Professional indemnity insurance: What is it and how does it work?
Professional indemnity (PI) coverage is a type of business insurance policy that protects companies against claims of financial losses resulting from alleged or actual negligence during the fulfilment of a professional service. Depending on the industry, this form of protection can be referred to by different names – for example, errors and omissions (E&O) insurance in real estate, professional liability insurance (PLI) in construction, or malpractice insurance in the medical and legal fields.
According to the Insurance Information Institute (Triple-I), professional indemnity insurance policies come in two types:
Claims-made policies: Cover claims only if the error was committed and the lawsuit was filed when the policy was in effect.
Occurrence policies: Cover any claims that have taken place during the coverage period, even if the charges were filed after the policy lapses.
Regardless of the industry, each professional needs to perform their jobs without the fear of unintended consequences. This is the purpose of professional indemnity insurance. This type of coverage allows professionals to act in the best interests of their clients and businesses knowing they are protected in the event they make a mistake.
PI insurance varies from other forms of liability coverage – general liability insurance and product liability insurance.
General liability insurance, sometimes referred to as business liability or public liability coverage, protects companies against claims of bodily injury or property damage resulting from their business activities. Businesses also do not receive compensation for this type of coverage. Instead, the payouts are given to the affected third party. Without this type of protection, companies will need to pay for the claims out of pocket.
Product liability coverage protects businesses against lawsuits from customers claiming losses or injury because of their products. Designed for companies that sell products, this form of insurance policy also covers legal defence costs and compensation if the business is found to be at fault.
A professional indemnity insurance policy covers legal and settlement costs arising from service-related mistakes. These include:
Professional negligence
This happens when a professional fails to perform their duties and obligations to a required standard. Some instances where professional negligence occurs include an accountant giving poor financial advice, causing a client to miss out on huge tax benefits and a medical professional administering the wrong medication, resulting in severe complications, or the death of, a patient.
Breach of contract
This occurs when a professional breaks the agreed-upon terms and conditions of a binding contract. This includes failure to deliver a specific service stated in the contract, resulting in huge financial losses for a client.
Misrepresentation
This happens when a professional makes a false statement that causes a customer to agree to a contract. This can include real estate agents padding the square footage of a property to raise the property’s value or an insurance professional inflating service costs or charging for services that were not rendered. If misrepresentation is discovered, the affected party can void the contract and seek damages.
Professional misconduct
This occurs when a professional violates the rules or standards set by their profession’s legal body. This includes:
Failure to get a client’s informed consent
Withholding important information to clients
Working while impaired
Breach of confidentiality
Inadequate documentation and record keeping
Professional liability policies do not cover:
Legal or medical expenses resulting from bodily injury.
Property damage that customers suffer while a service is being provided.
Lawsuits filed by employees due to accusations of wrongful termination or workplace harassment.
The first two are covered by general liability insurance, the third is covered by employment practices liability coverage.
Any individual or business that offers professional services or advice to clients should take out professional liability coverage – and for good reason. Allegations of negligence, inaccurate advice, and misrepresentation can result in exorbitant costs that can easily drain a company’s financial resources, whether they are proven liable or not. Professional indemnity coverage can protect them financially from the huge expenses arising from lawsuits.
The table below sums up how professional indemnity insurance protects certain occupations.
Businesses in certain industries are required, either by law or industry standards, to take out professional liability insurance. Some clients may also require a professional or a company to have this type of coverage in place before agreeing to do business. These are some of the professions where coverage is necessary in the US:
Medical practitioners
Medical professionals are required by law to carry medical malpractice insurance. These include:
Doctors and physicians
Nurses
Dentists
Psychologists
Occupational, physical, and speech therapists
Other healthcare providers
This type of professional indemnity insurance protects practitioners in the medical field against claims of negligence resulting in a patient’s injury or death.
Lawyers
Currently, legal malpractice insurance is mandatory only in two states – Idaho and Oregon. Nearly half of all US states, however, have implemented some form of disclosure rules requiring lawyers to notify clients whether or not they carry coverage.
Real estate professionals
Taking out errors and omissions insurance is compulsory for real estate agents and brokers in several states. These include:
Colorado
Idaho
Iowa
Kentucky
Mississippi
Nebraska
New Mexico
North Dakota
Rhode Island
South Dakota
Tennessee
Wyoming
Requirements, however, vary between states. In Colorado and Nebraska, for instance, real estate agents are required to get a policy with a minimum annual aggregate limit of $300,000. In Iowa and Mississippi, meanwhile, the minimum limit is $100,000.
Insurance professionals
Several states also require insurance agents and brokers to carry errors and omissions coverage. Similar to those for real estate professionals, each state has a different set of requirements. In Rhode Island, industry professionals need to have coverage with a minimum aggregate policy limit of $500,000. In Tennessee, the minimum limit is $100,000.
Government contractors
Under the Federal Acquisition Regulation (FAR), businesses working on government projects are required to carry professional liability insurance to protect them from “the perils to which the contractor is exposed.” These businesses include:
Construction firms
Professional services providers, including financial and public relations firms
IT specialists, including consultants and cybersecurity experts
Transportation and logistics services providers
Pharmaceutical and healthcare services providers
Whether professional indemnity insurance is mandatory for a certain occupation also depends on the region. Professionals in Canada and the UK are not required by the law to take out insurance, although several industry bodies make coverage compulsory for individuals and businesses to operate. In Australia, PI insurance is required for occupations considered high-risk, including:
Accountants
Architects
Bookkeepers
Engineers
Legal practitioners
Healthcare professionals
IT consultants
Marketing consultants
Real estate professionals
Not all occupations are legally required to take out professional indemnity insurance. But even if coverage is not always compulsory, industry experts advise most individuals and companies to purchase this type of financial protection, especially if they are in the business of providing expert or advisory services.
Here are some occupations where professional indemnity insurance is considered essential.
List of industries where professional indemnity insurance is compulsory
As mentioned in the previous sections, not all occupations are required by the law to secure professional liability insurance. However, some industry associations make it compulsory for professionals in their field to take out coverage for them to practice or operate their businesses.
Here’s a summary of the industries where professional indemnity insurance is mandatory in the US.
What experiences do you have with professional indemnity insurance? Let us know in the comments section below.
