The term “overhead and profit” (O&P) is commonly used in the insurance industry but is often misunderstood. In insurance claims, overhead refers to the operating expenses for necessary equipment and facilities, while profit is the income that allows a general contractor to earn their living. These two types of costs are typically paired together under the label “O&P” and stated as separate numbers, such as “10 and 10.” Understanding the definition of overhead and profit is crucial for both insurance professionals and customers involved in property insurance claims.
Table of Contents
What is Overhead?
Overhead costs in the context of insurance claims are the necessary operating expenses incurred by a general contractor. This includes expenses such as office rent, utilities, insurance, salaries for office staff, and other costs associated with running a contracting business. Overhead costs are essential for the smooth operation of the contractor’s business and are typically calculated as a percentage of the total project cost.
What is Profit?
Profit, on the other hand, is the income that a general contractor earns for their work. This income allows them to cover their personal living expenses and make a profit on top of their business expenses. Profit is calculated as a percentage of the total project cost and can vary based on market conditions, the complexity of the project, and other factors. It serves as a reward for the contractor’s expertise, skills, and ability to successfully complete construction or repair projects.
Overhead and Profit in Insurance Claims
In insurance claims, overhead and profit (O&P) are relevant when determining the appropriate amount to be paid to a general contractor for their services. The insurance industry commonly utilizes a percentage of the estimated repair or replacement cost to calculate the overhead and profit amount. This percentage is typically around 20% of the total cost.
Including overhead and profit in insurance claims ensures that general contractors are adequately compensated for their business expenses and the profit they would typically earn on a project. It acknowledges the value they bring to the table and enables them to continue providing their expertise and services to customers.
Misunderstandings and Disputes
Despite its importance, overhead and profit can sometimes be the subject of misapplication and dispute in insurance claims. If the insurance company denies overhead and profit coverage or offers an inadequate amount, it can lead to conflicts between contractors and policyholders. Some common misunderstandings and disputes related to overhead and profit include:
-
Percentage Calculation: There may be disagreements over the appropriate percentage to be applied to the project cost for overhead and profit. Contractors may argue for a higher percentage based on their business expenses, while insurance companies may try to limit the payout to minimize costs.
-
Scope of Work: Determining which aspects of the project are eligible for overhead and profit can also be a point of contention. Contractors may argue that certain tasks should be included, while insurance companies might view them as part of the regular repair or construction process.
-
Documentation and Justification: Contractors may need to provide detailed documentation and justification for their overhead and profit expenses, which can be time-consuming and complex. Insurance companies may scrutinize these documents to ensure they are reasonable and necessary.
-
Negotiation and Settlement: Finally, negotiating a fair settlement for overhead and profit can sometimes be challenging. Both parties may need to engage in effective communication and compromise to reach a mutually satisfactory agreement.
Conclusion
In conclusion, overhead and profit are two distinct but interconnected concepts in insurance claims. Overhead refers to the necessary operating expenses for a general contractor’s business, while profit is the income that allows them to earn a living. Including overhead and profit in insurance claims ensures that contractors are adequately compensated and can continue providing their valuable services. However, misunderstandings and disputes can arise, requiring effective communication and negotiation to reach fair resolutions.
Considering the importance of overhead and profit in insurance claims, it’s crucial to choose insurance policies that provide appropriate coverage and understand the terms and conditions related to these costs.

Maxwell Underwood, a seasoned insurance expert with over 20 years in the field, has dedicated his career to sculpting robust and sensible insurance solutions for individuals and businesses alike. Educated in Finance at the University of Chicago, he combines academic prowess with practical experience, navigating through diverse insurance products and regulatory environments. Maxwell prioritizes a client-centric approach, crafting policies that balance comprehensive coverage with economic feasibility. A respected voice in the industry, he contributes to insurance journals and speaks at forums, sharing insights drawn from his rich professional journey. His philosophy intertwines sound financial planning and thorough protection, ensuring clients’ serenity and financial stability amidst life’s uncertainties.