You Say Professional Services, I Say B2B Activities
January 2002
In this Cyber Insurance column, Mike Rossi
looks at the question of whether standard "professional liability" coverage
applies to claims arising out of business-to-business "B2B" and business-to-consumer
"B2C" activities.
by Michael
A. Rossi
Insurance Law
Group, Inc.
When we first started writing articles for this column 2 years ago, we made
the observation that it appeared that all of the coverages being offered by
stand-alone e-business insurance policies at the time could be obtained by using
and/or amending traditional insurance policies. Obviously, given the reaction
by the insurance industry since then, we have had to change our observations
and conclusions. This article discusses another issue where we've had to change
our tune from earlier opinions expressed based on the work we've been doing—advising
companies on e-business insurance issues.
This article attempts to answer the question: Does standard "professional
liability" coverage apply to claims arising out of business-to-business "B2B"
and business-to-consumer "B2C" activities? You know the song that goes, "You
say tomayto, I say tomawto . . . you say potayto, I say potawto"? That's what
went through our minds when we were first posed this question.
Unfortunately, that's not how insurers are reacting to the question. Many
see a very big difference between "professional services" and B2B/B2C activities.
Simply put, those insurers do not see this as a "tomayto versus tomawto" issue
at all.
Some Insurers Believe "B2B Activities" Are Not "Professional Services"
Many insurers, by their policy forms, their conduct at claim time, and in
discussions with them express the belief that their professional liability insurance
policies absolutely do not cover claims arising from B2B and B2C activities,
unless expressly worded or endorsed to do so. They say that such "activities"
are not the provision of services to others
for a fee, which they say is the intent of professional liability coverage.
(For a variety of reasons, we are not identifying
by name these insurers. We would rather focus on the issue at hand, rather than
on the insurers at issue.)
And, indeed, the answer to the question posed above depends on at least two
issues that must be addressed whenever reviewing a professional liability insurance
policy to see if it covers claims arising from B2B and B2C activities. First,
how broadly is "professional services" defined in the insurance policy? Second,
is there an exclusion in the policy that could bar coverage for claims arising
from B2B and/or B2C activities (whether expressly labeled as such or not)?
Definitions of "Professional Services" Vary Greatly
For the first issue, what we are seeing in policies sold in North America,
Europe, and Australia is that there are many ways to define the "professional
services" that are covered by a professional liability policy. Some policies
contain a "wide open" definition, such as "professional services covered: all
activities undertaken by the insured." Other policies contain a very narrow
definition by listing only specifically defined services provided to others
for a fee. Some policies contain a definition somewhere in-between these two
extremes.
There really is a continuum of variations from one extreme to the other in
the definition of covered "professional services" in professional liability
insurance policies, especially when reviewing policies sold in different parts
of the world. The key point to keep in mind is that, while broader definitions
should encompass B2B and B2C activities, narrower definitions might not.
Some Insurers Intend To Expressly Exclude B2B Activities
We have seen newer professional liability policies that appear to intend
to exclude B2B and B2C activities. For example,
they expressly bar coverage for, among other things, claims arising out of another's
inability to access the insured's computer, network, intranet, etc. And when
asked about such exclusions, insurers explain them as B2B and B2C activities
exclusions.
Insurers Are Offering B2B Activities Extensions to Professional Liability
Policies
Insurers are increasingly addressing the "professional services" definition
and exclusion issues discussed above as follows.
- Some confirm they do not intend to provide such coverage, and will not
under any circumstances provide such coverage.
- Some say that if you want coverage for B2B and B2C activities, you need
to buy this or that endorsement and pay an additional premium (more and
more insurers have endorsements in-the-ready to offer insureds for additional
premium when asked).
- Some insurers that sell e-business insurance for liability risks have
amended their forms to expressly differentiate between coverage for professional
services and B2B/B2C activities by breaking the coverages into separate
coverage grants, and charging additional premium for each.
How Do Insureds Respond?
So, what should insureds do about this issue? There does not appear to be
a clear or best answer. However, for those insureds that rely on standard professional
liability insurance to cover the liability risks for their B2B and B2C activities,
they should review their insurance policy wording to see whether coverage applies
and seek advice from a qualified insurance broker and insurance lawyer if they
have any questions or concerns.
Coming Up Next in the Cyber Insurance Column
Have you seen the computer virus exclusion coming out of Europe that is being
used on property programs which goes by the name NMA 2914? Without pulling any
punches, it's brutal for policyholders. Given such exclusions and the shrinking
capacity for first-party property insurance policies, what are insureds to do?
Our next article will explore this and other related issues.
Opinions expressed in Expert Commentary articles are those of the author and are
not necessarily held by the author's employer or IRMI. Expert Commentary articles
and other IRMI Online content do not purport to provide legal, accounting, or other
professional advice or opinion. If such advice is needed, consult with your attorney,
accountant, or other qualified adviser.