Title: MAX Underwriting Training
1MAX Underwriting Training
- Presented by
- Denise Stucky
- Brenda Dutton
- Holly Yousey
2Agenda
- Underwriting contact information
- MAX Eligibility
- Application and Endorsement procedures
- Payment Plans
- Underwriting Guidelines
- Binding Authority
- Resource Materials
- Agents Bulletins
- Questions and Answers
3Underwriting Contact Information
- MAX Toll Free Number 1-877-971-6300
- Brenda Dutton, Underwriting Manager, extension
124 email bdutton_at_maxwholeness.com - Denise Stucky, New Business Underwriter for
Personal Lines, extension 306 email
dstucky_at_maxwholeness.com - LaDonna Wedel, Renewal Underwriter for Personal
Lines, extension 307 email lwedel_at_maxwholeness.c
om - Brad Shrum, Commercial Lines Underwriter,
extension 123 email bshrum_at_maxwholeness.com
4MAX Eligibility Requirements
- MAX is a reciprocal and each prospective client
must meet our eligibility requirements for
membership, which include the following - A member or attendee of an eligible denomination
or congregation and their immediate family
members (children and parents), whether or not
the children or parents are active members or
attendees of an eligible group. - An institution or entity affiliated with or
serving any of the approved church groups,
including its employees and volunteer staff. - An employee of any of the MAX family of
companies. - A student attending a college, school, or
seminary affiliated with an approved church
group or person who graduated from such an
institution. - A resident living in a retirement community/home
affiliated with an approved church group. - Any other person or group who applies for
eligibility and is approved by the President
and/or MAX board of directors. (Such persons or
groups will be referred to the MAX mutual aid
ministries (MAM) team for initial screening and
any recommendations to the President). - Commercial businesses are eligible if at least
50 of the ownership of such business meets the
criteria listed above.
5Eligible Church Groups
- Amish Fellowship of Evangelical Churches
- Amish Mennonite Fellowship of Grace Brethren
Church - Apostolic Christian Churches of America General
Conference Mennonite Church - Beachy Amish Churches German Baptist
Brethren - Beachy Amish Mennonite Mennonite Brethren
Church - Bible Fellowship Church Mennonite Church USA
- Biblical Mennonite Alliance Midwest Mennonite
Fellowship - Brethren Church (Ashland Brethren) Missionary
Church - Brethren in Christ Church Nationwide
Fellowship Churches (Fellowship Mennonite) - Bruderhof Communities
Old Colony Mennonite - Christian Anishinabec Fellowship Old Order
Amish - Church of God in Christ (Holdeman) Old Order
German Baptist Brethren - Church of God in Christ Mennonite Old Order
Mennonite - Church of the Brethren Old Order River
Brethren - Conservative Mennonite Conference Reformed
Mennonite - Dunkard Brethren Sweets Corners Christian
Church - Eastern Pennsylvania Mennonite Church United
Brethren in Christ - Evangelical Mennonite Conference United
Christian Church - United Zion Church
6Application / Endorsement Procedures
- The agent should complete the MAX application for
the line of business coverage is being requested
for. - Note MAX does use CLUE reports for property
insurance. - In addition to the signed application, agents are
responsible for completing an e2value estimate on
each structure and upload photos showing all
sides of each structure to the e2value estimate. - Additional underwriting questionnaires should be
included with the application as needed i.e.
woodburning stove questionnaire, trampoline
questionnaire, etc. - Save the application in Filebound, then send a
note in MPPS to the underwriter that the risk is
ready for underwriting. - Endorsement requests should be created in MPPS
with a note sent to Customer Service requesting
processing of the requested change.
7MAX Payment Plan Options
- MAX offers the following payment plan options to
our customers - Annual Payment (Required on all premiums under
150) - Semi-Annual Installments
- Quarterly Installments
- Monthly Installments
-
- Electronic Funds Transfer (EFT) is available
under all pay plans, but is - mandatory for monthly installments.
- The following fees apply to the MAX billing
program - 5 Installment fee for semi-annual and
quarterly installment plans - 2 Installment fee for monthly installments,
including EFT - transactions
- 15 Reinstatement fee
- 25 NSF funds fee when a check or EFT
transaction is returned for - non-sufficient funds
8MAX Payment Plan Options
- Payments are due to MAX by the due date stated on
the - invoice. Agents are not authorized to accept
payment for - lapsed policies without prior approval from
underwriting. -
- Policies that have lapsed for non-payment will be
required - to pay the funds required to bring the account
current - including the associated reinstatement or NSF
fees. - Prior approval is required from underwriting
before - reinstating or rewriting a lapsed policy with
MAX. - Underwriters may require the agent to secure a
signed - statement of no losses for the period in which
the lapse - occurred.
9Homeowner Program
10Homeowner Underwriting Guidelines
- We offer all Homeowner forms in the AAIS program
- COVERAGE A (Form 2, 3 and 5) COVERAGE C (Form 4
and 6) - 30,000 Minimum 6,000 Minimum
- 650,000 Maximum 75,000 Maximum
- COVERAGE L (Liability) COVERAGE M (Medical
Payments) - 100,000 Minimum 1,000 Minimum
- 300,000 Standard 5,000 Standard
- Minimum deductible is 500.
- MAX offers ACV, Functional Replacement and
Modified Replacement Cost endorsements. - We strongly recommend 100 Insurance to Value on
all dwellings. - Dwellings over 40 years old require the system
updates for plumbing, electrical and heating.
11Homeowner Underwriting Guidelines
- Electrical must be on circuit breakers
- Polybutylene pipes (blue pipes) are not eligible
for coverage. - Generally, roofs over 15 years old will be
written at ACV. Additional consideration will be
given to higher grade shingles.
- Solid fuel appliances require the woodstove
inspection worksheet be completed. This includes
wood, pellet or coal stoves, and outdoor wood
furnaces. Photos of the unit must accompany this
form. - Must be installed to manufacturer or NFPA 211
requirements.
12 MAX Home Guard Guidelines
- MAX Home Guard Elite Requirements
- Home must be insured to 100 of replacement
value, and - The minimum dwelling value is 100,000, and
- Home cannot have a wood or coal stove, and
- Home cannot have a liquid fuel space heater, and
- Home cannot be older than 40 years old, and
- Home must be located in a protected or partially
protected area, and - Home must be the insureds primary residence, and
- Home must be a single family dwelling, and
- Home cannot be under construction, and
- Home cannot be a modular, and
- No unique construction.
- MAX Home Guard Extra Eligibility Requirements
- If the property being insured meets the
eligibility requirements for the MAX Home Guard
endorsement but does - not qualify for the MAX Home Guard Elite
endorsement, the company may offer the
policyholder a package of - coverages comparable to the MAX Home Guard
Elite. This endorsement is available for an
additional - premium of 5 of the adjusted base premium.
Additional Insurance Coverage A can also be
purchased if the - home was constructed within the last 40 years.
13Home Guard Coverages
14Home Guard Coverages
15Homeowner Underwriting Guidelines
- Mobilehomes are not eligible for the MAX program.
- Risks with previous losses are subject to
underwriting approval. MAX will allow no more
than two weather related losses or one
non-weather related loss on new business. - Homes Under Construction can be written with MAX
if they will be completed and occupied within 180
days. Work must be performed by a professional
contractor and we require a 1,000 minimum
deductible on these risks.
16Homeowner Underwriting Guidelines
- In order to qualify for the homeowner program
with a farm exposure the farming that is
conducted must be purely incidental to the
occupancy of the residence as an owner occupied
dwelling. - An incidental farming exposure should be a small
source of income for the insured and consist of
cultivating less than 20 acres of land or raising
no more than 10 farm animals for their own
consumption. - Detached structures on the described location
that were originally built for agricultural
purposes or use are specifically excluded under
the MAX homeowner program. - Such building should be written under a Farm
Property policy with MAX.
17 Homeowner Underwriting Guidelines
- INELIGIBLE EXPOSURES
- Aggressive breeds that are not eligible for
coverage with MAX include - Akita
- American Staffordshire Terriers
- Doberman
- Pit Bull
- Presa Canarios
- Rottweiler
- Wolf or Coyote hybrids
- Mixed Breeds with aggressive breeds as part of
the mix are treated as pure breeds - Unusual or exotic animals
- Animals with a previous history of biting or
vicious behavior - Risks in poor condition
- Unfenced swimming pools or trampolines
- Risks previously cancelled or non-renewed by
another carrier for any reason - Vacant dwellings
- Unsupported secondary or seasonal property
18Homeowner Underwriting Guidelines
- RENEWAL UNDERWRITING
- Risks subject to renewal underwriting include
- Risks involving two or more claims (both paid and
unpaid), - Risks with losses in the first term of coverage,
- Losses involving gross negligence and/or of major
proportion, - Losses involving fire or theft, and
- All liability losses
- Renewal underwriting actions may include no
action, deductible - changes, coverage restrictions, repair
verification, requests for - repairs, or non-renewal.
19 Dwelling Property Program
20 Dwelling Property Underwriting Guidelines
- COVERAGE A
- 30,000 Minimum
- 650,000 Maximum
- LIABILITY
- Liability coverage for rental property is
available through the Landlord Liability coverage
endorsement. - Liability coverage for owner occupied property is
available through the Personal Liability coverage
endorsement. - DEDUCTIBLE
- 500 Minimum
21 Dwelling Property Underwriting Guidelines
- ELIGIBLE DWELLINGS
- One to four family structures are eligible for
coverage in this program. Dwellings with sleeping
quarters in the basement must have proper egress
windows. - Eligible dwellings must be occupied for
residential purposes only - Owner occupied dwelling are eligible for this
program - Primary homeowner coverage must be written with
MAX to insure rental property - Maximum of 6 family units per client (1 family
rental 1 family unit) - 100 ITV recommended
- FL-1 coverage should be written for risks insured
at the Actual Cash Value - FL-2 or FL-3 coverage should be written for risks
insured at the Replacement Cost Value - gt40 Years requires System Update Information be
provided - gt15 Year Old Composition Roof are subject to ACV
Roof Endorsement.
22 Dwelling Property Underwriting Guidelines
- Mobilehomes are not eligible for the MAX Dwelling
Property program. - LOSS HISTORY
- A three year loss history is required for all new
applicants. New risks are eligible for coverage
if in the preceding three year experience period - There is no more than two weather related losses,
or - There is no more than one non-weather related
paid loss
23 Dwelling Property Underwriting Guidelines
- INELIGIBLE EXPOSURES
- Rental property that MAX does not write the
property coverage for is not eligible for
liability coverage with us either. - Rental property with more than four units per
structure (Ex six unit apartment building) - Aggregate exposures that exceed 2,000,000 for
one member - Homes that are purchased for subsequent resale
(flipping) - Risks in poor condition
- Risks previously cancelled or non-renewed by
another carrier for any reason - Vacant dwellings
- Risks with solid fuel burning appliances
- Risks undergoing major renovation are not
eligible for coverage
24Farmowner Programs
25Farmowner Underwriting Guidelines
- Dwellings (FO1, 2, 3 or 5)
- 30,000 Minimum
- 650,000 Maximum
-
- Liability Medical Payments
- 100,000 Minimum 1,000 Minimum
- 300,000 Standard 5,000 Standard
-
- Personal Property (FO4)
- 6,000 Minimum
- 75,000 Maximum
- Hay in the Open 20,000 Maximum limit per stack
- Total Farm Property Coverage Maximum is
2,000,000 per risk. - Deductible
- 250 Minimum
26Farmowner Underwriting Guidelines
- A signed completed MAX Farmowner application is
required for all new risks. - Agent is responsible for completing an e2value
rebuilding cost estimate for the dwelling and
each farm building or structure to be insured and
providing photos of all sides of the dwelling,
other structures, swimming pools, trampolines,
farm buildings and structures. - Photos must be uploaded to the e2value estimate.
- A diagram showing the layout of the farm dwelling
and buildings is required as part of the
application as well.
27Farmowner Underwriting Guidelines
- MAX strongly recommends insuring all risks at
100 of the rebuilding cost estimate. For older
homes, we do offer coverage at the Functional
Replacement Cost value, Modified Replacement
Cost, or at Actual Cash Value. - Farm buildings and structures can be written at
their Actual Cash Value or Replacement Cost value
calculated by e2value. Replacement cost coverage
is available on farm buildings and structures
that meet the following requirements - Occupied for their originally intended purpose
- Insured to 100 of the rebuilding cost estimate
- Livestock buildings must be less than 10 years
old - Building must be well kept with good housekeeping
and fully enclosed - No loss control hazards are present for example
open electrical panels, exposed insulation, or
solid fuel heating appliances - Construction quality should be superior
28Farm Building Types
- Type 1
- Dwelling must be in excellent repair, and so
certified by the agent after careful inspection. - Foundation under all exterior walls must be of
continuous construction. - Dwelling must have a central heating plant vented
to an approved chimney built from the ground up
or a venting system approved by a recognized
testing authority. A properly installed electric
heating system will also suffice. No space
heaters or stoves. - Dwelling must have modern electrical system in
excellent repair. - No auxiliary wood burning stoves.
- No exposed urethane or styrene insulation.
29Farm Building Types
- Type 2
- Dwelling must be in good repair, and so certified
by the agent after careful inspection. - Foundation under all exterior walls must be of
continuous construction. - Dwellings must meet the central heating
requirement shown for Type 1 or must have gas or
oil fired space heaters or stoves which are
thermostatically controlled. - Dwelling must have modern electrical system in
excellent repair. - Any auxiliary wood burning stoves must be
installed to code specifications. - No exposed urethane or styrene insulation.
- Type 3
- All other dwellings not eligible for Type 1 or
Type 2 classification.
30Farmowner Underwriting Guidelines
- Mobilehomes are eligible for the MAX Farmowner
program as the Farm Dwelling if occupied as the
primary or secondary residence of the farmowner,
or as a Farm Building under Coverage E of the
FO-6 if occupied by a farm employee. The
mobilehome must be in good condition, well
maintained, have tie downs and skirting in
satisfactory condition. - Risks with previous losses are subject to
underwriting approval. MAX will allow no more
than a total of three losses in the last three
years, total payout of the losses must be less
than 5,000, and all repairs from prior losses
must be completed. - Liquid manure pits/lagoons must be enclosed by a
fence in good condition.
31Farmowner Underwriting Guidelines
- Custom farm work done by the farmer within a 50
mile radius of their farm with annual receipts in
excess of 5,000 may be acceptable. Review these
exposures with your underwriter prior to binding
coverage. - The following exposures are not eligible for
coverage under the MAX Farmowner program - Ponds that are available to the general public,
- Farms boarding horses for a fee, with riding
stables, or farms used for horse racing, - Farms having off-the-ground fruit picking by the
public, using lifts, ladders or climbing of
trees, - Dog breeding operations with more than 5,000 in
receipts or more than 3 dogs, - Commercial Cattle Feedlots,
- Farms with mazes or agri-entertainment exposures.
32Farmowner Underwriting Guidelines
- Ineligible Exposures
- Aggressive breeds that are not eligible for
coverage with MAX include - Akita
- American Staffordshire Terriers
- Doberman
- Pit Bull
- Presa Canarios
- Rottweiler
- Wolf or Coyote hybrids
- Mixed Breeds with aggressive breeds as part of
the mix are treated as pure breeds - Unusual or exotic animals
- Animals with a previous history of biting or
vicious behavior - Risks in poor condition
- Risks previously cancelled or non-renewed by
another carrier for any reason - Vacant dwellings or farm buildings
- Daycare where more than three children or adults
are cared for is not eligible - Farms allowing hunting must meet special
underwriting criteria discuss with Underwriter
before binding - Farm yards with all buildings vacant
33Farmowner Underwriting Guidelines
- Livestock suffocation coverage is afforded to hog
and cattle operations. Poultry is not livestock
under the definition of the farm policy and is
therefore not eligible for this coverage.
Complete the suffocation application and submit
to Underwriting for consideration. Agents do not
have binding authority for suffocation coverage. -
- Farm Personal Property can be scheduled under
Coverage F or covered under a blanket basis under
Coverage G. A complete inventory of all farm
personal property is required annually under
Coverage G. - Scheduled farm machinery such as combines are
eligible for Intake of Foreign Objects coverage
under Inland Marine. - Irrigation pivots are eligible for coverage under
the Farm Inland Marine portion of the Farmowner
policy if insured at replacement cost value,
otherwise they can be scheduled under Coverage E
at ACV.
34Farmowner Underwriting Guidelines
- Weight of Ice and Snow coverage is available for
farm buildings or personal property covered under
Coverage E, F or G as long as the property is in
good condition. - MAX offers Individual Risk Premium Modification
(IRPM) credits and debits up to 25 under the
Farmowner program. Underwriters are required to
justify the credit or debit based on loss control
features of the risk, condition of the farm
property and buildings, and loss history of the
overall risk. - Rented or borrowed farm equipment can be
scheduled under Coverage F on the FO-6.
35Farm Property Underwriting Guidelines
- MAX also offers a Farm Property program for farms
that are rented to others or the owner does not
want liability coverage. - The coverage and guidelines for the Farm Property
program are the same as those in the Farmowner
program.
36 Liability and Inland Marine Programs
37 Personal, Premises Only, Farm Liability
Guidelines
- MAX offers Personal Liability, Premises Only
Liability and Farm Liability coverages. - In order to qualify for these liability policies,
the supporting property coverage must be written
with MAX. - These policies are particularly attractive to our
Amish constituents who generally carry their
property coverage with the Amish Aid Plan. They
tend to seek liability coverage for their horse
and buggy exposures or farm liability needs. - MAX does not write stand alone liability policies
at this time. - If a prospective Amish client wishes to secure
coverage with MAX, we must write the entire risk,
not just a small portion of the property to
support the liability coverage they are seeking.
38 Inland Marine Guidelines
- MAX offers a stand alone Inland Marine policy to
provide coverage for missionaries that are going
overseas. - Personal liability coverage is not available for
these risks. - For overseas property with total values exceeding
10,000, please contact you MAX underwriter. - Coverage is written on an ACV basis with a 250
minimum deductible. - Individual items valued over 500 must be
scheduled. - The customer must still have property in, or the
domestic mailing address must be in one of the 16
states MAX is filed to write business in.
39Commercial Program
40 Commercial Program Guidelines
- MAX offers Commercial Property, Commercial
Liability, Commercial Inland Marine, and
Commercial Crime coverage forms. These commercial
coverage parts can be written individually or
together in a combination package. - MAX does not give binding authority to agents for
Commercial Risks. All risks must be submitted to
underwriting for review to quote and bind
coverage. - A signed completed ACORD application is required
for all new Commercial risks, except Churches.
Church risks must be submitted on the MAX Church
application. - Agent is responsible for completing an e2value
rebuilding cost estimate for the building or
structure to be insured and providing photos of
all sides of the building or structure. Photos
must be uploaded to the e2value estimate.
41 Commercial Program Guidelines
- The general coverage limits available in the MAX
Commercial - program are
- General Commercial Risks
- Property 500,000 Per Location
- Liability 1,000,000 Per Occurrence
- Inland Marine 250,000 Maximum
-
- Special Limits apply to Woodworking risks
- Total Property and Inland Marine value maximums
are - 250,000 in Protection Class 1 through 8
- 100,000 in Protection Class 9 or 10
42 Commercial Program Guidelines
- Church Risks
- Property 3,000,000 Total Building, Contents
Inland Marine Limit - Liability 1,000,000 Per Occurrence 5,000,00
0 Premises Liability Aggregate - Hired Non-owned Auto 1,000,000
- Stop Gap/ Employers Liability 1,000,000 (Ohio
only) - Risks that exceed these limits should be referred
to - underwriting for review.
43 Commercial Program Guidelines
- Minimum deductible is 500.
- Minimum premium is 350 for mono-line property
and package business - Minimum premium is 200 for mono-line Inland
Marine policies in the Commercial program
- Commercial coverage not offered under the MAX
program includes - Workers Compensation
- Umbrella
- Owned Auto
- Employment Practices Liability
44 Commercial Program Guidelines
- Eligible classes of business include the
following - Churches where our members go to worship (small
to medium size) - Lessors Risk
- This class also includes public and private
warehouses. Eligibility is limited to those
warehouse properties that are incidental to an
otherwise acceptable risk. Mini-storage
warehouses are not eligible. - Offices
- Includes risks used principally for office
purposes including administrative or professional
uses (excluding risks where the office is only a
part of the total exposure, and excluding risks
with classes or exposures that are not eligible).
- Retail
- Service
45 Commercial Program Guidelines
- Storage buildings
- Wholesale
- Woodworking
- Risk is fully protected or ISO Protection Classes
1-8 (risks located in partially protected or
unprotected risks ISO PC 9 or 10 require
underwriting approval, - With proper controls in place for finishing
exposures, - Proper storage of flammable liquids,
- Proper dust collection systems in place and
operational, - Good housekeeping is utilized,
- With acceptable installation exposures, and
- That have no past, present, or future anticipated
products such as childrens furniture, toys, or
ladders) - Classes of business that are sales rated are
eligible for MAX up to 25,000 - annual sales. Agent is responsible for verifying
the annual sales volume prior - to each renewal.
46 Commercial Program Guidelines
- The Church coverage offered by MAX includes the
following coverage parts - Property (Building and Contents)
- Equipment Breakdown
- General Liability
- Sexual Misconduct Liability
- Pastoral Counseling Liability
- Directors Officers Liability
- Stop Gap / Employers Liability (Ohio only)
- Inland Marine
- Employee Benefits Liability
- Hire Non Owned Auto Liability (Not available in
Illinois) - Crime
- Employee Dishonesty 150,000 Maximum Limit
- Money Securities (Inside and Outside) 20,000
Maximum Limit - Forgery 10,000 Maximum Limit
- Computer Fraud 10,000 Maximum Limit
47 Agents Binding Authority
- Homeowner Dwelling Property Binding authority
levels - Coverage A 30,000 Minimum
- 350,000 Maximum
- Coverage C 6,000 Minimum
- 75,000 Maximum
- Liability 100,000 Minimum
- 1,000,000 Maximum
- Medical Payments 1,000 Minimum
- 10,000 Maximum
- Farmowner binding authority levels
- Same as above, plus the following
- Farm Coverage No Minimum
- 1,000,000 Maximum for total of farm
buildings, personal property including hay in
buildings and Inland Marine coverages).
48 Resource Materials for Agents
- Access the various resource materials that MAX
has created for its agents at - http//miimg.us/agents/
- Some of the resource materials that are located
on this website include the following - Underwriting Manuals
- Applications
- Training Materials
- Agents Bulletins
49Agents Bulletins
- Periodically, MAX will publish bulletins to
agents to keep them informed of upcoming program
changes in their state. - The bulletins are delivered via email.
- Likewise, changes to program guidelines or
coverage forms are published to agents via the
bulletins. - It is important that you take time to read and
understand these bulletins and share the
information with your staff so that everyone has
the latest information from MAX. - Our intent is to keep our agents well informed of
any change that impacts the MAX programs or the
members.
50Question Answers
51 Thank you for participating in the MAX
Underwriting Training. We look forward to
working with each of you! Welcome to MAX!