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The following Advisory Opinion is to advise the
reader of the current position of the Kentucky Department of
Insurance ("the Department") on the specified issue. The Advisory
Opinion is not legally binding on either the department or the
reader.
Kentucky Department of
Insurance
Advisory Opinion 99-12
In re: Bulletin 98-2 Personal Lines
Property Insurance for Earthquake Damages
RELEVANT FACTS AND STATUTES: This
advisory opinion is being issued to supplement Bulletin 98-2
regarding Personal Lines Property Insurance for Earthquake Damages,
applicable to all personal risks as defined by KRS 304.13-011(4)
and pursuant to KRS 304.2-120, 304.12-010, 304.13-041(2),
304.13-051, 304.14-120, 304.14-130 (1) (a) and (b),
304.14-210 and all other applicable law.
The Department has received an
increasing number of requests for clarification of the intent of
Bulletin 98-2, particularly in regard to permissible deductibles and
provision of coverage.
THE DEPARTMENT’S POSITION: In drafting
Bulletin 98-2, the Department balanced the concern of policyholders
being required to accept unaffordable deductibles with the concern
that the occurrence of any significant earthquake could place a
personal lines carrier conducting business in this Commonwealth in a
hazardous financial condition.
The intent of Bulletin 98-2 was, and
is, to allow insurers to offer additional higher deductibles to
their applicants in the more earthquake prone locations in the
state. (The previous maximum permissible "base" deductible was 10%
statewide.) It is the Department's goal that a full array of
deductibles be available throughout the state with a commensurate
premium. The Department also wants to guard against the wholesale
rolling up of existing polices to higher deductibles.
KRS 304.13-011(4) defines "personal
risks" as "those covered by property or casualty insurance for
personal, family, or household needs." The Bulletin is applicable to
all personal lines property policies covering habitational
(residential) risks whether buildings or contents. The types of
policies include but are not necessarily limited to Homeowners,
Dwelling, Fire and Allied Lines, and
the personal residential dwellings covered by a Farmowners policy.
Earthquake coverage is not mandatory.
However earthquake coverage must be provided upon request by the
policyholder. Item 3 in the Bulletin notes that if an insured under
a Homeowners policy requests earthquake coverage, that coverage must
be provided regardless of the age or construction of the residential
dwelling.
Prior to the Bulletin some insurers
sought to reduce or avoid exposures associated with the New Madrid
Seismic Zone. In order to maintain the availability of coverage in
the Kentucky market, the Department increased the maximum
permissible "base" earthquake deductible and the state was
partitioned into three regions using information from the scientific
community.
It was and is the intent of the
Department that a company must offer a deductible no greater
than (or at least as low as) 20% in the Far West Region, 15% in the
Near West Region, and 10% in the Eastern Region. It was and is the
Department's goal that companies would continue to offer lower
deductibles as options. Additionally, the Department does allow
higher deductibles to be available, but only used when an insured
specifically requests a higher deductible for a commensurate premium
credit.
Prior approval is required (see
Bulletin item 6) should any company's financial position require it
to seek "base" deductibles higher than the base regional deductibles
provided above. If the writing of additional earthquake coverage may
place the insurer in a hazardous financial condition, any insurer
may submit a written request to the Commissioner for an exception.
Questions can be addressed to the Property and Casualty Division at
502-564-6046.
George Nichols III,
Commissioner
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Date
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