WHAT IS COVERED/NOT COVERED BY THE FHCF?

The following definitions can be found in the 2016/2017 Reimbursement Contract:

  • Covered Event [Article V – Definitions (9)]
  • Covered Policy [Article V – Definitions (10)]
  • Loss Occurrence [Article V – Definitions (19)]
  • Ultimate Net Loss [Article V – Definitions (30)]
  • Exclusions [Article VI – Exclusions]

It is also important to review the Non-Reportable (But Covered) Exposure section of the 2016/2017 Data Call Instructions to understand which losses are covered by the FHCF but were not reported in your FHCF Data Call exposure file.

HOW DO I REPORT MY LOSSES TO THE FHCF?

All participants MUST submit losses through the On-line Claims System. Before you can submit a loss report through the system, you must register. The site access agreement, video tutorials, registration page, and claims system are all available from this link.

The Interim Loss Report (Form FHCF-L1A Rev 03/16) is required to be reported through the On-line Claims System upon notification by the FHCF. This is a preliminary non-binding report used to estimate potential reimbursement.

The Proof of Loss Report (Form FHCF-L1B Rev 03/16) is the basis for all FHCF advances and loss reimbursments. When your company submits the first Proof of Loss Report (POL) that qualifies for a reimbursement, a Detailed Claims Listing (Form FHCF-DCL Rev 03/16) is required to be submitted through the On-line Claims System. Each participating company, regardless of the amount of loss, must also submit a POL and Detailed Claims Listing by 12/31/16 and a yearly 12/31/XX POL and Detailed Claims Listing thereafter until FHCF losses have been commuted or the company has paid its policyholders in full.

Quarterly POLs are due depending on the ratio of Covered Losses to FHCF Retention as stated below: below:

  • By 3/31/17 if losses exceed or are expected to exceed 50% of its Retention.
  • By 6/30/17 if losses exceed or are expected to exceed 75% of its Retention.
  • By 9/30/17 if losses exceed or are expected to exceed 100% of its Retention.
  • By each subsequent quarter-end if losses exceed or are expected to exceed 100% of its Retention until the company has paid its policyholders in full.

WHAT IF I HAVE QUESTIONS?