R i s k Ma n a g e m e n t | c o n s t r u c t i o n i n d u s t r y Are You a Professional? E x p a n d i n g the Definition of Professional Liability by Bob Lembke, CPCU, ARM S i l v e r L i n k | F a l l 2 0 1 2 S i l v e r s t o n e g r o u p. c o m In years past, professional liability insurance seemed to be needed only by those in the medical, legal, architectural or engineering fields. It has become evident, however, that this is no longer the case. Recent court rulings have demonstrated that an individual’s vocation no longer determines whether or not they are considered a “professional.” Construction industry professionals have a long history of purchasing professional liability insurance. This is particularly true for companies that have licensed engineers on staff and/or engage architects and engineers to design work that they construct under design-build contracts, as well as firms providing construction management services. All have been determined to provide professional services which cannot be properly insured under a typical general liability (GL) policy. However, the scope of professional risk is widening and nearly anyone can be the target of a professional liability claim, even those employed in the “trades.” Case In Point A recent case involved a termite inspection company (Yasuda Fire & Marine v. Heights Enterprises). The claim against the termite company was for alleged defective workmanship in spraying for termites at a condo project. The GL insurer for the termite company denied the claim on the basis that the policy contained a professional services exclusion. The wording of the exclusion stated that the policy did not apply to bodily injury or property damage due to “the rendering or failure to render professional services.” The court agreed with the insurer, explaining that the termite company held a license to perform services and it should be considered a professional service provider.1 It is unknown how many state courts use licensing as a criterion for determining if an individual is a professional based solely on that fact that they hold a license to perform services, but it seems clear that many courts use this as an important consideration. In another recent case, a home inspection company was hired by individuals purchasing a house. The homeowners later sued the inspection company, alleging that the inspector failed to find certain undisclosed defects. The inspection company’s insurer denied the claim on the basis that the policy contained a professional services exclusion endorsement. In this case, the court did not consider whether or not the company was licensed to perform the services, but stated the professional services endorsement “fit the situation” because it was titled, “Exclusion – Inspection, Appraisal and Survey Company.” The court held for the insurer.2 SilverStone Group recommends a detailed discussion about Professional Liability insurance with an agent or broker, especially if a professional services exclusion exists on your GL policy and/or you are licensed and/or regulated to perform any part of your services. S i l v e r L i n k | f a l l 2 0 1 2 Cases similar to these two examples are growing in numbers, which is why this topic deserves immediate attention. More Confusion The majority of GL policies do not contain a professional services exclusion. When the GL form itself does not contain an exclusion, the professional services exclusion is added by endorsement – but are all GL policies endorsed to add a professional liability exclusion? No – and that’s another point of confusion. Some insurers view certain operations/ disciplines as professional in nature, while classifying others as nonprofessional without any clear reason for doing so. Therefore, while one insurer will add the restrictive endorsement, another insurer may not. Even when an insurer views an insured’s operation as a professional service, it may not choose to impose a professional services exclusion. In a perfect world, the insurance industry would address this topic in a consistent manner. As it stands, it is difficult to predict whether someone might be viewed as a professional as opposed to a nonprofessional by both the courts and the insurance companies. What Should You Do? SilverStone Group recommends a detailed discussion about Professional Liability insurance with an agent or broker, especially if a professional services exclusion exists on your GL policy and/or you are licensed and/or regulated to perform any part of your services. It is imperative to S i l v e r s t o n e g r o u p. c o m determine whether or not you could be viewed as providing a professional service, and that you understand in detail what coverages are and are not in your GL policy. Even if you do not have a restrictive endorsement, there still may be a need for a professional liability policy to be certain you have full coverage for professional activities. A GL policy only provides personal injury, bodily injury and property damage coverages, while your operations may expose you to non-performance and/ or rectification claims (where you could be required to go back and correct/fix improper work). GL policies may not properly address these exposures. Better Safe Than Sorry Given recent court proceedings, you could be considered to be performing a professional service if you are licensed to provide that service and a GL policy may not provide adequate protection. You may be a “professional” in the eyes of the courts and/or insurance companies for a number of reasons. Do not overlook this exposure; have a detailed discussion with your insurance agent/broker before you find yourself on the wrong side of a professional liability claim. 1,2 alecki, Donald. “Beware: Expanding Definition of Professional Services.” The Rough Notes M Company, Inc. April, 2012. Accessed on July 31, 2012 at http://roughnotes.com/rnmagazine/2012/ april2012/2012_04p026.htm Contact Bob Lembke | blembke@ssgi.com