Producer Quick Reference

How to write a Homeowners Policy Held in Trust	Homeowners Endorsement Forms Quick Reference
Producer Quick Reference Factsheet	Wind/Hail Quick Reference Factsheet
Occasional Rental Rules	Preventing Winter Freeze-Ups!

HOMEOWNERS POLICY HELD IN TRUST

For an additional premium, Residence Held in Trust, Endorsement HO 05 43, provides the means to issue a Homeowners Policy in the name of a trust and trustee that owns a residence premises and insure the personal property and liability interests of the beneficiaries and/or grantors if residents of the dwelling. Example 1 – Trustee(s) occupies the property: John and Mary Smith sign their property over to a trust, the JMS Trust which names themselves, John and Mary Smith as Trustees. John and Mary Smith occupy the property. Title on policy is John and Mary Smith Trustees of the JMS Trust. Endorsement HO 05 43 is added to the policy. Both individuals must sign the application. Example 2 – Beneficiary occupies the property: John and Mary Smith sign their property over to a trust, the JMS Trust which names their son, Michael as trustee and their daughter Jane as Beneficiary. Jane is the sole occupant of the property. Title on policy should be Michael Smith Trustee of the JMS Trust. Endorsement HO 05 43 should be added naming Jane Smith Beneficiary of the JMS Trust. Both individuals must sign the application. Example 3 – Grantor occupies the property: John and Mary Smith sign their property over to a trust, the JMS Trust under which they retain a life estate and name their son, Michael as trustee. John and Mary occupy the property, Michael resides elsewhere. Title on policy should be Michael Smith Trustee of the JMS Trust. Endorsement HO 05 43 is added naming John and Mary Smith Grantors of the JMS Trust. All 3 individuals must sign the application. Note: If the Grantor and/or Beneficiary are not occupying the property they cannot be added to the policy using endorsement HO 05 43. COMMERCIAL AND DWELLING POLICY Example John and Mary Smith sign their property over to a trust naming themselves as trustees. Title will read, “John and Mary Smith trustees of the John and Mary Smith Trust”. Signatures of John and Mary Smith as trustees are required.

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PRODUCER QUICK REFERENCE
	Dwelling Fire DP 00 01, 02 & 03	Homeowners Program Owners Forms HO 00 02, 03 and 05 Tenants Form HO 00 04 Condo Unit Owners Form HO 00 06	Commercial Standard Property Policy Form CP 00 99
Base Deductible	$250*	$250*	$500*
Optional Deductibles	$100, $500 $1,000 & $2,500 See Wind Hail Deductible Fact sheet for Mandatory Wind Hail deductible information.	All Forms: $500, $1,000, $2,500 HO 02, 03 and 05, only: $100 See Wind Hail Deductible Fact sheet for Mandatory Wind Hail deductible information.	$250, $1,000, $2,500, $5,000 $10,000, $25,000, $50,000 & $75,000
Basic Eligibility	- 1-4 Unit Dwelling. - Contents of any Residential Unit.	- HO 02, 03 and 05: 1-4 Unit Dwelling Owner Occupied - HO 04 : Any Residential Unit - HO 06 : Owner Occupied Condo Unit	Commercial property including buildings with 5 or more apartments or condominiums.
Minimum Limit	Cov. Amt - DP 00 01 None - DP 00 02 $12,000 - DP 00 03 $15,000	Section I:   Cov. Amt. - HO 02, 03 or 05 – Cov A   - Primary Location   $ 25,000 - Secondary Location   $ 15,000 - HO 04 – Cov C   $ 6,000 - HO 06 – Cov C   $ 10,000 Section II: All Forms    - Coverage E   $100,000 - Coverage F   $ 1,000	None
Maximum Limit	$1,000,000 Single Interest $1,500,000 Multiple Interest Building & Content Coverage	Section I:   Cov. Amt. - HO 02, 03 or 05 - Cov A  $ 1,000,000 - HO 04, 06 - Cov C  $ 1,000,000 Section II: All Forms   - Coverage E   $ 500,000 - Coverage F   $ 5,000	$1,000,000 Single Interest $1,500,000 Multiple Interest Building & Content Coverage
Minimum Premium	$50	$50	$100
Amount of Insurance Requirement (Co-Insurance)	(DP-1) Present Market Value (DP-2 and DP-3) generally 80% or more of Replacement Cost	- HO 02, 03 or 05: Generally 80% or more of Replacement Cost - HO 04, 06: Actual Cash Value	Buildings: 80%, 90%, 100% of Replacement Cost Less Depreciation, with proper documentation, otherwise written with no co-insurance Contents: Actual Cash Value
Application(s) Required	Application ACORD 65 MA. Mandatory Building Fire Insurance Application (MUA-CA-1). MPIUA MS&B Replacement Cost Estimate. If under rehabilitation or construction Letter of Intent is required.	Application ACORD 60 MA Home Cost Estimator Worksheet (MUA-RIA-HCE) required for Forms HO 02, 03 and 05.	Application ACORD 67 MA. Mandatory Building Fire Insurance Application (MUA-CA-1) is also required if building coverage is requested. If under rehabilitation Letter of Intent is required.
For all lines, a copy of the mortgage agreement is required if there is a non-institutional mortgage holder named on the application.

This quick reference highlights basic MPIUA products and requirements. MPIUA Producers’ Operations Manual should be consulted for details of these and additional products and requirements, as well as for detailed procedures.

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OCCASIONAL RENTAL OF OWNER OCCUPIED PROPERTIES

The Association’s Homeowners policy standards allow for the occasional rental of Homes primarily occupied by the named insured. The number of weeks allowed for rental is determined by how the property is occupied. Primary and Secondary Homes – Homes that are occupied on a year round basis. Primary and Secondary homes may be rented annually for up to 12 weeks. Seasonal Properties - Seasonal properties are properties that have a period of un-occupancy of at least 3 consecutive months per year. Seasonal Properties may be rented annually for up to 4 weeks.

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WINDSTORM OR HAIL DEDUCTIBLE

I. Windstorm or Hail Deductible Rule for Properties located in Barnstable, Dukes and Nantucket Counties or located within ˝ mile of the coast in rest of the state.

MINIMUM WINDSTORM OR HAIL DEDUCTIBLE
Cov A Limit in (000)	Entire Duke & Nantucket Counties	Barnstable Counties		Rest of State
		Within 1/2 mile of the coast	More than 1/2 mile of the coast	Within 1/2 mile of the coast	More than 1/2 mile of the coast
Up to 99	2%	2%	2%	1%	AS PER CURRENT
100 – 199	2%	2%	2%	1%
200 – 299	5%	2%	2%	1%	MINIMUM WINDSTORM
300 – 399	5%	2%	2%	1%
400 – 499	5%	2%	2%	1%	OR HAIL DEDUCTIBLE
500 – 599	5%	2%	2%	2%
600 – 699	5%	5%	2%	2%	REQUIREMENT
700 – 799	5%	5%	2%	2%
800 – 899	5%	5%	2%	2%	AS SHOWN
900 – 999	5%	5%	2%	2%
1000	5%	5%	2%	2%	BELOW

II. Windstorm or Hail Deductible Rule for Properties located more than ˝ mile from the coast anywhere in the state except properties in Barnstable, Dukes and Nantucket Counties

MINIMUM WINDSTORM OR HAIL DEDUCTIBLE (COVERAGE A LIMIT)
All other perils Ded. Limits	Up to $59,999	$60,000 to 124,999	$125,000 to $249,999	$250,000 to $599,999	$600,000 and over
$100	NONE	$500	$1000	$2000	$5000
$250	NONE	$500	$1000	$2000	$5000
$500	NONE	NONE	$1000	$2000	$5000
$1000	NONE	NONE	NONE	$2000	$5000
$2500	NONE	NONE	NONE	None	$5000

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HOMEOWNERS ENDORSEMENT FORMS QUICK REFERENCE

FORM ID	NAME	REQUIRED INFORMATION/DOCUMENTATION
HO 00 02	Broad Form	HCE Worksheet, Cov A must be = or > 80% of Estimated Replacement Cost
HO 00 03	Special Form	HCE Worksheet, Cov A must be = or > 80% of Estimated Replacement Cost
HO 00 04	Contents Broad Form	Coverage C Minimum Limit of $6,000
HO 00 05	Comprehensive Form	HCE Worksheet, Cov A must be = or > 80% of Estimated Replacement Cost
HO 00 06	Unit-Owners Form	Coverage C Minimum Limit of $10,000
HO 01 20	Special Provisions Massachusetts	No Additional Information needed – Mandatory Endorsement
HO 03 12	Windstorm or Hail Percentage Deductible	Mandatory when W/H % Deductible is attached to policy
HO 04 10	Additional Interests	Name & Address of Person or Organization, Interest, Documentation showing interest
HO 04 12	Increased Limits On Business Property	Increase in Limit of Liability, Total Limit of Liability, Description of Business
HO 04 14	Special Computer Coverage	No Additional Info. This is not a schedule. Increases perils insured against.
HO 04 16	Premises Alarm or Fire Protection System	Type of Device, Installation Certificate
HO 04 26	Limited Fungi, Wet or Dry Rot or Bacteria Cov	Mandatory for HO 00 02, 04 & 06 Policies.  Higher Limits Optional
HO 04 27	Limited Fungi, Wet or Dry Rot or Bacteria Cov	Mandatory for HO 00 03 & 05 Policies.  Higher Limits Optional
HO 04 28	Limited Fungi, Wet or Dry Rot or Bacteria Cov	Mandatory for HO 00 04 & 06 Policies w/ HO 05 24, HO 17 31 & HO 17 32 Higher Limits Optional
HO 04 35	Loss Assessment Coverage	Indicate “Residence Premises” & Additional Amount of Insurance if coverage desired for Add’l Location need to indicate Location & Limit of Liability
HO 04 40	Structures Rented to Others  (Residence Premises)	Description of Structure, Limit of Liability, Year of Construction, # of Families Used for rented home/cottage/carriage house etc. on premises.
HO 04 41	Additional Insured (Residence Premises)	Name & Address of Person or Organization, Interest (Add’l Insureds must sign Application)
HO 04 42	Permitted Incidental Occupancies	Description of Business, # of employees, any physical alterations to residence, number of clients that visit the business on weekly basis, where in the residence is business located, If business is located in an other Structure on the residence need Limit of Liability & Description of Structure if coverage is desired
HO 04 43	Replacement Cost For Non Building Structures	No Additional Information Needed
HO 04 46	Inflation Guard	Percentage Amount 4% 6% 8%10% etc.
HO 04 48	Other Structures On The Residence Premises (Increased Limits)	Description of Structure –Garage/shed/etc. & Additional Limit of Liability
HO 04 49	Building Additions and Alterations (Other Residence)	Location of the Building & Limit of Liability
HO 04 50	Increase Limits to Personal Property	Location of Insured’s Residence, Increase in Limit of Liability & Total Limit Of Liability at This Location
HO 04 51	Building Additions and Alterations (Increased Limit Form HO 00 04)	Increase in Limit of Liability & Total Limit of Liability
HO 04 53	Credit Card, Fund Transfer Card, Forgery & Counterfeit Money Coverage (Increased Limit)	Increase In Limit of Liability & Total Limit of Liability
HO 04 54	Earthquake	Earthquake % Deductible, If Exterior is Masonry Veneer indicate if it is to be covered.
HO 04 56	Special Loss Settlement	Percentage Amount of Full Replacement Cost
HO 04 58	Other Members of Your Household	Name Of Person Covered By This Endorsement
HO 04 59	Assisted Living Care Coverage	Name of Relative(s), Name & Location of Residency, Limit of Coverage E & F
HO 04 61	Scheduled Personal Property Endorsement	Need detailed Description of all items being scheduled, Receipts/Appraisals no older than 5 years needed for all items scheduled for $2500 or more.
HO 04 65	Coverage C Increased Special Limits of Liability	Increase In Limit Of Liability, Total Limit of Liability
HO 04 66	Coverage C Increased Special Limits of Liability  (HO 00 05, HO 00 04 w/HO 05 24 & HO 00 06 w/HO 17 31)	Increase In Limit Of Liability, Total Limit of Liability
HO 04 77	Ordinance or Law Coverage	New Total Percentage Amount
HO 04 81	Actual Cash Value Loss Settlement	No Additional Information Needed
HO 04 90	Personal Property Replacement Cost Loss Settlement	No Additional Information Needed
HO 04 91	Coverage B-Other Structures Away From The Residence Premises	Description of Other Structure(s)- indicate how used with home.
HO 04 92	Specific Structures	Limit of Liability, Description & Location of Structure
HO 04 95	Water Back Up and Sump Overflow	No Additional Information Needed
HO 04 96	NO Section II-Liability Coverage for Home Day Care Business Limited Section I- Property Coverage	No Additional Information Needed – Mandatory Endorsement
HO 04 97	Home Day Care Coverage Endorsement	Number of Persons Receiving Day Care Services (Max 3 children-aggregate) # of employees, any physical alterations to residence, where in the residence is daycare located, If daycare is located in an other Structure on the residence need Limit of Liability & Description of Structure if coverage is desired.
HO 04 98	Refrigerated Property Coverage	No Additional Information Needed
HO 04 99	Sinkhole Collapse	No Additional Information Needed
HO 05 02	Additional Limits Of Liability For Coverages A, B, C and D – Massachusetts	Coverage A must be at Least = to 100% of the Estimated Replacement Cost or previous carriers coverage A whichever is greater.
HO 05 08	Specified Additional Amount Of Insurance For Coverage A – Dwelling - Massachusetts	Additional Amount of Insurance Percentage, Coverage A must be at Least = to 100% of the Estimated Replacement Cost or previous carriers coverage A whichever is greater.
HO 05 24	Special Personal Property Coverage	No Additional Information Needed
HO 05 27	Additional Insured - Student Living Away From Home The Residence Premises	Name and Address of Student, Name Of School
HO 05 28	Owned Motorized Golf Cart Physical Loss Coverage	Limit of Liability, Deductible, Does Collision Apply, Make or Model and Serial Or Motor Number. Where is Cart used.
HO 05 30	Functional Replacement Cost Loss Settlement	HCE Worksheet, apply Functional Replacement Cost Factor
HO 05 41	Extended Theft Coverage For Residence Premises Occasionally Rented To Others	Number of weeks rented and number owner occupied.
HO 05 43	Residence Held in Trust	Enter Name of Grantor or Beneficiary if they reside a residence premises.
HO 05 46	Landlord’s Furnishings	Description of Rented Unit, Increase in Limit of Liability, Total Limit Of Liability
HO 05 72	Property Remediation For Escaped Liquid Fuel and Limited Escaped Liquid Fuel Liability Coverages (HO 00 02, 03 & 05)	Need to know if storage tank is above ground or below ground Aggregate Limited Escaped Liquid Fuel Liability Limit Of Liability Property Remediation For Escaped Liquid Fuel Limit of Liability
HO 05 73	Property Remediation For Escaped Liquid Fuel and Limited Escaped Liquid Fuel Liability Coverages (HO 00 04)	Need to know if storage tank is above ground or below ground Aggregate Limited Escaped Liquid Fuel Liability Limit Of Liability Property Remediation For Escaped Liquid Fuel Limit of Liability
HO 05 74	Property Remediation For Escaped Liquid Fuel and Limited Escaped Liquid Fuel Liability Coverages (HO 00 06)	Need to know if storage tank is above ground or below ground Aggregate Limited Escaped Liquid Fuel Liability Limit Of Liability Property Remediation For Escaped Liquid Fuel Limit of Liability
HO 05 75	Rating Information Property Remediation For Escaped Liquid Fuel and Limited Escaped Liquid Fuel Liability	Mandatory when endorsement HO 05 72, HO 05 73 or HO 05 74 are attached to a policy
HO 07 01	Home Business Insurance Coverage	Underwritten on an individual basis.
HO 17 31	Unit-Owners Coverage C Special Coverage Form HO 00 06 Only	No Additional Information Needed
HO-17 32	Unit-Owners Coverage A Special Coverage Form HO 00 06 Only	No Additional Information Needed
HO 17 33	Unit-Owners Rental To Others Form HO 00 06 Only	Need to know # of weeks the condominium is rented.  Maximum Rental period of 12 weeks Primary/Secondary residence and 4 weeks for seasonal residence
HO 17 34	Unit-Owners Modified Other Insurance and. Service Agreement Form Condition HO 00 06 Only	No Additional Information Needed
HO 23 71	Tenants Relocation Expense-MA	Attached to all multi-family policies unless Additional Insureds occupy the remaining units in the Dwelling
HO 24 13	Incidental Low Power Recreational Motor Vehicle	Description of vehicles including miles per hour needed
HO 24 41	Lead Poisoning Exclusion-MA	Applies to all Multi-Family Primary residences built prior to 1978, also applies to all HO 24 70 & HO 04 40 locations built prior to 1978 attached to policy
HO 24 42	Coverage for Lead Poisoning-MA	Coverage E Lead Poisoning Liability Limit, Location(s) and description of each unit in the dwelling the coverage is being  purchased for.
HO 24 43	Permitted Incidental Occupancies (Other Residence)	Description of Business & Location, # of employees, any physical alterations to residence, number of clients that visit the business on weekly basis.
HO 24 64	Owned Snowmobile	Make or Model, Serial Or Motor Number
HO 24 70	Additional Residence Rented to Others (1, 2, 3 or 4 Families)	Location, Number of Families and Year of Construction Maximum of 2 per policy.  Properties under rehabilitation are ineligible.
HO 24 71	Business Pursuits	Name and Business Of Insured, Indicate if Corporal Punishment is desired
HO 24 75	Watercraft	Description & Length Of Watercraft & Inboard or Outboard Engine, Outboard Engine If Not Owned by Insured
HO-24 82	Personal Injury	No Additional Information Needed
MUATRE	Tentative Rate Endorsement	No Additional Information Needed – Mandatory Endorsement
HO FP	Special Endorsement	No Additional Information Needed – Mandatory Endorsement

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