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Notification procedures

It is often said that the Professional Indemnity insurance premium is one of the largest single outgoings a professional firm will have. It is therefore important that all steps are taken to maximise the benefit afforded by this cover by taking all necessary steps required by the insurance contract and to avoid invalidating the insurance by non-compliance.

All Professional Indemnity insurance policies are written on a "claims made" basis. This means the insurance policy that responds to the claim is the one to which notification is made and not the policy that was in force at the time the alleged error occurred. It is therefore imperative that notification is made as soon as you are aware of any claim or circumstance that may be made against you.

The distinction between a claim and a circumstance is extremely important as many insureds can readily identify and notify the former, but fail to recognise the later resulting in policy disputes with insurers. As a rough guide, a claim arises where there is a clear indication from a third party that they hold you responsible for a particular problem and will look to you to make reparation for any losses suffered. A circumstance is far less obvious but basically arises when there is a dispute or disagreement with a client over the handling of a situation but where no actual allegation of negligence has been made.

In the event of you becoming aware of a claim or circumstance it is important that you adhere to the terms of the insurance contract in order to secure the full benefit of the policy. This means you should follow the basic requirements, which are:

  • Immediately notify any claim or circumstance as soon as you become aware of it.
  • Ensure notification is made during the period of the policy during which you become aware of the claim or circumstance.
  • Do not make any admission of liability to any third party without specific consent from your insurers.
  • Do not make any offer of settlement, including reimbursement of fees, without the consent of insurers.
  • Once notification has been given, ensure you co-operate fully with insurers or their representatives.

As a general guide, if you are uncertain whether a matter constitutes a claim or circumstance, avoid any risk and notify the matter immediately and let insurers decide whether a situation is deemed notifiable or not. This will avoid any potential coverage problems arising from late notification.

 

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