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Monday, April 18, 2011

How to Read an Insurance Policy

How to Read an Insurance Policy

Insurance policies are made up of several parts:

Declarations identify:

  • Who is insured
  • What risks are covered (listing of coverages included)
  • Policy limits (limits of liability, deductibles purchased)
  • The amount of premium
  • Effective dates of coverage
  • Others having an interest in the policy
  • A list of form numbers and endorsements, which add to or alter that policy
  • The name of the insurance company.

The Insuring Agreements section states:

  • What losses are covered
  • The subject matter of the insurance and description of the property covered
  • The perils insured against - Circumstances under which the insured may receive the proceeds of the insurance
  • Exclusions that eliminate specific hazards (i.e., what it does not insure). In order for a claim to be valid it must be covered under the insuring agreement and must not be stated as an exclusion.

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Policy Conditions are requirements the insured must fulfill to maintain coverage:

  • If the insured breaches a condition, the policy may be void or voidable or the insurer may refuse a claim arising out of the breach.
  • If the insurer breaches a condition, the insured may be compensated for losses that occurred as a result of the breach. The degree of compensation depends on individual circumstances and the policy wording.

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