Introduction to the Insured vs. Insured Exclusion
In the realm of Directors and Officers (D&O) liability insurance, the Insured vs. Insured (IvI) exclusion is one of the most significant and frequently litigated provisions. At its core, this exclusion states that the insurer will not provide coverage for any claim brought by one insured party against another insured party. For candidates preparing for the complete Professional Liability exam guide, understanding the nuances of this exclusion is essential, as it defines the boundaries of corporate governance coverage.
The exclusion was originally designed to prevent a company from using its D&O policy as a "corporate ATM" by filing a lawsuit against its own directors or officers to recover financial losses caused by poor business decisions. Without this exclusion, a company could theoretically sue its own leadership for mismanagement simply to trigger an insurance payout, effectively turning a liability policy into a first-party indemnity policy.
Exam Tip: The Purpose of the Exclusion
The primary rationale for the IvI exclusion is to prevent collusion. Insurers want to avoid situations where the plaintiff and the defendant are effectively on the same side, working together to extract a settlement from the insurance carrier.
Defining the 'Insured' in D&O Policies
To understand the exclusion, one must first identify who qualifies as an "Insured." In a standard D&O policy, the definition typically includes:
- Individual Insureds: Past, present, and future directors, officers, and sometimes employees or committee members.
- The Entity: The corporation or organization itself (often referred to as the "Company").
- Subsidiaries: Any entity controlled by the parent organization.
When any of these parties initiates a lawsuit against another (e.g., the Company suing a former CEO), the IvI exclusion is triggered. This is a common topic when reviewing practice Professional Liability questions, as candidates must distinguish between third-party claims (covered) and internal disputes (excluded).
Public vs. Private Policy Wording
| Feature | Traditional IvI (Public Companies) | Entity vs. Insured (Private/Non-Profit) |
|---|---|---|
| Primary Focus | Excludes claims by any insured against any other insured. | Specifically excludes claims brought by the Entity. |
| Collusion Risk | High focus on preventing collusive internal litigation. | Focuses on excluding claims where the company is the plaintiff. |
| Modern Trend | Retains strict 'Insured vs. Insured' language. | Often replaced with 'Entity vs. Insured' to allow more individual flexibility. |
Essential Carve-Backs and Exceptions
Because the IvI exclusion is so broad, insurers provide several carve-backs (exceptions) to ensure that legitimate, non-collusive disputes are still covered. These exceptions are the "meat" of professional liability underwriting and are critical for exam mastery.
- Shareholder Derivative Actions: If a shareholder brings a suit on behalf of the company without the assistance or solicitation of an insured person, the exclusion usually does not apply. This is because the shareholder is viewed as a third party protecting their investment.
- Employment Practices Claims: Many D&O policies include a carve-back for claims brought by an insured person (like a former officer) alleging wrongful termination, discrimination, or harassment. This ensures that internal labor disputes aren't caught in the broad IvI net.
- Bankruptcy and Insolvency: If the company enters bankruptcy, a court-appointed trustee or liquidator may sue the former directors. Since the trustee represents the creditors rather than the "Insured Entity," most modern policies carve back coverage for these claims.
- Defense Costs for Independent Counsel: Some policies allow for defense costs even if the exclusion might apply, provided the insured is forced to defend themselves against an internal investigation.
- Outside Directorships: Claims arising from an insured serving on the board of a non-profit at the request of the company are often excepted.
Common Trigger Scenarios
The Shift to 'Entity vs. Insured' Wording
In recent years, particularly in policies for private companies and non-profit organizations, the traditional "Insured vs. Insured" exclusion has evolved into the Entity vs. Insured (EvI) exclusion. The distinction is subtle but important for the Professional Liability exam.
Under Entity vs. Insured wording, the exclusion only applies if the lawsuit is brought by the organization itself. It does not necessarily exclude a claim brought by one director against another director, provided the organization is not a party to the suit. This provides broader protection for individual board members who may have internal disagreements that result in litigation without the company's formal involvement.
Frequently Asked Questions
Yes. The definition of an 'Insured' in most D&O policies includes past, present, and future directors and officers. Therefore, a suit brought by a former CEO against the current CFO would typically trigger the exclusion unless a specific carve-back (like an employment practices exception) applies.
While derivative suits are brought on behalf of the company, they are initiated by shareholders who are not considered 'Insureds' under the policy. Since the shareholders are acting independently of management, the risk of collusion is significantly lower.
Many IvI exclusions specifically state that coverage is barred if an Insured person solicits or assists a third party (like a shareholder) in bringing a claim. This reinforces the anti-collusion intent of the policy.
Some policies include a specific exception for claims brought by an employee or officer acting as a whistleblower under laws like Sarbanes-Oxley. This ensures that individuals reporting corporate wrongdoing are not denied defense coverage if the company retaliates or if they are sued by other directors.