fin 461 crime insurance

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18 Terms

1
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Government crime policy declarations

  1. Employee theft - per loss coverage

  2. Employee theft - per employee coverage

  3. Forgery or alteration

  4. Inside the premise- theft of money and securities

  5. Inside the premise - robbery or safe burglary of other property

  6. Outside the premises

  7. Computer and funds transfer fraud

  8. Money orders and counterfeit money


2
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Employee theft - insuring agreement/declarations

  • Theft of property by organization’s employees

  • Policy defines “employee”

  • Policy defines “theft”

  • Policy defines covered property - intangible property not covered


3
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Forgery or Alteration- insuring agreement/declarations

  • Covers forgery or alteration of checks or similar instruments

  • Does not cover acceptance of these instruments

  • Forgery or alteration by employees is covered under Employee Theft (insuring agreement)


4
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Theft of money and securities (inside the premises) - insuring agreement/declarations

  • Covers theft of money and securities

  • Broad definition: robbery, burglary, unlawful taking

  • Must be “inside the premises or banking premises”

  • Covered against “theft, disappearance, or destruction”

  • Note: disappearance and destruction is broad


5
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Robbery or Safe Burglary (inside the premises) - insuring agreement/policy declarations

  • Robbery- taking by force or fear

  • Safe Burglary - unlawful taking from safe by forcible entry (must have forcible entry marks)


6
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Outside the premises - insuring agreement/declarations

  • Outside, in custody of messenger or armored vehicle company

  • Perils covered:

  • Money - theft, disappearance, destruction

  • Other property - actual or attempted robbery


7
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Computer Fraud/ Fraudulent Impersonation - insuring agreement/ declarations

  • Covers loss of money, securities, and other property

  • Covered Peril: use of computer to fraudulently transfer property from inside the premises to another person

  • Covers more than one use of insured’s own computer

  • Does not cover theft by insured’s own employee


8
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Funds Transfer Frauds - insuring agreement/declarations

  • Covers loss of insured’s money and securities from an account at a financial institution

  • due to “fraudulent instructions”

  • Does not cover computer fraud (avoids duplication)


9
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Money Orders and Counterfeit Money - insuring agreement/declarations

Covers acceptance of these (but not acceptance of altered/forged checks)

10
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Business Interests Insured- Commercial Crime Conditions ????

  • Ownership of property interests coved conditions

  • Joint insured condition

  • Additional premises or employees condition

  • Consolidation- Merger or Acquisition


11
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Where coverage applies - commercial crime conditions

  • Certain location - Territory Specific

  • Non-specific can include U.S , Puerto Rico, or Canada

  • Extended Territory Coverages: Global

  • Forgery and Alteration

  • Computer and Funds Transfer


12
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When coverage applies - commercial crime conditions

  • Extended period to discover loss

  • Loss sustained during prior insurance issued by “us” or affiliate

  • Loss sustained during prior insurance not issued by us (current insurer or affiliate)


13
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Claims related duties and procedures - commercial crime conditions

  • Basic conditions

  • Records condition

  • Valuation- Settlement condition

  • Recoveries condition/subrogation provision

  • Other insurance condition

  • Conditions allocate to employee theft only


14
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General Exclusions- Commercial crime exclusions

  • Acts committed by you

  • Acts of employees learned of by you

  • Acts of employees, managers, etc

  • Confidential information

  • Governmental action

  • Indirect loss

  • Other exclusions


15
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Exclusions applicable to employee theft - Commercial crime exclusions

  • inventory storage

  • Trading

  • Warehouse recipes


16
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Exclusion applicable only to inside and outside the premises coverage

  • Accounting or arithmetic errors or omissions

  • Exchanges or purchases

  • Fire

  • Money operated devices

  • Motor vehicles

  • Transfer or surrender of property

  • Vandalism

  • Voluntary parting with title to do or possession of property


17
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Exclusions applicable only to computer fraud - commercial crime exclusions

  • credit card transactions

  • Funds transfer fraud

  • Inventory shortages


18
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Exclusions applicable only to funds to transfer fraud - commercial crime exclusions

  • losses by computer fraud