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Monthly Archives

March 2013

WHY COINSURANCE MAKES SENSE

By Business Protection Bulletin

Insurance spreads the risk of loss among every policyholder and the insurance company.

The “coinsurance clause” in a Business Property policy reflects the fact that the coverage divides this risk by setting premiums based primarily on the value of the property. Those who insure their property for less than its actual cash value (ACV) or replacement cost will have to pay the uninsured portion of any covered loss out of their own pocket — in other words, “coinsuring” the risk — which encourages policyholders to buy coverage for the full value of their property.

The coinsurance clause usually requires policyholders to insure their property for 80% of its ACV. For example, if the property of your business is worth $500,000, you would need to purchase a $400,000 policy. If a fire caused $300,000 worth of damage, the insurance company would pay $240,000 (80% of $300,000), leaving you to pick up the other $60,000. However, if you had purchased the full $500,000 in ACV coverage — paying a higher premium — the insurer would cover the entire $300,000 claim.

We’d be happy to discuss the benefits that the coinsurance clause offers. Feel free to give us a call.

DAMAGE TO YOUR COMPANY’S REPUTATION?

By Business Protection Bulletin

Identifying and preventing the incidences that might harm your firm’s reputation can be a challenge at best.

The explosive expansion of Web-based communications and social media has aggravated the risks of reputational damage, while dramatically reducing response time to counter these threats.

According to Reputation Review 2012, a report from Oxford Metrica sponsored by Aon P.L.C., a public company runs an 80% chance of suffering a reputational risk that can cost at least 20% of its equity value in any month over a five-year period. Privately held companies face similar risks.

These exposures can come from a wide variety of sources, from product safety and unhappy customers to regulatory pressures and behavior by managers. Examples include recent massive breaches of consumer data held by major financial institutions, and the effect on companies that faced supply chain disruptions or radiation fears after the Japanese earthquake and tsunami of 2011 — not to mention the impact of that year’s outbreak of listeria in cantaloupes. Although this infection came from a single farm, other producers (and even companies selling different types of melons) suffered a loss of reputation.

With reputational risks coming in various and sometimes unpredictable forms, experts recommend that you help protect yourself by:

  • Creating an “early warning system” to monitor print, electronic, and social media for negative references to the company.
  • Evaluating whether a negative comment should have a response (not every tweet or Facebook post matters).
  • Getting frontline employees involved in responding to reputational threats, rather than having top management and PR staff deal with them.

Our agency’s experts stand ready at any time to help you discuss your risk, review potential scenarios, and then build and test a plan for dealing with events that threaten your reputation.

Having an effective plan to deal with these threats can actually improve your company’s reputation.

CURBING CORPORATE IDENTITY THEFT: A THREE-STEP APPROACH

By Business Protection Bulletin

In the controversial Citizens United case, the Supreme Court ruled that corporations have rights similar to those of an individual. If follows that they have identities and are vulnerable to identity theft.

Although insurance offers one way to manage this risk, it might well be a long time before a company discovers the theft — at which point, it would be too late. To avoid or minimize the danger of having your corporate identity stolen, we’d recommend a three-step approach:

  1. Storing sensitive information. Sensitive files and information (credit card numbers, medical data, Social Security numbers, etc.) might be stored on computers, external drives, filing cabinets, or mobile devices. It’s wise to consolidate and secure this data either physically behind lock and key or by using electronic network security measures. Be sure to train employees on handling, storing, and disposing of this type of information properly.
  2. Your business documentation. Identity thieves might use highly sophisticated or surprisingly elementary and low-tech techniques for delving into a company’s records and misappropriating them. These might include intercepting paper mail, stealing trash, or physically taking documents. To safeguard this information, determine what records you need to run the business, inventory them, and use electronic statements to limit the amount of mail containing company information. Never share financial details or documents through e-mail!
  3. Credit reports. Check your company’s credit reports regularly for unusual charges or bills.

The Federal Trade Commission (http://www.business.ftc.gov/documents/bus69-protecting-personal-information-guide-business) provides a variety of resources you can use to help protect your corporate identity and confidential customer information against identity thieves.

Our agency’s professionals would be happy to offer their help — just give us a call.

CONCEALED WEAPONS COMPLICATIONS

By Business Protection Bulletin

The nationwide debate over gun control in the aftermath of the Newtown massacre has raised a number of issues — including potential insurance liability for businesses in states that permit citizens to carry concealed weapons. Here’s why:

A company that allows customers or visitors on its premises has a legal obligation to exercise “reasonable care” in keeping them safe, a responsibility that includes warning them about any hidden dangerous conditions. For example, in states with “concealed carry” laws, a store owner might need to post warnings that sales clerks are armed.

Let’s say that an employee carrying a concealed weapon negligently or deliberately shoots a customer who is legitimately on the premises of the business — and the customer then sues the employer for bodily injury. On the other hand, suppose that an employer forbids workers from carrying weapons on the job. If an employee is attacked and beaten at work, he or she might sue for damages from bodily injury, claiming that the employer’s ban on firearms in the workplace impaired the employee’s ability for self-defense.

Although your Commercial General Liability (CGL) policy should provide coverage against such claims, it makes sense to minimize this risk by taking pre-emptive action. One effective approach: To seek an exemption from the scope of the concealed-weapon law (if one doesn’t already exist), giving you the authority to forbid weapons in the workplace. Make it clear to all employees and potential employees that company policy forbids bringing weapons onto the premises. You might also conduct comprehensive pre-employment screening to help hire stable, sensible people who are unlikely to settle disagreements with lethal force.

To learn more about protecting your business against the potential problems created by concealed carry laws, feel free to get in touch with us.

‘INDEPENDENT CONTRACTOR’ OR ‘EMPLOYEE: THAT IS THE QUESTION

By Construction Insurance Bulletin

One of the biggest challenges that a contractor faces on a job site involves the status of independent contractors. Understanding the difference between an “employee” and an “independent contractor” can help you to avoid becoming the legal employer of a contractor’s or a subcontractor’s workers. The best way to deal with this problem is by requiring that all contractors carry Workers Compensation insurance and taking reasonable steps to verify that coverage is in place. You should also:

  • Check state law for the definition of independent contractors; if needed, seek legal advice for clarification.
  • If the law requires independent contractors to register, check the state’s online portal to verify that the contractor in question is registered.
  • Have a written contract with every independent contractor that outlines the relationship and does not restrict the contractor’s freedom to work for others.
  • Make sure that the contractor provides their own tools and equipment.
  • To avoid the appearance that an independent contractor is drawing a paycheck, provide payment based on completion goals, rather than weekly or bi-monthly — and require invoices for payment.

For more information, please feel free give us a call at any time.

THE ABCs OF SURETY BONDS

By Construction Insurance Bulletin

Although you’re probably familiar with using Construction Surety bonds, you might not be aware of the legal relationships involved.

This type of bond is not an insurance policy, but a guarantee by a “surety’ that a contractor (“principal”) will perform its obligation under the bond. Failure to do so means that the “beneficiaries” of the bond can sue either the principal or the surety for the entire amount of liability. The person or firm to whom the principal and surety owe their obligation (“obligee”) is usually the owner. However, if a subcontractor furnishes a bond, the obligee might be the owner, the general contractor, or both.

There are three basic types of Construction Surety Bonds: Bid bonds, performance bonds, and payment bonds.

bid bond guarantees the owner that the contractor will honor its bid and sign all documents if awarded the contract. If the principal fails to do so, the principal and surety must pay any additional costs to the owner in rebidding the contract — usually the difference between the two lowest bids.

performance bond allows the owner to sue the contractor and the surety for failure to complete the contract according to its terms. Many performance bonds give the surety three choices: Completing the contract through a new contractor; selecting a new contractor to work directly with the owner; or allowing the owner to complete the work, with the surety paying the costs.

payment bond guarantees the owner that subcontractors and suppliers will be paid what the principal owes. On a private project, the owner may also benefit by providing subcontractors and suppliers a substitute for mechanics’ liens. If the principal fails to pay subcontractors or suppliers, they have the right to collect from the principal or surety up to the amount of the bond.

To learn more about the benefits that Surety Bonds offer, feel free to get in touch with us.

WORKPLACE SAFETY PAYS: A CASE STUDY

By Construction Insurance Bulletin

Unfortunately, many construction businesses see on-the-job accidents as an inevitable result of such tasks as hammering, cutting, hoisting, and other high-risk activities.

Charlie Bacon, CEO of mechanical design, construction, and service contractor Limbach Facility Services, has devoted his 30+ years in the industry to proving otherwise.

Shortly before Bacon joined Limbach in 2004, a horrific worksite fatality weakened morale throughout the company, encouraging him to develop the firm’s award-winning safety program. This reinvigorated the workforce, while turning around the company’s Workers Compensation record. In 2004, Limbach suffered 94 claims with net payables of $1.5 million. By 2011, the number of claims had plummeted to 31, with only $170,000 in net payables — and slashed Workers Comp premiums dramatically.

Limbaugh’s Incident and Injury-Free (IIF) program focuses on modifying behavior. Says Bacon, “We want people to choose to be safe instead of being told to be safe.” IFF includes a variety of elements:

  • Every worker signs a personal-commitment card, pledging allegiance to a safe workplace.
  • A safety-training exercise asks workers to write the letter they would want their families to receive if they were killed on the job.
  • Any employee has the right to stop what they’re doing if they believe that they cannot work safely.
  • Each company office has a full-time safety manager who develops technical recommendations, champions the safety culture, and keeps in touch with injured employees throughout the claims process.
  • At the end of every day, work crews hold a “huddle” to discuss any safety issues.
  • Whenever there’s an accident (or even a near miss), managers must provide written “Safety Alerts,” which are the first items discussed at the weekly meeting of top management.

What’s not to like?

KEEPING YOUR WORKERS SAFE: OUR PLEDGE TO YOU

By Construction Insurance Bulletin

As insurance professionals, it’s our responsibility to help you manage your job site safety and Workers Compensation programs. Here are eight ways that we can do the job:

  1. Help you assess liability exposures before you take on high-risk work.
  2. Stress the financial benefits of working with injured workers, medical providers, and Workers Comp adjusters to get employees back to full-time or modified work.
  3. Assist you in creating and maintaining a comprehensive safety and accident program, with specific penalties for violations and rewards for consistent safe working practices.
  4. Work with you, your safety consultant, and loss control specialists from your insurance carrier on a joint annual review of safety programs to see what is, and isn’t, working.
  5. Review and reconcile annual loss runs and experience modifications with you and your Workers Comp adjuster. In case of any discrepancies, we’ll ask the adjuster how he or she derived the numbers, especially the reserves (which should be based on worst case/best case scenarios of estimated claims costs). If these reserves are far higher than anticipated costs, we’ll ask the adjuster, in writing, to reduce them.
  6. Help you close lingering Comp claims or modify their benefits by seeking an independent medical exam, nurse case management, and/or peer review.
  7. Advise you on implementing an effective modified duty program for claimants with minor injuries.
  8. Set up in-person or phone interviews with adjusters and create a joint action plan with them to deal with injured employees who will never return to work for you.

As always, we stand ready to offer our advice. Just give us a call.

WORKERS COMP FRAUD: FROM THE GARDEN TO THE SLAMMER

By Workplace Safety

Everything is not “coming up roses” for a California gardener charged with Workers Compensation fraud and perjury.

Jose Cortez earned his living as a gardener until October 2010, when a large tree branch fell and landed on him during his shift. He was transported to a local hospital and sent home with “minor work restrictions.

Although Cortez filed for Workers Comp, claiming that the injuries sustained that day prevented him from completing his customary work duties, not everyone was convinced. The following year, a tip aroused enough suspicion for his insurance company to initiate video surveillance, which revealed that Cortez was carrying on as if it were business as usual.

In September 2012, investigators from the San Bernardino County District Attorney’s Office Workers’ Compensation Insurance Fraud Unit conducted a criminal investigation, collecting surveillance footage of Cortez, who was still collecting under his claim. On January 21, 2013, prosecutors filed criminal charges against Cortez, resulting in a felony arrest warrant being issued. If convicted, he could enter a system far different from Workers Comp – state prison, where he could serve as many as eight years.

“This type of fraud is harmful because it causes premiums that businesses have to pay to go higher,” says Deputy Assistant District Attorney Scott Byrd. “It drains business profits, which in turn costs honest workers money in raises or other benefits that they may have been eligible to receive.” A word to the wise.

YOGA FLEXING ITS WAY INTO WORKERS COMPENSATION

By Workplace Safety

Millions of Americans practice yoga, which combines stretching and strengthening exercises with meditation. Workers Comp experts stress the benefits of this discipline in dealing with a serious problem: the treatment of workers with chronic lower back pain, and arthritic hands due to workplace injuries, whose condition often deteriorate from using high quantities of pain medications.

Yoga can play a key role in “functional restoration programs,” which combine physical therapy, counseling for psycho-social issues, occupational therapy, addiction education, and physical fitness activities. The insurance company might close a claim immediately after completion of the program or it might offer follow-up care. Yoga helps with flexibility, which is part of trying to get patients suffering from chronic-pain issues beyond the “I can’t move” stage. “However you came to chronic pain, you have to figure out some way to not let it drive you,” says Mark Pew, senior vice president of business development for Prium (Duluth, GA), a workers comp utilization review company. “That’s what functional restoration is trying to do – improve your function, which improves your quality of life.”

These programs can cost tens of thousands of dollars for sessions that patients attend daily over several weeks. Results vary: Many patients report improved health and physical abilities, only to relapse with their pain and narcotic use increasing. According to experts, patients must be interested in making lifestyle changes to achieve positive results. Effective programs screen participants for their motivation before admitting them.

Pew is evaluating functional restoration programs based on a set of questions he developed for service providers. The goal is to help Workers Comp payers decide what action to take after utilization review and peer-to-peer discussions with a treating physician have concluded that an injured worker is consuming too many drugs without showing improvement.