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UNDERSTANDING
“CLAIMS MADE”
LIABILITY INSURANCE
What every attorney needs to know
Key Terms
 Claims Made
 Occurrence
Coverage
 Retroactive Date
Nielsen & Geenty www.CaliforniaLegalInsurance.com
Claims Made vs. Occurrence
Examples
Most auto or homeowners
insurance is “occurrence”
coverage, so the policy covers
you when you have an accident
during the policy period.
Legal Liability is almost always
“claims made” coverage, so you
are covered for past acts where
the claim for damages happens
during the policy period,
regardless of when the act itself
happened.
Occurence:
 Covers event that
occurs during policy
period
Claims Made:
 Covers past work
where claim is made
during policy period.
Nielsen & Geenty www.CaliforniaLegalInsurance.com
Retroactive Date Definition
Retroactive Date, n. How far back your
coverage extends.
 Goes back to the original retroactive date on
your original policy if you maintain continuous
coverage.
 Can reset if you let coverage lapse.
 May be expensive, sometimes impossible, to
re-establish original retroactive date if it
resets.
Nielsen & Geenty www.CaliforniaLegalInsurance.com
Retroactive Date Example
 Policy Date: 1 January to 31 December 2013.
 Retroactive Date: 2 March 1991 (when you
bought your original policy).
 Scenario 1: Claim made on 2 March 2013 alleging
error made on contract from 13 April 2002.
Covered!
 Scenario 2: Claim made on 2 March 2013 alleging
error on contract from 3 February 1991. Not
covered!
Nielsen & Geenty www.CaliforniaLegalInsurance.com
Avoid these mistakes to make sure you don’t find yourself
without coverage.
Making Sure You’re Covered
Nielsen & Geenty www.CaliforniaLegalInsurance.com
Notifying Your Carrier
A claims made policy requires you to notify your
carrier of a claim “as soon as practicable”
 When in doubt, notify. Fear of a premium
hike prevents some people from notifying their
carrier until it’s too late. You could be denied
coverage for this.
 Be prompt. If you wait and it turns out that
you knew of a possible claim, but didn’t
mention it at the time of policy renewal, it may
not be covered by your current policy.
Nielsen & Geenty www.CaliforniaLegalInsurance.com
What Constitutes a Claim?
 No need to notify: A client
calls and says, “I’m a little
disappointed by the outcome,
but I guess that’s life.”
 Best to notify: A client calls
and says, “If you had filed the
motion on time, I wouldn’t be in
this situation. You’ll be hearing
from my lawyer.”
 Judgment Call: A client calls and
says, “It’s your fault we lost. If you
had handled my case correctly, I’d
be retired to the tropics right now!”
Nielsen & Geenty www.CaliforniaLegalInsurance.com
Who Decides?
Ultimately, the court
decides. If the claimant
says you were notified on
April 2 and the court
agrees, your carrier can
argue that you did not
notify in a timely manner
and you could be
uncovered!
Nielsen & Geenty www.CaliforniaLegalInsurance.com
FIND OUT MORE AT
http://californialegalinsurance.com
Nielsen & Geenty Insurance
Services, Cedar Ridge, CA.

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Understanding Claims Made Legal Malpractice Insurance

  • 2. Key Terms  Claims Made  Occurrence Coverage  Retroactive Date Nielsen & Geenty www.CaliforniaLegalInsurance.com
  • 3. Claims Made vs. Occurrence Examples Most auto or homeowners insurance is “occurrence” coverage, so the policy covers you when you have an accident during the policy period. Legal Liability is almost always “claims made” coverage, so you are covered for past acts where the claim for damages happens during the policy period, regardless of when the act itself happened. Occurence:  Covers event that occurs during policy period Claims Made:  Covers past work where claim is made during policy period. Nielsen & Geenty www.CaliforniaLegalInsurance.com
  • 4. Retroactive Date Definition Retroactive Date, n. How far back your coverage extends.  Goes back to the original retroactive date on your original policy if you maintain continuous coverage.  Can reset if you let coverage lapse.  May be expensive, sometimes impossible, to re-establish original retroactive date if it resets. Nielsen & Geenty www.CaliforniaLegalInsurance.com
  • 5. Retroactive Date Example  Policy Date: 1 January to 31 December 2013.  Retroactive Date: 2 March 1991 (when you bought your original policy).  Scenario 1: Claim made on 2 March 2013 alleging error made on contract from 13 April 2002. Covered!  Scenario 2: Claim made on 2 March 2013 alleging error on contract from 3 February 1991. Not covered! Nielsen & Geenty www.CaliforniaLegalInsurance.com
  • 6. Avoid these mistakes to make sure you don’t find yourself without coverage. Making Sure You’re Covered Nielsen & Geenty www.CaliforniaLegalInsurance.com
  • 7. Notifying Your Carrier A claims made policy requires you to notify your carrier of a claim “as soon as practicable”  When in doubt, notify. Fear of a premium hike prevents some people from notifying their carrier until it’s too late. You could be denied coverage for this.  Be prompt. If you wait and it turns out that you knew of a possible claim, but didn’t mention it at the time of policy renewal, it may not be covered by your current policy. Nielsen & Geenty www.CaliforniaLegalInsurance.com
  • 8. What Constitutes a Claim?  No need to notify: A client calls and says, “I’m a little disappointed by the outcome, but I guess that’s life.”  Best to notify: A client calls and says, “If you had filed the motion on time, I wouldn’t be in this situation. You’ll be hearing from my lawyer.”  Judgment Call: A client calls and says, “It’s your fault we lost. If you had handled my case correctly, I’d be retired to the tropics right now!” Nielsen & Geenty www.CaliforniaLegalInsurance.com
  • 9. Who Decides? Ultimately, the court decides. If the claimant says you were notified on April 2 and the court agrees, your carrier can argue that you did not notify in a timely manner and you could be uncovered! Nielsen & Geenty www.CaliforniaLegalInsurance.com
  • 10. FIND OUT MORE AT http://californialegalinsurance.com Nielsen & Geenty Insurance Services, Cedar Ridge, CA.