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Commercial 104

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Commercial 104

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  1. Commercial 104

  2. TWFG Commercial Business SchoolCommercial 104 Commercial 101 – 104 Commercial 101 Overview Commercial Insurance Basic Terms Commercial Insurance Polices: Overview Important Auxiliary Coverages ACORD Forms Overview Commercial Lines Workflow Process Submission Checklist Post-Binding Checklist

  3. TWFG Commercial Business SchoolCommercial 104 Commercial 101 – 104 Commercial 102 How Does the Underwriting Process Operate? Commercial Insurance Policy Coverages: First Level Detail Silverplume Overview (Live Demo)

  4. TWFG Commercial Business SchoolCommercial 104 Commercial 101 – 104 Commercial 103 Commercial Lines Basics Property: COPE Commercial Lines Basics Property: Building Commercial Lines Basics Property: Business Personal Property (BPP) Module 3 Case Study

  5. TWFG Commercial Business SchoolCommercial 104 Commercial 101 – 104 Commercial 104 Commercial Auto Multi-Line Policy Types Workers Compensation Overview Endorsements Common to Most Policies

  6. TWFG Commercial Business SchoolCommercial 104 Learning Objectives Understand what exposures are covered under the Commercial Auto Policy Understand the difference between a Business Owners Policy (BOP) and a Commercial Lines Package Policy and when using each is the best choice To gain a basic understanding of what coverages are provided the basics of rate classification under the Workers Compensation Policy

  7. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Most businesses use some type of auto in their operations. For some the use is incidental, such as a contractor driving to and from a job site. For others, the use is essential, such as furniture delivery. Obviously, the more an auto is on the road, the greater the exposure, or chance of loss, and therefore the greater the premium

  8. TWFG Commercial Business SchoolCommercial 104 Commercial Auto This class is designed to help you become more familiar with auto coverages, how commercial autos are rated, and the exposures that an underwriter evaluates

  9. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Definition: A land motor vehicle or trailer designed for use on public roads Any other land vehicle subject to a compulsory insurance law For a vehicle to be properly insured on a Commercial Auto Policy, it must be registered in the company’s name (or individual for a sole proprietor)

  10. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Definition: Mobile equipment is NOT a commercial auto: Farm equipment, forklifts, bobcats, bulldozers and other vehicles not designed for use over public roads. Also included are mobile chassis with permanently attached pieces of heavy equipment designed specifically for movement of that equipment. Exempted are vehicles with snow plows attached and street cleaning vehicles. These are considered “autos”

  11. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Definition of Insured: You, meaning the corporation, partnership or sole proprietor listed as the name insured Anyone else using a covered auto with your permission. There are some exceptions for family members and employees if they own the vehicle in question. These situations can be addressed by specific endorsements

  12. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Coverages: UM/UIM: Uninsured and underinsured motorist coverage is similar to the same coverages found in the Personal Auto Policy, as are PIP, Med Pay and Towing. UM/UIM is mandatory in most states. In others, it may be rejected, but must be done so by signing a specific form, and the form normally must be signed with each renewal. (Key Concept) This is an area where enormous E&O exposures exist. It is vital that each agent maintain an auto “checklist” both for new business and renewals, which includes verification of the acceptance/rejection and collection of the signed rejection form

  13. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Coverages: BI/PD: The definitions for bodily injury, property damage and accident match those of the CGL The bodily injury or property damage must result from the ownership, maintenance or use of a covered auto We will discuss what a covered auto is in a later section

  14. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Physical Damage Coverages: Comprehensive, Collision, and Specified Causes of Loss apply similarly as they do with Personal Auto Policies

  15. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Rating & Classification: Several factors used to determine classification and rating Understanding needed to be able to apply these factors to properly write commercial auto

  16. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Rating & Classification: Weight and Vehicle Type: Private passenger Form of commercial truck including vans Weights – classified as, and based on GVW: Light Medium Heavy Extra Heavy

  17. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Rating & Classification: Private Passenger: Sedan/SUV/Coupe/Non-Commercial Van Light Trucks: Pick-up Trucks/Commercial Vans up to 10,000lbs Medium Trucks: Box Trucks/Commercial Vans up to 20,000lbs Heavy Trucks: Large box and Non-Semi up to 45,000lbs Extra Heavy Trucks: Large box and Non-Semi over 45,000lbs Service or Utility Trailers: Load capacity up to 2000lbs Trailers: Load capacity over 2000lbs Semi-Trailers

  18. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Rating & Classification: Use of Vehicle: Classifications based on the degree of “Over-The- Road” exposure according to how the vehicle is normally used Service Use: Vehicles used to transport workers/supplies to and from job sites. Parked most of the time. Ex.: Electrical Contractor’s truck Retail Use: Vehicles used for deliveries to residences, such flower/furniture delivery. Frequently changing routes Commercial Use: All other vehicles, such delivery trucks (to businesses)

  19. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Rating & Classification: Radius of Operation: Distance normally traveled from the place of business Local: 50 – 100 miles Intermediate: 51 – 200 miles Long Distance: Over 200 miles

  20. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Commercial Auto Rating & Classification: Special Industry Classifications: The last classification and rating factor applies to special classes, such as dump trucks and trailers, concrete trucks, and food delivery Garaging Address: Determines the rating territory for each unit. For large fleet schedules, units may be garaged at multiple addresses

  21. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Symbol Values: For each coverage selected the insured will select a Symbol, which determines which vehicles are included for that coverage. Symbo1 1 Any Auto: Any owned, non-owned, or hired auto. Typically only allowed for liability coverages Symbol 2 Owned auto only: Used for liability, UM/UIM and other coverages.

  22. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Symbol Values: Symbol 3 Owned Private Passenger Autos: Used by entities which strictly use private passenger autos, such mobile computer repair service. Need to include symbols 8 and 9 Symbol 4 Owned Autos other than Private Passenger: Could be used by commercial trucking outfit. Need to include symbols 8 and 9 Symbols 5/6 Apply to UM/UIM, PIP, and Med Pay

  23. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Symbol Values: Symbol 7 Specifically Described Autos: Typically used for Physical Damage coverage when some units will not have the coverage, such as older units Symbol 8 Hired Autos: Extends selected coverages to autos the insured leases, hires, rents, or borrows but NOT those belonging to employees for partners Symbols 9 Non-Owned Autos: Extends coverage to autos which ARE owned by employees or partners. Typically only liability coverage is extended to Hired and Non-Owned autos

  24. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Symbol Values: Other Items: Need to supply complete list of drivers with DL number Driving records and experience will be evaluated by UW You must determine if insured has a formal “Fleet Safety Program”

  25. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Who is an Insured? The named insured for a covered auto A permissive user of a covered auto (employees) Who is not an Insured? The owner of a Hired Auto An employee in their own auto A partner/member in an auto they own

  26. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Important Endorsements: CA 99 17 Individual Named Insured Designed for sole proprietors, partners and LLC members when the car they drive (covered auto under the BAP) is their personal car CA 99 10 Drive Other Car Coverage Designed for officers, partners, or employees who are furnished a company car and it’s the only vehicle available to that individual (does not own a personal auto)

  27. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Important Endorsements: CA 99 16 Hired Auto Specified as Covered Auto You Own This extends liability and/or physical damage to autos owned by owners or employees and used in the business. Specific autos are scheduled. CA 99 33 should also be used CA 99 33 Employees as Insureds Extends liability coverage to all employees whose autos are listed on the CA 99 16

  28. TWFG Commercial Business SchoolCommercial 104 Commercial Auto Important Endorsements: CA 20 01 Lessor-Additional Insured and Loss Payee Effectively turns a leased auto into a covered auto rather than a hired auto. This makes the insured’s auto coverage primary CA 99 47 Employee as Lessor Adds the scheduled auto (which is owned by an employee and leased to the business) as a covered auto and the employee who leases it as an insured

  29. TWFG Commercial Business SchoolCommercial 104 Underwriting Auto Exposures Use of Vehicles How vehicles are used is a major component in underwriting Service vehicles presents the lowest exposures Retail vehicles presents the highest exposures

  30. TWFG Commercial Business SchoolCommercial 104 Underwriting Auto Exposures Age and Condition of Vehicles While older, well maintained vehicles are acceptable, newer units are preferred Older units have more maintenance issues Newer units indicates financial success, and a planned budgetary commitment to vehicle safety and quality

  31. TWFG Commercial Business SchoolCommercial 104 Underwriting Auto Exposures Formal Safety Program For fleets of 5 or more units a formal safety program is preferred and should include: Designated Safety Officer Daily Vehicle Inspections Regular Safety Meetings Accident Investigation Process Driver Safety Training Classes

  32. TWFG Commercial Business SchoolCommercial 104 Underwriting Auto Exposures Driver Selection Program Does the insured have procedures for selecting drivers? Components would include: Minimum number of years driving experience Driver training program where appropriate Acceptable driving record Regular check of MVRs

  33. TWFG Commercial Business SchoolCommercial 104 Underwriting Auto Exposures Vehicle Maintenance Program Regular scheduled vehicle maintenance documented Regular oil changes Perform manufacturer’s recommended maintenance Replacement of tires, etc. all done on a regular basis

  34. TWFG Commercial Business SchoolCommercial 104 Underwriting Auto Exposures Overnight Garaging/Protection Are vehicles taken home at night? Parked on the street, access by other family members? Proper endorsements in place? Parked inside a secured area? Left at job sites overnight (larger units)- properly secured/use of anti-theft devises?

  35. TWFG Commercial Business SchoolCommercial 104 Underwriting Auto Exposures Loss History For fleets of 5 or more units a formal safety program is preferred and should include: Severity vs. Frequency Frequency indicates an ineffective loss control program. Severity may be a one-off issue, but where there preventable factors

  36. TWFG Commercial Business SchoolCommercial 104 Multi-Policy Types Business Owner’s Policy (BOP) Designed for small and medium sized businesses Combines basic property and general liability coverages into one packaged policy Less expensive than purchasing separately Most carriers include enhancement endorsements for a nominal fee Can be endorsed to include coverages such as EPL and Cyber Liability, and an Umbrella

  37. TWFG Commercial Business SchoolCommercial 104 Multi-Policy Types Commercial Package Policy (CPP) Designed for more complicated medium sized accounts and most all large accounts Combines property and general liability but has more flexibility in the extend of coverage options available Allows more in-depth analysis of exposures and a more tailored approach to coverages These are risks where “knowing the business” is essential for the agency and where credibility is a must both win and retain the account

  38. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Background Began in 1911 due to burden on society from injured employees without health insurance Employer to bear the cost of work-related injuries and illness without regard to negligence Workers covered regardless of fault, and employers could not be sued by employees Workers Compensation became the sole remedy for occupational injuries

  39. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Coverages Provided Workers Compensation policies provide two different coverages Workers Compensation Employers Liability

  40. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Workers Compensation Provides no-fault coverage to employees for work related injuries and illness When purchased, WC is the sole remedy for injured workers Payments are partial and periodic, with emphasis on returning employee to work No limit on reasonable and necessary medical coverage

  41. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Employers Liability Provides coverage to employer for injury-related claims made by employees for things not covered by WC statutes Legal Liability to Employees Not Covered by WC: Gross Negligence Intentional Injury Dual Capacity Claims

  42. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Employers Liability Legal Liability to Others: Loss of Services by Family Members Third-Party (action-over) Claims Consequential Bodily Injury Claims

  43. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Coverage by State WC is mandatory in all states except Texas and New Jersey, where it is elective A sole proprietor with no employees in not eligible for WC 4 states have Monopolistic State Funds- no private insurers: ND, OH, WA and WY

  44. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Premium Basis Payroll is the basis for WC premium. If payroll reaches min premium threshold the risk qualifies for experience rating Experience rating worksheet calculates the Experience Mod which applies a debit or credit the rating process Carries have option to apply a Schedule Rating based on peculiarities of a specific risk

  45. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Stop Gap Coverage A form of “stand alone” Employers Liability coverage used in Monopolistic Fund states which do not combine EL with WC. Usually added to the CGL

  46. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Underwriting Workers Compensation Management Attitude Toward WC Is the employer involved in minimizing hazards/reducing costs? Are safety programs mandatory and enforced? Are accidents investigated and results incorporated in an ongoing program of loss improvement? Does employer provide back-to-work programs? Are employees involved in safety process? Evidence of good housekeeping/maintenance of building, machinery, and processes

  47. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Underwriting Workers Compensation Independent Contractors: Contracting risks are impacted by how an Independent Contractor is defined If sub-contractor does not meet the definition of an independent contractor, then the subs payroll must be included in the hiring contractors WC exposures Most definitions include reference regarding who controls the work, and the relationship between the contractor and the sub

  48. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Underwriting Workers Compensation Descriptions of Coverages: Items 3A, 3B, and 3C The information page (Dec Page) for the typical WC and EL policy has three important fields listed as 3A, 3B, and 3C

  49. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Underwriting Workers Compensation Item 3A: States with Active Operations List all states where insured has known operations Activates WC laws for those states Cannot list Monopolistic States. Must separately purchase the Monopolistic Fund policies in those states (add Stop Gap Coverage) Note that there are no occurrence or aggregate limits for WC

  50. TWFG Commercial Business SchoolCommercial 104 Workers Compensation Coverage Overview Underwriting Workers Compensation Item 3B: Employers Liability Limits This is the EL limits, which apply to all states listed under 3A Consider limits carefully, especially if an Umbrella is purchased. $1M/$1M/$1M is recommended There is no policy aggregate for BI by accident, only per accident limit BI by disease has a per employee and policy limit