Do you understand the waiver of subrogation provision contained in agreements used in the insurance industry, why it is there, and how it helps you manage the risk of your business?
The first question we need to tackle before going forward with why a waiver of subrogation is so important is to understand what waiver of subrogation even means.
In very simple terms - A waiver of subrogation is the waiver of the right to subrogate. In more elaborate terms it refers to one party stepping into the shoes of a second party and assuming the latter’s rights and responsibilities. It essentially allows one party to take the place of another and act on its behalf and is extremely common in the insurance industry.
The easiest and most common example to explain subrogation is that of car insurance. Let’s say you get into an accident where you are rear-ended, and it’s not your fault. Typically, in such an instance, you will claim against your insurance carrier, and the whole thing will be handled by them…for you.
As a part of the relationship between you and the insurance company, your insurance company will have the right to go after the other party in the accident to recover the cost of the claim they paid out to you. So, when your insurance company goes after the other party that caused the accident, they are assuming your rights and responsibilities to do so.
Using the car insurance example above. If there was a valid waiver of subrogation in place, then the insurance company could NOT have stepped into the shoes of their policyholder to recover the claim they payout (by going after the other party).
In other words, if a waiver of subrogation was in place, then your insurer would be forced to simply pay your claim. They would not be able to go after the other party that caused the accident.
If you are working on a construction site and God forbid an accident occurs, then a waiver of subrogation could be your saving grace. The best way to explain this is through the following example:
Let’s say Jim is a subcontractor working on a construction site. One of Jim’s employees accidentally causes some property damage during the project. Here, the general contractor’s general liability insurance will cover the damage caused by Jim. So, the owner makes a claim against the general contractor’s policy. The general contractor’s insurance company pays the claim, and all things are good again.
If subrogation were allowed, the general contractor’s insurance company could go after the subcontractor (and/or their insurance company) to attempt to recover the money they had to pay out in the owner’s claim. However, if a waiver of subrogation is present, the general contractor’s insurance company will pay the claim and won’t be able to act as if they were the general contractor (and go after the subcontractor).
Think about that for a second. If an insurance company comes after a subcontractor for damaging the property, that could be huge! A simple accident could put the subcontractor’s entire business in danger! However, if a simple waiver of subrogation clause is present in the construction contract, that nightmare could be avoided and the subcontractor could safeguard his business from collapsing.
Today, waiver of subrogation clauses are pretty common. That is because, unlike a lot of other risk-shifting provisions, the parties who sign the contract aren't directly affected by a waiver of subrogation clause. The rights being waived are not the individual company's rights — they're the rights of the insurance companies. Because of this, there typically aren't too many negotiations over waiver of subrogation clauses during the contract negotiations.
On the flip side, some insurers won’t allow for a waiver of subrogation to be present for their construction industry clients. If the clause is present but disallowed by the policy, it won’t be effective to waive subrogation rights.
The bottom line is that generally, insurance policies do not restrict coverage if the insured has signed a waiver of subrogation. It increases the insurer’s risk by prohibiting the recovery of money paid to or on behalf of the insured. Therefore, the insurance companies frequently charge an additional fee on top of the premium.
But at the end of the day, the extra fee is worth not dealing with the aggravation that could result in you becoming engaged in the complexities of lawsuits and insurance claims.
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