Uninsured Loss—Archived Article
October 2004
In most D&O policies, the definition of Loss contains a list of elements that are generally considered to be uninsurable. In some instances, the types of losses listed are simply considered uninsurable by the insurer. Other elements may be uninsurable as a matter of public policy or by law. Typical wording of a D&O policy Loss definition follows:
“Loss” means damages, judgments, settlements and Costs of Defense; however, Loss shall not include civil or criminal fines or penalties imposed by law, punitive or exemplary damages, the multiplied portion of multiplied damages, taxes, any amount for the Insureds are not financially liable or which are without recourse to the Insureds, or matters which may be deemed uninsurable under the law pursuant to which this Policy shall be construed.
Admiral Insurance Co. DO 1200 (07-96)
The most common uninsurable loss elements are:
· Fines and penalties imposed by law. Almost all D&O insurers exclude coverage for both civil and criminal fines and penalties.
· Punitive and exemplary damages. Some insurers may include coverage for such damages within the Loss definition or by endorsement. When coverage is granted, it is usually to the extent allowable by governing law or by applicable law in the most favorable jurisdiction.
· Multiplied damage awards. A multiple of compensatory damages is sometimes awarded by the courts in certain types of claims (such as those involving anti-trust violations). Because multiplied damages are punitive in nature, most D&O insurers exclude coverage for them.
· Taxes. Payment of taxes is a corporate responsibility under city, state, or federal law. Even if a D&O policy did not list tax liability as uninsurable loss, most state and federal courts would consider such liability to be outside the scope of coverage.
· Matters Deemed Uninsurable Under Law. Includes any other types of loss for which public policy or statute may preclude insurance coverage.
Some D&O policies also exclude damages for which the Insured is not liable. Such damages might include expenses incurred by the directors and officers which were determined by the courts to be non-indemnifiable by the corporation. In addition, some policies specifically state that claim investigation expenses are not considered to be Loss under the policy.
Even when the definition of Loss excludes the damages elements described previously, some insurers will still pay for the defense of claims in which such damages are alleged.
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