https://completemarkets.com/Article/article-post/2330/CLAIMS-MANAGEMENT-AN-IMPORTANT-PART-OF-A-SUCCESSFUL-INSURANCE-PROGRAM/
Claims Management: An Important Part Of A Successful Insurance Program
CLAIMS MANAGEMENT: AN IMPORTANT PART OF A SUCCESSFUL INSURANCE PROGRAM by Elizabeth Shaw, CPCU This writing is based on one simple premise: The integration of claims management into a commercial insurance product during the early stages will improve the results of the insurance program. Just as a marketing plan defines the distribution process and an underwriting plan defines the risk selection and rating processes, a claims management plan to define the response process is the logical third piece, and is just as important to the success of the insurance program. To begin the discussion, let's interpret the insurance product from the perspective of an insured or affinity group of insureds. The insurance product is: a coverage contract providing protection from the financial results of accidental loss service and advice from an agent/broker and the carrier, at times critical to the insured Next let's analyze what an insured or a group of insureds expects from an insurance program. They expect: the coverage they need as defined by the law and/or the group or organization's risk philosophy, at a price that they believe is fair and in line with the organization's financial goals the service they want for maintaining the coverage they need. This service might include having all their questions answered, getting proactive advice as business conditions or market opportunities change, and getting professional assistance leading to prompt resolution when claims occur Traditionally, all parties involved with providing insurance have recognized the significant impact of claims considerations only after losses have occurred. The importance of proper reserving for the rating process and timely, accurate reports on actual losses for strategic decision-making and loss-control activities is undeniable. More directly, the claims process delivers the promises called for in the insurance contract, and therefore plays an integral part in the program. But what about before the fact? To be most effective, claims management should be discussed before the losses have occurred and even before the coverage has been decided upon and bound. As the continuing soft market for commercial casualty business attests, the days of the insurance market alone determining the availability of coverages and the rates charged for those coverages are gone, probably never to return. A commercial insured today insists on having more control over its own financial destiny. Accidental losses leading to claims are obviously an important part of that financial destiny. The commercial insured today is more sophisticated and has many more options for exercising control than ever before. Some of the control is achieved by implementing loss-control measures. Other options relate to risk financing, each of which may create important claims ramifications. The risk-financing options now available include: new and/or larger retentions through deductibles, self-insurance, and captive reinsurance increased bargaining power through association sponsorship of insurance programs, purchasing groups and risk retention groups, and specialty niche programs customized for particular affinity groups Most critical for this discussion is another important benefit that insureds are also coming to expect in their insurance programs: understanding how their claims will be handled and having some input into the process so as to address their insurance requirements and support their financial and business goals better. Doesn't it then seem logical to integrate a program or account-specific claims management understanding into the overall insurance program at the outset, rather than assuming that the claims will simply take care of themselves as long as there are adjusters handling them? Line claims people, including those in management positions, do operate under a claims management plan. Every insurance carrier with any kind of claims staff has documented general procedures and standards for its claims department that it uses for dealing with common, and even not so common, claims issues. These procedures and standards are applied across the board for all policies and all insureds, and they are needed for fairness, consistent contract compliance, and ease of internal management. Authority levels for loss reserves and settlements, geographical and organizational work distributions and adjuster caseloads, and philosophies for establishing reserves and providing a defense are among the issues usually addressed by these standards. Unfortunately, because of the carriers' size and organizational concerns and the carrier's own financial interests, these standards are generic and often fairly inflexible, especially when specific claims concerns are not considered during the account or program planning process. Individual account or program issues are not particularly weighed when the procedures are established, and often account and program issues are not considered when the procedures are practiced. Claims veterans are even heard to say that 'a claim is a claim is a claim is a claim.' Insureds, as they become more knowledgeable and more assertive in their efforts to control their financial destiny, are not likely to concur with this characterization, especially when the claim in question is theirs. Furthermore, when claims standards and philosophies are not discussed with insureds until losses have occurred, they are likely to come to light as apparent conflicts. Through market opportunities becoming available to them, insureds are able to participate to some degree in planning the coverage to be provided and the rates to be charged, and the way the coverage will be coordinated with the methods and levels they have chosen for retention and risk financing. Why should they not expect to have some initial understanding of who will handle their claims, how and by whom and within what legal and ethical parameters their claims will be defended, or some input into when and for how much their claims are settled? This is not to advocate that insurance carriers should abandon the claims discipline to their insureds, any more than they similarly abandon the underwriting discipline. However, as proper underwriting criteria for risk selection and rating differ under the circumstances of different programs or accounts, different market conditions, and different carrier appetites, the procedures and standards that dictate claims practices can also differ and still be proper legally and actuarially. For instance, good claims practice dictates that subrogation from a viable third party, once identified, should always be pursued because the policy provides the carrier that right. But what if the viable third party happens to be an important client of the insured and an attempt to recoup a claim expenditure could interfere with the insured's continuing relationship with that client in the long run? Especially when the insured participates in the ultimate financial exposure for the loss, whether to subrogate becomes not only a claim decision but also a business decision. As another example, cost-effective claims philosophy dictates that small claims even if somewhat questionable, usually be settled early at a nominal cost (commonly called nuisance value) to prevent the need for incurring further investigative and defense expenses. But what if the insured believes that such a settlement in a particular case will encourage more claims of the same type and feels that a stronger defense posture in that case, though not individually cost effective, could prevent a proliferation of similar claims? There is no definitive answer to these situations. But an early claims management discussion, inviting input from the insured, can provide additional guidance to the claims adjuster and acceptance from the insured before they act as general procedures dictate. But claims practices that are within the legal and actuarial requirements of the carrier AND that best meet the an individual account's expectations are unlikely to occur by chance. Moreover, the time after the loss or period of losses is clearly not the best time to discover general procedures conflicting with the insured's or group's expectations or needs. Unfortunately, that is when the discovery is most likely to take place. The best time is upfront, while the program is being designed and the deal negotiated. That is when the communication lines are uncluttered by losses that have already occurred and by the potential frustration of unmet expectations. In direct contrast to abandonment of the claims discipline, I recommend taking the time to explain and agree to a claims strategy that takes into account the insured's goals and the carrier's responsibilities. The specific advantages of having a program-focused claims management strategy include: Establishing communication lines to discuss routine and non-routine matters and to encourage a meaningful exchange to anticipate and provide for claims concerns Defining a role in the claims process for the insured or group that adds value to the claims-management process Determining useful measurement tools for the insurance program in relation to claims. Communication is the exchange of ideas and information. Effective communication is essential to a successful relationship and is the first step toward meeting the goals of all parties. Establishing and practicing meaningful, consistent communication procedures should occur from the outset of the relationship to prevent confusion or surprises later on. Exchanges regarding claims during the planning stages can encourage meaningful communication later on about claims matters. The successful use of such lines of communication for nonadversarial problem-solving and general reassurances could be as critical to an insured as premium cost. Part of the communication process is providing information, but the other part is receiving and understanding the information provided, including the attitudes and philosophies it reflects. Claims discussions should take into account the level of satisfaction of the insured's organization, with claim methods and results from the past and the reasons behind those opinions. Claims situations intrinsic to the particular type of business and to certain functions within the organizations should be considered. All concerns relating directly to claims handling should be identified and analyzed. But these claims issues cannot be meaningfully considered if they are not even mentioned during the planning process. If they are simply presumed to be addressed by generic claims practices designed to be consistent and meet the carrier's organizational management system, disappointment or conflict is likely to arise. The key is to establish the relationship in the earliest stages of the insurance program as a means for routine communication, not exchanges that take place only when a problem has developed or has escalated to potentially serious proportions. Meaningful communication requires an ongoing relationship between the parties, which is difficult to establish under the duress of frustration on both sides. Communication leads to smoother claims handling and a more satisfied insured. The second advantage of a claims management understanding is that it can specifically provide a means for the insured's input. The role of the insured or the group in the claims management process should be designed around the goal of advancing the appropriate and effective management of the losses under the program. Some of the obvious activities in that role are delineated in the Conditions sections of a standard insurance policy, such as reporting losses promptly to allow the investigation process to begin within the earliest possible time frame. Although especially important in Workers Compensation claims because of statutory time frames imposed on those responsible for paying benefits to injured employees, prompt reporting is important in every line of coverage. Another activity is to cooperate fully with the investigation efforts, including relaying all the facts as they are known, allowing access to knowledgeable personnel, and encouraging an open interchange of information as claim facts develop. An insured attempting to control the scope of the investigation by withholding pertinent information, regardless of the motivation, could limit the ability of the claims person to structure a competent defense. Claims people make their living investigating, evaluating, and resolving losses and complying with statutory requirements and court procedures. The insured person or group is rightfully concerned with the challenges, opportunities, and limitations for furthering the business purpose of their organization and the impact of claims on that business. Claims people welcome input and cooperation within areas of the insured's expertise. This vital contribution, based upon the insured's area of greatest knowledge and experience, adds value to the process and imparts an insight into the organization or business, the products or services, and the political and philosophical workings within the organization or profession. A subtle balance must be maintained between desirable input and inadvertent interference in the claims-management process. An agreement about the insured's involvement in the claims process, balanced with the available professional claims expertise, best promotes the basic purposes behind the insurance program of real savings in loss costs with long-term strategies (not short-term tactics). The third advantage of a focused claims-management strategy is to establish a set of claims ground rules and expectations against which actual results can be measured. As business and market conditions evolve, measurement tools are essential to enable the insured as well as the insurance professionals to evaluate the current insurance program and make necessary modifications over time. Taking the time during the planning stages to establish claims-measurement tools that are consistent with the goals of the insured and the insurer is well worth the effort. In conclusion, the basic premise of this piece was that integration of claims management in the commercial insurance product will contribute to improved results from the program. The insurance broker or agent achieves program success through binding the insurance program and expanding it over time. The insured or group achieves program success by promoting its own favorable financial results and having its insurance program meet its expectations. The insurer achieves program success through profitable underwriting results and retention of a profitable account. Encouraging discussions to anticipate and provide for claims concerns and establishing communication lines for nonadversarial problem-solving, defining a meaningful role for the insured or group in the claims-management process, and determining effective claims measurement tools, enhance the chances for success in all these areas....
https://completemarkets.com/Article/article-post/981/Compensation-Approach-For-Agency-Service-And-Support-Personnel/
Compensation Approach For Agency Service And Support Personnel
The determination of adequate compensation levels for the staff is one of the most difficult issues faced by agency owners and managers. Compensation is dependent on so many different aspects of the agency operation that it must be individualized for each organization. What some agencies are doing will not necessarily be right for you. You can get advice from other agents, consultants, articles, and The Middleton Letter, but the final approach must accommodate and complement your specific agency's business plan.
In another Middleton article, we presented the key to increase productivity and profitability-pay employees based on performance and combine the compensation with non-monetary motivational tools. As the commercial market continues to soften (can this really be happening?) and personal lines commission rates decrease, there will be fewer dollars per account with which to pay employees and meet other operating expenses. It is essential that the amount that is being paid is indeed improving productivity and increasing the number of accounts that each person can effectively handle.
In another article, we will tackle producer and owner compensation in this difficult marketplace. In this issue we are focusing on compensating the service, support, and management personnel but many concepts and methods can also be applied to salespeople and particularly to owners who are functioning primarily as managers. What it all boils down to is that everyone must be on a compensation system that fosters creativity. People must be encouraged to find the smartest way to get things done and they should be rewarded for the quality and quantity of performance rather than the number of years that they have been with the agency.
Over half of the agencies in this country still do not have a formal compensation plan for non-sales employees. Those that have implemented such a structure are much more successful in tying compensation to performance and in accomplishing the results we talked about last month. Do it NOW. The smaller the agency, the easier it is to put guidelines and salary ranges. Implementation of the plan is a traumatic experience and it is easier when there are fewer employees to absorb the changes.
A formal Salary Administration Plan for the non-sales employees will help insure that:
everyone will be paid fairly and equitably based upon the value of their position to the agency and the performance of the required functions of that job;
each employee knows what has to be done to obtain a promotion and/or an increase in compensation;
each employee has the opportunity to advance as far as he/she wants to and is capable of;
there is a systematic and fair method of adjusting compensation based on performance.
There are five steps involved in implementing a salary administration program:
1. understand the job involved;
2. determine what the job is worth;
3. relate compensation to similar jobs in other agencies;
4. reward individual achievement;
5. establish policies, guidelines, and procedures for administering pay.
The starting point in putting together such a plan, then, is to prepare written job descriptions. Have each employee write one. Have each supervisor or manager write one for the positions they manage. And when you have gotten over the shock of the different perceptions of the positions from employees and managers, conduct a complete evaluation combining their input, and classify each job position.
Consider the management, administrative, and professional responsibilities of each position and rank them on a scale of one to five for the following categories. Does the job influence these things?
Monetary impact-the direct influence that the job has on income and/or expenses and therefore profit;
Decision-making responsibility- the level of decisions that can be made without having to go to a higher authority for approval;
Complexity of analysis and problem solving-the level of technical analysis and professional knowledge required of the position;
Degree of innovation-requirement for developing new ideas or changes in methods, procedures or services;
Nature of relationships-contacts that the position has with other people in the agency, management, clients, company personnel and the level of diplomacy and persuasiveness necessary to carry out the job;
Educational requirements-the level of education (including professional insurance courses) that should have been attained;
Experience requirements-the work experience and insurance industry experience desired and the nature of this experience (company, agency, etc.);
Number and nature of positions supervised/managed-people managed and skill level of the subordinate positions.
It is extremely important to conduct this evaluation of the positions without regard to the current incumbents of the position, even if that person is doing a good job. What should the job description be? And what type of person should be filling the position? If you are lucky, you will already have the right people in the slots-if not, you know what you will need to be doing in future hiring situations.
Once this exercise has been completed, relative job classifications can be assigned and the actual job description can be written that include reporting relationships, overall job purpose, specific responsibilities (usually 8 to 10 basic tasks), and job qualifications. Be sure to include as one of the responsibilities: Other tasks assigned by the (Manager / President); to avoid being confronted by; That's not my job; Everyone needs to know that, while they may have specific routine tasks, any assignment deemed to be necessary by management is to be performed because it is helping the whole organization achieve its goals. Employees have to understand that the accomplishment of the overall objective is the ultimate purpose of every job in the agency.
Along with job descriptions and classifications, the employees filling the positions must be given individual direction on what they need to do to get a raise next year or to get a promotion to a higher job class. The performance evaluation should focus on past performance strengths and weaknesses as well as what could be improved. Quantifiable items such as volume of work handled, days absent, should be included and the following qualities graded: accuracy, orderliness, reliability, appearance, job knowledge, written and oral self expression, intelligence, decision-making ability within the parameters of the job definition, resourcefulness, initiative, acceptance of responsibility, and most importantly attitude and team spirit.
Having a negative attitude and pulling the rest of the employees down is probably the single most important reason for firing someone . . . no matter how well they perform their job otherwise. Low morale can reduce productivity by as much as 75%. An employee who continually voices a negative attitude cannot be tolerated.
Formal performance reviews should be conducted at least once a year. These should include a review of the goals set the previous year, the employee's own assessment of his/her performance and related strengths and weaknesses, and the manager's perception of the results of the review period. The final evaluation should be in written form and signed by the manger and the employee to avoid possible EEOC problems should it become necessary to terminate the employment of the person. You need proof that they have adequate notice that their performance needed to be improved.
The performance review will take care of some of the feedback that is necessary to meet the needs of the employees. Paying attention to the members of the team is also important on a daily basis. Don't assume that having a performance evaluation plan is a substitute for the positive stroking and the gentle remonstrances that are an integral part of personnel management. One of the most common complaints that we hear in agencies is that people never know what management is thinking unless they've done something wrong and the screaming starts. Why don't they let me know when I've done something right?
Salary ranges for each position will increase either because of inflation or because of changes in the local market area for the past several years ranges have gone up an average of 3%, but historically the increase has been closer to 6%. General salary increases are designed to have employees keep pace with the pay of peers in other agencies.
Rises in the salary levels of the individual people will be dependent on the overall increase applied to each salary range and the individual performance ranking of outstanding, above average, average, or below average. An average performer should get no more than the general range increase. The standard agency will have around 60% of the total employees at the average level with 30% above average, 5% outstanding and 5% below average (presumably people on the verge of exiting).
These general guidelines should be communicated to the employees to reinforce the understanding that most people will perform in an average manner and that to really get ahead, they need to strive to be in the elite few that are above that level. Pay increases for improved performance are investment spending. There are few other opportunities that an agency will have where the yield is higher and the risk is lower.
Because there is only so much economic value to service and support positions in agencies, there has to be a top to the salary range. What do you do about a good performer who has reached the position ceiling and does not want (or is not qualified) to enter sales or management? First determine whether it is possible to promote them within the job-from CSR to Sr. CSR, for example.
Such an administrative promotion leaves them in effectively the same job but it gives them additional duties and responsibilities. When that option has been exhausted, you simply have to make do with bonuses based upon incentives. It is your job as manager to convey the realities of the business world to these employees in such a way that they understand and accept the situation.
Some agencies directly tie volume of work handled to the person's place in the salary range and to the percentage of increase that they will receive. Others provide separate incentive bonuses above slightly lower base salaries for CSRs that can handle more work than some of the others. To use either one of these approaches, you have to know with a reasonable degree of accuracy how much the average CSR can handle.
An incentive program that is based upon inappropriate measurements is worse than no incentive at all.
Although the number is decreasing, there are still some agencies that provide an incentive for personal lines CSRs to sell policies and round out accounts. If this is done, the base salary range should also be slightly lower. The extra incentive can be a percentage of commissions or a flat amount per policy sold (roughly equivalent to 50% of the average commissions per policy in the agency). It has been our experience that this type of incentive program does not encourage CSRs to sell unless it is also tied to other motivational activities, but it can provide some extra income for people working in agencies that have not been able to afford to raise salaries much over the past several years.
Incentives that tie the bonuses paid to overall agency or department performance are now being used much more extensively for the non-sales staff as well as for managers. The following is a dual program that can work in any size agency with larger ones being able to use departmental basis. The emphasis is on growth, profitable business, and productivity since the fewer the people that it takes to accomplish the results, the more each receives individually. Play with the percentages both for the goals and for the payout. Make sure that the objectives can be reasonably be accomplished in your agency and that the reward is high enough to provide real incentives and yet not so rich that it breaks the bank. It should also be recognized by everyone that zero bonus awards are inevitable in some years.
Agency Incentive Plan-Payout is 5% (more or less) of contingent income received and/or 5% (more or less) of commission growth in agency or department. Employees may have bonus shares based simply upon head count for people who have been with the agency for the full year and pro rated for others. Or the bonus shares could be based upon the performance review. For example, an employee that receives an outstanding rating gets 2 shares, above average--1.5 shares, average-one share, etc. Managers may receive additional shares in the general pool or may be set upon a separate program that also takes profit of the agency/department into account. Profit should only be used, however, if the manager has control over this area.
There are many variations to this type of incentive program. You might want to base it only on new sales or on a specific retention rate. Certain lines of business could be included or excluded as dictated by the agency's business plan. Agencies located in a volatile employment market want to build golden handcuffs into the program by deferring payment for a year. Depending on the perpetuation plan, this mechanism could be used to get employees involved in actual agency ownership. Or it could be used for the distribution of phantom stock.
One agent in rural Kansas had his own unique bonus program that he shared with us: I have one employee who receives a bonus each year of six cows and six calves with an approximate value of $6,000. She keeps the cows and sells the calves the next year which increases the bonus yearly. Whatever fits your agency situation . . . Whatever works . . .
We expect that most will start using incentive bonus programs like the ones described above. These plans reinforce the commitment by the employees to the organization and to work excellence. It's been our experience that this is one of the best ways to accomplish the elusive team spirit that we believe will be critical for success in the nineties. You have to remember, however, that these success-sharing programs will only work in successful agencies. That means that the agency must have owners and producers who are willing and able to be constantly selling new business while working with the staff to retain the existing book.
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https://completemarkets.com/Article/article-post/978/OWNERSHIP-ISSUES-AND-COMPENSATION/
Ownership Issues And Compensation
OWNERSHIP ISSUES AND COMPENSATION by Carol Hammes During the past several months we have been addressing methods for compensating agency staff, managers, and salespeople. How should the owners fit into these programs? For smaller agencies the tendency generally has been to compensate owners using a 'what's-left-over' method. After all the bills are paid, the owners divide up the remainder based on their respective ownership positions. This is undoubtedly the most reasonable approach for the first several years of operation, or in situations where growth has been minimal and there is only one or possibly two owners. When the revenues have increased to $500,000 or so, it becomes important to start operating the agency more like a business organization. You must begin to treat the owners as employees for initial compensation purposes. After the owners are paid for their services in the area of sales or management (i.e., what they would be paid to do the work that they were doing if they were not owners), they can then divide up the return on ownership (when there is any). If the firm is structured as a partnership or as an 'S' corporation, the profits can be divided up according to ownership interest. Agencies operating as 'C' corporations, however, need to be careful about the allocation. If you take large bonuses at year-end that coincidentally leave a minimal corporate profit and/or if these bonuses are given out in the same percentages as the ownership interests, the IRS (ever on the lookout for more tax dollars) may decide that the distribution of bonuses to owners is really a dividend that should be paid with after-tax dollars. The IRS allows a business to deduct 'a reasonable allowance for salaries or other compensation for personal services actually rendered.' Factors that are mentioned by the IRS in its publications and by the courts in cases regarding the 'reasonableness' of compensation include: Comparison with compensation paid to executives in comparable positions The person's qualifications for the position The nature and scope of the duties performed and of the business itself Comparison of compensation paid with the company's gross and net income Company's compensation policies for all employees The IRS does not usually raise the reasonableness issue if salaries and bonuses are not particularly high. But as the amount paid increases, it becomes important to build a case that compensation for all employees is fair. It is also a good idea from a purely business point of view to pay everyone (including owners) a level of compensation that is commensurate with their market value for performing the required managing, servicing, and/or selling duties. At the beginning of the year, structure a written bonus plan that is based on individual and agency performance. The people who produce the most and contribute the most to the overall success of the agency will be rewarded appropriately at the end of the year. Many tax advisors recommend that this bonus plan be included in the minutes at the Board of Directors meeting at the beginning of the year to avoid the impression that the amount of salary and bonus is based simply on the amount that the shareholder-employees wish to withdraw from the corporation for a given year. Firms that choose to look at agency ownership as an asset that is supposed to produced an annual return for its owners can creatively build in factors that will allow owners to receive bonuses that are based pretty much on their ownership interest, without making it appear that way. It is, after all, your prerogative to 'sell the agency to yourself' over a period of time and to do it in such a way that the government gets as little as possible. Just do your best to camouflage your activities to reduce your chances of losing the corporate tax deduction for your payments. In light of the dramatic changes that have taken place in the value of insurance agencies, the tax treatment of ownership transfer methods, and the prevailing attitudes of younger producers, many successful agencies are now re-evaluating this traditional approach to agency ownership. It used to be that for a minimal investment an individual could obtain significant ownership interest in an insurance agency and then ride the growth, making good money along the way, until it was time to cash in for big dollars. Although it is still possible to do this, it is not as easy as it once was. The potential agency profit margins are not as high as they were in the 1970s and early 1980s so there is less cash available. And more important, the perception among the younger people in the agency is that the return in the future might not be worth even that minimal investment. They want to be rewarded for their own performance but they are often unwilling to take much of a risk on the performance of the agency as a whole. Some of the more progressive agencies nationwide are now looking at the entire ownership issue in conjunction with, and as an integral part of, their sales and management plans. Although there are certainly exceptions to any generalization, it is usually true that salespeople are most successful in building their book of business during the middle of their career - from about age 35 to 50. During this time they might be contributing much more to the growth and value of the agency than someone who has substantially more ownership due to his age and longevity in the agency. The perception on the part of the more active salesperson is that, by virtue of his ownership position, the other guy is reaping the rewards that should be going to the person that is creating the additional revenues and enhanced value. It could be that the older person was unable to take out much money during the period of time that he was at his highest level of productivity and that the current return is therefore truly justified. But, in the absence of any formal compensation plan that details this delayed and justifiable reward for performance, the perception is that the ownership percentages and/or the compensation that is based on ownership is simply not fair. Once this perception takes hold, morale issues become paramount and sales decrease. People who were the key elements of the agency's internal perpetuation plan are no longer willing participants and the plan is in jeopardy. By re-structuring the agency's approach to compensating owners and non-owners alike for today's performance, you can keep the level of motivation high and facilitate the internal ownership transfer at the same time. There are a number of different ways to give people 'credit' now, based upon today's performance, for ownership or compensation that will come to them in the future. In a previous article, we discussed the practice of awarding deferred compensation to producers in return for their sales efforts (vesting programs). The following chart presents some other compensation/ownership options that can provide direct rewards for performance while assisting in internal ownership transfers. COMPENSATION/EQUITY PLANS DEFERRED COMPENSATION Arrangement to pay employee/producer in the future for services or production rendered currently. These plans are generally nonqualified and contain contingencies which might cause the employee to forfeit the future rights. Plans can be funded with Life insurance or annuities and employees can obtain protection from loss of the benefits with Rabbi Trusts. Can provide 'golden handcuffs' to keep managers as well as producers (through vesting programs). TAX TREATMENT: Employee-Payments are taxed as ordinary income when received. Agency-Premiums for funding (if any) are not deductible. Payments are deductible when paid. STOCK APPRECIATION RIGHT Rights granting a portion of the increase in value of the common stock of the agency from the time when it is granted to when it is exercised. Agency can value stock lower and accrue value in the form of deferred compensation. Can be used in conjunction with other forms of stock options. Recipients can or cannot be shareholders at the time and this can be another 'golden handcuff' opportunity or can be used to secure a covenant not-to-compete. TAX TREATMENT: Employee-Value of the rights is taxed as ordinary income at exercise. Agency-Deduction in amount of employee's taxable income at payment INCENTIVE STOCK OPTION Option to purchase corporate shares at 100% (or more) of value on date of grant for a period of up to 10 years. Allows employee to receive lower (frozen) value but can wait to pay until more cash is available from future production/salary. TAX TREATMENT: Employee-Capital gains treatment on sale of stock on increase in value from date of grant (some additional requirements might apply). Agency-No tax deduction. PHANTOM STOCK Units analogous to agency stock are granted. Value of the units equals appreciation in value of stock. Units are valued at a fixed date (retirement or 5-15 years after grant). Payments may be made in cash or stock or both. TAX TREATMENT: Employee-Value is taxed as ordinary income on payment date and is subject to withholding. Agency-Deduction in amount of employee's taxable income at payment. NONQUALIFIED STOCK OPTION Option to purchase corporate stock at stated price over time (often 10 years). Option price normally equals 100% of value at date of grant but may be set lower. TAX TREATMENT: Employee-Excess of fair market value over option price is taxed as ordinary income at exercise and is subject to withholding. Agency-Deduction in amount of employee's income from exercise. RESTRICTED STOCK Award of stock with no or nominal cost to producer/employee that is non-transferable and subject to risk of forfeiture. Restrictions lapse over a period of time. TAX TREATMENT: Employee-Excess over price paid (if any) is taxed as ordinary income when restrictions lapse and is subject to withholding. Agency-Deduction in amount of employee's taxable income at date employee is taxed. JUNIOR STOCK Opportunity to purchase junior stock for discounted value which will become convertible into regular stock (at 1:1 ratio) if specified performance goals are reached. Usually non-voting and non-transferable until converted, but may be re-purchased by corporation at original value if performance goals are not reached. TAX TREATMENT: Employee-Capital gains on difference between amount paid and amount received at time of sale. Agency-No deduction if sold at fair value; may get deduction on discounted amount. CAREER SHARE Opportunity to purchase book value (career) shares that are convertible upon reaching performance/longevity goals into agency stock at market value. Conversion ratio of book to market value is usually set at time of purchase. TAX TREATMENT: Employee-Capital gains on difference between amount paid and amount received at time of sale. Agency-No tax deduction. PERFORMANCE UNIT/CASH Performance award granted as units that are either fixed dollar with the number of units based on predetermined goals or a fixed number of units with the payment value varying based upon performance goals. Goals can relate to production or to department growth or profitability for managers. Payment can be cash or stock. TAX TREATMENT: Employee-Value is taxed as ordinary income on payment and is subject to withholding. Agency-Deduction in amount of employee's taxable income at payment. COMBINED PERFORMANCE UNIT & OPTION Simultaneous grant of performance units and non-qualified stock options. Cash payout from units enables employee to pay taxes on option exercise. TAX TREATMENT: Employee-Payment for value of units and for excess of market value over option price is taxed as ordinary income and is subject to withholding. Agency-Deduction in amount of employee's taxable income at payment. GOLDEN PARACHUTE Compensation arrangement for non-owner producer or employee to receive severance benefits in the event that the agency is sold. This is often part of the employment contract and the payments are based on the size of the book of business, ending salary, and/or longevity. TAX TREATMENT: Employee -- Earned income. Agency -- Deductible as compensation. General Guidelines: Check with your accountant or tax attorney for specifics in your situation. In most of these plans, the recipients receive promises of either cash or ownership to be received in the future, with the amounts based clearly on the production or management expertise exhibited during the current year. With these programs, employees can participate in the growth of the agency value even when a true equity position is not available for one of the following reasons. The agency may be owned by a third party (such as a financial institution) where internal employee ownership is not possible. Or the existing owners may not be willing to share current ownership or promise ownership in the future because they have not yet decided whether they want to sell externally. Or they may be 'saving' the agency for their children. Sometimes it does not make sense to track the rewards with total agency performance. For example, producers might write a certain type of business that complements but does not fit into the mainstream of the agency's business (Life, Group, Professional Liability, Surety). In those situations, the programs can be set up to reward the producers on a more individualized basis. For example, it could be more appropriate to have them 'vest' in a deferred compensation plan that will pay them a return on their book of business or on the profits of their department. The beauty of most of these plans is that the reward can be set up so that it could eventually be converted into equity in the agency if circumstances change or if the individual proves to be the type of ownership material that the current owners are looking for. And in the meantime, you are providing something of present and future value that keeps the employees motivated. Of course, there are some negatives to be considered in assessing whether these approaches are right for your situation. Many of them can be funded for death or disability but not for retirement or termination. This could put a cash bite on the agency in the future. Most are not qualified plans and therefore do not fall under ERISA protection, which might be of concern to the employees. And the conversion period from the more traditional buy-in and buy-out approach to ownership to a performance-based compensation/ownership system can be difficult in an agency where current owners are getting close to retirement and hbeen counting on receiving the formula value in the existing buy-sell agreement. This value could be as high as two times annual commissions, and a lot ave probably of agreements still use 1.5 times. Many agencies barely have enough cash flow to support such high values, even without the added financial burden of the new performance-based stock or ownership incentives. During the conversion period, the existing owners might have to take a discount off of the value that they had originally been expecting so that the agency can implement the new perpetuation program. The reality is that, without the revised approach, they might have difficulty accomplishing an internal transfer at ANY valuation level. And the chances of finding an external buyer who is willing to pay two times or even 1.5 times are getting slimmer. Taking a discount might be the only way for current owners to sell out. So why not do it in such a way that you create a dynamic group of motivated employees who are, through their own efforts, buying into the future of the agency? If you stick around for a couple of years, you might even recoup the discounted amount! The late Carol Hammes, principal of the Middleton Group, was one of the Independent Agency System’s most widely respected management consultants. She will be sorely missed. Reproduced, with permission, from The Middleton Letter. ...
https://completemarkets.com/Article/article-post/984/PRODUCER-RELATIONS/
Producer Relations
PRODUCER RELATIONS by Carol Hammes Despite tough market conditions and economic recessions, some insurance agencies are thriving. While the average agency has grown at an annual rate of 3% over the past several years, these super agencies are continuing to grow at compound rates in excess of 10% with profit margins at levels that most agents only dream about. In our consulting work and in the research for this newsletter, we are constantly on the lookout for those qualities that are common to the better agencies so that we can pass the information along. Over the last several years it has become increasingly evident to us that one of the keys to operating a successful agency in today's marketplace is to make a clean break with the past. You literally have to start over from scratch, rethinking every aspect of the organization and re-tuning it to run under a new and sometimes very different set of rules. Take the concept of loyalty, for instance. Once upon a time (not so very long ago) it actually meant something to have had a long-term contract with an insurance company, insureds stuck with the agency despite price variations, and employees put more value on security and longevity of employment than they did titles and advancement opportunities. Sales and management techniques that helped you establish and maintain relationships 10 or 20 years ago are of little use today. The agencies that are doing well are lead by people who have been able to change their attitudes and their way of doing things. No longer do they rely upon loyalty to carry them through. They actively pursue and nurture those relationships that they have identified to be the most beneficial to their agency's future. One of the most critical and yet tenuous relationships is with the salespeople. Successful agency managers spend more time with producer relations than they ever did before. We suggest developing new ideas and strategies for beginning a relationship with producers. These changes can also benefit your relationship with existing producers. Pretend as though they are new to the agency. Evaluate their technical, sales, organizational, and time management skills and develop a training program to fill in the gaps. The evaluation is actually a lot easier to do with existing employees than it is with new hires because you have been able to observe their work habits and knowledge first hand. When setting goals and detailing the action plan, however, your personal experience with the person may be a hindrance. You may be tempted to gear the objective to what they have been able to accomplish in the past. Forget about what has (or has not) happened and focus the goal setting on what you would expect a new employee with the same level of education and experience to accomplish. This process will provide both the agency and the producer with the opportunity to make a fresh start. The agency's lackadaisical approach to sales management may have been a major cause of the producer's failure to produce as well as you both had hoped. By providing the direction and guidance now, you may be able to salvage this person's potential and turn him or her into a more valuable member of the team. At the very least, you will be setting up a program that will allow you to fairly and legally rid the agency of costly dead wood. An integral part of the new relationship with the producers will be the agency's specific definition of what it wants producers to sell since it makes sense to have them concentrate on accounts that they have a good chance of attracting and retaining. This means that you have to review the current appetites of the major carriers and decide whether the producer should be a generalist or whether he or she should specialize in a certain type or size of account or in a particular line of business. It is important to consider the producer's own experience and desires, but the final decision should be driven by the availability of competitive products and services from major markets and the agency's overall business plan. Agency management also has to decide what each individual producer is expected to sell to the identified accounts. Options include: new coverages to new account; new coverages to existing accounts originated by the producer; new coverages to accounts assigned to the producer; renewal coverages to accounts originated by the producer; renewal coverages to accounts assigned to him/her; all of the above. Another key element of the new relationship will be to clearly define the producer's role in the sales and servicing of these targeted accounts vis a vis the agency support staff. Prior to the time that agencies implemented sophisticated computer systems and hired expensive technical staffs, producers were responsible for all aspects of the sales and service effort. In most agencies this is no longer the case. But the change in duties may not have been clearly communicated to everyone concerned. This confusion results in personnel problems between the producers and the support people. It is also at the heart of the never-ending battle over producer compensation. Salespeople who have been around for a number of years remember when they were paid 45% or even 50% on new and renewal personal and commercial lines accounts. They therefore feel that they are being cheated if the agency reduces those percentages or stops paying for renewals on personal lines or the smaller commercial accounts. In 'starting over' with all of the producers, agency owners can spell out in detail the level of support that is being provided by the agency and how that back-up gives the producer the opportunity to relinquish non-productive tasks so that he or she can truly have more time to sell. Does the agency provide personnel and/or computers that handle all (or some) of the marketing and placement, loss control and risk management activities, telemarketing/direct mail leads or appointments, completion of applications and checklists, calculating of new or renewal quotes, preparation of proposals and correspondence, tracking of sales activity, etc.? What exactly is the producer's role in prospecting, selling, and servicing accounts in your agency? Communicate these duties verbally and through the use of written job descriptions for the producers as well as for the support and service positions. Compensation and Motivation The compensation plan is a critical part of the agency's relationship with its salespeople. No matter how well the role is defined, the producer has to believe that the level of compensation is fair for what he or she is being asked to do. What you pay must be based upon what the agency is expecting from the salesperson and what services and other support the agency is providing to assist him or her in performing the job that has been defined. This is why the compensation will differ from one agency to the next and in many cases from one producer to the next within the same agency. In situations where the agency provides a high level of support, the producer's percentage will have to be 10 to 15 points less than it is in an agency where the salespeople handle everything. Likewise, in agencies where there is little or no 'house' business to cover basic overhead, the percentage that goes to the producers will have to be lower. To determine what is fair compensation to the sales force in your agency, subtract your targeted profit margin and the cost of operations from agency revenues. What's left over will be the amount that you can afford to pay to the producers. Agencies that provide the 'standard' level of support, have about 20% of their revenues from house business, and those that want a 15% profit margin will find that the overall percentage that they can pay to producers will be in a range from 27% to 33% of commissions. The level of employee benefits and travel/entertainment/auto expenses provided will dictate whether you are at the high or low end of this range. Remember, there are always valid exceptions to every guideline. Most of the more effective producer compensation plans that we have seen contain three distinct elements: a basic living allowance in the form of a salary or draw; incentive pay based upon some formula related to performance; and a piece of the future such as 401(k) contributions, profit sharing, ESOP, vesting, partnership, or ownership of business. If the primary thrust of the job is to service existing business, the incentive portion may simply be the opportunity for a raise in the salary. If the producer is strictly sales-oriented, the incentive portion may make up virtually all of the compensation. If the agency wants to emphasize new sales, the incentive should be weighted in that direction. When you have determined what you can afford and how you want to pay the sales people, it is very important to show them exactly how the plan will work if they meet the goals that have been established. Anything that you can do to eliminate the potential for misunderstanding will definitely improve the results that you get as well as the overall working relationship with producers. An effective compensation plan allows the producer a draw against the formula of 40% on new commercial commissions and 25% on renewal. We recommend that the draw be based upon 90% of what the formula produced the prior year to avoid having the producer 'owe' the agency some of the draw if several large accounts are lost during the year. The balance that the formula produces during the current year would then be paid as a bonus twice a year. Initially, the draw should be based upon what the formula would pay after the second year of production when you expect the producer to validate. More experienced producers that might have $175,000 in commissions at the end of year two could therefore be paid a draw of $50,000 whereas a person new to the industry might be only paid a draw of $20,000 assuming much lower production goals. One option is to set the initial compensation draw at $25,000. Note that the producer must 'make up' the production deficit before receiving the full formula commission percentage. Our formula shows compensation of $33,925 due the producer in year two (based upon 90% renewal retention rate: $40,500 x 25% = $10,125; $59,500 x 40%...800; $10,125 + $23,800 = $33,925) but the producer had to cover the $7,000 deficit from year one so the amount he or she received out of the basic commission formula was only $1,925. The compensation plan we propose provides for an extra bonus amount that is based upon the producer exceeding the expected production goals. This agency will pay the producer 50% of all commissions received in excess of the goal. In the second year this producer had a goal of $95,000 and actually brought $100,000 of commissions into the agency. A bonus of $2,2500 (50% of the $5,000 excess) was paid at the end of the year. In the third year, the goal was exceeded by $10,000 and the bonus was $5,000. This extra incentive gives them a reason to push a little harder and still provides the agency with the basic income necessary to cover expenses. To address the future needs of the producer you should include a deferred compensation program that allows him or her to vest in the value of the accounts that have been produced. In this particular program the producer will accrue value beginning with the third year of employment. The vesting might be 10% a year up to a maximum of 50%. The value of the deferred compensation is the vested portion of 'one times' the annual commissions. This deferred compensation will be payable to the producer over three years after termination of employment as long as he or she honors the agency's non-piracy restrictions. At the agency's option, the vested value may also be converted to agency stock at some point in the future. There are many variations of this basic type of producer compensation plan. The basic percentage can be adjusted to accommodate different business plans. Some examples include: 45/20 in agencies where new business is being emphasized and where the support staff handles more of the renewal activities 45/15/5/0 for small commercial accounts with little growth potential 50/0 for personal lines accounts in agencies with professional CSRs handling servicing 30/30 on larger commercial accounts where a higher level of producer involvement is necessary for servicing and renewal sales 35/35 on jumbo accounts The incentive bonus can be based upon a percentage of the excess over the goal as we have done in this action plan or it can be an increase in the base percentage if the book exceeds a certain size. For example, in year two instead of paying 50% of the excess $5,000 in produced commissions over the goal, the base percentage for new production could be increased to 45% from 40%. By exceeding the $95,000 goal, the producer would have the 45% factor applied against the $59,000 in new commissions rather than 40%. This revised formula would result in additional commissions paid to the producer of $2,975 instead of the $2,500 bonus. Some agencies set up a number of different commission rates for different sized books of business, but you have to make sure that the computer system can handle this effectively or the administrative costs become prohibitive. Another way of rewarding producers when they hit certain production levels is to give them a new title, an increase in the car allowance or expense budget, a larger office, a dedicated CSR, etc. Sometime these types of recognition will provide more incentive than simply increasing the bonus or commission percentage. When developing a producer relationship you need to remember that money is not the only motivator and that each person has his or her own needs. The more you do to meet them, the more successful the relationship will be. The total compensation and motivational program must be individualized for each producer but it is also important to tie the fortunes of the salespeople to each other and to the success of the agency. This is where the sales contests come into play. Have a number of different programs going at once, some that are monthly, some quarterly, and at least one that is an annual contest. Rewards can range from a traveling trophy, a weekend in a nearby city, the right to go on an insurance company bonus trip, a 4 or 7 day cruise or ski trip, a monetary bonus. Criteria for 'winning' can be the producer (or team) with: the largest percentage of growth; the highest commission dollar increase; the highest number of new accounts written; the best hit ratio of written/quoted; or any other measurable item related to sales activities. There are four basic rules to follow if you want to conduct a successful promotional campaign. The rewards have to be meaningful, the goals must be attainable, the administration of the rules must be fair, and the participants must be kept informed of their progress vis a vis the progress of the other producers. More often than not, one of these items has been overlooked and the contest fails to provide the motivation that you had hoped for. This article was reprinted with permission from Carol Hammes, editor of the Middleton Letter.
https://completemarkets.com/Article/article-post/473/The-State-Of-Risk-Management-Education/
The State Of Risk-Management Education
Professional designations are conferred by a professional body that has specific entry requirements, such as a code of ethics, a set of practice standards, educational objectives, and industry experience and involvement.
Here are some current risk-management educational programs:
ASSOCIATE IN RISK MANAGEMENT (ARM)
Behind the Program: Insurance Institute of America (also offers up to 20 other insurance associate designations and the CPCU)
Prerequisites: None
Program Format and Exam: Self-study or 14-week preparation courses. Examinations are administered nationally three times per year. Beginning in December 2000, ARM students will be able to take computer-based exams any time, at locations that have yet to be determined.
Subjects Program Covers:
Essentials of risk management
Essentials of risk control
Essentials of risk financing
Continuing Education Requirements: None
Cost to Complete Program:
Books: $125 per course
Exams: $96 each
Classes: Locally sponsored classes average around $290 each
Total: Self-study-up to $700; with classes -- up to $1,700
Program Director: George Head
Web Site: www.aicpcu.org
E-mail: Send E-mail to George Head
CERTIFIED RISK MANAGER (CRM)
Behind the Program: The National Alliance for Insurance Education & Research (also offers the CIC and CISR designations)
Prerequisites: None, though catalog suggests two years of risk management experience
Program Format and Exam: Must take seminars, which are given at different locations around the country. Seminars typically have a half-day session on Wednesday, full-day sessions on Thursday and Friday, exam on Saturday morning.
Subjects Program Covers:
Risk-management essentials
Risk analysis
Risk cont...ng
Risk administration
Continuing Education Requirements: Must attend one National Alliance for Insurance Education & Research program every year
Cost to Complete Program:
Course (includes exam and materials): $395
Total: Five classes: $1,975 (not including costs to travel to seminar locations, such as airfare and hotel)
Program Director: Wayne Dauterive
Web Site: www.scic.com/alliance
E-mail: Send E-mail to CRM
FELLOW OF THE INSTITUTE OF RISK MANAGEMENT (FIRM)
Behind the Program: The Institute of Risk Management, a U.K. organization offering risk-management training worldwide
Prerequisites: FIRM-must have AIRM degree (Associate of the Institute of Risk Management), five years of risk-management experience, evidence of personal development, 4,000- to 5,000-word dissertation; AIRM-must have a degree or professional qualification
Program Format and Exam: Self-study. An assessment paper is given to students on December 1 and must be completed and returned to IRM for a grade by March 1. Students must receive a passing grade on the paper, which accounts for 25% of the overall grade.
Subjects Program Covers:
AIRM
Business organization and finance
Risk analysis
Risk control
Risk financing
Corporate risk management
One additional elective course
Continuing Education Requirements: Associates and Fellows are required to complete 300 points in three years. Points are awarded based on the Continuing Education activity, such as five points for writing an article on risk management or 10 points for attending a seminar.
Cost to Complete Program:
Student registration: $340 (one-time fee)
Exam fee: $343 per subject
Materials: $355 per subject
Student forum: $3,175 (optional)
Total: $3,830 or $7,005 with student forum
Program Director: Maureen Gibbons
Web Site: www.figtree.co.uk/irm
E-mail: Send E-mail to Maureen Gibbons
FELLOW IN RISK MANAGEMENT (FRM)
Behind the Program: Risk and Insurance Management Society, Inc. (RIMS). RIMS codeveloped the ARM program with IIA more than 25 years ago and offers ARM study courses. The FRM is the first professional designation RIMS has offered.
Prerequisites: Must first complete the ARM series or its Canadian equivalent, the CRM
Program Format and Exam: Must take the required courses at a university or college. Students can apply for exemption from up to seven courses already taken but must still pay the $50 course registration fee to RIMS. The first Capstone Exam will be in June 2000 and will be given biannually after that.
Subjects Program Covers:
Managerial accounting
Managerial finance
Business law
Management of information systems
Three additional electives (such as Business Ethics, Holistic Risk Management, Alternative Risk Financing, Economics)
Continuing Education Requirements: Nine hours per year in such activities as completing or teaching a course, publishing an article, or volunteer work.
Cost to Complete Program:
One-time application fee: $50
Course registration fee: $50
Capstone exam fee: $125
Certificate and pin: $100
Classes: Up to $400 each
Total: Up to $3,300 (not including books)
Program Director: Amy Geffen
Web Site: www.rims.org
E-mail: Send E-mail to Amy Geffen
CHARTERED PROPERTY AND CASUALTY UNDERWRITER (CPCU)
Behind the Program: The American Institute for Chartered Property Casualty Underwriters (AICPCU)
Prerequisites: Three years of experience in the insurance industry
Program Format and Exam: Self-study or classes. Exams are given three times per year in centers across the country.
Subjects Program Covers:
Ethics
Insurance perspectives and insurance contract analysis
Personal insurance and risk management
Commercial Property insurance
Commercial Liability insurance
Insurance operations
Legal environment of insurance management
Accounting and finance
Economics
Related studies
Continuing Education Requirements: Not required, although it's available
Cost to Complete Program:
Exams: $119 each
Books: Up to $1,000 total materials
Classes: $320 per class
Total: Self-study-up to $2,200; with classes-up to $5,100
More Information: Visit www.aicpcu.org or contact George Head
FINANCIAL RISK MANAGER (FRM)
Behind the Program: Global Association of Risk Professionals, an international not-for-profit organization in financial risk management
Prerequisites: Minimum of two years of experience in financial risk management or related field. Must be an active member of GARP.
Program Format and Exam: Self-study. GARP offers a study guide and a review course that's available only in New York, London and Japan. The course takes place over a one-month period leading up to the exam.
Subjects Program Covers:
Quantitative analysis
Capital markets
Market risk management
Credit risk management
Operational and integrated risk management
Legal, accounting, and tax risk management
Regulation and compliance
Continuing Education Requirements: None. Must pay GARP annual membership fees
Cost to Complete Program:
Examination fees: $300
Required books: $500
Prep classes: $750
Total: Self-study -- $800; with review course -- $1,550
More Information: Visit www.garp.com
RISK MANAGEMENT FOR PUBLIC ENTITIES (RMPE)
Behind the Program: Public Risk Management Association and the Center for the Advancement of Risk Management Education (CARME), a division of IIA
Prerequisites: None
Program Format and Exam: Self-study. Order the RMPE textbook and course guide, study them, and take the exam. You must register for the exam and select someone to administer it and return it to CARME to be graded.
Subjects Program Covers:
Risk management from a public entity perspective
Public entity exposure identification and analysis
Risk control
Claim and litigation management
Risk-financing resources
Pooling for public entity risk financing
Continuing Education Requirements: None
Cost to Complete Program:
Textbook, course guide, and exam fee all-inclusive
Total: $145
More Information: Visit www.aicpcu.org or contact George Head
Adapted from riskVue, the free monthly online magazine for risk-management and insurance professionals. See the lastest edition of riskVue at www.griffincom.com/riskVue/riskVue.htm.
Volume 20, Issue 8 of The Risk Management Letter discusses and analyzes these risk-management educational programs. To order an issue reprint, call (949) 752-1058.
RML Interactive, the online supplement to The Risk Management Letter, has links to interviews with program directors, conversations with students and instructors, and additional program information.
https://completemarkets.com/Article/article-post/2350/CRISIS-MANAGEMENT-PLAN-OPERATIONAL-OVERVIEW/
Crisis Management Plan - Operational Overview
CRISIS MANAGEMENT PLAN OPERATIONAL OVERVIEW Prepared by: RICHARD H. SOPER, CMC, CSP Principal SOPER & ASSOCIATES, LTD. THE FREQUENTLY MISSING RISK MANAGEMENT PROGRAM SEGMENT Presented to: WASHINGTON CHAPTER RISK AND INSURANCE MANAGEMENT SOCIETY SEATTLE, WASHINGTON NOVEMBER 15, 1994 COPYRIGHT 1994 RICHARD H. SOPER CRISIS MANAGEMENT PLAN OPERATIONAL OVERVIEW THE FREQUENTLY MISSING RISK MANAGEMENT PROGRAM SEGMENT Focus: RISK AND INSURANCE MANAGEMENT PROGRAM VITAL CRISIS MANAGEMENT STRATEGY Presented to: WASHINGTON CHAPTER RISK AND INSURANCE MANAGEMENT SOCIETY SEATTLE, WASHINGTON NOVEMBER 15, 1994 Prepared by: RICHARD H. SOPER, CMC, CSP Principal SOPER & ASSOCIATES, LTD. PO BOX 39 KIRKLAND, WASHINGTON...13 IMPORTANT: COPYRIGHT NOTICE Note that the majority of crisis, risk and insurance management strategies, methodologies, tactical systems and/or consulting practices herein identified have been copyrighted by Richard H. Soper or Richard H. Soper, Inc., dba: SOPER & ASSOCIATES, a State of California corporation or SOPER & ASSOCIATES, LTD., a State of Washington corporation or in articles or texts authored by Richard H. Soper and appearing in: Risk Management, Risk & Benefits Management, Risk Management Reports and/or published in copyrighted text by: Risk and Insurance Management Society, Inc., New York, New York, Prentice Hall Company, New York, New York and/or the Insurance Institute of America, Malvern, Pennsylvania and/or 'Crisis Management' Chapter XXII, Environmental Risk Management, A Desk Reference, RTM Communications, Inc., Alexandria, Virginia. Also note that this crisis management syllabus as prepared for the Risk and Insurance Management Society, Washington Chapter and identified as 'Crisis Management Plan Operational Overview', SOPER & ASSOCIATES, LTD.' is copyrighted by Richard H. Soper effective 1994. PREFACE AND ACKNOWLEDGEMENTS WASHINGTON CHAPTER RISK AND INSURANCE MANAGEMENT SOCIETY SEATTLE, WASHINGTON This syllabus identifies the Crisis Management Plan as a critical segment of the risk and insurance management program. The Crisis Management Plan encompasses crisis management plan strategy, formulation and implementation as well as on-going operational maintenance. The intent of this Syllabus is to provide a summarized crisis management strategy applicable to a major private or public sector organization. The proposed strategy is also readily adaptable for the small to medium size organizations. The emphasis of this Crisis Management Plan syllabus focuses on attainable objectives associated with life safety, operational continuity, asset conservation, post-crisis image enhancement opportunities and financial survival. The Syllabus is not considered as a panacea, but merely represents an appropriate operational strategy overview. Furthermore, the crisis management strategy presented entails two equally important interrelated tasks: (1) strategy formulation and (2) strategy implementation. The Crisis Management Plan should be considered an integral component of an existing risk and insurance management program and interface with business and operating objectives, policies and procedures as well as long-term goals. Regardless of the size of the organization, essential ingredients in the formulation and implementation of an effective Crisis Management Plan strategy are predetermination of sequential task actions, appropriate priorities and delegation of management authority. Initiating emergency action in an organization with formulated Crisis Management Plan policies and procedures simply becomes a case of immediately implementing the previously established action plans. This involves a logical sequence of activities with pre-determined priorities in compliance with previously established crisis management policy. Despite the most effective planning activities concerning risk and insurance management as well as loss control, crisis and catastrophes must still be anticipated. I am convinced that the results of these losses can be mitigated by utilization of a Crisis Management Plan which encompasses risk identification, measurement, loss control, legal compliance and management accountability. Furthermore, appropriate emergency response capability, training adequacy and restoration strategy should be ensured with a primary focus on pre-loss planning and post-loss recovery. This syllabus has been formulated with a Table of Contents, Preface and Acknowledgements, four major divisions which include sixteen specific sections. The following represents a topical outline of the divisions and sections of this syllabus: PREFACE AND ACKNOWLEDGEMENTS DIVISION I CRISIS MANAGEMENT INTRODUCTION Frequently Missing Risk Management Segment Defining Crisis Management Crisis Management Plan Justification DIVISION II CRISIS IMPACT CONSIDERATIONS Crisis Exposure Assessment Crisis Vulnerability Identification Crisis Exposure Awareness DIVISION III CRISIS MANAGEMENT PLAN DEVELOPMENT Plan Organization and Timing Plan Strategy and Responsibilities Plan Emergency Response Strategy Plan Formulation and Implementation Plan Recovery Strategy Crisis Management Plan Manual DIVISION IV CRISIS MANAGEMENT PLAN OPERATION Maintaining an Effective Crisis Management Plan Managing Highly Sensitive Crises Crisis Management Plan Summary Crisis Management Plan Preparedness Exercise In addition to the above syllabus text, I have included a section of recommended crisis management references, my brief biography and a bibliography limited to my crisis, risk and insurance management published contributions. This overview syllabus is a composite of excerpts from the Crisis Management Handbook, currently under development by SOPER & ASSOCIATES, LTD. as well as from syllabi used in conjunction with the following presentations: Society of Risk Management Consultants, 1994 Fall Conference Santa Fe, New Mexico, October, 1994 Meeting Topic: Crisis Management Consulting Golden Gate Chapter, San Francisco, RIMS Meeting, November, 1990 Meeting Topic: Crisis Management Plan Los Angeles Chapter, RIMS Meeting, October 1989 Meeting Topic: Crisis Management Plan West Coast Regional RIMS Conference Otter Crest, Oregon, September 1988 Main Session Topic: Briefing and Case Study Crisis Management National RIMS Conference Washington, D.C., April 1988 Panel Topic: Crisis Management Strategy A brief summary of the previous syllabi (1988 and 1989) was accepted in a condensed format and published in Risk Management, the journal of the Risk and Insurance Management Society, Inc., New York, New York, appearing in the September 1989 edition under the title, 'Foresight Must be 20/20 When Creating a Crisis Management Program.' Risk Management, in turn, contributed this article to International Risk Control Review for inclusion in its October 1990 issue. I am convinced that a non-structured 'brush fire' approach, i.e., dealing with crisis situations as they develop is neither prudent nor acceptable in our current business climate. An effective Crisis Management Plan should be regarded as an integral segment of the risk and insurance management program and conceived of as a broad mitigation approach essential to financial survival should there be a catastrophic loss exposure. From a personal standpoint, the Chief Financial Officer, the Risk Manager, the Insurance Broker and the Underwriter should view an effective Crisis Management Plan as a vital career safeguard, thus contributing to continued professional growth. I would like to acknowledge the assistance derived from discussions with Laurence Barton, Ph.D., Penn State, Associate Professor of Management who has focused his teaching, research, development, and publishing efforts on crisis communication and crisis management. In addition, I would like to acknowledge the assistance in the field of crisis and corporate communications derived from discussions with Paul A. Argenti, Ph.D., Professor and Director of the Executive Programs, The Amos Tuck School of Business Administration, Dartmouth College. I am especially grateful for the assistance in updating and refining the current Crisis Management Syllabus derived from the SOPER & ASSOCIATES, LTD. consulting team. My sincere appreciation extends to the following consulting team members: Wesley J. Goss, M.B.A, MPA, Principal George H. Griffin, CPCU, ARM, Director William Glaezer, Ph.D., CET, Senior Consultant C. Bartlette Stroupe, Esq., J.D., M.A., Senior Consultant Annette D. McCully, Senior Consultant Virginia R. Sundt, Director of Administration In conclusion, I would like to express my sincere appreciation for the opportunity to present my position statement concerning crisis management, an evolving discipline, to the officers, members and guests of the Risk and Insurance Management Society, Washington Chapter. Respectfully submitted, Richard H. Soper Attachment: CRISIS MANAGEMENT PLAN SYLLABUS OPERATIONAL OVERVIEW TABLE OF CONTENTS PREFACE AND ACKNOWLEDGEMENTS SYLLABUS TEXT APPENDICES A - CRISIS MANAGEMENT PUBLICATIONS B - ABOUT THE AUTHOR C - PUBLICATIONS BY THE AUTHOR CRISIS MANAGEMENT PLAN OPERATIONAL OVERVIEW THE FREQUENTLY MISSING RISK MANAGEMENT PROGRAM SEGMENT Prepared by: RICHARD H. SOPER, CMC, CSP Principal SOPER & ASSOCIATES, LTD. KIRKLAND, WASHINGTON Presented to: WASHINGTON CHAPTER RISK AND INSURANCE MANAGEMENT SOCIETY SEATTLE, WASHINGTON TABLE OF CONTENTS PREFACE AND ACKNOWLEDGEMENTS DIVISION I CRISIS MANAGEMENT INTRODUCTION 1.0 FREQUENTLY MISSING RISK MANAGEMENT SEGMENT 1.1 Risk Management Program Void 1.2 Warranted Crisis Management Plan 1.3 Comprehensive Risk Management Program Exhibit 1.1 Elusive Crisis Management Plan Segment 1.4 Inevitable Crises 1.5 Lack of Industry Stakeholder Awareness 1.6 Evolving Crisis Management Discipline 2.0 DEFINING CRISIS MANAGEMENT 2.1 Crisis Management Plan Overview 2.2 Crisis Definition 2.3 Crisis Management Plan Definition 2.4 Crisis Management Strategy Definition 2.5 Crisis Communications 2.6 Reliance on Effective Business Practices 3.0 CRISIS MANAGEMENT PLAN JUSTIFICATION 3.1 Effective Operational Management 3.2 Plan Expense Considerations 3.3 Plan Legal Requirements 3.4 Plan Advantages and Opportunities Exhibit 3.1 Crisis Management Plan Advantages and Opportunities DIVISION II CRISIS IMPACT CONSIDERATIONS 4.0 CRISIS EXPOSURE ASSESSMENT 4.1 Crisis Assessment Overview 4.2 Comprehensive Analysis 4.3 Evaluating Crises Exposures 4.4 Loss Magnitude Category Severity Rankings 4.5 Magnitude Assessment Schedule Exhibit 4.1 Crisis Magnitude Assessment Schedule 5.0 CRISIS VULNERABILITY IDENTIFICATION 5.1 Crisis Vulnerability Analysis Overview 5.2 Unique Loss Vulnerability Identification Exhibit 5.1 Schematic Vulnerability Flow Analysis 5.3 Insurance and Risk Funding Adequacy 5.4 Facility Location Considerations 6.0 CRISES EXPOSURE AWARENESS 6.1 Crises Exposure Awareness Overview 6.2 Legal Compliance Considerations 6.3 Litigation Crisis Exposure 6.4 Environmental Crisis Exposure 6.5 Earthquake Crisis Exposure 6.6 Volcanic Crisis Exposure 6.7 Crisis Awareness Focus Exhibit 6.1 Significant Crisis Events DIVISION III CRISIS MANAGEMENT PLAN DEVELOPMENT 7.0 PLAN ORGANIZATION AND TIMING 7.1 Key Crisis Management Plan Elements 7.2 Crisis Exposure Assessment 7.3 Crisis Management Plan Components Exhibit 7.1 Crisis Management Plan Organization 7.4 Crisis Management Plan Timing Exhibit 7.2 Crisis Management Sequential Timing 7.5 Prior to Crisis Timing 7.6 During Crisis Timing 7.7 Immediately Following Crisis Timing 7.8 Post Crisis Timing 8.0 PLAN STRATEGY AND RESPONSIBILITIES 8.1 Crisis Management Plan Strategic Objectives Exhibit 8.1 Crisis Management Plan Objectives 8.2 Plan Operating Strategy 8.3 Plan Committee Operation 8.4 Plan Operating Authority Exhibit 8.2 Crisis Management Plan Responsibility 8.5 Crisis Management Committee 8.6 Emergency Response Team 8.7 Predetermination of Priorities 8.8 Crisis Management Audit Committee Option 9.0 PLAN EMERGENCY RESPONSE STRATEGY 9.1 Emergency Response Strategy Overview 9.2 Emergency Response Action Guides Development 9.3 Emergency Response Action Guides Time Periods 9.4 Emergency Response Action Guides Directory 9.5 Emergency Response Strategy Exhibit 9.1 Plan Emergency Response Strategy 10.0 PLAN FORMULATION AND IMPLEMENTATION 10.1 Plan Development and Operating Overview 10.2 Plan Development and Strategic Operating Summary 10.3 Crisis Management Plan Organization Chart Exhibit 10.1 Crisis Management Plan Organization Chart 10.4 Crisis Management Plan Task Activities Exhibit 10.2 Crisis Management Plan Task Activities 10.5 Plan Development Project Management
https://completemarkets.com/Article/article-post/2254/ALTERNATIVE-RISK-FINANCING-NOT-JUST-FOR-FORTUNE-500-COMPANIES/
Alternative Risk Financing: Not Just For Fortune 500 Companies
ALTERNATIVE RISK FINANCING: NOT JUST FOR FORTUNE 500 COMPANIES by Greg Ryan and James Bukowski Grow revenues and earnings by offering alternative risk financing to selected clients. Large corporations and government agencies generally use some type of alternative risk financing for their property and liability loss exposures. Medium-sized and smaller companies usually buy Commercial insurance for this purpose. However, alternative risk financing is not just for Fortune 500 companies. Many other firms can enjoy some of its benefits, such as improved cash flow and a lower total cost of risk. This article offers s a basic overview of risk financing concepts for medium-sized firms (generally, those with fewer than 1,000 employees). After surveying the principal types of risk financing alternatives, we’ll outline the decision-making process and components for implementing such a program. The article will use these definitions: Risk financing: The use of insurance and other techniques to pay for loss obligations. Alternative risk financing: The self-assumption of risk, combined with insurance, to finance a company’s property and liability losses; a formal program for managing and paying for an organization’s losses, usually for a defined period. COMPANY SIZE The first question owners and managers of medium-sized firms ask is “How large must my business be to use alternative risk financing?” Size isn’t very important. The main criterion is losses. As a rule of thumb, alternative risk financing requires approximately $500,000 in annual incurred losses in one line of insurance — for example, Auto, General Liability, or Workers Compensation. Losses in this line should be reasonably predictable, and the firm should be reasonably able to accept risk. Internal management discipline and a willingness to commit the appropriate resources are also required. The losses should have these characteristics: Reasonably predictable Not extremely volatile Not exposed to a catastrophic loss High frequency and low severity “High frequency and low severity” means that the number of losses should be at least several dozen per year, of which most are less than $50,000. As a case in point, a large hotel would probably experience many small Workers Compensation claims but relatively few, if any, large claims. A bank can also expect to have numerous low severity Comp claims. Alternative risk financing usually involves loss severity — the exposure to large losses — by purchasing excess insurance or reinsurance. INSURANCE LINES The other question asked most often is “What lines of insurance are best for alternative risk financing?” Casualty lines — Workers Compensation, General Liability (including Products), and Auto Liability — are the best candidates for alternative risk financing. Workers Comp and Liability claims tend to be paid over long time frames, one to five years or more. Insurers of these lines generate substantial investment income on their reserves until losses are fully paid. Mid-size companies using alternative risk financing can earn the investment income on reserves that was formerly earned by an insurance company. ALTERNATIVE RISK FINANCING OPTIONS Insurers have developed many colorful titles for what amounts to a handful of alternative risk financing techniques. Methods range from guaranteed cost (for risk-averse firms) to self-insurance and captive insurance (for firms seeking the ultimate in control over the risk management and financing process). These techniques include: Guaranteed cost Retrospective rating Large deductible Self-insurance Captive insurance This chart summarizes the main features of these alternatives: Analysis of Key Risk Financing Alternatives Rating Scale 1-5: 1 = least favorable; 5 = most favorable Guaranteed Cost Retro/Rating Large-Deductible Self-Insurance Fronted Cost ... Guaranteed cost insurance. Guaranteed cost remains an attractive option, particularly in a highly competitive insurance market. “Guaranteed cost” means that the insured pays a one-time premium based either on a rate (for example, per payroll or property values) or a flat amount. The insurer assumes the loss obligations covered under the policy. In some circumstances, guaranteed cost can be the best of all worlds. A specially tailored program can use an insured’s expected losses to calculate premium. The premium is then discounted to recognize the time value of money. Insurer calculations include a risk charge for large losses and the possibility that losses might exceed projections. Many buyers like the fact that guaranteed cost programs pose no upside risk (i.e., no additional premium or cost for the risk transferred). The only risk of guaranteed cost insurance is that the insurer might become insolvent or otherwise unable to pay losses covered by the policy. However, for a mid-size company, guaranteed cost insurance might not always be a bargain because underwriters can assess substantial risk charges due to the greater volatility of the loss base. Guaranteed cost programs also have few cash flow benefits for a buyer, other than installment payment plans. There are a number of variations on guaranteed cost arrangements. Many of these use a loss-sensitive formula to calculate the final premium. Examples include both incurred and paid loss-rated and dividend programs. Incurred loss retrospective rating plans. Retrospective rating plans (“retros”) have been filed in most states for Workers Compensation and other lines. Usually these are loss-sensitive plans in which the insured pays a standard premium that’s adjusted after policy expiration based on loss experience. In recent years, many of these plans have allowed policyholders to pay a premium based on expected losses and expenses during the coverage period. Incurred loss retro plans tend to carry heavy expense loads and provide limited cash flow benefits. The adjusted premium is based on incurred losses — paid and reserve amounts. Most plans offer little flexibility. If a portion of premium is deferred, collateral might be required to mitigate the statutory impact of deferral on an insurer’s financials. Large-deductible plans. As the name suggests, a large-deductible plan means that an organization assumes a substantial per-accident or per-occurrence deductible. This can often range from $50,000 to $250,000. Large-deductible plans are currently popular. They use the insurer’s claims-paying guarantee to ensure that obligations to third parties and employees are met. The policyholder is responsible for paying all losses below the deductible threshold. If the insured is unable to do so, the insurance company is on the hook for the full amount of losses. Large-deductible plans have largely supplanted the utility and popularity of paid loss retrospective rating plans. One of the reasons is that an insured pays lower premium taxes under a large-deductible plan than under a paid loss retro plan. Workers Compensation is the line most often financed through a large-deductible plan. Another reason for the popularity of large-deductible plans is that they allow the insured to hold cash until there are actual loss payments — only program expenses need be paid at up front. Because the insurer is ultimately responsible for unpaid losses, collateral is required to eliminate credit risk, and insurers tend to be less flexible in program design and services. Self-insurance. Self-insurance, often the least expensive risk financing arrangement, involves the retention of loss obligations and payment of these obligations as they become due. Self-insurance is distinguished from non-insurance in that self-insurance makes a formal accrual of liabilities. Workers Compensation, Auto, and General Liability are usually self-insured. Due to the states’ responsibilities for protecting injured workers, Comp self-insurance is highly regulated. Employers who want to retain Workers Compensation exposures are required to demonstrate the financial ability to pay losses. This qualification process must be maintained, as states continually monitor an employer’s status. State regulators require security deposits of qualified self-insureds to ensure that they can meet all loss obligations. Some states require Stop Loss insurance on self-insured Workers Compensation plans. Automobile Liability is also subject to a fair amount of regulation due to the states’ financial responsibility laws. Meeting the qualification process, complying with state regulations, and maintaining Workers Compensation collateral requirements (cash deposits or letters of credit) can be demanding from an administrative standpoint. Nonetheless, self-insurance is usually the low-cost option for alternative risk financing arrangements. Captive Insurance. Captive insurance offers a formalized method to pre-fund risks through an insurance subsidiary (“captive”) that’s usually owned by a parent company or a related party. Most captive insurers are established in a favorable domicile that minimizes regulation of these special-purpose insurers. Most captives are a form of self-insurance. Captives insure risks in two distinct ways: Direct and fronted. A direct writing captive issues policies and directly covers the risks of policyholders. It might also purchase reinsurance and contract with vendors for underwriting and claims services. A fronted captive operates as a reinsurer and employs the services of a licensed, recognized fronting insurer. The fronting company performs most administrative functions, such as issuing policies to the captive owner(s), providing required certificates of insurance, and adjusting claims covered under the policy. Captive programs for Workers Compensation always use a fronting insurer because of the requirement to have an admitted insurer. Captives provide owner-policyholders a high degree of control over the insurance and risk management process. Captive risk financing carries somewhat higher non-loss costs and imposes greater administrative concerns than self-insurance and large-deductible plans. CHOOSING RISK FINANCING Here are the steps that a medium-sized company should follow in the financial evaluation of risk management alternatives: Work with a consultant or your broker to identify and analyze suitable alternatives. Project losses and costs, and compare the net present value of each of the risk financing alternatives to the cost of purchasing insurance. Simulate the variability of results. Be certain that you examine worst-case scenarios as well as expected loss situations. Incorporate a retention analysis into your evaluation process. Make it specific to the firm’s exposures, loss experience, and financial imperatives. The retention analysis should establish optimal per accident/occurrence levels of economic exposure to loss. Integrate market-based pricing of insurance or reinsurance into your analysis so that the retention selection takes advantage of market conditions. PROGRAM COMPONENTS The use of alternative risk financing — whether a large-deductible program, self-insurance, or captive insurance — requires careful coordination of program components. The required services can be purchased independently from vendors or bundled by an insurer that provides excess or stop-loss insurance. Risk financing program components include: Claims administration Loss control Policyholder services Certificates administration Actuarial services Excess or stop-loss insurance/reinsurance Security or collateral requirements Program management and oversight Administrative demands on an organization increase when the firm purchases unbundled services independent of the insurance arrangement. On the other hand, buying such services often gives greater control and cost savings. Loss control should receive close attention: Self-insurance triggers filings and administrative paperwork. Deductible and self-insured plans will require a focus on cash management. Security requirements are generally met by providing bonds or letters of credit. In some cases, the proper form of security offsets the impact of a policyholder’s losses or other liabilities on an insurer’s surplus. Although owners and top management will be delighted with premium savings, they might be unaware that they need to be closely concerned with the process. The company’s controller or human resources manager should involve the consultant or broker in educating management. CONCLUSION Medium-sized companies might well find alternative risk financing more cost-effective than conventional insurance. They should base their decision to use such methods on an analysis of costs and losses, including insurance market pricing. Companies willing to commit the necessary resources will probably enjoy improved cash flow and cost savings. The extent of improvement and the degree of control over the risk management process will vary, depending on the firm’s internal management practices and organizational suitability. Reproduced with permission from riskVue, a free monthly online magazine for risk and insurance professionals.
https://completemarkets.com/Article/article-post/1632/MANAGING-RISK-A-GUIDE-FOR-YOUR-BUSINESS-CLIENT-PART-3-OF-4/
Managing Risk: A Guide For Your Business Client, Part 3 Of 4
MANAGING RISK: A GUIDE FOR YOUR BUSINESS CLIENT Part 3 of 4 RISK RETENTION Everyone retains risk. Most car owners have a collision deductible of at least $100. Owners of $200 watches rarely insure them. Large organizations have correspondingly higher retention of risk. It isn't a question of whether risk is retained, but how much risk is retained and under what conditions. Many phrases are used in risk management, and meanings vary with the context and speaker. For our purposes, definitions are as follows: Loss assumption. Planned acceptance of loss by deductibles or deliberate non-insurance. Risk retention. Virtually the same, but slightly broader. Could include the definition above plus loss-sensitive insurance plans where some risk, but not all, is retained. Note that you can't have risk without a chance of loss, but you can have loss without risk. This occurs when the loss is certain, as with small Workers Compensation losses of large organizations. However, many persons use 'loss assumption' and 'risk retention' interchangeably. Self-insurance. Another term often used to mean risk retention. In some cases, it implies a more systematic method of accounting for losses, making charges to related entities as though they were insured, and establishing reserves for future losses. Many risk managers studiously avoid this term because it's not insurance. A more basic definition is for 'risk' itself. In a word, risk is uncertainty. Losses that occur with predictable regularity do not represent risks, but a reasonably predictable cost of operation. Why Risk Retention? The first reason for risk retention is that there's a charge for risk transfer (insurance is the principal means of risk transfer). To operate his business, an insurer must charge about twice what he pays in losses. Thus, in the long run, insurance will cost twice as much as retention. Insurance doesn't really pay losses for you; it merely spreads them in an easy payment plan. Note that we're speaking in aggregates. Some large insurance contracts can be designed for loss ratios of 60%, 70%, or even more. Risk retention has the following benefits: It eliminates the cost of risk transfer, including: Insurer overhead Producer's commission Rate-making bureaus State and federal taxes (in some cases, separate taxes apply to self-insurers) It eliminates the trouble, time, and cost of negotiating and supporting property claims. Of course, estimating and recording the losses are needed, as is attention to subrogation potentials. It eliminates much accounting detail for reports of values, payroll reports, audits, and so forth. It focuses attention on the need for controlling losses, enhancing loss-prevention efforts. In the field of liability and Workers Compensation, it allows more flexibility in claims administration. Important decisions regarding your claims are not pre-empted by the insurance adjuster. It allows selection of the most effective claims, loss prevention, and computer loss-reporting services rather than taking all from a single source. Disadvantages The principal disadvantage of a properly planned risk-retention program is that there may be a greater variation of costs from year to year. However, recent chaotic market conditions have demonstrated that even insured programs are subject to unplanned, substantial fluctuations. Another disadvantage is the possible loss of desirable ancillary benefits such as statutory filings with state authorities and boiler inspections. The possibility that assumed losses may exceed premium savings should not be considered a disadvantage. If these losses were insured, the insurer would soon request higher premiums, which could affect premiums in all layers of insurance. By retaining adverse loss experience at lower levels, you may protect against cost increases at higher levels, which cannot be self-assumed. Amount of Risk Retention The first rule is that all predictable losses should be retained. Where losses up to a certain level occur so frequently that you'll be charged for them in your insurance premium either in the current year or shortly thereafter, they can be considered predictable and probably should not be insured. It may, however, be desirable to retain loss at a higher level-often to the maximum acceptable amount. Although no firm formulas can be offered for determining this figure, the best rule is probably this: The risk retention level should be selected by the chief financial officer after considering how unbudgeted losses will affect the organization's current and future financial condition. This is a fine rule-of great value to everyone but chief financial officers. To help them with this decision, here are some rules of thumb: 1. Annual Revenues Probably the principal single measure of an entity's loss-absorbing capacity is its revenues. Annual flow of dollars best depicts the firm's 'financial bulk. 'After all, when a sudden expense occurs, what really happens is that expenditures are shifted, projects deferred, or finances juggled to accommodate the change. Most budgets have a certain degree of flexibility, which is one measure of the 'tolerable loss level.' For perspective on the fraction of revenues that might be subject to adjustment, look first at some familiar examples. Many individuals with incomes of $20,000 annually accept $200 collision deductibles on their autos and own many $200 items that are not individually insured. This $200 sum represents 1% of their income, which they have found by experience to be tolerable. There's no reason that the same measure wouldn't apply to organizations. Remember, too, that this is 1% per loss, not per year. A more pertinent example would be to consider the approach of professional reinsurers, which is to base their maximum acceptable loss on the effect a loss of that size would have on the companywide loss ratio rather than separate line ratios. Figures set by individual companies vary widely, but they usually fall into a range between one-hundredth and one-tenth of 1% (0.01% to 0.1%) of annual earned premium (revenues). This speculative background, as well as our own experience with many organizations, indicates that 0.1% of revenues represents a reasonable and conservative per-loss figure for most entities. 2. Aggregate Allowable Cost Variation Some finance officers establish a goal for the risk-retention program to vary within limits-say, to a maximum of 150% of budgeted costs. The risk manager is free to select the level of retention within which there's a high degree of probability that the total of insurance premiums plus retained losses will stay within that limit. Perhaps the most common method of selecting a deductible is to have quotations presented on the premiums applicable to different deductible levels. The decision is then made on an intuitive balancing of dollars saved vs. losses assumed. Although this may have some limited advantages in certain situations, it's generally irrational and misleading because: A fixed premium credit does not measure all the advantages of risk retention. The premium reduction is always small compared with the possible assumed loss (at least, at higher levels) because of the infrequent occurrence of the loss. It thus appears to be unacceptable. Because the insured has no way to calculate the actuarial frequency, a premium reduction that's small in absolute magnitude but beneficial in the long run might be rejected. The important consideration here is that no individual line should be considered on its own. In particular cases, it's easy to justify spending a few dollars more to insure some remote event. However, management should be concerned with the aggregate premium it would pay to insure all such lines, irrespective of whether they're normally insured or not. Because the totalled insignificant annual savings of a variety of risks over many years will amount to a substantial aggregate, you should establish as a matter of policy that inconsequential risks of any kind will not be insured unless specific reasons exist for doing so. Here are a few examples of minor premiums, which individually often amount to little but collectively are significant: Medical payments Auto physical damage Uninsured motorists Floaters (fine arts, camera, equipment, etc.) Some residential and small buildings Money and securities Machinery breakdown Pressure vessels Hot-water boilers No one particular deductible saving quotation is highly credible. It could be different with another underwriter or at another time with the same underwriter. Some say that a fixed dollar amount is inappropriate because financial positions change. This objection is more theoretical than real because the retention level is only an approximation at a level high enough to be unaffected by budget fluctuation. There are cases of extreme changes of financial conditions where the amount may be changed, but these are rare. In the final analysis, selecting a risk retention is not quite a shot in the dark; let's call it a shot in the twilight. But risk managers who have a finely tuned program and who are sensitive to shifting market conditions can lower deductibles when markets are soft, and then raise them when conditions are more restricted. Loss Analysis It may be useful, in some situations, to break loss history down into three categories: Regular: occurring at least once a year Intermediate: expected to occur once every two to 10 years Catastrophic: occurring hardly ever, maybe never-but possible Category 1 should usually be retained. Category 2 could be retained or treated in some loss-responsive rating plan. Some sophisticated risk managers feel that they can profitably insure this category under soft market conditions, when they can outguess the underwriter. This may sometimes be true, but the practice should not be pursued long term. Category 3 (in which loss potentials exceed the tolerable limit) should nearly always be insured. Where data are reasonably complete and reliable, probability distributions using mathematical techniques may be used. They give a more accurate measure of the chance of loss occurring at various levels; however, they should be used with careful attention to the data's limitations. Trend factors should be applied wherever forecasts are made. For example, property losses should be adjusted for inflation. Compensation losses should be trended for changes in benefit levels. Liability losses have various trends (usually steeply upward) depending on many factors. It's easy to misapply the precision inherent in mathematical techniques, particularly since organizations having computer-backed mathematical facilities are eager to make use of their capabilities. Some proposals use mathematical techniques to calculate acceptable deductible levels, but this is rarely possible because all such calculations must rest on a base of loss data and deductible credits. Loss data are rarely dependable because: Many losses are never reported and the ones reported are not always properly classified. Amounts reported are often inaccurate, with many indirect aspects overlooked. Conditions that create hazards often change from year to year: People move and processes change. Loss-control measures change: Sprinklers are added and safety programs are improved. Deductible credits are even less precise because no one knows what they should be. A quotation of one underwriter at one time is some indication, but may be different than what another underwriter would offer-and even different than what the same underwriter would offer at another time. With such highly inaccurate figures for deductible savings and losses assumed, it seems that decisions should be based on more fundamental criteria, such as loss-prevention incentives, management control of claims, and long-term calculations of cost savings. One valuable function of loss analysis is a statistical breakdown by loss size for presentation to underwriters. If data are sufficient to be statistically credible, they may aid greatly in supporting a more reasonable rate than could otherwise be obtained. Risk Retention By Line Fire. Deductibles are most common in Fire insurance and other Property lines. Boiler & Machinery insurance, however, is less commonly subject to deductibles because of the relatively small premium, and because a major part of the premium is allocated to engineering and inspection services. Fidelity. Fidelity bonds also are less often written with a deductible because of the low premium. But deductibles are desirable here in large measure to eliminate the cost of adjusting small claims. Loss adjustment costs in fidelity can be extremely high because of the need for detailed accounting, which may go back many years. Auto. Auto Physical Damage is one area in which almost all companies of any size should retain the risk, using insurance only where many vehicles are stored in a single location subject to a windstorm, explosion, fire, flood, or other catastrophe. Liability. Public Liability has not often been subject to deductibles except for minor deductibles in Property Damage Liability. The rationale is that outside adjusters are necessary to deal with the claimant, and it used to be difficult to employ adjusters without an insurance policy. Now that there are many professional adjusting firms available on a fee basis for self-insureds, this is no longer a consideration, so retention of the liability risk is becoming increasingly common. In addition to generating premium savings and freeing reserves, it develops better control of loss adjustments. Techniques of subrogation-recognizing the potential and following through systematically against the guilty party-should be carefully planned when liability claims are assumed. Retrospective rating plans also represent a form of partial risk retention often used in Liability lines. Types of Deductibles Straight. For every loss, the insured pays up to the deductible amount. Franchise. The franchise, most often used in Marine insurance, is a deductible that applies only until the loss reaches or exceeds the deductible amount. Losses in excess of the amount are paid in full-that is, with no deductible. Disappearing deductible. This is similar to a franchise, except that the insured assumes all losses up to a certain figure. When a loss exceeds this figure, the insured's risk retention diminishes as the loss increases, until at a certain level the insured has full coverage. Annual aggregate. The insured assumes all losses during a year until the total of all the losses reaches the aggregate figure. From that point on, losses are paid in full or, more commonly, paid in excess of a small straight deductible to eliminate nuisance claims. This is almost always used in conjunction with a straight deductible. Waiting period. Business interruption policies are sometimes written with a dollar deductible, but more often with a waiting period such as second midnight. This means that the amount of loss between the time of the loss and the second midnight after is not included in the loss computation. FPA. This is a term used in Marine insurance, meaning 'free of particular average' (FPA). Particular average is partial loss, so insurance written FPA is free of partial losses-or in other words, a claim is paid only if the loss is total. A synonym is TLO (total loss only). Funding Versus Expensing If risk is retained to a substantial level, it may seem desirable to establish a reserve fund to ensure availability of cash when the need arises. Public entities and other tax-exempt organizations often do this, sometimes combining this reserve with other contingency reserves. CONCLUSION Retention of risk is the natural method of treatment, with insurance used principally where losses exceed a tolerable loss level (TLL). The chief financial officer, after considering all internal financial and external conditions, should establish the TLL, after which insurance or other risk transfer should be specified for risks in excess of this amount and retention for lower risks....
https://completemarkets.com/Article/article-post/2083/TRADITIONAL-VS-E-COMMERCE-INSURANCE/
Traditional Vs. E-Commerce Insurance
TRADITIONAL VS. E-COMMERCE INSURANCE by Dave O'Neill Managing e-business calls for a comprehensive risk management approach and a thorough understanding of the multifaceted nature of the exposures. It's imperative to incorporate an ingrained awareness of e-business exposures in a business' employees and to provide them with the necessary tools to analyze, quantify, and manage those exposures. This document by Dave O'Neill takes a look at why traditional insurance products aren't up to the task. The Industrial Revolution, especially the period of the early 1800s, contributed to modern business methods with inventions of the telegraph, transatlantic cable, telephone, and wireless communication services. But, development of the first microprocessor in the late 1960s, followed by the creation of the Internet, marked the beginning of what can now be called the E-Business Revolution. Electronic Business, or Electronic Commerce, began with the Internet. The ability to work, learn, teach, research, bank, invest, purchase, sell, and communicate can be performed from almost any location with access to a telephone line. The advent of the Internet has transformed the way firms conduct business with extraordinary cost effectiveness and innovative business opportunities. Although companies that don't partake in the latest technological advances risk losing customers, those firms that have joined the e-business revolution have risks of their own. Typical business risks such as loss of revenue, business interruption, fraud, and loss of reputation are magnified for those businesses engaged in e-commerce. Additionally, the paperless environment of the electronic age serves to further increase the risk of theft of confidential data, which can be accessed online. For the most part, companies have relied on their insurance agents or business consultants for recommendations regarding traditional business insurance purchases. Unfortunately, those traditional insurance products might not meet all of the needs of today's electronic businesses. The very same products that have provided insurance coverage for physical assets against physical threats were developed at a time when the term ‘cyberspace' was considered science fiction. The electronic business exposures must be analyzed against traditional insurance coverages in order to identify the coverage gaps and ultimately find a solution to close those gaps. PROPERTY INSURANCE Property insurance is based on physical protection for losses resulting from covered causes of loss, which cause physical damage or destruction. The following are typical characteristics of traditional Property insurance: It does not cover damages caused by viruses, nor does it recognize the inherent value of assets in electronic form, such as intellectual property or proprietary software. It excludes dishonest and fraudulent acts committed by the Insured or employees of the Insured. It excludes losses arising out of human programming errors. The coverage territory is limited to a specified region, such as the U.S., Canada and Puerto Rico — the Internet knows no boundaries. BUSINESS INCOME/EXTRA EXPENSE Business Income coverage pays for actual loss of business income due to suspension of operations during the period of restoration. The traditional coverage characteristics include: The suspension must be caused by direct physical damage or loss to property (or personal property within 100 feet) at the premises described in the policy declarations. The loss or damage must be caused by, or result from, a covered cause of loss. It defines ‘period of restoration' as the period of time that typically begins 24 to 48 hours after the time of direct physical loss or damage for Business Income coverage and ends when the damaged property should be repaired with reasonable speed or business is resumed at a new permanent location. In the world of electronic commerce, a 48-hour waiting period might be more damaging to business than the loss itself. GENERAL LIABILITY General Liability insurance is also directly connected to physical exposures, designed to cover tangible bodily injury and property damage. Often, insureds misinterpret coverage for incidental exposures to be broader than intended. Limited coverage for advertising liability, only applies to offenses committed in the course of advertising your goods, products or services. Many home pages have information not specific to an insured's own products. It excludes an offense committed by an insured whose business is advertising, broadcasting, publishing, or telecasting. The coverage territory is limited to a specified region, such as the U.S., Canada and Puerto Rico — the Internet knows no boundaries. DATA PROCESSING MEDIA An insured might choose to purchase Data Processing Media coverage, or coverage might be included within a package of other Property or Inland Marine coverages. This type of coverage typically features: It covers the actual cost of reproducing the data and the cost of the media. It only applies to Data Processing Media at a Covered Location described on the policy declarations page. Again, the coverage territory is limited to a specified region, such as the U.S., Canada, and Puerto Rico. It excludes dishonest or criminal acts by the insured or the insured's employees. CRIME COVERAGES A Computer Crime Policy (CCP) is designed to cover loss resulting from various forms of crime. However, where does the protection against loss resulting in an electronic environment generally begin and end? A key element of the CCP is protection against the loss of money and securities resulting from transferring, paying, delivering, debiting, or crediting an account following the modification or destruction of electronic data, media, or programs perpetrated by unknown third parties. Coverage is lso provided for damage or destruction to programs, data, and media (hackers, virus', time bombs, and the like) in which case the afforded protection only pays the costs to replicate the lost materials. Under the CCP no coverage is given for: Loss of inherent value of intellectual property or proprietary software resulting from misappropriation. Loss of income. Expenses incurred in order to establish the amount of loss. Programming errors and omissions or malfunctions. Expense of hiring a public relations firm to mitigate a reputation loss. DIRECTORS AND OFFICERS D&O coverage is triggered by a claim resulting from a wrongful act of a director and/or officer. Conceptually, it does not protect the corporate entity and therefore doesn't avail itself to the types of day-to-day electronic exposures inherent in the provision of professional services by a financial institution. D&O coverage also normally excludes: Loss of income. Errors and omissions by anyone other than the directors and officers, except for the management oversight function. Libel, slander, or defamation. PRE-SCREENING Financial institutions in particular want to ensure their e-business activities aren't vulnerable to potential losses resulting from security breaches, such as network hacking, viruses, and electronic thefts. Now that we've addressed all of the traditional insurance a financial institution typically has in place, certain criteria must be met before they can consider e-business insurance in order to determine the scope of their e-commerce exposures. Is there a current, documented security policy? Are documented procedures in place for user and password management? Are remote users authenticated before being allowed to connect to internal networks and systems? Although this isn't a comprehensive listing, a negative response to these questions represents a critical internal control weakness that would need to be corrected before e-commerce insurance can be considered. LOSS CONTROL MEASURES Financial institutions must implement loss control measures to lessen their e-business exposures before additional insurance can be put in to place. Such measures might include: A documented, published corporate security policy. Such a statement is key to the successful implementation of an IT Security Program. It should spell out the institution's approach and commitment to an active Security Program, allocate management responsibilities, and advise employees of the need for their active involvement. Access controls to ensure that only authorized users access your systems and networks and can provide you with an audit trail to aide in investigations that might be needed. Passwords, the most common method for verifying the authenticity of system users, are the most likely to be compromised. Ensure that they are changed often. FILLING THE GAPS E-business insurance provides a broad range of electronic business activity protection that helps to cover gaps in traditional existing insurance coverage, even if your electronic systems are under the control of a third party service provider. This might include: Business Income coverage that can replace not only the business income and additional expenses incurred as a result of interrupted services, but can also pay for the cost of investigating the reason for the loss of service. Loss Event Liability that covers liabilities to third parties for e-business losses, including reasonable expenses incurred in the defense or appeal of claims. Intellectual Property coverage to protect against the loss of proprietary information or software through deliberate or inadvertent misappropriation. Public Relations coverage for the expenses incurred to help rebuild a company's reputation from negative publicity resulting from an e-business exposure. Electronic Publishing Liability to cover liabilities incurred from publishing information electronically including defamation of character, libel, and slander, as well as copyright infringements, plagiarism, or misappropriation of ideas. Rewards coverage that pays for information that leads to the arrest and conviction of any indi...g or trying to commit any illegal act against the insureds e-business activities. Managing e-business calls for a comprehensive risk management approach and a thorough understanding of the multifaceted nature of the exposures. It's imperative to incorporate an ingrained awareness of e-business exposures in a financial institution's employees and to provide them with the necessary tools to analyze, quantify, and manage those exposures. We recommend grasping the golden opportunity presented by e-business, but it's always of importance to ensure that there's an adequate return to compensate for the risk assumed. E-business insurance helps make this decision easier. David T. O'Neill is Vice President of e-Business Solutions for Zurich North America Financial Enterprises. He is responsible for directing the global marketing initiatives of Zurich North America Financial Enterprises' e-commerce insurance product, E-Risk.
https://completemarkets.com/Article/article-post/566/Commercial-Lines-Marketing-Program/
Commercial Lines Marketing Program
This document covers issues as diverse as agency budgeting, how to post an effective classified advertisement, and marketing carrier programs.
An agency's Commercial Lines marketing programs share a number of common themes. In order to write new business in target markets the agency must have:
A carrier willing to sponsor competitive coverage and pricing for the target market.
Enough prospects to justify the penetration of the market.
A program to familiarize prospects with the agency and the product.
A set of underwriting guidelines that will permit eliminating any accounts that wouldn't meet the carriers product underwriting guidelines.
Sufficient producer time and commitment to sell the client the services and the carriers policies.
Do you know the lines of business for which your carriers have the best (or one of the best) products and underwriting understanding at a fair (lower half of the spectrum) price? If not, find out before launching a marketing program. If none of your carriers have products that put them in the forefront of that line of business, you wont have a successful marketing program. Wait until one of their products is evolved enough or investigate other carriers.
By the way, what a company wants you to promote isn't necessarily a product for which its in the best market! You're much better off marketing toward what they've written predominantly as new business in the last year.
Most desirable prospects are deluged with offers for insurance. Another letter or call wont differentiate the agency from all other insurance agents.
A sales letter sent in bulk isn't a marketing program. If its even opened, it'll be seen for 15 seconds and then discarded. If You're not the incumbent or if the client isn't familiar with you, they'll never read your first letter.
Prospects will be more likely do business with agents with whom they're familiar and comfortable.
Would you provide confidential financial information about yourself and your business to someone who solicits you out of the blue? Neither should anyone else! Familiarity breeds sales, not contempt!
Most agents rarely pay attention to existing customers. The agency that spends time building a relationship with prospects will be more likely to assume control of them in the future. Take this as a warning when you allocate your time between your clients and your prospects.
In order to properly penetrate a target market, an agency should create and implement a long-term frequent contact marketing program. With a large enough group of prospects, the expected long-term yield in sales will pay for the cost of the program.
Agency Consulting Group, Inc. has created a 15-step, three-year marketing process to evolve these benefits:
Image development Prospects will be contacted by the agency many more times than they will by their current agent.
Product comfort Since the agency will pursue a target market on behalf of only one carrier, they'll be able to completely familiarize the clients with the products offered, as well as the personal services of the agency.
Risk development The 15-step program will include a number of notifications to the clients of common risks to businesses and how to avoid those risks through effective insurance management.
Personal familiarization At least twice each year, every prospect will be contacted by phone or in person by the same agency representative in order to develop a personal relationship.
OUR COMMITMENT TO OUR CARRIERS
The agency will pursue the universe of prospects in a target market, fully penetrating that market on behalf of the selected carrier exclusively over a three-year period. If the prospect qualifies for the carriers underwriting guidelines, well only use that carriers product in our offering. We win or lose with the carrier. Well advise the carrier monthly on how many prospects received contacts (and what type), how many appointments, quotes or proposals, and sales.
OUR CARRIERS COMMITMENT TO THE AGENCY
This program provides a dedicated, disciplined approach to penetrating a marketplace. We require confidentiality of process to avoid competitors implementing similar programs in our marketing areas. We count on our carriers to avoid the 'hot and cold' approach to risk selection. We've asked for the types of business that have become the best types of accounts for the carrier. This means those accounts that favor the carrier with low loss ratios and for which the carrier has sufficient pricing authority to match the competition write the account. Our carriers have committed to writing at least 70% of the accounts offered to them (that meet their underwriting requirements).
THE AGENCY/CARRIER PARTNERSHIP
The purpose of this program is to establish growing partnerships between the agency and its best carriers. Stability, profit, and growth are the most important traits of both partners. The carrier expects the agency to grow through writing and retaining lines of business that are proven profit-makers for the carrier. The agency seeks carriers who can perform competitively on behalf of its clients on both product and price.
CAMPAIGN
Year One
Step One: Letter one Introductory letter by the agency principal and an agency Commercial Lines brochure.
Step Two: Initial telephone call within two days of receipt of the introductory letter offering an Insurance Program Analysis.
Step Three: Letter two Identifying the agency as an insurance specialist in the selected target market and offering references from current client base.
Step Four: Letter three Identifying the carrier and the product that wed like to offer the prospect (carrier brochure).
Step Five: Telephone contact by producer to establish personal contact (within three days of receipt of Letter three).
Year Two
Step Six: Letter four Identifying risks to the target market and ways to avoid them through appropriate insurance management.
Step Seven: Letter five Identifying additional risk exposures to the market, tying carrier product to an insurance solution.
Step Eight: Telephone contact to continue the relationship and offer an appointment.
Step Nine: The agency (target market oriented) Newsletter specific product.
Step Ten: Producer to establish appointment or drop-in visit goal to establish expiration date and/or quote coverage.
Year Three
Step Eleven: Letter six Second offer of no-obligation Insurance Program Analysis. Supply reference list.
Step Twelve: Producer to verify expiration date and set appointment 120 days prior.
Step Thirteen: Letter seven Specific risk identifier.
Step Fourteen: Final call to attempt quote contact.
Step Fifteen: Letter eight final letter from the agency principal offering agency's services.
PROCESS
The program is conducted on a set schedule, but not at regular intervals. For instance, one contact could be two weeks after a prior contact, but the next contact might be in 10 weeks. We've found in our test markets that off-schedule, seemingly (but not really) random contacts accelerate the process of familiarization. After the first four contacts, the prospect might think that you've been speaking to them for years.
The program is also never mass-mailed or bulk-mailed. Use stamps. Depending on who will conduct the next contact and when, five to 10 prospects should be mailed (or contacted) on any day. The follow-ups on those contacts will take whatever time the producer has to manage the process.
I rarely make absolute statements, but here's one: This program will only work if the entire marketing program is drafted at the same time. This means that all letters, newsletters, bulletins, and mailers need to be completed before the first prospect is mailed. In the years in which we developed and tested this marketing program it has NEVER worked if the marketing program was written as the schedule required.
The cost of a 15-Step Three Year Marketing Program in both dollars and producer time is considerable. The prospect type must be substantial enough that the projected number of eventual sales can justify the cost of the program. For instance, if your goal is to write 10% of the prospect base within three years, if the average commission is $1,000 and 40% of it will go to the producer, and if the entire marketing program will cost you $10,000, then you must sell 17 accounts (at the agency's remaining $600 commission/account) to break even in cash flow. That requires a 170-prospect minimum to achieve the Marketing Plans goal. Budget at least $1/item for mailing, and sales calls based on the time expected to be used by the producer....