Image courtesy of en.wikipedia.org |
While just about everyone in America is talking (if not
listening) about the racial problems facing the nation, and all the theoretical
reasons for the discord, as well as the perceived solutions, I was also
thinking about the real life property damage consequences from the Dallas
attack and other demonstrations that sometimes begin peacefully, but don’t
always end peacefully, as well as events such as the Orlando and San Bernardino
attacks.
After giving the obvious due consideration for the loss of
life, and everything that goes along with that loss of life, and the acts that
led to the loss of life, I couldn’t help but think about the property damage involved
in these types of events. Often, the property that is damaged does not belong
to either the victims, or the perpetrators. Instead, the owners of the property
that is collaterally damaged or destroyed are additional innocent victims of
the various types of mayhem that seem to be more and more common. In fact, in
Dallas, the explosive that ended the event, was introduced and detonated by the
police, not the assailant. Should this make a difference? I thought, “If I’m wondering
about this, maybe other people are as well.”
So what about it? Is property damaged like this covered?
First, we’d need to break down the causes of the property damage, because
determining coverage always begins with the cause of the damage. And as you
might imagine, the cause might depend on who you are asking. Was the event a
riot, a civil commotion, civil unrest, looting, arson, terrorism…?
Image courtesy of YouTube |
Because we are talking about insurance, these terms are
usually defined in either the policy, or in case
law (a legal ruling or
judicial interpretation based on a past case, usually with similar facts).
Still, what one person interprets as “riot”, another may consider “terrorism”.
Without even getting into this very deeply, you can probably see that what
should be clear cut, with just a little wordsmithing can be made to be as
confusing as which bathroom should be used by someone born with male parts.
Some will say, “that’s easy”, while others will promptly chime in, “not so
fast.”
To illustrate how quickly and easily key terms can be
interchanged, Brendan McKenna in a 2006 article found at Insure.com noted, “At
9:30 a.m. on Sept. 11, 2001, shortly after learning about the crash of a second
airplane into the World Trade Center in New York City, President George W. Bush
called the events an "apparent act of terrorism." Standard
property/casualty insurance contract forms provided to the industry by the
Insurance Services Office contain clauses excluding "war, including
undeclared or civil war" and "warlike action by a military force,
including action in hindering or defending against an actual or expected
attack, by any government, sovereign, or other authority using military
personnel or other agents." Just over a day later, Bush said that
"the deliberate and deadly attacks which were carried out yesterday
against our country were more than acts of terror.
They were acts of war."
While the President’s words have unequivocally stated the position of the
United States, they may have muddied the waters concerning the insurance issues
around the attacks on the World Trade Center and the Pentagon. Many
property/casualty insurance policies are written to exclude coverage for acts
of war, but not for acts of terrorism. If the act-of-war exclusion clause of
the insurance contracts is invoked, insurance companies can refuse to pay the
benefits on the policies, including payments on businesses, homes, and cars
that were damaged or destroyed.” That would have been ruinous to countless
Americans who suffered tens of billions of dollars in direct and consequential
damages.
Most standard Homeowner’s or Business insurance policies exclude damage caused by war, and most do cover
damage caused by riot or civil commotion, but so far, I have not seen or heard
of many policies having specific coverages for, or exclusions against,
terrorism (especially on the Homeowner’s policies – some Business policies already
exclude terrorism, but allow terrorism coverage to be purchased). So far, at
least, this trend benefits policyholders, as most of the events we are
referring to here would not be considered “war”, even though we generally talk
about “war on terrorism”, or note that radical jihadis have declared “war” on
America. As far as I know, no insurance company would consider any of the cases
above to be “war”.
According to an article by Gwen Moran in HouseLogic.com, “Several
states, including Florida, Massachusetts, New York, Ohio, Pennsylvania, and
Texas, forbid terrorism exclusions, according to a report on terrorism’s
impact on homeowners insurance from the Missouri Bar Association.”
On the topic of terrorism insurance, according to the
Insurance Information Institute (www.iii.org),
most personal policies cover terrorism, and most commercial/business policies do
not, and even if a business did have a terrorism policy or endorsement, some losses
associated with terrorism could still not be covered (fire, nuclear,
biological, chemical, radiological, and cyber-terrorism), so it is increasingly
important to sit down with your insurance agent to consider these threats,
especially if you own a business. While talking with an agent, it may be
worthwhile to see how your various insurance policies (home, condo, rental,
auto, business, life, health) would react to the scenarios mentioned above.
In conclusion, there are still many questions left
unanswered with regard to the insurance coverage of these types of events, and
changes continue to be made as additional events occur and more data is
gathered by underwriters. That said, you can be pretty sure insurance
executives everywhere are meeting at conferences and other industry events to
consider how to address the seemingly growing costs associated with paying
claims from these types of events. Whether they will adjust policy definitions,
limit exposure to these types of losses, or exclude more of these events
altogether, remains to be seen, but I have a hunch they will eventually
determine a strategy for maximizing profits. They always do.
ps: As I write this I am reminded that terror is an international scourge. This morning's news is filled with the tragic terror attack in Nice, France that claimed at least 50 lives, 2 of whom are American.
ps: As I write this I am reminded that terror is an international scourge. This morning's news is filled with the tragic terror attack in Nice, France that claimed at least 50 lives, 2 of whom are American.
Mark Goldwich is president of Gold Star Adjusters, a group of public insurance adjusters dedicated to helping citizens get the maximum settlement for any insurance claim.
Leave it to insurance companies to use a national tragedy like a terrorist act as a pretext to deny claims. Shame on them.
ReplyDeleteLeave it to insurance companies to use a national tragedy like a terrorist act as a pretext to deny claims. Shame on them.
ReplyDeleteHow awful.... The sad thing is it's not even addressed when speaking to someone about it, it's pushed through with no thought... So really giving the person no choice.... A really great lesson read every contract in it's entirety to make sure you know what your getting!
ReplyDeleteInsurance issues can certainly get complicated. It's nice to know that expert advice is available when it's needed.
ReplyDelete