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The NEMT Experts Podcast
Insurance & Safety
Episode
104
Published
February 18, 2026
·
29 min 53 sec
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NEMT Insurance in 2026: All You Need to Know!

What insurance does an NEMT business actually need? Auto liability, general liability, and sexual abuse and molestation, says Thomas Clancy.

In this episode

Thomas Clancy
Research Underwriters
Hosted by
Nirav Chheda
CEO and co-founder of Bambi
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About this episode

Thomas Clancy, a producer at Research Underwriters, a transportation only brokerage running since 1956, names three coverages every NEMT operator needs: auto liability, general liability, and sexual abuse and molestation. Auto limits are set by both state law and contract, with some states at 1.5 million and Florida's state minimum at 300,000 while a broker contract may still demand a million. Clancy says carriers now inspect vehicles and yards and verify websites before quoting, and he pushes clients to review loss runs quarterly because claims follow an operator for three years.

Key takeaways

  • Three coverages carry the load: auto liability, general liability, and sexual abuse and molestation. The last one is not legally required, so startups skip it, and Clancy calls that a mistake.
  • Auto limits come from two places at once. Clancy cites states requiring 1.5 million, a Florida state minimum of 300,000, and broker contracts that separately demand a million.
  • Carriers now run due diligence before writing. They check that your website matches what you actually do, and several send inspectors to look at your vehicles and your yard.
  • Loss runs are your claims history and follow you three years, sometimes five. Clancy reviews clients' loss runs quarterly so nobody discovers a nine month old claim at renewal.
  • Every vehicle should carry forward and rear facing cameras. Clancy says rear facing matters most, because footage of a passenger unbuckling herself is what clears the driver.

Chapters

  • 0:00 <Untitled Chapter 1>
  • 1:04 Why working with a specialized NEMT broker is Step 1.
  • 3:07 The three essential coverages: Auto, General Liability, and Molestation.
  • 5:22 Why Sexual Abuse & Molestation insurance is no longer optional.
  • 7:24 Current trends: How carriers are performing due diligence in 2026.
  • 11:50 Can a one-vehicle fleet get insured? Advice for startups.
  • 13:22 The truth behind rising insurance costs.
  • 16:08 Top 5 things operators can do to reduce their premiums today.
  • 26:49 What is a "Loss Run" and why you need to check it quarterly.

Fuel for Your Fleet (and Your Brain).

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