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<br />Proposal of Insurance For Naveed Haider, M.D. <br />Page 12 of 16 <br /> <br />Important Disclosures <br />The proposal is an outline of certain terms and conditions of the insurance proposed by the insurers, based on the information provided <br />by your company. It does not include all the terms, coverages, exclusions, limitations and/or conditions of the actual policy contract <br />language. The insurance policies themselves must be read for those details. Policy forms for your reference will be made available upon <br />request. <br /> <br />We will not be operating in a fiduciary capacity, but only as your broker, obtaining a variety of coverage terms and conditions to protect <br />the risks of your enterprise. We will seek to bind those coverages based upon your authorization; however, we can make no warranties <br />in respect to policy limits or coverage considerations of the carrier. Actual coverage is determined by policy language, so read all policies <br />carefully. Contact us with questions on these or any other issues of concern. <br /> <br />The information contained in this proposal is based on the historical loss experience and exposures provided to Arthur J. Gallagher & Co. <br />This proposal is not an actuarial study. Should you wish to have this proposal reviewed by an independent actuary, we will be pleased to <br />provide you with a listing of actuaries for your use. <br /> <br />TRIA/TRIPRA Disclaimer – If this proposal contains options to purchase TRIA/TRIPRA coverage, the proposed TRIA/TRIPRA program may <br />not cover all terrorism losses. While the amendments to TRIA eliminated the distinction between foreign and domestic acts of terrorism, <br />a number of lines of coverage excluded under the amendments passed in 2005 remain excluded including commercial automobile, <br />burglary and theft insurance; surety insurance, farm owners multiple perils and professional liability (although directors and officers <br />liability is specifically included). If such excluded coverages are required, we recommend that you consider purchasing a separate <br />terrorism policy. Please note that a separate terrorism policy for these excluded coverages may be necessary to satisfy loan covenants or <br />other contractual obligations. TRIPRA includes a $100 billion cap on insurers' aggregate liability. <br /> <br />The TRIPRA program increases the amount needed in total losses by $20 million each calendar year before the TRIPRA program responds <br />from the 2015 trigger of $100 million to $200 million by the year 2020. <br /> <br />TRIPRA is set to expire on December 31, 2020. There is no certainty of extension, thus the coverage provided by your insurers may or may <br />not extend beyond December 31, 2020. In the event you have loan covenants or other contractual obligations requiring that TRIA/TRIPRA <br />be maintained throughout the duration of your policy period, we recommend that a separate "Stand Alone" terrorism policy be <br />purchased to satisfy those obligations. <br /> <br />Compensation Disclosure <br />One of the core values highlighted in The Gallagher Way states, “We are an Open Society,” and our open society extends to the <br />compensation Gallagher receives. In general, Gallagher may be compensated as follows: <br /> <br />1. Gallagher Companies are primarily compensated from the usual and customary commissions or fees received from the <br />brokerage and servicing of insurance policies, annuity contracts, guarantee contracts and surety bonds (collectively “insurance <br />coverages”) handled for a client’s account, which may vary from company to company and insurance coverage to insurance <br />coverage. As permitted by law, Gallagher companies occasionally receive both commissions and fees. <br />2. In placing, renewing, consulting on or servicing your insurance coverages, Gallagher Companies may participate in contingent <br />and supplemental commission arrangements with intermediaries and insurance companies. Contingent commissions provide <br />for additional contingent compensation if underwriting, profitability, volume or retention goals are achieved. Such goals are <br />typically based on the total amount of certain insurance coverages placed by Gallagher with the insurance company and/or <br />through the intermediary, not on an individual policy basis. Some insurance markets, including Gallagher-owned <br />intermediaries, have modified their commission schedule with Gallagher, resulting in an increase in some commission rates. <br />These additional commissions, commonly referred to as “supplemental commissions” are known as of the effective date, but <br />some insurance companies are paying this commission later and apart from when commission is normally paid at policy <br />issuance. As a result, Gallagher may be considered to have an incentive to place your insurance coverages with a particular <br />insurance company. Note: Upon request, your Gallagher representative can provide more specific market information <br />regarding contingent and supplemental commission related to your insurance coverage. <br />3. Gallagher Companies may also receive investment income on fiduciary funds temporarily held by them, such as premiums or <br />return premiums. <br />4. Gallagher Companies may access other facilities, including wholesalers, reinsurance intermediaries, captive managers, <br />underwriting managers and others that act as intermediaries for both Gallagher and other brokers in the insurance <br />marketplace. Gallagher Companies may own some of these facilities, in whole or in part. If such a facility was utilized in the <br />For more information on Gallagher’s compensation <br />arrangements, please visit <br />www.ajg.com/compensation