Messenger COVID-19 SPECIAL EDITION - Independent Insurance Agents of Maryland
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WAY REGISTRATION OPEN! BWI MARRIOTT JULY 17 F R I D A Y 2 0 2 0 CONFERENCE AGENDA Kelly Donohue-Piro David Dillon 7:30-8:30 Registration Agency Performance Partners Watney Insights Network 8:30-10:00 Morning Session 1 5 New Agency Challenges & How To Tackle Them R E G I S T R A T I O N T Y P E S Presented by: Kelly Donohue-Piro F U L L D A Y R E G I S T R A T I O N 10:15-11:45 Morning Session II MEMBER ATTENDEE: $100 Mindset NON-MEMBER ATTENDEE: $125 Presented by: David Dillon Full Day Registration Fee Includes: 12:00-1:30 Networking Lunch with Exhibitors Continental Breakfast Morning/Afternoon Sessions + Session Breaks Lunch with Exhibitors 1:45-3:15 Afternoon Session I Chairman's Cocktail Reception + Dinner Eat That Frog! Casino Night Presented by: David Dillon N E T W O R K I N G R E G I S T R A T I O N 3:30-5:00 Afternoon Session 1I The networking pass is available to those who wish to Designing & Tracking Your Customer Experience attend only the exhibit hall on Friday, July 17, 12:00 Presented by: Kelly Donohue-Piro pm-1:30pm. The price for the networking pass is $40 for both members and non-members. 5:30-6:30 Chairman's Cocktail Reception Networking Registration Fee Includes: Lunch with Exhibitors 6:30-8:00 Installation of Officers & Dinner D I N N E R R E G I S T R A T I O N 8:00-9:30 Casino Night! The price for the dinner pass is $100 for both members and non-members. Dinner Registration Fee Includes: Chairman's Cocktail Reception $ Installation of Officers + Dinner SPONSOR OPPORTUNITIES EXHIBITOR OPPORTUNITIES Visit www.BIGIMD.com/BIGIMDANNUAL to register!
In This Issue 4 Chairman’s Message 5 Navigating Through Uncharted Waters 7 Ask Pat Big I Maryland 2408 Peppermill Drive, Suite A 9 What our Partners Carriers are Doing to Aid Insureds? Glen Burnie, MD 21061 11 Maryland Insurance Administration Bulletin (P) 410-766-0600 | (F) 410-766-0993 13 Worker's Compensation, COVID-19 and 3.A. Editor: 16 Business Income Insurance Rebekah Langford 21 Maryland Insurance Administration Advisory Graphic Designer: 24 The Big "I" Maryland 2020 Legislative Session Summary Maritza Dintino / ColorCraft Printing 30 Tidbits EXECUTIVE COMMITTEE 32 Big "I" Legislative Conference 33 Markets Chairman 37 Life Corner Gerald Zoller, CPCU - Eldersburg 38 Does the PAP Cover Food Delivery? Immediate Past Chairman 41 You're Suddenly Managing Remote Teams, Now What? John Cabrera - Germantown 42 Education Corner President 43 Additional COVID-19 Resources Rebekah Langford, AAI - Glen Burnie ADVERTISERS State National Director Angela Ripley, CIC - Columbia Big I Maryland would like to THANK all of our advertisers for their continued support! The Maryland Messenger would not Chairman-Elect be possible without them. Jerry Nicklow, AAI - Pasadena Berkshire Hathaway GUARD Insurance Companies Potomac Insurance Network, Inc. Vice Chairman Preferred Property Program, Inc. Ivory Buck, III - Easton Builders Mutual Insurance Brokers Service Corporation Director-At-Large Chesapeake Employers Insurance Company Christopher Weller - Huntingtown The Maryland Messenger is a bi-monthly publication published Past Chairman Representative for the exclusive use of regular and associate members of the Angela Ferguson - Westminister Big I Maryland. Publication of any article, letter to the editor or advertisement in the Maryland Messenger should not be DIRECTORS deemed as an endorsement by Big I Maryland of the opinions expressed or product advertised. Questions and comments Stacey Nicholson, CIC, CPCU, LUTCF - Annapolis should be directed to the editor; Rebekah Langford. Nancy Nicklow, CPCU -Pasadena G. Bradford Reeves, AAI, AFIS - Chaptico Editorial Office Enver Berker Hazar - Kensignton 2408 Peppermill Drive, Suite A Glen Burnie, MD 21061 (P) 410-766-0600 | (F) 410-766-0993 Email: rebekah@BigIMD.com | www.BigIMD.com
Chairman’s Message Gerald "Gerry" Zoller A Personal Note from your 2019-2020 Chairman When this crisis first started, you we all should understand that change by increasing remote support for probably found yourself searching for “is always there” or at the very least, marketing, claims, and underwriting. knowledge and information to help “on the horizon”. The insurance companies continued clients, employees, family, and friends. We may start our day with a plan, to keep lines of communication Hopefully, you checked with your but that plan can all change with a open and responsive. Many put in Association, Big I MD. Early on the claim, service question, or customer place easing of premium payment staff was rapidly collecting and issue that needs immediate attention. guidelines and offers of refunds posting valuable information for all New innovations in equipment, or credits on some personal lines of our members as soon as it became software, or technical advances policies to help our customers. available. I know firsthand that some across industries can test our ability When it seemed like their world of our agency’s responses to the to adapt and forge new paths to serve was suddenly upside down, I found tough questions were formulated our clients. insurance customers surprised around what we had learned from that service did not diminish. Their Along came the Coronavirus! Silent, needs and inquiries were answered our Association’s Coronavirus invisible, deadly, and fast moving. (COVID-19) resource page. If you as normal. Our industry’s ability to continue have not gone to our resource page servicing the needs of our clients As insurance professionals, we can lately, I encourage you to do so as efficiently during a worldwide be proud that through the worst of soon as you can. Big I MD assembles pandemic is a major challenge that times we remain up to the challenge. and disseminates knowledge that we confronted head on with little Faced with adversity and potentially makes all of us better insurance warning. I believe history will show disruptive change, we answer the professionals. Rapid response and we did it not only rapidly, but we did call. The people that make up our presentation of accurate educational it well. industry have a mindset of helping information are the hallmarks of the customer no matter what it takes. what we do. Your membership In speaking with a number of member agencies in the last few I thank each and every one of you, and participation in Big I MD is an especially our Association staff who important part of that mission! weeks, I found many examples of how innovation and rapid deployment of make sure you are equipped and Resilience agency resources almost completely informed during challenging times I have often mentioned that change realigned how business was being so we can deliver our best when is a fundamental part of our industry. done. A number of agencies customers need us most. From anyone just entering the established work from home for Stay safe. insurance industry to veterans with the majority, if not all of their staff. years of experience in our business, Insurance companies joined the effort Maryland Messenger 2020 MAY/JUN 4
Navigating Through Uncharted Waters: COVID-19 and Health Insurance By Al Redmer, Jr. Maryland Insurance Commissioner The COVID-19 State of Emergency is a industry leaders want to do the right to encourage social distancing. now constant reminder that we never thing – mainly because they’re good • Prior authorizations: The fully know what’s around the corner in citizens, but also because it’s good majority of carriers have relaxed life, even as we try to plan for a stable business in a competitive environment. some of their prior authorization future for ourselves and our families. In Since the COVID-19 crisis began, we’ve requirements. Several are waiving times like these, insurance becomes a held five conference calls with health prior authorizations for non-elective major concern. insurers active in Maryland to talk hospital admissions and some The Maryland Insurance about the challenges consumers and are waiving concurrent review Administration’s goal is to provide companies are facing as we navigate for hospitalizations, and some efficient, effective service to both the these unprecedented times. I’ve been will honor previously approved consumers of insurance products very impressed by the actions taken so authorizations for elective surgeries and the insurance industry. Our far by insurers to help their customers. that need to be rescheduled. most important job is assuring the In many cases, one insurer will show • Premium payment and fair treatment of consumers, with all leadership or innovation in a particular employer coverage issues: carriers following Maryland law. When area and others will follow the lead. Most carriers have indicated we go through a crisis like COVID-19, For example: they will work with consumers our agency’s role as a regulator is a • Telehealth expansion: Carriers to accommodate difficulties with critical part of the state’s response. have expanded access to telehealth premium payments. One carrier Regulation can often sound scary, across the board. All major carriers has officially announced it will defer conjuring up images of an adversarial, have started waiving cost-sharing premium for up to two months “big stick” approach. To be sure, we for many in-network non-COVID-19 with no interest or penalty upon sometimes need to enforce the law telehealth visits, and several customer request. Many carriers with serious penalties for violators. are waiving in-network and out- are working with employers At the direction of Governor Hogan, of-network cost-sharing for all directly on a case-by-case basis to we’ve also taken some strong telehealth visits, including many accommodate specific requests to emergency actions in response to specialties. Many are covering ensure continuity of coverage for COVID-19, including requiring carriers phone-only consultations in certain laid off employees. to waive any time restrictions on situations. Several are ensuring that “We’ll get through this, together” is prescription medication refills and reimbursements for telehealth are a common theme throughout the authorize payment to pharmacies the same as in-person visits. country and world these days. We’re for at least a 30-day supply of any • Treatment of COVID-19: Most putting that into practice at the prescription medication. carriers are waiving cost-sharing for Maryland Insurance Administration But, overall, I’m a strong believer in all COVID-19 treatment (this includes by taking an inclusive, collaborative collaboration, of working together out-of-network services for some of approach. We’re regulating, we’re to find solutions. When it comes to a the carriers). listening, and we will continue to crisis, we want to help insurers help • Prescription drugs: Several advocate for Maryland citizens and consumers. It’s been my experience carriers are offering free home businesses. that the vast majority of insurance delivery of prescription medications Maryland Messenger 2020 MAY/JUN 5
Big “I” Professional Liability Program Risk Management Reference Guide The Big “I” Professional Liability program believes that risk management is key in not only preven�ng errors, but also in providing agencies with tools to more efficiently service their customers. All policyholders of the Swiss Re Corporate Solu�ons/IIABA professional liability program have exclusive access to the risk management informa�on developed from our more than �0 years of experience insuring agencies. As a reminder, �estport Insurance Corpora�on is a member of Swiss Re Corporate Solu�ons. These risk management resources are exclusively available to your agency as a valued policyholder of the Swiss Re Corporate Solu�ons/member of IIABA. Big “I” Risk Management Website – E&O Happens Agency E&O Seminar This website contains comprehensive informa�on and tools such Administered by IIABA state associa�ons, E&O seminars are an as an overview of common mistakes that cause E&O claims; real- excellent way to increase procedural and knowledge-based E&O life case studies for learning; best prac�ce �ps; sample disclaimers, risk management awareness to agency personnel. Agencies with procedures and client le�ers; opera�onal self-assessments; E&O- the requisite number of staff a�ending may qualify for a 10% related ar�cles, and more. Visit www.iiaba.net/EOhappens to log premium credit and may also qualify for CE credits, providing a in. (FREE) double benefit. (Fee-based) Big “I’ Virtual Risk Consultant Powered by Rough Notes (VRC) Agency Opera�onal Improvement Review The VRC is a web-based resource providing comprehensive tools A review of your agency opera�ons is available. Voluntary comple- such as industry specific client risk exposure checklists and �on of this review may qualify you for a 10% E&O premium credit ques�onnaires. VRC helps agents to be�er understand the good for five years on the next renewal. (Fee-based) coverage needs of customers and avoid E&O claims from failing to offer proper coverage and failing to iden�fy customer exposure. Big “I” Virtual University Visit www.iiaba.net/VRC to learn more. (Fee-based) VU is a web site with informa�on on hundreds of insurance related business and technology ar�cles, sample ISO forms, white E&O Claims Advisor Newsle�er papers and informa�on affec�ng today�s insurance marketplace. Published monthly and emailed to agency staff, this newsle�er It also provides a forum to answer ques�ons that can�t otherwise provides valuable informa�on on agency E&O trends and hot be found in the research library through the “Ask an Expert” topics. (FREE) service. Visit www.iiaba.net/VU. (Free) Risk Management Webinars Big “I” Agents Council for Technology (ACT) These quarterly webinars address emerging E&O risk management ACT brings agents, carriers, vendors, user groups and industry topics. Less than an hour in length and perfect for all agency staff, associa�ons together in an effort to employ the best workflows the webinars include detailed discussion from industry leaders on and technologies available within the independent agency system reducing exposure to E&O claims. (FREE) in order to improve our compe��ve edge. Please visit the ACT website at www.iiaba.net/ACT and watch the short video briefing on the site to get a good overview of the high-quality informa�on that we make available to agents and carriers. (Free) Should you have any ques�ons, please contact your state associa�on or �im �anley at �im.hanley�iiaba.net. �e appreciate your con�nued support of the Big “I” Professional Liability Program and Swiss Re Corporate Solu�ons and hope you find these risk management resources useful in helping your agency avoid E&O claims. Maryland Messenger 2020 MAY/JUN 6
Ask Pat Patricia McHugh Lambert Pesin Katz Law, P.A. 901 Dulaney Valley Road, Suite 400 Towson, Maryland 21204 410.938.8800 • 410.339.6759 (direct) 410.832.5628 (fax) • plambert@pklaw.com Leadership in Times of Crisis I have been thinking a lot about remotely produced show, the wheat from the chaff, a how a crisis can make or break a change happens in a crisis and process that needs to start leader. Abraham Lincoln’s legacy can produce effective results. before a crisis. was based upon how he handled Of course, change must be 3. Leaders need to have access the crisis of the Civil War. Stephanie monitored. For example, the to the right people. In a crisis, Rawlings-Blake received harsh Maryland Judiciary originally it is important to know the criticism due to her handling of the used Zoom for arguments, right people. For example, 2015 Baltimore riots. Dr. Anthony but when issues arose with those individuals with a solid Fauci has, at least as the writing of Zoom, other platforms were relationship with a bank had this article, received great praise explored. Leadership requires an easier time applying for due to his calm and straight forward comfort with change, regardless money from the stimulus approach to providing information of whether there is a crisis. package. Those of us in the and leadership relating to the This crisis has reminded me to legal field who had access to COVID-19 crisis. This COVID-19 crisis embrace change. bar and judicial leadership should cause all of us who consider 2. Leaders must understand that could ask questions about the ourselves to be leaders to think. trustworthy information is operation of the courts and the Crisis in the time of leadership is essential. There have been so future of litigation. Insurance difficult. There is often less time, many rumors, half-truths and professionals who belong to a less people and less resources outright lies that have infected strong association can obtain during a crisis. But every true the ether of social media and and share needed information. leader learns something from newsfeeds during this crisis. Leaders need to develop such a crisis—something that can be Leaders, however, must have access so that they can ask the used in more ‘normal’ times. In credible information to rely on right people the right questions. this article, I want to let you know in order to make decisions. I 4. Leaders need to seek out a few things that I have learned— have been particularly aware their peers and ask for help. or relearned-- during this current that I need reliable information Sometimes we, as leaders, feel health crisis. in order to make decisions, like we stand alone when we 1. Leaders must expect that we particularly to get a sense of make a decision. We feel like will not be doing things the what is going on in my industry we are the only ones that have same way. During this crisis, and the financial lay of the faced certain challenges, when I have been impressed at how land. I read news feed from in actuality other peers have leaders have approached the credible accountants, attorneys, faced similar challenges. The issue of needed change. From government officials and news information and insight that Governor Hogan’s emergency resources. I try to add my own these peers can provide can be order allowing, for example, credible voice to issues when invaluable. Leaders have peers the remote witnessing of I feel that I need to speak. The wills to Saturday Night Live’s key is knowing how to separate (Con’t on page 8) Maryland Messenger 2020 MAY/JUN 7
(Con’t from page 7) I will be completely offline. I Oath, the oath that doctors have updated documents, like take that is “first, do no harm.” wills, healthcare directives and The leader’s oath, however, they can call upon, even if their powers of attorney—something should be “First, try to do no peers are competitors. During that I have been putting off for harm.” Trying to do no harm, this COVID-19 crisis, I have some time. I have also tried to of course, requires recognition received so much assistance be a better boss by reaching out as to how harm can occur. I from other leaders who have more—making sure that I talk to have seen so many businesses helped me with the struggles people by phone, FaceTime or making decisions during this that I have faced. The value of by virtual connection. Leaders, crisis that are contrary to the sharing troubles is something even busy leaders, must think law and executive orders. I that we all need. We just about how often they respond have seen businesses making sometimes need to put aside by a terse email—and how that decisions that do not respect our pride and ask for assistance impacts people. Our people are privacy. I have seen knee jerk and advice. our most valuable resource and decisions made that simply 5. Leaders need to be transparent we should treat them as such— lacked thought. This crisis, more and decisive when making a crisis or no crisis. Pick up the than anything, demonstrates tough decision. During this phone and talk! And take a little that decisions—whether a COVID-19 crisis, I have not time for yourself! decision to act or a decision not envied the hard decisions to act—can lead to devastating 7. Leaders think about who is that Governor Hogan and consequences. Leaders important to their business. our local leaders have had to understand this. During a crisis, it is hard to stay make. As our state faced an in touch with the all the people 9. Leaders think about the unprecedented public health who are important. When changes that need to be made. crisis, decisions had to be made we deal with our own issues, A time of crisis demonstrates about medical equipment, the issues of our employees, flaws in an organization. Some school, unemployment and whatever financial or of the flaws are large. Some assistance and real life- operational crisis we are small. All need to be dealt with and-death decisions. These having, there is little time for and changed. When this crisis Maryland leaders have been anything else. But we must is over, many are going to try both decisive and transparent remember who is important to to get back to an old normal. with their decisions and our business. For me, it is my The true leaders will embrace have been willing to answer clients. During this COVID-19 the flaws and encourage the questions as to the how and scare, I have had to think about changes they inspired. why they made hard decisions. how I deal with my clients and 10. Leaders understand that there I have watched leaders in my prospects. So, this has reminded will be the next crisis. As we own business explain difficult me to understand who my best live through this crisis, we decisions. Again, the crisis 15 to 20 contacts are and to should recognize that there will has reminded me that we, as keep up those relationships. I always be another crisis. We will leaders, are not called upon to am trying to strengthen my not know what that crisis is, but do the easy; we are called upon outreach to my networks and to we will be called upon to deal to do the hard. professional relationships. What with it. 6. Leaders need to know that I have found is that many people they need to take care of are hungry for contact—they All of this is hard and will continue to themselves and their people want someone to reach out to be hard for a time to come. When first. During this pandemic, them. And this is something this crisis nears conclusion, we will all I have been recovering from that I will remember when this need to take a breath and think about surgery—good timing I know. crisis is over. how we can become better leaders. But it has reminded me that I 8. Leaders understand that am not effective unless I have things can get worse. I think my strength and my health. that all leaders should take So, I have set myself limits as a version of the Hippocratic to when I will work and when Maryland Messenger 2020 MAY/JUN 8
What our Partners Carriers are Doing to Aid Insureds During the Pandemic? By Shelley Arnold, CPCU, AU, ARM, AAI, ACSR, AIS One thing for certain, the Coronavirus this challenging time is simply the supply deliveries. See Maryland has cleared the congested roads right thing to do. Bulletin 20-15 (https://insurance. throughout Maryland. Highways and Insurers are also helping through maryland.gov/Insurer/Documents/ byways are empty. This has led many other relief programs. After multiple bulletins/20-15-Commercial-Use- insurers to announce a discount or Bulletins (https://insurance. Exclusion-in-PPA-policies.pdf) rebate, if you would, to drivers. The maryland.gov/Insurer/Documents/ At least one carrier, Travelers, ‘stay at home’ order declared by bulletins/20-10-Cancellation-of- is accelerating more than $100 Governor Hogan, means less cars on insurance-policies-during-covid- million in commission payments to the streets and highways, resulting in 19-SOE.pdf) and 20-17 (https:// eligible agents and brokers and has less accidents. insurance.maryland.gov/Insurer/ pledged $5 million to assist families According to CNA Business, the Documents/bulletins/20-17- and communities affected by the top 10 insurers, who write 72% of COVID-19-Contractual-Deadlines- COVID-19 pandemic across North the market, will be participating in within-Propery-and-Casualty- America, the United Kingdom and the refunds. The refunds vary, not only Insurance-Policies.pdf, issued by Republic of Ireland. in amounts, but also the amount of Commissioner Alfred Redmer, “As so many are facing a significant time that will be covered to determine Jr., and the Maryland Insurance financial burden due to the COVID-19 the refund. For example, State Farm Administration urging companies pandemic, we want to show our announced it will be providing a 25% to assist through accommodations agent and broker partners, many of discount covering a 10 week period. such as grace periods, suspensions whom are small business owners, The majority of the carriers taking of premiums due, extension of billing our support at this challenging time,” similar actions are using the April-May due dates, waiver of installment said Alan Schnitzer, Chairman and period. The percentage of the rebate and late payment fees and taking Chief Executive Officer of Travelers. varies. Travelers (15%), Allstate (15%), steps to avoid cancellations due to “Independent agents and brokers not the Hartford (15%), Progressive (20%), nonpayment. They also urge that only provide invaluable counsel and Liberty Mutual (15%), Cincinnati (15%) policyholders use all of the electronic care to our customers but also play and Safeco (15%) are some carriers means available to make payments, a critical role in the U.S. economy, providing premium relief. etc. Bulletin 20-17 also gives guidance and we are committed to standing by One carrier, Erie, is taking a different with respect to contractual conditions them.” approach to assist their insureds. such as sworn statements, time to make necessary repairs, etc. To FEMA has issued bulletin (https:// Erie has filed a rate reduction for www.nfipservices.floodsmart. both personal and commercial. date, the MIA has issued eight (8) Bulletins directly related to COVID-19. gov/sites/default/files/ w20002. This will assist throughout the year, pdf) extending the grace period for not just two months. According to Patricia McHugh Lambert provides an excellent overview on page 11. payment of NFIP premiums due Erie Insurance President and CEO to COVID-19. For policies with the Tim NeCastro, while ERIE’s pricing Many carriers are also providing expiration between February 13th, philosophy has always centered coverage for insureds whose job 2020 and June 15th, 2020, FEMA has around providing exceptional responsibilities now include using extended the grace period for receipt protection and service at the lowest their personal automobile to make possible cost, lowering rates during food, grocery, pharmacy and medical (Con’t on page 10) Maryland Messenger 2020 MAY/JUN 9
(Con’t from page 9) loss due to COVID-19 could recover see the hazards of the passage of those losses from the insurer. It these bills and the impact this will would be retroactive for any insureds have on the industry. Paying for of renewal premium payments from with business interruption policies in claims where no premium has been 30 to 120 days. This extension allows place from March 9, 2020 (the date of collected could potentially bankrupt a customers additional time to pay their the declared public health emergency carrier and could make it impossible flood premiums to avoid any lapse or by NJ Governor Phil Murphy. It would to pay claims where premium has reduction in flood coverage. apply to any business with less been collected. The Massachusetts One evolving and volatile issue than 100 employees. Other states Governor even stated that he felt the in commercial lines is whether that have followed New Jersey are insurance companies should pay. It is the Business Interruption policy/ Massachusetts with the introduction quite apparent that most legislators coverage will respond. New Jersey is of SD.2888 and Ohio HB589. Both do not understand the insurance attempting to legislate that business Massachusetts and Ohio’s bills are mechanism. income coverage respond even if the almost identical with a March 9 or 10 This issue continues to make form contains the 'virus exclusion'. retro date, but with Massachusetts headlines. Stay tuned and stay Bill A3844 (https://www.njleg. bill applying to businesses with 150 informed. state.nj.us/2020/Bills/A4000/3844_ or less employees. At the time this I1.HTM) would alter the specific article was written, none had passed. The Big I appreciate the measures exclusion contained in the business being taken by our carrier partners. The states are already seeing a jump interruption form for viruses. It in litigation in this area. Hopefully, provides that businesses that the legislatures of the states will experience a business interruption Preferred Property Program can help you procure Umbrella coverage for your insureds with an AXV A.M. Best rated carrier for the following types of risks: Developer Sponsored Boards Master Associations High-rise Associations & Apartments to 35 stories are eligible and more Limit options ranging from $5 million to $50 million Coverage can include excess D&O ● General Liability ● Auto ● Employee Benefits Employers Liability, Including Employment Practices Liability* (*if covered under the D&O) Follow Form EPLI is available only up to $25 Million limit In 2016 we partnered with American Union Risk Underwriters (AURA) located in Florida. AURA With our new partner we can now also offer our comprehensive Umbrella, with unsurpassed service and for the following types of risks: Hotels ● Motels ● Timeshares ● Lessor’s Risk Enclosed Malls Shopping Centers Retail ● Office Buildings ● Warehouses ● Light Industrial Apartments Limit options ranging from $5 million to $100 million For information on our AURA program, contact our experienced underwriter Tom Clementi at 877-506-1430 or visit our website, www.aurains.com A subsidiary of For more information contact our team of Underwriters 101 Crawfords Corner Road, Suite 1300 888-548-2465 Holmdel, NJ 07733 www.ppp-quotes.com Maryland Messenger 2020 MAY/JUN 10
Maryland Insurance Administration Bulletin Related to COVID-19 Crisis By Patricia McHugh Lambert There is so much being written insurance.maryland.gov/Insurer/ reasonable accommodations may about the legal issues surrounding Documents/bulletins/20-17-COVID- include suspensions of premiums the pandemic that it is hard to know 19-Contractual-Deadlines-within- due, extension of billing due dates where to begin reading. Today, we Propery-and-Casualty-Insurance- and premiums grace periods, and are providing information related Policies.pdf. waiver of installment and late to Bulletins issued by the Maryland Bulletin No. 20-16 deals with payment fees. Bulletin No. 20- Insurance Administration (“MIA”) title insurance producers. This 14 applies to Maryland-domiciled concerning the COVID-19 Pandemic. bulletin specifically allows title insurers and deals with waiver of Bulletin No. 20-17 deals with insurance producers to conduct the Statutory Accounting Principle contractual deadlines within remote settlements during the that requires an insurer to non- insurance policies. The MIA has COVID-19 crisis, provided that admit premium receivable assets specifically requested insurers to certain protocols are followed. over 90 days past due. https:// “be lenient” in the application of the The protocols are specified in insurance.maryland.gov/Insurer/ policy language requiring “notice the bulletin. https://insurance. Documents/bulletins/20-10- of a claim promptly.” Insurers are maryland.gov/Insurer/Documents/ Cancellation-of-insurance-policies- specifically requested to consider bulletins/20-16-Conducting-Mobile- during-covid-19-SOE.pdf; https:// “whether or not late notice of a Settlements.pdf. insurance.maryland.gov/Insurer/ claim was preventable and if the Documents/bulletins/20-14- Bulletin No. 20-15 deals with certain Premium-Receivables-over-90-days- late-notice actually prejudiced private passenger automobile the insurer’s ability to adjust the during-COVID-19-SOE.pdf insurers suspending the commercial claim.” Similarly, insurers are use exclusionary language in their Bulletin No. 20-13 concerns the requested to consider limiting contracts during the COVID-19 crisis. temporary suspension of the the use of “Sworn Statement in The bulletin explains how insurers 45-day advance mailing notice Proof of Loss” and to consider may make an endorsement form of cancellation, non-renewal or the use of electronic signatures. filing that temporarily suspends premium increase for private The MIA has further reminded the commercial use exclusionary passenger automobile liability insurers that policyholders should language in their contracts. https:// insurance for the duration of not be penalized for delays that insurance.maryland.gov/Insurer/ the state of emergency. Specific might be caused by the COVID-19 Documents/bulletins/20-15- information is provided as to what crisis, particularly in considering Commercial-Use-Exclusion-in-PPA- efforts insurers should make and the policy benefits for additional policies.pdf. the extended timing for protests. living expenses, loss of use, rental https://insurance.maryland.gov/ reimbursement, and business Bulletin Nos. 20-10 and 20-14 deals Insurer/Documents/bulletins/20-13- interruption claim. For EUOs, with premiums. In Bulletin No. 20- Temporary-Suspension-of-45-day- insurers are forbidden to take in 10, the MIA strongly encouraged Advance-Mailing-Notice-PPA.pdf person examinations without the insurers to make reasonable accommodations so that individuals Bulletin No 20-09 concerns agreement of all parties; even with what insurers offering travel the agreement of all parties, there and businesses do not lose coverage due to non-payment of premium insurance policies offer during the must be strict adherence to all social distancing protocols. https:// during the COVID-19 emergency. The MIA specifically noted that (Con’t on page 12) Maryland Messenger 2020 MAY/JUN 11
administrative offices. https:// specific exclusions for loss or (Con’t from page 11) insurance.maryland.gov/Insurer/ damage caused by war, nuclear Documents/bulletins/20-18-COVID- action and radiation. The potential COVID-19 crisis. https://insurance. 19-Motor-Vehicle-Registrations.pdf loss costs from such perils are so maryland.gov/Insurer/Documents/ extreme that providing coverage Bulletin No. 20-20 deals with the bulletins/20-09-Travel-Insurance- would jeopardize the financial financial challenges of Maryland’s sales-during-COVID-19-SOE.pdf solvency of property insurers. business community and what Information regarding COVID-19 insurers should do to assist. With Global pandemics like COVID-19 provider frequently asked respect to workers compensation usually fall into this category. questions can be found at https:// policies, insurers are requested However, policies can be different. insurance.maryland.gov/Providers/ to work with producers to We recommend that businesses Documents/COVID-19-Providers- accommodate policyholder requests review their policies and reach out FAQs.pdf. Information regarding for mid-term revisions to premiums to their insurance professionals with frequently asked question on based upon COVID-19 furloughs and any questions.” https://insurance. producer licensing can be found layoffs. This Bulletin also requests maryland.gov/Pages/newscenter/ at https://insurance.maryland. that insurers waive or reduce “to NewsDetails.aspx?NR=2020256 gov/Documents/newscenter/MIA- the greatest extent possible” short- We expect additional bulletins and Producer-Licensing-COVID-FAQ.pdf. rate cancellation penalties during information to be issued during the Bulletin No. 20-18 deals with the COVID-19 crisis. Insurers that upcoming weeks. Motor Vehicle Registrations and use credit in underwriting are also Other Information: There is a Commercial Automobiles and Fleets. urged to take into consideration the COVID-19 resource page that has The Bulletin notes that owners impact of the crisis; insurers are important information, including: of multiple vehicles, including specifically urged to “rely heavily” on pre-COVID-19 information and to • Contract information for commercial fleets, may want to consider an insured’s or applicant’s key Maryland Insurance put some vehicles out of service history over a period “of several Administration personnel. during the COVID-19 crisis, so as to discontinue coverage and years”. Commercial insurers are • Responses to frequently asked thereby reduce premiums. The also urged “to refrain from attaching questions, including questions Maryland Insurance Administration any adverse underwriting or pricing relating to extended filing encourages insurers to work with outcomes for insureds who have deadlines, the waiver of the policy holders to make premium made inquiries or file Business requirement of “wet” signatures reductions without the return of Interruption claims that have for filings, and the fact that tags. This reduction of premium not resulted in a claim payment.” there is no change in the service issue has been the subject of a https://insurance.maryland.gov/ procedures for litigation filings number of Bulletins and insurers Insurer/Documents/bulletins/20-20- against insurance companies. should consider having a plan in Commercial-Insurance-COVID-19.pdf https://insurance.maryland.gov/ place to deal with such issues. The MIA has also issued an advisory COVID-19/Documents/EandA- https://insurance.maryland.gov/ on business interruption insurance. COVID-FAQs.pdf Insurer/Documents/bulletins/20- As stated in this advisory, “Some Please feel free to contact us, your 18-COVID-19-Motor-Vehicle- commercial policies provide association, or the author of this Registrations.pdf Business Interruption coverage article regarding these Bulletins or Bulletin No. 20-19 deals with when a business is shut down due their implementation. quarterly premium tax payments. to an Order by a civil authority. Ms. Lambert can be reached by phone The bottom line of this bulletin is However, the policy still typically at 410-339-6759 or email plambert@ that the Insurance Commissioner requires a physical loss from a pklaw.com. has the discretion to waive penalties covered peril as the underlying and late payments of quarterly cause of the business shut down to estimated premium taxes due on apply. All insurance policies have April 15, 2020. Importantly, an exclusions of coverage for risks that insurer should have documentation are too great to be underwritten at as to how the COVID-19 crisis an affordable price. For example, has impacted the operation commercial and personal property of the insurer’s premium tax insurance policies typically contain Maryland Messenger 2020 MAY/JUN 12
Worker's Compensation, COVID-19 and 3.A. By Chris Boggs, CPCU, ARM, ALCM, LPCS, AAI, APA, CWCA, CRIS, AINS Workers' compensation is regulated a 3.A. primary state. If the employee simply lives across the at the state level. Although there are Does this same focused guideline state line and travels to the employer's some benefits to this, there are also apply to employers located near location, there are no operations in problems created. state lines if employees live in a the other state (the state of residency). Because work comp is state based, neighboring state and travel across Because the employees are or may the policy responds only when a state state lines to get to work? Yes, as soon be quarantined in their homes, is specifically listed as either a 3.A. per the Coming and Going Rule. there are now operations in another (primary) state or granted protection Traditionally the coming and going state – specifically the employee's as a 3.C. (secondary) state, which may rule holds that injuries suffered state of residency. Whether the or may not require a specific listing traveling to or home from work, or employee's home state needs to be depending on the insurance carrier. even while going to and returning listed as a 3.A. state is a function of from lunch, are not compensable. permanency and the extraterritoriality Primary or 3.A. status is required when: and reciprocity provisions of the The logic behind the rule is that • Gaps exist between the the employee is not furthering the states in question (the employer's extraterritorial provisions of the employer's interest or serving the operational state and the employee's home state and the reciprocity business' need while travelling to state of residency). allowances of the state to which or home from work; the employee If the employee likes working from the employee travels to work is serving his or her own needs (the home and the employer sees no drop temporarily; or need to have a job and earn a living). in quality and quantity of work (maybe • There are on-going (not temporary) Because of the coming and going even an increase in both), working operations in a state. rule, even when a location-specific from home may become permanent. employee lives in another state, the If these home-based “operations" Deciding which state or states state of residency is not required become permanent, the employee's require(s) listing as a 3.A. state is to be listed as a 3.A. state. The state of residence should or must be a easy when the employees are based employees are assigned to the 3.A. state. in a single location – such as an office building or service location. operational location. But if the situation is only temporary At least it used to be - COVID-19 has COVID-19 Complications and will never be anything but complicated the issue. temporary, should the employee's COVID-19 may have complicated the state of residence be listed as a Single Location Employees issue and even negated the idea of 3.A. state during the temporary When employees work at a single the coming and going rule. Historically relocation? The answer depends on location such as an office building, the “Coming and Going Rule" has the application of the involved state's service location or a manufacturing allowed employers to “ignore" an extraterritoriality and reciprocity plant, 3.A. assignment is easy. employee's state of residence, but provisions. Basically, the answer is Regardless where the employees COVID-19 has pushed employees out complicated because state variations live, only the state in which the of the employer's location and has must be considered. operation(s) is/are located must be required them to set up operations considered when extending status as in their home. Now the state of residence may matter. (Con’t on page 14) Maryland Messenger 2020 MAY/JUN 13
(Con’t from page 13) regulations linked here: https:// Given these circumstances, it appears www.independentagent.com/ Arkansas needs or must be listed as a vu/Insurance/Commercial- 3.A. state. There is no doubt Arkansas Extraterritoriality and Reciprocity Lines/Workers-Compensation/ must be named a 3.A. state if the Extraterritoriality and reciprocity ExtraRecipStatutes.aspx employees are working there more than issues present a major problem for 14 consecutive days because Tennessee • A webinar https://www. agents. Which state or states must be law says that more than 14 days is not iiaba.net/education/preview. listed as primary 3.A. states, which considered temporary. Further, because aspx?evt=27849 detailing states can be listed as secondary the Arkansas reciprocal requirements extraterritoriality and reciprocity. (3.C.) states and which states can be are fuzzy, not naming it as a 3.A. state essentially ignored? Let's look at a couple examples of may prove problematic. extraterritoriality and reciprocity to Remember that the extraterritoriality Example 2: Pennsylvania, Ohio and explore these concepts more fully. and reciprocity concept apply only West Virginia when the insured has employees in Example 1: Tennessee and Arkansas Assume the insured is located in any state other than the domicile One or several employees work in Pittsburgh, PA. Because of its proximity state or branch office states on a Memphis but live just across the to the southwest corner of the state, temporary basis. If the operations Mississippi River in Arkansas. Assume employees drive daily from Ohio are anything other than “temporary," that a governmental mandate and West Virginia for work. If these the concept of extraterritoriality and prevents these workers from coming employees are forced to work from reciprocity does not apply, the state into Tennessee for work and they home, are Ohio and West Virginia with ongoing operations must be are required to set up temporary required to be listed as 3.A. states? extended 3.A. status. operations in their homes in Arkansas. First, the Pennsylvania's extraterritorial Extraterritoriality relates to the The first question, does the workers' provisions must be reviewed and coverage provided in the state compensation policy for the understood. Based on the reading where the employer is located, and Tennessee employer/insured follow of the PA statute, extraterritorial the employee is primarily based. any employees while they work protection appears to exist without Extraterritoriality's primary question temporarily in other states? The a specific time limit. The only is, does the employer's workers' second question, does the state to requirement appears to be that compensation coverage follow the which the employees travel to work the employees are classified as employee when he/she travels to on a temporary basis recognize the Pennsylvania employees. So, coverage work temporarily in another state? employer's workers' compensation? extends from the Pennsylvania The good news, every state provides Yes, Tennessee provides extraterritorial employer's policy to workers working extraterritorial protection. The bad coverage on a temporary basis. from home on a temporary bases, news, the extraterritorial extension of However, the amount of time is whether in Ohio or West Virginia. coverage is not consistent from state relatively short. State regulations With the extraterritoriality question to state. define “temporary" to mean no more answered, are there reciprocity issues The flip side to extraterritoriality is than 14 consecutive days and no that create problems? Ohio statute, reciprocity. Does the state to which the more than 25 days in the calendar according to the state breakdown employee travels to work recognize the year (aggregate). On the fifteenth linked above, reciprocates for 90 sending state's workers' compensation consecutive day, Tennessee ends its days. If the Ohio resident employees coverage? Again, the answer is not extraterritorial protection. When the return to work before the end of 90 consistent and varies greatly from “sending" state's coverage ends, the days, the extraterritorial provisions state to state. “receiving" state has jurisdiction. of Pennsylvania and the reciprocity Details of extraterritoriality and Arkansas regulations aren't as clear. provisions of Ohio allow the employer's reciprocity are not the focus of this The statute requires that the workers' Pennsylvania coverage to respond. article. However, several resources comp carrier be licensed in Arkansas, However, Ohio's administrative code are available from the VU detailing but there is no clear indication of specifically addresses Ohio-based extraterritoriality and reciprocity. reciprocity, only and intimation. Thus, employees while working in Ohio for To fully understand the issues and there may be no reciprocity, especially out-of-state employers. According concepts, access the following: if the work comp carrier is not licensed to the code, when the Ohio-resident • A state-by-state breakdown of the in Arkansas. extraterritoriality and reciprocity (Con’t on page 15) Maryland Messenger 2020 MAY/JUN 14
(Con’t from page 14) only for use when it's not clear that 3.A. “coming and going rule" holds that status is needed or the carrier will not travelling to and home from work does allow a state to be granted 3.A. status. not benefit the employer (subject to a employees are working in Ohio, they A Bogus 3.C. Carrier Claim few exceptions). are subject to the Ohio workers' compensation laws. So, any amount of In response to a request to name However, the pandemic panic has time an Ohio resident spends working a state a 3.C. state, underwriters temporarily placed us in abnormal in the state subjects the employer to might say, “We can't list ________ conditions. Employees are working Ohio law and benefits. It appears Ohio as a 3.C. state because we are not from home rather than at the needs to be a 3.A. state from day one. licensed there." This is a bogus claim; employer's place of business. If But this can't be done because Ohio underwriters may not want to list the these employees live in a state other is a monopolistic state; thus, a policy state, but they CAN. than where the employer is located, must be purchased from Ohio. are these considered temporary Paragraph A.3. under Part Three – operations in another state? If West Virginia applies an odd provision. Other States Insurance says: “We will or because they are temporary The West Virginia statute allows reimburse you (the named insured) for operations in a state other than the employer and employee to the benefits required by the workers' where the employer/insured is contractually agree on which state's compensation law of that state if we located, the question of workers' benefits the employee desires to are not permitted to pay the benefits compensation must be addressed. access. In the absence of such a directly to persons entitled to them." The state in which the employee lives contract, the reciprocal allowances are Other than not being licensed in the and is working temporarily must be 30 days in a 365-day period. If there is state, why would the carrier not be specifically addressed. no contract and if the employee works allowed to pay the injured worker? Just Rather than attempting to interpret in their home state of West Virginia because they don't want to list a state state laws regarding the extraterritorial beyond 30 days, West Virginia requires doesn't mean they can't. Don't let this provisions and reciprocal allowances 3.A. status. objection stand unchallenged. of each state's workers' compensation As may be plain to see from these Home-Based Worker Injury law, simply name the employee's state two examples, interpreting the of residence as a 3.A. or 3.C. state extraterritoriality and reciprocity If an employee is injured while (depending on what the underwriters provisions of a given state can be and working from home, will the injury be will allow). There should be little or no generally is tedious. Although a law compensable? This is a reasonable effect on premium. This assures there degree is not required, it helps. question, but the answer is far from are no gaps in protection. simple. What Agents Must Do Workers' compensation is designed From and errors and omissions (E&O) Christopher J. Boggs, CPCU, ARM, ALCM, to pay for injuries arising out of and in perspective, agents must take the LPCS, AAI, APA, CWCA, CRIS, AINS, is the course and scope of employment. conservative approach and name the the Executive Director of the Independent Regardless where the employee is employee's state of a residence as a Insurance Agents and Brokers of America injured, compensability is judged 3.A. state on an “If Any" payroll basis. (Big "I") Virtual University. His current duties against these guidelines. If the employee is in a monopolistic involve researching, writing, and teaching state, buy the in-state coverage. A What was the employee doing property and casualty insurance coverages less conservative but possibly still when the injury occurred? Is there a and concepts to Big "I" members and others acceptable approach is to name the reasonable connection between the in the insurance industry. employee's state of residence as a 3.C. employment and the injury or was the employee pursuing his or her own Boggs is a regular speaker at industry Other State (but this doesn't work in interest? Any injury requires a fact- events, speaking for groups such as the a monopolistic state). A particularly intensive review. National Association of Mutual Insurance bad approach is to try to interpret the Companies (NAMIC), the National Society laws of the relevant states and hope Key Takeaways of Insurance Premium Auditors (NSIPA), everything dovetails correctly. Under every day normal conditions the American Association of Managing If the state does not require 3.A. employers are not required to include General Agents (AAMGA), the Institute status, there is no premium charge for an employee's state of residence on of Work Comp Professionals (IWCP), naming the state. If the underwriter is the workers' compensation policy - if and the CPCU Society. not willing to give 3.A. status, use 3.C. that employee reports to and primarily Remember, 3.C. is an “Oops" option works at the employer's location. The Maryland Messenger 2020 MAY/JUN 15
Business Income Insurance...Does It Cover Coronavirus Shutdowns? By Bill Wilson, CPCU, ARM, AIM, AAM On March 16, a lawsuit (see https:// evaluate the claims in the lawsuit most business income policies do www.insurancejournal.com/research/ in the context of the actual NOT cover shutdowns due to viral app/uploads/ 2020/03/Oceana- policy form(s) involved and the pandemics. But, as this article intends Petition-for-Dec-J-executed.pdf) was facts and circumstances of the to demonstrate, even if they did, the filed in district court in New Orleans coronavirus pandemic, including amount of coverage available would seeking a declaratory judgment the governmental orders impacting likely be minimal at best. about whether the business income many businesses. The Lloyds policy in question, coverage in a Lloyds property policy Let me offer two caveats before I according to the copy I received, would cover a government-mandated begin. First, I am not an attorney offers coverage under the ISO CP shutdown or curtailment of a and nothing in this article should be 00 30 10 12 – Business Income (And restaurant due to the coronavirus. construed as offering any type of legal Extra Expense) Coverage Form, The policyholder law firm filing the advice. My goal is to offer a coverage an industry-standard form and suit asserted in a press release analysis based on policy language probably the most common business that, “The policy issued by Lloyds and logic. Second, insurance is not a income coverage policy found in the of London provides coverage for commodity. Policy forms are different insurance marketplace. With that as a civil authority shutdown and and the analysis in this article largely the coverage basis for this article, let’s does not contain an exclusion for addresses one industry-standard review the assertions in the lawsuit. a virus pandemic.” As we shall see, form which, by chance, happens to be Policy Exclusions the absence of a specific exclusion the form used in the Lloyds policy. doesn’t mean there is coverage if The lawsuit’s “FACTUAL There have already been numerous BACKGROUND” claims that the the insuring agreement is never articles written, many by attorneys, triggered. In addition, a literal reading Lloyds policy provides “all risk opining whether or not most coverage.” It then goes on to say that of the policy indicates that it, in fact, business income policies cover does not provide coverage for a civil “An ‘all risk policy’ is an insurance business interruptions caused by policy which covers all risks unless authority shutdown of this type. viral pandemics and any resulting clearly and specifically excluded.” The press release goes on to say, “We shutdowns imposed by civil That is not technically a factual filed this action because we have authorities. Many of these articles statement. Presumably, it’s made reason to believe that Lloyd’s took cite specific case law dealing with to support the statement two premiums without the intention of pollution exclusions and what paragraphs later that, “The policy providing the indemnity paid for.” constitutes “direct physical loss” in does not provide any exclusion due If there is no intent to cover losses policy insuring agreements. At the to losses, business or property, from caused by a viral pandemic (almost end of this article, I’ve included links a virus or global pandemic.” certainly the actuarial intent), then to some of these articles, particularly no premiums were taken to provide an excellent one entitled “Commercial The absence of a specific exclusion coverage that does not exist or was Property Insurance Coverage and doesn’t create coverage. Coverage not intended to exist. The assertions Coronavirus” by attorney Shannon is created initially by the policy’s in the suit for potential fraud appear O’Malley of Zelle LLP. insuring agreement(s). Sometimes an to be patently absurd. exclusion is included in a policy simply The consensus of most legal pundits The purpose of this article is to and insurance experts is that (Con’t on page 17) Maryland Messenger 2020 MAY/JUN 16
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