What is an Occurrence Policy? A Comprehensive Legal Overview

Definition & meaning

An occurrence policy is a type of professional liability insurance that provides coverage for claims related to alleged malpractice or negligence that happen during the policy period. This means that if an incident occurs while the policy is active, the policyholder is protected, even if the claim is made years later. For example, if a healthcare provider treats a patient while insured and the patient later files a lawsuit for an incident that occurred during that coverage, the provider is still protected by the policy, regardless of whether they have insurance at the time of the lawsuit.

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Real-world examples

Here are a couple of examples of abatement:

(Hypothetical example) A dentist purchases an occurrence policy in 2010 and treats a patient in 2012. The dentist cancels the policy in 2015. In 2020, the patient files a lawsuit claiming malpractice from the 2012 treatment. The dentist is covered under the occurrence policy because the incident occurred while the policy was in effect.

State-by-state differences

Examples of state differences (not exhaustive):

State Occurrence Policy Regulations
California Occurrence policies are commonly used and generally accepted in professional liability.
Texas Occurrence policies are available, but many professionals opt for claims-made policies due to cost.
New York Occurrence policies are recognized, but the market is competitive with many claims-made options.

This is not a complete list. State laws vary, and users should consult local rules for specific guidance.

Comparison with related terms

Term Definition
Occurrence Policy Covers incidents occurring during the policy period, regardless of when claims are made.
Claims-Made Policy Covers claims made during the policy period, regardless of when the incident occurred.

What to do if this term applies to you

If you believe an occurrence policy applies to your situation, consider reviewing your insurance coverage to ensure it meets your needs. You can explore US Legal Forms for templates that can help you manage your insurance documents. If your situation is complex or involves a claim, consulting a legal professional is advisable.

Quick facts

  • Coverage period: During the active policy duration
  • Claim filing: Can be made years after the incident
  • Common users: Healthcare providers, attorneys, and other professionals

Key takeaways

FAQs

An occurrence policy is a type of insurance that covers claims for incidents that occur during the policy period, regardless of when the claim is filed.