Protected Loss Fund Program Seminar Agenda I Protected
- Slides: 81
Protected Loss Fund Program Seminar
Agenda I. Protected Loss Fund Program (PLFP) 1. Purpose 2. Programs 3. Structure & Costs Claims Review III. Break IV. Identifying Risks V. Lessons from the field VI. Lunch VII. Emerging Issues VIII. Special Events IX. Break X. Online Resources II.
Insurance & Claims Services Who we are Vince Andrews, Manager – 27 years Russ Owen, Loss Prevention Representative – 26 years Karen Halas, Risk Management Coordinator – 23 years John Greenburg, Risk Control Specialist – 12 years Rosemary Gleason, Loss Prevention Representative – 8 years
Protected Loss Fund Program (PLFP) Purpose • Resource for Loss Prevention • Placement of Excess Insurance to protect (Arch)Diocesan activities • Insurance and Claims Assistance and Management
Protected Loss Fund Program (PLFP) Service Programs • PLFP • Clergy Auto • Special Events • Priest Personal Protection Program • Student Accident • Travel Insurance • Loss Prevention Services and Education • Appraisal Services • Certificates of Insurance
Service Programs PLFP • Comprehensive Property Insurance • General Liability (GL) • Workers Compensation (WC) • Parish-owned autos
PLFP Comprehensive Property Insurance • All Risk Property and Content Coverage for sudden and accidental losses • Crime/Fidelity Coverage • Boiler and Machinery • Coverages are determined under the excess insurance policy language
PLFP General Liability • Slip, Trip and Fall • Directors & Officers • School Board Legal Liability • Counselor’s Errors & Omissions • Parish Nurse protection • Cyber Liability • Pollution Legal Liability
PLFP Workers’ Compensation • Injuries occurring in or out of course of an employees’ duties • Who’s covered • What’s covered
PLFP Diocesan/Parish Owned Vehicles • Subject to the Michigan No-Fault Statute • Priority of Benefits • Title Requirements
Service Programs Clergy Auto • Priest-owned vehicles • Separate program from PLFP vehicle coverage • Separate line item on parish invoice • First party coverage/vehicle damage • $250 deductible broad form collision • $100 Comprehensive deductible • $0 Glass damage/free replacement • $45/day rental reimbursement • $50 limit of towing/road service • Liability limit of $1, 000 – new as of July 1, 2016
Service Programs Special Events • • • Summary of Coverage • $1, 000 – new as of July 1, 2016 • 1 calendar date Parish Control • Form completion and submitting • Payments Examples this afternoon
Service Programs Priest Personal Protection Program • Liability limit of $1, 000 • Examples of policy triggers • Dog bites • Errant golf balls • Personal Libel and Slander
Service Programs Student Accident • Student Assurance Services (SAS) • Coverage for all school/religious education/sports children’s activities resulting in injury • Subject to the SAS policy limits • Excess of any health plans applicable to the child • Additional coverage for full time available through SAS for purchase • Information, coverage language and claims forms are available on SAS website: www. sas-mn. com
Service Programs Travel Accident • Travel Accident FAQs
Service Programs Loss Prevention and Education • Comprehensive loss prevention assessments • Online resources • • Learning Management System • MCC/RM forms & documentation • Travelers’ risk control • GB Risk Control MCC telephone support
Service Programs Appraisal Services • Annual construction cost indices • New construction, acquisitions and major renovations • As needed
Service Programs Certificates of Insurance (COIs) • On-demand service to provide COIs to 3 rd party for diocesan activities and leased property • Proper notification needed when leased property is updated (i. e. new copier)
PLFP Structure Liability Property Boiler and Machinery Crime $100, 000 Torus $14, 000 xs $86, 000 $210, 000 $100, 000 $5, 000 Statutory Coverage $10, 000/ Travelers Hartford Steam PESLIC Safety National $25, 000 $ 200, 000 xs $10, 000 Boiler Inspection Coverage A Aggregate Workers' Compensation & Insurance Co. Pollution Legal Liability Cyber Liability $10, 000 Chubb/ACE Ironshore Specialty Ins. Co. $86, 000 Allied World $25, 000 xs $61, 000 $61, 000 Ironshore $25, 000 xs $36, 000 $36, 000 Coverage B Lexington $400, 000 xs SIR $25, 000 xs $11, 000 $11, 000 $10, 000 PESLIC $10, 000 xs $1, 000, 000 SIR xs $350, 000 SIR Employers Liability PROVINCIAL LAKE SPC Liability Property Boiler and Machinery Crime Workers' Compensation Pollution $1, 000, 000 SIR $5, 000 SIR $350, 000 SIR $1, 000 SIR Legal Liability $10, 000 SIR Freeze and Lightning $50, 000 SIR Cyber Liability $50, 000 SIR
PLFP Structure (cont’d) Vendor Relationships • Arthur J. Gallagher • Gallagher Bassett Services, Inc. • Excess Underwriters • Munich • Travelers • Safety Nation • Etc.
PLFP Structure (cont’d) (Arch)Diocesan Costs • Actuarial Review • Exposures • Building Values • Wages • Autos • Above determines self-insured retention levels • Excess insurance • • Includes above exposures • Student and Athlete counts • More specific details on all aspects of (Arch)Diocesan activities and assets Both the Actuarial and Excess underwriters reviews are heavily weighted by Loss History
Clams Review and Discussion • Last five years (7/1/2011 – 6/30/2016) • Province Wide • “Top 10” in each category • Review Frequency and Severity by: • Coverage • Source • Nature • Preventable vs Non-preventable
Claims Review and Discussion By Coverage Frequency 1800 1600 1400 1200 1000 800 600 400 200 0 Total RB 1640 AP 1383 WC 1098 GB 1048 RC 268 AD 87 EP 50 GD 43 CM 25 PI 25
Claims Review and Discussion By Coverage Severity $30, 000 $25, 000 $20, 000 $15, 000 $10, 000 $5, 000 $0 RB WC AP EP GB RC PI Total $24, 278, 612 $5, 159, 229 $2, 801, 332 $2, 076, 773 $1, 924, 205 $1, 218, 441 $1, 091, 040 FF $717, 241 AB $441, 931 AN $422, 849
Claims Review and Discussion By Source Frequency 600 500 400 300 200 100 al M d an al ism m or ld 294 ds t in W W 183 Windstorm ie ds h in -P ef hi isc io us ic ru St nd M al im an 187 ck 272 Va , H ng bi Pl um ro je ob or rf ha isc , D AC tin ea la rg Bu p. ct in g in Struck animal Vandalism and Windshield or object Malicious Mischief - Prop. g, ry , R Rain Ov e e, rg w er th t. O No y, er ob b lo w sif i as Cl ise ft Th e Ne d ge le Al ed ty pe r -P ig gl ce an en nt ai m er op pr im d ge le Al ro en -o t. A th er ct Alleged Burglary, Not Otherwise Plumbing, Heat improper Negligent Act Robbery, Theft Classified ing, AC, Dischar maintenance - Property ge, Overflowing other Total 552 272 161 196 204 Ra 0 212
Claims Review and Discussion By Source Severity $ 934, 122 Hail $ 890, 164 Hail $ 983, 705 Ground/floor Not Otherwise Classified Burglary, Robbery, Theft Property Weather NOC - Property Freezing of Plumbing, Heating, AC System Alleged Negligent Act Plumbing, Hea Windstorm Alleged Freezing of Weather NOC Burglary, ting, AC, Disch Negligent Act Plumbing, - Property Robbery, arge, Overflo Heating, AC Theft wing System Property $ 3, 568, 984 $ 2, 049, 933 $ 1, 914, 373 $ 1, 691, 943 $ 1, 633, 118 $ 1, 298, 093 $ 1, 143, 338 Windstorm Total $ 7, 918, 935 Rain Plumbing, Heating, AC, Discharg e, Overflowing Fire Property Rain 8, 000 7, 000 6, 000 5, 000 4, 000 3, 000 2, 000 1, 000 $- Fire - Property $ $ $ $
Claims Review and Discussion By Nature of Loss Frequency 1400 1200 1000 800 600 400 200 0 Total Vehicle Damage 1383 Interior structural damage 707 Contusion, bruise Strain Fracture 476 456 405 Exterior structural damage 281 Laceration, open wound Contents Property exterior Building services 263 258 227 215
Claims Review and Discussion By Nature of Loss Severity $10, 000 $8, 000 $6, 000 $4, 000 $2, 000 ge ila rt ca To rn ys ic al ph $1, 198, 320 nt en ts Contents Co ju ry No physical injury in on nd No ig /l s/ le m ob Pr al ic lo g ho Ps yc te en am en m ild rio te Torn cartilage/liga ment/tendon $1, 259, 449 t/ re ac tu sh la ta in g se ng ui rv ic ag es e Psychological Fracture Problems/men tal anguish $2, 023, 529 $1, 786, 558 $1, 693, 928 rs Ve hi cl e Da m ag ld ra uc tu tr $2, 801, 332 Ex r/ rio te ex d ne bi Co m am am . d uc tr rio rs te in rs rio te In e ag am ld ra tr uc tu Total Building services Fr Vehicle Damage Bu Interior Combined Exterior structural exterior/interi structural damage or struc. damage $9, 167, 160 $9, 084, 071 $2, 824, 009 e $0 $1, 166, 132
Claims Review and Discussion Preventable vs Non-Preventable • 5 -year Claim total • 5, 723 claims • $40, 781, 797 total incurred • Claims identified as preventable • 774 claims • $3, 751, 059 total incurred or • Almost 10%
Claims Review and Discussion How and When to submit a claim • • How: • Gallagher Bassett Services • 866 -850 -1933 for Property, GL, CA and PLF Autos • 800 -926 -1819 for WC When: • Within 24 hours of an incident • Claim vs Incident • Significance of early reporting
Claims Review and Discussion Report Lag Average Claim Incurred by Total Lag 25, 000 $23, 144 20, 000 $16, 504 15, 000 $11, 738 Claims within threshold $10, 687 Claims above threshold 10, 000 $7, 680 $7, 626 $5, 482 $5, 434 5, 000 $2, 664 $1, 864 0 A*: Auto Coverages C*: Crime Coverages G*: General Liability Coverages P*: Property Coverages W*: Compensation Coverages
BREAK
Identifying Risks • Must be able to identify risks that exist around you • Each member of the staff should contribute to the overall loss prevention • Common everyday risks abound
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Lessons from the Field • Most Frequently Used Recommendations • Repeat Offenders • How Underwriters use the data • Major topic of concern • Fraud Prevention • How we can help
Lessons from the Field Top 10 Recommendations
Top 10 Recommendations 1. Non-GFCI Outlets 2. Emergency Lighting Repair 3. Video Inventory 4. Self-inspections 5. Operation Identification 6. Fire Extinguisher Service 7. Emergency Exit Signs 8. Accounting Practices 9. Outside Persons Liability Insurance 10. Electrical Panel Access
Lessons from the Field • Accounting Practices • Lower Frequency of recommendation and occurrence • Potential for major loss • Video to help prevent fraud • Video
LUNCH
Emerging Issues • Age of Buildings • Travelers’ Roof maintenance and inspection checklist • Lead in Water • • • Statewide School Drinking Water Quality Program • $950 Reimbursement • Expenses incurred 7/1/16 – 9/30/17 Slip, Trip and Fall Control • Snow Log • Travelers’ STF checklist and control document Special Events • Do’s and Don’ts • Scenarios – You be the judge
Special Events Do’s and Don’ts • DO use parish funds/check to pay for Special Events • DO make sure ALL information is filled out on the forms, this includes: Unit Number, signature, date, whether or not alcohol is being served. • DO make sure entire triplicate form and check is sent to MCC • DO NOT send the form home with individual • DO verify if the event requires Special Event Insurance or not. When in doubt – fill it out.
Special Events Scenarios • A woman calls and wants to have a wedding reception in your parish hall? (but no alcohol is being served)? • A parishioner stops in and asks if they can use your hall for a fundraiser benefitting their pet poodle’s mounting veterinarian bills? • Pastoral Council President wants to change meeting rooms from basement hall to the newly renovated all-purpose room on the ground floor? • A parishioner calls and is planning a large anniversary party for their parents and wishes to use your gym? • A coworker wants to throw together a bridal shower for another colleague in the employee lounge? What if no alcohol is being served? • The parish is about to host its first annual spring festival with a beer tent, kid’s games and catered food? • Father wants the parish to start hosting monthly AA meetings in the parish hall? • The parish/school staff decides to hold their annual Christmas dinner on-site instead of going out?
BREAK
Online Resources • Learning Management System (LMS) • MCC Risk Management • Travelers’ Risk Control • GB Risk Control
Online Resources Learning Management System • Accessible from MCC website • Individual sign-ons • Tracking ability • List of available modules
List of Available Modules • Basic Evacuation Planning & Procedures • Bloodborne Pathogens for Schools • Catholic Cemeteries Self Inspection/Hazard Recognition • Continuity of Operations Planning • Disaster Planning 101 • Determining the Root Cause of Accidents • Electrical Safety • Employee & Family Disaster Planning (Business Continuity Begins at Home) • Fire Prevention Practices • Fraud Prevention (MCC) • Hazard Communication • Housekeeping – Safe Housekeeping Practices Means of Egress • Playground Safety Inspection • Portable Fire Extinguishers II • Preventing Injuries When Lifting, Moving and Transferring Residents • Preventing Slips, Trips and Falls • School Hazard Identification • Violence Prevention
Online Resources • MCC Risk Management • http: //www. micatholic. org/risk-management/ • Link to LMS • New Construction Log • Information & Forms
Online Resources • Travelers Risk Control • https: //www. travelers. com/risk-control • Various Toolkits • Do-it-yourself assessments • Email our Loss Control Representative for access • Dawn Safine • Dsafine@travelers. com
Online Resources • GB Risk Control • www. gbriskcontrol. com • Loss Prevention Reports • User ID: DIO#### • P/W: DIOCESE
QUESTIONS
THANK YOU AND BE SAFE! Michigan Catholic Conference 1 -800 -395 -5565 Vince Andrews, Manager vandrews@micatholic. org General questions riskmanagement@micatholic. org John D. Greenburg jgreenburg@micatholic. org
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