(July 2022)
Umbrella insurance is also called “excess” insurance because
its coverage is triggered when protection provided by an auto, home or other
underlying policy is exhausted (runs out). In some instances, personal umbrella
policies have insuring agreements that extend to claims that are not covered by
underlying liability insurance. In such instances, an umbrella policy responds
to the loss on a primary basis.
A schedule of primary insurance is part of the umbrella
contract, and such insurance must be maintained (kept in force) during the term
of the umbrella policy.
Various companies provide umbrella coverage by endorsing a
homeowners policy. Such an endorsement is a self-contained contract, with provisions
and conditions comparable to those found in a separate umbrella policy.
Personal Umbrella Liability policy wording differs among
insurers according to their independent underwriting and legal judgment.
However, the coverage objectives are similar. While it is critical to examine a
particular company’s umbrella policy, insuring agreements in general provide
the following protection:
This pays (on behalf of an insured) the amount of damages
that exceed the retained limit (see "Definitions"). Coverage is for
an occurrence that results in an insured's obligation to pay for bodily injury,
personal injury or property damages. Of course, this coverage acts on a primary
basis when underlying liability insurance isn’t applicable to the loss. This
coverage is subject to specific exclusions and conditions and is worldwide in
scope.
If this coverage is
applicable, it pays for bodily injuries sustained by an insured in an auto
accident for which the insured has a legal right to recover from the owner or
operator of an uninsured or an underinsured auto who is responsible for a loss
to the insured. The insurer's responsibility to pay is subject to the terms and
conditions of pertinent coverage in the insured's primary policy as well as
according to applicable state law. Typically, the umbrella insurer will pay an
amount of loss in excess of the greater of either:
·
The total amount of insurance any insured is
entitled to receive under any other uninsured, underinsured motorists or auto
liability insurance, or
·
The minimum limit for bodily injury liability
required by law in the state in which the accident occurs.
Again, this protection feature is not universally
incorporated in all umbrella policies, so its availability must be confirmed by
the party using a given policy.
This pays the cost to defend any claim or suit for damages
because of personal injury or property damage arising out of an occurrence
which is covered by the policy. The time at which this coverage begins depends
upon the following:
·
Any retained limit amount shown in the
declarations
·
Whether primary insurance has responded to the
claim
·
Whether primary insurance exists but does not
respond because its limits are exhausted.
If the insurer defends a suit or claim for damages under the
policy, it will pay the following amounts in addition to its specified limit of
insurance:
1. Expenses it incurs in defense
2. Costs taxed against an insured
in the suit
3. Interest accrued on a judgment
after it is entered in a suit defended by the insurer
4. Premiums on bonds required in
the suit
5. Expenses incurred by an insured
when assisting the insurance company. Also pays up to $250 per day for earnings
lost when assisting the insurance company.
Related Article: ISO Personal Umbrella Liability
Policy Coverage Analysis
There are a number of concerns that must be addressed when
underwriting umbrella insurance. Since umbrellas are following forms, the
underwriting issues are an extension of what is acceptable to the primary lines
of business (auto, home, RV, watercraft, etc.).
Related Article: Personal Umbrella Liability Program Underwriting
Considerations
Agents and brokers must keep current with the underwriting
requirements of companies with which they arrange personal umbrella protection.
This precaution allows an insurance professional to handle renewals and new
policies without unnecessary delays and problems. One practical, time-saving
step is to make certain that underlying insurance is renewed at current
required limits so that such policies need not be endorsed with higher limits at
the time of renewal or when new umbrella insurance is ordered.
The minimum required limits may vary by insurance carrier
and are established for personal liability, automobile liability and other
vehicle or craft liability policies. Depending upon the state or company
preference, the limits may be expressed as split limits or as combined single
limits. It is rare for required limits to be below $100,000 and much higher
limits are likely.
It is a condition of coverage that underlying insurance for
the limits specified in the declarations be maintained during the term of the
umbrella insurance. This includes, in addition to Automobile and Comprehensive
Personal Liability, any other declared underlying insurance such as Watercraft,
Owned Recreational Vehicle, and Professional Liability insurance.
Premiums vary by company and according to different factors
such as amount of underlying limits, number of insured properties, number of
vehicles, etc.
Related Article: Personal Umbrella Liability Program
Rating Considerations