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Employment Liability Pricing

EPLI Underwriting Model Overview

People always ask us to "show us how it works". Below are the key factors that are scored and priced for a company looking to manage these times of high Social Inflation Rate. Every risk is yellow highlights is ad-hoc and risk unless it is tied to an ISO-30415 audit.

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1. Company Profile

  • Number of Employees: Higher headcounts generally increase exposure.

  • Revenue: Correlated to the ability to settle claims and potential claim value.

  • Industry Sector: Certain industries (e.g., hospitality, retail, healthcare) carry higher EPL risk.

  • Business Type: Public vs. private companies (public companies face more shareholder-driven suits).

  • Geographic Location: Jurisdictions with stronger employee protections (e.g., California, New York) increase risk.


2. Human Resources Practices

  • Written Policies:

    • Anti-discrimination

    • Harassment and retaliation

    • Equal Employment Opportunity (EEO)

  • Employee Handbook: Existence, distribution, and acknowledgement tracking.

  • Training Programs: Frequency and scope of supervisor/employee training on EPL topics.

  • Hiring and Termination Practices: Use of standardized interview and review protocols.

  • Use of Outside Counsel or HR Consultants: For sensitive personnel decisions.


3. Claims History

  • Prior EPLI Claims: Number, nature, and outcomes of claims.

  • EEOC or State Agency Complaints: Even if not resulting in lawsuits.

  • Trends in Internal Grievances or Investigations.


4. Risk Controls and Culture

  • Internal Reporting Mechanisms: Whistleblower hotlines or reporting apps.

  • DEI (Diversity, Equity, Inclusion) Programs: Especially if aligned with ISO 30415 or similar frameworks.

  • Internal Audits: Frequency and scope of compliance or cultural audits.


5. Coverage Considerations

  • Requested Limits: Higher limits often prompt deeper scrutiny.

  • Retention/Deductible Levels: Higher retentions can reduce premium but shift more risk to insured.

  • Wage & Hour Coverage: Typically excluded or sub-limited due to high severity.

  • Third-Party Coverage: For claims from customers, vendors, etc.

  • Retroactive Date: Determines how far back claims may arise from.

  • Defense Inside/Outside the Limit: Impacts limit erosion from legal fees.


6. External Environment

  • Regulatory Climate: Federal, state, and local laws affecting EPL exposure.

  • Litigation Trends: Class action activity, settlements, and jury awards.

  • Reputational Exposure: Media presence or history of public incidents.



Output: Pricing and Policy Terms

Based on the above, underwriters determine:

  • Premium (Base rate + modifiers based on risk factors)

  • Coverage Limits and Sublimits

  • Exclusions or Endorsements

  • Risk Mitigation Requirements (e.g., training, policy updates)

  • Retention or Deductible levels

 
 
 

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