We answer the most common questions asked about professional indemnity insurance
1. Who is a professional?
2. Why does a professional need a professional indemnity policy?
3. What protection will a professional indemnity policy provide?
4. What is a 'claims made and notified' policy? How does it differ from an
'occurrence' policy?
5. What fact, situation or circumstance should I notify to an insurer?
6. What does a civil liability professional indemnity wording cover?
7. Why do I have to fill out a proposal form?
8. What does 'costs inclusive' excess and 'costs exclusive' excess mean?
9. What is the retroactive date? What is the date of inception?
10. What is run off cover? How many years should I take out run off cover
for?
11. What is continuous cover? When do we offer this cover?
12. What is automatic reinstatement?
13. What is meant by a 'known circumstance'?
14. What is the difference between jurisdiction and territorial limits?
1. Who is a professional?
Anyone who gives to another person advice and/or services of a skilful character according
to an established discipline might be regarded as a 'Professional'. That means persons
other than those in 'traditional' Professions, such as doctors and lawyers, are now
considered to be Professionals i.e. Computer consultants, advertising agents, acoustics
consultants, trade associations and fund managers.
2. Why does a professional need a professional indemnity policy?
A Professional will hold himself or herself out as having a special skill, which can be
relied upon by another. Consequently the law requires that the Professional exercise the
required skill to an appropriate level expected by that profession. Professionals are only
human and mistakes do happen. Any financial loss, injury or damage arising from a mistake
or failure by the Professional to exercise the required level of skill may mean that an
award is made in favour of a person who suffers a loss, damage or injury. A Professional
may also be held to be liable for a mistake even though there was no negligence.
3. What protection will a professional indemnity policy provide?
A Professional Indemnity policy aims to shield the Professional's assets in the event of a
claim therefore ensuring that he/she is able to carry on their business. Every policy on
the market is different. You need to compare each policy.
4. What is a 'claims made and notified' policy? How does it differ from an
'occurrence' policy?
A 'claims made and notified' policy requires all claims and any fact, situation or
circumstance that results in a claim, to be notified to the Insurer within the Period of
Insurance. The actual mistake could occur at any time, if there is retrospective cover, or
otherwise it must occur during the Period of Insurance. The Insured must not have had any
prior knowledge of the fact, situation or circumstance before the Period of Insurance. In
an "occurrence" wording (as for Public Liability policy wordings), the
circumstance must occur during the Period of Insurance whilst the notification of this
event can occur at any time subsequently.
5. What fact, situation or circumstance should I notify to an insurer?
Any fact, situation or circumstance, which a reasonable person in the Insured's
professional position would have thought, might result in someone making a claim against
him/her.
6. What does a civil liability professional indemnity wording cover?
A 'civil liability' wording will indemnify the Insured for claims arising from any civil
award imposed by a civil court, as opposed to criminal liability or penalties enforced by
a criminal court. A Civil Liability Professional Indemnity wording is broader than a
'negligence wording', as it will indemnify the Insured for claims arising from strict
liability, where no negligence is involved.
7. Why do I have to fill out a proposal form?
Generally before a quote can be given for Professional Indemnity Insurance, underwriters
will require certain information in order to understand the Insured's profession and all
the characteristics of the Insured's business. The information provided in the proposal
either forms part, or all, of the information that an underwriter will rely upon to
provide a quote. Generally each Insured is quoted individually, since one Insured's
circumstances (i.e. the type of profession, type of work performed, number of years in the
profession and experience) may vary considerably from another.
8. What does 'costs inclusive' excess and 'costs exclusive' excess mean?
Costs Inclusive Excess means the Insured must pay the amount of the Excess towards the
legal and defence costs. Costs Exclusive Excess means the Insured does not pay any excess
towards the legal and defence costs but only pays the amount of the Excess towards the
settlement of any Claim.
9. What is the retroactive date? What is the date of inception?
Retroactive date is the date after which acts, errors or omissions of the Insured are
covered. That is, any act, error or omission arising from work done after the Retro
10. What is run off cover? How many years should I take out run off cover
for? active date will be covered under the Policy. The Inception date is the date
of the start of the Policy Period.
If an Insured chooses to sell his/her business and retire, then 'Run Off' cover will
indemnify them for any unknown claims arising during the Period of Run Off Insurance,
arising from mistakes made whilst they were still in business. It does depend upon the
Retroactive date offered with the policy. It is difficult to suggest the length of time
that 'Run Off' cover ought to be taken out, as it depends upon the Statute of Limitations
legislation applying to that particular claim. In some cases a claim can be brought in
excess of 15 years after the mistake occurred.
11. What is continuous cover? When do we offer this cover?
This is, in effect, a loyalty bonus. It means that if someone who was insured with us in
unbroken successive periods notifies a claim circumstance in the subsequent period which
should have been notified in the earlier period, then that claim will be covered under the
latter policy but subject to the lesser limit of the two applicable policies. Issues of
'non-disclosure' and 'known circumstances' exclusions will not be raised, however
prejudice due to delayed notification may be taken into account in the adjustment of the
claim.
12. What is automatic reinstatement?
Unlike other forms of liability policy, the sum insured of the professional indemnity
policy is limited so that the limit applies to the aggregate of all claims against the
policy in the policy period. The automatic reinstatement allows this aggregate limit to be
doubled while the limit for any one claim remains the limit of the sum insured.
13. What is meant by a 'known circumstance'?
Claims arising after the policy inception which arise from circumstances which the Insured
knew (or should have known) at the time of the policy inception may give rise to a claim,
are excluded. This is because such claims are not fortuitous at the time of entering into
the insurance but, on the contrary there is a real possibility that a claim may eventuate.
14. What is the difference between jurisdiction and territorial limits?
These two terms are sometimes confused. Territorial Limit refers to the place where the
act, error or omission occurs. Jurisdiction Limit refers to the fact that the policy will
only cover claims brought within the court system of the nominated countries.