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The “Coverage Evaluations Under the CGL Policy” course teaches insurance
professionals a five-step process for coverage analysis. The module is presented by Dan
Kohane J.D., Senior Member at Hurwitz Fine P.C., and Crystal Uebelher J.D. C.P.C.U.,
Divisional Assistant Vice President at Great American Insurance Group.

The course begins with an explanation of Kohane’s Coverage Evaluation Formula which
can be used as a step-by-step process for going through a coverage evaluation. After
discussing what can be found in Declaration Pages, the course proceeds to examine
“What’s In,” or what grants of coverage are provided in typical Commercial General
Liability policies. Next, the presenters examine “What’s Out,” i.e. the Coverage A
Exclusions. The course goes on to explore the impact of compliance with policy
conditions, then moves on to common coverage endorsements. Finally, the course
concludes with an examination of Coverage B and a discussion of Personal and
Advertising Injury.

After completing the course, the attendee will be able to analyze coverage under a
CGL policy using a step-by-step process; glean helpful information from declaration
pages; identify policies using the form number and edition date; answer what is covered
using who / what / where / when / why questions; analyze when a claim falls under
exclusions such as Contractual Liability and Workmanship & Recall; identify when policy
conditions such as Notice and Cooperation have been violated; examine exclusions such
as Ongoing Operations and Designated Professional Services; and enumerate what is
covered and not covered under Personal and Advertising Injury. The course is designed
for insurance professionals working in the area of property and casualty adjusting.

What CE Credit is available?

Note: To qualify for credit, you must submit completion (including a passed final exam if required) within five days of completing the last quiz. No partial credits will be awarded.

State:
Adjuster General
CE Hours:
Adjuster Ethics
CE Hours:
Attorney General
CLE Hours:
State's Course ID:
NH 2.0 General 6000126706
TX (classroom equivalent) 2.0 General 139884
NC 2.0 General 216845
FL * ( Provider Number: 364169 ) 2.0 Adjuster Optional 1201995
IL 2.0 608925
WY 2.0 General 34184
OK 2.0 General 6000128080

* This course has been approved by the Florida Department of Financial Services for insurance continuing education credit.

Course Content

Lesson Content
  1. Introduction & Roadmap
  2. State-Based Insurance System
  3. Kohane Coverage Formula
  4. Declaration Pages
  5. Recap
Lesson Content
  1. Forms Schedule
  2. Grant of Coverage
  3. Actual Coverage Language
  4. Who/What/Where/When/Why
  5. Defined Terms
  6. Recap
Lesson Content
  1. Two Categories of Exclusions
  2. Exclusions Based on Fortuity
    1. Fortuity Defined
    2. Expected Injury
    3. Contractual Liability
    4. Insured Contract Exception
    5. Workmanship and Recall
    6. War
  3. Exclusions for Coverage Available Elsewhere
    1. Pollution
    2. Workers’ Compensation and Employer’s
    3. Watercraft and Aircraft
    4. Liquor Liability
    5. Other Unique Risks
  4. Recap
Lesson Content
  1. Notice
  2. Cooperation
  3. Supplemental Payments
  4. No Voluntary Payments
  5. Recap
Lesson Content
  1. Cross Reference Forms
  2. State Amendatory Endorsements
  3. Additional Insureds
  4. Ongoing Operations
  5. Completed Operations
  6. Managers and Lessors
  7. Designated Carve-Outs
  8. Designated Professional Services
  9. Designated Products & Designated Work
  10. Conclusion
  11. Recap
Lesson Content
  1. Kohane Coverage Formula
  2. Grant of Coverage
  3. Personal and Advertising
  4. Defined Terms
  5. Fortuity Exclusions
  6. Coverage Available Elsewhere
  7. Compliance with Policy Conditions
  8. Rely on the Repeatable Process
  9. Conclusion
  10. Recap
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