Insurance & Liabilitypitfall
Claims-made vs occurrence coverage: when must the policy be active?
One-line orientation
Claims-made coverage generally requires a timely claim and a professional act on or after the policy’s retroactive date. Occurrence coverage looks to whether the covered event happened during the policy period.
Key points
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Claims-made (E&O / Professional Liability):
- The claim must be made or reported while coverage is active, as the policy requires. The professional act must also fall on or after the retroactive date unless full prior-acts coverage applies.
- Most architectural firms carry claims-made E&O because this is the standard market form for professional liability.
- Gap risk at retirement: If the policy lapses, any claims filed afterward are uninsured even if the work was done while insured.
- Solution: tail coverage (also called extended-reporting coverage) — purchased at or before retirement; extends the reporting window for claims arising from past work.
- Gap risk when switching carriers: The new carrier’s policy covers claims filed after the switch, but by default may not cover errors that occurred before the switch date.
- Solution: prior-acts coverage — negotiated with the new carrier; picks up pre-switch acts.
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Occurrence-based (CGL / Commercial General Liability):
- The policy must be in force when the event (incident) occurs.
- The claim can be filed years after the policy expires — as long as the injury or damage happened during the policy period, coverage applies.
- No equivalent “tail” problem: once an event occurs during the policy period, it is covered.
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Policy timing summary: The core question is always: “When must the policy be active to trigger coverage?”
- Claims-made → claim made or reported as the policy requires, and act on or after the retroactive date.
- Occurrence → active when the event happens.
Confusions / comparison
| Claims-made | Occurrence | |
|---|---|---|
| Coverage trigger | Timely claim + act within the covered prior-acts period | Policy active when event occurs |
| Typical use | Professional Liability (E&O) | Commercial General Liability (CGL) |
| Gap at retirement | Yes — must buy tail/extended-reporting coverage | No equivalent gap |
| Gap when switching carriers | Yes — must secure prior-acts coverage from new carrier | No equivalent gap |
| Late-filed claims | Not covered if policy lapsed | Covered if event was during policy period |
| Exam trap | ”When was the error made?” is the wrong question — ask when was the claim filed | ”When was the claim filed?” is the wrong question — ask when did the event occur |
Claims-made vs occurrence: which date must the policy cover?
Same scenario, opposite result: claims-made keys to the claim date, occurrence keys to the event date.
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Claims-made: a lapse before the claim is a coverage gap — buy tail coverage. Occurrence: covered once the event occurred.
Related
→ pp-insurance-types — the full portfolio including which types use which trigger
→ pp-standard-of-care — what E&O covers and what language makes a claim uninsurable
→ pp-certificate-additional-insured-subrogation — proof of coverage instruments
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