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The course, “Water Damage Exclusions,” is designed to enhance the knowledge, understanding, and/or professional competence of the student regarding insurance principles and coverages, relevant case law, and recent modifications in property insurance policies.

“Water Damage Exclusions” explores the fundamentals of coverage analysis for water damage losses sustained by first party property insurance policyholders. Specifically the exclusions addressed include, flood, surface water, waves, and water below the surface of the ground. The course begins with a discussion of the policy provisions and gives definitions of a variety of the policy terms. Examples of court decisions relevant to the terms used in the exclusion are discussed. This course illustrates and highlights the differences in the water damage exclusion in various editions of the Homeowners policy.

Common coverage scenarios are used throughout the course to illustrate under what circumstances the water damage exclusion might apply. Where relevant, court cases have been utilized to help clarify these issues. In addition to judicial guidance on standard language in water damage exclusions, the course also explores the outcome of scenarios involving nonstandard policy language. This will further the student’s ability to analyze coverage for water damage losses arising under a variety of circumstances ranging from weather related losses to accidental discharge from pipes to a myriad of other sources from which water originates.

This course teaches the student not only how to analyze the water damage exclusion itself, but also focuses on the importance of reading the exclusion in the context in which it appears in the open perils policy. The student will be exposed to the majority and minority judicial interpretations of the anti-concurrent causation preface to the water damage exclusion, as well as the natural source limitation to the exclusion. In addition, the student will be introduced to the new “human or animal forces” trailing language to the exclusion which may minimize or negate the application of the natural source limitation.

After completing the course, the student will understand what facts are important to courts in determining coverage, will be able to distinguish between scenarios that are typically covered and typically excluded, and will understand the analysis necessary to determine whether the water damage exclusion is applicable to a water loss.

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:
IL 2.0 485570
FL * ( Provider Number: 364169 ) 2.0 1163765
NC 2.0 C76096
TX (classroom equivalent) 1.0 100581
NH 2.0 482666
OK 2.0 1023549
WY 2.0 28037

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

Course Content

Lesson Content

1) Policy exclusions – water damage
a) Flood, Surface Water, Waves
b) Water Below the Surface of the
Ground
2) Reasons for Water Damage Exclusions
a) Loss Frequency
b) Loss Severity
3) Other Sources of Water Damage
a) Accidental discharges from
plumbing systems
b) Fire suppression efforts
c) Water escaping from hot water
heating systems
d) Weather conditions
i.
rain
ii.
Melting snow
iii.
Ice dam
4) Common Water Loss Scenario examined
a) Source of water: tub overflow
b) Relevant policy provision:
accidental discharge peril
5) Changes in policy language
a) 1991 edition of ISO HO 00 03
b) 2000 edition of ISO HO 00 03
6) Definition: Water Damage
a) Surface water
b) Flood
c) Water below the surface of the
ground
7) Introduction to components of exclusion
a) Anti-concurrent causation
preface
b) Text of Exclusion
c) Trailing language

Lesson Content

1) Components of the exclusion
a) flood
b) surface water
c) waves
d) tidal water
e) overflow of a body of water
f) spray from any of these,
whether or not driven by wind
2) Additional tools
a) definitions
b) judicial interpretations
c) loss scenarios
3) Differences in policy editions
a) 1991 edition of ISO HO 00
03
b) 2000 edition of ISO HO 00
03
4) Flood
a) definitions
b) sources of flood water
c) judicial interpretation
d) loss scenarios
i.
dam
ii.
storm surge
5) Surface Water
a) sources
b) natural source rule
introduced
c) trailing language to exclusion
introduced
d) loss scenarios
i.
water in a window well
ii.
water on a patio
iii.
water in a stairwell
6) Waves and Tidal Water
a) definition
b) judicial interpretation
c) tsunami
7) Overflow of a Body of Water
a) Legal concept: ejusdem
generis
b) Interpretation
8) Spray from any of these
a) definition
b) coverage interpretation

Lesson Content

1) Policy language
a) 1991 ISO HO 00 03
b) 2000 ISO HO 00 03
2) Broad preface to exclusion
a) 1991 ISO HO 00 03
b) 2000 ISO HO 00 03
3) Water-borne material policy revision
a) policy wording
b) interpretation
i.
clean water
ii.
black water
iii.
gray water
c) loss scenario
d) judicial interpretations
4) Trailing language addition
a) policy language
b) effect on natural source
limitation
5) Water Below the surface of the ground
a) definition
b) judicial interpretation
c) loss scenarios

Lesson Content

1) Exception: Water described in the mold exclusion
a) policy language
i.
limitation: hidden requirement
ii.
limitation: water covered requirement
b) loss scenario
2) Exception: Wear and Tear
a) policy language
i.
off-premises sources of water
ii.
on-premises sources of water
b) loss scenarios
3) Exception: Accidental Discharge Peril
a) policy language
i.
limitation: applies to contents only
ii.
section I exclusions apply
b) loss scenarios

Lesson Content

1) Anti-Concurrent Causation Preface
a) policy language
b) purpose of preface
c) enforcement
i.
majority view
ii.
minority view
d) proximate cause analysis
e) loss scenario
2) 2000 policy edition revision: Human or animal forces or any
act of nature
3) Natural Source Rule
a) policy language
b) court cases
i.
Hatley v. Truck Ins. Exchange
ii.
Cantanucci v. Reliance Ins. Co.
iii.
Buttelworth v. Westfield Ins. Co.
iv.
Kozlowski v. Penn Mut. Ins. Co.
v.
Gatti v. Hanover Ins. Co.
vi.
Josephson v. American Family Ins. Co.
c) loss scenario

Submit within 5 days to get CE Credit or Certificate of Completion.