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Senior Living Liability

Question

How does a named storm deductible work for a senior living facility?

Short answer

It is calculated as a percentage of the insured value of the affected location rather than as a flat dollar amount, which on a facility insured for $20M to $30M produces a seven-figure retention that has to be funded immediately after an event that has also just disrupted your census.

The arithmetic operators underestimate

A flat deductible is a number you can hold in your head. A percentage deductible is not, because it moves with insured value and insured values have moved substantially with construction cost inflation.

Work it out explicitly for each location: take the total insured value, apply the named storm percentage, and write down the dollar figure. Then ask whether that figure is fundable from cash on hand within days. For many operators the honest answer is uncomfortable, and it is much better discovered on a spreadsheet than after a storm.

Per location or per occurrence

This is the term that separates a manageable exposure from a portfolio-level one. A deductible that applies per location means a storm affecting four buildings triggers four deductibles. One that applies per occurrence means a single retention for the event.

For a multi-building operator in a coastal state the difference can be several million dollars on a single event. It is worth knowing which you have before hurricane season rather than during it, and it is negotiable in some markets.

The cost that arrives before the damage

Senior care has an exposure that most property occupancies do not: evacuating a frail, partly non-ambulatory resident population is expensive, slow, and frequently ordered before any physical damage occurs.

If the policy requires direct physical loss to trigger, a precautionary evacuation ordered by a governmental authority can produce very large uninsured expense with no covered damage at all. Civil authority and ingress and egress extensions, and any specific evacuation expense grant, are where that is either addressed or not. Read them before the season, not after.

What is and is not negotiable

The existence of a percentage wind deductible in an exposed state is generally not negotiable; it is how the market prices catastrophe risk and it sits upstream of any individual placement.

What is negotiable, at least sometimes: the percentage itself, whether it applies per location or per occurrence, a dollar cap on the deductible, and the breadth of the evacuation and civil authority extensions. Those are the conversations worth having, and they are more productive than arguing about whether the deductible should exist.

The funding plan

Treat the named storm deductible as a financing question rather than an insurance one. It is a known, quantifiable obligation that becomes due at a moment when revenue is disrupted, which is the textbook case for a committed facility rather than for cash reserves alone.

Operators who have this conversation with their lender in advance are in a materially better position than operators who have it in the week after landfall, when everyone in the region is having it at once.

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

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