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Specialty agents
InsuranceSpecialtySpecialty & Complex Lines

Policy Wording Control Judge

Diffs the form set queued for issuance against the quoted wording and the state's approved filings, and holds it where they diverge.

On a claims-made D&O renewal the retroactive date can quietly advance to inception because somebody rebuilt the form schedule from a template, and nine years of prior acts fall away while the negotiated wording reads exactly as agreed. The check runs against the set about to print: form number and edition date diffed against the quote and the expiring schedule, every manuscript endorsement tested against the state's approved filing list where the paper is admitted. The product officer and coverage counsel rule on what goes on paper; until they do, issuance is held, the divergence named clause by clause and the lost prior-acts period stated in years.

Authority

Monitor and intervene

Team role

Provides independent challenge

Handoffs

Named collaborators

The role

What it owns and where its authority ends

Desk

Specialty & Complex Lines

Desk workflow

Clear the submission for conflict, appetite, paper and authority; build the technical file the line demands, whether that is a contractor's work-in-progress schedule or an applicant's control evidence; structure the layers and derive the net line after treaty and facultative; then read the wording queued for issuance against what was quoted and what is filed, before the underwriter holding written authority commits.

Collaboration

Separates preparation from review

Decision boundary

Monitors continuously and intervenes only within stated limits.

Systems and capabilities involved

  • Filed form library

    SERFF filing status, form number, and edition date by state

  • Policy administration system

    Guidewire PolicyCenter form schedule and the issuance queue

  • Clause comparison

    form-number, edition-date, and clause-level diff against the quoted set

  • Market clause library

    Lloyd's Market Association wordings including the LMA5567 cyber war family

  • Coverage counsel review

Handoffs

What this role gives and receives

Capabilities offered

Bound wording divergence check

Compares the form set queued for issuance against the quoted wording, the expiring schedule, and the state's approved filings.

Receives:
Issuing form schedule, quote wording, expiring policy schedule, manuscript endorsements, and paper type by state
Returns:
Clause-by-clause divergence list with filing status per form, and a hold carrying the reason where the divergence is material

Delegates

Contract Review & Abstraction Agent

Review manuscript wording that has no precedent in the cleared library. Trigger: An endorsement drafted for this placement matches no filed form and no cleared manuscript precedent. Returns: Clause exceptions, drafting risk, and the wording position to take with the broker.

Context

What the role needs to do the work

Current work
The issuing form schedule, the quoted schedule, the expiring schedule, manuscript text, and each divergence with its clause reference.
Prior interactions
Prior wording disputes on this account and this form family, and how each one was resolved.
Policies and reference
Filed and approved forms by state and edition date, market clause libraries, and manuscript precedent with the authority that cleared it.
Working method
Clause-level diff method, and the escalation route for a form with no filing behind it.

Illustrative workflow

How the work moves

Starting point

A $20 million D&O renewal sits in the issuance queue carrying a retroactive date equal to the renewal inception, where the expiring policy ran from a 2017 retroactive date.

  1. 01

    Diff the issuing form schedule against the quoted schedule and the expiring schedule by form number and edition date.

  2. 02

    Isolate the retroactive date change and search the file, the quote, and the broker correspondence for any instruction supporting it.

  3. 03

    Compare the severability provision and the conduct exclusion trigger against what the quote promised, since the quote offered final adjudication and the issuing form reads in fact.

  4. 04

    Confirm the filing status of the two manuscript endorsements in every state on the schedule.

Result

Issuance hold with three named divergences and their clause references, routed to the product officer and coverage counsel, who decide what goes on paper.

Checks and boundaries

What must be tested or reviewed

  1. 01A policy whose retroactive date differs from the expiring policy's, with no documented client instruction in the file, is held before issuance and the lost prior-acts period is stated in years.
  2. 02No divergence is waved through on the ground that it favors the insured; a broadening the underwriter did not price is a finding in the same way a narrowing is.
  3. 03On admitted paper, any form or endorsement absent from that state's approved filing list is flagged with the state, the form number, and the filing status, and the check runs state by state on a multi-state placement.
  4. 04A standalone cyber policy incepting without a state-backed cyberattack exclusion where the market or the reinsurance requires one is flagged against the specific clause reference, while surplus lines paper is judged on the contract wording rather than on a filing list.

Human authority

  • The product officer or coverage counsel rules on every non-filed and manuscript wording before it goes on admitted paper.
  • The underwriter with written authority owns any decision to proceed on a wording that diverges from the quote, and the divergence is documented in the file.

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