Claims-Made Insurance Policies

Table of Contents

 

The legal question

3

Claims-Made policies defined

3

Occurrence Policy defined

4

Liability Awareness

4

Latent injury illustrated by asbestosis claims

7

    Chart illustrating differences in policy type

8

Policy Triggers

9

Exposure Coverage Trigger Theory

10

Manifestation Coverage Trigger Theory

10

Continuous Coverage Trigger Theory

10

Injury-in-fact Coverage Trigger Theory

10

Insurance Agent’s E&O Claim Trigger

11

Trigger Language

12

    “potential” claim reporting

12

Retroactive Dates

14

Full Prior Acts

15

Defining the Time of Loss

15

Changing Retroactive Dates

16

Extended Reporting Periods/Tail Insurance

17

    “Runoff Provision”

19

Aggregate defined

19

Legal Defense Cost Provisions

20

    Duty to defend broader than duty to indemnify

21

    Defense reimbursement

22

 

 

Thank you,

United Insurance Educators, Inc.