Contact Us
Murray, Schoen & Homer Inc.
71 North Avenue
New Rochelle, NY 10801
Tel: 914-632-8989
Fax: 914-632-9170
email MSH
FAQs — Personal Insurance
Auto
Car Insurance...Getting The Most For Your Money.
You’ve been a responsible driver for many years, but you notice an upsetting pattern; every year your car insurance premiums creep upward. What’s going on? What are you doing wrong? Well, the answer may be “nothing.” Remember that the cost of providing insurance, as it is with other products and services, may increase for various reasons. Factors that can affect car insurance premiums include the following:
• Your insurance company’s overall loss experience (due to a higher level of claims)
• The increased value of newer model cars
• Increases in judgment amounts awarded in auto lawsuits
• Increased business processing and administrative expenses
What these items have in common is that they’re out of your control...so don’t worry about them. However, you do have some control over what happens with your premiums. It may be time to step back and take a fresh look at your car insurance.
How do I evaluate my situation?
A good first step is to gather your insurance records and any other car-related information. Next, determine if circumstances have changed since you last dealt with your coverage. Consider your cars or trucks, how they’re now used, who are the drivers and your driving experience. Once this information is handy it’s time to call your agent. What should you discuss? Well, here are some areas to consider:
• If you have your home and auto insurance with the same company, are you getting a discount?
• Does my coverage take full advantage of the discounts offered by my company?
• I have more than one car; am I getting a credit?
• How much premium can I save by changing deductibles? Determine the dollar amount of any loss that you can comfortably handle as an out-of-pocket expense.
• Do my cars really need full coverage insurance? On an older car (over six years old) you may want to drop collision and/or comprehensive coverage and carry liability coverage only. Ask your agent what makes sense. IMPORTANT: you must maintain these coverages if you’re still paying off a loan on your car or truck.
• Do lifestyle choices such as drinking or smoking affect my premium?
• Does it matter that my daughter made the Dean’s List? Don’t think this information is bragging since your company may give discounts to young drivers with good grades.
(See: So Your Child Just Got a Driver’s License)
• Did you know that my car has anti-lock brakes; airbag; theft alarm system? (Some companies provide discounts for safety and anti-theft features)
• Did you know that my son took Driver’s Education?
• Does the company have accurate information on how often and how far I drive?
• Am I with a standard carrier or do I qualify for any preferred program?
• Is my vehicle charged an additional premium because of its type or performance?
• Do I get a credit for my driving/claims history or for how long I’ve been covered? If applicable, find out if your company rewards a loss-free history or longevity.
Communicating with your agent
The best way to discuss your insurance needs is to be open and honest with your agent. Giving your agent accurate information puts him in the best position to make certain that you get the best available premium. Carefully answer your agent’s questions and provide complete details about any tickets, accidents, or violations in your driving history. This approach also applies to information about who drives your cars and how the cars are used. Finally, your agent is a terrific resource for handling errors about your account or which may be shown in your driver records... so use their expertise.
(Revised 10/98)
So Your Child Just Got a Driver’s License. How to Keep Your Costs as Low as Possible
We won’t debate the fairness of this fact or argue the validity of statistics that say that kids are involved in more accidents than other drivers. Let’s focus on the things you can do something about.
FIRST: Each state has different restrictions on how companies charge for automobile insurance. In some states it doesn’t matter how old you are, just that you haven’t been driving long. Most states allow companies to charge more for male youthful operators. Many states also allow companies to cancel auto policies after only one youthful operator accident or violation. A few states, e.g. Massachusetts, set the rates rules and forms and there are fewer options or ways to reduce cost. Talk with your agent about the rules in your state. Your agent will often have excellent ideas on how you can cut costs.
What are some of the definite things you can do to reduce insurance costs and keep your kids safe from auto insurance accidents?
• Review and make sure your new driver understands and signs the Youthful Operator Driver Safety Agreement
• Enroll your child in driver training. Driver training can be expensive, but you will save hundreds of dollars in insurance cost each year.
• Many companies give significant premium discounts for good students. Generally, a good student has a B or better average (average of all courses on a five-point scale. A = 5. B+ or A- = 4.5, etc.) on the last report card.
• But – don’t rely completely on the driving schools. Test your child in regard to passing, parallel parking, looking all ways when making a turn, Y or U-turns, speed, traffic law understanding, general attitude and respect for the power of the automobile. Don’t convert the learners permit into a license until your teen passes YOUR driving test. Even after your child is licensed, test your child’s abilities in rain and snow before you permit the child to drive alone in adverse weather. In the wrong hands, cars are lethal weapons.
• Find an insurance company that will rate your new driver on the car the teenager actually drives most of the time. Some companies will assign the most expensive driver the highest rated vehicle. You don’t want your teenager charged to Dad’s new Cadillac, when all your child drives is the older Accord.
• Do you really want your child driving to school each day? Driving to school for many companies is the equivalent of driving to work. The longer the drive, the greater the premium charge.
• Finding the correct company for your youthful driver doesn’t begin when that child decides he or she wants a learners permit; it begins years before. Youthful operators have quick reflexes, but don’t have the experience you or I have. They may not recognize that the driver at the intersection ahead may not stop. Police are less likely to give the youthful operator the benefit of the doubt in marginal speeding situations. So what? Many insurance companies will forgive the first accident, and permit more minor traffic violations the longer you are insured with the company. Find out when your child is 13 or 14 – do I have a company that has a reasonable price for youthful operators and will minor infractions cause the company to cancel?
• Drill into your child that speeding, running yellow lights and accidents cost money. Once you are canceled, the fact you have a youthful operator may prevent you from finding any company that will write standard auto insurance. Substandard automobile insurance is extremely expensive, and many companies will only offer limited coverages.
• Increase your collision or comprehensive deductibles. Eliminate collision and comprehensive coverage on older vehicles where the value of the vehicle is low.
• Don’t think about lowering liability insurance coverage. True the child has no assets, but you may not be able to avoid expensive lawsuits if your child should be involved in an accident where another is hurt. You could be found “vicariously liable” for not properly supervising your child. Don’t forget the “deep pockets” theory either... The other person is injured, the child has no money – but you do! Purchase higher limits of liability protection, and ask your agent for a quotation about a million dollar umbrella insurance policy.
• Your child owns a vehicle – should your child be insured under a separate policy? This remove the cost of the child from your policy; but will also eliminate the multiple car discount for the child. Your child will then want to purchase low liability limits to reduce cost. If the child causes an accident that injures someone, and the judgment is $300,000 but the coverage is $50,000; someone will have to pay the difference. Your child may be exposed to many years of salary garnishment and it is not out of the realm of possibility for the injured party to go after you for “negligent entrustment” of the vehicle to a minor. You would not have any liability insurance or defense coverage if the child caused the ccident in his/her own car.
• In a two parent household, if you start with two vehicles and your child becomes licensed, your child is normally an occasional operator of one of the two vehicles, unless you give your child more or less exclusive use of one vehicle. If you then purchase another car, the child then becomes a principal operator of one of the vehicles. Insurance rates can often double for principal operator youthful drivers. Compounding the problem – some companies assign the most expensive vehicle to the youngest operator. If you don’t need the third car...(In a one parent household, adding a second car usually means having the youthful operator rated as a principal operator.)
• Giving your child the 10 year old clunker to drive may not be the wisest thing to do. Even if the vehicle is well maintained – does it contain air bags or anti-lock brakes? If a teenager is statistically more likely to be involved in a serious accident – do you want to send your child out in a lesser protected vehicle?
• Seat belts. No alcohol. No drugs. No guns. Period. Set an example. Don’t you drink and drive.
• Establish with your child, even before the child begins to drive, that driving is a privilege; not a right. Only the state can revoke a person’s license, but a parent can revoke a child’s driving privileges at any time.
• Some companies will give credits for youthful drivers who attend defensive driving classes. Beyond that, the reason that many children have accidents is that they don’t know what to avoid or know the signs that the other driver may not do what we expect.
Warning! Car Stereos, Car Phones and Other Mobile Electronics. They May Not Be Covered.
Insurance companies look at vehicle safety features, weight to horsepower, body styling, utility of the vehicle and many other factors beyond the price of the vehicle. Generally, vehicles that are renowned for their safety features (Volvo’s, Saab’, etc.) will actually have a lower symbol than comparably priced sedans and thus cost less to insure. Two door, two seater, high horsepower vehicles will generally receive a symbol much higher than their actual value because of their sport or high performance nature. The insurance company may actually increase or decrease the symbol based upon the actual claims history and damage repair cost history of the vehicle. This can happen a few months after a new model is introduced or after a few years! If you own a celebrated rollover, vehicle gas tank explosion vehicle, you may have already seen an increase in insurance cost.
Why is this symbol stuff important?
First, if you’re out looking for a car, check with your agent before you buy. A simple decision such as ordering a 4 door vs. a 2 door could make the difference in hundreds of dollars in additional insurance cost over the years.
First, if you’re out looking for a car, check with your agent before you buy. A simple decision such as ordering a 4 door vs. a 2 door could make the difference in hundreds of dollars in additional insurance cost over the years.
Factory options...
Car options actually installed at the car manufacturer’s factory are included in the vehicle identification and symbol numbering scheme used by most insurance companies. Factory installed does not mean when it leaves the automobile manufacturer it also goes to the van conversion place or the auto dealer for additional items.
Unfortunately, the manufacturers sometimes jump ahead of insurance policy designers. In the past, theft deterrent car radios installed by the factory that when removed from the dash won’t work, were not covered by the auto insurance policy. The 1994 version of the personal auto policy corrected this, but check with your agent if you have one of these factory installed radios and are not sure if you have the 1994 version of the Personal Automobile Policy or its equivalent.
Dealer options...
Car dealers are adept at adding options to vehicles to boost styling, salability, and of course, profits. Spoilers, body side moldings, special wheels and hub caps, body paint, car phones, speakers and stereos, pin stripes and the whole van conversion thing can be added right onto the dealer invoice and you may never know which parts are original and which parts are Fred’s Conversion.
The insurance company cannot price for these additional options unless you tell your agent what the options are and how much they cost. Sure, you can avoid telling the company; but, if you get into an accident, you may not be covered for the unknown options.
How do I know if the dealer buried the options in the price? Simply ask the dealer. If the dealer will not tell you, go to another dealer. Only you will lose in the end if you do not know.
Your options...
You don’t like the stereo – won’t pay $1,000 for a dealer installed CD player that you can install for $400? You want a car phone; you want special paint? Let your agent know as soon as you purchase the vehicle. Your agent can add coverage onto your policy.
The Nitty Gritty
The following comes from both the Homeowners ’91 policy and the 1994 version of the Personal Automobile Policy. Your agent or company may have sold you a different policy or version, so ask your agent about whether you are covered for any of the situations described below.
1991 Homeowners form 2, 3 or 6:
Mobile electronic equipment:
• You have up to $1,000 coverage for mobile electronic equipment that can be operated both by the car’s electrical system and normal house current or internal batteries. This $1,000 applies when the equipment is in the car or is anywhere else. You can pay additional premium to increase the coverage.
• If the electrical equipment (car phones etc.) can only be operated by the vehicle and does not have any other source of power (electrical outlet, battery etc.) then the equipment is not covered by the homeowners policy.
• If the equipment cannot be operated by the vehicle (you haul your computer from one home to another) then the $1,000 limit does not apply and your normal contents limits under your homeowners will apply.
1994 Personal Automobile Policy
• Electronic equipment designed for the reproduction of sound must be permanently installed or removable from a housing unit which is permanently installed, and is designed solely to be operated by the auto’s electrical system. Equipment of this type includes:
• Radios, stereos, tape decks, CD players.
• The following types of electronic equipment are not covered unless they are permanently installed as an integral part of the same unit housing sound reproductive equipment in the opening of the dash or console normally used by the manufacturer for installation of the radio.
• CB radios, telephones, two-way mobile radios, scanning monitor receivers, television monitor receivers, video cassette recorders, audio cassette recorders, personal computers.
• Tapes, records, or disks used with any electronic equipment. (Not covered because they cannot be ermanently installed. You must purchase additional coverage).
• Any accessories for any electronic equipment must be covered separately if not permanently attached to the actual piece of equipment (Attached does not mean attached to another part of the car by electrical connection, or by microwave as in the case of the car phone antenna.)
• Custom furnishings and equipment on any pickup or van are not covered. Examples:
• Awnings, cabanas.
• Special carpeting, insulation, furniture, bars.
• Cooking and sleeping facilities.
• Height extending roofs.
• Murals, paintings, decals, graphics.
NOTE: You can purchase coverage for electronics and van and truck conversion items. Check with your professional insurance agent for details.
Can Someone Explain These Automobile Coverages? – Part One
Bodily Injury Liability
This covers damage or injury that you may cause to other persons. The key is that it involves your being held financially responsible for injuries to other persons as a result of the way you operated your car. This coverage does not apply to your injuries.
Property-Damage Liability
This covers damage that you may cause to the property of others. The key is that it involves your being held financially responsible for property you may damage or destroy as a result of the way you operated your car. This coverage does not apply to damage to your property.
Uninsured motorist coverage
The limits and coverage details also vary widely by state. It typically pays for your expenses that result from an accident caused by an uninsured driver. Now be careful with this coverage. An uninsured driver must be the one who is responsible for causing the loss. "Uninsured” is typically defined to include a person who has no insurance; a person who can’t be located (“hit and run drivers”); a person who has insurance, but their insurance company is financially incapable to provide coverage; plus other situations which may be considered to involve an “uninsured” motorist. IMPORTANT: The amount of protection under this coverage may depend upon state law. Payment under this coverage part may be controlled by the limits mandated by the state’s financial responsibility law. Or, a particular state may have specific uninsured motorist legislation that dictates what limit or limits must be offered to insurance consumers. In some cases, a consumer may choose to reject the coverage. Typically, the rejection must be in writing.
Underinsured motorist coverage.
Although the coverage concept is similar to uninsured motorist, this coverage is for injuries caused by a driver who is inadequately insured. Basically, it operates as excess insurance, paying for your expenses which exceed the amount of insurance protection available from the other driver’s policy. For example. you are seriously injured by a person who carries a bodily injury liability limit of $25,000. Your injuries amount to $50,000. Your Underinsured Motorist Coverage limit is 100,000. If the loss circumstances qualify for coverage per the policy’s underinsured motorist provisions, your policy would pay the difference between $25,000 and $50,000, or an additional $25,000.
Remember that this is merely an introduction to complex policy coverages. Be sure to contact your agent for detailed insurance information. Please watch for Part Two of this topic which discusses other, typical auto policy coverages.
Covering the Loan or Lease Gap. My Car is Worth Less Than My Loan!
Car loans and leases are getting longer-48, 60, 72 months and more. Vehicles normally depreciate very quickly the first few years. The loan or lease gap occurs because the loan or lease payments are spread over a longer period of time, and the amount of the unpaid balance remains larger than the value of the vehicle over much of the loan period. The gap is often discovered only after a total loss when the amount the insurance company pays you for the actual cash value of the vehicle is less than what you owe the bank or leasing company. Instead of being reimbursed for your total loss, you have to pay the bank or leasing company thousands of dollars out of your own pocket in addition to the deductible.
Nobody is to blame for this problem-not the bank or leasing company or the insurance company or the car manufacturer, but there is a solution to the dilemma.
The Auto Loan/Lease Coverage Endorsement
This endorsement is available in most states, and many companies will offer this endorsement or a variation.
Coverage:
Leased vehicles: Reimburses you for the difference between the amount due under the terms of the lease and the actual cash value of the auto in the event of a total loss to the auto.
Owned vehicles: Pays any outstanding indebtedness incurred by you for that financed new vehicle in the event that there is total loss or damage to the vehicle and the amount due under the finance agreement is greater than the actual cash value of the automobile.
On partial losses the company will normally pay to have the damages repaired or parts replaced, and the lease or loan gap will not come into play.
There are exclusions:
• Overdue lease payments at the time of the loss are not covered.
• Financial penalties imposed under a lease for excessive use, abnormal wear and tear, or high mileage.
• Security deposits not refunded by the lessor, costs for extended warranties, credit life, health, accident, or disability insurance purchased with the loan or lease.
• Carryover balances from a previous lease.
Many companies will offer this endorsement only if you purchase the coverage soon after you acquire or lease a new vehicle. Companies may not offer this endorsement on used vehicles.
The cost for this endorsement averages about 7% of collision and comprehensive coverage premium. We recommend that you seriously consider this important and reasonably priced coverage.
Can someone explain these automobile coverages?
Here we continue our brief discussion of typical coverages found in an auto policy. Be sure to see Part One of this topic.
Cars are expensive to buy and repair and their high cost is a strong incentive for protecting them. If you borrowed money to buy your car, the lender was likely to make certain that you carried comprehensive (increasingly referred to as “other than collision”) and collision coverages to pay for any damage to the vehicle.
Collision coverage
This covers damage to your own vehicle. The damage has to be the result of your vehicle running into (colliding with) another object, such as other vehicles, trees, light poles, mountains, etc.
Comprehensive or Other Than Collision coverage
This also covers damage to your own vehicle. The damage has to be the result of a specific cause of loss. Although causes of loss may vary by policy, some common causes include fire, theft, hitting an animal, vandalism, earthquake, flood or hail.
Remember that both Collision and Other Than Collision coverages are subject to deductibles. A deductible is merely the initial dollar amount of a loss which is paid by you, the policy owner.
Personal Injury Protection or Medical Expense
This coverage, the available financial limits, and the exact details of how such coverage operates vary by state. The coverage typically handles medical expenses for injuries to you, your passengers or people who are “around” you. It is usually a “per person” limit. It may also cover you and members of your household if you, as a pedestrian or while riding a bicycle, are struck by an automobile.
Towing and Labor coverage
This coverage is to help pay for your costs to deal with a disabled car. It could help pay for the car to be towed to a service station or for any repair that occurs at the location of the car’s breakdown. Again, this coverage is for labor and not the cost of any necessary parts. Typically the available coverage amount is minimal (often between 25-$75).
Rental reimbursement
This coverage reimburses you for the expense of renting a car as a temporary replacement. The car being replaced must be an insured car that’s unavailable for use because of that car being damaged or destroyed due to a covered cause of loss. Coverage is also available if use of the insured car is lost because of it being repaired or serviced.
Remember the above information only touches upon some typical auto insurance issues. It’s always wise to contact your agent and discuss your coverage questions and needs in detail. If you missed it, please see Part One of this topic which discusses other, typical auto policy coverages.
Is There Anything To Road Rage?
How likely is it to get enraged while in your car or truck? Well, if you are a veteran driver, you probably know how emotions can affect driving. Long before starting your car, you’ve had to wake up, deal with home emergencies, perhaps get your kids moving, and worry about the upcoming work day. After all the hassle, you get behind the wheel and hope that you make it to work on time.
“Characters” Add To Road Experience
Now that you’re stressed out by the way your day may have started, your emotions may be fueled by having to deal with the following characters:
• “Karl Kollision” cruising through the intersection on a brilliant red light
• “Mary Me-First” making a quick left turn in front of oncoming traffic
• “Larry Lane-Change” practicing his art six times in the space of two city blocks
• “Tailgate Tommy” attempting to weld his car onto your rear bumper
• “Mollie Make-Up” ignoring the changing light so she can get her mascara “just right”
• “Charlie Cell-phone” almost sideswiping you because he’s trying to make a long distance call.
Such folks turn every day on the road into a test of patience and are a challenge to our civility, but there’s another perspective that drivers must consider.
The “Character” In Each Of Us
“Road rage” has become a popular way to refer to driving incidents involving aggressive or violent behavior. Various sources have blamed increased traffic accidents and fatalities on road rage. Others debunk the term as a “fad.” and say that traffic statistics don’t reflect increased violence on the part of drivers.
Chances are, most instances of poor driving are isolated incidents. Every driver is guilty of an act that can be blamed on a momentary lapse in judgment. You or I may make a proper lane change or legally proceed through an intersection 99 out of 100 times. However, the drivers who witness our mistakes may assume that we’re hopelessly inept. Take a deep breath from behind your wheel and recognize that “Larry,” “Mary,” or “Karl” may be making a rare appearance in the guise of a “character,” but actually may be someone who normally drives without making mistakes.
Why Be A Reasonable Driver?
It makes sense to give other drivers the benefit of the doubt. One reason is because it’s earned. Most drivers do a terrific job on the road. Especially when you consider the dangers inherent in driving; such as:
• traffic congestion
• poor weather
• time-pressures
• speed, etc.
A better reason for staying calm behind the wheel, is that cool-headed drivers make better decisions. They have a better chance of avoiding or minimizing accidents. Finally, you may run into serious problems if you cause an accident while acting too aggressive. There’s a greater chance of causing serious injury and a higher likelihood of legal consequences. You also increase your chances of being sued. Oh, and let’s not forget that insurers aren’t seeking to cover drivers who fail to use common sense.
Who Needs It?
Driving is tough enough without complicating it with rude or aggressive behavior and car insurance isn’t free, so start your car, give other drivers a break, and keep a cool head. It’s an attitude that creates the best chance for getting where you need to go...safely.
Claims
Who’s Looking Out For Me When I File A Claim?
The Problem
The complexity of insurance contracts place the typical insurance consumer at a severe disadvantage when it is time to file a claim. Requesting payment for a loss is considered the specific performance of the insurance contract where “performance"” refers to the insurance company’s obligation to investigate and, if applicable, pay for a loss.
The interest of insurance consumers like you are protected by the efforts of individual state governments. States agencies, typically via a special insurance or commerce division, bear the responsibility of seeing that insurance companies and agents operate in a manner that is faithful to the commitment represented by the insurance policy.
Unfair Practices
Most states actively enforce the requirement that all insurers fairly settle valid claims against their policies. The insurance companies and agents operating within a state are also provided with complete information regarding unacceptable claims practices. A specific state’s rules concerning claims is based on the parameters of the National Association of Insurance Commissioners (NAIC) Unfair Trade Practices Model Act. The guidelines developed from the original act, and other regulations (which vary by state), are meant to shield insurance consumers from practices that are misleading, unfair or deceptive. Here are some examples of such practices:
• Attempting to settle a claim based on an application which the company has changed without the insured’s knowledge or permission
• Delaying a claim investigation by requiring unnecessary reports or documents which contain substantially the same information
• Failing to act promptly after receiving information concerning an insurance claim
• When applicable, failing to pay a claim quickly, fairly and equitably
• Failing to promptly settle claims where liability is reasonably clear under one portion of the policy to influence settlement under any other portion of the insurance policy coverage
• Failing to promptly and clearly explain the basis in the policy or the law for either denying a claim or offering a compromise settlement
• Attempting to persuade insureds not to take advantage of the arbitration process
• Misrepresenting significant facts or insurance policy provisions
• Refusing to tell an insured what is happening with a loss within a reasonable time after receiving a completed proof of loss statement
• Denying claims without a reasonable loss investigation
• Offering very low settlements to encourage insureds to sue
• Settling claims for less than the amounts a reasonable person would expect
Of course a good way to avoid problems is to deal with reputable agents and companies who have a strong commitment to properly serving their insurance customers. Your insurance agent would be happy to discuss your concerns and/or expectations about making an insurance claim. Take advantage of his or her expertise!
Condominium or Co-op? Your Insurance Needs are Different!
• What property is your responsibility to insure? From inside the walls? The internal walls? The appliances? Your separate and detached garage?
• What is the potential for loss assessment after a fire? Does the association or corporation insure the buildings owned by the association to replacement value? How high is the association’s deductible? What is not insured?
• Are there any coverages, limits or additional interest endorsements you must add to your policy as required by the association agreement or incorporation document?
Find a company that wants to insure your condominium or co-op. Some companies do a better job with new construction, and others excel in reconstructed warehouses or factory loft-type condominiums.
There are two types of coverage: Named causes of loss or risks of physical loss.
• Named causes of loss coverage is just that. The policy only covers for certain kinds of causes of loss to your property. You must prove to the company that one of the covered causes damaged your property.
• Risks of physical loss covers all causes of loss except those that are excluded. The company must prove that one of the excluded causes of loss damaged your building.
Many companies offer risks of physical loss coverage for that portion of the building or real property that is “yours” and named causes of loss coverage for your “stuff.” Other companies will offer risks of physical loss coverage for virtually all of your covered property. Risks of physical loss costs more, but here are some claims that would not be covered under named causes of loss policies:
• The washing machine in the spin cycle danced across the room and broke the water heater, causing water to cascade throughout the home.
• A guest injured herself and bled all over the couch and carpet.
• While the insured cleaned the imported crystal chandelier, the chandelier fell, shattering into pieces.
• While working on the attic floor joists, the insured slipped and put his foot through the ceiling.
• A two-year old boy went on a rampage with a hammer, smashing the bathroom toilet, sink, walls, etc...
• The insured dropped a storm window. It tumbled through the home, down the stairs, damaging walls along the way.
• The insured was cleaning the bowling ball in the bathroom sink – the bowling ball slipped and shattered the sink.
• The insured’s lawnmower kicked a rock through the exterior air conditioner.
• The insured slipped and threw a full paint can into the room; the spatters hit virtually everything in the room.
• Freezing and thawing of ice on the roof caused a break in the wall and water damage to the interior of the home.
The policy name for named cause of loss coverage for condominium or co-ops is often referred to as Homeowners Form 6. To add risks of physical loss to personal property and the part of the real property (building and fixtures) for which you are responsible under Form 6, you must have the Homeowners 17 31 and Homeowners 17 32 endorsements.
NOTE: Your state may have restrictions or natural disaster cause of loss problems. Coastal states face wind problems. California and certain Midwestern areas have severe earthquake problems. Some western states have brush-fire problems. Other areas face hail damage. Each state and company has its own rates and philosophy on how it will insure these common causes of loss. Be smart. Check around.
Basic homeowners coverages common to all homeowners form that insure both condominium or co-op real property you are responsible for, and personal property:
• Real property: Coverage for the structural part of the condominium or co-op you actually own. Usually, the interior walls, appliances, fixtures, plumbing, heating and electrical that services your property, carpeting, flooring, Jacuzzi’s, possibly private garages, and other improvements you make to the property that do not become a part of the building that is owned by the association at large. You work with the agent to establish the replacement cost of your real property. You must insure to 80 or 90% of replacement value to avoid any kind of “under-insurance” penalty if you have a loss. These penalties can include reduced payment, or change from payment on a replacement cost basis to actual cash value. Actual cash value means depreciation. Work with your agent to make sure you insure to value.
• Coverage for personal property (“stuff”) is often combined with your real property insurance. Most people who live in a condominium or co-op have personal property values similar to people who own free-standing homes. How much “stuff” do you own? Is it new, is it of superior quality?
• Loss assessment. After a fire or other covered cause of loss, the condominium or co-op association may assess all of the owners for the repairs to the property to reimburse the association or corporation for deductibles, under-insurance or even no insurance. The standard Homeowners 6 policy give you only $1,000 loss assessment coverage. If you need more coverage you can add more to your policy.
• Additional living expense coverage is usually a percent of your personal property limit of insurance (20-40% or even no limit or actual loss sustained). Additional living expenses covers the additional cost of temporary housing, food and other increased costs of living when you are forced from your condominium or co-op by a fire or other covered cause of loss. If you have a tenant, the condominium or co-op form can cover your loss of rents if rent payments (by contract) do not continue after a covered loss. For most customers, the limit of coverage provided by the standard policy will be adequate; but if your condominium or co-op will take a long time to repair or the loss occurs in the dead of winter, you may not have enough to pay the extra living expenses. If you are in a disaster prone area (tornadoes, hurricanes, earthquakes, wildfires), we have seen recent occurrences where it has taken 2-3 times the normal time to repair property because materials and workers were overwhelmed with work or unavailable. Actual loss sustained coverage is best, for there is no limit to worry about.
• Endorsements: Sump pump, ordinance or law, business in the condominium or co-op. Companies make available literally hundreds of endorsements to provide additional coverage not found in the standard condominium or co-op policy. This is where you need a good agent who specializes in condominium or co-op insurance. Let the agent ask you a lot of questions. The agent needs answers to build the right policy for you. Condominium or co-op unit owner policies are not cookie-cutter forms. Every family’s needs differ and a good agent can help you design the correct plan for you.
• Theft limitations. This brief article is not the forum in which to discuss every limitation and exclusion under the condominium or co-op form. However, you need to know that certain “target” items have limited coverage for theft. The limit shown is the average limit in the market. Your company may provide less or more. Increase coverage by endorsement to the policy. (For more detailed information on insuring this valuable property see Jewelry, furs, guns, silver, goldware, fine arts, antiques, and other expensive stuff.
• Jewelry and gems ($1,000)
• Furs ($1,000)
• Gold, silverware, pewterware ($2,500)
• Guns ($2,000)
• Building supplies – no coverage for theft
• Other property limitations. The following property is subject to certain maximum limits of coverage. The limit shown is the average limit in the market. Your company may provide less or more. Increase coverage for most by endorsement to the policy.
• Electronics used in an auto ($1,000)
• Money ($200) including coin collections – face value only.
• Stamps ($1,000)
• Business personal property ($2,500 on, $250 off premises)
• Other than boat trailers ($1,000)
• Boat trailers ($1,000)
• Boats – anything bigger or more valuable than a canoe – purchase a separate boat or yacht policy.
• Credit card forgery ($500)
• Fire department service charge ($500)
• Fine arts, antiques, Persian rugs, Hummels and other collections should be appraised and listed separately in a personal articles floater or endorsement.
• Your personal property “stuff” can be covered for replacement cost. That five-year-old refrigerator that is only worth $100 but would cost $600 to replace could be covered for $600 for this endorsement. Ask for replacement cost contents coverage. When you add this endorsement, make sure your limit of insurance is adequate to cover all of your “stuff” for replacement cost. (See How much are your possessions worth?)
• Liability coverages are usually identical from form to form. Some companies will have special endorsements to improve coverage. Liability covers you for your negligence in injuring other people or property on your premises (those accidents for which the condo association is not responsible) or through actions related to many of your hobbies. The policy also provides defense coverage, including hiring and paying for a lawyer (if necessary) and paying most court costs. Covered claims include slips and falls, baseball beans the neighbors’ child, you hit the foursome in front with your errant hook shot. Homeowners insurance does not provide you with any car insurance for any car you drive. High limits of insurance are recommended, and you should ask your agent about an umbrella policy to increase your coverage to $1,000,000 or more.
• Why high limits of liability insurance? Anyone can sue for any limit. If your policy covers you for $100,000 liability insurance and you are sued for $200,000, your insurance company will advise you that you need to hire a lawyer. If the insurance company pays out the $100,000, its obligation is over, but the lawsuit may not be settled. Courts are backed up. The high cost of lawyers, whether good or bad, is not exaggerated. The injured party may not have to pay a dime in attorney’s fees until the lawsuit is won. You don’t have that option. Your defense lawyer will want to be paid from the day of hire, often for each hour worked – even if you eventually lose the case.
• Medical payments coverage is for minor injuries to people other than residents of the household. You don’t have to be sued or be negligent. Example: Aunt Bertha from 200 miles away comes to visit for a few days. The day she arrives she slips on your transom and breaks a hip. The insurance company will pay up to the medical payments limit ($1,000 to $10,000 normally) for the medical expenses incurred. After the medical payments limit is used up, you must be negligent and/or sued by the injured in order for that person to be reimbursed for the expense.
• Cutting costs? Deductibles save money. Combine your auto and condominium or co-op insurance with the same company. Many companies offer discounts on both auto and home when you insure them together (not available in all states). Some companies offer combination auto/condominium or co-op policies which usually provide superior coverage at a lower price than if you were to cobble all the coverages together using many policies (not available in all states).
Fine Arts and Valuables
Jewelry, Furs, Guns, Silver and Gold-ware, Fine Arts, Antiques and Other Expensive Stuff.
The following property is limited only for the cause of loss THEFT.
• $1,000 for loss by theft of jewelry, watches, furs, precious and semiprecious stones.
• $2,500 for loss by theft of silverware, silver-plated ware, gold-ware, gold-plated ware and pewter-ware. Included in this category are plated-ware, flatware, hollowware, tea sets, trays, trophies and the like, and other utilitarian items made of or including silver, gold or pewter.
• $2,000 for loss by theft of firearms.
Coverage can be increased for THEFT by one of three ways:
• With the Coverage C Increased Limits Endorsement you can increase theft coverage for any or all of the above items. This endorsement increases limits for theft only. It does not improve the coverage to risks of direct physical loss. With jewelry there is one more limitation – loss of a stone from its setting is not covered.
• With the Scheduled Personal Property Endorsement you remove items from coverage under the basic homeowners policy and place them in a new risks of direct physical loss contract. Each individual item is scheduled or listed and a value is attached to that item. That value is the most that will be paid in the event of a total loss. In the case of jewelry, guns and furs, insurance companies have vast buying power and can normally replace the article for far less than the retail value and will probably do so. However, if the limit of insurance is not enough, you can’t go back to the homeowners policy for more coverage. The limit of insurance is usually established by an appraisal. The description of the item in an appraisal is usually transferred to the policy as a very effective way to help the insurance company find a replacement for you after a loss. Appraising valuables every few years is an excellent idea. Jewelry, furs and guns are covered world-wide. An additional feature of the Scheduled Personal Property Form is that it gives up to $10,000 coverage for newly acquired property in the same class of property that you have coverage now. Thus, if you have jewelry scheduled, but not guns, there would be up to $10,000 coverage for newly acquired jewelry, but not guns.
• The third option is to cover the item(s) under a special Inland Marine property floater. This kind of coverage is available from insurance companies who specialize in high valued homes and expensive collections. Considerations such as residential alarm systems, vault storage and special overseas coverage may be necessary for expensive articles. Your agent will know when to recommend a specialty coverage.
Special Considerations for Fine Art
Fine arts are pictures, statuary, sculptures, collectibles, antiques and other items that do not fit into standard personal property definitions. The problem is value. Personal property is normally covered at actual cash value – replacement cost at the time of loss, less depreciation for use and wear. Replacement cost can be provided by the Personal Property Replacement Cost endorsement.
The following have limits for ALL causes of loss, not just theft:
• $200 on money, bank notes, bullion, gold other than gold-ware, silver other than silverware, platinum, coins and medals.
• $1,000 on securities, accounts, deeds, evidences of debt, letters of credit, notes other than bank notes, manuscripts, passports, tickets and stamps.
• $1,000 on watercraft, including their trailers, furnishings, equipment and outboard motors. (Purchase a boat insurance policy to provide the coverage)
• $1,000 on trailers not used with watercraft. (Purchase an auto insurance policy to provide the coverage)
• $2,500 Business Property on the residence premises. (Can be increased by endorsement) (Not covered in Dwelling Fire policy)
• $250 on business property off premises. (Can be increased by endorsement) (Not covered in Dwelling Fire policy)
• $1,000 for loss to electronic apparatus in a car. (This includes cellular phones. Can be increased by endorsement.) (Not covered in Dwelling Fire policy)
• $1,000 for loss to electronic apparatus while away from the residence premises, used solely for business purposes. (Can be increased by endorsement) (Not covered in Dwelling Fire policy)
How Much Are Your Possessions Worth?
General Personal Property
Inventory completed by
Date completed
• Sofa, couches, etc.
• Chairs
• Tables, end tables, etc.
• Desks, secretaries
• Chests, cabinets
• Cupboards, buffet, etc.
• Lamps
• Pictures, wall hangings
• Clocks
• Decorative appointments
• Books
• Draperies, curtains
• Rugs
• Music and Sound Production equipment
• Radios
• Table linens
• China, chinaware
• Crystal, glassware
• Kitchen appliances
• Small appliances
• Cookware
• Cutlery, utensils, etc.
• Beds, mattresses.
• Dressers, vanities
• Bedding, blankets, linens
• Bath towels, linens
• Suits (men’s, women’s)
• Coats (men’s, women’s)
• Dresses
• Jackets, sweaters
• Skirts, slacks
• Shirts, blouses
• Hats, gloves
• Purses, billfolds
• Costume jewelry
• Robes, lounging wear
• Shoes, boots, slippers
• Luggage
• Sports equipment
• Miscellaneous effects
• TOTAL
Valuables and Treasures
• Fine jewelry (list items separately at the bottom of the page)
• Valuable furs (list items separately at the bottom of the page)
• Art treasures
• Silver, silverware
• Camera equipment
• Guns
• Musical instruments
• Stamp collection
• Coin collection
• TOTAL
• GRAND TOTAL OF ALL ABOVE
List specific items and value below:
• Item
• Item
• Item
Homeowners Insurance
Can Someone Explain These Homeowners Coverages? – Part One
Coverage A – Dwelling
The homeowner policy’s first coverage section protects your house and any attached structures, such as garages, decks or fences. The typical policy covers your home when it is damaged by most common hazards (also referred to as perils or causes of loss) including fires or storms. However, the following causes of loss are usually excluded from coverage under the homeowners policy:
Earthquake
Flood
Faulty maintenance
Damage from insects or vermin
Wear and tear, gradual damage or deterioration
Coverage B – Other Structures
This coverage section protects structures that are not attached to the home, such as a detached garage, storage or utility shed, playground equipment and swimming pools.
Coverage C – Personal Property
This covers your possessions, whether they are at your home or away with you on vacation. Personal property is often covered on a named peril basis. This means that only the causes of loss listed in the policy section are covered. The coverage is also subject to limitations and exclusions. Types of property having significant value, such as jewelry, fine arts, collectibles, etc., may require special protection. Talk to your agent about scheduling (adding) coverage on a floater which broadens and extends coverage for higher value possessions.
Actual Cash Value vs. Replacement Cost
Coverage under sections A and B is usually granted on either an actual cash value or a replacement cost basis. Actual cash value is defined as replacement cost minus depreciation. Replacement cost is the actual cost to replace the structure, regardless of depreciation. Check your policy to see which type of coverage you have. Coverage under section C is usually provided on an actual cash basis. However, your agent may be able to add replacement cost to your possessions just like that found in Coverage A.
Remember that this is merely an introduction to complex policy coverages. Be sure to contact your agent for detailed insurance information. Please watch for Part Two of this topic which discusses other, typical homeowner policy coverages.
Can someone explain these homeowners coverages?
Here we continue our brief discussion of typical coverages found in a homeowner policy. Be sure to see Part One of this topic.
In Part One, we discussed the homeowner policy’s main sections for protecting the buildings and structures you may own (and which are used for residential purposes)... In Part Two, we discuss coverages D, which is also a property coverage; as well as coverages E and F which involve injuries to people.
Coverage D – Loss of Use
This provides reimbursement for the cost of additional living expenses while your home is being repaired due to a covered cause of loss. Additional expenses normally include food, housing, and transportation. However, the expenses must exceed what your family normally incurs.
Coverage E – Personal Liability
This section provides coverage if you are found legally liable for causing property damage or physical injury. Protection includes paying for your defense costs and any resulting judgment for covered incidents. Check with your agent for specific coverages since certain incidents are excluded from coverage.
Coverage F – Medical Payments
This coverage provides immediate rapid reimbursement for small injuries to guests in your home. This coverage does not apply to resident members of the family. For example, if your child and your neighbor’s child are both slightly injured while playing and need to go to the emergency room, this coverage will pay for your neighbor’s expenses but not for your own child. Keep in mind that most coverages are subject to a deductible and have conditions and exclusions.
This is a brief overview of homeowners insurance. All of the coverage provided by the homeowners policy is subject to various limitations such as exclusions, policy limits, basis of coverage and deductibles. Further, the policy has a number of other conditions and duties which affect coverage. It’s important that you discuss the details of coverage and any other insurance questions with your insurance agent. If you missed it, please read Part One of this topic which covers other typical homeowner coverages.
Exchange Students. Covering Their “Stuff.” What About Their Driving?
Exchange student “stuff”
An exchange student in your care who is under the age of 21 is automatically an insured under the homeowners policy as if the child were a relative child. Under your homeowners policy, the exchange student's "stuff" is covered while it is on your residence premises, or while away from the premises. Coverage away from the premises is normally limited to 10% of contents coverage, subject to a minimum limit of $1,000. Normally exchange students travel light, but review your coverage to make sure your limits are adequate if the student shows up with expensive racks of clothing and jewelry. Liability coverage that applies to your family also applies for damage and bodily injury done by an under 21 years of age exchange student.
If the exchange student is over the age of 21, then he or she is considered a guest. You can volunteer to include guest’s “stuff” while on your residence premises or while you and the guest are at some other residence premises. However, sometimes it is difficult to determine whether the older exchange student is a guest or a tenant – someone who is paying you a reasonable rent for staying in your home. These are questions for a qualified personal lines agent who can help you design the proper insurance package to cover your particular situation.
Exchange students driving
First, make sure that the exchange student is permitted to drive under the rules of the exchange student program. If the student may drive, make sure that he/she has a drivers license that is valid in your state. Contact your local motor vehicle department for advice.
Anyone, with your permission, who drives your insured vehicles is normally covered for liability insurance for damage that the permitted driver does to other property and people, subject to the limits of insurance under the Personal Automobile Policy Form that is available in most states. Coverage to damage done to your vehicle, above any deductible, is also available when you have the appropriate collision and comprehensive coverages. Please check with a qualified automobile insurance agent after reading this and before your exchange student arrives. Virtually every state has its own special state-mandated endorsement that will expand or limit the coverage we describe here. Companies may use different forms that give broader or even more limited coverage than the Personal Automobile Policy Form.
If you expressly forbid the exchange student to drive your vehicle and the student does anyway, you may not have coverage under the policy, but you may still be found liable under a court of law – perhaps for improper supervision of a minor. Permission to use the vehicle in some policy forms must come from you, not your own child, or even Uncle Fred.
Medical payments coverage will apply to the exchange student who is injured in an accident while occupying or driving your car with your permission.
Discourage any exchange student who is a minor from purchasing a car, truck, motorcycle, RV, boat, moped, scooter or any other vehicle. An exchange student is a foreign national, on a temporary visa, a minor, and only in your temporary care. If the vehicle is purchased anyway, discuss the event with legal counsel retained by the exchange student program, or if such counsel is not available, discuss with your own attorney. Do your best to impound the vehicle until you can straighten out the legalities.
Most exchange students are great kids, but like any other children, they have diverse personalities and can be influenced by the “wrong crowd.” Remember, while he or she is in your care – you are responsible for the exchange student’s actions and well being.
Health insurance
Check with your exchange student program. Most programs have blanket coverage for exchange students. If not, discuss with the parents of the exchange student, before the student arrives, what coverage the child will have while in the USA. If coverage is not available, you can often arrange for short-term individual policies from an individual health insurance carrier. You normally cannot add exchange students to your group health or individual health insurance policy.
Which Homeowners Policy is Right For Me?
This is the right place if...
You own a home (free standing, not rented, not a mobile home i.e.: the home is permanently attached to and part of the foundation).
Or
You own a town-home (not a condominium or co-op or time share). Perhaps this town home is attached to another residence, perhaps not. I own the land that this town home sits on, but I am part of a town-home community) act. Typically, a mobile or manufactured home owner policy will provide coverage that’s quite similar except for the following:
This is not the right place if...
See “I own or rent a trailer, manufactured housing, or double-wide...”
See Condominium or Co-op? Your Insurance Needs are Different
You will need to go elsewhere after reading this article if...
I Own a Time-Share in Addition to Having Another Residence...
NOW! You own a home...
Many companies have either their own Homeowners policy form or have endorsements to standard policy forms that help distinguish them from the competition. Some companies like new, high-valued homes, some companies do well with older or historic preservation homes. Others are comfortable with country homes or old farm homes and some don't like the city. It pays to shop around, both for the best coverage and for a company who likes homes in your area.
Find a company that wants to insure your home. If the company and agency already has a customer base in your area, consider them first. They understand how to insure homes like yours. This agency or company may not always have the cheapest policy, but they may have the best combination of coverage, price, service and claims expertise for your particular needs.
Two Types of Coverage: Named Causes of Loss or Risks of Physical Loss
• Named causes of loss coverage is just that. The policy only covers for certain kinds of causes of loss to your property. You must prove to the company that one of the covered causes damaged your property.
• Risks of physical loss covers all causes of loss except those that are excluded. The company must prove that one of the excluded causes of loss damaged your building.
Risks of physical loss covers all causes of loss except those that are excluded. The company must prove that one of the excluded causes of loss damaged your building.
• The washing machine in the spin cycle danced across the room and broke the water heater, cascading water throughout the home.
• A guest injured herself and bled all over the couch and carpet.
• While the insured cleaned the imported crystal chandelier, the chandelier fell, shattering into pieces.
• While working on the attic floor joists, the insured slipped and put his foot through the ceiling.
• A two year old boy went on a rampage with a hammer, smashing the bathroom toilet, sink, walls etc...
• The insured dropped a storm window. It cascaded through the home, down the stairs, damaging walls along the way.
• The insured was cleaning the bowling ball in the bathroom sink – the bowling ball slipped and shattered the sink.
• The insured’s lawnmower kicked a rock through the exterior air conditioner.
• The insured slipped and threw a full paint can into the room; the spray hit virtually everything in the room.
• Freezing and thawing of ice on the roof caused a break in the wall and water damage to the interior of the home.
The policy name for risks of physical loss coverage for buildings is often referred to as Homeowners form 3. To add risks of physical loss to personal property under form 3, you must have the Homeowners 15 endorsement. Some companies sell a Homeowners form 5 which does the same thing as the combined Homeowners 3 plus the Homeowners 15 endorsement. Other companies have their own risks of physical loss forms they call Special, Gold, Executive etc. Not everyone will qualify for risks of physical loss, but most companies sell the coverage.
NOTE: Your state may have restrictions or natural disaster cause of loss problems. Coastal states face wind problems. California, and certain Midwestern areas have severe earthquake problems. Some Western states have brush fire problems. Other areas face hail damage. Each state and company has its own rates and philosophy on how it will insure these common causes of loss. Check around.
Policies that are considered named causes of loss forms are the Homeowners 1 (not sold much any more), the Homeowners 2 and the special use Homeowners 8 forms
Homeowners 8
• Insures for the same causes of loss as the Homeowners 2 form.
• Designed for older homes. Older homes generally were built with more expensive and/or exotic materials. You could not build most turn of the century homes today for any price.
• Contains no coinsurance penalty. You and the company agree on a maximum coverage limit if the building burns to the ground.
NOTE: in most states the company only has to pay for the actual cost to repair or replace, so if the building costs less to rebuild than the limit of insurance, only the cost to rebuild is paid...
• Not all companies will write the Homeowners 8. Some states do not permit the sale of this policy.
Basic Homeowners coverages common to all homeowners form that insure both the home and personal property...
Why Should I Consider Risks of Direct Physical Loss Coverage?
Risks of direct physical loss only lists excluded causes of loss. Anything that happens to your property that is not otherwise excluded is covered. With risks of physical loss coverage, the insurance company must prove that an exclusion was the cause of loss before they can deny the claim. With a policy that names each individual covered cause of loss (named peril), you must prove to the insurance company that a covered cause of loss damaged your property.
Consider the Homeowners 3 policy with the Special Personal Property Coverage Endorsement if you own a home. If you rent or own a condo there is a Special Personal Property Coverage Endorsement available for your contents.
Here are a few examples of claims where risks of physical loss coverage made the difference and a claim was paid.
(1) A battery was left on a hardwood floor. The battery acid leaked out in such a manner that it was necessary to replace a large section of the floor.
(2) An insured tipped over a bucket containing ammonia for soaking a baby’s diapers. The solution ruined the wall-to-wall carpet in the room.
(3) A deer jumped through a picture window. It went wild in the house, denting walls and furnishings and bleeding as it ran. It eventually jumped through another window.
4) A washing machine was running with a load of clothes when the clothes became unbalanced in the tub. As the machine entered the spin cycle, it shook and “walked” from its position into a brand new hot water heater poking a hole in the casing of the tank and breaking the glass liner.
(5) An insured was walking on the floor joists of his unfinished attic. The insured slipped off of the joists and fell through the living room ceiling, causing extensive damages.
(6) A two-year-old boy found a hammer and went on a spree through his parent’s house that resulted in substantial damage to several plastered walls, a toilet bowl, wash basin, dressing table and other items.
(7) A bucket of paint was spilled on an insured’s hardwood floors, getting into floor cracks and pores. It was necessary to replace much of the wood.
(8) Finally, an insured converted his oil burning furnace to gas without removing the oil input pipe at the outside of the house. On its regularly scheduled day, an oil company tank truck arrived and pumped 500 gallons of oil into the insured’s basement.
Insurance Fraud
Insurance Fraud-Protect Yourself
Insurance fraud is lying to an insurance company in order to make money. Some common fraud schemes include:
• “padding” claims
• inflating claims
• changing the facts when applying for insurance
• turning in claims for accidents that never happened
• “staging” accidents
As a consumer, fraud should concern you since the cost is passed directly on to you in the form of higher insurance rates. You can play an important role in reducing auto insurance fraud.
• Drive carefully and defensively.
• Don’t tailgate. Make sure there is space between you and the cars in front of and behind you. When traffic slows in front of you, begin braking before the car in front of you does.
• Be careful when turning into a lane that allows two or more autos to turn left at the same time. Victims of insurance fraud are often people who float across the line when turning and then are intentionally sideswiped by a person who is “staging” an accident.
• If you are in an accident, keep an accurate record of what happens at the scene. Write down license numbers, names of those involved, insurance company information. Count the number of passengers in the other cars and get their names, addresses and any other pertinent information.
• Call the police and get a police report even if the damage is minimal. Don't let another driver talk you out of calling the police by his/her saying that they will “take care of it.”
• Carry a disposable camera in your glove compartment and take pictures not only of the damage to the vehicles, but also of the other passengers in the car. Many times people who were not even present at the accident will attempt to file a claim.
• Think of insurance fraud as money out of your pocket-because it is. According to the US Chamber of Commerce, fraud adds 25% to property and casualty insurance rates.
• If you are involved in an accident and you are suspicious that fraud may be involved, call the National Insurance Crime Bureau at 1-800-835-6423.
Life and Disability
Cash Value Life Insurance & Disability Insurance – The Basics
The principal objective of cash value life insurance is the same as with term insurance: to create an immediate estate should the insured die. The cash value in the policy can also be used to provide a liquid source of income for whatever needs come up, such as a down payment on a home, college funding, or retirement.
• Whole Life Insurance
• Interest Sensitive Life Insurance
• Universal Life Insurance
• Variable Life Insurance
Whole Life Insurance
Whole life insurance offers a number of guarantees. The following are guaranteed with whole life insurance:
• death benefits
• cash values
• level premiums
Sometimes dividends are also guaranteed.
Whole life insurance can be a good tool for long term life insurance needs.
Characteristics of Whole Life Insurance
• Tax-deferred growth of cash value
• Cash values are guaranteed
• Premiums are guaranteed
• Can withdraw or borrow cash value
• Dividends are tax free
Interest Sensitive Whole Life
(Current Assumption Life)
This type of policy is similar to whole life, but it also allows the policy owner to have current interest rates credited to the build-up of cash value inside the policy. It guarantees level premiums and a minimum death benefit. Usually this plan has a fixed premium that is higher in the beginning but may, in a relatively short period of time, “disappear.” How quickly the premium “disappears” depends on interest rates and insurance costs.
With an interest sensitive whole life policy, the death benefit must exceed the cash value. As the cash value in the policy increases, the death benefit will also be adjusted if necessary to maintain the insurance policy status.
Characteristics of Interest Sensitive Whole Life
• Level Death Benefit
• Maximum premiums are guaranteed
• Premium payments are fixed
• Interest rates are competitive
• The policyowner can access cash value through loans or surrender
Universal Life
With a Universal Life policy, both premium payments and death benefits can be flexible, within limits.
Universal life starts with term life insurance and then is combined with a tax-sheltered annuity which earns variable rates. When premiums are paid, part of the premium goes to pay for the term insurance and part of the premium is put into a side fund upon which interest is paid.
If the premium paid is not enough to cover the cost of the term life insurance, the additional amount needed is taken from the side fund.
The policyowner has a number of options with regard to premium payments. Within limits, premiums can be adjusted up or down. Premium payments can also be skipped entirely if there is enough cash value in the policy to make the payments.
Characteristics of Universal Life
Characteristics of Universal Life
• Tax-deferred growth of cash value
• Interest rates are competitive
• Access to cash value through loan or withdrawal
• Premiums and death benefit are flexible
• Can pass cash and accumulated earnings to heirs on a tax-free basis
Back to Cash Value Life Insurance-The Basics
Variable Life Insurance
Variable life insurance is a flexible life insurance product.
Variable life insurance has a term insurance foundation and an investment fund. The policyowner gets to choose which type of investment vehicle in which the cash value will be placed. The following are types of investment vehicles from which the policyowner can choose:
• Money Market Account
• Corporate Bond Portfolio
• Common Stock Portfolio
• Government Securities
• Fixed Account
Insurance agents must be licensed by the NASD or the SEC to sell variable products.
Life Insurance
Term Life Insurance – The Basics
Three Types of Term Insurance
Annual Renewable Term
Death benefit remains level. Premium increases annually since there is an increased likelihood of death.
Level Term
Both the death benefit and the premiums remain level for a predefined period of time; usually, five, ten fifteen, or twenty years.
Decreasing Term
Tax-deThe death benefit decreases each year even though the premiums remain level. This type of term is often used to cover a mortgage or other loan with a decreasing balance.ferred growth of cash value.
Characteristics of term insurance
• Low cost in the beginning
• Premiums increase over time
• Can help to meet specific short-term needs.
• Has no cash value
• Lasts a specific period of time...no more; no less.
Charitable Giving Through Life Insurance
What are some of the advantages?
With a life insurance policy, the proceeds are guaranteed.
You pay the premium in monthly installments which can may be tax deductible as a charitable contribution.
A small outlay creates a meaningful amount.
Your other assets are not affected.
Life insurance proceeds are not subject to federal taxes or included in probate.
If this sounds like an interesting idea and an idea which you would like to pursue, contact your professional insurance agent or financial planner to discuss. You may also need to seek the advice of an attorney.
Long Term Care Policies – The Basics
• health care
• rehabilitative services
• personal care
• social services
for people who, due to illness or disability, need special assistance with daily activities. One of the most common times that people use a convalescent nursing facility is when they need continued medical care and rehabilitation therapy during recuperation from an illness or injury after being discharged from the hospital.
How Much Does Long Term Health Care Cost?
The cost for a convalescent center stay ranges from $30,000 to $40,000 per year. Some experts predict that this number will reach $83,000 by the year 2010.
What About Medicare and Medicaid?
Medicare policies contain only a limited amount for Skilled Nursing Care and nothing for care that is considered Intermediate or Custodial.
Medicaid is a federal and state program that covers medical bills for the needy. If you qualify, it will pay for your long-term care expenses. In order to qualify for Medicaid, you will have to have essentially no assets.
Long-Term Care Insurance
What does long-term care insurance do for you? It can:
• enable you to keep your assets
• protect your spouse’s quality of life and independence
• protect your family home and estate
• protect your business and other personal property
• allow you to maintain your independence
• provide cash so that you may choose the long-term care options that you feel are most suitable for you
From Which Kinds of Policies Can I Choose?
Generally speaking, there are three different types of policies. There are those that cover:
• nursing home stays
• home health care
• nursing home stays and home health care
It is important to work with an experienced insurance professional when purchasing this type of insurance.
Renters Insurance
Renter’s Corner. What Types of Insurance are Appropriate for Us?
Most companies will use the tenant homeowners form known as the HO4 policy. This policy covers your stuff for the most common causes of loss, pays your additional living expenses if you are forced to live in a motel and eat restaurant food after covered loss, and pays the medical expenses to people injured on your premises because of your negligence.
The Mechanics
Your stuff You choose the amount of contents coverage you need.
How much is that? – Just add up the cost of acquiring the major furniture in your apartment, or if you are a student first venturing into the world, the stuff you own. It’s probably worth more than you think.
Coverage under the standard homeowners tenants form is for actual cash value – replacement cost less depreciation. For example: your five year old refrigerator may be worth only a few dollars, but will cost hundreds to replace. Most companies will cover your stuff on a replacement cost basis if you purchase a separate endorsement that usually runs 15 – 35% of the base tenants policy premium. Make sure your limit of insurance is adequate to cover your “stuff” at replacement cost.
Note! If you do purchase the replacement cost endorsement, make sure you have purchased a high enough limit of insurance to cover you in the event of a loss. See How much are your possessions worth? for a short worksheet to help you determine the value of your stuff.
If you pay to add walls, or make other improvements to the property that you can’t take with you, you have coverage, but your limit of insurance is limited to 10% of your contents coverage.
Additional living expenses are usually covered for an additional 20% of your contents. If your contents coverage is $15,000, then additional living expenses will be $3,000. How much will it cost to live in temporary housing until either your apartment is repaired or you find substitute housing? (Does your lease require you to pay rent even if the property is made uninhabitable after a fire? For how long after that fire must you pay?)
Endorsements: There are literally hundreds of endorsements companies make available to provide additional coverage not found in the standard tenants policy. This is when you need a good agent who specializes in personal lines insurance. Let the agent ask you a lot of questions. The agent needs answers to build the right policy for you. Tenants policies are not cookie-cutter forms. Every family’s needs differ and a good agent can help you design the correct plan for you.
Theft limitations: This brief article is not the forum to discuss every limitation and exclusion under the Homeowners form. However, you need to know that certain “target” items have limited coverage for theft. The limit shown is the average theft limit in the market. Your company may provide less or more. Increase coverage by endorsement to the policy or through a personal article floater policy. Click here for information on insuring jewelery, furs, and other expensive stuff...
• Jewelry and gems ($1,000)
• Furs ($1,000)
• Gold, silverware, pewterware ($2,500)
• Guns ($2,000)
• Building supplies – no coverage for theft
Other Property limitations. The following property is subject to certain maximum limits of coverage. The limit shown is the average limit of insurance available in the market. Your company may provide less or more. Increase coverage for most by endorsement to the policy.
• Electronics used in an auto ($1,000)
• Money ($200) Including coin collections – face value only.
• Stamps ($1,000)
• Business personal property ($2,500 on; $250 off premises)
• Other than boat trailers ($1,000)
• Boat trailers ($1,000)
• Boats – anything bigger or more valuable than a canoe – purchase a separate boat or yacht policy.
• Credit card forgery ($500)
• Fire department service charge ($500)
Fine arts, antiques, Persian rugs, Hummels and other collections should be appraised and listed separately in a personal articles floater or endorsement.
Liability coverages are usually identical from form to form, however some companies will have special endorsements to improve coverage. We recommend that you always ask your agent to quote you an umbrella liability policy (improves coverage and increases liability insurance limits to $1,000,000 or more).
• Liability covers you for your negligence in injuring other people or property on your premises or through the actions of many of your hobbies.
• The policy also provides defense coverage, including hiring and paying for a lawyer (if necessary) and paying most court costs.
• Covered claims include: slips and falls; baseball beans the neighbors child; you hit the foursome in front with your errant hook shot; your child leaves a skateboard on the stairwell and an elderly neighbor slips and falls, breaking a hip in the process.
• Homeowners insurance does not, however, provide you any car insurance for any car you drive. High limits of insurance are recommended, and again, you should ask your agent about an umbrella policy to increase your coverage to $1,000,000 or more.
• Why high limits of liability insurance? Anyone can sue for anything and for any amount.
• If your policy covers you for $100,000 liability insurance and you are sued for $200,000, your insurance company will advise you that you need to hire a lawyer at your own expense.
• If the insurance company pays out the $100,000, its obligation is done, but the lawsuit may not be over. Courts are backed up. The high cost, whether good or bad, of lawsuits, court fees and lawyers is not exaggerated.
• The injured party may not have to pay a dime in attorney’s fees until the lawsuit is won. You don’t have that option. Your defense lawyer will want to be paid from the day of hire, often for each hour worked – even if you eventually lose the case.
• Medical payments coverage is for minor injuries to people other than residents of the household. You don’t have to be sued or be negligent.
• Example: Aunt Bertha from 200 miles away comes to visit for a few days. The day she arrives she slips on the stairs and breaks a hip.
• The insurance company will pay up to the medical payments limit ($1,000 – $10,000 normally) for the medical expenses incurred. After the medical payments limit is used up, you must be negligent and/or sued by the injured person.
Roommates, “Living Together” and Alternative Lifestyles
Roommates
• If you share an apartment or rent a home and each of you retains separate ownership of your “stuff,” what most insurance companies and agents recommend is that each of you carry your own tenant’s policy.
1. First, name one individual as the "named insured" on the policy. This will cover the named insured for his/her interest in the dwelling and his/her “stuff” plus premises liability and medical payments to others..
2. Then add the other owners as additional insureds – residence premises. The other owners then will have coverage for their interest in the dwelling, premises liability and medical payments to others.
3. Each additional insured should obtain a tenant’s policy to cover his/her stuff.
• If you own the home jointly, but maintain separate ownership of your “stuff,” you will need to consider the following:
• If each roommate has his or her own vehicle, each vehicle should be insured by the individual owner.
• However, if two unrelated people share ownership in a vehicle, you will need to add the Joint Coverage Endorsement. The Joint Coverage Endorsement gives both of you the same coverage as if you were related. (This endorsement is not available in all states.) The same applies if one of you owns the one vehicle in the household and the other individual owns no vehicle or has no separate car insurance – you will need to add the Joint Coverage Endorsement to give that non-owner resident full automobile coverage.
Living Together
You have the same problem as roommates, but you probably have “stuff” you bought together. Or maybe you are engaged and have purchased a home before your actual wedding date. You will need to structure your auto and home insurance in the same manner as do roommates. However, joint ownership of “stuff” does pose a problem. Here we don’t have the perfect solution. The best suggestion is to maintain separate records of who actually purchased what and claim each under your separate policies until the time when you are married. When you get married, the tenant’s policy can be canceled. If you own a home together, you can eliminate your spouse’s additional insured endorsement. Naming both of you as named insured on the homeowners policy is a good idea. Your vehicles may still be titled in separate names. You can eliminate any joint ownership endorsements you may have added, for spouses are afforded the same protection. It is also wise after marriage to put both cars on the same policy – when permitted by the state and company, because most states and companies give multi-car discounts for two or more cars insured under the same policy.
Alternative lifestyles
Same sex partners have the same problems as roommates. Affirmations and other “marriages” as can be found in many states do not always carry the full force of law and legal recognition as does the traditional marriage. If you and your partner are considered legal spouses in the state where you reside, then you may be able to avoid having to purchase the multiple policies as required for roommates and “living together.” Ask an agent how you should structure your policies.
Life insurance
The owner of a life insurance policy can name as beneficiary anyone whom he/she can persuade the insurance company to add to the policy. However, if you name an irrevocable beneficiary, you cannot change the beneficiary without the beneficiary’s written consent. Generally companies will not accept the designation of a beneficiary unless the beneficiary is a relative or has some financial relationship to the insured on the policy. Sharing property ownership is a legitimate reason. Insurance companies can also be persuaded – with logical argument – to add individuals as beneficiaries who are “Living together”, engaged or affirmed. Arguments include intent to marry, co-mingling of resources and the need for joint income to maintain current lifestyle, or the length of the cohabitation.
Health insurance
Unless you are related, in most states you will need to maintain individual health insurance policies. Many group health plans are more liberal, but check with your plan administrator and don’t assume your significant other is covered unless you see something in writing that says so. If either or both of you have children who need to be covered, you may need two separate family plans.
Independent insurance brokers providing personalized financial planning and insurance services including homeowners insurance, business insurance, professional liability and group medical benefits. Murray, Schoen & Homer Inc is a New York State licensed insurance agency located in New Rochelle, NY and serves the surrounding Westchester County communities including Larchmont, Mamaroneck, Mt. Vernon, Harrison, Eastchester and Pelham, New York.
As a licensed entity in the State of New York we want to notify you that this is not an offer to sell insurance or an
advertisement of insurance anywhere except the State of New York, United States of America.

