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Posts Tagged ‘Managing Expectations’

Beware the Skunk!

For over ten years I have been discussing the “narrowing” of coverage due to the increased pressure from reinsurers  and rating agencies for increased profits and decreased loss ratios.   One of my key examples has been a broadening definition of “pollution”.

In the past two months I have either been involved in or heard of several claims being denied for “skunk spray”. This is a perfect example of profiteering.   A skunk is neither a vermin nor is skunk spray pollution.      But, beware…   Some have denied altogether and some have denied coverage for contents, EVEN WITH AN HO 15 ENDORSEMENT!

Is Insurance a Commodity? (6)

This discussion of Commodities centers on recent attempts by insurers to circumvent agents and sell insurance products over the internet.    I am convinced that insurance is not a commodity as it is not a product that can be sold in an unmodified state and be used properly.   It would be like purchasing an unassembled, complicated piece of equipment and having no directions for assembly.  It appears to me that is the case with “unbundled” “risk bearing” or to put it another way, the thing Insurance companies sell is a “risk finance” mechanism.    Agents add value to this product by showing purchasers how to use it and by adding their own body of knowledge to the process!

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A “commodity”, then, is a necessary element in the chain of production of a product or service, that is useful to someeone in it’s static state.  A “Commodity” needs additional process or knowledge or processing before it becomes a useful consumer product.   A “Commodity” is a factor in the chain of production.   Thus risk bearing is, perhaps, a commodity.   “Insurance” is a completed user friendly product that is packaged in a way that it is useful and dependable to the consumer. 

To make insurance useful and dependable to the consumer, the consumer needs additional knowledge and services not only at the point of sale but at every transaction point in the chain of use.    It is difficult for an insurance company to provide those services as their function is to provide risk bearing service at a profit.   There is an inherent conflict between what the insured wants and what the company is willing to give. That conflict creates a situation where there are sufficient incentives NOT to do the right thing on behalf of the client.

It is the same problem that surfaces in a Managing General Agent (“MGA”) relationship.  The insurance company gives the underwriting authority to the MGA.   This creates sufficient incentive in the MGA to “bend” the rules.   If the MGA does not actually produce a policy from this insured, they don’t make any MONEY, let alone profit.  The MGA does not have to “pay the claims” and they are incented only to write business.   An insurer is incented to make a profit on underwriting.   The more they can diminish claims experience, the more money everyone makes.   The more the MGA writes, (good or bad business), the more the MGA makes, but if they do not make the sale they make nothing.  The incentives are in the wrong place for optimal performance.  

So ”raw” risk bearing is a service for which there MUST  be the value of additional knowledge before it becomes a product.   When it is purchased without the advice of an agent at the time of sale or without the benefit of an independent advocate at the time of the claim, the value of insurance is diminished due to the consumers lack of risk management knowledge, coverage knowledge and pricing knowledge.   The fact that the consumer made an inferior purchase is likely obscured until the time of claim.    The value of the agent is not apparent until the claim occurs.  

So, buying insurance without an agent is like buying an old fire extinguisher at a yard sale and putting it in your kitchen in case there is a fire.   You won’t know if it works until you have a fire. 

I believe I will focus in my next entry on the “Incentive” piece of this puzzle.

Personal Insurance and Foreign Travel

This time of year Insurance Agents get calls, “I am going to “St. John” (or other locale) on vacation. Am I (the client) insured for THIS foreign travel?” If this happens in your agency, the ISO Homeowners territory is worldwide, YOU NEED TO CHECK THE UMBRELLA OR EXCESS COVERAGE TERRITORY, and the ISO auto policy insures in the “US, Territories, possessions and Canada. What ARE the US Possessions? Here is a quick, unverified, list for reference purposes.

The Commonwealth of Puerto Rico

Guam

The U.S. Virgin Islands

American Samoa

The Commonwealth of the Northern Mariana
Islands (CNMI)

The Midway Islands

Wake Island

Kingman Reef

Navassa Island

Johnston Atoll (an atoll is a coral island)

Palmyra Atoll

Baker, Howland and Jarvis Islands

end of list

If you use Insurers who use non ISO forms you will need to check the company’s form.

Agent… Never trust an Insured…

Don’t get me wrong here and please see the humor in my statement…

Insureds are not “dishonest”, I do not mean they will “lie” to you, but the problem is, the owner never “really” knows what is going on with their business (or family, for that matter)!

Business owners, particularly, never really know how the vehicles will be used or what will happen during the course of use.   One case I was an expert in, involved Care Custody and Control of equipment on ”My Agency Client’s”, “Insured’s” truck.  My client’s insured is an excavator.    In the interview the Agent asked the Insured, “do you ever haul equipment for anyone else?”  Easy question, easy answer, “No, I never haul other people’s equipment.”    The Agent wrote no Care Custody & Control coverage for this contractor.

Subsequently on a rainy day (no pun intended) the owner told the truck driver to take the excavator to the dealer approximately 70 miles away to have the tracks re-pinned.    The truck driver unloaded the excavator at the dealer’s premises and the manager of the premises sais to the driver, “Hey…   We have your bosses buddies excavator here and his tracks are all re-pinned.   Would you mind taking it back with you rather than deadheading back?”   The answer (No.. we don’t have any insurance coverage for that”)  Not this driver…   “Sure I will!”   It’s my bosses friend, after all!   What can it hurt.   They loaded the excavator and the driver said, “it looks kind of high,” so the dealership employees said “we’ll check it.”   The driver went in the facility, finished his coffee, and took off with the excavator, assuming the employees had checked…. they had not.    He wedged the excavator under the railroad bridge about a half mile down the road and guess what… No insurance coverage for the excavator!

Agents… Always set your policies up to allow for lack of knowledge on the part of the people who actually do the job!    They didn’t buy the insurance, the owner did, so they don’t understand you just can’t go and do something that is beyond the insurance coverage!   The moral of the story… NEVER Trust an Insured!

Discontinued Operations/CGL

If you discontinue the purchase of General Liability Policies due to retirement or going out of business, among other reasons, be cautious if the insured still has products in the marketplace.    Canceling the General Liability will terminate coverage for occurrences that happen in the future due to your insured’s products.

At termination you need to have your client purchase discontinued operations coverage.   The coverage is no longer even in the ISO manual, and I think I must be one of the few who still remembers how it was rated.   Insurance Agents…  Plug this potential E & O Gap by offering the coverage and documenting the offer in your insurance file!