work comp extraterritorial issues - Arizona
Transcription
work comp extraterritorial issues - Arizona
PRE-SUMMER EDITION © Copyright May / June 2014 Definition of “Windstorm” Page 6 New Insurance Web Domain Page 17 WORK COMP EXTRATERRITORIAL ISSUES by Maureen Gallagher, CIC, LIC, LCA, CWCP, CRM, CWCA, RPLU, CRIS, CILMA Summary: Employees who work across state lines raise potentially serious workers comp issues because of the mishmash of state laws. As states passed workers compensation laws, each state established its own system. This resulted in a mishmash of laws, benefits, compensability and eligibility from state to state. Courts have ruled that a state has the right to apply its own workers compensation rules and standards to each case. Hence, most states simply don’t care what other states allow, only what is required under their workers compensation laws. There is little meaningful cooperation or coordination among states. Challenges for agents, employers, insurance companies and adjusters include understanding: When coverage is required in jurisdictions where the employer has operations or employees working, living or traveling in or through. How coverage is provided for various jurisdictions. What jurisdictional benefits an employee can collect. The policy The two items that reference what states are insured under a workers compensation policy are 3.A. and 3.C. on the information page. (Federal coverage can only be added by endorsement.) 3.A. is fairly simple. The insurance agent for the employer instructs the insurance carrier to list the states where the employer operates when the policy goes into effect or is renewed. 3.C. is a safety net – at least most of the time. That item lists states where an employer expects it may have employees traveling to or through or working in. If an employer begins work in any state listed in 3.C. after the effective date of the policy, all provisions of the policy apply as though the state were listed in 3.A. Notice must be given “at once” if work begins in any state listed in 3.C., although “at once” is not defined in the policy. If the employer has work in any state listed in 3.C. on the effective date of the policy, coverage will not be afforded for that state unless the carrier is notified within 30 days for an employer. It should be noted the insurance policy does not determine what law applies at the time of injury. The law determines what is payable. In addition, note that the workers compensation policy does not apply to Ohio, North Dakota, Washington and Wyoming, “monopolistic” states where coverage can only be purchased from the state. © Copyright The Importance of Agency Cyber Liability Pages 24-25 May 26, 2014 Memorial Day IIABAZ Office closed June 4, 2014 CISR Dynamics of Service Seminar ITEC Classroom—Phoenix June 11-13, 2014 CIC Life & Health Institute Embassy Suites—North Phoenix June 15, 2014 Father’s Day Sunday June 21, 2014 Official 1st day of Summer Get your AC checked now! Although larger employers may self-insure in Ohio and Washington (but not North Dakota or Wyoming), no private insurance carrier can write workers compensation coverage for an employer. It would seem the safe bet is to add all states except monopolistic states to 3.A. However, most underwriters are unwilling to do this or even add the ideal wording for 3.C.: “All states, U.S. territories and possessions except Washington, Wyoming, North Dakota, Ohio, Puerto Rico and the U.S. Virgin Islands and states designated in Item 3.A. of this Information Page.” The reason for the underwriters’ unwillingness varies. Common reasons underwriters provide include: Licensing issue The insurer is not licensed in all states. Many regional insurers are only licensed in a handful of states while other carriers may only be licensed in one state…often for strategic reasons. Carriers frequently assert it is impossible — and possibly illegal — to list a state they are not licensed in (even though policies contain wording whose Continued on page 3 Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views May/ June 2014 Edition Page MAY 26 Germanicus of Rome celebrated his victory over the Germans—17 A.D. Fleetwood Mac singer Stevie Nicks born—1948 MAY 28 The first black regiment left Boston to fight in the U.S. Civil War— 1863 Dr. Susan Terebey discovered a planet outside of our solar system with the use of photos taken by the Hubble Space Telescope—1998 MAY 30 Joan of Arc was burned at the stake in Rouen, France, at the age of 19—1431 Memorial Day was observed widely for the first time in the U.S.—1868 Benny Goodman led the first American jazz band to play in the Soviet Union— 1962 JUNE 2 All American Indians were granted U.S. citizenship by the U.S. Congress—1924 Elizabeth was crowned Queen of England at Westminster Abbey—1953 52 year-old Bill Wyman of The Rolling Stones married 19 year-old model Mandy Smith. They divorced 2 years later—1989 JUNE 3 In Italy, Benito Mussolini granted women the right to vote—1923 “Gong Show” TV game show host Chuck Barris born— 1929 George Michael’s “I Want Your Sex” banned by the BBC—1987 David Bowie's "The Rise & Fall of Ziggy Stardust & The Spiders From Mars" breakthrough album was released—1972 JUNE 9 Richard Pryor was severely burned by a "free-base" cocaine mixture that exploded. He was hospitalized for more than two months—1980 Actress Natalie Portman born—1981 JUNE 10 Alcoholic Anonymous was founded by William G. Wilson and Dr. Robert Smith—1935 The youngest pitcher in major league baseball pitched his first game. Joe Nuxhall JUNE 6 was 15 years old (and 10 The first drive-in movie theater opened in months and 11 days)—1944 Camden, New Jersey—1933 Actress and model Elizabeth Hurley The first helicopter was tested in a born—1965 building in Berlin, Germany—1936 INSIDE THIS EDITION States of Confusion: Work Comp Extraterritorial Issues Big “I” Responds to HHS on Navigators Virtual University Ask An Expert—What Is A Windstorm? How To Hire Top Agents Are ‘Mudslides’ Covered by HO or Flood Policies? Big “I” Praises House Passage of ACA Employer Mandate Relief Bill Hiring Quality Producers Countdown To Hurricane Season Director Marks Announces ACA Extended Transitional Policy Decision State Farm And a Bad Neighbor Education The Art of Packing (and Traveler’s Packs) Should You Purchase a “.Agency” Domain? Agent Perspective On Insurance Proposals Jobs, Health Care and Taxes Discussed By Insurance Leaders Crime Does Not Pay Big “I” Virtual University—An Excellent Member Benefit E&O Spotlight—Locking Up Shop True Breakdown Coverage Life & Health—Lone Term Coverage The Most Important Lessons I’ve Learned About Selling Cover Page 5 Page 6 Page 8 Page 9 Page 10 Page 11 Page 12 Page 12 Page 13 Page 15 Page 16 Page 17 Page 18 Page 19 Page 21 Page 22 Page 24 Page 26 Page 28 Page 30 Advertisements Acuity Insurance Company Berkshire Hathaway Guard Insurance Companies Burns & Wilcox Ltd. The E&O Department Mercury Insurance Group Pekin Insurance Company Preferred Property Program SECURA Insurance Companies © Copyright Page 31 Page 27 Page 7 Page 20 Page 10 Page 23 Page 27 Page 14 Remember that you can view the following webinars 24/7 by checking out the BIM Webinar Library. https://markets.independentagent.com/bigimarkets/amap/login.jsp Travel Insurance Commercial Lessor's Risk Travelers Select Products (series) XS Flood Real Estate E&O RLI Personal Umbrella Community Banks "Oh, by the way...Flood Sale" Habitational Non-standard Homeowner Student Housing TravPay Affluent Homeowner To do that, log onto Big "I" Markets and click on "Publications.” You will need to be logged under your Big “I” member ID. If you need assistance, please send an email to info@iiabaz.com. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 2 May/ June 2014 Edition WORK COMP EXTRATERRITORIAL ISSUES Continued from cover page clear intent is to allow carriers to pay benefits in states where they are not licensed). Underwriting considerations The insurance carrier may not want to provide insurance in certain states it considers more challenging from a workers compensation standpoint or because carriers do not want to write in states where they have little or no claims adjusting experience, established provider networks and knowledge of the nuances of the law. and be subject to the tort system. All other states require employers to purchase workers compensation insurance for their employees or qualify for self-insurance. Which benefits apply? If an employer has employees traveling on a limited basis from their home states, the headquarters state may have established a time limit on coverage for out-of-state injuries. The most common limit is six months. This may be written into the statute or may be silent, but over time case law has made determinations. In other words, if an employee usually worked in Michigan but spent three months working on assignment in Kentucky and was injured in Kentucky, the employee would most likely still be eligible for Michigan benefits. In states with a timeline, an employee working in another state for more than the designated duration is no longer entitled to benefits in the home state, but the employee is probably entitled to the compensation in the state in which he or she is currently working. One of the most important factors is that an employee injured outside of his state of residence may have selection of remedies (benefits) if he lives in one state and works in another. The Michigan Underwriters are not claims adjusters and do not always have a full employee injured in Kentucky may want Kentucky benefits because understanding of workers compensation's jurisdictional complexity Kentucky has lifetime medical and Michigan does not. Or, an and the employer's risk (no coverage) and agents' risk (errors and employee may have been injured on the way to work, and the state omission claims) for not securing coverage for all states with where she was injured does not allow for workers compensation in potential exposure. Agents are often told the employer does not this circumstance even though this would be a compensable injury in need coverage in the state in which the agent is requesting coverage the employee’s headquarters state. Perhaps there is a disqualification — which the home or primary state benefits will pay. However, the in one state because of, for example, an employee’s intoxication that chance that an employee will be successful in securing another state’s would not be a disqualifier in another state. In addition, the benefits — even if the employee is only there temporarily — is just maximum amount of income benefits available to employees varies too much of a risk. considerably from state to state. Underwriters’ lack of awareness or knowledge Physical location Piggybacking benefits Carrier underwriters frequently cite the “physical location” — actually needing an address — as a roadblock to adding a state to 3.A. The National Council for Compensation Insurance (NCCI) has rules on this issue. Most states that follow NCCI rules allow entry of “no business location” — but not all. States that follow NCCI rules (including the independent bureaus like Texas) will often modify some rules. Arizona, Kentucky, Montana and Texas do not allow “no business location.” It is a regulatory reporting issue. Possible solutions to secure 3.A. coverage include: Piggybacking occurs when an employee files in one state and then in another state where he qualifies for additional benefits. What is allowed in additional payments will depend on the circumstances of the claim and the states involved. This issue has become particularly dangerous for employers that have not arranged coverage in other states because they are unaware there is an exposure there. The employer then becomes liable for the benefits due in the uninsured state, including all costs to adjust and defend the claim if litigated. Providing an entry of “Any Street, Any Town” or “No Specific Location, Any City” for the state. Many carriers will use this. Using an employee’s home address in the state if there is an employee working from home there. Using the agent/brokers address if they have an office there. Compliance Only Texas and New Jersey have workers compensation laws that are elective. New Jersey employers still, in effect, cannot go without workers compensation insurance. In Texas, any employer can “unsubscribe” to the workers compensation system and “go bare” © Copyright Typically, if an employee collects benefits in one state and is successful in perfecting a claim in another state with higher benefits, the benefits collected in the first state are offset from the second state’s benefits payment. For example, assume an employee collects $10,000 from Indiana then files in Illinois, which grants $18,000. Only the difference between $18,000 and $10,000, or an additional $8,000, would be paid. Employers with employees in both "wageloss" and "impairment" states face an additional challenge: Employees could qualify for both states' benefits with no offsets. Most states don’t care what other states have allowed, only what is Continued on next page Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 3 May/ June 2014 Edition Continued from Page 3 WORK COMP EXTRATERRITORIAL ISSUES required under their laws. If the employee collected under another state’s law but qualifies in our state for additional benefits, well, so be it. If an employee has traveled to, through or lived or worked in another state to create a “substantial” relationship with the state, there is a very good chance he or she will be granted workers compensation benefits in that state. State statutes, case law, common law and tests State statutes, case law or the common law in a jurisdiction may influence what benefits an employee may collect. Various criteria that may apply include: State of hire State of residence State of primary employment State of pay State of injury State in agreement between employer and employee (unique to Ohio, and only Ohio and Indiana recognize the agreement) The “WALSH” test is a good guide to questions to ask, in order of importance: W A L S H Worked - Where did the employee work most of the time? Accident – Where did the accident occur? Lived – Where is the employee’s home? Salaried – Where is the employee getting paid from? Hired – Where was the contract of hire initiated? Just about all jurisdictions indicate an employee is entitled to the benefits of their state if the employee was working principally localized in the state, was working under a contract of hire made in the state or was domiciled in the state at the time of the accident. This is why “worked” and “accident” are given the most weight. Reciprocity Several states will reciprocate another state’s extraterritorial provisions. Each state has its own reciprocal agreements, with as few as a half-dozen states or as many as 30. For as many states that cooperate with reciprocity, just as many states will not. In addition, not all reciprocity agreements address the “claims” aspect of compliance. In other words, the reciprocity means the employer does not have to secure “coverage” for an employee temporarily in another state; however, it does not mean that the employee could not pursue a claim in that state. If the employer was relying on the reciprocity provisions of the state law and did not secure coverage in that other state, the employer may be without coverage for that state and may also become “noncompliant” with the state and be subject to fines. The employer (or its agent) has decided to rely on the employee accepting his home state benefits. If the injured employee goes back to her home state for benefits, no harm, no foul. However, if the employee perfects a claim in another state or in some instances simply chooses to file a claim in that state, then the employer would be considered a non-complying employer and could be subject to penalties. © Copyright Washington does not reciprocate in construction employment unless there is a reciprocity agreement in place. Washington has these agreements with Oregon, Idaho, North Dakota, South Dakota, Montana, Wyoming and Nevada. Some specifics Massachusetts, Nevada, New Hampshire New Mexico, New York, Montana, and Wisconsin require coverage in 3.A. Kentucky allows no exceptions for family members, temporary, part time or out-of-state employers performing any work in the state of Kentucky. Kentucky does not accept the Ohio C110 form. New York made a significant change in its workers compensation law [Section 6 of the 2007 Reform Act (A.6163/S.3322)] that affected employers if they conducted any work in New York or employed any person whose duties involve activities that took place in New York. Effective Feb. 1, 2011, the New York board clarified coverage requirements. Detailed information can be found on the New York Workers Compensation Board’s website: http://www.wcb.ny.gov/ content/main/onthejob/CoverageSituations/outOfStateEmployers.jsp Florida, Nevada and Montana require all employers working in the construction industry to have specific coverage for their state in 3.A. Ohio and Washington require that employers purchase coverage from the state for all employers working in the construction industry. Otherwise, Florida, Nevada, Montana, Ohio and Washington will honor coverage for temporary work from other jurisdictions. Florida also requires the coverage be written with a licensed Florida carrier. 3.A. coverage status is required for any employer having three or more employees in New Mexico and Wisconsin even on a temporary basis. The standard workers compensation policy exclusion for bodily injury occurring outside the U.S., its territories or possessions and Canada does not apply to bodily injury to a citizen or resident of the U.S. or Canada who is temporarily outside these countries. State workers compensation will apply, however, for those employers that have employees regularly traveling out of the country; the Foreign Workers Compensation and Employers Liability endorsement should be added to their workers compensation policy. This endorsement is used for U.S.-hired employees who are traveling or residing temporarily outside the U.S. The coverage is limited to 90 days. For employees out of the country for long periods or permanently, coverage needs to be arranged under an international policy. The extraterritorial issues arise because many states — Alabama, Alaska, California, Connecticut, Delaware, Georgia, Illinois, Indiana, Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 4 May/ June 2014 Edition Iowa, Kentucky, Maine, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New York, North Carolina, Pennsylvania, Rhode Island, South Carolina, Tennessee and Wisconsin — permit concurrent jurisdiction between State and Longshore coverage. Some states — notably Florida, Louisiana, Maryland, Mississippi, New Jersey, Texas, Virginia and Washington — do not permit this concurrent jurisdiction, and Longshore becomes the sole remedy. In concurrent jurisdictions, the employee can file in both state and federal court, and the employer must defend both. Summary Recognize that having employees who work, live or are temporarily traveling to or through other states creates premium and coverage challenges for employers and agents. Take time to understand the rules of the state where there is potential exposure. States requiring coverage in 3.A. for some or all situations tend to be strict and impose severe penalties for noncompliance. Many carriers are often aware of the challenges these states present and will work with the agent/employer and add on an “if any” exposure basis. Always attempt to secure the broadest coverage possible under the workers compensation policy, adding to 3.A. as many states with even minimal exposure. As a fallback, get the state in 3.C. Obtain coverage for operations in monopolistic states separately. Address out-of-state exposures when insured by a state-specific state fund or regional carrier that only writes in one or a few states. Remember, the 3.C. wording is designed to pay benefits — by reimbursing the employer — if the carrier cannot pay directly to the employee. Check for employees traveling out of the country and arrange to expand coverage with the foreign endorsement or through an international policy. Check with a marine expert to assess the exposure to the Longshore Act and whether coverage is required. Longshore is very employee-friendly. This article was reprinted with kind permission from the author. The unabridged white paper on which this article was based can be found at www.insurancepartnersacademy.com Author: Maureen Gallagher, CIC, LIC, LCA, CWCP, CRM, CWCA, RPLU, CRIS, CILMA— Michigan Managing Director and National Real Estate and Workers Compensation Brands Leader in at Neace Lukens, an AssuredPartners company. Her passion for education inspired her — in 2003 — to establish Insurance Partners Academy, an educational company, where she serves as Director. Gallagher previously held the position of President and CEO of Acordia of Michigan (Wells Fargo), assuming that position after heading up her own agency, Gallagher Group, Inc., for more than ten years. A frequent lecturer and presenter, Gallagher is also on the National teaching faculty for the National Alliance for Insurance Education and Research. She is a blogger for The Knowledge Alliance and writes for Resource Magazine. Gallagher is a member of the American Bar Association and the Society of Trainers and Educators. Association supports state consumer protection efforts. properly regulated and consumers are protected.” The Independent Insurance Agents & Brokers of America has submitted official written comments to the U.S. Dept. of Health and Human Services (HHS) on the recently proposed federal regulations regarding navigators and similar assisters under the Affordable Care Act (ACA). In its officially submitted comments, the Big “I” expresses serious concerns over many aspects of the proposed rule. The association sees the draft regulations as chipping away at state authority to enforce consumer protection laws, and at the same time expanding the duties of navigators and similar entities. The HHS draft regulations were released as part of a larger rule and were written largely in reaction to many states putting in place their own consumer protection laws and regulations related to navigators and similar assisters. Past HHS rules properly allowed states broad authority to oversee these entities, but the new regulations unjustifiably reverse course and restrict states regulatory power. “If the regulations are approved without changes, it will likely prove to be a dangerous mix for many insurance consumers who could be harmed by bad advice from an individual operating within one of these programs and left with no financial recourse,” says Ryan Young, Big “I” senior director of federal government affairs. “We will continue to advocate in defense of allowing states to enact and Enforce consumer protection laws.” “Since passage of the ACA, the Big ‘I’ has viewed these programs as having the potential to create serious consumer protection issues and has favored efforts to ensure navigators and similar entities will be properly licensed, trained and overseen,” says Charles Symington, Big “I” senior vice president for external and government affairs. “Unfortunately, the recently released draft rule would undo much of the good work done at the state level to ensure these entities are The Big “I” comments are available to view at http:// www.independentagent.com/News/PressReleases/SiteAssets/ Pages/2014/GA04222014_HHSACA/IIABA%20HHS%20Comments% 20April%202014.pdf. © Copyright Article provided by: Margarita Tapia—Director of Public Affairs, Independent Insurance Agents and Brokers of America, Inc. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 5 May/ June 2014 Edition Most named perils property policies cover "windstorm." Note that this doesn't say "wind," but rather "windSTORM." So the question is, what constitutes a windstorm? This issue recently arose in an auto claim, but the peril is the same as that under homeowners and commercial property policies. http://www.independentagent.com/Education/ VU/AskanExpert/default.aspx "We have an insured that reported an auto loss. He is a farmer and his truck was parked at the farm. On that day we had high winds, but no storms. A bale feeder located on the farm was blown into the side of the truck, denting the vehicle. The feeder bounced off and the wind grabbed hold of it again and it slid down the side of the truck, scratching the vehicle and knocking off the mirror. We turned the claim into the insurer as a comprehensive loss using windstorm as the cause of loss. "I received a fax from the adjuster denying this claim as a comprehensive loss, saying that it should be paid as a collision loss for the following reason. The insurer defines a windstorm as 60-70 mph documented wind speeds. Our investigation of this loss revealed documented wind speeds of up to 30 mph. These speeds do not meet the insurer's windstorm definition. "I called the adjuster back on the phone and explained that the ISO form shows that a windstorm is considered an Other Than Collision loss and that they could not make up their own definition of what a windstorm was to determine whether to pay a loss under comprehensive or collision. The adjuster was holding her ground and I have asked for her supervisor to call me back but as of yet have heard nothing. In the meantime I wanted to get your opinion." FACULTY RESPONSE FACULTY RESPONSE 1. If the insurer has defined the term, why didn't they include it in their contract? If the policy does not define windstorm with a certain velocity of wind, the insurer cannot retrospectively add one. 2. 3. A 30 mile an hour wind won't move a large piece of farm equipment. Wind speeds aren't constant over a large area. Ask the adjuster to determine the wind velocity to move the equipment. FACULTY RESPONSE Dictionary definitions: A storm with heavy wind but little or no precipitation. A storm with high winds or violent gusts but little or no rain. A storm consisting of violent winds. A storm marked by high wind with little or no precipitation. None of these attach a speed to the wind. If the insurer says a “windstorm” involves winds in excess of 60 mph, why don’t they simply put that in the policy? The dictionaries say a “windstorm” is one with winds that are “heavy,” “high,” or “violent.” I’d say if winds caused damage, they were “heavy,” “high,” or “violent.” To read more faculty responses, please visit: http://www.independentagent.com/Education/VU/Insurance/ Personal-Lines/Homeowners/Property-Perils/ FacultyWindstorm.aspx You will need to be logged under your Big “I” member ID. If you need assistance, please send an email to info@iiabaz.com. © Copyright FACULTY RESPONSE Unless the insurance policy has its own contractual definition of windstorm or a precise definition of collision and other than collision that is different from the ISO form, I do not see how one can be made up after a loss. You may find, in coastal areas, that some residual or excess market policies may define this term, but ISO and most company forms do not. FACULTY RESPONSE If you asked any property adjuster in America if a hurricane was a “windstorm,” he or she would say “yes.” That’s not even being argued in all of the Katrina claims. However, if you look at dictionary definitions of “windstorm,” they most often say it’s a storm “with little or no precipitation.” Well, we know that hurricanes include HUGE amounts of precipitation. Therefore, if you look at the dictionary definitions of “windstorm,” they wouldn’t include hurricanes and, without special causes of loss (“all risk”) coverage, named perils policies would provide little or no coverage. Obviously that’s not the case, so I believe this makes the term “windstorm” ambiguous. As such, any reasonable interpretation of the insured should trigger coverage. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 6 May/ June 2014 Edition © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 7 May/ June 2014 Edition With all the advances in every area of life, you’d think hiring the right agents would be an exact science at this point. It isn’t. Hiring the right people is a combination of science and philosophy and you have to utilize both effectively to hire someone who ultimately “makes it.” Here are the aspects to “employ” in order to employ the right agents. Hiring tip #1: Only hire employed winners. An unemployed agent or salesperson out looking for a job is a major red flag. Unless someone’s company just blew up, or there is some other crazy extenuating circumstance, an agent or salesperson looking for a job should, at the very least, still be employed. That said, an employed agent out looking for a job is a yellow flag. People do switch jobs for a variety of perfectly legitimate reasons related to family or other solid personal reasons, just make sure the reason is a good one and they can back up the stellar sales skills they claim to have. In reality, most agents are looking for a job because they can’t sell and they either got let go, or are about to. Don’t hire someone else’s problem without A LOT of due diligence. Hiring tip #2: Only hire within your industry if you recruited the person. If you find a stellar agent you want working for you instead of the competition, great, otherwise avoid your industry like the plague. Someone within the same industry looking for a job elsewhere does so because they can’t sell. Again, unless there is an extenuating circumstance with the company or product, the problem is the salesperson. Hiring tip #3: Always be on the lookout for good agents. Even if you are not hiring right now, build your list of candidates for when you are. That great salesperson who just sold you your car, boat, or home alarm system is a good prospect to come work for you now or at some point in the future. It’s simple, winners win. A winning salesperson in another industry can learn to sell just as effectively in your industry. Also, truly great salespeople can make the transition from products to services and from phone sales to in-person sales and vice versa. Hiring tip #4: Hire self-esteem, self-confidence, and the right attitude. Lacking any of these three is the number one reason agents fail. A lack of activity, blaming the economy and other outside circumstances, and ultimately not doing what needs to be done every day whether you feel like it or not, all come down to an issue with one or all of these three. Also, you want someone with a strong work ethic who is seeking a career instead of a job. Hiring tip #5: Have a hiring process. Have several people put their eyes on a potential hire. Meet all their decision makers such as spouses. Do all your testing, check all paperwork, cross all your T’s and dot all your I’s. Don’t take shortcuts, have a process and stick to it like a pilot doing preflight. © Copyright Hiring tip #6: Shake up the testing process. Telling an applicant you are about to hire that they did not get the job, bringing them to an event with an open bar, playing golf with a candidate, or visiting them at their home, are some great ways to find out what people are really like. While you should absolutely use personality tests, in-office interviews, and other standard, accepted hiring practices as your foundation, realize that most tests can be beaten, and most people can put their best mask on temporarily. To find out what people are really like, move them out of the typical hiring environment. Hiring tip #7: Be skeptical of references, especially personal references. Anyone can find a brother-in-law, friend they went to college with, or a third cousin twice removed to say the candidate is the best thing since the wheel. If they are that good, the wheel never would have been invented. Hiring tip #8: Start not with what your company can do for them… Be wary of people who lead by asking what the base or draw is and what benefits they will get. Hiring tip #9: Candidates should be transparent and forthcoming. Yes, applicants should be willing to give you access to all their social media information, and all their other information for that matter. That said, you should be able to find enough information on applicants without having to get social media passwords. It’s just another good test to see if the applicant may have something to hide. Also, someone with a very small or no online footprint is an orange flag. Investigate further. Hiring tip #10: Have standards and stick to them as if your life depends upon it… Because the life of your business does depend upon it. In addition to hiring standards, you need performance standards and time lines that are agreed upon. Accountability is extremely important. Hiring tip #11: Hire slowly and fire quickly. Do the work and don’t cut corners. A lot of work on the front end will avoid a lot of pain once you hire the person and they don’t work out. Also, once you realize you have a duck instead of a swan, and they are not living up to the standards agreed upon under tip #10, cut the cord fast. Hiring tip #12: Provide the right environment. It doesn’t help to hire the right people if you bring them into an environment where chronic underperformers, negative people, a lack of support, and other similar cancers exist. Author: John Chapin—Award winning speaker, sales trainer, coach, and co-author of the gold-medal winning “Sales Encyclopedia”, a comprehensive how-to guide on selling. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 8 May/ June 2014 Edition We are all aware of the human tragedy involved in the landslide which buried homes in Darrington, Washington in March 2014. From the perspective of our industry, the first question is whether a “landslide” is covered by most homeowner policies. And, since this may have been more of a “mudslide” than a landslide, is it possible that coverage could be found under an NFIP flood policy? If the answer to both questions is “No,” then is this exposure insurable? Most homeowners policies exclude any type of earth movement. Here is the “ISO standard” exclusion: Earth Movement Earth Movement means: a. Earthquake, including land shock waves or tremors before, during or after a volcanic eruption; b. Landslide, mudslide or mudflow; 1. A general and temporary condition of partial or complete inundation of two or more acres of normally dry land area or of two or more properties (at least one of which is your property) from: a. Overflow of inland or tidal waters; b. Unusual and rapid accumulation or runoff of surface waters from any source; c. Mudflow. Rob Olson, CPCU, ARM, AAM, ARP, CRIS, MLIS at IRMI points out that, “’Mudflow’ is defined as ‘a river of liquid and flowing mud on the surfaces of normally dry land areas, as when earth is carried by a current of water. Other earth movements, such as landslide, slope failure, or a saturated soil mass moving by liquidity down a slope, are not mudflows.’ On the FloodSmart Web site, it says ‘mudflows are covered by flood insurance; mudslides are not.’” c. Subsidence or sinkhole; or So, if this event is not covered by either homeowners or flood policies, where might coverage be found? One source, typically found d. Any other earth movement including earth sinking, rising or in the E&S marketplace, could be DIC-type policies. Tim O’Brien of shifting. the Amaden Gay Agencies of NY advises, “I have been advised that there are nonadmitted solution(s) for the risk of mudslide, which is This Exclusion A.2. applies regardless of whether any of the above, in excluded by NFIP. Of course, they are carefully underwritten. For A.2.a. through A.2.d., is caused by an act of nature or is otherwise example, one market can be found at www.catcoverage.com.” caused. The real issue for nonstandard coverages such as landslide or However, direct loss by fire, explosion or theft resulting from any of mudslide is underwriting. In the case of the Darrington, Washington the above, in A.2.a. through A.2.d., is covered. event, the news media has claimed that the unstable condition of the area that collapsed was known prior to the loss. If so, it’s possible An NFIP flood policy might cover such an event if it’s considered that underwriters for coverages of this type would not have issued “mudflow.” From the NFIP Dwelling policy: policies due to the risk. Flood, as used in this flood insurance policy, means: © Copyright Author: Bill Wilson—Director, Big “I” Virtual University at Independent Insurance Agents and Brokers of America. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 9 May/ June 2014 Edition BIG “I” PRAISES HOUSE PASSAGE OF ACA EMPLOYER MANDATE RELIEF BILL Bill defines a full-time employee as an individual who works 40 hours per week. The Big “I” applauds the U.S. House of Representatives for passing H.R. 2575, the “Save American Workers Act of 2013,” by Representative Todd Young (Republican—Indiana), in a bipartisan vote. H.R. 2575 would change the definition of a full-time employee (FTE) under the Affordable Care Act (ACA) to an individual who works 40 hours per week. The legislation targets the employer mandate provision of the ACA that says “large employers” must provide coverage to employees. 9.5% of income) coverage of at least a Bronze level plan equivalent (60% actuarial value) to its employees. While the provision has many problems, the most glaring concern is that the definition of a FTE is an individual who works an average of 30 hours per week as opposed to the traditional 40 hours per week. “Independent agencies serve many clients who have struggled with the prospect of complying with the employer mandate, and in particular the 30 hour per week definition of a full-time employee,” says Robert Rusbuldt, Big “I” president & CEO. “H.R. 2575 is a common-sense fix and we applaud the House, particularly Representative Young, for advancing this bipartisan effort.” “Implementation of the employer mandate has caused many businesses to undergo the prospect of great financial strain, or to contemplate dropping their health care plan altogether,” says Charles Symington, Big “I” senior vice president for external and government affairs. “The Big “I” believes H.R. 2575 would provide much-needed relief for job creators.” Originally slated to go into effect in 2014 in tandem with the individual mandate, the employer mandate requires businesses with 50 or more FTEs to provide affordable (premiums no greater than Article provided by: Margarita Tapia—Director of Public Affairs, Independent Insurance Agents and Brokers of America, Inc. © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 10 May/ June 2014 Edition A simple and obvious solution to many, likely most, agencies’ growth issues is to hire a quality producer. As proven by the 70%-80% failure rate, the solution is much easier said than done. However, hiring quality producers is not as hard as it often seems if agencies follow these rules. By the way, these rules are based on my clients’ actual, repeatable success. These rules are not theory based. HIRING QUALITY PRODUCERS My clients who climb this emotional mountain successfully typically do so using the same technique: They separate their emotions from Identify the dead wood. Quality producers do not want to what is best for the agency. Again, easier said than done and hard to work with a bunch of retired-in-place producers and owners clipping do on one’s own. A support system is likely required. Asking for help coupons. Just think about it from their perspective. Can you see a is actually key to successfully hiring producers. Asking for help is a really good producer saying, “I can’t wait to get to work to sell lots sign of strength, not a weakness. of insurance while all my coworkers sit around not making any sales! What an invigorating place! The competition is energizing! Even Owners should not be involved in ANY initial interviews. better, I am making all the sales while the owners rest on their renewals. I just love making everyone else rich!” When agencies advertise for producers, they list all the desired qualities. However, I have never seen an advertisement that lists the Good producers want to work in agencies where everyone is most important quality to owners. That quality is the agency owner pulling their own weight, where other producers are good and must think the producer is a “good guy” or a “good girl.” That generate competition. Good producers want to work in an agency quality is a huge reason so many producers fail. Do you want a that is growing. Agencies supporting dead wood don’t grow. Producer that is a “good guy” and can’t sell or a producer that may or may not be a “good guy” but can sell? Owners have a tendency to fall in love with every producer they interview, so stay out of it. Let Create a real sales culture. To create a sales culture, first just about anyone else do the initial interviews. eliminate the dead wood. While hiring quality producers is easier said than done, firing dead wood or invigorating them is even more Develop and manage. Did you notice that the first four steps difficult to do for most agency owners. I do not know what else to write about this point. Firing people is rarely easy but for what it is do not involve planning or contracts or training or anything else? If worth, I have never seen a producer fired who did not benefit by the you just follow the first four steps, your odds of successfully hiring a firing. To the best of my knowledge, they have all found a better job quality producer will increase dramatically. that fits their personalities better thereby reducing stress and increasing happiness. I have even seen many return to the agency If you want to maximize your odds of success, create clear producer and thank the owner for firing them because they knew they development and management plans. These are two different plans, needed to leave but they did not have the inner strength to leave. and considerable detail is required. If you’ve never done this previously, these plans are nearly impossible to create on one’s own. If an agency owner cannot fire deadwood, he or she cannot build a Hire producer development and training specialists. true sales culture. Building a sales culture with deadwood producers is like attempting to build a house with twigs as the foundation. A Once these five steps are in place, the search can begin. Don’t begin real sales culture is based on accountability. The producers not only the search first. These are not easy steps. Frankly, most agency have to make sales, but more importantly, they are held accountable owners are not capable of steps 1, 2, 4, or 5 combined. Many agency for all the activities that eventually lead to sales. In this manner, the owners are simply not emotionally capable of taking these steps and sales culture is built and managed daily rather than just measured many are not emotionally capable of delegating these steps either. once a month or more honestly as usually happens, annually. Try it! The pain of delegating the hiring to people who are better equipped You’ll like it! to hire successfully is often the most painful part of the solution. 1. 4. 2. 5. 3. Test. The best test for producers is the SPQ Gold test from Behavioral Sciences. This test is good on many levels but what has been interesting to me is the fear and apprehension that flashes across the face of so many agency owners when I describe the test. They know they would “fail” the test, which creates an emotional bind. They have to hire someone that is better than they are at selling. One of the key secrets to why producers fail 70%-80% of the time is that a large proportion of agency owners are not good producers and if someone is not a good producer, they typically do not like to hire good producers. Good producers are intimidating and ego busting. Good producers can even be grating. © Copyright Delegation feels like abdication of personal responsibilities. Yet delegation is really leadership. Being a leader, and a leader is the decision maker who does what is right for the agency rather than making the emotionally easy answer for the owner, is what really makes the difference in finding and hiring quality producers. Author: Chris Burand—Insurance consultant professional specializing in the property-casualty insurance industry. He is recognized as a leading consultant for agency valuations, increasing agency profits and reducing cost of sales. Chris is a nationally recognized author, and his contributions have appeared in Rough Notes, The National Underwriter, and A.M. Best. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 11 May/ June 2014 Edition COUNTDOWN TO HURRICANE SEASON With only a few days remaining until the official start of the 2014 Atlantic hurricane season http:// www.mmsend66.com/link.cfm?r=160983142&sid=40496273&m=4488889&u=IIABA&j=18825850&s=http:// www.fema.gov/2014-atlantic-hurricane-season on June 1, the Federal Emergency Management Agency is urging residents and businesses to prepare for the risks associated with hurricanes and tropical storms. This includes being prepared for flooding, which is the number one source of loss associated with hurricanes. Insurance agents should meet with their insureds to review their insurance-including flood insurance-to ensure they have adequate coverage in the event of a storm. Typically, there is a 30-day waiting period from date of purchasing flood insurance before the flood policy goes into effect. That means that now is the best time to buy flood insurance. Everyone is at risk of flooding. Is your agency ready to offer flood to all your property clients? Big "I" Flood http://www.independentagent.com/Products/Insurance/Flood/Pages/Home.aspx and Selective https://www.selectiveflood.com/ WebApplications/EDS/SelectiveFlood_PublicSite/Home.aspx are ready to help you get your clients properly covered with flood insurance. Through an agent-focused quoting platform and superior customer service, Selective can service all of your flood insurance needs quickly and easily. For more information, please send an e-mail to BigIFlood@iiaba.net, or contact your Selective Flood Territory Manager at https://www.selectiveflood.com/WebApplications/EDS/SelectiveFlood_PublicSite/Client/pdf/SelectiveFloodTerritoryManagers.pdf. The Arizona Department of Insurance announced that insurers that renewed existing plans, on or before December 31, 2013, that otherwise would have been modified or canceled under the Affordable Care Act (ACA), may renew that coverage. “Following our December 2013 announcement allowing insurers to early renew these plans, a significant number of Arizona policyholders that had the opportunity to keep those policies chose to do so,” Insurance Director Germaine Marks said. On November 14, 2013, the Center for Consumer Information and Insurance Oversight (CCIIO) announced a policy that permitted health insurance issuers to continue to renew plans for individuals and small businesses for plans in place as of October 1, 2013. CCIIO determined it would not apply nor enforce certain provisions of the ACA to the policies that do not meet minimum coverage requirements and financial protections under the ACA. On March 5, 2014, CCIO issued a bulletin addressing the extended transition of these policies and left the decision to the states whether or not to adopt the extension. Marks said listening to insurers who want to continue offering these plans and to consumers who wish to be able to keep them led to the Department’s decision. Arizona law, read in conjunction with CCIIO’s bulletin, does not preclude insurers from renewing this group of policyholders’ coverage. “Ensuring that Arizona’s consumer have choice in the insurance market and encouraging insurers to provide that choice, when appropriate, is consistent with the Department of Insurance’s mission.” As before, the Department will not compel any carrier to renew the early renewed policies. Carriers will assist policyholders who choose not to keep these policies with finding alternative affordable coverage. Article provided by: Erin Klug—Media contact for the Life & Health Division, Arizona Department of Insurance. About the Arizona Department of Insurance: The Arizona Department of Insurance, an agency of the State of Arizona, is responsible for the education and protection of insurance consumers and for oversight of the insurance industry in the state. © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 12 May/ June 2014 Edition Ever wonder what encompasses an “explosion?” How about exploding cadavers? The coverage question at hand involves a named peril policy which contains the specified peril of “explosion.” A decomposing human body “EXPLODED” as a result of gases which accumulated in the abdomen, resulting in extensive property damage at a condominium complex. Due to the nature of the “explosion,” a significant amount of the structure and ALL of the contents of the condominium next door had to be replaced. State Farm Insurance Company was dead certain that this loss was not covered. The policyholder argued that an explosion is an Explosion, and “damage is damage.” The question not asked in this instance is would the policy provide “debris removal?” The Insurance Journal published that the Florida circuit court found that a condominium owner’s property was not covered for loss caused by the advanced decomposition since the definition of “explosion” did NOT include the loss at hand. The body of the deceased went undiscovered for several weeks, and was found by maintenance men attempting to locate the source of an unpleasant odor. By that time, the damage had been done. The neighbor of the deceased had bodily fluids leak into the walls and ceiling of her unit. State Farm denied the property claim for an additional reason. State Farm’s basis of denial was also caused in part by the insured’s failure to provide a sworn proof of loss. A proof of loss is required within 60 days from the loss. The two parties initially had reached a mutual agreement on the amount of the loss for the dwelling, but not including personal property. However, the property owner unfortunately failed to provide the necessary sworn proof of loss. Once State Farm formally denied the claim, the insured brought suit in hopes to receive payment for damages to both the building and her personal property or contents. State Farm took that occasion to exercise their right to deny the claim based on the argument that an exploding cadaver was not an “explosion” as intended for use in a property policy. State Farm won, and ultimately the entire loss was determined as not covered. Just when you think you have seen it all – this industry will provide a loss that makes one truly exercise their brain to determine coverage. Author: Lanny L. Hair, CIC, ARM, AAI, RPLU— IIABAZ Executive Vice President The Academy Publishes 10th Edition of Growth and Performance Standards Study The National Alliance Research Academy has published its newly revised 10th edition of Growth and Performance Standards (GPS). The 2014 edition is written specifically for those who want to compare their insurance agency to other agencies of a similar size and location, with respect to income and expense averages, productivity measures, and balance sheet ratios. This allows them to discover how the best performing agencies are doing, and gauge the results of agencies in different size categories. Through the use of the companion CD, agencies may compare their own numbers, compute variances, and improve results. The study is an impressive book at 238 pages, and just a few of the findings indicate the breadth and depth of the inquiry: The annual revenue growth rate for participating agencies was 7%. The account retention rate was 89% for commercial lines and 90% for personal lines. Pre-tax profit was 9% of total agency revenues. Revenues per person were $118,000. Spread, the difference between revenues per person and compensation per person, was $39,000. © Copyright Commission per CSR was $272,000 for commercial lines and $173,000 for personal lines. According to William J. Hold, CRM, CISR, Director of The Academy, “The GPS study represents current agency trends. Much of the value is in faithfully representing agency response to times of uncertainty and readjustment. Agencies around the country use the study to establish benchmarks for their own responses and progress.” Readers will find the CD a useful companion for comparing their own numbers to trends in the industry. Growth and Performance Standards (GPS) combines 238 pages of precise current data with practical tools for its use. The price is $75.00. There is also an eBook version available for $65.00. The Academy is a non-profit organization funded entirely through publication sales and affiliation dues, and serves as the research and development arm of The National Alliance for Insurance Education & Research. Research grants are made possible through the annual dues of National Alliance members and The Academy’s Research Associates. For further information, please call (800) 633-2165 or visit www.TheNationalAlliance.com. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 13 May/ June 2014 Edition © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 14 May/ June 2014 Edition Copyright © IIABAZ EDUCATION ITEC Registration Form Mr. Ms. Mrs. Preferred Name for Badge:_________________ Name: ______________________________________________________ Designations: ________________________Birthdate:________________ Agency/Company: ____________________________________________ Address: ____________________________________________________ City, State, Zip: ______________________________________________ Telephone: (__________) ______________________________________ E-mail address: ______________________________________________ Seminar: __________________________________________________ Date of Seminar: __________________________________ 2014 Classes and Dates Check enclosed for _______________, payable to ITEC Charge to credit card below: June 4 June 5 June 11-13 June 19 June 19 June 25 July 9 July 9 July 15 July 22 July 29 July 30 July 31 August 6-8 August 13 August 14 August 20 August 28 September 10 September 17 September 24 September 30 September 30 CISR Dynamics of Services Seminar CISR Insuring Personal Lines Miscellaneous Seminar CIC Life & Health Institute ITEC E&O Risk Management Seminar CRIS Property Insurance for Contractors Seminar CISR William T. Hold Personal Lines Seminar CISR Dynamics of Service Seminar CISR Elements of Risk Management Seminar ITEC E&O Risk Management Seminar ITEC E&O Risk Management Seminar ITEC E&O Risk Management Seminar CISR Insuring Personal Automobile Seminar CRIS Workers Compensation for Contractors CIC Agency Management Institute CISR Agency Operations Seminar CISR Essentials of Life & Health Seminar ITEC Insurance Ethics Seminar—FREE to members CISR Insuring Commercial Casualty II Seminar CISR Insuring Commercial Property Seminar CISR Insuring Personal Residential Seminar CISR Insuring Personal Lines Miscellaneous Seminar ITEC Insurance Ethics Seminar—FREE to members ITEC Ethical Issues Seminar—FREE to members Phoenix Kingman N. Phoenix Yuma Phoenix Phoenix Tucson Phoenix Lake Havasu Phoenix Flagstaff Phoenix Tucson N. Phoenix Lake Havasu Phoenix Glendale Phoenix Phoenix Tucson Phoenix Tucson Tucson Visa MasterCard American Express Expiration Date of Credit Card:_____________ Security # ___________ Card #: ____________________________________________________ Print Name: _________________________________________________ Card Billing Address: _________________________________________ Cardholder Signature: ________________________________________ Registrations will not be accepted without form of payment. Cancellation Policy: ITEC/CISR Cancellations received within 7 business days of a seminar will incur a $25 non-transferable fee. CRIS Cancellations received within 7 business days of a seminar will incur a $50 non-transferable fee. CIC Cancellations received within 7 business days of an institute will incur a $105 non- transferable fee. ADA Policy: We comply with Title III of the American with Disabilities Act Please let us know in advance of any special needs. Registration Fees CISR Seminars — $160.00 CISR William T. Hold Personal or Commercial Seminars — $160.00 CISR Dynamics of Service—- $170.00 CRIS Seminars — $195.00 Members or $220.00 Non-Members ITEC Supervisory Dynamics—$225.00 Members E & O Loss Control — FREE to Members or $100.00 Non-Members CIC Institutes — $395.00 CIC Ruble Graduate Seminar — $420.00 © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 15 May/ June 2014 Edition Store Pac® According to the Louis Vuitton web site, in 1852, Napoleon's wife hired the young Louis Vuitton as personal trunk-maker and packer. Flash forward a century or so and the famous luggage maker has published a video on the "Art of Packing" which you can watch here at: http://www.louisvuitton-histoires.com/en_US/journey-times/theart-of-packing. Besides featuring a pleasant, catchy background tune, the techniques offered are sound; since watching this I can fit far more clothes in a suitcase and they arrive less rumpled to boot! If you're more interested in tips on how to pack in commercial lines sales, read on to learn more about the Travelers Select Pac products available on Big "I" Markets. Business PacSM Travelers Business Pac is designed for firms providing personal consumer services, businesses repairing light consumer goods and those engaged in printing. A sample of classes that we write in this segment includes Dry Cleaners, Funeral Parlors, Locksmiths Packaging and Mailing Services. For a complete listing of eligible classes, please refer to the Select Product Guide on www.bigimarkets.com. The Business Pac product provides affordable, broad coverage that can be tailored and customized to meet individual business needs including Professional Errors and Omissions. Reassuring, for small businesses providing local services. Office PacSM Travelers Office Pac is designed for a variety of firms providing medical, legal, financial or other professional services for their clientele. Some of the more than 40 eligible classes include Accounting, Auditing, Bookkeeping, Claims Adjusters - Independent, Consultants, Employment Agencies, Medical Offices, Real Estate Appraisers, Real Estate Sales - Residential and Tax Preparation Services. Popular coverage features include: General Liability Limits of $2 million per occurrence/ $4 million aggregate are available. Business Personal Property off Premises coverage is provided, including while in transit and temporarily away from the scheduled premises. Physicians and dentists Black Bag coverage for medical, surgical and dental equipment and supplies away from described premises is included. © Copyright Travelers Store Pac is designed specifically for a wide variety of retailers primarily engaged in brick and mortar commerce. A sample of classes that we write in the Store segment include: Air Conditioning, Heating, Antique Stores, Appliances, Bicycle Shops and Health Stores. But with over 140 classes of business in our appetite this is just the beginning so please refer to the Select Product Guide for a complete list. The Store Pac provides affordable, broad coverages that can be tailored and customized to meet individual business needs. For example, did you know your Travelers Select Store clients can choose Equipment Breakdown coverage and Liability for Damage to Premises Rented Coverages? Tech Office PacSM Travelers Technology Office Pac is designed for firms providing computer consultation and a variety of technology services for their clientele. A sample of classes that we write in this segment include Computer Consultants, Software Developers, Data Processing, and Website Designers. For a complete listing of eligible classes, please refer to the Select Product Guide on www.bigimarkets.com. The Technology Office Pac product provides affordable, broad coverage that can be tailored and customized to meet individual business needs. Technology Office clients will have coverage for business personal property that is off-premises or in transit - perfect for small businesses who carry out their technology services away from their office. What's more, our Technology Office endorsement provides the ability to modify thirty property coverages including covering virtual office premises. When quoting your next Technology, Business, Store or Office Pac, don't forget to quote the Workers' Compensation as well. The Big "I" Markets Travelers Select program is currently available to members in all states except AK, FL, HI, LA, RI & TX. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 16 May/ June 2014 Edition by Steve Anderson http://techtips.steveanderson.com/ Top-level domains (TLDs) have been used since the very beginning of the Internet as a way to categorize the different types of websites. You know these as the extensions used by every website address. The original top level domains were: .gov for government; .mil for military; .edu for academic institutions; .net for network operations centers; .org typically for non-profits but not restricted to this use; and .com for commercial entities. Domain name extensions were originally added to help identify the domains by function or country of origin. Many of the new domain name extensions will also become recognized over time as an effective way to categorize organizations by interest or functions. In 2000, the Internet Corporation for Assigned Names and Numbers (ICANN) decided to allow seven more TLDs such as .biz, .info, .name, and .pro. A historic change in the Internet domain name system is now underway. 2014 will see the start of the gradual release of almost 1,900 new domain extensions. These new extensions will allow companies of all types to be able to create generic extensions for their brand and names such as .shop, .hotel, .eco, .cpa, and so on. To view the list of all the new TLDs, you can go to Name.com’s TLD Watchlist at https://www.name.com/account/ntld/watcher. Two of these new domains your organization might want to pay some attention to are .agency and .insurance. While the .com domain has been the standard (the first was assigned in 1985) with currently over 132 million .com websites in the world, it is also significantly harder today to find an appropriate website address using a .com extension. Here you can see all the new TLDs and also mark the ones you're interested in so that you can be notified when they become available. Your existing domain registrar (Network Solutions, GoDaddy, etc.) may also offer a similar service. As these new domains become available, you can purchase them for prices similar to those for your existing domains. By registering and using one of the new extensions of your domain name, you will benefit from the following: I suggest you at least explore the idea of registering your organization’s name or brand with .agency and/or .insurance. It’s not a lot of money and you could look back in a few years and be very glad you claimed this part of the Internet for yourself or your organization. Drive more traffic to your website. Registering your domain name with multiple extensions and pointing them to your main website can help prospects and customers find your website. Protect your brand and online identity. It will prevent others from registering your domain with a different extension that attracts customers to their site instead of yours. © Copyright Article reprinted with kind permission by its author. Author: Steve Anderson, CIC—Executive editor of The Anderson Agency Report, and a National CIC Faculty member. Steve’s Tech Tips website can be accessed at http://techtips.steveanderson.com/. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 17 May/ June 2014 Edition BIG “I” PROVIDES HOUSE FINANCIAL SERVICES COMMITTEE WITH AGENT PERSPECTIVE ON INSURANCE PROPOSALS Association submits testimony to subcommittee regarding five legislative proposals. The Independent Insurance Agents & Brokers of America recently submitted testimony before the U.S. House of Representatives Committee on Financial Services Subcommittee on Housing and Insurance at a hearing entitled, “Legislative Proposals to Reform Domestic Insurance Policy.” ”The Big ‘I’ welcomes the opportunity to provide the independent insurance agent and broker perspective on important legislative proposals currently circulating on Capitol Hill,” says Charles Symington, Big “I” senior vice president for external and government affairs. “The Big ‘I’ is pleased to offer insight on several bills and we look forward to continuing to work with the committee on any insurance-related legislation that might subsequently advance further in the legislative process.” The Big “I” testimony is available at http:// www.independentagent.com/News/PressReleases/ SiteAssets/Pages/2014/GA05202014_Hearing/IIABA%20Statement% 20for%20the%20Record%20HFSC%20Hearing%205%2020%2014.pdf. Additional information on the hearing is also available on the committee’s website at http://financialservices.house.gov/calendar/ eventsingle.aspx?EventID=379858. Article provided by: Margarita Tapia—Director of Public Affairs, Independent Insurance Agents and Brokers of America, Inc. As you know, Microsoft ceased support for the aging Windows XP operating system in April and it didn't take long for hackers to create a bug for Internet Explorer users that will cause you and your computer a great deal of harm. In short, this means that unless Microsoft changes their mind about ending support for XP, you should simply not use Internet Explorer at all. Everyone is susceptible to IE's vulnerability as it is very easy to inadvertently click a link allowing an attacker to take complete control of your computer. This applies to those of us that are logged in as a user with administrative rights, which is most of us. For now, Google Chrome is your friend and Mozilla Firefox is your best friend. Firefox has been reported to be more secure than Chrome and has not yet issued an expiration date for XP support. Visit PC World to learn more about the vulnerabilities and options you have to protect yourself. The web address is: http:// www.pcworld.com/article/2148368/new-internet-explorer-zero-dayputs-web-at-risk-and-xp-isnt-getting-a-fix.html. Article provided by: Greg Martin—First Computer Rentals, Scottsdale. © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 18 May/ June 2014 Edition REPRESENTATIVE MCMORRIS RODGERS DISCUSSES JOBS, HEALTH CARE AND TAXES AT BIG “I” LARGE AGENT/CEO EVENT Annual gathering brings together insurance industry leaders. Representative Cathy McMorris Rodgers (Republican— Washington, pictured right), Chair of the U.S. House of Representatives Republican Conference and the fourth ranking leader in the House, recently addressed the association’s Large Agent/Broker and CEO dinner. During her keynote address, the Washington Republican who is the highest ranking Republican woman in Congress discussed the economy, health care and taxes and how all three are priorities and related to jobs. “The best anti-poverty program is a job,” said Rep. McMorris Rodgers to attendees. The prestigious gathering of industry leaders, carrier CEOs and some of the largest agents and brokers from around the country is held annually during the Big “I” Legislative Conference in Washington, D.C. She noted that many of the people in the room were part of the solution and said, “I want to talk to you as leaders in the country, as job-creators and just express my gratitude for the roles that you play in your community.” ways to fix the many problems it has caused through legislative efforts. During her address, Rep. McMorris Rodgers also discussed tax reform. She emphasized that the recent tax reform proposal released by House Ways & Means Chairman Dave Camp (Republican—Michigan) was still in draft form, but noted that, “It’s important that we have a debate over tax reform in America. We need to address this too costly, too complicated tax code.” She pointed out that, “three out of four Americans are living paycheck to paycheck” and shared her vision for her political party and the House to grow the economy and create jobs. Rep. McMorris Rodgers is well-known as a rising star in the Republican Party and was elected to the House in 2004. In addition to her leadership role in the House, Rep. McMorris Rodgers serves on the House Energy and Commerce Committee which has jurisdiction over many important issues for the independent agency system, most importantly health care. Prior to being elected to Congress, she worked for her family’s business and served in the Washington State Legislature. Rep. McMorris Rodgers was the first in her family to graduate from college and went on to earn an executive MBA from the University of Washington. The Senate has yet to consider many bills passed by the House that Rep. McMorris Rodgers supports and believes would create jobs. “We’ve passed over 150 pro-growth jobs bills,” she said. “Everything from bills on energy, job training, regulatory reform, health care, innovation and most of them are still waiting for consideration over in the Senate.” “Conference Chair McMorris Rodgers continues to exhibit her unique leadership skills through her hard work on numerous issues that directly impact independent insurance agents, brokers and insurance consumers,” says Charles Symington, Big “I” senior vice president of external and government affairs. “We are grateful to for her advocacy for small business, particularly in the health care debate and tax reform.” Rep. McMorris Rodgers voted against President Barack Obama’s Affordable Care Act (ACA), and she stressed that “one of the biggest impediments to economic growth and job creation continues to be the President’s health care law.” The Large Agent/Broker and CEO dinner is sponsored by the Big “I” Large Agent and Broker Roundtable, a group which advises the Big “I” Board of Directors on many important topics. The group has recently been working on issues such as agent licensing reform, terrorism risk insurance, and industry workforce recruitment. “We just marked the four year anniversary of the law and yet they’re estimating that at the end of ten years, 31 million Americans will still be without health insurance,” she added. “At least six million Americans have had their health insurance plans cancelled. Premiums are doubling in some parts of the country.” In pointing out that the ACA has already undergone more than 40 different regulatory extensions and delays, she stressed that her focus is on Large agents and brokers from around the country, as well as regional and national carrier CEOs including many from Rep. McMorris Rodgers’s home state of Washington, were in attendance at the event on April 10th, 2014. © Copyright Article provided by: Margarita Tapia—Director of Public Affairs, Independent Insurance Agents and Brokers of America, Inc. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 19 May/ June 2014 Edition © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 20 May/ June 2014 Edition Dogged sleuthing exposed a driver who hit a teen with his car, drove off, torched the car, and then made a bogus theft claim to cover up the hit-and-run. High-school student Devaughn Moore was crossing a street in Amherst, New York, when Kevin Ford hit him and sped away. He left Moore lying in the street with a severe head injury. Ford then took his car to a field, set it afire, and called his insurer to falsely report a theft. The shell of a broken, gray side-view mirror was left at the hit-and-run scene. Investigators determined it came from a 2006 Chevy Impala. Police searched the state DMV’s database and found 500 references to cars that fit that description in Erie County. Investigators started visiting each address, looking for a damaged or replaced side mirror. The break came when a licenseplate check at an address revealed the car listed there was reported stolen the night of the hit-and-run. The burned car was found at an insurance impound lot. The side-view mirror was missing and right front fender damaged. Ford admitted all when questioned, and faces up to 8 years in prison when sentenced July 17. Moore was hospitalized for 4 weeks and is learning to walk again. employee to a medical facility. He lied that he had a “tremendous amount of pain” around his right elbow and lower bicep. More exams found no serious injuries but Inserra kept complaining he was in so much pain he could not bend his arm. Yet he kept performing with his Brooklyn-based band ironically named Cousin Sleaze. Photos show him “repeatedly moving his arms in a punching motion” and “violently flailing his arm in an up-and-down motion” on the stage, prosecutors say. The band hit the road for a tour called “Miles of Mayhem.” Video from performances in Athens, Georgia, Cocoa Beach, Florida, and elsewhere shows Inserra fist pumping and thrashing around without any discomfort. He pleaded guilty in late April and faces up to 14 months in federal prison when sentenced in August. Married just four days, Michel Escoto bludgeoned his new bride Wendy Trapaga with a tire iron to collect on a $1-million life policy. The Miami-area man’s original plan was for he and his Supermom may not be so super after all, Pierce County, girlfriend Yolanda Cerillo to drug Wendy and drown her in a Jacuzzi Washington, prosecutors say. Melinda Sayers was publicly lauded as and make it look like an accidental drug overdose. But she woke up a heroine after lowering her son down from a bedroom window to in the water and started struggling. Escoto and Cerillo drove the the ground, then jumping out as fire and thick smoke engulfed her semi-conscious Wendy to the warehouse district, where he house. Residents dubbed Sayers as “Supermom.” She even collected bludgeoned and strangled her. Escoto lied that he and Trapaga had $32,000 in donations through a crowd funding website. But Sayers argued and she drove away angry – the last time he ever saw her. set the fire herself and made a false insurance claim, prosecutors say. But a toxicologist said Wendy was too drugged to drive herself. Investigators found a butane lighter on the couch. Sayers also called Cerillo then came forward to out the scheme in exchange for 911 and said a fire alarm was going off because of a blaze in the living immunity. Cerillo said she waited in a car nearby and did not see room. But it would have been impossible to see any part of the living Wendy’s killing. But she did see Escoto dump the tire iron in room from her bedroom, prosecutors allege. Her explanations Biscayne Bay, where it was later found. Escoto represented himself allegedly did not match the evidence. The at trial. The jury took just 2 1/2 hours to convict. He faces automatic prosecutors’ theory: Her 11-month-old life without parole when sentenced later in May. preemie daughter Abigail was scheduled to come home the next day after nearly a Michael Caldwell was at a car show when he called his insurer year in the hospital. Sayers did not want to report that someone had stolen his Chevy Tahoe. An employee to care for her. So she lit a candle in the of the Surgoinsville, Tennessee man’s body shop had called him with living room and opened a valve in the the bad news, he said. The vehicle was found medical oxygen tank set up for her daughter. The fire broke out and burned, in a rural area on property next to the seemingly heroic escape ensued. Abigail died in the hospital the crony Brandon Eugene Frost’s family farm. next day after suffering seizures. Haulers Insurance paid Caldwell $28,054. Then a witness came forward and said Normally U.S. Congressmen relish the limelight but Rep. Caldwell had offered $1,000 to “get rid of” Michael Grimm probably wishes the cameras would go away. The the Tahoe while Caldwell was out of town. The witness declined. Brooklyn Republican runs a Manhattan fast-food restaurant called Caldwell finally paid Frost $500 to dump the car. Cell records Healthalicious. He paid workers in cash, thus lowering his payroll allegedly show that Frost and Caldwell talked several times just by hundreds of thousands of dollars to illegally avoid paying full before and after the incident. That evidence did not help Frost workers’ comp premiums, feds charged this week. Grimm also either, after he denied being involved. NICB also said Caldwell had allegedly kept two sets of books, one reporting his true payroll info made previous claims, including $15,000 for a vehicle he said was and a false version for his payroll firm, accountant, and others. He struck by lightning. Frost finally caved in and admitted Caldwell had faces a slew of other charges including health and tax fraud. Grimm given him the keys so he could unload the Tahoe, prosecutors allege. frames the charges as a politically motivated vendetta. He could They were indicted on insurance-fraud and arson charges. spend dozens of years in a federal jail if convicted. To learn more about insurance fraud and simultaneously earn CE A former New York cop moonlighted as the lead singer for a credits, visit the BIG ”I” VU Fraud Training Center for on-line punk rock band while collecting more than $31,000 in workers’ courses, resources and daily news. Here is the link: http:// comp money for a supposedly injured arm. Christopher Inserra said bigivu.learn.com/learncenter.asp?id=178517&sessionid=3he hurt his right arm while taking an injured Port Authority C4545B89-01C7-4250-924D-0997061E2CAE&page=6. © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 21 May/ June 2014 Edition Foreward by Lanny Hair, CIC, RPLU, ARM, AAI—Executive Vice President, IIAB of Arizona CAN YOU IMAGINE BUYING A NEW CAR IN ARIZONA AND NOT USING THE AIR-CONDITIONING? Because many of you have not yet tried one of the most valuable membership benefits (air-conditioning), you are unaware of how great the benefit is, and therefore are not taking advantage of this “FREE membership benefit. I consider the “VIRTUAL UNIVERSITY” provided by our National Associations one of the most valuable resources and membership benefit. Vast amounts of technical information within the National Association’s “VIRTUAL UNIVERSITY”. This “benefit” is available to non-members as well, however, a non-member must pay a fee equal to or sometimes in excess of what you pay for membership dues in both the State and National Associations. In addition to the enormous bank of information, the Virtual University has a very valuable source of data available via the “ASK THE EXPERT” service. The Virtual University has some of the most knowledgeable and experienced experts from throughout the nation who are on constant “stand-by” to address a member’s question regarding coverages, and agency management issues. This is also FREE to the Association’s membership. The Response time to “questions” is extremely quick, and often times will address issues from different viewpoints. Below are a couple of articles from the most recent “VUpoint Newsletter”. To access the complete university you must have a “Log in” name and “password”. Once you have the “key” to the Virtual University you will have a competitive edge over those who cannot compete with the advantage of product knowledge. If you need log-in assistance, please send an email to info@iiabaz.com. + P E R S O N AL L I N E S When Owned Autos Collide...How Many Deductibles? By: Bill Wilson An insured backs into his wife's car, damaging both vehicles insured under the same policy. The deductible provision says no deductible applies if an insured vehicle collides with another vehicle insured by the same carrier. The adjuster says this means an insured under a different, not the same, policy. Is that what the policy actually says? Interestingly, it depends on which edition of this insurer's policy you have and where you live. The link: http://www.mmsend66.com/link.cfm?r=160982994&sid=40132838&m=4424772&u=IIABA&j=18737036&s=http:// www.independentagent.com/Education/VU/Insurance/Personal-Lines/Auto/Physical-Damage/WilsonDeductibles.aspx. + C O M M E R C I AL L I N E S Should CGL Deductibles or SIRS be Disclosed on Certificates of Insurance? By: Bill Wilson The ACORD 25 certificate of insurance has fields to show deductibles or self-insured retentions (SIRs) for excess and umbrella policies. However, there are no specific fields for this information for CGL policies. A recent court case indicates why failure to procure a "first-dollar" primary CGL policy or disclose an SIR could lead to problems. The link: http://www.mmsend66.com/link.cfm?r=160982994&sid=40132840&m=4424772&u=IIABA&j=18737036&s=http:// www.independentagent.com/Education/VU/Insurance/Commercial-Lines/CGL/Additional-Insureds/WilsonCGLSIRs.aspx. © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 22 May/ June 2014 Edition © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 23 May/ June 2014 Edition ERRORS & OMISSIONS Advise clients on data breach risk management and cyber liability insurance—and practice what you preach. The theft or loss of employee and customer personally identifiable information is a rising liability for small and medium size enterprises (SME). Hackers are increasingly targeting SME’s, knowing these businesses have a storehouse of personal information, but are less likely than lager organizations to secure it. But what about a very specific type of SME— independent insurance agencies? Few organizations possess the breadth of customer information in their databases and through their routine correspondence with carriers than an insurance agency. While agents advise clients on data breach risk management protocols, and the purchase of first-party and third-party cyber liability insurance, the questions is—are they drinking their own Kool-Aid? Many agencies indeed are following the same prudent steps they advise clients. When it comes to the cyber liabilities confronting small and midsize concerns, insurance agencies by and large are on top of the issue. “This is one of the major programs that Agents Council for Technology (ACT) gets involved in,” says Jeffrey Yates, retired executive director of the Agents Council for Technology at the Big “I.” “We understood from the beginning that all the other efficiencies that agencies strive for, such as real-time marketing on the Internet, would be blown out of the water if there was a security breach. This is an essential part of what we do.” Rules and Regulations ACT assembled a working group of agents to develop best practices for data security, culminating in a prototype agency security plan, which is available to all Big “I” members at www.iiaba.net/act. Massachusetts has passed the nation’s stiffest data security law. It applies to any entity interacting with residents in situations where the exchange of personal data may have occurred. The law states, “all persons that own, license, store or maintain personal information about a resident” of Massachusetts are subject to the regulation. Thus, an agent in California who sells an insurance policy online to someone in Massachusetts, and in the course of this transaction receives and stores the person’s identifiable information, is in for a harsh surprise if this data is stolen or lost. The organization also has developed with carriers and vendors user-friendly ways to secure email and websites, and it regularly sponsors webinars on the subject of agency security. Apparently, these messages are getting through to agents who understand business hazards posed by a security leak. 73% of 2,100 SMEs in a survey by Symantec experienced a cyber attack. Of these, 30% cited the attacks as “somewhat or extremely effective.” Just how vulnerable are agencies to a data breach? Of 761 data breaches investigated by the U.S. Secret Service and Verizon Communications Inc.’s forensics analysis unit, 482 of them (63%) occurred at companies with 100 or fewer employees, a metric that describes many agencies. Don’t expect hackers to give up either. “As more agencies use mobile devices,” Yates says, “their cyber risks are proliferating.” © Copyright Approximately 46 states currently have laws on the books regarding the notification of individuals whose personally identifiable information has been stolen or lost. Aside from these state data breach laws, agencies also are subject to federal laws like the Health Insurance Portability and Accountability Act (HIPAA) and the Gramm-Leach-Bliley Act, each requiring that specific actions be taken to protect consumers’ non-public personal information. How harsh? The regulation (201 CMR 17.00) requires the business, well in advance of a potential data breach, to assemble a written plan explaining the steps it is taking to protect personally identifiable information it stores electronically or on paper. This plan must be routinely audited. The law further requires that email containing “personal information” be sent in an encrypted manner. This would include, for example, personal information submitted by an agent on a commercial lines application. Moreover, the law requires that personal information contained on laptops and mobile devices be encrypted because if the higher risk that these devices Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 24 May/ June 2014 Edition will be lost or stolen. range of different passwords for employees to ensure they perused only those files specifically related to their work, and policed the Now if personal is indeed lost, leaked or stolen, potentially serious flow of information from customers though the agency to carriers. consequences await. Massachusetts General Law, Chapter 93A, For instance, when the agency receives a client’s payroll census for Section 4, authorizes the attorney general to seek injunctive relief, workers compensation, the employees’ personally identifiable which may involve a court-imposed $5,000 civil penalty per violation. information is deleted so all that remains is the actual dollar figures That’s just one person’s personally identifiable information; the of the claim. potentially crushing damages in a breach involving hundreds of affected people give serious pause for consideration. More recently, the agency implemented a decoder in mobile devices like smartphones and laptops that secures remote communications Then, there are the legal defense costs if an action is brought against outside the agency’s firewalls. “The device changes the code every 30 the entity, not to mention the dire risk of reputational harm if the seconds,” Burnette notes. “Users carry a little fob to get the code of public becomes aware of the incident. Even a business not specifically the minute; otherwise they can’t log on.” subject to 201 CMR 17.00 may incur significant defense and settlement costs, if, for instance, the plaintiff attorney contends Despite these best practices, Liam Holmes, CEO of MIS Solutions, that Massachusetts’ personal information security law is effectively says hackers remain undeterred in their quests. “I just ran a report the standard of care for safeguarding private data. last month and there were 32,000 unauthorized attempts to penetrate the firewall (at Burnette),” he explains. “None of them Other possible costs include the need to notify affected parties of got through.” the breach and provide credit-monitoring services to assess if the individuals’ bank accounts and credit cards have been violated. In Some agencies have determined the risk of a data breach requires cases of a comprehensive breach, the business may need to hire a internal assistance from IT specialists (ACT advises that all agencies network security expert to determine the technological causes of consider the appointment of a data security coordinator to develop the breach, and a crisis management firm to handle the public and implement the agency’s security program). At Eustis Insurance relations fallout. & Benefits, Keith Oufnac is that person. “Our biggest problem is security,” says Oufnac, vice president of information technology at Steven J. Aronson, president of Aronson Insurance, is especially the New Orleans-based agency. cognizant of the Massachusetts law, given the agency’s two locations in Needham and Newton in the state. Aronson Among the best practices Oufnac has implemented is secure email. recently was asked by the Big “I” and the Massachusetts All email is downloaded and filtered by Postini, an email security and Association of Insurance Agents to assess the law’s impact on archiving service now owned by Google. The Postini Communicative the agency system, in order to train agents to ensure effective messages between business partners, such as an agency and a carrier. compliance. “There is no need for an agency to research each “We do this to protect everyone, since everyone is vulnerable to state’s data privacy laws, since if you just follow the law here social engineering scams,” says Eufnac. you will be in pretty good shape,” Aronson says. “It’s the most onerous one out there.” Insurance Just In Case In his own agency, Aronson has made great strides securing his customers’ and employees’ personally identifiable information. “Most people forget that technology is not the only way for a criminal to get at this stuff,” he says. “The first thing I advise is to lock the windows and doors, and install a central station burglar alarm. You’d be amazed at how easy it is to steal a server or a drawer’s worth of files.” He adds, “Of course, this is just the first step.” Serious Stuff Many agents like Stan Burnett take the threat of a data breach seriously. “We were an early adopter of technology, purchasing an imaging system that was connected to our servers about 14 years ago,” says Burnette, president of Burnette Insurance Services in Suwanee, Georgia. “Within a week, the firewall was hit with thousands of hackings. We were scared to death. Then, someone hacked into the computers and destroyed our database - didn’t steal the data, just blew it up. That’s when we realized we needed help.” The agency brought in MIS Solutions, a managed services provider also based in Suwanee. MIS beefed up the firewalls, layered in a © Copyright Each of the agencies in this article does something else besides implement data security and risk management best practices - they buy cyber liability insurance. “In today’s world, you simply must have it,” says Eufnac. “I bought the coverage last year,” Burnette agrees. “Our E&O carrier offered it as an extension to the policy we had. We’re selling a lot of network security and privacy coverage to our customers, and I felt we just had to have it too.” Aronson notes that his E&O carrier didn’t start offering the coverage until recently, but as soon as it became available he jumped on it. ACT warns that E&O carriers aren’t just giving away the coverage for the heck of it. “There is now coverage in many cases for a data breach, but it is often predicated on the agency having a written security plan, secure email and website, and other best practices in play. Risk management first, and then insurance: good sense for all. Author: Russ Banham—Independent Agents senior contributing writer. Article reprinted with kind permission. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 25 May/ June 2014 Edition by Bernard J. Neff, CIC, CPCU BREAKDOWN A couple of times each year, I get a message from an agent who is in the middle of trying to figure out what they should have done in certain situations that only happen once in a while, but when they do, it can leave everyone wishing they had done more to provide proper coverage. I call it “true breakdown coverage.” As most of you know, our Building and Personal Property coverage forms, including most of the various BOP forms out there, often do not provide any help for losses that have to do with certain causes of loss. I am referring to losses caused by explosions of pressure vessels, electric arcing, centrifugal force, mechanical breakdown, and so on. In the old days, we would call the solution to these perils “Boiler and Machinery” coverage. Today, it is often called either “Mechanical Breakdown”, or more often, “Equipment Breakdown.” This coverage is provided by the various carriers in different ways, sometimes as a separate policy, or an endorsement, or it might be an “additional coverage” that is built into a policy (like a high-end BOP or Building or Package form). What was interesting is that the policy (provided by a very large and very prestigious insurance carrier) had a sublimit of coverage entitled “Mechanical Breakdown”, which one would think would come into play here. But the insuring agreement for the built-in coverage was also on a “direct physical loss or damage” basis, so the whole situation was like the dog chasing its tail – we went round and round, but there was no coverage. Another loss to a freezer complex occurred a few years ago, when the freezers just shut down and stopped working. Once again, there was no manifestation or cause of loss to justify the stoppage – and the claim was denied. By the time the loss was discovered, the frozen French fries were no longer completely frozen and the customer would not accept them for delivery in their food establishment. The solution to the problem is really fairly simple – you want “true mechanical or equipment breakdown” coverage. However, it is provided, look at the insuring agreement of this special coverage. Here is the problem. Most of our forms are on a “Special Causes of Remember, it can be a separate policy, an endorsement or a built-in Loss” basis that has an insuring agreement with language that typically sublimit. If the words “direct physical loss or damage” are there, says a loss must be caused by “direct physical loss or damage”. that is fine as long as they are followed by the word “failure” or Very nice coverage, but it does require some kind of “malfunction”. The word “failure” is my preference since carriers manifestation. That means the property burned, was blown up or sometimes use the word “malfunction” later in their forms to away, sagged, shows signs of smoke damage, was stolen, etc. But describe property not covered, or property excluded. “Failure” will what happens if a machine just stops working and there is no provide coverage when the machine just quits. Your clients will have outward sign (or manifestation) of damage? For industries that rely coverage when their machines just stop running, and you do not have on their machines to make certain products, this can be a devastating to be concerned about manifestations or signs of damage. loss, and often the client will be told there is no coverage. In a somewhat related topic, I was asked by a couple of agents what Let’s take an example of an actual loss. A machine that was mixing to tell their clients when they are selling off-premises power and drying a certain product (hermetically sealed in the machine) interruption. This, too, is provided in a number of ways, but stopped working before the process was complete. The client usually is offered by our carriers on a direct and an indirect basis. suffered the following losses: Their main question was how to explain to a client why they might want the indirect as well as the direct coverage. Loss to the machine, which had to be replaced ($175,000) I use a very simple example. The local grocery store suffered a loss when the power was knocked out by a storm a couple of blocks Loss of use of the machine which not only had to be replaced, away. The loss was to their tomato, the only product they had to but also had to be tested for several months (Federal sell. The tomato cost the grocer 50 cents to obtain from their requirements) ($200,000) supplier, and this is what they would receive under the direct coverage – 50 cents. But if the grocer also buys the indirect Loss of their customer’s product that was ruined when the machine quit running prematurely, and for which the insured had coverage which is designed to cover their extra expenses and/or loss of income from the interruption of power, the grocer could contractually agreed to be absolutely responsible while the receive their mark-up price. Let’s say they will offer the tomato at product was in their care and control ($120,000) $1.50. The indirect coverage could provide the $1.00 of mark-up. This is all subject to the limits and other conditions of the coverage, Extra Expenses incurred in getting the new machine ordered of course, but that is a simple way to show why a client might want and installed as quickly as possible ($15,000) to consider this coverage. Needless to say, the client was not very happy when informed by the Author: Bernard J. Neff, CIC, CPCU—Member of the CIC adjuster (correctly) that the “direct physical loss or damage” National Faculty for the National Alliance for Insurance coverage would not apply to these losses. Education and Research. He resides in Cottage Grove, MN. © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 26 May/ June 2014 Edition © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 27 May/ June 2014 Edition Life & Health Long-Term Challenge Long-term care insurance is an intuitive product for clients who want to protect assets and control their care in retirement. But independent agents often find that LTCi proves a very challenging sale. able to rely on their LTCi policy to meet a financial need. And many people have accepted rate increases or modified their policy, lowering the payout but keeping the premium increase within their budget. The reasons vary from cost to misconceptions about how the product works. Recently, substantial class premium increases have disillusioned many consumers. In response to marketplace increases, carriers have introduced more hybrid policies that combine life insurance and annuities with LTC riders, allowing the policyholder to Tap the policy in a tax-efficient way. Sales of these products are expected to increase, and agents should stay tuned to monitor the evolution for their clients. In fairness to the carriers, the prolonged, abnormally low interest rates have made it difficult to generate adequate investment returns to meet the long-term tail of claims. In turn, a number of carriers exited the market while others increase their rates: five out of 10 of the largest LTCi carriers in 2010 are no longer writing LTCi. Going back a decade, almost 100 carriers were active in the LTCi marketplace— but now only about a dozen major carriers are still writing policies. A major factor has involved the assumed “lapse” rate, which has been lower than some carriers expected. Many insurers predicted that 5–7% of people who bought LTCi would cancel their policies each year without tapping their benefits. Instead, actuaries report the annual cancellation rate has been less than 2%. PricewaterhouseCoopers estimates initial premiums would have been about 35% higher if insurers had assumed such a low cancellation rate. It’s difficult to explain to a client that the carrier assumed more people would drop their coverage prior to incurring a claim. That message essentially contradicts the premise of the needing the coverage—that in the future, clients will be © Copyright Because women tend to live longer than men and therefore file the lion’s share of LTCi claims, many carriers have increased rates for single women in the last 12 months. Nationally, premiums for policies for single women will rise 12% in 2014, while rates for single men will decline more than 14%, according to a recent price index from the American Association for Long Term Care Insurance (AALTCI). This year, a 55-year-old single woman will pay an average of $1,225 annually for the same level of benefits available to a single man at just $925. The AALTCI also reports, however, that 70–80% of LTCi policies are bought by couples, whose rates will only increase 3%. For more, please visit http://www.iamagazine.com/magazine/ read/2014/04/01/long-term-challenge#sthash.hkuvVl6y.dpuf. LIFE-HEALTH Author: Dave Evans—Certified Financial Planner and Contributing Editor for Independent Agents Magazine. Reprinted with kind permission. Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 28 May/ June 2014 Edition Filing Fee for Non-Profit Military Mutual Aid Associations This Regulatory Bulletin determines the filing fee for non-profit military mutual aid associations. Arizona’s 51st Legislature, First Regular Session, enacted SB1234 exemption; insurance regulation (Ch. 181), with a September 13, 2013 effective date. The bill included certain defined associations or orders in the list of entities exempt from Title 20 regulation. The law amended ARS §20-861 by defining “association or order” as “any association or order that is a non-profit military mutual aid association, whose members are officers or enlisted, regular or reserve, active, retired or honorably discharged members of the armed forces or sea services of the United States, and whose principal purpose is to provide life insurance and annuities to its members and their dependents or beneficiaries.” The law also amended ARS §20-893 to set forth certain criteria for non-profit military mutual aid associations including required filings, and it authorizes the director of insurance to determine an appropriate filing fee. ARS §20-893(B)(1). The filing fee for the §20-893(B) filings shall be $300.00, effective immediately. Please direct any questions related to this Regulatory Bulletin to Cary Cook at (602) 364-3999 or ccook@azinsurance.gov. This regulatory bulletin issued by: Germaine L. Marks, Director for the Arizona Department of Insurance. About the Arizona Department of Insurance: The Arizona Department of Insurance, an agency of the State of Arizona, is responsible for the education and protection of insurance consumers and for oversight of the insurance industry in the state. Take another look at the RLI Personal Umbrella and Home Business Insurance Policies! See how you can write more business with an admitted, secure, A+ rated carrier A smart choice for your customer Today's legal environment calls for extra protection for almost all your clients. Ask every new and current customer about Personal Umbrella and Home Business Insurance coverage. The RLI Personal Umbrella Policy... 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Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 29 May/ June 2014 Edition Lessons I’ve Learned About Selling After 26+ years as a successful salesperson, here is what I know to be true about sales. by John Chapin Lesson #1: If you’re looking for 9 to 5 and safety and security, sales is not for you. Sales really is the hardest high paying work or the easiest low paying work. Top salespeople are extremely hard workers, they get in early, stay late, and most work the weekends. While it’s true that well-established salespeople sometimes cut back a bit on their hours and weekends, when needed, they are still able to call upon a great work ethic and put in the extra hours. Top salespeople go above and beyond, they answer their phones off-hours, and they are always ready to respond at a moment’s notice. Lesson #4: You need to have a burning desire to succeed. Successful salespeople know what they want for themselves and their families, they have a plan to get there, and they will either win or die trying. They do not allow for anything other than success. You can see it in their eyes, hear it in their voice, and sense it in the way they carry themselves. There is an overwhelming confidence that they will achieve the outcome they desire and they do so time after time. Top salespeople know that you can have it all and you don’t have to sell your soul to get it, but you do occasionally have to go through hell. Lesson #5: You are the parent of an 18 year old… and the 18 year old is you. In addition to putting in extra hours, working outside of “normal” Any parent of an 18 year old knows how tough it can be to get them hours, and working extremely hard, top salespeople are able to take to do some things. Well, when it comes to sales, you are your own the ups and downs of a sales career. They are experts at overcoming 18 year old. Top salespeople are self-starters and have the adversity and pros at controlling their emotions. They realize that self-discipline to govern themselves and get themselves to do what sales is not for the feeble or faint-of-heart. They know you need to must be done every day. They realize that in sales you are self keep your mental edge at all times and you must learn to use employed and that if you make the sales, you’ll stick around, if you everything to your advantage. don’t make the sales, you’ll be gone. The bottom line is: if you need someone standing over you to make sure you are doing what you Lesson #2: Successful salespeople always find a way to have to do, you’re in the wrong business. Top salespeople have the succeed. drive and motivation to push themselves extremely hard even when Have you ever noticed that the most successful salespeople are they’re all alone. always successful regardless of how bad the economy, the market, or anything else seems to be? Have you also noticed that Lesson #6: You always unsuccessful and mediocre salespeople are always, at best, average have to be learning and no matter how good things are? 90% of your brain, the improving. subconscious, is super creative. Successful salespeople use the Top salespeople know that creative brain to come up with resourceful ways to increase you can never know it all. business, get through hurdles, and overall, become more successful. There are always new Unsuccessful and mediocre salespeople use the creative brain to find techniques, new technology, ways to look busy, waste time, and otherwise avoid the hard work and new ideas that are being necessary for success. They clean their desk, do paperwork in the created every day. Top middle of the day, or schedule doctor appointments and other salespeople stay up on changes personal items during prime calling times. This is the same theory in the industry, keep abreast behind why the rich get richer and the poor get poorer. of the latest sales ideas, and constantly look for ways to stay positive and motivated. They are Lesson #3: Sales success or failure comes down to you. always looking for ways to develop themselves personally and This ties in with #2. Successful salespeople know that if you do the professionally. Top salespeople get that there is no neutral or proper amount of the right activities during the day, you will be standing still, you’re either getting better and moving forward, or successful, if you don’t, you won’t. This of course assumes that you losing your edge and moving backward. They know that school is have a decent product and work for a reputable company. If that is never out and there is always more to be learned. the case, and you still fail, you have no one to blame but yourself. It’s not the economy, your upbringing, or the bad break you got Author: John Chapin—Award winning speaker, sales 15 years ago. Many others have had it much worse than you and trainer, coach, and co-author of the gold-medal winning have been successful; the top salespeople understand that you “Sales Encyclopedia”, a comprehensive how-to guide on and you alone are responsible for your success or lack thereof. selling. © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 30 May/ June 2014 Edition © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 31 May/ June 2014 Edition The Premier Property and Casualty Trade Association INDEPENDENT INSURANCE AGENTS AND BROKERS OF ARIZONA, INC. 333 East Flower Street Phoenix, Arizona 85012 Phone: 602-956-1851 Toll: 800-627-3356 Fax: 602-468-1392 Email: info@iiabaz.com We’re on the Web www.iiabaz.com IIAB of Arizona staff Lanny L. Hair, CIC, AAI, ARM, RPLU Executive Vice President Joni R. Fairbrother, CIC, RPLU E&O Department Administrator IAS Assistant Vice President Terri S. Edwards, CIC, CISR IIABAZ Assistant Vice President Ray A. Garcia, CISR Education Coordinator News & Views Editor Don’t forget to join us on Facebook at CƕKN{RRR|A<>@=J J F|>J H Independent Agents and Brokers of Arizona 2828 North 36th Street Phoenix, Arizona 85008 Michael E. Radcliffe, CISR E&O Department Administrative Assistant Mona L. Enriquez E&O Department Administrative Assistant Kathy M. Johnson Bookkeeper Jonathan J. Calendreli Education Coordinator Assistant Affix Mailing label here © Copyright Independent Insurance Agents and Brokers of Arizona, Inc.’s News & Views Page 32 May/ June 2014 Edition
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