15.2 Commercial Umbrella and Excess Liability
Key Takeaways
- A commercial umbrella does three things: it sits excess over scheduled underlying policies (CGL, business auto, employers liability), it drops down when underlying aggregates are exhausted, and it provides broader 'true umbrella' coverage for some claims the underlying policies do not cover
- True umbrella coverage for a gap claim is subject to the Self-Insured Retention (SIR) — typically $10,000 to $25,000 — which the insured pays before the umbrella responds, distinct from a deductible
- Insurers require minimum underlying limits, commonly $1,000,000 per-occurrence CGL, $1,000,000 combined single limit auto, and $1,000,000 employers liability, before the umbrella attaches
- An excess liability policy follows form and only adds limits above the underlying; it does NOT broaden coverage or drop down for gap claims the way a true umbrella does
- When underlying coverage is exhausted by other losses, the umbrella 'drops down' to pay from the first dollar (above the SIR) for covered claims, providing both vertical and horizontal protection
The Three Jobs of a Commercial Umbrella
A commercial umbrella policy is not simply "more insurance." The exam tests its three distinct functions, and confusing them is the most common error.
Quick Answer: A true umbrella (1) adds limits above underlying policies, (2) drops down when underlying aggregates exhaust, and (3) covers some claims the underlying policies exclude — subject to a Self-Insured Retention.
| Function | What Happens | Trigger |
|---|---|---|
| Excess limits | Pays above the underlying per-occurrence limit | Underlying limit is reached on a covered claim |
| Drop-down | Pays from first dollar (above SIR) when the underlying aggregate is used up | Underlying aggregate exhausted by other losses |
| Broader coverage | Covers a claim the underlying excludes but the umbrella does not | Gap claim; insured first pays the SIR |
Underlying Policies and Minimum Limits
An umbrella sits on a schedule of underlying insurance. Insurers require minimum underlying limits before the umbrella will attach — typically:
| Underlying Coverage | Common Minimum Required |
|---|---|
| Commercial General Liability | $1,000,000 per occurrence / $2,000,000 aggregate |
| Business Auto (CSL) | $1,000,000 combined single limit |
| Employers Liability (WC Part Two) | $1,000,000 (often $500,000 in some states) |
If the insured lets underlying coverage lapse or carries less than required, the umbrella treats the missing layer as self-insured — the insured fills the gap, not the umbrella.
Self-Insured Retention (SIR) vs. Deductible
When the umbrella provides broader (true umbrella) coverage for a claim the underlying policy does not cover at all, the insured must first satisfy the Self-Insured Retention — commonly $10,000 to $25,000. The SIR is not a deductible:
- A deductible is subtracted from the insurer's payment within a policy that is already responding.
- An SIR is an amount the insured pays before the umbrella's duty to pay and (often) duty to defend begins, on a gap claim where no underlying insurance applies.
Umbrella vs. Excess Liability — The Key Distinction
Candidates routinely treat "umbrella" and "excess" as synonyms. They are not.
| Feature | True Umbrella | Excess (Follow-Form) |
|---|---|---|
| Adds limits above underlying | Yes | Yes |
| Drops down on aggregate exhaustion | Yes (above SIR) | Only if its terms say so |
| Broadens coverage for gap claims | Yes | No — follows underlying terms exactly |
| Self-Insured Retention | Yes, for gap claims | Usually none |
A follow-form excess policy simply stacks more limit on top of the underlying using the same terms and exclusions. If the underlying excludes liquor liability, so does the follow-form excess. A true umbrella may cover that liquor claim (subject to the SIR).
Worked Example — Excess Limits
A contractor has a $1,000,000 per-occurrence CGL and a $5,000,000 umbrella. A covered bodily-injury judgment is $3,500,000.
- CGL pays its $1,000,000 limit.
- The umbrella pays the excess: $3,500,000 − $1,000,000 = $2,500,000.
- Total paid: $3,500,000; umbrella limit remaining: $5,000,000 − $2,500,000 = $2,500,000.
Worked Example — Drop-Down
The same CGL has a $2,000,000 aggregate. Earlier claims this year already consumed the full $2,000,000 aggregate. A new covered claim of $400,000 arises, and the SIR is $10,000.
- The CGL aggregate is exhausted — it pays nothing.
- The umbrella drops down: the insured pays the $10,000 SIR, and the umbrella pays the remaining $390,000.
Worked Example — Broader Coverage (Gap Claim)
A covered claim of $250,000 falls under a peril the CGL excludes but the umbrella covers. SIR is $25,000.
- No underlying insurance applies, so the insured pays the $25,000 SIR.
- The umbrella pays the remaining $225,000.
Common Exam Traps
- Umbrella vs. excess: only a true umbrella broadens coverage and drops down for gap claims; follow-form excess never broadens.
- SIR is not a deductible — it is paid before the umbrella responds on a gap claim.
- Failure to maintain underlying limits makes the insured a self-insurer for the missing layer; the umbrella does not silently fill it.
- Drop-down is triggered by aggregate exhaustion, not by a single large loss exceeding the per-occurrence limit.
How the Umbrella Sits Above Primary Coverage
A commercial umbrella does three jobs, which the exam tests as a set:
- Excess — provides additional limits above scheduled underlying policies (CGL, auto, employers liability) once those are exhausted.
- Drop-down (broader) coverage — for some losses covered by the umbrella but not the underlying policy, the umbrella drops down to pay after a self-insured retention (SIR) — typically $10,000 — acts like a deductible.
- Replenishes the aggregate when underlying aggregates erode.
The insured must maintain the scheduled underlying limits; if it fails to, the umbrella pays only as if those limits were in force, leaving the insured to absorb the gap. Trap: the SIR applies only where the umbrella is broader than the underlying, not where it is merely excess.
Umbrella vs. Excess, with a Worked Layering Example
An excess policy simply adds limits on top of an underlying policy following the same terms (follow form). An umbrella both adds limits and broadens coverage (drop-down with SIR).
Worked example: a business has a CGL with a $1,000,000 each-occurrence limit and a $5,000,000 commercial umbrella over it. A liability judgment is $4,000,000. The CGL pays its $1,000,000 limit; the umbrella pays the next $3,000,000 as excess. If instead the loss were a type covered by the umbrella but excluded by the CGL (say, certain personal-injury offenses the CGL omitted), the umbrella would drop down, the insured would pay the $10,000 SIR, and the umbrella would pay the rest up to $5,000,000. Trap: the umbrella never lowers the insured's duty to keep required underlying limits in place.
A business carries a $1,000,000 per-occurrence CGL with a $2,000,000 aggregate and a $5,000,000 commercial umbrella with a $10,000 self-insured retention. The CGL aggregate has already been fully exhausted by earlier claims when a new covered $400,000 claim arises. How does coverage respond?
What is the principal difference between a true commercial umbrella and a follow-form excess liability policy?