Homeowners Forms
Coverage F - Medical Payments to Others
Coverage F of the policy will pay for the medical expenses (reasonable
charges for ambulance, surgical, dental, X-ray, hospital, nursing,
prosthetic devices and funeral services) incurred within three years
from the date of an accident resulting in bodily injury to a person on the
insured location with the permission of the insured, or a person off the
insured location if the injury is caused by an activity of the insured, or is
caused by a residence employee of the insured in the course of his or
her employment by the insured, or is caused by an animal owned by or
in the care of the insured.
NOTE: This section of the policy is outside the realm of liability. It will pay
for such expenses, regardless of whether or not the insured is legally liable
for the accident. It is akin to a Medical Expense Reimbursement policy
which is available to anyone who comes on the premises. Note that such
expenses must occur as a result of an accident. These expenses are
covered if they are incurred or ascertained within three years of the
accident.
Medical Payments to Residence Employees - This does not provide
coverage for bodily injury of a residence employee if it occurs off the
insured location and does not arise out of and in the course of the
employee's employment by the insured.
WHO IS INSURED
The policy covers not only the insured named in the policy but all
relatives who are residents of the household and any person under the
age of 21 who is in the care of any person aforementioned.
With regards to animals or watercrafts, the liability section of the policy
also covers any person legally having custody of these animals or
watercrafts which are owned by any insured under the policy.
However, no coverage is provided for any person or organization
having custody of these animals or watercraft in the course of any
business transaction or without the consent of the insured.
RESTRICTIONS ON CANCELLATION
NEW YORK
(a) If the premium is past due, the company can cancel the policy by
mailing a notice of cancellation at least 15 days' ahead of the cancellation
date, or
(b) if the policy has been in effect for fewer than 60 days and is not a
policy renewal with the same insurer, the company can cancel by giving
at least 30 days' notice, or
(c) if the policy has been effective for more than 60 days or it is a
renewal of an existing policy with the same company, it can only be
canceled for the following reasons by notice to the insured at least 30
days prior to the cancellation date:
(1) conviction of a crime resulting in the increase of the hazard insured
against, or
(2) discovery of fraud or material misrepresentation in applying for the
policy or the filing of a claim hereunder, or
(3) discovery of willful or reckless act or material omission increasing
the hazard insured against, or
(4) physical or fundamental changes in the insured property after
issuance or last annual anniversary of the date of the policy which
resulted in the property becoming uninsurable in accordance with
commonly accepted, objective, uniformly applied standards, in effect at
the time the policy was issued or last voluntarily renewed, or
(5) a decision by the Superintendent of Insurance that the continuance
of the policy would violate or would place the insurer in violation of the
New York Insurance Law.
Dwelling Forms
The Dwelling program is available to a wider group of dwellings than the
Homeowners program. The Dwelling policy is offered to most dwellings,
houses up to four families, even non-owner-occupied dwellings.
Also, Dwelling Policies may be issued to insure mobile or trailer homes,
subject to certain conditions, such as the mobile home must remain at the
site declared on the policy.
There are three forms in which the Dwelling policies are written, as will
be outlined below. All the forms, however, are structured as follows:
Coverage A-Dwellings
B-Other structures
C-Personal property
D-Fair rental value
E-Additional living expenses
Coverage E appears only in two of the three forms in this program.
The three forms, Basic, Broad, and Special, differ in the perils they cover
and they are similar to the coverage provided under the three forms of
the Commercial Property policy (discussed in Chapter 2). The program
analysis will mention differences among these dwelling forms and the
Homeowners forms.
BASIC FORM (DP 00 01)
The Basic Perils Form (Dwelling Form DP 00 01) covers fire, lightning and
internal explosion. The Basic Form can be endorsed to protect against
windstorm, hail, riot/civil commotion, aircraft, volcanic eruption, and
smoke. All of these perils are added as a package, which also serves to
broaden coverage for explosion.
Under another option, the DP1 can also be broadened to cover vandalism
and malicious mischief. (The vandalism and malicious mischief coverage
under DP is more restricted than those under the Homeowners forms.)
In the Dwelling policies, this coverage does not insure against damage to
glass (other than glass building blocks) constituting part of the building
and there is no coverage of pilferage, theft, burglary or larceny except
for any building damage caused by burglars.
BROAD FORM (DP 00 02)
Of the seven perils that the Broad Form adds to the Basic Form, the
perils listed below are the same as those afforded in Homeowner
policies:
Damage by Burglars - The Broad Form also covers damages to coveredproperty by burglary, not only damages to the building which is covered
under vandalism or malicious mischief. IMPORTANT NOTE: Unless
specifically endorsed, the policy does not cover property stolen or taken
by the burglars. Also, there is no coverage on the described location if
the property has been vacant for 30 days.
Water Damage - The policy does not provide coverage for losses due to
the accidental overflow of water or steam occurring off the premises-
even though it damages property on the premises.
SPECIAL FORM (DP 00 03)
The Special Form covers property that qualifies
under Coverage A and Coverage B on an open-
peril basis, subject only to specific exclusions as
stated in the policy.
The Special Form Dwelling policy is similar to the
Homeowners 3.
Theft – DP 3 provides coverage on personal
property against loss by theft for buildings and
structures only. Under the Dwelling form, coverage
for personal property can be added by
endorsement. Similar to DP 2, Broad Form, DP3
excludes coverage for damage due to theft or
attempted theft to buildings that have been left
vacant for more than 30 (consecutive) days.
Water Damage - The Broad Form specifically
excludes water damage to property on the insured
premises, when the overflow occurs off the
premises. The Special Form covers damage to the
insured property, even under these circumstances,
but only if the damage is to the building.
Damage to Antennas, Aerials - The Dwelling form
excludes damage to antennas and aerials by snow,
wind, hail, ice, or sleet, perils that are covered for
damages under the Homeowners Special Form.
The Dwelling policy also excludes coverage for
damages from these perils to trees, shrubs and
plants.
Theft Coverage - Coverage against theft may be
endorsed to be included in any of the Dwelling
policy forms (Basic, Broad or Special). This
coverage is available under a limited or broad
basis. On-premises and off-premises coverages
are available, but there are specific rules governing
the availability of off-premises coverage.
To be eligible for the Broad Theft endorsement, the
residence must be insured-occupied. Similarly, if
the insured premises is an apartment unit, it must be
occupied by the insured. Off-premises coverage is
only available with the purchase of on-premises
coverage, and the amount of off-premises
coverage may not be more than the on-premises
coverage.
Both the limited basis and broad basis theft
endorsements cover against theft, attempted theft,
and vandalism and malicious mischief damage
resulting from theft. With both limited and broad
basis, coverage applies to properties located at a
bank, public warehouse or at any occupied
dwelling that is not owned or occupied by, or
rented to an insured if the property is there for
safekeeping.
Off-Premises Theft Coverage - Off-premises theft
coverage is available only with Broad Theft
coverage. Under this coverage, personal
properties away from the premises are insured.
Limits on Classes of Property - Both the Limited and
the Broad Theft endorsements apply limits to
different types of properties;
$1,000 on watercraft and their furnishings,
including trailers;
$1,000 on trailers not used with watercraft;
$2,000 on firearms;
In addition, the Broad Theft endorsement contains
the following special limits on certain classes of
property;
PROPERTY NOT COVERED
Under both the Limited and Broad Form Theft
endorsements, the following types of property are
excluded:
Limited Theft Endorsements Exclusions - The policy
excludes losses caused by a tenant, boarder,
members of the tenant's household or their
employees and the following classes of property:
money, bullion, gold besides goldware, platinum,
silver other than silverware, coins, medals,
securities, accounts, deeds, evidences of debt,
letters of credit, notes other than bank notes,
stamps, manuscripts, passports, personal records,
tickets, jewelry, watches, furs, precious and semi-
precious stones.
PERSONAL LIABILITY SUPPLEMENT
The Dwelling program's property coverage section
may be purchased by itself, or with a personal
liability supplement. The supplement provides
liability insurance similar to that of the Homeowner
forms.
Coverage F - Medical Payments to Others
Coverage F of the policy will pay for the medical expenses (reasonable
charges for ambulance, surgical, dental, X-ray, hospital, nursing,
prosthetic devices and funeral services) incurred within three years
from the date of an accident resulting in bodily injury to a person on the
insured location with the permission of the insured, or a person off the
insured location if the injury is caused by an activity of the insured, or is
caused by a residence employee of the insured in the course of his or
her employment by the insured, or is caused by an animal owned by or
in the care of the insured.
NOTE: This section of the policy is outside the realm of liability. It will pay
for such expenses, regardless of whether or not the insured is legally liable
for the accident. It is akin to a Medical Expense Reimbursement policy
which is available to anyone who comes on the premises. Note that such
expenses must occur as a result of an accident. These expenses are
covered if they are incurred or ascertained within three years of the
accident.
Medical Payments to Residence Employees - This does not provide
coverage for bodily injury of a residence employee if it occurs off the
insured location and does not arise out of and in the course of the
employee's employment by the insured.
WHO IS INSURED
The policy covers not only the insured named in the policy but all
relatives who are residents of the household and any person under the
age of 21 who is in the care of any person aforementioned.
With regards to animals or watercrafts, the liability section of the policy
also covers any person legally having custody of these animals or
watercrafts which are owned by any insured under the policy.
However, no coverage is provided for any person or organization
having custody of these animals or watercraft in the course of any
business transaction or without the consent of the insured.
RESTRICTIONS ON CANCELLATION
NEW YORK
(a) If the premium is past due, the company can cancel the policy by
mailing a notice of cancellation at least 15 days' ahead of the cancellation
date, or
(b) if the policy has been in effect for fewer than 60 days and is not a
policy renewal with the same insurer, the company can cancel by giving
at least 30 days' notice, or
(c) if the policy has been effective for more than 60 days or it is a
renewal of an existing policy with the same company, it can only be
canceled for the following reasons by notice to the insured at least 30
days prior to the cancellation date:
(1) conviction of a crime resulting in the increase of the hazard insured
against, or
(2) discovery of fraud or material misrepresentation in applying for the
policy or the filing of a claim hereunder, or
(3) discovery of willful or reckless act or material omission increasing
the hazard insured against, or
(4) physical or fundamental changes in the insured property after
issuance or last annual anniversary of the date of the policy which
resulted in the property becoming uninsurable in accordance with
commonly accepted, objective, uniformly applied standards, in effect at
the time the policy was issued or last voluntarily renewed, or
(5) a decision by the Superintendent of Insurance that the continuance
of the policy would violate or would place the insurer in violation of the
New York Insurance Law.
Dwelling Forms
The Dwelling program is available to a wider group of dwellings than the
Homeowners program. The Dwelling policy is offered to most dwellings,
houses up to four families, even non-owner-occupied dwellings.
Also, Dwelling Policies may be issued to insure mobile or trailer homes,
subject to certain conditions, such as the mobile home must remain at the
site declared on the policy.
There are three forms in which the Dwelling policies are written, as will
be outlined below. All the forms, however, are structured as follows:
Coverage A-Dwellings
B-Other structures
C-Personal property
D-Fair rental value
E-Additional living expenses
Coverage E appears only in two of the three forms in this program.
The three forms, Basic, Broad, and Special, differ in the perils they cover
and they are similar to the coverage provided under the three forms of
the Commercial Property policy (discussed in Chapter 2). The program
analysis will mention differences among these dwelling forms and the
Homeowners forms.
BASIC FORM (DP 00 01)
The Basic Perils Form (Dwelling Form DP 00 01) covers fire, lightning and
internal explosion. The Basic Form can be endorsed to protect against
windstorm, hail, riot/civil commotion, aircraft, volcanic eruption, and
smoke. All of these perils are added as a package, which also serves to
broaden coverage for explosion.
Under another option, the DP1 can also be broadened to cover vandalism
and malicious mischief. (The vandalism and malicious mischief coverage
under DP is more restricted than those under the Homeowners forms.)
In the Dwelling policies, this coverage does not insure against damage to
glass (other than glass building blocks) constituting part of the building
and there is no coverage of pilferage, theft, burglary or larceny except
for any building damage caused by burglars.
BROAD FORM (DP 00 02)
Of the seven perils that the Broad Form adds to the Basic Form, the
perils listed below are the same as those afforded in Homeowner
policies:
 | accidental discharge of water or steam; | |
| sudden and accidental tearing apart, cracking, burning or bulging; | |
| freezing; | |
| sudden and accidental damage from artificially generated | |
| electric currents; | ||
| weight of ice, snow or sleet. |
Damage by Burglars - The Broad Form also covers damages to covered
under vandalism or malicious mischief. IMPORTANT NOTE: Unless
specifically endorsed, the policy does not cover property stolen or taken
by the burglars. Also, there is no coverage on the described location if
the property has been vacant for 30 days.
Water Damage - The policy does not provide coverage for losses due to
the accidental overflow of water or steam occurring off the premises-
even though it damages property on the premises.
 |  |  |  |  |  |
MY Insurance Agency
The materials on this website are meant to
be informative in nature. Due to the ever
changing and varying state laws, and the fact
some insurers offer coverage in slightly
different forms from the Insurance Services
Office (ISO) standard forms, we cannot
guarantee the accuracy of the materials on
this page.
be informative in nature. Due to the ever
changing and varying state laws, and the fact
some insurers offer coverage in slightly
different forms from the Insurance Services
Office (ISO) standard forms, we cannot
guarantee the accuracy of the materials on
this page.
SPECIAL FORM (DP 00 03)
The Special Form covers property that qualifies
under Coverage A and Coverage B on an open-
peril basis, subject only to specific exclusions as
stated in the policy.
The Special Form Dwelling policy is similar to the
Homeowners 3.
Theft – DP 3 provides coverage on personal
property against loss by theft for buildings and
structures only. Under the Dwelling form, coverage
for personal property can be added by
endorsement. Similar to DP 2, Broad Form, DP3
excludes coverage for damage due to theft or
attempted theft to buildings that have been left
vacant for more than 30 (consecutive) days.
Water Damage - The Broad Form specifically
excludes water damage to property on the insured
premises, when the overflow occurs off the
premises. The Special Form covers damage to the
insured property, even under these circumstances,
but only if the damage is to the building.
Damage to Antennas, Aerials - The Dwelling form
excludes damage to antennas and aerials by snow,
wind, hail, ice, or sleet, perils that are covered for
damages under the Homeowners Special Form.
The Dwelling policy also excludes coverage for
damages from these perils to trees, shrubs and
plants.
Theft Coverage - Coverage against theft may be
endorsed to be included in any of the Dwelling
policy forms (Basic, Broad or Special). This
coverage is available under a limited or broad
basis. On-premises and off-premises coverages
are available, but there are specific rules governing
the availability of off-premises coverage.
To be eligible for the Broad Theft endorsement, the
residence must be insured-occupied. Similarly, if
the insured premises is an apartment unit, it must be
occupied by the insured. Off-premises coverage is
only available with the purchase of on-premises
coverage, and the amount of off-premises
coverage may not be more than the on-premises
coverage.
Both the limited basis and broad basis theft
endorsements cover against theft, attempted theft,
and vandalism and malicious mischief damage
resulting from theft. With both limited and broad
basis, coverage applies to properties located at a
bank, public warehouse or at any occupied
dwelling that is not owned or occupied by, or
rented to an insured if the property is there for
safekeeping.
Off-Premises Theft Coverage - Off-premises theft
coverage is available only with Broad Theft
coverage. Under this coverage, personal
properties away from the premises are insured.
Limits on Classes of Property - Both the Limited and
the Broad Theft endorsements apply limits to
different types of properties;
$1,000 on watercraft and their furnishings,
including trailers;
$1,000 on trailers not used with watercraft;
$2,000 on firearms;
In addition, the Broad Theft endorsement contains
the following special limits on certain classes of
property;
| $200 on money, bullion, gold other than | |
| goldware, platinum, silver other than silverware, medals and coins; | ||
| $1,000 on securities, accounts, deeds, | |
| stamps evidences of debt, letters of credit other than bank notes, manuscripts, passports, personal records, and tickets; | ||
| $1,000 on jewelry, watches, furs, precious | |
| and semi-precious stones; | ||
| $2,500 on silverware, silverplated ware, | |
| goldplated ware, goldware, and pewterware. |
PROPERTY NOT COVERED
Under both the Limited and Broad Form Theft
endorsements, the following types of property are
excluded:
| Aircraft and aircraft parts; | |
| Motor vehicles, vehicle equipment and | |
| accessories; | ||
| Property held for sale or delivery after sale | |
| or as trade samples; | ||
| Property used in business, a trade or | |
| profession; | ||
| Animals and pets, birds, fish; | |
| Credit and debit cards or fund transfer | |
| cards; | ||
| Properties separately declared, described | |
| and insured by other insurance policies. |
Limited Theft Endorsements Exclusions - The policy
excludes losses caused by a tenant, boarder,
members of the tenant's household or their
employees and the following classes of property:
money, bullion, gold besides goldware, platinum,
silver other than silverware, coins, medals,
securities, accounts, deeds, evidences of debt,
letters of credit, notes other than bank notes,
stamps, manuscripts, passports, personal records,
tickets, jewelry, watches, furs, precious and semi-
precious stones.
PERSONAL LIABILITY SUPPLEMENT
The Dwelling program's property coverage section
may be purchased by itself, or with a personal
liability supplement. The supplement provides
liability insurance similar to that of the Homeowner
forms.