Insurance 101 · Module 6

Reading Your Policy

Learn how to read and understand the key parts of an insurance policy.

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The Declarations Page

The Declarations Page (or "Dec Page") is the summary at the front of your policy. It's the first place to look for key information:

What you'll find:
- Named Insured - Your business name and address

- Policy Period - Start and end dates of coverage

- Coverage Limits - Maximum amounts the insurer will pay

- Deductibles - What you pay before insurance kicks in

- Premium - How much you're paying

- Policy Number - Your unique identifier

Pro tip: Keep your dec page handy. You'll need the policy number when filing claims or making changes.

The Insuring Agreement

The Insuring Agreement is the heart of your policy. It describes exactly what the insurance company promises to do.

Key elements:
- What's covered - The specific types of losses the policy pays for

- Who's covered - Which people or entities are protected

- When coverage applies - During the policy period, for claims made, etc.

- Where coverage applies - Geographic limitations

Types of coverage triggers:
- Occurrence-based - Covers incidents that happen during the policy period, even if claims come later

- Claims-made - Covers claims filed during the policy period, regardless of when the incident occurred

Understanding the insuring agreement helps you know exactly what protection you're buying.

Conditions

Policy Conditions are the rules you must follow to keep your coverage valid.

Common conditions:
- Premium payment - Pay on time or coverage may lapse

- Notice of loss - Report claims promptly (often within specific timeframes)

- Cooperation - Work with the insurer during investigations

- Duties after loss - Protect property from further damage, keep records

- Subrogation - Allow the insurer to recover costs from responsible parties

Why conditions matter: Failing to meet conditions can result in denied claims, even for otherwise covered losses.

Example: If you don't report a claim within 30 days as required, the insurer might deny it.

Exclusions

Exclusions list what the policy does NOT cover. This is crucial to understand.

Common exclusions:
- Intentional acts - Damage you cause on purpose

- Contractual liability - Promises you make in contracts beyond normal liability

- Professional services - GL policies exclude professional advice (need E&O)

- Pollution - Environmental contamination often needs separate coverage

- War and terrorism - Usually excluded or limited

- Wear and tear - Normal deterioration isn't covered

Reading exclusions carefully helps you identify gaps that might need additional coverage.

Tip: If an exclusion concerns you, ask your agent about endorsements that might add that coverage back.

Endorsements

Endorsements (also called riders) modify your base policy. They can add coverage, remove exclusions, or change limits.

Types of endorsements:
- Coverage extensions - Add protection for specific risks

- Limitation endorsements - Restrict coverage in some way

- Mandatory endorsements - Required by law in your state

Common endorsements:
- Additional insured endorsements (add others to your policy)

- Waiver of subrogation (prevent insurer from suing certain parties)

- Equipment breakdown coverage

- Hired and non-owned auto

Review endorsements carefully - they become part of your policy and can significantly change your coverage.

Key takeaways

The Declarations Page summarizes your coverage, limits, and premiums
The Insuring Agreement defines exactly what's covered
Conditions are rules you must follow to maintain coverage
Exclusions tell you what's NOT covered - read carefully
Endorsements modify your base policy - can add or limit coverage