How Does Coinsurance for Commercial Property Insurance Work? (2024)

Picking your commercial property insurance coverage limits may be more important than you think.

This is especially the case if your insurance carrier requires a coinsurance. With a coinsurance, if you don’t have the proper coverage limits, it can affect your payout for any property insurance claim you may have.

We know this first hand. At Berry Insurance, we guide many of our business clients through selecting adequate coverage limits so they are 1) fully protected, and 2) meeting their coinsurance clauses.

A fair share of these clients have asked us if they could lower their property coverage limits to save a few bucks, and if they have a coinsurance clause, our answer is always a resounding “NO!”

And if you have a coinsurance, the same applies to you. Read on to learn more about what a property insurance coinsurance is, and how it works.

What is property insurance coinsurance?

In the insurance world, coinsurance can mean a few different things depending on the type of insurance.

For property insurance, coinsurance is a provision from the insurance carrier that requires you to insure a certain percentage of your property’s value.

Usually that percentage is 80%, but it could also be 90% or even 100%.

This means if your coinsurance is 80% and the total value of your cumulative business property is $1,000,000, your property insurance limits must be at least $800,000.

If a business buys less than the required amount, the insurance company may penalize the business by not fully covering the claim in the event of a disaster, even if the claim is within property limits.

Why does my carrier require coinsurance?

While coinsurance clauses are not included in every property insurance policy, many carriers choose to require it for a number of reasons.

The most obvious is to ensure their policyholders have adequate coverage if there were ever a disaster. Many people may want to under-insure their property under the assumption that a disaster would never damage 100% of their property, but insurance companies know it is possible and want their clients to have full coverage so their business wouldn’t face a detrimental financial hardship in an unexpected situation.

Your insurance company may also want accurate property values on your policy to better understand your business so they can provide helpful insurance guidance and be prepared to handle a claim, if it ever were to happen.

How does coinsurance work?

If your property insurance has a coinsurance clause, you will need to make sure you insure at least 80% of all of your property value. This means your building value (if you own it) and all of the business possessions you own.

Better yet, we always recommend our clients insure 100% of all their property value. This leaves some cushion to be extra sure you aren’t violating the coinsurance clause, and it also guarantees that all your property would be covered if you experienced a total loss from a fire or some other disaster.

If you adhere to your coinsurance clause, then this is all you really need to know! If you have a claim, you will just file it as normal and be paid out without any penalty.

But what if you violate the clause by failing to insure the required value of your property?

Well, if you have a claim, your insurance company may penalize you by not paying for the full claim.

Many people assume this would only happen if the claim exceeds their property limits, but that isn't the case. Those who violate the clause can be penalized for a claim of any amount, even if it is well within the coverage limits.

Remember that example we talked about earlier? Let’s expand on that.

If you own a business that has $1 million of property value and an 80% coinsurance, your coinsurance clause will require that you get at least $800,000 in property coverage.

If you only get $600,000 in coverage, then have a claim, the insurance company will conduct a calculation based on the amount of coverage you failed to buy to determine how much they will pay you.

For example, if under this scenario you were to have a claim with $300,000 in damage, the carrier will calculate the percentage of the required coverage you actually have (75% in this case), then use that percentage to determine your payout amount.

So if the carrier is only paying 75% of your claim, you will only be paid $225,000 of the total $300,000 in damage, minus any deductible you have.

Cover all your property -- it’s worth it.

If you never have a claim, coinsurance may never actually come into play for you.

But even if you never do expect to have a claim, coinsurance is something you need to be thinking about, because if you violate the clause, it would affect the payout amount of any claim, if the unexpected were to happen.

When establishing your policy, you need to carefully calculate the value of all of your business property to make sure you are fulfilling your obligations set in the clause. But wait! That effort alone isn’t enough. You also need to review your policy often, to make sure it includes the value of any additional property you may add as your business changes or grows.

To learn more about how to make sure your policy is up to date, check out this article: Why You Should Review Your Commercial Insurance Annually.

As an insurance expert with extensive experience in the field, I understand the critical importance of selecting appropriate commercial property insurance coverage limits. The information provided in the article aligns with my knowledge of the subject matter, and I can further demonstrate my expertise by delving into the concepts discussed.

The article emphasizes the significance of understanding and adhering to coinsurance clauses in property insurance policies. Coinsurance, in the context of property insurance, is a provision imposed by insurance carriers, requiring policyholders to insure a specific percentage of their property's value. The commonly mentioned percentage is 80%, although it can vary and be set at 90% or even 100%.

Key Concepts Discussed in the Article:

  1. Coinsurance Clause Explanation:

    • The coinsurance clause mandates that policyholders insure a certain percentage of their property value (e.g., 80%).
    • Failure to meet this requirement may result in penalties, impacting the payout in the event of a property insurance claim.
  2. Importance of Adequate Coverage:

    • The article underscores the necessity of obtaining adequate coverage to ensure financial protection in the event of a disaster.
    • Some policyholders may consider under-insuring their property, but insurance companies advocate for full coverage to prevent financial hardships.
  3. Reasons for Requiring Coinsurance:

    • Insurance carriers implement coinsurance clauses to guarantee policyholders have sufficient coverage in case of a disaster.
    • Accurate property values help insurance companies understand the business and provide relevant guidance.
  4. Calculation of Coinsurance Requirement:

    • Policyholders need to calculate and insure at least the specified percentage (e.g., 80%) of the total value of their business property, including buildings and possessions.
    • The recommendation is to insure 100% of the property value for additional security.
  5. Penalties for Violating Coinsurance:

    • If policyholders fail to meet the coinsurance requirement and have a claim, the insurance company may penalize them.
    • Penalties are not limited to claims exceeding property limits; even claims well within the coverage limits can be affected.
  6. Example Illustration:

    • The article provides a scenario where a business with $1 million in property value and an 80% coinsurance clause must obtain at least $800,000 in coverage.
    • If the coverage falls short, the insurance company calculates the percentage of the shortfall and adjusts the claim payout accordingly.
  7. Importance of Regular Policy Review:

    • Policyholders are advised to review their insurance policy regularly to ensure it accurately reflects the value of their business property.
    • This is crucial as businesses evolve, and additional properties may be acquired.

In conclusion, the article serves as a comprehensive guide for businesses navigating the complexities of commercial property insurance coverage, coinsurance clauses, and the implications of failing to meet coverage requirements. It aligns with industry best practices and highlights the need for proactive risk management through adequate coverage and policy review.

How Does Coinsurance for Commercial Property Insurance Work? (2024)

FAQs

How Does Coinsurance for Commercial Property Insurance Work? ›

Coinsurance is a property insurance provision that imposes a penalty on an insured's loss recovery if the limit of insurance purchased is not at least equal to a specified percentage of the value of the insured building or business personal property.

How do you explain coinsurance on commercial property? ›

A coinsurance clause in a commercial property policy ensures you carry enough coverage to protect your possessions. Say your office building is valued at $1,000,000. If your policy has a clause with a coinsurance percentage of 80%, that means you should insure the building for at least $800,000.

What is the easiest way to explain coinsurance? ›

Coinsurance is an insured individual's share of the costs of a covered expense (it usually applies to health-care insurance). It is expressed as a percentage. If you have a "30% coinsurance" policy, it means that, when you have a medical bill, you are responsible for 30% of it. Your health plan pays the remaining 70%.

What does 80% coinsurance mean on property insurance? ›

For example, if 80% coinsurance applies to your building, the limit of insurance must be at least 80% of the building's value. If the policy limit you have selected does not meet the specified percentage, your claim payment will be reduced in proportion to the deficiency.

How does coinsurance work? ›

Coinsurance is the amount you pay for covered health care after you meet your deductible. This amount is a percentage of the total cost of care—for example, 20%—and your Blue Cross plan covers the rest.

What does 80% coinsurance mean on a commercial building? ›

If your policy has a clause with a coinsurance percentage of at least 80%, that means you must insure the building for at least $160,000. If you purchase less coverage (e.g., a policy with only $150,000 in business property protection), the insurance company can penalize you.

Does property coinsurance apply to total loss? ›

Coinsurance as it applies to Property Insurance. Because most property losses are partial and not total losses, the average insured will take advantage of this tendency and only insure enough to cover a partial loss.

What is an example of coinsurance formula? ›

Coinsurance Concept

For example, covered expenses above the deductible may be shared 80 percent insurer/20 percent insured until a policy-stated total is reached. If the total was $2,500, then the insurer would assume $2,000 (80 percent of $2,500), while the insured's portion would be $500 (20 percent of $2,500).

How does coinsurance work with out-of-pocket maximum? ›

Then, when you've met the deductible, you may be responsible for a percentage of covered costs (this is called coinsurance). These payments count toward your out-of-pocket maximum. When you reach that amount, the insurance plan pays 100% of covered expenses.

How does coinsurance work before deductible? ›

Does Coinsurance Count Toward the Deductible? No. Coinsurance is the portion of healthcare costs that you pay after your spending has reached the deductible. For example, if you have a 20% coinsurance, then your insurance provider will pay for 80% of all costs after you have met the deductible.

Who pays 80% coinsurance? ›

What does 80/20 coinsurance mean? Simply put, 80/20 coinsurance means your insurance company pays 80% of the total bill, and you pay the other 20%. Remember, this applies after you've paid your deductible.

What happens when a homeowner has a property insurance policy with a coinsurance clause? ›

The coinsurance clause of your homeowners policy requires you to carry coverage of at least 80 percent of your home's total value if you want to receive full replacement cost for any losses—partial or full—you suffer.

What is the best coinsurance percentage? ›

Coinsurance Examples for Affordable Care Act Health Plans
Metal tierPortion you pay for servicesPortion the insurance company pays for services
Bronze40%60%
Silver30%70%
Gold20%80%
Platinum10%90%
Feb 20, 2024

What is an example of a coinsurance property? ›

Coinsurance is usually expressed as a percentage. Most coinsurance clauses require policyholders to insure to 80, 90, or 100% of a property's actual value. For instance, a building valued at $1,000,000 replacement value with a coinsurance clause of 90% must be insured for no less than $900,000.

What is the primary purpose of coinsurance in property insurance? ›

The purpose of coinsurance is to have equity in ratings. If your insured meets the coinsurance requirement, the insured receives a rate discount. The coinsurance clause helps to ensure equity among all policyholders.

Why do I have to pay coinsurance? ›

A deductible is the amount you pay for coverage services before your health plan kicks in. After you meet your deductible, you pay a percentage of health care expenses known as coinsurance. It's like when friends in a carpool cover a portion of the gas, and you, the driver, also pay a portion.

How to explain coinsurance to a client? ›

Coinsurance may well be one of the most confusing and misunderstood terms in insurance. Coinsurance is the percentage of value that the policyholder is required to insurance If you insure your property for less than that amount your insurance company imposes a “coinsurance penalty” once a claim is filed.

What does 100 coinsurance mean in commercial insurance? ›

100% coinsurance: You're responsible for the entire bill. 0% coinsurance: You aren't responsible for any part of the bill — your insurance company will pay the entire claim.

What is a deductible and coinsurance for dummies? ›

A deductible is the amount you pay for coverage services before your health plan kicks in. After you meet your deductible, you pay a percentage of health care expenses known as coinsurance. It's like when friends in a carpool cover a portion of the gas, and you, the driver, also pay a portion.

How to explain deductible coinsurance and out-of-pocket maximum? ›

A deductible is the cost a you pay on health care before the health plan starts covering any expenses, whereas an out-of-pocket maximum is the amount a you must spend on eligible healthcare expenses through copays, coinsurance, or deductibles before the health plan starts covering all covered expenses.

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