The Sold House and the Still-Active Policy
Marisol owned a 1925 bungalow in Charleston. She closed the sale on March 1, signed and delivered the deed, and the buyer took possession that afternoon. Marisol's HO-3, in force through November 30, still names her as insured and lists her original lender as mortgagee, although the loan was paid off at closing. The buyer bound her own HO-3 effective February 28. On March 3 a kitchen fire caused $140,000 in damage. Marisol filed a claim; the buyer filed under her new policy. Both policies carry $2,000 deductibles and replacement cost dwelling coverage, and neither has been endorsed since the sale. Marisol argues that she paid premium through November and therefore the policy was still active when the house burned.
1. Should Marisol's insurer pay her claim? Walk through the analysis and state how you would document and communicate the decision.
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Issue: Does Marisol have a covered loss under her own policy?
Rule: Property insurance is a contract of indemnity. Recovery requires an insurable interest, meaning a pecuniary interest in the property that would be harmed by its loss, and that interest must exist at the time of loss, not merely when the policy was written. A named insured who has transferred all ownership has no loss to indemnify.
Application:
- The deed was delivered March 1; ownership passed to the buyer that day, and the buyer took possession.
- Marisol retained no ownership interest and no contractual risk of loss after closing; the payoff at closing extinguished her lender's interest as well.
- Premium paid through November is irrelevant. Premium earns coverage for whatever insurable interest the named insured actually holds during the term; it does not freeze ownership.
- Confirm whether any personal property of Marisol's remained in the dwelling and whether she had any continuing contractual interest (for example, a leaseback or a repair obligation). If the closing documents show a retained risk of loss, the analysis changes.
Conclusion: Deny Marisol's claim for the dwelling loss, citing the policy's definition of insured, the insurable interest requirement, and any provision on assignment or change of ownership. Send a written explanation that quotes the relevant policy language, note the closing date and deed delivery in the file, and record that no personal property loss was presented. Avoid implying that the policy was void for any reason other than the absence of an insured interest.
2. How should the adjuster handle the mortgagee still shown on Marisol's policy, and what risk does that create for the insurer?
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The mortgagee clause gives the lender a right to loss payment only to the extent of its debt. That right is derivative: once the loan was paid off at closing, the lender had nothing to protect.
Steps:
- Obtain a written payoff statement or the closing settlement statement showing the loan satisfied as of March 1.
- Do not issue any loss payment to the former lender; paying a satisfied mortgagee would be a voluntary payment outside the policy.
- Notify the lender and the agent in writing that the mortgagee interest is extinguished, and correct the policy record.
Residual risk: an insurer that fails to update the mortgagee of record can face an errors-and-omissions or accounting dispute if a later loss at that address occurs, and the insured may argue that the failure to correct the record shows the insurer still treated the policy as covering the property. The file should reflect the correction date and the payoff documentation. The presence of a stale mortgagee listing never creates coverage for an insured who has no insurable interest.
3. The buyer has also filed under her new policy. What should the buyer's adjuster verify before paying, and what does that tell you about how the two claims interact?
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The buyer's claim is the only viable one, but it must still be validated:
- Insurable interest at the time of loss: ownership plus possession as of March 1. Get the deed and closing statement.
- Policy effective date: February 28 bind confirms coverage on March 3. Confirm no lapse, no cancellation for nonpayment, and that the correct address and occupancy were disclosed.
- Occupancy and dweller status: confirm the buyer had actually moved in; an unoccupied or vacant dwelling may trigger limitations in the form.
- Valuation: apply the buyer's own deductible and replacement cost terms; the damage amount should be independently estimated, not taken from Marisol's claim file.
- No double recovery: confirm no payment is made to Marisol for the same damage, and that any proceeds are directed to the buyer and the buyer's mortgagee if one exists.
The two files interact only in the sense that they cannot both pay the same loss. One loss, one indemnity. The adjusters should note the other claim in each file to prevent duplicate payment, but each coverage decision stands on its own facts.