Key Takeaways
- Commercial General Liability (CGL) provides coverage for bodily injury and property damage claims against businesses
- Vermont requires workers' compensation insurance for employers with 1 or more employees
- Workers' comp is no-fault coverage providing medical benefits and lost wages without proving employer negligence
- Vermont has an assigned risk pool for employers unable to obtain coverage in standard market
- Professional liability (E&O) covers claims arising from professional services and advice
Vermont Liability & Workers' Compensation Insurance
Commercial General Liability (CGL)
Commercial General Liability insurance protects businesses from third-party bodily injury and property damage claims:
CGL Coverage Components
| Coverage | Description | Typical Limits |
|---|---|---|
| Coverage A - Bodily Injury & Property Damage | Third-party injuries/damage from business operations | $1M per occurrence |
| Coverage B - Personal & Advertising Injury | Libel, slander, copyright infringement, false arrest | Included in general aggregate |
| Coverage C - Medical Payments | No-fault medical for non-employees injured on premises | $5,000-$10,000 per person |
| Supplementary Payments | Legal defense costs, bail bonds, investigation | In addition to limits |
Coverage A - Bodily Injury & Property Damage Liability
What's Covered:
- Customer slips and falls on business premises
- Damage caused by business operations to others' property
- Products liability (injury from defective product sold)
- Completed operations (injury from completed work)
What's NOT Covered:
- Pollution (needs separate pollution policy)
- Professional services (needs E&O insurance)
- Employee injuries (covered by workers' comp)
- Auto accidents (needs commercial auto insurance)
- Intentional acts
CGL Limits Structure
Per Occurrence Limit:
- Maximum paid for any single claim/occurrence
- Typical: $1,000,000 per occurrence
General Aggregate Limit:
- Maximum paid for all claims during policy period
- Typical: $2,000,000 aggregate
- Applies to all coverages except products/completed operations
Products-Completed Operations Aggregate:
- Separate aggregate for product liability and completed operations
- Typical: $2,000,000
Standard CGL Limits:
- $1,000,000 per occurrence
- $2,000,000 general aggregate
- $2,000,000 products-completed operations aggregate
- Written as: $1M/$2M/$2M
Exam Tip: General aggregate applies to ALL claims during policy year. Once aggregate is exhausted, no more coverage for that policy year (except products-completed operations which has separate aggregate).
Vermont Business Liability Exposures
Slip and Fall Claims:
- Ice and snow on walkways (very common in Vermont)
- Businesses must maintain safe premises in winter
- Failure to salt/sand can result in liability
Vermont Retail Exposures:
- Customer injuries in stores
- Product liability for defective merchandise
- Parking lot accidents
Vermont Service Business Exposures:
- Damage to customer property while providing service
- Injury to customers on premises
- Completed operations liability
Vermont Tourism/Hospitality:
- Guest injuries at hotels, inns, B&Bs
- Food service liability
- Liquor liability (if serving alcohol)
- Ski resorts and outdoor recreation (specialized coverage needed)
Professional Liability (E&O)
Errors & Omissions (E&O) insurance covers professional service providers:
Who Needs E&O Insurance
| Profession | Exposure | Coverage Need |
|---|---|---|
| Insurance Agents/Brokers | Failure to provide proper coverage | High |
| Accountants | Errors in tax prep or financial advice | High |
| Real Estate Agents | Disclosure failures, contract errors | High |
| Lawyers | Malpractice, missed deadlines | Very High |
| Architects/Engineers | Design errors, code violations | Very High |
| Technology Consultants | Software failures, data breaches | High |
| Financial Advisors | Investment advice errors | Very High |
E&O Coverage Features
What's Covered:
- Professional negligence claims
- Errors and omissions in professional services
- Failure to deliver promised services
- Breach of professional duty
- Legal defense costs
What's NOT Covered:
- Intentional wrongdoing or fraud
- Bodily injury or property damage (CGL covers this)
- Criminal acts
- Known claims (must be "claims-made" during policy period)
Claims-Made vs. Occurrence
Occurrence Form:
- Covers claims based on when incident occurred
- If incident happens during policy period, covered even if claim made years later
Claims-Made Form (most E&O policies):
- Covers claims made AND reported during policy period
- Must maintain continuous coverage
- Need "tail coverage" (Extended Reporting Period) if policy cancelled
Exam Tip: Most professional liability (E&O) policies are CLAIMS-MADE, meaning both the incident and the claim must occur while policy is in force. CGL policies are typically OCCURRENCE-based.
Vermont Workers' Compensation
Vermont requires workers' compensation insurance for nearly all employers:
Who Must Carry Workers' Comp
| Employer Type | Requirement |
|---|---|
| Private Employers | Required if 1 or more employees |
| Sole Proprietors | Optional (can elect coverage) |
| Partners | Optional (can elect coverage) |
| Corporate Officers | May elect to be excluded |
| Family Members | May be excluded in family businesses |
| Farm Employees | Required if regular employees |
Workers' Comp Benefits
Vermont workers' compensation provides no-fault benefits:
Medical Benefits:
- All necessary medical treatment
- No dollar limit
- No deductible or copay
- Covers doctor visits, hospital, surgery, rehabilitation, prescriptions
Temporary Disability Benefits:
- Temporary Total Disability (TTD): Cannot work at all
- Temporary Partial Disability (TPD): Can work but at reduced capacity
- Pays percentage of average weekly wage
- Waiting period: 3 days (retroactive if disability lasts 2+ weeks)
Permanent Disability Benefits:
- Permanent Total Disability: Cannot return to any work
- Permanent Partial Disability: Permanent impairment but can work
- Based on impairment rating and wage loss
- Scheduled benefits for specific body part losses
Death Benefits:
- Paid to surviving dependents
- Covers funeral expenses (up to $10,000)
- Weekly benefits to spouse and children
- Based on employee's average weekly wage
Vermont Workers' Comp Premiums
Premiums based on:
| Factor | Description |
|---|---|
| Classification Code | Type of work (construction higher than office) |
| Payroll | Total employee payroll |
| Experience Modification | Company's claims history compared to industry average |
| Claims History | More claims = higher premiums |
Experience Modification Factor (Mod):
- 1.00 = Average claims for industry
- <1.00 = Better than average (premium credit)
-
1.00 = Worse than average (premium surcharge)
- Example: 1.25 mod = 25% premium surcharge
Vermont Workers' Comp No-Fault System
Employee Rights:
- Medical treatment for work injuries
- Wage replacement benefits
- No need to prove employer negligence
- Protected from retaliation
Employer Protections:
- Exclusive Remedy: Workers' comp is employee's sole remedy (generally can't sue employer)
- Predictable costs
- Protection from unlimited liability
- No punitive damages
Exceptions to Exclusive Remedy:
- Intentional employer acts
- Injuries outside employment
- Third-party liability (can still sue third parties)
Vermont Workers' Comp Assigned Risk
If employer cannot get coverage in standard market:
Vermont Workers' Compensation Assigned Risk Pool:
- Insurer of last resort
- Employers with poor claims history
- New businesses without experience
- High-hazard industries
- Higher premiums than standard market
- Coverage provided by participating insurers on rotating basis
Vermont Liquor Liability
Businesses serving alcohol face dramshop liability:
Dramshop Laws
Vermont law allows third parties to sue establishments that:
- Serve alcohol to visibly intoxicated persons
- Serve alcohol to minors
- When intoxicated person causes injury to third party
Who's Liable:
- Bars and taverns
- Restaurants serving alcohol
- Hotels and inns
- Event venues
- Ski resorts
Liquor Liability Insurance:
- Covers claims arising from serving alcohol
- Not covered under standard CGL
- Requires separate liquor liability coverage or endorsement
- Vermont has strict dramshop law
Vermont Umbrella/Excess Liability
Umbrella liability provides additional limits above underlying policies:
How Umbrella Works
Provides:
- Additional limits above CGL, auto, employers' liability
- Broader coverage (may cover some things underlying policies exclude)
- Drop-down coverage if underlying aggregate exhausted
Typical Structure:
- $1,000,000 to $10,000,000+ umbrella limit
- Sits above primary policies
- Requires minimum underlying limits (e.g., $1M CGL, $1M auto)
- Self-insured retention (SIR) for claims not covered by underlying
Vermont Business Considerations:
- Recommended for businesses with significant liability exposure
- Required by some contracts
- Relatively inexpensive for additional protection
Vermont Employment Practices Liability (EPL)
Employment Practices Liability Insurance covers employment-related claims:
What EPL Covers
Covered Claims:
- Wrongful termination
- Discrimination (age, gender, race, disability, etc.)
- Sexual harassment
- Retaliation
- Wage and hour violations
- Failure to promote
Not Covered by CGL:
- Employment claims not covered by standard CGL
- Separate EPL policy or endorsement needed
Vermont Considerations:
- Small Vermont businesses face employment claims
- Defense costs can exceed $50,000 even for meritless claims
- Recommended for businesses with 5+ employees
Summary
Vermont casualty insurance coverage needs:
Commercial General Liability:
- Covers third-party bodily injury and property damage
- $1M per occurrence / $2M aggregate typical minimums
- Critical for slip-and-fall claims in Vermont winters
Workers' Compensation:
- Mandatory for employers with 1+ employees
- No-fault coverage for workplace injuries
- Premiums based on payroll, classification, experience mod
Professional Liability (E&O):
- Covers professional service errors and omissions
- Claims-made coverage typical
- Needed by agents, accountants, consultants, etc.
Additional Coverages:
- Liquor liability for alcohol-serving establishments
- Umbrella/excess for additional limits
- Employment practices liability for employment claims
Vermont businesses must carefully assess their liability exposures and obtain appropriate coverage to protect against claims.
Who must carry workers' compensation insurance in Vermont?
What is the "exclusive remedy" provision in Vermont workers' compensation law?
What type of policy form is typical for professional liability (E&O) insurance?