Coverage requirements

Assisted Living

Habitational95% completeness
Run gap analysis

Last updated August 2026 · Maintained and reviewed by the Advocate Insurance Consultants coverage research team.

Overview

What an adequately protected Assisted Living program looks like

Advocate's recommended baseline coverage standard for assisted living properties, calibrated to the unique risk profile of senior care assets. A practical starting point for non-agency deals or for benchmarking existing coverage against market expectations.

Key takeaways

  • Spans 138 published requirements across 38 coverage type-peril pairs.
  • Applies to 1 asset type: Assisted Living.
  • Covers 10 coverage types and 11 distinct perils.

At a glance

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Requirements
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Perils
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Completion score

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15 of 38 WIM pairs required

Coverage tower

Required limits by coverage type and peril

Property5 coverage types

Builder's Risk

Avalanche≥ Total Project Value
Boiler & Machinery≥ Total Project Value
Earthquake≥ Total Project Value
Flood≥ Total Project Value
Mine Subsidence≥ Total Project Value
Named Storm≥ Total Project Value
Overall limit≥ Total Project Value
Sinkhole≥ Total Project Value
TRIA - Property≥ Total Project Value
Volcanic Eruption≥ Total Project Value
Wind Hail≥ Total Project Value
Non-Certified Acts of Terrorism Property≥ Total Project Value

Business Income

Boiler & Machinery≥ Business Income Amount
Earthquake≥ Business Income Amount
Flood≥ Business Income Amount
Named Storm≥ Business Income Amount
Overall limit≥ Business Income Amount
TRIA - Property≥ Business Income Amount
Wind Hail≥ Business Income Amount
Non-Certified Acts of Terrorism PropertyPer policy

Physical

Boiler & Machinery≥ RCV of Existing Structure / Insurable Value
Flood≥ RCV / Insurable Value of First 2 Floors Above Grade + any Floors Below Grade of Buildings Located in an SFHA
TRIA - Property≥ RCV of Existing Structure / Insurable Value
Wind Hail≥ RCV of Existing Structure / Insurable Value
Non-Certified Acts of Terrorism PropertyPer policy
Earthquake≥ Largest Individual TIV on the SOV
Named Storm≥ Largest Individual TIV on SOV In Tier 1 Wind Zone
Overall limit≥ Largest Individual TIV on the SOV

Ordinance or Law

Flood≥ RCV / Insurable Value of First 2 Floors Above Grade + any Floors Below Grade of Buildings Located in an SFHA
Overall limit≥ RCV of Existing Structure / Insurable Value

Business Personal Property

FloodPer policy
Liability3 coverage types

Employer's Liability

Overall limit$1M

Worker's Compensation

Overall limitPer policy

Professional Liability

Overall limit$4M

Requirements

Full requirement set for Assisted Living

Every requirement in the Advocate standard, 138 rows across limits, deductibles, carrier rating, and presence checks. Search and filter to drill in.

Group
Type
Peril

Showing 50 of 138 matching · 138 total

RequirementPerilRequirement typeApplicabilityRequirement
GeneralAllCaptive Insurer or Risk Retention Group (FMAC & FMAE)OverallOtherAllConfirm if Insurance Coverage is provided via a Risk Retention Group or Captive Insurer.
PropertyBusiness IncomeConfirm if Business Income is Included In Blanket LimitOverallDeductibleBlanketConfirm if Business Income is Included In Blanket Limit.
GeneralAllDo Not Allow for Premium FinancingOverallOtherAllInsurance that is Premium Financed is not accepted.
GeneralAllInsurance Carrier Rating [daae909e]OverallCarrier RatingAllCarrier must have an AM Best Rating that meets the required Letter and Financial Size ratings.
PropertyBusiness IncomeRequire 90-day Extended Period of Indemnity [c165f334]OverallOtherAllPolicy's with loan amounts equal to or greater than $35M require a 90-day Extended Period of Indemnity Endorsement.
LiabilityAllRequire ACORD 25OverallOtherAllAll liability coverages must be provided on an ACORD 25 form.
PropertyAllRequire ACORD 28OverallOtherAllThe property coverage must be provided on an ACORD 28 form.
LiabilityProfessional LiabilityRequire Aggregate Number of Licenses Beds on the PolicyOverallOtherAllProvide the Total Number of Licensed Beds Covered Under the Policy.
LiabilityGeneral LiabilityRequire Aggregate Number of Residential Units on the Blanket PolicyOverallOtherAllProvide the Aggregate Number of Residential Units covered under the Policy
GeneralAllRequire Broker Signature on Binding DocumentsOverallOtherAllInclude agent's signature on document.
GeneralAllRequire Carrier Cancellation NoticeOverallOtherAllIndicate "30 day notice of cancellation except 10 days for non-payment to the lender" on ACORD(s) and/or insurance documents.
PropertyAllRequire Geographical Risk AnalysisOverallOtherBlanketBlanket Policies require a Geographical Risk Analysis.
GeneralAllRequire Insurance Broker DetailsOverallOtherAllBound proof of insurance must include the insurance broker's details: insurance brokerage name, broker name, email, phone number, and brokerage mailing address.
PropertyPhysicalRequire Joint Loss Agreement EndorsementBoiler & MachineryOtherAllIf the Boiler and Machinery coverage is provided by a different insurance carrier than the primary insurance carrier providing the property coverage, both policies require a Joint Loss Agreement Endorsement.
PropertyBusiness IncomeRequire Largest Individual EGI of Properties in an SFHA on the SOVFloodOtherBlanketProvide the Largest Individual EGI of Properties in an SFHA on the SOV.
PropertyBusiness IncomeRequire Largest Individual EGI of Properties on SOVOverallOtherBlanketProvide the Largest Individual EGI of all Properties on the SOV.
PropertyPhysicalRequire Largest Individual TIV on SOVOverallOtherBlanketProvide the Largest Individual TIV on the SOV.
PropertyPhysicalRequire Largest Individual TIV on SOV Located in Tier 1 Wind ZoneNamed StormOtherBlanketProvide the Largest Individual TIV Located in a Tier 1 Wind Zone on the SOV.
PropertyAllRequire Lender as Loss PayeeOverallOtherAllLender must be marked as Loss Payee. ({case.lossPayeeClauses})
PropertyAllRequire Lender as MortgageeOverallOtherAllLender must be marked as Mortgagee. ({case.mortgageeClauses})
LiabilityGeneral LiabilityRequire Liability Limit Applied Per LocationOverallOtherMultilocationThe Aggregate Limit of Liability must apply on a per location basis.
PropertyOrdinance or LawRequire Ordinance or Law Coverage D - Increased Period of Restoration (5+ Stories)OverallOtherScheduledOrdinance or Law Coverage D - Increased Period of Restoration Endorsement is required.
GeneralAllRequire Policy CollectionOverallOtherAllThe long form policy must be provided.
LiabilityGeneral LiabilityRequire Policy Form Basis - General LiabilityOverallOtherAllGeneral Liability Policy Form Basis must be on a Per Occurrence Basis. Claims Made Basis is permitted if combined with Professional Liability.
LiabilityProfessional LiabilityRequire Policy Form Basis - Professional LiabilityOverallOtherAllProfessional Liability Policy Form Basis must be one of "Per Occurrence Basis" or "Claims Made Basis".
LiabilityTerrorism LiabilityRequire Policy Form Basis - Terrorism LiabilityOverallOtherAllTerrorism Liability Policy Form Basis must be "Per Occurrence Basis".
LiabilityProfessional LiabilityRequire Retro Date Indicated on ACORD (FMAC & FMAE)OverallOtherAllProfessional Liability coverage provided on a Claims-Made Basis must include a Retro Date on the evidence of insurance.
PropertyBuilder's RiskRequire Special Coverage Form [buildersRisk]OverallOtherAllThe Builder's Risk Coverage must be on a Special Form.
PropertyBusiness IncomeRequire Special Coverage Form [businessIncome]OverallOtherAllThe Business Income must be on a Special Form.
PropertyBusiness Personal PropertyRequire Special Coverage Form [contentsBusinessPersonalProperty]OverallOtherAllThe Business Personal Property Coverage must be on a Special Form.
PropertyPhysicalRequire Special Coverage Form [property]OverallOtherAllThe Building Coverage must be on a Special Form.
GeneralAllRequire a Payment MethodOverallOtherAllThe annualized premium per coverage line AND (1) Paid in Full Receipt OR (2) Proof of Payment Schedule OR (3) Invoice if this premium is escrowed by the Lender are requied.
PropertyPhysicalRequire a Property Loss Payout BasisOverallOtherAllAsset must payout on an RCV Basis.
PropertyAllRequire a Statement of Values [dcc040df]OverallOtherMultilocationStatement of Value is required for a True Blanket or Master policy .
PropertyBuilder's RiskSufficient Avalanche Builders Risk LimitAvalancheLimitScheduledScheduled Builder's Risk Avalanche Limit should be greater than or equal to {requiredValue}.
PropertyPhysicalSufficient Boiler & Machinery Blanket Deductible ($250K)Boiler & MachineryDeductibleBlanketMax Allowable Boiler & Machinery Blanket Deductible is $250K.
PropertyBusiness IncomeSufficient Boiler & Machinery Business Income Blanket Deductible (FMAE & FMAC)Boiler & MachineryDeductibleBlanketMax Allowable Boiler & Machinery Business Income Blanket Deductible is a Waiting Period of 3 Days / 72 Hours OR $250K.
PropertyBusiness IncomeSufficient Boiler & Machinery Business Income Blanket Limit (FMAE & FMAC) (SOV)Boiler & MachineryLimitBlanketBoiler & Machinery Business Income Limit Blanket Limit must be at least ALS 12 Months OR greater than 12 months of either the Largest EGI on the SOV or largest NOI + Continuing Expenses on the SOV.
PropertyBusiness IncomeSufficient Boiler & Machinery Business Income Deductible (FMAE & FMAC)Boiler & MachineryDeductibleScheduledMaximum allowable Boiler & Machinery Business Income Deductible is 3 Days/72 Hours OR $50K for a property whose IV is less than $10M, otherwise $100K.
PropertyBusiness IncomeSufficient Boiler & Machinery Business Income Limit (FMAE & FMAC)Boiler & MachineryLimitScheduledBoiler & Machinery Business Income Limit must be at least ALS 12 Months OR 12 months of EGI or NOI + Continuing Expenses.
PropertyPhysicalSufficient Boiler & Machinery Coverage Limit [rcvOnly_part2]Boiler & MachineryLimitScheduledBoiler & Machinery limit must be at least {requiredValue}.
PropertyBuilder's RiskSufficient Boiler and Machinery Builders Risk LimitBoiler & MachineryLimitScheduledScheduled Builder's Risk Boiler and Machinery Limit should be greater than or equal to {requiredValue}.
PropertyPhysicalSufficient Earthquake Blanket Deductible (FMAC & FMAE 12/21)EarthquakeDeductibleBlanketMax Allowable Earthquake Blanket Deductible is $250K or 7.5% TIV of the Subject Collateral..
PropertyPhysicalSufficient Earthquake Blanket Limit (FMAE & FMAC)EarthquakeLimitBlanketEarthquake Blanket Limit must be at least {requiredValue}.
PropertyBuilder's RiskSufficient Earthquake Builders Risk LimitEarthquakeLimitScheduledScheduled Builder's Risk Earthquake Limit should be greater than or equal to {requiredValue}.
PropertyBusiness IncomeSufficient Earthquake Business Income Blanket Limit (FMAE & FMAC)EarthquakeLimitBlanketEarthquake Business Income Limit Blanket Limit must be at least ALS 12 Months OR greater than 12 months of either the Largest EGI on the SOV or largest NOI + Continuing Expenses on the SOV.
PropertyBusiness IncomeSufficient Earthquake Business Income Deductible (FMAC & FMAE 12/21)EarthquakeDeductibleScheduledMax Allowable Earthquake Business Income Deductible is 15 days or $100K.
PropertyBusiness IncomeSufficient Earthquake Business Income Limit (Fannie Mae)EarthquakeLimitScheduledEarthquake Business Income Limit must be at least greater than or equal to 12 months of effective gross income.
PropertyPhysicalSufficient Earthquake Deductible (FMAC & FMAE 12/21)EarthquakeDeductibleScheduledMax Allowable Earthquake Deductible is 7.5% TIV of the collateral property or $50K for a property whose IV less than $10M, otherwise, $100K.
LiabilityEmployer's LiabilitySufficient Employers' Liability: Disease - Each Employee LimitOverallLimitAllEmployers' Liability: Disease - Each Employee Limit must be at least $1M.

88 more requirements

Compliance

Who requires Assisted Living

  • Non-agency and balance-sheet lenders financing senior care assets lean on a defined coverage floor when a deal falls outside GSE eligibility, and CMBS and bank lenders reference it during origination and servicing.
  • Property managers and senior-living operators use it to confirm that professional liability, abuse and molestation, and habitability exposures are addressed before a lease-up or acquisition closes.
  • Equity investors and their advisors treat the baseline as a due-diligence checkpoint, while carriers and reinsurers read it as evidence of a disciplined risk posture on a class they underwrite cautiously.
  • Brokers rely on it to structure submissions and set client expectations.
  • The coverage set mirrors Freddie Mac agency standards, which makes it a clean benchmark for owners comparing existing programs against market and GSE expectations even when agency financing is not in play.

Carrier standard. Carrier must have an AM Best Rating that meets the required Letter and Financial Size ratings.

Advocate runs these checks automatically for the brokers who place habitational coverage.

Exclusions

What Assisted Living does not cover

  • The baseline is a property and liability foundation, not an all-lines program.
  • It does not include cyber liability or data breach response, which matters given the volume of protected resident health and payment data these facilities hold.
  • Pollution and environmental impairment are outside scope.
  • Liquor liability and inland marine are also excluded.
  • Asset-specific gaps deserve attention: abuse and molestation is frequently sublimited or added by restrictive endorsement, and skilled-nursing or true medical malpractice exposure may fall outside a professional liability form written for assisted living.
  • Resident personal property and elopement or bedsore claims can carry their own carve-outs.
  • Confirm each item is placed separately.

Risk advisory

Typical coverage gaps in Habitational

Professional liability and abuse coverage are the exposures most likely to be underbuilt.

  • Many senior-care policies carry low abuse and molestation sublimits, claims-made triggers, or exclusions buried in endorsements, so verify the limit is adequate and ideally matches the general liability limit rather than sitting at a token figure.
  • Watch for narrowing sublimits on high-frequency claim types such as elopement, falls, and pressure injuries.
  • Business income should contemplate resident relocation: if a covered loss makes a wing or building uninhabitable, extra expense for temporary housing, transportation, and evacuation of residents can dwarf lost revenue.
  • Confirm an evacuation or extra-expense endorsement is present.
  • Reconcile property valuations to current replacement cost, since stale values leave a coinsurance gap.
  • Finally, align workers' compensation and general liability so caregiver injury and resident-care claims do not fall between policies.

FAQ

Frequently asked questions

What insurance does an assisted living facility need?

A core program pairs property coverage on the building and contents with general liability, professional liability for resident-care negligence, and abuse and molestation coverage. Business income, workers' compensation, employer's liability, ordinance or law, and directors and officers round it out. Perils such as flood, named storm, and earthquake are added where geography requires them.

Does general liability cover abuse claims in assisted living?

Usually not adequately. Standard general liability forms often exclude abuse and molestation or cap it at a low sublimit added by endorsement. Because these claims are severe and common in senior care, dedicated abuse and molestation coverage with a limit close to the general liability limit is the safer structure to verify.

Why does assisted living need professional liability insurance?

Professional liability responds to injury or death alleged to result from negligent resident care by administrators and staff, exposures a general liability policy does not address. Given medication management, fall prevention, and supervision duties, professional liability is a foundational line rather than an optional add-on for senior care operators.

How does business income coverage handle resident relocation?

Beyond replacing lost revenue, business income with an evacuation or extra-expense endorsement can reimburse the cost of relocating residents to temporary housing, transportation, and added staffing after a covered loss. Confirm the relocation component is present, because moving a resident population is frequently the largest post-loss cost.

Maintained by

About this coverage standard

This profile is maintained by the Advocate Insurance Consultants coverage research team, which maintains the Coverage Library benchmarks against the World Insurance Model taxonomy and reviews each standard against live market placements. It is general guidance, not legal or coverage advice. Verify requirements against the actual policy and contract.

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