Change of Ownership
What this clause says
Where there is a change of ownership, the existing provider agreement is automatically assigned to the new owner, subject to all applicable statutes, regulations, and to the terms and conditions under which it was originally issued, including any existing plan of correction and any sanctions in effect.
What this actually means
On a change of ownership in a certified facility, the provider agreement is generally assigned to the buyer along with its history, including open plans of correction and any sanctions in effect, unless the buyer elects otherwise and accepts the consequences of that election.
What it means for an operator
This is why the clean-asset-purchase intuition is weaker in licensed care than elsewhere. The compliance history travels with the building, plaintiffs will name the current operator for pre-closing conduct regardless of the deal structure, and states apply successor liability doctrines to health care operations. Plan the insurance around that. Settle in the purchase agreement whether the seller buys a tail or your program grants prior acts back before the seller owned it, with the cost allocated. Get five years of loss runs by claim rather than summarized, open claim detail with reserves, the full survey history, and the incident log, because open incidents that have not yet become claims are the exposure diligence most often misses. Then notice every known incident to your carrier as a circumstance in the first thirty days.
Why the Policy Checker does not score this
This term is worth understanding and cannot be checked from a declarations page. There is no single field that would answer it, and scoring it from an assumption would produce a confident wrong finding, which is the one thing a tool like this must never do. It is defined here and left out of the check.
See this in your policy
Check this term against your own program.
Run the Policy CheckerRelated clauses
Common questions about this clause
- What happens to our insurance when we acquire a senior living building?
- What happens to insurance at a senior care change of ownership?
- What documents should we send with our submission?
- What happens if the retroactive date on my nursing home policy is wrong?
- What is loss development and why do underwriters care about it more than my loss totals?