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Chapter 3 Part B: Coverage B & C

Personal & Advertising Injury + Medical Payments

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Coverage B: Personal & Advertising Injury Liability

What Coverage B Protects Against

Coverage B covers specific acts that result in a non-physical injury to a third party due to offenses defined as personal and advertising injuries.

Insuring Agreement

Similar to bodily injury and property damage insuring agreement, but third party injuries must be as a result of personal and advertising injury.

Requirements:

  • The offense must be committed within the coverage territory
  • The offense must occur during the policy period described in the declarations

Personal Injury (PI)

Key Concept

Personal Injury covers injuries caused to third parties that result from mental anguish or specific wrongful acts - NOT physical bodily injury.

Covered Personal Injury Offenses

False Arrest or Imprisonment

Wrongfully detaining or restraining someone.

Example: Customer gets accused of shoplifting but later it's found they weren't. This is unlawful detention.

Wrongful Eviction or Detention

Illegally removing someone from property.

Example: Landlord illegally locks tenant out without proper notice.

Invasion of Privacy

Unauthorized intrusion into personal matters.

Example: Landlord enters tenant's home without permission or proper notice in the lease.

Malicious Prosecution

Bringing false criminal charges against someone.

Example: Filing baseless criminal charges against a competitor to harm their reputation.

Defamation of Character

Making false statements that damage reputation.

Includes: Slander (oral) and Libel (written)

Slander or Libel

False statements harming reputation.

Slander: Oral publication | Libel: Written publication

Advertising Injury (AI)

What is Advertising Injury?

Advertising Injury covers injuries that occur if, in the course of advertising, the insured inadvertently commits certain offenses against another party.

Covered Advertising Injury Offenses

Libel, Slander, or Defamation

Making false statements in advertising that harm another's reputation.

Privacy Violations

Oral or written publication that violates or invades the privacy of another through advertising.

Use of Another's Advertising Idea

Misappropriating someone else's advertising concepts or campaigns.

Copyright, Trade Secret, or Slogan Infringement

Using protected material in an insured advertisement without authorization.

Coverage C: Medical Payments

Good Will Coverage

Coverage C is considered "good will" coverage because payment will be made without regard to the fault or negligence of the insured. It helps maintain customer relationships.

What Coverage C Pays For

Provides necessary expenses for injuries to third parties:

+ Medical expenses
+ Surgical expenses
+ Ambulance costs
+ Hospital expenses
+ Professional nursing
+ Funeral expenses

Critical Time Requirement

Medical expenses must be incurred and reported within 1 year (12 months) of the date of the accident to be covered.

Coverage Requirements

Bodily injury must meet ALL of the following:

1

Be due to an accident

2

Occur on premises owned or rented by the insured, OR

Be due to the operations of the insured

3

Take place during the policy period

4

Occur within the coverage territory

Summary: Coverage A, B, and C

Coverage Protects Against Key Points
A

Bodily Injury (BI) & Property Damage (PD)

BI: Injury, sickness, disease, death to third parties
PD: Damage to or loss of use of others' property
Physical injuries from business activities
B

Personal Injury (PI) & Advertising Injury (AI)

PI: Mental anguish, false arrest, wrongful eviction, malicious prosecution, defamation, slander/libel, invasion of privacy
AI: Libel, slander, defamation, privacy violation, using another's advertising idea
Non-physical injuries from specific offenses
C

Medical Payments

Medical, surgical, ambulance, hospital, nursing, funeral expenses for third parties Good will coverage - paid WITHOUT regard to fault
Must report within 12 months

Quick Memory Aid

A

Physical Harm

Body + Property

B

Mental Harm

Reputation + Feelings

C

Medical Bills

No-Fault Good Will

Exam Trap Alerts

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Coverage C - 12 months: Medical expenses must be incurred AND reported within 1 year of the accident. This is different from other time limits in the policy.

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Coverage C is "no-fault": Unlike Coverage A and B, Coverage C pays regardless of whether the insured was negligent.

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Personal vs Advertising Injury: Both are in Coverage B but have different covered offenses. Personal = detention/privacy. Advertising = ads/marketing.

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Slander vs Libel: Slander = oral (spoken). Libel = written. Both are covered under PI and AI.