19 MAC Pt. 1, R. 34.11
Outline of Coverage and Comprehensive Policy Checklist
Cite as 19 Miss. Admin. Code Pt. 1, R. 34.11
Outline of Coverage and Comprehensive Policy Checklist
OUTLINE OF COVERAGE AND
COMPREHENSIVE POLICY CHECKLIST
The following is an outline of coverage and comprehensive policy checklist (hereinafter
"checklist") of your insurance policy and is for informational purposes only. Mississippi law
prohibits this checklist from changing any of the provisions of the insurance contract which is
the subject of this checklist. Any endorsement regarding changes in types of coverage,
exclusions, limitations, reductions, deductibles, coinsurance, renewal provisions, cancellation
provisions, surcharges, or credits is not included in this checklist, unless otherwise indicated.
This checklist does not operate to expand coverage beyond the coverage provided in the policy.
If there is a contradiction between this checklist and the policy, the terms of the policy govern.
You should read your policy thoroughly. You should review your insurance policy annually with
your insurance producer to ensure you are adequately covered.
Reviewing this checklist together with your policy can help you gain a better understanding of
your policy's actual coverages and limitations, and may even answer general questions. By
addressing any questions now, you will be more prepared later in the event of a claim. A clear
understanding of your policy's coverages and limitations will reduce confusion that may arise
during claims settlement.
To fully understand your insurance policy, you should read all provisions contained therein. If
you have questions regarding your policy, please contact your agent. Consumer assistance is
available from the Mississippi Insurance Department, Division of Consumer Services, 1-800-
562-2957 or www.mid.ms.gov .
Policy Type: (Homeowners, mobile/manufactured housing, renters/tenant)
Provide general description: Example:
Policy Type: Homeowners
Your homeowners insurance policy is a package policy that combines coverage for your
property that is destroyed or damaged by various perils, and provides you certain coverage for
liability exposure.
Dwelling Structure Coverage
Limit of Insurance: (Policy Limits)
Loss Settlement Basis: (ACV or
Replacement)
Other Structure Coverage (Detached from Dwelling)
Limit of Insurance:______________
Loss Settlement
Basis:__________________
Personal Property Coverage
Limit of Insurance:________________
Loss Settlement
Basis:__________________
Deductibles
Deductible: (Amount)
Hurricane/Named Windstorm Deductible: (Amount; if applicable)
Residence and Other Structure Coverage
Items marked with a Y(Yes) indicate coverage IS included; those marked with a N(No) indicate
coverage is NOT included. Special limits and loss settlements exceptions may apply to
certain limits. Refer to your policy for details. If there is a contradiction between this
checklist and your policy, the terms of the policy govern.
Coverage
Peril
Y
Fire
Lightening
Explosion
Wind and Hail
N
Flood
Earthquake
Collapse
Mold
Theft
Personal Property/Contents Coverage
The Limit of Insurance, Deductibles, and Loss Settlement Basis apply to the following perils
insured against. Items marked with a Y(Yes) indicate coverage IS included; those marked with a
N(No) indicate coverage is NOT included. Special limits and loss settlements exceptions may
apply to certain limits. Refer to your policy for details. If there is a contradiction between
this checklist and your policy, the terms of the policy govern.
Coverage
Peril
Y
Fire
Lightening
Explosion
Wind and Hail
N
Flood
Earthquake
Collapse
Mold
Theft
Additional Coverage
Items below marked Y(Yes) indicate coverage IS include; those marked N(No) indicate
coverage is NOT included. Special limits and loss settlements exceptions may apply to
certain limits. Refer to your policy for details. If there is a contradiction between this
checklist and your policy, the terms of the policy govern.
Coverage
Peril
Limit of Insurance
Time Limit
Y
Debris
Removal
$5,000
n/a
Loss
Assessment
Y
Additional
Living
Expenses
Actual loss sustained
24 months
Personal
Liability
Coverage
Medical
payments
coverage
Building,
Ordinance or
Law coverage
Named
Windstorm
Deductible
Percentage of
Deductible
n/a