The
insurance marketplace is changing every day. Unfortunately, the most current
trends are less favorable for policyholders than they have been over the
last decade. By now you have probably heard some frightening stories from
colleagues who have had their architects' and engineers' professional
liability policy premiums increase dramatically, have had important options
like "first-dollar defense" or multiyear policy terms eliminated,
or, worse, have found it difficult even to find an insurance company to
offer them a policy. Some of these reports may be urban legend, but to
some degree these issues are facing most architecture and engineering
firms around the country. Because of this, you may be considering a switch
to a new insurance company. If you are, there are important issues to
consider.
Remember that your policy is written on a claims-made
policy form. Unless you notified your insurance company of the potential
claim before the policy ended, you have no protection for a claim made
after the policy has been cancelled or has expiredeven
if the claim happened or the alleged design error occurred during
the time you were insured. Insurance policies differ among insurance companies,
as do state insurance requirements. But, in general, a professional liability
claim needs to meet three criteria to be considered for coverage:
1. There must be an active policy
2. The policyholder must not have had knowledge of the claim before the
policy started
3. The services that led to the claim must have been rendered after the
retroactive date.
This unique claims-made feature
puts an extra burden on you when you relocate your professional liability
policy to a new insurance company. You need to evaluate your choices based
on the retroactive date as well as the differences in the policies and/or
brokers, the impact of reductions in coverage, the concern about claims
that fall between two policies, and the disclosure of information to a
new carrier.
Retroactive coverage
Check that the insurance company you are considering as a replacement
is offering you the same or an earlier retroactive date. When you maintain
your coverage, your retroactive date should stay the same. For instance,
the policy you purchased with ABC Insurance Company on 12/10/1995 should
still provide you with a retroactive date of at least 12/10/95 if you
have continued the coverage, even if you are now with XYZ Insurance Company.
Increased
risk changes
If you have to make some tough choices to control your renewal costs,
such as lowering your limit of liability, eliminating attractive options
like "first-dollar defense costs coverage," or increasing your
deductible, remember the claims-made
feature of the policy. Your firm will be subject to the financial risk
of these changes today when the claim is made, even though the claim may
stem from an alleged mistake you made when you had a policy that offered
you financially friendlier terms. The choice you make now will impact
risks from your past. For the same reason, be alert to limitations on
your new policy that affect previous exposures. For example, even though
you no longer work on project types that you consider to pose high risk
for water infiltration claims, if you performed professional services
on these projects in the past, you should be concerned with a policy that
would exclude mold claims in the present.
Terms and conditions
What are you buying? What you pay out of your pocket can be more than
a matter of your limit, deductible, and premium. Some policies pay you
for your attendance at claim proceedings or cut your deductible in half
if you participate in mediation or have fewer exclusions; these are savings
too. Ask your broker to provide you with a comparison between the different
policies. Or, if this means a switch to a new representative, create your
own checklist from the features of the policies you are being sold. At
a minimum your list should include:
Retroactive date
Deductible options and their cost
Persons/entities covered
Management and financial ratings of the company
Definition of professional service
Differences in exclusions
Coverage territory
Built-in features that reduce the deductible (What are the circumstances?
By how much will the deductible be reduced?)
Any payment to the policyholder for attendance at claim proceedings
(How much? Under what circumstances?)
Number of years the insurance company has offered policies to design
firms
Risk management support services, such as continuing education,
contract review, and seminars
What happens if the policyholder disagrees with the insurance company's
desire to settle a claim (Must the policyholder give their written consent
to settle the matter? If the policyholder does not agree with the settlement
and refuses to consent, what liability do they incur?)
Awareness
New policies will not provide
coverage for claims or potential claims that the policyholder is aware
of on the day coverage begins with a new provider. A claim is a demand
for money or services. A circumstance (also known as an incident or a
potential claim) is an issue that a reasonable and prudent person could
expect to result in a claim. So double-
and triple-check that you do not have claims or circumstances that have
not been reported to your existing professional liability company.
Disclosure of information
Your new insurance company is basing their offer of coverage on the information
that you have supplied to them. It is a common practice to complete one
application and ask several different insurance companies to provide quotations
from it. If you select coverage through a different company, they may
activate your coverage but you will eventually be asked to submit their
own application before they will release the new policy to you. This can
be a dangerous sequence of events. If the second application discloses
information that the insurer was not aware of, it can raise your cost
or jeopardize your coverage after you thought the deal was sealed.
For example, your new company may consider multifamily projects to be
risky. If the first application you submitted did not ask you to disclose
that a percentage of your services were performed for condominium jobs,
but the second form did, the new company may come back with a higher premium
or, worse, cancel your new policy. This problem can easily be avoided
by asking your broker to supply you with all of the paperwork that will
be required. You can submit the information to the company in advance
of the effective date of your new policy and request verification that
the initial quotations, terms, and conditions will remain unchanged.
Get informed
There are plenty of sources to help you gather and process information.
Professional societies poll their members on insurance issues and some,
including the AIA and the National Society of Professional Engineers,
each year interview underwriters and other representatives from the professional
liability insurance markets. Ask your colleagues. Check the Internet.
And, most importantly, remember that a portion of your premium is paid
to your insurance broker and you should expect service. Ask them to perform.
If you decide that a change to a new insurance company will meet your
firm's needs better, it can be a smooth transition. You can compare the
insurance companies and the policies' coverage and value-added features,
confirm that there are no unreported claims or circumstances, and, if
you are ready for the switch, supply your new insurance carrier with any
required paperwork to verify their offer.
Copyright 2002 The American Institute of Architects.
All rights reserved.
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