300f018 Policy Insurance
Limits
If you examine the
insurance policy covering your business, you’ll see an insurance limit. For
instance:
|
Acme General Manufacturing |
|
|
Coverage |
Insurance Limit |
|
Coverall Protection |
$1,000,000 |
According to the above, it
may appear that you have a million dollars in coverage. But what does that
mean? Well, traditionally, such an insurance limit provides up to one million
dollars of coverage for each and every eligible loss that takes place during
the applicable (annual) policy period. This is often called an
"occurrence" limit because the entire amount is available to respond
to each eligible incident that occurs during the policy period. Another type of
protection is provided by an "aggregate" limit. This describes an
amount that applies over the entire policy period.
Example: The Acme policy above has a Jan. 1,
2010 to Jan 1, 2011 policy period. During the policy period, Acme is sued five
times.
|
Loss |
Date |
Amount |
Available Occurrence Limit |
Available Aggregate Limit |
|
Type A Loss |
2-23-10 |
$200,000 |
$1,000,000 |
$1,000,000 |
|
Type B Loss |
3-3-10 |
$450,000 |
$1,000,000 |
$800,000 |
|
Type C Loss |
6-12-10 |
$175,000 |
$1,000,000 |
$350,000 |
|
Type A Loss |
8-4-10 |
$300,000 |
$1,000,000 |
$175,000 |
|
Type D Loss |
12-06-10 |
$50,000 |
$1,000,000 |
$0 |
|
Total Paid |
|
|
$1,175,000 |
$1,000,000 |
Under the
"Occurrence" limit, the total policy amount was available for each
loss. Under the "aggregate" limit, each loss reduced the available
limit until coverage was exhausted. In this situation, Acme would have had to
handle $175,000 on its own.
Aggregate limits are used
by various insurers and/or for various instances where the company wishes to be
more certain about its total possible financial exposure. Some insurers and
some types of policies may use sub-limits as a method to control the amount
they pay for losses. A sub-limit is a coverage amount that applies to certain
types of losses or to losses involving certain types of property. Sub-limits
may be used with either "occurrence" or "aggregate" limit
policies. To keep things less confusing, let's use the same Acme policy
situation and adding an Occurrence policy with sub-limits. In this instance,
the policy provides the following:
$100,000 Sub limit for Type
B Losses
$50,000 Sub limit for Type
C Losses
|
Loss |
Date |
Amount |
Available Occurrence Limit |
Available Aggregate Limit |
Available Occurrence or Sub-Limits |
|
Type A Loss |
2-23-10 |
$200,000 |
$1,000,000 |
$1,000,000 |
$1,000,000 |
|
Type B Loss |
3-3-10 |
$450,000 |
$1,000,000 |
$800,000 |
$100,000 |
|
Type C Loss |
6-12-10 |
$175,000 |
$1,000,000 |
$350,000 |
$50,000 |
|
Type A Loss |
8-4-10 |
$300,000 |
$1,000,000 |
$175,000 |
$1,000,000 |
|
Type D Loss |
12-06-10 |
$50,000 |
$1,000,000 |
$0 |
$1,000,000 |
|
Total Paid |
|
|
$1,175,000 |
$1,000,000 |
$700,000 |
Even though it has an
"occurrence" limit, the sub-limits have had a drastic impact. In this
instance, Acme would be left to handle $475,000 in losses that wouldn't be paid
by the policy.
Because of the existence
and the impact of different types of limits, you should be certain of exactly
what your policies provide. An insurance professional would be just the person
to contact to discuss this very important issue.
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