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

11

    “Potential” Claim Reporting

12

Retroactive Dates

14

Full Prior Acts

14

Defining the Time of Loss

15

Changing Retroactive Dates

16

Extended Reporting Periods/Tail Insurance

16

    “Runoff Provision”

18

Aggregate Defined

19

Legal Defense Cost Provisions

19

    Duty to Defend Broader than Duty to Indemnify

21

    Defense Reimbursement

22

 

 

 

United Insurance Educators, Inc.

PO Box 1030

Eatonville, WA 98328

 

(253) 846-1155

 

mail@uiece.com