Here are some items to keep in mind:

Areas of Practice: Do they add up? The application must fully reflect and warrant the firm's practice and operating history. These factors determine eligibility and rates charged, so double check your facts and figures for your clients to ensure they are correct and reflective of their current practices. Numerous area of practice charts are received that do not add up, and if the carrier doesn't have a fully accurate picture of the risk, it can cost time delays or affect the carrier's final rate. For the law firm completing an application, it's a time-consuming process, but the application becomes a part of the policy and determines the coverage. Take time to guide your client through the application process to ensure the best outcome.
How does coverage respond for ethics complaints and disciplinary proceedings where an insured has been alleged of violating a disciplinary rule? Disciplinary proceedings are not claims under a policy and the insured, not the carrier, has the obligation to defend and respond to these proceedings. However, many insurance carriers offer an enhancement to their policy that provides reimbursement for reasonable expenses incurred by the insured for the defense of such a proceeding where the violation is not proven. Typical reimbursement limits range from $10,000 to $25,000 maximum during the policy. Some carriers may include an aggregate for multiple expenses.
Have you reviewed how the definition of professional services is worded and how it will respond to law related tasks? Will services as a member of a formal accreditation board or publication of research papers be covered? Many insurance carriers provide coverage for the services in their definitions of professional services and also include related areas such as notary public, arbitrator and title insurance agent. We expect this clause to broaden over time with game-changing advances in technology, which create additional services and exposures to your client's firm. Ensure your client services are captured in this definition and likewise review the exclusions of services not covered to see if any of your client's services are excluded. If so, carriers may manuscript in coverage under special circumstances.
Are defense costs in or outside the limits and how does this impact coverage available? Have you explained how the defense provision works in the policy? Did you move the client to a new carrier for a cheaper premium, only to find out the incumbent carrier gave defense cost outside the limits of the policy and the new carrier has defense within the limits? You have basically eroded layers of available limits for your client. Each dollar spent on defending your client's claim leaves that much less available to pay for a settlement in a claim. Better options include an additional limit for claim expenses to at least offset some of the defense costs and allow more limit for payment of damages.
"Loss only," "first-dollar defense," "per claim," "aggregated" and "50 percent offset" all represent deductible wording. Have you reviewed how the deductible provision is worded? In the example of "loss only," the client does not incur out-of-pocket claim expenses to defend the claim. This attractive option could win many accounts over when the client is moved from a deductible provision that includes claims expenses or even a 50 percent offset provision.

Special Reports /

Back to Basics with LPL

Related Stories

Recommended For You