One key to selling adequate ordinance or law coverage is explaining it clearly.
When agents discuss this coverage with their policyholders, policyholders want
to know why they need it and how much they should buy. Because those answers
are complicated, a lot less ordinance or law coverage is purchased than is
needed. At claim time, that can result in an errors and omissions (E&O)
claim against the agent.
I offer this short article as a handout agents can use to answer
clients' questions about this complicated coverage. I hope it will lead
some of your commercial policyholders to purchase the coverage they need and
also help you to avoid an E&O claim.
Start with an Illustration
Consider this real claim scenario. The insurance agent had insured an older
condominium complex in Florida with a top-rated insurer that automatically
included $250,000 of ordinance or law coverage in its policy. Unfortunately,
after the complex was hit by both Hurricanes Frances and Jeanne in 2004, the
association found that it had $7 million less ordinance or law coverage than it
needed.
Large uncovered claims like the one suffered by that Florida condominium
complex are devastating to insureds. The rule to remember is, "The
more zeroes in the uncovered claim, the more likely you are to feel E&O
pain." That was the case in this claim. Even though the agent won
the lawsuit, it would have been much better for all involved if adequate
coverage had been purchased.
What You Don't Know about Ordinance or Law Coverage Can Hurt
You!
Here's some good advice for building owners: even if your building is
insured for replacement cost, if you do not have ordinance or law coverage, you
probably do not have the protection you assume you have. A standard replacement
cost policy will pay to replace "new for old," but only if the
building codes (ordinances or laws) do not require a better "new"
than you had before.
William Bracken, CEO of Bracken Engineering, gives the following two common
examples.
-
If your building does not have hurricane shutters or hurricane windows,
and the new code requires them, your replacement cost policy will pay the
cost of replacing your original windows but will not pay the increased cost
for new hurricane windows or hurricane shutters.
-
If your commercial building's roof needs to be replaced but the old
roof did not meet the current energy code, the insurance company will pay
the cost of replacing the old roof. It will not pay the increased cost for
upgraded insulation or other expensive measures that may be needed to meet
the current code.
What a Standard Replacement Cost Policy Won't
Cover
When looking at the claim costs that can result from the enforcement of
ordinances or laws, the standard commercial replacement cost property policy
will not cover the following.
-
The value of the undamaged portion of a building when the code
requires it to be demolished
For example, a $10 million building is 50 percent destroyed, and the
local code requires that the undamaged remainder of the building be
demolished. The standard insurance policy will not pay for the
undamaged portion of the building that must be destroyed. To be insured for
that, the building owner needs to have purchased ordinance or law coverage
A. When it is purchased, it is usually automatically included for the full
limit of insurance that applies to the building. As this example shows,
even a brand new building needs ordinance or law coverage.
-
The cost to demolish the undamaged portion of the covered
building and to clear the site
In the above example, the standard replacement cost policy will pay to
clear away the debris from the original fire. It will not pay to
demolish the undamaged portion of the building and clear the site. To be
insured for that, the building owner needs to have purchased ordinance or
law coverage B. The insured must specify what amount of coverage B it wants
to purchase since the coverage is not written on a
"whatever-it-takes-to-do-the-job" basis.
-
The increased cost of construction due to the enforcement of
building ordinances or laws for (a) the undamaged portion, (b) the damaged
portion, and (c) items excluded from the standard policy
Here are three scenarios.
-
No coverage for bringing the undamaged portion up to
code
Let's assume that a $10 million building is 40 percent
destroyed. In this case, the local building code requires that the
undamaged 60 percent of the building also be brought up to code at a
cost of $600,000. The standard replacement cost policy would not pay
the $600,000. (It would also not pay the $400,000 to bring the damaged
portion of the building up to code, which is explained further in the
next scenario.)
-
No coverage for bringing the damaged portion up to
code
Let's assume that the above $10 million building burns to the
ground and that the portion of the replacement cost that is
attributable to bringing the building up to code is $1 million. The
standard replacement cost policy would pay only $9 million for the loss
and would leave the $1 million uncovered.
-
No coverage for foundations, etc.
If a building is destroyed, the local code will often prohibit the
reuse of the building foundations, etc. The standard replacement cost
policy excludes coverage on the cost of building foundations and
pilings, underground pipes, flues and drains, excavation, grading, and
filling. (It does this, presumably, because they are not damaged in
most losses.) That means that the $10 million "replacement
cost" of the building in the example does not include those items.
Let's assume that the cost of these items is $500,000. The standard
replacement cost would not cover that
$500,000.
To have coverage for the above items, the building owner needs to have
purchased ordinance or law coverage C for an amount sufficient to pay for the
increased cost to bring the damaged (and any undamaged) portion of the building
up to code, including the foundations, etc. In the above total loss scenario,
that would mean they needed to purchase $1.5 million of additional
insurance.
How Much Ordinance or Law Coverage To Buy?
Determining the amount of ordinance or law coverage that is needed is
generally outside of the expertise of both building owners and insurance
agents. Some building owners use a rule of thumb that demolition costs for
buildings will run at least $5 per square foot for bricks and mortar type
construction, and the average cost of bringing a building up to code will
usually be 0.5 percent to 1 percent for every year the building is old.
Now that we have all of the information above, let's apply it to an
example. The owner has a 30-year-old, 100,000 square foot masonry building with
a replacement cost of $10 million. How much ordinance or law coverage should he
carry?
-
Coverage A (value of the undamaged portion of the
building)—The full $10 million limit
-
Coverage B (cost to demolish the undamaged portion of the
building)—If the worst case scenario under the local code is that
a building that is 50 percent damaged must be destroyed, then 50,000 square
feet x $5 per square foot would require $250,000 of coverage B.
-
Coverage C (cost to bring both the damaged and undamaged portion
of the building and the foundation, etc., up to code)—15 percent
would require $1.5 million coverage C, while 30 percent would require $3
million.
So, the insured would need the full policy limit for coverage A and would
need from $1.75 million to $3.25 million for the combined coverages B and
C.
"Rules of Thumb" May Miss the Mark
A customized appraisal by an appraiser who is knowledgeable about local
building codes may be needed to make an accurate determination. The appraisal
will cost a little money, but it is an excellent investment.
One other reality of the insurance marketplace is that sometimes insurance
companies are not willing to sell all of the ordinance or law coverage that an
insured needs. Then it will be up to the insurance agent to find the company
that is willing to provide the most ordinance or law coverage at an affordable
cost.
Conclusion
This is an overview of coverage and does not deal with the many different
conditions and limitations that may apply. Whether you are an agent or
policyholder, you will want to read your policies and consult with experts to
understand how ordinance or law coverage applies to your own situation.
Hopefully, this will lead to the purchase of the right amount of law or
ordinance coverage … and will also help avoid an E&O claim.