Understanding Renters Insurance Table of Contents Who, What, and Why Introduction to Renters Insurance What Your Landlord Doesn’t Cover… Liability Coverage Who Qualifies Number of Renters Why Bother? Homeowners Versus Renters Insurance What Is Covered The Basics Sporting Equipment Borrowed Items Clumsiness: Are YOU Covered? Auto Accidents Coverage For Medical Costs Health Insurance Additional Living Expenses Floaters/Riders When You’re Not At Home Identity Theft What Is Not Covered Earthquakes, Floods, and Hurricanes, Oh My! Hurricane force Winds Common Disasters …But Volcanoes Are Covered? High-Risk, Low-Probability Man’s Best Friend…? Unwelcome Visitors Mold Illnesses Related to Mold Other Non-Covered Items Types of Renters’ Insurance and Policies Where To Find A Policy Actual Cash Value and Replacement Cost Replacement Cost Homeowners and Renters Insurance Forms HO-1 and HO-2 HO-3 and HO-5 HO-4 HO-6 Co-ops HO-7 © 5th Gear Enterprises, LLC • All Rights Reserved 1 4 4 4 5 5 6 6 7 7 7 8 8 9 9 10 10 11 12 12 13 14 14 14 15 15 16 17 18 18 19 19 20 20 20 21 21 22 22 23 23 24 25 Page 1 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance HO-8 Special Forms and Endorsements Cash and Securities Policy Limits on Individual Items Special Situations In Renters Insurance Business Renters Insurance The Dangers of Not Having Business Renters Insurance Legal Requirements Business Basics Business Personal Property Saving the Environment and Dealing With Business-Interruption The Hazy Areas Business Considerations Renters Who Don’t Need Renters Insurance Military Moving Pro-rating Catastrophic Events Costs Typical Coverage Coverage Outside of the Home Costs To The Insurance Company Deductibles Discounts How Premiums Are Determined How Much Are You Worth? Location, Location, Location Credit Reports and Insurance Scores CLUE Reports Beware of Dog Additional Considerations In Determining Premiums Rising Prices The Nuts and Bolts: Actually Paying The Premium What If It Just Costs Too Much? Claims and Losses Safety Measures To File or Not to File: That Is the Question Surcharges How To File Loss of Use/Additional Costs Coverage Filing for Business Renters Insurance Adjusters Independent Adjusters © 5th Gear Enterprises, LLC • All Rights Reserved Page 2 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. 25 26 26 27 28 28 28 29 29 30 30 31 32 32 33 34 35 35 36 36 37 38 38 39 40 40 41 41 42 43 44 45 45 46 46 46 47 48 48 49 50 50 51 Understanding Renters Insurance Appraisals The Importance of a Good Inventory Proving The Case Mediation The Appraisal Clause Litigation Reopening A Claim Once A Claim Is Settled: Show Me The Money Liability Claims Policy Changes, Cancellation or Non-Renewal Policy Changes After Filing A Claim Differences in Terminology Reasons For Non-Renewal So Many Claims, So Little Time Disputing A Cancelled Or Non-Renewed Policy If The Renter Decides To Cancel Conclusion © 5th Gear Enterprises, LLC • All Rights Reserved 52 53 53 54 54 55 56 57 57 58 58 59 60 60 61 62 62 Page 3 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance Chapter 1: Who, What, and Why Introduction to Renters Insurance Most people, at some point in their lives, have rented a living space. Though the “American Dream” may be the house with a picket fence and a dog, there is a huge population renting apartments, condos, townhouses or other spaces. Home buyers or owners, though not required by law in many states to purchase home insurance, are required by the majority of lending agencies and mortgage companies to have insurance, which makes home insurance a much more common consideration for people than is renters insurance. It makes good sense to protect your home and possessions, and most of us take it for granted that buying home insurance comes with owning a house. However, renters insurance, sometimes called tenants insurance, is purchased far less often. The typical reasons that people cite for not having bought renters insurance are that they didn’t know about this kind of protection, they thought that the landlord’s property policy covered the tenants’ belongings, or they assumed that they don’t have enough possessions to warrant buying insurance. What Your Landlord Doesn’t Cover… When a person signs a lease agreement with a rental agency or landlord, he or she sometimes assume that this agreement covers not only the building in which he or she lives, but also the furniture and smaller possessions inside the building. Many renters have been in for a rude surprise when, after an apartment fire, accident, or the aftermath of an irresponsible roommate, they find that their nowruined possessions are not covered in the least by the association fee or lease agreement. To cover personal property and possessions, renters of apartments or condos need to purchase renters insurance, which does protect against the vast majority of potential hazards a renter could encounter. The lease agreement or association fee only comes into play in relation to personal possessions if a renter’s property is damaged due to the landlord’s negligence. Negligence, in this sense, means care for building property that falls short of what could be reasonably expected. For instance, if a building manager or landlord fails to maintain proper locks on the doors, and damage to the lock or door is not the fault of the renter, the renter may have a case for small claims court if their property is stolen. Another example might be if the plumbing in an apartment building is not kept up to date or repaired in a timely fashion, and as a result of this, a renter’s property is water-damaged. On the other hand, a renter would be responsible for damage to personal property as the result of an accident, such as frozen pipe that burst, which is where renters insurance comes into play. The only type of property inside of a renter’s apartment or condo that a landlord could potentially be responsible for would be appliances that are build into the living space: a dishwasher or refrigerator, for instance, might be the © 5th Gear Enterprises, LLC • All Rights Reserved Page 4 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance property of the landlord or property association, and as such any repair or replacement of those appliances would be the responsibility of the landlord. Damage to a renter’s property as the result of those appliances could still be covered under the renter’s insurance policy, or might be paid for by the landlord’s insurance, depending on the specifications in both policies. If, however, the renter brought any of those large (or small) appliances into the apartment, he or she assumes all responsibility for insuring the appliances. Liability Coverage The other important part of renters insurance, which will be discussed in more detail in the second chapter, is the liability coverage it provides. If, as a renter, you host a party and one of your guests ends up tripping over your living room rug, breaking his arm when he falls, you’d want to have a way to cover the medical costs associated with that accident. Because the accident took place in the rented area, the renter is technically responsible for the medical care, whether or not they have insurance. Most renters insurance covers accidents such as the one described in this example, up to a certain monetary limit. Again, a lease agreement or association fee doesn’t protect against these kind of occurrences, unless the accident is the result of negligence, and since no one is perfect, renters insurance is important not only for keeping possessions safe but for protecting renters against simple human error and clumsiness. Who Qualifies Obviously, people renting a living space qualify for renters insurance, but to get a little more technical, those who rent an apartment, co-op apartment, section of a house, townhouse, or condo typically are eligible to purchase renters insurance. Additionally, if a person or family rents a house from the homeowner, they would be eligible for renters insurance but not for homeowners insurance. Any instance in which a person is not responsible for the actual structure, but is paying to use the house, apartment, condo or other living space is an occasion on which the person should look into renters insurance. In the case of condo insurance, which is slightly different from renter’s insurance because of the different contract between the condo association and the person living in the space, either a condo renter or even a condo owner is eligible for a certain type of renters insurance. Business renters insurance, which will be discussed in more detail later, is a specific kind of renters insurance for people running a business out of a rented space, maybe in an office building or business complex. Many more people qualify for renters insurance than actually have this kind of insurance; though statistics vary, almost all surveys show that less than half of all renters have insurance for their personal property, which means that © 5th Gear Enterprises, LLC • All Rights Reserved Page 5 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance the majority of renters are entirely financially responsible for any loss or damage to their personal property. For a lot of people, it would be an impossible monetary burden to replace or restore everything that they own. Number of Renters Another important consideration in looking at who qualifies for or needs renters insurance is that of how many people live in an apartment or other rented space. Though homeowners insurance for a family will cover the possessions of all those people living in the house, renters insurance is specific to the person who purchases the policy; in other words, just because one roommate living in a three bedroom apartment has renters insurance, it doesn’t mean that the other two roommates will be eligible for reimbursement in the case of losing any of their personal possessions. In fact, all three roommates could have very different rental policies, with separate insurance companies. Though a very few insurance companies do allow multiple roommates to hold the same rental policy, this is uncommon, and is definitely something that a renter would need to check into before signing a policy. Many renters have been surprised to find, after having a thief loot the apartment or a fire destroy the belongings of several roommates, that one roommate’s policy did not cover the damage to everyone’s possessions. Why Bother? Whether we recognize it not, we all take risks in accumulating and storing personal possessions; though we can take precautions, such as installing smoke detectors, burglar alarms, or distancing ourselves from flood areas, accidents happen. Very few landlords go without a security deposit when leasing an apartment or condo to a renter; the security deposit is the landlord’s insurance against the renter, giving them a certain amount of money to repair any damage that might be done to the building as the result of the renter’s living there. In the same vein, the renter should have insurance to keep him or her safe from possible negligence on the part of the landlord or leasing agency, from natural disasters, and from unforeseen events such as robberies, home accidents, animal damage, or damage done by roommates and visitors. Many renters take the attitude that it’s very unlikely that anything is going to happen to their possessions, and in a sense, this is fairly accurate. A lot of people who rent an apartment can go for years without losing any possessions to accidents, natural disasters, or thievery, and they may never encounter a situation in which the renters insurance “pays off.” Additionally, many renters are young and may be living alone for the first time, which in and of itself isn’t an excuse for not getting renters insurance but may be a reason that this type of insurance isn’t as common: younger people may not have had as much experience getting insurance, may not want to spend the money on coverage, or © 5th Gear Enterprises, LLC • All Rights Reserved Page 6 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance may simply be overconfident because of not having had any experience losing possessions to accidents or thievery. In comparing this kind of insurance to auto, home, or life insurance, however, it’s a similar situation: we buy it “just in case.” The low cost of renters insurance versus the coverage provided in the case of the loss of personal property is a compelling case for buying this insurance along with the other types of insurance that we take for granted as necessities. Homeowners Versus Renters Insurance Though homeowners and renters insurance are similar in many ways, it bears pointing out some of the key similarities and differences. Both cover personal property and possessions, and both typically come with some liability coverage, though this can be less common for renters insurance than for homeowners insurance. The two kinds of insurance also both provide provisions to cover particularly valuable pieces of property, such as jewelry, computers, expensive sports equipment, or antiques. A homeowner or rental policy may not, at its upper limit, cover enough of the cost of those pieces of property to replace them, so many people opt to customize the policy with a rider that covers those specific possessions. The biggest difference is in the protection given to the physical structure in which the person or family lives; as discussed, renters insurance doesn’t cover the building in which a renter lives, since maintenance and costs associated with the structure fall to the rental agency or landlord. Homeowners insurance, on the other hand, covers the main living structure as well as any unattached buildings, such as garages or sheds. Special accommodations can be made in renters insurance to cover unattached structures, but policies differ on how they deal with that situation, and it’s more common to make this provision in homeowners insurance. Homeowners insurance can also cover landscaping, such as trees or bushes, on a person’s property, while this is not typically included in renters insurance. For a building or space to be eligible for homeowners insurance, it has to be used for personal, residential purposes, while renters insurance typically covers residential spaces but is available for businesses renting spaces, as well. The different variations on homeowners insurance and renters insurance, including insurance for condo owners and the different levels of protection that come with various policies, will be explained in more detail in chapter three. Chapter 2: What Is Covered The Basics Though there are numerous insurance agencies that provide renters insurance, there is a generally agreed-upon list of perils that this type of insurance covers. “Peril,” in this context, means anything that might threaten the integrity of a person’s possessions, be it natural disaster, another person, or an accident. The © 5th Gear Enterprises, LLC • All Rights Reserved Page 7 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance number of perils cited on the list of basic coverage varies from about fifteen to seventeen, but the majority of insurance companies providing renters insurance cite the following perils as covered: lightening or fire, falling objects, damage due to vehicle, damage due to aircraft, explosion, damage due to windstorm or hail, robbery, vandalism, riot, smoke, volcanic eruption, damage from the weight of snow, sleet, or ice, damage due to the malfunction or overflowing of water or steam from the plumbing, air conditioning, heating, sprinkler system, or household appliance, damage due to the freezing of any of the above systems, damage due to the accidental and/or sudden cracking, burning, breaking, or bulging of any of those systems, or damage due to electrical surges or the malfunction of an electrical current. The exact number of things on the list of basic coverage varies by how each company splits up particular types of damage– one insurance company, for instance, might cite hail damage and wind damage as separate perils to be covered, while another will lump those together. Because of this, it’s important that consumers read each separate policy in order to ascertain what is and is not covered by different companies’ renters’ insurance policies. In most cases, all of the above perils will be covered. Sporting Equipment While the perils listed above clearly cover the majority of personal possessions, there are always exceptions and questions about renters’ policies. It may be a clear cut case if a renter’s couch accidentally catches on fire– the couch is a personal possession, fire is covered in renters insurance, and so the accident should be covered by the policy– what happens if a renter’s bike, parked outside of the house, is damaged by someone else running into it with his or her car? Sporting equipment, which can be costly to replace and which is often used outside of the house, is also covered under most renters insurance policies. Bikes, skis, rollerblades, skateboards and many other types of recreational equipment can be used outside of the rented space without losing the coverage associated with the renter’s policy. However, as mentioned, some sporting goods can be exceptionally costly, and so if a renter has a pair of top-notch skis that he or she feels represent a significant and difficult-to-replace expense, the policy may need to be modified in order to accommodate those skis under a separate part of the policy. Floaters, or riders, will be discussed in a later section of this chapter, but often apply to sporting equipment such as this in order to protect renters from damage to one specific piece of personal property. Borrowed Items Another concern for renters is whether borrowed items are protected under the renters insurance. A couch that a renter has bought and paid for is undeniably a personal possession, but the stack of library books in the living room is a more difficult question. Technically, those books are the property of the library. © 5th Gear Enterprises, LLC • All Rights Reserved Page 8 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance Similarly, a person who borrows a friend’s expensive laptop may not consider the laptop to be her possession. However, under renters insurance, any piece of property that a person assumes responsibility for, even temporarily, as in the case of borrowed items from friends, a library, or another institution, are covered under the policy. For expensive items, such as a laptop, coverage will not exceed the typical limits in order to compensate for the extra costs associated with that piece of equipment, but it is covered under the regular policy nonetheless. Clumsiness: Are YOU Covered? Of course, the list of perils only covers damage to personal possessions. This is generally the first thing that people think of when discussing and buying renters insurance; after all, the landlord’s policy covers the structure, and so logically the first financial burden taken into consideration is that of replacing all, or even a substantial portion, of one’s possessions in the case of an accident. While this is a fundamental and important part of renters insurance, another important piece of this type of insurance is liability coverage. Liability coverage can be split up into personal liability and medical costs coverage, two areas that are both typically covered in renters insurance. Personal liability, for the purposes of renters insurance, can be defined to mean the legal responsibility a renter has toward anyone who is bodily injured or has his or her possessions damaged on the renter’s property. Though many people may not initially think of this as an important part of renters insurance, we’ve all been in the position of stumbling over a doorstep or tripping on the stairs, and if a visitor to your apartment happens to injure him or herself by way of this kind of mistake, the ensuing legal case can be costly. Auto Accidents The insurance company is not responsible for any accidents caused by the renter’s car, since that would fall under the coverage of car insurance, and the company is also not necessarily responsible for injury caused to people who come on the premises in order to conduct business: as will be discussed in a later chapter, if a renter employs people for an in-home business, additional coverage might be required. However, in most cases, the insurance company covers the costs that come up when a person makes a claim or files a lawsuit against a renter or any family members living in the rented space. Personal liability coverage extends to injuries or accidents caused both to people who are invited on to the renter’s property, such as neighbors, friends, or extended family, and, in many cases, to trespassers on the renter’s property. This coverage does not pay for the medical costs associated with a trespasser’s injuries, should he or she sustain any, but rather pays the legal costs that would arise should the trespasser sue the renter. Though this might seem unlikely, if the renter knows about a trespasser– as they would if a thief made his or her presence known in © 5th Gear Enterprises, LLC • All Rights Reserved Page 9 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance the apartment, or even if a renter noticed that someone had sat down on the front step– he or she would technically be responsible for any injuries to that person while on the premises. Coverage For Medical Costs Medical care can be even more expensive than paying for lost or damaged possessions, and sometimes more expensive than paying for the fees associated with legal battles. For this reason, it makes good sense for a renter to have coverage that extends to the medical costs incurred if a person is hurt on in the renter’s apartment or condo. As with the argument that a person doesn’t need renters insurance because it’s unlikely that anything terrible is really going to happen to their possessions, it seems unlikely that a visitor will, first, have such a bad accident that it necessitates costly medical care, and second, that the visitor will take no responsibility for their own actions and will sue the renter for the cost of care. In many cases, if a person hurts him or herself while at a friend’s house, they will assume responsibility for the accident and will pay for any expenses associated with the event, either out of pocket or through his or her own health insurance. On the other hand, if a renter has placed his coffee table in such a way as to make it difficult to get around, or has not taken the time to smooth out a rug, the visitor or friend might have a legitimate cause to sue for medical coverage, and if the person does not have health care coverage, they are even more likely to sue for injury. The important aspect of medical costs coverage is that the insurance company agrees to pay medical costs whether or not the renter is legally responsible for the accident. If the renter is legally responsible and the injured party sues or files a claim, personal liability coverage comes into play, as well, but if not, the high costs of medical care might still necessitate support from the insurance company. On the other hand, if the renter causes injury through an intentional act, the insurance company is not obligated to pay for medical costs. Health Insurance Accidents happen, and it’s best to have some kind of coverage to protect against those events that we don’t foresee, but which nevertheless can occur. Liability coverage that comes with renters insurance doesn’t necessarily pay for the entire cost of medical care– as with personal property coverage, there’s always an upper limit on how much the insurance company will pay, and medical costs coverage often has a specific per-person, per-incident cap– but this varies by insurance company and specific policy, and a policy can always be modified to fit the needs of a particular renter. Some insurance companies only cover medical costs for uninsured victims, since the injured party’s health insurance should cover him or her, but there are always extenuating circumstances, so it’s best to check with the insurance company on this point. Though the upper limit for © 5th Gear Enterprises, LLC • All Rights Reserved Page 10 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance liability coverage is typically higher than that for personal possessions, since legal and medical costs can add up very quickly, if the renter doesn’t have much coverage or is involved in a long or complicated lawsuit, he or she could end up playing quite a bit of money. For this reason, it’s recommended that renters both take precautions to make sure that the rented space is safe as well as purchasing a good amount of liability coverage. The liability coverage that comes with renters insurance often covers accidents that occur outside of the rented space but which are linked to the renter or the renter’s property, as well, making it even more valuable to the renter. However, the connection between a renter and an accident outside of the home may not always be perfectly clear, and so some cases may take more evidence to prove or time to dispute between the renter and the insurance company. Additional Living Expenses The third important area of coverage included in most renters insurance is the additional expense, sometimes called “loss of use” expense, of living somewhere else for a while if a rented space becomes unlivable. For instance, a fire that leaves a renter’s apartment without basic amenities and in such a condition that renovation and repair is needed, the renter is obviously not going to be living in the apartment for a few months. Living in a hotel, or even with family or friends, costs more money than it would to live in one’s own apartment; the cost of shelter, food, and gas can all skyrocket, and these costs in addition to the expenses associated with repairing an apartment can create a very difficult situation for any renter. Even things as simple as having to do laundry at the Laundromat, eat out more often than usual, or pay for parking incur extra expenses for a renter. In addition, if the renter is not able to work as the result of an accident in his or her home, the loss of income can make his or her situation even harder, necessitating financial support. For this reason, most insurance companies offer assistance paying for those additional expenses, up to a certain point: again, the company doesn’t cover all costs, but a typical policy will pay for 20 to 40 percent of the total insurance for the renter. There may be stipulations about the living situation outside of the rented space– an insurance company is not obligated to pay for several months’ stay at the nicest hotel in town when a renter has the possibility of staying with her parents on the next block over– but most companies will pay for housing comparable to that in which the renter lived before the accident/disaster/burglary. Additionally, most policies will indicate a time limit on how long they will pay for a person to live outside of his or her home. Some companies cut off financial assistance after a year, while others state that they will help pay for additional living expenses for a “reasonable amount of time” based on the condition of the rented space and what has to be done in order to make it livable again. © 5th Gear Enterprises, LLC • All Rights Reserved Page 11 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance Insurance agencies and specific policies deal with additional living expenses differently. Some companies may give a renter a certain amount of money up front in order to pay for those expenses, while other companies will reimburse the renter after all is said and done. However, all companies require proof of the additional costs, so keeping receipts to everything is important in order to show a person’s financial necessity. Floaters/Riders As mentioned earlier in this chapter, some renters may have items that are extremely expensive and need to be covered separately from the basic renters insurance policy. Often, these items take the form of jewelry, high-quality sporting equipment, computers or other electronics, antiques, or very rare or difficult to replace possessions. When getting renters insurance, a person should assess their possessions in order to determine particularly expensive items and should then work with the insurance agency to get the best protection for those pieces of property. This is where “floaters” or “riders” come into play. This type of additional security, also know as special items or personal articles insurance, is a common part of renters insurance. A floater, in relation to renters insurance, means an added-on part of the insurance package that covers a specific possession. A diamond engagement ring, for example, mind warrant a floater in addition to regular renters insurance, given that the ring may have cost several thousand dollars or could even come close to matching the cost of the rest of a person’s possessions. Floater policies for jewelry exceeding $25,000 are not uncommon, and this is actually a growing need in the insurance industry, so it’s important for renters to look carefully at their possessions before setting up a policy. The additional coverage provided by floater policies can protect renters against lost or stolen jewelry. While a floater policy will cover the cost of that jewelry (with the amount of reimbursement depending on the specific kind of policy and limits that the renter sets up), a regular renters insurance policy will only cover somewhere between $1000-2000 of the cost of that jewelry (or other expensive item). Because these types of possessions, be they computers, jewelry, sporting equipment, or high-tech electronics, are often not only costly but extremely important to the owners for both sentimental and work value, looking into the supplementary coverage provided by a floater policy is worth the relatively small price it costs to add this to a renter’s insurance package. Typically, the cost to the renter to add a floater is under five percent of what the item to be insured actually costs. When You’re Not At Home Just as bicycles, skateboards, or skis are covered under a renter’s insurance policy when they’re used outside of the renter’s actual living space, other personal possessions are also covered when in transit, when stored in a renter’s © 5th Gear Enterprises, LLC • All Rights Reserved Page 12 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance car, or even on vacation. This differs from policy to policy, but many policies include some kind of outside-the-home coverage. One of the most common types of coverage is when a renter’s possessions are stored in the car: if a renter has CDs, clothes, or an iPod in his or her car and the car is stolen, those possessions– excluding the car, obviously, which falls under auto insurance coverage– inside the car may be compensated by the rental insurance agency. Additionally, renters who go on vacation may be covered for any accidents or losses they sustain while away from home. This kind of coverage is standard with some renters insurance and can be added to a policy that does not already cover out-of-home damage. Moving from one house or apartment to another can also be a concern for renters, since auto insurance doesn’t cover those possessions that the person transports. Driving across the country with all of your personal property in the car can be a daunting prospect; one car crash, and not only do you have to pay for the automobile, but there’s a good chance that many of your possessions will be ruined. In light of this, many rental policies cover possessions while the renter moves. The policy has to be changed when a person moves to a new place to take into account regional differences and the structure of the new dwelling, but during that transit time, the previous policy will suffice. Identity Theft Though the personal property coverage described up to this point relates to tangible items– coverage for skis and computers, books and the sofa– a growing area in renters and homeowners insurance is protection against identity theft. Identity theft is defined as using someone else’s identity– including credit cards, social security number, address, or numerous other attributes associated with a particular person– in order to obtain goods or services, gain employment, or otherwise go about the daily business of life. This kind of theft, which can be more difficult to track or even determine as having happened, is increasing as both technology and the amount of information shared between different interest groups increases. There is an astounding amount of information stored digitally about each person in the United States– though this obviously differs from person to person, based on job, citizenship status, age, prominence in the government, individual precautions taken to keep information private, and agencies to which a person has provided information– and those people who are inclined to steal personal data have a wealth of resources from which to choose. Because this type of theft represents a threat possibly even beyond the risk associated with tangible personal property, many insurance agencies are offering coverage to renters, despite the fact that the coverage has little to do with the person’s housing situation. © 5th Gear Enterprises, LLC • All Rights Reserved Page 13 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance Some insurance agencies offer this protection as part of the standard coverage package, but the majority of companies offer it as an additional endorsement on the policy. There are several options available: the more modest protection offered by an insurance agency, often called “resolution assistance,” would provide the renter with an independent identity theft recovery agency or fraud assistance agent in order to move that person through the process of recovering lost information and restoring his or her privacy, while more comprehensive coverage would provide financial support for all the costs accrued from replacing credit cards and personal ID, restoring one’s credit report to accuracy, loss of income, and many additional fees that the renter might have to pay in order to fully recover his or her personal information. Chapter 3: What Is Not Covered Earthquakes, Floods, and Hurricanes, Oh My! Notably absent from the sixteen or seventeen perils covered by renters insurance are earthquake and flood insurance. Because the danger associated with these natural disasters varies by region, and because of the high costs that can accrue as the result of damage from either occurrence, renters insurance doesn’t cover these two natural disasters. For a renter to protect his or her possessions from earthquake or flood, he or she would have to buy specific insurance to cover this, which costs extra but is typically offered on a renters policy. In Florida, flood coverage would be much more important than in Montana; likewise, Californian renters might be more likely to purchase earthquake insurance than those in Vermont, though it’s important to remember that the vast majority of the country has the potential to be hit by an earthquake, even those locations far from fault lines. Researching the location of a rented property, as well as discussing the perils with an insurance agent, can help renters decide whether earthquake and/or flood insurance is an important piece to add to his or her policy. However, water damage is one of the most common types of claims made, and floods have the potential to strike anywhere in the country, so a renter may want to look into coverage not matter where he or she lives. Hurricane force Winds Though the list of perils does include wind damage, this can be slightly misleading; most policies include wind damage in the standard list of coverage, but this does not necessarily extend to hurricane-level damage, which is, technically, wind damage. Again, coverage depends upon the region in which a renter lives. If they live in an area that is often affected by hurricanes, the renter’s policy may be much more specific about what kinds of damage are and are not covered, and may, as in the case of earthquake and flood damage, require a separate piece of coverage in order to protect against hurricanes. Any of these © 5th Gear Enterprises, LLC • All Rights Reserved Page 14 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance types of coverage– earthquake, flood, or hurricane– may be offered by the same insurance company that provides basic renters insurance. The modification to the policy in order to include this kind of coverage is called an endorsement, and is fairly easy to add, though often costly. A renter can also find coverage for natural disasters through separate insurance companies. Especially in areas prone to these types of natural disasters, a renter can buy coverage specifically from a company specializing in those types of protection. Costs associated with these different types of coverage can vary depending on how a renter decides to purchase his or her insurance, but it’s likely that anyone who lives in a region with a high likelihood of a natural disaster will have to pay more for renters insurance. Common Disasters Costs to the company, and risk management, come into play with flood and earthquake insurance, in particular. It might seem strange that renters insurance covers damage from volcanoes, wind, and hail, but not from earthquakes or flood. Flood damage is actually one of the most common types of damage claimed by renters and homeowners, and it is precisely for that reason that it is left off of basic renters insurance. The potentially devastating nature of a flood– as with most natural disasters, it has the potential to wipe out all of a person’s possessions– means that it poses a huge risk to the insurance agency. Unlike the perils discussed in the next section, floods are not only high-risk but are also relatively probable in certain areas, and are definitely more likely than perils such as nuclear hazard, making them a high cost to insurance agencies. The same can be said for earthquakes, though this is a bit more dependent on region– an area far from a fault line, while it can still suffer from seismic activity, has a much lower chance of having a devastating earthquake. Because of this geographic disparity, earthquakes fall into one of two categories: either they are a very low risk for the renter, meaning that the renter would not want to automatically pay for earthquake coverage, or earthquakes are a high-risk, medium-probability threat, meaning that the insurance agency would have to assume a huge number of claims for renters in the region if earthquake insurance was included in everyone’s policy. …But Volcanoes Are Covered? Volcanoes, on the other hand, which are covered in the basic perils listed for a renter’s policy, are less likely than either earthquakes or floods, and also pose a smaller risk to the insurance company. This may seem counter-intuitive at first glance, but it all hangs in the definition of damage due to a volcano. Any tremors, landslides, mudslides, or earthquakes that are the result of a volcanic eruption and cause damage personal property are not covered, despite the cause-effect link, and thus the total damage that can come from land movement is not a risk © 5th Gear Enterprises, LLC • All Rights Reserved Page 15 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance that the insurance company assumes. What is covered in renters insurance is direct damage from a volcanic eruption, such as air blasts, lava, shock waves, or ash. While possibly devastating, the damage from these effects of volcanic eruption are not as likely to destroy all of one’s possessions– or even reach all of one’s possessions, if those items are inside of a closed space– as are earthquakes or floods. Damage over time to property due to ash is also not covered under renters insurance; immediate damage can be assessed at the time, but claimants who look for money years later are unlikely to be awarded any financial support. As with other natural disasters, the clause in a policy that relates to volcanoes can change by region: in Hawaii, for instance, renters insurance may offer more protection against this peril, and insurance companies are more likely to offer endorsements to further cover renters against damage. High-Risk, Low-Probability Just as there’s a list of perils that most insurance companies do cover in renters insurance, most policies include a list of items and occurrences that are not covered by renters insurance. One of the most commonly cited items on this list of non-covered items or events is “acts of God.” While this may seem nebulous or confusing– and it can be, given that not all insurance agencies define this phrase the same way–often this refers to events like freak storms or unexpected natural disasters, some of which overlaps with the events described above. As renters get more careful, and as insurance agencies begin to change policies in order to protect people against all contingencies, these “acts of God” are increasingly things that can be covered by renters insurance, though, again, it can be costly to protect against catastrophic events. As with endorsements for hurricanes or floods, a renter can purchase protection against natural disasters in general, so as to be prepared for potentially disastrous natural occurrences. However, at the moment, the majority of policies do not initially cover these events. The other option for renters who want coverage against catastrophes is to purchase the renter’s policy, without any particular earthquake, flood, or hurricane damage, and to then purchase an umbrella insurance policy separate from that renters insurance. Umbrella insurance can provide very high coverage limits against a huge number of perils, and may give a renter more confidence that he or she would be covered for all losses and damage in the case of an unforeseen natural disaster. Another commonly cited item on the list of non-covered occurrences is nuclear hazard. The common theme for this list of items is things that are both highly detrimental and highly unlikely. As is obvious, nuclear hazard could entirely destroy a renter’s personal property, not to mention the structure, and because of this and because of the inability to foresee what kind of danger might be posed by this threat to particular regions or areas, most renters insurance will not cover this danger. In the same vein, the effects of war in general are not covered by © 5th Gear Enterprises, LLC • All Rights Reserved Page 16 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance renters insurance, again because of the inability to predict its effects, location, or probability and because of the potentially huge costs associated with repairing damages due to war. Man’s Best Friend…? Pets may be cute, but when it comes to coverage provided by renters insurance, animals can be a hazy area. Whether or not a renter has a pet can seriously affect the cost of renters insurance, a topic that will be discussed in more detail in a later chapter, but just as renters insurance provides personal liability insurance for a renter whose friend trips down the stairs, renters insurance provides liability coverage when that friend is bitten by the renter’s dog. Additionally, renters insurance can cover damage done to other people’s property by a pet. However, not all pets can be covered by renters insurance, and it may be that a renter who owns a certain kind of pet will not be granted renters insurance at all. Dogs, in particular, can be problematic: breeds that have a history of aggression, or specific dogs that have bitten people in the past, may pose too much of a risk for an insurance company, leading them to refuse coverage to a renter. Common breeds that might pose this problem are Rottweilers, Pit Bulls, Shephards, Wolf hybrids and other large dogs. Smaller dogs can present a problem, as well; Jack Russell Terriers and Chihuahuas, for instance, have been known to be aggressive, and depending on the insurance company, may warrant more costly insurance or a refusal of coverage. Exotic pets can cause renters the same problems, in that snakes, tarantulas, or certain types of birds may be too much of a risk to cover. On the other hand, a renter might have a dog of a “gentle” breed with no previous history of aggression or biting, and that dog could still bite a visitor to the apartment. In this case, insurance companies differ: while the majority of insurance companies are in states that consider this kind of accident to be one that renters insurance should cover, since the owner theoretically had no way of predicting the dog’s aggressive behavior and the insurance company has provided the renter with liability coverage, a smaller percentage of states have laws that hold the owner to be entirely responsible for his or her dog’s behavior, regardless of breed or history. Those states that have a full liability statute hold the owner liable for any injuries caused by the dog, whether or not the owner took precautions (such as muzzling, closely observing, or giving the dog training classes). Other states only hold the owner liable if he or she previously knew that the dog was aggressive or prone to biting, though this can get complicated in that the person bitten by the dog would have to prove that the owner had that knowledge previously. Finally, insurance companies and state laws hold dog owners liable for negligence with dogs, just as renters are held responsible for negligence in their apartments or rented spaces: not keeping a dog on a leash or leaving a dog with a small child, for example, could prove negligence on the part © 5th Gear Enterprises, LLC • All Rights Reserved Page 17 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance of the owner and place him or her in the position of assuming all costs associated with injuries caused by the animal. Unwelcome Visitors In addition to the complications posed by pets, there are some smaller and often less welcome animals that renters insurance will not cover. Damage to property caused by termites, ants, mice, rats, cockroaches, or other pests is rarely covered by renters insurance. Because this kind of damage is considered avoidable by way of vigilance and cleanliness on the part of the renter, traps, or an exterminator, it’s considered the renter’s responsibility to be proactive and keep bugs and rodents from damaging his or her property. As with the regional differences associated with natural disasters, this policy specification, and the precautions that renter might need to take, can vary by location and by the construction material for the dwelling. Though, as mentioned, the landlord is responsible for care of the physical structure, if the renter neglects to clean up sticky spills in the kitchen or takes no action upon finding a termite nest, it becomes his or her responsibility to fix any damage done. On the other hand, if the landlord agrees to provide an exterminator, after the renter has notified that landlord of a termite nest, and the problem is never taken care of, the renter has taken the proper action and the responsibility lies with the landlord. The key to renters insurance and damage from insidious animals is proactive steps to prevent damage and prompt reporting of any problems to the correct people, since renters insurance will not make up for a renter’s entire stock of food being eaten by mice. Mold In addition to coverage for dogs, one of the most controversial topics in renters and homeowners insurance at the moment is coverage for mold-related damage and illness. Because damage or illness from mold is not usually immediately apparent– mold in ceiling tiles, pipes, behind furniture, or in the carpet can be difficult to locate and specify as a problem– it’s a dangerous area for insurance companies to cover. Additionally, in the case of renters insurance, the landlord or property association should cover any structural or building issues, which would include walls, pipes, ceiling tiles, etc. If the renter determines that mold has damaged his or her personal property or that he or she is having health side effects from mold spores in the air, the first course of action would be to contact the landlord, who is responsible for maintaining a livable environment in the apartment building or condo. Mold that was in walls or pipes before the renter moved in, which isn’t always easy to ascertain, would fall to the landlord to clean. On the other hand, if mold grows in a renter’s apartment or condo as the result of the renter keeping the apartment especially humidified, unclean, or because it was visible and simply let to grow unchecked, the renter would be liable for any damage or illness related to the mold. This issue of figuring out whether the mold © 5th Gear Enterprises, LLC • All Rights Reserved Page 18 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance is the responsibility of the tenant or landlord can be difficult, which makes it a good idea for the renter to check the apartment thoroughly before moving in, either on his or her own or by hiring a licensed mold specialist. Illnesses Related to Mold Renters insurance does not typically cover damage or illness from mold: because in many cases, the landlord is supposed to assume the costs for cleaning any mold, a renter’s policy does not always need to cover this peril. However, an increasing number of cases of health-related issues in connection with mold have surfaced recently, forcing insurance companies to consider this peril when drawing up renters’ insurance policies. Because mold often grows in damp environments, it can be difficult to draw the line between water damage and mold damage, and since most renters insurance covers water damage, insurance companies and renters have to tread carefully in making and assessing claims. A claim made on a renter’s insurance policy in order to fix water damage would cover the costs to replace ruined items and dry out any items that needed to be dried: carpet, walls, and some possessions could be usable if properly cared for after the water damage. Mold damage, since it can be part of the aftermath of water damage, might be assumed to be covered in renters insurance, but often is not: renters are meant to assume responsibility for fully drying out their possessions, which would theoretically keep mold from growing. In certain cases, very clear evidence that mold damage was the result of water damage could result in an approved claim, but the claim is more likely to be turned down. Insurance companies are increasingly specifying mold as excluded from coverage for renters, and instead are offering this coverage as an additional endorsement. Other Non-Covered Items Because renters insurance primarily covers accidents– if a person intentionally sets fire to his or her apartment, clearly they are not entitled to the same coverage as if they accidentally start a fire while cooking, even though the renters insurance policy states that “fire” is covered– many of the items that renters insurance does not cover are items or occurrences that the renter could avoid, as with the example of bugs and rodents above. General negligence on the part of the renter to respect building codes and laws, as long as he or she has been informed in his or her lease agreement or by the landlord of those codes and laws, is not covered by renters insurance. There is often a clause in the policy stating that “intentional acts” are not covered; in essence, damage done to personal property or the building, which then causes damage to personal property, will not be covered by renters insurance, nor will it be covered by the lease agreement. Intentional non-action, in the form of neglect, is also the responsibility of the renter and will not be covered by renters insurance. Power © 5th Gear Enterprises, LLC • All Rights Reserved Page 19 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance failure is also often noted as outside the coverage of most policies, and anything not specifically listed in the renter’s insurance policy as being covered will not be paid for by the insurance company in the event that personal property is damaged or lost. Finally, general wear and tear, the sort that happens to all possessions and can hardly be avoided, is not covered by a renters insurance policy; after several years of using a mattress, for example, the insurance agency isn’t going to cover the replacement cost of that mattress simply because it has lost some of its spring. Chapter 4: Types of Renters’ Insurance and Policies Where To Find A Policy Despite the fact that renters insurance is less commonly held than home, auto, health, or life insurance, almost all major insurance agencies offer renters insurance. Renters insurance is actually a modification, or subset, of home insurance, and so any agency that has homeowners insurance is likely to also provide renters insurance. When looking for renters insurance, people have several options to consider, such as what kind of building they are living in, the cost of their possessions, whether they’ll need to buy any floaters, and whether they have any business needs or business equipment at the home that will require extra coverage. The various options available to those people looking into renters insurance will be explained in the following sections of this chapter. Actual Cash Value and Replacement Cost One of the most important decisions for a renter to make when buying renters insurance is whether he or she wants the policy to cover the “actual cost value” of his or her possessions or the “replacement cost” of the possessions. Imagine an expensive dining room table that, after many years of use, has accrued light scratches, a nick in one of the legs, and has noticeably worn varnish. As mentioned in the section that discussed non-covered items, insurance companies will not cover wear and tear to a person’s possessions, if that wear and tear isn’t the result of an accident or any of the covered perils in the policy. However, if the table described above, which may be slightly worn but still in decent condition, is somehow stolen or damaged, the insurance company would be in a position to help the renter cover his or her costs, since thievery and accidental damage of various sorts is covered in the policy. The next question is to decide how much monetary reimbursement the renter is entitled to in order to replace that table. This is where the difference between actual cash value and replacement cost becomes important. If the renter has set up a policy based on actual cash value, or ACV, he or she is entitled to the cost of an item at the time it is damaged or lost. So instead of getting reimbursed for the price of the table when it was new, the renter would receive the market value for the table in its condition as slightly worn and nicked, which is going to be much less than its © 5th Gear Enterprises, LLC • All Rights Reserved Page 20 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance original value. Basically, ACV is the cost of the item minus depreciation, which is often far less than the amount a renter will remember paying for his or her possessions. ACV can be a slightly risky policy in that a renter may not be able to re-furnish an apartment or buy new clothes, if his or her personal possessions are stolen or caught in a fire, with the amount of money the insurance company pays back at the time of the loss. Typically, insurance companies recommend that renters get a replacement value policy, which will be discussed next, but ACV is still an option for those that want to pay less for renters insurance, since it’s a lower cost to the insurance agency to replace items at the depreciated price. Replacement Cost Replacement cost, as opposed to ACV, means the price it would cost to replace a possession in today’s market. Looking again at the dining room table in the last paragraph, for example, even if that table was bought ten years before the accident and had general wear and tear, a policy based on replacement cost would reimburse the renter for the cost of buying a nice, new dining room table today. The policy won’t cover a table of much higher quality, but through the claims process the insurance agency would determine how much it would cost to purchase furniture of comparable size and quality. As is clear, the amount of money reimbursed to a renter from a replacement cost policy is much higher than that reimbursed through an ACV policy, and would provide much better support for a person who loses a sizable chunk of his or her possessions. Of course, this type of policy costs more than an ACV policy, again because of the cost to the insurance agency; typically, a replacement cost policy is about 10% more costly to the renter than is an ACV policy. Homeowners and Renters Insurance Forms Deciding between replacement cost and ACV is one key decision to choosing a renters insurance policy, but the renter also has several different forms of homeowners insurance between which to choose. Renters insurance is included as a subset of homeowners insurance, and as such the renters insurance policies are included in the policy types for homeowners insurance. ACV or replacement cost can actually be associated with certain homeowners insurance forms, complicating the process even more, but the most common types of homeowners and renters insurance, which are called the “Broad Form” policies, cover all of the perils listed earlier in chapter two. The following sections are divided up by type of homeowners insurance form: the first two sections relate to insurance provided to those people who own homes, the following two sections relate to rented structures, and two sections after that discuss less common and special forms that can be chosen or added to a homeowner’s/renter’s insurance policy. Each separate type of homeowners insurance is designated by “HO-#,” © 5th Gear Enterprises, LLC • All Rights Reserved Page 21 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance which stands for “Home Owner” and is the umbrella term for any kind of insurance related to a person’s living space, whether owned or rented. The information on insurance provided to homeowners is included in order to provide a complete picture of the types of insurance available, and in particular the differences and similarities between insurance for renters and insurance for homeowners. Additionally, because there is a lot of overlap in terminology and policy specifications between renters insurance and basic homeowners insurance, it is helpful to understand all the variations on this type of insurance. HO-1 and HO-2 The two types of insurance listed here are specifically meant to insure homes, or, as defined in insurance terms, a structure or dwelling that is occupied by the owner and used for residential purposes. Additionally, a “home” cannot have more than two families living in it, and cannot have more than two additional people renting rooms, per family, per night. Though this may seem convoluted, it’s meant to differentiate between a rented structure and a home, even though that might initially seem self-evident. Forms HO-1 and HO-2 cannot be purchased as renters insurance, for the simple reason that they cover not only personal possessions but also the actual building’s structure. HO-1, which insurance companies rarely sell anymore, and which has actually be discontinued as a form of home insurance in many states, is a basic form policy: it provides insurance coverage against eleven, rather than sixteen or seventeen, perils. Left off of the list of items covered by HO-1 are damage due to snow, ice, or sleet, falling objects, freezing plumbing pipes or temperature-control systems in a house, bursting or splitting plumbing pipes or other temperature-control systems, accidental overflow of any of those systems or pipes, electrical current malfunction, or collapse of a part of the dwelling. Many homeowners have an HO-2 policy, which is called “broad form policy” or a “named perils policy” and covers all of the perils listed above as well as those included in HO-1. This broad form policy is very similar to the broad form policy that most renters have, with the distinction that an HO-2 policy covers a building as well as the contents, or personal possessions, inside of that building. Also included in not only HO-2, but in almost all forms of homeowners insurance, is coverage for additional living expenses, liability, and items in transit, all of which were described as common elements to a renters policy in chapter 2. HO-3 and HO-5 An HO-3, sometimes called “special forms” or “open peril,” policy goes even further, and is consequently slightly more expensive, than an HO-2 policy. In addition to covering all of the perils listed in HO-1 and HO-2, an HO-3 policy covers all risks to a building except for those specifically listed as “non-covered.” Those non-covered items include the perils listed in chapter two, including © 5th Gear Enterprises, LLC • All Rights Reserved Page 22 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance earthquake, flood, hurricane, nuclear threat, war, and several others depending on the specific policy. Personal possession coverage is the same as in an HO-2 policy; possessions are covered only against perils listed, rather than covered based on the “open peril policy” form. An HO-3 policy offers the most comprehensive coverage for a home, and is growing in popularity; it is currently the most commonly purchased type of home insurance. The essential difference between an HO-2 and HO-3 policy is that an HO-2 policy covers only the perils named on the policy, while an HO-3 policy only excludes the perils specifically listed on the policy. In this sense, the HO-3 policy can give homeowners more confidence that no matter what happens– since it’s hard to imagine all of the possibilities and prepare for unforeseeable events– they will be covered. The most comprehensive form of homeowners insurance is an HO-5 policy, which is also an open peril policy and which covers not only the structure of a house, as does the HO-3 policy, but also the personal possessions within that structure. An HO-5 policy is called a “comprehensive form” because of the overarching nature of the coverage it provides, and is also the most expensive of the types of homeowners insurance, since it does offer protection for all risks except those specifically excluded in the policy. This type of coverage is not as common as HO-3, but may grow in popularity among homeowners, as the HO-3 policy has, as people become more cautious and want more protection for not only their house but their possessions, as well. HO-4 The terminology used to differentiate the policies described above can also be applied to policies that are specific to renters; named peril and open peril are important distinctions to make when looking for a renters policy, just as it makes a difference to coverage and cost in a homeowners policy. The most common kind of renters insurance is HO-4, again known as a “broad form policy.” Like the HO-2 policy, this renter’s policy provides coverage against named perils– looking back to chapter 2, specifically against the sixteen or seventeen items listed. This specific form can also be called a “tenants form” and does not provide coverage for the structure, but rather for the contents of that structure. The general attributes of the HO-4 policy are those described earlier in chapter two, included coverage for personal possessions, liability, additional living costs, and possessions in transit. It does not provide coverage against either the specific risks listed on the form, which often include natural disasters or “acts of God” as well as neglect or intentional acts, and cannot ensure coverage against risks not specifically listed on the form. HO-6 The coverage for a person living in a condo, which can also be a rented structure, is slightly different than the coverage for someone renting an © 5th Gear Enterprises, LLC • All Rights Reserved Page 23 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance apartment. Figuring out the difference between an apartment and a condo may not always be easy, but there are a few ways to make sure that a renter is getting the right type of insurance. A person can rent either a condo or an apartment, but the biggest difference between the two is that an apartment is part of a building or establishment with one property deed, while each individual condo has its own property deed. Additionally, a person can own a condo, because of the fact that it has its own deed, while an apartment can only be rented. Condos typically require the owner or renter to pay an association fee, as well, in order to maintain common areas like a pool, grassy areas, sidewalks, or tennis courts, while an apartment renter does not have to pay an association fee. Technically, a condo owner or renter is responsible for a piece of land; because they have the deed to the condo, the space that the condo takes up, be it on the sixteenth floor of the building or the first, is land. Based on these differences, people who own or rent condos need something other than the HO-4 policy in order to protect their belongings. The same can be said for people living in co-op apartments, but the situation of these people is slightly different than those of condo owners or renters. A person who owns or rents a co-op apartment has stock shares in the apartment or housing unit as an entity rather than owning land. The building in which the apartments are situated is owned by a corporation, and based on the size and location of each apartment, the owner or renter is allocated a certain number of shares. The co-op apartment isn’t actually considered to be real estate, but rather personal property, so the question of a property deed doesn’t come into play. As with condo associations, a co-op renter or owner often has to pay association fees to the corporation maintaining the apartment cooperative. Co-ops Insurance for both condo and co-op apartment renters or owners typically comes in the form of the HO-6 policy, designed specifically for the nuances of this kind of living space. The HO-6 policy, like many of the other policies, covers named perils, liability, additional living costs, and items in transit; HO-6 is the broad form policy for people living in condos or co-op apartments. It protects the renter or owner’s possessions as well as any parts of the building structure that that person owns; this may include walls, ceilings, sidewalks, or windows, depending on the condo association, and can vary greatly between associations and regions. The majority of condo associations have basic liability coverage that protects tenants and/or owners in common spaces; if a condo owner slips on the side of a pool, for instance, it’s very likely that the condo association would be liable for medical and court costs associated with that accident. If, however, the same person slipped over his or her front door stoop, the condo association would not be liable for medical costs; rather, the renters insurance, in the form of this HO-6 policy, should help pay for that. The difference between “common areas” and “personal areas” or “personal property” again varies by condo © 5th Gear Enterprises, LLC • All Rights Reserved Page 24 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance association and should be explained in the policy for that property so as to allow the renter or owner to better decide on a level of coverage and what modifications, if any, to add to an HO-6 policy. HO-7 Just as there are many different types of living arrangements and structures, the list of types of homeowners’ coverage continues in order to provide specialized coverage to anyone who needs insurance. An HO-7 policy is meant to insure people living in mobile homes, and is not as common as the broad form policies for homeowners and renters, but is important in that it protects the structure and possessions of a person or family living in manufactured housing. This can be cheaper than an HO-2 or HO-3 policy, based on the clear differences between a mobile home and a permanent home, but offers many of the same benefits in terms of the perils covered and the additional coverage provided, such as loss of use and liability, as well as protecting any additional structures on the person’s or family’s property. HO-8 An HO-8 policy, also known as an actual cash value policy, reaches back to the notion of ACV versus replacement cost as a type of insurance coverage. This type of insurance is designed specifically for older homes that have depreciated in value and would cost a great deal of money to insure for the full replacement cost. An old Victorian home, for instance, may be rather large and ornate, and based on real estate prices today could represent an investment beyond that which the family living in that house could afford to spend on a home, should they move voluntarily. In insuring that home, choosing a replacement value policy would cost quite a bit more than an ACV, or HO-8, policy. Though insurance agencies commonly recommend replacement cost forms, in this case an HO-8 policy would make more sense, since the value of the house to the family may not actually be that of the cost of an equally sized and modern house. Additionally, some insurance companies will refuse to sell an HO-2 or HO-3 policy to the owner of an older and hard-to-replace home, based on the notion that the replacement costs would be so much higher than the market value. If the family or individual opted to, and were eligible to, buy an HO-2 or HO-3 policy for the house, they would be paying a much higher premium on the structure than it really necessitated, and in the case of an accident or loss of the house, the homeowner would be reimbursed at a much higher rate than that which they theoretically needed (taking the amenities of the current house into consideration). Based on this, it often doesn’t make financial sense for either the homeowner or the insurance company to pay for a replacement cost policy for an older house. © 5th Gear Enterprises, LLC • All Rights Reserved Page 25 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance Special Forms and Endorsements In addition to the specific policies outlined above, there are various odds and ends that can be added on to renters insurance, and which are also classified through the homeowners insurance system. As mentioned in chapter two, earthquake, flood, and hurricane insurance can be added to any policy, as can various floaters to insure specific possessions. To add to these, there is a long list of endorsements that can be added to a renters or homeowners policy. For homeowners who want the most protection possible, there is guaranteed replacement cost coverage, which is slightly more comprehensive than replacement cost coverage: the former type of endorsement will cover the costs of restoring a home to its former condition, in the case of extensive damage such as a fire, beyond the limits of the policy. This is designed to take into account increasing construction costs or the price of difficult-to-obtain materials. An inflation guard endorsement takes into account the increasing cost of a home, and adjusts the policy accordingly; the change in premium is calculated on an annual basis. Finally, homeowners can add an endorsement to cover a secondary property, such as a lake cabin, which wouldn’t be covered under the original homeowners policy. Of these three types of endorsements, only inflation guard is available to renters, which is key to note in that though a renter can get replacement cost coverage, this doesn’t mean that the insurance company is required to pay above and beyond the policy to restore all of a person’s possessions. The inflation policy is not usually included in a standard renters insurance policy, just as it isn’t included in a standard homeowners insurance policy, but it can be important in order to make sure that the renter is compensated fairly for the market prices of his or her possessions at the time of the loss. The endorsement for a secondary residence can become important to any renter who splits his or her time between two locations, but most insurance companies will not add this kind of endorsement to a renter’s policy. Some companies will make modifications to incorporate this, but more commonly, the renter would have to purchase separate policies for the two residences. Cash and Securities Similar to riders, a renter can also purchase an endorsement to provide extra coverage specifically on money and securities such as bank notes, deeds, etc. Because these things can be very difficult and costly to replace, it may warrant additional coverage if a renter has a great deal of financial goods and/or paperwork to his or her name. Similarly, a renter can buy an endorsement to cover credit card forgery and depositor’s forgery. This endorsement usually does not have a deductible, and can help protect a renter to an extent beyond the protection given by the bank. A renter or homeowner can also purchase additional theft coverage protection: through this endorsement, the renter is protected to higher limits not only for possessions in the apartment, but against © 5th Gear Enterprises, LLC • All Rights Reserved Page 26 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance theft from a car, watercraft, or trailer without proof of forced entry. Condo owners, or those under policy HO-6, are not eligible for this endorsement. Finally, a specific watercraft endorsement can be added to a renter’s policy in order to ensure that any accidents or medical costs incurred aboard a sailboat or motor boat are covered; in essence, this type of endorsement extends the liability coverage in the policy. Policy Limits on Individual Items Depending on the policy that renter purchases, and the company from which the person gets that policy, the basic reimbursement limit for individual items can vary. For instance, many policies, without a specific rider for a person’s computer, have a per-category theft limit. Common categories include computers, jewelry, large electronics, and antiques– precisely those categories for which it is recommended that renters consider purchasing additional riders for the rental policy. The policy limit for a computer, for example, is generally somewhere between $3000-$9000, while the most that many insurance companies will pay for stolen jewelry is $1000. On the other hand, some renters insurance only covers up to $1000 of office equipment as a whole, which wouldn’t be enough to replace a computer, printer, external drive, or whatever else a renter might have in a home office. Other common categories on which insurance companies set theft limits are furs, which may or may not be included in the “jewelry” category limit but are typically limited to $1000; silverware or gold ware, which is often limited to $2500; any firearms, typically limited to somewhere between $2000 and $3000; collections, such as those of stamps or graphic novels, which have typical limits similar to those for firearms; and fine art, rugs, or tapestries, which will typically only be compensated up to the market value of the item, since the majority of those items cannot be replaced and are not intended to serve a “useful” purpose. In comparison to the policy limits on individual items, when a renter purchases a rider as part of his or her renters insurance, he or she can typically set the limit on that rider so that as much or as little of the cost of a particular item is covered. Obviously, as the amount of coverage rises and the deductible lessens, per what the renter decides upon with his or her insurance agency, the premium for the policy goes up, but if a renter owns a $10,000 camera or a $25,000 diamond ring, he or she will probably want to either get a rider with no limitation or with a much higher limit than the basic policy, since the few thousand dollars of coverage in most HO-4 or HO-6 policies will not come anywhere near making up for an item of that price. The reasons for riders were discussed previously, but suffice to say that based on the category limits for many common household items, many rental policies need to be modified to include riders to make up for what can be somewhat low coverage on high-priced items. Each renter would © 5th Gear Enterprises, LLC • All Rights Reserved Page 27 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance have to decide upon the risk to those items, and whether the per-category limit in the original rental policy would be enough to provide a satisfactory replacement. Chapter 5: Special Situations In Renters Insurance Business Renters Insurance For those renters who work out of the apartment, condo, or co-op apartment, an HO-4 or HO-6 policy may not provide enough coverage, and additional businessspecific coverage will be necessary in order to sufficiently protect the renter’s belongings and to provide liability coverage for the business employees. A renter who has a business in his or her home typically has more possessions– whether electronics, files, office equipment, or business products– than a regular renter or homeowner, as well as more liability risks, and there are several options available to business owners in order to insure themselves against loss, damage, or injury. Depending on the size and scope of the business, the business owner can opt for an “incidental business endorsement,” which will be added on to the existing renters policy and covers equipment and structures connected to the business. This would be appropriate for a smaller business or one that did not need extensive coverage, and each insurance agency has different regulations as to what businesses do and do not qualify for coverage through this endorsement. If the business does not qualify for this endorsement, or if the owner does not feel that the coverage provided is sufficient, he or she can get one of several package policies. One of the most common options for a renter looking for business insurance is a package deal that provides liability, property, and equipment coverage, elements of business renters insurance that will be explained in more detail in following sections. This is a policy separate from a regular renters policy and offers relatively comprehensive coverage to the business owner. Some insurance agencies offer package deals that combine renters insurance and business insurance, which ensures that the renter and business owner doesn’t pay for overlapping coverage but is fully covered in the event of damage, robbery, or injury. The Dangers of Not Having Business Renters Insurance Many in-home business owners, just like many renters, do not immediately consider getting insurance. The business may be small, or not have many employees, and the renter and business-owner may not consider the assets and equipment associated with the business to represent a significant enough cost to need insurance. However, when considering the fact that any business, no matter how friendly or small, can be sued for misrepresentation, defective products, copyright infringement, or breach of contract, it makes sense to have © 5th Gear Enterprises, LLC • All Rights Reserved Page 28 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance some kind of coverage. Additionally, as mentioned, medical costs for employees can be an important consideration, as can the loss of income that a renter and business owner would have to sustain if his or her apartment, and subsequently, business, were damaged or robbed. A renter with an in-home business, in the case of a devastating robbery or disaster, would not only accrue the extra cost of living outside of his or her home for a period of time, but would also earn far less income during that time because of the loss of business equipment and space, making it especially dangerous for in-home business owners to go without any kind of insurance. Finally, in some renters insurance policies, the coverage provided in the policy will be void if the renter has not told the insurance company that he or she is using the rented space as a business; losses may be considered business losses rather than personal property losses, and since a renters insurance policy covers personal possessions, even those items that the renter could use both for personal activities and business, such as a computer, desk, or rug, would be exempt from coverage, leaving the renter with all of the replacement costs. This can even extend to all costs in some renters insurance policies, which essentially voids the entire policy simply because the renter did not initially modify the policy to include some kind of business insurance. Insurance agencies differ on how they deal with this issue, but anyone running a business from home should make sure to know the specifics of his or her policy. Legal Requirements Though business insurance is important for any homeowner, it’s actually legally required for renters. Because a renter who runs a business out of his or her apartment does not actually own the property on which the business is operating, he or she is required by state and federal laws to purchase business renters insurance. Liability insurance for employees is another key piece to this: for both renters and homeowners, a home business owner who employs four or more people has to purchase a minimum of liability insurance to cover any injuries or diseases that an employee contracts while on the job. As in the case of possessions that are not covered by renters insurance because of their use in connection with a business, if an employee of the business owner injures him or herself in the renter’s apartment, the liability coverage that comes with most renters’ insurance policies will not cover the costs for medical attention. Again, this may extend to any injuries sustained in the rented space; because it doubles as a business, an insurance agency could consider any liability issue to be associated with the business, so if a renter did not have business renters insurance, he or she would have to foot the bills. Business Basics There are three general sections of coverage that business renters insurance can cover: liability, which was discussed in the previous section, building and property, and equipment and assets insurance. Because a renter is not © 5th Gear Enterprises, LLC • All Rights Reserved Page 29 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance technically responsible for the building structure, this can sometimes be a tricky area, but the idea behind getting building and property business insurance is to cover additional costs that would not be covered by the landlord or property association. An accident that damaged the building property due to business activities could cost a significant amount, and because the coverage provided by the property association might or might not cover much of the cost of fixing that damage, the renter could be stuck with a serious expense. Anyone who owns a home business knows that he or she spends much more time at home than the average person, and with that increased time spent in the building comes increased risk of an accident, so it’s beneficial to the renter and business owner to have some kind of coverage. Finding out the limits to structural damage in the property insurance provided by the landlord or property association is key to determining how much building and property insurance to add to a policy. Additionally, the business owner should determine the coverage provided by the landlord in relation to the boiler for the building, and should purchase additional coverage for any accidents or outages connected to that. Business Personal Property Coverage for assets and equipment covers, as it indicates, the personal property associated with the business. This is more along the lines of what a regular renter’s insurance policy might cover: all of those items that the renter, and here business owner, owns and keeps in his or her rented space should be covered. Business renters insurance can, and often does, include riders similar to those associated with regular renters insurance; though the business renters policy may have higher limits on certain items, such as electronics or computers, many business owners need additional coverage for specialized equipment or simply a large amount of electronics, paperwork, or other important items to the home business. These policies vary from person to person, just as home businesses vary, so in finding a good business renters policy, it often behooves business owners to shop around, since insurance agencies offer differing limits on certain categories of items as well as different coverage policies with regard to what is and is not covered by basic renters insurance when the renter is a business owner. Often, a business renters insurance policy comes as a package of the three types of insurance important to business owners: just as most renters insurance policies include liability, property damage, and additional living costs, many business renters policies come with liability, building and property protection, and equipment and asset protection. Saving the Environment and Dealing With Business-Interruption More specific elements to consider when looking at a business renters insurance policy are those pertaining to environmental hazards posed by in-home © 5th Gear Enterprises, LLC • All Rights Reserved Page 30 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance businesses, as well as the additional costs that a business owner would accrue if his or her home and business were damaged or robbed. As mentioned in the introduction to business renters insurance, this latter situation could prove devastating: having an in-home business is like putting all of your eggs in one basket, and for that reason the business-interruption coverage that a business renters policy can provide may be worth the slight additional cost. Some policies include this in the initial package, but often business-interruption is an additional endorsement on the policy, much like the endorsements described earlier in relation to regular renters insurance. Business-interruption coverage is similar to the “additional living costs” or “loss of use” coverage in renters’ policies, except that instead of making up for food, shelter, gas, or Laundromat expenses, the business-interruption endorsement compensates the business owner for part of his or her income, since it can often be difficult for that person to continue his or her regular business activities without an office and any important equipment that was damaged or stolen. Another key endorsement that can be added to business renters insurance is environmental hazards coverage. Any business that deals with chemicals or other potentially environmentally harmful items would do well to look into this endorsement, since any spill, release of fumes, or other damage caused to property could be expensive to clean up properly or fix. This isn’t something that most renters would have included in their regular policies, since it’s not a common risk in most homes, and might not be something that a business owner would immediately consider as a risk, either, but depending on the type of toxin used by the business, following the legal procedures for environmentally safe clean up and disposal of those toxins might be beyond the financial means of the business owner. The Hazy Areas While an established home business with numerous employees is easy to peg as needing business renters insurance, there are many situations in which the definition of “business” is not so clear, which raises questions for renters about whether or not they need additional coverage. Is employing the next-door neighbor as a babysitter considered running a business from home? What about doing part time work from home as a technical writer? Though policies differ by insurance company and state, many insurance agencies do not consider “casual employees,” such as a babysitter or house cleaner, to qualify the renter as running a business. If a person or family regularly employs ‘casual employees’ such as a babysitter, it may make sense to get a rider on the renters insurance policy in order to provide workers compensation in the case of an accident, rather than purchasing a business renters policy, but again, it varies from policy to policy as to whether casual employees are covered under the liability insurance © 5th Gear Enterprises, LLC • All Rights Reserved Page 31 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance that comes with the rental policy or whether that coverage is void because of the person being employed by the renter. Business Considerations For those people who do part time work at home, or who run a one-person business with no employees in the home, a full business renters policy may also not be appropriate. Some people may not qualify as running a business if they make below a certain amount of money: some insurance agencies put a cap on the amount that a person can earn at home before they are classified as a business owner, and those agencies will cover property and liability under the regular renters insurance policy for those people who make under that cap. A person running a full-time business from home, who would make above that cap, might do better to purchase the incidental business endorsement as an add-on to his or her regular renters insurance policy, rather than getting a package deal for business insurance; because that business owner does not have the same liability issues as an owner who has employees working in his or her rented space, it would be a waste of money to pay for extra liability coverage. On the other hand, if the renter’s liability insurance, through the regular renters insurance, is voided on the premise that the living space is also a business, then the renter would need to purchase that additional business liability insurance. The specifics of how to adequately provide for liability coverage would be something a renter would need to discuss with his or her insurance company, since, as stated, this varies from company to company. Renters Who Don’t Need Renters Insurance As with almost everything in life, there is an exception to the notion that all renters need renters insurance. College students, or any students living in a dorm, are technically renting a space; they do not own the dorm room in which they reside, and some universities and colleges ask for a security deposit on the room, just as a landlord would. However, many of these students are covered under their parents’ or guardians’ homeowners insurance. Almost all policies cover students who are under the age of 18, and so even though the student’s possessions may be halfway across the country, loss or damage to that personal property would be covered under the provisions in the homeowner’s policy. A high percentage of homeowners insurance policies also cover students over the age of 18 who are still dependents; because dorm-style housing is so common for students who leave home for college, many insurance agencies include coverage for this kind of situation in the homeowner’s policy. However, it’s important to check with the insurance company, since this coverage isn’t always included in homeowners insurance. An endorsement can often be added to cover a student’s possessions while he or she is away at college, and usually costs very little. Colleges and universities, just like landlords, are responsible for the © 5th Gear Enterprises, LLC • All Rights Reserved Page 32 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance dormitory structure, so the real concern is protecting a student’s possessions, which can be easily stolen in a building full of students who may or may not lock their doors. In the case that a student needs renters insurance– which may occur if the student is legally independent, if the homeowners policy doesn’t cover dormliving, or if the parent and/or student wants a small policy with a lower deductible specifically for the student’s possessions– special dorm insurance, separate from the homeowner’s policy, is also provided by some insurance agencies, and is a modified version of renter’s insurance. Usually, because many college students live in single or double rooms without a kitchen or bathroom, dorm insurance is very cheap: there is less risk associated with plumbing or kitchen accidents, though policies will still provide some coverage against fire or water-damage. Students who live in Greek housing on campus may need renters insurance that exceeds simple dorm insurance, and students who live off campus would need regular renter’s insurance in the form of an HO-4 policy, just as anyone renting a room would need. Military Though it might seem odd, given the dangers that many enlisted men and women face on a daily basis, because enlisted members of the military are often in the position of renting their housing from the government, they too face the risk of loss of personal property. An enlisted member of the military who lives in government housing, whether that takes the form of a subsidized apartment, barracks, or privatized family housing, will be provided with some coverage by the government, but the coverage isn’t necessarily enough to cover the cost of all the service member’s personal property. As with a typical renter, the little things add up: a military member may have an expensive computer, mp3 player, DVDS, jewelry, or clothing that he or she would be at a loss to replace were that item stolen or damaged. Even small possessions add up in cost, and for that reason, many military members could benefit from renters insurance. Some, of course, would have adequate coverage under the government insurance policy provided to service members, but this insurance isn’t designed to provide the more comprehensive coverage that renters insurance provides, and does not include coverage against the number of perils included in a regular policy. Renters insurance for military members is similar to renters insurance for those people living in ‘regular’ apartments: it typically comes with coverage for possessions as well as liability coverage, and personnel can purchase additional riders or endorsements for specific items that need more coverage. Additionally, additional living expenses may be covered in the case that a rented space becomes unlivable, though this will vary based on the government housing provided to the service member and the coverage provided by the government. Maybe ironically, one of the exclusions listed in most rental policies is damage due to war, so © 5th Gear Enterprises, LLC • All Rights Reserved Page 33 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance military personnel who sustain losses or damage in the course of service are not eligible for personal property reimbursement either through a renters insurance policy or through the government property coverage. Because military personnel often move more frequently than the average renter, having a policy that allows for changes in location can be very important: as will be discussed in more detail in the next section, some policies are very flexible in terms of allowing a person to carry the policy from place to place without significant changes in coverage, while other insurance agencies require a great deal of information in order to transfer a policy from one place to another. Finding a policy that doesn’t have limits in terms of the locations in which it can be used is important for military personnel, who don’t always have control over exactly where they are stationed. On the other hand, living arrangements and involvement in the military varies significantly by branch and position, and many service members would not need a rental policy: a service member who owns a house and has homeowners insurance, for instance, would most likely be covered under that policy and would not need renters insurance. Moving Whether the renter is a student in the dorms, military personnel, or a person living in an average apartment or condo, typically those people who look into renters insurance are prone to moving more than a person who gets or needs homeowners insurance. A typical renter may live in a different location from year or year, or even change locations several times within a year, and a student who is not covered by his or her parents’ insurance may be moving every semester or trimester. In light of this, it’s important to know the insurance agency’s policy on carrying renters insurance from place to place. Most insurance agencies will prolong the insurance provided for 30 days after a renter moves to a new location before requiring the renter to terminate or re-apply for a policy, but a few require that the renter update his or her renters insurance policy before moving into the new rented space in order to be covered. The variance is a result of the vast difference that location, building material, and safety equipment can make to a policy. If a person moves from a rural apartment in Vermont to a high-rise apartment in New York, the price of coverage and the specifications about amenities and the building material are likely to change. On the other hand, renters insurance does primarily cover belongings, and so in comparison to changing other types of insurance policies, it’s relatively easy to carry a renters insurance policy from place to place and to update it as needed. For those renters who move a great deal, it may make more sense to buy a policy that doesn’t take into account the location, but rather covers only the person’s possessions: some insurance agencies will insure personal property regardless of location (while still requiring a valid mailing address). This can be © 5th Gear Enterprises, LLC • All Rights Reserved Page 34 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance pricier than a regular renters insurance policy, since the insurance agency has to compensate for any number of location-related risks, and not all insurance companies offer this kind of renters insurance; it’s more common for a company to require specifics about the location in order to draw up a policy. Pro-rating Because of the fact that so many renters change location over a relatively short amount of time, and consequently need to change or update their renters insurance, it’s important to understand the means of transferring and paying for that policy. Specific costs will be discussed in detail in the next chapter, but in a general sense, most insurance companies will pro-rate renters insurance to take into account the few months that a renter might use the policy. If a renter pays the entire policy up front– which is not always necessary, and is discussed further in the next chapter– the insurance agency will typically send a reimbursement check back to the renter when the policy is terminated. If, however, the renter moves to another location in which he or she is renting space, and therefore would still need renters insurance, the new or updated policy would be pro-rated to take into account any increases or decreases in the cost of the policy, and the renter would either need to send the additional amount of money or would receive a reimbursement check from the insurance company for the difference between the policies. As should be clear, renters insurance is generally flexible and can meet the needs of a very diverse group of people. Catastrophic Events Many renters question what would happen if a large-scale flood, earthquake, or hurricane devastated their area, and consequently, personal property. Theoretically, all of the coverage provided by renters insurance, including personal possessions, additional living expenses, and liability, if that somehow played a role in the natural disaster, would cover the renter’s costs. However, when a natural disaster strikes an area, insurance companies face a huge number of claims for a variety of situations and price ranges, and many insurance companies outline specific procedures and coverage that would be provided in the case of a natural disaster that affected a large number of homeowners and renters. Because each homeowner and renter might have a different insurance company, sorting out who owes who what, and what services are provided for which policyholders, can become a complicated matter very quickly. Additionally, because many renters won’t have flood, earthquake, or hurricane coverage, many people will be left out in the cold when it comes to recovering their losses. For those renters who do have some kind of coverage against natural disasters, the response from the insurance agency in the event of a disaster will be slightly different than that which the renter would get for an individual claim. Most © 5th Gear Enterprises, LLC • All Rights Reserved Page 35 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance insurance agencies, to meet the needs of both homeowners and renters, will send agents to the location of the natural disaster in order to assess the damage. These groups of agents are often called “catastrophe teams” and are specially trained to meet the needs of homeowners and renters facing huge losses. Obviously, because of the larger scale of the damage and the higher number of people who would need to have their homes or apartments considered for reimbursement, the assessment process would be handled differently: in addition to looking at each policyholder’s specific residence, the adjusters would consider typical damage to residences in the area in order to better inform renters of what kind of reimbursement they might be eligible to receive. Especially if the area is not accessible, filing a claim and reimbursing policyholders can take longer than it might usually, but renters would still need to file a claim as quickly as possible. Some insurance companies set up a hotline specifically in connection to a particular natural disaster, and the agents on the catastrophe team usually set up appointments on the spot with policyholders. Additionally, in these instances, insurance companies may work with independent adjusters in order to better serve the needs of all policyholders; even a large catastrophe team will have a hard time getting to all of its clients in a timely manner. Finally, a few insurance companies actually provide snacks or meals to their clients as a way of beginning to make up for the losses that people have sustained by way of the disaster. Chapter 6: Costs Typical Coverage As should be clear from the previous sections that outline the variations possible in renters insurance, the costs to buy this kind of insurance can range quite a bit, depending on the amount of coverage a certain person wants, how many, if any, riders he or she needs, whether he or she is running a business from home, etc. Shopping around with several insurance companies, just as a person would in order to get the best insurance rate for his or her car or home, is important in order to find a company that can best accommodate the particular needs of a renter. The state in which a renter lives can greatly affect how much he or she pays for renters insurance, but as an average, a basic policy, without additional riders or endorsements, only costs the renter between $100-$300 annually. Dorm insurance, discussed in the previous section, costs near the low end of this scale, or even, in some cases, below $100. That few hundred dollars is the average cost for a policy that includes coverage for personal property, liability, and additional expenses/loss of use costs. In general, the price of a renter’s insurance policy is about 1% of the personal property coverage provided by the policy; so a policy that costs $200 per year usually gives the renter a personal property limit of $20,000. Standard policies range from as little as $10,000 to © 5th Gear Enterprises, LLC • All Rights Reserved Page 36 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance $40,000, and can usually be raised in order to accommodate a renter. Many companies have a minimum limit on the policy– $10,000 of coverage, for instance– that the renter has to purchase, even if he or she does not believe that the cost of his or her possessions adds up to that minimum. The liability limits associated with a policy covering up to $20,000 might be something closer to $80,000, in a typical policy, but the limits for liability can be adjusted separately from the limits for personal property, and average liability coverage ranges up to $120,000. Again, most companies set a minimum for the amount of liability coverage that a renter has to purchase, with that minimum somewhere in the area of $25,000. In general, the renters’ insurance policy is flexible, and the renter can add or subtract coverage for those areas that he or she believes carry the most risk. However, an insurance company should recommend something in the neighborhood of the figures quoted above as an initial policy. Coverage Outside of the Home The coverage limits that are applicable inside the renter’s apartment, condo, or other rented space are generally significantly higher than the coverage limits outside of the home. As mentioned earlier, many insurance companies offer coverage for personal property, such as sports equipment, that is used outside of the home, and for personal property in transit. However, because the insurance company doesn’t have control over the areas in which a renter might use his or her property, there’s a higher risk of damage to the property, and for that reason it would be much more expensive for the insurance company to provide equal coverage outside of the home. A typical renters insurance policy will cover 10% of the amount of coverage provided inside the home for personal property that is lost or damaged outside the home. However, this only applies if the personal property is lost or damaged as a result of covered perils. For instance, because a regular renters policy covers damage to personal property due to falling objects, if a renter who takes his or her laptop to the library ends up incurring damage to the computer by way of someone dropping a heavy book on top of it, the rental policy would typically cover part of the cost of replacement. If the renter had a regular policy limit of $30,000, he or she would be entitled to up to $3000 of coverage for that damaged laptop. Liability coverage outside the home varies from policy to policy, as well as depending on the type of liability coverage that the landlord or property association has. If the landlord carries liability insurance for the sidewalks leading up to a person’s apartment, for instance, the landlord would be responsible for taking care of any accidents that happen in that space. However, many lease agreements specify the area in front of the apartment, such as the sidewalk, stoop, and possibly a grassy area, as the responsibility of the tenant. In that case, the renter would need to check with his or her insurance agency to make sure that the liability coverage associated with the renter’s insurance policy would © 5th Gear Enterprises, LLC • All Rights Reserved Page 37 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance cover any accidents immediately outside of the home. Most liability coverage does extend to those areas, but on occasion the renter would need to specify that in his or her policy. Costs To The Insurance Company The major consideration in determining the cost of a renter’s insurance premium, as described, is how much risk the insurance company is assuming for theft, disaster, dog bite, and multiple other possibilities. Paying to replace all of a person’s possessions is extraordinarily costly, which is, of course, why a person would get renters insurance in the first place. And despite the fact that renters’ insurance policies are relatively inexpensive, an insurance company is a business, and they need to make money through the transaction. Typically, a renter won’t have to use his or her insurance policy: most renters won’t experience a devastating fire, huge robbery, or natural disaster that destroys everything in the apartment, meaning that the insurance company comes out financially on top. To keep the company in the black, an insurance agency also has to adjust for inflation, competition, and the changing costs of running the business, which means that a renter’s premium can vary depending on the economic status of the region or country: though the factors listed previously that influence the price of renters insurance will affect that policy no matter the economic situation, the premium as a whole may go up or down depending on the current costs to the insurance company. An additional consideration is the risk to the insurance company of insuring a person who has historically made a high number of claims. Though the CLUE Report and credit scores, as elements important to determining the price of a policy, will be discussed in the next chapter, it’s important to mention here the lower price and lower risk that the insurance company assumes by insuring people with few or no claims made in recent years. Some companies go so far as to give “discounts” to renters who have never filed a claim: these discounts may be called the ‘claim free’ or ‘no claims’ discount, and actually function as a mechanism by which the insurance company is allowed to raise the price of coverage once the renter has filed a claim. Claims, too, will be discussed in more detail in a later chapter, but suffice to say that insurance agencies have to carefully manage the risk posed by each person who applies for coverage. Deductibles Another factor in the cost of renters insurance is the deductible upon which a renter decides. The deductible is defined as the amount of money that the renter would pay out of pocket before the insurance company provided financial support. A higher deductible means that the insurance company has less likelihood of having to pay the renter anything; if the renter’s policy has a $500 © 5th Gear Enterprises, LLC • All Rights Reserved Page 38 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance deductible on personal possessions, and the renter’s $500 TV is stolen, the insurance company is not responsible for any part of that cost. On the other hand, if a fire wipes out the renter’s entire apartment, the $500 that the renter pays will pale in comparison to the coverage provided by the insurance company. Of course, the upper limit on personal property coverage will determine whether or not the renter has to pay not only the deductible but also the extra costs for replacing possessions when expenses exceed the policy limit, but that’s something that should be taken into consideration when deciding upon a policy limit. A typical deductible for renters insurance can be as low as $250 and usually isn’t much higher than $1000. Most renters choose a deductible of $250 or $500. Because the renter needs to have the monetary amount of the deductible available at all times, it’s not a good idea to set the deductible too high, especially if the renter doesn’t have a huge number of possessions to insure or much extra income. Because renters insurance in general is fairly inexpensive, setting a higher deductible, though it will decrease the renter’s premium, doesn’t always make a big enough different to make it worth the additional cost the renter would have to pay if he or she were robbed or the victim of a natural disaster. Some insurance companies, however, set separate deductibles for natural disaster protection: while a renter’s overall deductible might be $250, his or her ‘earthquake deductible’ could be set at a much higher rate in order to keep the cost of that portion of the insurance lower. Often, insurance companies set these deductibles as a percentage of the total cost of replacing a renter’s possessions, so if total coverage for the renter were $100,000 and the earthquake deductible were set at 4%, the renter would be responsible for paying the first $4000 of replacement costs, while the insurance company would pay the rest (up to the policy limit). The same kind of percentage deductible may be applied to floods and hurricanes, depending on how the insurance company incorporates these kinds of perils into its renters insurance policies. Discounts Despite the relatively minor cost of this type of insurance in comparison with regular homeowners insurance or car insurance, putting together all of the costs associated with purchasing renters insurance can nevertheless be a daunting task. Trying to add up all of one’s possessions, shopping around for insurance companies, and making sure to get all of the extra coverage for personal property that’s necessary to properly protect oneself may be overwhelming for a renter, so it’s important to also look at the potential discounts that a renter could get on his or her insurance. If a renter who also owns a car or other vehicle buys renters insurance through his or her car insurance company, the company is likely to provide a small discount on the auto policy, called a multi-line discount. For instance, if a car owner then gets a rental policy, his or her car insurance © 5th Gear Enterprises, LLC • All Rights Reserved Page 39 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance premium might go down by 10%. Other companies go the other direction, and offer discounted renters insurance when a customer has a car policy; in that case, the renters insurance might get somewhere in the neighborhood of a 20% discount, since the total policy premium is likely to be much less than that for the car. Having life insurance with the same company may also provide a discount on renters insurance, though this is less common. In addition to multi-line discounts, some insurance companies will provide senior discounts to renters over the age of 55 and organization discounts to members of certain groups. Organization affiliation discounts vary from company to company, but membership in Greek organizations, credit unions, alumni status at certain colleges or universities, ownership of particular credit cards, and other affiliations are all potential ways to get a discounted rental policy. Finally, a few insurance companies, as they become more environmentally friendly and do more business without paper, provide a discount to those renters who choose to conduct their business online and provide banking information to allow the insurance company to deduct the premium directly, rather than sending out paper statements each month. Chapter 7: How Premiums Are Determined How Much Are You Worth? While the insurance company will determine how much it costs to insure a certain renter, before the company can give a person an accurate amount of coverage and quote a certain premium, the person has to have some idea of how much it would cost to replace all of his or her personal property. Many renters underestimate this: looking at all one’s possessions, it’s easy to overlook small items or to envision how much it might cost to replace each and every kitchen spoon, bathroom curtain, or book on the shelf. Clothing and literature are often overlooked: people assume that it wouldn’t cost that much money to replace pants and shirts, or they look at books individually and don’t assess the price of replacing the collection as a whole, but taking the time to add up the prices of all of those items can surprise a renter. Most renters, after taking inventory of their belongings, need at least $10,000 of coverage, with the typical renter owning around $20,000 worth of items. This is where careful preparation comes into play: before setting up a rental policy, a renter should take an inventory of all of his or her possessions. An inventory, in the realm of insurance, means a list of all of the personal possessions a renter has, along with the prices paid for those items. Taking pictures can also be a good idea: a few snapshots of each room can not only jog a person’s memory as to what they actually had, in the case of needing to file a claim for items lost in a fire, but can provide solid proof to the insurance company © 5th Gear Enterprises, LLC • All Rights Reserved Page 40 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance as to what the renter is owed. The inventory, though potentially tedious and timeconsuming, should contain certain information in order to help a renter and insurance company determine the cost of replacing the renter’s possessions. Including on the inventory not only the name of an item but a description, the date purchase or obtained, and the price paid or the market value of the item can be useful if the renter needs to make a claim. Some items, such as antiques, fine art, or possessions for which the renter has no proof of ownership or receipt, should be appraised over the course of creating the inventory so that the renter has proof of the value of the item. After all, it’s much harder to determine how much that antique vase was worth after it’s gone. Receipts can also help a renter figure out just how much his or her possessions are worth, as well as making it easier to claim money in the event of an accident or robbery. Many insurance companies offer home inventory checklists or even computer software that can be used to compile that list when getting renters insurance. Location, Location, Location Past sections have alluded to the large number of factors that go into determining the price of a renter’s insurance policy, but it’s important to know exactly how the insurance company calculates the rate that they provide to the renter. Location makes a difference to the rates in that some areas are considered higher risk than others: certain states, for example, have higher starting rates for renters insurance than others, and certain areas within a state will carry higher rates. For instance, an apartment in inner-city Philadelphia might represent more of a risk for theft than would a rented house in rural New Hampshire, meaning that the premium for that inner-city apartment would be higher. On the other hand, if the inner-city apartment had good security protection, such as a burglar alarm, smoke detectors, and a fire department within five miles, the risk due to damage and theft would be lower. If the rented house did not have those types of security, it could potentially represent more of a risk for the insurance company, even though the probability of theft would still be lower than the probability for the inner-city apartment. As this small example shows, insurance companies have to weigh various factors in order to create a rate that is affordable for the company and also offers sufficient protection for the renter. Credit Reports and Insurance Scores Another key factor in determining the price of renters insurance to a particular person is his or her insurance score, which is determined from that person’s credit report. Though some insurance companies weigh this more heavily than others in calculating how much to charge a renter for insurance, many companies are moving in the direction of more reliance on this score, since it will tell them the likelihood not only of the person paying his or her insurance premium on time, but, more importantly to the insurance company, since the price of renters insurance isn’t very high to start, the likelihood that a person will © 5th Gear Enterprises, LLC • All Rights Reserved Page 41 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance file a claim, which can cost the company quite a bit of money. A person’s credit report includes personal information, a description of payment history– how satisfactorily a person has paid his or her obligations to other insurance companies, banks, mortgage agencies, retailers, etc– public records related to that person, such as court summons’, foreclosures, or bankruptcies, and a list of other companies or individuals who have requested a copy of the person’s credit report in the last few years. Certain elements in the credit report are used to determine the person’s insurance score: debt, the length of a person’s credit history, timeliness of payments, the number of different types of credit and the amount of credit a person has available are all common factors that play into determining an insurance score. The insurance company compiles this information and does a statistical analysis to compare the potential client with other people who have similar profiles, and in that way they can obtain the ‘insurance score’ that tells them the likelihood of a renter filing of a claim. Not all insurance companies use the same calculations to determine an insurance score, so the renter would do well to consider several insurance agencies, since a certain credit profile might earn the renter a lower premium with one company than with another. However, a renter with bad credit will most likely also earn a poor insurance score, while a renter with stellar credit is likely to get lower premiums, on average, with whatever insurance company he or she chooses to use. Clearly, insurance companies assume more risk with those renters who are likely to file a claim, so an insurance score can make a substantial difference to the price of the premium. If a renter maintains the same renters insurance policy for an extended length of time, and believes that his or her credit has improved over that period, it might make sense to renegotiate with the insurance company– the company will not incorporate new credit information into a policy as it becomes available, but would rather have to order a new credit report, meaning that the renter might have to actually buy a new policy based on that new information. Despite the hassle, this might be worth it to a person who is charged more based on bad credit. CLUE Reports Also in the realm of background data used by insurance agencies to determine the price a person will pay for renters insurance is the Comprehensive Loss Underwriting Exchange, or CLUE Report. Though the CLUE Report, which is associated with a large property claims database used by insurance companies, is the most common type of report, an A-PLUS Report is the same kind of information, simply provided by a separate company. These reports give insurance companies a picture of a renter’s risk profile, which sounds similar to the insurance score but is actually larger than that; the CLUE database is a national bank of information exchanged between many insurance companies, © 5th Gear Enterprises, LLC • All Rights Reserved Page 42 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance and as such the CLUE Report on a particular person will contain not only that person’s insurance score but a plethora of other facts. Much of the data revolves around claims made on homeowners or car insurance, and so a person’s renters insurance premium might change based on whether that person had made any claims on his or her auto insurance in the last few years, since that could indicate a higher likelihood of making a rental claim. Even inquiries or questions about coverage can be submitted to the CLUE database, though this varies by state: some states ban the use of information about inquiries. However, in general the insured party, whether for auto or home, is not told when information is passed back and forth between insurance companies. Similar to the credit report, a CLUE Report contains some personal data about the renter, as well as a history of losses and the money paid by insurance agencies to cover those losses. Again, questions put to the insurance company about damage, even if the renter does not officially file a claim, can end up on the Report and could potentially result in a higher premium simply because of the risk that the renter poses to the insurance company. The report looks at the previous five years of loss history, so activity before that point should not affect a person’s CLUE Report. The benefit of the CLUE Report is that it provides solid information about a renter, or any potential client to an insurance company, rather than the insurance company having to rely solely on what that client tells them about his or her history. The statistical analysis done through using the CLUE Report and a person’s credit score allows the insurance company to standardize the process of creating policies and to minimize risk. However, the risks to the renter are that information may be used against him or her without knowing about it, that information on the CLUE Report might be inaccurate and thus a premium would be unfairly calculated, and that loss information due to natural disasters, such as a tree falling on a person’s apartment, might negatively affect the report, despite the fact that the renter could do little to prevent that accident and would have a legitimate reason to file a claim. Some states are taking this latter issue into consideration by making laws about the specific types of losses that can be used in the CLUE database and disallowing natural disasters claims to negatively affect the Report, but it is nevertheless a good idea for the renter to be informed about his or her CLUE Report since it can be a significant piece of how an insurance company calculates a policy premium. Beware of Dog The difficulties associated with pets was mentioned in chapter 2, but the subject merits a little bit more explanation in terms of the difference a dog can make to a renters insurance policy. Though it might seem like a minor issue, dog bites are actually one of the fastest growing areas in which renters are filing claims with insurance companies, and as such it represents a significant risk to the insurance agencies. The medical costs associated with a dog bite can be relatively high, so © 5th Gear Enterprises, LLC • All Rights Reserved Page 43 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance the liability coverage provided in a renter’s insurance policy needs to also be fairly high in order to compensate for that, which will consequently raise the premium price. A renter who has a dog will likely have to answer detailed questions about the dog in order for the insurance company to determine the increased rate. The breed, as mentioned earlier, is important in determining whether the dog is typically aggressive, as is the dog’s age and its history. If the dog has displayed aggression in the past, or if it has ever bitten anyone, information about the circumstances of the incident, including the level of medical attention needed to treat the wound. If the owner is taking precautions to ensure that the dog does not bite or attack anyone again– classes or training programs for the dog, fenced areas outside, and keeping the dog on a leash, for instance– that may benefit the renter and keep the premium to a lower rate, but a dog with a long history of bites or attacks will likely pose too much of a risk for the insurance company. In this case, a renter may not be granted a renters insurance policy. Additionally, if the dog has been previously trained as a guard dog, the insurance company may raise the premium price or refuse to provide a policy. The higher premium that a renter with a dog would have to pay for his or her policy does not mean that the policy necessarily carries extra coverage: dog bites fall under the liability coverage in a renters insurance policy, which is, on the average, about $100,000. In place of simply a higher general premium, some insurance companies will require that the dog owner purchase an endorsement that provides extra liability coverage specifically for injuries from the dog. Additionally, some policies, based on state laws, simply do not include dog bites in the liability coverage, so a dog owner would need to check with his or her insurance company to find out if there were a way to add that coverage to the liability portion of the policy. In lieu of coverage through the renters insurance, a dog owner could purchase an umbrella policy, or could look into very specific “canine liability coverage,” a separate insurance policy that is offered by only a few companies at this point. Additional Considerations In Determining Premiums In addition to differences in renters’ insurance premiums due to location and security, a category that also takes into account fire sprinklers, the proximity of a fire hydrant to the rented space, and the number of smoke detectors in the space, insurance companies also take into account the material used to build the structure, as well as when the building, apartment, or condo was built. As building techniques and materials advance, risks associated with fire, plumbing, and heating and cooling systems decrease. An older house may not have plumbing that is as reliable as a new apartment building, and a brick building may be less of a fire risk than a wooden building, even if both were built around the same time. Whether or not the doors have deadbolts can also alter the cost of © 5th Gear Enterprises, LLC • All Rights Reserved Page 44 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance the policy: though some insurance agencies won’t get this specific, others change the policy premium incrementally based on whether the doors are well protected. In the realm of fire risk, a renter’s premium can also depend on any independent heating sources: having a woodstove or fireplace in the apartment or condo, in addition to central heating, poses an additional risk, and so the insurance company is likely to charge more for the policy. With some insurance companies, having a smoker or smokers in the house will also raise the premium, since this raises the risk of accidental fire. An underground storage tank or a pool is an additional risk for water damage, so a renter whose rented house or apartment includes either of these things may incur additional costs. However, since for many apartments or condo associations, the pool is considered a common area, the landlord’s insurance often covers liability issues in relation to this. Personal property would still fall under the renter’s insurance policy if damaged in that common area. Finally, the number of people living in the space makes a difference to the insurance rate: the more people that live in the space, the more likely it becomes that the renter’s personal property could be stolen or damaged, so although the premium is not likely to change significantly based on a one person difference either way, it may raise a little bit when there are more occupants. Rising Prices The insurance company from which the renter initially buys insurance is under no obligation to maintain the premium first quoted to the renter. Of course, the renter will have a legal contract designating the set period of time for which he or she is insured, and payment is fixed for that time period, but there are numerous instances that can void that contract and change the price of insurance. The most obvious and most common occurrence that changes a renter’s premium is making a claim, though different claims will affect the premium differently. As discussed, dog bites are a serious issue for insurance companies, and if a renter has to file a claim to pay for the medical and court costs associated with that dog, the premium price is almost certain to change. The Nuts and Bolts: Actually Paying The Premium Like many insurance policies or large investments, the premium for renters insurance doesn’t have to be paid all at once. The majority of insurance companies offer installment plans, and so even a “small” policy, such as one covering $10,000 worth of possessions and costing the renter $120 annually, can be paid over a period of time. For smaller premiums, the insurance company may set up a six-month payment plan, while larger policies may be paid over the course of the year. Many companies do not charge interest or require any additional kind of payment in order to pay the policy in installments, as opposed to in one chunk, and this can be a useful tool for those renters who cannot © 5th Gear Enterprises, LLC • All Rights Reserved Page 45 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance manage the full cost of renters insurance immediately upon moving in to a new apartment or condo. What If It Just Costs Too Much? There are several reasons why a person might choose not to purchase renters insurance. Some people simply don’t know about it; others think their possessions are not worth enough to insure; but still others cannot afford the additional costs, especially if they are already barely making ends meet. Discounts were discussed earlier, and any renter who feels that he or she cannot pay for the premium quoted by the insurance company should first look into lowering that premium through discounts. After that, there are a couple scenarios that might lower the premium. A renter who has a high premium because of a dog or exotic pet may have to make a decision about whether that pet is worth the potential risk that he or she would be assuming by not purchasing renters insurance; since some dog owners are refused renters insurance altogether, it might not be worth the possibility of having to pay for the replacement of all possessions in order to keep that dog. If a renter who has relatively good ‘credentials’ in terms of getting a low premium– no pets, a high credit score, security/protective devices, few possessions– still cannot afford the cost of renters insurance, that renter could potentially opt out of the liability coverage and additional costs coverage offered through the insurance agency, choosing only to protect his or her belongings, which would lesson the overall cost of the renters insurance. Despite the fact that this isn’t recommended, it’s better than having no insurance at all, and because rental policies are divided up into those sections, theoretically a renter could choose only a part of the coverage. Unfortunately, beyond this there are few options for renters who cannot afford renters insurance. Though it is possible to look into single item insurance, to cover one or two very valuable items in lieu of covering all possessions, the companies offering that kind of insurance are few and far between, and the coverage, depending on the value of the item or items, might not be much less than the cost of renters insurance. Chapter 8: Claims and Losses Safety Measures Most renters will not have to go through the process of filing a claim, but when a renter has a legitimate reason to use his or her insurance policy as a way of repairing or replacing possessions or covering medical expenses, there are numerous aspects to filing a claim and being paid through the insurance company. The saying goes that “the best defense is a good offense,” which, when applied to renters insurance, means taking proactive steps to ensure that one’s possessions are not damaged or stolen in the first place, but that if and © 5th Gear Enterprises, LLC • All Rights Reserved Page 46 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance when those possessions are damaged or a person is injured in the renter’s apartment or condo, the policy will cover the costs. Before even getting renters insurance, a renter can research insurance companies in order to determine which might be the most reliable in the case of filing a claim. Several independent agencies rate insurance companies in terms of services offered, cost effectiveness, efficiency in processing claims, and typical monetary rewards in the case of various types of claims. The importance for a renter of carefully reading a policy cannot be overrated; the corollary to that is that insurance companies should spell out their rental policies in detail so as not to get involved in lengthy claims disputes. Especially in the case of controversial issues, such as coverage for dog bites or mold, both the insurance company and the renter gain from a carefully designed and clear policy and can save themselves time and money later on. Claims can become very complicated very fast, especially if there’s a question of whether the landlord has any responsibility; while a rental claim made on a stolen TV may be clear cut, a case in which the renter files a claim to replace all kitchenware due to contamination from mold, as the result of water damage, will not be as easy to resolve. To File or Not to File: That Is the Question Though having renters insurance is important in order to protect the renter from catastrophic events or the loss of an expensive piece of property, not every loss or repair should be directed to the insurance company. The costs to the insurance company go up as the renter files more claims, and many companies will raise the renter’s premium as he or she continues to claim money, even if the claims are all legitimate. The renter has to consider the effect on his or her CLUE Report and credit score, both of which go into calculating the renter’s insurance premium, and it may not be worth it to file a claim for the loss of property that the renter could actually replace out of pocket. Clearly, the renter has to pay his or her deductible out of pocket regardless of the claim, so if the deductible were close to the cost of replacing the item or paying for any medical costs, it wouldn’t make sense for the renter to file with the insurance company. Before contacting the insurance company, the renter would benefit from checking with his or her landlord as to whether any part of the damage or loss is covered under the lease agreement. Because any inquiry to an insurance company might result in information being added to the renter’s CLUE Report and the insurance company subsequently calculating a higher premium in order to protect the company, it’s best to know whether the claim is even the fault of the renter. Looking carefully at the least agreement and the renter’s insurance policy can help both parties determine who has financial responsibility, or whether the damage is covered under either policy; if the renter sustains damage to his or her © 5th Gear Enterprises, LLC • All Rights Reserved Page 47 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance possessions by way of a peril that’s clearly not included in the policy, there’s little reason to contact the insurance company, unless there’s any question about whether a part of the damage is covered. Surcharges Another consideration when dealing with renters insurance claims is the question of whether the company charges the renter a fee for making a claim. The surcharges range dramatically in price, and some companies don’t add a surcharge to claims over a certain amount, but those that do usually charge a percentage of the premium as a whole. For example, a renter might have a policy for which he or she pays $150 annually. If that renter files a claim for $1000, and his or her deductible is $250, he or she would be responsible for not only the $250, but also a percentage of the $150, and with surcharges ranging from only 10% up to almost the entire cost of the premium, that might be a significant cost. The possible surcharge is something that the insurance company and renter should discuss when setting up a deductible for the policy. Though it makes sense for a renter to choose a deductible small enough to be manageable should he or she have to pay out of pocket for repairs or replacement of an item, the temptation to set a low deductible should be balanced with the likelihood that the renter would file a claim for something only slightly over the $250 or $500 he or she chooses. Setting a higher deductible can almost work as a psychological device to keep renters from filing small claims and consequently incurring the surcharge associated with those claims. Additionally, a higher deductible saves both the renter money on his or her premium as well as saving the insurance company money in case of a claim, since the company would not be responsible for as much of the repair or replacement cost. How To File If a renter does decide to file a claim, there is an order of events that benefit both the renter and insurance company. The type of claim that the renter intends to file is important: if he or she has lost property or sustained damage to property as the result of a theft, the first agency to contact is the police, rather than the insurance agency. The police would conduct an inspection of the apartment or condo for the purposes of a legal investigation before the insurance company got involved. However, for the purposes of both the police report and investigation as well as the insurance claim, the renter should not attempt to repair any damage to the apartment or his or her possessions; to report an accurate claim and be reimbursed the correct amount of money by the insurance agency, it’s important that the adjuster from the company be able to see the extent of the damage. On the other hand, if the damage makes the apartment unsafe– if a burst or broken pipe were in danger of further breaking and falling, for instance, or if a malfunctioning stove were likely to cause further fire damage– the renter should © 5th Gear Enterprises, LLC • All Rights Reserved Page 48 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance “stabilize” the situation to ensure that no one got hurt and that no more damage was done to possessions or the building structure. In the case that a renter had to move or clean up part of the damage before the adjuster came to see the apartment, a video or pictures of the damage would be useful in filing a claim, if a camera were available at the time. While it’s important for the renter to first ensure that he or she has a legitimate claim and does really want to file the claim, if it’s for something relatively small, as well as making sure that the fault is not on the part of the landlord, once the decision is made to file a claim, the renter should contact the insurance agency as soon as possible. If the claim is for personal property but is not the result of a theft, the insurance agency should be the first organization that the renter calls (as opposed to the police). Many insurance agencies have a statute of limitations on how long they will accept a claim after the actual event; some companies cite 30 days as the length of time for which they will consider a renter’s claim. Once the claim is filed, the length of time it takes for the insurance company to process the renter’s file can vary depending on the type of claim: small claims, since they may be easier to deal with, can take less time– maybe a few weeks– to process. On the other hand, the more catastrophic claims, or those which require liability coverage or additional living expenses coverage, may take the insurance company’s attention before simple claims, since it is in their interest to finish any legal battles quickly or to get a renter back into his or her apartment or condo and not have to pay the costs associated with living somewhere else. It depends on the insurance company as to how they prioritize claims, and depending on the complexity of the situation and any legal battles involved, the claim can be cleared up within a week or may take months or even a year to resolve. Loss of Use/Additional Costs Coverage When filing a claim for losses or damage, a renter may also claim money to cover additional living expenses if his or her apartment or condo is rendered unlivable due to the accident or theft. In this case, it’s extremely important that the renter keep any and all receipts for expenses, from the costs of gas to Laundromat charges to the price of eating out or even paying for additional groceries. Even in the case that a renter has no inventory of his or her possessions, and thus has a difficult time claiming any money to replace those possessions, he or she still has the chance, after the loss, to claim some money for the costs incurred as the result of that event. In order to be reimbursed for all costs, the renter should check with the insurance company so as to determine what levels of costs the company will cover; if the renter decides to go to a ritzy hotel and eat out at expensive restaurants every night, the insurance company won’t cover all costs, even if the renter has good documentation of the prices associated with living outside of his or her place of residence. The insurance company usually has figures that they consider comparable to the standard of © 5th Gear Enterprises, LLC • All Rights Reserved Page 49 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance living the renter had before the accident, and will reimburse the renter up to those standards. This may be outlined specifically in the renter’s policy, or the section on additional living expenses might simply say that the renter will be reimbursed at “comparable” levels, so it benefits the renter to find out how the insurance company defines that term and can help the insurance company avoid messy claims disputes later if the renter knows what the stated limits are for additional costs coverage. Filing for Business Renters Insurance Though there are several important differences between regular renters insurance and business renters insurance, the claims process for both types is similar. An in-home business owner who has a loss to report should make sure that he or she has an inventory to show the insurance company, as well as records of how the items lost related to the business in particular. This can be slightly difficult if many of the items lost could be considered both personal property as well as business property, and in order to determine which items should be claimed under business renters insurance, the renter should look at how his or her policy was initially crafted: for those insurance companies that consider any possession used for business to fall under that type of insurance, all damaged items should be claimed under that policy. For those insurance companies who cover any item that is used for non-business pursuits as personal property, that part of the renter’s insurance would carry more of the coverage. However the policy is structured, one of the potential differences between an inhome business owner’s claim and a regular renter’s claim is the loss of income that an in-home business owner will probably have due to the damage or loss. This isn’t always the case, and of course depends on the extent of the damage, but if the business owner believes that he or she will be halted from working for a certain amount of time, or will not be able to work as efficiently because of having lost important documents or equipment, he or she would need to prove that loss of income to the insurance company so as to be reimbursed. Again, good documentation comes into play here: the business owner would need to provide evidence of typical income made and the way in which the damage or loss would hinder his or her ability to work. Adjusters When a renter makes that call to the insurance agency to file a claim, the next step is for the insurance company to send an adjuster to the place of residence in order to assess damage or loss. Occasionally, for very clear-cut claims, the adjuster may not need to go to the apartment or condo; if the renter has solid proof of ownership of something that was stolen, for instance, the renter can fill out a “proof of loss” form and any other paperwork needed by the company, and © 5th Gear Enterprises, LLC • All Rights Reserved Page 50 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance there doesn’t need to be a face-to-face meeting. However, for many claims, it’s important for the insurance company to send an adjuster to the renter’s home in order to correctly calculate the amount of money the renter is due. In the case of a liability claim, the adjuster also attempts to negotiate a settlement with the injured party, though this can become more complicated if that person sues or the adjuster cannot reach a settlement that is both possible on the part of the insurance agency and satisfactory to the victim. The insurance adjuster is meant to “control loss severity,” meaning to make sure that the settlement amount does not exceed what is absolutely necessary, an important consideration in keeping costs to the insurance company down, while a renter may not see the settlement in that light and will obviously be fighting for the most money that he or she can get. In order to determine the amount of financial loss sustained by the renter, the adjuster may consult experts in other fields, such as contracting, construction, engineering, or accounting. The issue of this tension that arises from the nearly unavoidable conflict between finding the amount that the renter is really owed for the lost or damaged possessions or liability costs, according to his or her policy, and the goal of the insurance company to maintain a profitable business, is what can occasionally make claims a hard business. Because claims adjusters work for the insurance company, this can be a difficult situation for both the renter and the company. While cynics or those people who may have had a bad experience with a certain insurance company will say that the insurance company tries to cut corners and ‘scam’ the policy holder by coming up with a reimbursement below what the repair or replacement will actually cost the renter, the difficulty of calculating the exact dollar amount needed to cover a person’s lost is hard to overstate. Most adjusters go through extensive training and continuing education courses, and are trained to help policyholders rather than just making money for the insurance company, but there is never a guarantee that a figure quoted by one adjuster will be the same as that quoted by another adjuster. The adjuster faces the same problem that many renters initially face in trying to determine how much their possessions are really worth: going through and finding the market value for every little thing can be extraordinarily hard to do. Independent Adjusters Though many insurance companies discourage renters from going to an independent contractor or independent adjuster, others encourage the renter to get several opinions, though ultimately the amount that the renter is given will depend on the specifics in his or her policy. In light of the difficulty of determining an accurate amount of reimbursement, many renters opt to hire an outside adjuster, one who isn’t affiliated with the insurance company. Even with good faith in an insurance company, this can be a good thing to do in order to assure oneself that the reimbursement price will be sufficient to replace or restore all of © 5th Gear Enterprises, LLC • All Rights Reserved Page 51 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance one’s property or will cover medical and court costs. There are numerous independent adjusters who work with homeowners and renters in the event of a claim, though there is, of course, a fee associated with hiring one of these independent, or public, adjusters. The benefit to hiring an independent adjuster is that he or she is being paid directly by the renter, and therefore has a vested interest in serving the client. Conversely, the insurance adjuster is paid by the insurance company, again reaching back to that tension between the renter and his or her insurance agency. In the case of a court case or legal battle, the renter may need to hire a claims attorney, who will often work with a public adjuster in hopes of getting a higher reimbursement from the insurance company. Appraisals An appraisal is the assessment, by an expert in the field, of the market value of a particular item or damaged property. As briefly mentioned earlier, it can benefit a renter to get some of his or her possessions appraised before getting renters insurance so as to be able to purchase appropriate coverage or riders to cover particularly expensive items. Having that appraisal first can be helpful when trying to make a claim and get the correct amount of reimbursement, but if a renter loses some of his or her possessions and does not agree with the amount calculated by the insurance adjuster as to how much a particular item was worth, an appraisal can still be useful. The insurance agency is typically supposed to provide an appraisal in the case of a dispute with the renter, though this differs by insurance company and is never certain. Because an appraisal will be more specific to a particular type of damage or item than the overall adjustment calculated, it can provide good expert information to add to that calculation. If a renter finds that his or her fur coats have been damaged by a burst pipe, for instance, the adjuster will come up with a reimbursement amount that takes those coats into account, but with an extra appraisal, the total amount might change. An appraiser who works specifically in jewelry and furs may have more knowledge on the subject and market values of those types of possessions than the adjuster does, which will likely give the renter more confidence in the quoted price. If a renter loses an item, making it impossible to actually look at and appraise, he or she can still get an appraisal if there is sufficient evidence of the condition and value of the item to form an opinion about a reimbursement price. The renter may have pictures, receipts, or warranties on certain expensive items, all of which would help an adjuster and appraiser to decide upon the worth of that item. However, if the renter does not have any of this type of evidence to prove the value of his or her possessions, and had not had an appraisal done before losing the item, the renter may not have a lot of say in determining how much he or she is reimbursed for that particular item. © 5th Gear Enterprises, LLC • All Rights Reserved Page 52 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance The Importance of a Good Inventory When making a claim, the basis for assessing the value of what has been lost or damaged is often the renter’s inventory of his or her possessions. Obviously, in a liability claim, explaining the situation and injury would be more important, but for claims made on personal property, it’s hard for a renter to claim the amount of money he or she feels is deserved unless there’s a solid way of proving the monetary value of what has been lost. As was mentioned briefly earlier, the inventory should be structured in such a way as to give the insurance adjuster, and company, factual evidence about possessions. In making an inventory, there are certain steps that a renter should take, and which an insurance company might want to recommend to its renters in order to facilitate the processing of any claims made. A good inventory will have not only a list and pictures, but a video, as well. This can actually be easier than making a list: the renter can take a video camera and go from room to room, making sure to sweep around the entire space and look in drawers and closets as well as in open spaces. Having an additional list or photos of smaller items can be helpful, as well, if the video ends up giving the renter just a broader view of his or her possessions. The important step is to somehow make sure to cover all possessions in the inventory. For pricier items, the renter would want to have not only receipts and the date of purchase, but also the market value given through an appraisal. When moving into a new space, getting those appraisals for a few items can pay off in making a claim. It’s important for the renter to keep the name and location of the appraiser, in the case of a dispute later on, and to keep any paperwork associated with that appraisal. In addition to that paperwork, keeping warranties, serial numbers for any appliances, original packaging for expensive items, and even product manuals can help in filing a claim and deciding upon the amount of money to be paid. Items that the renter might want to focus on are those that are theft prone: electronics such as the TV or DVD player, personal music players, computers and cell phones, kitchen appliances, jewelry and furs, high-priced sporting equipment, and antiques. Any paperwork associated with those items should be included in the inventory, as should a good visual record as well as specifics about model number or type. Once the renter has made his or her inventory, one of the most important, and often forgotten, steps in the process of preparing for the worst is to store that inventory outside of the home. An inventory that burns along with the rest of a renter’s possessions in the case of a home fire won’t do that renter any good in proving the value of his or her possessions. Having two copies of the inventory is a good idea, as is storing it in a safety deposit box or other secure location. Proving The Case While the inventory is the major piece of information used in claims disputes, having those copies of any police report and estimates for repair outside of the © 5th Gear Enterprises, LLC • All Rights Reserved Page 53 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance estimate given by the insurance adjuster can also make it easier to come to an agreement about the amount of money to be paid to the renter. There is a statute of limitations on how long the renter can take to prove his or her losses: for most insurance companies, the renter has 30 days to compile information describing the monetary amount that he or she feels is deserved, which means pulling together all of that information that pertains to the values of the renter’s personal possessions. Though the insurance company has an obligation to settle claims quickly and fairly, the renter has an obligation to report his or her losses in a timely manner, so it’s important for both the insurance company and renter to be clear on the time period in which that process needs to take place. Once the renter has reported a loss, if there’s a disagreement with the insurance company, there’s another set amount of time in which the renter needs to prove his or her case through legal arrangements: most insurance companies cap the amount of time at a year, which should be sufficient in order to go through even the most extensive process of litigation in settling a dispute. Mediation As should be clear, filing a claim and reimbursing a renter for his or her losses can be a complicated process, and it’s often the case that the renter and insurance company have to negotiate the settlement value. The first step that most insurance companies take in resolving these disagreements is to have what is often called a “mediation.” To request a mediation, the renter usually needs to fill out an official form or at least provide the request in writing. Just like it sounds, a mediation in terms of an insurance claim is meant to mediate the varied interests in the claim in order to come to a satisfactory agreement. Typically, the renter, a representative from the insurance company, and a third party– the mediator, agreed upon by the insurance company and the renter or the renter’s legal representative– come together in a legal meeting in order to present their perspectives. A mediation is less formal and costly than a post-loss appraisal, which will be described next, but is still a legal meeting, and as such the renter should come prepared with solid evidence to support his or her argument about the amount of money that should be paid for the losses. Through the mediation, the renter and insurance company might come to an agreement on several parts of the claim or the claim as a whole, in which case the process is resolved and the resulting payment should not take long to process. If, however, the renter and insurance company cannot agree on all parts of the claim, or if the entire thing is still up in the air at the end of the mediation, the two parties would need to move on to the next step in the claims process. The Appraisal Clause Though the majority of claims do not get to the stage of a post-loss appraisal, in some cases the insurance adjuster, renter, and independent adjuster cannot come to the same conclusion about how much money is deserved in a particular © 5th Gear Enterprises, LLC • All Rights Reserved Page 54 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance settlement through the mediation. In that case, the renter and insurance company can turn to the appraisal clause in the renter’s policy. In a typical policy, the settlement process involves the insurance adjuster, an independent adjuster hired by the renter, and a third adjuster, sometimes called the “umpire,” to be agreed upon by the two adjusters. If the adjusters cannot agree upon an umpire, the state court will usually be responsible for appointing that third person. In terms of payment, the renter would pay for his or her independent adjuster, and the cost of hiring the third person would be split between insurance company and renter. The three adjusters would negotiate a settlement by way of presenting the costs as each of them saw it, and then discussing the claim until two of three adjusters agreed on a settlement price. That price, while typically higher than the initial cost quoted by the insurance adjuster, will not necessarily be the original value quoted by the independent adjuster, and could still fail to satisfy a renter. However, if the renter has agreed to this process through the appraisal clause, at the end of the negotiation the insurance company is only obligated to pay the amount decided upon by the three adjusters. This does not necessarily mean the end of the claims process, because if a renter re-opens the case or continues the dispute and attempts to take the insurance company to court, the process can be extended, but in most policies an agreement reached through the post-appraisal process is the final monetary amount owed to the renter. The benefit to the appraisal clause, for the renter, is the possibility of getting a higher settlement and being fairly reimbursed for his or her losses. The benefit to the insurance company is that the post-loss appraisal process is much less costly than going to court, which can occur if the renter disagrees with the cost quoted through the appraisal process. Paying for litigation will be costly to both the insurance company and the renter, as well as taking much more time than the negotiation between the adjusters. Not all insurance companies include appraisal clauses in renters’ insurance policies, however; some use “arbitration,” which is similar to the post-loss appraisal but employs the umpire as a kind of judge who listens to both sides and then sets down a binding decision. Whatever the process might be for settling disputes, it’s important to know what the steps are in the case of a claims disagreement, because people who make claims will be looking to get the maximum amount of money possible. Litigation If the adjusters in the post-appraisal process fail to come to an agreement– which is uncommon, since only two of the three need to agree upon an amount, and it’s in everyone’s benefit to settle the dispute out of court– the final step in settling a claims dispute would be to take the issue to court. In this case, both the insurance company and the renter would incur much higher costs in terms of needing to hire attorneys, and the length and complexity of the case could make it an unreasonable cost for the renter to assume. Typically, renters’ claims © 5th Gear Enterprises, LLC • All Rights Reserved Page 55 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance disputes do not make it to court– a homeowner who had lost his or her entire house might have a good reason to continue the dispute, but a renter who is not responsible for paying for any structure or building would need to think long and hard about whether the amount of money involved in his or her claim would merit the legal fees. An attorney might take up to a third of the final settlement amount, making the process exceptionally costly. Additionally, the renter’s attorney would need substantial and solid evidence to present in a court case against the insurance company, which would mean a good deal of information such as that described in the section on a home inventory: receipts, appraisals, video and pictures, and any other data that would suggest a high value for the lost items would be necessary to make a case. Because insurance law is a relatively large and established branch of litigation, renters can and probably should search for an attorney specializing in insurance claims or even homeowners insurance so as to get the best settlement from the court case. Almost all insurance companies have experienced attorneys associated with the company who will be looking out for the insurance agency’s bottom line. Whether or not the renter and insurance company have had a good relationship up to this point, when a claims case goes to court, it can make for a difficult and trying experience for both sides. Reopening A Claim Beyond the three steps that a renter can take to address disputes over his or her claim, if the renter settles and then later decides that he or she deserved more money, there is always the possibility to reopen a claim. Again, this would need to be considered in light of the additional costs associated with litigation, hiring adjusters, appraisers, or attorneys and the amount of money that a renter could potentially earn from reopening the claim. In some situations, this course of action is warranted, but it would only be in those cases in which a renter had lost a substantial amount of money. Most insurance companies have a statute of limitations on how long after the initial claim a renter is entitled to reopen the claim; while some companies will honor the claim for five years, others close the window of opportunity at one year. Common reasons for reopening a claim are if the renter has forgotten to include an item or items in his or her claim– maybe no one noticed, at the time, that the sporting equipment in the back of the closet was gone– if he or she got an amount of money that didn’t seem to be sufficient or fair to cover the costs of replacement or repair, or if the renter was completely denied for a claim and still felt that there was a case to be made. It might be that the renter agreed upon the first settlement amount quoted by the insurance adjuster, and once the renter actually went about replacing and repairing his or her possessions, he or she discovered that it cost much more than the amount provided. In that case, the renter might have a reason to reopen the claim and present the insurance © 5th Gear Enterprises, LLC • All Rights Reserved Page 56 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance company with evidence of that additional cost: receipts and examples of comparable replacement products would be key to making a compelling case. Once A Claim Is Settled: Show Me The Money Despite the numerous claims procedures that may be included in a renter’s policy and in the standard practice for the insurance company, eventually a claim will be settled, whether through the immediate and simple conversation with the insurance company or, conversely, after months of legal battles. For legitimate claims, renters should eventually be reimbursed. Once the claim is settled, payment options differ by insurance company. Many companies will require the renter to actually replace or repair his or her possessions and present the company with receipts for purchase so as to ensure that the renter isn’t just taking the settlement money and pocketing it to use for other pursuits. On the other hand, the reason that the renter filed a claim in the first place was because he or she didn’t have enough money to replace the stolen or damaged goods, so an insurance company may provide a certain amount of money “up front” and then require receipts of purchase for all goods and services. The amounts of money differ based on company and the extent of the claim; often, if an insurance agency splits its payments, the first payment is a percentage of the entire amount due to the renter. Some companies will pay the renter the entire cost agreed upon, up front, after the settlement is decided, and if that type of payment is standard procedure for the company, the renter is entitled to the amount of the settlement within a set period of time that should be in the renter’s policy– five to ten days is the typical window in which an insurance company is required to provide any up front costs to the renter. Liability Claims Up to this point, the claims that have been discussed pertain to personal property. However, liability, in that it is a standard part of renters insurance and a growing area in which court cases are being made, can be just as important of a consideration in looking at the claims made through renters insurance. A liability claim may be made by the renter in order to cover the costs incurred through a lawsuit or to cover medical costs for a person who was injured in the renter’s living space or by way of interaction with the renter. If a the victim, whether friend, colleague, or even trespasser, files a claim against the renter or serves the renter with papers for a lawsuit, the renter needs to make sure that the insurance agency gets copies of all paperwork– without the official complaint or court summons, the insurance company is not obligated to pay any part of the liability costs. As with personal property claims, the liability claim needs to be made relatively soon after the renter finds that they are responsible for either court or medical costs. The insurance company, in most cases, is required through the renter’s insurance policy to provide legal representation for the renter. This works to the renter’s advantage in that they have an attorney © 5th Gear Enterprises, LLC • All Rights Reserved Page 57 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance immediately at hand, but can also be seen as problematic for the renter in that he or she has little say in who is chosen to represent the case in court. If the renter is unhappy with the legal counsel chosen to defend him or her, there may be no other recourse other than paying for the costs out of pocket, depending on the specifics of the policy. In an earlier chapter, the difference between personal liability and coverage for medical costs was outlined. As suggested there, the insurance company covers injuries done to other people by way of negligence on the part of the renter– forgetting to turn off the oven, for example, might result in a fire that injured a friend staying at the apartment– or as a result of unforeseeable accidents, such as a visitor falling down the stairs. Medical expenses can be covered by the insurance company whether or not they are the legal responsibility of the renter, and are often covered, to an extent, if the renter injures another person outside of his or her living space. The case in which a liability claim made to an insurance company would not be covered would be if the renter had done anything intentional that resulted in the bodily injury of another person or damage to his or her possessions. Setting up a trip wire in the hall as a joke, for instance, would be an intentional act, and if a friend then tripped and broke his or her arm, the insurance company would not be responsible for the legal or medical costs associated with that event. Additionally, a liability claim made for an injury sustained by the policyholder will not be covered; the policyholder should look to his or her health insurance to cover that cost. The insurance company, in reviewing the claim or through the course of a legal battle, might decide that the injury was the combined result of negligence and of an intentional act, which could lead them to pay for the costs of legal representation but not medical costs. In that case, the insurance company would send a “Reservation of Rights” letter to the renter in order to inform him or her of the liability areas covered in that particular claim. Chapter 9: Policy Changes, Cancellation or Non-Renewal Policy Changes After Filing A Claim In addition to the actual payment of the renter’s settlement, another important aspect to the post-claims process is to re-establish renters insurance for the renter who has filed the claim. Clearly, since the insurance company was able to help the renter with an accident or robbery, the renter will be inclined to set up another policy. Depending on how the claim was settled, the renter might opt to look into another insurance company, or might try to renew his or her policy with the existing agency. Regardless of the company from which he or she decides to buy a policy, there are likely to be changes to the renter’s profile as well as possible changes in how the renter decides to structure the policy, any and all of which would change the premium. If the renter decides to renew or restructure © 5th Gear Enterprises, LLC • All Rights Reserved Page 58 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance renters insurance with the current insurance company, the claim might affect how much the renter is charged; while a claim based on a natural disaster shouldn’t affect the renter’s rate, a second claim made for theft would most likely cause the insurance agency to change its opinion of the renter based on how that claim would affect the renter’s insurance score and CLUE Report. The renter, in turn, might want to make changes to his or her policy, depending on the nature of the claim. Lowering the deductible, adding coverage in particular areas, or getting additional riders to cover costly items are all common choices made by renters who are the victims of an accident or theft. Looking carefully at the policy and what did and did not aid the renter when making the claim will help to determine what areas of the policy might need modification, or, conversely, whether the renter is paying for coverage that is above what he or she really needs. This latter situation isn’t very common, but unfortunately one of the best ways of determining how well a policy ‘fits’ a renter is to make use of it, and through having to file a claim and replace or repair possessions, a renter will discover how well or how poorly the policy fits his or her needs. Differences in Terminology Before further discussing the issues related to non-renewal and cancellation of renters insurance, it’s important to understand the difference between these two terms. A policy may only be cancelled by the insurance company for a few reasons: if the renter has not paid his or her premium on time (or has failed to pay two installments of a premium on time), if the insurance company has found that the renter committed fraud in setting up the policy in the first place, if the renter has willfully or negligently added to the hazards in his or her living space, or if the renter is convicted of a crime that would relate to his or her profile as a policyholder, the insurance company may choose to cancel the policy. Some insurance companies will set a certain amount of time after which the policy can only be cancelled for the above reasons, while before that point they may cancel the policy for any reason. Non-renewal, on the other hand, indicates an insurance company allowing a policy to expire, rather than terminating the policy in the middle of its course. Except in cases where the renter’s policy has a length of less than 30 days, the insurance company is required to give a renter a 30-day notice, in writing, if they are planning on not renewing the policy at the end of the year. Because a sizable number of renters do not hold renters insurance for a year, the insurance company would be required to inform the renter of non-renewal 30 days before the end of the stated period for which a renter had purchased the policy. © 5th Gear Enterprises, LLC • All Rights Reserved Page 59 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance Reasons For Non-Renewal An insurance company may make the decision not to renew a certain policyholder’s rental insurance for any number of reasons, which need to be stated to the renter in order to fulfill the insurance company’s obligations to that client. The dropped policy is not always the renter’s fault; an insurance company might decide not to renew a number of policies in an area that it feels has become more of a risk than they are willing to assume, because the company has restructured its renters insurance and homeowners policies in such a way that it can no longer accommodate a particular renter’s policy, or because of tightening finances that don’t allow the company to provide insurance to renters whose profiles make them a certain risk level. On the other hand, there are numerous things that the renter might do that would result in a dropped policy. Filing a claim, which will be discussed in more detail in the next section, is one of the most common factors that can change the company’s willingness to assume the risk posed by a particular renter. A renter’s profile might have changed in another way, maybe in terms of credit or claims made to another insurance company, and in reviewing the renter’s profile the insurance company might choose to non-renew. Most insurance companies are bound by state law to exclude claims made as a result of natural disasters. If a renter’s apartment and possessions are destroyed by a hurricane, for instance, though this clearly costs the insurance company quite a bit of money, in looking at renewing the policy, the company is not allowed to consider the fact that the renter made a claim as a mark against that renter. The reason for this is that the renter poses no more of a risk than he or she did at the initiation of the policy; if the insurance company had considered the renter to live in an area at risk for hurricanes, it would be the company’s prerogative to increase the premium rate, refuse coverage for that particular peril, or deny coverage at the beginning of the relationship with that renter. Once the policy is set in place, the company assumes the risks that are outlined in the policy, and the renter is not at fault if a hurricane sweeps away all of his or her belongings. On the other hand, the insurance agency can change the policy, after the claim is made, if it feels that the region or neighborhood has become more risky. That decision would need to be made based on data other than the simple fact that the renter made a claim; numerous claims, meteorological data, and statistical analysis might need to be involved in making that change to renters insurance at the company. So Many Claims, So Little Time The number of claims that a renter makes can greatly affect his or her policy, as stated, but knowing exactly how claims affect the policy can be helpful to the renter and can give the insurance agency some security as to being able to standardize and explain its actions to existing or potential clients. Many © 5th Gear Enterprises, LLC • All Rights Reserved Page 60 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance insurance companies, based on statistical analyses of risk such as those in the CLUE Report, set a certain number of claims that a renter can make in a fixed amount of time before that the company allows the policy to expire without renewing it. After filing one claim, the insurance agency could possibly put the client in a higher risk category, depending on the nature of the claim; after the renter files two claims, especially within a few years, he or she will almost certainly be put in that higher risk category and will be charged more for renters insurance. If a renter files more than two claims in three years, many insurance companies will choose to non-renew the policy, since the potential for the renter to continue filing claims at that rate would represent a high cost to the company. As has been pointed out, this doesn’t, or shouldn’t, apply to claims made as a result of natural disasters, although if a renter filed numerous claims based on damage due to natural disasters, the policy might change based on a recalculation of the risk of the particular location in general. Disputing A Cancelled Or Non-Renewed Policy As with insurance claims, there is always the possibility for the renter to dispute an insurance company’s decision to non-renew or cancel a policy. On the one hand, the company is under no obligation to insure a particular renter, but it may be obliged to refund some portion of money to the renter if he or she can prove that the decision to non-renew or cancel was based on inaccurate or partial information. Most insurance companies, if they decide to cancel or non-renew with a certain renter, are required to provide an explanation as to why they make that decision. However, the explanation may not be as detailed as the renter would hope– an insurance company may say that the renter’s CLUE Report indicates too high of a risk for the company to take on, or that the renter’s credit is not high enough, and consequently his or her insurance score not high enough, to continue insurance coverage. In these cases, the renter has the right to request a copy of the CLUE Report or his or her credit report in order to review that paperwork and make any corrections. In addition, the renter has the right to request a copy of his or her profile as a client of the insurance company, and again to review and correct that paperwork. If there are errors in any of those reports, the renter can make the appropriate corrections and resubmit the information to the insurance company for review, which might result in a changed decision on the part of the company as to whether or not to extend coverage to that particular renter. Any fraudulent changes on those reports, however, when discovered, would result in cancelled coverage as well as possible legal action. The timing of the cancellation or non-renewal can be cause for dispute, as well. The renter and insurance agency should be clear on the time period in which the company is required to notify a renter of either of those decisions: typically, the insurance company has to give the renter a 30 day notice, at the least, of nonrenewal, and if they fail to cover the renter for that extended period of time, the © 5th Gear Enterprises, LLC • All Rights Reserved Page 61 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance renter would have cause for a case against the insurance company. The amount of notice necessitated by a cancellation varies by state and insurance company, and depends on the reason for cancellation: if the renter has not paid his or her premium or has committed fraud, the insurance agency may stipulate a shorter amount of time before which it terminates the policy, such as ten days. If the insurance agency decides to cancel the policy within the window of time before which it is obligated to cover the renter, and for a reason aside from those stated as plausible causes to cancel coverage after that window of time– failure to pay, fraud, clear change in risks posed, or arrest– the company may be required to give a thirty day notice to the renter. Many of the rules associated with the limitations on notice are set by the state, so a renter moving to a new state should be clear on what rules bind the insurance company. If The Renter Decides To Cancel Of course, in addition to reasons why the insurance company might decide that it no longer wants to cover a certain person, the renter can cancel his or her policy at any time. This might happen if the renter decides to move before he or she expected to leave, if he or she finds that there’s not enough money to pay for renters insurance, or if another insurance company is found to offer a better rate. This last reason for canceling a policy might be null if the initial insurance company charges a fee for cancelled policies: because the insurance company has budgeted the amount of money to be earned from a particular renter, a renter who cancels his or her policy represents a loss to the company. In order to protect themselves from this, some insurance companies charge a percentage of the “leftover” premium: even if a renter has already paid the entire thing and is being reimbursed for the months or years for which he or she does not need coverage, the insurance company may have the right, if it is stated in the policy, to only reimburse the renter a part of that premium. If the renter pays in installments, the insurance company would require the renter to pay the company a certain amount of money for the cancellation. On the other hand, not all companies charge for cancellation, since in the larger scheme of things, renters insurance isn’t the most profitable branch of insurance for almost any company. Conclusion Despite the fact that yes, renters insurance represents a much smaller and less profitable part of homeowners insurance, it’s a growing area in which insurance companies are focusing as more and more renters become aware of the need to protect their possessions and cover the costs they would incur as the result of injury to others within the apartment or condo. Because there are so many different types of renters– people who live in apartments, rented houses, condos, co-op apartments, and dorms, to name a few– renters insurance has to be extremely flexible and meet the needs of a varied client base. Both the insurance © 5th Gear Enterprises, LLC • All Rights Reserved Page 62 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited. Understanding Renters Insurance agency and the renter benefits as renters insurance becomes more prominent: the insurance company profits, since a large percentage of policyholders never end up filing any claim, and renters benefit by having the protection and peace of mind that comes with insuring ones possessions against any number of threats. Recent events, such as Hurricanes Katrina and Ike, have highlighted the need for people to get renters insurance; though many of the claims filed after those disasters were from people who had lost their homes, a substantial number of renters filed claims, and an even larger number of renters lost everything because they didn’t have any insurance and couldn’t turn to the landlord to cover their possessions. Part of the effort to dispel the myth that landlords or property managers will cover the cost of repairing or replacing the renters’ possessions has to come from clearer lease agreements between those parties, but insurance companies also have a role to play in promoting renters insurance. The numerous benefits that come with renters insurance often greatly outweigh the relatively small cost of purchasing it for an apartment or condo, making it an attractive product to potential policyholders. © 5th Gear Enterprises, LLC • All Rights Reserved Page 63 of 63 Duplication or reproduction of any portion of this material without express written consent is strictly prohibited.
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