Insurance Tips & Tricks Jack J Demski Agenda History Briefing - - PowerPoint PPT Presentation

Insurance Tips & Tricks

Jack J Demski

Agenda

• History Briefing
• Liability

– General Liability vs. Marine Liability – Work Comp – Umbrellas

• Insurance Tips

You don’t know Jack ?

• Jack Demski

– Insurance Advisor/Agent – 3rd generation

• Specialties

– Cyber, Marine, International, Chemical, Dealerships

• Passions

– Activities, games, debate, competition

Insurance

• What is it?

− a practice or arrangement by which a company

• r government agency provides a guarantee of

compensation for specified loss, damage, illness, or death in return for payment of a premium. − a thing providing protection against a possible eventuality. − Risk-transfer mechanism that ensures full or partial financial compensation for the loss or damage caused by event(s) beyond the control

• f the insured party

History

• Romans

− 14th Century − Italian city of Genoa

• Lex Mercatoria – Merchant Law

− Later redefined in 1680 English Court as… Maritime Law

History

• Lloyds Coffee House

− 1601 AD – First Issued Document − Protecting shipments, ships, and ventures

• Royal Exhange forms Society of Lloyd’s

− Lord Chief Justice − Reforms Merchant Law with Common Law

• 1906 the Marine Insurance Act

− Passed by English Parliament

• "Hull and Machinery" (H&M)

− VS."Total Loss Only" (TLO) – now extinct − Re-insurance

• Marine insurance is often grouped with

Aviation and Transit (cargo) risks, and in this form is known by the acronym 'MAT'.

− The Marine Forms have also adapted oper the years

− Insurance contract – Maritime Insurance − Scheduled Marine – Cargo/Transit − Marine – Inland Marine

General Liability Tips

• CG 00 01 12 07

We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "bodily injury" or "property damage" to which this insurance does not apply. We may, at our discretion, investigate any "occurrence" and settle any claim or "suit" that may result.

General Liability

• What?

− Damages to others as a direct or indirect result from our operations and location

• Where?

− Continental US, Canada – Standard GL

− This gets more complex for Manufacturing and Services provided outside borders by US entities

− International/Global – endorsement

General Liability

• The Worst Part

− CG 00 01 12 07 section “g” − Aircraft, Auto or Watercraft exclusion

• The Auto policy allows for buyback on

Automobile coverage

− Aircraft coverage – Aircraft Liability − Watercraft coverage – next slide

Marine Liability

• Policies for Marine exposure

− Marina Operators Legal Liability − Marina Protection & Liability − Marine General Liability − Ocean Marine Liability − Marine Contractor’s Liability − Ship Repairer’s Liability − Wharfinger’s Liability – harboring, anchorage, custody

• Endorsement Add-ons

− Auto – including boats − Auto – included off-road exposure − Bailee’s Marine – includes 3rd party boats − ETC…

Comparison

• Marine Liability

− Damages to..

− 1st and 3rd party

− While

− Operating − Using − Fixing

− Covers actions in the name of the “Insured”

• General Liability

− Damages to…

− 1st and 3rd party

− While

− Operating − Using − Fixing

− Negligence only!

− Covers actions by the insured

Comparison

• ML
• Written for

Maritime Law

• On and Over H20
• Coverage on ALL
• pen water
• GL
• Written for

Criminal and Tort Law

• On and Over Land
• Coverage in USA &

Canada

Recap ML

• Extended GL policy

− GL for Watercraft operations

• Ironic Situation

− We need both when… − Much like Auto insurance

• VS. Endorsements

− Mere buy-backs in coverage − Strict wording − Often times leave us open to interpretations

• Examples … Questions?

Real Life Examples

Excess Liability Policy

• Excess Liability Policy

− Stand-a-lone policy that protects for claims excess of your base policies. − Umbrella is an Excess policy, but Excess is not an umbrella − Will only grant higher limits for one Liability − You can have multiple Excess Policies

− Some Excess will cover designated underlying

− No occurrence limits, beside purchased amount

Umbrella Policy

• Umbrella Policy

− A coverall or catchall policy to increase liability limits of ALL underlying liability policies. − Normally No Deductibles

− Dirty practices to lower pricing

− Underlying

− General Liability − Work Comp − Auto Liability − Marine Liability − Employers Liability − Employee Benefits/practices liability

Umbrella Policy

• No Liability coverage does not mean no

Umbrella coverage

• Can be limited by occurrences

− 5 Million aggregate / 1 million occurrence

• Will Default for International coverage and

some uncover underlying… with Deductible

Members & Volunteers

• Standard Liability does NOT extend

coverage to 3rd parties

− Only employees and hired help

• Endorse General Liability

− CG 20 21 11 85 − Changes who is covered by your policy

Liquor Liability

• Changes per State !!!

− Wisconsin – No Fault State − MN, IL, MI, IN – At Fault States

• Who is held Liable?

− WI places the burden on the individual

− Thus insurance claims based on alcohol are declined

− MN, IL, MI, IN – place burden on the business for identifiable over intoxication and service to minors

• Recap – What does Liquor Liability cover

− Damages resulting from consumption of alcohol

• n premise or at a sponsored event

Insurance Tricks

• Property Coverage

− CP 10 32 08 08 – Water Exclusion − Evil Trick

• Flood Insurance

− Separate Policy − Federally Mandated, regulated

• Business Property vs. Building

− If used for daily operations − If the items never leave the location

Inland Marine

• When/What to Schedule

− Evaluation / Appraisal − Mobile Equipment

− Used for on and off premise

− Marine Equipment

− Anything worth $2,000+ − Or custom made equipment

− Docks & Piers − Bridges and Man-Made structures − Fine Arts

Inland Marine

• Do NOT schedule:

− On premise tools − On premise Maintenance equipment − Parts and inventory

− Motor parts − Items for repair

− Classic or Rare Collector items

− Buy a collectors policy − Fine Arts coverage

• All are covered Elsewhere

− better coverage

Additional Insureds

• What it does –

− passing / assuming Liability − 3rd Parties

• Requested types:

− Leaseholder − Lien holder − Mortgagee − Landlord − Loss Payee − Additional Insured − Additional Named Insured − Financer

Contract Guidelines

• Best Practices
• Start a Spreadsheet

− Name, contact info, service provided − start date, end date − Insurance Certificate Provided

− File for 7 years

• Have you agent provide a COI’s List

annually

− Remove the contracts you DON’T need − Limits perceived Liability

Workers Compensation

• What is it?

− Coverage for workforce while working

• Common Misconceptions

− Owners are included − Coverage across states − Coverage across Countries

Work Comp.

• Longshore and Harbor Workers'

Compensation Act (LHWCA)

− Longshoreman’s Endorsement − Needed for workers on “Navigable” Waterways

− International water, trips, sailing excursions…

• Foreign voluntary workers compensation

(FVWC)

− International Workers Compensation − Not to be confused or used to replace LHWCA

WC

• Repercussions

− Employer is Responsible for excess damages

• ver state maximums or federal requirements

− If the proper coverage is not enforce

• Weekly Wage Max -

− WI - $961.01 − IL- $1,076.38 − MI – $965.62 − MN - $1,026.00 − LHWCA - $1,436.48 − FVWC – $1,286.34

− Still calculated at 66 2/3% of weekly salary

Questions

Jack J Demski Ansay & Associates Jack.Demski@ansay.com 414-491-5918