I am looking for some direction to see if the insurer is correct in their assessment that they will not pay for a situation where a wood chipper type machine was worked on by an employee who changed out the teeth on the machine – claiming mechanical breakdown exclusion. I need to find some assessment that the insurer is correct or if there are similar situations or even case law. Anything would be appreciated.
Here is policy language as well as a portion of the denial letter justification.
Mechanical Breakdown — "We" do not pay for loss caused by any mechanical, structural, or electrical breakdown or malfunction including a breakdown or malfunction resulting from a structural, mechanical, or reconditioning process.
This premium content is locked for FC&S Coverage Interpretation Subscribers
Enjoy unlimited access to the trusted solution for successful interpretation and analyses of complex insurance policies.
- Quality content from industry experts with over 60 years insurance experience, combined
- Customizable alerts of changes in relevant policies and trends
- Search and navigate Q&As to find answers to your specific questions
- Filter by article, discussion, analysis and more to find the exact information you’re looking for
- Continually updated to bring you the latest reports, trending topics, and coverage analysis
Already have an account? Sign In Now
For enterprise-wide or corporate access, please contact our Sales Department at 1-800-543-0874 or email [email protected]