Skip to content
Senior Living Liability

Question

Does a senior living operator need fiduciary liability coverage?

Short answer

Yes if you sponsor a retirement plan, because plan fiduciaries are personally liable for breaches of duty under federal law, the required ERISA bond protects the plan against dishonesty rather than protecting the fiduciary against a claim, and the exposure sits in a gap between the employment practices and directors and officers policies.

Who is a fiduciary, and it is more people than you think

Fiduciary status attaches to function rather than title. Anyone exercising discretionary authority over plan administration or plan assets is a fiduciary, which usually captures the owner, the chief financial officer, the human resources director and every member of an investment or benefits committee, whether or not anyone told them so.

Liability is personal and it can extend to personal assets. It is also joint, so a committee member who did not attend the meeting where the decision was made is exposed to the decision.

What the exposure looks like in practice

Excessive fee claims, alleging the plan paid more for recordkeeping or investment management than a prudent fiduciary would have. Imprudent investment selection and failure to monitor. Failure to remit employee contributions promptly, which is the most common enforcement finding and a particular risk in an industry with tight cash cycles.

Health plan claims, including eligibility disputes and, increasingly, claims about the prudence of health plan pricing decisions. And plain administrative error, which is more common than fraud and produces the majority of the actual claims.

Why the bond is not the coverage

Federal law requires a fidelity bond covering persons who handle plan funds. That bond protects the plan against theft. It does not defend a fiduciary accused of imprudence, and it does not pay a judgment for breach of duty.

Fiduciary liability coverage is the product that defends and indemnifies the fiduciary. Confirm it covers settlor functions where possible, covers voluntary correction program costs, and covers the health and welfare plans rather than only the retirement plan.

What reduces the exposure regardless of coverage

A written investment policy statement. A benefits committee with a charter, scheduled meetings and minutes that record the basis for decisions. A documented periodic benchmarking of recordkeeping and investment fees. Prompt remittance of employee deferrals with a monitored timeline.

Those four together are close to the whole prudence defense, and they are also what a fiduciary liability underwriter will ask for. The process is the defense, and the absence of minutes is the case.

Primary sources

Sources and references

This answer draws on the following regulatory, statutory, and standards-body sources. Coverage availability and program structure also depend on market appetite and underwriter discretion not captured by these sources.

Related practice areas

Insurance clauses in this area

Related questions

Have a more specific question?

A specialist will reach out by the end of the day.

Request a free coverage review

Last updated

Free coverage review

A specialist will reach out by the end of the day.

No marketing sequences, no list rental.