Sample output: Coverage Issue Spotter
This is an illustrative sample of what the Coverage Issue Spotter skill produces. Every party, date, document, and fact is fictional — invented for illustration only.
The fictional scenario
Sample Request — coverage-issue-spotter
Fictional illustration. All parties, facts, figures, forms, and documents below are invented for this example. The example contains no real or invented legal authority.
Please run coverage-issue-spotter on a commercial general liability policy and a tendered claim, and map the coverage issues for our coverage counsel.
Matter facts
- Insured: Maple Ridge Cabinetry LLC (fictional).
- The user's role: insurer-side claims counsel.
- Policy type: commercial general liability (CGL).
- Claim type: third-party property damage claim.
- Claim stage: tender received; suit filed.
- Jurisdiction: governing law
not provided.
Materials provided (fictional)
- The CGL policy — declarations and Coverage Form CG-EX-1, with sections referenced by number.
- A tender letter from the insured's broker, dated and referencing the suit.
- A complaint (fictional) alleging property damage at a job site.
- An additional insured endorsement (E-1) referencing a schedule.
Stated facts
- The complaint alleges property damage during a fictional cabinetry installation project.
- The tender asserts the insured is an additional insured under a different carrier's policy as well; that other policy was not provided.
- The date the insured first learned of the occurrence is
not provided.
Please: build a coverage issue matrix and a source-cited policy/claim fact table; list missing facts and the documents to request; do not decide whether the claim is covered or whether the insurer must defend or indemnify; and include attorney verification questions.
What the skill produced
Sample Output — coverage-issue-spotter
Draft work product for attorney review. Not legal advice. Every party, fact, figure, form, document, and reference below is fictional and illustrative. This example contains no real or invented legal authority. It shows the shape of the skill's deliverable — not a model answer for any matter.
Capability and Reliance Notice
This is a draft coverage issue map for a qualified, licensed attorney. It does not provide legal advice, determine whether the claim is covered, decide a duty to defend or indemnify, conclude on any exclusion, endorsement, additional insured status, allocation, other-insurance priority, or notice, or calculate any deadline. Every issue below is an open question for coverage counsel. A qualified attorney must review it before any coverage position.
Gates Table
| Gate | Status | Source |
|---|---|---|
| Policy type | Commercial general liability (CGL) | User request |
| User's role | Insurer-side claims counsel | User request |
| Claim type | Third-party property damage claim | User request |
| Claim stage | Tender received; suit filed | User request |
| Policy period | On the declarations [deadline verification required] | Declarations p.1 |
| Jurisdiction / governing law | not provided [verify jurisdiction] | — |
Coverage Issue Matrix
| # | Issue | Coverage layer | Policy provision (source) | Claim fact (source) | Why it is an open question | Attorney follow-up |
|---|---|---|---|---|---|---|
| 1 | Whether the alleged property damage falls within the insuring agreement | Insuring agreement trigger | CG-EX-1 §I.A | Complaint alleges property damage at the installation project | The complaint's allegations and the grant's defined terms must be compared | [ATTORNEY TO CONFIRM] the grant analysis |
| 2 | Occurrence timing within the policy period | Policy period | Declarations p.1; CG-EX-1 §I.A | Date the property damage occurred is ambiguous in the complaint | Whether the occurrence falls in the policy period turns on facts not yet established | Confirm the occurrence date |
| 3 | Notice of occurrence and suit | Notice / conditions | CG-EX-1 §IV (notice condition) | Date the insured first learned of the occurrence is not provided | Whether the notice condition is satisfied turns on dates not provided | Obtain the insured's first-awareness date |
| 4 | Potentially applicable exclusions | Exclusions | CG-EX-1 §I.A.2 (exclusions) | Project facts in the complaint | Which exclusions are in play depends on facts still being developed | Review §I.A.2 exclusions against the developed facts |
| 5 | Duty to defend vs. duty to indemnify | Defense / indemnity | CG-EX-1 §I.A | Suit filed; allegations as pleaded | Defense and indemnity turn on different inquiries; neither is decided here | Analyze each separately under the governing law |
| 6 | Additional insured status under another policy | Additional insured / other insurance | Endorsement E-1; the other carrier's policy not provided | Tender asserts AI status under a different carrier's policy | The other policy and its AI endorsement were not provided | Obtain the other policy and its AI endorsement |
| 7 | Other insurance and priority | Other insurance | CG-EX-1 §IV (other-insurance condition) | Two policies asserted | Priority cannot be assessed without the other policy | Obtain the other policy; defer priority to counsel |
Policy / Claim Fact Table
| Item | Extracted content | Source |
|---|---|---|
| Insuring agreement | Liability grant for defined property damage, as written | CG-EX-1 §I.A |
| Exclusions | Exclusion set, as written | CG-EX-1 §I.A.2 |
| Notice condition | Requires notice of occurrence, claim, or suit | CG-EX-1 §IV |
| Other-insurance condition | Addresses other applicable insurance | CG-EX-1 §IV |
| Additional insured endorsement | Adds additional insureds per a referenced schedule | Endorsement E-1 |
| Alleged loss | Property damage at the installation project | Complaint |
Missing Facts
- The date the property damage occurred —
ambiguousin the complaint. - The date the insured first learned of the occurrence —
not provided. - The other carrier's policy and its additional insured endorsement —
not provided. - The additional insured schedule referenced by Endorsement E-1 —
not provided. - Governing law / jurisdiction —
not provided[verify jurisdiction].
Document Request List
- The other carrier's policy and additional insured endorsement (Issues 6-7).
- The additional insured schedule referenced by Endorsement E-1 (Issue 6).
- The insured's claim file showing first awareness of the occurrence (Issue 3).
- Any project contract requiring insurance (Issues 6-7).
Attorney Verification Questions and Escalation Triggers
- Confirm governing law and jurisdiction
[verify jurisdiction]before any coverage analysis. - Confirm the occurrence date and the insured's first-awareness date.
- Obtain the other carrier's policy before any other-insurance or priority analysis.
- Escalate before any reservation of rights, denial, or defense decision — none is made here.
Assumptions and Limits
- Assumed the complaint and tender provided are complete for issue-spotting —
[CONFIRM]. - No coverage, duty-to-defend, duty-to-indemnify, exclusion, additional-insured, or priority conclusion is drawn; every issue is an open question for counsel.