All posts by Jeff Dunsavage

House Panel Discusses Approaches to Manage Future Pandemic Risk

That the insurance industry alone can’t be expected to cover future pandemic risk seemed to be a given at yesterday’s hearings by the House Finance Subcommittee on Housing, Community Development, and Insurance.

But, as is so often the case, the devil is in the details.

The session – Insuring Against a Pandemic: Challenges and Solutions for Policyholders and Insurers – was chaired by Rep. William Lacy Clay. In his opening statement, Clay said, “It is not realistic or practical to expect the insurance industry to shoulder the astronomical cost of a global pandemic. The American Property and Casualty Insurance Association has estimated that paying all [COVID-19-related] claims, regardless of exclusions, would amount to $1 trillion per month.”

With respect to business interruption coverage claims currently being adjudicated, Clay referenced both the virus exclusions in most commercial property policies and the lack of “direct physical damage or loss” in COVID-19-related cases.

John Doyle, president and CEO of global insurance broker Marsh, testified on the importance of a public-private partnership to address pandemic risk, as well as to the need to “act now” on a solution for future pandemics.

“Acting now on a public-private pandemic risk solution will accelerate the economic recovery by reducing uncertainty,” Doyle said. “Moving forward, capital markets will seek assurances that companies have protection against prospective pandemic risk. The pace of recovery will depend upon the nature and degree of confidence in the marketplace.”

Doyle said the credit and power of the U.S. government is essential – “at the same time, I believe the insurance industry has a role to play.”

The Pandemic Risk Insurance Act (PRIA), introduced by Rep. Carolyn B. Maloney of New York, provided the jumping-off point for the testimonies and discussions of alternative proposals. PRIA, patterned after the Terrorism Risk Insurance Act (TRIA) put in place after the 9/11 terrorist attacks, was generally recognized as a good start – but several other structures were proposed to address perceived weaknesses.

One is the Business Continuity Protection Program (BCCP), advanced by the National Association of Mutual Insurance Companies (NAMIC), the American Property Casualty Insurance Association (APCIA) and the Independent Insurance Agents & Brokers of America (Big “I”).

Brian Kuhlmann, chief corporate counsel for Shelter Insurance, speaking on behalf of NAMIC and APCIA, described BCCP as a program that “would provide straightforward revenue replacement for businesses and nonprofits of all sizes” using a parametric approach that wouldn’t require claims adjustment. Unlike traditional insurance, which pays for damage if it occurs, parametric insurance automatically pays when specific conditions are met – regardless of damage incurred.

Michelle Melendez McLaughlin, chief underwriting officer for the small commercial and middle market at Chubb, presented a “bifurcated” framework that would treat small businesses differently from mid-size to large corporations.

“Pandemics affect small and large businesses differently,” she said. The Chubb framework would cover small companies for up to three months of payroll and other expenses. Policyholders would be paid a pre-determined amount when the policy is triggered. “This provides policyholders with certainty that they will receive timely financial assistance after an event.”

For businesses with more than 500 employees, the Chubb proposal would create Pan Re – a federal reinsurance facility. “Private insurance companies that choose to sell coverage would write pandemic policies at market terms and retain some portion of the risk. The rest of the risk would be reinsured through Pan Re.”

R.J. Lehmann, senior fellow at the International Center for Law and Economics, agreed with other witnesses that the insurance industry isn’t equipped to handle pandemic risk alone. He went further to question whether insurance is the best structure for addressing this problem.

“Insurance is a system of risk transfer, not a system of economic relief,” Lehmann testified. “Even if private insurers could provide this coverage—on their own or with government support—it is not clear their incentives would align with public health goals or with the aims members of Congress likely have in mind.”

The best argument for a public-private partnership, he said, is that insurers can help policyholders mitigate risks. “But it’s important to ask, ‘Mitigate the risk of what’? The risk you’re trying to reduce is the risk that a business will shut down. But, in a pandemic, you want businesses to shut down. We want them to have a safety net so they can shut down and survive.”

Hartmann counseled legislators to take their time and get the solution right, drawing from all the options that exist.

“Let’s be humble about how little we know, even about the current pandemic,” he said. “Get help to the businesses, workers, and communities who need it now. Don’t legislate for the next pandemic while we’re in the midst of the current one.”

COVID-19-Related Litigation: A Snapshot

At a recent webinar hosted by the American Tort Reform Association (ATRA), Cary Silverman, a partner at the law firm of Shook, Hardy & Bacon, presented a breakdown of COVID-19-related litigation drawn from his firm’s research.

The charts below are based on 4,283 complaints that – while not comprehensive – provide a useful snapshot of the types of litigation and their relative frequency. They were updated on November 8.

Contract-related cases accounted for 1,255 suits and the largest percentage. Not far behind are insurance cases – mainly involving business interruption – at 1,054 and employment cases at 910.  Employment cases, Silverman said, allege wrongful termination or  failure to pay employees properly during the pandemic.

Taken together, the three broad categories – contract, insurance, and employment – account for more than 75 percent of COVID-related litigation to date.

Among contract cases, the largest share is in the Miscellaneous category (278 cases), which Silverman said are general contractual disputes where performance was affected by the pandemic. The second-largest group (262) consisted of lawsuits against schools (primarily higher education), seeking refunds of tuition and fees. Next come litigation involving leases (225) and event, ticket, or other refunds (224).

Cases involving actual exposure to the coronavirus come in relatively low, at 343 (8 percent), a fact that Silverman attributes to the economic lockdown.

“As more businesses reopen, exposure cases are likely to increase,” he said.

Perhaps unsurprisingly, nearly half of those cases (164) have involved nursing homes. Cruise ship passengers account for 64 exposure claims, and suits related to exposure risk have totaled 58. At least 44 cases to date have involved employee injury or death.

Utility Shutoffs Threaten to Worsen Pandemic Pain

I’ve been living and working at my father’s house since the onset of COVID-19, keeping him from having to venture out and risk infection. Late last week, his furnace died, and we were fortunate to have family nearby to move in with while we wait for it to be fixed.

I’ve been truly grateful and mindful of people – especially the elderly – who don’t have such options. Then, this morning, I read this National Journal article, which threw light on the subject from a different angle.

“Throughout the pandemic, states and cities have put in place moratoriums on utility shutoffs,” the Journal writes, “but many have expired and more will be lifted in the coming weeks.”

The pandemic’s economic dislocations have put many people in situations in which they may not be able to pay basic bills, like rent, electricity, heating, and water. Not only that – even people who can move in with family or friends may be putting themselves in danger of infection.

People can’t remain in a home safely without water, said Rianna Eckel, senior organizer for Food & Water Watch, which advocates on environmental and resources issues.

“You can’t do basic things like wash your hands, which is one of the top safety recommendations,” she said. “You can’t bathe or shower; you can’t flush your toilet; you can’t cook; you can’t really clean. That raises the risk for COVID transmissions because you’ll have families who are going to neighbors’ houses, going to friends’ houses, so that they can wash some clothes and cook or maybe take a shower.”

Similar concerns apply to electricity, gas, and steam utilities.

“Those are critical to the ability to heat your home, to cook, refrigeration to preserve foods or medication,” said Emily Benfer, a law professor at Wake Forest University. “You need electricity to use medical equipment. So all of these are necessary to sheltering in place and to maintaining health, let alone preventing the spread of the virus.”

Benfer added, “The COVID-19 pandemic and social-distancing requirements have created a situation in which utility shutoff is a life-threatening emergency for the majority of Americans.”

In our case, family members had all just been tested for COVID-19 out of concern about a possible exposure (we came up negative). This precaution, too, isn’t readily available to many people. Especially people who have to choose between paying for electricity or food.  

In November, 10 state moratoriums on utility shutoffs are slated to end, according to the National Energy Assistance Directors’ Association. Thirty-three states have expired moratoriums or did not put one in place.

Lawmakers and advocates have been pressing for a moratorium on water shutoffs, calling for the Centers for Disease Control and Prevention to use the same authority it exercised when the agency issued a stop to evictions. In a House-passed bill providing COVID-19 emergency funding, $1.5 billion was included to assist low-income households with water bills.

“It’s incumbent on utilities to figure out a way to make sure that people’s health is not put at risk by having widespread shutoffs, because that’s just going to make the pandemic all that much worse,” said Erik Olson, a health expert at the Natural Resources Defense Council. “The answer to this problem is not to be shutting off low-income people’s water all over the country.”

Beyond the clear humanitarian concerns, if these issues are not addressed effectively, they could lead to litigation and insurance claims to be resolved for some time to come.

Hurricane Delta Triggered Coral Reef Parametric Insurance

Hurricane Delta last month triggered a 17 million peso (US $800,000) insurance payout to the  Trust for the Integrated Management of the Coastal Zone, Social Development, and Security for the State of Quintana Roo, Mexico. The parametric policy, deployed last year, cost the trust nearly 5 million pesos (US $230,000), covering 150 square kilometers (58 square miles) of coastal ecosystems for the entire 2020 hurricane season.

Recent research illustrates the benefits provided by mangroves, barrier islands, and coral reefs – natural features that frequently fall victim to development – by limiting tropical storm damage, particularly from storm surge. Unlike traditional insurance, which pays for damage if it occurs, parametric insurance pays when specific conditions are met – regardless of whether damage is incurred. Without the need for claims adjustment, policyholders quickly get their benefit and can begin their recovery. In the case of the coral reef coverage, the swift payout will allow for quick damage assessments, debris removal, and initial repairs to be carried out.  

Quintana Roo partnered with hotel owners, the Nature Conservancy, and the National Parks Commission to pilot a conservation strategy involving a parametric policy that pays out if wind speeds greater than 100 knots hit a predefined area.  

Similar approaches could be applied to protecting mangroves, commercial fish stocks that can be harmed by overfishing or habitat loss, or other intrinsically valuable assets that are hard to insure with traditional approaches.  

Mangrove Insurance: Parametric + Indemnity May Aid Coastal Resilience

Earlier this year, I wrote about the role mangrove forests and coral reefs play in mitigating tropical storm damage and how insurance might help protect these critical resources. A recent Nature Conservancy study looks specifically at opportunities in mangrove protection and restoration and identifies where insurance could be used to support their resilience benefits.

In many places, mangroves are the first line of defense, their aerial roots helping to reduce erosion and dissipate storm surge. In Florida, one study found, mangroves alone prevented $1.5 billion in direct flood damages and protected over half a million people during Hurricane Irma in 2017, reducing damages by nearly 25% in counties with mangroves. Another study found mangroves actively prevent more than $65 billion in property damage and protect over 15 million people every year worldwide.  

Unfortunately, they frequently fall victim to development that creates the greatest potential for storm-related losses.

The Nature Conservancy study describes the implementation of a coral reef insurance product in Quintana Roo, Mexico, and explores how the model could be adapted for mangrove preservation. In Quintana Roo, a trust fund accepts money from public, private and philanthropic sources, as well as a federal fee collected from beachfront property owners who wish to use the beach for commercial purposes. It uses those funds to buy the insurance – a parametric product that is triggered if wind speeds in a designated area exceed 100 knots.

Parametric policies cover risks without the complications of sending adjusters to assess damage after a catastrophe. Instead of paying for damage that has occurred, it pays out if certain agreed-upon conditions are met – for example, a specific wind speed or earthquake magnitude in a particular area. If coverage is triggered, a payment is made, regardless of damage. Speed of payment and reduced administration costs can ease the burden on both insurers and policyholders.

“Unlike coral reefs, however, mangroves do not usually require rapid post-storm interventions in order to survive,” the study says. This means an indemnity insurance policy might be created that delivers payments based on post-catastrophe assessments of mangrove damage. “There are a variety of insurance products available that can be tailored to meet the specific needs of mangroves, with initial payouts made quickly through parametric covers and assessed payouts made through indemnity cover at a later stage.”

Before a mangrove insurance policy can be developed and deployed, a full feasibility study would need to be conducted.  The Nature Conservancy report recommends that this include “higher-resolution flood-risk models, estimation of the wind-reduction benefits of mangroves, and the construction of fragility curves to show the relationship between damage to a mangrove forest and some component of a storm event, such as storm surge or wind speed.”

Latest “Lightning Round” Highlights Resilience Hack-a-Thon Winners

Last week’s Lightning Round III: Products and Services for Disaster and Risk Mitigation featured presentations by four teams of entrepreneurs who have developed products to boost societal resilience and mitigate natural disaster risks. This was the third time this year that Triple-I and its Resilience Accelerator, ResilientH20 Partners and The Cannon, have connected entrepreneurs with leading insurance innovation specialists and investors.

The first two presentations were by prize-winning teams from 2020’s Hack-for-Resilience competition, which was hosted by Wharton Risk Center and Triple-I’s Resilience Accelerator. The teams presented:  

  • Air.ly:  An app that identifies locales near wildfire zones where individuals afflicted with respiratory issues, or other health complications, can find fresh-air recreation opportunities. It won the prize this year for the Best Overall Hack-for-Resilience.
  • Insura: An app that uses a home’s location and historical loss data to recommend mitigation and maintenance activities that could reduce a homeowner’s insurance premiums.  It won this year’s prize for the Best Application of Insurtech.

Ami Nachiappan, a Junior at New York University, presented on behalf of the four-member Air.ly team.

“For many with sensitive respiratory systems, the wildfires’ smoke has created difficulty breathing and dizziness,” she said, pointing out that this can be the case hundreds of miles from fire locations and long after the blazes have been extinguished.

Air.ly provides “a comprehensive visualization of real-time air-quality data across the U.S.,” as well as well as recommending locations for safe outdoor recreation activities. Existing weather apps that display air-quality information lack “call to action options and cautionary warnings,” and recreation apps like Yelp lack real-time weather and air-quality information.

This fragmentation, Nachiappan said, is what sets Air.ly apart.

Savan Patel, a sophomore at the University of Pennsylvania, spoke for the four-member Insura team. Insura is a third-party “gamification platform” for home improvement products modeled after applications that seek to reduce automobile accidents and claims by influencing driver behavior.

In addition to the hack-a-thon winners, two established businesses – members of the Resilience Innovation Hub “portfolio of disaster risk-mitigation innovation” presented their products:

  • Thermal Gate™ 2.5:  An artificial intelligence-based system that screens and detects individuals who have an elevated body temperature before they enter venues that are open to the public.
  • Mesh++ : A just-in-time WiFi community network that requires no external power or wiring to generate broadband access for first-responders, citizens, and preparedness interests.

All four presentations can be viewed below:

N.C. Ruling Goes Against Prevailing Judicial Wisdom on COVID-19 Business Interruptions

A North Carolina court has ruled that Cincinnati Insurance Co. must pay 16 restaurants’ claims for business income (interruption) losses due to government-ordered COVID-19 shutdowns – a decision that runs counter to those of most judges who’ve ruled on similar cases.

As hundreds of COVID-19-related lawsuits regarding business interruption coverage make their way through U.S. courts, judge after judge has found in favor of insurer defendants. The central point has been that coverage depends – as specified in the insurance policies – on the policyholder suffering a “direct physical loss.”

“Business income (interruption) policies generally reimburse a business owner for lost profits and continuing fixed expenses when its facilities are closed due to direct physical damage from a covered loss, such as a fire, a riot, or a windstorm,” said Triple-I CEO Sean Kevelighan. “Insurers have been prevailing nationwide in nearly all of the litigated COVID-19 BI lawsuits because, as North Carolina’s Insurance Commissioner has noted, ‘Standard business interruption policies are not designed to provide coverage for viruses, diseases, or pandemic-related losses because of the magnitude of the potential losses.’ ”

 “Policy language controls whether COVID-19 interruptions are covered,” said Michael Menapace,  a professor of insurance law at Quinnipiac University School of Law and a Triple-I Non-Resident Scholar. “The threshold issue will be whether the insureds can prove their business losses are caused by ‘physical damage to property’.”  

Cincinnati Insurance has said it plans to appeal the ruling.

Learn More from The Triple-I Blog

THE FUTURE OF AMERICAN INSURANCE AND REINSURANCE (FAIR) RELEASES A DIGITAL BUSINESS INTERRUPTION INSURANCE EXPLAINER

POLL: GOVERNMENT SHOULD PROVIDE BUSINESS INTERRUPTION SUPPORT

U.K. BUSINESS INTERRUPTION LITIGATION SEEMS UNLIKELY TO AFFECT U.S. INSURERS

BUSINESS INTERRUPTION VS. EVENT CANCELLATION: WHAT’S THE BIG DIFFERENCE?

BUSINESS INTERRUPTION COVERAGE: POLICY LANGUAGE RULES

CHUBB CEO SAYS BUSINESS INTERRUPTION POLICIES ARE A GOOD VALUE AND WORK AS THEY SHOULD

U.S. TREASURY WEIGHS IN ON DEBATE SURROUNDING BUSINESS INTERRUPTION INSURANCE

TRIPLE-I CEO AMONG PANELISTS DISCUSSING BUSINESS INTERRUPTION INSURANCE LEGISLATION

P/C INSURANCE GROUP PUTS PRICE TAG ON CORONAVIRUS

BUSINESS INTERRUPTION CLAIMS RELATED TO COVID-19

Policyholder Dividends Soar as Auto Insurers Respond to Pandemic

Policyholder dividends have more than tripled so far this year, due largely to approximately $14 billion auto insurers have returned to policyholders in response to reduced driving and fewer accident claims related to the COVID-19 pandemic.

According to National Association of Insurance Commissioners (NAIC) data from Standard & Poor’s Global Market Intelligence, insurers issued $4.8 billion through the second quarter of 2020, almost $3.4 billion more than the same period a year ago. The bulk of that, $3.3 billion, is a result of pandemic-related driving patterns.

Insurers in the first half also booked $4.7 billion in credits through lower rates, and another $1.6 billion was booked as an underwriting expense, according to a Triple-I analysis of industry results.

In the second half of the year, Triple-I projects, insurers will return to customers another $338 million in dividends. Rate decreases of $4.1 billion will make up the remainder of the $14 billion in givebacks.

State Farm, the country’s largest auto insurer by premiums written, in April announced a $2 billion dividend to its auto insurance customers, averaging a 25 percent credit on these customers’ premiums through May 31. Combined with the premium credit and an 11 percent reduction in premium rates, the company said, these initiatives will save customers $4.2 billion through the end of 2020.

USAA, through a series of three dividend announcements, has returned $1.07 billion to auto policyholders and said it also is adjusting its rates.

On top of these, the industry has provided approximately $280 million in charitable giving specifically related to the pandemic.

Victimized Twice? Firms Paying Cyber Ransom Could Face U.S. Penalties

Recent advisories from two U.S. Treasury agencies –  the Financial Crimes Enforcement Network (FinCEN) and the Office of Foreign Assets Control (OFAC) – indicating that companies paying ransom or facilitating such payments to cyber extortionists could be subject to federal penalties are a reminder of the importance of good cyber hygiene.  

The notices also underscore businesses’ need to consult with knowledgeable, reputable professionals long before a ransomware attack occurs and before making any payments. 

Ransomware on the rise 

In a ransomware attack, hackers use software to block access to the victim’s own data and demand payment (usually in Bitcoin or another cryptocurrency) to regain access. It has been a growing problem in recent years, and such attacks have intensified since the COVID-19 pandemic has led to many people working from home for the first time.  

The FBI warns against paying ransoms, but studies have shown that business leaders today pay a lot in the hope of getting their data back.  An IBM survey of 600 U.S. business leaders found that 70% had paid a ransom to regain access to their business files. Of the companies responding, nearly half have paid more than $10,000, and 20% of them paid more than $40,000. 

Sanctioned entities 

The OFAC advisory specifically targets transactions benefiting individuals or entities on OFAC’s Specially Designated Nationals and Blocked Persons List, other blocked persons, and those covered by comprehensive country or region embargoes (e.g., Cuba, the Crimea region of Ukraine, Iran, North Korea, and Syria). 

If you pay ransom to anyone in these categories, you could be fined or even jailed for breaching the  International Emergency Economic Powers Act (IEEPA) or the Trading with the Enemy Act (TWEA). Penalties can vary widely, depending on the circumstances.  

How is a business owner to know?  

“Companies should rely on experts to assist with their due diligence and work with the FBI,” writes law firm BakerHostetler in a recent blog post. “Experience in incident response is key, and your counsel should be an informed, confident partner as you navigate this rapidly evolving area.” 

“Before a payment is made,” the law firm writes, “a company generally retains a third party to conduct due diligence to ensure that the payment isn’t being made to a sanctioned organization or a group reasonably suspected of being tied to a sanctioned organization. Additionally, checks are in place to ensure that anti-money laundering laws are not being violated.”

Many insurers are working with their clients to put such practices in place and taking a variety of other steps to address the threat of ransomware attacks. Cyber-insurance premiums started rising 5% to 25% late last year, according to Robert Parisi, U.S. cyber product leader at insurance broker Marsh & McLennan. Parisi called the increases “dramatic” but said insurers have not scaled back coverage. 

Marsh has issued a client advisory — What OFAC’s Ransomware Advisory Means for US Companies — explaining what U.S. businesses need to know about the OFAC advisory and the importance of completing an OFAC review before payment of ransom demands.  Marsh’s advisory also makes recommendations for re-assessing ransom incident response plans, mitigating ransomware risk, and preparation for and recovery from ransomware and cyber extortion attacks. 

Keeping Halloween Safe, Even During a Pandemic

Dan and Ben, ready for a safety-conscious Halloween last year.

My five-year-old nephew, Ben, is a great source of pride to his electrician father, Dan. Last Halloween, Ben refused to trick-or-treat at a particular house because he noticed that the decorations there were a fire hazard.

Halloween is supposed to be fun, but it has always involved risks and potential liabilities. The video below outlines some of the “traditional” hazards and ways to mitigate them, from eliminating trip-and-fall dangers to preventing fire and pet-related perils.  

And while much of the focus of Halloween-risk mitigation is on the home, Donald R. Grady, a Boston personal injury attorney, says the biggest dangers actually involve cars.

“You see an uptick in automobile accidents,” Grady says. “Especially with teenagers, who don’t have adults with them and who rush from house to house.”

The curse of 2020

2020 has aged us all….

Perhaps predictably by now, 2020 has brought the spooky holiday threats of its own. COVID-19 has introduced new Halloween concerns.

The Centers for Disease Control and Prevention (CDC) has published a list of low-, moderate-, and high-risk Halloween activities for a time of pandemic.

Lower-risk activities include:

  • Carving or decorating pumpkins with members of your household and displaying them
  • Carving or decorating pumpkins outside, at a safe distance, with neighbors or friends
  • Decorating your house, apartment, or living space
  • Having a virtual Halloween costume contest
  • Having a Halloween movie night with people you live with.

Moderate-risk activities include:

  • Participating in one-way trick-or-treating, where individually wrapped goodie bags are lined up for families to grab and go while continuing to social distance
  • Having a small group, outdoor, open-air costume parade with people distanced more than 6 feet apart
  • Attending a costume party held outdoors, where protective masks are used and people can remain more than 6 feet apart.

The CDC provides caveats and additional guidance for these and other moderate-risk activities, so if you’re even thinking about them, definitely read the relevant guidance. It advises against the following:

  • Traditional trick-or-treating where treats are handed to children who go door to door
  • “Trunk-or-treat,” where treats are handed out from trunks of cars lined up in large parking lots
  • Attending crowded costume parties held indoors
  • Going to an indoor haunted house where people may be crowded together and screaming
  • Going on hayrides or tractor rides with people who are not in your household
  • Using alcohol or drugs, which can cloud judgement and increase risky behaviors
  • Traveling to a rural fall festival that is not in your community if you live in an area with community spread of COVID-19.