “family member,” and any other
person “occupying” the covered watercraft. In addition, any person eligible for
payment because of bodily injury damages suffered by an insured is an insured.
Another such person is the executor of the insured’s who pays for the funeral
expenses of an insured that dies from bodily injury in an accident with a
watercraft that is not insured.
3. An “uninsured watercraft” is either
of the following:
a. Any craft that is not subject to the
financial protection of either a bodily injury liability policy or a bond.
Note: A craft could qualify as an
“uninsured watercraft” if a bond or policy does apply but the writer of the
coverage denies coverage or becomes insolvent.
b. A hit-and-run watercraft is also an
“uninsured watercraft” when it hits the named insured (includes resident
spouse) or a family member, any craft occupied by these classes of people,
“covered watercraft” or a person being towed by a covered watercraft.
The definition of an uninsured
watercraft doesn’t include any craft (including related equipment) that either
belongs to or is regularly available to the named insured or any family member.
Crafts used as a residence also are disqualified as uninsured watercraft. A craft
that is protected under a lawful self-insurance arrangement is NOT considered
uninsured, unless the self-insurer is insolvent at the time of a loss. Finally,
craft owned by a government unit or agency is not considered uninsured.
B. Exclusions
1. The following situations are ineligible
for protection against bodily injury:
a. No coverage exists for any insured
if he or she is hit by or hit while occupying an owned watercraft or its
trailer that isn’t protected under the Watercraft policy to which this
endorsement is attached.
b. No family member is covered if they are hit by or
occupying a watercraft that is owned by the named insured, but that is covered
by any other policy.
c. No insured qualifies for uninsured watercraft
coverage if a bodily injury claim is settled without the company’s consent.
d. No coverage exists if the insured is
in a watercraft that’s transporting people or property for pay, or if the craft
has been made available for charter.
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Example: Sidney’s
operating her mom’s outboard engine and boat that is substantially damaged
when Sidney strikes a dock on the lake located at a large campground where
she is vacationing. In order to make some spending money, Sidney’s been
regularly using the boat to take other campers to and from fishing areas. Scenario 1: At the time of the loss,
Sidney was using the boat for her own pleasure – the loss is eligible for
coverage. Scenario 2: At the time of the loss,
Sidney was returning a camper from a fishing area – the loss is ineligible
for coverage. |
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e. No coverage exists for a loss
involving watercraft operated or used without permission by the insured.
However, the question of permission does not apply to a “family member” who is
operating a “covered watercraft.”
2. No coverage exists under this form
if coverage should be handled by workers compensation, Federal Longshore and
Harbor Workers Compensation benefit, similar disability benefits law, or under
The Jones Act.
3. No payments are made for amounts owed
as either punitive or exemplary damages.
C. Limit of Liability
1. The monetary limit that appears on
the endorsement schedule or on the policy declarations page is the maximum
amount of coverage that is possibly available for all injuries to parties
involved in a single, eligible incident. This maximum is not affected by the number
of crafts, insureds, or claims involved, or the number of crafts or premiums
appearing on the declarations page. The particulars of a given loss may well
affect how payments may be distributed, but the maximum remains the maximum.
2. No duplicate coverage is available for
a single element of loss that is also eligible for coverage by any other parts
of the Watercraft Policy.
3. This coverage won’t pay for a single
element of loss that already has been paid by any party responsible for that
loss.
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Example: Carla
Applecheek and her son were on their way back home from a leisurely sail when
they’re hit by Jonni, who was speeding around in his dilapidated power boat; he
is not insured. The Applecheeks were injured, so they applied for coverage
under the $25,000 uninsured boaters coverage part of their own policy Their
company pays them $3,700 for their injuries but later, after finding out that
Jonni paid them $1,250 that he was saving for a new boat, the insurer requires
the Applecheeks to return an equal portion of the payment it made. |
4. No coverage will be paid under this form
if coverage should be handled by workers compensation, Federal Longshore and
Harbor Workers Compensation benefit, similar disability benefits law, or under
The Jones Act.
D. Other Insurance
If other sources of insurance or other
policy provisions apply to an uninsured watercraft loss, this provision intends
to make sure that such sources are contemplated when compensating an insured
for a loss. This part takes financial consideration of the total amount of
coverage available to pay for losses involving uninsured watercraft to ensure
that any amount paid for a given loss is no higher than the greatest amount
provided for a single craft.
Further, the total amount that may be
paid on the loss may not exceed the total amount of primary and excess coverage
available for any single watercraft. If the loss involves a non-owned
watercraft, the uninsured watercraft coverage part responds on an excess basis,
paying only after the other available coverage has paid its limit.
Regardless whether this part provides
coverage on a primary or on an excess basis; it will only pay its proportionate
share with other sources providing coverage on the same basis.
E. Arbitration
If the company and their insured
aren’t on the same wavelength regarding whether an insured qualifies for loss
payment or how much is due in an uninsured watercraft loss, the argument may go
to arbitration. However, both the company and the insured must want the
disagreement to be handled by representatives of their own choosing. A judge
may be called upon to select a third arbitrator if this person isn’t selected
by the first two arbitrators within 30 days.
Related court case: Insurer
Must Accept Decision of Its Approved Umpire
Each party will handle their own
out-of-pocket expenses, as well as share in the cost of the third arbitrator.
The arbitrators must follow the local rules of law in their discussions.
Binding
Agreement - The insurance
company and the insured must accept the decisions agreed on by any two
arbitrators as legally binding in the areas of determining a valid claim and
the amount to be paid.
The process will be held in and
controlled by the laws of the county of the insured’s residence.
F. Part E - Duties after an Accident or Loss
The following provision is added to
this Part of the Watercraft Policy but only as regards the coverage granted
under this endorsement.
A person who seeks coverage under this coverage has the obligation to quickly report a loss of any hit-and run incident and must send the insurance company copies of any legal papers related to a lawsuit.