Has any Professional Liability (E&O) claim, complaint, or proceeding been made against you or any other applicant or predecessor organization proposed for this insurance?
Want a second set of eyes on your application?
We work only with RIAs. We'll go through your answers with you before you submit.
Why the carrier asks
This question evaluates the risk profile of the applicant by identifying past Professional Liability (E&O) claims, complaints, or proceedings. These events may indicate a potential for future issues or ongoing liabilities. Underwriters use this information to determine appropriate coverage terms and pricing.
Key terms
- What is a "Claim"? A claim is any written demand, whether in a formal lawsuit or not, for monetary or non-monetary relief resulting from your professional services. This includes any notice from a client that they intend to hold you responsible for an alleged error or omission.
- What is a "Complaint"? A complaint is a formal or informal expression of dissatisfaction from a client or third party regarding your professional services. Even if it doesn't demand money, it must be disclosed as it could develop into a future claim.
- What is a "Proceeding"? A proceeding refers to any formal legal action initiated against you, such as a lawsuit, arbitration, or a regulatory body's disciplinary action related to your professional services.
- What is a "Predecessor Organization"? This is any prior company or firm from which the current applicant firm was formed, merged, or acquired assets and liabilities. The claims history of these prior entities must also be disclosed.
How to answer
To answer this, you must disclose any past issues related to Professional Liability for your firm, any person applying for coverage, or any predecessor organizations. Think about it in three parts:
- Claims: Has anyone made a formal demand against you alleging a mistake or negligence in your professional services?
- Complaints: Has a client or other party filed a complaint about your services, either directly to you or through a regulatory body?
- Proceedings: Have you been involved in any lawsuits or other legal actions related to your professional work?
If the answer is "yes" to any of these, you must provide details for each incident. If you have had no such incidents, you can answer "No."
Common mistakes
- Mistake: Thinking a "claim" is only a formal lawsuit.
- A claim includes any written demand for compensation. A complaint can be a simple letter from a dissatisfied client. Both must be reported.
- Pitfall: Forgetting about past issues that were dismissed.
- You must disclose all claims, regardless of the outcome. A claim that was ultimately dismissed or settled without payment must still be listed.
- Mistake: Not including the history of predecessor firms.
- If your current firm was formed from a merger or acquisition, you must include the claims history for those prior entities.
- Pitfall: Hiding past issues for fear of a premium increase.
- Full transparency is critical. Non-disclosure can be considered misrepresentation and may give the insurer grounds to void the policy or deny a future claim.
Frequently asked questions
What information do I need to provide for a "yes" answer?
For each claim, complaint, or proceeding, you should provide:
- Who made it (e.g., a specific client, a regulator).
- The date the incident occurred and was reported.
- A brief but clear description of the allegations.
- The current status (e.g., open, closed, settled) and the final outcome, including any settlement amounts.
- Any financial losses or legal costs that were incurred.
Do I need to report a verbal complaint?
While the question focuses on written demands, it is a best practice to document and discuss any serious verbal complaint with your agent. If a verbal complaint was followed by any written correspondence, it must be disclosed.
What if I don't have all the details for an old claim from a predecessor firm?
Provide as much information as you can find in your records. Note any missing details and explain why they are unavailable. The month and year are most important.
This guide explains what application questions generally ask and how carriers tend to read the answers. It isn't legal advice or a coverage determination: your carrier's application and policy wording control. When you're unsure how to answer, ask your broker before you sign.
Working on your RIA E&O application right now?
We work only with RIAs. Send us your application before you submit it and we'll walk through the answers with you, so nothing comes back to bite you at claim time.
Book a call