Like
most professional liability
insurance policies, lawyer's
malpractice policies are
written on a claims-made
and reported basis. Put
simply, for coverage to
apply a claim must be
made against the Insured
during the policy period.
Pursuant
to this definition, attorneys
may believe that they
will have coverage for
any of their past services
regardless of when the
alleged act occurred,
irrespective of where
they were working at the
time that the professional
services in question were
provided. However, in
order to determine if
proper coverage is in
place in the event of
a claim, you need to know
the answers to two questions:
(1)
Who is a Named Insured
and who is Insured under
the policy, and
(2)
Is the policy written
to cover "full prior
acts" or does it
specify a "retroactive
date"?
Some
examples of how one company
defines a Named Insured,
as well as an Insured are
as follows:
The
"Named Insured"
is defined as the individual,
partnership, professional
association, limited liability
corporation or corporation
named in item one of the
declarations. The "Insured"
is
the Named Insured and
any predecessor firm;
any individual or professional
corporation who is or
becomes a partner, officer,
director, stockholder
or employee of the Named
Insured, but solely while
acting within the scope
of duties on behalf of
the Named Insured;
any individual or professional
corporation who was a
partner, officer, director,
stockholder or employee
of the Named Insured or
predecessor firm, but
solely while acting within
the scope of duties on
behalf of the Named Insured
for which a fee inured
to the Named Insured;
any individual or professional
corporation designated
"counsel" or
"of counsel"
to the Named Insured,
but solely while acting
within the scope of their
duties on behalf of the
Named Insured for which
a fee inured to the named
insured;
or the heirs, executors,
administrator and legal
representatives of each
Insured in the event of
death, incapacity or bankruptcy,
but solely with respect
to the liability of each
Insured as otherwise covered
by this Policy.
Typically
a "full prior acts"
policy provides coverage
for any current, past or
future lawyers, employees,
designated counsel, "of
counsel" attorneys
and predecessor firms of
the law firm that is purchasing
the policy (Name Ensured).
Although this language seems
to imply that an independent
contractor would be provided
coverage, most policies
do not. Policies often define
predecessor firms as "any
individual or entity engaged
in the practice of law to
whose financial assets and
liabilities the Named Insured
is the majority successor
in interest."
In
the event of a claim under
this definition, if the
services the attorney
provided were not on behalf
of the Named Insured or
a predecessor of such
coverage would not be
provided.
For
example, if Attorney X
joined Jones & Smith
in June 2000 and a claim
is filed against the attorney
in December 2000 for services
he/she provided and concluded
while at another law firm
(not considered a predecessor)
before June 2000, there
would not be coverage
under his new firm's policy.
To insure for these types
of pre-hire claims, Jones
& Smith would have
to request an endorsement
be added to its policy
that would provide coverage
for professional services
by Attorney X on behalf
of his or her former firm.
Often a policy's language
is written as such:
The
definition of the "Insured"
of this policy is amended
by the addition of the
following: "Insured
means any current partner,
officer, director, stockholder,
or employee of the Named
Insured listed below arising
out of that lawyer's legal
services on behalf of
the below entity, providing
there is no other insurance
available."
It
should be noted that if
the attorney's former
firm is still in existence,
the claim should be tendered
under that firm's policy,
therefore the aforementioned
language is not necessary.
In
addition to understanding
who an Insured is under
the policy, it is important
to determine if the policy
is written with full prior
acts or with a retroactive
date.
With
a full prior acts policy,
coverage is provided for
the Named Insured and
its predecessor, if applicable,
from the starting date
of the original firm.
Make sure, however, to
review how the policy
defines "predecessor"
firms. If the former firms
do not fall within the
definition, have the carrier
add the name of the former
entities that are to be
insured under the policy.
Rather
than providing full prior
acts coverage, some insurance
companies issue policies
with a retroactive date.
A retroactive date precludes
coverage for claims caused
by wrongful acts that
took place before a specific
date, regardless if the
claim is made during the
policy period. The purpose
of a retroactive date
is to eliminate coverage
for possible wrongful
acts known or unknown
to an Insured prior to
the policy inception.
For instance, few insurance
companies grant full prior
acts coverage with no
retroactive date to a
first-time buyer of professional
liability insurance --
such as a sole practitioner
who, after a number of
years without coverage,
decides to purchase a
policy. Usually the retroactive
date is established from
the start date of the
original firm or from
the first date that uninterrupted
or continuous claims made
coverage has been provided.
As
you can see, full prior
acts coverage is not crystal
clear. To cloud matters
even more, in the past some
carriers provided career
acts coverage, which would
give coverage to all attorneys
in the firm from the date
they began practicing and
irrespective of who they
worked for. These types
of policies are now rarely
used, and if so, the career
acts provision is typically
excluded from the policy.