Section 2 Lesson 6 Comprehensive Study Guide for Homeowners Policy Section Two: Liability and Medical Payments
Overview of Homeowners Policy Section Two
- Coverage for liability is established under Section Two of a standard homeowners insurance policy.
- The basic premise of this section is that the insurance policy will pay, on behalf of the insured, all sums that the insured is legally obligated to pay due to bodily injury or property damage.
- This coverage is triggered by an "occurrence" that causes the aforementioned bodily injury or property damage.
- The policy provides two distinct coverages:
- Coverage E: Liability coverage.
- Coverage F: Medical payments to others.
Detailed Breakdown of Coverage E and Coverage F
- Coverage E (Liability):
- Protects the insured from legal liability regarding bodily injury or property damage caused to others.
- Coverage F (Medical Payments to Others):
- Provides for the payment of medical expenses for others who are injured through personal activities.
- This coverage is provided without regard to fault on the part of the insured.
- There are numerous places and situations in which these liability and medical payment exposures can arise.
Liability Exposure Locations and Activities
- Exposure for liability can arise from several different locations, including:
- The property specifically listed on the policy declarations.
- Any other location that the insured might rent, such as a venue used for hosting a party or a wedding.
- Vacant land owned by the insured.
- Exposures can also arise from personal activities, such as:
- Sports and other activities the insured participates in, whether those activities take place on or off the insured premises.
- Acts of resident employees, such as a housekeeper, provided they are acting within the scope of their assigned duties.
Specific Claim Scenarios
- Common types of claims that arise out of homeowners or personal liability include:
- A guest tripping over an electrical cord inside the insured's home and sustaining an injury.
- The insured's children playing baseball in the front yard and hitting a ball through a neighbor's window.
- An insured's dog biting a guest.
- An insured saying or publishing something about another person that is interpreted as disparaging, malicious, or mean, leading to a lawsuit.
Basic Policy Limits and Florida Vicarious Liability Statutes
- Typical basic limits for these coverages are:
- Coverage E (Liability): 100,000 per occurrence.
- Coverage F (Medical Payments): 1,000 per person.
- These limits can be increased beyond these baseline amounts.
- Florida statute imposes mandatory vicarious liability on the parents of minor children in specific scenarios:
- When a minor child causes injury or property damage due to negligent or willful misconduct while operating a motor vehicle.
- If a minor child commits acts of vandalism or theft.
- Due to these statutes, there is a recent trend among insurers to reduce available limits for vicarious parental liability to as little as 10,000.
Personal Injury Liability and Defamation
- Personal injury liability is an exposure a homeowner might face for actions such as libel, slander, false imprisonment or detention, and invasion of privacy.
- Example Scenario: An insured observes a neighbor spanking their child and calls the authorities alleging child abuse. It takes several weeks and the hiring of an attorney to prevent child services from removing the child from the parents. The neighbor subsequently sues the insured for slander and invasion of privacy.
- Definitions of Defamation:
- Libel: A written defamatory statement.
- Slander: A spoken defamatory statement.
- To qualify as defamation (libel or slander) for written or verbal communications, the following conditions must be met:
- The statement must be communicated in the presence of others or publicized to the general public.
- The communication must be handled in such a way that it may damage the reputation, business, or character of the subject.
- Defense: The best defense against a charge of libel or slander is always the truth. If the spoken or written statement is a true fact, the claim for libel or slander will fail.
Exclusions to Homeowners and Personal Injury Policies
- There are several important and common exclusions in homeowners and personal injury policies, meaning coverage is not provided for:
- Intentional acts.
- Exposures resulting from running a business out of the home.
- Losses arising from the ownership, maintenance, or use of motor vehicles.
- Losses arising from the ownership, maintenance, or use of watercraft.
- The transmission of a communicable disease.
- Sexual molestation, corporal punishment, or physical or mental abuse.
- The use, sale, or distribution of controlled substances.
- Injuries sustained by residents of the insured's household.
Exceptions to Motor Vehicle and Watercraft Exclusions
- While motor vehicles and boats are typically subjects of separate automobile or boat owners policies, some exceptions exist within the homeowners policy:
- Motor Vehicles:
- Trailers are covered.
- Motorized vehicles designed for recreational use off public roads that are not subject to motor vehicle registration are covered (e.g., a golf cart or a four-wheeler).
- Watercraft:
- Smaller boats are generally covered if they meet specific criteria:
- Less than 50horsepower.
- Less than 26feet in length.
- The general rule of thumb for determining coverage is to read the specific policy when in doubt.