Thanksgiving Fires

>> Friday, November 19, 2010

From the Insurance Journal...

"For most Americans, Thanksgiving Day invokes memories of safe and warm family gatherings featuring hot turkey dinners. But for some 2,000 families a year, and for firefighters across the country, the memories are not so happy.

There are an estimated 2,000 fires in residential buildings in the United States each Thanksgiving Day. That's more than double the number on a typical day."

Read more: http://www.insurancejournal.com/news/national/2010/11/19/115027.htm#ixzz15mHyLHDn

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Veterans Day

>> Thursday, November 11, 2010

I grew up knowing my dad was in the Korean War.

When I got married I knew my wife's father was in WW2. (Both wives actually)

Ten years ago one of our sons joined the Navy.

A year ago another son joined the military - Army this time.

With two sons deployed I now have a new appreciation for those who serve.

Thank you to those who served and those who are now serving.

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Are You Covered For The Anguish Of Mental Anguish?

>> Tuesday, November 09, 2010

The general liability policy insuring agreement states, "We will pay those sums that the insured becomes legally obligated to pay as damages because of 'bodily injury' or 'property damage' to which this insurance applies."

Are lawsuits brought for mental anguish covered by general liability insurance? Sometimes yes. Sometimes no.

The policy says that "bodily injury" means bodily injury, sickness, or disease sustained by a person, including death resulting from any of these at any time. My own keen sense of the language tells me that when you define a word as that word, you are already in trouble.

To further explain, I think the policy wants someone to bleed, or at the least be physically injured, in order for coverage to apply.

Some state courts have said that the above definition is ambiguous (imagine!) and that bodily injury does include mental injury and anguish. I find that ambiguous and try to get my clients' insurance companies to spell it out. Fortunately, many do.

Many insurers provide general liability broadening endorsements that specifically bring in coverage for metal injury. Some insurers have specific endorsements that can help clarify matters.

Many umbrella liability insurance policies provide coverage that is more broad than the underlying general liability insurance policies. Some policies specifically bring in mental anguish.

Example of an umbrella bodily injury definition: "Bodily Injury" means bodily injury, sickness, disease, disability, shock, mental anguish, mental injury and humiliation, including resulting death.

The only problem in relying on your umbrella to provide the first layer of coverage is that there may be a self insured retention (deductible) when there is no underlying coverage. Also be aware of sneaky endorsements that make the umbrella "follow-form" to the primary coverage - meaning the lesser coverage provided by the general liability insurance may rule.

Of course, the solution to the above is to retain an insurance consultant. Then you don't have to worry about any of these issues.

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New York Man's Faked Store Fall Caught on Tape

>> Friday, November 05, 2010

Authorities say a central New York convenience store's surveillance cameras caught a man purposely pouring soda on the floor and then faking a fall so he could file an insurance claim against the business.

Full Story Here

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Pet Insurance - Claims Experience

>> Thursday, November 04, 2010

This past June I bought pet insurance on our puppy. The premium was $172.44 ($1,000 deductible, 80% copay, no coverage for preventative care). The insurer is PurinaCare - Central States Indemnity Co. of Omaha.

In September we discovered that the dog has liver problems. We worked with our vet and Tufts Veterinary School. She had an operation. Total cost: $3,000.

Also in September Chloe decided to tangle with a porcupine. Total cost: $1,500.

On October 9 I faxed the claim forms and bills to PurinaCare.

On October 20 I received a letter from PurinaCare asking for me to contact the vets and have info sent. I had the info from one vet and faxed it that day. My other vet sent info the next day.

Today, November 4, I got a check from PurinaCare for $2,800 (the $4,500, less deductible and copay).

I am very pleased with how this worked out. PurinaCare was professional and prompt. Turning the claim payment around in less than a month is quite reasonable.

The only way this would have been better is if it didn't happen at all.

Bravo PurinaCare.

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The Simmonds Business Insurance Index™ - November 2010

>> Wednesday, November 03, 2010

Notes for For Insurance Buyers - November, 2010

Here's my read of the current marketplace for upcoming business insurance renewals:

Renewal Premiums: -5%
Renewal Coverages: Liberal Terms
Buyer's Outlook: Long-Term: Prices Flat

No change from October. No change in the index and no change in my advice.

I see no change in the current insurance marketplace and no signs of prices firming up. With no competition for your account, you will see your premiums stay about the same. With competition on the renewal, you will see reductions and improvements in coverage.

At the end of the renewal, negotiations continue to push for coverage enhancements. Ask the underwriter to throw in earthquake coverage or the elimination of an exclusion.

Here are some of the things I am asking for:

--Earthquake
--Flood
--Defense costs outside the limit of liability on professional liability
--Lower deductibles
--Expansion of debris removal limits
--Per location aggregates on general liability
--Wage/hour claim defense costs on employment practices liability
--Removal or limitation of the known dishonest act exclusion on crime insurance
--Per loss deductible to combine property insurance and inland marine deductibles
--Employees as insured on auto policy
--Cybercrime

Read more...

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Scott Simmonds fixes broken insurance, uncertain coverage, and painful premiums. He consults on, but never sells, insurance.

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