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Senior Living Liability

TL;DR

  • An admitted carrier is licensed by the state, files its forms and rates, and is backed by the state guaranty fund. A surplus lines carrier is none of those things, and it exists to write risks the admitted market declines.
  • Senior care liability sits substantially in surplus lines. Understanding why changes how you read a quote that comes back non-admitted.

Comparison

Admitted carrier versus Surplus lines

Should I insist on an admitted carrier?

Whose decision: Operators whose lease or loan documents specify carrier requirements, and anyone comparing two structurally different quotes.

Last updated

Side by side

FactorAdmitted carrierSurplus lines
State licensingLicensed in the stateNot licensed in the state; eligible surplus lines insurer
Form and rate filingFiled and approvedNot filed; forms can be tailored
Guaranty fund protectionYesNo
Ability to negotiate termsLimited by the filed formSubstantial, which is how a full abuse limit or a punitive wrap becomes available
Taxes and feesIncluded in the premiumSurplus lines taxes and stamping fees added on top
Availability for senior careLimited, and more so in hard statesThe bulk of the market

The recommendation

Do not insist on admitted; do check what your contracts require

Insisting on an admitted carrier in this class will narrow your options considerably and will cost you the form flexibility that makes the terms worth having. The negotiability of abuse limits, punitive wraps and defense treatment is largely a surplus lines phenomenon, because an admitted filing would not permit the same variation.

What does deserve attention is the financial strength of the writing company, since there is no guaranty fund standing behind it, and whether any lease, loan or bond document requires an admitted carrier or a stated rating. Those requirements are frequently drafted for an ordinary commercial tenant and conflict directly with what this market will offer.

That conflict is far cheaper to discover before a document is signed than at the first renewal after, so raise it during lease or loan negotiation rather than treating it as an insurance problem later.

Follow-up questions

Admitted carrier versus Surplus lines: what people ask next

Is surplus lines coverage less secure?

It carries no guaranty fund backstop, so the financial strength of the writing company matters more than it would on an admitted placement. That is a reason to look at the rating and the balance sheet, not a reason to avoid the market that writes your class.

Why are there extra taxes on my premium?

Surplus lines placements carry state surplus lines taxes and, in many states, stamping office fees, which are added to the premium rather than included in it. Compare quotes on total cost rather than on the premium line alone.

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