Commercial Crime Insurance
Commercial crime insurance pays a business for loss of money, securities and other property caused by theft, robbery, forgery and similar crimes, including theft by its own employees. It is written on a commercial crime coverage form, as a coverage part of a commercial package policy or as a policy of its own.
Commercial crime
Why a business needs crime insurance
Commercial property insurance leaves important crime losses uninsured:
- Money and securities are not covered property. The building and personal property coverage form lists currency, money, notes and securities as property not covered.
- The basic and broad cause of loss forms do not cover theft. Their vandalism peril pays for the damage burglars do to the building in breaking in or out, but not for what they take.
- The special form excludes dishonesty. It excludes theft by the insured’s partners, officers and employees and their other dishonest or criminal acts (an employee’s act of destruction is still covered), and property given up because of a trick.
The insuring agreements
The form contains seven insuring agreements. An agreement applies only if a limit of insurance is shown for it in the declarations.
| Insuring agreement | What it pays for | Example |
|---|---|---|
| 1. Employee Theft | Loss of or damage to money, securities and other property from theft by an employee, identified or not, acting alone or with others. Theft here includes forgery. | A bookkeeper diverts customer payments into a personal account. |
| 2. Forgery or Alteration | Loss from forgery or alteration of checks, drafts and promissory notes made or drawn by or upon the insured. | A thief forges the owner’s signature on a stolen company check. |
| 3. Inside the Premises – Theft of Money and Securities | Loss of money and securities inside the premises from theft by a person present there, or from disappearance or destruction. | A burglar pries open the cash drawer overnight. |
| 4. Inside the Premises – Robbery or Safe Burglary of Other Property | Loss of or damage to other property inside the premises from robbery of a custodian or from safe burglary. | An armed robber forces a clerk to hand over watches from a showcase. |
| 5. Outside the Premises | Money and securities (theft, disappearance or destruction) and other property (robbery) while in the care of a messenger or an armored motor vehicle company. | An employee is robbed while carrying the deposit to the bank. |
| 6. Computer and Funds Transfer Fraud | Loss from a fraudulent entry or change of data in the insured’s computer system that causes money or property to be transferred, or from a fraudulent instruction to a financial institution to pay from the insured’s account. | A hacker issues payments from the accounting system. |
| 7. Money Orders and Counterfeit Money | Loss from accepting in good faith, for merchandise, money or services, a money order that is not paid or counterfeit money. | A retailer accepts counterfeit bills. |
Agreements 3 and 4 also pay for damage from an actual or attempted theft of money and securities (agreement 3) or robbery or safe burglary of other property (agreement 4): damage to the premises or its exterior, if the insured owns the premises or is liable for the damage, and damage to a locked safe or vault inside the premises. Agreement 3 also covers a locked cash register, cash box or cash drawer, and damage from unlawful entry into those containers.
Definitions
- Employee: a natural person in the insured’s service, paid directly by salary, wages or commissions, whom the insured has the right to direct and control. Temporary and leased workers are included, and a person remains an employee for the first 30 days after leaving, unless terminated for theft or dishonesty. An agent, broker or independent contractor is not an employee.
- Money: currency, coins and bank notes in current use, and traveler’s checks and money orders held for sale to the public.
- Securities: negotiable and nonnegotiable instruments or contracts representing money or property. Securities do not include money.
- Other property: tangible property other than money and securities that has intrinsic value. It does not include computer programs or electronic data.
- Theft: the unlawful taking of property to the deprivation of the insured.
- Robbery: the unlawful taking of property from the care and custody of a person by someone who has caused or threatened bodily harm to that person, or committed an obviously unlawful act the person witnessed.
- Safe burglary: the unlawful taking of property from a locked safe or vault by a person who enters it unlawfully, as shown by marks of forcible entry on its exterior, or the taking of the safe or vault itself from inside the premises.
- Forgery: signing the name of another person or organization with intent to deceive. Signing one’s own name is not forgery.
- Custodian: the insured, a partner or an employee who has care and custody of property inside the premises. A watchperson or janitor is not a custodian.
- Messenger: the insured, a relative, a partner or an employee who has care and custody of property outside the premises.
- Occurrence: for employee theft, an individual act, the combined total of all separate acts, or a series of acts by an employee, related or not, during the policy period. The limit of insurance is the most paid for one occurrence, so one limit applies to everything a dishonest employee takes during the policy period.
- Discover: the time the insured first becomes aware of facts that would cause a reasonable person to assume a covered loss has occurred or will occur.
Exclusions
The form does not cover:
- Acts of the insured: theft or any other dishonest act by the named insured or its partners or members
- Employees known to be dishonest: loss caused by an employee whose earlier dishonest act the insured learned of before the policy period
- Indirect loss: lost income, damages owed to others, and the cost of proving the loss
- Disclosure of confidential information, virtual currency, governmental seizure, nuclear hazard, pollution and war
Other exclusions apply only to particular agreements. Two groups matter most:
- Employee Theft does not cover a loss whose proof depends on an inventory computation or a profit and loss computation. The insured must show by other evidence that a theft took place, and may then use inventory records to support the amount.
- The inside and outside the premises agreements do not cover accounting or arithmetical errors, fire (except to money, securities, a safe or a vault), vandalism, motor vehicles, property transferred or surrendered to a person or place outside the premises on unauthorized instructions or because of a threat (a messenger robbed on a trip is still covered if the insured did not know of the threat when the trip began), or property the insured was tricked into giving up (voluntary parting).
Discovery form versus loss sustained form
Crime coverage is written on a loss sustained form or a discovery form. They differ in which policy pays when a hidden theft comes to light. Under both, the loss must be discovered during the policy period or the extended period to discover loss.
| Loss sustained form | Discovery form | |
|---|---|---|
| The occurrence must take place | During the policy period | At any time |
| Extended period to discover loss after cancellation | One year | 60 days in the standard discovery form |
Suppose an employee steals for three years and the theft is discovered in the fourth. A discovery form in force that year covers the whole loss, up to its limit. A loss sustained form in force that year covers, on its own, only what was taken during its policy period.
Extended period to discover loss. After cancellation, the insured may still discover a loss sustained before the cancellation date: one year under the loss sustained form and, in the standard discovery form, 60 days. The period ends immediately when the insured obtains other insurance replacing the coverage.
Loss sustained during prior insurance. Under a loss sustained form, if the current insurance took effect when the prior insurance was cancelled, and the current insurance would have covered the loss, the current insurer pays for a loss discovered now that took place during the prior insurance. If another insurer issued the prior insurance, its own period to discover loss must also have expired. The limits of the two policies do not add together: the most paid is the highest single limit when the same insurer or an affiliate issued both, and the lesser of the two limits when another insurer issued the prior one. A gap between the policies defeats the condition.
Conditions
Duties in the event of loss. After discovering a loss, or a situation that may result in one, the insured must:
- Notify the insurer as soon as possible
- Notify law enforcement if the loss involves a violation of law (not required for employee theft or forgery)
- Give a detailed, sworn proof of loss within 120 days
- Cooperate, produce pertinent records, and submit to examination under oath if asked
- Secure its rights of recovery against those responsible
Valuation. Money is paid at face value. Securities are valued at the close of business on the day the loss was discovered. Other property is paid at replacement cost without deduction for depreciation once it is repaired or replaced, and at actual cash value if it is not.
Other insurance. When crime coverage is primary and other insurance applies on the same terms, each insurer pays in proportion to its limit. If it is on different terms, the crime coverage pays only the loss above the other insurance’s limit and deductible.
Termination as to any employee. Employee theft coverage ends for an employee as soon as the insured, or a partner, officer or director not in collusion with the employee, learns of any theft or other dishonest act the employee has committed, whether before or after being hired. The insurer may also end coverage for an employee by mailing notice at least 30 days in advance.
Lesson summary
- The building and personal property form does not cover money and securities, the basic and broad cause of loss forms do not cover theft, and the special form excludes theft by employees. Commercial crime insurance fills those gaps.
- The form has seven insuring agreements. Under the inside and outside the premises agreements, money and securities are covered for theft, disappearance or destruction, and other property for robbery and safe burglary.
- Robbery is a taking from a person by force or threat. Safe burglary is a taking from a locked safe or vault shown by marks of forcible entry, or the taking of the safe or vault itself.
- The form excludes dishonest acts of the insured and its partners, and indirect loss.
- A loss sustained form covers occurrences during the policy period, with one year after cancellation to discover them. A discovery form covers losses discovered during the policy period whenever they occurred, with 60 days after cancellation in the standard discovery form.
- The insured must give notice as soon as possible and a sworn proof of loss within 120 days. Money is valued at face value and other property at replacement cost.
- Employee theft coverage ends for an employee as soon as the insured learns of any dishonest act by that employee.