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Big I Buzz - August 12, 2020

Posted By IIAW Staff, Wednesday, August 12, 2020

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In this week's Big I Buzz, we are discussing how COVID-19 may affect 'work-life balance', best states for insurance agents and how viewpoints on autonomous technologies have changed. 

How the Pandemic May Change 'Work-Life Balance' Forever

COVID-19 is changing the way we get our work done, but it also is changing the way work-life balance will look. Insurance Journal suggests that employers encourage their staff to take time off, prioritize employees mental health and encourage continuing to offer a flexible work environment to those who may need it as businesses progress through COVID-19. Read more about balancing work and personal life here.

Best States for an Insurance Agent

Zippia has ranked the best states for insurance agent jobs ranking Maine, Rhode Island, Nevada, New Hampshire and Vermont in the top five respectively. Wisconsin isn't far behind ranking at number 21. See the full ranking here

Americans Becoming More Leery of Autonomous Technologies

A new American Automobile Association (AAA) report is showing that consumer trust in driverless transportation has declined throughout the last few years. According to Insurance Journal, "Three-quarters (73 percent) of American drivers report that they would be too afraid to ride in a fully self-driving vehicle, up from 63 percent in late 2017." The report also shows that, "two-thirds (63 percent) of U.S. adults report they would actually feel less safe sharing the road with a self-driving vehicle while walking or riding a bicycle. See more about the full report here

For more news, check out the Action News section of our weekly e-newsletter, Big I Buzz. If you aren't subscribed, click here to add your email to our mailing list. We hope that everyone has a great rest of their week!

Tags:  Big I Buzz  insuring Wisconsin  wisconsin independent insurance association  wisconsin insurance agency help  wisconsin insurance blog 

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Commentary from Counsel - SCOTUS Expands Exception to Employment Claims Against Religious Institutions

Posted By IIAW Staff, Tuesday, August 11, 2020
Updated: Monday, August 10, 2020

In the final days of its 2019-20 term, the Supreme Court issued a decision with potentially vast implications for religious organizations.  In Our Lady of Guadalupe School v. Morrisey-Berru, the Court ruled that parochial school teachers do not, for the most part, enjoy protections under federal employment laws.  This decision, and the potential for the Court to expand on it in the years to come, could have a major impact on insured claims against religious institution employers.

 

The Our Lady of Guadalupe School Case and Decision

 

The Our Lady case is actually a combination of two employment discrimination cases brought by Catholic school teachers in the Los Angeles area.  In both cases, the teachers argued the schools terminated them for discriminatory reasons.  The first plaintiff, Agnes Morrisey-Berru, claimed her former employer fired her based on her age.  The second plaintiff, Kristen Biel, argued her former school terminated her because she had breast cancer.

 

Before delving into the Court’s opinion in Our Lady, however, it is necessary to discuss a bit of background.  In 2012, the Supreme Court considered a similar case in which a terminated parochial school teacher sued her former employer for discrimination under the Americans with Disabilities Act.  In that case, the Court recognized a “ministerial exception” to federal employment laws rooted in the First Amendment’s protection of the free exercise of religion.   Specifically, the Court dismissed the plaintiff’s suit, holding that the ministerial exception precluded her claim given that she had received extensive religious training, was considered a minister of her church, and her firing fell into a category of decisions religious institutions make that are essential to their central mission.

 

Despite important differences between the two cases, the Court reached the same decision in Our Lady as it did in 2012.  In the 2012 case, the Court ruled the ministerial exception barred the teacher’s ADA claims based on evidence that the fired teacher had extensive religious training and was considered by her church to be a “minister.”  The same could not be said for the Our Lady plaintiffs, as the two teacher plaintiffs in the case did not have any specific religious education credentials, and one of them testified that she was not even a practicing Catholic.  However, according to the Court’s majority opinion, whether a teacher has religious training is

inconsequential to the ministerial exception analysis.  What mattered in Our Lady was that the teachers taught religious curriculum, prayed with their students, and accompanied them to mass.  Ultimately, in dismissing the teachers’ claims, the Court held that the schools had initially made the determination that the teachers knew enough about Catholicism to teach the subject, and “judges have no

warrant to second-guess that judgment.”

 

Now What?

 

Despite the fact that both the Our Lady decision and the 2012 case involved teachers, the rulings could have much broader implications.  In her dissent, Justice Sotomayor criticized the majority, arguing it had destroyed the existing standard of review for the ministerial exception and replaced it with a single consideration: “whether a church thinks its employees play an important religious role.”  Not only could this “strip[] thousands of schoolteachers of their legal protection,” according to Sotomayor, it could also extend to “countless coaches, camp counselors, nurses, social-service workers, in-house lawyers, media-relations personnel, and many others who work for religious institutions.”

 

If you or your agency have religious institution clients, this decision, and its progeny, could have a considerable impact on the scope of potential employment-related claims and litigation.  If lower courts consistently (or even more 

broadly) apply the holding from Our Lady, it could greatly reduce the amount (or at least the success) of employment discrimination claims against religious institutions. Moreover, if Justice Sotomayor’s dissent proves prescient, the opinion could serve as the backbone for future decisions dismissing discrimination claims brought by any employee of a religious organization, or even claims brought by parishioners involved in community outreach or charity work.

 

Conclusion

 

In Our Lady of Guadalupe School v. Morrisey-Berru, the Supreme Court expanded the ministerial exception to employment discrimination claims brought against religious institutions.  While the case involved teachers at parochial schools, the decision may impact claims brought by any employees of religious organizations.  Keep an eye on this column and updates from the IIAW for related developments.

Tags:  commentary from counsel  insuring Wisconsin  wisconsin independent insurance association  wisconsin insurance agency help  wisconsin insurance blog 

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Risky Business - Determining the Value of a Property

Posted By IIAW Staff, Monday, August 10, 2020
Updated: Monday, July 20, 2020

Skyscrapers

This article was recently published in the August issue of Wisconsin Independent Agent magazine. Read more from Wisconsin Independent Agent here

Recently, we have seen an E&O claim trend around insurance limits based on values. The customer’s property has not been properly evaluated, but who should be responsible for determining the value? The advice from Swiss Re Corporate Solutions has long been that the customer is responsible for determining the value of the property. The agent should then take the value provided by the customer and provided insurance based on that amount. Many times, the agent takes on the role of the advisor and a customer will look to the agent to assist with the valuation. In this situation, the agent is likely creating a “special relationship” and has greatly increased their standard of care. If agents are using valuation tools, they must realize the answers they provide are only as good as the information that is entered into them. The agent also then assumes the responsibility of making sure the values are regularly updated to reflect any changes to the property.

Here is an example of what can go wrong and what an agency can do to avoid a $2 million E&O claim.

Andrew, an experienced agent at a large insurance agency, placed Commercial Property coverage for his client who was a real estate developer.  Among the properties he owned, the real estate developer owned a shopping center. The agent and his client had verbal discussions when the policy was initially placed regarding the value of the property.  According to the agent, the value of the building was ultimately determined by the real estate developer, but nothing was put in writing by the agent to reflect how the value was determined or whether the client agreed with the valuation. The agent procured a replacement cost property policy with $2.5 million in replacement cost for the building.

The policy was then renewed each year for 5 years. During this time period, neither the agent nor the client re-visited the issue of the valuation of the property or considered or discussed possible increases in the value of the property.

 The shopping center then burned to the ground. When the client submitted the claim, the carrier paid the limit of the policy. However, the property owner claimed that the replacement cost of the property was actually $7MM and claimed that the property was undervalued. The real estate developer admitted receiving the renewals each year but not reading them. He further claimed that he completely relied on his agent to determine the appropriate insurance coverages, that it was the agent that set the initial value of the property and that the agent never recommended an appraisal at any point. The real estate developer proceeded to file suit against Andrew and his agency.

 What are the major issues in this case?

·       Agent’s failure to document property valuation process in writing

·       Agent’s undertaking to set the value of the property when that is potentially outside his/her area of expertise and the agent may not have a duty to undertake this task.  In addition, the property owner is in a superior position to know the value of his/her own property

·       An insurance broker is not required to ascertain the levels of coverage for a risk.  However, if the agent assumed this obligation even though he didn’t have to, he thereby created a special relationship that obligated him/her to exercise a greater degree of care and diligence.

·       Agent’s failure to consider and discuss increases in value of the property over time i.e. by not performing a yearly analysis of coverages and making necessary modifications to the level of coverage.

What could have been done differently by the agency?

·       Yearly review of property values with sign off by client

·       Written documentation of valuation with client sign-off

·       Written recommendation that the client have the property appraised

What do you think was the outcome?

The case was tried and the agent paid almost $2MM in damages for taking on the responsibility of valuing the property and not doing it properly as well as failing to review the value

If your agency needs to review internal processes such as property valuations, please call IIAW Vice President Mallory Cornell. There could even be E&O premium savings for your proactive E&O Risk Management!

Tags:  insuring Wisconsin  risky business  wisconsin independent agent  wisconsin independent insurance association  wisconsin insurance agency help  wisconsin insurance blog 

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Big I Buzz - August 5, 2020

Posted By IIAW Staff, Wednesday, August 5, 2020

In this week's Big I Buzz we are covering Allstate's push into the independent space, pro sports players associations stance on the Senate Republican stimulus proposal and we look into the states ranked by uninsured rates. 

Allstate's $4 billion push into the independent space

Allstate has announced that it will acquire National General Holdings for $4 billion in their attempt to step into the independent agent channel. According to Insurance Business America, "There is talk that Allstate is in the middle of a major restructuring that would see thousands of staff being laid off. News of a major acquisition deal despite Allstate's alleged internal issues raises more questions than answers, and some may wonder why the insurer went through with this deal."

Pro sports players associations come out against key McConnell stimulus priority

The executive directors of the NFL, NBA, NHL Major League Baseball and Major League Soccer players associations signed onto a letter raising concerns about the liability protections included in the Senate Republican proposal introduced last week. Read more about the proposals from both the Republican and Democratic parties here. The players associations were opposing the structure of the proposal because the legislation does not explicitly provide liability protections for those who engage in willful misconduct or grossly negligent behavior, providing a tighter scope on the bill's safe harbor than the players association asserts, according to CNN

States ranked by uninsured rates

Becker's Hospital Review has ranked the states by their uninsured rates. This report compared uninsured rates in 2018 to rates in May 2020 with information from the U.S. Bureau of Labor Statistics and the Urban Institute. Texas ranked at the top with the highest uninsured rate in the U.S - with 29 percent of adults uninsured as of May, according to a report from Families USA. The total number of uninsured in the U.S. climbed to 21 percent due in part to layoffs tied to the COVID-19 pandemic in recent months, according to Becker's Hospital Review. Wisconsin's uninsured rate sits at 10 percent at the time of this report. 

For more news, check out the Action News section of our weekly e-newsletter, Big I Buzz. If you aren't subscribed, click here to add your email to our mailing list. We hope that everyone has a great rest of their week!

Tags:  big i buzz  insurance industry news  insurance industry updates  insurance news  insuring Wisconsin  wisconsin independent insurance association  wisconsin insurance agency help  wisconsin insurance blog 

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Connect, Collaborate, Engage

Posted By IIAW Staff, Wednesday, August 5, 2020
Updated: Monday, July 20, 2020

puzzle pieces

 

This article was originally published in the August issue of the Wisconsin Independent Agent magazine. Read more from Wisconsin Independent Agent here

Henry Ford famously said, “Coming Together is a beginning, Staying together is progress, and Working together is success.” You have likely seen this quote a lot from the IIAW as it perfectly illustrates the type of community the IIAW is working to build among its members and stakeholders. An ecosystem of insurance professionals and solutions to help drive the industry to new heights.

Historically, the IIAW has brought together its members in the form of meetings, events, and conventions/conferences. In the COVID-19 environment that exists now, in-person gatherings can be difficult and risky, but the need to connect, collaborate and engage with other individuals has never been greater.  That is why, later this Fall, the IIAW will be launching a new online “curated” community and app where members can seek out and engage with other members/stakeholders within the association or with association staff/experts. Post questions, topics, and articles for feedback from other agency staff, insurance company employees, vendors, or staff. Search past posts or blogs to obtain valuable information quickly and easily. This platform seeks to bring insurance professionals together in a virtual curated format to provide a more cohesive, comprehensive, and responsive community environment to meet the evolving needs of our Association’s members, sponsors and stakeholders.  

Data shows an overwhelming percentage of members only sign-in to renew their dues and register for an event. The Online Community integrates with IIAW’s association management system and website to provide simple and quick access to community features such as blogs, forums, groups, member directories and more. Accessibility and personal interaction preferences are key to the platform. Instead of members interacting and engaging with content and other members in a more traditional format, the IIAW online Community will tailor its approach to the member by bringing together relevant data and information into an easily consumable and familiar source through the “My Feed” function.

Alerts are also an essential piece of the community online platform and SocialLink Mobile App. These Alerts keep the member engaged with instant updates on activity that is happening within their Community Feed and Connections. Alerts can range from updates to a particular post you have made or contributed to as well as Connection requests from other community members. The online community and app will have push notifications/alerts that populate member’s “My Feed” from the backend of the website allowing for the distribution of quick and relevant information.

Gamification is adding game principals or mechanics into nongame environments, like a website, online community, or learning management system to increase participation. The goal of gamification is to encourage the engagement with consumers, employees, and partners to inspire collaborate, share and interact. The IIAW will be incentivizing participation by integrating gamification into its platform. We will be rewarding users/members for their participation in the form of points that can be redeemed  for Amazon gift cards, local merchant gift cards, IIAW swag and more. It’s easy, participate to earn points, cash in those points for cool prizes.

In order for our new virtual community to succeed we need everyone to participate. We sincerely hope that you and your company will join us this Fall as we look to inspire, educate, collaborate, engage and connect with insurance professionals across Wisconsin to help drive the industry toward continued prosperity.

“Alone, we can do so little, together we can do so much!”  - Helen Keller

Tags:  insurance bartender  insuring Wisconsin  online community  wisconsin independent insurance association  wisconsin insurance agency help  wisconsin insurance blog 

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Transitioning to a Remote Workforce? Here's What You Need to Know

Posted By IIAW Staff, Tuesday, August 4, 2020

devices

2020 has become the year of the remote worker, courtesy of the coronavirus pandemic. Is your business one of the many that has transitioned to remote operations? Have you considered how that change affects your insurance liabilities as a business owner?

Your Trusted Choice Independent Insurance Agent® can help you reassess your risk picture. Managing a remote workforce may be new to you, but independent agents have rich expertise in helping business owners manage risk — whether employees work from home or on-site. And because they represent multiple insurance companies, Trusted Choice agents can offer you and your business customized coverage based on your unique and changing needs.

In addition, your Trusted Choice agent can offer you resources and advice for developing your company’s remote work program. It should address, at a minimum:

1. Safety guidelines for a home office setup.

2. Designated work, break, and lunch times.

3. Safety training.

4. Physical inspections of remote workers’ home offices.

5. The workers’ compensation rules for your state as they apply to remote workers.

Here are a few insurance questions your Trusted Choice agent can help you answer:

Does my commercial general liability policy cover remote employees?

As part of your business insurance package, general liability protects your business against financial loss resulting from bodily injury, advertising injury, and property damage caused by your business or employees. Your Trusted Choice agent can review your policy to be sure that you are still adequately covered while employing remote workers.

If your remote employee must meet business clients from home, it will be your commercial general liability policy that must cover any injury, not the employee’s homeowners insurance. Your agent may suggest additional coverages such as management liability insurance to protect you and your workers from this and other risks not covered by your commercial general liability policy.

Business property insurance protects the physical location of your business and any tools, equipment and inventory. Your business property policy may exclude or limit the coverage for property that is not located at your business premises. Your agent can help you determine if you need additional coverage for property used off-premises by remote workers.

An employee’s own homeowners policy usually will not cover the loss of business-owned equipment that is damaged or stolen in their home.

Are my remote workers covered by the workers’ compensation insurance my company purchases?

  It is incumbent on you as an employer to ensure a safe working environment for your employees — whether they work at your business location or from their homes. In general, your workers’ compensation insurance covers all of your workers for illness or injury arising out of or in the course of employment — no matter where they physically work.

However, ensuring a safe working environment for remote workers increases your responsibilities as an employer.

In addition, it is more difficult for a remote worker to demonstrate that an injury or illness “arises out of” or occurs “in the course of” employment — your telecommuting policies and procedures will be of critical importance. Will my cyber liability insurance cover remote employees? The answer to that question is not simple because cyber policies vary greatly and may contain exclusions that would affect remote workers. And a remote worker using a public or a poorly secured home network could put your entire business at risk and expose your customers’ private information. Your Trusted Choice agent can help you be sure you have appropriate cyber liability coverage. In addition, you must ensure that every device an employee uses is protected from cyber breaches. First, require that employees use only your business-owned devices for work; second, set every employee up with a secure connection from their home office to your business network. You may have to engage the help of an IT specialist, but the investment pales beside the potential costs of a cyberattack.

Let Trusted Choice help you keep your business and employees safe … anywhere they work.

For more help with your telecommuters, consult these articles:

Inspiring Productivity and Connection with Remote Workers

Ways to Keep Remote Workers Connected and Engaged 

Tags:  COVID-19  IIAW  remote work  wisconsin independent agent  wisconsin independent insurance association  wisconsin insurance agency help 

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Big I Buzz - July 22nd

Posted By Kaylyn Zielinski, Wednesday, July 22, 2020
Updated: Wednesday, July 22, 2020

On this week's Big I Buzz, we're discussing the workers' comp rate decrease, a COVID-19 liability update from WCJC and how wearables have become important to doctors throughout the pandemic. 

Workers' Comp Rate Decrease

The Wisconsin Office of the Commissioner of Insurance approved an overall workers' comp rate decrease. See the Wisconsin Compensation Rating Bureau's Circular letter here

Wisconsin Civil Justice Council COVID-19 Liability Update

The Wisconsin Civil Justice Council released a new COVID-19 liability update. The updated discussed a Wisconsin Legislative Council brief on businesses' use of COVID-19 liability waivers. The mentioned brief reported that Wisconsin courts are "generally skeptical of liability waivers" and would likely refuse to uphold them in future cases. "With individual liability waivers likely off the table, it is even more important for Wisconsin to enact state-level liability protections for Wisconsin businesses facing COVID-19 lawsuits," the WCJC update read. 

The Future of Staying Healthy is Sitting on Your Wrist

As COVID-19 continues to spread throughout the U.S., many people are choosing to stay at home instead of seeing their usual doctors for annual check-ups. Instead of heading to the doctor's office for their appointments, people are turning to telemedicine. Prior to COVID-19, doctors couldn't do much with the information pulled from smart watches but now, the FDA has allowed certain Apple Watch models to take EKG for diagnosis on a telemedicine call.  According to protocol, "In the future, wearables will likely help us realize that we're sick even before we do - and help us prevent illnesses rather than treating them after the fact. Even with COVID, some early trials have suggested that data that existing wearables can collect could be enough to help people know when they've contracted the virus." 

For more news, check out the Action News section of our weekly e-newsletter Big I Buzz. If you aren't subscribed, click here to add your email to our emailing list. We hope that everyone has a great rest of their week! 

Tags:  Big I Buzz  insurance news  insuring wisconsin  wisconsin independent insurance association  wisconsin insurance agency help  wisconsin insurance blog 

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Risky Business - Be Where Your Customers Are

Posted By IIAW Staff, Wednesday, July 22, 2020
Updated: Thursday, July 9, 2020

typing on a laptop

 

By: Mallory Cornell | IIAW Vice President and Director of Risk Management

 

This article was originally published in our February 2020 Wisconsin Independent Agent magazine. Click here to read our magazine, Wisconsin Independent Agent. 

 

recently read an article on PropertyCasualty360.com titled “Why Insurance Agents Must Monitor Online Consumer Reviews”. The last line of the article reads, “Your customers are online. Are you?” 

 

I appreciate this statement and have already used it during several conversations with agents. For me it resonates on a few different levels.

 

The relationship is not dead. Your customers, or prospective customers, still want to work with an insurance agent they can build a relationship with.The idea is that relationships just look a little different than they have in the past. Its much easier for a customer or prospect to “get to know you” because they can find more information about the person or the agency by going online. But what if they can’t get to know you by going online? What if they can’t find anything about you because you’ve decided its easier to just avoid being online? The article in PropertyCasulty360.com stated that “more than a quarter of millennials say they learned about an agent through digital engagement (online search, reviews or social media).” This demographic should be a key target for an agency looking to grow and be sustainable. To not have an online presence is immediately diminishing opportunities with this key customer group.

 

2. Agency presence versus individual presence. As an online admirer of independent insurance agents (does that sound creepy?), I appreciate the opportunity to see what agencies are doing in their community or how employees are being celebrated around the office. When an agency does not have a strong online presence, its usually because they don’t recognize the importance or they do not have an internal staff member interested in managing the page (which is an key piece). That’s fair, but what about individual pages? Should a commercial lines insurance professional always have a LinkedIn page? I would argue yes because business professionals want to see and know who they are working with. It can also highlight your experience and education in the industry. Individual Facebook pages are not the same as individual LinkedIn pages. User beware, if you are going to have a public Facebook page or be “friends” with customers you are increasing your exposure to knowing more than you would like to about your customer! And don’t forget, they can learn more about you as well.  Facebook (as well as Twitter and Instagram) is a much more social platform while LinkedIn is a professional social media site. There are risks associated with each and having a clear goal for using social media as an agency or as a professional is key. An agency Social Media Policy is another essential piece to this puzzle. (Need a template? Visit www.iiaw.com/AgencySolutions and find one under “Operational Resources” or reach out to any IIAW staff member)

 

 

3. Efficiently Grow Your Network. I applaud the industry professionals who take the time to attend networking events, local community groups and meetings and who spend time face to face with customers and prospects. Your time is more precious than ever, and these commitments take you away from your desk, the office and even your family on a regular basis. This is where social media and digital marketing are different. You can connect, engage and stand out online faster and easier than in a crowded room. It may take some practice, but the tools and resources exist to help you get started. 

 

What’s next?

If you are looking to become more active on social media and engage in the digital world, develop a plan and educate yourself. What is the commitment your willing to make and what will successful execution look like? Know the risks but also appreciate the reward.

https://cdn.ymaws.com/iiaw.site-ym.com/resource/resmgr/blog/thomas-lefebvre-gp8blyataa0-.jpg

Tags:  customers  digital presence  online reviews  property casualty  wisconsin independent insurance association  wisconsin insurance agency help  wisconsin insurance blog 

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Big I Buzz - July 15, 2020

Posted By IIAW Staff, Wednesday, July 15, 2020

big i buzz

It's July 15th and we are speeding through the summer. We have a lot of news to cover in this week's Big I Buzz. You can stay up-to-date on all weekly news by subscribing to our email newsletter here.

InsurCon2020 

We have made the difficult decision to delay InsurCon until 2021. We feel strongly that the safety of our members, exhibitors, staff and speakers come first. You can look forward to InsurCon2021 - as it is now scheduled for May 10-11, 2021. We are pleased to share that Joe Theismann will still be a keynote speaker in 2021. You can stay informed on InsurCon20201 updates as we release new information on our website here

Walmart Launches Insurance Business

On July 9th, news broke that Walmart is joining the health insurance industry as an intermediary. In an email statement to CNBC, Walmart confirmed they had created an insurance agency, but their spokesperson, Randy Hargrove, would not share details about the plans it would sell, or the pricing of those plans. Read more from Insurance Business Magazine here

House OKs $1.5 Trillion Infrastructure Plan That Impacts HOS, Insurance

The Moving Forward Act was approved by the House this week and if passed by the Senate, would increase the minimum amount of liability insurance commercial motor vehicles are required to maintain from $750,000 to $2 million. Additionally, if passed the bill would fund projects to fix roads and bridges, upgrade transit system, expand interstate railways and dredge harbors, ports and channels. This bill would also authorize more than $100 billion to expand internet access for rural and low-income communities and $25 billion to modernize the USPS's infrastructure and operations, including new, electric vehicles, according to ttnews.com. 

We hope everyone has a great rest of their week!

Tags:  Big I Buzz  insuring Wisconsin  weekly wisconsin insurance agent newsletter  wisconsin insurance agency help  wisconsin insurance blog 

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Virtual University - I Bet the Named Insured Doesn't Own the Building! Have You Asked?

Posted By IIAW Staff, Monday, July 13, 2020
Updated: Monday, June 29, 2020

Buildings in City

By: Chris Boggs | Big "I" Virtual University Executive Director

 

“Who owns the building?” Asking this rather basic, four-word question can save your insured, you, and your errors and omissions carrier a major heartache and undue costs following a building damage claim.

 

Never assume a small, closely-held corporation is as simple as it appears on the surface. Exposure and legal realities often exist, the importance of which are not fully understood by the “business owner.”

 

Consider the following example, George Bailey owns Widgets, Inc., a manufacturer of widgets (who would have guessed?). The manufacturing operation is conducted in a building that, according to Mr. Bailey, is “owned by the insured.” However, Mr. Bailey owns the building individually.

 

Understand, Mr. Bailey is not attempting to mislead the insurance carrier or misrepresent the facts. In his mind, there is no distinction between the operations of Widgets, Inc. and the ownership of the building. To Mr. Bailey, it’s all the same because he owns both. Such belief is more common than many agents realize.

 

But within the realities of insurance and law, two separate “persons” are involved in this all-too-common situation. Potential insurance coverage gaps arise from the existence and participation of two separate

“persons.” Each natural person and legal person must be accounted for and managed separately within the insurance policy. (Natural persons are flesh and blood individuals. Legal persons are created by the filing of specific legal documents such as articles of incorporation or articles of organization.)

 

Natural persons and legal persons have the same rights; the right to sue, to be sued, to own property, etc. Therefore, each “person” presents his/her/its individual risk exposure that must be analyzed and specifically insured.

 

Unless each person’s exposure is properly addressed, the property policy may not respond to a property

claim for one of two reasons:

 

1. Lack of insurable interest; or

2. Lack of insurance protection.

 

Property insurance policies do NOT respond to a claim if insurable interest does not exist at the time of the loss. Likewise, if the party with insurable interest is not an insured, the policy does NOT pay.

 

Insurable interest, in a property insurance context, exists when a “person” suffers direct financial loss as a result of damage to or destruction of the specified property. If the “person” with insurable interest is not covered by a property policy, the loss must be paid out of that “person’s” resources. Insurable interest in real and personal property is created in one of three ways:

 

1. Ownership;

2. Legal liability: Responsible for someone else’s 

    property – like a dry cleaner is responsible for its 

   customer’s clothes; or

3. Contract: A lease agreement making another party 

    responsible for insuring the property.

 

Returning to the initial scenario: George Bailey owns the building individually, but Widgets, Inc. is the policy’s only named insured. If the building is damaged or destroyed by any covered cause of loss, the property policy covering the building owes – nothing. The legal person listed on the policy as the named insured, Widgets, Inc., did not have insurable interest; and the natural person with insurable interest, George Bailey, is not covered in the policy as an insured.

 

Beyond the individual (natural person) ownership of a building, one of several possible ownership scenarios

could exist that must be considered, anticipated and/or researched, including:

 

1. The building is owned individually by the “owner” of 

    the business operation (as in our example above);

2. The building is owned by several individuals;

3. The building is owned by a separate legal person; or

4. The building is owned by any combination of natural 

    and legal persons.

 

Attorneys often recommend such separation for various reasons. But sometimes, the building is not owned by the named business entity because it was purchased first, willed to the individual, or any number of reasons. Again, never assume ownership.

 

How is building ownership confirmed? The simplest way is to ask the question; specifically, “who or what entity owns the building.” Even Mr. Bailey in our example knows he owns the building individually, he just didn’t see or understand the need to tell the agent. Explain the need.

 

A second method requires individual effort, but it’s quick and painless in most circumstances. Research the county’s online tax, GIS, or other public record system. Most counties offer access to at least one public record. Once the proper site is located, an address search can be done. Depending on the county, massive amounts of building information can be found when such an online search is done:

 

• Year built;

• Square footage;

• Construction (sometimes);

• A photo or footprint drawing; and

• Who owns the building.

 

Once you become familiar with a particular county’s website, these searches can be conducted in a matter of minutes. A few minutes of work to save thousands of dollars in uncovered claims, E&O deductibles, and court time seems like a fair trade.

 

Managing and insuring the separate ownership exposure is the delicate and tricky part. Since the same “person” or groups of persons who/that own the operation also own the building, it is unlikely they will want to purchase a separate Lessors Risk Only (LRO) policy, which is an option.

 

In most “common ownership” situations presented previously, the owner(s) want the building insured on the same policy as the operation. Two main methods to accomplish this are:

 

1. Name the building owner as a named insured; or

2. Legally lease the building to the business. Naming the building owner as a named insured. As simple as this seems, this is often an improper or unavailable option – especially if that person (natural or legal) is involved in other ventures or activities. Remember, the specific operation was underwritten and adding named insureds has the possibility of extended protection to unintended or unexpected exposures.

 

Many underwriters are unwilling to extended what is  essentially LRO coverage in a package policy because of the uncertainty surrounding the breadth of the building owner’s operations. Underwriters may also be unwilling to add the additional named insured because it may own several building or be involved in other operations.

 

Legally lease the building to the business (named insured operation). This is the most proper way to manage and cover the building owner’s exposure. Remember, insurable interest can be created by contract. The lease agreement can and should be used to create insurable interest by making the tenant operation responsible for insuring the building. Once the tenant has insurable interest by legal contract, the building is properly covered and the building owner’s exposure can be protected by attaching specific endorsements:

 

• CP 12 19 Additional Insured – Building Owner: This is 

   a property endorsement extending property coverage 

   to the named building owner; and

• CG 20 11 Additional Insured – Managers or Lessors of 

   Premises: A general liability endorsement extending 

   additional insured status to the building lessor/owner.

 

Creating a proper lease and attaching the proper endorsements extends the necessary protection to the building owner without the need of a separate policy. This is also the best option because many underwriters are unwilling to add the building owner as a named insured on the operation’s (Widgets, Inc.) policy.

 

To end, never assume building ownership. Always ask what seems like a “duh” question. If the question isn’t asked, research ownership through the county’s website. Once ownership is known, insure the exposure.

Tags:  insuring Wisconsin  named insured  ownership  Virtual University  wisconsin independent insurance association  wisconsin insurance agency help  wisconsin insurance blog 

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