Seven Questions Directors Should Ask About D&O Coverage

Corporate Board Member
by Charles Keenan

Joining a board of directors isn’t without risk. Christine Weirsky, public relations director, Marketing and Communications, North America, XL Group Insurance, says directors should never shy away from asking about what coverage is available to protect them.

Are the company’s policy limits appropriate to its risk profile?
Especially in today’s litigious climate and struggling economy, directors and officers are held to a very high standard. According to John Burrows, chief underwriting officer of the XL Group’s Professional Liability group, “A number of factors, including financial strength, risk tolerance, and litigation trends are factored into determining appropriate D&O policy limits, terms, and deductibles for any company, and it’s important that directors know and are comfortable with those terms and conditions.”

What is the priority of payments in our policy?
Priority-of-payments provisions govern the order of payments from D&O policy limits. A typical provision provides that any payments under the D&O policy will be paid first under the policy’s Side A coverage to protect the assets of individual directors and officers before any payments can be made to the company.

If policy limits are exhausted, is there Side A coverage to protect me personally?
Side-A coverage, sometimes referred to as “Difference in Conditions” coverage, doesn’t indemnify the corporation in any respect and only benefits individual directors and officers. According to Burrows, there is a growing trend among independent directors to request stand-alone Side-A coverage so they do not have to share it with management and other directors. “The good news is that there are high-quality policies with broad coverage and few exclusions available in today’s market,” Burrows says.

Are their exclusions in the policy?
D&O policies can contain a wide variety of other exclusions, which can be problematic for directors. Those to watch out for are exclusions arising from pollution, derivative action,
or pension funds.

What is the insurer’s reputation for handling and paying claims?
Insurers can be evaluated on a number of factors, such as financial health and reputation for acknowledging or fighting coverage for similar claims. It is worth knowing if the company’s D&O insurers have a reputation for delaying payment of defense costs and litigating with insureds over coverage.

Is your Side-A coverage nonrescindable and fully severable?
According to Burrows, Side-A coverage should preferably be nonrescindable and noncancelable. That means it can’t be voided for any reason. So if there was wrongdoing by some of the company’s management—say a misstatement when obtaining coverage—to no fault of the individual officers, their coverage stands. Many D&O policies don’t provide full severability—only partial severability.

How broad is the definition of loss?
Traditionally, Side-A policies cover four distinct areas: settlements or judgments in shareholder derivative lawsuits, allegations of federal securities law violations, standards of conduct in state indemnification statutes, and when the company is financially unable to provide coverage for a director or officer.

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Nonprofit Good Deeds Can Put You in Danger

BOSTON (MainStreet) — No good deed goes unpunished. That old cliche reflects a danger faced by those who volunteer their time and expertise to nonprofit boards.
Whether it is a charity, civic organization, church or library, serving on a nonprofit board can jeopardize your personal property and assets if lawsuits arise.
Legal claims — citing such matters as wrongful termination, sexual harassment, discrimination or on-site injury — may affect not just the organization’s ledger sheet. Board members who assume they are protected from lawsuits and personal liability could be in for a rude awakening.
Some states offer immunity for board members who get no salary or compensation should civil damages arise from actions performed in an official capacity. But even that protection only goes so far and doesn’t extend to “intentional conduct, wanton or willful conduct or gross negligence.” Interpreting that level of egregiousness isn’t always easy, though, and a board member’s viewpoint may ultimately not be shared by a plaintiff, judge or jury.
Retirement Plans for Nonprofits Get Makeover
“Gross negligence” could rear its head as a result of either actions or inaction, and lack of oversight can come back to haunt a board. If a background check slips through the cracks for an employee or volunteer that works with kids, the board may find themselves in deep trouble if a sexual assault takes place. A mix-up that delays getting a contractor to fix a loose handrail is an accident — and lawsuit — waiting to happen. Letting a donor have one glass of wine too many at an event sets the stage for a costly accident.
With these hazards in mind, many nonprofit organizations buy Directors and Officers Insurance. These policies, and related products, can help insulate board members — often volunteers tasked with important decisions — from unexpected grabs at their personal property and money.

“Where we see a lot of the exposure for nonprofits is in how they are handling money,” says Carl Godziek, a client executive with RJ Ahmann, a Minnesota-based insurance and risk management firm that specializes in D&O and other nonprofit policies. “It can be a big issue if they have restricted funds. They can run into allegations that they are sending money in the wrong pace.”
A large donor, for example, may disagree with a financial decision and sue board members individually for financial mismanagement of the organization.
Soured business relationships can also pose a direct liability risk.
“Nonprofits have other businesses relying on them,” Godziek says. “They’ve got suppliers and all these different partnerships. If there is mismanagement of the organization that causes strain on those affiliated partners, they may be bringing suit against the nonprofit that has caused them hardship.”
A director or officer of a nonprofit corporation is particularly at risk if they take a personal role in a loan or debt, especially if they commingle their assets with those of the nonprofit (an error of judgment that could also lead to criminal prosecution).
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Board members also have a fiduciary responsibility to the organization and its employees. Specifically, that responsibility centers on taxes. Not only are all the taxes relating to wages expected to be handled accurately; the IRS also demands that board members make sure that all of the organization’s efforts and decisions are within the scope of their tax-exempt status.
Even those requirements can prove to be a matter of interpretation. For example, if the IRS deems executive compensation to be egregiously high at an organization, board members may be blamed for allowing it.

As is often the case with legal disputes, even when an organization or one of its overseers believe they did nothing wrong, a judge or jury may see things otherwise. A legal battle, even when vindicated, can be very costly.

“Defense costs are another reason why directors and officers want liability coverage,” Godziek says. “The defense of claims often costs more than the payouts. There can easily be six figures worth of defense costs.”
The broad scope of what might be considered “wrongful acts” is another concern, he says. A community member with no direct association with the organization might sue board members individually due to a decision to eliminate a specific program.
Think of a hockey player who suffers a traumatic injury during a game whose financially devastated family sues the association and its board members for damages.
“That gets back to management issues and is something, potentially, that a D&O policy helps with,” Godziek says. “The family may try to claim the organization didn’t properly train its people, or that they didn’t ensure that there were enough referees on the ice. There are all sorts of things can tie back to mismanagement.”
“I think there are a lot of reasons why people choose not to volunteer to be on a board that go beyond liability risks,” Godziek says.
Nevertheless, he thinks an organization that takes steps to protect its board members will be better positioned to attract the talent and expertise it needs.
Retirement-Plan Firms See Money in Nonprofits
“One of the reasons they might come to someone like us [for a D&O policy] is that they get a new board member with a high net worth and they want to make sure they are protected,” he says. “A lot of times too, maybe for larger nonprofits, they are looking to attract sophisticated individuals. They want to make sure they have protection for them so that they can attract quality board members.”
— Written by Joe Mont in Boston.
>To contact the writer of this article, click here: Joe Mont.
>To follow the writer on Twitter, go to http://twitter.com/josephmont.

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Recent Scandals, Bad Economy Spur Companies to Up D&O Limits

By Meg Green
A.M. Best Company, Inc.

The economic downturn and the resulting legal issues plaguing some company leaders, have many companies upping their directors and officers insurance limits. Tony Galban, senior vice president and product manager for Chubb Group of Insurance Cos.’ directors and officers liability lines, talked to Meg Green, senior associate editor at Best’s News Service, about the ways the recession has changed D&O and created opportunities at the same time.

Q: A recent survey I’d like to speak to you about by Towers Watson found that corporate directors and officers are showing more interest in their D&O coverage. And they’re seeing an uptick in questions companies are asking. Are you seeing an increase of interest in the product?

A: Absolutely. Particularly since any time we finish up with scandals and recessions and things like that, directors in particular are very interested in the product and how it’s maintained.

Q: Are there specific issues that are driving that interest? What are they asking you about?

A: Well, they want to know how much to buy. Which, frankly, brokers give them a lot of help with. They want to know how much they can buy and they want to know who it’s protecting. In other words, is it protecting insiders only or outsiders or both of them and how is the coverage built? So there is much more education out there now than there’s ever been before about the programs that they buy.

Q: That survey found one in four public companies and 14% of private companies have increased their D&O limits. Is that what you’re seeing?

A: Yes. And that’s fairly typical as the size of the settlements get more and more publicized people begin to realize that the amount of D&O capacity may not be as large as people thought it once was. Ever since about 10 years ago—the Enron, WorldCom days—these settlements in the billions of dollars have completely changed the face of how people think about D&O limits.

Q: And how would you describe the market today?

A: Transitional. You know it’s been soft for a long period of time and we’re now seeing it begin to sort of turn another way but it’s not a dramatic shift. It’s nothing radical. It’s just the gradual turning that takes place after years and years of price aggressiveness and decreases.

Q: There’s some concern from outside directors and independent directors that they may not have adequate coverage. Could you give us an overview of what that means?

A: One of the biggest disconnects in the business is that independent directors don’t necessarily understand the way they’re protected under D&O programs. A-side insurance is insurance which applies for non-indemnifiable loss, kind of a last stand for directors. A lot of independent directors believe that A-side insurance is purchased on their behalf exclusively and that it functions like independent director insurance, dedicated layers. In fact, they share that insurance with the inside offices. And so I think that there’s a basic educational disconnect that most independent directors think — I buy A-side, it’s for us. And the answer is — not really. You share with the insiders. And as you know, in most of these really strong criminal frauds that money will be long spent before the outsiders see it. So there’s an educational opportunity for us and a sales opportunity perhaps, but a lot of directors misconstrue A-side as being something exclusively for independents. In fact, it rarely is.

Q: And now that would cover fraudulent activity?

A: Well, it wouldn’t cover the people that are finally adjudicated but it certainly defends individuals what are being accused of that kind of activity. Most policies have a final adjudication trigger for fraud and illegal personal profit that stipulates the coverage ceases or stops or isn’t applicable if and when they are finally non-appealingly adjudicated.

Q: OK. But those independent directors might be out of luck if all the money was spent, if any, on the inside directors.

A: It has happened. These defense bills can get very, very large and, again, they’re likely the last to see the policy because typically criminal matters against insiders come before negligent oversight claims against independent directors. So, one of the opportunities, as I mentioned, is for us to understand collectively that independent directors are not as protected as they might think they are by A-side purchasing. I’ve been to enough situations with directors where I’ve had to sort of clarify that for them for me to believe there is a disconnect there.

Q: Do you offer a stand-alone policy for the independent director?

A: Yes, we have, but it’s fairly infrequently purchased. We basically make the policy applicable to independent directors only. It goes on the top of a program and it works the way a lot of them think it all should work. But we don’t sell as much of it as you might think and certainly not as much of it as the independents think they’re buying.

Q: And how about a director or an officer from a public company who is encouraged to volunteer on a nonprofit board? Are they covered by that corporate policy?

A: It’s another sort of undiscussed aspect of the business that probably deserves more attention, which is called ODL or outside directorship liability. It’s typical for companies to ask people to sit on other boards. It could be an affiliate board. It could be a joint venture. It could be a local charity. It could be a local Little League. Whatever it is, they can, in many situations as part of their community outreach, ask individuals to sit on various boards, nonprofit or for profit. The first thing that people don’t understand is that outside directorship service is covered as part of the basic D&O contract. So those seats also apply against the limit of liability. Not discussed much. Not really focused on. It doesn’t come up a lot, but it is sitting there in the weeds, so to speak, that all that sitting applies against the limit. Now, the other thing I would tell you is that you need a good program to keep track of this stuff. So good companies that have good internal controls will have a very strong sense of who’s sitting where, confirmation that it’s with our written consent or at our direction and that we govern who we want to cover for these situations and who we don’t.

There are disconnects here, too. Individuals that are employees that might hear the company espoused the virtues of a local charity or a local cause will go ahead and sit in that void in the belief that because the company sponsors it or because the company is in favor or speaks highly, that they’re covered. They actually aren’t covered for that sitting unless the company gives you their written consent or knowledge, knows about it or actually authorizes it in some way.

Q: And is that also an opportunity to do more business for companies like Chubb? Can you sell more coverage based on that?

A: Not so much. It’s more of just having good internal control practices which does have an underwriting value for Chubb. It’s not like there’s a lot of product in this because it’s endorsements to policies. You can charge in these situations but it’s not common to charge a lot. It’s really more common to underwrite the situation. Is the outside entity in a good financial state? If they go bankrupt does that present additional risk to our insured or the “mother ship” as we call it? So all of that exposure needs to be properly corralled and brought into a risk management process.

Q: Are there other trends you’re seeing in the line?

A: The only other trend which has been a key is, of course, we’ve seen a lot of claim activity in the mergers and acquisitions area and that’s generally well publicized. It’s been more recent that we’ve seen an uptick in those claims. We’re watching it. We’re paying a lot of attention to it. It’s been an area where the plaintiff’s bars have been very much attracted to, so generally speaking for companies that are in the midst of either being acquired or doing some acquiring, there’s more exposure today than there might have been say, five years ago. It’s something to watch. It’s something we’re keeping track of, but we don’t know yet what the long-term implications are going to be.

Video portions of the interview with Galban are available at http://www.ambest.com/media/MA.asp?vid=galban1312 Copyright: (c) 2012 A.M. Best Company, Inc.
Wordcount: 1426

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Increased regulation expands directors and officers exposures: Panel

NEW YORK—Stricter reporting and disclosure requirements, expanded enforcement efforts and greater public visibility of wrongful acts during the past several years have increased the likelihood of derivative civil litigation for some companies after a government investigation, according to a panel of attorneys at the ninth annual Anderson Kill & Olick P.C. Directors and Officers Conference in New York.

Derivative claims brought on by shareholders and investors, business partners, consumers and vendors in the wake of a regulatory violation can wreak havoc on a company’s executive liability insurance portfolio, panelists said, especially where coverage already has been applied in response to the underlying violation.

“It’s well known that civil settlement values increase dramatically when there’s a parallel enforcement action,” said Joseph McLaughlin, a partner at New York-based Simpson Thacher and Bartlett L.L.P.

Foreign Corrupt Practices Act
Mr. McLaughlin said one particular area of concern, especially in the last two years, has been the U.S. Securities and Exchange Commission’s and Department of Justice’s heightened emphases on enforcement of the Foreign Corrupt Practices Act.

“The government has certainly been very active on that front, and whenever you have government investigation and enforcement action, you’re likely going to get a derivative civil action,” Mr. McLaughlan said.

For in-depth coverage of this topic and related issues, visit the Business Insurance Solution Arc on A World of Risk: Managing Foreign Bribery and Corruption Exposures.

Environmental regulations
Panelists also pointed to environmental regulation as another potential driver of derivative civil claims, especially as the U.S. Environmental Protection Agency continues expanding commercial and industrial disclosure and reporting requirements.

“I’ve seen and heard argued that with more obligation of disclosure, we’re seeing more shareholders coming back to a company saying that they haven’t disclosed enough information, or that what they did disclose was misleading,” said Michael Barry, a director at Wilmington, Del.-based Grant & Eisenhofer P.A.

Mr. Barry specifically highlighted pending legislation that would expand chemical disclosure requirements for natural gas drilling operations, and the media attention that has accompanied the issue.

“The industries with a real potential exposure there, I think, are the chemical and mining sectors,” Mr. Barry said. “Those are the areas everyone’s focusing on, particularly with all the news recently about fracking and natural gas drilling.”

Government settlements no shield
Though enforcement actions tend to lead to more substantial derivative civil awards and penalties, panelists said a settlement with the government of a violation does not guarantee victory for derivative plaintiffs.

“There is a big difference between the existence of a settlement with the government and an attachment of liability in the derivative context,” Mr. Barry said. “In order to establish liability in a derivative claim, you essentially have to establish that the violation took place in the board room or was specifically known by the directors, and that’s a very high burden to meet.”

D&O response to regulation

In many respects, directors and officers liability insurance has responded well to changes in the regulatory landscape, though deficiencies still persist, panelists said. One glaring example, they said, is the relative lack of access to pre-claim investigation cost coverage for entities and, in some cases, individual directors.

However, panelists noted, a handful of new products have emerged to at least partially bridge that gap. And where insurance initially falls short, some creative legal maneuvering may be the solution.

“We’ve been relatively successful in arguing that something like a client’s response to an SEC investigation—which often isn’t covered under a D&O policy—if it in turn benefits a companion civil suit, it should be covered under the policy,” said Alex Hardiman, a shareholder at New York-based Anderson Kill & Olick.

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More Directors and Officers Inquiring About D&O Insurance Coverage, Towers Watson Survey Finds

NEW YORK, Mar 07, 2012 (BUSINESS WIRE) — An increasing number of corporate directors and officers are showing more interest in the insurance programs their companies use to protect them against potential litigation, an indication they are growing concerned over the wide range of exposures confronting them, according to an annual survey by global professional services company Towers Watson (NYSE, NASDAQ: TW). The 2011 Directors and Officers (D&O) Liability Survey also found that many U.S. public companies as well as private and nonprofit organizations increased their D&O liability limits last year.

The Towers Watson survey found that more than two-thirds (69%) of respondents reported they received an inquiry regarding the amount and scope of their D&O insurance coverage in 2011, a sharp increase from 57% in 2010. The survey also found that 25% of public companies surveyed and 14% of private and nonprofit companies said they had increased their D&O limits at renewal. The survey was based on 401 public, private and nonprofit organizations that purchased D&O liability insurance in 2011.

“The fact that more directors and officers are asking about their specific programs clearly shows they are concerned about the exposures they face and ensuring their personal assets are protected,” said Larry Racioppo of the executive liability group in Towers Watson’s Brokerage business and author of the survey. “Whether it is traditional securities class action litigation, M&A-related activity, derivative actions, or threats from a wide range of regulatory or law enforcement agencies, directors and officers — and the companies they represent — are seemingly under siege from a wide array of potential claimants.”

Indeed, this year’s survey found that regulatory claims again topped the list of D&O liability concerns overall, with 81% of respondents citing these as a top three concern, an increase from 78% in 2010. More than two-thirds (68%) of respondents ranked direct shareholder and investor lawsuits as a top three concern, followed by derivative shareholder/investor litigation (58%).

Private Companies Hit With Cost Increases

The Towers Watson survey also revealed that nearly two in 10 (18%) private and nonprofit organizations reported a greater increase in their primary D&O policy premium, with only 11% attributable to a primary limit increase.

“Unlike public companies, where rates for D&O coverage have either declined or remained relatively flat over the past few years, the private sector has seen some hardening,” said Racioppo. “The growing number of claims brought on by employees at private companies, along with an increase in the cost to defend claims, are some of the reasons insurers are seeking to drive rate increases. In the public sector, based on the responses, prices remained relatively stable, but public companies are also beginning to see a market transition as well.

Among other survey highlights:

— The scope of coverage for directors was rated a concern by three out of four (75%) public company respondents, yet very few firms (7%) actually purchased insurance dedicated to independent/outside directors.

— Nearly two in 10 (19%) survey respondents that filed a D&O claim last year were dissatisfied with the insurer’s handling of the claim. This percentage suggests insurers should make claim handling a priority in terms of improving customer service.

— Despite increased interest from their directors and officers, less than half (47%) of the respondents conducted an independent review of their D&O policies in the past two years. Among those that conducted a review, 45% used a law firm, while 36% completed the process through a broker.

“After nearly 10 years of diminishing premium levels, 2012 may very well be a year of transition in the D&O marketplace. There are many factors impacting the D&O arena, and underwriters have begun to push back in the private, nonprofit and public markets. The actions of directors and officers today are being watched closely, and they are looking for certainty that their D&O program provides the level of protection needed in advance of the claim,” concluded Racioppo.

For additional details and research findings, see the Directors and Officers Liability Survey on our website.

About the Survey

The 2011 Towers Watson Directors and Officers Liability Survey — the 33rd in the series — was conducted online during October and November 2011. A total of 401 organizations that purchase D&O liability insurance participated in the survey.

About Towers Watson

Towers Watson (NYSE, NASDAQ: TW) is a leading global professional services company that helps organizations improve performance through effective people, risk and financial management. The company offers solutions in the areas of employee benefits, talent management, rewards, and risk and capital management. Towers Watson has 14,000 associates around the world and is located on the web at towerswatson.com.

SOURCE: Towers Watson

Towers Watson
Ed Emerman, +1 609-275-5162
eemerman@eaglepr.com
or
Binoli Savani, +1 703-258-7648
binoli.savani@towerswatson.com

Copyright Business Wire 2012

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BOARDROOM: D&O, getting it right, keeping it right

You need a better guide than somebody’s brother-in-law

By Harold P. Reichwald, co-chair of the Financial Services and Banking practice group at law firm Manatt, Phelps & Phillips, LLP

Consider the following hypothetical:

The Chair calls the bank board meeting to order and after approval of the agenda, the Chair asks for a report on the negotiations for renewal of the director’s and officer’s insurance policy, soon to expire. The Chief Financial Officer (or perhaps the chief risk officer) reports that through the efforts of the bank’s insurance broker, who happens to be a relative of the Chair, the negotiations for the renewal of the policy have been successful, at no appreciable increase in premium. Amidst positive murmurs from the members of the board, and after referring to the one-page summary of the proposed renewal coverage, the Chair moves for approval of the renewal terms, which is quickly seconded and unanimously approved. The meeting moves on to a discussion of other items of seemingly greater importance.

This summary may be pure hyperbole but it serves to point out that in the past consideration of the issues associated with D&O insurance often have been left to others–not the insured parties–others whose interests may not coincide completely with those of the board members. At the same time, board approval may have been given on a less-than-encompassing understanding of the issues.

FDIC continues to pursue claims against former directors of failed banks, and this has shone a spotlight on the nitty-gritty details of director’s and officer’s insurance policy terms and the extent of the depth and breadth of D&O coverage. This, in turn, has led to questions about what members of the bank board actually know about the extent of the coverage supposedly protecting them from liability–and the importance of an effective D&O risk strategy.

So, let’s examine the issues associated with D&O insurance that a board of directors should consider when faced with a new or renewing policy situation:

1. On whose expertise should the board rely?
2. What are the key initial considerations?
3. What are the potential obstacles to coverage?
4. What are the sometimes knotty issues in confirming coverage?

1. D&O insurance expertise
Not surprisingly, the terms and conditions of today’s D&O insurance policies can be dense and hard for the layman to navigate.

All the more reason to have a knowledgeable broker handling negotiations with the carrier for the board members. The broker has to understand not only the insurance concepts involved but also the current insurance marketplace, the recent claims experience of the carriers, and court cases affecting coverage rights. The board members would be well-advised to have knowledgeable counsel involved at this stage, as well, so that the broker and independent counsel can work together to avoid coverage surprises.

These advisers should be present in the boardroom, assist in the presentation of policy terms to the board members, and answer questions on site before the final approval of the insurance package by the board. The broker and counsel should have an opportunity to present their recommendations in writing to executive management and to the board as a whole, not merely to the company’s chief risk manager or head of insurance. This process should allow board members to get comfortable with the coverage as a whole and to provide feedback to executive management.

The D&O job doesn’t end there, however.

Just as important as the preliminaries is the ongoing interaction by board members, at least quarterly, with bank management to determine whether any events have occurred which might be considered a claim for insurance reporting purposes and to consult with independent counsel about the attendant reporting requirements.

2. Key initial considerations
Initially, there should be significant negotiation over the key elements of the coverage and the exclusions. For example, at the outset, there should be sufficiently high limits to cover the costs of defense counsel and potential liability, given today’s high cost of litigation. Strong severability provisions are extremely important–so that each individual director is treated separately and is not tarred by misstatements or misconduct of any other director.

Claims reporting requirements should be clear, coupled with the very narrowest definition of “claims” for reporting purposes but the broadest definition of “claims,” including formally initiated “investigations,” for coverage purposes.

Absent a failed-bank scenario, there is likely to be–or there should be–corporate indemnification provisions in place. This means that attention should be given to the sometimes murky interplay of corporate advancement of defense costs and the indemnification undertakings. Insurance coverage to cover gaps in indemnification protection must be considered.

3. Potential obstacles to coverage
D&O insurance contracts continuously evolve in a dynamic and changing economic environment. There is no standard form of policy and the thorny issues are numerous. Some of these require very close scrutiny and understanding of the legal implications.

The exclusions contained in the policy outline those claims for which no coverage will be available. Given the financial turmoil of the last four years, it is not surprising that claims against directors that arise out of actions taken by regulatory agencies–either banking or securities–are generally excluded. So, if a policy is in place with this type of exclusion and FDIC asserts a claim against one or more directors, no coverage will be available, either to cover defense costs or actual liability.

Additionally, D&O policies typically exclude coverage for fraudulent acts or actions giving rise to personal profit. Another example is the so-called insured v. insured exclusion which precludes an institution from submitting a claim under a D&O policy for losses caused by negligent actions by an officer. In this latter context, the question arises as to whether FDIC would be considered as the “insured” if the bank fails.

Finally, the question of whether coverage exists for “special investigations,” particularly when undertaken by a governmental authority, has received increasing attention given the costs attendant upon such activities. The importance of having that coverage cannot be underestimated.

4. Issues of confirming coverage
D&O insurance policies contain provisions requiring the insured to notify the carrier not only in the event of the assertion of claim but if circumstances arise of which the bank is aware that could lead to the assertion of a claim.

Thus, not only do the insureds have the obligation to notify the carrier promptly if and when a claim is asserted but also if some event occurs that could lead to a later claim. For example, say a bank is made the subject of a regulatory enforcement action of some kind. Those responsible for the management of the insurance coverage must be made aware of that event and immediately take steps to notify the carrier or otherwise risk the loss of the coverage or the possibility that the carrier will assert that it has a right to endorse the policy to reduce coverage after the fact.

This is another reason for involving the bank’s insurance broker and independent counsel on a regular basis so that these events can be analyzed and appropriate notice given to preclude the carrier from using such a failure to deny coverage.

Enterprise risk management
An effective D&O risk strategy hinges on more than your insurance coverage. Board members must promote an integrated framework of enterprise risk management within the bank.

To that end, the effort should be to focus on a series of components. Among them:

• The organization’s internal environment, culture, and values.

• Establishment of key objectives with which to align risk process with the organization’s mission.

• Risk assessment and response, which entails establishment of mechanisms to control identified risks.

• Internal controls reflecting the adequacy of information and monitoring of risk management.

Thus, enterprise risk management can provide a significant level of protection to directors and officers from claims of outside stakeholders because it enables these decision-makers to minimize or eliminate potential regulatory issues, court battles, and expensive litigation and reputation costs and settlement expense. Given its importance, a separate risk management committee of a board of directors is highly recommended, which would include board level attention to matters of D&O coverage for board members.

[This article was posted on March 16, 2012, on the website of ABA Banking Journal, www.ababj.com, and is copyright 2012 by the American Bankers Association.]

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Vicarious Liability Ruling May Impact Education Insureds in California

By Don Jergler | March 14, 2012
The California Supreme Court ruled that a public school district may be vicariously liable for the negligent hiring, retention and supervision of a guidance counselor who allegedly sexually abused a student.

And that ruling may have insurers taking a closer look at clients to whom they issue employment practices liability insurance.

The court issued its ruling on March 8, reversing a dismissal in C.A., a Minor, v. William S. Hart Union High School District. A trial court had sustained the school district’s demurrer, and a court of appeal affirmed. The Supreme Court ruling reversed that affirmation.

The Supreme Court ruled on the question presented as to whether the school district may be found vicariously liable for the acts of its employees.

In a unanimous decision, the judges answered a resounding “Yes,” noting that school administrators, such as principals and human resources professionals, have a “special relationship” with students.

In the court’s ruling, it states:

“We conclude plaintiff’s theory of vicarious liability for negligent hiring, retention and supervision is a legally viable one. Ample case authority establishes that school personnel owe students under their supervision a protective duty of ordinary care, for breach of which the school district may be held vicariously liable.”

In short, what the court found is that if supervisory or administrative employees of the school district are proven to have breached that duty, the liability falls on the school district.

“That is a bit of an expansion of the law,” said Michael Adreani, a partner at the Woodland Hills, Calif. law offices of Roxborough, Pomerance, Nye & Adreani LLP. Adreani specializes in areas including bad faith litigation, class actions, insurance regulation and employer liability.

“The nexus that they draw is between the hiring individuals and the victims,” he added.

The law won’t apply to every state agency, but only those who have a “special relationship” with the victims, Adreani noted.

“This wouldn’t work in a case where it was a coroner’s office, for example,” he said, adding that “people who hired the coroner don’t have a special relationship with a corpse.”

But the law could apply to other agencies where a special relationship between administrators and victims may exist.

“You can foresee it being used in other agencies – rehabilitation for example, where there may be a special relationship with the victim,” he said.

The ruling allows attorneys for the plaintiff to go back and pursue the case to find out if principals or human resources professionals within the district were negligent in hiring Roselyn Hubbell, the counselor alleged to have molested the student.

It also enables attorneys to question policies and procedures in place for hiring such individuals, and look into whether those guidelines were followed, Adreani said.

And now insurers offering employment practices liability insurance may be saying to their education clientele more often, “if you want EPLI insurance, you have to follow these procedures,” he said.

The harassment and molestation of the plaintiff allegedly began around January 2007 and continued through September of that year, according to court documents. The plaintiff, a young male, was roughly 14 years old when the alleged harassment began at Golden Valley High School in the William S. Hart Union High School District. His alleged abuser was Roselyn Hubbell, the head guidance counselor at his school.

The boy was assigned to Hubbell for counseling, and she began to spend many hours with him on and off high school premises. According to court documents, the charges are that Hubbell engaged in sexual activities with the boy and required him to engage in sexual activities, including embraces, massages, masturbation, oral sex and intercourse.

The plaintiff suffered emotional distress, anxiety, nervousness and fear, according to court documents.

In a cause of action for negligent supervision, the plaintiff’s attorneys alleged that the district, through their employees knew or should have known of Hubbell’s “propensities” and “failed to use reasonable care in investigating her.”

In short, the plaintiff’s argument was that the district was on notice of Hubbell’s alleged molestation of students before and during her employment by the district, but did not reasonably investigate her and failed to use reasonable care to prevent her abuse of the plaintiff.

The district demurred to the complaint, arguing the negligent supervision and negligent hiring and negligent retention causes of action failed to state a claim because of the lack of statutory authority for holding a public entity liable for negligent supervision, hiring or retention of its employees. The trial court sustained the district’s demurrer and dismissed the action, and a court of appeal affirmed that dismissal.

Kara MacDonald, an account executive for Lockton Insurance Brokers LLC who specializes in higher education, said the ruling drives home a point in her field.

“Being proactive in this is huge,” she said.

Looking at the hiring and screening policies of her clients are an often talked about topic, as is examining what carriers provide, she said, adding that looking at those policies for hiring may become even more crucial.

Because when allegations of molestation or harassment are made, not all carriers provide essentials to dealing with such events, such as crisis management public relations, she said.

“It’s definitely one of those situations where it’s not so much a frequency issue, it’s a severity issue when they come through,” she said. “It’s really good to look at these policies to understand what your carrier can provide you.”

She also believes the ruling will likely get more people talking to their clients more not only about hiring practices, but best practices in general.

She said that nearly everyone can be held liable in such situations, “from a janitor walking in on something, to the principal possibly knowing something and not reporting it,” she said. “Coverage may be denied if people know about something and do not report it. Knowing your reporting provisions is really, really important.”

In the eyes of the Supreme Court justices, who cited throughout their decision case law establishing the relationship between school administrators and students as well as those administrators’ duties to the students, screening and reporting an alleged molester is part of an administrator’s job.

“While school districts and their employees have never been considered insurers of the physical safety of students, California law has long imposed on school authorities a duty to ‘supervise at all times the conduct of the children on the school grounds and to enforce those rules and regulations necessary to their protection,” the ruling stated. “The standard of care imposed upon school personnel in carrying out this duty to supervise is identical to that required in the performance of their other duties. This uniform standard to which they are held is that degree of care ‘which a person of ordinary prudence, charged with [comparable] duties, would exercise under the same circumstances.’ Either a total lack of supervision or ineffective supervision may constitute a lack of ordinary care on the part of those responsible for student supervision.”

Therefore, the court ruled, “a school district is vicariously liable for injuries proximately caused by such negligence.”

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Carrier Competition Benefits Large Employers EPLI Coverage

By Mark E. Ruquet, PropertyCasualty360.com
March 7, 2012 • Reprints

Larger companies benefited from carrier competition on their employment practices liability risk receiving more rate decreases than small and midsize businesses, according to a report from insurance broker Marsh.

In Marsh’s latest benchmarking trends report on EPLI, 58 percent of large organizations (4,000 or more employees) received rate decreases in their coverage in 2011. That translated into close to 4 percent average rate decrease for the year. While the majority of large organizations enjoyed decreases, 14 percent saw rate increases while 28 percent saw no change.

For all businesses, decreases still outweighed increases with 44 percent seeing their EPLI insurance decrease by an average of close to 2 percent. Twenty-one percent saw their rates increase while 35 percent saw no change.

Marsh notes that “double-digit decreases were typically reserved for clients with positive claim history, minimal reduction-in-force or mergers and acquisition activities, and best-in-class policies and procedures, particularly with respect to anti-discrimination, diversity, and training senior management around those issues.”

Marsh says in response to the soft market conditions insurers placed upward pressure on rates, notably for small and midsize companies.

Companies purchased on average more than $10 million in limits in 2011, with the larger companies purchasing higher limits that averaged in excess of $28 million.

The highest limits were purchased by financial institutions, health care and the retail and wholesale sector “commensurate with the higher exposures in those industries.”

Financial institutions with more than 4,000 employees purchased the highest total of EPLI limits at average of close to $48 million.

Marsh went on to say that increased enforcement action by the Equal Employment Opportunity Commission (EEOC) and increased claims and exposure on EPL, contributed to the purchasing trends.

Increased staffing at EEOC and commitment of more resources helped the agency reduce its pending files by 10 percent. That activity pushed recovery on behalf of employees to more than $365 million.

Adeola Adele, Marsh’s senior vice president, national EPLI product leader, told National Underwriter that it is too early to tell precisely what direction rates are going in, but generally they are holding flat and the range of increase or decrease, “if any” is consistent with the fourth quarter of 2011 with a range of increase or decrease of 5 percent.

She says that as far as companies getting rate increases last year, carriers had more success with small companies by justifying their actions because of increased losses and claims from individuals.

It was more difficult with midsize clients, says Adele, because of pushback from the broker who demanded justification for rate increases. Carriers were successful with accounts where claims exposure increased due to lay-offs and M&A activity.

Because of the increase in EEOC enforcement actions, Adele says there were more small and midsize companies purchasing EPLI coverage for the first time. She says the number of large companies making purchases held steady.

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ACE Survey: Wealthy Americans Fearful of Costly Liability Lawsuits in Uncertain Economy

America’s wealthiest families increasingly worry that their wealth alone makes them a prime target for a high-stakes liability lawsuit in this uncertain time of high unemployment and tepid economic growth, according to a study by ACE Private Risk Services, the high net worth personal insurance business of the ACE Group.

Despite their concern, many wealthy families remain poorly prepared for such lawsuits; underestimating the cost of potential damages and misunderstanding the affordability of effective protection.

The study, Targeting the Rich: Liability Lawsuits and the Threat to Families with Emerging and Established Wealth, includes a survey of individuals from households with more than $5 million of investable assets about their perceptions and behavior regarding the threat of personal liability lawsuits.

“Wealthy families feel increasingly targeted, especially given the national discourse over disparities in wealth, income, and taxation,” said Bob Courtemanche, division president of ACE Private Risk Services. “In the study, more than two-thirds think public perceptions of the wealthy have grown more negative since 2008. Almost 40 percent believe they are more likely to be sued in the aftermath of the economic crisis, compared to only 7 percent who say they are less likely to be sued. And more than 80 percent agree their wealth alone makes them an attractive target for liability lawsuits.”

“Nevertheless, many underestimate the risk,” added Jim Hageman, ACE senior vice president, Claims for global personal and small commercial insurance. “Half of the people we surveyed thought the worst-case lawsuit would be less than $5 million. But our experience is that awards for lawsuits involving serious injury can equal many times that amount.”

Because wealthy families tend to underestimate their potential liability from a car accident or other incident, they often lack sufficient liability insurance. More than 40 percent of survey respondents report carrying less than $5 million in umbrella liability insurance, including 21 percent who have none.

Umbrella liability insurance is a critical part of a personal insurance program because the liability coverage in automobile and homeowner policies rarely exceeds $500,000. An umbrella policy provides additional coverage on top of those policies. Insurance companies that specialize in insuring high net worth families usually offer coverage amounts ranging from $1 million up to $100 million, and the cost can be offset by increasing the deductible amounts in the underlying homeowner and auto policies.

“Choosing a higher deductible and accepting more responsibility for minor losses so that you can insure against a multi-million-dollar lawsuit is a wise strategy – one that our agents and brokers often recommend,” said Mr. Hageman.

Other survey highlights include:

More than half of respondents employ domestic staff such as a nanny, and many do not have employment practices liability insurance to protect themselves if a disgruntled employee decides to sue for discrimination, sexual harassment, wrongful termination, or other wrongful employment practice.
More than 60 percent of respondents serve or have served as a volunteer board member or trustee of a charitable organization. Among this group, 35 percent do not have their own directors & officers insurance to supplement the insurance provided by the organization, which can often be minimal.
Wealthy families correctly perceive auto accidents as the most serious liability threat, but they underestimate the risks posed by dog bites and libel, slander, or character defamation resulting from participation in social media platforms.
“The nature of liability risks are constantly evolving in response to changes in public perception and the law,” Mr. Courtemanche explained.

Source: ACE Group

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$168 million sexual harassment award – does that get your attention?

Duane Morris LLP
Kevin E. Vance
USA March 5 2012

These days, I see an increasing amount of non-employment attorneys practicing in the area of labor and employment law. It may be because employers believe that the risk of monetary exposure in employment cases is low.

But, every once in a while we get word of a large verdict that reminds us that there can be enormous amounts of money at stake in such cases. To wit, a California jury last week awarded $168 million to a sexual harassment plaintiff – $42.7 million in lost wages and emotional distress damages, and another $125 million in punitives. It is thought to be the largest harassment award in history.

This should be a reminder to all employers of the need to take employee complaints of workplace discrimination seriously, and also to take seriously the lawsuits that later come with many such complaints. Employers should be careful to select expert labor and employment lawyers to represent them in defense of such suits. And, if you are an employer that has an employment practices liability insurance (EPLI) policy, make sure that your insurer is assigning cases to actual labor and employment lawyers, and not to personal injury defense lawyers who dabble in labor and employment law.

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