Part II.<strong>Sexual</strong> <strong>Misconduct</strong> <strong>Coverage</strong> FormsIn recent years, the news of sexual misconduct cases has been overwhelm<strong>in</strong>g, particularly the crisis facedby the Catholic Church. These types of claims are <strong>in</strong>creas<strong>in</strong>gly be<strong>in</strong>g brought aga<strong>in</strong>st churches of alldenom<strong>in</strong>ations, social service providers <strong>in</strong> the bus<strong>in</strong>ess of residential <strong>and</strong> foster home placements, schools,camps <strong>and</strong> scout<strong>in</strong>g organizations. Along with the surge <strong>in</strong> claim activity <strong>and</strong> litigation, the need for<strong>in</strong>surance, claim costs <strong>and</strong> settlements have risen drastically.Historically, the need for sexual misconduct <strong>in</strong>surance coverage did not become apparent until the 1980s.At that time, <strong>in</strong>sureds sought coverage for these types of claims under occurrence-based general liability,professional liability, homeowners <strong>and</strong> umbrella policies. The benefits to <strong>in</strong>sureds of these types of coverageforms were also detriments because the <strong>in</strong>sur<strong>in</strong>g agreement was broad <strong>and</strong> there were few exclusions,however the potentially ambiguous terms gave rise to litigation. The greatest area of uncerta<strong>in</strong>ty concernedthe number <strong>and</strong> tim<strong>in</strong>g of occurrences when claims <strong>in</strong>volved multiple victims who were abused dur<strong>in</strong>gseveral policy periods.By the mid 1980s, <strong>in</strong>surers started endors<strong>in</strong>g sexual misconduct exclusions to their policies. Beg<strong>in</strong>n<strong>in</strong>g <strong>in</strong>the late 1980s <strong>and</strong> cont<strong>in</strong>u<strong>in</strong>g <strong>in</strong>to the 1990s, <strong>in</strong>surers began offer<strong>in</strong>g sexual misconduct coverage. Whilesome of this coverage is still written on an occurrence basis, most of the policy forms are written on aclaims-made basis. The policies tend to have specific provisions address<strong>in</strong>g the number <strong>and</strong> the tim<strong>in</strong>g ofclaims.Most sexual misconduct coverage forms provide coverage only to non-perpetrators, although some doprovide a defense (but not <strong>in</strong>demnity) to those accused of sexual misconduct unless <strong>and</strong> until convicted.<strong>Sexual</strong> misconduct coverage can be <strong>in</strong>cluded with<strong>in</strong> the policy’s general liability or professional liabilitycoverage <strong>in</strong>sur<strong>in</strong>g agreements or it can be excluded there <strong>and</strong> added back through an endorsement;<strong>in</strong>clud<strong>in</strong>g the coverage with<strong>in</strong> the general <strong>in</strong>sur<strong>in</strong>g agreements would typically mean that the other policyterms, conditions <strong>and</strong> exclusions would apply unless there are specific exceptions. Conversely, add<strong>in</strong>g thecoverage through an endorsement could result <strong>in</strong> specific limits <strong>and</strong> other terms <strong>and</strong> conditions that areadded to apply only to the misconduct coverage.A typical sexual misconduct coverage <strong>in</strong>sur<strong>in</strong>g agreement provides:“We will pay those sums that the <strong>in</strong>sured becomes legally obligated to pay as damages because of<strong>in</strong>jury aris<strong>in</strong>g out of an act of ‘sexual misconduct’ to which this <strong>in</strong>surance applies.”Another form of sexual misconduct coverage agrees to:“Pay those sums the <strong>in</strong>sured becomes legally obligated to pay because of “bodily <strong>in</strong>jury” aris<strong>in</strong>gout of:(1) The actual or threatened sexual abuse, molestation or harassment of any person by, or withthe consent or acquiescence of, any <strong>in</strong>sured, any employee of the <strong>in</strong>sured, or any person forwhose acts the <strong>in</strong>sured may be held legally liable; or– ii –
Part II.(2) The negligent:(a) Employment;(b) Investigation;(c) Supervision;(d) Report<strong>in</strong>g to the proper authorities or failure to report; or(e) RetentionOf any <strong>in</strong>sured, an employee of the <strong>in</strong>sured, or any other person for whose acts the<strong>in</strong>sured may be held liable for the actual or threatened sexual abuse, molestationor harassment of any person.The follow<strong>in</strong>g are types of conduct or losses that are often excluded <strong>in</strong> sexual misconduct coverageforms:• <strong>Coverage</strong> for perpetrators• Loss from violations of any penal or crim<strong>in</strong>al statute• Loss aris<strong>in</strong>g out of employment discrim<strong>in</strong>ation• Punitive damages• Loss aris<strong>in</strong>g from HIV or AIDS• <strong>Coverage</strong> for claims <strong>in</strong>volv<strong>in</strong>g specific perpetrators or when there is a subsequent claim<strong>in</strong>volv<strong>in</strong>g a previously identified perpetrator.Many policies offer<strong>in</strong>g sexual misconduct coverage have an aggregate limit. For example, one policyprovides for an “each claim limit” that applies:“regardless of the number of acts of sexual misconduct, the period of time over which such acts occur,or number of persons acted upon, all <strong>in</strong>jury aris<strong>in</strong>g out of all acts of sexual misconduct by the sameperson, or by two or more persons act<strong>in</strong>g together, will be considered one claim, subject to the eachclaim limit of <strong>in</strong>surance <strong>in</strong> force at the time the first act covered by this or any other policy issued byus occurred.”Another policy uses a limit<strong>in</strong>g provision that provides:“<strong>in</strong>cidents related to or aris<strong>in</strong>g out of sexual molestation, whether committed by one or more <strong>in</strong>dividuals,<strong>and</strong> irrespective of the number of <strong>in</strong>cidents or <strong>in</strong>juries, or the time period or area over which <strong>in</strong>cidentsor <strong>in</strong>juries occur, shall be treated as a separate occurrence for each victim”.Available coverage forms vary greatly <strong>and</strong> coverage for any particular claim must be evaluated based onthe applicable policy language <strong>and</strong> the particular facts of that claim. Most <strong>in</strong>sureds have several optionsavailable to them to suit their bus<strong>in</strong>ess <strong>and</strong> <strong>in</strong>surance needs.– iii –