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Senior Living Liability

TL;DR

  • The per occurrence limit caps any one claim. The annual aggregate caps everything in the year. For a single-building operator the basis is academic; for anyone else it decides whether the buildings are insured together or separately.
  • It matters more in senior care than in most classes because claim frequency here is usually driven by facility-level causes, principally staffing, so one building genuinely can produce several claims from one root cause in one year.

Comparison

Shared aggregate versus Per location aggregate

Is a per location aggregate worth the extra premium?

Whose decision: Any operator with more than one building, and anyone about to open or acquire a second.

Last updated

Side by side

FactorShared aggregatePer location aggregate
How the aggregate appliesOne ceiling across the whole portfolioA separate ceiling for each location
Effect of a bad year at one buildingCan exhaust the limits protecting all the othersContained to that building
Endorsement neededNone; this is the defaultDesignated location general aggregate endorsement
Typical lease and lender requirementRarely acceptedCommonly required
PremiumLowerHigher; the insurer total exposure increases
Relevance on a single campusSame as per location, since the campus is one locationNo benefit on a single campus

The recommendation

Buy per location once you have two buildings, and check whether you are already obliged to

Decide it from your own claim frequency by building over five years rather than from the premium difference. If any single building has ever produced enough claims in one year to make a real dent in the aggregate, the shared structure is exposing every other building to that building performance.

Before deciding, read your lease and loan documents. Landlords frequently require a per location aggregate so that claims at a building they do not own cannot strip the coverage protecting the one they do. If your lease says per location and your policy carries a shared aggregate, you have been in breach since the term began.

One caveat: on a single multi-level campus, the endorsement does nothing, because the campus is one location. There the answer is to size the aggregate against total campus frequency across all levels of care.

Follow-up questions

Shared aggregate versus Per location aggregate: what people ask next

How do I tell which basis I have?

Not from the declarations page, which usually shows one aggregate figure. Look in the endorsement schedule for a designated location general aggregate endorsement, and check that its schedule of locations matches your current building list.

We acquired a building mid-term. Are we covered?

Check the endorsement schedule specifically. An operator who acquires a building mid-term frequently ends up with an endorsement listing the original locations and silently omitting the new one.

Go deeper

Free coverage review

The general answer is above. Yours is in your policy.

Send the declarations page and a specialist returns an item-by-item read within one business day.