Insuring A Client: Manage The Added Risk
Business relationships are, without
question, demanding. While many engineering firms
aim to go above and beyond in the name of customer
service or to build strong business partnerships,
going too far can be detrimental to a company despite
its best intentions.
Consider the practice of insuring clients under the
firm’s insurance policy. Many companies are called
upon to include various business associates as "Additional
Insureds" under their general liability insurance
and, in some instances, professional liability policies.
Contract demands are typically the reasons behind adding
another party to your insurance policy. When hiring
a firm, many companies seek ways to transfer the risks
of the project. Acquiring additional insurance coverage
by requesting to be added as an Additional Insured to
a contracted firm’s policy certainly does just
that.
Problem Areas
While this may seem like a harmless practice, it certainly
poses its problems. For one, although Additional Insureds
pay no premium for the policy, they are offered some
of the same rights under a policy. With certain language
in an Additional Insured endorsement, a firm or owner
with Additional Insured status may consume this coverage
before his or her own insurance coverage is triggered.
Adding another party to your insurance coverage also
means that you are sharing liability limits and, therefore,
you face the possibility that your Additional Insured
could dilute your own policy limits, leaving little
coverage for you in the end.
There is also the issue of a policy’s deductible.
If a claim involves the Additional Insured, who is responsible
to pay the deductible before additional expenses are
paid by the insurance policy? If terms are not carefully
defined as part of the Additional Insured endorsement,
you, the policyholder, may be held responsible for paying
the deductible before activating any additional protection
from the policy. Additionally, such a claim or loss
by an Additional Insured could have a long lasting effect
on your own insurance coverage in the future, including
the possibility of higher premiums.
A typical Additional Insured endorsement restricts
coverage for the Additional Insured to situations where
the liability arises out of work or operations performed
by or on behalf of the Policyholder for the Additional
Insured, thus protecting a client, owner or subcontractor
from vicarious liability arising out of the Policyholder’s
actions. These endorsements, however, have been broadly
interpreted to afford the Additional Insured broader
coverage than the primary Policyholder. In one instance,
a Policyholder’s employee filed a claim for injury
against a subcontractor — which was an Additional
Insured. The insurance carrier denied the claim based
on the exclusion of bodily injury. In court, however,
the insurance carrier’s argument was rejected
because a "Separation of Insureds" clause
in the policy said that the insurance coverage is applied
separately to each insured. Since the Additional Insured
endorsement did not have any such exclusion for employee
bodily injury, it was covered for that exposure, even
though the Policyholder was not. (Erdo v. Torcon Construction
275 NJ Super. 117 (1994))
Therefore, there is the possibility that when naming
an Additional Insured, the Policyholder can be providing
unintended coverages, such as personal injury coverages.
To avoid this, Additional Insured endorsements should
contain clearly defined limitations and obligations
on the coverage provided.
Most Additional Insured endorsements are added to general
liability policies, although you may be faced with a
contract demand to include a client or owner on your
professional liability policy. A common argument for
not granting Additional Insured status to an owner on
a professional liability policy is that they have no
insurable interest. A professional liability policy
covers claims arising from an Insured rendering professional
services to others. The policy is designed to pay out
on behalf of the Policyholder, not to the Policyholder
directly. Since an owner or client does not render the
actual professional services, they have no insurable
interest. Likewise, since the owner is frequently the
one looking to recover damages from a contractor or
design professional, this situation creates a real conflict
of interest. For these reasons, adding an Additional
Insured to a professional liability policy is often
not an available option. The one exception to this may
be a project-specific professional liability policy.
In this case, an owner, as an Additional Insured, would
be protected for their vicarious liability as the project
owner.
Conflicts of Interest
Handling the conflicts of interests that accompany
Additional Insured agreements are particularly challenging.
Consider the defense conflicts that may arise for your
insurance company. When a claim arises, often the best
defense for one business or party being sued is passing
the blame on to another. If one insurer is charged with
defending multiple insureds on one policy, the potential
for conflict of interest can arise.
There is also the whole issue of a contract’s
indemnity agreements. The intention of a contract’s
indemnity agreements is to limit a company’s liability.
Indemnity agreements offer important protection in the
event of a loss or litigation. On the other hand, Additional
Insured coverage creates exposure to liability that
otherwise would be contractually or legally precluded
by an indemnity agreement. By allowing another party
Additional Insured status — often with whom you
are entering into a contractual agreement — you
are frequently bypassing some of the protective indemnifying
language, which limits the responsibility of your company
that you have placed in your contract. Basically, you
could be providing your client with a means to claim
damages directly under your insurance coverage even
if the claim asserted was due to the sole negligence
of the Additional Insured itself. This is a condition
of "contractual liability" coverage that typically
would be barred under your Commercial General Liability
(CGL) policy and be limited by your contract’s
indemnity agreement.
Therefore, your contract may have closed the "front
door" to any direct claims for indemnification
or for defense of such claims. However, by adding an
Additional Insured to your policy, you have opened another
door for your client to seek damages.
Taking Precautions
As more and more situations for adding Additional Insureds
to policies arise, a firm is faced with evaluating this
risk and possibly turning away from the business or
opportunity. If walking away from the business opportunity
is not the best decision, the language of the Additional
Insured endorsement should be evaluated and contractual
terms should be negotiated to effectively and fairly
limit the Policyholder’s exposures to such an
arrangement.
When posed with a client request to be added to your
insurance policy, what are the options? What are the
precautions to be taken if you decide to add another
party to your insurance policy? When do you walk away
from the deal because the risk is too great? No one
can answer the latter but you, the firm that is accepting
the risk.
However, there are steps that you can take. First,
evaluate the firm. Secondly, language and terms are
the best precautions to take if you decide to accept
the risk. Just as you have a certain amount of control
over your insurance "destiny," such as implementing
programs to improve safety, control liabilities, identify
problem areas, and properly train and educate employees
to control insurance costs, so too should your potential
Additional Insured. Remembering that when an additional
party is added to your insurance, your control of the
Additional Insured’s activities or procedures
is very limited, if not non-existent. When considering
adding an Additional Insured to an insurance policy,
the policyholder should evaluate if the Additional Insured
is a "good" risk. It is important to review
their capabilities. What is their loss history? What
is their financial viability? What hand will they play
in the scope of work being performed? What are the qualifications
of the Additional Insured’s personnel who may
be overseeing or managing the project from their end?
It is also important to obtain certificates of insurance
to determine what coverage they already have in place.
If the risk is acceptable, terms and conditions should
be clearly spelled out in both the insurance policy
endorsement and the contractual agreement. The terms
of the Additional Insured endorsement need to be carefully
addressed. For instance, contractual arrangements should
be made for how a deductible will be handled should
the Additional Insured be filing the claim. The endorsement
should specifically identify what coverages are included
and/or excluded as part of this endorsement (e.g., personal
injury, etc.). Many Additional Insured endorsements
also have an "Other Insurance" clause that
outlines how an insurance policy will respond when another
insurance policy is available and would also cover the
claim.
Finally, Additional Insured requirements typically
provide little benefit to the company holding the policy.
The reality is that customer demand often has to be
met, unless your firm is willing to pass up projects
where there are Additional Insured requirements. If
faced with this situation, it is then wise to take all
proper precautions to assure that your firm is not exposed
to additional liabilities that may be posed by this
situation. You, the insured, can now use this information
to provide a comfort level to the insurance carrier
when asking to add one of your clients, an additional
risk to your policy.
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