Fiche de révision : Casualty and Liability Insurance Fundamentals

Casualty and Liability Insurance Policies - Revision Sheet

1. 📌 Essentials

  • Casualty & liability insurance cover legal liabilities for damages or injuries caused to third parties.
  • Auto liability pays for bodily injury and property damage, with limits split or combined.
  • UM/UIM cover injuries from uninsured/underinsured drivers.
  • Commercial auto excludes truckers; covers autos.
  • Garage coverage insures auto dealers/repair shops, including garagekeepers.
  • CGL covers bodily injury, property damage, and personal injury.
  • BOP combines property and liability, not monoline.
  • Workers compensation provides no-fault coverage for work-related injuries.
  • Crime policies can be discovery or loss-sustained forms.
  • ** liability** protects against errors, malpractice, D&O, cyber.
  • Umbrella/excess policies extend limits, with underlying policy requirements.
  • Bonds guarantee performance (surety) or honesty (fidelity).

2. 🧩 Key Structures & Components

  • Auto Policy Parts:
    • A: Liability
    • B: Medical Payments
    • C: UM/UIM
    • D: Damage to Auto
    • E: Duties after Accident
    • F: Provisions
  • Auto Types:
    • Owned, Nonowned, Hired, Temporary substitute.
  • Commercial Auto Sections:
    • I: Covered autos
    • II: Liability
    • III: Physical Damage
  • Garage Coverage:
    • Operations, Garagekeepers, Physical Damage.
  • Liability Coverages:
    • CGL: Bodily injury, property damage, personal injury.
    • BOP: Similar, with property coverage.
  • Workers Compensation:
    • Employer’s liability, medical, wage replacement.
  • Crime Policies:
    • Discovery: during policy period.
    • Loss-sustained: within policy or extended period.
  • Professional Liability:
    • Errors & Omissions, Malpractice, D&O, Cyber.
  • Umbrella/Excess:
    • Standalone or follow-form, higher limits.
  • Bonds:
    • Surety (performance), Fidelity (employee honesty).

3. 🔬 Functions, Mechanisms & Relationships

  • Auto liability defends and pays damages, limits split or combined.
  • UM/UIM fill gaps for uninsured/underinsured drivers.
  • Damage to auto covers collision and other-than-collision losses.
  • Duties after accident: notify, cooperate, protect property.
  • Commercial auto excludes trucking; covers business vehicles.
  • Garage coverage insures auto dealers, repair shops, with garagekeepers for customer autos.
  • Liability policies: protect insured from third-party claims.
  • Workers comp: no-fault, exclusive remedy, premiums based on classification.
  • Crime policies: trigger based on occurrence or loss date.
  • Professional liability: claims-made, covers errors, malpractice.
  • Umbrella/excess: provide higher limits, require underlying policies.
  • Bonds: guarantee performance or honesty, with penalty limits.
  • Coverage triggers: occurrence, claim, or loss date depending on policy.

4. 📊 Comparative Table

ItemKey FeaturesNotes / Differences
Auto LiabilityBodily injury, property damage, defense costsLimits: split or single
Medical PaymentsMedical/funeral expenses within 3 yearsFrom liability or UM/UIM
UM/UIMBodily injury from uninsured/underinsured driversUIM limit = UIM limit – BI limit
Damage to AutoCollision/other-than-collision lossTransportation expenses: 24/48 hrs
Duties After AccidentNotify, cooperate, protect propertyEssential for claim validity
Commercial AutoCovers business autos, excludes truckersSections I-V
Garage CoverageFor auto dealers/repair shops, garagekeepersDamage to customer autos
Workers CompensationInjuries/diseases from work, no-faultExclusive remedy
Crime (Discovery)Triggered during policy periodDiscovery form
Crime (Loss-sustained)Loss during or extended reporting periodLoss-sustained form
Professional LiabilityErrors, malpractice, D&O, cyberClaims-made basis
Umbrella/ExcessHigher limits, follow form or standaloneSIR applies, underlying policies needed
BondsPerformance (surety), honesty (fidelity)Penalty limits

5. 🗂️ Hierarchical Diagram

Casualty & Liability Insurance
 ├─ Auto Insurance
 │    ├─ Policy Parts (A-F)
 │    └─ Types of Auto
 ├─ Commercial Auto & Garage
 ├─ Individual & Drive Other Car
 ├─ Commercial General Liability
 ├─ Businessowners Policy
 ├─ Workers Compensation
 ├─ Crime Program
 ├─ Professional Liability
 ├─ Umbrella & Excess Liability
 └─ Bonds

6. ⚠️ High-Yield Pitfalls & Confusions

  • Confusing split limits (100K/100K/300K/$50K) with single limits.
  • Overlooking waiting periods: 24 hrs for collision, 48 hrs for other-than-collision.
  • Misunderstanding coverage triggers: occurrence vs. loss-sustained.
  • Assuming umbrella policies replace underlying coverage—must be maintained.
  • Mistaking fidelity bonds for performance bonds.
  • Ignoring exclusions: intentional injury, pollution, war, professional errors.
  • Forgetting SIR applies to umbrella and fidelity policies.
  • Confusing discovery and loss-sustained crime forms.
  • Overlooking underlying policy requirements for umbrella/excess.
  • Misinterpreting coverage limits: aggregate vs. per occurrence.

7. ✅ Final Exam Checklist

  • Know the parts of auto policies (A-F) and their coverage.
  • Understand limits: split vs. single, and how they apply.
  • Memorize waiting periods for damage expenses.
  • Distinguish between UM and UIM coverages.
  • Recognize types of auto: owned, nonowned, hired, temporary.
  • Know exclusions common to liability and property policies.
  • Be familiar with coverage triggers: occurrence, claim, loss.
  • Understand underlying policies required for umbrella/excess.
  • Know coverage scope of CGL and BOP.
  • Recognize workers comp's exclusive remedy and premium basis.
  • Differentiate discovery vs. loss-sustained crime policies.
  • Understand professional liability claims-made basis.
  • Know bond types: surety (performance) and fidelity (employee honesty).
  • Be aware of policy territory and termination rights.

End of Revision Sheet

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1. What is the primary purpose of the liability part (Part A) in an automobile insurance policy?

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Auto liability — coverage?

Bodily injury and property damage liability.

Casualty & liability insurance — coverage?

Legal liabilities for damages or injuries to third parties

UM/UIM — meaning?

Uninsured and underinsured motorist coverage.

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