What is reps and warranties insurance in M&A?
Reps and warranties insurance (RWI) is a buyer-side policy that covers financial losses from breaches of seller representations in the purchase agreement. Marsh puts average premiums for US and Canadian deals at 3.0% to 3.7% of the policy limit in early 2026.
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Definition
Reps and warranties insurance is a third-party insurance policy that backstops the indemnification obligations of the seller in an M&A transaction, allowing the seller to keep more sale proceeds at close rather than holding them in escrow.
The detail
RWI has spread from large buyouts to practice-sized deals. Marsh reports a significant rise in insured deals of $50 million enterprise value and below, and its North American healthcare placements almost doubled in 2025, driven by behavioral health, dental and physician practice deals. Without RWI, the seller backs its representations with an indemnity escrow: in SRS Acquiom's 2024 deal data the median general indemnification escrow was 10.0% of transaction value when no RWI was identified, against 0.35% when it was, and escrows were held for a median of 12 months. With RWI, the buyer's policy pays covered losses above a retention, which Marsh puts at 0.5% to 0.75% of enterprise value for US and Canadian deals in early 2026. The premium runs about 3.0% to 3.7% of the policy limit on Marsh's figures, and Gallagher's deal data, mostly from technology deals, show the buyer now pays it in most deals; sellers paid it about 17% of the time in 2025. CRC Group puts limits at 10% to 20% of the purchase price, with policy terms of three to six years. Healthcare used to be treated as a higher-risk sector, but WTW reported in 2025 that insurers have broadened their appetite and are more flexible on the billing and coding exposures they traditionally excluded. Underwriters build the policy on the buyer's diligence, so gaps in financial, tax or legal diligence lead to broader exclusions, and issues flagged in diligence are carved out of coverage and have to be settled between buyer and seller.
RWI coverage limits generally range from 10% to 20% of the purchase price, and policy terms usually extend three to six years to match the survival periods of the representations.
Source: CRC Group: Representations + Warranties Insurance (Apr 2026)
Average R&W premium rates for US and Canadian deals were 3.0% to 3.7% of the policy limit in the first quarter of 2026, with retentions of 0.5% to 0.75% of enterprise value.
Source: Marsh: Transactional risk insurance map, Q1 2026 (PDF)
In 2024 deals, the median general indemnification escrow was 10.0% of transaction value with no RWI identified and 0.35% with RWI; the median escrow period was 12 months.
Healthcare deals insured with RWI in North America almost doubled in 2025, driven by behavioral health, dental and physician practice acquisitions.
Source: Marsh: Transactional risk insurance 2025, Year in review (PDF)
What this means for clinic owners
From Sorso
If the buyer will buy a policy, push for a small escrow. Worked example: on a $20 million sale, the gap between SRS Acquiom's median escrows (10.0% without RWI, 0.35% with it) is about $1.93 million that reaches you at closing instead of sitting in escrow for a year.
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What is a quality of earnings report?
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What is an LOI in healthcare M&A?
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How long does it take to sell a medical practice?
Selling a medical practice to a PE buyer usually takes about six to nine months from hiring an advisor to closing. FOCUS Investment Banking says its healthcare sell-side process typically takes 6 months, and broker Raincatcher puts a clinic or small-group sale at six to nine months: preparation and valuation in months one to two, marketing and offers in months two to five, and diligence, licensing and closing in months five to nine.
Sources
- Marsh: Transactional risk insurance map, Q1 2026 (PDF)
- Marsh: Transactional risk insurance 2025, Year in review (PDF)
- SRS Acquiom: Deal Terms for M&A Escrows (2025, PDF)
- CRC Group: Representations + Warranties Insurance, Why 2026 May Be the Moment to Act (Apr 2026)
- Gallagher: Who Pays the RWI Premium and Retention in 2026? (Apr 2026)
- WTW: Optimize healthcare M&A with RWI (May 2025)
- Holland & Hart: Representations and Warranties Insurance Trends and Practices in 2026
Founder of Sorso and a CFA charterholder. Before Sorso, Stan spent 19 years in corporate finance at institutions including UniCredit and Société Générale — managing a $450M loan portfolio and making senior partner at a major mezzanine lender by 29 — then built a fractional CFO firm exclusively for outpatient healthcare clinics.
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