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7 Common Errors Made by Agents on Association Insurance

11.21.06

As anyone that specializes in associations can tell you, condominium and homeowners associations have several unique issues. The same is true for the insurance they require. These associations are not like any other commercial entity in many ways.  It takes an expert in this type of insurance to properly evaluate what is needed and what is missing from an association’s policy.

In this report I am going to outline the seven most common problems that occur in HOA insurance and why these errors are a potential problem for your association.

  1. Wrong coverage for unit interiors
    Who is responsible for covering the unit interiors of your units is dictated by the associations CC&R’s. In some instances the CC&R’s will dictate full coverage for unit interiors on the master policy and in others it will tell you to exclude them.  In even other instances they will dictate that the association must restore it to the original condition that it was in at the time it was built.

    If your master policy is not written to match the CC&R’s requirements then the association can potentially be over-insured, dangerously underinsured, and possibly create situations where coverage is purchased and then denied at the time of loss.

    If the association’s CC&R’s dictate that the association’s policy provides coverage for the unit interiors and the agent fails to sell a policy that includes the necessary coverage and if there is a loss that includes the interior of the unit, the association will be required to pay that portion of the loss out of its own pocket. The master policy will decline coverage for the claim because it was excluded on their policy. The unit owner policy will also decline coverage because they will look to the CC&R’s that state that coverage is to be provided by the association and say they are not responsible for paying the claim.  It will be the association’s responsibility.  Why expose yourself to these problems when a proper review of your CC&R’s by an expert in association insurance could help you avoid this problem?

    On the other end of the spectrum, if the association’s policy provides for full coverage of the unit interiors when they should be excluded, you can end up with one of two possible problematic outcomes. The first outcome is that the association’s policy will cover the loss when it should be denying it. This will lead to higher premiums and possible cancellation from your current insurer when your policy renews. The alternative is that the association’s adjuster will review the CC&R’s and deny the claim insisting the association is not the responsible party. In this situation the unit should pick up coverage.  However, some unit owner contracts state that they will refuse to pay a claim if there is coverage under the master policy’s contract. If you are faced with this predicament, then the result could be that you have purchased the coverage twice and neither insurance company will pay the claim.

  2. No building code and ordinance coverage
    Safety codes are constantly improving all the time in order to better protect the lives of individuals in the event of a disaster.  These features are not part of a building, but after a major loss, the association will be responsible for putting them in. In addition, this coverage also pays for the demolition of undamaged portions of the building that need to be altered in order to comply with code when the building is being rebuilt.

    An example of this is the installation of fire sprinklers as part of reconstruction. If they were not there originally this coverage would pay to put them in after a covered loss. The demolition portion would pay for the demolition of the undamaged portion of the building so that sprinklers can be installed in the whole building. The property portion of this coverage would provide for the actual cost of the sprinklers.

  3. No Boiler and Machinery Coverage
    This covers far more than a hot water boiler if your building has one. This also provides coverage for mechanical breakdown of items such as your elevator, sump pumps, and pool equipment, as well as off premises electrical problems.

    A common loss that is covered and can happen to any association is to have the transformer on the pole outside your building blow.  This will cause an arcing due to unstable electrical regulation of the electrical system, which can destroy a whole building’s electrical system. Due to the fact that the cause of the loss was off premises, the only way to get coverage is from boiler and machinery coverage.

  4. Inaccurate building values
    If the building is not covered for an amount that will adequately replace the building in the event of a total loss then this can create major problems, even if the building is not completely destroyed.  By not insuring for the amount the building’s valued at, you can trigger a policies co-insurance clause. Co-insurance states that if the insured has not properly valued the replacement cost of the building, the insurance can reduce a claim settlement to reflect the proportional amount that you insured and then reduce it further by whatever the penalty in the contract is.  An example of how this works is if the actual replacement cost of the building is $1,000 and you only insure it for $800. You have now only insured to 80% of the building’s value. If there is a 150% co-insurance penalty, you now have a $300 loss.  They will say that you underinsured by 20% so that now you will be penalized 30% on your claim settlement. So they will only pay you $210.  Now subtract out your deductible and that will be the check that you receive.

    On the other side, if the building is overvalued you may be paying money for coverage that is not necessary, which will end up wasting the association’s money.

    How is a lay board supposed to come up with a proper valuation for the cost of rebuilding? Our solution to this problem is by providing the board with a Marshall and Swift replacement cost worksheet so that you can feel comfortable with value used to protect your assets.

  5. No D&O coverage for the property manager
    It is common to see that the property manager has been left off the D&O coverage. On most policies this is not fixed by a typical additional insured endorsement as it is with General Liability coverage. They normally charge extra premium and ask additional questions about the manager to allow for the coverage.  This is important coverage because an error of communication can create a situation where this type of suit can happen.

    An example of this is when the board has put rules in place where late pays will not be tolerated.  If you have been late two months in a row they will begin legal proceedings against the owner.  The first month the owner pays late by a few days and the next month he is accidentally left on the list of delinquent owners and the board files suit against the owner.  The owner counter sues for defamation of character.  Without the property manager being named to the D&O coverage there will be no insurance coverage for the claim.

  6. Employee dishonesty coverage excludes property manager
    Depending on the insurance contract, the property manager may be excluded from the association’s fidelity coverage.  If you have one of these inferior contracts, you will find that the association is exposed and liable if an employee of the property management company embezzles funds from your accounts.
  7. Inappropriate liability limits
    CA law requires that you have $2 million of liability coverage if the association is less than 100 units and $3 million in coverage if it is 100 units or more. If you have less than that amount of coverage each individual unit owner becomes susceptible to personal liability for law suits by the association.

These are just 7 of the errors that are commonly made on association policies. There are others as well.

These problems tend to occur for two reasons:

  1. The agent isn’t an expert in association insurance. If the agent is not dealing with association insurance on a daily basis he will not be aware of many of these issues. These are fine nuances that are not common to other types of insurance. The person that handles your auto and business insurance is not the person that you want handling your association insurance. Make sure you have an expert.
  2. An agent is in a competitive bid situation and believes the only item that the board is concerned about is price. You will find that he will get you the cheapest price by removing one or more of these items to gut the coverage he is selling you. Is that the price reducing strategy you really want? It’s no different than buying a stripped down version of a car versus the fully loaded version. The difference though is that the items that get left off the punch list can cost you dearly when you really need it.

This is why you need an expert in association insurance to review your policy and to bid your insurance.  You need one agent you trust not three that you don’t. By using an agency such as ours you will be able to obtain multiple bids using the same standard of coverage. It will also allow you to have an expert in this type of insurance make sure that these and other potentially costly oversights do not exist in your policy.  As experts in association insurance we will be happy to provide you with a full insurance review and a detailed report of the coverage you have and any potential gaps or excess coverage you may have. This is just part of the value added service that our association provides to boards and their property mangers to empower you with the information to make the best decision possible for your association.

If you wish to have your free risk review and evaluation please call 310-945-3000 and we will be happy to provide you with the professional guidance you deserve.