Silence is Not Golden with Claims-Made Coverage

May 21, 2020

Tell what you are up toWith COVID-19 disrupting many accounting and law firm’s stability, do not keep silent about material changes to the firm. It is amazing the problems an accounting firm or law firm can create for themselves by failing to notify their malpractice agent/insurer of changes to the firm. Malpractice Insurance Policies Require Timely Notification of Firm Changes. When attorneys and accountants come and go from a firm or a firm is dissolved or merged it is critically important to keep your insurer informed. Many policies require this timely notification within 30 days of the event or as soon as practical. The reality is, especially for firm mergers or dissolutions, these events should be discussed with your insurance agent prior to the event. 

Silence Could Get a Claim Denied

Malpractice Insurance for accountants and attorneys are written on behalf of the named insured firm.  The accountants and attorneys that work for the firm are covered under the firm’s policy. The last thing you want is to report a claim for an accountant or attorney that has been working for the firm, but the insurer knows nothing about (some insurers only require notification at renewal). Depending on the facts, this could be a reason to have a claim denied.

A bigger issue is if a firm has dissolved or merged with no notification to the insurer. The former firm members may operate under the mistaken belief that they are still covered under their current policy until expiration. In reality – they have no coverage. Malpractice policies have clauses defining what a ‘material change’ is. Dissolution of the firm or a merger is normally defined as a ‘material change’. The lack of notification of a ‘material change’ can get a claim denied and could affect your past acts coverage. 

Why is continuous claims-made coverage important?

References to continuous ‘claims-made’ coverage are often made. Gaps between ‘occurrence’ policies means that there may be a period on time with no coverage, but there is past acts coverage for when the insurance was in force. A gap with a ‘claims-made’ policy means that past acts coverage stopped when the coverage gap began. There is no coverage for claims reported after the policy terminated unless an Extended Reporting Period Endorsement (ERP) is purchased or there is a successor firm that the insurer has approved for prior acts coverage. The insured’s right to purchase an ERP generally ends between 30 to 60 days after coverage termination. A ‘material change’ can unknowingly trigger coverage termination. Once ‘claims-made’ prior acts coverage is lost, it could be lost forever. This leaves the old firm and its members exposed.

‘Best practices’ is to read your policy as to timing requirements. Not doing so may cause you coverage problems later. This is not an all-inclusive list, but these events need to be reported to your agent and/or malpractice insurer promptly:

  1. Change of address. Remember most policies only require notice be mailed to the last ‘known’ address
  2. Become aware of a potential claim or incident
  3. Disciplinary matters from a governing body or government entity
  4. (For Lawyers policies only) Adding or removing attorneys
  5. Decision to purchase or exercise your rights to purchase or request an ERP or Tail with the monies needed to purchase
  6. Material changes in the firm (should be reported immediately) such as:

a.      Firm purchasing, merging, splitting, or buying another firm

b.      Firm closing or ceasing business operations

c.       Name of firm changing

d.      Ownership of firm changing and/or more than 50% of members changing

e.      Firm changing the type of legal structure, i.e. from a PLLC to a PC

 

Lee Norcross 
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Lee Norcross, MBA, CPCU

Managing Director, CEO

(616) 940-1101 Ext. 7080 

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