Sexual Abuse & Molestation (SAM) Insurance

Important insurance for any organization whose staff or volunteers have extended contact with children, teenagers, elderly residents, or adults with disabilities.

Sexual Abuse & Molestation Insurance is increasingly required for organizations contracted to provide services to schools and government bodies.

Recently, for instance, a school psychologist who had agreed to evaluate one student for a local school district was required to carry Abuse and Molestation Insurance, at $1 million per occurrence and $2 million in the aggregate.

In the same four weeks, two behavior technicians in Palm Beach County were required by their school district to carry the same figure, as were a speech pathologist in Los Angeles about to sign a vendor agreement with a regional center, a youth soccer academy, an after-school coding school in Texas, an art studio in Louisiana that wanted to run workshops in schools, a foundation in Illinois with a program for 24 to 48 students in grades three through 12, and a youth-development nonprofit in New York that was applying for a grant.

The abuse clause in general liability policies usually does not provide the level of coverage required.

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The application asks what you do, whom you serve, and what the contract or the funder is asking for. If a document like a contract is driving the request, it should be uploaded with the application, as the quote is written to its wording, and a certificate that does not match the wording can be rejected.

The carriers Homewood approaches write abuse and molestation cover as a line in its own right, which is very different from writing it as an afterthought on a package.

What a SAM standalone policy can include

Along with sexual abuse, the policy can include:

  • Physical abuse, by endorsement, so a claim of physical rather than sexual abuse is not left outside the policy.
  • Part-time, seasonal and temporary staff, and volunteers, which is often where the coverage gap is.
  • Limits and a deductible that apply per victim, so one incident with five claimants does not share a single limit.
  • Prior acts, for incidents that predate the policy and that nobody knew about when it was bought.
  • An extended reporting period, or tail, for an organization that closes or changes carrier, because these claims arrive years after the fact.
IMPORTANT INFORMATION

Please Read Before You Apply

The carriers will provide a quote without the following in place, however they will not bind without it. The distinction matters because a quote is a number and a bound policy is a certificate, and it is the certificate the school district wants. Each of these is a low-cost chore that an applicant can finish alone, and an applicant who finishes them first gets a policy in four to seven business days; one who finishes them afterward gets it in weeks.

1. Run criminal background checks

Carriers expect a background check on everyone who has contact with the people you serve: owners, employees (including part-time, seasonal and temporary staff), volunteers and independent contractors. If you are a sole proprietor, that means a check on yourself. A service such as Checkr (checkr.com) or Sterling (sterlingcheck.com) will do a basic criminal check for $20 to $40 a person and return it in a day or two. Keep the copies on file and send a set with your application.

2. Adopt a written zero-tolerance policy

Carriers want a signed, dated piece of paper, and one page is enough. It states that your organization has a zero-tolerance stance toward abuse, molestation or inappropriate conduct toward anyone in its care, and that any allegation will be reported at once to the proper authorities. Adapt the template below, sign and date it, and a photo of it will do:

[Organization / Business Name] — Abuse & Molestation Policy Statement

I, [Name], [owner / authorized representative] of [Organization / Business Name], affirm that:

  1. [Organization / Business Name] maintains a zero-tolerance policy for any form of sexual abuse, molestation, or inappropriate conduct toward clients, participants, patients, or any individuals in our care.
  2. Any allegation or incident of abuse or misconduct will be reported immediately to law enforcement and the appropriate authorities as required by applicable state and federal law.
  3. This policy applies to all employees, volunteers, and contractors, and to all activities conducted in the course of our operations.

Signature: _______________________   Date: _______________

Sign it, date it, and include a photo or scan with your application.

3. Make sure your training answers are accurate

Applications ask about abuse-prevention training, and they ask more than once, so the sections have to agree with each other. An application that lists topics as completed on one page and reports no formal training on another gets held, sometimes for good. If you have never done the training, do it before you apply. The Darkness to Light course "Stewards of Children" (d2l.org) is recognized by insurers, takes about two hours and costs little or nothing. Those two hours do more for your application than anything you could write about good intentions.

4. Have your contract requirements ready

If you are buying the coverage to satisfy a contract with a client, a school district, an agency, a venue or a funder, upload the contract with your application. Three things in it shape the quote:

  • The name of the party requiring the coverage.
  • The limits it asks for. In the contracts that reach us, that is almost always $1 million per occurrence and $2 million or $3 million in the aggregate.
  • Whether that party must be named as an additional insured, sometimes with a waiver of subrogation as well.

A quote written without the contract is a guess at those three things, and the certificate that follows the guess gets sent back. The application also asks, in so many words, why you are buying the coverage. A contract is the normal answer, and naming the counterparty makes it a complete one.

Not sure where to start? Call us and we will walk you through all four. The written policy is the one most small applicants turn out not to have, and it takes an afternoon.

What is Sexual Abuse and Molestation (SAM) Insurance?

The first thing to understand is who the policy protects: the organization, not the person who commits abuse. It covers the organization that hired, placed or was supposed to be supervising that person. The lawsuits that follow an allegation of abuse are almost always lawsuits about supervision: the organization did not check, did not train, did not notice, did not report. Those are claims against the entity, which is why the entity buys the policy, and why a school district's clause asks for protection against "negligent hiring, training, and supervising practices" rather than against the act itself.

The cover goes by several names, and the names cause more confusion than the coverage. A contract may ask for sexual abuse and molestation, abuse and molestation, sexual misconduct liability or vicarious sexual misconduct, and a carrier's certificate may abbreviate it to SAM or SMML. They are all the same line.

What Does SAM Insurance Cover?

  • Defense costs: legal fees from the first letter onward, whether the claim is fought in court or settled before it gets there.
  • Settlements and judgments: what is paid when a claim succeeds or is negotiated.
  • Court costs: the procedural expenses that come with a suit.
  • Medical expenses: some forms pay the claimant's medical costs, some do not, so ask before you bind.

What Is Typically Excluded?

  • Known acts: incidents the organization knew about and did not disclose when it bought the policy.
  • The perpetrator's own conduct: there is no insurance anywhere for the individual, though the organization's vicarious liability for what they did is exactly what the policy is for.
  • Purely contractual obligations: liabilities that exist only because a contract created them, unless the policy is endorsed to take them on.

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Who Needs Sexual Abuse and Molestation Insurance?

Two kinds of organization: those whose staff or volunteers are alone with children, teenagers, elderly residents or adults with disabilities, and those whose contracts say so. The second group is larger than the first, and it is the one that writes to us. The request arrives as a vendor agreement from a school district, a contract with a state regional center, a county placement contract, a grant application or the fine print on a venue hire, and the wording hardly varies: $1 million per occurrence, with the district or agency named as additional insured.

Homewood places the cover for:

  • Hospitals and healthcare providers
  • Assisted-living and senior-living facilities
  • Halfway houses, host homes and residential care centers
  • Home-health agencies and skilled-nursing facilities
  • Foster-care and adoption agencies
  • Child-care centers and adult day-care centers
  • Developmental-disability providers and the vendors who contract with regional centers
  • School contractors: psychologists, therapists, behavior technicians and tutors sent here by a district's procurement office
  • Youth sports, arts and mentoring programs that discover the requirement when they try to book a gym

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PRICING UPDATE — AUGUST 2026

How Much Does Sexual Abuse & Molestation (SAM) Insurance Cost?

Reviewed by Mike Barker, Head of IT and Content · Rates last reviewed August 2026 · Next review November 2026

Most organizations pay between $2,000 and $40,000 a year for $1 million of standalone SAM coverage. Revenue and head count, which govern the price of nearly every other commercial policy, barely figure. What the underwriter is pricing is the amount of time an employee can spend alone with a vulnerable person, and whether that person is a minor.

$2–5K

$2,000 – $5,000

Supervised programs, low one-on-one exposure

$15–40K

$15,000 – $40,000

Residential or custodial care of minors

400×

400× more coverage

Standalone per-victim limit vs. a typical package sublimit

The $25,000 trap

Abuse and molestation added to a package policy as an endorsement is commonly sublimited to $25,000, a figure that sits below what most contracts and licensing regulators ask for. A standalone policy typically writes per-victim limits of $1 million, 40 times as much, and the limit does not erode: an abuse claim does not consume the money that was protecting the organization against a slip in the parking lot. The sublimit is usually discovered at the point of contract, when somebody reads a declarations page for the first time, and not at renewal.

Annual Premium by Risk Tier — $1M Standalone Coverage

What drives the tier is unsupervised access and the population served, not organization size

$2K–$5K
Supervised, low one-on-one (tutoring, adult day, outpatient)
$5K–$10K
Regular one-on-one contact (home health, assisted living, behavioral health)
$10K–$15K
Overnight / custodial care of adults (skilled nursing, halfway houses, group homes)
$15K–$40K
Residential / custodial care of minors (residential treatment, foster care, youth group homes)

Bar heights are on a square-root scale so that all four tiers stay readable. In full, the tiers run $2,000 – $5,000 for supervised programs with low one-on-one exposure, $5,000 – $10,000 where staff have regular one-on-one contact, $10,000 – $15,000 for overnight or custodial care of adults, and $15,000 – $40,000 for residential or custodial care of minors. The ranges reflect Homewood's own book and published 2026 market data. Where an organization lands inside its tier depends on claims history, the state, and how well its controls are documented.

Per Victim: How the Limit and the Retention Both Work

A standalone policy gives each victim a full limit rather than a share of one. The retention follows the same logic, so five claimants means five retentions. Illustrative figures.

One claimant, one retention
$100K
Five claimants, five retentions
$500K

That is the structure of the policies Homewood places, and it is the point of buying the cover on its own: a claim involving several victims does not exhaust one shared limit, because the limit for each of them is the full figure on the declarations page. The retention is per victim for the same reason, and an organization should budget for it rather than discover it. Two other things are worth asking about before binding. Policies in this line are written claims-made, with a retroactive date, and the extended reporting period is an option bought when the policy ends, priced as a proportion of the annual premium; some forms also carry sunset clauses that stop the clock on reporting after a fixed number of years. For a line of business in which the claim can arrive decades after the event, both matter.

Key Pricing Drivers

↑

Pushes Premium Higher

  • Staff with frequent one-on-one contact
  • Serving younger children or highly vulnerable adults
  • Heavy use of volunteers or independent contractors
  • Overnight activities, residential, or in-home services
  • Prior claims, allegations, or incidents
↓

Keeps Premium Lower

  • Limited supervision / one-on-one exposure
  • Strong written abuse prevention policies
  • Consistent background checks and training
  • Clean claims and incident history
  • Well-documented screening and supervision protocols

Prevention measures are a condition of binding, not of quoting. The four steps under Before You Apply are the ones carriers ask to see.

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Why SAM Renewals Are Rising

The price of this coverage has come loose from the price of everything around it, and the reason is to be found in state legislatures rather than in actuarial tables. Beginning in 2019, when Vermont opened a permanent window for claims that had previously been time-barred, states have been rewriting their statutes of limitations for child sexual abuse, in some cases abolishing them, and carriers have been reexamining the whole class against a liability tail that no longer has a defined end. The windows, as they stood in August 2026, are these:

Where the Revival Windows Stand — August 2026

StateStatus
CaliforniaStatute of limitations eliminated for future child sexual assault claims from 2024; victims may sue at any time. Adult sexual assault revival window open through 31 December 2026
MarylandChild Victims Act, permanent, retroactive to expired claims, effective 1 October 2023
NevadaPermanent revival window since June 2021
VermontPermanent revival window since May 2019, applies to all defendants
LouisianaWindow open August 2024 to 13 June 2027
Rhode IslandInstitutional window 1 July 2026 to 30 June 2028, covering institutions that enabled or concealed abuse
KansasCriminal statute eliminated, civil options expanded
AlabamaPending legislation would extend the civil window to 36 years after the victim turns 19

What That Has Done to Price

  • Of 327 nonprofit providers surveyed in Connecticut, half said their premiums had doubled since 2019, and a quarter reported increases of 200% to 800%.
  • Abuse and professional-liability lines are projected to rise a further 15% to 20%, and umbrella coverage 20% to 30%.
  • California's pool of SAM premium grew from $114 million in 2019 to $490 million in 2025.
  • The average SAM payout reached $59 million in 2025, up 79.2% since 2000, and a claim resolved more than a decade after the incident settles for as much as 61% more, which is exactly the kind of claim a revival window produces.
  • 59% of carriers expect the market to keep hardening, and 65% expect to reduce the limits they offer.

Capacity remained constrained going into 2026. Admitted carriers have continued to withdraw from human-services risks, and more organizations are being written in the excess and surplus lines. Contractual and regulatory mandates of $2M/$4M and $3M/$6M are now ordinary, and excess layers of $15M–$20M have been documented for organizations serving minors. One further question separates a good policy from a merely adequate one: whether the cost of defense is paid from inside the limit or on top of it. The answer varies by carrier, and it changes what the limit is worth. A $1 million limit with defense inside can be used up before a trial begins.

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SAM Insurance: Common Questions

What does SAM stand for in insurance, and is it a real policy?

Sexual abuse and molestation. It is a real line, written by specialist carriers either as a standalone policy or as an endorsement to a general-liability policy, and the contracts that ask for it under any of its names, abuse and molestation, sexual misconduct liability, vicarious sexual misconduct, are asking for the same thing. The policy does not cover the person who commits abuse. It covers the organization that employed, placed, or supervised him.

Is abuse and molestation coverage included in general liability?

Not usually, and not in any useful amount. Most general-liability forms exclude it, or add it back at a sublimit of around $25,000, where a standalone policy typically writes $1 million per victim, 40 times as much. The words to look for on a declarations page are "abuse" or "molestation," and the thing to read is the number next to them.

What limits do school districts and contracts usually ask for?

One million dollars per occurrence, with an aggregate of $2 million or $3 million depending on the district or the agency, the district named as additional insured, and, now and then, a waiver of subrogation. The inquiries that reached this page in September and early October carried that wording from a Florida county school board, a California regional center, and a New York youth grant. The contract's insurance clause, sent in with the inquiry, is what the quote is written to.

How much does SAM insurance cost?

Between $2,000 and $40,000 a year for $1 million of standalone cover, in four tiers: $2,000 – $5,000 for supervised programs with little one-on-one exposure, $5,000 – $10,000 where staff have regular one-on-one contact, $10,000 – $15,000 for overnight or custodial care of adults, and $15,000 – $40,000 for residential or custodial care of minors. Prevention controls, claims history, and the state decide where in a tier an organization lands. The cost section above has the charts.

Do we need SAM coverage if we only work with adults?

The exposure follows dependency rather than age. Residents of skilled-nursing and assisted-living facilities, clients of disability services and behavioral-health programs, and people receiving care in their own homes account for a large share of abuse claims, and the contracts those organizations sign ask for the cover in the same words a school district uses.

Is SAM insurance different in California?

The cover is the same; the demand is not. Of the 24 inquiries this page received in September and early October 2026, nine came from California, more than from any other state, and nearly all of them were set in motion by a regional center's vendor contract or a school district's agreement that specified abuse and molestation limits. California also abolished, from 2024, the statute of limitations for future child sexual assault claims, which is one of the reasons carriers price the state with care. The application is the same anywhere. The contract wording is the thing to send.

Why would a carrier decline to quote us?

For one of a short list of reasons: no documented background-check program, no abuse-prevention training, a prior claim or allegation that was not disclosed, a one-to-one service model with no supervision controls around it, or an application whose staff and screening sections arrived blank, which underwriters will not read past. An open allegation or a known, unreported incident is a different matter and is declined almost everywhere. The rest are repaired in a few weeks by putting the controls in writing and producing the evidence. Homewood's free policy templates are the documents carriers expect to see.

Does buying standalone coverage make it look like we have a problem?

No. Carriers and counterparties read it the other way around. School districts, regional centers, and grant funders increasingly require it, and an underwriter who sees a dedicated policy sitting beside documented controls sees an organization that has thought about the risk, which is the organization he would rather insure. What underwriters do probe is a policy bought only because a contract demands it and for no reason of the applicant's own. The answer that satisfies them is the counterparty's name and the clause itself, which is one more reason the contract goes in with the application.

How long does it take to place?

Four to seven business days in most cases, counted from a complete application. Carriers will quote before the prevention measures are in place, and will not bind until they are documented, so the applications that take weeks are the ones in which the background checks and the written policy are being chased after the quote instead of before it.

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When Carriers May Refuse SAM Coverage

Underwriters decline for a short list of reasons, and most of them can be dealt with before the application goes in:

  • No written abuse-prevention program: background checks, training, a reporting procedure and a zero-tolerance policy.
  • Operations carriers rate as high-risk, among them foster care, adoption agencies and some gig-economy services.
  • A prior claim, allegation or non-renewal.
  • Operations in high-litigation states, or in states with a revival window open.
  • An application with gaps, or with answers that contradict each other.

Two of these deserve a word more. Foster care is the hardest class on the list, but the word covers two different businesses. An agency that places children and takes custody of them is a restricted class for most markets, and gets placed, when it does, after a longer canvass and at a higher premium. An organization that provides counseling or case management to families already in the foster system is a different risk, and if that is you, say so on the form, because the underwriter will otherwise assume the first. And an open allegation, or a known incident that has not yet become a claim, is the one thing almost no market will quote at any price. Talk to us before anything is submitted, not after.

The missing written program is the reason submissions are most often held, and it is the easiest to fix. Homewood publishes free abuse-prevention policy templates you can copy and adopt: a zero-tolerance policy, interaction guidelines, a two-adult supervision policy, mandated and incident reporting procedures, and a staff acknowledgment form. Most small applicants already do the right things. They just have not written them down.

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Why Work With Homewood

Homewood Insurance Group is a broker, which means we work for you and not for a carrier. We are run from Naples, Florida, by Ralph Schiller, whose number is at the bottom of this page. What you get:

  • Carriers that write abuse and molestation cover as a line of its own, at the limits contracts actually specify, rather than a $25,000 endorsement.
  • A straight answer on endorsements: we will tell you when the one on your existing policy is enough, and when it is not.
  • Your application read before it goes to market. Anything a carrier would query comes back to you first, which is the unglamorous reason placements take days rather than weeks.
  • Prior acts and tail arranged where they are needed, which for abuse claims is more often than people expect.
  • One person on your file from the first call to the certificate.

Call 239-251-3703 or Fill Out the Form

Ralph Schiller, Licensed Insurance Specialist

Ralph Schiller

Ralph places abuse and molestation cover for Homewood's clients across the country, from one-person school contractors to residential facilities. Call him or use the form. Either way it reaches him, not a queue.

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