Nicla Insurance Agency

...your complete insurance resource since 1914!

 
   

Thomas Nicla, Owner

   

 

   

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A quick call can save you money and ensure you have the right
insurance coverage for you and your family.

 

   

 

   

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Nicla Insurance Agency
506 North 8th Street
Sheboygan, WI  53081
920-452-8461
888-336-6555
Fax: 920-452-0634

thomas.nicla@gmail.com

   

 

 
   

Frequently Asked Questions

Select one of these topics:

  1. Auto Insurance Common Questions
  2. Renters Insurance FAQs
  3. Condo or Coop Insurance FAQs
  4. Homeowner Coverage FAQs
  5. Roommate Coverage FAQs
  6. What is Named Peril?
  7. Vacant or unoccupied home FAQs
  8. Do I need Flood Insurance?
  9. I run an in-home business. What do I need to know?

Auto Insurance FAQs

Can Someone Explain These Automobile Coverages?

A driver who's unlucky or careless can maim or kill other persons and severely damage or destroy property. This deadly potential is a primary reason for having auto insurance. In fact, most states have versions of financial responsibility laws which require proof that you are financially able to pay for any damage that you may cause while driving. Insurance policies are the most common method of complying with these laws. More specifically, drivers are typically required to carry liability insurance at some minimal limit which varies by state.

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.

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.

Car Insurance...Getting The Most For Your Money

Does this sound familiar?

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.


* 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.

 


Can I Make My New Young Driver Affordable?

The cost of your car insurance may double by adding a young driver to your policy. This article focuses on ways to control a young driver's impact on your insurance premium.

Reducing your insurance premiums

-Have your child complete a driver training class, balancing its cost against premium savings and gaining a more competent young driver.
-Ask your insurer if it gives discounts to students with good grades.
-Find a company that bases its premium on the car your new driver usually drives instead of assigning him or her to the most expensive vehicle.
-Does your child have to drive to school? If so, expect your company to charge a higher premium for the increased amount of driving.
-Build a long-term relationship with your insurer. Some companies reward longevity by forgiving a driver's first accident or minor traffic violation.
-Make sure your new driver understands that poor driving habits can result in higher premiums or a canceled policy.
-Increase your physical damage deductibles or, for older vehicles, eliminate this coverage.
-If your child owns a vehicle, he or she should have a separate policy. However, if you share the cost of the car and its insurance, it may make sense to also own or co-own the vehicle. Your ownership interest lets you take advantage of a multiple-car discount.
-Think carefully about giving a young driver his or her own car. Coverage for young drivers who have full-time access to a vehicle is very expensive. Make sure you balance convenience against cost.

Important: don’t pursue lower premiums blindly. It's important that your young driver is protected from the financial consequences of causing a serious accident. Further, you may need to protect yourself since you could also be sued for an accident caused by your son or daughter. You might consider getting higher limits of liability by purchasing an umbrella policy. Talk to an insurance professional about more strategies to keep your new driver affordable.

 
Is Your Car Worth Less Than Your Loan?

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The Problem

Car loans and leases used to be no longer than 36 months. Today, with vehicles now as expensive as small homes, the length of loans and leases are typically 48 months, 60 months, or even longer. No matter the type of vehicle, coupe, sedan, van, sports utility vehicle, etc., they share a tendency to depreciate very quickly in their first few years of operation. Compare this with the fact that loan and lease payments are spread over a longer period of time. In short order, the amount of the unpaid loan and lease agreement balance becomes much larger than the vehicle's value. This disparity of values, or gap, exists over much of the loan or lease period. Making matters worse is that this gap is usually only discovered after a total loss. The insurer pays the actual cash value of the vehicle and, 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 (and don't forget you have to pay your deductible too). 

A Solution?

Nobody is to blame for this problem-not the bank, leasing company, insurer or the car manufacturer; but there are a couple of solutions to the dilemma:
The Auto Loan/Lease Coverage Endorsement
This optional coverage is available in most states, from a variety of insurance companies.

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 the auto's total loss.

Coverage 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. 
Coverage Partial Losses

On partial losses, the company will normally pay to have the damages repaired or parts replaced, and the lease or loan gap coverage option is not a factor in the loss settlement.

There are exclusions:

-Generally this optional coverage excludes items such as:
-Overdue lease payments.
-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.

Auto Replacement Cost Coverage

This coverage is still fairly new to the insurance marketplace and its availability varies by state. For an additional premium, an owner of a new car may buy coverage to settle major losses according to the vehicle's replacement cost rather than its depreciated, actual cash value. There are some coverage limitations such as: 

-The coverage is usually only available for cars up to six months old
-There may be a maximum dollar amount that applies to a total loss
-The coverage may only be available for the first few years of the car's useful life.
-Considering these limitations, this option is more suited to narrowing, rather than closing the lease/loan gap.

Again, companies usually restrict these options for persons who purchase the coverage soon after they acquire or lease a new vehicle. Companies may not offer this endorsement on used vehicles. The cost for these optional coverages is usually a percentage of an auto's premium that's charged for physical damage to your auto. If you have a newer vehicle and are concerned that you could suffer a large out-of-pocket expense if your car is totaled, you should talk to a qualified insurance professional to answer your questions and, if you choose, to seek the coverage for you.
 


What Do you Mean, Exclusions?

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Some Things Still Aren't Covered

Having an auto insurance policy is a good thing. It shows that you're a responsible driver and it likely fulfills your state's requirements concerning the legality of your sharing the road with other drivers.

However, even if you have auto insurance, there are a number of instances where your automobile policy won't provide coverage. Such instances are called EXCLUSIONS. Why should exclusions exist in an insurance contract? Actually there are quite a few different reasons. Some fundamental reasons are that exclusions:

Help maintain the expense of providing insurance
Prevent coverage under one policy when it should be covered elsewhere
Prohibit coverage for losses that are against public policy.
Let's look at these reasons a bit more closely and provide some examples.


* Help maintain the expense of providing insurance
* Prevent coverage under one policy when it should be covered elsewhere
* Prohibit coverage for losses that are against public policy.

Let's look at these reasons a bit more closely and provide some examples.

Help Maintain The Expense Of Providing Insurance

If an individual's auto policy could be counted on to respond to every imaginable loss, it would also have an unimaginable premium. Auto insurance premiums are affordable only if insurance companies can exert some control over the losses their policies can be expected to cover. Therefore, automobile policies generally contain exclusions similar to the following example.

This automobile policy does not provide coverage for accidents which involve:

* Injuries caused directly or indirectly by a nuclear weapon, reaction radiation or contamination; or by war, civil war, insurrection, rebellion or revolution

* Injuries involving any vehicle inside a facility designed for racing while preparing for ,or competing in, a race.

The first instance involves losses that are beyond any insurance company's ability to control and such losses would likely be far beyond the ability of most insurance company's to pay.

The second instance involves losses that are strictly under an individual's control. Insurance companies certainly want to avoid situations where their customers choose to put themselves and their cars in an excessively dangerous position.

Prevent Coverage Under One Policy When It Should Be Covered Elsewhere

Most automobile policies won't provide coverage for a loss or injury which:

* Happens while being in a vehicle that has fewer than four wheels
* Occurs while the vehicle is being used to transport persons or property for profit
*Happens while the vehicle is in place and being used as a premise or residence
*Occurs while on the job, and workers compensation coverage is either available or required for the bodily injury
*Happens while an insured is occupying, or is hit by, a vehicle that is owned or is regularly available to an insured, but the vehicle is not listed on the automobile policy.
* Occurs while in a vehicle that's being used in an insured's "business." Coverage still applies if the insured is in a private-passenger auto, an owned pickup or van, or a trailer being used with such vehicles.

These limitations are fair. Their purpose is to make sure that coverage which you purchase for your own car, van or truck listed on your policy does not also provide coverage in situations which are better covered by:

* Another person's policy
* Worker's compensation or a business policy
* Specialty coverage (such as racing events coverage)

other types of policies such as mobile home, recreational vehicle, motorcycle or business coverage.

Prohibit Coverage For Losses That Are Against Public Policy

Some examples of this reason are when coverage is denied for losses:

* Occurring when the injured person is occupying a vehicle knowing that she or he does not have the vehicle owner's permission

* That were fraudulently staged by the vehicle's owner in order to collect insurance for "phantom" injuries

Insurance would quickly be impossible to buy if policies were expected to pay for injuries to car thieves or people who fake accidents and injuries.

So remember, without reasonable exclusions, you or I would not be able to enjoy the protection and security that is offered by automobile insurance. If you have questions about exactly what is excluded by your policy, talk to your insurance agent.

 

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Renters Insurance FAQs

Renters Insurance Needs

Most companies protect renters by using a Homeowner Policy that is designed especially for tenants. Typical policies cover your possessions for common causes of loss, additional living expenses related to making other living arrangements, medical expenses for treating people injured on your premises and, of course, lawsuits.

Property Coverage

Protection under the standard tenants policy is on an actual cash value basis (item’s replacement cost less depreciation). Example: Stewart’s kitchen catches fire and his five year old refrigerator is destroyed. A new model of the refrigerator costs $750. His insurance company pays him $95, the difference being five years of deteriorating value. Most companies offer coverage on a replacement cost basis if you purchase a separate endorsement.

Additional Living Expenses

A typical tenant policy provides a limit equal to 20% of your contents insurance limit. If your contents limit is $15,000, then your additional living expenses limit will be $3,000.

Theft Limitations

Certain types of property are quite vulnerable to being stolen, therefore very limited coverage is available for items such as jewelry, furs, gems, gold, silverware, pewter ware, money, securities, guns and accessories. Protection can be increased by adding additional coverage to the tenant policy or by purchasing a personal article floater policy.

Liability Coverages

Liability insurance covers you for damage you cause to others or their property. The policy also provides for the cost of a lawyer (if necessary) and most court costs. Examples of liability claims include: slips and falls; beaning a neighbor’s child with a baseball; hitting a golfer with your errant hook shot; or a friend breaking her hip when she trips on a skateboard your child left on the stairs.
 

 

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Condo or Coop Insurance FAQs

Insuring a Condo or Co-op?

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Making sure that your condo or co-op is properly covered begins with a thorough reading of your condo or co-op documents (i.e., by-laws, provisions, regulations, etc.) It may help to have your agent review the papers, paying close attention to items such as:

What property is your responsibility to insure - the internal walls, appliances, your detached garage? What is the potential for loss assessments? Does the association or corporation insure common property at its replacement value? What is the association's deductible? Are you obligated to add any extra coverages or limits?

Next, be aware that your coverage typically comes in two forms. "Named causes of loss coverage" only covers the causes of loss specified. You must prove to the company that a covered cause damaged your property. "Risks of physical loss" covers all causes of loss except those that are excluded. The company must prove an ineligible cause of loss damaged your property. Risks of physical loss coverage usually applies to real property and named causes of loss coverage protects personal property. The former type costs more due to such policies typically covering a wider range of losses.

Regardless of the coverage type, condo/co-op policies generally cover the following
:

Real property: coverage for the structural part of the condominium or co-op you individually own such as interior walls, appliances, fixtures, plumbing, ductwork, wiring, carpeting, flooring, possibly private garages, and permanent improvements you make to the property.

Personal property: possessions that are portable such as clothing, furniture, toys, books, objects of art, home electronics, computers, etc.

Loss assessment: required contributions that members make for the repair or replacement of property that’s owned in common.

Additional living expense: 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.

Liability coverages: 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.

Medical payments: coverage is for minor injuries to people other than residents of the household and the payment does not require a lawsuit.

Keep in touch with an insurance professional during such trying times. They’re already committed to providing genuine help.

 

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Homeowner Coverage FAQs

Can Someone Explain These Homeowners Coverages?

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If you take the time to read your Homeowners Insurance Policy, you should find at least six different sections of coverage. The names of the coverages may vary by insurance company, but they typically are referred to as Dwelling, Other Structures, Personal Property, Loss of Use, Personal Liability and Medical Payments coverages. These coverages are usually presented as sections of the policy and are often labeled Coverages A through F. In Part One, we discuss coverages A, B and C, which protect property.

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.

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.

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.



 

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Do Roommates need special Insurance?

Do Roommates Need Special Considerations?

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Insurance, Conservative By Nature

If you ever dreamed of being a time-traveler, one way to simulate the experience of going back in history is to read an insurance policy. Policies are written so conservatively that they still reflect situations that existed prominently decades ago. One example is the way that policies define the persons it insures. Most policies are designed to cover:

Single individuals
Traditional married couples
Traditional family - husband, wife, children
Policies also make allowances under all three of the above situations to cover relatives who live in the same household. However, when two or more unrelated individuals live in the same home, apartment, or condo and/or share the use of the same vehicle(s), the coverage situation becomes confused. Depending upon the policy wording or according to a company's underwriting rules, coverage for an unrelated person may either be limited or may not exist.


It Doesn't Have To Get Personal, Does It?

Not at all. Situations involving persons living together who aren't related by law or by blood may have a romantic origin, be based on a platonic relationship or may be due to economic reasons. Why one or more unrelated persons are together is their business; the important consideration is, how are their insurance needs met?

Homeowners Insurance

If you share an apartment or rent a home and each of you retains separate ownership of your property, each of you should carry your own tenant's policy.

If you own the home jointly, but maintain separate ownership of your personal property, you might consider the following strategy:

1. Name one individual as the "named insured" on the policy. The named insured is covered for his interest in the dwelling and personal property (such as clothes, appliances, furniture, etc.). Further, the named insured is also protected against losses involving his legal liability to others including payments for medical services.
2. Add the other owners as additional insured - residence premises. The other owners then will have coverage for their interest in the dwelling, premises liability and medical payments to others.
3. Finally, each additional insured should buy their own tenant's policy to cover their personal property.


Auto Insurance
If each roommate has his or her own vehicle, the insurance question couldn't be simpler. Each vehicle should be insured by the individual owner. However, if two unrelated people share ownership of a vehicle; special action is necessary. In this situation the auto policy that covers the car should have a joint coverage endorsement added to it. A joint coverage endorsement (which may have various names) should result in giving the co-owners the same coverage as if they were related. (This endorsement is not available in all states.) The same strategy may be used when only one person owns the household's vehicle. The other person (who does not have their own car) may be added via a joint coverage endorsement. However, other options may exist such as (depending upon the insurer): the non-owner resident may be added to the owner's policy as a part-time driver or the other person might purchase a "non-owned" auto policy to get automobile coverage.

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. 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 financial resources, 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.

How can you be sure about whether your interests are properly covered? Easy…speak to an insurance professional; discuss your situation in detail and then determine the best way to structure your policies.


 

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Named Peril FAQs

Special Form vs. Named Peril

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You should check your homeowners policy to make sure that your building and personal property is covered on a special form rather than a named peril basis. Named peril means that the policy insures against the sources of loss (perils) that are listed in the policy such as fire, earthquake or hail. Special form coverage protects property against any source of loss that is not specifically excluded. Under named peril coverage, the policyholder may have to prove to the insurer that a loss was caused by a listed peril. With special form coverage, the insurer can only deny a claim if it can prove that the source of loss is excluded.


Generally, a special form policy is preferable since it offers more coverage than a named peril policy. Here are a few examples of losses where special form coverage made the difference and a claim was paid
:

* A battery was left on a hardwood floor. When the battery acid leaked out, it spread to the point that it was necessary to replace a large section of the floor.

* An insured tipped over a bucket containing ammonia for soaking diapers. The solution ruined a room’s wall-to-wall carpet.

* 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.

* A washing machine was running when its load of clothes became unbalanced. As the washer’s spin’s cycle began, it shook and "walked" from its position into a brand new water heater, poking a hole in the heater’s casing and breaking its glass liner.

* 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 damage.

* A two-year-old boy found a hammer and went on a spree through his parent's house, seriously damaging several plaster walls, a toilet bowl, wash basin, dressing table and other items.

* 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.

* Finally, an insured converted his oil furnace to gas without removing the home’s oil-input pipe. On its regularly scheduled day, an oil company tanker arrived and pumped 500 gallons of oil into the insured's basement.

 

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Vacant or Unoccupied Home FAQs

What If My Home Is Vacant Or Unoccupied?

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Vacant Or Unoccupied?

First, there IS a difference. Webster's Encyclopedic Unabridged Dictionary of the English Language has the following to say:

Unoccupied: without occupants, but not devoid of furniture or other furnishings.

Vacant: having no tenant or contents; empty, void.

The difference between the two is a matter of time and intent. While not being occupied is a temporary condition and an exception to a residence normally having occupants, vacancy generally represents abandonment of property. So what's the point? Well, either condition may affect your coverage under a typical Homeowner policy. It is quite important to understand the consequences of either condition in order to keep your coverage intact.


Peeking At A Homeowner Policy

Generally, a Homeowner policy has a couple of areas that may be affected by a home's occupancy status: damage caused by freezing, or certain property and loss due to vandalism. Let's talk about them in detail.

A Homeowner policy usually protects a home from any loss that is caused by a frozen:

*  Plumbing system
*  Heating system
*  Air conditioning system
*  Appliance

Example 1: Fern Guddyson and her family leave their home in Minnesota in January. They'll spend the next 10 weeks in Miami because Fern is teaching a graduate course in Zen awareness at Palm Leaf University. During a bitter cold spell at their home at the end of March, the water line to their refrigerator (for its ice-maker) freezes and breaks. Later, when the line thaws, it overflows and, eventually, soaks all of the home's oak flooring and carpets. Fern makes a claim to her insurer when the family returns home from Miami. The insurance company's claims department rejects the claim when they find out the home was unoccupied for more than 30 days before the loss.

Unfortunately for the Guddysons, most Homeowner policies will not cover freeze-related losses that occur during an extended period in which the home is either vacant OR unoccupied. But this loss of coverage can be avoided if the homeowner takes precautions to help avoid such losses. Precautions usually involve either draining any systems or appliances of water and shutting off the home's water supply, or by keeping the home heated during the absence.

Freezing

A Homeowner policy typically offers protection to a home that is damaged by acts of vandals. with an important exception. Let's visit the Guddysons again.

Example 2: Fern Guddyson and her family leave their home in Minnesota in January. Again, they'll be in Miami for the next 10 weeks while Fern gets her doctorate in surfing from Palm Leaf University. A week before the Guddysons return (in late March), a group of kids break out most of the windows in the home. They then take a variety of tools found in Mr. Guddyson's toolbox and smash doors, floors and walls. Fern makes a claim to her insurer when the family returns home from Miami. The insurance company's claims department estimates the damage and gives Fern a check to cover her loss.

Typically, vandalism losses are covered even during periods of extended unoccupancy. However, if the Guddysons had emptied their home of all furnishings and turned off the power for the time they were gone, the vandalism loss would not have been covered.


Why Are Such Exclusions Necessary?

Homeowner policies contain such exclusions in order to avoid special loss situations. A vacated home becomes an attractive nuisance, often attracting acts of vandalism. If a home is to be vacated, it may be necessary to purchase dwelling fire coverage to protect the home. In regards to loss caused by freezing, insurers want to encourage homeowners to do a little planning in order to reduce or eliminate the chance that a system or appliance causes a loss. If an insured refuses to act responsibly toward their property, they risk the chance of an uninsured loss.

If you're facing a situation in which your home will be unoccupied or vacant for an extended period, talk to your agent and make sure you do whatever is necessary to preserve your full insurance protection

 

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What about Flood Insurance?

Hey, Who Needs Flood Insurance?

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Do I Need Flood Insurance?

The simplest way to answer this question may be to walk to the nearest mirror. If the person you see in the mirror owns any significant amount of property that can be damaged or destroyed by water, then you should seriously consider buying flood insurance. Most persons may buy coverage offered by the National Flood Insurance Program. If your community doesn't participate in the program, you'll have to look into coverage from private insurance companies.

What's The Likelihood Of Suffering A Flood Loss?

The chances of your business, home or personal property being damaged by a flood depends primarily upon where you live. A flood loss also depends on other factors such as: how much of a flood warning you receive, the level of flood precautions that are taken by yourself (such as moving personal property from lower levels to higher levels), and the precautions taken by your community (such as the use of flood controls in construction standards or sandbagging threatened areas).

Since floods are related to weather conditions and tend to have widespread effects, your chances of a flood loss are significantly higher than experiencing many of the types of losses that are covered under your homeowner policy, such as fire or windstorms. Many people have the obsolete belief that flood insurance is only needed if you live in a flood prone area.

I Live In A Flood Zone?!

If you have ever heard the term "flood zone," you may think that it refers to locations that are particularly vulnerable to flooding. The truth is that, wherever you live in the USA, you live in a flood zone. While your area may have a lower chance of flooding than a coastal area or a location situated near a body of water, your area could still experience flooding. A very dry part of the country can be susceptible to flash floods; hilly locations may be harmed by drainage; snowy locations may suffer from heavy snow thaw; other areas may suffer deluges or flooding due to a heavy rain season which has soaked the surrounding soil. So, if you've insured yourself against fire, wind and other causes of loss, it certainly makes sense to also protect yourself from the potential of a flood loss.

Why Worry When Disaster Coverage Is Available?

You may believe that, even if you suffer from a flood, your loss may be taken care of when the government declares your location to be a disaster area. However, you're still taking a couple of large risks. First, your flooded locale may not be deemed a disaster area. Second, being designated as a disaster area is not a bargain. Disaster area status only gives citizens access to government disaster loans. IF you qualify for assistance, you have replaced insurance protection with an obligation to pay off a large, long-term loan. Is it worthwhile to gamble on an opportunity to pick up more debt? You'll find flood insurance to be a cheaper and much more valuable alternative.

Don't Be "All Wet"

You don't have to leave yourself unprotected. Your agent, an insurance professional, can help you with detailed information on the National Flood Insurance Program. You can also ask for help in getting the coverage you need to "keep dry" and secure in the face of a flood.

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Home Business FAQs

What If I Run An In-Home Business?

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Homeowner policies aren’t designed to insure in-home businesses. Homeowner premiums assume that the insurance protection is for a residence and related structures. Therefore no liability coverage is available for loss related to business activity such as:

customers who slip and fall on your premises
damage to business property you own or that is in your care or custody
injury caused by things you make (products liability)
damage due to services you promote or provide (professional liability)
Nearly as important, your insurer is also unlikely to defend you against claims involving a business.


What About Coverages For My Employees Or "Other Structures"?

Generally, a standard homeowner’s policy does not provide workers compensation coverage for any employee. Medical expense and liability coverage may be available for workers who are ineligible for workers compensation, such as maids, butlers, or nannies. However the coverage only applies while the employee is performing residential tasks.

Example: You send your nanny to make copies of your business proposal and, on the way to the copy center, she is seriously injured in a fall. Your policy won’t provide any medical expense coverage for your nanny because she was performing a business-related chore.

There is no coverage for detached garages, barn, or similar structures on your residence premises if they are used in whole or part for business.


Example: You store $3,000 worth of equipment and supplies that you use in your job in your garage and the garage burns down. The fire loss to the garage becomes ineligible because of its partial business use.

What IS Covered By A Homeowners Policy?

A basic homeowner policy may provide very modest coverage for selected activities. However the coverage may be limited to as little as a few hundred dollars. Items that may be covered includes business personal property kept in or around your home, business personal property kept at a location other than in or around your home or landlord's furnishings (property in a part of your home that you rent out to the public). One method for improving your coverage is to add options to your policy to do the following:

 *  increase the coverage limits for business personal property
 *  cover garages and other buildings that are rented to others
 *  protect electronic business equipment which is usually used in a vehicle while such equipment is located outside of a vehicle
 *  provide theft coverage for landlord's property
 *  acquire limited business personal property and liability coverage for a in-home daycare
 *  cover a condo unit owners' liability for damage caused by renters
 *  provide premises liability coverage (i.e. slips and falls by customers)

 
 


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