Insurance · Claims and Loss Settlement

What is the purpose of a 'coinsurance clause' in a property insurance policy?

Correct answer

To encourage the insured to carry insurance equal to a specified percentage (often 80%) of the property's value; if underinsured below that level, claim payments are reduced by a penalty

  1. A To require two insurers
  2. B To encourage the insured to carry insurance equal to a specified percentage (often 80%) of the property's value; if underinsured below that level, claim payments are reduced by a penalty
  3. C To double the premium
  4. D To pay claims in full regardless of the amount carried

Why this is the answer

A coinsurance clause in property insurance requires the insured to carry coverage equal to a specified percentage — commonly 80% — of the property's replacement value. If the insured carries at least that percentage, partial losses are paid in full (up to the limit). If the insured is underinsured below the required percentage, a coinsurance penalty reduces the claim payment proportionally, using the formula: (amount carried ÷ amount required) × loss. This encourages insureds to insure to value rather than buying minimal coverage. Note this property coinsurance is different from health insurance coinsurance. Understanding the property coinsurance clause and its penalty is commonly tested claims content.
Source: NAIC Model Outline, Coinsurance Clause

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