IRMI Update—Issue #38
An E-mail Newsletter for Risk and
Insurance Professionals
ISSN: 1530-7948
April 9, 2002
In This Issue
Colleague,
Employment practices liability has become one of the risk professional's
most important concerns. Every week we see headlines of major suits,
awards, or settlements, and it seems the Supreme Court issues an
important decision in the field every session.
To help risk professionals respond to this difficult risk, we
launched a special newsletter, "Employment Practices Liability Consultant,"
("EPLiC") several years ago. Don Phin, the coeditor of EPLiC, is
an independent employment lawyer and consultant who specializes
in helping businesses implement powerful employment practices that
significantly reduce their liability risks while increasing employee
moral and productivity.
Don has developed an easy-to-use but very effective online system
that allows small and mid-size businesses to use his program. Recognizing
its value (we use it ourselves), I asked Don if he'd work with us
to put it in the hands of independent agents/brokers (and even insurers)
who could then provide it to their customers as a value-added service.
And that's exactly what we've done.
If you are with an agency/brokerage or insurer that focuses on
small or mid-size commercial accounts and you'd like to expand your
website to provide your clients with this powerful risk management
program, visit this Web page for more information or to request
a demo.
For more information about EPLiC, our employment risk management
newsletter, visit this
Web page.
Thank you for your confidence and support. Have a great day!
Jack
Jack P. Gibson
President
IRMI
Develop a Legal Fee Management Strategy
Before It's Needed. In a significant majority of lawsuits,
legal fees outweigh the cost of indemnity. This doesn't mean conceding
cases because of the anticipated defense expenses. It does indicate
the importance of developing an effective strategy to anticipate
the cost and prepare for the process before it occurs. Here is a
suggested approach:
- Create an internal litigation management profile
with an outline of what fees and expenses you will
and won't pay, the acceptable rate, and how the
fees will be paid.
- Create a contract for the engagement of counsel
and then use it to manage counsel. Include provisions
for dispute management through arbitration/mediation,
an agreement as to the payment of travel expenses,
and policy on experts and consultants.
- Use a careful selection process to create a
counsel panel before it's needed. Remember, it's
not the hourly charge that determines counsel's
value, it's the performance in the task given.
- Once involved in litigation, empower a single,
experienced individual to serve as the primary contact
for counsel. With one contact, extraneous charges
will be significantly reduced.
- Monitor the case on a monthly basis. Closely
examine fees and settlement opportunities.
- Adjusting attorney fees after counsel has been
engaged is expensive, time consuming, and distracting.
Doing so beforehand not only conserves your economic
resources, but promotes the long-term interest in
your products or services as well.
Developing a strategy and implementing tactics to manage claims
and litigation requires general counsel or personnel with the knowledge
and time necessary to succeed. If this is not possible through in-house
staff, consider retaining an outside litigation management professional.
By: John M. Beringer Jr., LPCS, RPA
Beringer & Associates, Inc.
Orange, CA
Suggest a Risk
Tip. Future issues of IRMI Update will include more risk
tips from our readers. 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 give you credit for
your contribution.
No Need To Ask for Permission.
We receive many requests for permission to add a link to IRMI.com
from other websites, and we thought it would be helpful to let you
know our policy. You may link from your website into any part of
IRMI.com without requesting our specific permission as long as the
website does not enclose IRMI.com within frames or otherwise mask
our identity. So, if you believe IRMI.com is worthy of sharing with
visitors to your website, feel free to link to it!
There are now 277 articles on IRMI.com, and many more are in
production. Below you'll find summaries of some recent additions
with links to the articles.
- The Hong Kong Insurance
Market—As with its industry, Hong Kong's
insurance market switched from industrial to commercial.
Jorn Kristensen and Philip Chan examine its structure,
regulatory environment, coverages, and profitability.
-
Managing Earthquake Risk—Since September
11, risk managers have focused on man-made risk.
However, Ron Hamburger explains the greater danger
of natural catastrophes, particularly earthquakes,
and how their risk should be assessed and handled.
-
Seven
Tips for Improving Your Loss Control Documents—Throughout
the world of insurance, people struggle to write
clearly and concisely. In this new column, Gary
Blake provides writing tips for insurance professionals.
-
The
Battle Against Terrorism: A Battle for Stomachs,
Hearts, and Minds—Daniel Wagner explains
why the fight against terrorism needs to start with
putting food in starving people's stomachs in the
developing world and creating a more open, less
hostile, political environment.
-
2002 Medical Professional Liability Insurance Renewals—For
many medical professionals, the search for insurance
coverage this year may be very difficult. Charles
Kolodkin explains.
-
Measuring
And Managing Operational Risks—In this
first in a series of articles, Samir Shah describes
several promising methods for quantifying operational
risks.
Does the Discovery
Provision Apply during the Extended Reporting Period?—This
article examines an often-overlooked but critical variation in claims-made
policies: whether the policy's discovery provision is operative
during the time period covered by the ERP.
Sales of New Captives Book Prove Hard
Market! If we needed proof of the hard market, we certainly
got it from the response to our newest book,
Captives and the Management of Risk.
It has enjoyed several favorable book reviews and the brisk sales
demonstrate that risk professionals are seeking alternatives to
insurance. For more information on Kathryn Westover's fine work,
see the
description in our Products subweb.
Alerting Insureds and Brokers of Policy
Modifications. We received nearly 200 responses to Jack's
editorial in IRMI Update 37 asking
readers their opinion of insurers issuing modified "standard" policies
or endorsements without indicating they have been altered. By far,
the consensus was that—while perhaps not fraudulent, depending on
intent—doing so was simply not good business practice. Suggestions
for pointing out modifications were plentiful:
- Increasing the point size or changing the font
of modified verbiage.
- Adding "mod" to the policy/endorsement number.
- Changing the edition/form number completely
- Providing a written notice to the agent/broker/policyholder.
- Placing a "Modified" stamp or sticker on the
endorsement/policy.
- Providing a cover page highlighting coverage
changes.
Several readers voiced their belief that such sleight-of-hand
modifications were in fact illegal. They suggested the practice
could be a violation of copyright, a case of bad faith, a misrepresentation
under a state's insurance code or other Consumer Protection Act,
a breach of the implied covenant of good faith and fair dealing,
or a violation of most states' property and casualty filing laws
and "60-day advance notice" rules.
Other voices sounded an opposite chorus, however, citing overworked
underwriters, CSRs, and insurer processing units. After all, they
chimed, isn't it the obligation of all insureds, brokers, agents,
risk managers, etc., to read—word for word—the policies and endorsements
provided? Isn't failing to do so not only an abdication of good
business practice but a failure of duty and common sense? Is it
really the insurers' fault when policyholders fail to read their
policies and endorsements?
Whether this practice is seen as outright deception or simple
miscommunication is obviously a matter of opinion. Perhaps the question
we should ask is not whether the practice is deceptive but how can
we as an industry solve the problem? What do you think? Below are
some reader comments, edited for length.
- We all (carriers, brokers, agents, risk managers,
insureds) rely on ISO to set "standards." These
standards should be protected property. If one wishes
to build or take away from its original form as
occurs frequently, then the ISO identifier should
be removed completely.
—C. Dwayne Shelton, Account Executive,
First
Arkansas Insurance, Little Rock, AR
- As for the ease of amending the standard form,
I reject that theory. It's not that much wording
to put on a piece of paper and it's not that hard
to add the words "material used from" to the ISO
wording at the bottom. Yes Jack, they knew exactly
what they were doing. Deceit, fraud, and infringement.
They know they can get away with it. If this wasn't
insurance, this story would be on Dateline as a
feature story.
—Mark A. Leininger, Opinions, Ltd.
- The form has a space for a typed entry and it
has wording that refers to the typing above and
if none, refer to the policy. I would think anyone
that received an attachment with a certificate should
deem that attachment important enough to review
and read. Any entry that was on the form should
be obvious and not need to be highlighted or flagged.
I don't see this as modifying and endorsement. I
see it as completing an endorsement that can be
used one of two ways. That is why the warning you
refer to is already at the top of the page saying
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ
IT CAREFULLY. I don't think it needs to be there
twice.
—Mike Sawyer
- CSRs are expected to handle more and more volume
every year. Although our agency believes it is incumbent
on the marketing department, CSR, and the agent
to notice any gaps in coverage, it would be almost
impossible for us to catch a change in the standard
policy writing without microscopic inspection of
each policy. A page showing any deviations from
ISO provided by the companies would be most helpful
and in today's age of technology it should not be
that difficult to achieve.
—Jack Laseter, Marketing Director, Bryson
& Company
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