NEWS Independent Insurance Agents of Virginia Incorporated 8600 Mayland Drive, Richmond, VA 23294 For Further Information Contact: May 2003 Diane Mattis, CPCU – Education Director Toll Free # 1-800-288-4428 E-Mail: dmattis@iiav.com or visit www.IIAV.com Additional Insured vs. Named Insured Overview and Update on Changes in New 2001 CGL Form by Carlton L. Gill Jr. CPCU, ARM, CLU, W.T. Chapin Insurance Center Who is insured under a General Liability policy? This seemingly simple question can become very difficult to answer. We should begin the analysis by looking at the “Who Is Insured” section (Section II) of the Commercial General Liability Policy. There, we find the parties listed depending on whether the declarations indicate the insured to be an individual, partnership (or joint venture), limited liability company, or an organization other than a partnership, joint venture or limited liability company (such as a corporation, association, school board, nonprofit foundation, etc.). In addition, employees are specifically listed (with exceptions) as are newly acquired and/or newly formed organizations (other than partnerships, joint ventures or limited liability companies). What is the difference between someone who is insured under the policy and a named insured? Simply, a named insured is specifically listed in the declarations of the policy and must have an insurable interest under the policy. It is common for multiple entities to be named insureds. For example, a real estate developer may form limited liability companies for each of the subdivision developments. Once the project is completed, the limited liability company is dissolved. (This may cause Products/Completed Operations coverage problems!) Both the real estate developer and his limited liability companies may be named insureds under the policy to protect their respective interests. The policy (in the Common Policy Conditions) specifically enumerates rights and responsibilities for the first named insured. No other entity, regardless of whether they are a named insured or an additional insured has those rights or responsibilities. An additional insured seeks protection under someone else’s policy where there is no common ownership, but there still exists an insurable interest. For example, a city may wish to be added on the real estate developer’s policy in the event the city is brought into a claim as a result of the real estate developer’s operations. Likewise, the city may wish to be added as additional insured to a retail store’s policy where the awnings extend over the city owned sidewalk. Members are frequently additional insureds on their respective club, church, and homeowners’ association policy. ISO publishes a list of additional insured endorsements. (I counted 37 commonly used additional insured endorsements and they change frequently.) IIAV offers a class entitled “Coping with Additional Insureds”, which I recommend. New Development: If Contractual Liability is not provided by the same GL insurer, ISO form CG 2010 or CG 2033 can be used to provide additional insured status for owners, lessees and/or contractors. One area of concern with respects to additional insureds is the inclusion or exclusion of Completed Operations. In 1993 the CG 2010 form was revised with “your work” being replaced by “your ongoing operations”. This effectively eliminated Completed Operations coverage. Many construction (and other) contracts require Completed Operations Coverage. Typically additional insureds would have Completed Operations under their own policy, but this does not meet their contractual obligations of the insured. Since Virginia continued using 1985 wording in a Virginia specific form (CG 0132) we didn’t have any problems. With the 2001 GL form being adopted in Virginia, agents should start using the CG 2037 form along with the CG 2010 form to provide owners, lessees and contractors with additional insured status including Completed Operations coverage. Defense Costs and Duties of Additional Insured: In the 1998 ISO Commercial General Liability Policy, additional insureds have greater protection than in the past. With the 1998 form, additional insureds are entitled to defense expenses, if a contract requires them. Previously defense costs were not included. There are several conditions that must be met for defense costs to be included: The “insured contract” must specify that defense costs are included. The lawsuit must be covered by the policy. The additional insured must cooperate with the investigation of the claim. The additional insured must also use the defense attorneys provided by the insurer (to avoid duplicating effort and expense). Claims or lawsuits solely against the additional insured will not be covered, nor will defense costs be provided. If a claim is settled on behalf of the named insured but not the additional insured, the insurer will not have a duty to defend the additional insured. The additional insured must provide information about other insurance that may contribute to the settlement and help coordinate the actual settlement. (This may be the biggest problem. Since most additional insureds are added to keep their own insurance from being involved, this condition may defeat their goal. ) Failure to meet these conditions voids the insurer’s responsibility to provide defense costs, but does not release them from liability for the actual claim. In other words, if the additional insured does not wish to coordinate coverage, they will still have coverage under the policy, but not for defense costs. Cancellation Provisions: Usually, most entities are satisfied with being added as an additional insured and receiving a Certificate of Insurance indicating this. Occasionally, you will be requested to add an entity as an additional named insured. This terminology is outdated, but is frequently requested by someone believing that, in this capacity, they will be notified in the event of cancellation or nonrenewal of the policy. Remember that only the first named insured receives such notification in ISO policies. Keep in mind that insurers who file their own forms may have the ability, or may even be required, to notify additional insureds in the event of cancellation or nonrenewal. This is particularly true if a premium charge is made to add the additional insured. I checked with two “regional insurers” who both charge for additional insureds (one on a BOP policy and one on a Contractor’s Package Policy). In both cases, their policy requires notification of additional insureds in the event of cancellation or nonrenewal. Check with your underwriters for specific advice about a particular situation. Simply because an insurer charges for an additional insured does not automatically mean that the additional insured will receive any notice (e.g. surplus lines policies). Many additional insureds request a Certificate of Insurance specifying that the words “will endeavor to” be stricken to guarantee that they will be notified in the event the policy is cancelled. Courts have thus far not agreed that striking this wording is an attempt to modify the insurance contract. This can only be done by endorsement. When an agent alters the ACORD certificate, such as crossing out the “endeavor to” wording, the agent assumes responsibility for notifying certificate holders of policy cancellation. This opens up an E&O exposure from the third-party certificate holder. Best Practices for Certificates of Insurance One of the most time-consuming and labor intensive functions in any agency is the handling of certificates of insurance. This is also an area that creates a number of E&O concerns. Although a certificate confers no rights upon the certificate holder, agents often alter the certificate at the request of either the insured or the certificate holder, creating a liability in the process. The Best Practices for Avoiding E&O Claims When Handling Certificates of Insurance DON’T alter the wording on the ACORD certificate of insurance Use the proper ACORD form (proper edition date, Certificate, Evidence of Property Insurance, etc.) Don’t issue non-ACORD certificates without approval from the insurer Stay within the authority granted under your agency agreement Document who requested the certificate and what was requested Comply with the company’s requests for a listing of certificates issued or additional insureds added when operating under a blanket additional insured endorsement Establish a written procedure for handling certificates of insurance Excerpt taken from Best Practice E&O IIABA/IIAV seminar. It is the intent of this technical bulletin to be just guidelines and not legal advice. Each agency should review their own particular clients exposures and applicable coverage forms. The Independent Insurance Agents of Virginia does not accept any responsibility for the information provided, but offers such as acceptable guidelines. This information is not intended as legal advice, but is provided for general agency information. Facts, circumstances, and the application of particular laws will differ in individual circumstances. Founded in 1897, IIAV is a non-profit trade association representing independent insurance agents throughout the Commonwealth of Virginia. IIAV is part of the nation’s oldest and largest associations of independent insurance agents, representing a network of more than 300,000 agents and agency employees nationwide. Its members are small, medium, and large businesses that offer customers a choice of policies from a variety of insurance- property, casualty, life and health. For more information concerning the association contact IIAV, 8600 Mayland Dr. Richmond, Va. 23294. Phone 804-747-9300 Web address: www.iiav.com and nationally www.independentagent.com