3.3 Dwelling Perils, Conditions, and Endorsements
Key Takeaways
- DP-3 is open-perils, so exclusions define coverage; earthquake and flood are excluded on every DP form.
- Theft is excluded on all base DP forms and must be added by a theft endorsement for owner-occupants.
- The other-insurance condition pays pro rata by policy limit; loss payment is due within 60 days of an agreed proof of loss.
- Key endorsements add liability/medical payments, ordinance or law, automatic inflation increase, and earthquake (DP 04 26).
Perils and Standard Exclusions
DP-1 is named-perils (fire/lightning/internal explosion plus optional EC and V&MM); DP-2 is broad named-perils; DP-3 is open-perils on the dwelling and other structures. Because the DP-3 is open-perils, exclusions define coverage. The standard exclusions are similar across forms:
- Ordinance or law (extra cost to rebuild to current code) — add by endorsement.
- Earth movement (earthquake, landslide, sinkhole) and flood — both excluded; flood needs a separate NFIP/private policy.
- Water damage from sewer/drain backup, surface water, and below-ground seepage.
- Power failure off premises, neglect, war, nuclear hazard, and intentional loss.
Exam trap: Earthquake and flood are both excluded on every DP form. Add earthquake by the DP 04 26 endorsement; flood is handled outside the policy through the NFIP.
Policy Conditions
Conditions are the rules of engagement. The most-tested DP conditions:
| Condition | What It Requires |
|---|---|
| Loss settlement | DP-1 = ACV; DP-2/DP-3 = replacement cost if 80% coinsurance met, else larger of ACV or coinsurance formula |
| Insurable interest | Insurer pays no more than the insured's interest at time of loss |
| Other insurance | Pays its pro rata share when more than one policy applies |
| Subrogation | Insurer takes the insured's recovery rights after payment |
| Loss payment | Within 60 days after proof of loss and agreement/appraisal/judgment |
| Appraisal | Either party may demand it for a dispute over value/amount, not coverage |
| Mortgage clause | Protects the lender even if the insured's act voids coverage; 10-day cancellation notice to mortgagee |
Pro rata other-insurance worked example
Two policies cover the same $100,000 dwelling loss: Policy X carries $200,000 and Policy Y carries $300,000, total $500,000.
- Policy X share = (200,000 ÷ 500,000) × $100,000 = $40,000
- Policy Y share = (300,000 ÷ 500,000) × $100,000 = $60,000
Each insurer pays in proportion to its limit; the insured is not over-indemnified.
ACV worked example
A detached garage roof costs $12,000 to replace, has a 20-year life, and is 15 years old. Depreciation = 15/20 = 75%, so depreciation = $9,000. ACV = $12,000 − $9,000 = $3,000. A DP-1 pays $3,000 (less deductible); a DP-3 meeting coinsurance pays full replacement cost.
Key Endorsements
- Broad theft (DP 04 72) / Limited theft — theft is excluded on all base DP forms; add for an owner-occupant.
- Dwelling under construction — prorates premium to rising value during the build.
- Automatic increase in insurance — raises Coverage A periodically to track inflation.
- Personal liability supplement — adds Coverage L (liability) and Coverage M (medical payments) that the base DP omits.
- Ordinance or law — covers the increased rebuild cost imposed by current building codes.
- Earthquake (DP 04 26) — adds the otherwise-excluded earth movement peril, usually with a percentage deductible.
Open-Perils Burden of Proof
The DP-3's open-perils grant flips the burden of proof. On a named-perils form (DP-1, DP-2), the insured must show the loss was caused by a listed peril. On the open-perils DP-3, the insurer must show the loss falls under an exclusion to deny it. This is why the DP-3 is the broadest and most defensible form for the policyholder, and why exclusions are read so carefully — they are the insurer's only path to denial.
Deductibles and the Loss Process
A flat deductible (commonly $250, $500, or $1,000) applies per occurrence to property losses; wind/hail in catastrophe-prone areas may carry a separate percentage deductible (e.g., 2% of Coverage A). The standard claim sequence the exam tests:
- The insured must give prompt notice of loss and protect the property from further damage.
- The insured files a signed, sworn proof of loss, typically within 60 days of the insurer's request.
- If value or amount is disputed, either party may invoke appraisal; each side picks an appraiser, the two select an umpire, and agreement of any two binds the amount.
- The insurer pays within 60 days after proof of loss and agreement, appraisal award, or judgment.
Exam tip: Appraisal resolves disputes over amount or value, never coverage. A coverage dispute goes to the courts, not to appraisers.
Cancellation and Nonrenewal
Most states give the insurer broad cancellation rights in the first 60 days of a new policy, then restrict mid-term cancellation to nonpayment, fraud, or material change in risk, with advance written notice. The mortgage clause independently protects the lender: the insurer must give the mortgagee its own notice (commonly 10 days) and pays the mortgagee even if the named insured's act would void coverage.
DP Endorsement Cheat Sheet
| Endorsement | Adds |
|---|---|
| Broad Theft Coverage | Theft (not on the base DP forms) |
| Dwelling Under Construction | Builders-risk-style coverage during construction |
| Automatic Increase in Insurance | Inflation-indexed limit increases |
| Personal Liability Supplement | Section II-style liability (DP is property-only) |
A key DP trap: the dwelling program has no liability coverage built in — it is property only. Liability must be added by endorsement or written on a separate personal-liability/CPL policy. Candidates who assume the DP includes Coverage E/F miss this.
Theft Is Not Automatic on a DP
Unlike a homeowners policy, the standard DP forms exclude theft. An owner-occupant who wants theft coverage must add the Broad Theft Coverage endorsement; a non-owner/landlord typically cannot get on-premises theft of the tenant's property. Pairing "rental dwelling, owner wants theft coverage" with the Broad Theft endorsement is a common question.
Two policies cover the same $100,000 dwelling loss: Policy X has a $200,000 limit and Policy Y has a $300,000 limit. Under the other-insurance (pro rata) condition, how much does Policy X pay?
Which of the following is excluded on every standard DP form unless coverage is added by endorsement or a separate policy?
A detached garage roof costs $12,000 to replace, has a 20-year useful life, and is 15 years old. What is its Actual Cash Value?