Agents and Brokers E&O Risk Management Tool Kit

On any given day in an insurance agency, there are opportunities for hundreds of potential errors or omissions. Many actions can leave your agency open to costly E&O litigation, but there are steps you can take to prevent/mend E&O damage.

PIA’s new Agents and Brokers E&O Risk Management Tool Kit is a one-stop shop for everything E&O! The tool kit offers informative QuickSource documents offering tips and tools on everything from how to deal with certificates to internal auditing procedures to help agency owners identify specific areas of E&O concern; or possibly you’re interested in an E&O course or just seeking an expert in the field. PIA’s Agents and Brokers E&O Risk Management Tool Kit can give you the resources you need to protect your agency from an E&O claim.

Contents

Ways to get hit with an E&O claim—DON’T do the following!

There are several ways to get hit with an E&O claim, but with years of experience dealing with errors-and-omissions claims, industry expert, Curt Pearsall, of Pearsall Associates Inc., offers the following Top 10 list of ways to get hit with an E&O claim:

  1. Only tell your clients what’s covered—they don’t need to know about exclusions. Studies have actually shown that more customers want to know what is not covered than what is. Here’s a suggestion: provide a specimen policy with the proposal. This will help the insured better understand his or her coverage. This also will help identify exclusions of concern, and you just may be asked to provide additional coverage.

  2. Write business wherever you want—who’s going to check to see if you are licensed? Know where your customers’ exposures are and make sure you have a license in that state. You can’t write business in a state where you are not licensed. If you have a website, including a disclaimer on it noting the states in which you do business is a positive step.

  3. Don’t ask clients what they need—sell them what you want them to have. Remember: this is the No. 1 cause of errors & omissions claims. Don’t fall into the “renew as is” trap. Perform an exposure analysis and offer the proper coverages; they just might buy them! If they don’t, ask them to sign off. This will provide a great defense if a claim should arise down the road.

  4. Give them the lowest limits—after all, they said they wanted the lowest price. This is the No. 2 cause of E&O claims. With property coverages, the typical problem arises in dealing with building, property values and business interruption values. With auto, the most common is uninsured/underinsured motorist coverage not being equal to the policy limits.

  5. Don’t document anything—it’s your word against theirs and who is the judge going to believe?NOT YOU! Documenting takes time, but it is, by far, the one practice that will go the farthest in reducing E&O claims.

  6. Fake it. Unless they have a claim, they won’t know you didn’t know what you were talking about. Your producers may know how to sell, but do they know what they are selling? When your customers ask whether they’re covered, what do you tell them? Know your business by knowing your coverages. It’s important to know what coverage forms/editions your carriers are using to ensure proper coverage. Above all else, be honest!

  7. When your clients call you to give some instructions, don’t pull the file. What could possibly go wrong? Many a claim has been caused by not looking at the file, such as wrong locations being deleted. How can you advise your customers without the file?

  8. Don’t worry about service: sell, sell, sell. Obviously, producers need to be out of the office to sell— so get the CSR involved. After all, the customer is probably going to call the CSR anyway. Plus, visit or contact your customers periodically. There is no better way to keep up with your customers’ needs.

  9. Don’t tell them the carrier was just taken over by the Insurance Department. Price is the key, and there’s always the guaranty fund. Most guaranty funds have limitations on them. First, there is typically a cap. There also is a time limitation regarding when the claim must be made, as well as issues regarding the location of the claimant and the relation to the state of domicile of the company. Agencies should have a standard as to the rating of the carriers with which they do business. If one of your companies drops to a certain level, write to your customers to advise them of this and ask if they would like to have the coverage replaced with a more financially sound carrier.

  10. Don’t be too honest with your carriers: nice guys finish last. Tell your carrier the correct underwriting information, obviously including losses. If you don’t tell them the correct information and they find it out later, they will contend they would not have written the coverage had they known the correct information.

It is important to learn from others’ mistakes so that you don’t have to go down the road of having to deal with an E&O claim.

Contract/lease reviews—things you should consider

Agents and brokers are often asked to review contracts/leases to determine how well their insured's insurance program meets the requirements of the proposed contract. This is applicable to many types of businesses, especially contractors. While this type of review is one that many agents probably want to stay away from, this may not be possible especially if the agency wants to retain the client. If this is a service you offer your clients, it should be handled very careful. Some tips to keep in mind include:

  • Properly train the individual handling these reviews. In most cases, the agency does not have a counsel on staff so whomever is handling the contract/lease review should do so with the proper training/knowledge.

  • Response should be in writing. The response to the review should be in writing with the proper disclaimers stated. Providing a verbal response leaves the matter up to interpretation.

  • Include a disclaimer. Include a disclaimer with the review. A typical disclaimer might be: This is not a matter to be taken lightly and all precautions should be exercised.

I have a possible E&O claim, now what?

There are a few common steps that should be taken when you anticipate an E&O claim or when one has been filed. The principals can assist you in the long run when dealing with the potential loss. They are:

  • First, promptly report the claim to your E&O carrier. By reporting it promptly, the carrier can begin the discovery process and get the necessary details and statements while they are fresh in everyone's mind. (If you're an E&O insured with Professional Insurance Agents, we recommend that you refer to your policy first and if you need further assistance, please contact our Member Services Department at (800) 424-4244 or by email at memberservices@pia.org.)

  • When there is a claim and you discover that the policyholder requested coverage that was not provided—REPORT IT.

  • When you have a discussion with someone in the office about whether or not to report an incident—REPORT IT.

  • When there is a claim denial and you want to write to the insurance carrier to argue that it should be paid—REPORT IT.

  • Do not alter or make changes to records involving the claim or incident. Let the file speak for itself. Making changes afterward significantly reduces your chances of winning.

  • Do not allow the inspection, copying or removal of your records without consultation with your E&O carrier. If the carrier asks for information, ask your E&O carrier first. The carrier may not be your friend now.

  • Do not provide recorded or written statements concerning an error or claim involving your agency.

  • Do not discuss the matter with anyone other than your own personal counsel or a representative from your E&O carrier.

  • Do not make advance payments without consulting your E&O carrier.

  • Do not admit liability!

Products to protect your agency

PIA has offered E&O coverage to professional, independent insurance agents and brokers for more than 40 years. There are multiple markets available through both admitted and nonadmitted carriers. In addition, PIA offers six licensed marketing representatives ready to assist you with all your E&O needs. Get a quote today.

Errors & omissions risk-management resources

A popular benefit to PIA members is the Industry Resource Center’s QuickSource document library. The QuickSource Document Service offers hundreds of helpful documents on various topics. Below is a list of resource kits pertaining to agents’ and brokers’ E&O exposures and ways of avoiding them.

  • QS90686—20 practical tips to avoiding E&O claims

  • QS90716—After the storm—Insurance agents E&O lessons learned

  • QS90263—Agency claims handling: a crossroads for E&O liability

  • QS90525—Agents and brokers’ errors and omissions

  • QS90267—An agent’s quandary: how to leave cancellations alone

  • QS90421—Certificates of insurance: a constant source of E&O claims

  • QS90467—Computer-generated records and their use in the defense of E&O claims

  • QS90506—Dealing with non-English speaking clients

  • QS90533—Defining an E&O “claim”

  • QS90781—Don’t let your agency get sunk by a watercraft E&O claim

  • QS90505—Errors and omissions risks: buying a book of business from a retiring owner

  • QS90715—Failure to read the policy: a defense for an E&O claim?

  • QS90470—Have you ever audited your agency?

  • QS90513—How to increase your profits and reduce your E&O exposure

  • QS90744—Insurance proposals: a powerful E&O prevention tool

  • QS90659—More on assumed duties and E&O exposures

  • QS90698—Notify insureds of cancellations: a Catch-22?

  • QS90773—Reduce your chances of an E&O claim

  • QS90676—Reduce your E&O exposure by educating your staff

  • QS90202—The 24/7 agency—E&O security in an age of constant communication

  • QS90551—The duty to advise—the trend toward a heightened duty imposed upon agents and brokers

  • QS90670—The mirror test—a significant E&O hotspot

  • QS90273—The signed commercial insurance application

  • QS90717—Weathering the storm: A brief guide to post-Sandy litigation

  • QS90809—When is an E&O claim an E&O claim?

  • QS90810—The insurance producer’s obligation to advise a client—the existence of a ‘special relationship’

  • QS90843—Workers’ compensation—more of an E&O risk than you might think

  • QS90871—A survey of decisions regarding agent/broker E&O

  • QS90835—Agency producers: your total commitment is critical

  • QS90852—Confirm information received from insured

  • QS90851—How management shapes an agency’s E&O culture

  • QS90816—Is your agency as 'E&O proof' as you think?

  • QS90863—The origins of E&O litigation: when to look out for yourself

  • QS90865—Recent decisions regarding agent/broker E&O

  • QS90853—Which position would you rather take?

Coverage checklists

The PIA QuickSource document library also offers coverage checklists, which make reviewing a customer’s insurance needs easy. These checklists offer documentation of customers’ coverage denials and could play a crucial role in avoiding an E&O claim or in the event of a claim, make all the difference in the agency’s defense.

  • QS90750—BOP vs. CPP

  • QS90272—Homeowners exposure survey

  • QS90782—Commercial property valuation/limit checklist

  • QS90679—Sample commercial-lines coverage checklist

  • QS90739—Sandy stresses need for talks, checklists and documentation

  • QS90583—Workers’ compensation: insurance and risk-management checklist

New York

  • QS31261—Sample personal auto exposure survey—New York

New Jersey

  • QS29230—Sample STANDARD personal auto exposure survey—New Jersey

Connecticut

  • QS06115—Sample personal auto exposure survey—Connecticut

New Hampshire

  • QS28058—Sample personal auto exposure survey—New Hampshire

Vermont

  • QS44012—Sample personal auto exposure survey—New Hampshire

Internal agency workflow

  • QS90076—Agency policy and procedure manual

E&O assistance hotline

Do you know when you’re facing an errors-and-omissions exposure? It’s everyday! Are you wondering what action you should or shouldn’t take in certain situations? Through PIA’s Industry Resource Center you have access to E&O expert Christopher Weldon, Esq. who has years of experience in the defense of insurance agents and brokers in professional liability litigation and complex insurance litigation at both the regional and national levels. To pose a question, click here.

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Christopher Weldon, Esq.

PIA’s Industry Resource Center also offers you access to not one, not two but three in-house attorneys to assist you with your insurance-related legal questions.

E&O loss-prevention programs

The insurance industry continues to provide challenges for today’s insurance agents and brokers. PIA’s E&O loss-prevention programs offer a look at many of the key issues that agencies face on a daily basis and how to protect your agency from an E&O claim. Many also offer a discount on your E&O coverage written through PIA. Upcoming courses are available in New YorkNew JerseyConnecticutNew Hampshire and Vermont.

Workflow review, agency-specific planning

Need an onsite review of your agency workflow or want a more specific plan for your agency?

PIA’s Circle of Consultants is a group of industry professionals who can help keep your agency on the right track or put you on a new, more successful track. The consultants have expertise in all areas of agency operations. Many of the experts in PIA’s Circle of Consultants offer PIA-member discounts.

Company insolvency/rehabilitation issues

The spread of financial uncertainty can impact all segments of the insurance marketplace. As an insurance agent or broker, you are required to use reasonable care, skill and judgment with a view to the security or indemnity for which insurance is sought. A failure to use such skill could render you liable to your insured for resulting losses due to the insolvency of the insurer. It is important to note that each E&O policy is different. When it comes to carrier ratings, be sure to know what your policy requirements are. If you’re insured through PIA for your E&O coverage, our Member Services Department would be happy to assist you.

Some helpful resources related to company insolvency include:

  • QS90260—Advice for agents and brokers regarding liquidation

  • QS90399—Carrier ratings: do they really matter?

  • QS90789—Guidelines for when a company goes into liquidation

  • QS90241—Insurer insolvency: suggestions for agents, brokers

  • QS90249—Sample customer letter upon downgrading of insurer

  • QS90401—Understanding producer responsibility with company insolvency

New York

  • QS31345—New York insolvency procedures

  • QS31346—Summary of New York insolvency guaranty mechanisms

New Jersey

  • QS29190—New Jersey insurer insolvency

  • QS29137—Order No. A14-109—imposition of surcharge for recoupment of the New Jersey Property-Liability Insurance Guaranty Association assessment

Connecticut

  • QS06106—The consumers’ safety net—insurance guaranty associations in Connecticut

New Hampshire

  • QS28023—New Hampshire Guaranty Fund information packet

Vermont

  • QS44009—Insurance guaranty associations in Vermont

Company Rating Tracking Service

Trying to keep track of the ratings of the carriers your agency does business with is a massive job. Why not make it easier? Through PIA’s Company Rating Tracking Service, you’ll receive timely email alerts, which allow you to stay on top of the latest changes for your specific carriers without any extra effort! Alerts will come directly by email when one of your represented carriers’ A.M. Best rating or outlook changes, eliminating extra research to reduce your workload. Make sure you provide PIA with a list of the carriers you represent. Send an email to PIA’s Industry Resource Center at resourcecenter@pia.org to sign up or update your carrier listing today!

PIA MarketBase™

Sometimes you’re in a position of trying to find E&O coverage for your clients’ needs. Through PIA’s MarketBase™ program, you have access to nearly 2,100 special risk categories from nearly 100 firms to assist in identifying available markets for that occasional hard-to-place risk. To review the risks available, click here.