Employment-Related Exclusions

February 2009

One of the fastest-growing areas of law specialization over the past decade has been in the field of employment practices-related liability. Claims alleging wrongful-employment practices include but are not limited to claims of wrongful termination or suspension, failure to hire or promote, sexual or workplace harassment and violation of anti-discrimination laws.

The federal government has enacted numerous regulations, laws and executive orders prohibiting discrimination in the workplace. These include the following now enforced by the Equal Employment Opportunity Commission as well as state Fair Employment and Housing Departments.

Title VII of the Civil Rights Act of 1964

Enforces the constitutional right to vote, to confer jurisdiction upon the district courts of the United States to provide injunctive relief against discrimination in public accommodations, to authorize the Attorney General to institute suits to protect constitutional rights in public facilities and public education, to extend the Commission on Civil Rights, to prevent discrimination in federally assisted programs, to establish a Commission on Equal Employment Opportunity.

Civil Rights Act of 1866

Prohibits certain types of employment discrimination based upon a person's race. Overlaps the racial discrimination provisions of Title VII.

Equal Pay Act

Prohibits discrimination on account of sex in the payment of wages by employers engaged in commerce or in the production of goods for commerce.

Age Discrimination in Employment Act

Prohibits employment discrimination against persons 40 years of age or older. The Older Workers Benefit Protection Act (Pub. L. 101-433) amends several sections of the ADEA.

Rehabilitation Act of 1973, Sections 501 and 505

Prohibits employment discrimination against individuals with disabilities in the federal sector. Section 505 contains provisions governing remedies and attorney's fees under Section 501.

Title I and V of the Americans with Disabilities Act

Title I of the ADA , which became effective July 26, 1992, prohibits employment discrimination against qualified individuals with disabilities and applies to employers with fifteen or more employees as of July 26, 1994. Title V contains miscellaneous provisions which apply to EEOC's enforcement of Title I.

Civil Rights Act of 1991

Amends the Civil Rights Act of 1964 to strengthen and improve Federal civil rights laws, to provide for damages in cases of intentional employment discrimination, to clarify provisions regarding disparate impact actions, and for other purposes.

Family and Medical Leave Act of 1993

Ensures that employees have the opportunity to take leaves of absence to meet their own medical needs.

Uniformed Services Employment And Reemployment Rights Act of 1994

Provides employment protections to persons who serve in the United States Armed Forces or have obligations as a member of a reserve unit.

Immigration Reform and Control Act of 1986

Prohibits the employment of undocumented aliens and requires employers to verify that any employee hired after November 7.

National Labor Relations Act

Prohibits discrimination against employees because they engage in certain types of “protected activity.” Such activity includes self-organization and selection of representatives for collective bargaining purposes.

Once uncommon and generally limited to claims against the corporation, employment-related actions increasingly are being brought against a corporation's directors and officers, individually or as codefendants along with the corporation (entity) itself. Including corporate leaders as codefendants may provide plaintiffs extra leverage to encourage a swift settlement. Claims alleging sexual harassment also carry a particularly negative stigma and can be a source of great embarrassment for the individuals charged. Directors and officers may be particularly susceptible to loss in instances when the corporation is insolvent or involved in bankruptcy proceedings. This situation often leaves the individual insureds as the target defendants, possibly with little or no indemnification available from the corporation, forcing the accused directors and officers to bear a potentially large financial burden. The courts seem increasingly willing and even eager to hold individuals liable for their alleged wrongdoings in this area.

Not all D&O policies specifically address employment-related wrongdoings within the basic policy form; however, specific exclusions and exclusionary endorsements are becoming common. Even in the absence of a specific employment practices liability (EPL) exclusion, coverage would not usually be available for direct actions against the organization unless the D&O policy provides some form of entity coverage.

Even when claims based on wrongful-employment practices are not specifically excluded, the question of whether employment-related claims are covered is not always easy to answer. As with many other issues surrounding D&O insurance policies, the courts often are required to sort out such matters. It is difficult to make generalizations regarding specific decisions and how they might apply under any given set of circumstances. Coverage for employment-related claims cannot be assumed simply because the policy does not contain a specific and obvious exclusion. On the other hand, even when seemingly straightforward exclusions exist (such as insured-versus- insured and regulatory exclusions), the courts sometimes have overruled the exclusions in favor of the insured.

When evaluating employment-practices related coverage where a specific exclusion is not readily identifiable, keep in mind that even seemingly unrelated exclusions could be interpreted to preclude coverage for employment-related claims. The following parts of D&O policies may contain language that could, in certain instances, restrict or limit employment-related practices coverage.

     The definition of wrongful act: Policy definitions that limit wrongful act to “negligent acts” may preclude employment-related claims when the insured individual acted or was alleged to have acted with intent. The use of the term negligent in the definition implies that such actions must be unintentional, which is often a complicated issue. An insured individual may have acted with intent in terminating an employee, but the resulting injury to the employee may have been unintentional. Deletion of the adjective negligent from such a definition always is desirable.

     Also, some D&O insuring agreements and many definitions of wrongful act limit coverage to conduct which is solely in the capacity as a director or officer. It may not always be clear whether alleged acts of sexual harassment took place within the scope of the director's or officer's duties. Sexual relationships between the director or officer and claimant may have pre-existed employment and not fall within the scope of coverage. (Also see Wrongful Act.)

     Insured-versus-insured exclusion. Some D&O insurers will expand the definition of individual insureds to include employees or other persons who are not directors or officers. While this might appear to be an expansion of coverage, it also can preclude coverage for claims by employees for wrongful-employment practices because the scope of the insured-versus-insured exclusion is broadened correspondingly. This problem normally can be corrected by attachment of an endorsement clarifying that the insured-versus-insured exclusion does not apply to claims made by employees who are not officers or directors. (Also see Insured Versus Insured.)

     Failure-to-maintain-insurance exclusion: This previously common policy exclusion, if liberally interpreted, conceivably could preclude coverage when the insured individuals could have purchased employment practices liability insurance but chose not to. Because coverage for employment- related claims may be available to the corporation and its executives for certain employment-related offenses (such as wrongful termination, discrimination and sexual harassment), the failure-to-maintain-insurance exclusion conceivably could be used as an argument for excluding at least some types of employment-related claims. Also see Failure to Maintain Insurance.)

     Regulatory agency exclusion: Regulatory agency exclusions, which once were limited to bank and savings-and-loan regulators, now sometimes are broadly written to encompass claims by any state or federal regulatory authorities. The agencies excluded might include the regulators of the Fair Labor Standards Act, federal and state occupational safety and health acts, the federal Age Discrimination in Employment Act and the Americans with Disabilities Act. Historically such laws dealt with liability of the corporation as an employer, but now the courts increasingly are interpreting the firm's directors and officers as the “real” employer and holding them personally liable. (Also see Regulatory Exclusions.)

     Willful-violation-of-laws exclusion: These exclusions preclude coverage not only for the willful violations of laws, but often are extended to include willful violation of rules and regulations as well. The term regulation generally implies that it contains the force of law behind it. Rule, on the other hand, can mean a rule or prescribed standard of conduct established by a company or other insured entity. If such an exclusion contains the word rule, it implies that willful violations of corporate policy, such as rules governing employment practices, may be sufficient to preclude coverage even when no law or government-imposed regulation is violated. (Also see Dishonest, Fraudulent and Criminal Acts.)

     Bodily-injury and personal-injury exclusions: These exclusions vary among D&O policy forms. The normal practice is for the insurer to exclude from coverage the types of claims that would be covered by a general liability policy by listing the specific injuries excluded. Sometimes excluded injuries include mental anguish, emotional distress, humiliation, defamation etc., which frequently are alleged in connection with employment-related claims. When a D&O policy excludes personal injury but does not define the term, a liberal interpretation of personal injury also could exclude a wide range of employment-related claims. (Also see Bodily Injury/Personal Injury/Property Damage.)

 

 

 

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