Insurance
Forum
by MARY LYNNE
BLAESSER, CIC
Past Insurance Columns
Q I hope you can help me settle a debate I am having with a colleague.
She has three kinds of business insurance with three different companies. She
says she does this because “different problems require different solutions.” I
say it serves my best interests to deal with a single insurance company that
knows me and understands my business. Neither of us has ever had a serious
claim. Which of us do you think is taking the safest course?
A
The best way for me to answer your question is to tell you about a recent,
ongoing situation I’ve been dealing with. It has some interesting implications,
and it highlights a couple of different coverages and complications.
A practitioner who has
insurance coverage with our firm was walking her client from her reception area
to the treatment room when the telephone rang. She excused herself and waved the
client on — into the treatment area — telling her to make herself comfortable;
she would be with her in a moment. The client took this to mean that she should
go ahead and get on the treatment table, but while attempting to do this she
fell and injured herself.
Naturally, at the
first opportunity, the practitioner called me (her insurance agent), with a lot
of anxious questions about liability. “Would there be a malpractice claim, or a
general liability claim? Was there negligence in not escorting the client into
the treatment room and assisting her on to the table?”
It is a fine line,
sometimes, between a malpractice claim and a general liability claim. If the
practitioner had been assisting the client onto the table when she fell, it
would have clearly been a professional liability claim (because the client was
in contact with the practitioner and was injured in the course of the treatment.
Not a problem if the practitioner has professional liability coverage.) With the
practitioner being absent from the room when the client fell, it could possibly
be considered malpractice (because she should not have left the client alone),
or alternatively, it might be considered a “trip and fall claim,” putting it in
the “general liability,” category.
The importance of
having both of these coverages with the same insurance company is illustrated
very nicely here. If there are two carriers, the fight begins with the client
and the practitioner gets caught in the middle. Instead of the claim being
settled in a timely manner, it could drag on for many months — perhaps even
going to court for a decision on “who is legally liable” and “who must pay” the
claim.
Whenever I discuss
insurance with a business owner, I advise them to deal with just one insurance
company and have a single policy to cover all aspects of their operation. Having
overlapping policies with two or more companies has drawbacks other than the
legal kind I’ve mentioned above: the most important of these being the
unwarranted expense.
Typically, insurance
companies charge a “minimum premium” on every policy they underwrite. And an
electrologist who purchases three types of coverage — on three separate policies
from three different insurance companies — is probably paying much too high a
premium for her insurance protection.
For practitioners who
need to buy additional, specialized protection for their business, or who simply
want to broaden their current coverage, the least expensive course of action
would be to have their original insurance company add a rider to their existing
policy. The extra coverage would raise the annual premium, of course, but would
avoid the “minimum” service charges that result from writing up a new policy
with a different carrier.
The best advice that
can be given to someone who is looking for insurance is as follows: 1. Do your
homework, 2. Seek companies and agents that know your business and are best able
to protect your needs, 3. Do not hesitate to ask questions (after all, you are
the one paying the bucks), and 4. Read your policy, especially the “Exclusion”
page (you will learn more there than almost anywhere else).
Past Insurance Columns