Insurance Basics
If you're just starting out in business, the whole subject of
insurance can be rather confusing. To put things into context,
here's an overview of the various players and what it is that they
provide. Let's start with the insurance companies themselves.
Insurance companies
Insurers issue insurance policies and are often referred to as
carriers because they carry (assume) risk for you, the
policyholder. A carrier accepts responsibility for the financial
consequences of loss or liability in exchange for your payment of a
premium. The dollar amount of that premium will reflect the
probability of the specified loss ever taking place. If a covered
economic loss does take place, the insurance company has promised
to pay up to a specified sum of money. In the meantime, insurance
companies invest the premiums that they receive. This generates
significant investment income for them.
So, what types and what levels of insurance should you buy for
your business? The insurance payments that you make will be an
overhead expense for your company, so of course you'll want to
proceed cautiously. As a business owner, you must weigh the ongoing
expense of the insurance against the potential cost of a one-time
uninsured loss. Most businesses buy different kinds of coverage
from several different providers. This is because there are three
different types of insurance companies and your needs span all
three categories: property-casualty, life and disability, and
health insurance.
In the U.S., the government closely regulates the insurance
industry. Property-casualty companies and life and disability
companies are largely regulated by the fifty states. Health
insurance must follow basic federal government regulations, but
states can and do impose additional regulations. Every state has a
Department of Insurance that monitors and regulates every insurer
operating within the state's borders. In addition to licensing
insurers, approving rates and setting minimum levels of coverage
for each type of policy, the state's insurance department issues
operating licenses to agents based on their ability to meet
requirements for conduct and knowledge about insurance issues. For
a list of these state departments of insurance, visit the site of
the National Association of Insurance Commissioners at www.naic.org. The site has a map of the U.S. with links to all of the state websites. Since legal
requirements vary, the exact policy options available to you will
depend upon your location. This is why some large insurers actually
consist of multiple companies. They may share an overall brand, but
each business unit is separately organized in order to conform to
different state insurance codes and regulations.
The financial strength of each insurance company is monitored
closely by the investment community. As a purchaser of insurance,
you'll want to be aware of this as well. If you're going to sign a
policy with an insurer, their stability and long-term financial
strength are very important factors for you to consider. You may
need to file a claim at some point in the future and you must have
confidence that the company is going to be there. For example, if
you ever become disabled, your own cash flow will be dependent on
the insurance company that you selected. Several independent rating
services track the financial strength of insurers, including
Standard & Poor's, Moody's and A.M. Best. Each insurance
company is assigned a financial strength rating on a thirteen-step
scale. The scale ranges from a high rating of A++ (superior) all
the way down to the lowest rating of D (poor). More information
about the rating process can be found at www.ambest.com.
Insurance agents
So how do you go about shopping for a policy? In general,
insurance companies use two major marketing channels. Most
insurance sales are done through outside agents. However, some
companies choose to do their own direct marketing and sales. For
example, if you contact GEICO or USAA, you'll be speaking with a
salaried employee. As a business customer, it's much better for you
to use an outside agent who can provide you with guidance and
advice. The services of an agent will be free to you. Agents
receive their income in the form of commissions from the insurance
companies. The commissions are calculated as a percentage of the
premium for each policy that they sell. Many agents distinguish
themselves from their competitors by going through professional
training programs that qualify them to use professional
designations on their marketing materials. Perhaps the most
prestigious one is CPCU, which stands for Chartered Property
Casualty Underwriter. It indicates that the agent has successfully
completed a series of college-level professional courses and passed
a rigorous national exam.
There are two main types of agents: captive agents and
independent agents. A captive agent is a representative of a single
insurer. For example, State Farm and Allstate primarily use captive
agents. A captive agent is obliged to submit business only to the
company that he or she works for. In exchange, the insurer provides
the agent with an expense allowance that covers some of the costs
of maintaining an office, and may provide other benefits such as a
pension. In contrast, an independent agent is a contractor who
represents several different insurance companies. The typical
independent agent has ongoing relationships with about eight
companies. This means that he or she can obtain competing quotes.
An independent agent will analyze your needs, then put together a
combination of policies from the different carriers that they
represent. Independent agents pay all of their own agency expenses
out of the commissions that they earn from policy sales. To find an
independent agent, visit the Independent Insurance Agents of
America at www.independentagent.com. The
site has a searchable database of local listings.
A broker is different from an agent. A broker is not working for
the insurer—he or she is working for you. Because brokers represent
the buyer rather than the insurer, they can conduct a wider search
of the market to identify the best sources for each of your
insurance needs. They can investigate competitive alternatives from
a broader range of reputable carriers. In essence, a broker is an
intermediary who can help you to prepare applications to multiple
insurers. However, some insurance companies will only accept
applications from brokers with whom they have an ongoing
relationship. When a policy is sold, the insurance company will pay
the broker a commission called a brokerage fee. You should also be
aware of a legal limitation: because brokers are not formal
representatives of insurers, any wrongful act of a broker is not
the legal responsibility of the insurance company.
Employee Benefits
OK, so what exactly are you shopping for? Let's start by
discussing health-related issues. Employee benefits, even for a
one-person company, should include health insurance (plus dental
and vision coverage if possible), life insurance, and long-term
disability coverage. The purpose here is to protect the individual
worker. If you are a freelancer, you'll be shopping around for an
individual health insurance policy like those available from Blue
Cross. Lots of information about health insurance is available on
the Internet. Commercial sites such as www.insure.com and www.insurancetracker.com are
online databases of medical insurance providers. By filling in a
form you can get comparative quotes. Unfortunately, premiums for
individual policies are much higher than premiums for group
policies. If you're a freelancer, it's smart to look around for an
existing group plan that you may be eligible to join. Many
university alumni associations, as well as professional membership
organizations like the Graphic Artists Guild, offer their members
access to group health plans on a state-by-state basis. Many local
chambers of commerce offer group health plans as well. The cost of
your membership is usually much smaller than the savings you enjoy
on insurance purchases.
So how does a group plan work? Most insurance companies define a
group as five enrolled employees or more, but the best rates are
only available to very big groups. If you are an employer with a
large staff, your company will serve as the policyholder for the
group insurance. It will be purchased in the name of the company
and offered to employees. However, a different approach is often
used for small businesses. An insurer can pool several businesses
together in a multiple-employer trust. The trust itself, rather
than any single employer, is the policyholder. This is the approach
taken by many industry associations. It enables smaller businesses
to benefit from the lower premiums and other services enjoyed by
large groups. At the individual employee level, eligibility is
usually limited to workers who are regularly scheduled for at least
thirty hours a week. Group employee benefits typically include
health coverage, life insurance and long-term disability coverage.
Let's look at each of these insurance categories individually.
Health insurance
There are several different models for health insurance, but the
market in the U.S. is dominated by managed health care plans. These
include health maintenance organizations (HMOs) and preferred
provider organizations (PPOs). An HMO requires you to get all of
your services from one specific provider, using their facilities
and personnel. This is different from a PPO, which is a broad
network of health care providers who have agreed to provide
services to the organization at a discount. It's common for a PPO
to offer several tiers of coverage with varying benefit levels. The
more generous the coverage, the higher the price of the policy will
be. Many variables will affect the premium:
- The ages of the group participants
If you have a large staff, there
may be different premiums for different age groups.
- The amount of the annual deductible
A deductible is the initial part
of the expense that you must pay out-of-pocket before any insurer
payments can begin.
- The amount of co-pay required
Often referred to as coinsurance,
the co-pay is the percentage of the medical bills that the insured
individual is responsible to pay after the annual deductible is
met. For example, many policies state that the insurance company
will pay 80 percent of the covered medical bills.
- The range of health services included
The policy may or may not include
such things as dental, vision, hospital stays, psychological
counseling, or chiropractic.
- How much flexibility you have in the choice of providers and
specialists
Oftentimes, a formal referral is
required from your primary care giver. If you go to a provider who
is outside of the plan, the co-pay will be different.
Many policies also place standard limitations on certain
pre-existing conditions. Federal law regulates these limitations.
If you received care within the six months preceding your
enrollment date, certain expenses will not be covered when the
policy first goes into effect. However, as soon as you pass the
twelve-month anniversary of your enrollment date, the exclusions
for pre-existing conditions will no longer be valid.
Most group health insurance premiums are billed monthly.
Essentially, you prepay for each period. Your payment must be
received for coverage to remain in effect. Some policies provide a
grace period for overdue premiums, but don't count on it. Some
employers pay the full amount of the premium for each worker while
others split the expense with the covered employees, in which case
the employee portion of the premium is handled as a payroll
deduction. If the plan allows an employee to add dependents, it's
common for the additional expense to be paid entirely by the
employee.
One final note about health insurance: if you are an employer,
you need to be aware of COBRA, which is an acronym for the
Consolidated Omnibus Budget Reconciliation Act of 1985. This is a
federal law that applies to all companies that employ twenty or
more people. When employees lose health or dental coverage due to
certain qualifying events, such as termination or layoff, they have
the legal right to continuation of their group coverage for
eighteen months if they pay the full cost of the premium. In
certain special circumstances, it is possible to extend coverage
beyond eighteen months.
Life insurance
There may be some life insurance included in your general
medical plan. If so, it's usually a small amount (like $5K or
$10K). You may want to shop separately for a larger amount. As you
probably know, life insurance is money that will be paid to your
designated beneficiary upon your death. Many financial advisors
recommend that you carry an amount equal to at least five times
your normal annual income. Keep in mind that there are two general
categories of life insurance. With term life policies, the premiums
that you pay purchase coverage just for the term of the policy.
This means that you must reapply when you reach the end of the
term, and higher rates will be charged as you enter older age
brackets. In contrast, a whole life policy provides lifetime
protection as long as regular premiums are paid.
Long-term disability
This is also called disability income insurance. It's a form of
health insurance that provides periodic payments to you if you're
unable to work for a long period of time as a result of sickness or
injury. It is not the same as short-term disability coverage, which
is provided by some states (New York, New Jersey and California,
among others) and paid for by payroll taxes. Depending on the
state, temporary disability may be covered for up to 26 weeks.
Long-term disability insurance is also separate from workers
compensation, which we'll discuss in a moment.
Long-term disability insurance is optional coverage designed to
replace a portion of your income if you become temporarily or
permanently disabled as the result of sickness, accident or injury.
Disability means a physical or mental inability to perform the
major duties of your occupation. Employers are not required to
provide this kind of coverage, but most creative firms do because a
generous benefits package is a competitive advantage when trying to
attract job candidates. Long-term disability coverage tends to be
expensive, but there are many variables that will affect the
premium, such as:
- How broadly the term disability is defined
It could be an inability to
reasonably perform the duties of your own specific job in the
design profession, or it could be an inability to perform any job
in any category of occupation.
- The length of the waiting period
This is the amount of time that
you must wait after the disability commences before you can start
collecting benefits. It might range from a low of 30 days to a much
longer period such as 180 days, but it is usually set at the upper
end of the range so that benefits kick in after the state limit on
short-term disability has been reached. The purpose of the waiting
period is to avoid claims for minor injuries and
illnesses.
- The length of time that benefits are payable
The shortest term might be two
years, but the longest might be until you reach the traditional
retirement age of 65.
- The amount of benefits payable
Total benefits are calculated as
a percentage of your net income; 60 percent is typical.
If you do become disabled, the benefit payments that you receive
from the plan will be reduced to take into account certain types of
other disability benefits that you may be entitled to, such as
Social Security, workers compensation or retirement benefits. When
setting up the policy, you will also have to decide who is
responsible for paying the premiums. Generally, if the employer
pays the premium, any long-term disability benefits that are
eventually received will be considered taxable personal income to
the disabled employee. This is called a non-contributory plan
because the employee does not contribute to the premium. In
contrast, a contributory plan is one in which the employee pays the
premium. If the premium is paid by the employee (usually this is
set up as a payroll deduction), any eventual benefits would be
tax-free for the disabled employee.
Basic Business Insurance
Now that the individuals in your firm are taken care of, what
about the needs of the business itself? You need to protect the
company against possible loss of critical tools and property as
well as potential liability to others. An unfortunate occurrence
such as a fire or a lawsuit could have a huge impact on your
company, causing a significant loss of income or even forcing you
to close your doors. You don't want that to happen. Other companies
that you deal with don't want that to happen, either. In fact, it's
common for business insurance requirements to be written into
office leases and important client contracts.
Depending on the type of work that you do, some business
insurance may be available to you through industry organizations,
where similar businesses have grouped together to qualify for
broader coverage at better rates. One such organization is the
Printing Industries of America (PIA). Their website is www.printing.org. PIA offers members access
to group programs through local affiliates, state-by-state. If you
don't have access to an industry group, you should meet with an
independent insurance agent. He or she will discuss your business
activities with you and prepare a list of the type, value and
location of all reasonably foreseeable property loss and liability
events. With this assessment, you'll be ready to shop for policies
that will minimize each risk to an acceptable level. The agent will
offer assistance in identifying insurance options including
carriers, policy types, deductible limits, coverage limits,
exclusions and policy costs. The agent will obtain all necessary
application forms for you. (Sometimes specimen policies are
available. A specimen policy is a sample document that allows you
to see the full text of the standard policy. Not all insurers are
willing to provide them.) Each completed application that you file
will be reviewed carefully by the insurer. If your application is
approved, a formal policy will be prepared for you to sign.
A policy is a written agreement that puts specified insurance
coverage into effect. It describes the term, coverage, exclusions,
premiums and deductibles. Agreeing to the terms of an insurance
policy creates a binding contract. In most instances, the process
starts with a standard policy document that can then be modified to
fit your particular situation. This is done with endorsements. An
endorsement (sometimes called a rider) is a written agreement
attached to an insurance policy that modifies the clauses and
provisions, adding or subtracting specific elements and conditions
of coverage. Each business insurance policy will have a specified
policy term, meaning the effective dates of coverage—the period for
which premiums are paid. The term of most business policies is
twelve months. This sets you up for an annual review and renewal
cycle. You'll find that, over time, your rates will change to
reflect shifts in the nature and scope of your business activities,
but also in response to any claims that you may have filed.
You can shop for each type of business coverage separately, but
for your basic needs you may want a package policy. A package
policy includes multiple lines or types of insurance within one
policy document. Package deals are often cheaper than buying
several individual policies. The most common type of package is
called a business owner's policy.
Business owner's policy
A business owner's policy (BOP) combines property coverage and
general liability insurance in a single package. A BOP is usually
the most economical way to protect your company against a broad
range of risks, but not every business is eligible for BOP
coverage. These packages are intended for small to medium-sized
firms that are operating in a low-risk business category, such as
professional offices. Those who operate a business in a higher-risk
category such as manufacturing would need what is known as a
commercial policy. A commercial policy is more complex and more
expensive. Designers should note, however, that BOP liability
coverage does not protect against professional errors or
negligence. These must be covered by professional liability
insurance, which is discussed later in this article. Each BOP
contains three essential components: basic business liability
insurance, property insurance and business interruption. Let's look
at each of these categories individually.
Basic business liability
insurance
This is often called general liability or casualty insurance. It
provides basic coverage for personal accidents or bodily injury to
a third party or damage to their property. (The most common type of
accident in this category is often referred to as a
“slip-and-fall.”) It covers the medical expenses of individuals
other than employees (such as customers, suppliers, or business
associates) injured on your premises or as a direct result of the
operations of the business. It covers legal costs to defend you
against claims, and it covers any damages that your business is
ordered to pay.
Property insurance
Property insurance provides you with coverage for business
property that is damaged or destroyed. For insurance purposes,
property is divided into two general categories: real property and
personal property. The term real property refers to land and
attachments to the land, such as buildings. Insurance coverage for
a building includes the structure itself and any permanently
installed fixtures, machinery or equipment. (If you are renting,
you should ask to see your landlord's insurance policy so that your
coverage can be coordinated with what is already in place.)
Personal property includes furniture, any fixtures that are not
permanently installed, and similar items—if they are not
specifically excluded from coverage. Check to see how your policy
treats computers and telephone equipment—sometimes they are
considered to be special property and they may require extra
coverage. Most business property insurance will also protect you
against loss or damage to the personal property of others while it
is in your care, custody or control.
Basic policies generally cover loss or damage that is caused by
fire or lightning, as well as any expenses related to removing
property if necessary to protect it from further damage (such as
removing computers from a damaged building in order to prevent them
from being stolen). Many standard policies also cover “extended
perils” such as windstorm, hail, explosion, riot and civil
commotion, and damage caused by aircraft, automobiles or vandalism.
Other important perils such as earthquake and flood damage are
often not covered in standard policies.
For insurance purposes, your property can be valued in several
different ways. The two most common approaches are the replacement
cost method and the actual cash value method. The replacement cost
of an item is the amount of money that you would need to replace it
with new property of like kind. In contrast, actual cash value is
the replacement cost minus accumulated depreciation to reflect the
age and condition of the original that was damaged or destroyed.
Clearly, you will want your property to be valued at full
replacement cost so that if you receive an insurance settlement it
will be enough to purchase replacements at current prices. However,
there is always an overall limit to the policy. The limit of
insurance stated in the policy declarations is the most that the
insurer will pay for loss or damage in any one occurrence.
Business
interruption
This is often called business income insurance. If your business
is severely damaged or destroyed, business interruption insurance
provides indemnification for ongoing fixed expenses and for loss of
normal profits. For example, if a fire temporarily shut down your
business, you would be reimbursed for salaries to key employees,
rents, taxes, interest, depreciation, utilities and other expenses
during the repair period plus the net profits that would have been
earned. You may also be able to negotiate for broader coverage to
include any extra expenses incurred during the period of
restoration. Extra expense insurance would cover the costs of
renting a temporary location, fitting it out for use, and moving
expenses. The policy will probably establish a maximum length of
time (such as one year) allowed for the recovery period. Apart from
business interruption insurance, you'll also want to develop an
advance plan for disaster recovery. A good disaster recovery plan
can help you to minimize losses and get back to normal operations
much more quickly.
Additional Business Insurance
In addition to the three types of basic protection included in
your BOP, you need to consider several additional types of
coverage.
Umbrella liability insurance
The purpose of this is to extend the limits of your coverage
above the maximum amounts of the basic business liability insurance
policy. You will receive payments under the umbrella coverage only
after the basic policy limits have been exceeded.
Business automobile policy
Auto liability coverage is not included in general liability
policies, but it is legally required for drivers in all but four
states. As you probably know from personal automobile policies that
you've purchased over the years, automobile coverage should include
the following components:
- Collision insurance for loss or damage to the vehicle
itself
- Comprehensive insurance for any loss or damage from causes
other than a collision
- Liability insurance for damages that the insured might cause to
third parties, including property damage and bodily injury
- Medical payments coverage for authorized drivers and for
passengers
- You may also purchase uninsured motorist coverage for the
driver and passengers if they are injured by an uninsured motorist
or a hit-and-run driver
So how is a business automobile insurance policy different from
a personal policy? In addition to providing coverage to any
vehicles owned by the business, it also covers hired and non-owned
autos. This means that the business is protected if you or an
employee rents a vehicle in the company name and an accident
occurs. It also means that the company is protected if an employee
has an accident in his or her own vehicle while on company
business. Remember that all drivers must have a valid driver's
license. Remember also that any personal property stored inside an
automobile (such as project-related materials being delivered to a
client) will not be covered under a standard automobile policy.
Workers compensation
If you have employees, workers compensation insurance is
required by law in most states. It covers employees for
work-related sickness and for injuries that occur within the scope
of their employment. (This is different from the short-term
disability coverage discussed earlier. Short-term state disability
benefits are intended to cover non-job-related sickness or
injury.)
Four types of benefits are included in workers compensation:
medical care, death, disability and rehabilitation. The specific
levels for coverage are defined by each state. Premiums vary widely
for different types of businesses because the rates are determined
by the nature of the working environment. Rates are lower for
office work environments and higher for industrial work
environments (such as factories or construction sites). Large
companies with workers in several different categories will have
multiple rates—perhaps as low as 0.1 percent of the payroll for
employees in safe occupations all the way up to 25 percent or more
of the payroll for employees in very hazardous occupations.
Unemployment insurance
Unemployment insurance is not something that you will be
shopping for. It's a state benefit that is paid for by payroll
taxes. More information about unemployment insurance is available
from your state employment office.
Valuable papers and records
If important business records are destroyed, it may take a lot
of time and effort to recreate them. The standard property policy
will reimburse you for lost office supplies, but it will not
include coverage for the labor costs of researching, repairing,
restoring or reconstructing the information contained in valuable
papers, records and electronic data files. Specialized coverage can
usually be purchased as an endorsement to a standard policy. Your
valuable papers and records might include such things as personnel
files, contracts, leases archival material such as the company's
original incorporating documents, or rare books and manuscripts.
Coverage can also be amended to include valuable records belonging
to others, while that property is in your care, custody and
control. Even though you're carrying this specialized insurance,
you will of course want to do everything possible to protect your
valuable business records. Make duplicate copies of important
documents and clearly labeled backups of important data and store
them at an offsite location.
Fidelity insurance
Fidelity insurance covers loss of business property due to
employee dishonesty. It also covers any suspicious loss of property
that cannot be directly attributed to a particular employee. The
coverage may be added as an option to your business policy. The
typical fidelity policy covers losses of property due to theft,
embezzlement, forgery or similar criminal acts performed by your
employees. Most design firms are small and the employees feel that
they know each other quite well. However, small companies are not
immune to fidelity crimes. Losses can take a variety of forms. Many
companies are victims of theft of property for the personal gain of
an employee. The stolen property might include money, financial
securities, computers or other valuable equipment. Losses could
also involve the destruction of property by an employee. Most
fidelity policies cover the loss of assets on your business
premises as well as property in transit or temporarily in another
location. First party fidelity covers your property. Third party
fidelity extends coverage to your client's property. Be sure to
read your policy carefully to understand any exclusions.
A fidelity insurance policy protects against losses due to
employee dishonesty in general. As an alternative, you might
consider a fidelity bond that is limited to particular individuals.
The premium for a bond will generally be lower, because protection
is limited to just those individuals being bonded. Usually these
will be the people directly involved in finances, with access to
bank accounts and accounting records. Dishonesty by financial
managers can take many forms, including such things as adding
fictitious employees to the payroll or issuing payments to
non-existent suppliers.
Key-person insurance
Key-person insurance is sometimes referred to as business life
and disability insurance. It provides protection against business
losses that result from the death or disability of a key person. A
key person is defined as an owner, a partner or a highly skilled
employee whose efforts are directly responsible for some measure of
profitability to the firm. The policy is owned by the company and
any benefits are payable to the company. For a design firm, loss of
a key person is a very serious setback. It helps to have additional
funds available to get the business back on track.
Employment practices
More and more claims against companies are filed each year by
job candidates, current employees and former employees. Their
charges may include allegations of harassment, racial or gender
discrimination, failure to promote, wrongful termination of
employment, defamation or invasion of privacy. Employment practices
insurance provides coverage in the event of legal actions resulting
from such charges. In order to qualify for this coverage, however,
you must be able to demonstrate that your firm already has good
employment practices in place.
Directors' and officers' liability
If you have a large company, it's a very good idea to talk to
your independent agent about directors' and officers' liability
insurance. Legally, directors and officers are separate entities
from the company itself. In the event of a legal action, they could
face unlimited personal liability. Directors' and officers'
liability insurance protects the personal assets of these
individuals if they are sued over their performance of
company-related duties. It covers claims related to certain
“wrongful acts” such as management errors, misleading statements or
neglect. Coverage includes the costs of legal defense.
Liability Issues that are Specific to Design FIrms
Typical BOP coverage exclude liability related to professional
services. This type of exposure must be separately insured under a
policy that is particular to the services you are rendering.
Professional malpractice insurance
This type of policy can be called malpractice insurance,
professional liability insurance, or errors and omissions
insurance. Regardless of the name, the objective is the same: to
help manage the risks associated with inadvertent mistakes,
oversights or failures by you or your employees in the performance
of your professional services. For insurance purposes, a
professional is considered to be anyone involved in an activity
that requires specialized skill and training. Malpractice insurance
protects you against loss from claims of negligent acts, errors or
omissions that result in loss to a client. It may also include
claims of breach of confidentiality, non-performance of a contract,
fraud, or negligent oversell. The act in question must actually be
an error, however, and not merely poor judgment viewed in
hindsight. It's also important to note that professional
malpractice insurance does not cover intentional wrongdoing, such
as causing deliberate harm to a client or a client's property.
Some professions (such as architecture, engineering, medicine,
law, accounting and financial services) are required by law to
carry professional liability insurance. Although claims are not
filed very frequently, when they are filed they can be expensive.
The legal test of whether or not negligence, errors or omissions
have taken place is a comparison against the standard of care that
would have been exercised by other competent professionals under
similar circumstances practicing in the same jurisdiction. Some
professional liability policies cover attorney costs but some do
not. If you are sued, you will definitely want the policy to help
defray the costs of your legal defense. As a businessperson, you
can avoid many professional risks by not accepting work assignments
that you are not qualified to perform and by not making any client
promises that you can't keep. Even so, customers can always accuse
you of doing something wrong, even if the underlying claim has no
merit. Because the costs of defending even frivolous malpractice
claims can be substantial, it's wise to add legal costs to your
coverage if the option is available.
The term of your professional liability policy is very
important. Not all errors are discovered at the time they are made.
They might not become apparent until some time later. If your
policy pays only for claims filed while the coverage is in effect,
you'll have to maintain it for a long period of time—perhaps even
after you've gone out of business. In contrast, other policies
focus on the date when the alleged mistake was made. If the error
occurred at a point in the past when a policy was in effect, then
it would be covered. This type of coverage is often more expensive.
Your policy will also state a maximum amount for the protection
provided to you, on both a per-claim basis and an aggregate basis.
If a significant mistake results in damages that exceed your policy
limits, you would liable for the excess amount.
One final note that is important to design firms: professional
malpractice insurance coverage is usually limited to the business
activities of employees, meaning those who are on the company's
payroll and receive a Form W-2 at the end of the year. Your policy
might not include any independent contractors who receive a Form
1099 from your company. If you use a lot of freelance labor on
client projects, you'll want to discuss this issue carefully with
your insurance agent. As entrepreneurs, freelancers should of
course maintain independent coverage appropriate to their own
business activities.
Intellectual property insurance
Creating intellectual property and negotiating its ownership and
use are core activities in all design firms. The major categories
of intellectual property are copyrights, trademarks and patents.
It's possible that work done by your firm could later become the
subject of an infringement claim. Infringement is the unauthorized
use of someone else's intellectual property. Even though the
infringement is accidental, there may be legal liability and you
may be ordered to pay damages. A growing number of disputes and
lawsuits are taking place in this area. Intellectual property
insurance covers the costs of legal defense and any judgments up to
the policy limits. A standard business owner's policy does not
provide protection from loss, damage or liability related to
intellectual property, although some limited protection may be in
place if you negotiated a separate commercial liability policy.
Intellectual property insurance can be bundled with other things,
such as the professional liability coverage discussed above. Speak
with your independent agent to review your own particular situation
and business needs. Design firms need to be careful in this area.
When finalizing a contract with a client, be sure that you
understand all of the fine print. The terms and conditions section
of a contract for creative services will normally describe specific
obligations and liabilities that relate to intellectual property.
(For more information about terms and conditions for design
contracts, see the May 2004 issue of AIGA Design:Business.)
Media liability
Media liability insurance also deals with intellectual property,
as well as risks related to privacy, publicity and defamation. This
type of policy is sometimes called communications liability
insurance. It protects you against claims that might arise from the
gathering and communication of information. Essentially, it is
coverage for errors and omissions in the written or spoken word.
Claims of this nature seek to impose liability on a publisher for
economic loss or personal injury allegedly caused by some error or
negligence in the content of published material. Personal injury
can be physical or emotional, including a damaged reputation. Media
liability covers:
- Libel, slander, defamation of character
This type of insurance is usually referred to as media liability
because it's purchased by companies involved in publishing,
broadcasting and advertising. However, the rapid expansion of
digital communications means that any company distributing
information to the public via email or the web now faces many of
the risks of a traditional publisher.
Product liability insurance
If you are working on the development of a product that will
eventually be sold to the public, this will be an important issue.
Your client may ask for proof that you are carrying this kind of
insurance. Product liability refers to the legal responsibility of
product designers, manufacturers, distributors and sellers to
deliver products to the public that are free of any defects that
could harm people. If a product is defective, the purchaser will
probably sue the seller, who may then bring the distributor or
manufacturer or product designer into the lawsuit. Any one of the
parties may be liable for damages or may have to contribute toward
a judgment. Your product liability policy will pay defense costs,
whether or not a judgment is rendered against you.
What about a home office?
Many designers are self-employed and work from home. It's
important to note that most standard homeowner's or tenant's
policies exclude liability for business-related activities. You
need to speak with an independent agent about putting additional
coverage in place. It may be possible to add an endorsement to your
existing policy. However, the coverage will be very limited. A
“business pursuits” endorsement will not be enough for home-based
businesses that have frequent meetings with customers or suppliers
onsite or have invested in costly equipment. Loss of business
property is usually reimbursed up to $2,500 in the house and up to
$250 for business property damaged or lost away from the premises.
For a designer, the value of your computer equipment alone will far
exceed these amounts.
It is much wiser to put in place a separate policy that
addresses the needs of your small business. Shop for a business
owner's policy, as discussed earlier in this article. It will
include property insurance, basic liability insurance and business
interruption coverage. To that you can add whatever endorsements
are appropriate to the particular professional services that you
are selling to clients.
Certificate of Insurance
Once you have basic insurance coverage in place, you may be
asked to prove it to banks and other lenders, as well as to
clients. If you are asked to provide proof of insurance, just ask
your agent to send the requesting party a certificate of insurance.
A certificate of insurance is written evidence of the existence and
terms of your property and liability policy. It's a statement
summarizing the types of coverage, amounts of coverage and policy
effective dates. Once it has been issued, the certificate holder
will also be notified if a policy is cancelled.
Occasionally, a client will ask to be named as an additional
insured on your property and liability policy. The client would
then be covered under your policy in the event that they are sued
for damages or expenses as a result of work that you do on their
behalf. To do this, a policy endorsement is required. Speak to your
insurance agent about this. An endorsement would extend to the
named client the same protection as the insured. If a client is
asking to be named as an additional insured, they will state that
request in the terms and conditions section of the project
contract. Whenever you are finalizing a contract to provide
services, take care to read all of the fine print. Don't agree to
take on any obligations or liabilities that you are not completely
comfortable with. Have your attorney review any proposed contract
language that comes to you from clients.
About the Author:
Shel is a graphic designer who is active on the business side of professional practice. He has solid experience managing the operations of leading creative firms and guiding them through periods of accelerated growth and rapid change. He has served as director
of operations for MetaDesign San Francisco and as vice president of operations for Clement Mok. He provides management consulting services to a range of creative firms in both traditional and new media. Shel has served on the national board of the Association
of Professional Design Firms and as the president of AIGA San Francisco. He has written and lectured on many topics related to design management and teaches Professional Practice at the Academy of Art in San Francisco, the California College of Arts, and the
University of California.