Key Takeaways
- Commercial General Liability (CGL) protects Idaho businesses from third-party bodily injury and property damage claims
- Idaho requires workers' compensation for employers with one or more employees, with limited agricultural exemptions
- Professional liability insurance covers errors and omissions in providing professional services
- Umbrella and excess liability policies provide additional limits above underlying insurance
- Products liability covers claims arising from products manufactured, distributed, or sold by a business
Idaho Liability Insurance
Liability insurance protects individuals and businesses from claims made by third parties. For Idaho producers, understanding liability coverages—especially CGL, workers' compensation, and professional liability—is essential for serving clients and passing the state exam.
Commercial General Liability (CGL)
The Commercial General Liability policy is the foundation of business liability protection.
CGL Coverage Structure
The CGL policy provides three main coverages:
| Coverage | What It Covers |
|---|---|
| Coverage A | Bodily Injury and Property Damage Liability |
| Coverage B | Personal and Advertising Injury Liability |
| Coverage C | Medical Payments (no-fault) |
Coverage A - Bodily Injury and Property Damage
Bodily Injury: Physical injury, sickness, or disease sustained by a person, including death.
Property Damage: Physical injury to tangible property, including loss of use.
Key Points:
- Covers legal defense costs (usually outside policy limits)
- Settlements and judgments
- Must result from an "occurrence" (accident)
- Subject to per-occurrence and general aggregate limits
Coverage B - Personal and Advertising Injury
| Offense | Example |
|---|---|
| False Arrest | Detaining shoplifter improperly |
| Malicious Prosecution | Wrongful criminal charges |
| Wrongful Eviction | Unlawful tenant removal |
| Libel and Slander | Defamatory statements |
| Invasion of Privacy | Publishing private information |
| Copyright Infringement | Unauthorized use in advertising |
Coverage C - Medical Payments
- No-fault medical coverage for injuries on premises
- Small limit (typically $5,000 - $10,000)
- Pays regardless of insured's liability
- Does not cover employees (workers' comp applies)
CGL Limits Structure
| Limit Type | What It Limits |
|---|---|
| Each Occurrence | Maximum for single occurrence |
| General Aggregate | Maximum total payments per policy period |
| Products-Completed Operations Aggregate | Maximum for products/completed ops claims |
| Personal and Advertising Injury | Maximum per person/organization |
| Medical Payments | Maximum per person |
| Damage to Premises Rented | Maximum for fire damage to rented premises |
CGL Coverage Triggers
Occurrence-Based:
- Covers claims arising from occurrences during policy period
- Claim can be made later, coverage still applies
- Most common for CGL
Claims-Made:
- Covers claims made during policy period
- Occurrence must be after retroactive date
- More common for professional liability
Idaho Workers' Compensation
Coverage Requirements
Idaho has mandatory workers' compensation requirements:
| Requirement | Details |
|---|---|
| Who Must Carry | Employers with 1 or more employees |
| Coverage Type | Workers' compensation insurance or self-insurance |
| Penalties | Criminal misdemeanor, fines, personal liability |
Exam Tip: Idaho requires workers' compensation for employers with just ONE employee—more stringent than many states that require 3-5 employees. This is frequently tested.
Limited Exemptions
May Be Exempt:
- Sole proprietors and partners (for themselves)
- Officers of closely-held corporations (election to exclude)
- Some domestic employees
- Limited agricultural exemptions
Agricultural Exemption:
- Farm workers employed less than specified hours
- Specific seasonal limitations
- Must meet strict criteria
Workers' Compensation Benefits
| Benefit Type | What It Covers |
|---|---|
| Medical Benefits | All reasonable medical expenses, no deductible |
| Temporary Total Disability | Lost wages during recovery |
| Temporary Partial Disability | Partial wage loss during modified work |
| Permanent Partial Disability | Permanent impairment rating payments |
| Permanent Total Disability | Ongoing income for total incapacity |
| Death Benefits | Benefits to dependents of deceased worker |
| Vocational Rehabilitation | Retraining for return to work |
Exclusive Remedy
Workers' compensation provides an exclusive remedy:
- Employees receive benefits without proving fault
- In exchange, employees cannot sue employer for negligence
- Exceptions for intentional harm or gross negligence
- Third-party lawsuits still possible
Idaho Industrial Commission
The Idaho Industrial Commission:
- Administers workers' compensation system
- Adjudicates disputed claims
- Regulates self-insurance programs
- Enforces compliance
- Maintains workers' compensation insurance database
Professional Liability Insurance
Errors and Omissions (E&O)
Professional liability insurance for non-medical professionals:
Who Needs E&O:
- Insurance agents and brokers
- Real estate agents
- Attorneys
- Accountants
- Architects and engineers
- Consultants
- Technology professionals
What It Covers:
- Negligence in professional services
- Errors and mistakes
- Failure to perform
- Misrepresentation
- Breach of duty
Medical Malpractice
Professional liability for healthcare providers:
- Physicians and surgeons
- Dentists
- Hospitals and clinics
- Nurses and allied health professionals
- Nursing homes
Claims-Made Coverage
Most professional liability uses claims-made coverage:
Key Features:
- Claim must be made during policy period
- Occurrence must be after retroactive date
- Extended reporting period ("tail") available
- Prior acts coverage important when switching carriers
Tail Coverage:
- Extends reporting period after policy ends
- Important when retiring or changing carriers
- Can be expensive (2-3 times annual premium)
Umbrella and Excess Liability
Umbrella Liability
What Umbrella Coverage Does:
- Provides additional limits over underlying insurance
- Drops down for claims not covered by underlying policies
- Broader coverage than underlying policies
- Self-insured retention (SIR) for dropped-down claims
Underlying Requirements:
- Minimum auto liability limits
- Minimum CGL limits
- Homeowners liability
- Other specified coverages
Excess Liability
How Excess Differs from Umbrella:
- Follows form of underlying policy exactly
- Only pays after underlying limits exhausted
- No drop-down coverage
- No broader coverage
| Feature | Umbrella | Excess |
|---|---|---|
| Drop-Down | Yes | No |
| Broader Coverage | Yes | No |
| SIR | Yes | No |
| Premium | Higher | Lower |
Why Businesses Need Umbrella/Excess
Idaho Business Considerations:
- Large jury verdicts increasing
- Multiple underlying policies may exhaust quickly
- Protection against catastrophic claims
- Relatively affordable additional protection
Products Liability
Products Liability Exposures
Manufacturers, distributors, and sellers of products face liability for:
| Claim Type | Basis |
|---|---|
| Manufacturing Defect | Flaw in specific product |
| Design Defect | All products of that design are dangerous |
| Failure to Warn | Inadequate warnings or instructions |
| Breach of Warranty | Product doesn't meet representations |
CGL Products-Completed Operations
CGL Coverage A includes Products-Completed Operations liability:
Products Hazard:
- Injuries from products after leaving your control
- Products manufactured, sold, or distributed by insured
Completed Operations Hazard:
- Injuries from work after it's completed
- Work done away from premises
Products Liability Considerations
For Idaho Businesses:
- Food producers and processors
- Agricultural equipment manufacturers
- Outdoor recreation equipment
- Consumer goods retailers
- Restaurants and food service
Commercial Auto Insurance
Business Auto Coverage
For vehicles used in business:
Symbol Coverage:
| Symbol | What's Covered |
|---|---|
| 1 | Any auto |
| 2 | Owned autos only |
| 3 | Owned private passenger autos only |
| 7 | Specifically described autos |
| 8 | Hired autos |
| 9 | Non-owned autos |
Hired and Non-Owned Auto
Hired Auto:
- Vehicles rented or leased for business use
- Rental cars for employees on business trips
- Coverage for liability and physical damage
Non-Owned Auto:
- Employee's personal vehicles used for business
- Liability coverage for business use
- Does not cover physical damage to employee's vehicle
Commercial Auto vs. Personal Auto
| Feature | Commercial | Personal |
|---|---|---|
| Eligibility | Business vehicles | Personal vehicles |
| Rating | By vehicle, radius, use | By driver |
| Liability Limits | Often higher | State minimums common |
| Coverages | More options | Standardized |
| Premium | Generally higher | Generally lower |
Employment Practices Liability (EPLI)
What EPLI Covers
Protection against employment-related claims:
| Claim Type | Examples |
|---|---|
| Wrongful Termination | Firing without cause |
| Discrimination | Age, race, sex, disability |
| Sexual Harassment | Quid pro quo, hostile environment |
| Retaliation | Punishing whistleblowers |
| Failure to Promote | Discriminatory promotion decisions |
| Wage and Hour | Some policies include |
EPLI Importance in Idaho
- All size employers face exposure
- Claims costly to defend even if unsubstantiated
- Small businesses often lack HR expertise
- Growing exposure area
When is workers' compensation insurance required in Idaho?
Which CGL coverage provides protection against claims of libel, slander, and invasion of privacy?
What is the primary difference between umbrella liability and excess liability coverage?