
Reading Your Policy
When reading your car insurance
policy, you must remember to read the entire
policy. Coverage may seem to be granted in one
section, but restricted or excluded by a later
section. Most insurance companies now provide
"easy to read policies." This helps the agent,
claims representative, and policyholder to
know what to expect. It is best to be familiar
with each section of your policy. While there
are many insurance policies to cover all kinds
of property, all insurance policies have the
same general parts:
- Policy Declarations (or Declarations (Dec)
Page)
- Insuring Agreement
- Definitions
- Coverages, including Exclusions and Limits
- Conditions
Policy
Declarations
Definitions
Policy
Coverages & Exclusions
Limits &
Special Limits
Conditions
Duties
After a Loss
Endorsements
Policy
Declarations
This is a page separate from the policy
jacket, or in some cases an attachment to the
policy. It contains the name, address,
description of the insured property (home,
autos, etc), coverages purchased, coverage
limits, and other pertinent information.
Additionally, the declarations page (or Dec
Page) also states the policy period, including
the effective date and expiration date.
Definitions
This section of the policy fully defines
words and phrases used throughout the policy.
For example: Motor vehicle and
Deductible are two terms frequently
defined in the auto policy. Whenever these
terms are used in the policy, they are
boldfaced so that the policyholder knows that
these words have a particular meaning in the
insurance contract.
Policy
Coverages & Exclusions
Policy coverages describe the
specific insurance provided, usually by
listing what property is covered for what
perils. For example: A boatowners
policy can cover direct physical loss or
damage to the boat and motor, portable
equipment, and other property. It can also
provide liability coverage. Exclusions
is the part of the coverage section of the
policy that limits or eliminates coverage
otherwise provided in your policy. Insurers
often will allow policyholders to buy back
coverage for some exclusions. For example: An
exclusion for earthquakes would help many
consumers avoid additional premium if they
reside in a low risk area. However, a
policyholder can often purchase separate
earthquake coverage, if desired.
Limits &
Special Limits
This part of the coverage section
explains how much the insurer will pay for
particular losses. That is, while a loss may
be covered by the insurance, it may be covered
for only a limited dollar amount or for a
limited percentage of the entire loss under
certain circumstances.
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Conditions
This section of the policy lays out the
ground rules by detailing the responsibilities
of the insured and the insurer. This includes
items such as how to cancel a policy.
Frequently, one common condition is
subrogation, the concept that once the insurer
has paid a claim, the right to recover payment
from the at-fault party belongs to the
insurer. Conditions may also address monthly
payment plans.
Duties
After a Loss
Your policy itemizes specific duties of
the insured after an accident or loss. These
duties may include notifying your insurer as
soon as practical, notifying the police in
case of theft, and protecting the property
from further damage.
Endorsements
These attachments modify the policy to
better fit the policyholder’s needs.
Amendatory endorsements modify the policy
because of changes in the policy language by
the company. Excluded perils can be
covered with an endorsement to the policy.
Endorsements are not restricted to perils.
They can also add specific items to be covered
or even add an additional driver to an
automobile policy. In the case of amendatory
endorsements, they may change a policy
definition.
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