Legal Defense Inside vs. Outside the Limits of Liability Insurance: Not Knowing the Difference

Posted in: Commercial Insurance

Do you know if you have sufficient liability coverage to protect you against both legal defense expenses and any damages awarded to a plaintiff? Many companies are not adequately insured because they are unaware of the distinction between two different types of liability insurance.

Legal costs can quickly exhaust your policy limit leaving you to pay out of pocket for claims and settlement. In order to have protection against both claims and legal expenses, when purchasing or reviewing any of your liability policies, professional, general or product, you should determine whether the policy includes coverage for legal defense inside or outside the limits of liability.

  • Defense inside the limit means that all defense costs (attorney’s fees, court costs, investigation and filing legal papers) are deducted first from the policy limit, which cuts into the overall limit of dollars available to pay for monetary damages awarded by a ruling.
  • With outside the limit coverage, there are separate limits available for legal defense costs and court-awarded damages. So, the cost of defending your case does not erode your policy limits available to pay settlements resulting from a suit.

This should not to be overlooked because if your company is facing a law suit, the type of coverage you’ve elected will be pivotal in determining your potential financial responsibility.

RM Prevent Claims

To demonstrate the severity of the matter, consider the following:

Jury Verdict Research found that “In any employment case filed in federal court, there is a 16% chance the award (excluding attorney fees) will exceed $1 million and a 67% chance that the award will exceed $100,000.” According to the Insurance Information Institute the average cost of defense of a product liability claim is $876,000. These statistics reflect costly ramifications if you are not adequately insured.

So let’s look at a professional liability example to help you better understand the difference between inside and outside liability coverage limits and the importance of choosing the right amount of insurance.

Professional Liability Coverage Example – Employment Practices Liability Insurance (EPLI)

Most business owners like to think of their company as a close-knit group, many even consider their employees as family. This may be true when times are good, but how do you handle a situation when something goes wrong and an employee files a lawsuit against you?

Employment Practices Liability Insurance (EPLI) is a professional liability coverage that provides an employer with protection against claims of wrongful termination, sexual harassment, discrimination and other types of claims related to employment by current or potential employees.

Let’s assume you are the owner of Sam’s Sprockets, and you carry a $1 million EPLI policy. A group of employees sue the company for sexual harassment, and are awarded $900,000 by the jury. Let’s also assume the legal defense costs are $1 million dollars. If you had inside the limits liability coverage, your entire policy would be exhausted and you would be left with the responsibility to pay $900,000 in damages out of pocket, which can create a significant hardship for many companies. Alternatively, with outside the limits insurance all costs would be covered by your policy.

   Inside the Limits of            Liability    Outside the Limits of        Liability
   Liability Limit    $1,000,000    $1,000,000
   Defense Costs                    (attorney’s fees, court      costs, etc.)    $1,000,000    $1,000,000
   Damages (claims,              award, settlement)    $900,000    $900,000
   Total Costs    $1,900,000    $1,900,000
   Sam’s Sprockets                Obligation    $900,000    $0

Unfortunately, not all liability insurance carriers offer you the choice as to whether your defense coverage is inside or outside the policy limits. However, if you have an option, I strongly recommend that you add it to your existing policy. While the cost can be slightly higher, it will be minimal compared to the out-of-pocket expenses if your company is sued, especially in the event of multiple claims filed within a single policy period. If the option is not available, you may want to consider higher limits for your liability insurance.

If you have any questions about your organization’s existing defense liability limits, or need assistance with purchasing additional coverage, feel free to email me at jellis@psafinancial.com.