Are auto insurance claims-made or occurrences?

Asked by: Domenico Heidenreich  |  Last update: May 27, 2025
Score: 4.1/5 (57 votes)

Virtually all homeowner's coverages and automobile coverages are “occurrence policies.” With this type of coverage, the occurrence (negligent act and accident) must occur within the policy coverage period or term of the policy.

Are auto policies claims made or occurrences?

Occurrence-based and claims-made policies are often found in specific types of insurance coverage. For example, your general liability, commercial auto, and umbrella liability insurance will be occurrence-based.

What is the difference between occurrence and claims made?

A claims-made policy only covers those that occur and are reported within the policy's timeframe, unless tail coverage is also purchased. An occurrence policy provides lifetime coverage for incidents that take place during a policy period, regardless of when the claim is reported.

Can you switch from occurrence to claims made?

Claims-Made policies provide coverage for 'claims' only when BOTH the alleged incident AND the resulting 'claim' happen during the period the policy is in force! Switching from an "Occurrence" to a "Claims Made" form is the least perilous change.

What is the difference between accident and occurrence in insurance?

The term "occurrence" encompasses more than just an accident because accident is narrower in scope than occurrence. This can be seen in those cases decided before the occurrence wording was adopted. Accident, according to these cases, did not include coverage for damage occurring over time.

Occurrence VS Claims-Made Liability Policies

17 related questions found

What counts as an occurrence?

An occurrence is an unscheduled absence or late arrival (Not protected by FMLA, WC, etc.). For example, arriving 30 minutes late would count as an occurrence and calling in to use sick leave, vacation, or comp time for a day would be an occurrence.

What is the first thing an insurer must investigate before taking on a claim?

Insurance companies must search for and consider evidence that supports coverage for the claim. Thus, insurance companies cannot close their eyes to evidence that supports coverage and focus solely on the evidence that denies coverage. Too narrow a focus of investigation?

Do I want claims-made or occurrence malpractice?

From a pricing viewpoint, occurrence policies are more expensive than comparable claims-made policies because they provide coverage for incidents that occurred during the policy year regardless of when the claim is reported. And the occurrence policy provides a separate limit for each year protection is purchased.

Can you make the same insurance claim twice?

On the other hand, there are times when trying to file multiple claims on the same accident would be considered “double dipping” or insurance fraud – and this is illegal. You cannot file redundant claims with more than one insurance company in an attempt to get paid twice for the same damages.

What is the occurrence limit for insurance?

An occurrence limit is the max an insurance company will cover per claim. The aggregate limit is the total claim costs an insurer will cover during a policy period, which is typically one year.

What is an example of an occurrence in insurance?

Any accident or incident that can harm a person or their property may count as an occurrence. If a third party trips over a toolbox left sitting at your building site and injures themself, that's an occurrence. However, if the damage or injury is caused on purpose, your liability insurance won't cover you.

Do all claims made policies have a retroactive date?

A retroactive date is a provision found in many (although not all) claims-made policies that eliminates coverage for claims produced by wrongful acts that took place prior to a specified date, even if the claim is first made during the policy period.

Do you need tail coverage for claims made policy?

Tail coverage only applies to a claims-made policy. It extends the amount of time a claim can be brought against you and reported. Because it doesn't matter when a claim gets filed with occurrence insurance, as long as the loss occurred during your policy period, tail coverage isn't necessary.

What is the difference between occurrence claims and claims-made?

A claims-made policy only covers incidents that happen and are reported within the policy's timeframe, unless a "tail" is purchased. An occurrence policy has lifetime coverage for the incidents that occur during a policy period, regardless of when the claim is reported.

Do insurance companies see all claims on a vehicle?

In regards to your insurance claims, though, insurance companies can see a CLUE report (Comprehensive Loss Underwriting Exchange) that tracks seven years of claims information, such as the type of claim and the payout that was made.

What does 3 million aggregate mean?

If you have per-claim insurance, the aggregate limit will never reset. If you choose a $3 million aggregate limit when you purchase your insurance, that is your limit for the duration of the policy. As soon as you hit your aggregate limit, you're no longer covered until you increase the limit.

How many claims before auto insurance drops you?

Every insurance company sets its own benchmark for triggering a cancellation, but it is more likely that you'll face cancellation or non-renewal if you've made three or more claims within a three-year period. Most cancellations occur within the first 60 days of a policy, usually due to non-compliance.

What is insurance double dipping?

Insurance claim double dipping involves collecting benefits from two or more insurance companies for the same loss. In this scam, fraudsters make identical claims for the same incident at multiple insurance companies to increase their payout.

Will State Farm drop me for too many claims?

Yes, your car insurance company can drop you if you file too many claims. Most often, an insurer will send a nonrenewal letter prior to your next renewal period, advising that your insurance will be terminated at the end of the policy period.

What is the most common stated cause for the filing of a malpractice lawsuit?

Diagnosis is the foundation of medicine and patient care, which is also the likely reason errors in diagnosis are the most common type of medical error leading to medical malpractice lawsuits. According to Healthline, more than 12 million people suffer from misdiagnosis of some type across the United States each year.

What does ERP mean in insurance?

An extended reporting period ( ERP ) is a feature you can add to your claims-made professional liability insurance policy. It allows you to report claims even after your policy expires. This policy endorsement is also known as tail coverage.

How much is tail coverage malpractice?

Tail coverage for malpractice insurance typically costs around twice your final annual premium. This is because it protects you for a potentially long period after your policy ends. However, factors like your specialty and claims history can influence the price.

Do car insurance companies always investigate claims?

What Will the Insurance Company Do to Investigate the Claim? Each insurance company is a bit different. They ultimately have the right to request information to verify the accuracy of the claim, and in nearly all situations, they will do this for any significant claim.

How does an insurer determine the settlement amount after a claim?

Insurance companies consider various factors when calculating settlement offers, including:
  1. Liability. The first thing an insurer looks at is who was at fault for the accident. ...
  2. Policy Limits. ...
  3. Severity of Injuries. ...
  4. Medical Treatment. ...
  5. Lost Wages. ...
  6. Property Damage. ...
  7. Pain and Suffering. ...
  8. Other Damages.

What is a bad faith claim?

Looking for evidence that supports the insurance company's basis for denying a claim and ignoring evidence that supports the policyholder's basis for making a claim is considered bad faith. If an insurer fails to promptly reply to a policyholder's claim, that act of negligence, willful or not, is considered bad faith.