Level 3 chapter 2 Flashcards

(78 cards)

1
Q

homeowners insurance

A

a common form of insurance for owner-occupied dwellings that also includes personal liability insurance

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2
Q

What are the eligibility requirements for homeowners insurance coverage?

A

Building must have no more than 4 units, and policyholder must live in at least one.

If not the building owner → must own or rent a unit inside.

Building must be used primarily as a residence (some home offices allowed, but business property/activities usually excluded).

Building cannot be part of a farm (farm insurance required instead).

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3
Q

Who can be a named insured?

A

Owner and occupant of the dwelling

Someone owning or occupying part of a dwelling

Owner of a building under construction

Tenants with renters insurance

Spouse of the primary named insured (automatic)

Homeowner’s primary lender (sometimes listed)

Secondary lenders (added via endorsement)

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4
Q

Who else is covered under a homeowners insurance policy besides the named insured?

A

Family members living with the named insured (spouses, children, parents, others)

Non-relatives under 21 who live with and are cared for by the insured

Full-time college students related to the insured, under 24, who lived with them before school

Domestic workers for liability coverage during work

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5
Q

What happens to homeowners insurance coverage after the named insured dies?

A

Partially transfers to the legal representative

Covers liability at the deceased’s residence

Covers damage to the deceased’s property

Does NOT cover the representative’s personal belongings or accidents away from the residence

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6
Q

What are the business use exclusions under Coverage B in homeowners insurance?

A

Detached structures aren’t covered if used for business purposes (e.g., garage as office, shed storing employer’s property, or rented to non-residents). Exceptions: still covered if rented only as a private garage or if stored business property belongs to the insured/tenants. Coverage B applies only to the structures, not personal or business property inside.

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7
Q

special limits of liability

A

in property insurance, coverage limits on some highly valued items, such as jewelry, furs and documents

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8
Q

scheduling

A

in insurance, itemizing a person’s valuables and insuring each item for a specific amount

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9
Q

blanket insurance

A

insurance that applies to multiple items within a collection

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10
Q

How much Coverage C is typically provided?

A

Usually 50% of Coverage A (dwelling coverage).
Example: $100,000 dwelling → $50,000 personal property coverage.

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11
Q

How are belongings valued under Coverage C?

A

Standard: Actual Cash Value (replacement cost – depreciation)

Optional: Replacement Cost Coverage (higher premium)

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12
Q

How can valuable items be insured beyond Coverage C’s special limits?

A

By scheduling valuables (specific insurance). Each item is listed and insured for a stated amount. Payout is the least of: replacement cost, repair cost, actual cash value, or scheduled amount.

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13
Q

What benefits are included under Coverage D?

A

Additional living expenses (lodging, meals, etc.)

Fair rental value reimbursement when a rented portion of the dwelling is unusable

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14
Q

How much is typically provided under Coverage D?

A

Usually 30% of Coverage A.
Example: $100,000 dwelling → $30,000 Loss-of-Use.
Renters/condo owners: 30–50% of contents coverage.

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15
Q

Does Coverage D continue after the policy period ends?

A

Yes, benefits continue after expiration if the damage occurred while the policy was active and the residence remains uninhabitable.

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16
Q

How are additional living expenses calculated?

A

Insurer reimburses only the increase in expenses (post-loss minus pre-loss).
Example: $400 food cost before → $600 after → $200 reimbursed.

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17
Q

How does Coverage D apply when civil authorities restrict access?

A

If access is blocked by government officials due to nearby damage from a covered peril:

Homeowners: Additional living expenses covered for up to 2 weeks

Landlords: Fair rental value covered on a prorated basis for up to 2 weeks

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18
Q

What does Coverage E (Personal Liability Protection) provide?

A

Liability insurance (usually $100,000+) for bodily injury or property damage to others caused by the insured’s negligence.

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19
Q

How does Coverage E handle property damage liability?

A

Covers negligent property damage to others

Pays up to $1,000–$1,500 for another person’s damaged property even without negligence (ex: child under 13 causes intentional damage)

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20
Q

How does Coverage E handle legal defense?

A

Insurer pays defense costs in lawsuits, even if frivolous

Costs are in addition to policy limits (don’t reduce coverage amount)

Insurer chooses legal team and can settle cases

Insured reimbursed for lost income (up to $250/day) if involved in defense

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21
Q

Coverage F

A

Pays up to $1,000 per person for medical expenses if a third party is injured by the insured, the insured’s property, activities, employee, or pet — regardless of fault.

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22
Q

How long after an accident can Coverage F medical expenses be claimed?

A

Within 3 years after the accident.

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23
Q

Who qualifies for Coverage F benefits?

A

Injured on the insured’s property (not trespassing)

Injured directly by insured or insured’s activities

Injured by insured’s household employee while working

Injured by insured’s pet

Injured near insured’s property due to property’s condition

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24
Q

What is covered under the HO-1 (Basic Form) homeowners policy?

A

Rarely sold today; provides limited protection with broader exclusions. Covers property losses from named perils:

Fire

Lightning

Wind

Civil commotion

Smoke

Hail

Aircraft/vehicles

Volcanic action

Explosions

Riot

Vandalism/malicious mischief

Theft

Note: Same perils as fully endorsed DP-1 plus theft.

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25
What does the HO-2 (Broad Form) homeowners policy cover?
More comprehensive than HO-1. Covers all HO-1 perils plus additional broad perils: Falling objects Weight of ice, snow, or sleet Accidental discharge of water or steam Freezing Sudden/accidental tearing, cracking, burning, bulging of heating, AC, water/steam systems Sudden/accidental discharge from artificially generated electrical current Collapse damage is usually covered if caused by a covered peril. Detached structures: ~10% of Coverage A Contents coverage: ~50% of Coverage A Loss-of-use: ~30% of Coverage A Similar to DP-2 (broad coverage)
26
What does the HO-3 (Special Form) homeowners policy cover?
Considered the standard modern policy. Dwelling & detached structures: open-peril coverage (covered unless specifically excluded) Personal property: named-peril coverage (same as HO-2) Similarities with DP-3 (special coverage) Coverage amounts: Detached structures: ~10% of Coverage A Contents: ~50% of Coverage A Loss-of-use: ~30% of Coverage A
27
What does the HO-4 (Renters Insurance) policy cover?
Protects renters’ personal property (landlord’s policy doesn’t cover it) Covers the same perils as HO-2 (named perils) Focus on contents coverage, not dwelling Tenant can choose desired contents coverage Limited coverage for tenant improvements (~10% of Coverage C) Includes personal liability protection Loss-of-use coverage: ~30% of Coverage C Detached structures typically not covered Non-relative roommates usually not covered
28
What does the HO-5 (Comprehensive Coverage) policy cover?
Dwelling & personal property: open-peril coverage (losses covered unless specifically excluded) Only standard homeowners form with open-peril coverage for contents Covers mysterious disappearance of personal property (lost, not just damaged or stolen) Most comprehensive coverage, higher premium than HO-3
29
What does the HO-6 (Condominium) policy cover?
Designed for unit owners to supplement the condo association’s master policy Personal property: named-peril coverage (same perils as HO-2) Unit itself: limited named-peril coverage (carpeting, permanent fixtures, wallpaper) Liability insurance for the unit owner Typical coverage amounts: Unit: ~$5,000 Loss-of-use: ~50% of Coverage C
30
What are general exclusions in homeowners property coverage (Coverages A–D)?
Illegal items Land (not the structures on it) Detached structures used for business Animals, aircraft, motor vehicles Property of roomers/tenants Freezing of plumbing (if no heat maintained) Vandalism/glass damage during vacancy (60+ days) Wear and tear / inherent vice Pollution Earth movement (earthquakes) Flood and some water sources Neglect by insured War / nuclear hazard Intentional acts by insured Theft from dwelling under construction Power outages (unless caused by covered peril) Government seizure/demolition
31
What are general exclusions in homeowners liability coverage (Coverages E–F)?
Business activities Motor vehicles / watercraft Injuries to domestic employees Intentional acts War / nuclear hazard Abuse/molestation Injuries covered by workers’ comp/disability laws Spread of diseases Injury to household family members (other insureds) Illegal items Damage to others’ property in insured’s care (except fire losses) Liability other than bodily injury or property damage (e.g., defamation, privacy violations)
32
What water-related losses are excluded in homeowners policies?
Floods and surface water Sewer/drain/sump backup Foundation seepage Hydrostatic pressure Wear and tear (e.g., ignored leaks) Exception: Sudden accidental discharge/overflow (like burst pipes, overflowing toilets, broken appliances) is usually covered.
33
What are the theft coverage limitations in homeowners policies?
Theft from residence rented to others (non-insureds) Theft during construction of the residence Theft at another residence owned/rented but not occupied by insured
34
What is a vacancy clause in homeowners insurance?
A provision that allows insurers to deny claims for vandalism or broken glass if a dwelling has been vacant for 60+ days.
35
What is the difference between vacant and unoccupied in homeowners insurance?
Vacant: No occupants and not enough personal property to live there. Unoccupied: Has personal belongings, but no one is currently living there.
36
How do homeowners policies handle power outages and electrical issues?
Losses from power failures aren’t covered unless the outage is caused by a covered peril at the residence premises. While artificially generated electrical current is a covered peril, it doesn’t cover damage to tubes, transistors, or circuits inside computers or appliances.
37
How do homeowners policies handle earth movement?
Earth movement (earthquakes, mudslides, landslides, sinkholes) is excluded. However, losses are covered if the earth movement causes fire, theft, explosion, or broken glass.
38
How does homeowners insurance handle replacing the dwelling?
Most policies insure the dwelling at replacement cost and contents at actual cash value (ACV). Replacement cost: Cost to rebuild with like kind and quality. ACV: Replacement cost minus depreciation. Insurers usually first pay ACV, then pay the difference up to replacement cost after repairs (often within 180 days).
39
guaranteed replacement cost
cost to replace the entire dwelling regardless of a policy's coverage a limit
40
extended replacement-cost coverage
a type of homeowners insurance that will provide extra coverage (often capped at 120% or 125% of coverage a) when the cost of replacing the dwelling is larger than the policy's coverage a limit
41
inflation protection
in homeowners insurance, a policy feature that will recalculate the dwelling's insured value on a regular basis and may increase the policy's coverage a limit based on the increased cost of construction
42
Demand surge endorsement
can help cover increased construction costs after a catastrophe drives up local prices.
43
How do prorated settlements work when coinsurance requirements aren’t met?
Find required insurance: Replacement cost × 80%. Example: $500,000 × 80% = $400,000. Find coverage ratio: Insurance carried ÷ Insurance required. Example: $300,000 ÷ $400,000 = 0.75 (75%). Apply ratio to loss: Loss × ratio – deductible = settlement. Example: $40,000 × 75% = $30,000 payout. ➡️ Result: Insured absorbs the uncovered portion ($10,000).
44
Within how many days must proof of loss typically be provided after a request from the insurer?
60 days
45
Why do mortgage lenders require homeowners insurance?
Because they have an insurable interest in the property. Without coverage, the lender risks losing its investment if the home is damaged.
46
What policy clause protects lenders’ rights?
The loss payable clause (aka mortgagee clause).
47
After a covered loss, how is insurance money divided?
The payment is split between the homeowner and lender based on ownership interest. The lender usually releases funds only if they are used to repair the property.
48
What special rights do lenders have when listed as an insured party?
Can file proof of loss if the homeowner fails to. Can pay overdue premiums to keep coverage active. Still protected even if the homeowner violates policy conditions.
49
What are the business property limits under Coverage C?
On residence premises: up to $2,500 Off premises: up to $250–$500
50
Name 3 activities that aren’t considered business under homeowners insurance.
Volunteer work (only reimbursed for expenses) Day-care for relatives (or exchanged day-care services) Activities with ≤ $2,000–$5,000 compensation in the past 12 months (policy-dependent)
51
Does homeowners insurance cover debris removal?
Yes. Standard policies cover debris removal. If repair + debris removal exceeds limits, up to 5% extra coverage applies.
52
When does insurance cover tree removal, and what’s the limit?
Coverage applies if the tree damages property or blocks a driveway/handicap ramp. Limit: $500 per tree (some insurers: $1,500).
53
Who files the claim if a neighbor’s tree falls on your property?
The homeowner with damage files under their own policy. Exception: The neighbor may be liable if the tree was dying or poorly maintained.
54
Does homeowners insurance cover cars?
No, cars need auto insurance. Coverage C only covers vehicles not requiring registration if: Used to maintain the residence (e.g., riding mower), or Designed for disabled use (e.g., wheelchair).
55
Are auto parts and electronics covered under homeowners insurance?
Installed auto parts/accessories & electronics relying solely on car power are not covered. Electronics that can run on another power source: up to $1,500. Trailers/semi-trailers: up to $1,500.
56
Does homeowners insurance cover boats?
Limited coverage: watercraft + accessories capped at $1,500. May not be covered if stolen away from residence premises.
57
When does homeowners liability cover motor vehicles?
Only if vehicle is: In storage on insured property, Used to maintain residence, For disabled use, Non-road vehicle (owned by insured) on residence premises, Golf cart (<4 people, <25 mph) used on course or in approved community.
58
When is liability NOT covered for vehicles?
No coverage if: Vehicle requires registration, Used in a race, Rented out, Used to transport people/property for fee, Used in business (except some golf carts).
59
What is a loss assessment fee?
A fee charged to homeowners/condo association members to cover uninsured losses or high deductibles, split equally among members.
60
Does homeowners insurance cover loss assessment fees?
Yes, up to $1,000 per policy period (some carriers increased to $2,000 in 2022). Endorsements can increase coverage.
61
When will insurance pay the loss assessment fee?
Only if the loss was caused by a covered peril and not excluded elsewhere in the policy.
62
What is Ordinance or Law coverage in homeowners insurance?
It covers the extra costs of rebuilding a destroyed home to comply with updated building codes.
63
How much extra protection do some policies provide for mandatory code upgrades?
Usually 10% of Coverage A, specifically for ordinance or law expenses.
64
What is landlord furnishings coverage in homeowners insurance?
It covers a landlord’s furnished items in rental units (e.g., carpeting, appliances) up to $2,500 ($3,000 with some carriers in 2022). Coverage applies to the same perils as Coverage C, but not theft. It does not cover tenants’ belongings—tenants need renters insurance.
65
What does the Business Pursuits (HO 24 71) endorsement cover?
Liability for business activities as an employee (e.g., salespeople, clerical workers, teachers). Excludes businesses owned/controlled by the insured.
66
What does the Home Day Care (HO 04 97) endorsement cover?
Removes business liability exclusions for people providing daycare services in their home.
67
What does the Personal Injury (HO 24 82) endorsement cover?
Libel, slander, privacy violations, wrongful eviction/entry, false arrest, or imprisonment.
68
What does the Personal Property Replacement Cost (HO 23 63) endorsement provide?
Pays replacement cost (not ACV) for personal property, but excludes antiques and collectibles.
69
What does the Watercraft (HO 24 75) endorsement cover?
Liability coverage for personal watercraft (but not property damage to the craft).
70
What does the Identity Theft (HO 04 55) endorsement cover?
Extra expenses from identity theft (e.g., mailing documents, reapplying for loans/credit).
71
What does the Water & Sewer Backup endorsement cover?
Property damage from sewer backups, usually excluded otherwise; coverage often capped at $25,000.
72
What does the Limited Fungi, Wet/Dry Rot, or Bacteria (HO 04 26/27) endorsement do?
Increases limits for damage caused by mold, mildew, or bacteria.
73
What does the Permitted Incidental Occupancy (HO 04 42) endorsement cover?
Expands coverage for business property at home and removes liability exclusions for certain small home-based businesses.
74
What does the Earthquake (HO 04 54) endorsement cover?
Dwelling, other structures, and contents against earth movement. Deductible applies to all damage within a 72-hour period.
75
What does the Scheduled Personal Property (HO 04 61) endorsement cover?
High-value items (e.g., jewelry, collectibles) on an open-peril basis with higher dollar limits than standard coverage.
76
What can insurers do during the first 60 days of a homeowners policy?
Cancel for almost any reason, but must give 10 days’ notice (or more if state requires).
77
After 60 days, when can an insurer cancel a homeowners policy?
Only if: The insured made a material misrepresentation The insured stopped paying premiums The insured’s risk increased dramatically (not due to a loss)
78
What are the rules for insurer non-renewal of a homeowners policy?
Must give at least 30 days’ notice (or more if state law requires).