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New Jersey Table of contents:
Agency managementAgency terminationAutoAuto no-faultBanksBondsCancellation / nonrenewal issuesCertificates of insuranceClaimsCommercial autoCommercial Automobile Insurance Plan (CAIP)Commercial liabilityCommercial linesCommercial propertyCommissionsContracts and agreementsCoverage issuesCredit reportsDisabilityEducationEmployment practices liabilityErrors and omissionsExcess and surplus linesFloodFraudGarage liabilityGaragekeepersGuaranty associationsHealthHomeowners/dwellingI.D. cardsIndustry-related issuesInland marineInternet/technology issuesJoint insurance fundsLead informationLegislative/regulatory issuesLicensingLife InsuranceLiquor liabilityMedical malpracticePersonal autoPersonal linesPersonal umbrellaPrivacy issuesRecord retentionRental car coverageRisk retention groupsService feesTaxesTerrorism issuesTrust accountsWindstorm catastropheWorkers’ compensation


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Agency management
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900221-00 - Scanned documents
Are scanned documents admissible in court?...
...
...
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Agency termination
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...
...
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Auto
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...
While my insured was out riding his bike, he hit and damaged a car. Which policy pays—his auto or his homeowners?...
What are the rules governing the use of after-market parts in New Jersey?...
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...
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...
My insured is renting a van for a business trip. Does he have liability and physical damage coverage under his personal auto policy?...
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....
My insured was driving his pickup when he was forced to stop...
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...
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...
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...
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...
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...
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Auto no-fault
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...
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...
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...
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...
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...
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...
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?...
Are agents held harmless for their client’s selection of a verbal threshold?...
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...
Does New Jersey’s verbal threshold apply when a private-passenger vehicle and a commercial vehicle are involved in an accident?...
What are the two most important things policyholders need to know about eligibility for New Jersey PIP benefits?...
I have a client who will soon be declaring residency in Flori...
There is an accident in...
What vehicles are eligible for Personal Injury Protection coverage?...
Who is covered for Personal Injury Protection coverage?...
What PIP benefits are optional for a Standard policy?...
Which policy pays for Personal Injury Protection coverage?...
What PIP limits may be purchased for a Basic policy?...
What PIP limits may be purchased for a Special policy?...
What happens to PIP coverage when injured outside New Jersey?...
What happens when nonresidents get injured in New Jersey?...
Can PIP benefits be reduced by other sources of recovery?...
What is the claimant’s share of medical expenses?...
What vehicle is covered by Extended Medical Expense Benefits Coverage?...
What PIP benefits are mandatory for a Standard policy?...
How does it work when the claimant is a pedestrian?...
What is covered by Extended Medical Expense Benefits Coverage?...
Are PIP benefits recoverable by the payer?...
How do you give family PIP benefits coverage to a nanny?...
How do you insure a corporate officer who has no personal auto policy?...
How is Motor Bus Passenger coverage provided?...
What is the no-fault coverage for a motor bus?...
What is an "insured motor bus"?...
How are the costs of PIP medical expense benefits limited?...
How does the health-as-primary option work?...
What are the consequences of choosing the health-as-primary option?...
How does PIP-as-secondary respond as excess coverage?...
Who is insured by Extended Medical Expense Benefits Coverage?...
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...
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Banks
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...
Our client received his FEMA claim check and when he attempte...
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Bonds
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...
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...
...
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Cancellation / nonrenewal issues
What does the state say about the time frames for notifying insureds of renewal premium amounts on commercial policies?...
We have several trucking policies written through an MGA. They are telling us that when they return premiums on premium-financed policies they cannot...
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...
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...
Is it permissible for insurance company to nonrenew a commercial policyholder who has filed for bankruptcy?...
I write commercial-lines policies and occasionally receive a premium payment check drawn on insufficient funds. My client’s action subjects me to a...
Can an insurer cancel a policy midterm for lack of supporting business?...
Is there a pre...
If an insured...
My client’s h...
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...
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...
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Certificates of insurance
We frequently are asked to issue a certificate of insurance for contractors. If there are excluded operations (roofing, for example), should these be...
Suppose a certificate holder requests additional insured coverage on the business auto policy, as well as the general liability policy. Can I just sta...
Will there be a need to amend any wording on the certificate of insurance in response to the new additional insured endorsements?...
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...
Many of my clients are subcontractors, and are being requested by the general contractor to have certificates of insurance that sometime go beyond the...
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...
We received a certificate of insurance with the following statement stamped on the back page:...
In these economic times, we have a number of clients looking to reduce their umbrella limit on a midter...
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Claims
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...
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...
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....
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...
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....
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Commercial auto
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...
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...
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...
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...
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...
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?...
An employee of our commercial auto policyholder had an accident in his personal vehicle. Our policyholder has two policies through t...
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...
When using ISO form CA 02 40—Suspension of Cover...
On a business auto policy, if a customer borrows a motorcycle that is owned by a corporation (named ins...
...
I have a commercial insurance client who has recently co-leas...
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Commercial Automobile Insurance Plan (CAIP)
Can we continue to write with CAIP if we terminate our PAIP certification?...
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Commercial liability
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...
I am concerned about the coverage afforded by the commercial general liability policy (CGL) for foreign liability situations. My insured does business...
We are getting conflicting opinions from various sources regarding coverage under the Commercial General Liability (CGL) coverage form. Specifically,...
Does the Commercial General Liability Policy (CGL) cover new locations and operations of an insured automatically? Is coverage limited to the classifi...
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...
What is the proper use of the Additional Insured – Controlling Interest (CG 20 05) endorsement?...
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...
We have an insured who signed a contract to defend, hold harmless and indemnify a client for any liability actions, including action...
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...
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...
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...
I'm confused by the various triggers for coverage used on an Insurance Services Office Inc. (ISO) Claims-Made Commercial General Lia...
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...
We insure a day camp for children. The insurance company denies that the Medical Payments coverage under the Insurance Services Office Inc. (ISO) Comm...
Our insured is involved in a thi...
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...
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...
Does adding someone as an additional insured automatically preclude coverage for the additional insured when the named insured’s personal property is...
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...
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...
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...
I was doing a little research and I see that the 2007 edition of the ISO Commercial General Liability C...
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...
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Commercial lines
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....
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?...
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...
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...
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...
Would a flood trigger business interruption coverage?...
Under the Business Income Coverage (BIC) form, how do we help a client decide between insuring ordinary...
Please clarify the difference between an additional insured and an additional named insured....
Have you ever heard of a coverage called "leader"? An adjuster suggested that our insured should have this....
What can you tell me about "floor plan" insurance?...
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...
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...
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...
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...
Our insured's car was hit when another driver ran a stop sign. The police report and a witness' stateme...
What would be the guidelines for deleting an additional insured from the policy?...
Please clarify the relationship between contractual liability and the additional insured endorsement with regard to completed operations coverage....
Could you explain the changes in the Amendment of Insured Contract Definition (CG 24 26) endorsement?...
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?...
...
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Commercial property
Under the ISO...
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...
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....
We have a pet shop insuring its p...
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...
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...
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...
My question is whether the definition of “your business personal property” in ISO form CP 00 10 include...
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...
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Commissions
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...
May a retired insurance agent (who was licensed at the time the agent sold insurance) continue to receive renewal commissions on that busine...
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Contracts and 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...
Could you give us a brief refresher course on subrogation receipts and what it means when our insured signs one?...
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...
What is the propriety of a company asking our agency to share with it information about the business we write with other companies?...
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....
...
900334-00 - Binding authority
...
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Coverage issues
What is the law in New Jersey with regard to the length of time allowed for binders?...
...
Under ISO rules effective Sept. 1, 2002, in New Jersey, servi...
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...
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...
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...
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...
...
What does the coinsurance value of 125 percent on a business policy mean?...
...
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?...
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Credit reports
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...
...
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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...
We have a client based in New Jersey. The company has six employees working out of their home i...
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Education
According to the PAIP manual; all certified producers, including em...
Do I need special training to sell long-term care insurance?...
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Employment practices liability
In comparing employment practices liability policies, I have noted references to the federal Workers' Adjustment and Retraining Noti...
...
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Errors and omissions
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?...
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...
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...
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...
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Excess and surplus lines
Is any disclosure notice required when writing a surplus-lines policy?...
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...
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...
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...
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...
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Flood
900058-00 - NFIP sewer backup
How can we get better coverage for sewer backup? Is it covered under the flood policy?...
What is the NFIP Community Rating System?...
What is the difference between the WYO flood program and that offered by the National Flood Insurance Program? Are private insurance carriers insuring...
Is federal flood coverage available for commercial property?...
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...
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?...
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...
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...
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...
What happens in the event a building sustains substantial damage from a flood, and the inhabitants are required to meet certain building requirements...
Will the NFIP Flood policy cover storm damage to a seawall or...
...
My homeowner clients who have suffered only flood damage are...
...
...
...
Is mold covered by my National Fl...
...
...
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...
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Fraud
In response to the recent fraudulent acts committed by Wall Street profiteer Bernard Madoff, it appears that some investment advisors/brokers are tell...
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Garage liability
Regarding garage liability for auto dealers—what is "unlimited customer liability coverage"?...
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Garagekeepers
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...
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...
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...
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Guaranty associations
What limit of protection is provided by New Jersey's guaranty mechanism covering life insurance and annuities?...
Are bonds covered by New Jersey's Property-Liability Insurance Guaranty Association?...
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...
Does the New Jersey Property-Liability Insurance Guaranty Association (PLIGA) provide coverage for a seasonal residence covered by a homeowners policy...
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Health
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...
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...
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...
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...
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Homeowners/dwelling
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...
Are condominium unitowners eligible to make application through the New Jersey WindMAP?...
...
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...
Does a payment made for a loss to scheduled property reduce the Coverage C limit available under an ISO Homeowners Policy?...
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"?...
How can the executor of an estate be covered under homeowners...
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...
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...
Do I really have to see the insurance requirements in the association bylaws? Can't I just call and ask a condo association representative?...
My insured has been sent to a nursing home, and it looks like he will be there several months. Will thi...
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...
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...
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...
What is "vacant land" as referred to in the homeowners policy? This is important, because vacant land is automatically covered as an "insured location...
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...
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...
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...
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...
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...
Our insured owns a two-family home. She lives in one apartment most of th...
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...
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...
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...
If a homeowner hires a general contractor to renovate or build a home, what is the appropriate additional insured endorsement that the general contrac...
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...
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...
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...
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...
We're wondering just how to interpret the Business Pursuits (HO-71) endorsement. What additional protection could this endorsement giv...
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...
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...
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?...
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...
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...
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-...
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...
We had an insured who was driving along a major...
Our insured's motorcycle was parked on the street. Somebody stole helmets, gloves and tools from the cycle. We put a claim into the...
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...
Our client has an HO-3 policy. A tree fell on power lines leading to their house, which caused a power...
Is an above-ground pool covered on the homeowners policy under Coverage B—Other Structures, or Coverage C—Personal Property? I've be...
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...
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...
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...
My homeowners policyholder has a sewer that runs across a neighbor's property to connect with the main. He has an easement that auth...
If a tenant of the insured's residence causes water damage to the home, can the homeowners insurer subrogate against the tenant for...
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...
Will the HO-4 policy purchased by a tenant cover the landlord's furnishings in a rented dwelling?...
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...
My homeowners clients are planning to vacation out of the country. Does their homeowners coverage apply worldwide?...
A condominium association has experienced a property loss for which there may not be adequate insurance coverage. An assessment to unit owners has not...
Are the insurance requirements always located in the association bylaws?...
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...
Should the unit owner purchase earthquake and flood coverage?...
Why won't a high loss assessment limit cover an assessment for a large deductible on the association policy?...
Will an umbrella policy cover loss assessments?...
How much ordinance or law coverage should be purchased on a unit-owners (HO-6) policy?...
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...
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...
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...
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...
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...
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...
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...
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-...
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...
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?...
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...
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...
Where do I find coverage for rainwater that gets into a home due to wind damage to the structure?...
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900314-00 - Theft of a lawn
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What if my house is unoccupied due to the storm, and a fire or any other type of loss happens—will I st...
I have a homeo...
I heard that I...
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I.D. cards
Some of our insurance carriers issue I.D. cards that are stamped. Do New Jersey I.D. cards need to be signed?...
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...
How do we get Canadian insurance identification cards?...
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Industry-related issues
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...
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Inland marine
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...
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Internet/technology issues
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...
I have a client that is asking for cyber coverage. What is cyber coverage?...
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Joint insurance funds
Does a JIF have to pay a PLIGA surcharge? Can they recover from the fund?...
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Lead information
What is the law in New Jersey regarding lead paint certifications?...
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Legislative/regulatory issues
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...
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Our agency has a question regarding the permissibility of a company practice with respect to returning premiums generated due to an endorsement on an...
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...
Is it permissible for a producer or an insurer to advertise that it provides "free rate quotes" for automobile insurance?...
Is our agency required to have written contracts with all our licensed producers?...
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...
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...
What are our responsibilities when an employed producer resigns?...
We recently encountered a sticky situation where a broker embezzled money. The insureds have proof of paying the broker. Does their payment obligate t...
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?...
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?...
I think I am correct that if a passenger in a commercial vehicle has an uninsured motorist claim, that the maximum limits recoverab...
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
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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...
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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...
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?...
I have heard that there is an Insurance Industry Quality Assurance Law in place. How does it affect me, as an insurance producer?...
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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...
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How does New Jersey Insurance Law handle commission rates on most property/casualty lines of insurance?...
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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?...
Can an agency stop collecting or decide not to accept premium payments from their insureds?...
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...
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?...
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...
How do we get OSHA log forms? What forms are needed?...
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...
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...
We have been asked by a client to provide a W-9 Form. What is this and why does the client need it?...
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...
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Licensing
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...
Whose responsibility is it to make sure that an agent is properly licensed to receive commission?...
What does the limited lines authority include?...
If a producer has filed for a personal bankruptcy, will this affect the renewal of the producer's license?...
I’m a New Jersey producer and have a Pennsylvania nonresident...
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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...
We are looking to hire someone, send them to licensing school and, eventually, have them work for us as a producer. However, this pro...
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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...
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...
I understood that my agent/broker/producer license gives me the authority to sell, negotiate and solicit insurance across my entire state. However, I...
What steps must I take to become licensed to sell insurance in Canada?...
I work for an agency that operates under a business-entity license. I have the opportunity to handle an...
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?...
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Life Insurance
Does the state have any requirements allowing an employee to convert coverage under an employer's group life insurance policy to individual coverage?...
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Liquor liability
Can you explain the effect of ISO form CG 21 51 for host liquor liability on commercial general liabili...
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...
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Medical malpractice
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...
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Personal auto
290003-00 - Tort options
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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...
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...
In the Personal Automobile Insurance Plan, do we need to get our client's signature on a change request?...
We had a company turn down our applicant for personal auto coverage, because he is over 70. How can they do this?...
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...
What's the rule exempting accidents involving emergency workers from surcharges?...
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...
How much time do companies have to bind coverage for eligible auto applicants requesting private-passenger auto insurance. I know the Department of Ba...
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
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Could you review the limitations on nonrenewals of personal auto policies? Do these limits apply to ter...
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
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How long do I have,...
When are traffic citations and accidents chargeable to the experience period on an auto policy?...
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If I am a PAIP-certified producer must I assist SAIP-qualified applicants with obtaining a standard automobile insurance policy?...
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...
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...
An insured was involved in an auto accident on...
A Boy Scout Troop "owns" a dual axle, $3,000 utility trailer...
Our client co-signed a lease for a vehicle acquired by his na...
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290270-00 - Removing a vehicle
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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...
My insured has a pickup truck as his personal vehicle. In the winter, he mounts a snowplow on it—for hi...
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...
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?...
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...
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?...
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...
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...
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 ...
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...
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...
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...
Under the Personal Auto Policy (PAP), are the liability limits reduced by the legal costs of defending the claim? Does the liabilit...
Does a Connecticut auto policy cover autos that are registered in other states?...
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...
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...
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...
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...
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....
My client is renting a moving truck to move from one house to another. The rental company is telling hi...
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...
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...
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....
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...
My client insures a leased vehicle on a personal auto policy....
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Personal lines
We have an insured with a conversion van that has an automati...
During a heavy windstorm, a dock broke loose from another property and crashed into a seawall on our client's property. The owner of...
We have an insured who has put all his assets into a living trust. He has personal auto, homeowners and umbrella policies with us....
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Personal umbrella
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'...
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Privacy issues
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...
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...
Sending out the GLBA privacy notices is expensive and time consuming. Can I deliver the GLBA privacy notices by email?...
I’m looking for coverage information to properly provide insu...
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...
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Record retention
Are insurance producers required by law to maintain original, hard copies of certain documents, such as those with signatures?...
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Rental car coverage
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Risk retention groups
What are the rules governing the operations of Risk Retention Groups (RRGs) and Risk Purchasing Groups (PGs) in New Jersey?...
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...
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...
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Service fees
Can a licensed producer charge a service fee on life insurance policies?...
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...
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?...
Can agents charge a fee to recover the costs of obtaining motor vehicle reports used to underwrite commercial policies?...
Our agency has entered into a broker contract with an insurance company to sell personal-lines policies. Throughout the contract, we are designated as...
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290243-00 - Surety bond fees
Are surety bonds a commercial-line product, for which a fee can be charged?...
Can I charge a service fee for placing a SAIP policy?...
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Taxes
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What are the tax consequences of a covered theft loss?...
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Terrorism issues
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Trust accounts
Can the premium trust account be named “Trust Account” or “Premium...
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...
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Windstorm catastrophe
290241-00 - Windstorm
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Workers’ compensation
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...
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...
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...
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...
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...
It recently came to our attention that an area competitor has been writing minimum premium "clerical" workers' compensation policies for sole-propr...
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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...
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...
Are "waiver of subrogation" endorsements permitted in New Jersey on workers' compensation policies?...
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...
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...
Should certificates of insurance indicate whether a principal (that is a sole proprietor, partner or member) has not elected coverage on the Workers'...
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?...
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900021-00 - Stopgap insurance
Could you explain "stopgap" insurance? How is it provided?...
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...
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...
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-...
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...
Can a carrier add a new class to a workers' compensation policy upon audit?...
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...
 
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