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Workers Comp Premiums Could SoarWith COVID-19 Claims

Health-care workers and emergency responders will benefit from rules eased in some states around workers’ compensation that will allow them to collect benefits if they can prove they caught Covid-19 on the job, Bloomberg reports.

But employers need to be aware of the changing rules and be prepared for the likely end result—skyrocketing premiums.

State workers’ compensation boards around the country are amending rules for benefits payouts to include health-care workers exposed to the virus and then quarantined. Attorneys are keeping a close eye on the questions, such as who should be eligible to receive benefits, how does a worker prove they caught Covid-19 on the job, and how will an influx of successful claims affect businesses’ premiums to insurance carriers.

Some say essential workers like grocery store employees and delivery workers also should qualify.

Related:

Advisen: COVID-19 prompts a host of questions for workers compensation cover

Triple-I: Insurers Offer Solutions For COVID-19 Recovery

U.S. insurers are meeting the challenges faced by their customers, communities, and employees amid the COVID-19 crisis, according to a fact sheet released April 3 by the Insurance Information Institute (Triple-I).

“The nation’s insurers continue to work actively on immediate and forward-looking solutions that will assist its customers and communities in recovering from COVID-19,” said Sean Kevelighan, CEO, Triple-I.

The fact sheet, Insurers Offer Forward-Looking Solutions for COVID-19 Recovery, outlines how the industry is easing its customers’ financial burdens, working with government to create a COVID-19 Recovery Fund, and making sure it has the resources to pay future claims from events such as hurricanes, tornadoes, and wildfires.

Immediate Customer Solutions: Insurers are offering payment relief and extending coverage to customers who are in financial distress while at the same time keeping its employees on the job to serve these same customers, the Triple-I notes.

Government-Backed Solutions:  Trade groups representing insurers have voiced support for the proposed COVID-19 Business and Employee Continuity and Recovery Fund. It would be financed by the federal government and provide essential funds to impacted employers and employees.

Facing Challenges Head-On: Workers compensation insurers in multiple states are covering the healthcare workers and first responders who face exposure to COVID-19 while auto, home, and business insurers are setting aside the resources needed to pay the claims arising out of future natural disasters even as insurer investment portfolios have faced their own headwinds. A Triple-I non-resident scholar predicted yesterday the likelihood of an ‘above-normal’ Atlantic hurricane season

Insurers have also contributed financially to food banks and organizations providing medical supplies.

RELATED LINKS:

Triple-I Presentation:   The Impact of COVID-19 On P/C Insurance

Triple-I Publication:     A Firm Foundation: How Insurance Supports the Economy

Triple-I Blog:                COVID-19 coverage
 

Health Insurers Waive COVID-19 Cost Sharing

UnitedHealthcare (UHC) this week became the latest major insurer to waive members’ cost sharing for COVID-19 treatments. The health insurer said it would waive the associated costs for members in its fully insured commercial, Medicare Advantage, and Medicaid plans.

UHC added that it’s working with interested self-funded employer plans to offer the same waivers.

Anthem announced similar steps, saying it would cover the cost-sharing for COVID-19 treatment through May 31 for its Medicare, Medicaid, individual market and fully insured employer plans. The insurer also said it was “strongly encouraging” its self-funded employers to adopt the waivers.

Anthem has also taken other steps similar to its peers in the industry, such as waiving the cost-sharing for testing and tele-health, and easing prescription limits.

Aetna, Cigna and Humana all previously announced they would waive members’ cost-sharing for COVID-19 treatment. These insurers also waived copayments and other cost-sharing for testing and telehealth visits.

Regional health plans are taking similar steps. Florida Blue announced Tuesday it would waive cost-sharing for treatment, as did Harvard Pilgrim Health Plan.

Proper decontamination before and after coronavirus exposure is crucial

While insurance policies might not cover the mitigation or cleanup costs related to commercial facility exposure to the coronavirus, preserving a healthy and safe place of business remains a critical risk management issue.

As the coronavirus (COVID-19) continues to spread rapidly around the world, it’s important to know what to do if someone carrying the highly contagious virus comes in contact with any of your facilities or those of your customers. Even the potential of your business premises being exposed to COVID-19 can create a possible need to engage risk mitigation efforts. Understanding the importance of utilizing a professional, credentialed decontamination contractor both before and after facility exposure is crucial to protecting your business.

Larry Thomas

“COVID-19 has presented new challenges for businesses around the world, and it’s necessary to understand the importance of ensuring the safety of all employees and customers,” said Larry Thomas, global president of Crawford Specialty Solutions, a division of Crawford & Company that includes Contractor Connection. Contractor Connection, an industry leader in managed repair services, provides insurance carriers, brokers and consumers a global network of more than 6,000 contractors vetted and managed for performance in residential and commercial work, including specialists in technical areas like cleanup after a biological event.

“Experts have warned that we have just begun to feel the impact of the virus in the U.S., and it is expected to continue to affect lives for the foreseeable future.”

With that in mind, it’s essential you ensure you are utilizing a decontamination contractor who is rigorously vetted, held to the highest standards, and professionally equipped to restore affected sites through proper remediation and containment procedures. Here are some best practices for how to approach this critical work while reducing risk for you and your customers.

Prevention protects you, your customers and others

Prevention is the first step toward reducing exposure to the virus. Even before an incident occurs, a decontamination contractor can work with your business to provide cleaning and disinfecting services designed to reduce the opportunity for infection and keep facilities operating longer. When administered by a trusted, licensed and insured provider, preventative cleaning provides a cleaner, safer work environment and enhances employee and customer satisfaction.

Decontamination services limit business interruption

If you or your customers’ facilities are exposed to coronavirus, legitimate decontamination services using proper techniques, equipment and materials, and following CDC, state and local protocols should be employed to restore your places of business back to operation as quickly as possible, limiting business interruption. Time is critical, so you should engage with a service that provides 24/7 assignment processing and emergency response.

Lance Malcolm

“Providing access to a rapid-response decontamination service can help reduce the potential impact of contamination in the workplace and return the environment to full operational status as quickly as possible,” said Lance Malcolm, U.S. president of Contractor Connection. “The focus must be on helping companies limit business interruptions and ensure that the affected facilities are completely safe for those who use them.”

Safe biohazard waste disposal reduces future risk of exposure

As part of decontamination services, it’s also important to utilize contractors trained to handle and properly dispose of biohazard waste, safely removing any affected materials from the facility. Services that provide quality assurance review and project monitoring ensure speedy completion and provide peace of mind knowing exposure to the virus has been properly reduced or eliminated.

P/C Insurance Group Puts Price Tag on Coronavirus Business Interruption

An Insurance Journal article estimates that business interruption losses from the coronavirus just for small businesses in the U.S. could be as much as $383 billion per month, or 50 percent of the total available for the industry to pay all claims.

According to American Property Casualty Insurance Association (APCIA), that is 10 times the most claims ever handled by the industry in one year. The industry processed more than three million from the 2005 hurricane season that included Hurricanes Katrina, Rita, Wilma and several other storms, the trade group said.

APCIA president and CEO David Sampson said the coronavirus loss estimate assumes as many as 30 million claims would be filed by small businesses that suffered losses from the pandemic.

While the industry has little business interruption coverage to offer for the pandemic, Sampson said the APCIA is willing to discuss “forward-looking answers that speed economic recovery from future pandemics” with lawmakers.

Insurers back COVID-19 fund

The Insurance Journal further reports that a coalition of 36 business groups, including the insurance sector, has sent the Trump administration and Congressional leaders a letter expressing support for a proposed COVID-19 Business and Employee Continuity and Recovery Fund, a new federal relief fund intended to help businesses and workers suffering losses from coronavirus pandemic shutdowns. The fund aims to help businesses retain and rehire workers, maintain employee benefits, and pay such operating expenses as rent. It also may provide money for payroll, lost income of sick employees, and lost business revenues.

Insurers and other businesses would help create a process for quickly reviewing and processing applications filed by companies seeking help. The relief fund would be managed by a special administrator within the Treasury.

Related:

Insurers may need 90-day-rule relief for COVID-19 premium grace periods

Resources for Conducting Successful Insurance Internship Programs During the COVID-19 Lockdown

By James Ballot, Senior Advisor, Strategic Communications, Triple-I

Gamma Iota Sigma Steps Up to Help Insurers and Students Stay Connected

In response to the Covid-19 crisis Gamma Iota Sigma (“GIS”), the insurance industry’s premier collegiate talent pipeline, will host a webinar, Delivering A Successful Virtual Internship Experience on Monday, April 6, 1:00pm-2:00pm (Eastern).

Through this interactive online session and its accompanying digital resources, GIS is stepping up in support of insurers’ efforts to conduct internships remotely at a time when physical workspaces are shuttered to facilitate social distancing.

The companion guidebook to this event, Virtual Internships A Guide for Employers, explains the tremendous value of remote internships and offers tactical guidance on how to rethink and rework internship programs to better suit today’s candidates for tomorrow’s workforce. The accompanying sample internship syllabus gives a practical framework for how to effectively and efficiently organize and administer remote internships.

GIS developed this campaign in response to disruption and dislocation created by the Covid-19 pandemic. By retaining and enhancing internship programs while college and corporate campuses are closed, organizations can get a head start in:

  • Entering an expanded talent pool that’s optimized to succeed
  • Finding candidates that can work independently, face a wide range of challenges and “think on their feet”
  • Building increased flexibility into existing programs to attract highly qualified candidates who otherwise would not be able to participate
  • Reducing costs associated with on-site internships
  • Positioning their brand and corporate values for future success in on-campus recruitment

But perhaps most the most important reason to do this: The 18-25 age cohort already learns, works, socializes and lives primarily online. Teens and young adults are a workforce prepared for the challenges of life during and after the COVID-19 crisis. Remote internships not only help students stay focused on their goals; they offer insurers an invaluable opportunity to adjust on the fly to the realities of our culture in the 2020s and beyond.

Today’s students are ready for this. Organizations like Gamma Iota Sigma are working to ensure that insurance businesses and our industry are ready for them.

2020 Hurricane Season Projected to Be “Above Normal”

The 2020 Atlantic hurricane season activity is projected to be “above normal,” according to Triple-I non-resident scholar Dr. Phil Klotzbach.

Dr. Klotzbach, an atmospheric scientist at Colorado State University (CSU), and his team have issued an early forecast of 16 named storms, eight hurricanes, and four major hurricanes for the year, with above-average probability for major hurricanes making landfall along the continental United States coastline and in the Caribbean.

A typical year has 12 named storms, six hurricanes, and three major hurricanes. Major hurricanes are defined as Category 3, 4, and 5 storms, where wind speeds reach at least 111 miles per hour.

The forecast is based partly on the fact that El Niño conditions are unlikely this summer and fall.

“El Niño is warmer-than-normal water in the Central and Eastern Tropical Pacific,” Dr. Klotzbach said. “When it occurs, it tends to increase upper-level westerly winds that tear apart hurricanes when the try to develop.”

The chart below shows 2020 hurricane probabilities for 18 coastal states.

A lot can change between now and the peak of the season though, so an updated forecast will be issued on June 4.

As is the case with all hurricane seasons, coastal residents are reminded that it only takes one hurricane making landfall to make it an active season for them. They should prepare the same for every season, regardless of how much activity is predicted.

For the full forecast report click here: 
https://tropical.colostate.edu/media/sites/111/2020/04/2020-04.pdf

For information on hurricane-proofing your home and business, check out the following:

Flood Policy Renewal Period Extended

The Federal Emergency Management Agency (FEMA) announced it is extending the grace period to renew flood insurance policies from 30 days to 120 days to help policyholders who may be experiencing financial difficulties due to the coronavirus pandemic. The extension applies to National Flood Insurance Program (NFIP) policies with an expiration date between February 13 and June 15, 2020.

Said David Maurstad, the FEMA administrator who oversees the NFIP, “We want to make sure that policyholders don’t have to worry that their policy will lapse during the spring flood season or into the start of hurricane season.”

Business Interruption Claims Related to COVID-19

By Michael Menapace, Esq. 

The COVID-19 pandemic is unprecedented in many ways.  The human toll is first and foremost on our minds (as it should be), but as an insurance professional, I’ll stay in my lane and address one of the economic impacts – business interruption. 

Businesses Looking to Mitigate Losses

Among the ways in which we are in uncharted territory is the scale of how businesses are impacted.  Unsurprisingly, in reaction to slow-downs and shut-downs in many business sectors, businesses are looking for ways to mitigate their losses or recover lost revenue.  One avenue that businesses are exploring is the availability of business interruption coverage under their property insurance policies.  Other potential claims include communicable disease coverage found in some policies purchased by hotels or event cancellation insurance, but those claims are beyond the scope of this article. 

Property insurance was designed originally to cover fire losses and similar losses of physical property following the Great London Fire of 1666.  Of course, property policies have evolved since then to cover additional risks including, in many instances, business interruption losses caused by physical damage to property.  A property policy may, for example, pay to repair the damage caused by a fire and may cover the loss of business during the reconstruction period.  But here’s the rub.  Are the business interruptions related to COVID-19 caused by physical damage to property?

Policy Language Will Control

The language of an insured’s policy will control whether COVID-19 interruptions are covered.  Unfortunately, much of the media commentary on business interruption claims related to COVID-19 has inappropriately treated all insurance policies as though they are identical.  Policyholders have a wide array of different policies they can purchase.  For example, some policyholders have purchased an ISO Businessowners Policy (BOP) with standard terms and exclusions, others have purchased all-risk policies, and others have purchased a variation of these types. 

This commentary does not try to provide sweeping pronouncements or give the impression that a single outcome will apply equally to all situations.  Instead, the following is a starting point for a more detailed analysis under individual circumstances.  Details matter and the analysis for a particular claim must start with the policy terms and facts specific to that policyholder.

Is Coverage Triggered?

There have already been a handful of lawsuits filed related to business interruption claims, some of which suits were filed before the insurers even denied a claim.  For example, the Oceana suit filed by a restaurant in NOLA and a suit filed by chef Thomas Keller, owner of The French Laundry in California.  Also, a group of tribal nations that own casinos filed a lawsuit in Oklahoma and the owner of a restaurant/movie chain filed suit in Illinois.  Policyholders in these lawsuits are seeking a ruling that they are entitled to coverage for losses sustained during their current shutdowns.  A review of the policies at issues underscores the point made above – the outcomes in these suits and others may not all be the same because different policies are at issue. 

Nonetheless, there are some overall issues to consider.  While the scope of business shutdowns is unprecedented, we do have similar experiences as a guide, albeit on a smaller scale, that may indicate how the current COVID-19 business interruption claims may play out. 

The threshold issue will be whether the insureds can prove that their business losses are caused by “physical damage to property,” which is the standard language in many business interruption policies.  While the concept of causation focuses on assigning blame for an accident in some legal contexts, it is important to realize that in the insurance context the issue of causation is different.

In insurance, the concept of causation addresses whether a particular loss triggers coverage, not who is responsible for causing the loss.  In this regard, we can replace the word “causation” with “trigger.”  So, the question with the COVID-19 losses becomes, can these policyholders prove that their business interruption losses were triggered by physical damage to property akin to the fire loss damage mentioned above?

Past Experience

A series of cases from Minnesota demonstrates how the COVID-19 business interruption claims might be resolved. 

Where there is direct physical loss to property, such as contaminated oats that could not be sold or a building rendered useless because of asbestos contamination, the courts have found that business interruption coverage was triggered.  That is, these losses fit the definition of direct physical loss to property.  General Mills, Inc. v. Gold Medal Ins. Co., 622 N.W. 2d 147 (Minn. Ct. App. 2001); Sentinel Mgmt. Co. v. New Hampshire Ins. Co., 563 N.W. 2d 296, 300 (Minn. Ct. App. 1997). 

But, where an earthquake caused a power loss in two Taiwanese factories, and as a result, those factories could not supply products to the Minnesota insured, the court found that the outages caused no injury to the Taiwanese factories other than a shutdown of manufacturing operations, and that this did not constitute “direct physical loss or damage.”  Pentair, Inc. v. Am. Guar. & Liab. Ins. Co., 400. F.3d 613 (8th Cir. 2005).

More recently, a federal appellate court considered a claim related to mad cow disease.  Source Food was a company that sold products containing beef tallow.  The USDA prohibited the importation of the tallow from Canada in 2003 after a cow in Canada tested positive for mad cow disease. The border was closed to Source Food’s sole supplier of beef product in Canada. There was no evidence that the beef product specifically destined for Source Foods was contaminated by mad cow disease, but after the border was closed to the importation of beef products, Source Food was unable to fill orders and lost business as a result.  Source Food submitted a business interruption claim.  It argued that the closing of the border caused direct physical loss to its beef product because the beef product was treated as though it were physically contaminated by mad cow disease and lost its function.  But, the court held that to characterize Source Food’s inability to transport its truckload of beef product across the border and sell the beef product in the United States as direct physical loss to property would render the word “physical” meaningless. Additionally, the policy’s use of the word “to” in the term “direct physical loss to property” was significant.  The court explained that the policy did not cover loss “of” property, it covered loss “to” property.  As a result, the cause of Source Food’s business interruption was the government shutdown of the border, not direct physical loss to its property.  Source Food Tech., Inc. v. U.S. Fid. & Guar. Co., 465 F.3d 834 (8th Cir. 2006).

What About the Current Claims?

Here, are the business interruptions related to COVID-19 the direct result of the government restrictions on businesses or are they due to the physical loss to their property?  Under the reasoning of the Source Food case, much of the current business interruption claims would seem not to trigger the standard business interruption coverage in a commercial business interruption policy or BOP.  As cautioned above, this is not a universal outcome under all policies.  For example, an all-risk policy would generally not distinguish between business interruption losses due to government action or direct physical loss because all-risk policies cover all losses except those specifically excluded.  While it is possible that an all-risk policy could specifically exclude losses due to civil authority orders, that is not a standard exclusion in all-risk policies.

With regard to business interruption policy exclusions, there are exclusions to consider even if a policyholder can meet its burden to trigger coverage under the standard business interruption policy.  For example, some policies have an exclusion that precludes coverage for losses that result from mold, fungi or bacteria.  However, because COVID-19 is a virus, that exclusion may not apply.  But, other policies have exclusions for viruses, diseases or pandemics.  That type of exclusion appears problematic for policyholders, even those who satisfy the initial question of causation/trigger.

The result may not be all-or-nothing.  Might claims be partially covered?  It is possible.  For example, if a restaurant were shut down because it had been contaminated by COVID-19 and needed to be cleaned and closed for a two-week period to ensure no lingering virus remained, that period of shutdown might be considered direct loss to property even though the shut-down period after the cleaning period was not covered because the following shutdown period was attributable to a government order.  Likewise, there may be a different analysis applied to some business interruption claims that result from supply chain impacts.  However, claims related to supply chain disruptions are beyond the scope of this article.

Legislation and Duties of Insureds

It is notable that legislators in several states recently proposed bills that would retroactively void the exclusions that would apply to COVID-19 business interruption claims.  Although well-intentioned, these bills are deeply troubling because, among other things, they could severely impact the financial stability of the insurance market, which took in premiums based on such claims being excluded.  And, because the legislation would not help the 60 percent of businesses that do not purchase business interruption coverage, the risk of crippling the insurance market is even more questionable.  Moreover, these bills would address only the exclusions and do nothing to impact the initial question of whether policyholders can trigger coverage.

Nevertheless, if a policyholder believes it may have a claim under its insurance policy(ies), it should provide prompt notice to its insurer(s) so that it does not risk a denial based on late notice.  Likewise, once the claim has been made, it is essential that the insured cooperate with the insurer, including providing timely proof of loss.

Michael Menapace

Michael Menapace is a Triple-I Non-Resident Scholar, a partner at Wiggin and Dana LLP, and a professor of Insurance Law at the Quinnipiac University School of Law.

Q&A with Emily Viner, Guardian Life Insurance

By Kris Maccini, Social Media Director, Triple-I

Triple-I has created an “Insurance Careers Corner” series to highlight trailblazers in insurance and to spread awareness of the career opportunities within the industry.

This month we interviewed Emily Viner at Guardian Life Insurance, who provided us with insights about her career trajectory, how she’s working to build a more inclusive workplace, and her advocacy work helping more women reach management roles at agencies.

Name: Emily Viner

Current Role: VP of Agency Growth & Development

Years at Guardian Life Insurance: 22


Tell us about your current role at Guardian Life. What does a typical day look like for you in this role?

As VP of Agency Growth & Development, I make sure that we hire enough of the right people to serve our communities and that our leadership bench is growing. We’re committed to growing future leaders from within the company.

In a typical day, I act as a bridge between what our field needs–our general agents who own and operate their businesses as partners of the Guardian networkand the home office. A typical day depends on what’s going on in the community. In the last three weeks that’s changed dramatically in what we need to provide to our partners.

As VP of Agency Growth & Development, what is top of mind for you?

Top of mind for me is making sure that we have the capacity to hire enough of the right people, and we’re equipped to hire people from diverse backgrounds–creating workplaces that are inclusive where people feel that they want to be part of that environment.

One of my colleagues years ago called it the greenhouse. Is the greenhouse set to make sure that someone can grow and thrive, and if not, then you’ve got to fix that first.

You began your career as a financial advisor before moving on to the corporate side of the business. What advice would you give to women looking to make a shift in their careers?

I remember that first year was so hard. As an advisor, I was in complete control and in a different environment I didn’t always have that. I would tell all women to say ‘yes’ when you don’t know how. That’s a scary thing, but once you do it, you realize ‘I made it and I’m fine.’

It’s also trusting that you’re competent and that you’ll figure it out.

I read an article years ago that stated women spend a lot of time being competent but not confident. That’s why saying yes when you don’t know how is so important. If you’re taking on a project where you only know 20%–if you fall, you’ll learn, and you’ll move on–that’s how you build confidence.

How did you get that confidence to follow through knowing that you had that skillset?

I spoke at an industry meeting years ago, and during that time, two companies had asked me to join them. At the time my children were young [three and four], and the companies weren’t being flexible. One of the companies offered the idea of me consulting three days a week to help with recruiting and building field leaders, so I just jumped in to do what was best for my family and my children.

I did that for two years before joining Guardian Life. In looking back–the two years I spent consulting–the knowledge that I gained helped me accelerate in the role once I arrived at Guardian. It’s having faith in your ability and what works for the current situation and what you’re looking to build. The perspective of having patience is important. It’s knowing that maybe this is the time that you need to learn something more or different for that next role.

As we celebrate Women’s History Month, what are some ways that Guardian Life addresses topics such as equal pay, leadership opportunities, and inclusion efforts? 

We have an amazing executive leadership team that leads by example [CEO Deanna Mulligan and President, Andrew McMahon]. They live our values every day through their actions. We hold ourselves to very high standards, we seek to do the right thing and people count. That transcends to equal pay, equal opportunities, and all our inclusion efforts around hiring to ensure that there’s a diverse pool of candidates for open positions as well as opportunities for internal moves. I’ve seen inclusion programs really accelerate over the last ten years.

We’re living in an uncertain time. Your CEO Deanna Mulligan and President Andrew McMahon have made a public commitment to minimizing business interruptions during COVID-19 and maintain response during the crisis. How has this type of leadership impacted your role directly, and how is it impacting the company overall?

My team feels proud of the communication. There was a work-from-home strategy starting March 10th. The safety of our employees is a priority, as is client communication and services. We were built for this. We got through the 1918 Spanish flu pandemic. We got through the great recession. We payed our obligations and still paid the dividends. We’re in the same position to be able to do that today–not just for our employees but for all our clients and consumers across the country.

Our clients are in good hands. We updated our website and communications to clients to let them know they can update their policies and get answers to questions through all our digital platforms. We’ve also provided our field partners with information they can share with their clients on market volatility and what they can do to help calm their fears. With the stock market volatility, the cash value in life insurance is not going to change, [it’s not subject to the same volatility] so there is also reassurance with those decisions.

What are your goals for the future in terms of where you want to take your career?

I’m thinking about how I’m positioning the firm for the future and building up our bench– ultimately grooming my successor. I’d also like to continue to help young women in male dominated industries. I’ve been working towards this for the past 30 years, but there is so much more to do whether it’s in my company or philanthropic/volunteer. It’s important to me to continue this work.

Battle Plays OutOver Coronavirusand Business Insurance

The Financial Times reports that U.S. lawmakers and lawyers are considering efforts to force insurance companies to pay claims related to the coronavirus pandemic. Congress also is debating the need for legislation to require insurers to cover costs from business interruption caused by the pandemic. U.S. insurers contend that their business interruption policies exclude coverage for pandemics and that making such coverage retroactive would cause the industry to collapse. Joseph Wayland, general counsel for the U.S. insurer Chubb, said the losses would overwhelm insurers’ ability to pay and that forcing these companies to take responsibility for risks they never underwrote nor charged for represented an existential threat. Bruce Carnegie-Brown, chair of Lloyd’s of London, agreed that such a revision to insurance contracts would jeopardize the industry.

A Wall Street Journal editorial argues that forcing costs of the economic disruption caused by the coronavirus pandemic upon insurers would cause long-term economic damage unless a federal backstop is put in place. The editorial says if business interruption insurance “can be stretched and exclusions nullified during a crisis” insurers will conclude that such coverage is not worth the risk and will drop the product.

Triple-I: Insurers are engaged in COVID-19 crisis

A Triple-I Fact Sheet, Insurers Are Engaged In the COVID-19 Crisis, outlines how the industry’s financial stability allows insurers to keep the promises made to policyholders in the event of tornadoes, hurricanes, or wildfires. It also notes how insurers are contributing to COVID-19 related charities, such as food banks and medical supplies.

“Pandemics are an extraordinary catastrophe that can impact nearly every economy in the world, so it is hard to predict and manage the risk,” said Sean Kevelighan, Triple-I CEO. “Pandemic-caused losses are excluded from standard business interruption policies because they impact all businesses, all at the same time.”


APCIA on how insurers are helping customers

David A. Sampson, president and CEO of the American Property Casualty Insurance Association (APCIA), described in a statement how property/casualty insurers are working “to proactively help consumers in this time of crisis.”

Examples include temporary arrangements for:

  • Flexible payment solutions for families, individuals, and businesses;
  • Suspending premium billing for small-business insureds, such as restaurants and bars;
  • Waiving premium late fees;
  • Pausing cancellation of coverage for personal and commercial lines due to non-payment and policy expiration;
  • Wage replacement benefits for first responders and medical personnel who are quarantined;
  • Suspending personal auto exclusions for restaurant employees who are transitioning to meal delivery services using their personal auto policy as coverage;
  • Adding more online account and claims services for policyholders;
  • Shifting more resources to anti-fraud and cyber security units, in recognition that bad actors  prey on victims during times of crisis; and
  • Suspending in-person loss control visits and inspections.

On the subject of exclusions for contagious diseases in business interruption policies, the statement said:

 “If policymakers force insurers to pay for losses that are not covered under existing insurance policies, the stability of the sector could be impacted, and that could affect the ability of consumers to address everyday risks that are covered by the property casualty industry.”

It went on to say:

 “APCIA’s preliminary estimate is that business continuity losses just for small businesses with 100 or fewer employees could fall between $220-383 billion per month. The total surplus for all of the U.S. home, auto, and business insurers combined to pay all future losses is roughly only $800 billion, with the combined capital of the top business insurance underwriters representing only a fraction of that amount.”

Related articles:

New York introduces bill on pandemic-related business interruption claims

Policyholders finding out that business interruption insurance doesn’t cover coronavirus

P/C Insurers Put a Price Tag on Uncovered Coronavirus Business Interruption Losses

More coronavirus insurance cover than people think, says Lloyd’s CEO

Standard insurance for Florida businesses likely won’t cover COVID-19 losses

French Laundry restaurateur Thomas Keller sues insurer for coronavirus losses



Momentum for pandemic backstop?

Business Insurance reports that, according to sources inside the federal government, progress is being made on legislation that would provide a federal backstop for pandemic risk insurance and that a related bill could be introduced within the next 30 days. According to the sources, the bill would set up a pandemic risk insurance program that would be similar to the federal terrorism insurance program. They also report that Rep. Maxine Waters (D-Calif.), chair of the House Financial Services Committee, is circulating a draft bill including the proposal.

Related articles:

Pandemic Risk Insurance Act – A TRIA-Inspired Model to Backstop the Business Interruption Insurance Market in Wake of COVID-19

As Business Losses Mount, Pandemic Backstop Discussions Grow

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