Month: November 2020

A new post on the Triple-I’s Resilience Blog shares the story of small business owners Bobby and Janice Jucker, who have nicknamed themselves the King and Queen of Disasters. Their business, Three Brothers Bakery, has weathered Hurricane Harvey, several floods, a fire, and now COVID-19. 

COVID-19 is the toughest disaster they have ever faced, but the Juckers’ unique and tough experiences with tragedies have given them special perspective. They offer several good pieces of advice in the blog post, including navigating the insurance market and knowing your business’ policy well. 

You can read the full profile on bakery owners Bobby and Janice Jucker here and watch their four-part business plan for disaster recovery here. For more information and resources, visit fairinsure.org. 

The president of the American Tort Reform Association (ATRA) Sherman “Tiger” Joyce recently published an op-ed outlining a dangerous ruling in a Missouri court regarding business interruption (BI) COVID-19 claims. The outlier decision in favor of policyholders fails to take into account that BI policies are generally triggered by physical property damage, which COVID-19 has been shown not to cause directly. 

As the last few months have made clear, global pandemics are uninsurable. Rulings like the one in Missouri, as well as trial lawyers’ bad faith litigation against insurers, are a distraction from what is really needed during this crisis: a federal solution to help struggling businesses as they look to survive and eventually recover from this pandemic. 

Key highlights from the piece include:

• Business interruption insurance is designed to cover losses caused by physical damage to property, not a reduction in services or viral contamination. In fact, “Judge Bough’s decision is an outlier, completely out of step with the essential function of business interruption insurance and outside the scope of policy coverage.” 
   
• In his ruling, the judge cited a previous decision that he himself had written as justification for the later ruling. “This is judicial activism at its worst. And given Bough’s status as a federal judge, his interpretation of Missouri law and insurance agreements can serve as a precedent for other Missouri judges to follow.”
   
• More importantly, the ruling played right into trial lawyers’ hands. “Not only did the court reinterpret an insurance policy to fit its own narrative, but it also created an opportunity for unscrupulous trial attorneys to flood the state’s civil court system with countless meritless lawsuits.”

For more information, visit fairinsure.org.

Protecting Main Street businesses from future pandemics will require a fully federally funded, affordable base layer of coverage, writes David Sampson of the American Property Casualty Insurance Association (APCIA), Charles Chamness of the National Association of Mutual Insurance Companies (NAMIC), and Bob Rusbuldt of the Independent Insurance Agents & Brokers of America (IIABA) in a new op-ed for Morning Consult.

Here are a few highlights from the article:

• The time to discuss insurance solutions to future pandemics is now. “While more financial assistance is needed in the short term, policymakers and the business community also need to establish a program to provide financial protection for businesses from future viral outbreaks and pandemics.”
  
  
• Insurers are committed to finding risk solutions for customers, but pandemic risks defy insurability. “Private insurance is built on the premise that a small percentage of those paying in for a given year will experience a loss, and the universal nature of a pandemic makes it, by definition, uninsurable. Insurers do not have the scale or ability to adjust tens or hundreds of millions of simultaneous, complex insurance claims.”
  
  
• The federal government’s involvement is key to helping all businesses recover and re-open. “Forcing insurers to absorb the losses for an inherently uninsurable risk, even at just a percentage of the losses, would be unaffordable for most businesses, particularly on Main Street… It is critical that Congress enacts a program that works for all stakeholders, large and small, and provides the economic security that our country needs.”

The insurance industry experts from APCIA, IIABA, and NAMIC also highlighted the Business Continuity Protection Program (BCPP), which, along with the Pandemic Risk Insurance Act (PRIA) and the Pandemic Business Interruption Program, is one of few proposed policies for federally funded pandemic relief. Read more on the industry’s recommended principles for proposed policies here.

You can read the full op-ed here. For more information and resources, visit fairinsure.org.

Today, the U.S. House Committee on Financial Services’ Subcommittee on Housing, Community Development and Insurance held a virtual hearing titled “Insuring Against a Pandemic: Challenges and Solutions for Policyholders and Insurers.” 

With testimony from a variety of stakeholders from insurance, to retail, to think tanks, the hearing reinforced the need for a federal-level discussion on insuring against pandemic losses, as well as introducing viable solutions to protect both policyholders and insurers. As witnesses pointed out, insurers are unable to plan for and cover massive losses associated with global pandemics, and only the federal government has the financial capacity to support struggling businesses during a crisis of this magnitude. 

Below are some key highlights from today’s hearing:

• Representative Trey Hollingsworth (R-IN-9) highlighted the importance of upholding American economic principles and basic contract law, saying that “forcing insurers to pay out claims for which they did not collect premiums retroactively” is not a solution, but instead, the “rewriting of tens of thousands of contracts across this country, ripping apart the very basis of contract law which has underpinned our free market economy for 240 years.” 
  
  
• In his opening statement, Senior Corporate Counsel for Shelter Insurance, Brian Kuhlmann emphasized that pandemics are uninsurable. He explained that insurance works best when the accidental losses of a few can be broadly spread. Yet, “where losses are catastrophic, unconstrained by geography, across the entire economy, insurance is not always an option to be the means of the relief many need. Global pandemics fall into this category of uninsurable risks.” He added that it is clear that global pandemics do not meet the requirements for insurability, therefore, an alternative mechanism is necessary to protect businesses from future pandemics.
  
  
• Michelle McLaughlin, chief underwriting officer of Chubb’s small business and commercial middle market divisions, reinforced that the private insurance market cannot underwrite the massive losses associated with global pandemics. She suggested that any pandemic insurance solution will require substantial involvement of the federal government and that insurers “can and should play a meaningful role in providing future pandemic risk coverage that would protect local and national economies and businesses small to large.”
  
  
• John Doyle, President and CEO of Marsh, pointed toward the necessity of a strong and resilient U.S. economy in his testimony, and made clear that without a pandemic risk solution, the economy will not have the capacity to bounce back from COVID-19 or a future pandemic event: “[C]reating a public-private pandemic risk solution can instill confidence in businesses, accelerate our economic recovery, and provide needed protection against future pandemics. A pandemic risk insurance program is essential for all of our policyholders, no matter their size.” 

You can watch the full webcast of the hearing here. For more information, visit fairinsure.org.

Last week, Judge Douglas L. Rayes dismissed a lawsuit filed by a group of Minor League Baseball teams against their insurers, rejecting the teams’ assertion that their insurers cannot enforce the virus exclusions in their contracts.

In their lawsuit, the group of baseball teams cited certain circumstances related to the pandemic that stopped them from continuing business-as-usual: a lack of players, government-issued stay-at-home orders, and mandatory shutdowns. As with many standard business interruption contracts in the U.S., these contracts have virus exclusions. Consequently, insurers cannot be held responsible for coronavirus-related losses. 

This latest decision continues to underscore the fact that global pandemics are not insurable. There are at least two more still-pending lawsuits involving Minor League Baseball clubs suing their insurers over business interruption claims. 

You can access the full Bloomberg Law article on the decision here.

For more resources and information, visit fairinsure.org.

Insurers would need to collect business interruption insurance premiums for 150 years to absorb losses caused by the COVID-19 pandemic, according to insurance experts at the global insurance research group, The Geneva Association and researchers at the University of St. Gallen.

The new report on the insurability of pandemic risk offers a quantitative assessment of the protection gap—the share of uninsured losses in total economic losses—in business continuity that the pandemic exposed. Key findings include:

• Pandemic-related business losses are not privately insurable. “The property & casualty insurance industry, which collects USD 1.6 trillion in premiums per year for all policies – and a mere USD 30 billion for business interruption risk – is not the right vehicle for shouldering the projected global loss in GDP for 2020 of USD 4.5 trillion.” 
  
• Forcing insurers to underwrite all of the economic losses associated with the pandemic threatens the entire sector’s solvency. “The mismatch between the insurance sector’s current levels of capital, on the one hand, and the probability and exposure levels of pandemic risk, on the other, would impose a material solvency risk on the industry, as well as create a potential financial stability threat.”
  
• Governments have a responsibility to involve themselves in closing the protection gap. “Systemic pandemic economic and business continuity risk cannot be treated in the same way as other (catastrophic) risks. Government and society must accept this distinction when setting their expectations for the role of the insurance industry in addressing this issue in future.”

As Walter R. Stahel, expert in sustainable policy and former Head of Risk Management Research at The Geneva Association, wrote nearly two decades ago, “risks that can be insured need not be ‘legislated’; uninsurable risks, however, have to be dealt with by nation states.” Governments and insurers must think and agree upon feasible solutions to better protect society from extreme risks, the report concludes.

Read the full report here.

For more information and resources, visit fairinsure.org.

In a recent article, Insurance Information Institute (Triple-I) CEO Sean Kevelighan affirmed that insurance companies are prioritizing efforts and resources to make sure all policyholders know about the coverage they have and need in this challenging COVID-19 environment.
 
Here are a few highlights from Kevelighan’s piece:

• Explaining how pandemics are uninsurable is a crucial part of insurers’ mission to make people more prepared, resilient, and informed. “Unlike covered events, which are limited in time and geography, pandemics simultaneously affect everybody. This is something we’ve explained in briefings to legislators, legal experts and consumer and trade media.”

• There is a consensus that pandemic business recovery requires federal solutions, as insurers continue to play their vital role in covering losses from hurricanes, wildfires, and civil unrest. “Insurance simplifies a rather complex risk management process and creates products that deliver simpler ways for people to be more prepared and resilient. Covering these hazards demands immense capital resources.”
   
• Insurance policies, including standard business interruption policy triggered by direct physical damage, stem from a strong working partnership between insurers and regulators. “As many courts and academics around the country have stated, neither a virus nor bacteria leads to the direct physical damage of a business’s structure. This contract language is well-established; moreover, every policy is approved by individual states before they are issued to BI policy holders.”

“In an age when we’re all accustomed to just clicking the ‘terms and conditions’ box, ignoring agreements, paradoxically, has become something everybody can agree with,” wrote the Triple-I CEO of the organization’s endeavor in educating insurers and policyholders alike. “We view it as a success when nobody is shocked by what’s covered, and what’s not, under their insurance policies.”
 
If interested in engaging or sharing, the full piece can be found on LinkedIn here. For more information and resources, visit fairinsure.org.

By Sean Kevelighan, CEO, Insurance Information Institute

Insurers have responded quickly and effectively to 2020’s extraordinary volume of hurricanes, wildfires, and civil unrest. These events are resulting cumulatively in billions of dollars in insured claim payouts.  

Yet a recent Forbes article stated that the owners of one of the largest Broadway theater chains were “shocked to learn that its insurance companies would not cover most of its losses during the COVID-19 pandemic.”

Making people more prepared and resilient is our fundamental goal at the Insurance Information Institute (Triple-I). We seek every opportunity to educate customers about how their insurance works before they suffer an insured loss. Part of this mission is to explain how pandemics are uninsurable. That’s because, unlike covered events, which are limited in time and geography, pandemics simultaneously affect everybody. This is something we’ve explained in briefings to legislators, legal experts and consumer and trade media.

Large-Scale Solutions to Large-Scale Problems

As a result, a consensus is forming around the idea that the federal government is the only entity with the reach and financial resources to help businesses recover from an event the magnitude of a global pandemic. It’s in this spirit that we help inform public discussions about the need for a federal governmental role in protecting the U.S. against future pandemics.

Still, while insurers, regulators and the U.S. government work to deliver relief to business financially affected by future pandemics, we need to stay focused on the present. And to do this, we need to take a quick look into the past:

Insurance has been around for 350 years as a way for households, businesses and communities to recover and rebound after wildfires, hurricanes and other catastrophes. Time and again insurers have been there for their customers because that’s what they do. For example, in the months after 9/11, insurers paid out tens of billions of dollars to keep affected businesses afloat while New York and Washington, DC rebuilt from the rubble.

In 2020, insurers continue to perform their vital societal role, covering insured losses from record hurricane and wildfire seasons, as well as the most destructive civil demonstrations in more than a quarter-century. Insurance simplifies a rather complex risk management process and creates products that deliver simpler ways for people to be more prepared and resilient. Covering these hazards demands immense capital resources.

Questions? Your Policy Documents Have the Answers

Insurance is heavily regulated, and as the Triple-I reaffirmed at September’s annual summit of the National Association of Insurance Commissioners (NAIC), the industry we represent relies on a strong working partnership with regulators and government agencies across America to help make insurance work better for everybody.

One of the tangible results of this partnership is something that anybody can literally hold in their hands: insurance policy documents. Reading these documents to understand what you’re purchasing is an essential part of preparedness.

Business income (interruption) or BI insurance losses caused by a pandemic are not covered because direct physical damage, such as that caused by a hurricane or a fire, is what triggers a standard BI policy. As many courts and academics around the country have stated, neither a virus nor bacteria leads to the direct physical damage of a business’s structure. This contract language is well-established; moreover, every policy is approved by individual states before they are issued to BI policy holders.

We view it as a success when nobody is shocked by what’s covered, and what’s not, under their insurance policies. This is why the Triple-I regularly urges business owners to become familiar with their insurance documents and have regular conversations with their agent or broker to discuss anything they don’t understand.

In an age when we’re all accustomed to just clicking the “terms and conditions” box, ignoring agreements, paradoxically, has become something everybody can agree with. Social scientists consider this to be a form of cognitive dissonance: We know we should read our insurance policies, and yet few of us do. This is a behavioral pattern we’re all guilty of and the Triple-I understands there are many demands on a customer’s time.

Which brings us back to an essential point, that insurance companies prioritize their efforts and resources into making sure that everybody knows about the coverage they have and need.

Pandemics are uninsurable because insurers don’t collect premiums to cover business losses due to viruses and other pathogens. There are products available for this purpose, but an overwhelming majority of businesses decline to purchase them. These exclusions and the availability of pandemic insurance is a fact well known by many experienced professionals—notably risk managers and trial attorneys. The Triple-I is willing to work with anybody to make the public better aware of the risks and how to prepare for them.

The next pandemic surely will come. How insurers, their customers, and the federal government respond now will ensure our resources and energies are devoted to saving lives from all the threats the U.S. faces.  

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Article originally published on the Triple-I website.

Sean Kevelighan is Chief Executive Officer of the Insurance Information Institute (Triple-I), a non-profit research, education and communications organization dedicated to improving public understanding of insurance—what it does and how it works. 

It’s been more than six months since the pandemic first struck our economy, and millions of small business owners are still hurting. Yet a few trial attorneys see this disaster as an opportunity to line their pockets through costly insurance litigation. 

Here’s Exhibit A of what we’re talking about: Plaintiffs lawyer John Houghtaling’s recent profile in Bloomberg Businessweek, a piece which touts his Lamborghini collection, lavish dinner parties, and multi-million dollar real estate.

Here are the facts:  

• Global pandemics are simply uninsurable. As opposed to epidemics and natural disasters, pandemics occur on a global scale, making risk pooling impossible. Business interruption (BI) premiums were not priced to factor in the “estimated $4.5 trillion global output loss inflicted by COVID-19 and its handling in 2020” according to the Geneva Association. Property/casualty insurers would have to collect BI premiums for 150 years to cover that cost. 
   
• This issue will not be solved in the courts. The majority of business interruption contracts expressly require the necessity of physical damage and explicitly don’t cover losses due to viruses or pandemics. So far, at least 17 judges in the U.S. have upheld these contract stipulations and dismissed suits against insurers. Despite this reality, trial attorneys continue to pursue expensive lawsuits against insurers that will not be won by their plaintiffs.
   
• The insurance industry needs its policyholder’s surplus to fulfill their commitments to policyholders for covered risks. We are still in the middle of hurricane season in the southeast U.S. and there continue to be wildfires on the west coast. If the insurance industry is forced to spend the policyholders’ surplus on uncovered COVID-19 losses, that will further destabilize the economy because there will be no money left over for covered losses for physical damage from hurricanes, wildfires, tornadoes, and riots.
   
• No matter which policymakers are elected to serve in 2021, we need a viable government-backed solution to provide immediate relief to business owners if America’s economy is to recover. There are several proposed solutions out there already, including the Business Continuity Protection Program (BCPP) and the Pandemic Risk Insurance Act (PRIA). You can read about the key principles necessary for a forward-looking government-backed pandemic recovery solution here. 

To put it simply, litigation is a trend driven by greedy attorneys, and a misguided effort to alter existing contracts. The only true solution is government-backed pandemic relief. If you’d like to discuss this pressing issue with insurance industry experts, please reply to this email to reach the Insurance Information Institute.

For more information and resources, visit fairinsure.org.