When
it comes to managing risk, design professionals must carefully consider both
commercial general liability (CGL) and professional liability insurance. While
these two types of coverage both protect against third-party claims, they have
key differences in how they work, when they apply, and what they cover. For
lawyers working with design professionals, it is crucial to grasp the nuances in
professional liability insurance in order to negotiate contracts and handle
disputes effectively. By understanding these nuances and guiding clients
accordingly, legal counsel can help design professionals navigate the
complexities of insurance coverage and reduce their exposure to costly risks.
CGL
v. Professional Liability Policies
A
major difference between CGL and professional liability insurance is what risks
they are designed to address and the form of the policy. CGL policies and
endorsements are standardized across the industry/carriers and use forms issued
by the Insurance Services Office, Inc. (ISO). CGL covers liabilities related to
bodily injury, property damage, and personal/advertising injuries. It is meant
to handle incidents occurring on the insured’s premises or due to
non-professional activities.
Professional
liability policies, on the other hand, do not use standardized forms and are unique
to each carrier. But while there is variation in the form of the policy, the
professional liability coverage itself has very little variation. Professional liability
insurance focuses on claims arising from professional services and allegations
of negligence, and coverage often includes losses directly related to design
errors or omissions. These policies typically limit coverage and defense to the
named design professional and its related entities for their professional
negligence; limit contractual liability to tort liability only; and include
“pre-loss” waivers of subrogation.
Given
the lack of uniformity in professional liability policies, design professionals
and their attorneys should carefully review each policy to understand its terms
and potential coverage gaps.
Common
Coverage Limitations and Gaps
Understanding
the limitations of professional liability insurance is critical when
negotiating contracts and managing risk with respect to design professionals.
- Insured’s
Contractual Liability:
Unlike the CGL forms, professional liability policies typically exclude
coverage for liability assumed solely through a contract. This means that
design professionals should avoid agreeing to broad contractual obligations
that extend beyond their common law duties. Limiting liability to tort-based
claims can help maximize the chances of insurance coverage.
- Indemnification
Clauses: Broad
indemnity clauses that require the design professional to cover all
project-related claims—even those unrelated to their negligence—can create
coverage gaps. Since professional liability policies only respond to claims
arising from the insured’s negligence, indemnifying others for unrelated issues
often falls outside of coverage.
- Elevated
Standards of Care:
The standard of care for design professionals refers to the ordinary and
reasonable care exercised by similar design professionals working on the same
type of project, at the same time, in the same place, and under similar
circumstances and conditions. Contracts that impose an elevated standard of
care, such as requiring “perfect” or “highest quality” services, can trigger
exclusions under professional liability policies, which typically cover only
the standard of care expected under common law.
- Additional
Insured Coverage: While
it is common to add project owners and contractors as additional insureds under
a CGL policy, this is not feasible with professional liability insurance. These
policies are designed to cover only the design professional’s own negligent
acts, not claims brought by or against other parties.
- Primary
and Non-Contributory Coverage: Contracts
often attempt to require the design professional’s insurance policies to be primary
and non-contributory, which dictates that a certain policy takes precedence
over other policies in the event of a claim where multiple policies are
triggered. Professional liability policies, however, generally do not offer
this option and are often written as excess coverage.
- Waivers
of Subrogation: While
waivers of subrogation are standard in CGL policies, they are less common in
professional liability coverage. Design professionals should carefully evaluate
whether to agree to such waivers, as they may impact the ability to recover
losses from other responsible parties.
One
way to address some of these coverage limitations is through project-specific
professional liability policies such as A&E Professional Liability,
Contractors Protective Professional Indemnity (CPPI), and Owners Protective
Professional Indemnity (OPPI). These policies cover multiple parties involved
in a specific project and can provide broader protection. But due to recent
market trends, project specific policies may be difficult to obtain depending
on the project size, scope, or timing.
Maximizing
Coverage for Professional Liability Claims
When
it comes to construction and design projects, professional liability claims often
arise between project owners and design professionals. For attorneys representing
both the owner and designer side of the dispute, it is important to understand
how professional liability claims are defined, when the claim needs to be made,
and how to report claims to ensure insurance coverage.
What
is a Claim? A
professional liability policy is triggered when a claim is made, but what
exactly constitutes a “claim”? Typically, it involves a demand for money or
services due to some alleged wrongful act by the design professional. Many policies
specify that claims must be in writing; however, some may include verbal
demands. Whether a claim has been made is viewed from an objective standard—whether
a reasonable person would see the communication as a demand for services or
damages. If a design professional suspects that a claim might be coming—for
example, after receiving a critical letter about delays or design flaws—some
insurance policies allow them to report it as a “circumstance.” This proactive
step can lock in coverage if the issue later escalates into a formal claim.
Timing
Matters. Professional
liability policies are typically claims-made policies. Thus, to secure coverage
under a professional liability policy, the claim must be made during the policy
period or an extended reporting period. If the claim is made after the policy
expires, coverage is typically lost—even if the events triggering the claim
occurred during the policy period. And if a claim is made during a policy
period for events predating the policy, it may be excluded from coverage. Many
policies include a prior acts exclusion which excludes from coverage claims
based on incidents that the design professional was already aware of before the
policy began.
Reporting
Requirements. Timely
reporting of a claim is crucial to coverage. Once a third-party makes a claim,
the design professional must promptly notify their insurance carrier because
failure to report a claim within the policy period can allow the carrier to
deny coverage. Providing detailed information, including parties involved and
potential disputes, strengthens the case for coverage. Late reporting can lead
to denied coverage, and some courts strictly enforce policy deadlines
regardless of whether the carrier was prejudiced by the delay. However, a few
states, like Michigan and Maryland, have laws requiring carriers to show actual
harm before denying coverage for late notice.
Defense
Costs. Professional
liability policies usually have "burning limits" that cover both
defense costs and settlements. Every dollar spent on legal defense reduces the
amount available for settlements, so aggressive litigation tactics can quickly
erode policy limits. Instead, a focus on efficiently and effectively preparing
a case against the design professional can help maximize recovery from the
carrier.
Whether
through practice-based or project-specific policies, professional liability
coverage is essential for managing risks in the design and construction
industry. Lawyers advising owners, developers, or design professionals should be
aware of the key insurance requirements and ensure timely and comprehensive
claim reporting. Ensuring that clients are well-informed about claim
definitions, policy timelines, and the importance of timely reporting will
protect their financial interests and can make all the difference in securing
coverage and achieving favorable outcomes.
Author
Lara Yost
and Editor Debrán O’Neil
are members of Carrington, Coleman, Sloman & Blumenthal, L.L.P.’s construction
practice group in Dallas, Texas. They primarily represent public and private owners and
developers in connection with the construction of large commercial and
infrastructure projects throughout Texas. They can be reached at lyost@ccsb.com and doneil@ccsb.com, respectively.