Page 1 (Rev. 05-16-2016)
Type of Coverage Codes
Type of Coverage is divided into the following mutually exclusive categories:
Auto
Fire, Allied Lines and Commercial Multi-Peril (CMP)
Homeowners
Life and Annuity
Accident and Health
Liability
Miscellaneous
Each of the major categories (except for Miscellaneous) is further divided into first- and second-level coverages
that describe a more specific area of coverage within the primary category.
Each complaint may involve only one category. Within a category, a complaint may contain only one first-level
coverage and up to three second-level coverages (where available).
Auto
Level 1 Coverages
Title
Description
Commercial
Provides coverage for liability, physical damage, and other exposures for
automobiles owned or leased by businesses, partnerships, or organizations.
Group Private Passenger
Personal automobile coverage for liability, physical damage, and other exposures
for automobiles owned or leased by individuals or families. The individual or family
obtains the coverage with an association/group in which the individual or family is a
member/enrollee/certificate holder.
Individual Private
Passenger
Personal automobile coverage for liability, physical damage, and other exposures
for automobiles owned or leased by individuals or families.
Motor Home/Recreational
Vehicles
Individual coverage for an automotive vehicle built on a truck or bus chassis and
equipped as a self-contained traveling home.
Motorcycle
Individual coverage for any two-wheel automotive vehicle having one or more
saddles and sometimes a sidecar with a third supporting wheel.
Motorsports
Services specialty cars, race teams, special events, and related commercial
business insurance.
Rental
Automobile insurance coverage for rented vehicles.
Level 2 Coverages
Title
Description
Collision
Insurance coverage available to provide protection against physical contact of
an automobile with another inanimate object resulting in damage to the
insured’s car.
Collision Damage
Waiver
A provision in many auto rental contracts charging an extra fee to the person
renting a vehicle, and in exchange the rental company waives its right to
recover physical damage losses from the renter.
Comprehensive
Automobile insurance providing protection in case of physical damage
suffered by the insured’s car, other than collision or theft. Example: Fire,
Flood.
Page 2 (Rev. 05-16-2016)
Title
Description
Liability
Policyholder's legal liability resulting from injuries to other persons or damage
to their property.
Medical Payments
Coverage, available in various liability insurance policies, in which the insurer
agrees to reimburse the insured and others, without regard to the insured's
liability, for medical or funeral expenses as the result of bodily injury or death
by accident under specified conditions.
No-Fault/Personal
Injury Protection
No-Fault - Forms of insurance by which a person's financial losses
resulting from an automobile accident are paid by their own insurers
regardless of who was at fault.
Personal Injury (PIP) - A form of insurance issued in some states with
minimum coverage limits, or thresholds, set by state law. Injured parties
cannot sue the responsible party until the specific threshold of expenses
are met.
Other
Other secondary level types that do not fit clearly into any specific category in
the secondary level.
Personal Effects
Coverage
Coverage that protects personal effects of the renter while in the rental car.
Personal Passenger
Protection
Covers accidental death and medical expenses for the renter if involved in an
accident.
Physical Damage
Provides coverage to vehicles owned, leased, or operated by a covered
person due to collision or under comprehensive coverage for non-collision
hazards, such as fire, theft, or falling objects.
Physical Damage
Waiver
Responsibility for any damage to a rented vehicle is waived, provided the
rental agreement is not violated.
Policy Proof of Interest
Insurance covering peculiar conditions of risk concerning anticipated freight.
Example: If a company goes to pick up freight which ends up being destroyed
by some hazard, they suffer losses such as shipping fees.
Rental Reimbursement
Automobile coverage that pays the cost of a vehicle rental during a period the
insured vehicle requires covered repair.
Residual Market/JUA
Related
Policies issued on behalf of the Wisconsin Automobile Insurance Plan (WAIP)
whether issued by assignment or on behalf of the WAIP under a servicing
carrier agreement.
Supplemental Liability
Insurance
Protects the renter against third-party auto liability at-fault claims for up to a
specified limit if involved in an accident.
Surplus Lines
Coverage obtained in an unlicensed insurance company because of its
unavailability in the licensed market.
Towing
An endorsement to an automobile policy that pays specified amounts for
towing and related labor cost.
Uninsured
Motorists/Underinsured
Motorists
Uninsured Motorists - Protection covers the policyholder, family
members, and passengers if injured by a hit-and-run motorist or a driver
who carries no liability insurance.
Underinsured Motorists - Protection covers the policyholder and family
members if injured by a motorist who carries liability limits less than
his/her proportionate share of the total liability. Also provides coverage if
the other driver's insurance is with a financially irresponsible insurer.
Page 3 (Rev. 05-16-2016)
Fire, Allied Lines, and Commercial Multi-Peril
Level 1 Coverages
Title
Description
Builder's Risk
A property insurance policy that provides direct damage coverage on buildings or
structures while they are under construction. It also covers foundations, fixtures,
machinery, and equipment used to service the building, and materials and supplies
used in the course of construction.
Commercial MP
Commercial package policies which include liability, fire, and allied lines coverage.
Credit Property
Insurance against loss of or damage to personal property, covering a creditor's security
interest in the property, when the insurance is written as part of a loan or other credit
transaction. Can include GAP insurance as it relates to the difference between loss
payments and loan indebtedness.
Crop/Hail
Growing crops are subject to numerous perils--bad weather, hail, fire, flood, insects,
and disease. Policies may cover one or more of these perils reducing proportionally as
harvesting progresses and terminates when the harvest is complete.
Dwelling Fire
Covers buildings and the personal property inside. Designed to insure one- to four-
family dwellings, whether owner-occupied or tenant-occupied, and can be used to
insure mobile homes. Policies do not include theft, liability, or medical payments
coverage.
Fire, Allied Lines
Insurance covering the peril of fire damage to property, as well as extended coverage,
which includes perils other than fire, such as windstorm, hail, explosion, riot, etc., along
with resultant damage caused by smoke and water. Allied lines provide further
coverage against perils such as sprinkler leakage, rain and non-fire-related water
damage, and earthquake.
Level 2 Coverages
Title
Fire-Real Property
Liability
Other
Personal Property
Residual Market/JUA
Related
Surplus Lines
Theft
Windstorm
Page 4 (Rev. 05-16-2016)
Homeowners
Level 1 Coverages
Title
Description
Condo/Town
Coverage protecting the insured’s personal property and loss of use. Coverage may
include protection against fire, lightning, vandalism, malicious mischief, wind, hail,
explosion, riot, civil commotion, vehicles, aircraft, smoke, falling objects, weight of
ice/sleet/snow, and volcanic eruption.
Farm Owner/Ranch
Owner
A contract which combines personal and business multiple-line insurance; coverage for
the entire farm and ranch operations, may include the dwelling.
Group Homeowner’s
Homeowner’s insurance containing a benefit package policy that combines property
and liability coverage of property and individuals. Coverage obtained by a group
member/enrollee/certificate-holder through a master contract issued to the
association/group in which the individual or family belongs.
Homeowner’s
Coverage for homes, including dwelling coverage. Protects owners and tenants
against losses or damage to their residential property and provides protection against
liability claims by others suffering injury or damages while on such property.
Mobile Homeowner
Coverage for mobile homes, which are classified as portable units that are built to be
towed on their own chassis with frame and wheels but are permanently affixed to the
real estate and are designed for year-round living.
Renter’s/Tenant’s
Coverage for the contents of a renter’s home/apartment and liability. Tenant policies
reflect homeowner’s insurance, except they do not cover the structure. Covers inside
structure changes such as carpeting, kitchen appliances, and built-in bookshelves.
Level 2 Coverages
Title
Earthquake
Fire-Real Property
Flood
In-home/Incidental
Business
Liability
Loss of Use
Medical Payments
Other
Page 5 (Rev. 05-16-2016)
Title
Personal Property
Replacement Cost
Residual Market/JUA
Related
Single Interest
Surplus Lines
Theft
Windstorm
Life and Annuity
Level 1 Coverages
Title
Description
Accelerated Benefits
Prepayment of a specified percentage of life insurance death benefits prior to death to
cover the cost of treatment for life threatening disease or confinement to a nursing
home. Generally used in case of a terminal illness. Also known as living benefits.
Credit Life
A type of decreasing term insurance usually issued to a creditor to cover the life of a
debtor for an outstanding loan.
Group Annuities
Annuities purchased by a group member/enrollee/certificateholder through a master
contract issued to the association/group to which the individual belongs. These
annuities pay a benefit at regular intervals for the life of the annuitant or for a specified
period, usually beginning at retirement.
Group Life
Life insurance coverage obtained by group member/enrollee/certificate-holder through
a master contract issued to the association/group to which the individual belongs,
usually paying face value benefits upon the death of the covered individual.
Individual Annuities
A policy that pays a benefit at regular intervals for the life of the annuitant or for a
specified period usually beginning at retirement.
Individual Life
Insurance covering the life of an individual with the face value usually payable at the
death of the insured person.
Level 2 Coverages
Title
Accidental Death &
Dismemberment
Association
Page 6 (Rev. 05-16-2016)
Title
Equity Indexed
Fixed
Other
Premium Waiver
Pre-Need Funeral
Single Premium
Term
Universal
Variable
Whole Life
Accident and Health
Level 1 Coverages
Title
Description
Credit Accident &
Health
Insurance usually issued to a creditor to provide indemnity for payments or debt
becoming due on a specific loan or other credit transaction should the debtor become
disabled.
Group
Insurance that is issued against sickness or injury where the group is the policyholder
and the individual insured is the certificateholder.
Individual
Insurance that is issued to an individual insuring one against sickness or injury.
Stop Loss
Insurance purchased by employers in order to limit their exposure under self-funded
health insurance plans. Stop-loss insurance takes effect after a minimum amount has
been paid in claims. There are two types: specific attachment point which means the
stop-loss insurance takes effect when claims for an individual employee exceeds the
agreed-upon amount and aggregate attachment point which means that the stop-loss
insurance takes effect when claims for the employer’s total group exceeds the agreed-
upon amount.
Page 7 (Rev. 05-16-2016)
Level 2 Coverages
Title
Accident Only
Autism/PDD
Bronze
Cancer/Dread Disease
Catastrophic
Child Only
Chiropractic
COBRA
Dental
Disability Income
Exchange
Gold
Grandfathered
Health Only
Page 8 (Rev. 05-16-2016)
Title
HIPAA
HMO
Home Health Care
Hospital Indemnity
Large Group
Limited Benefits
Long-Term Care
LSHO
Medicare Advantage/
Part C
Medicare Prescription
Drug/Part D
Medicare Select
Medicare Supplement
Medigap
Medicare Supplement
Plan F
Medicare Supplement
Plan K
Medicare Supplement
Plan L
Medicare Supplement
Plans Other/Unknown
Medicare Supplement
Plans Pre
Standardized
Mental Health
Multi State
Nursing Home
Occupational Accident
Page 9 (Rev. 05-16-2016)
Title
Other
PPO
Pharmacy Benefits
Platinum
Pre-existing Condition
Self-Funded/ERISA
Short-Term Limited
Duration Policy
Silver
Small Group
Stand Alone Dental
Student Health
Unemployment
Vision
Liability
Level 1 Coverages
Title
Description
Directors and Officers
Reimburses for loss because of wrongful acts by directors and/or officers while acting
in their respective capacities. It covers defense costs, charges, and expenses as well
as the actual settlements from litigation.
Page 10 (Rev. 05-16-2016)
Title
Description
General
Coverage that pertains, for the most part, to claims arising out of the insured's liability
for injuries or damage caused by ownership of property, manufacturing operations,
contracting operations, sale or distribution of products, the operation of machinery, and
professional services. Covers all types of liability insurance other than employers,
automobile, or product liability.
Products
Covers liability of an insurer due to personal injury, death, emotional harm,
consequential economic damage or property damage arising from the use or operation
of a product manufactured and/or sold by the insured.
Professional/E&O
Coverage pertaining to claims arising from the insured's liability for injuries or damage
caused by acts or errors and omissions (E&O) of the insured while performing duties of
his/her profession.
Umbrella
Excess liability coverage above the limits of basic liability insurance policy such as the
owners, landlords, and tenants liability policy. The umbrella policy fills gaps in
coverage under basic liability policies.
Level 2 Coverages
Title
Employment Policies
Excess Loss
Medical Malpractice
Other
Pollution
Surplus Lines
Page 11 (Rev. 05-16-2016)
Miscellaneous (no Level 2 Coverages available)
Level 1 Coverages
Title
Description
Aircraft
Coverage on an all-risk basis whether the airplane is on the ground or in the air. Air
cargo covers legal liability for damage, destruction or other loss of a customer’s
property while being shipped.
Bail Bonds
Monetary guarantee that an individual released from jail will be present in court at the
appointed time. If the individual is not present in court at the appointed time, the
monetary value of the bond is forfeited to the court.
Boiler Machinery
Coverage for loss arising out of the operation of pressure, mechanical and electrical
equipment. It covers loss of the boiler and machinery itself, damages to other property,
legal fees, and business interruption losses. The insurance covers business property,
other property involved, and legal fees.
Credit Unemployment
Credit insurance that provides a monthly or lump sum benefit during an unpaid leave of
absence from employment resulting from specified causes, such as illness of a close
relative and adoption or birth of a child. This insurance is sometimes referred to as
Credit Family Leave.
Extended Warranty
and Service Contracts
A policy providing repair or replacement service or indemnification for such service for
the operational failure of covered property. Examples: homeowner warranty, electronic
devices warranty, etc.
Federal Crop
Protection against natural disasters which may strike crops. Premiums reflect actual
losses incurred by farmers.
Federal Flood
Coverage made available to residents of a community on a subsidized and non-
subsidized premium rate basis once the governing body of the community qualifies that
community for coverage under the National Flood Insurance Act. Resident includes
business and non-business operation with coverage written on structures and their
contents.
Federal Programs
Programs provided or administered by the federal government including Medicare,
Medicaid and the National Flood Insurance Program.
Fidelity and Surety
Fidelity - Insurance guaranteeing the "honesty" of persons holding positions of
public or private trusts. The insurer accepts the responsibility of the employee to
the employer for faithful performance of the duties of employment.
Surety - Insurance guaranteeing the performance of contracts, other than
insurance policies, or guaranteeing and executing all bonds, undertakings, and
contracts of suretyship. One party becomes responsible to a third party for the act
or negligence of a second party.
In Home/Incidental
Business
Coverage provided under stand-alone policy that reduces the risk of operating a small
service or retail business from home. Provides comprehensive coverage for business
personal property and business general liability exposures.
Inland Marine
A broad form of insurance, generally covering articles in transit as well as bridges,
tunnels, and other means of transportation and communication. Besides goods in
transit (generally excepting trans-ocean), it includes numerous "floater" policies, such
as those covering personal effects, personal property, jewelry, furs, fine arts, and other
items of value.
Mortgage Guaranty
Insurance against financial loss by lenders by reason of non payment of principal,
interest, or other sums agreed to be paid upon the terms of any note, bond or other
evidence of indebtedness secured by a mortgage, deed of trust, or other instrument
constituting a lien on real estate.
Ocean Marine
Insurance for sea-going vessels and their cargoes, including liabilities connected with
them. This covers ships or hulls, goods or cargoes, earnings (i.e., passage money,
commissions, profit), and liability incurred by the owner or by any party interested in or
responsible for insurable property for reasons of maritime perils while in transport.
Other
Does not clearly fit in any other category in this level.
Page 12 (Rev. 05-16-2016)
Title
Description
Private Mortgage
Insurance
Insurance written by a private company protecting the mortgage lender against loss
occasioned by a mortgage default.
Surplus Lines
Coverage obtained in an unlicensed insurance company because of its unavailability in
the licensed market. This code under the Miscellaneous coverage type should not be
used where the coverage is under Auto, Fire, Homeowner’s or Liability. For those lines
of insurance, use the “Surplus Lines” code under the particular line.
Title
Insurance against the loss of the title or against expenses due to a defective title,
damage suffered by reasons of liens, encumbrances upon, defects in, or the
unmarketability of a title to such real property. Coverage may extend to heirs in case of
death or to the insurers of a corporate owner of property.
Travel
Coverage for expenses associated with cancellation of travel, delays encountered
during travel and/or medical expenses incurred while traveling.
Watercraft
Coverage for damages resulting from the operation of motor boats too large to qualify
for insurance under ordinary homeowner’s and small business policies. Coverage
exists whether the boats are leased or owned by another party who operates them in
the benefit of the business exposing them to liability. This covers the actual boat,
engine, propellers, and permanently attached equipment in and out of water while
boating, launching, towing and storing.
Wisconsin Worker's
Compensation Ins
Pool
Worker’s compensation insurance policies issued on behalf of the Wisconsin Worker’s
Compensation Insurance Pool.
Worker's
Compensation
Insurance against the legal liability of any employer for the death of, disablement of, or
injury to an employee.