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Getting
Covered: An Insurance Primer
By Stephen Marcus, Esq. |
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The rising cost of property and liability insurance
premiums and the shrinking scope of the coverage available have been sources
of continuing and increasing concern for apartment building owners and
community associations. The scramble to find the most cost-effective
coverage has highlighted a problem that has always existed, but was less
obvious in less tumultuous insurance markets — those responsible for
purchasing insurance often do not know:
 | What kind and how much insurance coverage they need; |
 | What their existing policies cover; and, equally
important |
 | What their policies do not include. |
As a result, many properties have serious coverage gaps that often do not
become obvious until after a disaster, when the insurer pays less than the
amount of the loss, or declines to pay anything at all.
How Much Is Enough?
When community association boards ask, as they often do, “How much coverage
is enough?” insurance agents I know invariably reply, “How much can you
afford?”
It may be possible to be too rich or too thin, but it is
very difficult to have too much insurance today, and very risky to have too
little. I haven’t conducted a scientific survey, but I am reasonably certain
that most community associations and apartment buildings are woefully
under-insured. The Fannie Mae requirement for condominiums (and thus the
industry standard) calls for $1 million in general liability coverage. But
the amount of coverage needed to make Fannie Mae’s underwriters comfortable
is not necessarily the coverage needed to protect a community association
(or an apartment building owner) from a potentially ruinous liability claim.
There was a time when $1 million sounded like a lot of coverage – but that
was long before $5 million and $10 million judgments had become almost
routine.
I
asked the apartment managers attending a recent Institute of Real Estate
Management seminar to indicate, with a show of hands, how much insurance
coverage they had. Out of 70 managers in the room, only 2 still had their
hands raised at $10 million. How would your real estate company or your
community association handle a $32 million judgment awarded to a tenant or a
unit owner claiming damages related to mold? What about an accident in which
your building superintendent accidentally ran over and killed a child in the
parking lot? A $1 million policy would not begin to cover the likely jury
award.
Given the financial risks, nothing is more important than
the insurance protection you have in place. But I don’t think there are more
than five people – including insurance agents – who have ever read their
insurance policy or who understand exactly what it covers. What you don’t
know about your policy can definitely hurt you. One recent example: A
condominium in Gloucester was destroyed completely by fire a few months ago.
When the association filed its claim, they discovered that because of a
measurement error, the policy understated the size of the development by
10,000 sq. ft. As a result, the coverage was less than required to rebuild
the community.
Guaranteed Replacement
In this case, the association will probably be able to sue
the insurance agent, or the insurance carrier responsible for the error. But
in the meantime, the owners are facing a $50,000 to $70,000 per unit special
assessment to cover the insurance shortfall. They could have avoided this
problem had they insisted on guaranteed replacement cost coverage, which
would have paid whatever was needed to rebuild the development. This
coverage is available and affordable, but it isn’t offered by all carriers.
So associations have to know enough to request the coverage, and they must
make sure the agent they are using represents a company that provides it. If
you don’t have guaranteed replacement coverage, you should have your
property appraised annually to make sure your coverage is adequate (building
standards change and costs increase over time). Also be sure you add
coverage for any additions you have built or improvements you have made
since the existing policy was issued.
Having enough coverage is critical, but allocating it
properly is equally important. A stick-built suburban town house condominium
paid $11,000 annually for a policy that provided 100 percent replacement
coverage for earthquake damage. That was probably overkill, given the
relatively low risk that a quake would completely destroy a complex of this
type.
On
the other hand, this community had a $55,000 per building deductible for
wind damage – an extremely high risk for these buildings, which were located
on a hill. Having the right amount of coverage overall won’t help if your
policy leaves you exposed in the areas where you most need protection.
These are the kinds of issues community associations and apartment owners
should consider, but often don’t. Most treat insurance like a commodity and
shop for it based almost entirely on price, without considering the nuances
that may make one policy, even if somewhat more expensive, a more
cost-effective choice than another.
Shopping for Insurance
The best way to shop for an insurance policy is to issue a
request for proposals and then have an insurance advisor evaluate the bids
you receive, explaining the similarities and the differences, and comparing
the costs and coverage different companies are offering. Few apartment
owners and fewer community associations actually use this approach, however.
In that IREM conference I mentioned earlier, only 2 of the 70 managers said
they relied on insurance advisors; most weren’t even aware that they
existed.
If you aren’t working with an advisor, you should deal
with an insurance agent who specializes in the coverage you need.
This
is particularly important for community associations, because condominium
insurance is complicated and unique; your brother-in-law or a friend of a
friend who happens to be an insurance agent is not likely to be the best
choice. You want an agent who can analyze the association’s coverage and
make sure it dovetails properly with the unit owners’ policies. Otherwise,
the association and individual owners could end up paying too much for
coverage, or discover after-the-fact that no one had the coverage they
needed.
Problem Areas
Having the coverage you need in the areas in which you
need it is the biggest challenge. The areas most often overlooked or
structured improperly include:
 |
Deductibles
and shifting loss. Although some associations have moved to higher
deductibles, all associations should consider increasing their traditional
$1,000 deductible to $2,500, $5,000 or $10,000 to reduce premiums.
Together with higher deductibles, associations should review their
documents and consider adopting a resolution or amendment requiring unit
owners suffering damage covered by the condominium master policy to pay
the association’s deductible. Unit owners are typically able to cover most
of this risk through their own home owner policy. A few forward thinking
associations are now requiring owners to carry a home owners’ policy and
to produce evidence of this coverage. |
 | Agreed amount endorsement. This coverage
eliminates the penalty that would apply if it turns out that your
community or your building is under-insured. If you have only $10 million
in coverage on a building that should be insured for $20 million, the
insurer would be required to pay only half of any claim — $50,000 on a
$100,000 loss. An agreed amount endorsement would ensure full coverage
despite that gap. This coverage is affordable and readily available, but
you have to request it. |
 | Non-hired auto coverage. Assume that a
board member conducting trust business accidentally kills someone in an
automobile accident. If his personal coverage isn’t adequate to cover the
claim, the victim’s family can sue the condominium trust for the balance.
For an additional $50 to $75 a year, a community association can obtain $1
million in coverage for this risk. Few community associations and
apartment owners have this protection; all of them need it. |
 | Workers’ compensation. This coverage is
necessary even for associations that do not have any employees. Consider
this not uncommon situation. A worker responds to an emergency in the
middle of the night. Focused on the pipe that is spewing water by the
gallons into the common area, no one bothers to obtain a certificate of
insurance verifying that the contractor who employs the worker has
insurance. The worker is injured and the contractor, in fact, provides no
coverage. The Industrial Accident Board in this case is likely to find
that the association is the employer and is obligated to pay the worker’s
medical expenses. |
 |
Directors’
and Officers’ liability coverage (D&O). These policies typically
will cover claims for fair housing discrimination, unfair employment
practices, and the like. You want a duty to defend policy, which will pay
your defense costs, versus simply an indemnity policy, which will pay if
you lose a suit, but won’t cover your litigation costs in the meantime.
Make sure your policy specifies that the coverage limit does not include
the defense costs; otherwise, legal expenses could eat up most of the
coverage you have, leaving little to pay any judgment levied against you.
|
 | Surplus lines. Pay careful attention to
policies written through excess and surplus lines. Insurers sometimes use
these lines, which are not subject to state regulations, to avoid risks
such as terrorism and mold, which some states require them to cover. Your
insurance advisor should be able to tell you whether these policies have
excluded any other risks. Monitoring the source of the insurance is
especially important when you are changing carriers, because you could end
up with dangerous coverage gaps of which you aren’t aware. |
If you are changing carriers and/or agents, ask the agent
to certify in writing what the new policy covers. You want this statement to
include an apples-to-apples comparison listing the coverage you had in the
old policy, the coverage you are getting in the new policy that you did not
have before, and the coverage you had previously that the new policy will
not provide.
 | Terrorism insurance. The insurance and
real estate industries, among others, were much relieved by the news that
Congressional negotiators have resolved the impasse blocking approval of
legislation creating a federal terrorism insurance “backstop” that will
pay a portion of any future terrorism-related insurance claims.
Final approval of that legislation, more likely now although not
completely assured, should make terrorism insurance both more available
and more affordable, both for new development projects unable to proceed
without the coverage, and for existing buildings in danger of defaulting
on mortgages that required coverage owners were either unable to obtain or
to afford. |
 | Mold coverage. To the chagrin of the real
estate industry and individual homeowners, insurance carriers have been
successful in limiting mold liability coverage and dramatically reducing
mold-related property damage coverage. While these exclusions are based on
some very real and legitimate insurance industry concerns, the real estate
community must carefully evaluate the new coverages to assess their risks. |
 | Earthquake insurance. Massachusetts is
not California, but it does sit on the
second worst fault line in the U.S. Damage risks are highest for
buildings constructed on fill in downtown Boston (a good-sized quake will
probably send them into the waters), but some level of coverage is
important for all multi-family structures. |
 | Fidelity insurance. Community
associations are generally aware that they need this insurance against
thefts by board members or staff members (the condominium statute requires
it), but most don’t have enough coverage and the policies aren’t always
structured properly.
The
insurance should be issued in the association’s name with the property
manager obligated under the association’s policy. That will cover a theft
by the management company principals as well as by the property manager.
The property manager will have coverage through the management company,
but that policy typically will cover the property manager only – not a
good idea, considering that the largest community association theft on
record in Massachusetts, although it occurred many, years was perpetrated
by the management company’s owners. Needless to say, that management
company hasn’t been in business for years, but the risk of thefts by board
members as well as staff is real, and associations need adequate
protection from those potential losses.
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