Policy Coverage & Exclusions | Cybersecurity Insurance | USA Market Focus (2024 Edition)
Cyber insurance premiums in the United States have grown by +28% year-over-year (Marsh, 2023), yet claim denials are also climbing because insureds overlook — or flat-out misunderstand — policy exclusions. This ultimate guide demystifies the 12 most common exclusions buried in “boiler-plate” cybersecurity insurance contracts, explains why carriers use them, and shows you how to close the gaps before you sign on the dotted line.
Quick Stat: The average total cost of a data breach in the U.S. hit $9.48 million in 2023, the highest globally (IBM Cost of a Data Breach Report 2023).
Table of Contents
- Why Exclusions Matter for U.S. Companies
- The 12 Hidden Exclusions
- Carrier-by-Carrier Comparison
- How to Spot & Negotiate Coverage Gaps
- Key Takeaways & Next Steps
1. Why Exclusions Matter for U.S. Companies
Escalating Loss Severity
- $1.2 billion in ransomware losses were reported to FinCEN in 2022—double the prior year.
- Average cyber premium for a 50-employee tech firm in California now tops $4,750/year (AdvisorSmith).
Regulatory Minefield
• California’s CPRA, New York’s DFS 23 NYCRR 500, and Texas House Bill 4 create new liabilities that many legacy cyber forms exclude by default.
Claims-Made Trap
Most cyber policies are claims-made and reported, meaning the exclusionary language often intersects with retroactive dates and late-reporting provisions.
For a deep dive on how coverage parts interlock, see What Does Cybersecurity Insurance Cover? Comprehensive Breakdown by Coverage Part.
2. The 12 Hidden Exclusions
Below are the exclusions most frequently cited in claim denials across New York, Texas, and California—the three largest cyber-insurance markets.
2.1 War, Terrorism & Cyber Warfare
Typical wording: “This Policy excludes loss arising out of war, invasion, act of foreign enemy, hostilities, or warlike operations… including cyber operations.”
Why it exists: Carriers fear nation-state events that could generate systemic losses.
Real-world scenario (New York): A Manhattan fintech’s AWS infrastructure was bricked by NotPetya-style malware traced to Russian GRU actors. Total loss: $17 M. Claim denied under war exclusion.
Getting coverage: Request a “full cyber terrorism buy-back” or ask for the London Market Cyber War Exclusion LMA5564 to be replaced with LMA5570 (broader carve-back).
2.2 State-Sponsored Attacks
Closely related to war exclusions but broader.
Hidden Pitfall: Some policies exclude any attack “attributable to, or in concert with,” a foreign government even if attribution is merely alleged.
Negotiation Tip: Push for an affirmative coverage endorsement that requires the U.S. State Department to formally attribute the attack before the exclusion applies.
2.3 Bodily Injury & Property Damage (BIPD)
Why you care: Operational Technology (OT) shops in Houston and Dallas have seen cyber incidents trigger explosions, yet most cyber forms exclude BIPD.
Solution Paths
- Seek a “silent cyber” carve-back on your General Liability policy.
- For manufacturers, negotiate a Cyber-Physical Damage extension—around 15%–20% premium load, according to Chubb underwriting guidelines (2023).
2.4 Contractual Liability
If your SaaS contract promises 99.999% uptime, a policy may exclude losses “assumed under contract.”
• Coalition limits the carve-back to merchant services contracts only.
• Travelers offers broader coverage but caps at $250k sublimit.
2.5 Prior Known Incidents & Retroactive Date
Problem: An incident discovered today but dating back six months in log files can be excluded if your retroactive date is the policy inception.
Best Practice: Buy “full prior acts”; it raises premium by roughly 5% but saves headaches.
2.6 Failure to Maintain Minimum Security Standards
What carriers require: MFA, EDR, off-site backups.
Denial trend: 27% of denied claims in 2023 cited this exclusion (NetDiligence 2024 Spotlight).
Risk Mitigation: Document compliance quarterly; submit progress reports to your carrier.
2.7 Social Engineering & Funds Transfer Fraud (FTF)
Many buyers think “cyber” equals wiring-fraud coverage—wrong. SEF/FTF is usually:
- Sub-limited ($100k at Hiscox).
- Subject to a higher retention ($50k vs. $10k standard).
- Excluded entirely unless an endorsement is purchased (average cost: +8% premium).
Read more on this nuance in Social Engineering Fraud and Cybersecurity Insurance: Are You Really Covered?.
2.8 Unencrypted Portable Devices
Example (San Jose, CA): A stolen laptop with PHI triggered a HIPAA breach. Chubb denied $1.1 M in response costs because the device lacked encryption.
Fix: Add an “Encryption Exclusion Carve-Back” endorsement. Premium impact: minimal (<2%).
2.9 Insider or Employee Malfeasance
Most cyber forms cover negligent acts but exclude criminal acts by insiders.
Coverage Hack: Blend a Crime Policy with Cyber; CNA offers a “Fuse” hybrid policy starting at $3,750/year for SMBs (<$50 M revenue) in Austin, TX.
2.10 Utility or Infrastructure Failure
Blackouts in California’s PG&E service territory caused network downtime for a Sacramento healthcare group. The cyber carrier denied the $600k business-interruption claim.
Solution: Secure a “Contingent Business Interruption – System Failure” endorsement; AIG sells it for an extra $0.10 per $100 of revenue insured.
2.11 Regulatory Fines & Penalties
Due to public-policy concerns, some carriers exclude:
- SEC fines
- FTC consent decrees
- CCPA statutory damages
Coalition’s “Regulatory Defense & Penalties” insuring agreement grants coverage but specifically carves out SEC Rule 38-2 fines.
2.12 Loss of Intellectual Property & Trade Secrets
Why excluded: Hard to quantify damages.
Work-around: Purchase a “Media & IP Infringement” extension or explore specialty markets (e.g., Lloyd’s syndicates) that offer patent IP coverage.
3. Carrier-by-Carrier Exclusion Snapshot
| Exclusion | AIG CyberEdge | Chubb Cyber ERM | Travelers CyberRisk | Coalition Active Insurance |
|---|---|---|---|---|
| War/Terrorism | Excluded, buy-back available | Excluded, limited endorsement | Excluded | Excluded, partial carve-back |
| Social Engineering | Optional endorsement, $250k sublimit | Endorsement, up to $1 M | Standard, $100k sublimit | Included, sub-limit equals policy limit |
| BIPD | Excluded | Optional OT carve-back | Excluded | Excluded |
| Minimum Security Controls | Warranty language | Exclusion with materiality threshold | Strict exclusion | Continuous monitoring—denial rare |
| Utility Failure | Optional system-failure endorsement | Excluded | Optional | Excluded |
Pricing Benchmarks (2024 renewals):
• AIG: $0.30–$0.45 per $100 of revenue in New York for limits ≤$5 M.
• Chubb: $0.25–$0.40 per $100 in Texas.
• Coalition: Flat rates start at $1,099/year for micro-businesses (<$1 M revenue) nationwide.
4. How to Spot & Negotiate Coverage Gaps
Step-by-Step Playbook
-
Gather All Forms & Endorsements
Insurers often issue 30+ pages of endorsements. Exclusions may hide in definitions or conditions. -
Create an Exclusion Matrix (Excel or Notion)
Map each exclusion against your specific risk profile. -
Leverage Broker Expertise
Choose brokers with cyber specialization (e.g., Lockton, Marsh McLennan). Ask for alternative manuscript wording. -
Request Loss Scenarios
Carriers like Beazley provide sample claim summaries illustrating when exclusions apply. -
Negotiate Sub-Limits Upward
Boost social engineering limits to at least 10% of your total policy limit. -
Align Retroactive Dates
Push for “full prior acts”—especially critical after M&A events.
For a granular approach, read How to Read a Cybersecurity Insurance Policy: Clause-by-Clause Analysis.
5. Key Takeaways & Next Steps
• Exclusions are not boiler-plate fluff; they are actionable deal-breakers.
• State-sponsored attack and minimum-security controls are the two fastest-growing denial triggers.
• Compare carriers side-by-side—coverage variances exceed 40 % on critical exclusions.
• Always bundle endorsements for social engineering, system failure, and cyber terrorism.
• Consider higher limits; consult Ransomware Coverage Limits in Cybersecurity Insurance: How to Get Adequate Protection.
Call to Action
Ready to audit your policy? Contact a cyber-focused broker or risk advisor, and use this guide as your negotiation checklist. A few minutes spent dissecting exclusions today could save millions in uncovered losses tomorrow.
Sources
- IBM. “Cost of a Data Breach Report 2023.” https://www.ibm.com/reports/data-breach
- AdvisorSmith. “Average Cost of Cyber Insurance.” https://advisorsmith.com/insurance-research/average-cost-of-cyber-insurance
- Marsh. “Global Insurance Market Index Q4 2023.” https://www.marsh.com/us/insights/research/global-insurance-market-index-q4-2023.html
Disclaimer: This article is for informational purposes only and does not constitute legal or financial advice. Always consult a licensed insurance professional.