Three Things You Have To Understand About The Insurance Defense Process
- Duty To Defend vs Duty To Reimburse
- Defense Costs: Inside or Outside Policy Coverage Limits
- Two More Details Every Daycare Should Know About Duty To Defend Policies
You can also leverage our FAQs at the bottom of the page. Now back to Carla's story.
The Problem: Defense Costs More Than You Likely Realize
Most daycare directors think about liability insurance as something that writes a check after a settlement or judgment. What they often miss is that insurance coverage proves its value long before a court ruling.
Legal defense is expensive no matter how you add it up. Attorneys charge hundreds per hour. Investigators and court fees add up. Expert witnesses cost thousands. Even if the claim is frivolous, you are legally required to respond, and the costs can overwhelm your budget even in the best of circumstances.
That is why the structure of your daycare liability insurance matters. It is not just about damages. It is about whether you can afford to defend yourself at all.
Duty to Defend vs. Duty to Reimburse
One of the most important details in a daycare insurance policy is how the insurer provides defense. There are two approaches, with duty to defend being the more common option on daycare provider policies.
With a duty to defend policy, the insurance company takes control right away. They hire the lawyer, pay the bills, and manage the defense process for you. You do not see the invoices, and you do not pay up front.
With a duty to reimburse policy, the daycare must hire its own lawyer, pay all the bills up front, and then send them to the insurer for reimbursement.
The second option might sound harmless, but it can financially crush a daycare program. Claims adjusters can delay payments while they decide if the bills are valid. In the meantime, your cash flow is wrecked.
Carla’s daycare center was protected by a duty to defend policy, so the insurer provided immediate support. Without it, she would have faced enormous bills while waiting on reimbursement.
Defense Costs: Inside or Outside Policy Coverage Limits
Another factor many daycare operators overlook is how defense costs are treated in the policy. Are they inside the coverage limits or outside?
In Carla’s case, her policy covered defense costs separately. Otherwise known as outside the limits. That meant her entire general liability limit remained available for medical expenses and damages.
Here is the difference:
- Outside the limits: Legal fees are paid in addition to your policy limit. If you have a $1 million liability limit, all of it is still available for damages, and the lawyers cost is subject to its own limitations.
- Inside the limits: Legal fees come out of your liability limit. If your legal defense costs $100,000, only $900,000 remains for damages on a $1 million policy.
That $100,000 gap can make or break a daycare after a serious child injury case with substantial medical costs that also can include some money for pain and suffering.
Two More Details Every Daycare Should Know About Duty To Defend Policies
First, the insurance provider usually controls the defense. They pick the lawyers and manage the legal strategy. This can feel uncomfortable for daycare operators used to making every decision. But the benefit is that these lawyers already know how to defend your daycare center. They understand staff-to-child ratios, licensing requirements, background checks, playground equipment risks, and other unique factors that determine daycare negligence.
Second, defense is provided even if the claim is groundless. That is what Carla experienced. Her staff did nothing wrong, yet she still faced an accusation that resulted in an insurance claim. The insurance company stepped in to defend her not because she was guilty, but because she needed protection while the process played out.
That is exactly why liability insurance exists.
Why This Matters for Every Texas Daycare
Carla’s story may have started with a playground slip, but the lessons apply to all types of daycare center liability insurance. Whether it is a parent accusing staff of negligence, a dispute with an employee, or even an allegation of abuse, the defense mechanics are the same.
Here is a short, but not exhaustive, list of liability policies that these tips apply to.
- General LIability Insurance
- Professional Liability Insurance
- Sexual Abuse and Molestation Insurance
- Workers Compensation Insurance
- Employment Practices Insurance
Your daycare does not control who files a lawsuit. You only control how prepared you are to respond to it. The way your liability policy handles defense costs can mean the difference between staying afloat and shutting down.
Questions to ask your agent:
- Does my policy provide duty to defend or duty to reimburse?
- Are defense costs inside or outside my liability limits?
- Will defense be provided even if the claim has no merit?
These answers may feel like fine print today, but they can determine your daycare’s future tomorrow.
The Real Lesson
Carla’s daycare survived the legal claim scare because she had the right protections. Her experienced daycare insurance agent spent time helping her understand the difference between legal requirements and great insurance coverage. As as result, the insurance policy took care of the defense, allowing her to keep her focus on the children and families who depended on her.
That is the quiet power of liability insurance when it is structured correctly. No insurance policy will prevent claims from being filed, but the right coverage can keep those claims from destroying your daycare center.
Daycare insurance should be transparent, dependable, and ready to stand firm when accusations arise. That is why we created True Texas Education Insurance. It was built to protect daycare providers like you with coverage that includes the right defense mechanics.
👉 Click the button below to speak with us to understand how defense costs are handled before the next claim arrives.