Traditional
director and officer liability insurance coverage is actually
two distinct coverage's within one policy. The first coverage,
referred to as the personal (or direct, or D&O) part of
the policy, reimburses the individual directors and officers
for losses for which they are not indemnified by their
corporation. The second coverage, referred to as the corporate
reimbursement part of the policy, reimburses the corporation
for amounts which it is lawfully permitted or required to
expend in indemnifying its officers and directors. Although
both coverage's are with in the same policy, each will have its
own retentions, deductibles and exclusions. The corporate
reimbursement part of the policy is the one under which most
claims are made.
It is
important to note that these policies do not insure the
liabilities or defense costs of the corporation itself. As a
result of this, most D&O insurance settlements or judgments
are "allocated" between the
responsibility of the directors and officers themselves versus
the responsibility of the corporate entity. This allocation
ranges from 50% to 80%. Some insurers are now providing
insurance coverage for the allocation up to including full
entity coverage, as well.
A D&O
policy insures for the "wrongful acts" of the named
individuals. The defined term, Wrongful Act, is unique to
D&O and fiduciary insurance. There are two parts in the
definition, one relating to the "conduct" and the
other to the "status." Wrongful Act is
usually defined as:
1. any
actual or alleged error or misstatement or misleading
statement or act or omission or breach of duty directors or
officers while acting in their individual or collective
capacities; or
2. any matter
claimed against them solely by reason of their being directors
or officers of the Company.
The
significance of the two part definition is to make clear that
errors, miss Legal developments of recent years and the explosion of lawsuits by
employees against employers; including wrongful termination,
sexual harassment and discrimination, have driven a need for
employment practices insurance. Coverage for liability arising
out of employment related practices is commonly excluded on a
business’ Commercial General Liability policy. With this in
mind, an employer may need this special coverage to protect
the corporation from such situations as discrimination, sexual
harassment and wrongful termination. Businesses in the United
States, especially in California, are faced with a variety of
laws and regulations, to which they must comply in their
continuing employment practices. These laws include:
Title VII,
Civil Rights Act of 1964 prohibits an employer from
discrimination on the basis of race, color, sex, national
origin or religion.
Age
Discrimination in Employment Act prohibits discrimination on
the basis of age against employee 40 years of age over older.
Americans
with Disabilities Act of 1990 (ADA) prohibits discrimination
against qualified persons with disabilities.
The Civil
Rights Act of 1991 amends the above acts by creating right to
jury trials. If successful, compensatory and punitive damages
are awarded for claimants suing under these federal statutes.
Fair
Employment and Housing Act prohibits employment discrimination
on the basis of race, color, national origin, ancestry, sex,
physical or mental disability, age (40 or above), religious
creed, medical condition, and martial status.
California
Labor Code, Section 1102.1 prohibits discrimination for
employment based on an employee’s actual or perceived sexual
orientation.
California
Health and Safety Code, Section 199.21 states that the results
of an AIDS test will not be used to determine insurability or
suitability for employment.
The main
purpose of the above stated laws are to provide a work place
free of discrimination and harassment; and adhere to fair
hiring practices and procedures.
Insurance
Products
Insurance
products available provide coverage for the following
exposures:
Discrimination
occurs when due to race, color, religion, age, sex,
disability, pregnancy or national origin, the following takes
place:
The
termination of an employment relationship; or
A demotion,
failure or refusal to promote; or
The failure
or refusal to hire; or
The denial of
an employment benefit; or
The taking of
any adverse or differential employment action.
Sexual
Harassment means unwelcome sexual advances, request for sexual
favors or other verbal physical conduct of sexual nature that:
Are made a
condition of employment; or
Are used as a
basis for employment decisions; or
Create a work
environment that interferes with performance.
Wrongful
Termination occurs when the termination of employment is:
Against the
law and wrongful; or
In breach of
an implied contract.
Insurance
Coverage is available from several Insurance Carriers . Limits
available range from $250,000 to $5,000,000. These limits will
include a deductible based on the amount of premium. Defense
Costs are included within the limit.
Exclusions
of the coverage include, but are not limited to:
Worker’s
Compensation Liability;
Willful
failure to comply with the law;
Contractual
Liability;
Employee
Retirement Income Security Act (ERISA);
Strikes,
lockouts or picket lines resulting from labor disputes;
Consequential
loss of any claimants domestic partner, spouse, child, parent,
brother or sister;
Worker’s
Adjustment and Retraining Notification Act;
Occupational
Safety and Health Act (OSHA);
Reorganization
/ Downsizing actions and facility closing (within 60 days of
the event of more than 20% of the total number of employees);
Punitive
damages;
False or
fraudulent claims.
Conditions
and documentation for placement of coverage typically include:
Signed,
Completed Application
Current
Financial Statements
Copy of
Employment Application
Written
Grievance Procedures
Anti-Sexual
Harassment Policy Statement
EEO Policy
Statement
Performance
Evaluation Form