Key Takeaways
- Commercial General Liability (CGL) protects businesses from third-party bodily injury and property damage claims
- North Dakota has a MONOPOLISTIC state fund for workers' compensation - Workforce Safety & Insurance (WSI)
- Private insurers CANNOT write workers' compensation in North Dakota
- All North Dakota employers must obtain workers' comp coverage through WSI
- Professional liability (E&O) covers errors and omissions in professional services
North Dakota Liability & Workers' Compensation Insurance
Commercial General Liability (CGL)
What CGL Covers
Commercial General Liability provides essential protection for businesses:
| Coverage Part | What It Covers |
|---|---|
| Coverage A - Bodily Injury & Property Damage | Third-party injuries and property damage |
| Coverage B - Personal & Advertising Injury | Libel, slander, false advertising |
| Coverage C - Medical Payments | Minor medical expenses regardless of fault |
Coverage A - Bodily Injury & Property Damage Liability
The core of CGL coverage:
Bodily Injury:
- Customer slip-and-fall on premises
- Injury from product sold
- Injury caused by business operations
Property Damage:
- Damage to customer property
- Damage caused by completed work
- Damage from business operations
Coverage Triggers
CGL policies use occurrence or claims-made triggers:
| Trigger | Coverage Applies When |
|---|---|
| Occurrence | Injury/damage occurs during policy period |
| Claims-Made | Claim made during policy period |
CGL Exclusions
Common CGL exclusions include:
| Exclusion | Explanation |
|---|---|
| Expected/Intended Injury | Intentional acts not covered |
| Workers' Compensation | Covered by WC policy |
| Auto Liability | Covered by auto policy |
| Professional Services | Requires E&O policy |
| Pollution | Requires environmental policy |
| Employment Practices | Requires EPLI |
CGL Limits Structure
| Limit Type | Description |
|---|---|
| Each Occurrence | Maximum per incident |
| General Aggregate | Maximum for all claims per policy period |
| Products-Completed Operations Aggregate | Separate aggregate for products/completed ops |
| Personal & Advertising Injury | Maximum for Coverage B claims |
| Medical Expense | Per person medical payment limit |
| Damage to Rented Premises | Fire damage to rented property |
North Dakota Workers' Compensation - Workforce Safety & Insurance (WSI)
The Monopolistic State Fund
North Dakota is one of only four states with a monopolistic (exclusive) state fund for workers' compensation:
| State | Fund Name |
|---|---|
| North Dakota | Workforce Safety & Insurance (WSI) |
| Ohio | Ohio Bureau of Workers' Compensation |
| Washington | Washington State Fund |
| Wyoming | Wyoming Workers' Compensation |
CRITICAL Exam Point: Private insurance companies CANNOT write workers' compensation insurance in North Dakota. All employers MUST obtain coverage through WSI.
What This Means for the Exam
- Know that WSI is the exclusive provider
- Private insurers cannot compete
- Employers have no choice of carrier
- This is a monopolistic state fund system
WSI Overview
| WSI Fact | Details |
|---|---|
| Full Name | Workforce Safety & Insurance |
| Type | Exclusive (monopolistic) state fund |
| Location | Bismarck, North Dakota |
| Website | workforcesafety.com |
| Phone | (800) 777-5033 |
Employer Requirements
All North Dakota employers must:
- Register with WSI - Before hiring first employee
- Pay Premiums - Based on payroll and classification
- Report Injuries - File First Report of Injury within required time
- Maintain Records - Keep payroll and injury records
Coverage Provided by WSI
| Benefit | Description |
|---|---|
| Medical Benefits | All reasonable medical treatment |
| Disability Benefits | Temporary Total (TTD), Temporary Partial (TPD), Permanent Partial (PPD), Permanent Total (PTD) |
| Death Benefits | Burial expenses + survivor benefits |
| Vocational Rehabilitation | Return-to-work assistance |
Who Must Be Covered
| Covered | Not Covered |
|---|---|
| All employees | Sole proprietors (optional) |
| Part-time workers | Partners (optional) |
| Seasonal workers | Corporate officers (may elect out) |
| Minors | Independent contractors |
Premium Calculation
WSI premiums are based on:
| Factor | Description |
|---|---|
| Payroll | Gross wages paid to employees |
| Classification Rate | Rate per $100 of payroll based on job type |
| Experience Modification | Adjustment based on employer's claims history |
Experience Rating
- New employers start at 1.0 (unity)
- Good claims experience = lower mod (<1.0)
- Poor claims experience = higher mod (>1.0)
- Based on 3-year claims history
Penalties for Non-Compliance
Employers who fail to obtain WSI coverage face:
| Penalty | Consequence |
|---|---|
| Fines | $250 per day without coverage |
| Back Premiums | Must pay premiums plus penalties |
| Personal Liability | Employer personally liable for injuries |
| Criminal Charges | Possible misdemeanor charges |
Exclusive Remedy Rule
What Exclusive Remedy Means
When an employer has WSI coverage:
- Employees cannot sue employer for work injuries
- WSI benefits are the exclusive remedy
- Protects employers from lawsuits
- Employees receive guaranteed benefits
Exceptions to Exclusive Remedy
Employees MAY be able to sue if:
- Employer intentionally caused injury
- Third party caused injury (can sue third party)
- Employer failed to maintain coverage
- Injury from co-employee's gross negligence
Professional Liability Insurance
Errors & Omissions (E&O) Coverage
Professional liability insurance protects against claims of:
| Claim Type | Examples |
|---|---|
| Negligence | Failure to use reasonable care |
| Errors | Mistakes in professional services |
| Omissions | Failure to perform required services |
| Misrepresentation | Incorrect advice or information |
Who Needs E&O Insurance
| Professional | E&O Needs |
|---|---|
| Insurance Producers | Highly recommended/often required |
| Real Estate Agents | Required by many brokerages |
| Accountants | Professional malpractice coverage |
| Attorneys | Legal malpractice coverage |
| Consultants | Professional errors coverage |
E&O Policy Features
| Feature | Description |
|---|---|
| Claims-Made | Typically claims-made coverage |
| Retroactive Date | No coverage for claims before this date |
| Extended Reporting Period (Tail) | Option to report claims after policy ends |
| Defense Costs | Often inside limits (reduces available limits) |
Exam Tip: Insurance producers in North Dakota should carry E&O coverage to protect against claims of professional negligence. While not always required, it is considered a best practice.
Umbrella and Excess Liability
Umbrella Liability
Umbrella policies provide:
| Feature | Description |
|---|---|
| Excess Limits | Additional limits above underlying policies |
| Broader Coverage | May cover claims excluded by underlying |
| Drop-Down | May pay when underlying is exhausted |
| Self-Insured Retention | Deductible for claims not covered by underlying |
Underlying Requirements
Umbrella policies require minimum underlying limits:
| Underlying Policy | Typical Minimum |
|---|---|
| CGL | $1,000,000 per occurrence |
| Auto Liability | $500,000 CSL |
| Employers Liability | $500,000 |
Why Businesses Need Umbrella Coverage
- Large lawsuits can exceed primary limits
- Protects business assets from judgment
- Relatively inexpensive for large limits
- Provides peace of mind
Exam Tip: Remember that North Dakota uses WSI for workers' compensation - a monopolistic state fund where private insurers CANNOT write coverage. This is unique and will be tested.
Which organization provides workers' compensation insurance in North Dakota?
What type of state fund does North Dakota have for workers' compensation?
Which coverage part of a CGL policy covers libel, slander, and false advertising claims?