Let’s face it – most people don’t understand insurance. And to many of those who do, liability insurance
is still a bit of a mystery. So when we
speak to insureds about their liability claims, we often have to explain how
liability insurance works.
The principle is deceptively simple. You take out a policy which protects you
against your legal liability to others, so if you get sued, there is an insurer
behind you to settle the claim or defend it as required. But many insureds have no real understanding
of what their policy covers – and, often more importantly, what it does
not. So – let’s identify and clarify a
few common misconceptions, by setting out some things that a liability policy is
NOT:
It is not a guarantee
of your performance or products
If you don’t do your job properly, or if your product
doesn’t work, your liability policy will not help you unless property damage or
personal injury results. A painter whose
work is uneven or unsightly will have to bear the cost of correcting the
defect. However, if other property is
damaged, say by overspray onto other surfaces, the policy will respond in
relation to cleaning and restoring the damaged property. Similarly, if an appliance fails to work and
needs replacement, that is a problem for the supplier or manufacturer, not the liability
insurer. If the appliance injures
someone because of a fault, the liability policy will come into play.
It is not a Public
Relations fund
There has to be a legal liability, or a reasonable
expectation of one, before settlement can be considered. If you are not liable, your insurer will not
settle the matter just to maintain your good relationship with the aggrieved
party. While insurers do make “commercial settlements” in some situations,
these are still founded on the prospect of the Insured being found liable, even
if liability is debatable.
It is not a license
to break the law
If your actions are illegal, you may be in breach of your
policy conditions. If you are fined or
otherwise penalised by a government authority, the policy can’t help you.
It is not an excuse
for reckless behaviour
Strangely enough, even though a liability policy covers
negligence, most include some form of condition requiring the insured to take
reasonable care to prevent damage or injury.
While in theory this seems incongruous, in practice it means that you
need to show that you did not act recklessly or deliberately cause the damage
or injury. For example, policies often
require appropriate enquiries as to the presence or location of underground
services to be made before excavation commences, or specific safety and fire
protection measures to be in place before welding or other hot works.
It is not a debt
collection mechanism
Contractors who have lodged a liability claim often face the
problem of progress payments being withheld by their principal until the claim
is resolved. Insurers are usually
mindful of this, but will not compromise their investigation and assessment of
the liability claim in order to protect your cash flow.
Insureds often learn these lessons the hard way – when they
have a claim against them and are being pressured by various parties. Liability adjusters therefore have to be
mindful of these issues and clarify them early in the piece in order to manage
expectations and achieve an appropriate resolution of the claim.
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