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 karina@samperi.com.au

ARTICLES

LIABILITY CRISIS

Implications for Professionals
The term “liability crisis” has been bandied around by the media for the last two years. Primarily, this has focused on the issue of Public Liability, however in reality, Public Liability for professionals is readily available and still very affordable. It is often included within Office Insurance package products of which the Liability Premium accounts for a few hundred dollars.

Professional Indemnity, on the other hand, is a massive issue for all types of professionals in today’s market. In many instances it is not so much what it costs, but rather whether this type of cover is available for your occupation at all! Premiums for some classes of professionals have risen from around 1% of gross fees to a staggering 8% over the last three years - this would equate to premiums increasing from $10,000 to $80,000

Who Is Affected?
As Professional Indemnity Insurance provides cover for claims made by third parties for acts, errors, emissions, wrongful acts and breaches of professional duty, almost all professionals and consultants require this cover. The few professionals who have been reluctant in the past to purchase this cover are now often finding that it is simply a pre requisite of many contracts and tenders (e.g. government bodies).

However, certain occupations have borne the brunt of premium increases more than others, due to the claims history of their particular field. Those occupations that have been most adversely affected include consulting engineers and other construction professionals, accountants, environmental planners and financial planners.

Professionals in these fields have experienced premium increases of up to 500% in a single year! Clearly, many businesses are struggling to survive as a direct result of the increased burden of insurance expenses.

Causes of the Crisis
New South Wales has now become (for several years running) statistically the second most litigious state in the world (not Australia but the world), behind California, USA. Whilst more recent data is not readily available, trends in litigation certainly suggest that we are challenging California for that most unsavory of mantels.

The frequency with which claims are made continues to increase and are reaching almost plague proportions. As every claim automatically accrues legal costs in order to investigate and defend the action, the days of $1,500 premiums are long gone. Further, they will probably not ever return.

To exacerbate the situation, we are still seeing enormously large payouts to claimants and the “reasonable persons test” looks to have been abandoned. The reasonable persons test is often the basis on which liability is apportioned - that is, “what would a reasonable person be expected to do, think, or know in the given circumstances.”

These factors have made the Professional Indemnity class of insurance extremely unprofitable for most insurers. As a result, a number of insurers have withdrawn from offering Professional Indemnity cover or in some cases, withdrawn from the Australian market altogether. Examples of these insurance companies include FAI, HIH, GIO, AMP, St. Paul and Gerling.

As with all markets, the basic economic principals of supply and demand and their consequence on the price function applies here. The small number of insurers offering Professional Indemnity are being flooded with submissions from applicants allowing cherry picking of the clients they deem to be of lower risk.

Tort Reform
Legislation has recently been passed in all states of Australia in an attempt to cap liability by placing ceilings on maximum payouts available to claimants. The Federal Government is revising its legislation in order to close any loopholes that may otherwise be exploited by plaintiff lawyers. The effectiveness of this strategy is critical as whenever state and federal law differ; the federal law prevails.

Whilst everyone in the industry and in the business community in general is hopeful that this will prove to be an effective strategy, it is not envisaged that insurers will provide any premium relief until some precedent is set. Thus providing them with the comfort that the legislation is effective. It is estimated that this will be no less than two years.

What can you do?
As insurers have many applications on their desks to consider on any given day, it is critical that the information you supply be as comprehensive as possible. In addition, here are some handy hints to help your application get to the top of the pile and receives favourable consideration.

  • Write as clearly as you can on your application form. Make it easy for the underwriter to read about who you are and what you do. Messy proposals will always go to the bottom of the pile and will often just be declined as being too difficult.
  • Don’t leave any blanks. Answer every question and don’t be scared to refer to addendums in order to best describe your business.
  • Avoid industry generic terms or those with dual or multiple meanings. Use nuts and bolts examples to illustrate what you do in simple terms.
  • Always provide CV’s (real ones not ones that you would put forward to a prospective employer) for all principals and where relevant, key staff. Demonstrating the experience and qualifications within your organisation will result in the underwriter feeling more comfortable about putting their money on the line behind your business.
  • Capability statements, web address references, examples of work, standard contracts of engagement, standard employee contracts are also often of enormous benefit in painting a picture to the insurer (who really doesn’t know you from Adam) as to who you are and what you are all about.

Buyers Check List
When seeking to purchase Professional Indemnity cover, it is important to ensure that the following issues are thoroughly understood:

  • “Claims made” policy. This means that the policy you have in force on the day you receive notification of a claim or incident is the policy that responds. It is not the policy that was in force when you did the work. You may need to keep a policy in force even after you have ceased trading or finished the given project.
  • Retroactive date. This is the date stated on the policy from which time work done that gives rise to a claim during the policy period is covered under the contract. Ideally, this should be “unlimited.” In simple terms it is how far back the net is cast to capture previous work done.
  • Exclusions. Insurers are using more exclusions and restrictions all the time. Often this is simply in order to clarify the intention of the policy but sometimes the presence of these endorsements can be very dangerous as they serve to exclude cover for the very exposures facing your business. When in doubt, always clarify beforehand. Don’t wait for a claim to occur before asking insurers to clarify what it is they specifically mean by their exclusions.
  • Size and type of excess. When do you start to pay and how much? These vary enormously and are fairly technical in nature. Look for terms like “cost inclusive” and ask what they mean.

Finally, due to the complexities of Professional Indemnity Insurance, it is absolutely critical that you use a qualified practicing Insurance Broker (QPIB) who is a specialist in this class of insurance. There are at least a dozen excellent specialist Professional Indemnity brokers in Sydney. When looking for a broker, ask them to explain some of the above terms and if they have had experience in your type of business. If the answers provided are not to your satisfaction, then it is recommended that you find someone who can.

About the Author
John Davaine is Manager of Corporate and Professional Risks at Chegwyn Craig Australia, and is widely regarded as one of Australia’s pre-eminent Professional Risks Insurance Brokers. For more information on Professional Indemnity, contact John on 02 9437 9355, mobile 0413 610 523 or email john@chegwyn.com.au

© COPYRIGHT
All articles are copyright. These articles may be used for publication in magazines and newsletters with prior permission from the author and Samperi Consulting Group Pty Ltd. Please contact Samperi Consulting Group Pty Ltd for further information at karina@samperi.com.au.

 

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