Friday, April 23, 2010

Number Five of Six Parts: A Wedding Insurance Policy Example

Moving on to part five of a sample wedding insurance policy!

SECTION II PRIVATE EVENT CANCELLATION INSURANCE PERSONAL LIABILITY COVERAGE

A. Personal Liability And Medical Payments To Others Coverage

01. Personal Liability Coverage
You and the Honoree have this coverage only if a limit of insurance is shown for it on the Declarations page. We will pay up to the limit of insurance all sums you or the Honoree become legally responsible to pay as damages due to an Occurrence:

(01) that takes place during the course of the Private Event and within the Policy Territory; and

(02) that results in Bodily Injury, Property Damage or Personal Injury.
a. Our Duty To Defend
We will defend any claim brought against you or the Honoree seeking damages that are covered under this wedding insurance coverage of the policy. We will do this even if the allegations of the claim are groundless, false or fraudulent. We may, at our discretion, investigate and settle any such claim. Our right and duty to defend claims covered under this coverage of the policy ends when we have used up the applicable limit of insurance in the payment of judgments or settlements.
b. Exclusions-What We Do Not Cover Under Personal Liability Coverage

(01) Abuse Or Molestation
We do not cover Bodily Injury or Personal Injury that arises out of the actual or threatened sexual abuse, sexual molestation, sexual harassment, corporal punishment, physical abuse or mental abuse by anyone.

(02) Aircraft/Watercraft/Vehicles
We do not cover Bodily Injury, Property Damage, or Personal Injury arising out of the ownership, maintenance, use, loading, unloading, or entrustment to others of:
(a) any aircraft;
(b) any watercraft; or
(c) any motorized land vehicle, including attached trailers.

(03) Amusement Device
This wedding insurance policy does not cover Bodily Injury, Property Damage or Personal Injury arising out of the ownership, maintenance, use, loading, unloading or entrustment to others of any mechanical, inflatable or motorized amusement device.

(04) Aquatic Activities
We do not cover Bodily Injury, Property Damage or Personal Injury arising out of any aquatic activities or event.

(05) Athletic Activities
We do not cover Bodily Injury or Personal Injury to any person while practicing, instructing or participating in any physical exercises, games, sports or athletic activities, contest or event, whether or not the activity, contest or event is:
(a) public or private;
(b) formal, informal or spontaneous;
(c) organized or unorganized; or
(d) pre-planned, planned, not planned or incidental.
Athletic or sport activity includes but is not limited to:
(a) bicycling
(b) bungee jumping
(c) climbing
(d) equestrian activity
(e) hiking
(f) ice skating
(g) paint ball
(h) roller skating
(i) skate boarding
(j) trampoline

(06) Breach Of Contract
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of a breach of ths wedding insurance contract.

(07) Contractual Liability
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of any liability assumed by you or the Honoree under any contract or agreement. But this exclusion does not apply to:
(a) liability assumed by you or the Honoree in an Insured Contract; or
(b) liability you or the Honoree would have in the absence of the contract or agreement;
subject to the sub-limit shown under Contractual Liability on the Declarations page. This sub-limit is the most we will pay for both loss and loss adjustment expense and is included within and not in addition to the Personal Liability limit of insurance.

(08) Defect In Premises
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of a latent defect or patent defect in the Private Event Site, or other physical characteristics or conditions of the Private Event Site which contribute to or give rise to Bodily Injury, Property Damage or Personal Injury or alleged to have caused Bodily Injury, Property Damage or Personal Injury. But this does not apply if Defect In Premises is indicated as “Covered” on the Declarations page of this wedding insurance policy.

(09) Discrimination
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of discrimination due to age, race, color, sex, religion, national origin, sexual preference, or physical handicap.

(10) Expected Or Intended Injury Or Damage
We do not cover the liability of anyone for Bodily Injury, Property Damage or Personal Injury which is expected or intended from the standpoint of that person.

(11) Fines Or Penalties
We do not cover liability for fines, penalties, liquidated damages or punitive damages.

(12)Fireworks_Or_Pyrotechnics
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of pyrotechnics, rocketry or the manufacture, use, display or sale of Fireworks.

(13) Injury To You Or The Honoree
We do not cover under this wedding insurance policy Bodily Injury, Property Damage, or Personal Injury to you, the Honoree or any other Named Insured.

(14) Known False Statements
We do not cover Personal Injury that arises out of oral or written publication of material, if done by or at the direction of you or the Honoree with knowledge of its falsity.

(15) Liquor Liability
We do not cover Bodily Injury or Property Damage for which any person may be held liable by reason of:
(a) causing or contributing to the intoxication of any person;
(b) the furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or
(c) violation of any law or regulation relating to the sale, gift, distribution or use of alcoholic beverages. But this exclusion applies via this wedding insurance policy only if you are in the business of manufacturing, distributing, selling or furnishing alcoholic beverages.

(16) Nuclear Action Or War
We do not cover Bodily Injury or Property Damage caused directly or indirectly by Nuclear Action or War.

(17) Other Premises
We do not cover Bodily Injury, Property Damage or Personal Injury arising out of any premises other than the premises where the Private Event is to take place.

(18) Pollution
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of the presence of or the actual, alleged or threatened release, discharge, escape, dispersal, seepage or migration of Pollutants. But this does not apply to Bodily Injury, Property Damage or Personal Injury caused by heat, smoke or fumes from a Hostile Fire.

(19) Professional Services
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of the rendering or failure to render Professional services within this wedding insurance coverage.

(20) Property In The Care, Custody Or Control Of You Or The Honoree
We do not cover Property Damage to property in the care, custody or control of you or the Honoree. But this does not apply to Property Damage to the premises (including fixtures and contents) which you or the Honoree temporarily hire as the site where the Private Event is to take place.

(21) Property Sold Or Rented By Or For You Or The Honoree
We do not cover Property Damage to any goods or other property sold, loaned, rented, supplied, delivered, installed or erected by or for you or the Honoree. Such property includes, but is not limited to:
(a) Rented Property;
(b) Special Attire; or
(c) jewelry

(22) Publication Prior To Inception Of The Wedding Insurance Policy
We do not cover Personal Injury that arises out of oral or written publication of material whose first publication took place before the inception date of this policy.

(23) Suits Between Insureds
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of any claim or suit brought by one or more insureds against any other insureds.

(24) Vendor Acts Or Omissions
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of an act or omission by any Vendor.

(25) Vendor Bodily Injury
We do not cover Bodily Injury or Personal Injury to any Vendor. But this provision in this wedding insurance policy does not apply if Vendor Bodily Injury is indicated as “Covered” on the Declarations page.

(26) Weapons
We do not cover Bodily Injury, Property Damage or Personal Injury that arises out of the ownership, maintenance, use or entrustment to others of any firearms or other weapons.

(27) Willful Violation Of Statute
We do not cover Personal Injury that arises out of the willful violation of a penal statute or ordinance committed by or with the consent of you or the Honoree.

(28)Workers’ Compensation
We do not cover Bodily Injury to any person eligible to receive any benefits required to be provided outside of this wedding insurance policy or voluntarily provided under any workers’ compensation, non-occupational disability or occupational disease law.

02. Medical Payments To Others Coverage
You and the Honoree have this coverage only if a limit of insurance is shown for it on the Declarations page. Wedding insurance will pay Medical Expenses that result from Bodily Injury caused by an accident if:
a. the accident takes place during the course of the Private Event and in the Policy Territory;
b. the Bodily Injury is covered under the “Personal Liability Coverage” of this section of the policy;
c. the Medical Expenses are incurred and reported to us within one year of the date of the accident; and
d. the injured person submits to examination, at our expense, by physicians of our choice, as often as we reasonably require.
This coverage does not apply to you, the Honoree, or to any Relative of you or the Honoree. Each other person who sustains Bodily Injury while attending the Private Event is entitled to this coverage.

03. Additional Payments
If the Declarations show a limit for Personal Wedding Liability Coverage, in addition to the limits of insurance, we will pay:
a. all costs we incur in the settlement of any claim or the defense of any suit brought against you or the Honoree;
b. interest on damages awarded in any suit we defend accruing after judgment is entered and before we pay or tender or deposit in court, the amount for which we are liable under the policy;
c. premiums on appeal and attachment bonds required in any suit we defend. However, we will not pay the premium for attachment bonds if the bond amount is more than our limit of wedding insurance. We have no obligation to apply for or furnish bonds;
d. any other reasonable expenses you or the Honoree incur at our request;
e. expenses you or the Honoree incur for first aid to other persons at the time of the Occurrence for Bodily Injury covered under this policy. We will not pay for first aid to you, the Honoree, or to any Relative of you or the Honoree; and
f. loss of earnings up to $100 per day, but not other income, when we ask you or the Honoree to attend trials and hearings.

B. Limits Of Insurance
Regardless of the number of injured persons, claims made or property damaged, our liability is limited as follows:

01. The limit of insurance shown in the Declarations for “Personal Liability Coverage” is the most we will pay for the sum of:
a. all damages because of Bodily Injury and Property Damage that arise out of all Occurrences during the Policy Period; and
b. all damages because of Personal Injury that arise out of all offenses committed during the Policy Period.

02. The limit of wedding insurance shown in the Declarations for “Medical Payments To Others” is the most we will pay for all Medical Expenses payable for Bodily Injury to any one person.

C. Property Damage Deductible
From the total of all damages due to Property Damage to premises that arise out of any one Occurrence and result from any cause other than fire or explosion, we shall deduct the amount shown in the Declarations as “Property Damage Liability Deductible”.

D. Private Event Site Liability Coverage
This wedding insurance coverage option provides liability insurance coverage for a Private Event Site Insured, subject to the definitions, terms, exclusions, conditions and limits of liability of this policy. This optional coverage does not increase the limits of liability of this policy. The Private Event Site Insured has this coverage only if it is indicated as “Covered” on the Declarations Page.

01. What We Will Pay Under Private Event Site Liability Coverage
We will pay up to the limit of insurance all sums the Private Event Site Insured becomes legally responsible to pay as damages due to an Occurrence:
a. that takes place during the course of the Private Event and within the Policy Territory; and
b. that results in Bodily Injury, Property Damage or Personal Injury.
The wedding insurance liability coverage provided to a Private Event Site Insured applies only to liability arising out of the sole negligence of you or the Honoree.

02. Our Duty To Defend
We will defend any claim brought against the Private Event Site Insured seeking damages that are covered under the “Personal Liability Coverage” under this section of the policy. We will do this even if the allegations of the claim are groundless, false or fraudulent. We may, at our discretion, investigate and settle any such claim. Our right and duty to defend claims covered under this coverage of the policy ends when we have used up the applicable limit of wedding insurance in the payment of judgments or settlements.

03. Exclusions-What We Do Not Cover Under Private Event Site Liability Coverage
In addition to exclusions (01) through (28) of the “Personal Liability Coverage” section of this policy, the following exclusions also apply:
a. We do not cover Bodily Injury, Property Damage or Personal Injury arising out of a negligent act, error or omission of the Private Event Site Insured, its employees or agents.
b. We do not cover any Private Event Site Insured against Bodily Injury to any employee of the Private Event Site Insured arising out of or in the course of their employment by the Private Event Site Insured or performing duties relating to the business of the Private Event Site Insured.

This part of the policy talks extensively about you, the client, making sure you take care of yourself before your wedding! This is incredibly good advice, since if you injure yourself doing something completely ridiculous, you will possibly forfeit any claim you have on your policy. Always review your wedding insurance policy thoroughly before doing anything crazy!

1 comment:

ביטוח מנהלים said...

What a well written insurance guide! thank you very much for sharing your rich knowledge!!


ביטוח מנהלים