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Property Insurance Fundamentals

18 questions

1. Which statement BEST describes how an open peril (special form) policy treats the burden of proof for a covered loss?

a.The insured must prove the loss was caused by a peril listed in the policy
b.The insurer must prove that an exclusion applies in order to deny coverage
c.Neither party has any burden because all losses are presumed covered
d.The burden of proof is shared 50/50 between the insured and insurer

Open peril (special form) policies cover ALL causes of loss EXCEPT those specifically excluded. The burden therefore shifts to the insurer to identify and prove an applicable exclusion. Named peril policies, by contrast, put the burden on the insured to show the loss came from a listed peril.

ISO HO-3 form structure

2. Under the HO-3 Special Form, how is Coverage C (personal property) typically written?

a.Open peril, same as the dwelling under Coverage A
b.On a guaranteed replacement cost basis with no exclusions
c.On a named peril basis using the broad form peril list
d.Subject only to the comprehensive earthquake schedule

The HO-3 is the most common homeowners form in California precisely because it gives BROAD open-peril coverage on the dwelling (Coverage A) and other structures (B), while still using NAMED PERIL coverage on personal property (Coverage C). To extend open-peril coverage to personal property, the insured can upgrade to the HO-5 Comprehensive Form.

ISO HO-3

3. All of the following are classic 'basic form' perils EXCEPT:

a.Earthquake
b.Fire and lightning
c.Windstorm and hail
d.Smoke

The basic peril list (FELLW + extended) includes fire, explosion, lightning, wind/hail, smoke, vehicles, aircraft, vandalism, riot, sinkhole collapse, and volcanic action. EARTHQUAKE is excluded under all standard homeowners and dwelling forms; California requires insurers to OFFER earthquake coverage separately (CEA or stand-alone) under §10081/§10089.

ISO DP-1 / HO basic peril list

4. Which peril is added by the BROAD FORM but is NOT part of the basic form perils?

a.Lightning
b.Fire
c.Vandalism
d.Weight of ice, snow, or sleet

Weight of ice, snow, or sleet is a classic broad form addition, along with falling objects, accidental discharge of water/steam, freezing of plumbing, sudden electrical damage, and sudden rupture of a heating system. Lightning, fire, and vandalism are all basic form perils.

ISO HO-2 / DP-2 broad form perils

5. A California homeowner asks whether his standard HO-3 policy covers damage caused by an earthquake. The CORRECT answer is:

a.Yes, earthquake is a basic peril always included in the HO-3
b.No, earthquake is excluded; insurers must OFFER earthquake coverage separately (via the CEA or a stand-alone policy)
c.Yes, but only if the policy was issued before 1994
d.No, and earthquake coverage is not legally available in California

Earth movement, including earthquake, is excluded under standard HO-3 forms. California Insurance Code §10081 and §10089 require admitted residential insurers to OFFER earthquake coverage, typically through the California Earthquake Authority (CEA) or as a separate stand-alone policy.

Cal. Ins. Code §10081, §10089

6. A homeowner's basement is destroyed when a nearby river overflows after several days of rain. The HO-3 policy will:

a.Pay the loss in full under the wind/hail peril
b.Pay 50% under the basic form because rain is a covered cause
c.Deny the loss; flood and surface water are excluded — separate NFIP or private flood coverage is needed
d.Pay only the deductible amount as a goodwill gesture

Flood, surface water, waves, tidal water, and overflow of any body of water are EXCLUDED under every standard HO and DP form. Flood coverage in California must be purchased separately, usually through the National Flood Insurance Program (NFIP) or a private flood carrier. Wind/hail does not apply because the loss came from rising water, not wind.

Standard HO/DP exclusion

7. Personal property such as jewelry, firearms, silverware, and currency is typically subject to:

a.Special internal limits that may be raised by scheduling on a personal articles floater
b.Unlimited replacement cost coverage without any underwriting questions
c.A blanket exclusion that cannot be added back by endorsement
d.Coverage only at the named insured's primary residence and never away from premises

The HO and DP forms include SPECIAL LIMITS for theft of jewelry, firearms, silverware, currency, securities, and similar 'high-target' items. To insure for full value the insured should SCHEDULE the items on a personal articles floater (PAF) or inland marine endorsement, which lists each item with an appraised value.

ISO HO-3 special limits

8. An 18-year-old composition-shingle roof with a replacement cost of $24,000 is destroyed by hail. Depreciation is calculated at $14,000. If the policy settles this partial loss on an ACTUAL CASH VALUE basis (no replacement-cost endorsement), the insurer will pay (before deductible):

a.$24,000
b.$10,000
c.$14,000
d.$0, because shingles are excluded

Actual Cash Value (ACV) under California Insurance Code §2051 is Replacement Cost minus Depreciation: $24,000 - $14,000 = $10,000. The remaining depreciation is the insured's responsibility unless a replacement-cost endorsement is in force and the repair is actually completed.

Cal. Ins. Code §2051

9. Which statement BEST distinguishes replacement cost from actual cash value?

a.Replacement cost includes a deduction for sales tax; ACV does not
b.Replacement cost is always limited to 80% of the policy limit
c.Replacement cost pays to repair or replace with like kind and quality without deduction for depreciation; ACV deducts depreciation
d.Both methods are identical in California after the 2018 wildfires

Replacement cost pays the current cost to repair or replace with like kind and quality, with NO depreciation deducted. ACV subtracts depreciation from that amount. The difference is what makes RC valuable for older homes and roofs.

Industry standard valuation

10. Under most California homeowners policies that provide replacement-cost settlement on the dwelling, the insurer typically pays:

a.The full replacement cost up front before any repairs begin
b.Only the deductible amount until repairs are 100% complete
c.Nothing until the insured has built an entirely new home from scratch
d.ACV first (with depreciation held back) and the remaining depreciation when repairs are actually completed within the time allowed by the policy

Replacement cost is conditional on actually repairing or rebuilding. The insurer pays ACV up front and HOLDS BACK the depreciation portion (the 'recoverable depreciation') until the insured submits proof that the work was completed within the time limit, typically 12-24 months in California (extended to up to 36 months for declared disasters under §2051.5).

Cal. Ins. Code §2051.5; standard policy condition

11. A dwelling with a replacement cost of $500,000 is insured for $300,000 under a policy with an 80% coinsurance clause. A partial loss of $40,000 occurs (ignore the deductible). How much will the insurer pay?

a.$30,000
b.$24,000
c.$32,000
d.$40,000

80% of the $500,000 RC = $400,000 required. The insured carries $300,000, so the coinsurance fraction is 300/400 = 75%. Payment = 75% × $40,000 = $30,000. The insured absorbs $10,000 as the coinsurance penalty. Coinsurance applies only to PARTIAL losses; a total loss would be paid up to the $300,000 limit.

Standard property coinsurance condition

12. Coinsurance penalties under a homeowners policy apply to:

a.Total losses only
b.Partial losses only
c.Both partial and total losses equally
d.Only losses caused by fire

Coinsurance is a check on UNDER-insurance, not a cap on recovery. It applies only to PARTIAL losses. A total loss is paid up to the policy limit regardless of coinsurance, because there is no 'partial recovery' question — the insured has lost everything covered.

Industry standard coinsurance application

13. A homeowner deliberately sets fire to her insured house to collect insurance. The mortgagee on the policy is named under a STANDARD (Union) mortgagee clause. What is the most likely outcome?

a.Both insured and mortgagee are paid, because arson is a covered peril
b.Neither the insured nor the mortgagee is paid, because the policy is void
c.The mortgagee is paid up to the unpaid loan balance; the insured is denied for intentional loss, and the insurer is subrogated against the insured for any amount paid to the mortgagee
d.The mortgagee is denied because lenders are never paid for intentional acts of the borrower

Under a STANDARD mortgagee clause the mortgagee's rights are NOT defeated by the insured's acts or neglect. So the lender is paid up to its loan balance. The insured is denied for intentional loss, and the insurer is subrogated to the lender's note — the insurer can collect from the insured what it paid the lender. Under an OPEN mortgagee clause the lender would also be denied.

Standard mortgagee clause

14. Under the standard mortgagee clause typically used in California, how much advance written notice must the insurer give the mortgagee before cancelling the policy?

a.5 days
b.At least 10 days
c.30 days
d.60 days

The standard (Union) mortgagee clause requires the insurer to give the named mortgagee at least 10 DAYS' written notice before cancelling the policy for any reason. (Notice to the named insured for non-renewal or cancellation has its own, longer statutory periods under §678 et seq.)

Standard mortgagee clause; Cal. Ins. Code §678

15. Under the standard HO-3, if the dwelling has been vacant for more than how many consecutive days immediately before the loss, certain perils (including vandalism) may be excluded or reduced?

a.60 days
b.15 days
c.120 days
d.1 year

The standard vacancy provision in HO-3 (and DP-3) suspends or reduces coverage for vandalism, glass breakage, water damage, theft, and damage by ice/snow if the dwelling is VACANT for more than 60 CONSECUTIVE DAYS before the loss. Vandalism losses are commonly excluded entirely after the 60-day mark.

ISO HO-3 / DP-3 vacancy provision

16. An insured loses one chair from a matching set of six dining chairs. The pair-and-set clause means the insurer will pay:

a.The full replacement cost of all six chairs because the matching set is destroyed
b.Nothing, because the remaining five chairs are still functional
c.The same amount as a total loss of the dining room furniture
d.A fair proportion of the value of the entire set, reflecting the reduced value caused by the loss of one chair

The pair-and-set clause requires the insurer to pay a fair PROPORTION of the value of the entire set. It does not pay for the set as a total loss and it does not ignore the diminished value of the remaining pieces. The goal is to indemnify — restore the insured to the same financial position before the loss — without enriching.

Standard HO/DP loss settlement

17. After paying a total loss on an insured automobile, the insurer takes title to the wrecked vehicle and sells it to a salvage yard for $1,500. This is an exercise of the insurer's right of:

a.Subrogation against the insured
b.Coinsurance recovery
c.Salvage
d.Pro rata contribution

Salvage is the insurer's right, after paying for a total loss, to take possession of the damaged property and recover whatever value remains. It complements the principle of indemnity: the insured collects the loss but does not also keep the wrecked car and resell it for additional gain.

Standard policy condition; Cal. Ins. Code §2071

18. A homeowner's 30-year-old galvanized water supply line gradually rusts through and slowly leaks behind a wall for several months, eventually causing $18,000 in mold and drywall damage. The HO-3 will most likely:

a.Deny the claim because the loss arises from wear and tear, rust, and gradual deterioration — all excluded
b.Pay the full $18,000 under the open-peril dwelling coverage
c.Pay the loss because mold is automatically covered up to $50,000
d.Pay only the cost of the new pipe but not the water and mold damage

Wear and tear, rust, corrosion, gradual deterioration, and resulting mold are EXCLUDED under the standard HO-3. Property insurance covers SUDDEN AND ACCIDENTAL events, not slow consequences of aging or owner neglect. A SUDDEN burst of the same pipe would be a different question and may be covered.

Standard HO/DP exclusion