What Is Claims-Made vs Occurrence?
Claims-made and occurrence are the two triggers that decide which policy period responds to a liability loss. An occurrence policy covers injury or damage that happens during the period, whenever the claim arrives. A claims-made policy covers claims first made and reported during the period, if the event happened after the retroactive date.
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Claims-made and occurrence are the two triggers that decide which policy period responds to a liability loss. An occurrence policy covers injury or damage that happens during the period, whenever the claim arrives. A claims-made policy covers claims first made and reported during the period, if the event happened after the retroactive date.
Claims-Made vs Occurrence explained
The trigger is the difference. Under an occurrence form, the policy in force when the injury or damage happens responds, even if the claim arrives years later after that policy has expired. Under a claims-made form, the policy in force when the claim is first made and reported responds, but only if the incident occurred on or after the retroactive date written on the policy. Claims-made-and-reported forms add a stricter condition: both the claim and the report must fall inside the period.
Producers meet this distinction most in professional liability, such as errors and omissions and directors and officers, where claims-made is standard, and in general liability, where occurrence is the norm. When a client switches carriers, the retro date must carry over or prior acts are left uncovered. When a claims-made policy ends, the client may need an extended reporting period, called a tail, to cover claims that surface later, or the new insurer must offer prior-acts coverage, sometimes called a nose.
A claims-made quote that costs less is a different product with a different trigger, so comparing it with an occurrence quote as if they were equals misleads the buyer. The mistakes that hurt most are letting a claims-made policy lapse with no tail, resetting the retro date at renewal, and assuming that a claim made after expiration is covered because the incident happened during the term. Always confirm the form type, the retro date, and the reporting rules.
Why it matters when you're buying
The costliest gap in liability coverage is a claim that falls between policies and is covered by none. Explaining claims-made versus occurrence makes quote comparisons fair, flags when a switch needs a tail or a carried-over retro date, and shows a prospect that the agency understands how their coverage responds.
Frequently Asked Questions
What is the main difference between claims-made and occurrence policies?
What is tail coverage in claims-made insurance?
What is a retroactive date?
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