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Liability principles

Casualty = liability insurance: it covers your legal responsibility for harm to others (their bodies or property), as opposed to Property, which covers your own stuff. This is the Glacis-critical line — E&O / professional liability lives here. All STABLE.

Most liability claims turn on negligence. To win, a claimant must prove all four elements:

  1. Duty — the defendant owed a legal duty of care.
  2. Breach — the defendant breached that duty (did, or failed to do, something a reasonable person would).
  3. Proximate cause — the breach was the direct cause of the harm.
  4. Damages — the claimant suffered actual, measurable harm.

Drop any one element and the negligence claim fails. (Memory: “Duty, Breach, Causation, Damages.”)

  • Contributory negligence — in a few states, if the claimant was at all at fault, they recover nothing.
  • Comparative negligence — most states; the claimant’s recovery is reduced by their share of fault (pure vs modified variants).
  • Assumption of risk — the claimant knowingly accepted a known danger.
  • Compensatory — make the claimant whole:
    • Special (economic): medical bills, lost wages, repair costs — measurable.
    • General (non-economic): pain and suffering, disfigurement.
  • Punitive — punish egregious conduct; often not insurable as a matter of public policy in many states.
  • Negligence (fault-based, above).
  • Absolute / strict liability — liable regardless of fault (e.g., abnormally dangerous activities, certain product defects).
  • Vicarious liability — liable for another’s acts (employer for employee, within scope of employment).

Occurrence vs claims-made — the most important trigger concept

Section titled “Occurrence vs claims-made — the most important trigger concept”

This decides which policy responds to a liability claim. It is the concept for E&O and the Glacis product, so learn it cold:

Trigger The policy that responds is the one in force when… Used for
Occurrence the event/injury happened (even if the claim comes years later). General liability, most property/casualty.
Claims-made the claim is first made, for an event after the retroactive date. E&O, D&O, professional liability, cyber, Tech E&O.

Claims-made policies bring two add-on concepts:

  • Retroactive date — coverage only applies to wrongful acts on or after this date. Acts before it are excluded.
  • Tail coverage / Extended Reporting Period (ERP) — lets you report claims after the policy ends for acts during the policy period. Essential when you switch carriers or stop coverage, so a late-arriving claim isn’t orphaned.

Full treatment: 02 E&O / professional liability and 06 Tech E&O.

  • Per-occurrence limit — max per single event.
  • Aggregate limit — max for all claims in the policy period.
  • Split limits (e.g., auto 100/300/50) vs Combined Single Limit (CSL) (one pooled limit).
  • Defense costs — inside vs outside the limits: if defense is inside the limit, legal fees erode the money available to pay claims; if outside, defense is on top of the limit. (A big deal in E&O, where defense can dwarf the settlement.)
  • Duty to defend — most liability policies obligate the insurer to defend the insured against covered claims, even groundless ones.

The Tech-E&O-for-healthcare product is a liability/casualty coverage built on a claims-made trigger. Everything on this page — negligence, professional duty, claims-made/retroactive-date, defense-inside-limits — is the vocabulary of that product. Casualty is therefore the line Joe should target. See 03 Lines of authority.

01 Casualty coverages

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