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	<title>Professional Liability Tidbits &#187; Coverage</title>
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	<link>http://www.pltidbits.com</link>
	<description>For the Insurance Professional in the Know</description>
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		<title>Insureds Buying or Selling?  This is a D&amp;O opportunity! (7/15/10 Knowledge Knugget)</title>
		<link>http://www.pltidbits.com/2010/07/insureds-buying-or-selling-this-is-a-do-opportunity-71510-knowledge-knugget/</link>
		<comments>http://www.pltidbits.com/2010/07/insureds-buying-or-selling-this-is-a-do-opportunity-71510-knowledge-knugget/#comments</comments>
		<pubDate>Mon, 19 Jul 2010 00:52:56 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[D&O]]></category>
		<category><![CDATA[acquisition]]></category>
		<category><![CDATA[divestiture]]></category>
		<category><![CDATA[due diligence]]></category>
		<category><![CDATA[ERP]]></category>
		<category><![CDATA[mergers]]></category>
		<category><![CDATA[misrepresentation]]></category>
		<category><![CDATA[run-off]]></category>
		<category><![CDATA[tail]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=292</guid>
		<description><![CDATA[Insureds buying or selling businesses are beset with many exposures that can be dealt with very elegantly by a management liability (D&#038;O) policy.  This is especially important for privately-held businesses.]]></description>
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<td>If your insured is in acquisition, sale or merger mode, they have exposures that are suitable for framing &#8211; inside a D&amp;O policy. Here are a few of the larger exposures that warrant your attention, and bringing up a D&amp;O policy as a probable solution:</p>
<p> 1.  If your insured is in acquisition mode, during the due diligence process they will come into contact with sensitive information regarding the potential seller&#8217;s business processes, trade secrets, and key personnel.  If the deal does not go down, and the insured continues operations in the same industry as the potential seller &#8212; or starts such operations if they were not pre-existing &#8212; the seller can allege that the insured misused its sensitive data.  This misuse of data and violation of the confidentiality of the due diligence process is a classic scenario for D&amp;O coverage.  These days, some of the allegations regarding pure data could be covered under a privacy liability policy.  But most privacy liability policies will exclude claims involving Ds, Os, or senior management misusing data, so chances are no coverage would pertain.</p>
<p> 2.  If your insured does not obtain 100% shareholder support for the acquisition, minority shareholders who do not like the outcome can bring suit against the Ds &amp; Os for the management of the acquisition, or more likely the amount of money paid for the acquisition.</p>
<p> 3.  If the acquired company does not agree with the management of the acquisition, or the insured&#8217;s execution of all terms of the agreement, they can bring suit against the Ds &amp; Os.  Sometimes this would be a pure breach of contract action, but more frequently, there would be accompanying allegations of misrepresentation, possible fraud, inducement, etc., that would trigger a D&amp;O policy.</p>
<p> 4.  If your insured is the selling company, the representations made during due diligence can come under fire if the sold company does not perform as expected.</p>
<p> 5.  Many purchase agreements require the sellers to set aside a portion of the proceeds to secure future unknown contingencies.  A D&amp;O policy can be used to fund this obligation, with the buyer&#8217;s agreement.</p>
<p> All of the above pertain to either side of a merger, as well as a pure sale of shares, or sale of assets.</p>
<p> Two logistical things to note:</p>
<p> 1.  The breach of contract exclusion in a (privately-held) D&amp;O policy must be carefully analyzed to make sure it does not exclude claims for which we would be seeking coverage.  The more narrow the wording, the more likely there is to be coverage if a claim arises from an agreement integral to the purchase contract.</p>
<p> 2.  It is possible to secure a D&amp;O policy after the transaction takes place.  Generally, more possible if the insured is the seller, than the buyer.  There is a good handful of companies that will write standalone &#8220;run-off&#8221; policies. If they&#8217;re put in place at the time of acquisition, so much the better.  But there is a window of opportunity of a few months where it&#8217;s reasonable for the insured (and his agent) to realize that D&amp;O might be appropriate and to go looking for coverage.  This is especially the case when the D&amp;O is sought to secure contingency obligations.</p>
<p> Of course, it&#8217;s best if ALL your insureds have their D&amp;O in place at all times &#8212; but we know that isn&#8217;t always the case.  Keep trying, though!!  Remember &#8212; I can supply an indication based on five simple data points:  Name, location, nature of operations, number of employees, and asset size. </p>
<p> Although I did just learn in the school of hard knocks &#8212; please be sure to disclose if the prospect is in bankruptcy.   Lack of such disclosure will lead to frustration and disappointment for all.</td>
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<td>Chris Christian, CIC, RPLU<br />
Vice President/Senior Broker<br />
US Risk Brokers760-415-4213 or for TN agents 615-273-3451</p>
<p>Knowledge Knuggets do not constitute legal advice, nor are they the opinion of US Risk. </p>
<p>Please feel free to suggest future Knowledge Knugget topics.</p>
<p>Submissions:  chrisc [at] usrisk [dot]com</p>
<p>Consulting/Expert Witness requests: chris [at] pltidbits [dot] com</p>
<p><em>I am accepting new agent appointments, so please give me a call or send submissions if you feel I can be of assistance with your complex risks.  Or, if you just like working with propellerheads &#8211; let&#8217;s chat.</em></td>
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		<title>Kidnap &amp; Extortion &#8212; when the unthinkable happens (2/25 &#8211; 3/11 Knowledge Knuggets)</title>
		<link>http://www.pltidbits.com/2010/03/kidnap-extortion-when-the-unthinkable-happens-225-311-knowledge-knuggets/</link>
		<comments>http://www.pltidbits.com/2010/03/kidnap-extortion-when-the-unthinkable-happens-225-311-knowledge-knuggets/#comments</comments>
		<pubDate>Sun, 14 Mar 2010 16:47:04 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[General]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=285</guid>
		<description><![CDATA[100,000 kidnappings are believed to occur worldwide on an annual basis -- and that does not include child custody battles or other child-related incidents.  Yet many insureds omit coverage for this important risk from their insurance portfolio.  It is easier to get and less expensive than most would assume.]]></description>
			<content:encoded><![CDATA[<p>I recently presented a webinar on Kidnap, Ransom &amp; Extortion for the Insurance Journal Academy, and since my mind was on the topic I also posted a 3-part Knugget about it.  The Knuggets are posted below in consolidated fashion.  If you&#8217;d like to hear and see the webinar, go to <a href="http://www.ijacademy.com">www.ijacademy.com</a> to register for the archived version.  Use the discount code &#8220;education&#8221; for a 25% savings.</p>
<p>Kidnap &amp; Ransom &#8212; the Real &#8220;Executive Protection&#8221; coverage &#8211;  consolidated re-post of 2/25 &#8211; 3/11 Knowledge Knuggets </p>
<p>A while back I posted on Twitter regarding my Executive Protection Checklist.  Interestingly, a couple days later I was being followed by an Executive Protection expert &#8212; a bodyguard firm.  I had never thought of &#8220;Executive Protection&#8221; that way, but certainly the purest form of Executive Protection is that of the Executive himself or herself against bodily harm.</p>
<p>One of the lines of business within any good Executive Protection program is Kidnap and Ransom coverage (sometimes also referred to as &#8220;Kidnap, Ransom &amp; Extortion&#8221; coverage).</p>
<p>First thing to know is that K&amp;R coverage is not nearly as mysterious as it initially appears.  It can be very cloak and dagger, but in its most straightforward incarnation, it is simply a reimbursement policy for ransom monies paid to kidnappers, or attempted to be delivered to kidnappers. </p>
<p>Now, assuming that anyone who has enough money to attract kidnappers would also have enough money to pay them, this becomes merely balance sheet protection, and that in and of itself has a great deal of value.  Typical insureds for this would be bank executives, CEOs of large companies, and especially wealthy executives that travel to foreign lands.</p>
<p>However, a policy does more than just pay ransom or extortion monies.  Once an insured has a policy in-hand, they also get the benefit of having someone to lean on if and when the unimaginable happens.  All the major K&amp;R carriers have contracts with companies that specialize in executive protection (bodily) and they have extensive experience in negotiations, extractions, repatriation, and delivery.</p>
<p>The four major coverage parts found in most policies include:  Kidnap, Extortion, Detention, and Hijack. </p>
<p>Extortion can pertain to threats to do bodily harm, threats to impair property, and threats to harm data.  The harm done can include not only damage to the property or data, but also reputational harm evolving from the publicity about same.</p>
<p>Detention refers to circumstances where the insured person is detained by the authorities (or sometimes others) in a country due to an actual or alleged violation of some kind.  If the insured person truly is in the country illegally or engaged in illegal activities, the policy tends to exclude coverage.  However, if the insured was not blatantly violating laws, the policy would generally respond.</p>
<p>Hijacking refers to insureds being nabbed in their vehicles for a quick return on the kidnapper&#8217;s investment of time.  Small demands, ATM withdrawals, or just the taking of whatever valuable possessions or money the victim has on his or her person at the time may satisfy the kidnappers.</p>
<p>The types of expenses covered by these policies can be mind-boggling.  A short list includes:  ransom, of course; crisis management expenses, negotiators&#8217; expenses, legal expenses, medical expenses, psychiatric aftercare, family travel expenses, the insured company&#8217;s travel expenses, salary of the victim, salary of a replacement worker for the victim, reward for informant, advertising costs, and legal liability should the insured company be sued by the victim or his or her estate.</p>
<p>Who can be insured under these policies?</p>
<p>The company, its executives, or even all employees, if desired.  Also included are family members, guests, domestic workers.  Some policies include all ancestors and all lineal descendants.  Others limit coverage to grandparents and grandchildren &#8212; no &#8220;greats&#8221; or &#8220;great-greats&#8221; included.  Coverage can be written on a scheduled basis, if desired, and some policies are purchased as individual or family policies without regard to any corporate entity.</p>
<p>One outlier of coverage is found in &#8220;child abduction&#8221; coverage.  This coverage is generally used for hospitals in case someone abducts an infant or toddler from the facility.  This is specialized coverage because these abductions frequently do not result in any ransom demand so otherwise would not trigger coverage.  Limits may be different from the main coverage part, so consider carefully what&#8217;s needed.  Ransom is not usually what will eat up the limit, but there are other expenses to contemplate.</p>
<p>So how do you identify who among your insureds should carry this coverage?  Think about:   </p>
<ul>
<li>Insureds with significant personal wealth</li>
<li>Insureds working for very large, high-profile or controversial companies (banks, oil/gas developers, chemical plants, etc.)</li>
<li>Insureds who travel abroad</li>
<li>Insureds who live or work near the southern border</li>
<li>Insureds with family that travels</li>
</ul>
<div> </div>
<div>It&#8217;s relatively simple to get a ballpark indication for your insureds for a whole year or for a particular trip.  All you need to know is how many people travel to where and for how long.</div>
<div> </div>
<div>So, for example, if you have a wholly domestic insured in a low-hazard location, but the principal&#8217;s family is going to go to China for two weeks for vacation, you could easily get an indication for that trip.  The policy could be purchased by the company, and the company could then reap some of the benefits of coverage.  Or, a less expensive policy could be purchased by the family. </div>
<div> </div>
<div>Alternatively, your insured might be located on the border and do business with points south.  You can get terms for the scheduled executives and the five managers that work outside the US.  Provide the underwriters with the headcount, locations, and they might want to know if there&#8217;s a lot of traveling back and forth, and then you can get some ballpark terms.</div>
<div> </div>
<div>
<div>Piece of cake.</div>
<div> </div>
<div>Last suggestion &#8212; don&#8217;t input these policies in your system under &#8220;Kidnap &amp; Ransom&#8221;.  Use something a bit more discreet, and store the list of covered persons away from the policy itself.  No sense in courting trouble, right?</div>
<div> </div>
</div>
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		<title>Caution! &#8212; Agents on Boards &#8211; 2/4/10 Knowledge Knugget</title>
		<link>http://www.pltidbits.com/2010/02/caution-agents-on-boards-2410-knowledge-knugget/</link>
		<comments>http://www.pltidbits.com/2010/02/caution-agents-on-boards-2410-knowledge-knugget/#comments</comments>
		<pubDate>Sat, 06 Feb 2010 00:27:22 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[D&O]]></category>
		<category><![CDATA[Misc E&O]]></category>
		<category><![CDATA[claims]]></category>
		<category><![CDATA[agents E&O]]></category>
		<category><![CDATA[board]]></category>
		<category><![CDATA[caution]]></category>
		<category><![CDATA[condo association]]></category>
		<category><![CDATA[conflict of interest]]></category>
		<category><![CDATA[D&O policy]]></category>
		<category><![CDATA[director]]></category>
		<category><![CDATA[duty of care]]></category>
		<category><![CDATA[duty of loyalty]]></category>
		<category><![CDATA[exclusion]]></category>
		<category><![CDATA[HOA]]></category>
		<category><![CDATA[homeowner association]]></category>
		<category><![CDATA[networking]]></category>
		<category><![CDATA[risk management]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=282</guid>
		<description><![CDATA[Agents frequently insure entities on whose boards they serve.  There are inherent conflicts and dangers in this business-building approach.  Exercise Caution!]]></description>
			<content:encoded><![CDATA[<p>This topic created a lot of discussion on LinkedIn, and I thank all the participants.  Great input!</p>
<p>Below you will find my recent Knowledge Knugget discussing the dangers of agents serving on boards.</p>
<p>I&#8217;m adding a new danger here, thanks to a discussion with one of my favorite agents in CA who noted a particular problem.</p>
<p>What happens if the agent has to make a claim against his insured, on whose board he sits?  There are not many circumstances under which this could happen, but it is a possibility.  How does he reconcile his duty of loyalty under those circumstances?  And I cannot imagine the befuddlement of the carrier that receives a claim on an insured where the agent who placed the business is the claimant.  And what if there&#8217;s no coverage, and the agent then gets sued by the client, yet he&#8217;s the claimant in the first place?  Theoretically, at that point, they would stop the insanity, consider the claims to be offsetting and dismiss the whole thing.  But maybe not.</p>
<p>The particular situation that brought this topic up had to do with a potential personal injury claim against an entity.   But I&#8217;ve also contemplated &#8212; what happens if an agent&#8217;s on the board of an entity, and the entity doesn&#8217;t pay its premium, and the agent needs to take action to recover the premium?  As you may know, defaults can be subject to a D&amp;O policy if the Ds &amp; Os knew they were misleading the creditor at the time credit was granted.</p>
<p>What if the agent director was kept in the dark and thus extended credit (ordering coverage bound, let&#8217;s say, on a policy with 25% minimum earned &#8212; like a non-standard condo HOA), and now is stuck with that 25% minimum earned because the insured&#8217;s check bounced.  How is he going to unravel that?  What if there&#8217;s an uncovered claim due to the policy being cancelled and they sue him, and he feels he must counter-claim against them to protect himself?  How do you explain that to the carriers you just bound the insured with, and your E&amp;O carrier?  Weee, What a Predicament! (as John Travolta exclaims in Face-Off, one of my all time favorite movies).</p>
<p>Imagine how complex it could get if an agent sat on the board of the HOA where he lived and wrote all their coverages and had a property or GL claim.  Covered or uncovered.  Wow.</p>
<p>Anyway, chew on all that (yes, I know &#8212; I worry too much) while you read the below Knugget, and let me know your thoughts&#8230;.</p>
<p>* * * * *</p>
<p><span style="font-family: Verdana,Geneva,Arial,Helvetica,sans-serif; color: #000000; font-size: x-small;">Twice last  week I had occasion to discuss the topic of agents writing insurance for  entities on whose boards they sit.  This is a common road to production for many  agents, but let me share with you why it might not be an course of conduct in  which you want to engage:</p>
<p>First problem &#8211;</p>
<p>If you&#8217;re sitting on a  board, it is your duty to put loyalty to that entity above any loyalty to  yourself.  If you are placing insurance for this entity, can you honestly say  that you are doing the very best for this entity that can be done?  Do you have  all the markets that are appropriate for its business?  Are you giving up your  commission so as to procure the lowest possible pricing?  Are you doing what it  takes to ensure the entity buys all needed insurance, even if you are not overly  familiar with some lines of business?</p>
<p>Can you possibly ever avoid the  inherent conflict of interest that comes with making money off of a service you  provide the entity?</p>
<p>To complicate matters, what happens if you&#8217;re also on  the board of your agency?  How can you reconcile those two entities&#8217; needs?  You  can&#8217;t.  You have to put loyalty to one above loyalty to the other, and therein  lies the rub.</p>
<p>If the question ever arises as to whom you placed first,  you will have very few defenses.</p>
<p>Solution?  Possibly, you could hand the  account to someone else in your agency and act only as a referral resource.   Your agency would still make the revenue, and if you don&#8217;t profit personally  from the placement, you will be at less risk.  Still, not completely free of  risk because at the end of the day, your agency, and the coverages and pricing  it can provide may not be deemed as the best possible for the  entity.</p>
<p>Second problem &#8211;</p>
<p>Check your insurance agents E&amp;O  policy, and you may find that claims arising from your services rendered to any  entity for which you are a director are excluded.  This is not an uncommon  exclusion.  There is usually some form of exclusion that eliminates coverage at  least for claims made by entities over which you exercise control (by ownership  or by directorship), and sometimes the exclusion extends to all services  rendered to, not just claims made by, those entities.  That means you may have  no coverage even if a third party makes a claim against you, rare though that  might be.</p>
<p>So if the worst case scenario occurs, and your entity has an  uncovered claim, there will be no coverage simply because you sat on the board.   No coverage for you, and most of the time, no coverage for the agency.  How,  then will you resolve that claim?  Out of your own pocket?  Scary stuff.  And  again, what if you&#8217;re on the board of the agency?  How could you have exposed it  to such financial harm?  Now you&#8217;ve violated your duty of loyalty and duty of  care to the agency.  Not good.</p>
<p>My recommendation both from an agents  E&amp;O risk management perspective and from a D&amp;O risk management  perspective is that you should not place coverage for any entity on whose board  you sit.</p>
<p>If sitting on boards is a large part of your networking and  business-building process, use it for networking, and write every other board  members&#8217; coverage, and that of all their friends.  But when it comes to the  entity&#8217;s coverage take the high road, and advise the board that you cannot write  the entity&#8217;s coverage yourself without creating an inherent conflict and  sacrificing the protection of your E&amp;O policy, and refer them to another  agent or three.  You&#8217;ll sleep better at night if you do.<br />
</span></p>
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		<title>Agents and Boards</title>
		<link>http://www.pltidbits.com/2010/01/agents-and-boards/</link>
		<comments>http://www.pltidbits.com/2010/01/agents-and-boards/#comments</comments>
		<pubDate>Sat, 30 Jan 2010 19:24:22 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[D&O]]></category>
		<category><![CDATA[claims]]></category>
		<category><![CDATA[agents E&O]]></category>
		<category><![CDATA[conflict of interest]]></category>
		<category><![CDATA[duty of care]]></category>
		<category><![CDATA[duty of loyalty]]></category>
		<category><![CDATA[Knowledge Knugget]]></category>
		<category><![CDATA[uncovered claim]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=280</guid>
		<description><![CDATA[Many agents serve on boards of directors, frequently non-profit, sometimes for-profit, and end up writing the entity&#8217;s insurance.  From a D&#38;O perspective, this creates an inherent conflict of interest, and from an Agents E&#38;O perspective, often creates an uncovered cause of loss, should a claim arise.
I think most agents who write insurance under these circumstances [...]]]></description>
			<content:encoded><![CDATA[<p>Many agents serve on boards of directors, frequently non-profit, sometimes for-profit, and end up writing the entity&#8217;s insurance.  From a D&amp;O perspective, this creates an inherent conflict of interest, and from an Agents E&amp;O perspective, often creates an uncovered cause of loss, should a claim arise.</p>
<p>I think most agents who write insurance under these circumstances have not thought through the ramifications.  It all looks so simple on the surface.  But it&#8217;s not.</p>
<p>Next week&#8217;s Knowledge Knugget will discuss this topic in more depth.  Sign up prior to 2/4/10 to receive the KK in your mailbox bright and early.  I&#8217;ll post it here sometime after its distribution to my mailing list.</p>
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		<title>Quirks in the PL World &#8211; 1/7/10 Knowledge Knugget</title>
		<link>http://www.pltidbits.com/2010/01/quirks-in-the-pl-world-1710-knowledge-knugget/</link>
		<comments>http://www.pltidbits.com/2010/01/quirks-in-the-pl-world-1710-knowledge-knugget/#comments</comments>
		<pubDate>Wed, 13 Jan 2010 04:15:43 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[Additional insured]]></category>
		<category><![CDATA[AI]]></category>
		<category><![CDATA[allegation]]></category>
		<category><![CDATA[contract]]></category>
		<category><![CDATA[defense within the limits]]></category>
		<category><![CDATA[erode]]></category>
		<category><![CDATA[excess limits]]></category>
		<category><![CDATA[frequency]]></category>
		<category><![CDATA[GL]]></category>
		<category><![CDATA[insured v. insured]]></category>
		<category><![CDATA[liability]]></category>
		<category><![CDATA[limits]]></category>
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		<category><![CDATA[professional liability]]></category>
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		<description><![CDATA[Agents are often befuddled when a professional liability carrier refuses to provide an additional insured endorsement or excess limits appear to be too expensive.]]></description>
			<content:encoded><![CDATA[<p>Happy New Year, and Welcome to 2010.  I hope it&#8217;s a better year for all of us.</p>
<p>We&#8217;ll kick off this year by discussing some quirks in PL placements, which become quickly apparent when an agent or insured expects the same responses from underwriters as they would enjoy from a GL carrier.</p>
<p>For this installment, we&#8217;ll review two specific quirks:  Additional Insureds and excess limits.</p>
<p>1.  Additional insureds</p>
<p>As you know, in the world of GL, if you want an Additional Insured added to coverage, you request it, identify the relationship, and you get an endorsement for x amount of money.  The carrier is then willing to notify the AI if coverage ceases and will defend claims against the AI.  Not so in the world of Professional Liability.</p>
<p>It&#8217;s rare for there to be Additional Insureds on a PL policy.  There are some exceptions, which I&#8217;ll save for a future Knugget.  Here are some reasons carriers will not provide Additional Insured status to Insureds&#8217; clients.</p>
<p>a.  The policy exists to protect the professional &#8212; not his clients.<br />
b.  An allegation of professional negligence is needed to trigger coverage, and the client is not the one rendering the covered professional service.  Therefore, tender of a claim against them would not trigger coverage under the insured&#8217;s policy.<br />
c.  Defense is within the limits (generally) so providing defense to a third party would erode the insured&#8217;s limits.<br />
d.  The Insured v. Insured exclusion in the policy will void coverage for any claim brought against the insured by the AI client.</p>
<p>An outgrowth of this overall reluctance to provide coverage to AIs is further demonstrated by the fact that even those carriers that will add an AI will absolutely decline to comply with an AI&#8217;s request to be notified of cancellation of a policy.</p>
<p>2.  Excess limits</p>
<p>In the world of GL, a 4mm xs 1mm limit is available broadly and for pennies on the dollar.  No one thinks twice about it, regardless of the size of the insured or why they want the higher limit.  It&#8217;s considered wise to always offer those additional limits to your insured.</p>
<p>In the PL world, carriers are more circumspect about putting up limits.  If you have an insured with, let&#8217;s say, 200k, or even 2mm in revenue, and you request a 5mm limit, you will not get it from most carriers.  If you place a 1mm limit, then seek a 4mm xs 1mm, you will likely not have much luck.  Here are some reasons carriers give for not putting up large limits:</p>
<p>a.  PL is a severity line, not a frequency line, so if a claim occurs, it may well exhaust the entire limit<br />
b.  The carrier will not put up limits higher than the insured&#8217;s revenue<br />
c.  The carrier will not put up limits higher than the insured&#8217;s assets<br />
d.  The carrier cannot get enough rate for the limit<br />
e.  The carrier does not want its policy to be the insured&#8217;s biggest asset<br />
f.  There appears to be some correlation between limit availability and loss incurred, so carriers do not want a high limit to be an attraction to plaintiffs.<br />
g.  The carrier will not provide an excess limit higher than the underlyer (i.e., if the primary is 1mm, the most they will put up is 1mm)</p>
<p>Pricing for PL excess limits is much heavier than that of GL.  For example, if a 1mm limit costs $10,000, a 5mm limit is likely to cost $24,000.  (5mm increased limit factors in PL often ranging from 2.30 to 2.45)  The 4mm xs 1mm costs an additional $14,400!   I&#8217;ve had agents fall out of their chairs with that kind of pricing because they were expecting a quote for a fraction of the 10k primary premium.  A 5mm xs 5mm limit will range from 40% &#8211; 70% of the underlying 5mm, depending on the line of business and the quality of the risk.</p>
<p>This pricing model, again, is largely driven by the fact that PL is a severity line.  In some lines with a tendency to more frequency and a lot of actuarial data, you might see the ratios come down a little.</p>
<p>There are some exceptions to the reluctance to provide higher limits, and in a future Knugget, I will touch on some tricks of the trade to persuading underwriters to put up the limits you need.<br />
<span style="color: #000000; font-family: Verdana,Geneva,Arial,Helvetica,sans-serif; font-size: x-small;">Chris Christian, CIC, RPLU<br />
Vice President/Senior Broker<br />
US Risk Brokers</span></p>
<p><span>760-415-4213 or for TN agents 615-273-3451</span></p>
<p>Knowledge Knuggets do not constitute legal advice, nor are they the opinion of US Risk.</p>
<p>Please feel free to suggest future Knowledge Knugget topics.</p>
<p>Visit www.pltidbits.com for archived Knowledge Knuggets and other Important Items regarding professional liability.</p>
<p>chrisc [at] usrisk [dot]com</p>
<p><span style="font-style: italic; color: #006633;">I am accepting new agent appointments, so please give me a call or send submissions if you feel I can be of assistance with your complex risks.  Or, if you just like working with propellerheads &#8211; let&#8217;s chat.</span></p>
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		<title>D&amp;O Policy for Professional Exposures?</title>
		<link>http://www.pltidbits.com/2009/10/do-policy-for-professional-exposures/</link>
		<comments>http://www.pltidbits.com/2009/10/do-policy-for-professional-exposures/#comments</comments>
		<pubDate>Mon, 12 Oct 2009 04:01:04 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[D&O]]></category>
		<category><![CDATA[Misc E&O]]></category>
		<category><![CDATA[contract]]></category>
		<category><![CDATA[E&O]]></category>
		<category><![CDATA[exclusion]]></category>
		<category><![CDATA[professional services]]></category>
		<category><![CDATA[Wrongful Acts]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=269</guid>
		<description><![CDATA[D&#038;O policies are not intended to cover professional services, even though the entity and the employees are insured for their wrongful acts.]]></description>
			<content:encoded><![CDATA[<p>One of my new agents asked me why a consultant firm of hers would need E&amp;O, given that their D&amp;O policy covers the employees&#8217; wrongful acts.  Good question.</p>
<p>Click on Knowledge Knuggets Archives and check out the 10/8/09 Knugget for the inside scoop on why this is not a corner that can properly be cut.</p>
<p>***I am accepting new agency appointments, so if you have D&amp;O, E&amp;O, EPL or other professional business and would like to take advantage of my unique approach, please contact me at chrisc [at] usrisk [dot] com. *****</p>
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		<title>Missing your Tail?</title>
		<link>http://www.pltidbits.com/2009/08/missing-your-tail/</link>
		<comments>http://www.pltidbits.com/2009/08/missing-your-tail/#comments</comments>
		<pubDate>Tue, 18 Aug 2009 16:53:03 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[A&E]]></category>
		<category><![CDATA[Coverage]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[claims]]></category>
		<category><![CDATA[architects and engineers]]></category>
		<category><![CDATA[extended reporting period]]></category>
		<category><![CDATA[individual tail trigger]]></category>
		<category><![CDATA[lawyers professional]]></category>
		<category><![CDATA[lifetime tail]]></category>
		<category><![CDATA[limit]]></category>
		<category><![CDATA[loss development]]></category>
		<category><![CDATA[personal liability]]></category>
		<category><![CDATA[professional]]></category>
		<category><![CDATA[retire]]></category>
		<category><![CDATA[retirement]]></category>
		<category><![CDATA[soft market]]></category>
		<category><![CDATA[trigger]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=266</guid>
		<description><![CDATA[Inability to trigger an extended reporting period can rob a retired professional of peace of mind.]]></description>
			<content:encoded><![CDATA[<p>Extended Reporting Periods are a critical feature of professional liability coverage whenever a professional reaches retirement.</p>
<p>I&#8217;ve noticed that most, if not all, standard physicians companies offer the doctor a lifetime tail upon retirement.  Sometimes the tail is free, if the doc has been with that insurer long enough.  Other times it&#8217;s at a relatively reasonable premium.</p>
<p>I&#8217;ve seen this provision in an accountants&#8217; policy or two.</p>
<p>However, I have not seen it extended on architects or engineers policies or in the handful of lawyers professional liability policies I have recently reviewed.</p>
<p>What&#8217;s up with that?</p>
<p>Notwithstanding the fact that many of these professionals work in a firm environment and don&#8217;t carry individual policies, they still have the issue of coming to retirement age with an incredibly long loss development horizon.  They frequently have no control over the ability to purchase tail on their own, having been just a cog in the wheel of the firm, yet they are personally liable for their professional errors in many jurisdictions.  If the firm does not maintain coverage, or somehow moves to a policy that does not include these hapless retirees, they are bare.</p>
<p>I would love to see the market respond to this issue by providing an individual tail trigger (and quite possibly limit) for professionals reaching retirement age.  Maybe in the next soft market, it will evolve.</p>
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		<title>And speaking of ethics&#8230;..</title>
		<link>http://www.pltidbits.com/2009/08/and-speaking-of-ethics/</link>
		<comments>http://www.pltidbits.com/2009/08/and-speaking-of-ethics/#comments</comments>
		<pubDate>Mon, 10 Aug 2009 17:52:03 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[competition]]></category>
		<category><![CDATA[ethics]]></category>
		<category><![CDATA[insurance agents]]></category>
		<category><![CDATA[lying]]></category>
		<category><![CDATA[relying]]></category>
		<category><![CDATA[representation]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=263</guid>
		<description><![CDATA[Why do insureds rely upon representations that clearly conflict with the written quote?  Why do agents lie about coverages, or allow themselves to be mislead by unscrupulous or ignorant market intermediaries?]]></description>
			<content:encoded><![CDATA[<p>Many states are requiring some number of hours of ethics training for insurance agents these days.  I went to a three hour class here in Nashville recently.</p>
<p>One of the things the instructor did *not* touch on is:  Don&#8217;t lie to your insured about what&#8217;s covered and what isn&#8217;t.  You would think that would go without saying, wouldn&#8217;t you?</p>
<p>I just lost an order to bind on a piece of business due to the competing agent lying about the nature of the competing coverage.  I was competing against a carrier I represent, so I went to the carrier to confirm what they can and cannot offer in this line.  The underwriter confirmed my suspicions &#8212; the coverage the other agent said was provided is not available.  Ever.</p>
<p>I provided the written confirmation from my underwriter to my agent, so he can go back to the insured to enlighten them if he so chooses.  But the real question here is:</p>
<p>What is the insured&#8217;s motivation in accepting the warm, fuzzy lie from the one agent versus the cold, hard truth from the other?</p>
<p>Does an insured think things through and realize that if they get the &#8220;confirmation&#8221; of coverage from the one agent in writing, they can sue him later and recover damages when it turns out there&#8217;s no coverage in the form itself?  Or do they believe that ignorance is bliss?  Or does this competing agent seem somehow more trustworthy or more knowledgeable than mine?</p>
<p>In this case, mind, the insured actually paid 25% *more* for the fictitious coverage.  So they have been damaged not only by relying upon a representation of coverage that isn&#8217;t there, they have paid more premium for it.</p>
<p>How can this agent live with himself?  And what can my agent do to compete against such an under-handed approach?  I don&#8217;t know&#8230;yet.  I&#8217;m hoping to find out, and that the good guys will finish first.</p>
<p>I can&#8217;t even imagine the world in which I would intentionally mislead my insured as to coverages offered, or ignore the black-and-white words on the quote and rely upon a representation from someone else that said what I wanted to hear.  I hope I&#8217;m not a rare breed&#8230;..</p>
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		<title>Executive Protection Checklist Updated</title>
		<link>http://www.pltidbits.com/2009/07/executive-protection-checklist-updated/</link>
		<comments>http://www.pltidbits.com/2009/07/executive-protection-checklist-updated/#comments</comments>
		<pubDate>Thu, 30 Jul 2009 18:42:38 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[General]]></category>
		<category><![CDATA[business interruption]]></category>
		<category><![CDATA[copyright]]></category>
		<category><![CDATA[Crime]]></category>
		<category><![CDATA[D&O]]></category>
		<category><![CDATA[E&O]]></category>
		<category><![CDATA[Employed Lawyer]]></category>
		<category><![CDATA[employee dishonesty]]></category>
		<category><![CDATA[EPL]]></category>
		<category><![CDATA[ERISA]]></category>
		<category><![CDATA[ESOP]]></category>
		<category><![CDATA[executive protection]]></category>
		<category><![CDATA[fidelity]]></category>
		<category><![CDATA[Fiduciary Liability]]></category>
		<category><![CDATA[first party]]></category>
		<category><![CDATA[infringement]]></category>
		<category><![CDATA[kidnap]]></category>
		<category><![CDATA[Management Liability]]></category>
		<category><![CDATA[Network Security]]></category>
		<category><![CDATA[personal and advertising injury]]></category>
		<category><![CDATA[personal injury]]></category>
		<category><![CDATA[Privacy Liability]]></category>
		<category><![CDATA[professional liability]]></category>
		<category><![CDATA[third party]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=261</guid>
		<description><![CDATA[A much-needed tool for agents to get discussion about executive protection products on the table with their insureds.]]></description>
			<content:encoded><![CDATA[<p>Please click on Marketing Tools (or <span style="color: #ff6600;"><a title="Exec Protection Checklist" href="http://pltidbits.com/marketing/CHECKLIST%20FOR%20EXECUTIVE%20PROTECTION%20COVERAGES.pdf" target="_blank">here</a><span style="color: #000000;">)</span></span> to access the updated Executive Protection Checklist.  It now includes reference to Network Security/Cyberliability &#8212; protection for claims arising from virus intrusion, denial of service attacks, personal and advertising injury, and other claims arising from the operations of the insured&#8217;s website and/or network.</p>
<p>If you would like the checklist in Word format, please email me.</p>
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		<title>Solutions to the &#8220;for a fee&#8221; gap</title>
		<link>http://www.pltidbits.com/2009/07/solutions-to-the-for-a-fee-gap/</link>
		<comments>http://www.pltidbits.com/2009/07/solutions-to-the-for-a-fee-gap/#comments</comments>
		<pubDate>Wed, 29 Jul 2009 21:20:56 +0000</pubDate>
		<dc:creator>Chris Christian</dc:creator>
				<category><![CDATA[Coverage]]></category>
		<category><![CDATA[Misc E&O]]></category>
		<category><![CDATA[close gap]]></category>
		<category><![CDATA[coverage gap]]></category>
		<category><![CDATA[definition]]></category>
		<category><![CDATA[professional liability]]></category>
		<category><![CDATA[professional services]]></category>

		<guid isPermaLink="false">http://www.pltidbits.com/?p=253</guid>
		<description><![CDATA[The gap between your insured's pro bono or bartered services and the coverage provided by their professional liability policy can be closed.]]></description>
			<content:encoded><![CDATA[<p>This week&#8217;s Knowledge Knuggets details ways to close the gap between your insured&#8217;s bartered or pro bono services and the definition of &#8220;professional services&#8221; in his or her policy.</p>
<p>Subscribe to Knuggets to get the inside scoop.</p>
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