Tag Archives: Covid-19

COVID-19 Meets Cyberrisk

As COVID-19 spreads, we’ve been hearing more about the importance of hygiene and maintaining “social distance.”

Last night I found out the cyberrisk conference I was scheduled to attend this morning had been changed to a “virtual” meeting. With so many events being canceled or postponed out of an abundance of caution over the spreading COVID-19 virus, it was nice to know the show would go on safely.

I’d already been working from home (thank you, Triple-I!) to avoid exposure during my train commute and potentially becoming a “vector” to family, friends, and co-workers. As I waited for the event to begin, I scrolled through my news feed and spotted several stories about risks related to increased remote work.

Cyberrisk featured prominently in these articles. Unprotected devices, they warned, can lead to data losses, privacy breaches, and ransomware attacks.

One article alluded to campaigns designed specifically to tap into concerns around COVID-19.

“We are already seeing targeted phishing campaigns globally,” said New Zealand Health IT chief executive Scott Arrol. “The cyber virus taking advantage of the biological virus.”

Arrol said hackers seeking to exploit fears of Covid-19 are sending fake ads or links with online viruses.

The message “might look like it has come from the World Health Organization, inviting you to register for more information,” he said. “You click on that link, you’ll be taken to fill out a form and then suddenly…you’re giving away personal information you shouldn’t.”

Technology can help us maintain social distance, but the devices we rely on need to be managed and protected, lest they make us even more vulnerable.

Insurance broker Aon has issued an advisory cautioning employers to take steps to ensure that work-from-home employees can connect to secure remote networks, a Claims Journal article says.

“Any time you’re taking about employees who are not used to working from home, who may not have the correct cybersecurity posture, a virtual private network (VPN) is critically important and having two-factor authentication is critically important,” Aon Senior Vice President Stephanie Snyder said.

A VPN connects remote users or regional offices to a company’s private internal network. Two-factor authentication adds a layer of security beyond a password to make sure a user is authorized to access the system.

Snyder added that telecommuters may be tempted to work from their laptops at a coffee shop – potentially exposing their computers to intrusion. She said employers need to have strict security protocols in place to avoid such exposures.

So, I wasn’t surprised when one of the first speakers at the event I was “attending” mentioned viral epidemics like COVID-19 as something underwriters just a few years ago would not have considered a factor in assessing cyber risk but now should.

As I’ve written before, increasingly interconnected risks require a holistic approach to risk management – one that takes into account preparation, mitigation, and built-in resilience. As COVID-19 has spread beyond its origins in Asia, we’ve been hearing more about the importance of hygiene and of maintaining “social distance.”

Technology can help us maintain social distance, but the devices we rely on need to be managed and protected, lest they make us even more vulnerable.

Triple-I Webinar Covers COVID-19’s Economic and Health Implications

The Insurance Information Institute invited its members to a webinar titled “Covid-19’s Impact on Health, the Economy and Growth” on March 5 at 11:00 a.m. EST presented by Triple-I Vice President and Senior Economist Michel Léonard, PhD, CBE.

Dr. Lèonard will discuss the following key points:

• Economic impact likely to continue into Q3/Q4 2020 and 2021
• Could reduce global growth by as much as 1 percent and delay recovery by up to 12 months
• Fiscal and monetary policy, rates cuts, unlikely to be effective
• Insurance industry to see higher claims, reduced premium growth

He will also preview the Global Macro and Industry Outlook report before it is made available to the public.

To find out more about the benefits of Triple-I membership click here.

COVID-19: Learn From History to AddressThe Current Outbreak

By Dr. Steven Weisbart, CLU

Dr. Steven Weisbart

COVID-19, the new coronavirus, has killed more than three times as many people as the 2003 SARS epidemic.

The World Health Organization (WHO) reported that, as of 10 a.m. Central European Time (CET) on March 1, there were 87,137 confirmed COVID-19 cases and 2,977 of the infected people had died. From November 2002 through July 2003, according to the U.S. Centers for Disease Control and Prevention (CDC), 8,098 people worldwide became sick with severe acute respiratory syndrome (SARS) and 774 died.

More people are believed to have been infected with COVID-19 than official statistics show. This is because confirmed infections are based on positive tests for the virus, and some countries—including the United States—have been doing very little testing. Further, the estimated 2 percent death rate attributed to the disease is based on this unreliable infection count.

Instead of SARS, some are now comparing COVID-19 with the Ebola pandemic of 2014 to 2016.  Ebola is believed to have killed about 50 percent of those it infected, but that outbreak was contained before it reached the same number of infections as COVID-19.

So, is there a useful historic comparison to be made with COVID-19? I would argue that there is: the “Spanish Flu” of 1918-19.


Policemen in Seattle during the influenza epidemic. December 1918. National Archives.

There is no vaccine for COVID-19, and experts suggest  it could take a year or more to develop, test, manufacture, and distribute a vaccine. This suggests there are few medical strategies for dealing with the current outbreak. It’s as though we’re medically in the world of 100 years ago.

The 1918 flu virus had an estimated mortality rate of about 2 percent and was very infectious. It is estimated that as many as one-third of the entire world population was infected at some time, so even a 2 percent mortality rate caused millions of deaths.

This raises a scary thought about how the COVID-19 pandemic might play out: the Spanish Flu swept around the globe in three phases. The first  was in the Spring of 1918 and, although it infected widely, had a relatively low mortality rate. The second phase occurred in the Fall of 1918. This phase saw faster infection spread and was much more deadly. The third phase was in February and March of 1919 and was less infectious and less deadly than either of the two prior phases.

World War I – with large concentrations of soldiers in barracks and trenches and truck convoys moving across Europe – may have contributed to this infectious arc. But the virus killed more people than the war on every continent except Europe.

Insurance industry impact

What would a COVID-19 pandemic mean for insurers? The main impact would likely be on health insurers, since the number of people seeking hospitalization would likely spike claims far beyond anything their rate structures have anticipated. In 1918 hospitals were so overwhelmed that auditoriums, indoor sports arenas, and similar spaces were set up to house patients. Scarcity rates would apply; for example, the number of respirators available currently is far short of what would be needed, and prices for new supply would likely surge.

As I’ve written previously, for life insurers the effect of a severe pandemic would depend on which segments of the population are likely to die. In 1918, in addition to the very old, that virus struck unusually strongly at people in the prime working years, triggering benefits from both individual and group life insurance. The sudden impact of such unpredicted losses would affect all life insurers, particularly the weaker ones.

In the property and casualty sector, the line most directly affected is likely to be workers compensation, particularly for health care workers and others exposed to the virus as a result of their work—such as police, fire, and EMT. Another possible line affected is various liability lines, involving claims from people who became sick from manufacturing, dispensing, or receiving a vaccine or other treatments. In recent years, Congress passed laws blocking such liability claims, but it’s not clear that it will do so again today.

Beyond the direct effects to insurance, there are growing forecasts that the global economy, and especially particular sectors, could see dramatic cutbacks. Businesses and other organizations that involve people gathering in crowds are already seeing such effects, and insurance premiums that reflect these downturns are likely to follow. However, claims are also likely to turn down (e.g., fewer auto accidents), so the effect on those lines might actually be neutral or positive. 

Learn from history

Today people and goods move around the world with unprecedented speed. Urban environments and the transit systems that serve them are as packed with people as any military convoy or trench network.

If COVID-19 follows a similar track to that of the Spanish Flu, the current outbreak would turn out to have been a mild phase. If this scenario is correct, the first phase would taper off in a month or two, followed by several months in which the virus would appear to have ended its threat.

We should continue developing vaccines and other preventive/mitigating measures during this lull to better prepare for the more virulent phase that might manifest in the second half of 2020. Failure to do so would mean we’ve learned nothing from the worst global pandemic in the last 100 years.

COVID-19: A Teachable MomentFor Thinking About Risk

As we take our precautions and wait for the World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC) to declare COVID-19 a pandemic, now might be a good time to breathe and think about what this outbreak and other perils in the news can teach us about how we think about risk.

COVID-19 has spread far beyond its origins in China. People worldwide have been infected. Many in China and some beyond have died.

In addition to the human toll, concerns exist about disruptions to global supply chains, economic systems, and markets.

Nothing I’m about to say should be read as minimizing these dangers.

Not our first outbreak

But this isn’t the first infectious outbreak we’ve faced, and it won’t be the last. With people and products traveling the world and economies increasingly interconnected, disease transmission and commercial disruption related to it are inevitable.

How we handle them will be predicated upon how we think about risk.

At this writing, there are 60 cases of COVID-19 in the United States – none considered “Serious” or “Critical.” There have been no deaths and six recoveries. Compare these numbers with the 280,000 to 500,000  flu hospitalizations and 16,000 to 41,000 flu deaths this year to date, as reported by the CDC.[i]

Americans aren’t panicking about influenza, and the media aren’t giving the flu nearly as much attention as COVID-19. These facts appear to be related. As we previously reported, research suggests public anxiety about potential causes of death correlates with the amount of media play they receive; and the media often underreport threats that are statistically more substantial than dangers they emphasize.

We’re not panicking because we’re familiar with the flu and know the drill: wash your hands frequently; cough into your sleeve; avoid crowds as much as is reasonable.

Good news! Following this advice also helps slow the spread of COVID-19.

If we’re panicking over COVID-19, it’s due largely to the coverage it’s receiving and the fact that markets are reacting dramatically. Our reactions have little to do with the likelihood of our being infected.

Pedestrian dangers

Until WHO and CDC tell us otherwise, do you know what’s more likely to kill you than the coronavirus?

That’s right: An automobile.

According to a report published this week by the Governors Highway Association (GHA), pedestrian auto fatalities in 2019 were at their highest since 1988.

“During the 10-year period of 2009 to 2018,” the report says, “the number of pedestrian fatalities in the U.S. increased by 53 percent, from 4,109 in 2009 to 6,283 in 2018.”

It estimates 6,590 pedestrian fatalities occurred in 2019, the most in more than 30 years.

Possible reasons include smart phone use by pedestrians and drivers; increasing purchases of light trucks and SUVs relative to passenger cars; even more people walking due to warming temperature trends.

As word of this report spreads, don’t expect people to change their phone, car-buying, or walking habits. We accept these risks because we enjoy the freedom and control that goes with making our own decisions. We roll with them because they feel familiar and manageable.

As a colleague expressed it: “That’s why Jaws didn’t scare me. All I had to do to avoid sharks was to stay out of the ocean. Now, Freddy Krueger was another story….”

If you’d like to be better informed about relative mortality risks, the chart below is a good place to start. The list – which represents only accidental deaths – is by no means exhaustive.  In fact, a different study, based on data from the same year (2017), found accidental deaths were the third-largest mortality category, after heart disease and cancer.

Close behind accidents were respiratory disease and stroke.


Public anxiety over COVID-19 is due more to media coverage and market reactions than likelihood of infection.

[i] Because influenza surveillance does not capture all cases of flu that occur in the U.S., CDC provides these estimated ranges to better reflect the larger burden of influenza. These estimates are calculated based on CDC’s weekly influenza surveillance data and are preliminary.

Preparing for a pandemic should be part of every household’s emergency plan

Health officials in the U.S. have advised businesses, schools and communities to prepare for a possible outbreak of the COVID-19 coronavirus. On Tuesday, February 25, the Centers for Disease Control and Prevention (CDC) said a wider spread of the virus in the U.S. can be expected, but the agency is uncertain of the severity of the threat.

The disruption to everyday life could be severe.

“It’s not so much a question of if this will happen anymore but rather more a question of exactly when this will happen and how many people in this country will have severe illness,” said Dr. Nancy Messonnier, the head of the National Center for Immunization and Respiratory Diseases at the CDC.

Being prepared for a pandemic should be a part of every household’s emergency plan. The Federal Emergency Management Agency’s Ready.gov website offers the following tips:

Before a Pandemic

  • Store a two-week supply of water and food.
  • Periodically check your regular prescription drugs to ensure a continuous supply in your home.
  • Have any nonprescription drugs and other health supplies on hand, including pain relievers, stomach remedies, cough and cold medicines, fluids with electrolytes, and vitamins.
  • Get copies and maintain electronic versions of health records from doctors, hospitals, pharmacies and other sources and store them, for personal reference. Get help accessing electronic health records.
  • Talk with family members and loved ones about how they would be cared for if they got sick, or what will be needed to care for them in your home.

During a Pandemic

  • Limit spread of germs and prevent infection.
  • Avoid close contact with people who are sick.
  • When you are sick, keep your distance from others to protect them from getting sick too.
  • Cover your mouth and nose with a tissue when coughing or sneezing.
  • Washing your hands often will help protect you from germs.
  • Avoid touching your eyes, nose or mouth.
  • Practice other good health habits. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

Here at the Triple-I blog, we’ve been following the news of the spread of the COVID-19 coronavirus disease both from an insurance industry and a public safety perspective over the past few weeks. For Triple-I members, we also make available a database of news abstracts. Members can access the latest news pertaining to COVID-19, by clicking here (scroll down on the page to the coronavirus in the news section).

Uncertainty Clouds Business Risks Related to Covid-19 Coronavirus


Supply-chain disruptions due to Covid-19 could affect health care worldwide and lead to health, travel, life, workers comp, business interruption, and other claims. 


The Covid-19 coronavirus death toll has passed 1,300 and will likely continue to climb, with more than 60,000 cases reported worldwide. The loss of life and costs of identifying and caring for the sick are compounded by the following considerations:

China, where the virus originated and remains most prevalent, is the world’s largest producer of active pharmaceutical ingredients. In 2018, Politico reports, citing U.S. Commerce Department data, the country accounted for:

  • 95 percent of ibuprofen imports
  • 91 percent of hydrocortisone imports
  • 70 percent of acetaminophen imports
  • 40-45 percent of penicillin imports, and
  • 40 percent of heparin imports. 

China also is a major supplier of disposable medical devices like syringes and gloves, as well as surgical equipment. Michael Alkire, president of healthcare supply chain consultant Premier, told Modern Healthcare it’s hard to estimate how many of these goods come from China.

“There are critical pieces of upstream supply chain information that are unknown, including raw material suppliers, third party and contract manufacturers, sterilizers and more,” Alkire said. “Because reporting of this information is completely voluntary, most won’t do so until it becomes an industry-wide expectation and best practice.”

Any supply-chain disruptions could affect health care worldwide and lead to liability claims. 

“The good news is that most of the people dealing with China tend to have inventory,” said James Bruno, president of consulting firm Chemical and Pharmaceutical Solutions. “But if this doesn’t straighten out in the next three months, we could have some real problems with supply disruption.”

Health-care facilities and other business can become points of infection. Illnesses contracted in such locations can lead to workers comp claims, as well as claims alleging insufficient care was taken to protect customers and vendors from infection. Health workers who contract the virus on the job would likely be eligible for workers comp benefits, though compensability will be determined by the individual situation, policy wording, and laws of the relevant jurisdictions.

U.S. manufacturers rely on China to supply many industrial components and as a market for their own products. If the virus leads to closures of major ports, businesses in the affected countries could cancel contracts with or default on payments to their foreign counterparties. Contract frustration insurance may cover costs associated with such cancellations, depending on circumstances and the terms of their policies

Auto manufacturing could be an early industry to suffer. China shipped nearly $35 billion of auto parts in 2018, according to United Nations data. About $20 billion of Chinese parts were exported to the United States alone in 2018, according to the Commerce Department’s International Trade Administration. Supply disruptions lasting more than a few months could add momentum to rising auto repair costs.

Event and travel cancellations hurt local and national economies. Concerts and other public events in China have been cancelled over the virus, but its impact on tourism isn’t confined to that country. The contagion emerged right before Lunar New Year – when many Chinese typically travel in China and abroad.

China accounts for more than 10 percent of global tourism, Wolfgang Arlt, founder of the China Outbound Research Institute, said in an interview with National Public Radio. While the most popular destinations for Chinese visitors are in Asia, Arlt said, Paris, Sydney, and New York City also are favorites. That helped make China the biggest international tourism spender in 2018, pumping $277 billion into the travel industry, according to the United Nations World Tourism Organization.

Due to China’s outsized role in global tourism, Covid-19 could affect travel, hospitality, and tourism-dependent businesses around the world. With cruise ships quarantined after the disease was detected, cruise lines may have to deal with longer-term impacts on their businesses, as well as immediate ones related to passenger care and vessel decontamination.

Past outbreaks, such as SARS, Ebola, and Zika, have led many insurers to exclude infectious diseases from coverage in their policies. While specific policies for infectious diseases have been developed, companies reportedly have been slow to purchase them.

Infectious Disease: A Good Reason to Buy Medical Travel Insurance – But Check the Terms

Faced with Covid-19 coronavirus, people – as they tend to during infectious outbreaks – have become concerned about whether and to what extent their insurance will cover costs associated with the event. In the case of travel insurance, there’s good, bad, and ambiguous news.

If you contract coronavirus before you travel or while you’re traveling and have a standard policy that includes coverage for medical treatment and medical evacuation, your care probably will be covered. The “probably” is due to the fact that many insurers set a deadline – a date before which you might be covered but after which you won’t be. That’s because Covid-19 is now a “foreseen circumstance” — people now know about it.

Trip cancellation can be more complicated. Many policies exclude losses caused by disease outbreaks. Cancelling a trip simply because you don’t want to risk infection likely won’t be covered by a standard policy. 

What if you get sick and need to cancel your trip? You might be covered, depending on the insurer and a long list of conditions. For example, an illness that would be covered often requires a medical professional to confirm that the policyholder was, in fact, too sick to travel.

A cancel for any reason (CFAR) policy can help you recoup part  of your expense, but they’re pricey: usually around 10 percent of the cost of your trip, compared with four to six percent for a standard policy.

Do these exclusions and uncertainties mean medical travel insurance is a waste of money?

Not at all.

As I’ve written before, there are many ways one can be injured, fall ill, or die abroad – and your regular medical coverage may not work the same way abroad as it does at home. Since we’re talking about infectious diseases, take a look at the recent snippet below from the CDC website for a glimpse at some areas of concern. The list is always changing.

With travel policies – as with all other forms of insurance – it’s important to understand what’s covered and what isn’t and talk with your agent to be sure you’re getting the coverage you need. You also should thoroughly research your destinations and planned activities for possible exclusions.

Commercial insurance, diseases and epidemics

In a previous article, we discussed how personal insurance policies address communicable diseases and epidemics. In this article, we’ll look at how commercial insurance policies handle these issues.

Between 1918 and 1919 the so-called Spanish influenza pandemic* killed at least 50 million people worldwide and infected about 500 million people – or about 1/3 of the entire world’s population at the time.

While the Spanish flu’s destructiveness has been an outlier over the last several decades, epidemics and pandemics on a smaller scale do still happen (avian flu, swine flu, Ebola, etc.).

How could disease outbreaks impact commercial property and general liability insurance?

[Content warning: wonky]

Continue reading Commercial insurance, diseases and epidemics

Personal insurance: diseases and epidemics

In this article, we discuss how personal insurance policies address communicable diseases and epidemics. In a later article, we’ll look at how commercial insurance policies address these issues.

Measles are back with a vengeance. It’s gotten so bad in one New York county that the local government tried to ban unvaccinated children from public spaces.

Little known fact to people outside the insurance world: many personal insurance policies address communicable diseases and epidemics. Let’s walk through some of them.

Homeowners liability insurance: probably not covered

If you crack open your handy HO-3 standard homeowners policy and flip to Section II – Liability Coverages, you’ll notice that the transmission of a communicable diseases that causes any bodily injury or property damage is not covered by the policy. What this basically means is that if you (the insured) cause someone to get hurt (i.e. sick) via a communicable disease, whether you knew you were sick or not, then the policy won’t cover you for any liability if you get sued.

So if someone without a measles vaccination throws a party and ends up getting several guests sick, that person’s homeowners policy probably won’t cover any liability arising out of their actions. Doubly so if the person did this purposely: intentional acts are excluded from pretty much every insurance policy on earth.

Personal liability umbrella: probably not covered, but it depends

A personal liability umbrella policy is basically an extra layer of liability insurance. It will cover some types of liability your homeowners insurance excludes – and will also cover higher payments, sometimes up to $1 million (homeowners is often limited to $300,000).

Personal umbrella policies will also often exclude liability arising out of the transmission of a communicable disease. But not always, since what constitutes a communicable disease often depends on the specific policy. Some policies only exclude sexually transmitted diseases; others will exclude any communicable disease.

Travel insurance: could be covered, depending on the situation

Travel insurance policies can vary dramatically, depending on the insured’s needs. Two of the more common coverages are for trip cancellation and emergency medical treatment.

Will travel insurance cover you if a trip gets cancelled due to an epidemic or pandemic? Again, depends on the policy, but probably not. Many travel policies will exclude losses caused by disease outbreaks.

What if you get sick and need to cancel your trip? Unfortunately, you’re probably not covered if you got sick because of an epidemic. But for other diseases, you could be covered, depending on the insurer and a whole laundry list of conditions. For example, a sickness that would be covered often requires that the sick person be so ill that they can’t travel (a mild cough won’t pay out); the sick person is also often required to have a medical professional confirm that they were, in fact, too sick to travel.

If you have emergency medical treatment coverage, then you’ll be covered for any covered medical care, including illness. However, these kinds of policies can get very complicated; it’s important to talk to your agent to make sure you are getting the coverage that you need.