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Claims Examples

Real-life case studies provide the good, the bad, and the ugly of E&O claims made against agents.  They provide an excellent way to learn what agents should and should not be doing to reduce their E&O exposure.  With the names changed to protect the innocent, or guility in some cases, these case studies can be shared with agency staff as learning tools and to keep E&O claims prevention at the forefront of their minds.   ​​

Barry Businessman entered ABC Insurance looking to change both his agent and carrier.  Barry’s business had recently suffered a small fire loss. That was when Barry learned his policy contained a 100% coinsurance clause and the business was underinsu...
John was an experienced agent at a medium sized agency. John placed CGL, Commercial Auto and Work Comp for his longtime client Hannah. John also sold Hannah her homeowners policy.  In addition to her business interests, Hannah owned a very large hous...
Betty is a CSR for an agency specializing in commercial insurance.  She primarily works with Bob, one of the agency’s top producers.  Bob’s practice is to meet with the clients ...
Olivia, a CSR for Joust Insurance Agency, has been placing coverage for P&G Construction for a number of years with Heritage Insurance.   Joust has a membership with Ambest.com and receives regular updates on the rating of its carriers.  Joust’s prod...
Penny was contacted by another agent who was acting as an insurance consultant for a jewelry store and was seeking quotes through several agencies.  The insurance consultant provided a list of insurance coverages and limits, including business interr...
Donna was employed as a CSR for a large, well run agency in a major U.S. city.  Unfortunately, she was having some very serious personal problems that required her to be absent from work on a fairly regular basis.   About 90 days prior to the renewal...
Dan was contacted by his wife’s uncle who was purchasing a business and wanted Dan to handle getting insurance coverages for him.  The main activity of the business involved installation...
Anne was an experienced agent at a small agency.   A new client came to the agency.   Anne met with him to discuss his insurance needs.  The client owned a large home in an area that was prone to flooding.   Anne recommended and placed Homeowners cov...
Midtown Emergency Medical Transport has been placing its CGL coverage through Teresa’s agency for ten years.  Teresa and Frank, MEMT’s owner, have a friendship predating their business relationship.  Frank has gone to Teresa for all personal and comm...
Andrew was an experienced agent at a large insurance agency. Andrew placed Commercial Property coverage for his client who was a real estate developer.  Among the properties he owned, the real estate developer owned a shopping center.   The agent an...
Fred, a CSR with the TNT Agency, placed a minimum-limit personal auto policy for Oliver.  The policy had effective dates of 11/1/04 – 5/1/05.  The carrier billed Oliver directly...
ABC Bond Agency is a non-exclusive agent for Mega Surety, meaning it can write surety bonds with other carriers as well as Mega Surety.  ABC Bond Agency writes bonds for customers all over the United States.  Tim, the agent at ABC Bond, was contacted...
Fred, a CSR with the TNT Agency, placed a minimum-limit personal auto policy for Oliver.  The policy had effective dates of 11/1/04 – 5/1/05.  The carrier billed Oliver directly and had no practice of copying TNT on any correspondence sent directly t...
Osgood Builders was a large residential contractor.  They had purchased their liability insurance through the Towers agency for many years, and although they were an excellent account for the agency in many respects, they also had developed an advers...
The TLC Agency specializes in providing insurance coverage for owners and operators of senior living centers, including nursing homes, assisted living facilities, and cooperative apartments.  All lines of property and casualty coverage were provided ...