From "13 Caveats in Using E&S Markets" to "27 E&O Procedural Mistakes" to "Agency Underwriting...Establishing a Minimum Limits Policy" to "The Danger of Not Reporting Claims" to "Documenting Coverage Reductions" to "How to Fire a Customer" to "What E&O Limits Do I Need?", this section of the VU research library provides you with the information and tools necessary to significantly reduce your E&O exposure.
Every professional agent knows to never answer the question, “How much liability coverage do I need?” But even if you don’t overtly answer the question, you may be leading or limiting your client’s choices. Don’t inadvertently make the limits choice for them, or limit the amount of coverage they can purchase.
Many agency problems arise over claims. The agent’s duty to report claims to the carrier can be one area that can generate many different scenarios and opinions. Failure to timely report a claim to the insurer can generate an errors and omissions claim or can damage your relationship with your insurer. Recommending your insured report a claim can cause their policy to non-renew due to frequency or other issues such as maintenance concerns. What’s an agent to do? Here are some top tips for the dos and don’ts of claims reporting.
Correctly naming your insured is only one issue that can get you sued. Our author highlights some key areas of concern for agents to prevent an errors and omissions claim.
Most agency errors & omissions claims have some commonality. This article presents a few examples you can use to prevent a potential claim against your agency when managing client signatures.
Are there any E&O or regulatory issues related to delivering policies on a thumb drive rather than the paper files? SwissRe VP and Sr. Underwriter Richard Lund addresses these issues.
Banks are required to accept private flood insurance as broad as the NFIP policy per the Biggert-Water Flood Insurance Reform Act of 2012. The problem is, they want the AGENT to certify the flood policy meets the guidelines of the Act. No agent should ever certify something the banks are required to certify. This article explains why.
Why would an agency owner want to undertake an agency errors & omissions audit? Read this auditor’s top reasons an agency should embrace the practice of an internal audit by an external consultant or trained internal employee.
Lawyers can pull information off an internet archive, such as the Wayback Machine, which retrieves assertions agents have made to long-term clients on earlier versions of websites. When used well, a website is an effective consumer marketing tool. But have you thought about it also as an E&O risk?
Your agency has finally concluded that following up on late-paying and past-due customers is too big an E&O exposure and too expensive and time consuming to continue. You believe it would be in order to contact all of your customers and advise that you are discontinuing this practice. What is your next step? While this is an older article written by two insurance gurus, the same solid advice holds true today.
Floods occur virtually everywhere in our country, but each flood has unique characteristics. The common denominator of each of these events is: insureds are virtually unprotected from the effects and the costs associated with these events because most standard homeowners and business property insurance policies exclude damage caused by flood.
Insurance agents have a deep desire to help their clients any way they can; but sometime, agents undertake to help in ways and areas where they are not qualified (or licensed). Don’t answer questions you are not qualified or legally able to answer just because you want to help. Being too helpful can get you sued.
COVID-related supply chain issues have dramatically increased the cost of building materials. The result, replacement cost limits on property policies may be too low for the foreseeable future. How should an agency respond when talking with their clients about this issue?
In 2013, Marshall & Swift/Boeckh reported that 60 percent of homes were underinsured by an average of 17 percent. In addition to increased construction costs many homes are not built to current building codes and that fact could result in significant out of pocket costs if the appropriate building ordinance and law coverage isn’t added. Let’s address these issues…
ISO’s Commercial Property Conditions (CP 00 90) gives the insured up to two years to file suit against the insurance carrier. Should the agent advise their insured on this limitation? The answer might surprise you.
This expert witness jumped headfirst into her line of work. As she learned more about the insurance business from a legal standpoint, she was concerned to see how exposed agents are to errors & omissions (E&O) lawsuits. And thinking back, she realized how little training agents receive to protect themselves. Read on for E&O tips from an expert witness.
This may be the most important coverage article you read this year. It may be the most important coverage article you’ve ever read. Please read it. And please have your colleagues read it. If you work in an agency, send a link to the article to your underwriters, marketing reps, and claims people. RTA…Read The Article!
Insurance agents’ website and marketing collateral wording continue to generate errors & omissions claims. This article provides insights into the management of your website wording. Remember, few copywriters or social media mavens understand insurance law, let alone the standard of care courts hold agents to in their jurisdictions. This article can help.
Let’s face it, even the best and brightest of us sometimes do dumb things and often it’s with good intentions to help a customer. But the cold, hard E&O reality of undertaking non-insurance tasks for customers can be dangerous.
The title of this article says it all, except it’s those coverage gotcha’s the reader needs to understand. Numerous insurance policies are now intentionally filled with language allowing insurers to avoid paying a claim they would normally pay because of the demise of the doctrine known as the reasonable expectation of the insured. Several law firms have published articles suggesting that it would behoove insurers to hire knowledgeable coverage counsel to help draft exclusions to avoid paying claims that otherwise the carrier would pay, most of them being usual and customary as opposed to something obscure such as an environmental liability claim paid under a CGL. This article will focus on some of those gotchas.
Almost two years ago, the author authored the article “An Agent Call to Action: Underinsurance” which appeared in this publication as well as a couple of other blogs. Essentially, he was reacting to the evolving underinsurance nightmare confronting the homeowners who lost their homes in the Marshall Fire near Boulder, Colorado. As time passes, there is growing evidence that the issue of underinsurance is far from resolved and may be getting worse. Why? This article explores the many facets of underinsurance that front-line P&C agents and their company partners need to creatively address in both personal and commercial lines in the New Year.
Agencies often have to balance business decisions with their E&O implications. Value-added services can be extremely important to the prosperity of agencies. However, it’s important to consider the potential E&O exposures they present and adapt policies and procedures that take advantage of these strategic advantages while minimizing E&O potential.
Ask an agency principal about internal procedures and he or she inevitably will tell you, 'Our procedures are proper; you won't find any discrepancies in our operations.' Following a third-party audit of those procedures, however, most agency principals are horrified to learn just how many procedural mistakes are being made in their offices every day. These mistakes can lead to E&O claims and substantially impair an agency's ability to defend against claims.
What a difference perspective makes! Hearing about an Error & Omission fiasco experienced by a fellow agent is one thing. Being personally called upon to sacrifice time and energy upon the altar of legal justice is quite another. Unfortunately, the close association with certain insureds often allows the contagious virus of 'it couldn't happen to me' to be transferred to the best of agents....
Your agency services an area subject to catastrophes. Is it the responsibility of your insureds to contact you if they want quotes/coverage for excluded perils (e.g., flood and earthquake) or are you responsible to contact each of them and offer the coverage?
Agency websites have become a core component of the marketing strategy for many independent agencies, but they also may present errors and omissions exposures that must be managed. This article explores some of the major E&O exposures that may arise and provides several E&O tips for mitigating those risks, as well as sample website disclaimers.
If an agent is aware of a known hazard at an insured's business, is there an obligation to advise the insurance company? Does the agent or company have an obligation to advise the insured of what could be a life-threatening condition or major property loss exposure? Given the recent lawsuits arising out of the Warwick, RI nightclub fire, this could be a critical E&O question.
According to Marshall & Swift/Boeckh, two-thirds to three-quarters of buildings are underinsured by 25-40%. If an insured suffers an underinsured loss, whose fault is it? According to one recent court decision, in some cases, it could be the agent....
Are insurance agents 'professionals'? Is an insurance agent considered as skilled in his or her discipline as a doctor, lawyer, architect, engineer, etc.? Professionals are held to a higher standard of care and how you hold yourself out to the general public can determine the nature and extent of your liability.
Question: 'We are wholesale agents. One of our retail agents has invoked the 'law of agency' as a rationale for submitting applications with his signature only, in lieu of the policyholder's. Our contention is that the broker is not a party to the insurance contract, hence any representations in an application signed only by the broker are irrelevant and would have no bearing in the event of a disputed claim or audit. What do you think?'
An agency put together a list of 'disclaimers' they were considering having insureds sign and asked for input on the concept. The general consensus was that disclaimers are sometimes warranted but can't fully take the place of a good coverage checklist.
A recent issue of our IIABA 'Insurance News & Views' email newsletter included an abbreviated version of a VU article entitled 'Lost Policies…No Coverage?' The article included the statement that, “The agency, from both E&O and customer-service perspectives, should keep an archived copy of policies indefinitely.” As one of our IN&V readers asked, 'Why do agencies need to retain copies of policy forms when our insurers do that?'
An agent asks, 'From an E&O standpoint, is documentation of a reduction in coverage, removal of drivers, etc. in our agency management system enough, or do we need to have signatures on file for every little change we make to a policy? These are other than the normal waivers/signatures required by each carrier.'
An agent asks, 'With the advent of download from the carrier websites directly into our agency management system, do we need to check the renewal policy for accuracy? We are currently investing a lot of time and money into this process and rarely find that the company makes a mistake on the renewal policy.'
An insured accepts a premium quote and coverage is bound. Later, it's determined that a rating error occurred. The insurer then bills the insured for the corrected premium. Since the contract is in effect, can the insurer recover this money or must the carrier have to assume the loss? Below are some thoughts on this...send us yours!
Making mid-term policy changes is a normal part of the insurance agency business. In fact, it is so routine that there is a danger of making ordinary, perfunctory policy changes without considering the potential E&O exposure. In particular, there is a big E&O risk when making policy changes based on information or instructions (or lack of information or instructions) from third parties.
An agency's new phone system allows them to record incoming and outgoing conversations. The agency thinks this will be good for E&O and be better than relying on handwritten notes. What do you think? The agency also wants to know if they are obligated to advise the other party that the conversation is being recorded.
The line of insurance with proportionately the highest incidence of E&O claims is CGL coverage. This is probably not surprising given the broad use of this liability coverage, the complexity of exposures that it's used for, and the number of endorsements that can be overlooked. We polled the VU faculty to see if we could get some more specific examples of things to look out for in the CGL program that could lead to E&O claims.
Errors and omissions are something we should all focus on all the time. However, in a hard market, E&O claims have a tendency to rise in both frequency and severity due to increased workloads, reduced coverages, and other factors. Below are some special considerations that merit increased attention in a hard market.
We all know how important E&O loss control is within the agency. However, most agents don't attend a formal E&O loss control seminar more than once every couple of years, if that often. Now you can access valuable information about E&O loss control on a monthly basis beginning with our cataloging of over two years of E&O Angle articles from Independent Agent magazine.
Having taught agent E&O seminars since 1988, one of the most common sources of E&O claims involves failure to communicate. In this article, we'll examine a serious breakdown in communications that involves a cardinal principle of E&O loss control...never assume!
Our 'Ask an Expert' service has recently received additional questions involving E&O and procedural issues as more and more non-English speaking prospects enter the marketplace. While we cannot answer legal issues such as discriminatory practices, we can examine the E&O exposures and provide some guidance.
An agent asks, 'What is considered 'best practices' for entering into agency agreements with smaller wholesalers who have niche or specialty markets, many of whom are Internet based? Is it considered a good practice to verify that such a brokerage actually has the carrier appointment or program that it is claiming or request verification of the wholesaler's E&O coverage?'
With the series of disasters the past few years, from Western mudslides and wildfire toGulf Coast hurricanes to flooding in New England, we have seen an unprecedented increase in the opportunity for potentially catastrophic E&O claims against agencies by insureds with inadequate coverage. Every now and then, it helps to get back to the basics.
As the internet continues to play a bigger role in agency and company marketing and service, there is an increasing expectation by insureds of 24/7 service, particularly in the area of claims. Expect this to intensify as email and web site interaction become more and more frequent. In this article, Virginia Bates explores the E&O exposures created by new and old technology and what you can do about them.
As the internet continues to play a bigger role in agency and company marketing and service, there is an increasing expectation by insureds of 24/7 service, particularly in the area of claims. Expect this to intensify as email and web site interaction become more and more frequent. In this article, Virginia Bates explores the E&O exposures created by new and old technology and what you can do about them.
As the internet continues to play a bigger role in agency and company marketing and service, there is an increasing expectation by insureds of 24/7 service, particularly in the area of claims. Expect this to intensify as email and web site interaction become more and more frequent. In this article, Virginia Bates explores the E&O exposures created by new and old technology and what you can do about them.
As the internet continues to play a bigger role in agency and company marketing and service, there is an increasing expectation by insureds of 24/7 service, particularly in the area of claims. Expect this to intensify as email and web site interaction become more and more frequent. In this article, Virginia Bates explores the E&O exposures created by new and old technology and what you can do about them.
As the internet continues to play a bigger role in agency and company marketing and service, there is an increasing expectation by insureds of 24/7 service, particularly in the area of claims. Expect this to intensify as email and web site interaction become more and more frequent. In this article, Virginia Bates explores the E&O exposures created by new and old technology and what you can do about them.
As the internet continues to play a bigger role in agency and company marketing and service, there is an increasing expectation by insureds of 24/7 service, particularly in the area of claims. Expect this to intensify as email and web site interaction become more and more frequent. In this article, Virginia Bates explores the E&O exposures created by new and old technology and what you can do about them.
As the internet continues to play a bigger role in agency and company marketing and service, there is an increasing expectation by insureds of 24/7 service, particularly in the area of claims. Expect this to intensify as email and web site interaction become more and more frequent. In this article, Virginia Bates explores the E&O exposures created by new and old technology and what you can do about them.
As the internet continues to play a bigger role in agency and company marketing and service, there is an increasing expectation by insureds of 24/7 service, particularly in the area of claims. Expect this to intensify as email and web site interaction become more and more frequent. In this article, Virginia Bates explores the E&O exposures created by new and old technology and what you can do about them.
A decision agency owners or managers sometimes face is how to 'fire' a customer. Some customers frankly are more trouble than they're worth. Some demand too much service in relation to the premium paid, some are antagonistic or abusive to staff, others just aren't a good 'fit' with the agency. So, who do you nonrenew these customers legally and ethically?
An agent inquires: 'We are going to be updating our auto clients in a new program to $500K if there has been no increase or a decrease in premium. We will then let them know that we have increased their limits. They can call us if they don’t want the increase. We will also give them other options to add. Can we increase their limits and then tell them we did it or do we have to have their permission first?'
This article provides an overview of various E&O loss exposures that exist in commercial lines of insurance and reviews methods and procedures that an agency could consider to help reduce the possibility of a claim. Included is information about certificates of insurance, additional insureds, hold harmless agreements, subrogation waivers, protective safeguards warranties, leased property exposures, and more.
This article provides an overview of various E&O loss exposures that exist in commercial lines of insurance and reviews methods and procedures that an agency could consider to help reduce the possibility of a claim. Included is information about certificates of insurance, additional insureds, hold harmless agreements, subrogation waivers, protective safeguards warranties, leased property exposures, and more.
This article provides an overview of various E&O loss exposures that exist in commercial lines of insurance and reviews methods and procedures that an agency could consider to help reduce the possibility of a claim. Included is information about certificates of insurance, additional insureds, hold harmless agreements, subrogation waivers, protective safeguards warranties, leased property exposures, and more.
From time to time, agents may be asked to make policy changes at the request of someone other than a named insured. Most often this involves calls from auto dealerships trying to make it easy on a customer. If you get such a call, what should you do?
An insurer recently sent its agency force a 'Good News!' bulletin advising that it was no longer necessary to send it copies of most certificates of insurance. The bulletin also pointed out that it was the responsibility of the agent to notify the certificate holder of cancellation. What should agencies do when told by a carrier not to send copies of certificates?
An agency recently was hit by a $38,000 claim under an E&O policy with a $25,000 deductible. Now the agency owners want the deductible to be paid by the producer, CSR, office manager, and agency president. Should allegedly negligent employees be required to pay for E&O claims or policy deductibles?
One agency owner had a stamp made of the other agency owner's signature and gave it to the agency's CSRs to use when processing documents in order to save the other partner time. The other partner is not comfortable with this and wonders if it's even legal.
An insured has a loss that exceeds her policy limits. She claims that, a short time ago, she had called and increased her limits. The agency has no record of such a call. The adjuster has suggested that she recover the remainder of the claim from the agency's E&O policy. Without documentation, how does the agency defend itself? Answer: a written agency procedures manual that incorporates the 'invariable practice' principle.
Recently our faculty was asked to identify the Top 3 ways to minimize E&O claims. In this article, we'll provide their responses, along with an article from our E&O carrier on how the hard market affects agents' exposure to E&O claims and how they can mitigate this exposure.
When a small, uncovered first-party loss is less than an agency’s E&O deductible, there is a temptation to pay the claim directly out of the agency’s own funds, without ever notifying the agency’s E&O carrier. This practice, while expedient, is extremely dangerous. Here’s how it came back to haunt an agency....
In determining the limits an independent insurance agency should carry in an E&O/excess liability policy, what factors should be considered? Is it a matter of how much the agency can afford, how large an error or omission could be made, the size of the accounts at risk, etc.?
Agents have many opportunities to prepare their agencies against the rising risk of a lawsuit, but three critical areas are too often over-looked: 1) determining your professional status, 2) improving your use of technology, and 3) instituting the use of coverage checklists.
For many procedural changes, the risk and reward are easily measured. For example, a simple disclaimer on proposals or emails has a price of $0 so why not do it? A more complex change such as mandated coverage checklists has a price. But is it worth it?
|