Umbrella Policy Overview

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Questions and Answers

Under the Umbrella policy, what is the financial limit that applies to a single incident?

  • $500,000
  • $1,000,000
  • $5,000,000 (correct)
  • $10,000,000

What is the maximum total amount the Umbrella policy will pay out for all covered claims during the policy period?

  • $1,000,000
  • $10,000,000 (correct)
  • $7,500,000
  • $5,000,000

In situations where the Umbrella policy covers a loss not covered by the underlying policies, what is the amount the insured must pay before the Umbrella policy responds?

  • $25,000
  • $10,000 (correct)
  • $5,000
  • $50,000

Under this Umbrella policy, which entity is specifically identified as the primary beneficiary of the insurance coverage?

<p>Poppell Investment Co. (B)</p> Signup and view all the answers

Which insurance company is responsible for providing the Umbrella policy coverage?

<p>The Continental Insurance Company (D)</p> Signup and view all the answers

According to the policy, in which city and state is the Named Insured's primary business operation located?

<p>Herculaneum, MO (C)</p> Signup and view all the answers

Which organization is designated to manage and process claims submitted under the Umbrella policy on behalf of the insurance company?

<p>Broadspire (C)</p> Signup and view all the answers

When reporting a potential claim under the Umbrella policy, what specific pieces of information are essential to include in the initial notification?

<p>Claim number, policy number, and details of loss (D)</p> Signup and view all the answers

Which coverage area within the Umbrella policy extends to liabilities arising from the administration of employee benefit programs?

<p>Coverage A (C)</p> Signup and view all the answers

Under which coverage section of the Umbrella policy could the insured potentially receive reimbursement for expenses incurred in replacing a key employee who has become unable to work?

<p>Coverage C (A)</p> Signup and view all the answers

What circumstance involving a key employee would specifically prevent a claim for replacement costs from being paid under Coverage C of the Umbrella policy?

<p>Suicide (C)</p> Signup and view all the answers

What type of expenses are eligible for reimbursement under Coverage B of this Umbrella policy?

<p>Crisis management expenses (D)</p> Signup and view all the answers

According to the policy, which party is legally obligated to provide a defense against covered claims or lawsuits brought against the insured?

<p>The insurer (C)</p> Signup and view all the answers

Under what circumstance does the insurance company's responsibility to defend the insured against a claim definitively end?

<p>Limits exhausted (B)</p> Signup and view all the answers

If the insured chooses to terminate the Umbrella policy before its natural expiration date, what is the standard refund arrangement for the unearned premium?

<p>90% pro-rata refund (D)</p> Signup and view all the answers

Which specific exclusion in the Umbrella policy is designed to address potential liabilities arising from violations of privacy on the internet and data breaches?

<p>Data-related liability exclusion (C)</p> Signup and view all the answers

What category of vehicles and vessels are explicitly excluded from coverage under the Umbrella policy?

<p>Aircraft or Watercraft exclusion (C)</p> Signup and view all the answers

According to the policy, what defines 'impaired property'?

<p>Property not physically damaged but can't be used (A)</p> Signup and view all the answers

What federal legislation is referenced in relation to the terrorism coverage provisions of this Umbrella policy?

<p>Terrorism Risk Insurance Act (TRIA) (B)</p> Signup and view all the answers

What specific body of law governs the sanctions-related exclusions found in the Umbrella policy?

<p>OFAC (B)</p> Signup and view all the answers

If the insured actively declines Terrorism Risk Insurance Act (TRIA) coverage, what is the consequence regarding coverage for losses resulting from acts of terrorism?

<p>Excluded unless required by state law (D)</p> Signup and view all the answers

In the context of a sole proprietorship, who is considered an insured party under the Umbrella policy?

<p>Owner and spouse (C)</p> Signup and view all the answers

What type of claim is specifically excluded under the 'Personal and Advertising Injury' section of the Umbrella policy?

<p>Breach of contract (A)</p> Signup and view all the answers

What scenario involving an employee is generally excluded from coverage under the Umbrella policy?

<p>Injury during employment (A)</p> Signup and view all the answers

What type of pollution event is typically excluded from coverage under a standard Umbrella policy?

<p>Factory soot (A)</p> Signup and view all the answers

Who is excluded from medical payments coverage in the event of nuclear-related incidents under the Umbrella policy?

<p>All persons (D)</p> Signup and view all the answers

Following a covered event, how long does the insured have to report Crisis Management expenses?

<p>72 hours (A)</p> Signup and view all the answers

What timeframe restricts the coverage of Crisis Management expenses under the Umbrella policy?

<p>180-day window (B)</p> Signup and view all the answers

What condition applies to advertising injury claims made by media businesses under this policy?

<p>Not covered (D)</p> Signup and view all the answers

Which type of bodily injury is generally not excluded under an Umbrella policy?

<p>From reasonable force to protect property (A)</p> Signup and view all the answers

What kind of liabilities associated with employee benefit plans are generally excluded under ERISA?

<p>Retirement plan obligations (A)</p> Signup and view all the answers

What happens if a key replacement employee is hired -- and subsequently quits shortly after?

<p>Covered if also a key employee (C)</p> Signup and view all the answers

In the realm of Liquor Liability, what activity is excluded under this policy?

<p>Contributing to intoxication (A)</p> Signup and view all the answers

How are defense costs treated under the Umbrella policy in relation to the policy's overall limits of liability?

<p>Paid in excess, not reducing limits (A)</p> Signup and view all the answers

Under what circumstances are key employee benefits paid out?

<p>Covered accident (A)</p> Signup and view all the answers

Who has the authority to make changes to the Umbrella policy after it has been issued?

<p>First Named Insured with consent (B)</p> Signup and view all the answers

What is the absolute minimum premium amount that the insurer will retain, regardless of whether the policy is cancelled early or the full coverage is utilized?

<p>$7,594 (C)</p> Signup and view all the answers

Which governmental organization is responsible for overseeing and enforcing OFAC regulations, which relate to sanctions-related exclusions in the Umbrella policy?

<p>Department of Treasury (D)</p> Signup and view all the answers

Under what circumstance can the insurer cancel the commercial umbrella policy?

<p>Non-payment of premium (D)</p> Signup and view all the answers

Under the Umbrella policy, which party is ultimately responsible for ensuring that the premium payments are made in a timely manner?

<p>First Named Insured (A)</p> Signup and view all the answers

Flashcards

Each Incident Limit

The maximum amount the policy will pay for a single incident.

Aggregate Limit

The total maximum amount the policy will pay during the policy term.

Self-Insured Retention

The amount the insured must pay before the umbrella policy coverage applies.

Named Insured

The individual or entity specifically listed as the insured in the policy.

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Policy Underwriter

The insurance company that provides the coverage.

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Named Insured Location

The city and state where the insured's primary business is located.

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Claims Handler

The third-party administrator that processes and manages claims.

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Claim Reporting Requirements

Claim number, policy number, and details of loss.

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Employee Benefit Program Coverage

Coverage related to the administration of employee benefit programs.

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Key Employee Replacement Coverage

Reimbursement for costs associated with replacing a key employee.

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Disqualifying Condition

Suicide

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Crisis Management Coverage

Reimbursement for expenses related to managing a crisis event.

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Duty to Defend

The insurer

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End of Duty to Defend

Limits exhausted

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Insured Cancellation Refund

90% pro-rata refund

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Internet Privacy Exclusion

Data-related liability exclusion

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Planes and Boats Exclusion

Aircraft or Watercraft Exclusion

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Impaired Property

Property not physically damaged but can't be used

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Terrorism Act Mentioned

Terrorism Risk Insurance Act (TRIA)

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Sanctions Law

OFAC

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Rejected TRIA Coverage

Excluded unless required by state law

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Insured in Sole Proprietorship

Owner and spouse

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Excluded Injury

Breach of contract

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Employee Injury Exclusion

Injury during employment

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Pollution Exclusion

Factory soot

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Nuclear Liability Exclusion

All persons

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Crisis Management Retention

72 hours

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Crisis Management Limits

180-day window

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Media Biz Ad Injury

Not covered

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Bodily Injury Not Excluded

From reasonable force to protect property

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ERISA Exclusion

Retirement plan obligations

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Replacing Key Employee

Covered if also a key employee

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Liquor exclusion

Contributing to intoxication

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Defense Costs

Paid in excess, not reducing limits

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Key Employee Trigger

Covered accident

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Policy Changes Authority

First Named Insured with consent

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Minimum Earned Premium

$7,594

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OFAC Oversight

Department of Treasury

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10-Day Cancellation

Non-payment of premium

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Premium Payment

First Named Insured

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Study Notes

  • The Umbrella policy's Each Incident Limit is $5,000,000.
  • The Aggregate Limit of the policy is $10,000,000.
  • The Self-Insured Retention amount is $10,000.
  • Poppell Investment Co. is the Named Insured in the policy.
  • The Continental Insurance Company underwrites the Umbrella Policy.
  • The Named Insured is located in Herculaneum, MO.
  • Broadspire handles claims on behalf of the insurer.
  • When reporting a claim, include the claim number, policy number, and details of loss.
  • Coverage A includes Employee Benefit Program administration.
  • Coverage C reimburses for replacing a key employee.
  • Suicide disqualifies a key employee claim.
  • Coverage B reimburses for crisis management expenses.
  • The insurer has the duty to defend a claim.
  • The insurer’s obligation to defend ends when policy limits are exhausted.
  • A 90% pro-rata refund is given when the insured cancels the policy.
  • The data-related liability exclusion applies to internet privacy violations.
  • The Aircraft or Watercraft exclusion applies to planes and boats.
  • Impaired property is property not physically damaged but can't be used.
  • The Terrorism Risk Insurance Act (TRIA) is mentioned in terrorism coverage.
  • OFAC (Office of Foreign Assets Control) governs sanctions-related exclusions.
  • If TRIA coverage is rejected, it is excluded unless required by state law.
  • In a sole proprietorship, the owner and spouse are insured.
  • Breach of contract is excluded under personal and advertising injury.
  • Injury during employment is excluded under employee injury.
  • Factory soot is excluded under pollution.
  • All persons are excluded from medical payments under nuclear liability.
  • The retention requirement for Crisis Management expenses is 72 hours.
  • Crisis Management expenses are limited by a 180-day window.
  • Advertising injury by media businesses is not covered.
  • Bodily injury from reasonable force to protect property is not excluded.
  • Retirement plan obligations are excluded under ERISA.
  • Coverage extends if a replacement key employee leaves and is also a key employee.
  • Contributing to intoxication is excluded under Liquor Liability.
  • Defense costs are paid in excess, not reducing limits.
  • A covered accident triggers key employee benefits.
  • The First Named Insured with consent authorizes policy changes.
  • The minimum earned premium is $7,594.
  • The Department of Treasury provides OFAC oversight.
  • Non-payment of premium allows the insurer to cancel in 10 days.
  • The First Named Insured is responsible for premium payment.

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