![]() |
About PIA • Join PIA • Contact us • Site map |
Back to Top 290199-00 - Mailing of legal documents
...
290253-00 - "Essential employee" registration
...
900221-00 - Scanned documents
Are scanned documents admissible in court?...
900316-00 - Interns under the FLSA
...
...
Back to Top
I am a terminated agent on a homeowners book of business. The 12-month run-off period has ended and the company is sending renewals directly to my cus...
290033-00 - Policy servicing
Our agency was terminated by a personal auto insurer. Our customer recently bought a new car. He wanted to add it to his policy and insure it for phys...
We recently were terminated by an insurance company. I am concerned about the letters they are sending to our auto policyholders, stating that we are...
290264-00 - Insurer offer letters after termination
...
Back to Top
290009-00 - Disability offset
We have an insured who is disabled due to an automobile accident. He had selected Additional Personal Injury Protection (PIP)—Option 5. He is collecti...
We have a client who has a $2,000 deductible on collision coverage and the mandatory $500 deductible on uninsured motorist property damage. She was re...
290077-00 - Coverage for bike—car accident
While my insured was out riding his bike, he hit and damaged a car. Which policy pays—his auto or his homeowners?...
290083-00 - After-market parts
What are the rules governing the use of after-market parts in New Jersey?...
290085-00 - Agricultural license
We have an insured whose 16-year-old son is taking a road test for a special farm license he says allows him to drive from home to the farm where he w...
290087-00 - Extended rental period
My client has two cars insured on a personal automobile policy. His son is away at college, so the two vehicles have been adequate for him and his wif...
290123-00 - Rental for business use
My insured is renting a van for a business trip. Does he have liability and physical damage coverage under his personal auto policy?...
900001-00 - Resident family member
My clients insure a vehicle, used by their son at college, on a personal auto policy. The parents are planning to leave the country for two years....
900003-00 - Damage to vehicle from shifting load
My insured was driving his pickup when he was forced to stop...
900004-00 - Joint ownership coverage endorsement
Could you clarify what the Joint Ownership Coverage (PP 03 34) endorsement to the ISO Personal Auto Policy is designed to do?...
900005-00 - Betterment clause
In an auto physical damage claim, the insurer wants to use nonoriginal equipment manufacturer parts and the claimant does not want them. So, the compa...
900006-00 - Coverage not terminated by plate surrender
Our insured's vehicle was hit while parked. We reported the loss to the negligent party's carrier to collect on a third-party basis. The company co...
900011-00 - BAP Symbol 7—limits of Symbol 7
If an insured has an auto policy written with Symbol 7 for comprehensive coverage in the ISO Business Auto Coverage Form (10/01), a comprehensive loss...
900075-00 - Renters with no auto policy
I recently read about a new Florida law (Section 627.7263, amended by c. 95-157) that allows the rental company to make a renter's Personal Auto Po...
900212-00 - Falling object
As a car is driving down the highway behind a truck, something flies off the truck. The car can't avoid...
900258-00 - Lawful auto rate discrimination
How can auto insurance companies discriminate and charge different rates for credit, age, gender, etc.? Is that really legal?...
900271-00 - Travel trailers
I have two insureds that have pickup trucks insured under a business auto policy in their business name...
Back to Top
290017-00 - Company vehicles—Broadened PIP
In New Jersey, PIP benefits follow the individual. The insured person under the New Jersey PIP form is the eligible injured person, which is defined a...
290018-00 - Broadened PIP
If the broadened PIP endorsement is not necessary for benefits under the commercial auto form, what coverage does this form provide? Someone told me t...
290019-00 - Which state's PIP applies?
In New York, the policy that pays personal injury protection benefits is determined by the vehicle the person occupies and, in New Jersey, the policy...
290020-00 - Workers' compensation offsets
If an employee is in an accident while working, he or she will file the medical claims under workers' compensation coverage. If their workers' compens...
290021-00 - Livery (taxi, limo, bus, etc.) passengers
If there were individuals traveling as passengers in a bus or a limo, and t...
290022-00 - Company car
Our client is a person who lives in New York, but works in New Jersey driving a company car that is registered in New Jersey (although garaged at his...
290032-00 - Out-of-state drivers
If a Pennsylvania driver gets into an accident in New Jersey, does the New Jersey verbal threshold apply?...
290061-00 - PIP threshold
If a husband has a Personal Auto Policy (PAP) with a zero threshold, and the wife also has a PAP but chooses the verbal threshold, what option would a...
290069-00 - No-fault won't cover eyeglasses
I have an insured who had an at-fault auto accident in which her prescription glasses were broken. The insurance company is telling her to collect und...
290101-00 - Which law prevails?
We have a personal auto client, a New Jersey resident, who was injured while driving a New Jersey-registered company car in New York state. Does the P...
290106-00 - Death benefit
My insured suffered a fatality. Now the company wants to deny the death benefit and funeral expense provisions of the personal injury protection cover...
290107-00 - Verbal threshold
How does the verbal threshold work? Does it apply to economic loss or just noneconomic loss?...
290108-00 - Agent immunity for tort option selection
Are agents held harmless for their client’s selection of a verbal threshold?...
290116-00 - Coordination of benefits
When the PIP-as-secondary coverage option has been selected, does the auto insurer apply its deductible and copayment limitations to the balance not p...
290167-00 - Accident with commercial vehicle
Does New Jersey’s verbal threshold apply when a private-passenger vehicle and a commercial vehicle are involved in an accident?...
290172-00 - Eligibility for PIP benefits
What are the two most important things policyholders need to know about eligibility for New Jersey PIP benefits?...
290182-00 - Out-of-state registration
I have a client who will soon be declaring residency in Flori...
290205-00 - Out-of-state drivers clarified
There is an accident in...
290213-00 - PIP coverage—definition of an "automobile"
What vehicles are eligible for Personal Injury Protection coverage?...
290214-00 - PIP coverage—who is insured
Who is covered for Personal Injury Protection coverage?...
290215-00 - PIP coverage—optional PIP
What PIP benefits are optional for a Standard policy?...
290216-00 - PIP coverage—which policy pays
Which policy pays for Personal Injury Protection coverage?...
290217-00 - PIP coverage—Basic policy
What PIP limits may be purchased for a Basic policy?...
290218-00 - PIP coverage—Special policy
What PIP limits may be purchased for a Special policy?...
290219-00 - PIP coverage—out of state
What happens to PIP coverage when injured outside New Jersey?...
290220-00 - PIP coverage—nonresident
What happens when nonresidents get injured in New Jersey?...
290221-00 - PIP coverage—offsets to benefits
Can PIP benefits be reduced by other sources of recovery?...
290222-00 - PIP coverage—deductible/co-payment
What is the claimant’s share of medical expenses?...
What vehicle is covered by Extended Medical Expense Benefits Coverage?...
290224-00 - PIP coverage—Standard policy
What PIP benefits are mandatory for a Standard policy?...
290225-00 - PIP coverage—for pedestrians
How does it work when the claimant is a pedestrian?...
290226-00 - PIP coverage—Extended Medical Expense Benefits
What is covered by Extended Medical Expense Benefits Coverage?...
290227-00 - PIP coverage—recovery of payment
Are PIP benefits recoverable by the payer?...
290228-00 - PIP coverage—personal auto broadened PIP
How do you give family PIP benefits coverage to a nanny?...
290229-00 - PIP coverage—commercial auto broadened PIP
How do you insure a corporate officer who has no personal auto policy?...
290230-00 - PIP coverage—motor bus benefits
How is Motor Bus Passenger coverage provided?...
290231-00 - PIP coverage—motor bus no-fault
What is the no-fault coverage for a motor bus?...
290232-00 - PIP coverage—motor bus defined
What is an "insured motor bus"?...
290233-00 - PIP coverage—fee schedule and protocols
How are the costs of PIP medical expense benefits limited?...
290234-00 - PIP coverage—health as primary
How does the health-as-primary option work?...
What are the consequences of choosing the health-as-primary option?...
290236-00 - PIP coverage—PIP as secondary
How does PIP-as-secondary respond as excess coverage?...
Who is insured by Extended Medical Expense Benefits Coverage?...
900055-00 - Pennsylvania no-fault
The Pennsylvania PIP benefits appear to be very similar to New York where the PIP benefits follow the car. Please confirm....
900208-00 - Borrowed pickup
A client that has a personal automobile policy that includes New Jersey personal injury protection borrows a pickup truck that is owned by a corporati...
Back to Top
900262-00 - Severability of interest
I have a bank requesting a 'severability of interest endorsement' on a general liability policy for a co-op building. We are seeing this more often fr...
900312-00 - Lenders—FEMA checks
Our client received his FEMA claim check and when he attempte...
Back to Top
900007-00 - ERISA fidelity bond requirement
I had a company contact me about a requirement that it says applies to one of our insureds, to carry $500,000 for fiduciary liability. I had never hea...
900217-00 - Obligations for bonds
One of my clients has asked to have a meeting about his bond requirements. He is not a contractor. What kind of bonds could he need and what do I need...
...
Back to Top
290015-00 - Renewal premium notices
What does the state say about the time frames for notifying insureds of renewal premium amounts on commercial policies?...
290031-00 - Premium-financed return premium
We have several trucking policies written through an MGA. They are telling us that when they return premiums on premium-financed policies they cannot...
290076-00 - Return premium time frames, calculation
We have a brokerage agreement with a carrier that states nothing about when the carrier will return any unearned premium due the insured if the insure...
290165-00 - Cancellation of premium-financed policies
If a premium-finance company cancels a policy, is it necessary for a managing general agent to send a cancellation notice to the mortgagee?...
Can the agent go ahead and notify certificate holders and additional named insureds when the agent has advanced the premium and then has to request ca...
We have a multi-state risk headquartered in New Jersey but with a couple of locations in New York. The company did not send advance warning of a big p...
290191-00 - Nonrenewals for bankruptcy of commercial client
Is it permissible for insurance company to nonrenew a commercial policyholder who has filed for bankruptcy?...
290202-00 - Premium payments/nonsufficient funds
I write commercial-lines policies and occasionally receive a premium payment check drawn on insufficient funds. My client’s action subjects me to a...
290239-00 - Midterm cancellation
Can an insurer cancel a policy midterm for lack of supporting business?...
Is there a pre...
290275-00 - Claims inquiry should not be considered a claim
If an insured...
290276-00 - Bank fails to pay insurance premium
My client’s h...
900240-00 - Which agent should sign the ACORD 35
When a client decides to change from one policy to another—firing the old agent and hiring a new agent—which agent should complete...
Is a company required to cancel flat when the policyholder presents evidence that another policy was obtained for the same risk, and became effective...
900297-00 - Back dating a policy
After two years of a policy being in force, can an insured request to back date cancellation two years. The insured has stated he has a duplicate poli...
Back to Top
900008-00 - Certificates—listing exclusions
We frequently are asked to issue a certificate of insurance for contractors. If there are excluded operations (roofing, for example), should these be...
900091-00 - BAP additional insured
Suppose a certificate holder requests additional insured coverage on the business auto policy, as well as the general liability policy. Can I just sta...
900118-00 - Certificates—additional insureds
Will there be a need to amend any wording on the certificate of insurance in response to the new additional insured endorsements?...
900193-00 - Primary language on certificates
If “primary” coverage is already built into most subcontractors’ general liability policies, why won’t their insurance carriers allow us to add “prima...
When issuing a certificate of insurance, how much information about the insured’s coverages do we need to list on the certificate? For example, their...
900218-00 - Certificates of insurance
Many of my clients are subcontractors, and are being requested by the general contractor to have certificates of insurance that sometime go beyond the...
900224-00 - Blanket additional insured
If we indicate that a contractor is an additional insured on a certificate of insurance and there is a blanket additional insured endorsement on the p...
900250-00 - Certificates—prescribed language
We received a certificate of insurance with the following statement stamped on the back page:...
900259-00 - Certificates—midterm change in limits
In these economic times, we have a number of clients looking to reduce their umbrella limit on a midter...
Back to Top
290036-00 - Total loss
My insured's car was declared a total loss following an accident. The company is paying the loss, but is refusing to take title of the vehicle for sal...
290052-00 - Claim denial deadline
Our client has a business interruption claim arising from an incident that happened months ago. The company dragged its feet, then finally told the in...
900201-00 - Reservation of rights
Please give some insight as to how to respond to and protect our insureds when a carrier sends a reservation of rights letter on a claim....
900219-00 - Negotiated claims settlement
My client was involved in an automobile accident that was the complete fault of the other party. He has received a letter from the adjuster of the oth...
900330-00 - Umbrella policy—notice of claim requirements
My client had someone get injured on his property that initially resulted in a $1,500 reserve being placed on his commercial general liability policy....
Back to Top
290045-00 - No-fault: out-of-state PIP
We wrote a Business Auto Policy (BAP) for a law firm. One partner, who normally drives a corporate-owned vehicle, was injured while a passenger in a f...
290068-00 - Self-insurance
How can someone become a self-insurer for motor vehicle insurance? What is involved?...
290124-00 - Broadened PIP
When we add a Named Individuals—Broadened Personal Injury Protection Coverage (CA 22 01) endorsement, we generally enter the name of the person desiri...
290177-00 - Underinsured motorist physical damage
My client was driving a truck carrying $18,000 worth of cabinetry when struck by another vehicle whose driver was at fault. The vehicle is insured by...
900012-00 - Symbols: your key to what's covered
Under the Business Auto Policy (BAP), could you discuss the difference between using Symbol 1, as compared to Symbols 7, 8 and 9, to indicate whether...
900027-00 - Symbol 1—named insured
Will a business auto policy (BAP) cover a named insured under a personal auto policy, if the BAP covers autos with a Symbol 1 and if the named insured...
900031-00 - Drive-other-car coverage
My insured submitted a claim on a commercial auto policy. The insured doesn’t have a personal auto policy, because all of their four cars are corporat...
900039-00 - Temporary substitutes
If an employee with a furnished auto needs to obtain a temporary substitute auto, will that situation be covered under the Business Auto Policy (BAP)?...
900048-00 - Stated amount
An antique auto insured under a Business Auto Policy was stolen. The amount the insurer offered was less than the stated value. Is this correct?...
900093-00 - Primary or excess?
An employee of our commercial auto policyholder had an accident in his personal vehicle. Our policyholder has two policies through t...
900241-00 - Coverage for valet parking
I was wondering what coverage issues arise when I permit a valet parking attendant to drive my vehicle. If there is an accident, how will my policy...
900252-00 - Commercial auto—suspension of coverage
When using ISO form CA 02 40—Suspension of Cover...
900264-00 - Borrowed motorcycle
On a business auto policy, if a customer borrows a motorcycle that is owned by a corporation (named ins...
900307-00 - Hired and nonowned vs. drive other car
...
I have a commercial insurance client who has recently co-leas...
Back to Top
290240-00 - PAIP/CAIP certification
Can we continue to write with CAIP if we terminate our PAIP certification?...
Back to Top
290198-00 - Golf carts—mobile equipment
We insure a New Jerseygolf course under a 2004 ISO commercial general liability policy. The golf course has over 100 golf carts for players' use and m...
My client installs fences and is a single-member limited liability company (LLC). Initially, only the single member performed the work. Then, over the...
900018-00 - Foreign operations
I am concerned about the coverage afforded by the commercial general liability policy (CGL) for foreign liability situations. My insured does business...
900051-00 - Snowplowing—completed operations
We are getting conflicting opinions from various sources regarding coverage under the Commercial General Liability (CGL) coverage form. Specifically,...
900052-00 - New locations, operations
Does the Commercial General Liability Policy (CGL) cover new locations and operations of an insured automatically? Is coverage limited to the classifi...
900054-00 - Theft from customer
We insure a beauty salon under a Commercial General Liability Policy. One day, robbers walked in and took a $10,000 ring worn by one of the salon's cl...
900057-00 - Controlling Interest endorsement
What is the proper use of the Additional Insured – Controlling Interest (CG 20 05) endorsement?...
900072-00 - Patent infringement claim
Our insured has been charged with patent infringement. Will this be covered under Coverage B of the ISO Commercial General Liability Coverage Form?...
We'd like an interpretation of Coverage B—Personal and Advertising Injury Liability of the ISO Commercial General Liability Coverage...
900096-00 - Hold harmless agreements—injury to employees
We have an insured who signed a contract to defend, hold harmless and indemnify a client for any liability actions, including action...
900097-00 - Pollution exclusion—welding
We have an insured with an ISO Commercial General Liability (CGL) occurrence policy. The insured is a steel fabricator and erector who does some weldi...
900098-00 - Waiver of subrogation
Can a commercial general liability policy insured waive subrogation in a separate contract without impacting coverage under the policy?...
One of our clients is leasing a warehouse facility. The terms of the lease have insurance requirements that include "Civil Assault and Battery" covera...
900100-00 - Business records subject to audit
What can and can't a company require by way of business records in connection with a premium audit? Our company wants to see copies...
900101-00 - Trigger for personal and advertising injury
I'm confused by the various triggers for coverage used on an Insurance Services Office Inc. (ISO) Claims-Made Commercial General Lia...
900102-00 - 'Damage to property' exclusion
Our insured was installing a sign for a business when the sign slipped. The sign scraped a wall going down, causing $12,000 worth of damage. How wo...
900103-00 - Medical payments for day-camp kids
We insure a day camp for children. The insurance company denies that the Medical Payments coverage under the Insurance Services Office Inc. (ISO) Comm...
900105-00 - Separation of insureds/duty to cooperate
Our insured is involved in a thi...
900167-00 - CGL blanket additional insured endorsement
My tenant client has an ISO Commercial General Liability Coverage Form (CG 00 01 10 01) and a proprietary blanket additional insured endorsement. Do t...
900178-00 - Fire legal liability coverage
Could you provide a definition of "fire legal liability" with respect to a Commercial General Liability Policy (CGL)? Our insureds are asking what it...
We write a Commercial General Liability (CGL) policy for a contractor with a $500,000 liability limit. He engaged a subcontractor wi...
900196-00 - Damage by an additional insured
Does adding someone as an additional insured automatically preclude coverage for the additional insured when the named insured’s personal property is...
900207-00 - Discontinued operations—gone out of business
When contractors go out of business, we always recommend they buy "discontinued operations liability coverage," i.e., for products completed operation...
900220-00 - Carpet damage
My client is a carpet cleaner, who goes to locations to clean carpets. We have submitted a claim for a carpet which was damaged by his cleaning. The c...
900228-00 - Additional insureds
I have a general liability policy that the date of inception was November 2003. At that time we supplied the insurance carrier with all named insureds...
900231-00 - Health club professional liability
From a coverage standpoint is it better to rely on the silence of a Commercial General Liability Policy for professional coverage if it is not exclude...
900263-00 - ISO CGL Policy (2007 edition)
I was doing a little research and I see that the 2007 edition of the ISO Commercial General Liability C...
900299-00 - Blanket additional insured
We were recently informed that the blanket ISO endorsement CG 20 33 is not really a blanket additional insured endorsement at all and that it only cov...
Back to Top
290051-00 - Loss run time frame
I need loss experience data on one of my commercial auto clients. How much time does a company have to provide this information?...
290081-00 - Multi-state risk
We have a multi-state commercial risk. We do not think the insurer has provided the correct notice of the renewal premium....
290092-00 - Notice of renewal premium
One of our carriers recently raised the insurance premium on a large contracting risk substantially. We don't know whether the contractor was given ad...
We'd like to confirm whether employment practices liability is exempt from rate and form filings in New Jersey....
Is it permissible for an insurance company to cancel a current policy for nonpayment of an audit premium on a prior policy?...
290120-00 - Minimum—earned premium
One of our commercial clients purchased a policy in the surplus lines market. It provides for a 25 percent minimum-earned premium. We now find we...
290206-00 - Minimum-earned premium—surplus lines policies
What about a surplus lines policy with an earned premium provision that states the annual premium is 100 percent earned at placement? Would this be de...
900009-00 - 'Extra expense'—temporary location
We insure a senior residence that was damaged. The residents had to be housed at another location at a cost exceeding the rental value of the residenc...
900010-00 - Floods and business interruption
Would a flood trigger business interruption coverage?...
900015-00 - Business interruption payroll coverage
Under the Business Income Coverage (BIC) form, how do we help a client decide between insuring ordinary...
900073-00 - Additional insured vs. additional named insured
Please clarify the difference between an additional insured and an additional named insured....
900077-00 - Business interruption—"leader" location
Have you ever heard of a coverage called "leader"? An adjuster suggested that our insured should have this....
900081-00 - Floor plan coverage
What can you tell me about "floor plan" insurance?...
900092-00 - Completed operations
If a general contractor’s contract with a subcontractor contains a hold-harmless agreement that includes “any and all claims” (there is no restriction...
900094-00 - Bankrupt client
We'd like to know what the insured's obligation is to the insurance company for premiums if the insured goes through Chapter 11 bank...
900106-00 - Power surge exclusion
A gas station with a package policy sustained a loss when a power surge shorted their computer equipment. It turned out that a tree limb on the premis...
900124-00 - First-named insured pays
Suppose that more than one company under common ownership was insured under a commercial package policy and the company that was listed as the first n...
900174-00 - Umbrella drop-down provisions
We have an insured with an umbrella policy for $4 million in coverage, over a $1 million primary policy. If the carrier providing the underlying polic...
900181-00 - Acceptance of claims check
Our insured's car was hit when another driver ran a stop sign. The police report and a witness' stateme...
900191-00 - Deleting additional insured
What would be the guidelines for deleting an additional insured from the policy?...
900192-00 - Completed operations
Please clarify the relationship between contractual liability and the additional insured endorsement with regard to completed operations coverage....
900194-00 - Amendment of insured contract
Could you explain the changes in the Amendment of Insured Contract Definition (CG 24 26) endorsement?...
900195-00 - Proof of negligence before defending
In view of the fact that ISO's revised additional insured endorsements exclude the sole negligence of the additional insured, is it correct to say tha...
Are Risk Retention Groups subject to states' insurance laws and regulations regarding cancellation, nonrenewal and other policyholder protections?...
900337-00 - Business interruption from power outage
...
Back to Top
900053-00 - Building ordinance coverage
Under the ISO...
900062-00 - Post-loss waiver of subrogation
We have an insured, a tenant written with a Commercial Package Policy (CPP) (special form). A large fire started with a lamp in the tenant's area. The...
900070-00 - Debris removal
We need your interpretation of an ISO Commercial Property Insurance form (CP 00 10), with respect to th...
900107-00 - Burst pipe
We have a claims dispute over a commercial property loss. The building owner submitted a claim for an incident in which a pipe burst underground, resu...
900108-00 - Liberalization clause
If a carrier adopts a change to a commercial property policy that broadens coverage, when does the change affect in-force policies?...
900109-00 - Lightning damage
Lightning hit an electric line leading to an air-conditioning unit on the roof of a building. The unit was damaged. The company claims Exclusion 2.a....
900110-00 - Perishable stock—spoilage coverage endorsement
We have a pet shop insuring its p...
900111-00 - Functional valuation
At an E&O seminar I attended, the instructor mentioned the "functional replacement cost" endorsement. Could you explain the use of this endorsemen...
My client leases space but owns and operates a large medical-imaging machine, valued at about $900,000, which is installed at his leased premises. I q...
900113-00 - Goods held for delivery
We insure a manufacturer under a Commercial Property Policy (CPP). The manufacturer invoiced his customer on March 31 for $200,000 in stock, with an a...
I just ran into a new term. Could you tell me what a "liquidated damage clause" is? This involves an alarm company contract. The alarm company wants o...
900211-00 - Glass coverage
The new property form now includes building glass coverage. Is it accurate that there is no way to buy back the deductible or eliminate the per-p...
900222-00 - Building code requirements increased cost
I place coverage for many clients that pay a considerable amount of money to make improvements in the buildings they lease in order to accommodate the...
900226-00 - Permanent fixture
We recently received a denial on a commercial property claim for wind damage to a gate, which is perman...
900227-00 - Improvements and betterments
My question is whether the definition of “your business personal property” in ISO form CP 00 10 include...
900295-00 - Governmental action exclusion
We have had a claim denied where our insured owns a commercial property. The central alarm system alerted the local volunteer fire department to the s...
Back to Top
290190-00 - Referral fees
Can I implement a program where I reward nonproducers for providing leads or sales prospects? Can I base the size of the rewards on the quality of...
290211-00 - Retired agent receiving commissions
May a retired insurance agent (who was licensed at the time the agent sold insurance) continue to receive renewal commissions on that busine...
Back to Top
290025-00 - Hold-harmless agreements
We have always advised our general-contractor clients to have their subcontractors sign a hold-harmless agreement. Recently, we were told that hold-ha...
900059-00 - Subrogation receipts, "loan receipts"
Could you give us a brief refresher course on subrogation receipts and what it means when our insured signs one?...
900251-00 - Binding restrictions
I just found out, after speaking with my underwriter that they suspended my binding authority upon completion of the development of the change that I...
900273-00 - Company seeking agents' business data
What is the propriety of a company asking our agency to share with it information about the business we write with other companies?...
900278-00 - Carrier website agency agreements
Quite often, when a carrier updates their website there appears to be a contract or agreement that we must accept before advancing in their Web site....
900325-00 - Book of business owner
...
900334-00 - Binding authority
...
Back to Top
290115-00 - Binder time frames
What is the law in New Jersey with regard to the length of time allowed for binders?...
290248-00 - Fuel oil liability
...
290258-00 - ISO rules regarding service garage risks
Under ISO rules effective Sept. 1, 2002, in New Jersey, servi...
900260-00 - DP-3—vacant property
On a DP-3 form, are there any exclusions that apply to the liability coverage, with respect to a vacant property? We understand the property coverage...
900274-00 - Be careful when replacing vehicles
An insured contacted us to let us know of the purchase of a new vehicle and that he was trading in the old one shortly? Our insured also informed us t...
900275-00 - Flu outbreak coverage
Is there any type of insurance available that covers a business in the event of a widespread flu outbreak?...
We often receive requests from the unit owner of a condo that their mortgagee wants to be added as an additional insured on the condo association's po...
900290-00 - Backing into a garage door
While backing up, I ran into the garage door we just installed. Do I submit the claim to our auto or homeowners insurance carrier?...
Could an insurer deny a homeowners policy claim for damage caused by a condition in improvements made to the home for which the homeowner neglected...
...
900319-00 - Coinsurance on a business income policy
What does the coinsurance value of 125 percent on a business policy mean?...
900323-00 - ISO stated amount endorsement
...
900324-00 - Loss of use
...
How does Additional Living Expense coverage react in the case where the loss occurs at a seasonal or secondary location?...
Back to Top
290273-00 - Use of MVRs for employment decisions
Can an agent o...
An insurer uses a policyholder's credit information in rating personal auto or homeowners insurance. How often (in the absence of a request by the pol...
900333-00 - Carrier appointment credit checks
...
Back to Top
900114-00 - States with statutory disability
We insure a business that is a one-person corporation. He will be working in North Carolina for awhile. Does North Carolina have a statutory disabilit...
900266-00 - Disability for employees working out-of-state
We have a client based in New Jersey. The company has six employees working out of their home i...
Back to Top
290247-00 - PAIP/CAIP certification
According to the PAIP manual; all certified producers, including em...
290254-00 - Long-Term Care Partnership Program training
Do I need special training to sell long-term care insurance?...
Back to Top
In comparing employment practices liability policies, I have noted references to the federal Workers' Adjustment and Retraining Noti...
900310-00 - Employer's liability for harassment by customers
...
Back to Top
290079-00 - Duty of care
What is the duty of care that an insurance producer owes to a client to place business with a financially secure carrier?...
290113-00 - Discontinuing service to customer
Several years ago, I placed a customer's dwelling in the FAIR Plan. Every year, I make an attempt to convince the policyholder that he should insure t...
900074-00 - Following up on cancellation notices
Our agency always has sent out a letter to insureds when we get a copy of a cancellation notice from a carrier reminding the insured that the premi...
900233-00 - Liability exposures on agency book sale
I am selling my book of business to another agency and will be working for them under their name. What is my liability if a claim should arise on a po...
Back to Top
290046-00 - Surplus-lines disclosure
Is any disclosure notice required when writing a surplus-lines policy?...
290084-00 - Direct placement tax
I just received a copy of a form entitled "Direct Placement Tax Return—Insurance Placement with Unauthorized Insurer or Self-Insurer's Report." What i...
290094-00 - Surplus-lines tax—tax-exempt entities
Our client is a church. We placed the coverage in the surplus-lines market. The church officers say the church is tax-exempt, so they do not feel they...
290100-00 - Surplus lines cancellation
I have a New Jersey property account which has been in effect for more than 60 days. Now the company is canceling it due to a loss. The company is non...
290170-00 - Rules for accessing the surplus-line market
For risks that do not automatically qualify for the surplus-lines market, I continue to hear somewhat conflicting information about the need for and c...
290184-00 - Diligent effort
The Certification Of Effort To Place Risk With Authorized Insurer provides a place to record declinatio...
Back to Top
900058-00 - NFIP sewer backup
How can we get better coverage for sewer backup? Is it covered under the flood policy?...
900244-00 - Producer opportunity to improve flood rates
What is the NFIP Community Rating System?...
900287-00 - WYO flood carriers
What is the difference between the WYO flood program and that offered by the National Flood Insurance Program? Are private insurance carriers insuring...
900294-00 - Flood coverage for commercial property
Is federal flood coverage available for commercial property?...
900300-00 - Flood-damaged personal auto
My client’s car was damaged in the hurricane. Specifically, it was caught in a flood and was inundated with water. What should the client expect for i...
900301-00 - FEMA proof-of-loss submission
My client has just experienced a loss due to a flood. Is there a time constraint when they must notify the carrier of their loss?...
900302-00 - Water backup from off-premises drains and pipes
What is the difference in coverage if water backs up through a drain or sewer due to heavy rainfall, such as a hurricane, and water that backs up due...
900309-00 - FEMA—additional living expenses
One of our insureds has a homeowners policy and a flood policy and suffered a total loss. On the homeowners policy, the carrier is not allowing use of...
900320-00 - Flood coverage for basement property
Under the NFIP Flood Insurance Policy, what items are covered in the basement of the dwelling?...
With regard to flood insurance, would there be coverage for property to include finished basements, decks or wa...
900327-00 - Increased Cost of Compliance coverage
What happens in the event a building sustains substantial damage from a flood, and the inhabitants are required to meet certain building requirements...
900335-00 - Storm damage to seawall
Will the NFIP Flood policy cover storm damage to a seawall or...
900336-00 - Loss of use—flood
...
My homeowner clients who have suffered only flood damage are...
900339-00 - Flood claim denial
...
900341-00 - Flood policy—debris removal
...
...
900343-00 - Mold and the NFIP policy
Is mold covered by my National Fl...
900344-00 - Grace period for flood policy
...
900345-00 - Concurrent causation claims from a storm
...
900347-00 - Flood water and the NFIP policy
Recently, I have been getting a lot of differing information on the National Flood Insurance Program flood policies. I heard that the NFIP policy does...
Back to Top
In response to the recent fraudulent acts committed by Wall Street profiteer Bernard Madoff, it appears that some investment advisors/brokers are tell...
Back to Top
900045-00 - Customer liability coverage
Regarding garage liability for auto dealers—what is "unlimited customer liability coverage"?...
Back to Top
900043-00 - Truck operator—care, custody and control
I have a client who operates a garage where they service all different kinds of vehicles, from family cars to trucks, ATVs and even forklifts. If any...
900071-00 - Valet parking exposure
Our client is seeking coverage under a garagekeepers liability policy for a valet parking operation at a country club. The operation will use a lot th...
900116-00 - Selecting limits
Our client, a business that installs car radios, has a garage policy which includes garagekeepers coverage. One night, he gave an em...
900216-00 - Care, custody and control
I have a client who operates a garage where they service all different kinds of vehicles, from family cars to trucks, ATVs and even forklifts. If any...
Back to Top
290013-00 - Guaranty associations
What limit of protection is provided by New Jersey's guaranty mechanism covering life insurance and annuities?...
290040-00 - No insolvency protection for bonds
Are bonds covered by New Jersey's Property-Liability Insurance Guaranty Association?...
290173-00 - Insolvency protection—truckers policy
Does the New Jersey Property-Liability Insurance Guaranty Fund have to provide the same liability limits required by federal endorsement MCS 90 on tru...
Does the New Jersey Surplus Lines Guaranty Fund provide c...
290197-00 - PLIGA—seasonal residence
Does the New Jersey Property-Liability Insurance Guaranty Association (PLIGA) provide coverage for a seasonal residence covered by a homeowners policy...
Back to Top
290058-00 - Pre-existing condition
We have a small group health insurance client with 34 employees. We are putting this client into a new plan. One employee (who has been covered under...
290086-00 - Small group—Medicare eligible
I know that we need to get eligible employees who turn down coverage under our New Jersey small employer group plan to sign a waiver. What about eligi...
290267-00 - Charging fees for health insurance in New Jersey
I am a health insurance producer. I’ve heard that I can charge a fee in addition to receiving a commission on some sales. I’m not sure if it is small...
900127-00 - COBRA basics
Which employers are subject to COBRA rules? How long does COBRA entitlement last?...
900128-00 - ERISA pre-emption
We are trying to help a client with a health claim. The family is insured under a self-insured health trust based in Pennsylvania, e...
900129-00 - HIPAA "eligible individual" rule
One of our insureds has a New Jersey individual health insurance policy. He has a pre-existing condition. He is considering moving to another state. D...
Back to Top
290038-00 - Condominium assessments—common property
If the condo association insures common property only for broad-form perils, how could the unit owner be protected for assessments made for damage cau...
290064-00 - Condos and WindMAP
Are condominium unitowners eligible to make application through the New Jersey WindMAP?...
290114-00 - Condo master policies—maintenance fees
...
290119-00 - Homeowners deductible
Our client had a homeowners claim involving a break-in. The $885 loss included $800 in cash stolen and $85 to repair the window. The policy was writte...
290181-00 - Coverage C scheduled property
Does a payment made for a loss to scheduled property reduce the Coverage C limit available under an ISO Homeowners Policy?...
290277-00 - Resident relative—common-law husband and wife
I am in New Je...
900013-00 - Condominium unit
If a condo unit owner owns what is described as a "box of air," why is Coverage A needed for a "box of air"?...
900017-00 - Coverage for executor
How can the executor of an estate be covered under homeowners...
900020-00 - Parties off premises
My insureds are renting a Girl Scout Lodge to give a dinner party with about 30 people. It's a strictly social occasion. They want to know whether the...
900022-00 - Covering rental property
My insured owns his residence, which we insure with a homeowners policy. He also owns, in common with his brother, another house which they rent out (...
900023-00 - Horses
I recently received a marketing newsletter that implied that horses are not covered for liability under a homeowners policy if they are away from the...
900028-00 - Condominium—association bylaws
Do I really have to see the insurance requirements in the association bylaws? Can't I just call and ask a condo association representative?...
900029-00 - Coverage during nursing home stay
My insured has been sent to a nursing home, and it looks like he will be there several months. Will thi...
900030-00 - Coverage for bike accidents
My insured’s car was hit and damaged by a bicyclist. To which policy—household auto or homeowners—should my insured look to recover for the damage cau...
900032-00 - Coverage for rented furniture in condo
In reviewing the HO 00 06, the question has come up whether or not an HO 00 06 policy with an HO 17 33 endorsement would cover furniture that is rente...
900035-00 - Fallen tree—deductible
A tree fell onto my insured’s property as a result of the wind. His policy will cover the removal of the tree under the additional debris removal cove...
900036-00 - "Vacant land" definition
What is "vacant land" as referred to in the homeowners policy? This is important, because vacant land is automatically covered as an "insured location...
900038-00 - Condominium—large association deductible
There was a $20,000 property loss at one unit of a condominium and the association policy has a $25,000 deductible. The association now wants the u...
900041-00 - Golf carts off course
My customer lives in a trailer park and owns a golf cart. Will his homeowners policy cover him while using the golf cart to visit his neighbors in the...
900044-00 - Fallen tree
Because of weakness caused by termites, a tree fell from a neighbor's yard onto our insured's home. Should our insured make a liability claim against...
900047-00 - Long-term absence
I have a homeowners client who is going to Europe to attend medical school. While he is gone, his cousin will occupy the home. Are there any coverage...
900050-00 - 'Life estate' coverage
I have been asked to insure a home that was left to three adult children in their father's will but is to be occupied by their mother under a life est...
900056-00 - HO coverage and fallen trees
Has there been a change in homeowners coverage for trees that are blown down but don't land on a structure? We think we saw something to this effec...
900064-00 - Homeowners additional insured
This question concerns a homeowners policy. A brother had leased a home to his sister for life. The home burned and the sister was killed. The brother...
900068-00 - Protecting landlord's furnishings
Our insured owns a two-family home. She lives in one apartment most of th...
900076-00 - Guaranteed replacement cost
My homeowners client, with a home that was built in 1893, is on a guaranteed replacement cost policy. Over the past four years, the company has re-app...
900078-00 - Insuring time shares
My insured has purchased a time share in a condominium and wants to add this premises to his homeowners policy. The underwriter says no. Could you exp...
900085-00 - Coverage while home repaired
My customer's home was extensively damaged by fire while covered under an HO-3 homeowners form. Repairs have commenced while the insured is living at...
900088-00 - Homeowners protection for building renovations
If a homeowner hires a general contractor to renovate or build a home, what is the appropriate additional insured endorsement that the general contrac...
900117-00 - Condominium instruments
Why do I need to know the statutory requirements for condominiums?...
900130-00 - Debit cards
Is a debit card treated the same as a credit card with respect to the homeowners policy "Additional coverages," Item 6, "Credit card, electr...
900131-00 - Parents own young couple's house
We insure a young couple who are living in a home purchased for them by their parents. The home is titled in the parents' names, but...
900132-00 - Business activities exclusion—"other structure"
We have an insured who has set up an office in her detached garage (she is a Mary Kay salesperson). Mary Kay is providing insurance...
900133-00 - Fund-raising event
We have an insured with an HO-3 policy. He is planning to have a "carnival" for kids in his large side yard. He plans to invite sele...
900134-00 - Limitations on business pursuits coverage
We're wondering just how to interpret the Business Pursuits (HO-71) endorsement. What additional protection could this endorsement giv...
900135-00 - Coverage for baseball card collection
In the HO-3 policy, is there coverage for a baseball card collection? Our insured has a collection that is valued at about $35,000 a...
900136-00 - Calculating the homeowners deductible
Our client had a homeowners claim involving a break-in. The $855 loss included $800 in cash stolen and $85 to repair the window. The policy was writte...
We have clients who are getting a divorce. Their home is in the wife's name only. However, the wife has moved out while the husband...
900138-00 - DP tree removal provisions
Do the ISO dwelling policy forms (DP-1, DP-2 or DP-3) provide the same $500 additional coverage for tree removal as the ISO homeowners forms do?...
900139-00 - Mortgagee's claim limited by H0 02 provisions
Our client has purchased an HO-2 policy on his home. He could not keep up with his mortgage payments, so the bank proceeded to foreclose on the loan a...
900140-00 - Collapse exclusion
My homeowner client had a five-inch thick and two-by-three-foot cement slab in front of his fireplace. The whole thing suddenly fell into the basement...
900141-00 - Eligibility for HO-3; scheduled property
Our client is a woman who is divorced but continues to live in a house owned by her ex-husband. Can we write an HO-3 policy for her?...
900142-00 - Row houses
We want to insure the owner of some row houses. Does the liability portion of an HO-4 policy cover a person who owns and occupies a one-, two-, three-...
900143-00 - HO-6 coverage for wall-to-wall carpet
We deal with a lot of condominium associations and HO-6 policies. We see more and more condo associations executing agreements that state they will no...
900145-00 - Flood loss excluded
We had an insured who was driving along a major...
900146-00 - Theft from motorcycle
Our insured's motorcycle was parked on the street. Somebody stole helmets, gloves and tools from the cycle. We put a claim into the...
900147-00 - Pollution exclusion—cause of loss
A family's dog accidentally knocked a can of oil into their swimming pool. The oil caused major damage to the liner, lines, pump and...
900148-00 - Damage from electrical current
Our client has an HO-3 policy. A tree fell on power lines leading to their house, which caused a power...
900149-00 - Above-ground pools
Is an above-ground pool covered on the homeowners policy under Coverage B—Other Structures, or Coverage C—Personal Property? I've be...
900150-00 - Duration of residence
Our insured's mother came to visit, planning to stay for a month or maybe longer. The mother slipped and fell. How long would the mo...
900151-00 - Son rents detached garage apartment
Our homeowners clients have a detached garage with an apartment above it where their son lives. Will the son have the same coverage as the parents reg...
900152-00 -
Personal property in a vehicle damaged by water
Our insureds left their car parked on a street during a period of significant rainfall. Water in the street got so high that it damaged personal co...
900153-00 - Sewer back-up excluded; endorsement available
My homeowners policyholder has a sewer that runs across a neighbor's property to connect with the main. He has an easement that auth...
900154-00 - Subrogation against tenant's policy
If a tenant of the insured's residence causes water damage to the home, can the homeowners insurer subrogate against the tenant for...
900155-00 - Changing apartments
Our insured is moving from an apartment (which she is still responsible for under her lease until the 31st of the month) into an assisted living apart...
900156-00 - Covering landlord's furniture
Will the HO-4 policy purchased by a tenant cover the landlord's furnishings in a rented dwelling?...
900157-00 - Home sold—staying on
If our clients sell their home and make an agreement with the buyers to continue living there for two months, paying rent, would we need to change the...
900158-00 - Worldwide coverage
My homeowners clients are planning to vacation out of the country. Does their homeowners coverage apply worldwide?...
900166-00 - Loss assessment increase
A condominium association has experienced a property loss for which there may not be adequate insurance coverage. An assessment to unit owners has not...
900175-00 - Association bylaws—condos
Are the insurance requirements always located in the association bylaws?...
900183-00 - Condominium fences
Are fences owned and installed by the unit owner insured on a replacement-cost basis? What will be the Coverage A limit if none is specified on the ap...
900185-00 - Condominiums—earthquake and flood
Should the unit owner purchase earthquake and flood coverage?...
900186-00 - Condominium—assessments
Why won't a high loss assessment limit cover an assessment for a large deductible on the association policy?...
900187-00 - Umbrella policy—condominium assessments
Will an umbrella policy cover loss assessments?...
900188-00 - Condominiums—ordinance and law
How much ordinance or law coverage should be purchased on a unit-owners (HO-6) policy?...
900198-00 - Special Form claim types
My client has an HO-6 policy—named perils for structures and contents. I'd like to offer the Unit Owners Coverage A Special Coverages (HO 17 32) endor...
900199-00 - Special personal property coverage
Does anyone have some good examples of what would be covered under a homeowners policy with an HO 00 15 form that would NOT be covered without this?...
900200-00 - Sewer back up
I have an insured whose toilet backed up during flooding conditions in our area. There was no surface water, just the water backing up through the tol...
900204-00 - Town water line connection
Is there any coverage provided under the HO-3 for damage to an underground water pipe connection from the town/city water line to the home if the pipe...
900209-00 - Binder prior to closing
I have an attorney that is requiring a binder before he can give a closing date. No coverage has been bound because the insured does not own the prope...
900210-00 - Service vehicle
I have an insured who owns an all-terrain vehicle that is being used as a utility vehicle on their property (three acres with a barn and horses). How...
900214-00 - Contents in a temporary residence
Does the named insured need to obtain an HO-4 policy for a temporary residence for contents, while her home that was destroyed by fire is being repair...
900215-00 - Coverage C limits
In an ISO HO-3 policy under Coverage C special limits of liability #5, it states a sublimit of $1,000 for loss by theft of jewelry, watches, furs, etc...
900223-00 - Wine collections
My client has asked if his wine collection, valued at $300,000, would be covered under his HO-3 policy. I’m not sure if this would be covered under Co...
900229-00 - Earthquake coverage for the condo or unit owner
I am writing a California condominium unit owners policy. The insured is not interested in earthquake coverage on his contents; however, because the a...
We have insureds refinancing their homes and the mortgagee is requesting a binder prior to setting the closing date. We could change the mortgagee on...
900248-00 - Neighbor's tree
I have a homeowners insured and their neighbor has a dead tree on their property that is leaning toward the insured's home. The insured has contacted...
900256-00 - Secondary location
We have an insured who owns two condo apartments in the same building. Both are for his use. One is his primary residence and the other he uses every...
900261-00 - Extended liability
We have a client who is building a new house on a vacant lot he owns. He currently is renting and has an HO-4 policy. We asked the carrier if this HO-...
900269-00 - Swimming pool—water delivery
An insured suffered a covered swimming pool loss where the liner had to be replaced. Of course, to get to the liner, the water had to be drained. Ther...
900279-00 - Driveway easement
I have a client who is buying a house directly in front of another house. The other homeowner must travel about 10 feet on the client’s driveway to...
900282-00 - Tenant performing building maintenance
If a tenant provides all of the maintenance and upkeep on a home he is renting and, in return, the owner of the home provides a discounted rent, is th...
900284-00 - Sump pump
A client just completed a $25,000 basement refinishing project. They are looking to make sure they have adequate coverage for it. Aside from flood...
900285-00 - Cyber bullying
Would a homeowners policy provide coverage in the event an insured is accused of cyber-bullying?...
900286-00 - Replacement cost vs. market value
Do you have any resource documents showing why to insure a home for reconstruction replacement cost vs. the market value or the differences between th...
900293-00 - HO-2 vs. HO-3 coverage
Could you explain some of the differences between the HO-2 and HO-3 forms?...
900296-00 - Boat rental
An insured called to ask if they have coverage for renting a boat for one week at a l...
Is there coverage under the homeowners policy when water backs up into an insured home, due to the overflow or the incapacity of the sewer system to h...
900306-00 - Damage to home from wind-driven rain
Where do I find coverage for rainwater that gets into a home due to wind damage to the structure?...
900313-00 - Roof/ice dam coverage
...
900314-00 - Theft of a lawn
...
900318-00 - Skunk stink in the home
...
900331-00 - Children away at school
...
What if my house is unoccupied due to the storm, and a fire or any other type of loss happens—will I st...
900350-00 - Roof's undamaged portion
I have a homeo...
900351-00 - ISO HO policy treatment of trusts
I heard that I...
Back to Top
290187-00 - Signatures required?
Some of our insurance carriers issue I.D. cards that are stamped. Do New Jersey I.D. cards need to be signed?...
290212-00 - Fax copies of I.D. cards
Is it legal for an insurance agent, in the state of New Jersey to fax copies of their clients' insurance identification cards to an auto dealer when t...
900080-00 - Canadian I.D. cards
How do we get Canadian insurance identification cards?...
Back to Top
I contacted ChoicePoint/Lexis Nexis Insurance Exchange to pull an MVR for a client, but was told that I needed to have a “sponsoring company” bef...
Back to Top
900159-00 - Damage in transit—time element exposure
We insure a publisher who is sending out copy by auto for layout off-premises. If the copy were damaged in transit, the publisher could suffer a major...
Back to Top
900242-00 - Real Time vs. comparative rating
I keep hearing about Real Time and comparative rating; but, I’m unsure what each of these terms really means and how they differ. Could you please exp...
900255-00 - Cyber liability coverage defined
I have a client that is asking for cyber coverage. What is cyber coverage?...
Back to Top
290256-00 - PLIGA surcharge—JIFs
Does a JIF have to pay a PLIGA surcharge? Can they recover from the fund?...
Back to Top
290095-00 - Lead paint certification
What is the law in New Jersey regarding lead paint certifications?...
Back to Top
290012-00 - Tie-in sales
Can we require a client to consolidate all their business with our agency in order to enjoy some of the excellent products we offer? It would be more...
290028-00 - Loss of reinsurance
...
290041-00 - Returning unearned premiums
Our agency has a question regarding the permissibility of a company practice with respect to returning premiums generated due to an endorsement on an...
290048-00 - Arson investigation immunity
One of our insureds is being investigated in connection with a suspected arson fire. Our office is in New York, but the property that burned is in New...
290063-00 - Advertising “free rate quotes”
Is it permissible for a producer or an insurer to advertise that it provides "free rate quotes" for automobile insurance?...
290066-00 - Producer contracts
Is our agency required to have written contracts with all our licensed producers?...
290072-00 - Record retention—receipts
What should we do if we don't have a policy number to put on a receipt that we give to a customer who makes a premium payment in cash? Isn't the polic...
290073-00 - Nonrenewals and curative attempts by the insured
I have a question with respect to an insurer's nonrenewals of auto policies for the insured's failure to provide the minimum information necessary to...
290080-00 - When a producer resigns
What are our responsibilities when an employed producer resigns?...
290093-00 - Payment to the producer
We recently encountered a sticky situation where a broker embezzled money. The insureds have proof of paying the broker. Does their payment obligate t...
290134-00 - Advertising “no phone quotes”
Can a producer advertise that it provides "no phone quotes"?...
290141-00 - Insurance fraud
Is it considered insurance fraud if an insured alters a certificate of insurance and gives it to a third party?...
290159-00 - Premium trust accounts in other states
May a producer maintain a premium trust account in a bank in another state?...
290162-00 - Rebates
May a producer provide an inducement to a customer to purchase insurance from the producer, such as merchandise, money, or a gift certificate?...
290175-00 - Step-down provision
I think I am correct that if a passenger in a commercial vehicle has an uninsured motorist claim, that the maximum limits recoverab...
290180-00 - Dollar limitation on finder's fee
Are there any dollar limitations or restrictions as to the amount that a finder's fee can be to an unlicensed individual?...
290185-00 - Rate filing
...
290189-00 - Requirement to provide declaration page
...
290194-00 - Referral fees/rebating—lottery tickets
May our agency offer lottery tickets costing $5 as an incentive to our clients for providing referrals? We are concerned because, while the tickets co...
290203-00 - Witnessing of signatures
...
290209-00 - Acceptance of client gift
I came in on a vacation day to take care of an issue for a client's personal auto policy. He was so thankful, he sent me a gift basket; one that would...
290237-00 - New DWI—notification to department
One of my producers was arrested for a DWI. How soon must he/she notify the New Jersey Department of Banking and Insurance of the arrest?...
290242-00 - Insurance industry "quality assurance" law
I have heard that there is an Insurance Industry Quality Assurance Law in place. How does it affect me, as an insurance producer?...
290250-00 - Photo inspection requirements
...
290259-00 - Gifts to producers for referrals
In New Jersey, can a puffback restoration company offer an insurance producer a $20 gift card for every restoration job he/she directs to the restorat...
290260-00 - New Jersey restrictive covenants
...
How does New Jersey Insurance Law handle commission rates on most property/casualty lines of insurance?...
290262-00 - Rebating—marketing initiatives
...
...
290271-00 - Duty to report suspected insurance fraud
...
290272-00 - Duty to scan policy for gaps
In New Jersey, does an agent or broker have the duty to anticipate an insured's coverage needs and attempt to provide them with suggested coverages?...
310296-00 - Refusal to accept premium
Can an agency stop collecting or decide not to accept premium payments from their insureds?...
900024-00 - Family Leave Act—who pays?
I would like a clarification of the Family and Medical Leave Act of 1993. Who pays for the employee’s medical coverage if the employee takes a leave u...
900060-00 - Management services for 401(k) plans
I think I saw something about a new law that lets insurance agents provide investment advice in connection with 401(k) plans. Can you give me the deta...
900061-00 - Captive insurers
Can PIA provide me with some information on captive insurance companies?...
900066-00 - Waiving your rights
When the property policy speaks of waiving "your rights," doesn't it ultimately mean a waiver of the insurer's rights?...
900083-00 - C.L.U.E. reports
Does a company using C.L.U.E. (Comprehensive Loss Underwriting Exchange), a data bank maintained by LexisNexis] have to release a copy of the C.L...
900119-00 - Cut-throughs
What is a "cut through"? If an insurance company becomes insolvent, are the company's reinsurers responsible to pay claims against it, whether or n...
900120-00 - Lost policy
We have a client who is involved in a dispute with an insurance company over pollution coverage. The issue involves an old policy; o...
900121-00 - OSHA log form sources
How do we get OSHA log forms? What forms are needed?...
900126-00 - Reformation of policy language
In a settlement agreement we saw recently, the company consented to a "reformation" of its policy. Specifically, the company stated that its renewal p...
900184-00 - Policy reserve
My client, ABC Swim Club, has a commercial general liability policy with Small Insurance Co. ABC had a swim meet at, XYZ Swim Club who has a commercia...
900189-00 - Third-party-over actions
How does the subcontractor's Commercial General Liability Policy respond to third-party-over actions when that policy is endorsed to waive subrogation...
If our insured is contractually required to name the other party as an additional insured on his policy, wouldn't the request to also attach the Wa...
900236-00 - W-9 IRS tax forms—request by policyholder
We have been asked by a client to provide a W-9 Form. What is this and why does the client need it?...
900277-00 - Disclosure of customer's records—pending lawsuit
Do the Gramm-Leach-Bliley Act (GLBA) privacy rules that restrict the disclosure of nonpublic financial information prohibit me from sharing or disclos...
In Circular Letter 335, Massachusetts now requires a new Form 154 to be utilized by businesses domiciled in other states but operating in Massachus...
Back to Top
290044-00 - Off-premises collection needs license
We have become aware of a practice by a life insurance agency of letting paramedics pick up insurance premiums. Under this marketing program, the agen...
290071-00 - Payment of commissions
Whose responsibility is it to make sure that an agent is properly licensed to receive commission?...
290098-00 - Limited insurance representatives
What does the limited lines authority include?...
290110-00 - Personal bankruptcies
If a producer has filed for a personal bankruptcy, will this affect the renewal of the producer's license?...
290196-00 - Pennsylvania nonresident licensing
I’m a New Jersey producer and have a Pennsylvania nonresident...
290201-00 - Licensee moving to New Jersey
...
290208-00 - Pre-licensing—attorney exemption
We are a New Jersey property/casualty agency, and are looking to hire someone who has a law license. Because of her education, she is exempt from the...
290210-00 - Potential licensee—DWI conviction
We are looking to hire someone, send them to licensing school and, eventually, have them work for us as a producer. However, this pro...
290244-00 - License suspended or revoked
...
900065-00 - Background checks
We have a company asking us to sign an authorization to do a criminal background check. The company says it is required by law to do them. Further, th...
900160-00 - Florida licensing requirements
I plan on moving to Florida but would like to stay active selling insurance. What do I need to do to become licensed there?...
Do I need to be licensed in every state where one of my commercial clients has a location? I am license...
I'm an agency owner and listed as the responsible producer for my agency, and hold a valid property/casualty license. Why won't the National Insurance...
900246-00 - Soliciting door to door
I understood that my agent/broker/producer license gives me the authority to sell, negotiate and solicit insurance across my entire state. However, I...
900249-00 - Licensing for Canada
What steps must I take to become licensed to sell insurance in Canada?...
900257-00 - Nonresident licensing—Hawaii
I work for an agency that operates under a business-entity license. I have the opportunity to handle an...
900267-00 - Branch offices in various states
If I must give up my New York and New Jersey resident licenses, how can I have branch or home offices in the three [Florida] states?...
Back to Top
Does the state have any requirements allowing an employee to convert coverage under an employer's group life insurance policy to individual coverage?...
Back to Top
900104-00 - Host liquor liability exclusion
Can you explain the effect of ISO form CG 21 51 for host liquor liability on commercial general liabili...
900144-00 - Covering social parties with paid bartender
One of my homeowners clients hires a friend five or six times a year to serve drinks at parties that my client gives in his home. The parties are soci...
Back to Top
900161-00 - Coverage for doctor's employees
We received a call from a client who works as a secretary in a doctor's office. She heard about someone in a similar job who had bee...
Back to Top
290003-00 - Tort options
...
290004-00 - Untimely premium payment
One of our companies is nonrenewing our auto customers who do not pay their renewal premium on time without sending out a separate notice informing th...
290008-00 - CAIP/PAIP eligibility
Is a leased auto eligible for the New Jersey Commercial Automobile Insurance Plan (CAIP) by virtue of the fact that it is registered by a corporation...
290010-00 - PAIP change—signatures
In the Personal Automobile Insurance Plan, do we need to get our client's signature on a change request?...
290011-00 - Age discrimination
We had a company turn down our applicant for personal auto coverage, because he is over 70. How can they do this?...
290034-00 - When do points accrue?
Our insured recently was involved in an auto accident for which the company set up a reserve. So far, the company has not paid any money out on this c...
290043-00 - "Response to emergency" surcharge exemption
What's the rule exempting accidents involving emergency workers from surcharges?...
290047-00 - PAIP application—witness of signature
My client needs to apply to the Personal Automobile Insurance Plan for coverage immediately. The problem is that she is currently in Florida with her...
290050-00 - Time frames for binding new auto policy
How much time do companies have to bind coverage for eligible auto applicants requesting private-passenger auto insurance. I know the Department of Ba...
290055-00 - Timely renewal payments
A personal auto policyholder received a renewal bill; the premium due date was Nov. 5. The insured mailed the renewal premium payment on Nov. 4 a...
290070-00 - Suspended drivers
...
290075-00 - Nonrenewals of personal auto policies
Could you review the limitations on nonrenewals of personal auto policies? Do these limits apply to ter...
290088-00 - Use separate PAIP log
Our agency uses a log for I.D. cards we issue on Personal Automobile Insurance Plan business. We also use the same log for the Commercial Automob...
My client has a personal auto policy. He also owns a business. About two or three times a year, he hauls boats that are connected with his business. W...
290104-00 - PAIP applicants
...
290112-00 - PAIP certification
How long do I have,...
290117-00 - When do points accrue?
When are traffic citations and accidents chargeable to the experience period on an auto policy?...
290122-00 - Rental cars—'loss of use'
...
290157-00 - Servicing SAIP-qualified applicants
If I am a PAIP-certified producer must I assist SAIP-qualified applicants with obtaining a standard automobile insurance policy?...
290161-00 - School bus passenger
If a child is injured on a school bus, what policy pays their medical expenses? It is my understanding that the school bus is not required to maint...
290176-00 - Uninsured motorist property damage
Car A is rear-ended by Car B after Car B was rear-ended by Car C. Car A suffered property damage only, but Car B’s insurer is denying coverage (statin...
290207-00 - PIP—out-of-state treatment
An insured was involved in an auto accident on...
290252-00 - Utility trailer coverage
A Boy Scout Troop "owns" a dual axle, $3,000 utility trailer...
290257-00 - Vehicle liability of co-signer on a lease
Our client co-signed a lease for a vehicle acquired by his na...
290268-00 - Zipcars and nonstandard policies
...
...
290270-00 - Removing a vehicle
...
900002-00 - Transportation expenses
Does a personal auto policy provide expenses for airfare if our insured is on vacation and his vehicle is stolen?...
900014-00 - Medical payments
Our insured was in an auto accident. The family dog, riding in the car, was hurt. Are the veterinarian's bills covered under the medical payments cove...
900016-00 - Camper trailers
My client has an auto camper-trailer on blocks at a campsite with an attached, screened-in porch. Is the porch covered against damage or loss on his a...
900019-00 - Snowplowing—personal auto liability
My insured has a pickup truck as his personal vehicle. In the winter, he mounts a snowplow on it—for hi...
900025-00 - Golf cart liability
A personal auto policyholder of ours accidentally injured his golf partner when the golf cart our client was driving got out of his control. He has as...
900026-00 - Volunteer drivers
One of my insureds drives her own personal vehicle in volunteer work for the Red Cross. She transports people to doctors and hospitals for appointment...
900037-00 - Named nonowned coverage
How does our agency provide coverage for people who have no personal auto policy of their own to protect them when they borrow a car for personal use?...
900040-00 - Federal employee exclusion
My insured took a job with the U.S. Post Office. She became alarmed when she was told by her employer that her Personal Auto Policy would not cover he...
900046-00 - Noncooperation
My client's car was hit by another auto. Now the other driver's insurer has denied coverage due to lack of cooperation by its insured. Can they do thi...
900049-00 - Physical damage
We have a client who is the named insured on a personal auto policy covering his owned vehicle. His wife and son ha...
900063-00 - Military service and youthful operators
We insure a family whose young son is away serving in the military. Do we need to rate him as a youthful operator on his family's auto policy?...
900069-00 - Horse trailers covered
We insure a husband and wife who own eight automobiles and three trailers. They use the trailers to haul horses. Are the trailers covered under their...
900079-00 - Damage by rodent
The lights went out on my client's Thunderbird. The mechanic found a mouse that had been chewing on the wires. Can a claim be made under the comprehen...
900082-00 - Total loss—insurer's option
Following a coastal storm, we had a loss involving a vehicle which had been subjected to immersion in salt water. The client had a $2,000 repair es...
900087-00 - Coverage for employer
My client's employer wants to be covered while the client uses his personal auto for business-related activities. How can the employer be covered ...
900089-00 - Stolen auto scenarios
We recently had two situations involving stolen vehicles. In the first case, a stolen car hit our insured's car. Can he collect from the policy of...
900090-00 - Trailer has coverage under Personal Auto Policy
We have an insured with a tractor that he transports on a trailer pulled by his personal vehicle. He may be starting a lawn-mowing business. He has so...
Would a collision with a deer be considered a "collision" under the personal auto policy and, therefore, covered under the collision coverage portion...
900163-00 - Coverage for day-care transport
Our insured provides family day-care in her home. When she is driving the children in her car, would any accident be covered under her personal auto p...
900164-00 - Duty to defend when limits exhausted
Under the Personal Auto Policy (PAP), are the liability limits reduced by the legal costs of defending the claim? Does the liabilit...
900165-00 - Other state registrations
Does a Connecticut auto policy cover autos that are registered in other states?...
900168-00 - Motor home not covered if rented to friend
Our client owns a motor home, insured under a Personal Auto Policy. He wants to rent it to a friend and wants to know if it will still be covered whil...
900169-00 - Damage to plow
We've run into a claim dispute over a snowplow attached to a pickup truck. The insurer is denying the claim for damage to the plow, based on the ex...
900170-00 - No license, no permit
We have a company that went ahead and added a 16-year-old to his parents' auto policy, even though this teenager doesn't have a lice...
900203-00 - Nonowned motorcycle dilemma
We have been asked the following question but need to confirm the answer. Alexander, 21 now, took a short ride (about a half mile) on his friend's new...
900205-00 - Third-party uninsured vehicle
Can an insurer deny payment for damages to a claimant's vehicle if the claimant's vehicle was uninsured at the time? The claimant's vehicle was parked...
900206-00 - Rental vehicle for family member
Our clients have a personal auto policy (PAP). A 24-year-old daughter is listed as a driver and resides in the household, but is not a named insured....
900232-00 - Renting a moving truck
My client is renting a moving truck to move from one house to another. The rental company is telling hi...
900265-00 - "Active duty" clarification
We were told by one company that if the son/daughter is in "boot camp" or basic training that this is not considered active duty so they will charge u...
900272-00 - PAP coverage for vehicle contents
Our insured transported on his trailer a tool box belonging to his future son-in-law. The box was loaded negligently, flipping the trailer damaging th...
900288-00 - Lending a vehicle to a friend
Our daughter has a vehicle, with her own insurance policy, away at school with her. She called me the other day to tell me the car was in an accident....
900289-00 - Borrowing a friend's truck to pick up supplies
I borrowed my friend’s pick-up truck so I could go to Home Depot and get some supplies. While I was borrowing it, I got into an accident. I don’t want...
900317-00 - Insuring the lessor on a personal auto policy
My client insures a leased vehicle on a personal auto policy....
900328-00 - Deceased auto policyholder
...
Back to Top
900171-00 - Customizing equipment endorsement
We have an insured with a conversion van that has an automati...
900172-00 - Excluded causes of loss
During a heavy windstorm, a dock broke loose from another property and crashed into a seawall on our client's property. The owner of...
900173-00 - An umbrella question
We have an insured who has put all his assets into a living trust. He has personal auto, homeowners and umbrella policies with us....
Back to Top
900033-00 - Resident relative's car
My insured has a personal umbrella policy. His mother resides with him but has her own car which she insures under her own policy. Will my insured'...
Back to Top
290179-00 - Quote from different company
In New Jersey, is it necessary to obtain the existing client's authorization (either opt in or opt out) prior to sharing the client's personal informa...
900234-00 - Disposal of client files
What would be the best way to dispose of client files when they contain private information such as Social Security numbers or federal I.D. numbe...
Some companies provide access to policyholder information such as declaration pages to their producers through their website. When the company termina...
The insurer sends out privacy notices to my clients. Should I, as an agency owner (producer, manager, compliance officer) send agency-specific privacy...
900270-00 - Electronic privacy notices
Sending out the GLBA privacy notices is expensive and time consuming. Can I deliver the GLBA privacy notices by email?...
900280-00 - Employee theft of data
I’m looking for coverage information to properly provide insu...
900291-00 - Privacy—auto claim involving Medicare insured
Recently, one of our insureds was in an accident, and in the course of processing her claim, the insurance company required the insured’s Social Secur...
Back to Top
290163-00 - Electronic record retention
Are insurance producers required by law to maintain original, hard copies of certain documents, such as those with signatures?...
290168-00 - Record retention—quotes
...
Back to Top
290238-00 - Family member renting a vehicle
...
Back to Top
290023-00 - Risk Retention Act
What are the rules governing the operations of Risk Retention Groups (RRGs) and Risk Purchasing Groups (PGs) in New Jersey?...
290160-00 - Liability coverage—group basis
I believe that liability insurance can be written on a group basis in New Jersey without adhering to the provisions of the Risk Retention Act. Can you...
900122-00 - Federal risk retention groups
I have a client with some unique liability exposures, and am doing some research on risk retention groups. Could you describe the regulatory climate a...
Back to Top
290024-00 - Service fees for life business
Can a licensed producer charge a service fee on life insurance policies?...
290026-00 - Surplus-lines policies—fees
If a surplus-lines broker charges the retail broker $25 to place a homeowners policy, can the retail broker pass along this charge to the policyholder...
290096-00 - Insured’s refusal to pay for MVR
The new amendments to the service fee regulations require that a producer who wants to charge a personal auto applicant for the costs of obtaining the...
290103-00 - PAIP policies
If a PAIP policy is canceled for nonpayment and we must re-apply, can we charge a second service fee for the second application?...
290127-00 - Services fees for MVRs—commercial lines
Can agents charge a fee to recover the costs of obtaining motor vehicle reports used to underwrite commercial policies?...
290169-00 - Brokerage contracts and charging fees
Our agency has entered into a broker contract with an insurance company to sell personal-lines policies. Throughout the contract, we are designated as...
290204-00 - Acceptance of credit cards
...
290243-00 - Surety bond fees
Are surety bonds a commercial-line product, for which a fee can be charged?...
290245-00 - Fee for a SAIP policy
Can I charge a service fee for placing a SAIP policy?...
290249-00 - Service fees—personal auto insurance
...
Back to Top
290266-00 - Paying taxes on New York exposures
...
900123-00 - Tax consequences—covered theft loss
What are the tax consequences of a covered theft loss?...
Back to Top
...
Back to Top
290188-00 - Trust account designation
Can the premium trust account be named “Trust Account” or “Premium...
290200-00 - Labeling of trust accounts
Is there a difference in the requirements for labeling trust accounts in New Jersey and New York?...
900034-00 - FDIC coverage
I am concerned about the level of protection afforded by the Federal Deposit Insurance Corp. (FDIC), compared to the amount of premium monies I may ha...
Back to Top
290241-00 - Windstorm
...
...
900304-00 - Spoilage after a power outage
...
900348-00 - Named-storm deductibles
...
Back to Top
290005-00 - Waivers
Some states permit an uninsured subcontractor, operating as a sole proprietor or partner with no employees, to waive the right to workers' compensa...
290006-00 - One risk or two?
I have a New Jersey workers' compensation risk that is two separate corporations under a common ownership. To be specific, it is a retail store that a...
290027-00 - Sole proprietors and partners
Since sole proprietors and partners have the option to elect workers' compensation coverage, how does it affect them when acting as a subcontractor...
There is a certain denomination that has decided that all individual churches in New Jersey will get their workers' compensation under a single policy...
290035-00 - Definition of employment
A not-for-profit group oriented toward American history maintains a museum for which we have written a workers' compensation policy in the past. We re...
290037-00 - Contingent liability for uninsured contractors
A subcontractor's employee is injured on the job and it is discovered that the subcontractor's policy is not in force. The general contractor's policy...
290039-00 - Calculating payroll—retirees
We insure a business for workers' compensation. The company has had a profit-sharing plan for more than 30 years. It has an individual who retired fro...
290049-00 - Rating sole-proprietor contractors
It recently came to our attention that an area competitor has been writing minimum premium "clerical" workers' compensation policies for sole-propr...
290053-00 - Two corporations, one risk
...
290054-00 - Injury reporting deadline
Our client's workers' compensation carrier is denying a claim for a hernia because it wasn't reported within 48 hours. Where does it say they can do t...
290056-00 - "Unlimited" limits
I am confused about the limits of liability afforded under Part Two (Employers' Liability Insurance) in the workers' compensation policy. Limits fo...
290057-00 - Discounts
Is there a maximum discount for workers' compensation coverage premiums that can be offered to an employer for selecting a managed care program?...
290059-00 - Contested claims
Where does it say that if a workers' compensation claim is contested, the state's disability benefits will apply, subject to a lien against the worker...
290060-00 - Workers' compensation benefits if multiple jobs
An employee has two employers (A and B). The employee was injured while working for employer A. Will compensation for that injury include wages los...
290082-00 - Waivers of subrogation
Are "waiver of subrogation" endorsements permitted in New Jersey on workers' compensation policies?...
290090-00 - Portal-to-portal if paid to travel
We have a carpet installer that is "on the clock" from the time he leaves his house through the last job of the day. There was an accident en route to...
290097-00 - Volunteer firefighters—other duties
We write a workers' compensation policy for a volunteer fire department. Because they cannot get a reasonably priced service to cut the grass, they pa...
290154-00 - Certificates—principals excluded
Should certificates of insurance indicate whether a principal (that is a sole proprietor, partner or member) has not elected coverage on the Workers'...
290155-00 - Employee vs. independent contractor
All of our producers are incorporated and their corporation has an independent contractor relationship with our agency. We believe these producers sho...
In New Jersey, can a stockholder of a corporation reject workers' compensation coverage if only two stockholders own the corporation?...
290263-00 - Workers' compensation assessments
...
900021-00 - Stopgap insurance
Could you explain "stopgap" insurance? How is it provided?...
900067-00 - Workers' compensation—Florida domestic employees
We're not sure where to turn to obtain workers' compensation for a domestic employee who will be coming into our clients' Florida home to care for the...
900084-00 - Bogus workers' compensation plans
One of my commercial insureds has entered into an unconventional arrangement that purports to provide workers' compensation insurance. Its rates are&n...
We need to cover a possible workers' compensation exposure in St. Thomas, Virgin Islands. Does St. Thomas require workers' compensat...
900177-00 - Temporary work in Canada
Our client will be doing well drilling in Ontario, Canada. How do I cover the workers' compensation exposure?...
900182-00 - Audit time frames
According to the company, the wrong rates were used to rate workers' compensation coverage for a construction business back in 1996-...
900197-00 - Florida traveling salesperson
Our insured is opening a Florida sales office. The salesperson will be based in Florida but traveling 50 percent of the time. Do you know if a Florida...
900230-00 - Class change upon audit
Can a carrier add a new class to a workers' compensation policy upon audit?...
900238-00 - Workers' compensation fines
Can members of a limited liability company or officers of a corporation be held personally responsible for workers' compensation fines when the employ...
900268-00 - Foreign exposures
For clients who have employees traveling outside of the United States, at what point does coverage cease (i.e. Canada, Mexico, Israel or England)? Is...
|
||||||||||||||||||||||
| PIA of New York, New Jersey, Connecticut and New Hampshire, and/or the individual authors, shall not be liable for any claims or liabilities resulting from any information supplied in the Ask PIA program. The questions and answers are for informational purposes only and do not constitute legal advice. PIA specifically disclaims any and all warranties relating to such information. This database contains information applicable to multiple states; however, not all questions and answers are available for all states. |