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Does Your Business Owners Policy Cover a Medical Device Startup?

Most BOPs exclude medical device companies from eligibility because of product liability. A device startup that buys one finds the exclusion at claim.

3 min read · Medical Devices · May 25, 2026

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Usually not, and the problem starts before coverage even gets tested. A business owners policy is built for low-hazard small businesses, and most BOP eligibility criteria exclude medical device companies outright because of the product liability exposure they carry. A device startup that buys a BOP assuming it covers the company is often holding a policy it was never eligible for, and that gap surfaces at the worst possible moment, when a claim arrives.

What a BOP Is Built For

A business owners policy bundles general liability and commercial property, sometimes with business interruption, into one package priced for a conventional small business: an office, a small services firm, a low-hazard retailer. The whole model depends on the insured being a routine, low-severity risk. Carriers define eligibility tightly to keep the pool that way, and manufacturing in general, and medical device manufacturing in particular, sits outside it. The product liability a device company carries is exactly the kind of severe, long-tail exposure a BOP is designed to avoid.

So the first issue is not whether the BOP covers the device. It is whether the company qualified for the BOP at all. A device startup that obtained a BOP, often by being underwritten as a generic technology or consulting business, may have a policy that does not match what the company actually does, and a misrepresented or misclassified risk is a fragile thing to rely on when a claim tests it.

Eligibility Versus Coverage

There are two separate failures here, and they compound. The eligibility failure is that a medical device company is generally not an acceptable BOP risk, so the policy either should not have been issued for the real exposure or was issued against a description that does not fit. The coverage failure is the one that follows: even where some products grant survives inside a BOP, it was rated for a generic consumer product, not a regulated device, so it tends to be sublimited, narrowed, or excluded. That coverage-side gap is covered in detail in why a standard BOP does not cover a Class II device. This article is the upstream version of that point: before the coverage gap, there is an eligibility gap.

For a startup, the eligibility problem is easy to stumble into because early on the company may look, on paper, like a small software or R&D shop. As soon as the device is real, used on a person, or shipped, the company is a device manufacturer for underwriting purposes, and the BOP framing breaks.

What a Device Startup Actually Needs

A device startup needs a commercial program built around the device, not a packaged small-business policy. Product liability is the central line once there is human use or distribution, and that exposure can begin before clearance, which is why it is timed to first human use and first shipment rather than the FDA calendar, through a carrier whose underwriters actually price device risk as in products liability for medical device manufacturers. General liability and property still belong in the program, but as appropriately underwritten lines for a device company, not as a BOP bundle that assumed a different business. And if the company is operating from a home or garage, the personal policy there does not fill the gap either, as covered in why a homeowners policy excludes a device startup.

The point is not that a startup needs a large program on day one. It is that the right structure is a purpose-built commercial one, because a BOP was the wrong instrument from the start.

What to Do Now

Confirm how your current policy describes your business. If it underwrote you as a generic small business or a BOP class, and you are designing, building, or shipping a device, treat that as a gap to close before a claim or a renewal exposes it. Map the device exposure, the human-use and shipment timeline, and the contracts that demand proof of insurance, then place a commercial device program against them rather than relying on the package.

Before your next renewal, confirm your company is insured as the medical device company it actually is, not as the low-hazard business a BOP assumes. A specialty review through Tower Street Insurance can show where a BOP stops being eligible and where a real device program needs to begin.

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