Exploring the Franchise Clause: Key Insights and Legal Significance

Definition & Meaning

A franchise clause is a provision found in casualty insurance policies. It specifies that the insurer will not pay claims that are below a certain threshold amount. If a claim exceeds this threshold, the insurer will cover the amount above that limit. This clause is designed to help insurance companies manage costs by avoiding the processing of small claims, which can be more expensive to handle than the actual claim amount.

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Real-world examples

Here are a couple of examples of abatement:

(hypothetical example) Consider a homeowner with a casualty insurance policy that includes a franchise clause with a threshold of $500. If they experience a minor water leak causing $300 in damages, the insurer will not pay for this claim. However, if the damages amount to $700, the insurer will cover $200, as this is the amount exceeding the threshold.

State-by-state differences

Examples of state differences (not exhaustive):

State Franchise Clause Threshold
California $500
Texas $1,000
New York $750

This is not a complete list. State laws vary, and users should consult local rules for specific guidance.

Comparison with related terms

Term Description Difference
Deductible The amount the insured must pay out-of-pocket before insurance coverage kicks in. A deductible is paid upfront, while a franchise clause only applies if the claim exceeds a specified amount.
Exclusion A provision that eliminates coverage for certain risks or damages. Exclusions specify what is not covered, while franchise clauses set a threshold for when coverage begins.

What to do if this term applies to you

If you have a franchise clause in your insurance policy, review the terms to understand your coverage limits. If you experience a loss, assess the total damages to determine if they exceed the threshold. For assistance in filing a claim or understanding your policy, consider using US Legal Forms' templates for guidance. If your situation is complex, seeking professional legal advice may be beneficial.

Quick facts

  • Typical threshold: Varies by policy, commonly between $500 and $1,000.
  • Jurisdiction: Applicable in casualty insurance across various states.
  • Claims process: Claims below the threshold are not processed.

Key takeaways