Commercial Insurance: Common Exclusions

Commercial insurance in Coppell, TX, provides the coverage necessary to protect your finances. Most business owners obtain liability, auto, workers’ compensation, and property coverage. However, there are a few common exclusions to be aware of regarding commercial policies.

Employee Damage

Most policies explicitly exclude damage caused by employees, including theft or property damage. In such cases, you may need to contact local law enforcement, press charges, and file a lawsuit. Some companies may cover employee-related damages up to a certain amount, so it’s important to consult with a company like The Select Insurance Agency to understand policy exclusions.

Natural Disasters

Many natural disasters are excluded from commercial property policies. For example, tornadoes, floods, and hurricanes may not be covered under standard policies. Property owners typically need to purchase additional coverage to protect against these events.

Workers’ Compensation Exclusions

Workers’ compensation claims may be denied for several reasons. For instance, if an employee was responsible for their own injury, such as being intoxicated while operating heavy machinery, the claim is unlikely to be covered.

Wear and Tear

Normal wear and tear is not considered a covered peril. For example, an insurance policy may cover a new roof if a covered peril damages it, but it won’t cover a replacement roof if it’s leaking due to age. Preventative maintenance, such as removing a leaning tree, is also typically excluded.

Intentional Acts

Intentional acts by employees or business owners are not covered under this policy. Filing a claim for damages caused by intentional actions is considered insurance fraud. This is why acts committed by employees are generally also excluded.

Commercial policies often include several exclusions. Agents at The Select Insurance Agency can help you understand your policy and its limitations. Contact us today to learn more. We proudly serve the Coppell, TX, area.

How Does A Workers Comp Insurance Claim Work For Business Owners?

Most businesses are required to have workers’ compensation insurance if they employ at least one person. These policies help cover lost wages, medical bills, and other expenses in the event of a job-related injury. Employers need to understand how this process works.

Employee Injury

When an employee is injured on the job, they must complete an injury report immediately. This is the first step in filing a claim. Afterward, employers typically send the employee to a hospital for medical evaluation and a drug or alcohol test. Insurance companies often deny claims if the employee was intoxicated at the time of the accident, as such incidents are generally considered the employee’s fault.

Provide Claims Forms

Employers must provide the necessary forms for employees to file a claim, even if they believe the claim should be denied. Filing the paperwork promptly is usually required by the insurance policy. Employers should also investigate the cause of the accident, such as reviewing security footage and obtaining the results of the drug or alcohol test.

Submit Claims

Once the forms are completed, submit them to your insurance agency in Coppell, TX. If you suspect the accident was the employee’s fault, for example, if they were not following safety protocols or were injured during horseplay, notify your insurance company. Agencies like The Select Insurance Agency can assist you throughout the process.

Claims Process

After submission, the insurance company will review the workers’ compensation claim and decide whether to approve or deny it. If approved, the insurance company will cover medical expenses and a portion of lost wages, reducing the financial burden on the employer.

An experienced agent at The Select Insurance Agency can guide you through the claims process. Contact us today to learn more. We proudly serve the Coppell, TX, area.