UNDERSTANDING EQUINE INSURANCE
Whether a horse is purchased for personal or business reasons, ownership
represents a significant investment of time, money and resources. While no one
likes to think about the potential for tragedy, horse seem to be prone to
illness, accidents and injury. Should some peril befall your horse, nothing may
ease the emotional burden, but wise planning can help reduce the economic
impacts.
Many reputable insurance companies offer policies to help protect owners from
financial loss should a horse fall ill, become incapacitated or die. Because
individual policies vary so much from company to company and circumstance to
circumstance, it is beyond the scope of this brochure to explain how to find the
right coverage to meet your needs. What’s important to note is that each policy
has its own terms, conditions and requirements which may necessitate action from
you, your veterinarian and your insurance company.
TYPES OF COVERAGE
Common types of coverage available for horses include but are not limited to:
* Mortality- paid if the horse dies
* Loss of Use- paid if horse is permanently incapacitated for its intended
use or purpose
* Major Medical- like health insurance, offsets costs of catastrophic
veterinary care
* Surgical- policies which cover only specific procedures such as colic
surgery
* Breeding Infertility- covers stallions or mares for reproductive failure
* Specified Perils- includes any number of things such as lightning, fire or
transportation
KNOW YOUR POLICY
Insurance policies are legal contracts between the underwriter (the company)
and the insured (horse owner). To better safeguard yourself and your horse:
* Read the contract thoroughly before you sign it.
* Ask the insurance representative to explain any words, phrases or
provisions you do not understand completely.
* Know your responsibilities. What is required should your horse fall ill,
become injured or die?
* Understand any specific guidelines for emergency situations. A crisis is
not the time to be trying to interpret your policy’s fine print.
* If euthanasia is recommended, know what steps must be taken in order for a
claim to be valid.
* make a list of questions to ask your insurance agent or company.
* Define your needs.
* Comparison shop. Besides cost, buyers should look at the longevity and
reputation of both the agency and the insurance carrier.
HEALTH CERTIFICATES
Most equine insurers require a current health certificate signed by a
veterinarian before a policy will be issued for a horse. Remember, this is a
legal document. You should not ask nor expect your equine practitioner to make
claims expect your equine practitioner to make claims about a horse he or she
has not verified through a thorough physical examination.
A veterinarian cannot simply "take the client’s word for it," or complete the
requested information based on prior knowledge of the horse. The certificate
requires that determination of the animal’s health be made on the day of the
examination.
Your veterinarian will be compensated for the exam and any tests that may be
required to accurately and adequately complete the insurance forms. The exact
requirements of the exam may depend upon the type of coverage being applied for.
A breeding infertility policy would require a different type of exam than a
simple mortality policy, for example.
DETERMINING ROLES
A veterinarian cannot attest tot he insurability of a horse. Your
veterinarian can only respond to questions of which he or she has direct
knowledge, reporting the medical facts to the best of his or her ability. He or
she will be asked to positively identify the horse for which the application is
being made. However, your equine practitioner has no role in determining the
insurable value of a horse. That is a matter for the insurance underwriter and
the owner to establish.
Regardless of the circumstances, never ask or expect your veterinarian to
report a claim to the insurance company. This is your responsibility as the
owner. The veterinarian may be asked to supply necessary medical documentation.
Do not expect your equine veterinarian to be an insurance expert. If you have
questions regarding your policy, ask your insurance agent rather than your
veterinarian.
If there is something that your insurance company requires, make sure your
veterinarian receives that request in writing.
If a question or dispute should arise regarding a claim, it is a matter for
you and your insurance company to resolve. It is not the responsibility of your
veterinarian.
EUTHANASIA
Euthanasia is the intentional destruction of a horse for humane reasons. For
an insurance claim to be valid, many companies require advance notification and
prior permission- except under the most extreme conditions. In some cases, the
insurance company may wish to seek a second opinion before a horse is
euthanized.
the American Association of Equine Practitioners has established guidelines
that state the justification for euthanasia should be based solely on medical,
not economic considerations, regardless of the age, sex or potential value of a
horse. Four criteria are given to help make this determination:
* Is the condition chronic and incurable?
* Has the immediate condition a hopeless prognosis for life?
* Is the horse a hazard to himself or his handlers?
* Will the horse require continuous medication for the relief of pain for the
r remainder of his life?
Learn what your insurance company’s policies are regarding euthanasia. Are
they in keeping with the AAEP’s guidelines, and do they protect horses from
prolonged or inhumane pain and suffering?
OTHER CONSIDERATIONS
* Know the time period for reporting any health problems to your insurance
carrier.
* Determine if you must have prior approval for any elective surgery or
medical procedures.
* Find out what documentation is required of you and your veterinarian in
making an application or filing a claim.
* Know if your horse is covered when traveling out of state or out of the
country.
* Define for your veterinarian the purpose for which a horse is being
insured, for example, as a performance horse or as a breeding animal.
* Understand your financial obligations regarding veterinarian examinations,
laboratory tests, necropsies, or other procedures which may be required by the
insurer.
* Know the exact value of your policy and how it will be paid. For instance,
a "loss of use" settlement might be different from a mortality payment if a
horse is considered to have "salvage value."
INDUSTRY INTEGRITY
You, your veterinarian and your insurance company each have a role in
maintaining the integrity of the horse industry.
Regardless of insurance coverage, the horse’s welfare must always be at the
forefront of any decision being considered on its behalf.