ISO Homeowners Section I—Archived Article

May, 2003

Property Coverage Agreements

Summary: These pages examine section I (property) homeowners coverage in the most recent ISO program, the homeowners 2000. Included in the homeowners 2000 program is comprehensive form HO 00 05 10 00, which gives special perils coverage on personal property, and broader coverage for items included in the special limits of liability. Where relevant, significant differences between the current 2000 edition and the 1991 edition are indicated.

This discussion focuses on the principal coverage agreements (coverages A, B, C, D, and the additional coverages) of the homeowners policy.

Limits of Liability

Except in the case of form HO 00 06 10 00, the state pages of the homeowners manual specify the minimum amount for which homeowners coverage A (dwelling coverage) may be written. (With respect to form HO 00 04 10 00, which does not include coverage A, the state pages specify the minimum amount for coverage C—personal property.) The countrywide general rules provide for a $5,000 minimum amount of dwelling coverage (sometimes referred to as additions and alterations coverage) under the HO 00 06, and allow for an increase in the minimum limit.

Minimum limits of liability are also prescribed by the general manual rules for other section I coverages, defined as percentages of whatever amount has been chosen for coverage A. These limits are:

·     Coverage B—Other Structures: 10% of the coverage A amount.

·     Coverage C—Personal Property: 50% of the coverage A amount, but refer to the state pages in the case of forms HO 00 04 and HO 00 06.

·     Coverage D—Loss of Use: 20% of the coverage A amount for form HO 00 08; 30% of coverage A for forms HO 00 02 10 00, HO 00 03 10 00 and HO 00 05; 30% of the coverage C amount for form HO 00 04; and 50% of coverage C for form HO 00 06. These percentages represent a ten percent increase from the 1991 edition in coverage D.

The limit of liability for coverages C and D may be increased over the specified minimum limits in any of the homeowners forms. A lower limit of liability may be selected for coverage C under forms HO 00 02, HO 00 03 or HO 00 05. The lower limit must be not less than 40% of the coverage A limit.

Section I Coverages—Overview

Insurance provided under Section I of the homeowners policy is divided into five coverage parts:

1.     Coverage A—Dwelling. Includes on-premises construction materials and supplies (and, in form HO 00 06, building additions and alterations and certain items of real property used by the insured or which the insured is responsible for insuring—see Homeowners Form HO 00 06—Insurance for Unit Owners; page A.13. Coverage A is not included in tenants' coverage form HO 00 04 (but a limited amount for additions and alterations is included in the additional coverages; more coverage may be purchased by endorsement).

2.     Coverage B—Other Structures. Covers other structures located on the premises and not connected to the dwelling. This is not included in forms HO 00 04 or HO 00 06, although coverage A of form HO 00 06 applies to items of real property or structures on the residence premises.

3.     Coverage C—Personal Property. Applies anywhere in the world to property owned or used by an insured. At the insured's request, also covers property of others while it is located on the part of the residence premises occupied by an insured, and property of a guest or residence employee while in any residence occupied by an insured.

4.     Coverage D—Loss of Use. Consists of three loss of use coverages: (1) additional living expense; (2) fair rental value; and (3) prohibited use.

5.     Additional Coverages. There are twelve additional coverages for incidental exposures: (1) debris removal; (2) reasonable repairs; (3) trees, shrubs, other plants; (4) fire department service charge; (5) property removed; (6) credit card, fund transfer card, forgery and counterfeit money; (7) loss assessment; (8) collapse; (9) glass or safety glazing material; (10) landlord's furnishings; (11) ordinance or law; and (12) grave markers. This last coverage is new to the homeowners 2000 program. Not all of the additional coverages are included in each form. Form HO 00 04, for example, omits landlord's furnishings but includes as additional coverage (10) building additions, alterations, fixtures, improvements, and installations made or acquired by the named insured. A detailed discussion of the property coverages follows.

Deductible

Unless otherwise noted in this policy, the following deductible provision applies:

Subject to the policy limits that apply, we will pay only that part of the total of all loss payable under Section I—Property Coverages that exceeds the deductible amount shown in the Declarations.

Analysis

This provision is new to the 2000 edition. Although insurers have regularly applied a deductible, it was only mentioned in loss settlement provision 3.b.(1), which pertains to loss to a building. “All loss payable” refers to the total amount of a covered loss. For a loss to be paid, therefore, it must be greater than the deductible shown in the declarations, and will be bounded by the limit of insurance applying to the lost or damaged property.

Coverage A—Dwelling

A.     Coverage A—Dwelling

1.     We cover:

a.     The dwelling on the “residence premises” shown in the Declarations, including structures attached to the dwelling; and

b.     Materials and supplies located on or next to the “residence premises” used to construct, alter or repair the dwelling or other structures on the “residence premises.”

2.     We do not cover land, including land on which the dwelling is located.

Analysis

In forms HO 00 02, HO 00 03, HO 00 05, and HO 00 08, coverage A applies to the dwelling on the residence premises designated in the policy declarations; to structures attached to the dwelling (such as an attached garage); and to materials and supplies located at the residence premises or adjacent to it to be used in the construction, alteration, or repair of the dwelling or another insured structure (i.e., insured under either coverage A or B). The last provision is of importance when a policy is written, as it may be, on a dwelling still under construction.(See Homeowners Form HO 00 06—Insurance for Unit Owners”, Personal Lines Volume, Dwellings section for coverage A as it relates to unit owners coverage under form HO 00 06.)

The insured dwelling under coverage A must be used principally as a private residence. Under current ISO rules, a dwelling containing up to four units may be written on a homeowners policy, so long as the named insured resides in one unit. Land is excluded from any coverage.

Coverage B—Other Structures

B.     Coverage B—Other Structures

1.     We cover other structures on the “residence premises” set apart from the dwelling by clear space. This includes structures connected to the dwelling by only a fence, utility line, or similar connection.

2.     We do not cover:

a.     Land, including land on which the other structures are located;

b.     Other structures rented or held for rental to any person not a tenant of the dwelling, unless used solely as a private garage;

c.     Other structures from which any “business” is conducted; or

d.     Other structures used to store “business” property. However, we do cover a structure that contains “business” property solely owned by an “insured” or tenant of the dwelling provided that “business” property does not include gaseous or liquid fuel, other than fuel in a permanently installed fuel tank of a vehicle or craft parked or stored in the structure.

3.     The limit of liability for this coverage will not be more than 10% of the limit of liability that applied to Coverage A. Use of this coverage does not reduce the Coverage A limit of liability.

Analysis

Coverage B insures “other structures” on the residence premises set aside from the dwelling by clear space. This includes structures connected to the dwelling by only a fence, utility line, or similar connection. Sometimes questions arise about the status of sidewalks, driveways, or inground pools that appear to be connected by a concrete patio to the dwelling. These structures are not dwellings, nor are they attached to the dwelling. Concrete walks and patios are not laid so that they become “at one” with the dwelling. Therefore, coverage B applies to these structures.

On the other hand, a case can be made that the large screen structures that are used in some parts of the country to cover inground pools should be considered a part of the dwelling, much like a deck or carport, if they are securely attached to the dwelling. 

Coverage B in the earlier editions insured “appurtenant structures,” a term more specific—and therefore somewhat more restrictive—than “other structures.” Appurtenant structures are generally understood to be permanently affixed to the land—a part of the realty, title to which passes with the title to the land itself. By this definition, an in-ground swimming pool, for example, is an appurtenant structure, but an above-ground pool is not. Simplified language homeowners coverage B applies to any unexcluded “structure,” a term that refers (according to standard dictionary definitions) to the very broad category of “something constructed.” By this definition, an “other structure” can include a storage shed or an ornamental rock garden.

In the 1991 edition, coverage was excluded for any structure used “in whole or in part” for “business.” There has been a significant change in the 2000 edition. Although an other structure used to conduct a business is excluded from coverage (but see below), an other structure used to store business property is covered so long as the property is owned by an insured or a tenant of the dwelling. The business property cannot consist of gaseous or liquid fuel, unless the fuel is in a permanently installed fuel tank of a vehicle or craft. This provision makes it clear that if the insured parks his business-use auto in his detached garage, coverage for the garage will not be precluded in event of a loss. Previously, the matter was open to question.

Care must be taken with regards to this coverage. Say a businessowner, John Smith, owns and stores business personal property in his detached garage. If the business is in the name of “Tools 'R Us, Inc.” then is the property covered? “Tools 'R Us, Inc.” is not an insured.

Excluded under coverage B is any structure rented or held for rental to anyone other than a tenant of the dwelling. (An exception is made for a rented structure used solely as a private garage.) There are endorsements available to provide coverage for business or rental situations. See Standard Homeowners Endorsements, for discussions of endorsements HO 04 40 10 00 and HO 04 42 10 00. As under coverage A, coverage B does not cover the value of land itself, including the land on which insured other structures are located.

Coverage B applies to any number of “other structures” situated on the residence premises. The amount specified in the declarations as the limit of liability for this coverage is a blanket amount that may be applied to one or several structures as the nature of the loss dictates. The amount of insurance does not apply separately to each separate structure; it applies as a single amount over all. When the insurable value of all other structures on the premises exceeds the limit of insurance for coverage B, specific additional amounts of coverage may be scheduled by endorsement for individual structures. See “Standard Homeowners Endorsements”, Personal Lines Volume, Dwellings section, for a discussion of endorsement HO 04 48 10 00 and an explanation of the way this coverage applies.

There are two options for covering off-premises structures. Endorsement HO 04 91 10 00 extends the coverage B blanket coverage to off-premises structures that are used in connection with the residence premises. Endorsement HO 04 92 10 00 is used for insurance written on a specific structure located away from the residence premises.

Coverage C—Personal Property

C.     Coverage C—Personal Property

1.     Covered Property

     We cover personal property owned or used by an “insured” while it is anywhere in the world. After a loss and at your request, we will cover personal property owned by:

a.     Others while the property is on the part of the “residence premises” occupied by an “insured”; or

b.     A guest or a “residence employee,” while the property is in any residence occupied by an “insured.”

2.     Limit for Property at Other Residences

     Our limit of liability for personal property usually located at an “insured's” residence, other than the “residence premises,” is 10% of the limit of liability for Coverage C, or $1000, whichever is greater. However this limitation does not apply to personal property:

a.     Moved from the “residence premises” because it is being repaired, renovated or rebuilt and is not fit to live in or store property in; or

b.     In a newly acquired principal residence for 30 days from the time you begin to move the property there.

Analysis

Homeowners coverage C applies worldwide coverage to personal property owned or used by an insured. Say, for example, an insured travels to Europe. While there, personal property is stolen including the borrowed suitcase containing the property. Coverage C responds to both owned and borrowed property.

Coverage C also applies, at the option of the named insured, to personal property of others while it is “on the part of the residence premises occupied by an insured.” If the insured rents an apartment, this coverage on property of others applies only to property in the insured's half of the dwelling or to the insured's own apartment, not to other portions of the building not occupied by the insured. Also covered, if the insured wants, is property owned by guests and residence employees while the property is in any residence occupied by any insured.

There is a slight distinction between “others” and a “guest.” An “other” might be a salesperson whose briefcase is damaged by a burst pipe; “guest” implies a social occasion. “Guest” coverage applies to any residence—the insured's lakefront seasonal cottage, or a rented hotel room—so long as the residence is occupied by an insured.

ISO has introduced endorsement HO 05 41 10 00 extended theft coverage, which may be added to cover loss by theft from the portion of the residence premises usually occupied by the insured while it is being rented on an occasional basis. The endorsement is unnecessary if the insured has special perils coverage on contents, as in the HO 00 05 10 00 or where the insured has added HO 17 31 10 00 to form HO 00 06. (Note, with the introduction of the HO 00 05, endorsement HO 00 15 special personal property coverage, has been withdrawn.)

On property usually situated at a residence of the insured other than the  “residence premises” (refer to the definition of this term) coverage is limited to the larger of 10% of the full coverage C limit or $1,000. This limitation affects the amount of coverage available, for example, on the furniture at the insured's vacation cottage but not on other property, such as clothing, that the insured takes along to the cottage even for an extended vacation, so long as the clothing is usually located somewhere else. The limitation also applies to a student's property away at school except for items that normally accompany the student while away from the premises: a purse, a wallet, a watch, certain pieces of jewelry or clothing. Of course, there may be a difference of opinion under actual loss circumstances as to which items may be exempt.

The limit on personal property usually located in other residences can be increased by adding endorsement HO 04 50 10 00—increased limit on personal property at other residences. See “Standard Homeowners Endorsements”, Personal Lines Volume, Dwellings section for information about the use of this endorsement.

Note also that the limitation applies to the property wherever it is located at the time of loss as long as it is property that is usually situated at the other residence. Suppose an insured is moving from one seasonal residence to another. Neither place is a “residence premises” so the insured has only 10% (or $1,000) coverage on the property wherever it is actually located, including while in transit.

There are two exceptions to the away from premises limitation. New to the 2000 edition is the provision that personal property removed from the residence premises because renovations or repairs are underway, and the premises are not fit in which to live or store property, is not subject to the limitation. This is not a broadening of coverage, but it is a clarification in that the property is not usually situated in another residence. The residence premises need not have sustained a covered loss; occasionally, a dwelling's being renovated will cause a family temporarily to seek other lodging.

The second exception is that the limitation does not apply to personal property in a newly acquired principal residence for 30 days during the course of the move. The coverage C limit applies in full to this personal property during the 30-day period. This provision gives the insured a chance to arrange for proper coverage.

Special Limits of Liability

Certain categories of personal property, although covered by standard homeowners insurance, are subject to special limits of liability much smaller than the overall coverage C limit. Property items included in these various categories for the most part are of potentially high value, in compact and readily portable form, attractive to thieves, and—for the average homeowner, for whom the homeowners policy pricing is designed—the value of such property generally does not exceed the special limits of insurance provided.

For insureds with values in excess of any of these limits, increased limits or separate inland marine coverage can be arranged at added premium. (See Scheduling Personal Property for the Homeowners Insured.) Coverage C special limits may be increased by adding endorsement HO 04 65 10 00—coverage C increased limits of liability. If the insured has special perils coverage on personal property (the HO 00 05, or where an HO 00 06 policy is endorsed with HO 17 31), the special limits may be increased by adding HO 04 65 or HO 04 66 10 00 as appropriate. See “Standard Homeowners Endorsements”, Personal Lines Volume, Dwellings section, for more information on these endorsements.

The property subject to these internal limits in the policy and the amounts of coverage provided are given below. It should be noted that the limit specified for each category is the total amount recoverable for one loss involving any or all of the kinds of property included in the category. Also, all of the property subject to the special limits is also subject to the total coverage C limit rather than being outside that limit.

3.     Special Limits of Liability

     The special limit for each category shown below is the total limit for each loss for all property in that category. These special limits do not increase the Coverage C limit of liability.

a.     $200 on money, bank notes, bullion, gold other than goldware, silver other than silverware, platinum other than platinumware, coins, medals, scrip, value cards and smart cards.

Analysis

A distinction is made between “gold,” “silver,” and “platinum” as metals, and objects made from them. Such objects do not fall within this limit, and are limited only if they fit the description of items subject to either special limit five or seven, discussed below under “Special Limits—Theft Only.” New to the 2000 edition is the distinction of platinum from platinumware. Because platinum is being used to plate flatware, platinumware belongs with silver- and goldware; while platinum as a medium of exchange belongs in the money category.  Homeowners forms once applied the limit to “numismatic property” rather than coins and medals. For issues of coverage involving policy references to “money,” “coins,” and “numismatic property,” as well as “stamps” and “philatelic property” under the securities limit, see Numismatic and Philatelic Property..

Newly included within this category are three items that can act as money. These are scrip, stored value cards, and smart cards. Scrip is often used as a fund raiser by charitable organizations. The purchaser pays a fraction of the redeemable value; the difference is donated by the retailer to the organization. Stored value cards are plastic cards that are often used for gift certificates or for phone cards. Using them is similar to a cash transaction; hence they are included in this category. Finally, smart cards are cards similar to a credit or debit card; however, they also store information about the cardholder by means of an embedded microchip.

b.     $1,500 on securities, accounts, deeds, evidences of debt, letters of credit, notes other than bank notes, manuscripts, personal records, passports, tickets and stamps. This dollar limit applies to these categories regardless of the medium (such as paper or computer software) on which the material exists.

     This limit includes the cost to research, replace or restore the information from the lost or damaged material.

Analysis

The limit for securities has been increased by $500 in the 2000 edition. Although it is increasingly common to store personal records on a personal computer, the $1,500 limit applies “regardless of the medium (such as paper or computer software) on which the material exists.” Any research, replacement or restoration costs of the material covered under the provision are included within the special limit. Note the distinction between personal records and “business data.” Although business data is not covered property (see Property not Covered, below) the policy makes an exception for, and covers under the business property special limit, the cost of blank recording and storage media and computer programs available on the retail market.

c.     $1,500 on watercraft of all types, including their trailers, furnishings, equipment and outboard engines or motors.

Analysis

A $1,500 limit (increased from the 1991 $1,000 limit) applies in the aggregate to all watercraft, be they bowriders or sailboards, including their trailers, furnishings, equipment, and outboard motors. With this low a limit, together with the exclusions of wind or hail loss to this property (unless in a fully enclosed building), and of theft away from the premises, it is generally better to provide separate coverage for watercraft and their accessories, either by a watercraft endorsement to the homeowners or by a separate policy.

d.     $1,500 on trailers not used with watercraft of all types.

Analysis

There is no limit as to type of trailer, so a horse trailer or pull-behind camper is covered. Generally, however, a trailer of greater value may be covered separately under the auto policy—depending, of course, on underwriting criteria. This limit has been increased from the 1991 $1,000 limit.

e.     $1,500 for loss by theft ["theft, misplacing or losing" in form HO 00 05] of jewelry, watches, furs, precious and semi-precious stones.

Analysis

Theft losses of jewelry, precious and semiprecious stones, watches, and furs are covered up to $1,500. The stated limit applies to each theft of property in any or all of the named categories, so that if one theft results in loss of a $1,000 watch and a $600 necklace, the insured's limit is still $1,500. When coverage C is on a special perils basis (as with the HO 00 05 or by attaching endorsement HO 17 31 to form HO 00 06), the limit applies to lost or misplaced items as well as to items that have been stolen. The limit applies to loss by theft. If the jewelry was damaged by fire, the full coverage C amount is available.

Disagreement sometimes arises as to the scope of the terms jewelry and furs. Standard dictionary definitions of jewelry make it applicable to costume jewelry as well as to items containing genuine stones or precious metals, e.g., the Random House Dictionary: “any ornament for personal adornment . . . including those of base metals, glass, plastic and the like.”

With respect to the meaning of furs, courts have most often adopted an interpretation advantageous to the insured. In Starry v. Horace Mann Insurance Co., 649 P.2d 937 (Alaska 1982), the supreme court ruled that a bear hide wall mount worth $5,000 was not subject to the fur limitation since, in the court's opinion, the language of the limitation made it applicable only to “common, everyday effects in the nature of jewelry and fur-bearing garments.”

On the other hand, a district court of appeals in Asbury v. Indiana Union Mutual Insurance Co., 441 N.E.2d 232 (Indiana 1982), held that animal pelts acquired through the insured's hunting hobby had the status of “furs” within the scope of the limit. The insurer denied any coverage at all on the pelts, contending that they were excluded as business property held for sale, since the insured did customarily sell the animal skins from his hunting trips. But the court found an ambiguity between the exclusion of furs when offered for sale as part of a business and the fur limitation which, it said, could be understood as a specific provision of coverage on furs of any kind in the limited amount. In light of this perceived ambiguity, the Indiana court overturned a judgment for the insurer and ruled that the status of the pelts with respect to homeowners coverage was a factual question to be determined by a jury.

The common element in both the Indiana and the Alaska courts' different readings of the fur limitation is that both interpretations worked to the insured's advantage.

f.     $2,500 for loss by theft ["theft, misplacing or losing" in form HO 00 05] of firearms and related equipment.

Analysis

Again, the limitation is for theft. If the firearms were damaged by being run over by a vehicle, the full amount of coverage C is available. The $2,500 limit, increased from $2,000 in the 1991 edition, includes losing or misplacing in the case of special perils coverage of the HO 00 05. “Firearms” is a more limited term than “guns,” usually applying only to small arms capable of being carried easily by an individual, but not to artillery weapons. In the 1991 edition, the limit applied only to the firearms themselves, and not to accessories, such as detachable gunsights, carrying cases, slings, cartridges or shells, and extra magazines or clips. But this is no longer the case, and the limit includes equipment such as a gun case or a cleaning kit.

g.     $2,500 for loss by theft (“theft, misplacing or losing” in the HO 00 05) of silverware, silver-plated ware, goldware, gold-plated ware, platinumware, platinum-plated ware and pewterware. This includes flatware, hollowware, tea sets, trays and trophies made of or including silver, gold or pewter.

Analysis

This is the last of the theft-only special limits. This category includes items often associated with the table: flatware or cutlery; hollowware, which generally means bowls, cups, or vases; and tea sets. Trophies made of or including any of these metals are also limited in coverage. It could be argued, given the wording of the limitation, that any item that is not listed—a silver figurine, for instance—is not subject to the special limit.

h.     $2,500 on property, on the “residence premises” used primarily for  “business” purpose. and

i.     $500 on property, away from the “residence premises,” used primarily for any “business” purpose. However, this limit does not apply to loss to adaptable electronic apparatus as described in Special Limits 10. and 11. below.

Analysis

Special limit h. imposes a $2,500 limit on business property on the residence premises and special limit i. limits coverage for business property away from the premises to $500 (increased from $250). These limits can be increased, using endorsement HO 04 12 10 00, except with respect to business property (a) in storage or held as a sample or for sale or delivery after sale, or (b) pertaining to a business actually conducted on the residence premises. Increasing the limit on premises automatically increases the off-premises limit as well, so that the off-premises limit is always 20% of the on-premises limit. In the case of a business actually conducted on the premises, endorsement HO 04 42 10 00 can be used to increase business property limits on furnishings, supplies, and equipment.

A strict reading of the language of the business property special limit in the 1991 edition treated any of the household property that was used at any time for any business activity as subject to the special limit. Thus, a retired mechanic's tools were subject to the limit. But in the 2000 edition, the word “primarily” is the key. Many people, for example, use a home computer for household records and accounts, but may also use it to work on a business report. So long as the business use is not “primary”—that is, first in importance—there is coverage.

j.     $1,500 on electronic apparatus and accessories, while in or upon a “motor vehicle”, but only if the apparatus is equipped to be operated by power from the “motor vehicle's” electrical system while still capable of being operated by other power sources.

     Accessories include antennas, tapes, wires, records, discs or other media that can be used with any apparatus described in this category j.

and

k.     $1,500 on electronic apparatus and accessories used primarily for “business” while away from the “residence premises” and not in or upon a “motor vehicle”. The apparatus must be equipped to be operated by power from the “motor vehicle's” electrical system while still capable of being operated by other power sources.

     Accessories include antennas, tapes, wires records, discs or other media that can be used with any apparatus described in this Category k.

Analysis

The 1991 edition's limit of $1,000 is increased to $1,500 for these categories of property. Limit j. applies to adaptable electronic apparatus that can be operated off the power of the motor vehicle's electrical system, but which may also be operated independently, such as certain portable televisions, cellular phones, CD players, or laptop computers. This category of property also includes antennas, tapes, wires, records, discs, or other media that are used with the electronic apparatus. Compare coverage for this type of apparatus with “property not covered: motor vehicles,” below. There is coverage for tapes, discs, or other media while in a motor vehicle only if such media can be used with the adaptable electronic apparatus described.

The limit applies to electronic property used in business as well as to personal property. If such property is used primarily for business while away from the residence premises, and is not in or upon a motor vehicle, a $1,500 limit also applies. The person operating a mobile office, including laptop computer, should be aware of these limitations. However, this type of apparatus is fully covered at any place other than in or on the vehicle if only put to personal use.

How the Deductible Applies to the Special Limits

The question is often raised about how the homeowners deductible affects recovery under the special limits. The deductible provision form does not clearly spell out how to apply the deductible in adjusting a claim where loss exceeds one or more of the special limits. A general rule, though, is to pay the insured the maximum amount that can be justified.

As an example, assume an insured with a $75,000 coverage C personal property limit and a standard $250 deductible is robbed of jewelry and watches with a value of $2,500, cash totaling $500, and other personal property amounting to $1,000—for a total loss of $4,000. According to policy provisions regarding the coverage C special limits of liability, the insured can recover no more than $1,500 from the special limit for jewelry and watches and $200 from the special money limit, leaving an $1,300 excess of loss ($1,000 of jewelry; $300 of money).

Since the loss exceeds the special limits that are available (and the coverage C limit is adequate), the $250 deductible can apply against the excess of loss above the special limits ($1,300) and does not serve to reduce the special limit amounts that are available. Therefore, the total recoverable amount is $2,700—$1,500, the total special limit for jewelry and watches; $200, the total special limit for money; and $1,000 towards the other stolen personal property.

Property Not Covered

4.     Property Not Covered

     We do not cover:

a.     Articles separately described and specifically insured, regardless of the limit for which they are insured, in this or other insurance;

Analysis

The policy reference to “articles” that are “specifically” insured by another policy or under another coverage of the homeowners policy makes this exclusion applicable only to other coverage written on a more specific basis than the broad, blanket terms of coverage C.

The restriction is most often applicable when personal property has also been scheduled under a personal articles floater, scheduled personal property endorsement to the homeowners policy, or other inland marine policy. In any of these situations, a homeowners insured should be certain that the separate scheduled coverage is for the full amount of protection desired on the property because homeowners coverage C will not contribute in the event of a loss. Say an insured has a scheduled silver service for six, and a nonscheduled silver vase and bowl. The “property not covered” applies to the silver service, but not to the vase and bowl. Special limit g. applies to those.

The question is sometimes raised whether this exclusion does not also apply to property on which there is other insurance that describes the particular kind of property more specifically than does the homeowners policy, and covers any property that fits that description. The exclusion does not apply in such a case, as it refers only to “articles,” meaning specific, identifiable objects, each described separately and insured individually. Therefore, the normal rules for apportioning loss among nonconcurrent policies apply.

b.     Animals, birds or fish;

Analysis

Animals, birds, and fish are not covered. Not mentioned in the exclusion are insects or any other forms of lower animal life, subclasses of animal life as separate from the narrow concept of “animals” as are fish or birds. While the apparent spirit of the exclusion would suggest no intent to cover any kind of animal life, the bee keeper or the biology student with a collection of living lower animal specimens might well argue for coverage and perhaps a court would agree.

c.     ”Motor vehicles”.

(1)     This includes:

     (a)     Their accessories, equipment and parts; or

     (b)     Electronic apparatus and accessories designed to be operated solely by power from the electrical system of the “motor vehicle”, but only while such property is in or upon the “motor vehicle”. Accessories include antennas, tapes, wires, records, antennas, tapes, wires, records, discs or other media that can be used with any apparatus described above, but only while such property is in or upon the “motor vehicle”.

(2)     We do cover “motor vehicles” not required to be registered for use on public roads or property which are:

     (a)     Used solely to service an “insured's” residence; or

     (b)     Designed to assist the handicapped.

Analysis

Motor vehicles are excluded, along with their equipment, parts (an addition in the 2000 edition), and accessories. In the 1991 edition, there was no coverage only while the property was in or upon the vehicle. That provision has been removed in the 2000 edition, so that it does not matter whether the equipment or parts are attached to their particular vehicle or not. For example, a pair of snow tires stored in the garage and belonging to the family auto is not covered. If an insured collects vintage hub caps, or any vehicle-related items, the safest procedure is to schedule them so as to avoid the preclusion of coverage.

There is also an exclusion applicable to “electronic apparatus that is designed to be operated solely by use of the power from the electrical system of motor vehicles or all other motorized land conveyances.” Electronic apparatus includes accessories, antennas, tapes, wires, records, discs, or other media for use with the electronic apparatus. The exclusion applies to all such property while in or upon the vehicle. There is a difference between the coverage grant of the special limits, above, and the exclusion here. If the media is used with the in-dash CD player, for example, there is no coverage. But if the media is used with a portable CD player in the vehicle, the special limit of $1,500 applies.

Exempt from the motor vehicle exclusion are vehicles not subject to motor vehicle registration “used solely to service an insured's residence” or designed to assist the handicapped. Because of the addition of “solely,” the coverage in the 2000 edition for vehicles such as lawn tractors has become more restrictive than in the 1991 edition. In the past, an insured could take his tractor to his parents' to mow their grass and coverage would apply; now it can be argued that such usage removes the vehicle from being used “solely” for an insured's residence, and therefore no coverage applies. Although the intent of the language may be to prevent an insured from arguing that the three golf carts in his garage are used to service his premises, the impact is something else.

This exclusion is more encompassing than the motor vehicle exclusion of the section II liability coverage in that golf carts and other unlicensed recreational vehicles, for which there is some liability protection, are excluded as to damage under coverage C unless solely used to service the residence. However, ISO has introduced endorsement HO 05 28 10 00 owned motorized golf cart—physical loss coverage which may be used to fill this gap. (For more information, see “Standard Homeowners Endorsements”, Personal Lines Volume, Dwellings section.)

d.     Aircraft meaning any contrivance used or designed for flight including any parts whether or not attached to the aircraft;

     We do cover model or hobby aircraft not used or designed to carry people or cargo.

e.     Hovercraft and parts. Hovercraft means a self-propelled motorized ground effect vehicle and includes, but is not limited to, flarecraft and air cushion vehicles;

Analysis

Aircraft and parts are excluded from coverage C. Aircraft, under the definition of “any contrivance used or designed for flight,” therefore includes hang gliders and ultra-lites. On the other hand, aircraft accessories or equipment used in the aircraft but not physically attached to it—navigational maps, parachutes, etc.—are not subject to the exclusion, unlike comparable equipment for a motor vehicle.

An exception to the exclusion clarifies that model and hobby aircraft not used or designed to carry people or cargo are covered property. Note that a similar exception applies to the section II liability aircraft exclusion, but not to the peril of aircraft. To summarize, model and hobby aircraft are treated as aircraft in providing coverage against the peril of damage to insured property by aircraft, but they are not aircraft for the two aircraft exclusions—so the insured has coverage in all three instances.

New in the 2000 edition is an exclusion of coverage for ground effect and hovercraft vehicles. A hovercraft generates a static cushion of air on which to move, while a ground effect vehicle creates the cushion through its own forward motion. A ground effect vehicle has wings (a flarecraft has reverse-delta wings), and may travel up to a height of about 1-1/2 times wing span on this cushion. Obviously, these vehicles are best insured elsewhere. 

Business Property Exclusions

f.     Property of roomers, boarders and other tenants, except property of roomers and boarders related to an “insured;”

Analysis

The homeowners policy contains four business-related exclusions. The first is for personal property belonging to roomers, boarders, and other tenants. This is not covered except for property belonging to roomers or boarders who are related to an insured. Therefore, resident relatives who pay rent or board money to the named insured do not lose the coverage on personal property that they would otherwise have as insureds if they did not pay.

g.     Property in an apartment regularly rented or held for rental to others by an “insured,” except as provided in E.10 Landlord's Furnishings under Section I—Property Coverages;

Analysis

In another business-related exclusion, personal property of an insured who is a landlord of an apartment regularly rented or held for rental to others is not covered, except as provided in additional coverage 10 (see below). Property of a relative renting an apartment is not covered even though it would be if the relative rented a room or lived as a boarder. Therefore, if coverage is desired, separate insurance should be arranged, such as under a dwelling contents form.

h.     Property rented or held for rental to others off the “residence premises.”

Analysis

The third business-related exclusion applies to rented property away from the residence premises (furnishings in an off-premises apartment rented to others, for example). This exclusion, strictly applied, could rule out coverage for any property, whether real or personal, rented by the insured to others while it is off-premises.

i.     “Business” data, including such data stored in:

(1)     Books of account, drawings or other paper records; or

(2)     Computers and related equipment.

     We do cover the cost of blank recording or storage media, and of prerecorded computer programs available on the retail market.

Analysis

The final business-related exclusion rules out coverage for the expense of reproducing business records otherwise insurable as personal property. The 1991 edition precluded coverage for business data stored in electronic data processing tapes, wires, records, discs or other software media; now such data is not covered if stored in computers or related equipment, which encompasses the previous wording. The cost of blank or unexposed records and media is covered. There is coverage for the cost of blank recording or storage media, and for pre-recorded computer programs the insured has purchased through retail outlets.

j.     Credit cards, electronic fund transfer cards or access devices used solely for deposit, withdrawal or transfer of funds except as provided in E.6. Credit Card, Electronic Fund Transfer Card of Access Device, Forgery and Counterfeit Money under Section I—Property Coverages; or

Analysis

Credit and fund transfer cards are not covered as personal property. Some coverage for losses arising out of the misuse of such cards is provided by additional coverage six (see below). Note the addition of “access devices used solely for deposit, withdrawal, or transfer of funds.” This is in recognition of on-line banking, in which an insured can electronically transfer funds by means of a home computer. But unless such transfer is the computer's sole purpose, the computer is covered.

k.     Water or steam.

Analysis

A new exclusion in the 2000 edition is for water or steam. Previously, it was possible to argue that once water had passed through the insured's water meter it became personal property. Now, water and steam are not covered property no matter how delivered—whether by municipal service or from the insured's own well.

Coverage D—Loss of Use

D.     Coverage D—Loss of Use

     The limit of liability for Coverage D is the total limit for all the coverages in 1. Additional Living Expense, 2. Fair Rental Value and 3. Civil Authority Prohibits Use below.

1.     Additional Living Expense

     If a loss covered under Section I makes that part of the “residence  premises” where you reside not fit to live in, we cover any necessary increase in living expenses incurred by you so that your household can maintain its normal standard of living.

     Payment will be for the shortest time required to repair or replace the damage or, if you permanently relocate, the shortest time required for your household to settle elsewhere.

Analysis

Three related coverages are grouped under the title “Loss of Use” as homeowners coverage D. The first is Additional Living Expense. The period for which additional living expense will be paid is limited to the shortest time required to repair or replace the premises or, if the household moves to a new permanent residence, the shortest time required for the relocation to be completed. These coverage periods apply even if the policy expires in the meantime.

Many an increase above normal in household expenses can be paid under this coverage. Although the most common examples are meals in a restaurant or lodging in a hotel, an insured may incur additional expense to keep the family pet in a kennel, or even to lodge a relative who was visiting to help out during a family illness at the time of the loss. Remember, the coverage is designed for the family to maintain its normal standard of living. 

2.     Fair Rental Value

     If a loss covered under this Section makes that part of the “residence premises” rented to others or held for rental by you not fit to live in, we cover the fair rental value of such premises less any expenses that do not continue while it is not fit to live in.

     Payment will be for the shortest time required to repair or replace that part of the premises rented or held for rental.

Analysis

If a part of the residence premises is rented or held for rental to others and a covered section I loss makes that part of the premises not fit to live in, this coverage will pay the lost rental value. To be deducted from the amount paid is any expense that does not continue during the rented premises' period of uninhabitability (disconnected utilities, for example). Loss or expense due to cancellation of a lease or agreement is not covered. Like additional living expense, this coverage provides payment only for the shortest period required to repair or replace the affected premises and is not terminated by expiration of the policy.

Sometimes the question arises as to whether the rental value is for furnished or unfurnished premises. The form does not state. Therefore, if an insured normally rents the premises on a furnished basis, rental value would encompass this amount.

3.     Civil Authority Prohibits Use

     If a civil authority prohibits you from use of the “residence premises” as a result of direct damage to neighboring premises by a Peril Insured Against, we cover the loss as provided in 1. Additional Living Expense and 2. Fair Rental Value above for no more than two weeks.

4.     Loss or Expense Not Covered

     We do not cover loss or expense due to cancellation of a lease or agreement.

     The periods of time under 1. Additional Living Expense, 2. Fair Rental Value and 3. Civil Authority Prohibits Use above are not limited by expiration of this policy.

Analysis

Additional living expense and fair rental value coverages are triggered by damage to the residence premises making it unfit to occupy only as a result of a covered section I loss to those premises. But there are circumstances in which insureds may be barred from access to their own residences as a result of damage to surrounding premises (as in the case of major fires or windstorms) that leaves their own homes with little or no damage and fit for occupancy. Prohibited use coverage pays additional living expense and fair rental value when an insured is prohibited from the use of the residence premises by a civil authority as a result of damage from an insured peril to neighboring premises. It is important to note the damage must be caused by an insured peril. However, in the 1991 edition, the wording was “a Peril Insured Against in this policy.” For example, if rising flood waters prevented access to the residence premises, there was no coverage since “flood” was not covered by the policy. But the 2000 edition has removed “in this policy.” If an insured has flood insurance and is prohibited from accessing the residence premises because of a flood, an argument can be made for coverage, since the capitalized words appear as a preface to the section I property coverages and elsewhere in the policy, but have no particular status.

The maximum period during which this coverage applies is two weeks. Like the other loss of use coverage, prohibited use coverage may continue beyond the expiration date of the policy.

The limit of liability specified for coverage D in the policy declarations constitutes an aggregate limit for the three loss of use coverages. The policy deductible is applied to coverage D losses. Since an additional living expense or fair rental value claim can arise only in connection with an insured property loss substantial enough to make the premises uninhabitable, the standard policy deductible of $250 will, in virtually all cases, be used up by the direct loss itself. The deductible will be a factor, for the most part, only in the event of a prohibited use claim, which may occur without any other section I loss at all.

Additional Coverages

In forms HO 00 02, HO 00 03, and HO 00 05, twelve “additional coverages” round out the section I coverage agreements of the homeowners policy. HO 00 04 has twelve additional coverages, but does not include landlord's furnishings. Instead, the form provides an additional coverage for building additions, alterations, fixtures, improvements, and installations, made or acquired by the named insured, to the part of the residence premises used exclusively by the named insured (with a limit of liability for this coverage that is 10% of the coverage C amount). Form HO 00 06 is identical to forms HO 00 02 and 00 03 in additional coverages one through nine, but omits coverage for landlord's furnishings. Additional coverage ten in the HO 00 06 is ordinance or law.

Six of the additional coverage agreements (debris removal; trees, shrubs and other plants; fire department service charge; credit card, etc., loss assessment, and ordinance and law) specifically state that they constitute an additional amount of insurance. Conversely, six of the agreements specifically state that they do not constitute additional coverage amounts (reasonable repairs, property removed, collapse, glass or safety glazing material, landlord's furnishings, and grave markers).

Previously, the 1991 edition was silent as to the additional coverages for loss assessment and landlord's furnishings. This left an insured the opportunity to argue (if necessary) that the provisions including the no-additional-amount statements would not need them if there were not a presumption that “additional coverages” means additional amounts of insurance. This is no longer the case.

E.     Additional Coverages

1.     Debris Removal

a.     We will pay your reasonable expense for the removal of:

(1)     Debris of covered property if a Peril Insured Against that applies to the damaged property causes the loss; or

(2)     Ash, dust or particles from a volcanic eruption that has caused direct loss to a building or property contained in a building.

     This expense is included in the limit of liability that applies to the damaged property. If the amount to be paid for the actual damage to the property plus the debris removal expense is more than the limit of liability for the damaged property, an additional 5% of that limit of liability is available for such expense.

b.     We will also pay your reasonable expense, up to $1,000, for the removal from the “residence premises” of:

(1)     Your tree(s) felled by the peril of Windstorm or Hail or Weight of Ice, Snow or Sleet; or

(2)     A neighbor's tree(s) felled by a Peril Insured Against under Coverage C;

     provided the tree(s):

(3)     Damage(s) a covered structure; or

(4)     Does not damage a covered structure, but:

     (a)     Block(s) a driveway on the “residence premises” which prevent(s) a “motor vehicle”, that is registered for use on public roads or property, from entering or leaving the “residence premises”; or

     (b)     Block(s) a ramp or other fixture designed to assist a handicapped person to enter or leave the dwelling building.

     The $1,000 limit is the most we will pay in any one loss regardless of the number of fallen trees. No more than $500 of this limit will be paid for the removal of any one tree.

     This coverage is additional insurance.

Analysis

If a covered loss leaves debris of covered property that must be removed, this coverage pays for the cost of that removal. These costs are included in the limit of liability applicable to the covered property, except when payment of the covered loss, including the debris removal, exhausts the applicable coverage limit. In that case, debris removal coverage will pay up to an additional five percent of the exhausted limit. Also covered is the cost of removing volcanic ash and dust causing direct damage to a building or property in a building.

Coverage is also provided—subject to a $1,000 aggregate limit—for debris removal of fallen trees. Coverage is limited to the insured's trees felled by windstorm, hail, or the weight of ice, snow, or sleet, or to a neighbor's trees that are felled by a coverage C peril. But before coverage under this provision is triggered, the tree must either damage a covered structure or must block a driveway or ramp designed to assist the handicapped. This latter provision is new in the 2000 edition. But in the case of the driveway, the felled tree(s) must block access to the residence premises. A drive that leads from the dwelling to an outbuilding, but does not provide access to the residence premises, does not meet this criterion. 

A question raised by the additional coverage for removal of trees is whether the limit applies to the cost of removing the part of the tree that rests on the damaged structure, or whether that cost is considered to be part of the cost of repairing the structure. For example, if a tree is felled by windstorm and falls onto the dwelling, causing extensive damage, no repairs can begin until the parts of the tree resting on the building are cut away, so it would seem logical to categorize such costs as repair costs. However, the policy language, if strictly interpreted, would include those costs within the $1,000 limit. The policy provides that the insurer “will also pay [the] reasonable expense, up to $1,000, for the removal from the 'residence premises' of” trees felled by the described perils. “Residence premises” is defined in the policy as “the one to four family dwelling, other structures, and grounds…where [the insured] reside[s].” Thus, the $1,000 limit appears to apply to the removal from the dwelling and other structures as well as to removal from the grounds. However, under this arrangement the cost of removing the tree from the structure should still be considered part of the repair cost. If the insurance coverage for repairs is insufficient, the “additional coverage” (coverage in addition to that otherwise provided for in the policy) may then be called upon.

2.     Reasonable Repairs.

a.     We will pay the reasonable cost incurred by you for necessary measures taken solely to protect covered property that is damaged by a Peril Insured Against from further damage.

b.     If the measures taken involve repair to other damaged property, we will only pay if that property is covered under this policy and the damage is caused by a Peril Insured Against. This coverage does not:

(1)     Increase the limit of liability that applies to the covered property; or

(2)     Relieve you of your duties, in case of a loss to covered property, described in B.4. under Section I—Conditions.

Analysis

When insured property has been damaged by a covered peril, this additional coverage pays the reasonable cost of necessary measures (note, not necessary repairs ) taken solely to protect covered property from further damage. Necessary measures taken to protect covered property may include repairs, but only those repairs made to covered property. Say, for example, a tenant may decide to clean up graffiti on the wall of a rented dwelling. The rented dwelling is not covered property, and so there is no coverage for this expense, unless the vandalism extended to the insured personal property. Payments under the additional coverage are part of the limit of liability applicable to the property being repaired. Further, the coverage does not relieve the insured of duties as prescribed under section I condition B.4., namely, to “protect the property from further damage.” Therefore, the insured is obligated to make repairs to protect covered property but may not be able to recover all the monies expended.

Reasonable repairs coverage is designed principally to address loss situations in which quick action must be taken to minimize the extent of a loss. An insured with a broken picture window or smashed door cannot wait to file a claim before getting the damage repaired since damage of this sort exposes the interior of the building and its contents to additional loss. When such a loss results from a covered peril, the repair made exclusively to protect any covered property from further damage, and made to property covered by the policy, will be reimbursed for the cost of the repair.

Sometimes coverage is not clearly defined. For example, coverage for the cost of digging down to a broken underground water line on the insured's property to repair a leak is not specifically addressed in homeowners forms, although the cost of tearing out part of a building or other structure is included in special perils coverage on the dwelling. The cost of getting at broken pipes, however, may constitute part of the cost of repairs to prevent further damage—if actual damage is caused—and thus would be a subject of reasonable repairs coverage if coverage is not otherwise spelled out. Under the current language of the coverage, digging down to get to a leaking pipe is covered as a necessary measure “to prevent further damage,” but the actual repair of the pipe is covered only if the pipe is covered property (not the case where a tenant is involved) and the damage to the pipe is caused by a covered peril.

3.     Trees, Shrubs and Other Plants.

     We cover trees, shrubs, plants or lawns, on the “residence premises”, for loss caused by the following Perils Insured Against:

a.     Fire or lightning;

b.     Explosion;

c.     Riot or Civil Commotion

d.     Aircraft;

e.     Vehicles not owned or operated by a resident of the “residence premises”;

f.     Vandalism or Malicious Mischief; or

g.     Theft.

     We will pay up to 5% of the limit of liability that applies to the dwelling for all trees, shrubs, plants or lawns. No more than $500 of this limit will be available for any one tree, shrub, or plant. We do not cover property grown for “business” purposes.

     This coverage is additional insurance.

Analysis

Property in this category, eligible for neither coverage A as part of the dwelling nor coverage C (since it is technically part of the realty), is insured on a limited basis by this additional coverage. Trees, shrubs, plants, and lawns on the residence premises are covered only against the perils of fire, lightning, explosion, riot, civil commotion, aircraft, vehicles (if not owned or operated by a resident of the residence premises), vandalism, malicious mischief, and theft, but not wind, hail, weight of ice or snow, or any unnamed peril that would be covered under special perils coverage. The aggregate limit for a loss under this coverage is five percent of the coverage A limit, provided as an additional amount of insurance, with a sublimit of $500 ($250 in the case of form HO 00 08) for loss to any one tree, shrub, or plant.

4.     Fire Department Service Charge

     We will pay up to $500 for your liability assumed by contract or agreement for fire department charges incurred when the fire department is called to save or protect covered property from a Peril Insured Against. We do not cover fire department service charges if the property is located within the limits of the city, municipality or protection district furnishing the fire department response.

     This coverage is additional insurance. No deductible applies to this coverage.

Analysis

If the named insured is liable under a contract or other agreement for fire department charges when firefighters are called to protect covered property from an insured peril, this coverage will pay up to $500 (free of deductible) for such charges. Coverage does not apply if the property is located within the governmental unit or protection district providing the fire protection.  There need not be a formal contract or agreement with the fire department that provides service in order for the additional coverage to apply.

5.     Property Removed

     We insure covered property against direct loss from any cause while being removed from a premises endangered by a Peril Insured Against and for no more than 30 days while removed. This coverage does not change the limit of liability that applies to the property being removed.

Analysis

This coverage applies to insured property removed from a premises endangered by a covered peril and applies anywhere, against loss from any cause, for up to 30 days while the property is removed. This coverage does not increase the limit of liability on the removed property. If contents are removed from a dwelling threatened by a forest fire, the contents are covered. The fire does not actually have to be burning the dwelling while the property is being carried out.

6.     Credit Card, Electronic Fund Transfer Card or Access Device, Forgery and Counterfeit Money

a.     We will pay up to $500 for:

(1)     The legal obligation of an “insured” to pay because of the theft or unauthorized use of credit cards issued to or registered in an “insured's” name;

(2)     Loss resulting from theft or unauthorized use of an electronic fund transfer card or access device used for deposit, withdrawal or transfer of funds, issued to or registered in an “insured's” name;

(3)     Loss to an “insured” caused by forgery or alteration of any check or negotiable instrument; and

(4)     Loss to an “insured” through acceptance in good faith of counterfeit United States or Canadian paper currency.

     All loss resulting from a series of acts committed by any one person or in which any one person is concerned or implicated is considered to be one loss.

     This coverage is additional insurance. No deductible applies to this coverage.

b.     We do not cover:

(1)     Use of a credit card or fund transfer card:

     (a)     By a resident of your household;

     (b)     By a person who has been entrusted with either type of card or access device; or

     (c)     If an “insured” has not complied with all terms and conditions under which the cards are issued or the devices accessed; or

(2)     We do not cover loss arising out of “business” use or dishonesty of an “insured.”

c.     If the coverage in a. above applies, the following defense provisions also apply:

(1)     We may investigate and settle any claim or suit that we decide is appropriate. Our duty to defend a claim or suit ends when the amount we pay for the loss equals our limit of liability.

(2)     If a suit is brought against an “insured” for liability under a.(1) or (2) above, we will provide a defense at our expense by counsel of our choice.

(3)     We have the option to defend at our expense an “insured” or an “insured's” bank against any suit for the enforcement of payment under a.(3) above.

Analysis

Although the 2000 edition reorganizes this coverage somewhat, it is similar to that in the 1991 edition, except for the addition of “electronic” preceding the words “fund transfer card,” and “access device.” With the advent of on-line banking, an insured can electronically transfer funds via a home computer. Therefore, the coverage grant has been revised to reflect this. Five hundred dollars of coverage is provided under this heading for four categories of loss: (1) the legal obligation of an insured to pay for unauthorized use of credit cards issued to an insured or registered in an insured's name; (2) loss resulting from theft or unauthorized use of an insured's electronic fund transfer card (often referred to as an ATM card) or other access device; (3) loss caused by forgery or alteration of a check; and (4) loss caused by the good-faith acceptance of counterfeit United States or Canadian paper money. In order for coverage to apply, the insured must comply with the terms and conditions under which the credit card is issued. Losses involving use of a card by a member of the named insured's household or anyone who has been entrusted with the card are not covered. Losses arising out of business use or the dishonesty of an insured are also excluded. The $500 limit functions as an aggregate with respect to a series of acts committed by one person. The limit may be increased by adding endorsement HO 04 53 10 00.

Since this coverage has as its subject certain legal liabilities of the insured (to pay for purchases illicitly made by others through use of a stolen credit card, for instance, or to meet the obligations imposed by the amount of a forged or altered check), it also includes an element of defense coverage similar to that associated with liability insurance.

7.     Loss Assessment

a.     We will pay up to $1,000 for your share of loss assessment charged during the policy period against you, as owner or tenant of the “residence premises”, by a corporation or association of property owners. The assessment must be made as a result of direct loss to the property, owned by all members collectively, of the type that would be covered by this policy if owned by you, caused by a Peril Insured Against under Coverage A, other than:

(1)     Earthquake; or

(2)     Land shock waves or tremors before, during or after a volcanic eruption.

     The limit of $1000 is the most we will pay with respect to any one loss, regardless of the number of assessments. We will only apply one deductible, per unit, to the total amount of any one loss to the property described above, regardless of the number of assessments.

b.     We do not cover loss assessments charged against you or a corporation or association of property owners by any governmental body.

c.     Paragraph P. Policy Period, under Section I—Conditions does not apply to this coverage.

     This coverage is additional insurance.

Analysis

Loss assessments charged against the insured as owner or tenant of the residence premises are covered for up to $1,000 when the assessments are made by a corporation or association of property owners as a result of direct loss to property owned by all members collectively. The $1,000 limit is the maximum amount available for all assessments arising from one loss. Loss must be caused by a coverage A peril (or coverage C peril, in the case of an HO 00 04) other than earthquake or land shock waves or tremors before, during or after volcanic eruption. It is required that the assessments occur during the policy period, but the event(s) causing the assessments may occur before the policy takes effect.

The coverage does not apply to assessments made by a government body. If, for example, an association fails to comply with a fine assessed for failure to comply with a building code, there is no coverage.

There are some changes in the 2000 edition. The first is that the insurer will apply a deductible. Although it appears the intent is that only one deductible will apply to any one covered loss, no matter how many assessments arise from that loss, the language “We will only apply one deductible, per unit, to the total amount of any one loss to the property described above” is misleading. The property described is the property owned by all members collectively; the homeowners insurer cannot apply one deductible per unit to that loss. That function belongs to the condominium association insurer.

The second change is that it is specifically stated that the coverage is additional insurance.

Endorsements are available to increase the amounts of loss assessment coverage—both for additional coverage seven and the companion section II liability additional coverage D—and to add earthquake loss assessment coverage. Endorsement HO 04 35 10 00 is used to increase the limit and endorsement HO 04 36 10 00 is used to add earthquake loss assessment. Endorsement HO 04 35 may also be used to add loss assessment coverage for up to two additional locations.

8.     Collapse

a.     With respect to this Additional Coverage:

(1)     Collapse means an abrupt falling down or caving in of a building or any part of a building with the result that the building or part of the building cannot be occupied for its current intended purpose.

(2)     A building or any part of a building that is in danger of falling down or caving in is not considered to be in a state of collapse.

(3)     A part of a building that is standing is not considered to be in a state of collapse even if it has separated from another part of the building.

(4)     A building or any part of a building that is standing is not considered to be in a state of collapse even if it shows evidence of cracking, bulging, sagging, bending, leaning, settling, shrinkage or expansion.

b.     We insure for direct physical loss to covered property involving collapse of a building or any part of a building caused only by one or more of the following:

(1)     Perils Insured Against in named under Coverage C;

(2)     Decay that is hidden from view, unless the presence of such decay is known to an “insured” prior to collapse;

(3)     Insect or vermin damage that is hidden from view, unless the presence of such damage is known to an “insured” prior to collapse;

(4)     Weight of contents, equipment, animals or people;

(5)     Weight of rain which collects on a roof; or

(6)     Use of defective material or methods in construction, remodeling or renovation if the collapse occurs during the course of the construction, remodeling or renovation.

c.     Loss to an awning, fence, patio, deck, pavement, swimming pool, underground pipe, flue, drain, cesspool, septic tank, foundation, retaining wall, bulkhead, pier, wharf or dock is not included under b.(2) through (6) above, unless the loss is a direct result of the collapse of a building or any part of a building.

d.     This coverage does not increase the limit of liability that applies to the damaged covered property.

Analysis

Damage both to buildings and personal property by collapse caused by any of these perils is covered, except for form HO 00 08, which does not include collapse coverage. ISO has changed the additional coverage of collapse, probably as a response to some jurisdictions' findings that “collapse” did not necessarily mean a falling to a state of rubble, but could mean structural impairment. (See Meaning of Collapse, for a review of judicial decisions.) The 2000 edition now defines collapse as “an abrupt falling down or caving in, with the result that the building or part of the building cannot be occupied for its intended use.”

Heretofore, if overhead kitchen cabinets came loose and fell because of the weight of their contents, it was easy to find that “collapse” was the cause. But now, it must be somewhat circuitously argued that the cabinets—the part of the building—collapsed, and therefore the cabinets cannot be used to store contents—”occupied for [their] current intended purpose.” Under the 1991 edition, if a chandelier crashed onto a table, damaging both, coverage was clear. But now, what part of the building cannot be occupied for its current intended purpose?

Note that a deck that collapses because of the weight of the people on it is not covered.

9.     Glass or Safety Glazing Material

a.     We cover:

(1)     The breakage of glass or safety glazing material which is part of a covered building, storm door or storm window;

(2)     The breakage of glass or safety glazing material which is part of a building, storm door or storm window when caused directly by earth movement; and

(3)     The direct physical loss to covered property caused solely by the pieces, fragments or splinters of broken glass or safety glazing material which is part of a building, storm door or storm window.

b.     This coverage does not include loss:

(1)     To covered property because the glass or safety glazing material has been broken, except as provided in a.(3) above; or

(2)     On the “residence premises” if the dwelling has been vacant for more than 60 consecutive days immediately before the loss, except when the breakage results directly from earth movement as provided for in a.(2) above. A dwelling being constructed is not considered vacant.

c.     This coverage does not increase the limit of liability that applies to the damaged property.

Analysis

In forms HO 00 04 and HO 00 06, additional coverage nine, glass or safety glazing material, requires that the glass or safety glazing material be covered as building additions and alterations (see below). Damage to covered property by glass or safety glazing material, however, is covered in all forms. The damage must be caused by pieces of the glass. For example, suppose sun shining directly through a broken window (previously glazed with low-E type glass) scorches a piece of furniture. Since the damage was not caused solely by the broken glass, the scorching is not covered.

If the building has been vacant for more than 60 consecutive days immediately before the loss, only glass breakage resulting from earth movement is covered. The 1991 form did not provide coverage after 30 consecutive days. A building under construction is not considered vacant.

Notably absent from the 2000 edition is the provision that broken glass will be replaced by safety glazing material if required by ordinance or law. The additional coverage for ordinance or law (see below) will fulfill this purpose in all but the HO 00 08, which does not contain this coverage. (The provision for replacing glass with safety glass where required by law has been removed from the HO 00 08 additional coverage, as well.)

The coverage does not increase the limit that applies to the damaged property. A $100 limit applies to this additional coverage in the case of form HO 00 08.

10.     Building Additions and Alterations. We cover under Coverage C the building improvements or installations, made or acquired at your expense, to that part of the “residence premises” used exclusively by you. The limit of liability for this coverage will not be more than 10% of the limit of liability that applies to Coverage C.

     This coverage is additional coverage.

Analysis

This coverage is specific to form HO 00 04. Ten percent of the coverage C amount may be used to cover items such as built in bookshelves installed by the named insured in his or her apartment. It is an additional amount of insurance.

10.     Landlord's Furnishings

     We will pay up to $2500 for your appliances, carpeting and other household furnishings, in each apartment on the “residence premises” regularly rented or held for rental to others by an “insured,” for loss caused by a Peril Insured Against in Coverage C, other than Theft.

     This limit is the most we will pay in any one loss regardless of the number of appliances, carpeting or other household furnishings involved in the loss.

     This coverage does not increase the limit of liability applying to the damaged property.

Analysis

This additional coverage was introduced in the 1991 edition. It is not included in forms HO 00 04, HO 00 06, or HO 00 08. Landlord's property is covered for the same perils as apply to coverage C in the particular form, except that theft coverage is omitted. All of the forms provide up to $2,500 coverage for loss to the landlord's appliances, carpeting, and other household furnishings located in each apartment, on the residence premises, that is regularly rented or held for rental. Remember, the homeowners forms may now be written for one to four family dwellings. The insured must reside in one unit; however, the others may be rented. Since the coverage is on a per-unit basis, up to $7,500 is available if the entire building is destroyed by a covered cause of loss.

The form is silent as to application of the deductible if property in all units were damaged as a result of one covered event; therefore, the insured is entitled to a favorable reading and one deductible should be applied.  

11.     Ordinance or Law

a.     You may use up to 10% of the limit of liability that applies to Coverage A [for Form HO 00 04, the insured may use up to 10% of the limit of liability that applies to Building Additions and Alterations] for the increased costs you incur due to the enforcement of any ordinance or law which requires or regulates:

(1)     The construction, demolition, remodeling, renovation or repair of that part of a covered building or other structure damaged by a Peril Insured Against;

(2)     The demolition and reconstruction of the undamaged part of a covered building or other structure, when that building or other structure must be totally demolished because of damage by a Peril Insured Against to another part of that covered building or other structure; or

(3)     The remodeling, removal or replacement of the portion of the undamaged part of a covered building or other structure necessary to complete the remodeling, repair or replacement of that part of the covered building or other structure damaged by a Peril Insured Against.

b.     You may use all or part of this ordinance or law coverage to apply to the increased costs you incur to remove debris resulting from the construction, demolition, remodeling, renovation, repair or replacement of property as stated in a. above.

c.     We do not cover:

(1)     The loss in value to any covered building or other structure due to the requirements of any ordinance or law; or

(2)     The costs to comply with any ordinance or law which requires any “insured” or others to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, pollutants in or on any covered building or other structure.

     Pollutants means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed.

     This coverage is additional insurance.

Analysis

Previously excluded unless purchased by endorsement, coverage for certain increased costs of demolition, construction, remodeling or repair because of enforcement of an ordinance or law is now included as an additional coverage, except for HO 00 08. Ten percent of the limit of liability that applies to Coverage A, and in form HO 00 04, up to 10% of the amount that applies to building additions and alterations, is available. So, if a dwelling is insured for $150,000, $15,000 is available to meet increased expense resulting from enforcement of any law or ordinance governing repair or rebuilding. Endorsement HO 04 77 10 00 may be used to increase the amount of coverage.

A covered building or other structure must have been damaged by a peril insured against. There is no coverage for loss in value or for removal or cleanup of pollutants.

Previous wording precluded coverage for compliance with any ordinance or law pertaining to pollutants on any covered building or structure; current wording is in or on any covered building or structure. Therefore, asbestos in a building—perhaps wrapping furnace pipes—is excluded as is asbestos on a building—shingles, perhaps.

12.     Grave Markers

     We will pay up to $5,000 for grave markers, including mausoleums, on or away from the “residence premises” for loss caused by a Peril Insured Against under Coverage C [by a Peril Insured Against in form HO 00 05].

     This coverage does not increase the limits of liability that apply to the damaged covered property.

Analysis

New to the 2000 edition is an additional coverage for grave markers, except in form HO 00 08. Previously, there was confusion as to whether these were other structures, and therefore covered under coverage B (by endorsement, since they were often away from premises), or personal property, and therefore covered under coverage C. The editors of the FC&S Bulletins are of the opinion that they are personal property, since in essence they are the property of various family members, although “affixed” to realty.

The addition of this coverage represents either a broadening or a decrease in coverage, depending upon the point of view.