EPLI Explained: What Is Defense Outside Coverage in an EPLI Policy and How It Works

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Employment Practices Liability Insurance (EPLI) is a type of insurance that helps protect businesses from lawsuits related to employment issues, such as claims of discrimination, harassment, wrongful termination, and other employment-related allegations. One important feature of some EPLI policies is “defense outside coverage.” This means that the costs of defending a lawsuit are covered separately and do not reduce the total amount available to pay for settlements or judgments. Understanding this feature is particularly relevant for businesses and individuals in California, where employment laws are strict and employee-friendly.

Why EPLI Matters in California

California is known for its comprehensive and stringent employment laws designed to protect workers’ rights. These laws cover various aspects, including minimum wage, overtime pay, meal and rest breaks, anti-discrimination protections, and more. For example, as of January 1, 2024, California’s minimum wage is $16 per hour, with higher rates in certain cities and counties. Additionally, the California Fair Employment and Housing Act (FEHA) provides robust protections against workplace discrimination and harassment. 

Given this legal landscape, employers in California face a higher risk of employment-related lawsuits. Even unfounded claims can result in significant legal expenses. EPLI policies with defense outside coverage can provide crucial financial protection by covering defense costs without depleting the policy’s limits available for potential settlements or judgments.​

Understanding Defense Outside Coverage

In a standard EPLI policy, defense costs—such as attorney fees, court expenses, and other legal fees—are typically included within the policy limits. This means that any amount spent on defense reduces the total coverage available for paying settlements or judgments. For instance, if a policy has a $1 million limit and $300,000 is spent on defense, only $700,000 remains to cover any settlement or judgment.​

However, with defense outside coverage, defense costs are covered separately and do not erode the policy’s liability limits. Using the same example, if $300,000 is spent on defense, the full $1 million policy limit remains available for settlements or judgments. This structure provides more comprehensive financial protection for policyholders.

Practical Example

Consider a small business in California facing a wrongful termination lawsuit. The business has an EPLI policy with a $500,000 limit. Legal defense costs amount to $200,000, and the case settles for $400,000.

  • Without Defense Outside Coverage: The $200,000 defense costs reduce the policy limit, leaving $300,000 for the settlement. The business would need to pay the remaining $100,000 out of pocket.​
  • With Defense Outside Coverage: The $200,000 defense costs are covered separately, preserving the full $500,000 policy limit to cover the $400,000 settlement. The business pays nothing out of pocket for the settlement.​

Relevance to California Businesses

California’s employment laws are among the most protective in the nation, which can lead to a higher incidence of employment-related claims. For example, studies have shown that a significant percentage of workers in Los Angeles have experienced wage violations, such as being paid less than the minimum wage or not receiving overtime pay. Additionally, the state’s Private Attorneys General Act (PAGA) allows employees to file lawsuits on behalf of themselves and other employees for labor code violations, increasing the potential for litigation.

Given this environment, having an EPLI policy with defense outside coverage can be particularly beneficial for California employers. It ensures that legal defense costs do not diminish the funds available to settle claims or pay judgments, providing more robust financial protection.​

Key Considerations for California Employers

  1. Policy Structure: Not all EPLI policies offer defense outside coverage. Employers should carefully review policy terms and consider opting for this feature to enhance their coverage.​
  2. Coverage Limits: Assess whether the policy limits are sufficient to cover potential defense costs and settlements, especially considering California’s legal environment.​
  3. Risk Management: Implement proactive measures to comply with California’s employment laws, such as regular training on anti-discrimination policies and accurate wage and hour record-keeping, to reduce the likelihood of claims.​

Conclusion

Employment Practices Liability Insurance with defense outside coverage is a valuable tool for California employers to mitigate the financial risks associated with employment-related lawsuits. By understanding what defense outside coverage in an EPLI policy means and how it works, businesses can make informed decisions to protect their financial stability while navigating the complexities of California’s employment laws.