Insurance Perils – Part
One
Ever had to read your insurance policy for a home, seasonal
home or rental property? Then you probably ran head-first into the terms
"hazard," "peril," or "cause of loss." These
refer to events that could damage your property and which are covered by your
insurance. While you may understand some terms, you may be confused by others.
This article (and part two) briefly explains some common terms which, in some
cases, may not mean the same as they do in the dictionary.
Fire - Fire has been defined by the courts
as "combustion sufficient enough to produce a spark, flame or glow."
By definition, a fire is not smoke. A fire is not charring. A fire must produce
a spark, flame or glow. And not all fires are covered under the fire peril.
Over the years, the courts have distinguished between "friendly" and
"hostile" fire. A friendly fire is one that burns where it was
intended to burn: a flame on a gas stove; a fire in a fireplace; fire in an outdoor
grill.
A hostile fire is one that
burns where it was not intended to burn: the kitchen drapes; the rug by the
fireplace; a tree near the outdoor grill. Only direct damage caused by hostile
fire (including smoke from a hostile fire) is covered by the fire peril.
Lightning
- Lightning is
"naturally generated electricity from the atmosphere." Damage covered
by the lightning peril may be the result of lightning itself or the result of a
fire caused by the lightning.
With regard to lightning,
there is rarely a coverage problem when there has been a direct strike. The
other common cause of lightning loss is the surge of electricity, typically
caused by lightning striking power company equipment. Appliances in a house can
be damaged by the electrical surge. The cause must be established for coverage
to apply. A surge from malfunction of power company equipment, or a short
circuit, would not qualify.
Explosion
- In basic or
stripped-down policies, explosion refers to any explosion that occurs within a
structure that is covered by a given policy. However, several types of
explosive events are usually excluded such as:
In more comprehensive
polices, explosion also applies to events that originate externally.
Windstorm
- The peril of
windstorm involves damage caused by direct action of the wind, including high
winds, cyclones, tornadoes and hurricanes. Windstorm coverage primarily covers
wind damage to a building's exterior, but will also cover interior damage if
the wind breaches the exterior (causes a hole or opening in a wall or roof).
Note that the wind must
reach sufficient velocity to have caused direct damage at more than one
location to establish a "windstorm" loss. However, leakage through an
aging roof during heavy rain is not a basis for a windstorm claim. The
windstorm peril does not cover loss to the following property when located
outside of the insured building: awnings, signs, radio or television antennas
or aerials including wiring, masts or towers; canoes and rowboats; lawns,
plants, shrubs or trees.
Hail - Hail damage is just that: damage
caused by the direct action of hail to insured property. As with windstorm, the
hail or some other covered peril must cause damage to the outside of the
insured dwelling allowing hail to enter the premises in order for interior hail
damage to be covered. As a result, if a window were left open, allowing hail to
enter a building, that damage would not be covered.
Similarly, the hail peril
does not cover loss to awnings, signs, radio or television antennas or aerials
including wiring, masts or towers; canoes and rowboats; lawns, plants, shrubs
or trees when located outside of the insured building.
Riot or
Civil Commotion - Riot
usually refers to a gathering of three or more people that results in the use
of force or violence against individuals or property. Damage caused to the
insured property due to riot is covered under this peril. Coverage includes
direct loss caused by striking employees whether a riot occurs or not. Civil
commotion can be defined as an uprising or disturbance by a large number of
people. As with riot, damage caused to the insured property due to such an
uprising would be covered under this peril.
Bouvier's Law Dictionary summarizes five
necessary elements of a riot: At least three persons must be involved; there
must be a common purpose; there must be actual inception or execution of that
purpose; there must be an attempt to help one another or to cooperate by force
if necessary; there must be display of force or violence in such manner as to
alarm a person of reasonable courage.
There may be no valid
distinction between riot and civil commotion. "Civil commotion" has
been described in courtrooms as "an uprising among a mass of people which
occasions a serious and prolonged disturbance and an infraction of civil order,
not attaining the status of war or armed insurrection. It requires the wild or
irregular action of many persons assembled together.
Aircraft
- The aircraft
peril provides coverage from damage caused by aircraft, including
self-propelled missiles and spacecraft.
Webster's New World
Dictionary of the American Language defines "aircraft" as "any
machine or machines for flying, whether heavier or lighter than air; airplane,
dirigible, balloon, helicopter, etc."
This peril would apply to
damage caused by the falling of an aircraft or any of its parts, on a covered
dwelling and its contents.
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