Insurance

   / Insurance #41  
Killer B I went back and looked at your profile. I deal with about ten contract cases a week that are sent to arbitration. This thread is exactly what I find happens in almost all legal arguements. No matter how clearly the language is written there is invariably someone that will look at the same words and get a different opinion of it. You read the language one way and if I am understanding your point of view you read it another. I will gladly admit your experience in this issue. I think that you have probably had occasions where you look at a claim one way and a different adjuster sees it a different way. I know in the past I have been in a situation where I had a claim on my motorcycle from where it was stolen. I moved before I had a chance to finish processing the claim. When i got to the new location the adjuster there interpreted things different and paid a lot more on the claim than the original adjuster. The words may not be esoteric but I am sure that you know that context is everything. My opinion and I will be happy to admit it could be wrong is that you seem to be taking the one sentence out of context. You are using it as a stand alone definition of the whole clause. On a fairly regular basis I hear arbitrators talking about people doing that when they rule. I am going to have an attorney that deals with insurance claims on a daily basis look at this thread and see how they intrepet that clause.
 
   / Insurance #42  
gemini5362 said:
I am going to have an attorney that deals with insurance claims on a daily basis look at this thread and see how they intrepet that clause.

Can't wait to hear his take on it. If he differs with me, I may have to look up some old insureds and ask for my money back :).

KB
 
   / Insurance #43  
Killer_B said:
Can't wait to hear his take on it. If he differs with me, I may have to look up some old insureds and ask for my money back :).

KB
Yeah actually I was thinking about this and I am not sure why I am differing with you. An adjuster that is saying they should pay should be left alone and encouraged to go ahead with buisness :)
 
   / Insurance #44  
CurlyDave said:


I challenged him on this not more than 2 months ago, and he assured me that if I was helping a neighbor, hit a gas line with the backhoe and burned down his house, I would be covered under the liability provisions.

QUOTE]

Dave,

That would be a great statement to have in writing. Everyone I talk to are very clear that "Liability" is not covered. You may have a great policy though.
 
   / Insurance #45  
That would be a great statement to have in writing. Everyone I talk to are very clear that "Liability" is not covered. You may have a great policy though.

I asked him about getting that in writing, and he quite reasonably said that I already had a written policy and that he would get his donkey in a crack for modifying that in a letter.

I looked at the policy and I think I am OK, although I have to admit that there is room for confusion there.

We live in a very rural location, and I am not really very worried about it. The agent will stand behind me because a lot of his business is built on personal relationships. If he doesn't about 2/3 of the town would know about it in the first 24 hours.

The only neighbors I would ever help are good friends. The risk of anything going wrong in the first place is low, and the risk of them suing is even lower.

I an not inclined to turn in claims for anything under about $10k anyway, because I know they will get it all back in the form of a rate increase over the next few years.

Actually, the more realistic question is one he didn't have an answer for. We have a private road, where ownership is shared by 4 properties. Now, if my tractor is on that road, is it on my property or not?

My homeowners policy definitely covers theft from my property, I am willing to be uninsured against theft if I leave the tractor overnight on my neighbor's property, but what if I leave it in the road right-of-way (a lot wider than the actual asphalt) overnight?

Dave
 
   / Insurance #46  
My homeowners policy definitely covers theft from my property, I am willing to be uninsured against theft if I leave the tractor overnight on my neighbor's property, but what if I leave it in the road right-of-way (a lot wider than the actual asphalt) overnight?

Dave[/QUOTE]

That just one more reason NOT to walk home at night!:) :) -ED
 
   / Insurance #47  
Keep in mind that if you have a claim, (more than a few bucks), the agent has NOTHING to do with it, other than submitting it. This is for a reason, he would give away the store to keep a good client. Your claim goes to an adjuster who does not know you from Adam. And unless you agent is having adult relations with them, and he has no influence on them what so ever. The adjuster has to answer to his boss NOT your agent. If you can prove your agent said your covered and you find out your not, they do have insurance that will pay for his mistake. If you can't prove he told you that you were covered all you will get is a letter saying there sorry.
After 30 years of dealing with insurance bureaucracy everyday, I can tell you they are always trying to get out of paying when they can.
 
   / Insurance #48  
Red55 said:
I would be more concerned about a little old lady slipping and falling. -Ed

Little old Lady slip and fall happened to me last November and my Insurance paid out $5000.

My city has curbside recycling and for years this woman would poach soda cans and bottles from the neighborhood bins. My property has a Redwood tree that is protected by City Ordinance and a root lifted a section of the sidewalk three quarter of an inch... the sidewalk is stamped 1923.

The woman carrying her purloined recyclables trips and the side of her face is Black and Blue. The City passed an Ordinance making Home Owners responsible for the city sidewalk adjoining their property and my Insurance Company says it is worth 5K to make her go away???

The irony is the City Sidewalk Inspector couldn't even find the section of sidewalk in question because my sidewalk is in better shape than all the others in the Neighborhood... INCLUDING THE SIDEWALK IN FRONT OF THE WOMAN'S HOME WHO GOT THE 5K!!!
 
   / Insurance #49  
ultrarunner said:
Little old Lady slip and fall happened to me last November and my Insurance paid out $5000.

My city has curbside recycling and for years this woman would poach soda cans and bottles from the neighborhood bins. My property has a Redwood tree that is protected by City Ordinance and a root lifted a section of the sidewalk three quarter of an inch... the sidewalk is stamped 1923.

The woman carrying her purloined recyclables trips and the side of her face is Black and Blue. The City passed an Ordinance making Home Owners responsible for the city sidewalk adjoining their property and my Insurance Company says it is worth 5K to make her go away???

The irony is the City Sidewalk Inspector couldn't even find the section of sidewalk in question because my sidewalk is in better shape than all the others in the Neighborhood... INCLUDING THE SIDEWALK IN FRONT OF THE WOMAN'S HOME WHO GOT THE 5K!!!

==========================

This is a typical example of one of the biggest frauds that we just seem to accept in this country. When are these crooks going to take responsibility for their own clumsy actions. If they are truly the victims,why does the architect attorney get 33% of the booty.

It no longer counts when it comes to saying whose actually at fault here. What seems to count is who gets hurt and who has the money. That is just plain wrong.

That stuff never really got written into the constitution. The lawyers adjudicated it that way.

I will always be committed to any kind of action that can be taken to control abusive lawsuits and the tremendous waste that takes place everytime a trial attorney takes his 33% outrageous cut off the top of a skewed lawsuit .

Shame!

rim
 
   / Insurance #50  
ray66v said:
After 30 years of dealing with insurance bureaucracy everyday, I can tell you they are always trying to get out of paying when they can.

But Ultrarunner says they pay exorbitant amounts on even questionable claims. You can't both be right.

KB
 

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