63. A professional liability policy is claims-made. The firm
lets coverage lapse and a claim is made later for earlier services.
What is the main risk?
A. The claim
may not be covered
B. Claims-made is the same as occurrence
C. Coverage is automatic forever
D. Bonding replaces insurance
Ans A
Why?
Correct answer: 👉
A. The claim may not be covered
🔹 Why A is
correct
A claims-made policy only provides coverage if:
1. The
claim is made, and
2. The
policy is active at that time
👉 If the firm lets the policy lapse, then even if
the work was done earlier while insured, a later claim will not be
covered.
🔹 Key
concept: Claims-made policy
·
Coverage is triggered by when the claim
is made, not when the work occurred
·
If no active policy exists when the claim arises
→ no coverage
🔹 Example
·
Engineering work done: 2022 (policy active)
·
Policy lapses: 2024
·
Claim filed: 2025
❌ No coverage — because there is no active policy in 2025
🔹 Why others
are wrong
·
B. Claims-made is not
the same as occurrence
·
C. Coverage is not
automatic forever
·
D. Bonding is unrelated (it
guarantees performance, not liability coverage)
🔹 Practical
takeaway (important for you as an engineer)
When stopping practice or switching insurers, you must consider:
·
Tail coverage (extended reporting
period)
·
Maintaining continuous coverage
Otherwise, you expose yourself to uninsured liability for past work.
What does option B mean?
Correct answer: 👉
A. The claim may not be covered
🔹 Why A is
correct
A claims-made policy only provides coverage if:
1. The
claim is made, and
2. The
policy is active at that time
👉 If the firm lets the policy lapse, then even if
the work was done earlier while insured, a later claim will not be
covered.
🔹 Key
concept: Claims-made policy
·
Coverage is triggered by when the claim
is made, not when the work occurred
·
If no active policy exists when the claim arises
→ no coverage
🔹 Example
·
Engineering work done: 2022 (policy active)
·
Policy lapses: 2024
·
Claim filed: 2025
❌ No coverage — because there is no active policy in 2025
🔹 Why others
are wrong
·
B. Claims-made is not
the same as occurrence
·
C. Coverage is not
automatic forever
·
D. Bonding is unrelated (it
guarantees performance, not liability coverage)
🔹 Practical
takeaway (important for you as an engineer)
When stopping practice or switching insurers, you must consider:
·
Tail coverage (extended reporting
period)
·
Maintaining continuous coverage
Otherwise, you expose yourself to uninsured liability for past work.
Why option (D)
is incorrect?
Option D: “Bonding replaces insurance” is incorrect because
bonding and insurance serve completely different purposes.
🔹 What is
bonding?
Surety bond
A bond (surety bond) is a guarantee of performance:
·
Ensures a contractor/engineer fulfills
contractual obligations
·
If they fail, the surety pays the client
and then seeks recovery from the professional
👉 It protects the client (project owner)
🔹 What is
professional liability insurance?
Professional liability insurance
·
Covers errors, negligence, or omissions
·
Pays for legal defense and damages
·
Protects the engineer/firm
🔹 Key
difference (very important)
|
Feature
|
Bonding
|
Insurance
|
|
Purpose
|
Guarantees performance
|
Covers negligence/errors
|
|
Who is protected
|
Client (owner)
|
Engineer/firm
|
|
Repayment
|
You must repay surety
|
No repayment (insurer bears loss)
|
|
Replaces insurance?
|
❌ No
|
—
|
🔹 Why D is
wrong in this question
The question is about claims-made insurance risk.
Option D suggests:
“Bonding replaces insurance”
👉 This is incorrect because:
·
Even if you have a bond, it does not
cover professional liability claims
·
It cannot substitute for an
expired or lapsed insurance policy
🔹 Simple
analogy
·
Insurance = “I made a mistake,
insurer helps me”
·
Bond = “If I fail, someone
pays—but I owe them back”
✔️ Final takeaway
Option D is wrong because:
Bonding does not replace insurance—it serves a completely different
risk function.
64. An insurer defends a consultant under a reservation of
rights.
What issue may arise?
A. Conflict
between insurer and insured
B. Lien priority
C. Patent validity
D. Labour certification
Correct answer: 👉
A. Conflict between insurer and insured
🔹 Key
concept: Reservation of rights
A reservation of rights means:
·
The insurer provides a defence,
but
·
Reserves the right to later deny
coverage
👉 In other words, they are saying:
“We’ll defend you for now, but we may not pay the claim in the end.”
🔹 Why this
creates a problem
This situation can create a conflict of interest:
·
The insurer may try to steer
the case toward a finding that avoids coverage
·
The insured (consultant) wants
a defence that fully protects them, even if it confirms
coverage
👉 Their interests are not fully aligned
🔹 Example
·
Claim alleges both:
o
Negligence (covered)
o
Intentional misconduct (often
not covered)
The insurer might:
·
Defend the case
·
But prefer an outcome that proves intentional
conduct → so they can deny coverage later
🔹 Why other
options are wrong
·
B. Lien priority → relates to
creditor rights, not insurance defence
·
C. Patent validity →
intellectual property issue
·
D. Labour certification →
employment/immigration issue
None relate to insurance defence strategy.
✔️ Final takeaway
A reservation of rights introduces:
⚠️ A potential conflict between insurer and insured
This is a classic NPPE exam concept—watch for it.
65. After paying a loss, an insurer sues the party actually
responsible.
This is called:
A. Estoppel
B. Subrogation
C. Contribution
D. Set-off
Correct answer: 👉
B. Subrogation
🔹 Key
concept: Subrogation
Subrogation means:
After paying a claim, the insurer steps into the shoes of the
insured and sues the party responsible for the loss.
🔹 How it
works
1. You
suffer a loss (e.g., property damage due to someone else’s negligence)
2. Your
insurer pays you
3. The
insurer then goes after the at-fault party to recover that
money
👉 This prevents the insured from being paid twice and shifts
liability to the true wrongdoer.
🔹 Example
(engineering context)
·
A contractor damages your design work or
structure
·
Your insurer pays for the loss
·
The insurer then sues the contractor to recover
costs
🔹 Why others
are wrong
·
A. Estoppel → prevents someone
from going back on a representation
·
C. Contribution → sharing loss
between multiple insurers
·
D. Set-off → offsetting mutual
debts
✔️ Final takeaway
Subrogation = insurer pays first, then recovers from the responsible
party.
66. An insured fails to disclose a material fact when
applying for coverage.
What issue is engaged?
A. Material
non-disclosure
B. Human rights discrimination
C. Criminal intent only
D. Builder’s lien
Correct answer: 👉
A. Material non-disclosure
🔹 Key
concept: Material non-disclosure
Material non-disclosure occurs when:
The insured fails to disclose an important (material) fact
that would influence the insurer’s decision to provide coverage or set
premiums.
🔹 Why it
matters
Insurance contracts are based on utmost good faith
(uberrimae fidei):
·
The insurer relies on the applicant’s full
and honest disclosure
·
A material fact is anything
that would affect:
o
Risk assessment
o
Premium calculation
o
Decision to insure
👉 If such a fact is not disclosed:
·
The insurer may void the policy
·
Or deny a claim
🔹 Example
·
An engineering firm applies for professional
liability insurance
·
Fails to disclose:
o
Prior claims
o
Known design issues
·
A claim later arises related to that undisclosed
risk
👉 Insurer may deny coverage due to material non-disclosure
🔹 Why other
options are wrong
·
B. Human rights discrimination
→ unrelated to insurance disclosure
·
C. Criminal intent only → not
required; non-disclosure can be innocent or negligent
·
D. Builder’s lien → relates to
construction payment rights
✔️ Final takeaway
Failing to disclose a material fact engages material
non-disclosure, which can invalidate coverage.