(January 2022)
Funeral directors or morticians and their employees face
malpractice exposure arising out of their professional operations.
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Example:
Plaintown Funeral Home provided a memorial service for the Jones family,
including cremating Mr. Jones. The home’s director gives the cremains to Mr.
Jones’ daughter. Two weeks after the service, Plaintown receives a request
from a son of Mr. Jones who lives in another state. He claims that he was
supposed to get the cremains and not his sister. He files suit against
Plaintown. |
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The Insurance Services Office, Inc. (ISO) offers professional
coverage for funeral directors or morticians under their businessowners program
(BP 08 02) and under their Market Segments product (MS FH 05). Not all
companies have adopted the ISO programs and not all funeral directors qualify
for these programs, so coverage may vary substantially among different
insurers.
Related Article: Market Segments Division—Funeral Homes
Funeral directors professional liability coverage is usually
written as an endorsement to the insured’s general liability policy that covers
the funeral director's operations and premises hazards. Some insurers offer
complete independent package policies combining property, general liability,
and professional liability coverages for funeral directors under a special
group program.
Funeral directors professional liability is not a standard
coverage. The language of the insuring agreements and exclusions will differ
between insurers, which makes a careful comparison between forms important to
discover potential gaps in coverage. The following coverage information is
based on a review of several independent policies issued by different insurers
as well as the ISO endorsements cited above.
Funeral Directors or Morticians Professional Liability
insurance typically pays on behalf of the insured. It pays only the amount for
which an insured is legally obligated to pay. The only amounts it will pay are
for damages that arise from either the rendering of or the failure to render
professional services. These professional services must be directly related to
the insured’s funeral director or mortician business. The damages must be due
to bodily injury, property damage, personal and advertising injury, or other
injury. Bodily injury, property damage and personal and advertising injury are
all defined terms within the commercial general liability policy. However,
other injury is not defined which leaves this coverage open ended.
Bodily Injury
Bodily injury is often defined to be bodily injury,
sickness, disease, or death. It is important to remember that a deceased body
cannot sustain bodily injury so the persons who sustain the bodily injury are
those who are living at the time of the activity causing the bodily injury.
Damage to the body is considered property damage.
Note: This
definition of bodily injury does not include mental anguish. Some coverage
forms might include such terminology in this definition. While other forms
might consider it, as ISO seems to, as other injury.
Personal or
Advertising Injury
This is any injury that arises out of one or more
of the following offenses but, in this coverage, applies only in relation to professional
services. It includes consequential bodily injury.
a. False arrest,
detention, or imprisonment
b. Malicious
prosecution
c. Wrongful
eviction from, wrongful entry into, or invasion of the right of private
occupancy of a room, dwelling or premises that a person occupies when committed
by or on behalf of the property owner, property owner, or lessor
d. Any oral or
written publication of material that slanders or libels a person or
organization or disparages a person's or organization's goods, products, or
services. This can take place using any form of communication, including the
Internet and other electronic forms.
e. Oral or
written publication of material that violates a person's right of privacy. The
violation can take place using any form of communication, including the
Internet and other electronic forms.
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Example: Paragon
Funeral Home prepares the body of Ms. Mega Star. A tabloid offers money for
pictures of the body before and after embalming and a copy of the sealed
cause of death. The family sues Paragon for invasion of privacy when the
tabloid publishes the pictures and releases the cause of death. Paragon
denies the allegations and their insurance carrier defends them. |
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f. The named
insured using the advertising idea of another in its advertisement
g. The named
insured's advertisement infringing on the copyright, trade dress or slogan of
another
This covers damage to tangible objects including resulting loss of
use. Deceased bodies or cremated remains are considered property so
any damage to them is considered property damage. Some forms do not cover
damage to the deceased body or cremated remains but the ISO endorsements do.
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Example: Family members witness a
loved one's casket falling out of a hearse on the way to the cemetery. The
damage is eligible for coverage. |
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Other injury
Other injury is not defined within the ISO endorsements.
Mental anguish, mental distress, and other emotionally/stress induced injuries
could be covered. Most claims under this coverage would be classified as other
injury.
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Examples: The
following are instances of other injury that may be eligible for coverage: ·
A person who discovers that the wrong body was
buried in her spouse's grave ·
A mortuary staffer damages a body during the
preparation or embalming process ·
Family members suffering from seeing the wrong
body displayed during a visitation or funeral service ·
A deceased is mistakenly cremated rather than
prepared for a funeral service and burial ·
Anguish caused to a family learning that, in
error, a loved one's body was delivered as a cadaver donation to an
out-of-state hospital ·
Family members distressed when a body is
embalmed contrary to their religious beliefs ·
Emotional distress when funeral home follows
body preparation and funeral directions from an unauthorized party. |
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Defense
This provides protection for the customary expenses found in
most liability insurance contracts for defense, settlement, and supplementary
payments. While the ISO endorsement provides defense coverage in addition to
the policy limits of liability, this is not true of all professional liability
policies that cover funeral directors. Some include defense expenses within the
policy’s limit of liability; others will have a separate, stated limit for
defense coverage. Make sure you have carefully reviewed the contract with
respect to defense expense coverage.
Because most funeral directors/mortician’s professional
liability forms are endorsements of a general liability coverage form, all
those exclusions continue to apply unless specifically removed for the
endorsement or modified in some way. This means a few reviews are required.
a. Contractual liability
This is modified
by adding the term “other injury.”
b. Criminal Acts
This is modified
by adding the term “other injury.”
c. Care, Custody and Control
The deceased body plus personal
clothing, jewelry, and more are placed in the care, custody, and control of the
funeral director. The standard property damage exclusions would deny coverage
for any loss to these items. However, most policies will provide coverage
subject to limitation of perils. The ISO endorsements provide coverage if the
property damage is caused by theft or by a hostile fire while other forms may
expand to provide coverage for other specified perils.
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Example:
Geoffrey and Sons have control of Melanie’s furs and rings that were placed
on her during the visitation but removed prior to the sealing of the casket.
Jessica, Melanie’s daughter, takes all of these at the same time she was
picking up flowers and other items at the funeral home. Patricia, the executor
of Melanie’s estate, arrives at the funeral home and requests the items. Patricia
is furious that they are no longer available and sues Geoffrey’s on behalf of
the estate because Melanie has left the state and cannot be found. If the
items were taken when employees were out of the area, this could be theft and
covered. If an employee gave the items to Jessica, this action may be
excluded. |
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d. Damage to Your Work
The property damage when caused by
the named insured’s work or work provided by others on its behalf exclusion does
not apply. This is important because if there is no property damage for the
named insured’s work, there is no property damage cover for the deceased body.
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Example:
Paisley Place funeral home failed in its embalming so much that no attempt
was successful in making Eric look natural. The family had to change their
plan to have an open casket. Later, the family sued Paisley for the damage to
the body and for their related mental anguish. |
e. Damage to a Particular Part of Property
Being Worked On
Like the damage to your work
exclusion, this exclusion removes coverage for the particular property upon
which the named insured or others on its behalf are working on. If this
exclusion is on the policy, there is no coverage for the deceased body. The ISO
forms eliminate this exclusion.
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Example: Marcia
is shocked to discover that the funeral home broke the legs in her father’s
body to fit him into the standard sized casket that it had ordered. She sues
the funeral home for the damage to the body and for the accompanying mental
distress. Damage to the body could be covered due to this revised property
damage exclusion. |
·
Intentional acts by the named insured or ones
acting on its behalf. As an example, while misdelivery of the wrong body for
scientific research is covered, intentional sale of the body or body parts is
not.
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Example:
Buy-Beloved Mortuary Inc. is insured by Grounded Fire & Casualty's
Funeral Director's policy. Buy-B is sued by the spouse of J. Smith after she
discovers that, without legal permission, J.'s kidney and liver were sold to
an area tissue bank. Grounded notifies Buy-B that their intentional and
criminal act is excluded from coverage. |
·
Fraud, misrepresentation or violation of any law
or ordinance or criminal act
Note: This exclusion does not apply to an act done in good faith at
the request of a public official having apparent authority to require or permit
such an act.
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Example: The
city coroner signed a contract with Julian’s Funeral Home to cremate
unclaimed bodies after a tissue bank had harvested tissue from them. Julian
was unaware that the city coroner was pocketing the money and had no
authorization to enter into this contract. Julian’s performed its function as
required based on its contract. The family of the deceased sued the city
coroner and Julian’s. Julian’s was covered because, while the action was a
criminal act by the city coroner, Julian was acting in good faith. |
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·
Liability assumed by the insured under any
contract or agreement
Note: This exclusion does not apply to liability for damages that
are otherwise eligible for coverage under the policy.
·
Damages related to the ownership, maintenance or
use of any automobile or animal-drawn vehicle while away from any premises
owned, rented, or controlled by the insured
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Example:
Buy-Beloved Mortuary Inc.’s hearse is transporting a casket and the deceased
to a nearby cemetery. On the way, the hearse’s driver makes a turn too
sharply, runs up on a corner curb and injures a pedestrian. A claim is turned
in under their Funeral Director's policy. A company claims supervisor tells
them that coverage is excluded under the funeral director policy, but they
are processing the claim under Buy-B’s Business Auto Policy. |
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Property damage to any property or facility that
an insured owns, occupies, rents, or holds on consignment.
Note: These property exposures should be covered under an insured’s
property policy or property section of a commercial package policy.
·
Damages and expenses related to the release,
disposal, etc., of medical waste and chemicals used with embalming, preparations,
and related activities
Note: These exposures would have to be managed by securing a
pollution liability policy.
Some forms add definitions for only this coverage that alter
definitions in the commercial general liability coverage part. The following
are examples:
Damage to Deceased typically refers to physical loss involving the
deceased person, cremated remains, clothing, and personal effects.
Deceased human body includes an entire human body, any part of a
human body that has been severed, or ashes of a human body after legal
cremation.
Occurrence means an event causing bodily injury, property damage, or
personal and advertising injury. It also includes errors, omission or acts
while rendering or failing to render professional services as a funeral
director or a mortician.
Professional services are malpractice errors or mistakes in the
embalming, handling, disposition, burial, disinterment or removal of any
deceased human body or any conduct of any memorial service by the insured, even
though no deceased human body is present. Injury to, destruction of or
interference with the right of burial of a deceased body is also included.
Funeral directors and mortician’s professional liability
insurance applies only to acts or omissions that occur during the policy period
and arise out of the rendering of or failure to render professional services as
a funeral director or mortician. This coverage is generally written on an
occurrence basis.
The insured must give written notice to the company or an
authorized agent of the company as soon as practicable upon becoming aware of
any injury, loss or occurrence covered under the policy or of any claim
alleging malpractice, error or mistake committed by the insured. The notice
must be made in accordance with stated policy conditions.
Related Court Case: "Notice to Broker Was Not
Notice to Insurance Company" –illustrates the importance of proper
notification of insurer.
The insurance is written either on a single limit basis for
all damages arising out of error or mistake during the policy period, or on a
dual limit basis covering a limit per claim and an aggregate limit for all
damages occurring within the policy period. Review the policy carefully for
specific provisions pertaining to the limit of liability.
This depends entirely upon the applicable company, but some
insurers may offer distinct types of optional, additional coverages related to
funeral director activities, such as: