Gross Negligence Policy: When Is It Mandatory for Professionals?

Are you a freelancer? Find out when a gross negligence policy is mandatory and how this coverage protects you from claims for negligence.

Published on Nov 20, 2025
Updated on Nov 20, 2025
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In Brief (TL;DR)

Understanding the importance and, in some cases, the mandatory nature of a gross negligence policy is crucial for any freelancer who wants to protect themselves from claims for evident negligence.

Find out for which professional categories it is mandatory and why it represents fundamental protection for all self-employed workers.

Discover for which professional categories it has become a legal requirement and how it protects personal assets from recourse actions.

The devil is in the details. 👇 Keep reading to discover the critical steps and practical tips to avoid mistakes.

Being a freelancer in Italy means navigating a sea of responsibilities. Between deadlines, clients, and regulations, mistakes can happen. But not all mistakes are the same. There is a fundamental distinction between a simple oversight and a blatant error, legally defined as “gross negligence” (“colpa grave”). This difference is not just a legal subtlety but a crucial point that can have devastating impacts on a professional’s assets. Understanding when and why a specific policy for gross negligence is necessary is a fundamental step in protecting your career and financial future, combining the tradition of Mediterranean prudence with the innovation of modern insurance tools.

Professional activity, by its nature, involves an obligation of means: the professional is required to operate with the diligence required by the nature of the activity. However, when this diligence is blatantly lacking, one enters the realm of gross negligence. Unlike simple negligence (“colpa lieve”), which is an excusable error, gross negligence is a macroscopic negligence, a lack of skill, or an imprudence that no careful professional would have committed. It is precisely to protect against the economic consequences of these more serious errors that a specific insurance coverage exists, distinct from the common Professional Liability Insurance.

Scudo stilizzato che protegge un professionista al lavoro da frecce simboleggianti rischi legali e negligenza professionale.
Un imprevisto può compromettere la tua carriera. L’assicurazione per colpa grave è lo strumento che tutela il tuo futuro professionale e il tuo patrimonio. Scopri se ne hai bisogno.

Gross Negligence: A Clear Definition

The Italian Civil Code does not provide an explicit definition of gross negligence, but it outlines its contours through Article 1176, which requires the “diligence of a good family man” (“diligenza del buon padre di famiglia”), to be assessed with regard to the nature of the activity performed. Jurisprudence has then constructed the concept of gross negligence by identifying it in three fundamental elements: significant imprudence, blatant negligence, or serious lack of skill. In essence, it is a gross and inexcusable error, a macroscopic deviation from the established rules and practices of the profession. A practical example could be an accountant who for years fails to file mandatory tax returns.

Gross negligence is defined as conduct that markedly and inexcusably deviates from the minimum standards of diligence and skill required by the profession, representing an error that an averagely careful professional would never have made.

The distinction with simple negligence is substantial: while the latter is a minor error, almost “acceptable” in the complexity of a professional activity, gross negligence is a blunder that almost always gives rise to liability and a consequent obligation to compensate. For this reason, the assessment of the severity of the negligence is always left to the judge’s interpretation, who analyzes the professional’s concrete behavior.

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When a Gross Negligence Policy Becomes Mandatory

Gross Negligence Policy: When is it mandatory for professionals? - Summary Infographic
Summary infographic for the article "Gross Negligence Policy: When Is It Mandatory for Professionals?"

In Italy, the need for insurance coverage for gross negligence has become a central issue, especially in certain sectors. The obligation to take out a professional liability insurance policy was introduced for many professional categories registered in professional bodies by D.P.R. 137/2012. This general obligation aims to protect clients from damages resulting from professional errors. However, for some professions, the legislation has gone further, explicitly requiring coverage for gross negligence.

The Healthcare Sector: A Case in Point

The most significant case is that of healthcare professionals. The Gelli-Bianco Law (Law 24/2017) revolutionized the framework of medical liability, establishing a specific obligation for all healthcare professionals working within healthcare facilities (public or private) to have adequate insurance for gross negligence. This policy serves to cover the right of recourse that the healthcare facility (or its insurance company) can exercise against the professional, should it be required to compensate for damage caused by an error committed with, precisely, gross negligence. For doctors who operate as freelancers, however, a complete Professional Liability Insurance policy is necessary, covering both simple and gross negligence.

Other At-Risk Professions

Although the specific obligation for gross negligence is stricter in the healthcare sector, other freelancers should also carefully consider this coverage. Engineers, architects, accountants, and lawyers, despite having a general professional liability obligation, are exposed to risks that can lead to litigation for gross negligence. Consider an engineer who makes a gross structural calculation error or a lawyer who lets the deadline for a crucial appeal expire. In these scenarios, a basic professional liability policy might not be sufficient, making gross negligence coverage a choice of prudence and innovation in professional risk management.

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How Gross Negligence Coverage Works

A gross negligence policy is not a standard insurance but a specific guarantee that complements a basic professional liability policy. It is often included as an extension or as a standalone policy. Its main purpose is to indemnify the insured for the sums they would be required to pay following a recourse action by the facility they work for or, in the case of public employees, following a conviction for financial damage (“danno erariale”) by the Court of Auditors. This type of coverage protects the professional’s personal assets, which would otherwise be directly exposed to the compensation claim.

Gross negligence policies typically operate on a claims-made basis, meaning they cover claims for compensation made during the policy’s validity period, even if the error was committed in the past. For this reason, it is crucial to pay attention to the policy’s retroactivity, which should extend for an adequate number of years (often ten) to also cover errors made before the policy was taken out. Similarly, a run-off coverage is crucial to be protected even after ceasing activity.

Tradition and Innovation: Why Getting Insured Is a Cultural Choice

In the Mediterranean and Italian cultural context, where freelancing is often linked to a strong family tradition and a deep-rooted work ethic, the idea of making a serious mistake can be taboo. However, the growing complexity of regulations and higher client expectations have exponentially increased the risks. Choosing to get insured for gross negligence is not an admission of incompetence, but an act of responsibility and foresight. It is a way to combine prudence, a traditional value, with the innovative tools that the insurance market offers to protect one’s work and assets. Ignoring this risk, in an era of increasing litigation, means jeopardizing not only one’s financial stability but also the continuity of a business built with years of sacrifice. A conscious choice, like protecting your home office, becomes an integral part of a solid and modern business strategy.

Conclusions

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In conclusion, a gross negligence policy is not an optional extra for many freelancers, but a necessity imposed by law or by simple prudence. For healthcare professionals, it is a clear regulatory obligation, introduced to balance responsibilities within the health system. For other categories, such as engineers, architects, or accountants, it represents fundamental protection against macroscopic errors that could have disastrous economic consequences. Carefully assessing one’s risk exposure and choosing adequate coverage, with limits, retroactivity, and run-off coverage suitable for one’s specific activity, is an indispensable investment to work with peace of mind. In an increasingly competitive European market, protecting one’s professionalism means ensuring continuity and solidity for one’s business, honoring tradition through innovation.

Frequently Asked Questions

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What exactly is a gross negligence policy and who needs it?

A gross negligence policy is an insurance coverage that protects a professional from claims for damages caused by macroscopic and inexcusable negligence. It is primarily for healthcare professionals (doctors, nurses) employed by public or private facilities, as required by the Gelli-Bianco Law. This policy covers the right of recourse that the healthcare facility (or its insurer) can exercise against the professional after compensating a patient. Although it is central to the medical sector, it is also relevant for other professionals such as accountants, engineers, and public employees who may cause financial damage to the state (“danno erariale”).

Is it mandatory to have gross negligence insurance in Italy?

Yes, for some categories it is mandatory. The Gelli-Bianco Law (Law 24/2017) made an adequate gross negligence policy mandatory for all healthcare professionals working within healthcare facilities, both public and private. This obligation is in addition to the one existing since 2012 (D.P.R. 137/2012) for all professionals registered with a professional body (such as lawyers, accountants, architects) to have professional liability insurance, which often includes or can be supplemented with gross negligence coverage. Failure to take out a policy constitutes a disciplinary offense.

What is the practical difference between simple negligence and gross negligence?

The difference lies in the degree of negligence. ‘Simple negligence’ (‘colpa lieve’) is a forgivable error, a lack of diligence that could happen to an averagely careful professional, especially in complex situations. ‘Gross negligence’ (‘colpa grave’), on the other hand, is a gross and inexcusable error, a blatant violation of the basic rules of prudence and competence that a professional should never commit. For example, leaving a surgical sponge in a patient after surgery is a classic example of gross negligence. The law (particularly for healthcare professionals) provides that in certain cases one is only liable for gross negligence, to avoid encouraging ‘defensive medicine’.

What happens if a professional is sued for damages and does not have gross negligence insurance?

The consequences can be financially devastating. If a professional is found liable for gross negligence and does not have insurance, they must pay for the damages directly from their personal assets. In the case of an employed doctor, the healthcare facility that compensated the patient can seek recourse against them for an amount that, according to the Gelli-Bianco Law, can be up to three times their gross annual income. In addition to the financial damage, there is the risk of disciplinary sanctions from their professional order.

How much does gross negligence insurance cost?

The cost of a gross negligence policy varies based on several factors: the profession, the level of risk (a surgeon pays more than a general practitioner), the chosen policy limit (the maximum amount the insurance covers), and the insurance company. To give an idea, policies for paramedical or nursing staff can start from around 50-60 euros per year. For doctors, the costs are higher and can range from a few hundred euros to more significant amounts for high-risk specialties like gynecology, with premiums around 300-500 euros annually for standard policy limits.

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