Claims-Made Coverage for Liability Exposures

Sometimes, learning the secret language of the insurance business may seem daunting.  But by learning just a few words, you should be able to get by and understand the importance of the product you’re buying.

Thirty years ago, the insurance industry experienced a crisis that changed the industry forever.  Insurance companies received decades old claims for asbestos and pollution damages.  The courts rendered legal theories ensuring that policyholders had coverage and victims were compensated.

In other words, insurance companies were being presented with claims for bodily injury that had happened in the 40’s and 50’s and was just now being litigated.

The court’s interpretation of “occurrence” used in then-current policies caused pricing problems for the insurance industry.  Companies needed to calculate current premiums for losses that might not be submitted for 20 years or more. The insurance companies needed to find a way to deal with these exposures, or premiums would double and triple.

The claims-made policy offered a solution. It allowed the insurance carrier to contain the period during which they were providing coverage.  Once a policy expired, they were no longer responsible for claims that had not been reported.

These sorts of policies are commonly used for professional liability, malpractice, errors and omissions (E&O) and manufacturing liability.  In a claims-made policy, coverage is triggered if the claim is made during the policy period for an injury or damage that occurs after the inception date of the policy and prior to expiration.   Policyholders are advised to report ANY CIRCUMSTANCES that might result in a claim.  This way, the date of “wrongful act” is established, and the policyholder is protected should a claim be filed.

By using this strategy, insurance companies are able to continue valuable protection at an affordable price.

Most business owners won’t need the sort of coverage written on a claims made policy, but if you’re not sure, call with any questions.

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Moving On Up in the Business World

You’ve been working hard and your business is ready to expand.  Upgrades and improvements to your property, a better location, newer equipment and vehicles — all of these are signs of a growing, prosperous business!

New equipment often presents both valuation issues and financial commitment that may need to be separately insured.  Your new vehicles probably came with a loan or lease agreement attached.   Your new digs may come with an inch thick lease that contains some serious insurance requirements set by the landlord.

What happens if there is a fire? Are you covered for the income you’re going to be losing?  Will there be enough money to pay for the extra expenses you might incur while getting back into business? How do you hang on to your key employees while you’re rebuilding?

As you move up in the world don’t leave your insurance behind.  Coverage limits and risk management policies that were just fine in the beginning may be woefully inadequate in your new circumstances.  You need to make time for regular reviews of your insurance protection program.

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Storm Loss Considerations

Renters and homeowners policies protect against windstorm losses and damages caused by associated hail and tornadoes.  Coverage amounts for these types of damage claims are listed on the declaration page of your homeowner’s policy.

The insurance industry is finding that a significant number of homes are underinsured for their replacement value. Call us, we can review the amount of insurance on the property with you and make sure you’re properly covered.

One of the most important things you can do in the event of a major loss is to be ready ahead of time. These suggestions are a helpful way to be prepared:

  • Maintain a household inventory – having to remember all of the personal items you owned at the time of a traumatic event are nearly impossible.
  • Use a fire and water proof safes to protect important papers.
  • Back up electronic documents with an offsite data storage company.
  • Have a battery operated radio, flashlight and fresh batteries in your emergency kit.
  • Keep extra cash on hand in case ATM’s are affected by extended power outages.
  • Store property in basement in boxes or pallets off the floor and in plastic tubs.
  • Perform regular maintenance by making sure gutters and drains are clear, trim trees near the house, have your roof inspected for loose shingles and deteriorated flashing.
  • Have plenty of fresh water on hand (and don’t forget some for your pets) — at least a gallon per person per day.
  • Check sump pumps to make sure they are functioning properly.
  • Make sure smoke/fire/ carbon monoxide detectors have fresh batteries.
  • Be careful about using candles – they are a fire hazard.
  • Keep a camera handy to document damages.
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How Non-Owned and Hired Auto Coverage Can Protect Your Business

If you have an employee who get is into an auto accident in their car while on company business, then non-owned auto coverage will protect your company.

Hired auto coverage protects your business if you or an employee rents a vehicle in the company name and an accident occurs.  (Rental agreements require the renter to be responsible for the physical damage to the vehicle.  An additional coverage that can be added to the auto policy is hired physical damage coverage.)

What is company business?  Company business can be as simple as a trip to the bank or post office.

Both of these types of coverage are considered optional on a Business Auto policy, but to protect you and your business from loss, these two levels of coverage should always be purchased.

Rental agreements require the renter to be responsible for the physical damage to the vehicle.  An additional coverage that can be added to the auto policy is hired physical damage coverage.

The cost to add the coverage is relatively inexpensive – usually about $150 a year.

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Water Related Problems

You don’t have to be a weatherman to know we’ve had a lot of rain lately.  From an insurance standpoint, downpours usually cause 3 types of water related problems.

  1. Floods (by insurance standards) are defined as an overflow of a body of water.  Flood insurance is only available on a separate insurance policy and the cost is subsidized through the Federal government.  The policy can be written to cover the building and the contents.
    If you want Flood Insurance, we can obtain the coverage for you.  Flood insurance will NEVER be included in a homeowners policy.
  2. Runoff of surface waters – this type of water damage is almost always excluded from homeowner’s insurance policies.  It usually occurs during a downpour when the ground is already saturated with water.  The water often enters the premises through below-grade windows, under doors or seeps through foundations.
  3. Sump pump failure backup of sewers or drain – Coverage for this type of water damage is available from almost all insurance companies.  Very few policies include the coverage automatically – it is generally purchased as an option.  The cost of the coverage depends upon the limit chosen and the amount of the deductible.  The coverage only pays for resulting water damage and does not pay to repair sump pumps or to clean out the drains.
    Most policies will specifically show the coverage on the Declarations Page if you have it.  If you’re not sure, or you want more, call us and we will check if for you.

We never want to have to tell you “it’s not covered.”

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The Value of Agent

A common misconception in my business is that insurance is a commodity that should be purchased based on price.  The maxim “you get what you pay for” is quite true when it comes to insurance policies.  That said, no insurance policy covers everything, and that’s important for you to know as well.

Insurance is a product you can’t take for a test drive, or try on for size.  You never appreciate the value of the product until you need to use it.  The peace of mind promised in an insurance contract can’t overstated.

The number one complaint from consumers regarding insurance companies is claims dissatisfaction, either it wasn’t covered at all or it wasn’t covered for enough.

It’s true that you get the best prices when you  bundle and package – but you need the expertise of an agent to know whether you are getting the best coverage.  As the client, you have a role to play, besides paying the premium.  The best relationships are established when both parties communicate.   As an independent agent, we represent many insurance companies.

My job is to educate, advise, advocate and service – not just to sell insurance.

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How Important is a Strong Promise?

A gap exists between the perception many customers have of the insurance industry and how we as an industry actually behave.  In large part the blame can be placed on the lack of communication and the complexity of the subject matter.

The way the insurance industry is structured from the final consumer to the worldwide reinsurance market is so complex it is almost impossible to effectively explain to our customers.

When you purchase a policy and spend money on insurance premiums, you are receiving the promise of help in the future. The real value of your investment is not realized until there is a loss, which neither you nor the insurance company wants to experience.

But this is when the promise is fulfilled.  Our goal is and always will be to fulfill and exceed your expectations. The claim process can get complicated and frustrating, but the most important part of our job as your agent, is to help calm the waters as we navigate through the claim process.

The value you derive from our personal business relationship is important to you.  Also important is the quality and integrity of the insurance companies we offer for your protection.  As your insurance agent, I represent only companies that I believe operate with the highest degree of integrity, that share our business and service philosophy, and have the resources and expertise to handle any claim they are presented.

Cooperation is the key to a smooth and productive relationship.  For us to act as your representative, we need your help by keeping us informed of the important changes in your life. We are stepping up our efforts to communicate the insurance process through personal contact as well as social media.

When you buy a promise, you must constantly be assured the promise is as good as gold. If you have a problem, we’re committed to be on yours side – you won’t have to fight over a toll free line to get a promise fulfilled.

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Avoiding Contractor Fraud

If you’re one of the unfortunate Ohioans impacted by recent severe weather, please keep these points in mind before making repairs.  Ohio Lieutenant Governor and Department of Insurance Director Mary Taylor shares these tips to help you avoid becoming a victim of contractor fraud.

  • Obtain a list of reputable contractors from your insurance carrier, the Better Business Bureau or a specialized consumer organization.
  • Contact multiple contractors and obtain more than one estimate.
  • Do not allow a contractor to inspect your property when you are not home.
  • If you give a contractor permission to inspect your property, personally watch them conduct the inspection.
  • Obtain, in writing, the terms and conditions of the project.
  • Avoid signing a contract until the document is reviewed fully and/or discuss the terms of the contract with a legal representative or a trusted adviser.
  • Pay the contractor by check or credit card, rather than in cash, and do not pay in full until all work has been finished.
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Paying for Letting Homeowners’ Insurance Policy Lapse

Earlier this month, a fire in the basement of a home in Grafton Township nearly destoryed the entire home. Thank goodness no one was hurt! Now, the family is looking to clean up the home from smoke damage, and to replace the charred and weakened beams in the basement themselves, to the tune of $50,000.

A call to the insurance agent would have quickly prevented this financial tragedy from occurring.  The value provided by an insurance agent are advice, education and service. A homeowners policy should always be in place to cover your home, personal liability and your household furnishings. Some policies can be enhanced to cover some business exposures.  There aren’t any business policies designed to include your personal insurance exposures.  Most importantly all insurance policies are not alike and most of them can be tailored to your needs.

Never assume damage will be covered – consult with a professional.  Your local agent — not an 800 number — should be one of your best friends.

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