IRMI Update—Issue #88

An E-mail Newsletter for Risk and Insurance Professionals
ISSN: 1530-7948
May 11, 2004

In This Issue

Message from the Editor

Colleague,

Last week I had the pleasure of attending our first "Captives Built to Last" seminar, and I was impressed. Kate Westover and Gordon Cook really know their stuff when it comes to captives. If you already know the basics of captives and would like to attend an intermediate-level program and network with other people who work with or around captives, this seminar is for you. We still have seats in both New Orleans (5/19–5/20) and Philadelphia (6/2–6/3). You can learn more by visiting the seminar section of IRMI.com.

You may notice some changes in the appearance of articles on IRMI.com. Late last year we began a substantial project to improve the Web site, and we have just implemented the first of these improvements. If you are one of the many readers who have asked for a more user-friendly print interface, you will immediately appreciate the new "print" function at the bottom of each article. While the other changes are fairly subtle, an entirely new Web technology underlies them, and this paves the way for more substantial improvements later this year.

My last editorial suggesting guidelines for selecting liability limits drew some interesting responses. You can read some of them below. Thank you for subscribing to IRMI Update and for recommending it to your business associates.

Have a great day.

Jack

Jack P. Gibson
President
IRMI

Risk Tip

Consider Alternative Primary Limits to Control Umbrella Costs.—As the insurance market progresses through its cycles, the umbrella and primary insurance markets develop ever-changing attitudes to the intermediate risk layer, which might be defined as the $250,000 to $1 million layer immediately above the working layer (where the insured's normal average losses fall). For instance, in a hard, seller's market, umbrella insurers will pull back and provide coverage only in excess of higher underlying limits. While some umbrella insurers may agree to provide the intermediate layer, the pricing will often be substantially higher than primary insurers charge for higher limits. At the same time the primary insurers normally pursue a more stable pricing approach, and their pricing will be much more competitive than the umbrella markets.

On the other hand, as the market evolves into a buyer's market, umbrella insurers have historically developed an aggressive pricing posture for this risk layer as compared to primary markets. As a result, a general rule is that umbrella insurers will be more competitive in this risk layer than the standard primary insurers in softer markets.

Only time will tell if this historic pattern will be repeated, if the market begins to soften. However, if you found it necessary to increase your primary limits in the hard market, it may be a good idea to plan to obtain quotes for alternative primary limits from the primary insurer, as well as for varying attachment points from umbrella insurers, to see which market segment will be more competitive in the intermediate risk layer.

Source: Derived from recommendation #32 from 101 Ways To Cut Business Insurance Costs.

Suggest a Risk Tip. Send us a practical tip (less than 300 words) for identifying and managing risks, buying insurance, managing claims, or filling gaps in insurance coverages. We'll acknowledge your contribution.

New Expert Commentary

There are now 535 risk management and insurance articles on IRMI.com. Below you'll find summaries of some recent additions with links to the articles.

What's New In IRMI Online

We have recently updated IRMI Online to include the latest issues of our newsletters, The Risk Report, Captive Insurance Company Reports, and Financing Risk & Reinsurance, as well as supplements to a number of the reference manuals. Please use this link to go directly to a summary of the new issues and information with direct links into the publications.

New IRMI Insights

TRIA's Sunset: The Dawn of a New Workers Compensation Crisis?—IRMI President Jack Gibson forewarns of impending challenges in renewing or placing workers compensation insurance beginning as early as this September because of TRIA's sunset in December of 2005.

New Captive Seminar By IRMI

"Captives Built To Last: How To Structure and Operate a Captive Insurance Program That Withstands Market Cycles" is a new seminar to be held in three cities this spring. This workshop is for anyone with an interest in captives, who understands the basics of how and why captives are formed, and who wants to look at the practical realities of owning and operating an insurance company. It will deepen your understanding of the operational and financial issues that arise in different types of captives, explain how to set expectations for the captive management and service team, and suggest ways to quantify captive "value added." Mark your calendar and plan to attend in one of the remaining cities: New Orleans on May 19-20, and Philadelphia on June 2-3. Call (800) 827-4242 to request a brochure or see the seminars section of IRMI.com for more information.

Your View: Picking Liability Insurance Limits

In the last edition of IRMI Update, Jack Gibson suggested some guidelines to help select umbrella limits and asked readers for suggested additions to the list. The most common suggestions were to also consider assets and net worth. Below are some of the responses we received.

  • In our studies that provide commentary on client's limits, we first qualify the question by making a distinction between adequacy and reasonableness of limits. In our opinion, to tell a client their limits are adequate is not responsible. It is always possible for a serious unforeseen incident or incidents (class action) to result in huge verdicts that far exceed just about any limits that may be purchased by the large majority of policyholders. Every year for the last 6 or 7 years, juries have awarded judgments of over $100 million, a limit purchased by only the largest of organizations.

Instead, we consider the exposure presented by the client, their past claims history, their size (measured in several ways), and their tolerance for risk (a soft measurement at best). With this, we endeavor to determine if their limits are reasonable, but not attempt to assure them their limits are adequate (and that they cannot have a loss that exceeds the limit).

In our studies, we approach the process almost exactly as you outlined—using outside benchmark resources (although the benchmarking surveys often are too large or well outside the client's peer group) as well as the most recent Jury Verdict Research data, to arrive at a conclusion. Absent a limit that is unusually low (below the minimum limits your referred to) or unusually high (which is, in part, a matter of weighing against the peer groups), we understand reasonableness as a range and not an exact limit.

There certainly is no "right" answer to this very important question. It should be noted that affordability is a major factor when considering limits above a minimum. As you know, policyholders tend to increase limits when excess layers are relatively inexpensive and decrease limits when excess limits become more expensive.

—Craig F. Stanovich, CPCU, CIC, AU, Principal & Consultant, Austin & Stanovich Risk Managers LLC, Douglas, MA

  • There is an old analogy that matches this concern. The amount of liability to buy is a monkey that belongs to your client. It is their monkey not yours. If pressed to make a recommendation say first, please tell me the worst event you will ever have and I can then tell you how much liability to purchase. Always end the discussion reinforcing that additional limits and amounts are available and are always recommended.

—Bill Ford, CPCU, JD, CLU, CIC, ARM, AAI, Regional Account Executive, ProAssurance Group

  • After many moons in this biz, I feel it is a "no-win situation" for an agent to make liability limits decisions for a client. I am not even sure why, in your message, that you recommend $1 million umbrella minimum with a caveat of $5 million. Do you have a crystal ball? I wonder what the asbestos folks or the September 11 folks think the limits should have been?

I think the best an insurance agent can do is to have a discussion of the potential costs of claims and litigation and what the usual exposures might be for the client's particular industry. I will have my "soapbox" discussion where I suggest that the amount of a liability claim may be nothing more than "luck or unlucky," i.e., one person can fall and get up and wipe themselves off while the next person, in the identical accident, might be a paraplegic. I will advise the buyer that higher limits are generally available, and that costs for additional limits are typically not "straight line," and it may not cost as much as they think for more limits (usually have costs options available or ask if they would like optional quotes). Of course, I may not need to have this discussion with a sophisticated buyer/risk manager type. I also suggest that they may want to speak with their legal department/counsel and ask their opinion (one more E&O policy on the hook).

My experience is most claims are settled based on the amount of insurance available. Does that mean that the more insurance limits available, the higher the cost of the settlement? Probably. And you can bet if there is a claim that exceeds limits, someone will try and blame the insurance agent in an effort to bring E&O dollars into the settlement. And yes, the E&O adjuster will typically throw dollars in the pot to make a claim go away.

The reality is no one can predict precisely how much limits to purchase and that the final decision rests with the client. Believe it or not, my experience is that premium is most often the deciding factor on the amount of coverage purchased. That is why, during a hard market, when the costs for limits increase, buyers will reduce limits.

—Jim Sammons, VP, Guaranty Insurance Services, Inc., Austin, TX

  • Good points. Would inject into the mix the consideration of "How much do I have to lose?", i.e. assets, net worth, etc. One poor way, which is a real gamble, operates on the philosophy of the more limits one carries, the more exposure one has as to amounts for which one is sued. In other words, carry only $5 million, regardless of exposure, as that is what the plaintiff attorneys will focus on as a sure source of funding, as most litigation is settled not pushed through trial. Incredibly, I've seen this work more than once for smaller and midsized clients, with significant products exposure.

—Daniel P. Hughes, McGriff, Seibels & Williams of Texas, Inc., Dallas

  • I definitely agree that the "buy as much limits as you can afford" answer is a cop-out, and I think the list you offered of factors to consider in thinking about limits is very helpful. One frequent reaction to a recommendation to purchase higher liability coverage limits is the argument that, "If we have big limits, it just invites someone to make a big claim." I'd be interested in hearing others' reactions to that argument. Leaving aside the ethics of that approach to doing business, it seems to me that this argument really makes sense only in the case of a relatively small business with minimal assets, where the owner is prepared to simply declare bankruptcy and walk away if s/he gets sued. (One area where it's not uncommon to see this approach, by the way, is with small bars on the liquor liability risk.)

—Pete Tritz, League of Minnesota Cities Insurance Trust

  • Your suggested guidelines are quite valid and a good starting point in my opinion. ... But I believe the issues of availability and affordability must also be included in any discussion about how much liability insurance to buy. What limits are available and how much will it cost will always be part of the discussion.

    I also believe a thorough analysis of a client's exposures is required so those that create the most exposure are thoroughly understood and incorporated in the "how much to buy" discussion. For example, a client with a fleet of vehicles on the road daily in a metropolitan area with minimal premises liability exposure requires a thorough review the types of liability losses the fleet presents.

    I also think we need to factor into the discussion senior management's tolerance for risk as it relates to the preservation of assets and protection of the revenue stream.

—William C. Gilmartin, CPCU, ARM, Senior Vice President, Counselman, Michaels and Downes, Inc., Towson, MD

  • Best suggestion I've heard on what umbrella limit an insured should purchase—have the insured pull out their financials, look at the amount under the total company assets, and pick a limit based on that. If the insured chooses less, that is their choice; either way, get a signature on your proposal from the insured acknowledging their umbrella amount choice.

—Steve Annen, Director of Marketing, Independent Insurance Group Inc., Dallas

  • Consider the net income of the entity. In cases of severe injury or death, an argument may be made that no amount of money is really adequate. Some may relate the damages to the amount of profit the offending organization is making per day/week/year. Playing the deep pocket theory, and the idea that some profit may have been forgone to take stronger preventative measures, may impact a jury's decision on damages. However, I also believe that limits available often influence the requested damages. Firms need to balance what they can afford with what's reasonable, based on the earlier points made.

—Elizabeth L. Good, CPCU, Assistant Vice President, Victor O. Schinnerer & Company, Inc., Chevy Chase, MD

  • I was interested in your comments regarding what limits of liability to recommend. One item that might be added is "What is the insured's net worth?" Many underwriters ask that question these days when they receive requests for what they perceive are high limits of liability.

—Bill Fleming, The Doctors Company, Napa, CA

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