A risk of liability to the public at large against which an insurance policy may be obtained
Liability insurance is a product that is bought by organisations, companies and
individuals to cover the risk of a common law claim for damages by someone who is
injured or suffers some form of quantifiable financial loss while in the insured’s
care.
It covers your legal liability arising from accidents or other incidents which might
occur at meetings, events, guided tours, safaris, transportation or simply on your
premises where you have been deemed to have been negligent.
Negligence is simply doing something without a reasonable amount of care, or failing
to have done something that might reasonably have been done to prevent the incident
from having occurred in the first place.
Most liability insurance policies only cover actions brought against the insured
entity, unless the policy specifically extends to include ‘all sub-contrators’.
This is an important aspect, specifically from a Tour Operators’ perspective, a
they often sub-contract the services of Tourist Guides for instance. Unless the
policy wording contains this extension, the Tourist Guides would need to have their
own liability cover, which should be checked by the Tour Operator, for the reason
that any actions instigated as a result of the Guide’s negligence could result in
the Tour Operator being found liable by virtue of contractual obligation. The same
applies to Tour Brokers who sub-contract the services of Tour Operators.
Without liability cover, organisations are fully exposed to the risk of liability
claims, which not only threatens their financial survival, their employees’ jobs
and the claimant’s chances of being fully compensated, but also impacts negatively
on the general tourism industry and the country at large as a tourist destination.
Here one must also consider that even if the action against the organisation is
successfully defended in a court of law, the legal fees incurred over the often
lengthy process of defending the case can often exceed the amount of the initial
action. Again, most liability policies will cover the legal costs incurred in defending
the case, but make sure that this cover is not limited.
Liability policies come in two forms, General Public/Product Liability (GPL) and
Passenger Liability Insurance (PLI). The reason that both covers are not offered
in one policy is primarily due to the different risk profile or likelihood of occurrence
to which underwriters are exposed in each of the cover types.
General Public Liability cover is designed specifically to protect the insured against
any possible financial compensation claims by clients, guests or the general public
where corporate or employee negligence could be construed to have been the cause
of an incident occurring.
This covers a very broad spectrum of possible incidents ranging from damage to a
guest’s personal property to a tourist claiming ‘diminished value of holiday’ due
to their expectation of having a sea-facing room (as shown in the tour brochure)
and ending up with a view of a brick wall. Obviously the likelihood of such events
occurring is quite high but not nearly as high as someone sustaining an injury in
a motorcar accident.
For this reason most GPL policies specifically exclude incidents resulting from
the transportation of passengers by land, sea or air. This is covered under a Passenger
Liability policy and can often be included as part of a Motor insurance policy.
However care must be taken to check that the motor policy wording does not exclude
fare-paying passengers, which is often the case. It is unlikely that an underwriter
will be prepared to cancel or amend the wording of a standard motor vehicle policy.
For this reason Daily Cover policies are specifically for to cater for fare-paying
passenger liability.
As a general rule it is far better to be over insured than under insured, but this
is directly proportionate to the affordability of the required premium. With insurance
being perceived as a ‘grudge purchase’ and the notion that “it will never happen
to me” the temptation is to go for the cheapest cover but this can prove to be a
false economy. One should bear in mind that the basic principle behind short-term
insurance is to place the insured (or claimant) in the same financial position after
an event as they were prior to the event occurring.
So how much is ‘sufficient’? Both GPL and PLI cover depend on the ‘net worth’ profile
of your clients. For example, consider a 40-something, married South African business
executive who earns R500 000 a year, is the sole bread winner and has three dependents.
He or she slips in the shower at your lodge and sustains a disabling injury to the
spine and is unable to perform the same job as done before the incident. After a
lengthy (and costly) legal case the court finds that you were negligent for not
ensuring that the shower was fitted with non-slip tiles or mats. A possible award
to the plaintiff could easily be in the region of R10 million in this example, if
one takes into account the costs of on-going medical costs, loss of income and even
alterations to the family home to make it wheel-chair friendly.
Now consider the event of multiple claimants, or foreign guests whose income and
future medical costs need to be calculated in their currency of origin. Quite obviously,
the cover amount needed corresponds to the profile of guests that your establishment
caters for.
In the case of PLI, SATSA recommends a minimum of R5 million cover but this depends
on the number of passengers that you generally transport at any one time. Some policies
recommend R1 million per seat but this does not make sense as it is more likely
that one passenger in an accident will be more seriously injured than others and
R1 million will not be enough to cover that one person in a particular seat. Far
better to ensure that the cover amount is for all occupants of a particular vehicle
per incident, per occurrence regardless of the number of passengers, which the Daily
Cover policy does.
Of course, the number of passengers does make a difference in calculating the cover
amount required. For instance, R10 million may be sufficient for a micro bus but
a coach may need as much as R100 million cover, which is not easily obtained from
most insurance brokers.