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Claims Advisor 6-2020
Agents Take the Wheel: How Agents Can Steer Clear of Uninsured/Underinsured Motorist Errors & Omissions Claims
| | | |  How Agents Can Steer Clear of Uninsured/Underinsured Motorist Errors & Omissions Claims
In today's litigious society, drivers need to have uninsured/underinsured motorist insurance, and even umbrella coverage. Certain states have minimum automobile liability coverage requirements while some states make UM/UIM coverage a requirement.
However, often an at-fault driver that carries state minimum coverage limits cannot adequately compensate the injured party for their loss. Therefore, UM/UIM and umbrella coverage is an important aspect of any insurance agency that procures automobile liability policies for its customers. Insurance agents need to be careful and take appropriate steps to avoid errors & omissions claims that they failed to offer UM/UIM and umbrella coverage. Such steps include:
1) Verify state requirements. All agencies that write auto insurance need to keep abreast of any changes in its state laws regarding these requirements.
2) Make sure the client understands who is insured. A recent E&O claim resulted when an agency failed to clarify the extent of coverage under a law firm's commercial auto liability policy, which included UM/UIM coverage. The firm was the named insured under the policy and provided coverage to the partners when occupying a scheduled vehicle.
When one of the partners suffered significant injuries after being hit by an uninsured driver returning from court, the carrier declined UM/UIM coverage for the loss because the partner did not occupy a scheduled vehicle at the time of the loss. The claim against the agency alleged negligent misrepresentation regarding the existence of UM/UIM coverage and failure to procure portable UM/UIM coverage. An additional claim alleged that the agency failed to offer excess UM/UIM coverage.
3) Communicate the necessity of UM/UIM coverage. Best practices for agencies is to have written documentation with clients regarding coverages. Certain states require an agency to obtain an executed document from the customer that declines UM/UIM coverage, which means agents must ensure the form is appropriately executed.
Failing to do so could cause an agency to face a claim by a customer on the basis that the agency failed to offer coverage. A well-documented file that contains correspondence, emails and records of phone conversations is crucial when it comes to defending any claim.
4) Understand state umbrella insurance coverage requirements. Recently, an agency received an umbrella claim after the carrier denied coverage because the customer did not maintain the required underlying auto liability limits. The customer had been hit by an at-fault uninsured driver and was severely injured. The customer brought a claim against the agency for damages due to the agency's failure to procure $1 million in umbrella UM/UIM coverage. The agency also failed to confirm the customer's underlying automobile policy had the appropriate underlying limits by obtaining a current declarations page of that policy.
If you have any questions, please contact us at eo@iiaba.net.
Kristina Miller is an Assistant Vice Presidents and Claims Specialists with Swiss Re Corporate Solutions and work out of the Chicago office. Insurance products underwritten by Westport Insurance Corporation, Overland Park, Kansas, a member of Swiss Re Corporate Solutions.
This article is intended to be used for general informational purposes only and is not to be relied upon or used for any particular purpose. Swiss Re shall not be held responsible in any way for, and specifically disclaims any liability arising out of or in any way connected to, reliance on or use of any of the information contained or referenced in this article. The information contained or referenced in this article is not intended to constitute and should not be considered legal, accounting or professional advice, nor shall it serve as a substitute for the recipient obtaining such advice. The views expressed in this article do not necessarily represent the views of the Swiss Re Group ("Swiss Re") and/or its subsidiaries and/or management and/or shareholders.
| | | | Almost 15% of the total claim count comes from Personal Auto coverage claims.
(Enlarge Chart) Source: Advance Claims - Swiss Re Corporate Solutions Claims Data source
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Every agent, every carrier and every insured is in uncharted territory as it relates to COVID-19. Traditional claims management is out the window as the industry works to cope with an avalanche of claims that appear, on the surface, to not be covered. Should agents report claims where coverage does not appear to exist?
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Watch this webinar hosted by Big "I" Professional Liability and Swiss Re Corporate Solutions addressing these and other pandemic panic questions common to most agents. More risk management information is available at E&O Happens.
If you have any questions, please contact us at eo@iiaba.net. |
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