| Providing Transportation (shuttles/vans) |
Vehicle accidents; driver training and maintenance gaps |
GL + auto exposure; 15–30%+ increases possible; may require higher deductibles or auto add-ons |
| On-Site Wellness & Fitness Programs |
Falls/overexertion during classes; pool slips or drownings |
Surcharges without certified supervision and posted rules; fall claims are a top driver |
| Limited Medication Assistance / Health Monitoring |
Creeps toward assisted-living duty of care; errors/omissions allegations |
PL exposure; endorsements or reclassification can materially raise premium |
| Emergency Call Systems (pull cords, in-unit alarms) |
Implied monitored response; missed calls tied to injuries |
Underwriting scrutiny; may trigger surcharges or declines without staffing/protocols |
| Admitting Residents with Advanced Needs |
Elopement/falls requiring supervision; potential licensing mismatch |
Higher premiums or decline if operations resemble assisted living without proper licensure |
| Events with Alcohol / High-Risk Social Activities |
Slips, altercations, third-party injury in common areas |
Exclusions or 20%+ hikes possible if no controls (policies, vendor COIs, monitoring) |
| Poor Building Maintenance |
Aging flooring, lighting, plumbing/electrical raising fall and injury rates |
Surcharges; carriers may require inspections, updates, or higher retentions |
| High-Catastrophe Geography w/ Limited Mitigation |
Wind/flood/wildfire exposures increasing premises hazards and evacuations |
Rate pressure; may require roof/sprinkler upgrades and evacuation endorsements |
| Inadequate Staffing/Training & Volunteer Oversight |
Incident response delays; improper lifting/assistance; volunteer incidents |
Premium escalation tied to frequency; training & documentation can improve terms |
| Food Service & Kitchens |
Foodborne illness; burn/cut hazards; vendor exposures |
GL surcharges; carriers look for ServSafe, logs, and vendor COIs |