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Understanding the General Liability and Professional Liability BI & PD Gap in Coverage Do All the Pieces Fit ? The E&O (Non-Medical) Symposium May 19 &

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Presentation on theme: "Understanding the General Liability and Professional Liability BI & PD Gap in Coverage Do All the Pieces Fit ? The E&O (Non-Medical) Symposium May 19 &"— Presentation transcript:

1 Understanding the General Liability and Professional Liability BI & PD Gap in Coverage Do All the Pieces Fit ? The E&O (Non-Medical) Symposium May 19 & 20, 2004

2 2 The Basics General Liability Form (ISO) GL & CG I. Insuring Agreement II. Definitions III. Exclusions either built in or attached: A. “… rendering or failure to render professional services” or B. “Description of Professional Services” 1. XYZ 2. XYZ “With respect to an professional services shown in the Schedule, this insurance does not apply to BI, PD, PI or AI due to rendering or failure to render professional services” Miscellaneous E&O Forms I. Insuring Agreement II. Definitions III. Exclusion: Item:“ …any claim directly or indirectly arising out of BI or PD as defined in the policy …..”

3 3 The Reinsurance Intermediary Perspective Insurance Company Underwriters Reinsurance Intermediary Reinsurer AReinsurer B Reinsurer C Reinsurance Intermediaries see more complex business Insurance Company Reinsurance buying habits: Treaty exclusions Treaty Protection Agent accommodations Seeking Expertise Underwriter’s Advice

4 4 Sources of Information Insurance Companies 1. ACE Insurance Company 2. AIG - American International Group 3. Hartford Insurance Company 4. Lexington Insurance Company Reinsurance Companies 1. Converium Reinsurance 2. Everest Reinsurance 3. Odyssey Reinsurance

5 5 Contingent BI & PD Examples Standard CGL and Professional Liability Forms CGL excludes Real estate Errors and Omissions or Professional Liability for Real Estate Agents E&O / Professional Liability policy excludes BI & PD BI & PD Contingent Liability exposure Disclosure Issue – underground tank on premises Economic Loss – decline in value of property PD cost to remove tank Real Estate E&O

6 6 Contingent BI & PD Examples Standard CGL and Professional Liability Forms CGL excludes TPA Professional Services Professional Policy excludes BI & PD BI & PD Contingent Liability exposure TPA handling medical claims and member network due to change in medical system TPA has member network and requires claimant to go to set physicians Claimant goes to unqualified physician which may be due to lack of TPA due diligence on the individual physicians TPA (Third Party Administrator)

7 7 Contingent BI & PD Examples Standard CGL and Professional Liability Forms CGL excludes TPA Professional Services Professional Policy excludes BI & PD BI & PD Contingent Liability exposure Complete inspection and confirms quality of property Heating ventilation or mold issues are revealed Cost to clean up PD, BI due to mold exposure Medical Issues / BI due to mold exposure Home Inspector Liability

8 8 Contingent BI & PD Examples Other segments to consider... Consultants Property Mangers – Condo Associations Medical software manufactures Municipality Programs Lawyers Professional Educators Liability Security Guards Automobile Mechanics Scuba Instructors Consultants Property Mgr Software Liability and Others

9 9 Pulling the Pieces Together Real Estate E&O Solution: Must purchase GL and Real Estate E&O policy with carve out providing contingent BI & PD – for additional fee – or – tailored form with contingent BI & PD included TPA Professional Liability Solution: Buy back contingent BI & PD coverage by endorsement on Professional policy Seek specific coverage with contingent or indirect BI & PD included Home Inspectors Professional Liability Solution: Buy back contingent BI & PD coverage by endorsement on Professional policy Seek specific coverage with contingent or indirect BI & PD included BI & PD Endorsements -or- Tailored Form

10 10 Filling the Gap Buy Back Contingent BI PD Endorsements - or – Tailored form including BI & PD Real-estate Brokers Home Inspectors Liability Consultants, Property Mangers Medical Software Liability and Others Third Party Administrators Liability …. as coverage SHOULD be afforded


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