IRMI Update
Risk Management
& Insurance Commentary, Tips, and Tactics
August 19, 2009 | Issue 212 | ISSN: 1530-7948
In This Issue
Colleague,
Green construction projects are now a reality for owners, developers,
designers, and contractors, as well as those who manage their risks
and place their insurance. Green building offers significant opportunities
for the construction industry, and much of corporate America seems
to embrace the idea. However, as with any emerging trend, it also
presents risk. The risks range from traditional risk issues to new
exposures that are specific to the sustainable building industry.
While some of these risks are covered by traditional insurance policies
and specialized products designed to address green building construction
are being introduced, management of these risks requires a carefully
constructed risk management strategy.
On September 1, we will hold the first of a six-part webinar
series to address the growing risks and potential exposures of green
construction, strategies for identifying and managing these risks,
and emerging insurance coverage considerations and products. Choose
the webinars you wish to attend, or sign up for all six at a discount.
Attendance will apply toward CRIS reaccreditation. Learn more about
the
Green
Building Webinar Series on IRMI.com.
A half-day workshop at the 29th IRMI Construction Risk Conference
in November, "Filling
Your 'Green' Toolbox," will also address this important topic.
The early-bird registration discount ends August 31, leaving only
7 business days before the $100 fee increase. See the conference
agenda and speakers,
review the
benefits
of attending, and
register on IRMI.com.
If you haven't yet made up your mind about attending, you can lock
in the low fee by registering now and cancel for a full refund any
time before October 2. I hope to see you in our nation's capital.
Best regards,
Jack
Jack P. Gibson, CPCU, CRIS, ARM
President
International Risk Management Institute, Inc.
Featured Educational
EventEarly-Bird Price Ends August
31
The early-bird discount for the
IRMI Construction Risk Conference ends August 31. See "What's
New" at this year's premier educational and networking symposium.
View testimonials to learn why many of your peers make this
event a must each year. You can also
download a "business case" for seeking approval to attend. If
you haven't yet made up your mind about attending, you can lock
in the low fee by registering now and cancel for a full refund any
time before October 2.
Risk Tip
Consider Employee Lending To Return Employees
to Work
Mitigating workers compensation claims cost can be tricky. The
best way to control challenging cases is managing an effective return-to-work
program. How many times have we heard that? What about, "If you
would just return this employee to a job within his restrictions,
it would help with your experience modifier rate?" What if you are
too small and do not have opportunities within your company?
There are charitable organizations that need volunteers desperately
in order to continue the valuable work that they do for their communities.
They need people to answer phones, schedule interviews, perform
light janitorial tasks, and sell items in their used goods stores.
Once an injured employee is released to return to some level of
activity, this is an opportunity for an employer to "lend" that
employee to a charitable organization. It shows the employer to
be a good citizen and offers a much-needed service to the community.
The employer pays the employee wages and may be eligible for a tax
benefit, plus the workers compensation claim is being managed toward
resolution. When the employee has reached full duty or a point in
healing that the employer can accommodate, s/he can go back to his/her
job or another employer. In most states, this is considered a suitable
job offer.
What is the value? The bottom line is that by returning an employee
to a job, the healing process is enhanced. Employee lending starts
the act of work hardening by getting the employee back to the routine
of going to a work environment. The employee becomes productive
again, and the reconditioning process is in place.
By: Crystal A. Witham, Sr. Injury Resolution Consultant
CM-Services Inc.
Pittsfield, ME
GET PUBLISHED
IN IRMI UPDATE: 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
as we did for Crystal.
Submit an IRMI
Update risk tip.
What's New in Your
IRMI Library
Are You Ready for the Pandemic?
On June 11, 2009, the World Health Organization (WHO) officially
declared the outbreak of influenza A (H1N1) virus a pandemic, Phase
6—the highest level—for the first time in 41 years. So far we have
been fortunate that this virus is not more deadly, but medical experts
are concerned that this could change. We shouldn't grow complacent.
It's time to make certain that your plan is ready for this fall's
flu season.
A short article in the most recent issue of
Risk Management Notes (the
newsletter that accompanies supplements to
Practical Risk Management)
includes links to a number of Web sites that can help you fine-tune
your plans. If you subscribe to Practical Risk Management, review
the article and access the links on the platform to which you subscribe:
For summaries of other new and updated information in your IRMI
library, go to
What's New on IRMI Online or
What's New in SilverPlume.
Recent Articles on
IRMI.com
New Expert Commentary
There are over 1,100 risk management and insurance articles on
IRMI.com. Below you'll find summaries of some recent additions with
links to the articles.
IRMI Featured Publication
White Paper: "Effective Contractual Risk Transfer in Construction"
Get this valuable white paper from IRMI at no charge when you
sign up for
IRMI Construction Risk Manager—a new, free monthly e-mail newsletter
with the same integrity and quality you've come to expect from IRMI
Update. If you buy, sell, underwrite, or litigate construction insurance
or manage construction risks, this newsletter will become an essential
part of your tool belt.
Learn more.
Your View
Worst-Case Wrap-ups
IRMI Update 211 asked
readers for their wrap-up horror stories for possible inclusion
in the panel discussion at "Wrap-up
Do's and Don'ts," as part of the
IRMI Construction Risk Conference. Below are some of the responses.
-
Wrap-up worst practices:
1. Sponsor who allows contractors onsite without
enrollment and plans to enroll them later with a
"no known loss letter."
2. Sponsors imposing subcontractor offsite insurance
requirements that the subcontractors can't meet.
3. Sponsors and upper tiered subcontractors who
do not pass wrap-up information and offsite insurance
requirements to subcontractors in contract language.
4. Prime contractor who sued lower tiered subcontractor
for expenses not covered under the wrap-up general
liability policy.
5. Lower tiered subcontractors placing a lien
on the owner's property based on disputes between
lower tiered subcontractors.
6. Sponsors who have complex payroll tracking
that require subcontractors to enroll numerous times
on the same project.
7. Large projects where enrolled contractors
of various tiers subcontract with each other and
don't report the payroll.
—Colleen Aegerter, Vice President,
CIP Manager,
Lockton Companies LLC, Kansas City,
MO
-
As an independent consultant, I have had clients
on both sides of a wrap-up. From the sponsor side
(problem for the contractor), the biggest difficulty
is dealing with bid credits on the umbrella coverage
since such a large percentage of umbrellas are flat
rated. Most sponsors I have worked with have had
fair coverage and reasonable allocation of deductibles
to trades. To make the wrap work, they have to get
the bid credits and get credits on flat rated umbrellas,
which is always an issue since the contractors get
no premium back from their insurers.
The contractor side poses far more issues to
the sponsor, in my experience. Claims have to be
managed carefully as I have seen contractors try
to "slip" claims from other jobs into the sponsor's
wrap. The sponsors have also had issues with contractors
that have large deductible programs themselves,
since that leads to negotiated credits for expected
retained losses as the contractor's premium itself
reflects the retention of expected claims. This
can be a most contentious negotiation. Also, getting
contractors and GCs to avidly support safety and
loss control can be a great challenge to the sponsor.
The wrap is only a good financial decision for the
sponsor if losses are minimized. I have found that
proper incentives by the sponsor to the GC and trades
for proper loss control and safety resulting in
low to no losses works very well for both sides.
Lastly, both sides suffer from the lack of availability
of the proper completed-operations coverage tail.
Most wraps offer 5 or maybe a maximum of 10 years.
Many states have statues of repose that exceed the
available tail coverage. This exposes both sponsor
and contractor to uninsured defect exposure in the
latter stages of the period of repose even if the
sponsor buys the maximum coverage available. These
aren't horrors, just real-life difficulties of wraps.
However, on large projects, a wrap is still the
best way to go for all. Management, communication,
and partnership are the keys!
—Donald McKaba, Owner,
Insurance
Consulting Experts, Oradell, NJ
-
One practice that has given workers comp carriers
and their agents some difficulty is when an OCIP
requires a waiver of subrogation and a certificate
from the individual contractor participants that
states specifically that the non-OCIP policy coverage
applies to "offsite exposures" of the OCIP job.
As a workers comp insurer, we exclude coverage for
the OCIP by specific endorsement so that the OCIP
payroll will not be picked up and charged on our
policies final premium audit, since the OCIP policy
should be the one providing coverage for any exposure
related to that OCIP job/workplace and the contractor
does not want to pay twice for the same coverage.
Thus, the request to have a certificate of insurance
provided that references coverage that is in fact
excluded on the policy itself makes no sense. Since
workers comp coverage and policy language are largely
similar in each given state, and not manuscript
or tailored, then there needs to be uniformity in
the drafting of OCIP policies so that they mesh
with non-OCIP policies and provide obvious boundaries
that define when coverage applies and when it does
not.
—Eric England, Senior Underwriter,
Hawaii Employers Mutual Insurance Co., Hawaii
-
I have two different insureds that are on a CCIP
that is for 3 years, and now that they are about
60 percent finished with their work, the GC is canceling
program. This is unfair as the work is excluded
on their policy, and we are trying to get the company
to make an exception on this project. The insureds
do not understand that 4 years from now, they could
be left bare, without coverage for a claim.
—Sharon R. Myers, Commercial
Account Manager,
Frank H. Furman, Inc., Pompano
Beach, FL
-
Inadequate limits and insufficient completed-operations
term (not matching the statute of repose) can be
troublesome, particularly on smaller residential
projects. Compounding this is subcontractors not
buying difference in conditions coverage in the
event the wrap-up blows the aggregate or the term
expires prior to the loss. Why do subs not buy this?
Underwriter unwilling to offer? Too expensive? Agent
fails to recognize the exposure and recommend appropriate
coverage?
—Fred Lapointe, AVP Business
Development, ACE USA
-
I have represented enrolled contractors as well
as the owner/developer in over 50 construction
personal injury suits arising on wrap-up projects.
A couple of points come to mind. One, it is the
rare case on a wrap-up where none of the enrolled
contractors (other than plaintiff's employer) are
potentially liable under the multiemployer worksite
analysis. Therefore, personal injury litigation
on wrap-up projects in effect are strict liability
cases with the only goal of damage control rather
than a negligence action requiring the plaintiff
to find a liable contractor. Union workers quickly
learn of this "financial" situation which requires
a strong claims management process (quarterly claims
review meetings) in place to minimize damages, and
this should be considered during the underwriting
process. This concern should also be addressed during
the contract drafting stage where the parties are
establishing who is responsible for control over
means and methods of the work as well as safety
on the project, as those are the contractual provisions
the courts focus on in assessing liability. Control
over these areas should be placed on the employer
of the exposing employee to the extent possible.
Two, I have seen cases tried to verdict despite
reasonable settlement possibilities because the
excess/umbrella carrier was not the same as the
primary carrier. This is a problem when the annual
primary aggregate is exhausted so the excess carrier
is involved in the claim resolution process, yet
the primary carrier controls reimbursement of the
workers compensation lien. There should be some
discussion of how these types of cases will be resolved
short of necessitating trials in cases that otherwise
should settle. It was a major problem on one wrap-up
where the carriers were different, but not a problem
at all on a recent project where the primary and
excess carriers were the same.
—Joseph Spitzzeri, Tier I
Shareholder,
Johnson & Bell, Ltd., Chicago
-
My worst wrap was an OCIP about 10 years ago
where the owner felt that they "hired" others to
be responsible for the safety of the site. They
took no ownership after they hired others. We had
several severe injuries and at least 2 deaths due
to a lack of safety from the top management down.
—Patricia L. Wright, Vice
President, Chartis, Chicago
-
In response to your request for wrap horror stories,
recently I have had two similar claims involving
subcontractors, where the projects were $20 million
but the wrap policy was written to provide coverage
for all subs with a policy limit of $1 million burning
limits defense to be shared by all subs—in one case
the GC back-charged each sub the cost (based on
a policy limit of $1 million for each sub—not the
project). Thus, the wrap was written by underwriters
who knew they were selling a $1 million wrap for
$20 million projects. Obviously, the wrap is not
sufficient, and many subs have endorsements which
exclude GL coverage for projects under a wrap.
—Roger D. Link, JD, MS-CNS,
Sr. Litigation Claim Specialist,
Farm Bureau Mutual
-
Low-level liability only CIP programs—Liability
only CIP programs providing limits of $1.0 million/$2.0
million or $2.0 million/$4.0 million for the project
duration and only a few years beyond completion
for products and completed operations should be
prohibited. Contractors providing CIP credits often
do not recognize their own insurance won’t cover
excess or DIC of the CIP. This leaves a contractor
or subcontractor with no coverage in the event of
a products or completed operations claim after the
policy ends. In the event of a catastrophic bodily
injury, property damage, personal injury, or advertising
injury claim from ongoing operations during the
project, the contractor’s or subcontractor’s umbrella
or excess program will not provide coverage. You
can keep this from happening with an appropriate
CIP endorsement, but most policies contain CIP exclusions
and coverage can be tough to obtain.
[Another problem is] CIP programs requiring credits
equal to manual rates when you have a loss rated
large deductible plan. CIP credits are supposed
to be cost neutral.
—Dan Sielicki, Risk Manager,
Baker Concrete Construction, Inc., Monroe, OH
-
We have seen a lot of "carrier issues" on wrap-ups.
There are only a few carriers in the wrap-up game,
and wrap-ups are so foreign to everyone that carriers
are either "taking liberties," messing around with
numbers, or just do not exactly know what they are
doing.
First [problem] is the audit system; carriers
say they do "physical audits," but in reality, they
are just calling up the contractors and asking them
what they reported. We have seen carriers accept
multiple excluded or nonrelevant codes; such as
Construction at a Perm Yard, Sales Persons, Clerical
(from the home office), Drivers, and more. Also,
if you know about New York workers comp, you know
about capped and uncapped payroll. Workers comp
payroll is capped in New York; it changes, but it
is currently $900 a week per employee (based on
our data, capped is ~56% of uncapped).
Capped payroll is probably the most annoying
thing for contractors and everyone else involved.
We have seen carriers take capped when uncapped
should be taken, and uncapped when capped should
have been used, which could be good for a sponsor
of a wrap-up if they take capped when it should
be uncapped.
Also, we have seen carriers get very "creative"
on program cost estimates, especially with state
assessment estimates. State assessments change by
the year, so there is some room for error; however,
we have seen some things that are likely not just
"errors." We have seen carriers place huge payroll
estimates on codes with really low rates, bringing
down the assessment estimates to almost 80% of what
they should have been. This kills the sponsor at
the end of a wrap, when their assessments are way
higher than expected.
When contractors are enrolled in a wrap-up, their
payroll on that job, and any claims they incur,
are reported to their states' rating board by the
wrap-up insurer. We have seen many times where the
payroll was not reported or reported improperly
by the carrier. This really messes with contractors'
EMR, especially if much of its work is on wrap-up
jobs.
—Ben Slocum, Account Manager,
CR Solutions, Georgia
|
|