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Sheet G-131
PcM PjM

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

  • 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.
  • 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.
  • 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-madeOccurrence
Coverage triggerTimely claim + act within the covered prior-acts periodPolicy active when event occurs
Typical useProfessional Liability (E&O)Commercial General Liability (CGL)
Gap at retirementYes — must buy tail/extended-reporting coverageNo equivalent gap
Gap when switching carriersYes — must secure prior-acts coverage from new carrierNo equivalent gap
Late-filed claimsNot covered if policy lapsedCovered 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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Scroll horizontally to explore

Claims-made versus occurrence coverage compared on two timelines Two panels compare policy triggers. In the claims-made E&O panel, the claim must be timely and the professional act must fall on or after the policy's retroactive date. A dashed prior-acts arrow reaches back only to the negotiated retroactive date, not automatically to every earlier act. In the occurrence CGL panel, coverage turns on whether the covered event happened during the policy period even if the claim arrives later. The warning band explains that claims-made coverage may need tail coverage after a lapse. Claims-made (E&O)pays only if the policy is active at the claim datepolicy in forceerror occurscarrier switchprior-acts coverage (new carrier)picks up errors before the switch datecoverage gapclaim filednot covered — policy lapsedOccurrence (CGL)pays if the policy was active at the event dateerror occursclaim filedcovered — event in policy

Claims-made: a lapse before the claim is a coverage gap — buy tail coverage. Occurrence: covered once the event occurred.

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