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Survey Report

Insurance Marketplace Realities 2025 – Senior living

October 4, 2024

Key observations in the Senior living industry include scrutiny of loss development, reluctance to deploy capacity in litigious venues, and coverage issues involving class actions and communicable diseases.
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Rate predictions: Senior living

*(with excess experiencing the larger rate increases)
Rate trend noted in the graph above is specific to primary placements.

Trend Range
Senior living healthcare professional liability Flat, (arrow up) +5% to +15%*
Property Increase (Purple arrow pointing up) +5% to +15%*
Auto Increase (Purple arrow pointing up) +10% to +15%
Workers compensation Increase (Purple arrow pointing up down) -5% to +5%

Property

  • Loss control visits continue to be frequently required prior to quoting, especially for senior living organizations with larger schedules of values.
  • Markets for senior living risks are limited and experience higher-than-average rate increases. Frame construction or buildings without adequate sprinkler protection are even more challenging.
  • Water damage coverage and catastrophe-prone locations continue to experience higher deductibles.
  • Builders risk coverage for new senior living construction continues to be very challenging, but strong risk management protocols will set your project apart and generate better marketplace results.
  • We’re seeing closer scrutiny of business income/rent roll exposures, which require a business income and extra expense worksheet to substantiate reported values.

Auto liability

  • Resident transport exposure is underwritten stringently and carriers are most comfortable with an incidental amount. Market options for these exposures are limited. Partnerships with ride-share organizations are often considered as a means of addressing resident transport needs.
  • Mono-line auto risks are challenging to place and should be leveraged with other lines of business.
  • Certain senior living communities offer valet services, which present a new risk consideration in this space and frequently require a specialty insurance placement.

Workers compensation

  • Underwriters continue to focus on controls, safety culture and claim reconciliation or lessons learned post loss.
  • Monoline placements are common, as some markets have broad workers compensation appetites and are comfortable writing without supporting business.
  • Slips, trips and falls present the most prevalent injuries in the senior living community setting, and organizations with strong protocols to address these colleague risks fare better during the risk underwriting process.

Disclaimer

Willis Towers Watson hopes you found the general information provided in this publication informative and helpful. The information contained herein is not intended to constitute legal or other professional advice and should not be relied upon in lieu of consultation with your own legal advisors. In the event you would like more information regarding your insurance coverage, please do not hesitate to reach out to us. In North America, Willis Towers Watson offers insurance products through licensed entities, including Willis Towers Watson Northeast, Inc. (in the United States) and Willis Canada Inc. (in Canada).

Contact

Wayne Wills
WTW Senior Living Industry Segment Leader, North America

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