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  1. Contents in a temporary residence | Ask PIA

    Does the named insured need to obtain an HO-4 policy for a temporary residence for contents, while her home that was destroyed by fire is being repaired, or does her current HO-3 policy cover the contents in her temporary apartment?

    The 1991 edition ISO HO-3 policy states that there is a 10% limitation on “personal property usually located at an ‘insured’s residence, other than the ‘residence premises’.” The intent is to require the purchase of separate coverage for property in a secondary residence. In this case the phrase “usually located”...

  2. Paid Family Leave—what if benefits are never used? | Ask PIA

    What happens to the contribution if the employee never uses the Paid Family Leave benefits?

    Paid Family Leave operates like any other insurance. The employee (insured) pays into the pool of money the carrier will use to pay claims (PFL benefits). Therefore, even if the employee never uses PFL benefits, they still must pay their contribution to the carrier so that the carrier can pay...

  3. Cyber security regulation—submitting limited exemption | Ask PIA

    What are the steps to submit my New York cyber security limited exemption online? What if I need to amend an exemption or no longer qualify for the exemption?

    In order to submit your limited exemption, you must have a Department of Financial Services’ account through their secure portal. If you do not have an account, you will be prompted to Create an Account at the bottom of the screen. This account and portal will be used for...

  4. Claims inquiry should not be considered a claim | Ask PIA

    If an insured makes a claim inquiry on a policy, not filing a claim, but only asking a “what if” or hypothetical question, can the carrier take action on that policy?

    No. Chapter 235 of the Laws of 2001 enacted a prohibition against insurers categorizing an inquiry by the insured as a claim for the purpose of determining adverse claims experience. This includes an inquiry for information regarding the insured’s homeowners insurance policy or coverage for a particular loss under that...

  5. Termination of insurance | Ask PIA

    Can a health insurer cancel my contract without advance notice?

    Life and health contracts are not protected in the termination of contracts section of Connecticut Insurance Law (Section 38a-709). Termination would then be subject only to the provisions of your agreement with the company. It is important to note that state law requires an employer providing group health insurance...

  6. Certificate—how much information is enough under certificates of insurance | Ask PIA

    When issuing a certificate of insurance, how much information about the insured’s coverages do we need to list on the certificate? For example, their contract or lease requires a $1 million umbrella but the client carries a $5 million umbrella. Would it be misrepresentation if we only showed the $1...

    I know of no definitive answer to this question. Based on discussions within the industry, it appears that opinions are equally split between showing the actual limits and showing the requested limits.  The only objective criterion I can locate is the instructions ACORD...

  7. ACA employee tax notices | Ask PIA

    I have a client who has 75 employees. What type of tax information does my client have to provide to employees to comply with the requirements of the Affordable Care Act?

    Large employers (considered those with 50 or more employees) are required to report to the Internal Revenue Service information about the health-care coverage they have offered to full-time employees using the form found here. That same information must be included in a statement that is provided to employees....

  8. Disposal of client files | Ask PIA

    What would be the best way to dispose of client files when they contain private information such as Social Security numbers or federal I.D. numbers? Is recycling at the local center acceptable or is it best to shred?

    The Federal Trade Commission issued federal rules that require any person that maintains or otherwise possesses consumer information for a business purpose to properly dispose of such information by taking reasonable measures to protect against unauthorized access to or use of the information in connection with its disposal.* Examples of...

  9. Coverage C special limits | Ask PIA

    Coverage C—Personal Property in an ISO Homeowners Policy shows a special limit of liability of $2,000 for loss by theft of jewelry, watches, furs, etc. Does this mean for all other perils there is no limit?

    Yes, this sublimit will not apply with regard to other insured perils, but recovery cannot exceed the general Coverage C limit.

  10. Care, custody and control | Ask PIA

    I have a client who operates a garage where they service all different kinds of vehicles, from family cars to trucks, ATVs and even forklifts. If any of these are damaged while under my client’s care, custody and control, would there be coverage?

    Yes, as you have described the items. Garagekeepers legal liability is intended to afford coverage created by the bailment situation that results from the servicing, attending, repairing, parking or storing of a customer’s auto. Coverage extends for named comprehensive perils, (fire, lightning, explosion, burglary, theft, malicious mischief or vandalism) as...

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