Insurance coverage analysis

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US008428971B2

(12) United States Patent

(10) Patent N0.:

Peterie

US 8,428,971 B2

(45) Date of Patent:

(54)

INSURANCE COVERAGE ANALYSIS

(76)

Inventor.

Chris W. Peterle, Dallas, TX (US)

(*)

Notice:

Subject to any disclaimer, the term of this patent is extended or adjusted under 35 U.S.C. 154(1)) by 881 days.

_

.

.

Apr. 23, 2013

2006/0100913 Al* 2008/0126138 Al*

5/2006 Ward .............................. .. 705/4 5/2008 Cherney et al. .. 705/4

2008/0147449

6/2008

Al*

Ward

....... ..

..

705/4

Zoos/0177580 A1,,

700% Gabriel “

“ 705/4

2008/0189121 A1 *

8/2008

.. 705/1

Brooks ..

OTHER PUBLICATIONS “NCCI Experience Rating Plan” National Council on Compensation Insurance, 2004*

(21) Appl.N0.: 11/829,668 * cited by examiner

(22) Filed:

Jul. 27, 2007 Primary Examiner * Kirsten Apple

(65)

Prior Publication Data

US 2009/0030734 A1

(74) Attorney, Agent, or Firm * David W. Carstens; Carstens & Cahoon, LLP

Jan. 29, 2009

(51) Int Cl

(57)

Got-‘Q 4'10/00

(52) U 5 Cl '

(58)

'

(201201)

ABSTRACT

An improved insurance coverage analysismethod, system,

'

_

and'coinpujterprograné. All llnsurance policles owned by da

_

part1cu ar

usmess an

its a temate ent1t1es are processe

.

UISPC ......... .... ...... ... .............. .. 705/4, 705/35, 705/38

Key data from the policies is input into Specialized templates

Field of Classi?cation Search ..................... .. 705/ 4

The insurance policy data can be input manually or automati_

See application ?le for complete search history.

cally. The specialized templates are interconnected to auto matically generate an overall summary of the business’ insur

References Cited

ance current coverage. Policy recommendations can also be

(56)

input and become visible in the summary as Well. An overall USA summary graphic is generated to make the obscure data more easily comprehended by a layperson. All insurance coverage information, both detailed and summarized, is pre

U.S. PATENT DOCUMENTS 2002/0147613 A1 *

10/2002

2003/0105648 A1 *

6/2003

Schurenberg et a1. .

2003/0167220 A1 *

9/2003

Schoen et a1.

.... ..

.. 705/36

2003/0177032 A1 * 2003/0182159 A1 *

9/2003 9/2003

Bonissone et al. .. Bonissone et a1. ..

705/2 705/2

2003/0195776 A1 * 2003/0233260 A1 *

10/2003 12/2003

2004/0181435 A9 * 2005/0192963 A1 *

Kennard et al. ................. .. 705/1

705/2

sented in a ?nal packet to the business owner. Alternate embodiments include a Web site for automatically conduct

ing the analysis upon upload of the insured’s coverage docu

M0016 et al. .................... .. 705/4 Snell et al. ...................... .. 705/4

ments'

9/2004 Snell et al. 705/4 9/2005 Tschicgg et a1. ................ .. 707/9

19 Claims, 33 Drawing Sheets

INSURANCE COVERAGE H H

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|————|

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US. Patent

Apr. 23, 2013

Sheet 1 0f 33

US 8,428,971 B2

100 Obtain all of

insureds policies

f 702 f 706

704 ' New Business?

f 708

Obtain permission I

Perform a workers

for background

a comp background

checks

check Uheck insured tor /' 7 72 coverage under additional

business entity names

t

Organize basic f774

analysis templates t

Organize policies and

complete applicable insurance coverage

templates:

- Covered Entity Evaluation » Property

- Boiler Machinery - General Liability - inland Marine

' Auto Coverage ~ Workers Comp - Pollution

~ international ~ Umbrella

~ Crime

- Financiai Lines

t

Print Summary sheets and overall

USA graphic highlighting total insurance

coverage analysis

@ FIG. 1

[770 Compare insured "3 Workers comp : modification rating

to others in industry

US. Patent

Apr. 23, 2013

Sheet 2 0f 33

( Begin )/ 400

( Begin )/ 200 V

US 8,428,971 B2

t

f’

Enter Primary Company Name, Address, Insuring Company,

f 402

Gather all ooller

machinery

insurance Rating, and Agent into Covered Entity Evaluation template

insurance policies

r

Evaluation data to populate

v

Allow Covered Entity

,f 204

Conduct search for

alternate entity names under

Boiler Machinery template

t Begin Y 300

Primary Company Name

\

,/ 206

[302

Gather all property

insurance policies

Determine types oi entity names f 208

Visually indicate

insured Company and

insuring Company fields ,,

f 406

Enter Coverages and Additional

Coverages data

insurance policies held by alternate

f 404

Allovv Covered Entity Evaluation data to populate

Property template Insured Company and insuring Company fields

,

face

Enter Endorsements data

the policies held under alternate entity names

End

Enter specitlc property location data for generation

of Property Recap data ‘

FIG, 2

fade

Enter Declarations Data

{are Enter Endorsments data ‘

End

FIG. 3

FIG. 4

US. Patent

Apr. 23, 2013

US 8,428,971 B2

Sheet 3 0f 33

@700

@500

17

Gather all general iiaoility insurance policies

Gather all auto insurance

Aliovv Covered Entity Evaluation data to populate

Allovv Covered Entity Evaluation data to populate Auto Coverage template insured Company and

policies v

General Liability template insured Company and insuring Company lields

insuring Company tields

Enter location

specific general liability policy data

t Begin Y 600 ,

Enter Declarations Data

(“570 Enter Endorsments data

Enter specific auto policy data for each covered vehicle

[e02

Gather all inland ‘marine insurance policies

Enter remaining Declarations Data

Allow Covered Entity Evaluation data to populate inland Marine template insured Company and

insuring Company fields

Enter Endorsments data 7

h

, recs Enter

Declarations Data

FIG. 7’

FIG. 5 Enter Endorsments data I

End

FIG. 6

US. Patent

Apr. 23, 2013

Sheet 4 0f 33

l Begin )/ 7000

( Begin V 800 v

‘ r1002 Gather any international

f

Gather all workers comp insurance policies a,

insurance policy

r 804

‘,

Allow Covered Entity Evaluation data to populate

Workers Compensation template insured Company and insuring Company fields

US 8,428,971 B2

[/1004

Allow Covered Entity Evaluation data to populate international template insured

Company and insuring

( Begin )/ 900

Company fields, enter data not

provided

face Enter state specific workers

compensation

i,

Gather any pollution insurance policy

policy da ta 11 v

f

Enter applicable Declarations data at

Enter Executive

Exclustions/lnclusions

Declarations data

‘f

a

Evaluation data to populate

Enter Endorsments

Pollution template Insured Company and insuring Company Fields, enter data net provided ,

V

Declarations data f“ 968

Enter specific Coverages data 17

Enter Endorsments data V

End

FIG. 9

,/ i008

data a

f» 906

Enter applicable

FIG. 8

Enter applicable

Allow Covered Entity

data Enter Endorsrnents data

,» i006

FIG, 10

US. Patent

Apr. 23, 2013

Sheet 5 0f 33

( Begin V4100

US 8,428,971 B2

l Begin Y 7300

f i 7 02

v

,r i 302

Gather any umbrella

Gather any DO/EPLl/

insurance policy

Fiduciary insurance policies



f7 7 04

v

Allow Covered Entity Evaluation data to populate Umbrella template insured

Company and insuring Company

insured Company and insuring

?elds, enter data not provided f 1 106 Enter applicable Declarations data

f 1 108

(

Begin-

1200

Company fields, enter data not

)

provided / 7306



t f 7202

DO/EPLl/Eiduciary

insurance policy

templates’ Declarations

?eld data \

f i l i0

Enter Endowments data

Enter applicable

Gather any crime Enter Policy Summary data

f" 7204

Allow Covered Entity

"

Evaluation data to populate

Enter DO/EPLl/Fiduciary

Crime template insured

Company and insuring Company fields, enter data not provided

templates’

End

Enter applicable 1295 Declarations / data Enter forms / i208 coverage data V

Enter Endorsements / 7270 data

End

FIG. 12

f 7308

Checklist data

V

FIG. 11

y» 7304

Allow Covered Entity Evaluation data to populate DO/EPLl/Eiduciary templates’

FIG“ 13

US. Patent

Apr. 23, 2013

Inland Marine

Sheet 6 0f 33

Auto

Temp/ale

US 8,428,971 B2

Workers Comp

Temp/ale

Template

Poliuiion

Template

Covered Eniiiy Evaluation

Template

international

Temp/ale

General Liability

Template

Preperfy Temp/ale

DO EPL/ "

USA Summary map/"C



Fiduciary

Temp/Hie FIG, 14

US. Patent

Apr. 23, 2013

Sheet 7 0f 33

US 8,428,971 B2

( Begin )/1500 1/

v

parsg insurance poll-Cy

augments m extract

r’ 7504 U load insurance olic

Present customer with 7 WGDPaQB WIT/l means i0 / 502

dogumehts in gig/‘:51 tori/n ‘

upload individual insurance

coverage details

policy documents

1508 ' 1' _ New Business?

f» 1510

,/1512

Obtain permission for background

if 7574

Perform a workers

ca?g’rigis’fg? S

‘ comp background

= mom-mm” rating

Checks

Check

to others in industry

Check insured for f 7516 coverage under additional

business entity names \

Populate oasis / 15 i8

analysis templates V

Generate and

display summary

f 7520

sheets and overall

USA graphic highlighting total insurance

coverage analysis I

" Request aiternate ~~ "

I, scenarios?

f 7524

ACQQPI‘ mid/?ed values from user

US. Patent

Apr. 23, 2013

Sheet 8 0f 33

US 8,428,971 B2

AUTQ POLICY REPORT

SVVingEQCOHiTIS \

Insured Company Insured Name

!k i

Insuring Company

Company Name

In< ring Company

0

Killing

0

Agent Policy Number Stew Date

Exp?v lo? Dale

Dedarations Coverage

Lzah by

Vehicle Summary Symbol

Deductible

Limit

Premium

Vehicle Types

Number

Premium

g

3

Each Person

$

Lech Accident

Heavy Truck

Perannai lnguiy Proteciion

2t,

7

Extra'Heavy TrUEk

Medical Pay

3

>

Trailer

uP-msured f Undermsured

$

-

Ail V65"-

'

El $ '

95

'

$

-

Earh Person

ccidcnt

Hired ,l Bnrroweo

(Iombmed iompienensiv?

Non 1

~

$

7

$

..

Praperly Prolecl'ion

S

5

ed

LcT?SSKI 1' RQl'lial

? S

3 .

Property Pr ~ Teams and Fees

Promiu Total Premium

Endorsements

[Current Form {1 - Description

I I Recummended Form # ~ Desc?ption

FIG. 16A

$

"

US. Patent

i H,

Apr. 23, 2013

Sheet 9 0f 33

US 8,428,971 B2

US. Patent

Apr. 23, 2013

Sheet 10 0f 33

US 8,428,971 B2

Swingle " ollinj

BOILER POLICY REPORT

(x [A i

Insured Company =rcd Flame

Insuring Company

*TOWPHRY NBITIE

insuring Company Rating

DI

Agent

Maiing Addrws I

I I

P0§icy Number Start Date Expia'aw? Date

FEIN Numb-2r

E:__w:_I

Coverages Description

Additionai Coverages Limit

Deductible

Premium

Coverage

Limit

Ecu'mmcnt Breakdown Umii

Es'rors and Omissions

Piccmty Damage

Extcndcc Peréna of lndcmnity

Busmess Income

Jo'ni Brands 1705s andAgreement E

Sewice Interruphon

)urisov'c’nona! Inspections

Coniingcnt Business Incume

Upgrace \laiu

on

Cause of Loss Data R051 matron

13mm

EéP rirzz .Aacing

Of?nanre 0-’ Law

Exr?osinn of Boiiers

Exncdmng Expenses

internal Damage t0 Boifws

Hazaidous Subsiancss

BuisUng, CrackI-qg, Sp

NL-wiy Acquired ! maihnns

Endorsements

I Current Form # “ Description

I I Recommended Form :1 - Description

FIG. 17

US. Patent

Apr. 23, 2013

Sheet 11 0133

US 8,428,971 B2

BUSINESS OWNERS POLICY REPORT Insured Company

Insuring Company

Property Declarations Deductibles

Amount

Rats: [ Basis

Amuunk

Policy Farm

Puliq Type

a

s 5

9.1mm,- we m

s

Prcmerty Recap Coverage

11v

k1 ( l

Blanket

Sguam Feet Value 4s 55 Fact

3

1,503

()rdinnnm Law



5 Cover-'1 :1 A

Covera e B

‘mm

;

_

Liability Declarations Limits

l

M Amount

Premiums

Anwunt

Deductibles

Amount

Claims Made Info

Genslal AC‘; was?)

Form Number Rem) Lam

EBL

Amount

5&5 Tax & Fees

Amount

Liability Location Summary

I 1

Classl?cntlon

Basls

"

Exposure

Rates Premise/Ops

| |

Pmducbs

Inland Marine Col/cram:

Premium; PIe'mise/Ops

Auto Limit

n

'-

"N

Prnmlum

Additional Coverages Coyaraqe

Total Amount

Limit

Dnductlblc

FIG. 18A

Endorsement

_'

Products

I

1 " ' ' ‘Total Premium

US. Patent

Apr. 23, 2013

Sheet 12 0f 33

US 8,428,971 B2

mm».wE

5923

US. Patent

Apr. 23, 2013

Sheet 13 0f 33

US 8,428,971 B2

um;62 "EmucPhE

$5.2“ E M \$m59o5

E QLA

Ewm3au8o95m

MCONUA a

US. Patent

Apr. 23, 2013

Sheet 14 0f 33

US 8,428,971 B2

COMMERCIAL LINES CGVERAGE CHECKLIST

SlL?gleCollim a: “Saul-11.“

Insured Company insured Name

Insuring Company

Cowpany Name

lr-surmg Company Pa

Maihngiuééaegt.

Fiw “mm

l

i

|

I



Loaku Rauno

123455789

I,

,

v

,

.

U

m:

m

Lscations incatmn E Locatian 2 Lunatmn 3

Gulklmg 5uildmg Buildmg

Coverages Location

Coverage

Deductible

FIG. 19

Basic t Broad

Sggcia!

Blanket

.

V

V

v

US. Patent

Apr. 23, 2013

Sheet 15 0f 33

US 8,428,971 B2

Covered Entity Evaluation Insured Names Primary Company Name Comaanv NaneAddress City, State Zip

Named insured

2,

2

Autombile

lnsuring Company Rating Agent

:TX

CA,m,m

Automcb?e_

Eenral Liablty Workes

Comp

FIG, 20

mUbrei a

crime

0 D81

Employed Lawyers Exces liab ty

EFL}

Fuxcldan,

Earthquke

:(wlnap R'mso Emu9 Travel

US. Patent

Apr. 23, 2013

Sheet 16 0f 33

US 8,428,971 B2

CRIME POLICY REPORT

Swing} CQHins

mm vx1 ::~.~

Insured Company Y Jred Name

Insuring Company

(Lomna?y NEW:

uring Company

Rai?g Age-'1!

Mdiiing Address I |

I 1

Poilcy Number Start Date Ewirabcn Date

Declarations Sustained

Total Premium :3

Discovered

Third Party

Form Number I

;

Forms Form

Description

1

Empinyce Theft

2

Forgriry and Alleratiun

3

Deductible

1 the Premises Jiw? of Moncy and Securities

4t 4

_.r v

mmiws Robbery or Safe Buigiaw of ,rly

5

Outside the Prcnmcs

6

Computer Fraud

7

Funds Trarmfer Fraud

8

Limit

Money OidEI‘S and Counterfeit Money

(May 7006 change)

Endorsements | Current

I ' Recommended

Farm #3 “ Description

Form tr - Dcscrip?on

FIG. 21

Blanketlsched

Premium

U S. Patent

Apr. 23, 2013

US 8,428,971 B2

Sheet 17 0f 33

D 81 O CHECKLIST Insured Company

Insuring Company Tammany Name

insu 2d Mme

Insuring Ccmpany' Raung Agent

‘'

01

Policy Number

§

FFIN Number

1 Date

[$7.3

n.

Deciarations Limit

‘{axes Fees Retro

Deductibie ERP

Priur Pending Toiai Premium Premium/Million

Checkiist

1

P0 Cy 'im'vcance ab} 7 except for non-payment 0;‘ 'emiurn7 Insurer prowc ai ieasi ninety {90) days prior written no renewal.

2

Am "pu uve damages“ spcCi

3

Charm 0n Hie ‘Kent 0‘ e

of non~

/ wvemd wiih must fav rank; venue ianquaqn.

y coverage affo'ded, DOih for sememenlts and Judgment; as weli as far as!’

10 amend entity to amp‘oyment practices

bi vy aimsv

ated cia ms‘ to cover '

5

‘ehoidQr suits a 9 aénsi

diredors and of?c-ri

L‘aimot m

6 7

mrnmitmeni from ihe

or ianqw e. wh |.. covcmgc under a [3&0 policy, l5 ‘(he entity spiacn’lcally (ifi’mdcd uwcmge for i'fl’l. claims.

14 Coveraga far iwdepenoeni (ontmctors and leased cmpioyccs

15 is a separate limlz applicable to the EFL coverage.

FIG. 22B

$

»

US. Patent

Apr. 23, 2013

Sheet 19 0f 33

US 8,428,971 B2

SyyjggleCotligéj

FIDUCIARY CHECKLIST

e1 ACSOFEA

Insured Company Insured Narne

q

Insuring Company Company Name

Insuring Con‘ipany

Rating

05

Agent Maiiing Addr

Policy Numhnr

i’tIN Numbar

Start Date Ex lion [361E to ~

[11:3

Declarations Limit Deductihie

Taxes Fees

Prior Vending Total Premium

ERP

Retro

Premium/Minion

Checklist

1

Empioym. ?unefiti» Liahihly induded

2

HIPPA iiahaiity COVQFGQG Induded

3

Discovszy Claus: provision (or Extended Reporting Ciausc) a waned of 12 months/365 days/‘wear. I10" ‘5; de?nition of covered employee hen ‘it plans limited JUSl to plans subject to the Employment Retirement Income

4

unly Am of 1971s - d amendments thei 0(ER1SA) & Omnibus Reconciliation Ad of 1985 (whmh induces COBRA) and the i. ‘iai Heaith Parity Act of i996. and pians not subject to ERISA (nonvquaiified plans},

5

Th? policy shouid be nnn-cancelahie, once the premzum has been paid. Notice 0,‘ non-renewal snnuid if? at 593st ninety (90)

6

Manuscnpted ianguag: For covci‘agc fer managed care iiabllity C‘OiiT‘S

7

"Waiver of rcccuxse" provisions in ihe policy, or no provision for recourse, by the insuren

8

Y2K exclusion

9

PU?iUV'z‘ damag s has most iavorable venue language.

FIG. 22C

$

1