4.3 Section I Perils Insured Against and Exclusions
Key Takeaways
- HO-3 dwelling is open perils (covered unless excluded); HO-3 contents and all of HO-2 use the broad named-peril list of 16 perils.
- Even open-peril forms exclude collapse-by-wear, freezing of a vacant dwelling, and other building losses unless specific conditions are met.
- Section I exclusions include ordinance or law, earth movement, water damage (flood/surface/sewer backup), power failure, neglect, war, nuclear hazard, and intentional loss.
- Earthquake and flood are excluded everywhere; earthquake is added by endorsement, flood requires a separate NFIP or private flood policy.
- Anti-concurrent causation language bars the entire loss when an excluded peril (like flood) acts together with a covered peril.
The Broad Named-Peril List (16 perils)
HO-2 (building and contents) and the contents of HO-3 are covered against this list. If a cause is not on the list, there is no coverage.
- Fire or lightning
- Windstorm or hail
- Explosion
- Riot or civil commotion
- Aircraft
- Vehicles
- Smoke
- Vandalism or malicious mischief
- Theft
- Falling objects
- Weight of ice, snow, or sleet
- Accidental discharge or overflow of water or steam
- Sudden and accidental tearing apart, cracking, burning, or bulging of a heating/AC/water-heating system
- Freezing of plumbing, heating, AC
- Sudden and accidental damage from artificially generated electrical current
- Volcanic eruption
Memory aid: the first ten perils (fire through theft, plus glass) make up the basic group; perils 11-16 are the broad additions involving water, ice, freezing, and appliances.
Notice what is not on the broad list: there is no general "water damage," no flood, no earthquake, and no wear and tear. The water peril (#12) is narrow, it is sudden and accidental discharge or overflow from a system or appliance, not seepage, not flood, and not gradual leaking that occurs over weeks. The exam exploits this: a slow pipe leak that rots a wall cavity over months is not a sudden-and-accidental discharge, so even a broad-form claim is denied for the resulting deterioration.
Open Peril Still Has Limits
The HO-3 dwelling and all of HO-5 are open peril, but the forms still carve out specific causes inside Section I before the policy-wide exclusions even apply. Common building carve-outs:
- Collapse caused by wear, deterioration, rust, or settling (only specified collapse causes are covered).
- Freezing of plumbing in a vacant or unoccupied dwelling, unless the insured maintained heat or shut off and drained the water.
- Wear and tear, marring, deterioration, inherent vice, mechanical breakdown.
- Mold, wet/dry rot, smog, rust, and damage from birds, vermin, rodents, insects, or domestic animals.
- Theft from a dwelling under construction and theft of building materials before occupancy.
These are why even an open-peril claim can be denied without invoking the big Section I exclusions.
A practical consequence: "open peril" sells as if everything is covered, but the carve-outs plus the policy-wide exclusions reproduce most of the real-world gaps a named-peril buyer would face. The genuine advantage of open peril is the burden of proof on causes that are neither listed nor carved out, the mysterious or hard-to-classify loss, where the insurer, not the insured, must locate an exclusion.
The Section I Policy-Wide Exclusions
These apply to all HO forms. A common mnemonic is WONNIGEO-style grouping; learn each:
| Exclusion | What It Means |
|---|---|
| Ordinance or Law | Extra cost to meet current code |
| Earth Movement | Quake, landslide, sinkhole, mudflow |
| Water Damage | Flood, surface water, sewer backup |
| Power Failure | Off-premises power interruption |
| Neglect | Failing to protect property after a loss |
| War / Nuclear | Including radioactive contamination |
| Intentional Loss | Loss the insured caused on purpose |
| Govt Action | Seizure by civil authority |
Ordinance or Law and Earthquake are each bought back by endorsement; Water Damage (flood) is never added to an HO form and needs a separate flood policy.
The Earthquake and Flood Gap
Both are excluded on every homeowners form. Earthquake is added back with the Earthquake endorsement (HO 04 54), typically with a percentage deductible (often 10-15% of the dwelling limit). Flood is never added by HO endorsement; the insured must buy a separate NFIP or private flood policy.
Anti-Concurrent Causation
The lead-in to the exclusions states that excluded losses are not covered regardless of any other cause or event contributing concurrently or in any sequence. So if a hurricane's wind (covered) and storm surge / flood (excluded) both damage a home, the flood portion stays excluded even though a covered peril acted at the same time. This is heavily tested after major-storm claim disputes.
Ensuing Loss and the Exception to the Exception
Many Section I exclusions contain an ensuing loss clause: although the originally excluded cause is not covered, a separate covered peril that follows is paid. Classic example: faulty construction is excluded, but if the faulty work causes a fire, the fire damage is covered because fire is a covered ensuing peril. The same logic explains why water seepage (excluded gradual damage) is denied while a sudden pipe burst that ensues may be covered. When a question buries an excluded cause that triggers a clearly covered consequence, look for the ensuing-loss path before answering "no coverage."
Intentional Loss and the Innocent Co-Insured
Section I excludes intentional loss — damage arranged or caused by an insured with the intent to cause a loss. Modern ISO language denies coverage to the culpable insured but many states protect an innocent co-insured (for example, a spouse who had no part in arson). The exam also expects the neglect exclusion (failure to use reasonable means to save and preserve property after a loss) and the governmental action exclusion (property seized or destroyed by order of civil authority, except destruction to stop a covered fire's spread).
A homeowner's basement is damaged when the municipal sewer backs up through a floor drain during heavy rain. The HO-3 has no endorsements. Is the loss covered?
During a hurricane, wind tears off shingles and storm surge floods the first floor. Under standard HO anti-concurrent causation language, how is the loss handled?