Claims Are a Significant Driver in How Insurance Products Evolve

At a micro-level, claims trends can influence what loss situations insurance companies may exclude from insurance policy coverage. On a macro level, claims largely determine the markets and geographic areas in which insurance companies want to do business.

Insurance companies devote significant amounts of money to analyzing risks and similar claims’ common demographic, geographic, and behavioral characteristics. These factors determine what types of clients an insurance company wants to attract and influence premium rates and policy exclusions.

A current example of how claims drive the insurance process is ride-sharing services like Uber and Lyft and the exposures they entail. In Massachusetts, the Personal Auto Policy excludes coverage for sharing, leasing, or renting your car for a fee or other compensation. Recently, MA passed legislation; however, there are many unanswered questions as the coverage situation has not changed. Because there is so little claim history and associated case law, not many insurance companies, locally or across the country, have thrown their hat in the ring to assure the vehicle’s operator and the guest occupant are covered if an accident occurs. Currently, in MA, an Uber or Lyft driver needs a livery policy to cover his/her vehicle and liability when transporting passengers. Perhaps this will change as claims history develops and insurance companies get a handle on the actual exposures and can forecast them.

When buying insurance protection for your business (or personal) needs, the discussions often primarily focus on what is covered and the insurance coverage dollar limits. However, it’s just as crucial for you as a consumer of insurance to ask your agent what loss situations are not covered or capped/ limited in any way. Because knowing what’s not covered can be just as important as knowing what is covered. Not having a clear understanding of what is excluded under your policy can potentially lead to claims that threaten the viability of your business.

While the risks associated with personal home and auto policies tend to be more similar, the risks associated with businesses can vary depending on your industry. For this reason, it’s almost equally important to ask your agent if the company providing your insurance coverage has a long history of writing policies for the risk associated with your industry. Companies with greater experience often write policies with language that provides better coverage and fewer exclusions because their expertise has helped them better understand the associated risks.

The reason you buy insurance is to be covered for a claim. So, don’t just ask your insurance agent what your insurance policy covers; clearly discuss what’s not covered. Policies can differ among insurance companies, and you may find that there are options for broader protection through a different company. The premium might be higher; however, if you’re getting better coverage that can prevent a situation where you’re not covered, It can be well worth paying a bit extra.

The key is to be clear on where your exposures are and what protection you’ve purchased because no one wants to be surprised when a claim occurs. Cost is always a consideration, but the most expensive policy doesn’t provide the coverage you need. When managing risk with insurance protection, you may retain some risk by having higher deductibles or forgoing coverage for specific situations. At Murphy Insurance, we continually strive to present you with options and communicate about your exposures so that you can make educated decisions about your protection plan.

Read Other Blog Posts

Cyber Insurance for Small Businesses What It Actually Covers and What It Does Not

Cyber Insurance for Small Businesses | What It Actually Covers and What It Does Not

Cyber insurance can help small businesses manage the impact of data breaches, ransomware, and fraud, but needs vary by business. Understanding coverage, planning ahead, and investing in employee training can help reduce cyber risk and avoid costly surprises.
National Safety Month- Building a Safer Workplace and a Stronger Business

National Safety Month: Building a Safer Workplace and a Stronger Business

National Safety Month is a reminder that workplace safety protects both employees and businesses. Learn how proactive safety planning can reduce claims, improve operations, and support stronger long-term risk management.
Home Insurance "Rebuild Cost" vs. Market Value

Home Insurance “Rebuild Cost” vs. Market Value, Why it Matters

Home insurance is based on rebuild cost, not what your house would sell for. Understanding this difference helps homeowners avoid underinsurance and unexpected out-of-pocket costs after a major claim.
HVAC System Care & Energy Efficiency | Homeowner's Manual Blog Series

HVAC System Care & Energy Efficiency | Homeowner’s Manual Blog Series

Regular HVAC maintenance helps improve comfort, lower energy bills, and prevent costly breakdowns. From changing filters to scheduling annual service, simple steps can keep your system running efficiently year-round and help protect your home from unexpected issues.
Apartments

Common Renters Insurance Myths, Busted for Massachusetts Renters

Many renters misunderstand what renters insurance does and does not cover. This article clears up common renters insurance myths and explains how affordable coverage can help protect your belongings and provide peace of mind.
Person holding car keys

What Is Comprehensive Coverage in Auto Insurance and What Does It Cover?

Comprehensive coverage is part of an auto insurance policy and helps protect your vehicle from damage caused by non‑collision events such as theft, weather, or vandalism. Learn what comprehensive coverage includes, what it does not cover, and when it may be worth adding to your auto policy.
Work Meeting 1200

Health Plan Eligibility: Do’s and Don’ts

Employers have flexibility when defining health plan eligibility, but that discretion is limited by federal requirements under ERISA, the ACA, HIPAA, and Medicare rules. This overview outlines key eligibility do’s and don’ts to help employers stay compliant and avoid costly mistakes.
Extension Cord 1200

Stay Wired Into Electrical Safety This May

May is National Electric Safety Month. While electricity is an integral part of our daily lives and powers many essential appliances and devices, electrocution and other related risks should be taken seriously. Even a slight mishap or oversight could lead to serious injuries and damage to your home. Follow these safety tips.
Man writing next to computer

Why Timely Notice Matters Under Claims-Made Liability Policies

Claims‑made liability policies require more than just having coverage in place. Timely notice of claims or potential claims is critical to preserve coverage and avoid unexpected gaps. This article explains how claims‑made policies work, how to identify if your policy is claims‑made, and practical steps businesses can take to stay protected.

Visit Our Personal Insurance Page

Personal Insurance

Life is an ever-changing journey, and it deserves a thoughtful, comprehensive plan to protect the things and people that matter most. Our dedicated team at Murphy Insurance is here to assist you in creating that plan. With a wide range of product options at our disposal, we ensure that your plan is tailored precisely to your requirements. Our commitment to providing clear, intelligent guidance to help you achieve true peace of mind. Learn more about our personal insurance portfolio.

Visit Our Business Insurance Page

Business Insurance

Murphy Insurance stands as your steadfast partner in safeguarding your business from unforeseen challenges in today’s dynamic business landscape. In an era where comprehensive business insurance is not just a prudent choice but a vital one for ensuring the long-term stability and security of your enterprise, we are here to offer our expertise. Running a business inherently entails various risks that can potentially impact your financial stability and reputation. Learn more about our comprehensive business insurance solutions, which are meticulously designed to protect you from these potential threats, granting you peace of mind necessary to focus on the growth and prosperity of your business.