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Q:
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Is
there coverage to help me pay for my horse’s medical and surgical
expenses? |
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A:
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Yes,
this option covers medical and surgical fees due to a covered
injury, illness and disease
during the policy term, including diagnostics and x-rays with
an aggregate amount
and a deductible. Please
see the Medical/Surgical section of insuring your horse
for more information.
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Q:
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What
is the difference between Actual Cash Value and Agreed Value? |
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A:
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Agreed
Value is the value determined by you and your insurer based
on purchase price,
training, breeding, show records and other applicable information.Usually
the insurer
will ask you to submit a Substantiation of Values form with
your application, to
verify the amount of insurance.
Actual
Cash Value is another term used in the determining of a horse’s
value. Here the
insurer determines the horse’s value at the time of death
and this can differ from the
amount on the insurance policy, more or less. The insurance
company will only settle
a claim on an ACV basis if an obvious reason warrants the
change in value.
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Q:
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Can
I increase or decrease the value of my horse later? |
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A:
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Yes,
you can increase the value with documentation such as show
records, at any
time during the policy period.
If you wish to decrease the value, you may also do
so.
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Q:
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What
is the Guaranteed Extension of Coverage? |
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A:
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This
coverage provides that in the event of a condition occurring
and reported during the
policy period, mortality coverage will automatically continue
for 12 months from
the expiration date of the policy for that specific
condition.
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Q:
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Does
my homeowner’s policy cover my private equine liability exposure? |
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A:
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Make
sure to check with your homeowner’s agent on this coverage.
Some companies
will cover your personal equine exposure, others do not or
limit coverage.
However, personal liability under your homeowner’s policy
never covers a commercial
exposure, such as teaching lessons, horses owned by a corporate
entity and
some companies exclude horses used on public roads. Please
see Private Horse Owners
Liability and Commercial General Liability for more on this.
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Q:
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Can
I get a temporary policy for a horse I am trying? |
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A:
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Equine
Mortality Policies must be written on an annual basis. However,
an insured may cancel that policy at any point and any unearned
premium will be returned to the insured. Please note, minimum
premiums and fully earned premiums, such as Major Medical
Surgical Coverage will not be returned.
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Q:
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What
is the difference between Full Loss of Use and External Loss
of Use? |
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A:
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Full
Loss of Use, including economic provides coverage in the event
you horse is permanently
unable to perform its insured intended use due to accident,
illness, injury
or disease, as long as these were not pre-existing
conditions. Full Loss of Use covers
internal and external conditions. These conditions
include but are not limited to:
EPM and other
protozoan, torn suspensory, and navicular.
External
Loss of Use, provides coverage in the event your horse is
permanently unable
to perform its insured intended use because of a visible
injury, such as a torn
suspensory or bone break.
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Q:
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Is
it true the company reserves the right to take the horse after
a loss of use claim is made?
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A:
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The
Company will pay up to 75% of the horse’s value and does reserve
the right to take
the animal. I n mares
it is also not uncommon for a company to deduct the
mare’s residual value as a broodmare from the claims
settlement.
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Q:
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Can
I get Loss of Use and Major Medical Surgical without purchasing
mortality? |
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A:
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The
Mortality Coverage is the actual policy and these other coverages
are just
endorsements added to that policy.
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Q:
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I
board and care for other’s horses, does this mean I need Care
Custody and Control
Coverage?
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A:
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Wade
& Egbert strongly advises anyone responsible for other’s
horse in a commercial capacity
to purchase Care Custody and Control Coverage.
Whether you board, breed
or train one of these horses could possibly be injured
in your care. If you are found
negligent this policy provides for the medical care
or replacement cost of the horse up to
your policy limits. Defense costs are also covered under this policy.
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Q:
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I
trailer boarder’s horses to various events and to the veterinarian,
will the CCC coverage
respond to injury or death in this situation?
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A:
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Yes,
your CCC policy will respond in this situation.
In addition, the CCC policy is
important because even if your client carries mortality
insurance on his or her horse,
their mortality carrier can subrogate against you and
your employees if you are
negligent. The CCC policy would pay for defense costs
and claims up to the policy
limit in this situation.
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Q:
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I
need coverage for my local equestrian organization, what sort
of coverage should I look
at?
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A:
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You
need a Clubs and Associations policy.
This coverage protects your group if
you are faced with a lawsuit by a third party.
Defense fees as well as claims for property damage and
or bodily injury are covered. |
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Q:
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What
if I only have one show/event or am not sure exactly how many
show/events I will
have this year?
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A:
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It
is possible to cover one event day and this will include the
day before and after the event
for set up and take down.
If you are unsure of the number of days tell your
insurer how many days you are sure of and they can
give you a quotation for those days
and decide on a per day rate for your exposure.
Then, if days need to be added,
simply call your insurer in advance and those days
can be added to your policy at the per
day charge.
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Q:
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What
sort of exposures does Commercial Equine Liability Cover? |
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A:
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The
CEL provides coverage if you are sued by a third party who
is injured or whose property
is damaged. This policy
covers defense fees and pays for claims within
the policy period for which you or one of your full
time employees is legally liable.
So aside from the general boarding, breeding and instruction
and training, this coverage
is also necessary for horse related events such as clinics
and shows.
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Q:
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I
have independent instructors teach at my boarding facility,
will my CEL cover them?
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A:
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Your CEL does not automatically cover independent instructors, he or she will need his or her own Commercial Equine Liability or for a feee you may add the instructor to your policy to cover the individual while working on your behalf.. Furthermore, insist they add you to their policy and provide you with a certificate of insurance.
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Q:
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What
is a double aggregate? |
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A:
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The
double aggregate doubles the amount of coverage during the
policy period but
does not double the coverage per each occurrence. Therefore,
if you have a
$500,000 occurrence limit with a double aggregate,
your policy could pay out $1,000,000
in claims during the policy period.
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Q:
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What
is Excess Coverage? |
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A:
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Excess
Policies have the same coverage terms as your underlying coverage
but Extend
your limits of coverage in $1,000,000 increments. Excess Policies
function like
Umbrella Policies, but unlike Umbrella Policies, Excess Policies
do not broaden
coverage.
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Q:
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Is
there any way to cover arena footing? |
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A:
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Yes,
your policy can be endorsed to cover this, as well as collapse
of an indoor
arena ceiling due to weight of ice and snow.
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Q:
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All
of my clients sign a release of liability waiver, why do I
still need liability coverage?
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A:
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It
is always a good idea to have your clients read and
sign a waiver, written specifically
for your facility by a lawyer who is familiar with equine
exposures and equine
laws specific to the state(s) where you are located. However, waivers do not protect
you from lawsuit because of gross negligence. A Commercial
Equine Liability
Policy provides you with coverage for defense costs and pays
claims for
which you are legally liable within the policy period.
Also, remember, you may be innocent
of accusations brought against you, but still have to pay
defense costs.
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Q:
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My
state is one of the 35 with an equine limited liability law. Won’t this protect me from
a lawsuit?
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A:
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No,
these laws were designed to limit and control liabilities
where personal injury
arises from equine related activities. There are exceptions
to these laws, which differ from
state to state and supercede liability limitations so that
someone can bring suit
against you. Familiarizing
yourself with these exceptions helps one to avoid the
liabilities they create.
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Q:
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At
what ages can I insure my horse? |
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A:
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Full Mortality Coverage: Horses
over 24 hours old through 20 years
Major Medical / Surgical: Horses over 151 days through
14 years old
Surgical Only: Horses over 24 hours old
Extended Named Perils: All horses of any age
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Q:
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Are
there any uses / disciplines which do not qualify for coverage?
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A:
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Race horses, horses in race training or horses
intended to race do not qualify for Major Medical / Surgical
or Surgical coverage. Your horse’s use and/or indented uses
must be stated on the mortality application. |
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Q:
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Is
my horse insured when we drive to another state? |
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A:
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Yes, your horse’s Full Mortality and Medical
coverage is not premises specific. Coverage is in force while
your horse is in the US and Canada. |
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Q:
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What
if I am buying a horse that is in another country? Will my horses
have coverage while they are abroad and in transit? |
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Full
Mortality coverage can be extended to other countries. Prior
notice with an additional premium charge must be paid before
coverage can be extended out side of the US and Canada. Quarantine
expenditures are not covered. |
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Q:
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Is
it necessary to have a Veterinary Certificate completed in order
to insure my horse? |
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A:
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Horses
valued less than $25,000 do not require a Veterinary Certificate
unless the horse has suffered a recent injury and or illness.
Horse valued $25,000 and higher need to have a Veterinary Certificate
completed within 30 days of coverage going into effect |
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Q:
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How
much can I insure my horse for? |
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A:
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You can insure your horse for
it’s fair market value or less. Fair market value is the dollar
amount you could get if you sold your horse. This value is determined
by purchase price, competition records and training. A Substantiation
of Value form is often required to establish fair market value. |
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Q:
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Should
I consider purchasing Major Medical / Surgical coverage? |
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A:
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Simply
put, yes! Major
Medical / Surgical covers all reasonable medical treatment by
a licensed Veterinarian necessitated by an accident injury or
illness. It also provides coverage for non-surgical diagnostics
up to the policy limit such as X-rays, ultrasounds, blood work,
bone scans, up to six months from the onset of the condition.
Under the terms of your mortality policy, you are required to
give proper care and attention to your horse. If your horse
develops a serious problem such as EPM, colic, or has a fracture
and the veterinarians believe your horse can be saved, you are
expected to provide for that care. Humane
destruction is covered under the mortality policy, but economic
destruction is not.
If you choose to put your horse down for financial reasons,
the mortality coverage would not apply. Major Medical/Surgical
coverage would help you with these veterinary expenses. Major
Medical / Surgical endorsement has a $7,500 Annual Aggregate
Limit regardless of your horse’s value. There is a $250 deductible per illness,
injury or incident. Horses from 151 days up to 15 years old
qualify. When comparing Medical coverage’s from
different companies, ask to see the wording to see exactly what
is covered and more importantly, what is not covered. |
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Q:
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What can I do when my horse
is too old to qualify for Major Medical / Surgical coverage? |
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A:
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You should consider Surgical Only coverage for
your horse. This option covers the cost of anesthesia / surgery
and provides up to 35% of the surgical treatment in aftercare.
Annual aggregate limit
of $5,000. |
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Q:
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Do
I need a Veterinary Certificate completed each year to renew
my policy? |
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A:
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A Veterinary Certificate is not necessary for most renewals.
This is normally true if your horse is sound, healthy, has not
had any reported incidents or medical claims during the policy
period, and is insured for less than $50,000. However, a statement
of condition will be required for all renewals signed by the
insured. |
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