Health Care Directors and Officers Liability Insurance

What is Health Care Directors and Officers Liability?

Health Care Directors and Officers (D&O) Liability Insurance is designed to protect board members, executives, and other decision-makers in healthcare organizations from personal financial loss if they are sued for alleged wrongful acts in their capacity as leaders. This type of coverage helps cover legal defense costs, settlements, and judgments that may arise from lawsuits related to management decisions.

Who needs it

This coverage is essential for individuals in leadership roles within healthcare facilities, including hospitals, clinics, nursing homes, rehabilitation centers, and other medical organizations. It is especially important for nonprofit healthcare entities, which may be more vulnerable to legal claims and have limited resources to defend their directors and officers.

What it typically covers

Health Care D&O Liability Insurance generally covers:

  • Allegations of mismanagement or breach of fiduciary duty
  • Errors in decision-making that lead to financial loss or regulatory penalties
  • Claims of negligence, especially in governance and oversight roles
  • Employment practices liability (sometimes included or available as an add-on)
  • Defense costs, settlements, and court judgments

Common exclusions and limitations

While D&O insurance offers broad protection, it does not cover everything. Common exclusions include:

  • Intentional illegal acts or fraud
  • Personal profit or advantage gained illegally
  • Bodily injury or property damage (covered by other policies)
  • Claims made under other insurance policies, like malpractice or general liability

Policy terms, limits, and exclusions vary by insurer, so it’s important to review the details carefully.

Factors that influence cost

Several factors can affect the cost of Health Care D&O Liability Insurance, such as:

  • Size and type of healthcare organization
  • Annual revenue and number of employees
  • Claims history and risk profile
  • Scope of coverage and policy limits
  • Regulatory environment and state requirements

Proof of insurance and compliance

Many states and accrediting bodies require healthcare organizations to demonstrate adequate liability coverage, including D&O insurance. Proof of insurance is often needed for licensing, funding, or contractual agreements. Requirements vary, so check with your state or legal advisor for specific guidance.

How to get a quote

Getting Health Care Directors and Officers Liability Insurance starts with evaluating your organization's needs and risk profile. To explore your options and get a customized quote, start your quote here.

Frequently Asked Questions

Is Health Care D&O insurance the same as medical malpractice insurance?

No. D&O insurance covers leadership decisions and governance issues, while malpractice insurance covers clinical errors by medical professionals.

Are nonprofit healthcare organizations eligible for D&O insurance?

Yes, nonprofit healthcare entities often need D&O insurance to protect their directors and officers from personal liability.

Does D&O insurance cover employment-related claims?

Some policies include Employment Practices Liability Insurance (EPLI) or offer it as an add-on, which covers claims like wrongful termination or discrimination.

Who is typically covered under a D&O policy?

Coverage usually includes current and former directors, officers, trustees, and sometimes senior managers or committee members.

Can individuals be held personally liable without D&O coverage?

Yes. Without D&O insurance, directors and officers may be personally responsible for legal costs and damages resulting from lawsuits.

Still have questions? Talk to a local insurance expert.

Partners, Programs & Market Access


We maintain relationships with nationally recognized and specialty-focused insurance providers that actively underwrite this class of business. Our network includes both admitted and non-admitted markets, allowing us to match risks—from straightforward accounts to more complex or hard-to-place exposures—with appropriate underwriting partners.


Program availability, coverage terms, and underwriting appetite can vary based on operations, location, and loss history, so access to multiple markets is key to securing the right fit. This approach helps ensure broader coverage options and more competitive placement across a range of risk profiles.



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Directors & Officers Insurance Program from J.R. Olsen Bonds & Insurance Brokers, Inc. J.R. Olsen Bonds & Insurance Brokers, Inc. offers a robust Directors & Officers (D&O) Insurance program designed to protect the leadership of a wide variety of org...
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