Friday, September 23, 2011

After the Storm - Post-Hurricane Activities

You’ve sustained a major loss, perhaps as a result of a fire or hurricane. Now what?

  • Give the insurer prompt notice of the loss or damage; include a description of the property involved.  One of your first calls after the loss occurs should be a report of claim to the insurer, either direct to the insurer or via Seitlin. Don’t wait for perfect information; the insurer will work with you to fill in any gaps. Instead, report what you know now.

  • As soon as possible, give the insurer a description of how, when and where the loss or damage occurred. This information can be provided as part of the first report if available, or as it becomes available. Again, the key is to get the information to the insurer as soon as you can.

  • The policy requires the insured to try to prevent further loss or damage: “Take all reasonable steps to protect the Covered Property from further damage, and keep a record of your expenses necessary to protect the Covered Property, for consideration in the settlement of the claim.”  In a nutshell, you must do what you reasonably can, as quickly as you can, to protect the property from further damage. This might include temporary repairs, e.g. boarding up broken windows, or beginning cleanup, e.g. drying out wet carpet and drywall, or moving undamaged property to a secure location out of harm’s way. DO NOT make permanent repairs to your damaged property unless the adjuster has reviewed your claim and given you permission to proceed. 

  • Have you identified and made arrangements with localcontractors, including restoration contractors, to begin cleanup, make temporary repairs, and salvage equipment and other property that can be saved? This could include "drying out" the premises, moving salvageable property to another location, and separating out property that is a total loss.  Do what you can prior to the loss to be prepared to discharge your duties after the loss. Remember too that Insurers tend to pay these post-loss, mitigation-related expenses as incurred as long as they aren’t exorbitant in light of the circumstances. Keep good records of your expenditures and present them to the insurer early on. An “advance payment” in reimbursement of the expenses is likely.

  • If feasible, set the damaged property aside and in the best possible order for examination.  In addition, take photographs of all damaged property, real and personal, right after the loss to the extent possible with safety foremost in mind. This will enhance the presentation of your claim and assist the adjuster in his or her investigation.

  • Generally, an insured has the burden to establish coverage under the policy and the amount of the covered loss. Seitlin personnel will help you to establish coverage but providing sufficient documentation in support of the claim is something the insured should be prepared to do. This will likely be the most time consuming and difficult part of the process.

  • Do youback up data,including business and accounting records,regularly and maintain the back up data in a secure offsite location?  It should now be clear that your business records will be invaluable in expediting the settlement of your claim. Spending some time before a loss occurs with your post-loss Duties in mind will facilitate the discharge of those duties.

  • Finally, cooperate with us in the investigation or settlement of the claim.  You must cooperate with the insurer, e.g. by providing the documentation and access they are entitled to. If you don’t, the settlement process will grind to a halt. The vast majority of insurers want to work with their insuredsto arrive at a fair settlement as quickly as possible. However, insurers are very willing to wait indefinitely to get information they are reasonably entitled to.

We encourage our clients to take the path of least resistance, i.e. work with, not against the insurer.  Please remember to contact your Seitlin Claim Consultant with any questions you may have.

Hurricane Preparedness Strategies

A prompt, fair settlement of a first party property insurance claim primarily depends on two things; sufficient insurance coverage and sufficient documentation to establish the amount of the loss.

Coverage is fixed; there is nothing you can do to change it to your benefit after a loss occurs. Therefore, you should focus on the things you can influence or control, e.g. avoidance, mitigation and documentation as more fully described below, to enhance the final outcome after a claim is submitted.

It’s especially important to do what you can “pre-loss” to be prepared to move forward quickly after a loss occurs, including discharge of your duties under the policy.
 
Are you prepared to move forward in the optimal manner after a loss? The answers to the following questions may help you to determine your state of readiness. “No” answers are not the ideal and may indicate a “preparedness gap.” We recommend taking action as follows to close the gap before a loss occurs.
 
1. Avoiding a loss is the best strategy. Have you done everything you can do to avoid or minimize a loss, e.g. alarms, sprinklers,hurricane shutters orimpact resistant glass, upgrading structures to meet the current building code?
 
2. Do your contracts include a clause that shields you from liability for damages if you are unable to perform your contractual obligations as a result of events or forces beyond your control?
 
3. Have you assigned internal responsibility for handling the claim with the insurer and communicating with corporate management, especially if multiple locations are involved?
 
4. Do you keep a list of relevant insurance policies and related information including:
  • Contact information for your Seitlin agent
  • Insurer names, policy numbers, policy periods, deductibles and coverage limits
  • Instructions for contacting insurers directly if your Seitlin agent is unavailable
You should keep a copy of your completed list both on and off premises.In addition, provide your Seitlin agent with contact information for your key personnel.

5. Do you have contingency plansfor securing essential services at your current location if services are disrupted? Will a generator be available? Can you obtain internet and phone service by satellite or other means? Have you secured access to fuel for your fleet?
 
6. Assuming you can't continue operating at your current location, have you made arrangements to operateatanother location?
 
7. Have you identifiedequipment dealers or leasing companieswho can provide necessary equipment to keep your business going in the short term and provide replacement equipment going forward?
 
8. Have you identified and made arrangements with local contractors, including restoration contractors,tobegin cleanup, make temporary repairs, and salvage equipment and other propertythat can be saved? This could include "drying out" the premises to avoid mold, moving salvageable property to another location, and separating out property that is a total loss.
 
9. Do you maintain a continuously updated inventory of all your business personal property, including documentation [receipts, photos, video records] to prove the existence of the property?
 
10. Have you identified the best sources for replacement of your business personal property?
 
11. Do you back up data,including business and accounting records,regularly and maintain the back up data in a secure offsite location?
 
Seitlin personnel are ready to assist you with pre-loss preparation. Please contact Seitlin with any questions or concerns you may have.

Tuesday, August 30, 2011

Worksite Wellness. Health Management. Employee Health Promotion.

It really doesn’t matter what you choose to call it – you either “get it” or you don’t; if you don’t, you will have to at some point. Healthcare in the United States is making this concept a necessity.
 
Our employees are not the healthiest, but yet up to 75% of illness are preventable. Out of 100 employees…
 
  • 25 have cardiovascular disease
  • 12 are asthmatic
  • 6 are diabetic
  • 26 have high blood pressure
  • 30 have high cholesterol
  • 38 are overweight
  • 21 smoke
  • 31 use alcohol excessively
  • 20 don’t wear seatbelts
  • 24 don’t exercise
  • 44 suffer from stress or depression

Source: Department of Health and Human Services, 2007
 
Why implement a comprehensive workplace wellness initiative?
 
  • Encourages employees to take responsibility in maintaining their health, as well as their families health 
  • Health risks in a population translate into increased health care costs in the future
  • 50 -75% of health claims are lifestyle related and are CONTROLLABLE
  • Properly implemented workplace wellness programs have a favorable impact on organizations through:  Employee engagement, Worker absenteeism and morale, Productivity, “Employer of Choice” culture. 
  • Improve the quality of life for our employees and their families.
Below is a Seitlin Wellness Client comment made by the Director of Human Resources of a major law firm during a recent meeting, because it truly inspires us to keep doing what we’re doing and drives us to keep working harder so that every client we service will realize the same benefits.
 
“Despite the fact the firm had experienced two years of increased premiums at renewal, I am happy to announce that not only will our premiums NOT increase this year, but they will actually decrease. The programs brought in by (the Wellness Department of) Seitlin Benefits have impacted the lifestyle choices made by staff and this change has increased not just productivity and moral, but discounted the amount of overall healthcare claims". L.T.
 
For more information, please contact:

Kirstie Settas-Jones
Director of Wellness Services
Tel:  954.903.1629

Health Reform Law Seminar on September 27, 2011

Experts Address What Employers Need to Be Doing Now to Prepare for the Future

Health Reform Law is now over one year old. It’s future is still uncertain, but employers must understand the Law’s requirements and prepare for future changes.

Seitlin invites you to join us for a panel discussion with national health care leaders to address the latest developments under Health Reform Law and discuss strategies for responding to the Law’s many changes. The following experts have been invited as presenters:

Proskauer Rose Peter J. Marathas, Jr. Esq., Compliance and ERISA Attorney
Nathanson + Hauck Melanie Nathanson and Megan Hauck, Lobbyists
Aetna, Inc. Mohit M. Ghose, Vice President of Public Affairs
Humana, Inc. Paul Herrington, Associate General Counsel
National Association of Health Underwriters Janet Trautwein, CEO
 
Tuesday, September 27, 2011

Fort Lauderdale
Nova Southeastern University
Carl DeSantis Building
3301 College Avenue
Fort Lauderdale - Davie, FL 33314
Breakfast from 7:30 a.m. - 8:00 a.m.
Seminar from 8:00 a.m. - 10:00 a.m.
Parking pass will be provided

Miami
The Hilton Miami Airport
5101 Blue Lagoon Dr.
Miami, FL 33126
Lunch from 11:30 a.m. - 12:00 p.m.
Seminar from 12:00 p.m. - 2:00 p.m.
Parking will be validated
 
This program has been approved for:
 
  • 2 Strategic Business recertification credit hours toward PHR, SPHR, and GPHR re-certification through the Human Resource Certification Institute (HRCI)
  • 2 Technical Business CPE credits
 
There is no charge to attend this event. If you wish to attend, please RSVP for a session by contacting Theresa Dutko at tdutko@seitlin.com by Tuesday, September 13, 2011.
 
For more information about the event and presenter biographies, click here.

 
We regret that we cannot accept reservations from Insurance Agencies, Benefit Consultants or other benefits vendors due to limited seating.

 

What Can I Do To Protect My High Value Possessions During Hurricane Season?

As we approach the peak of Hurricane season, it is important that we understand how to better protect our assets. Damage to your home and surrounding areas during a storm are inevitable but what can you do to help reduce the exposure of your high value personal property and/or make the claims experience a good one? A little bit of organization and due diligence can go a long way in protecting your personal property and make for a much more efficient claims experience should the need for a claim arise.

To help prevent a loss during hurricane season or make sure a claim on your personal property goes smoothly we suggest the following strategies and best practices to help safeguard your possessions:

  • Regular review- You should meet with your agent at least once per year to make sure that your policies are up to date and are ready to respond if and when a storm approaches.
  • Update your inventory- Keep a comprehensive list of your possessions and update it regularly in order to receive fair compensation. It is advisable to keep any important documents in a safe deposit box.
  • Make sure you have flood coverage- Many people are under the impression that flood insurance is covered by their homeowners or windstorm policy. That is not the case and the only way to get flood coverage is to make sure you have a proper primary and excess flood policy in place.
  • Video walkthrough- We suggest that you take a video walkthrough of your home or condo showing all the rooms and what contents are inside of each room.  Include a dated newspaper in the video to verify the date the video was taken. This and any receipts you have will go a long way in making sure the claim goes smoothly and in your favor. 
  • Take advantage of carrier provided services- Some luxury carriers offer a complete array of services that are meant to help you protect your most valuable assets. These include services such as, pre and post hurricane assessments, onsite evaluations, as well as fine art retrieval and removal services should damage occur. Some offer vulnerability assessments which will provide useful information regarding the placement, protection, and maintenance of high value art.
  • Storage facilities- If you are uncomfortable or unsure about leaving certain high value items in your home during a storm, there are storage facilities that cater to high priced valuables such as cars, jewelry, and fine art. Some of these are category 5 hurricane rated so you can rest assured that your valuables will be protected when the wind blows or the water rises.
When choosing a trusted insurance advisor, make sure they understand your complex needs and the perils that come along with owning high valued possessions. Are you prepared?

For more information, please contact:
 
Chad Rustici
AVP - Seitlin Private Client Services
Tel:  954.267.8574


Technology – Cited as a Critical HR Service Delivery Issue for 2011

Technology is changing the way Human Resources is managed and administered. It can allow you to automate workflows creating faster information exchange and streamline your HRIS, Benefits Administration and Payroll operations.

Technology can significantly reduce administrative costs, paperwork and errors. According to CFO.com, the average cost for an HR staff to manually enroll an employee is $109.48; the average cost for an employee to enroll online is $21.79 - an 80% savings! According to Towers Perrin, online employee enrollment results in a 15% time savings by HR staff. According to Risk and Insurance, manual administration and billing processes can cause a 7% error in premium billing and a savings opportunity of nearly $11 PEPM occurs by eliminating overpayment due to ineligible dependents, wrong tier coverage, and processing errors.

According to the 2011 Towers Watson survey, the top 3 service delivery issues for HR are 1) talent/performance systems, 2) streamlining HR processes and systems, and 3) greater involvement in strategic business-driven issues. The survey found that companies are making greater investments in HR technology. More than one-third of respondents (34%) said they are planning to spend more on HR technology this year.

“We haven’t seen this level of increase in investment in HR technology since before the economic downturn. The fact that technology spending is up this year is a clear indication of the high level of return that companies are seeing when it comes to technology as a means for improving both HR efficiency and effectiveness,” says Tom Keebler, global leader of Towers Watson’s HR Service Delivery and Technology practices. The 14th annual HR Service Delivery Survey polled HR and HRIT executives from 444 organizations.

In the past several years, Seitlin Benefits has positioned itself to become a significant strategic partner working with employers to bring this value added service to their organizations. With over 100 vendors in the technology sector, it can be quite challenging to determine who and what is the right solution for your organization. That’s where Seitlin comes in. Below are the steps we will take to find the best technology solution to fit your needs and structure:

  1. Discovery and needs assessment – we want to fully understand your current structure and what you would like to accomplish with a new system. We will perform an in-depth analysis of your processes and systems you are using now. Among other things we will be sure any system you consider has effective integration with your general ledger, benefits administration and HRIS components to assure “seamless one touch entry.”
  2. We will then prepare a “RFP – request for proposals” - to review with vendors that potentially could be a match. We have access to the entire marketplace of payroll, HRIS, and benefits administration vendors. With over 100 vendors in the marketplace we can assist in narrowing down the list to only those that are a fit for your firm, your needs and your criteria.
  3. We will obtain, compare and analyze the proposals from the vendors based on your criteria.
  4. We will schedule demo’s with those vendors and participate alongside you. It is important to see the systems in action and determine what you like and don’t like to help narrow the selection. We can help you compare important differences in the systems according to functionality, security, pricing, and data integration.
  5. We will assist you with the vetting and decision making process. We will make sure the system you select accomplishes your objectives and that each vendor can meet the implementation timeline you and we determined in the beginning.
  6. We will oversee and manage the implementation. Once the right vendor is selected we will stay engaged to be sure the implementation goes smoothly and you have a technology advocate on your team to hold the vendor accountable.
  7. We will become a permanent ongoing part of your service team to be sure the system continues to perform properly after the implementation.
To summarize, why automate? Technology increases accuracy and minimizes data errors with singular online entry, reduces printing costs and legal risks, and eliminates duplication and overpayments with data management controls.

Why wait any longer? Let Seitlin come in to determine your needs and help you find the Technology solution that is best suited for you!

For more information, contact:

Ramona Fiumara
VP & COO - Seitlin Benefits
Tel:  954.903.1622

2011 Towers Watson 14th Annual HR Service Delivery Survey

2011 Financial Analysis for Companies in Employee Leasing Relationships

Significant changes in the health insurance and Workers’ Compensation insurance markets over the last several years make review of your Employee Leasing/Professional Employer Organization (PEO) relationships a worthwhile exercise in 2011.

Employee Leasing has been, and for some continues to be, an appropriate solution for employers with particular needs. Seitlin brokers for a number of Professional Employer Organizations so as to provide this solution to our clients when it makes sense. We are often finding, however, that what made financial sense several years ago no longer does.

There are three basic changes in the landscape that have eliminated much of the cost-savings that used to drive employers toward the PEO package:

  1. Health Insurance - PEOs no longer have the latitude they had in the past to artificially reduce the health insurance rates they deliver to their clients. Insurance carriers realized they were often seeing the same employee groups shift to PEOs at much lower premiums; not a very profitable outcome for the carriers. Today, most PEO contracts with health insurance carriers severely limit the variance between PEO health rates and the carrier rates for the same group.
  2. Workers’ Compensation – rates in Florida have decreased nearly 65% since 2003, primarily due to changes in tort law with respect to Workers’ Compensation claims. The current low rates leave less room for PEOs to provide discounts that translate into meaningful premium reductions.
  3. Payroll technology - PEOs were often an administrative solution for companies that did not have strong internal payroll and benefits administration systems. Advances in payroll technology now allow payroll companies to offer robust and varied administrative options at a fraction of the cost of PEO fees.

Seitlin has found significant cost savings for a number of our clients by unbundling the employee benefits, Workers’ Compensation and payroll services previously provided as a package by Professional Employer Organizations. We recently reduced annual cost for a group of approximately 100 employees by $130,000 while improving their benefits offering. Seitlin has the expertise in house to provide your client with unbundled options in all these areas and perform the analysis to determine the financial impact of unbundling. Cost efficiencies usually become meaningful with groups of 50 employees or larger.

We would be happy to help any company involved in employee leasing review their options to determine the most cost effective way to operate as employers moving forward.

For more information, please contact:

Steve Light, MBA, CIC
Vice President
Tel:  954.267.8559

Wednesday, August 24, 2011

Personal Lines - Hurricane Claim Post-Loss Resources

Carrier Claim Phone Numbers

AI Risk/LexElite 877-244-0304
American Bankers 800-358-0600
Burns & Wilcox 800-282-5675 ext. 2201
Chartis 888-760-9195
Chubb 800-252-4670
Citizen’s Wind 866-411-2742
Citizens Property Insurance 866-411-2742
FAIA Member Services/RLI 800-444-0406
Fidelity National Flood 800-725-9472
Fireman’s Fund 888-347-3428
Florida Family 888-486-4663
Florida Peninsula 877-944-8368
Gabor Insurance 786-924-7034
Gulfstream Property & Casualty 866-485-3005
Hartford Insurance Company 800-787-5677
Hull & Company 800-678-4855 ext. 276
John Handel & Associates 800-282-7729
Lexington Insurance 800-931-9546
Navigators 866-408-1922
Progressive Insurance 800-776-4737
Seacoast Underwriters 800-637-3846
Southern Oak 877-900-2280
Swett & Crawford 727-536-1006
Towerhill 800-216-3711
Towerhill Preferred Flood 877-254-6819
Travelers Flood 800-505-0193
Travelers/First Floridian 800-252-4633
Zurich Construction 877-928-4531

Post Loss Clean-Up and Temporary Repairs

Air to Go 305-776-6076
• Rental of generator, portable a/c, light towers, etc.

All American Glass, Inc. 954-968-5229
 Broward, Miami-Dade, Palm Beach
• Full service glass, including 24 hr emergency service and board ups

All-Clean 877-925-3266
• Fire, water, restoration, including mold

Blue Team Restoration 855-522-2583
• Broward, Miami-Dade, Palm Beach
• 24 hours
• Fire, water, restoration, including mold, document and media recovery and art restoration

Documents Reprocessor 800-437-9464
• Documents drying

Puro Clean 866-859-7876
• Fire, water, restoration, including mold

Puro Clean 305-752-4019
• South Miami
• Fire, water, restoration and clean up

Riteway Insurance Repair Service 800-834-0558
• Broward, Miami-Dade, Palm Beach
• 24 hours
• Fire, water, restoration, including emergency board up

Service Master 800-737-7663
• Broward, Miami-Dade, Palm Beach
• 24 hour, will be directed to nearest service center
• Fire, water, restoration, including emergency board up

Servpro 786-293-7545
• Fire, water, restoration, including mold

Super Restoration 800-516-8059
• Fire, water, restoration and clean up

Monday, June 20, 2011

Seitlin Was Awarded Top Insurance Firm in South Florida by Business Leader Media

Seitlin was awarded the "2011 Best Insurance Firm" award by Business Leader Media. The annual industry awards dinner were held in May in Miami with over 400 attendees.  Other industry winners included Perry Ellis, Greenberg Traurig, the University of Miami and Blue Cross and Blue Shield.  This was a great honor for Seitlin and is reflective of the dedication and professionalism of our 125 associates in South Florida.

Thursday, June 2, 2011

CLAIMS: The Insurer’s Obligations, the Agent’s Role

[For Claim Reporting contacts, visit Seitlin.com]

Insurance policies are contracts. Both parties to the contract [the insured and the insurer] have rights and duties [obligations] pursuant to the contract.

We discussed some of the insured’s most important claim-related obligations in the preceding document AFTER THE STORM –MAXIMIZING YOUR CLAIM RECOVERY. What about the insurer; what are its claim-related obligations?

First, the insurer is obligated to pay for loss or damage as more fully described and limited in the insurance policy. For example, the ISO Commercial Property Building and Personal Property Coverage Form states:

“We [the insurer] will pay for direct physical loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.”

Second, the insurer must comply with relevant principles of contract law and applicable Florida State Statute.Most important here is Florida Statute 626.9541:

"(1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE ACTS.

(i) Unfair claim settlement practices

3. Committing or performing with such frequency as to indicate a general business practice any of the following:

a. Failing to adopt and implement standards for the proper investigation of claims;

b. Misrepresenting pertinent facts or insurance policy provisions relating to coverages at issue;

c. Failing to acknowledge and act promptly upon communications with respect to claims;

d. Denying claims without conducting reasonable investigations based upon available information;

e. Failing to affirm or deny full or partial coverage of claims, and, as to partial coverage, the dollar amount or extent of coverage, or failing to provide a written statement that the claim is being investigated, upon the written request of the insured within 30 days after proof-of-loss statements have been completed;

f. Failing to promptly provide a reasonable explanation in writing to the insured of the basis in the insurance policy, in relation to the facts or applicable law, for denial of a claim or for the offer of a compromise settlement;

g. Failing to promptly notify the insured of any additional information necessary for the processing of a claim; or

h. Failing to clearly explain the nature of the requested information and the reasons why such information is necessary.”

Third, the insurer has to be wary of Florida Statute 624.155. Essentially, 624.155 gives the insured a “hammer” as follows:

“(1)Any person may bring a civil action against an insurer when such person is damaged:

(a)By a violation of any of the following provisions by the insurer:

1.Section 626.9541(1) (i)

(b) By the commission of any of the following acts by the insurer:

1. Not attempting in good faith to settle claims when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insured and with due regard for her or his interests;

2.Making claims payments to insureds or beneficiaries not accompanied by a statement setting forth the coverage under which payments are being made; or
 
3. Except as to liability coverages, failing to promptly settle claims, when the obligation to settle a claim has become reasonably clear, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage. Notwithstanding the provisions of the above to the contrary, a person pursuing a remedy under this section need not prove that such act was committed or performed with such frequency as to indicate a general business practice.”
 
In summary, given all of the above, the insurer must investigate, adjust and settle with its insured as required by the insurance contract and the law.
 
Seitlin’s role
 
Generally, independent insurance agents lack contractual or legal authority to:


  • Conclusively construe insuring agreements and other policy terms and condition
  • Investigate and pay claims
  • Commit the insurer to any course of action
Specifically, our contracts with various insurers are in line with the foregoing and, while holding us to certain basic standards of performance, e.g. provide accurate information to the insurer, are expressly drafted by the insurers to recognize Seitlin as the insured’s representative.

Given these limitations, we function as our client’s troubleshooter and advocate, doing whatever we reasonably can to compel insurers to live up to their contractual and statutory obligation to adjust and settle claims.

How do we accomplish that?

  • Maintain a staff of experienced Claim Consultants who understand the claims process from beginning to end;
  • Focus on problem cases, becoming involved as soon as a client makes us aware that the insurer is not performing as required;
  • Develop an in-depth understanding of the critical issues by communicating with adjusters, claim managers, executive management and attorneys;
  • Devise and work to implement alternative claim management strategies as dictated by the facts;
  • Realizing that coverage is the major factor in many claim-based disputes, remain current with Florida law as it relates to insurance coverage and approach coverage from a law of contracts perspective, using rules of policy analysis and interpretation to the client’s benefit where possible;
  • Explain claim and legal issues to client personnel as needed to help them navigate through the claim process as easily as possible
Conclusion

We’ve reviewed the claims landscape from MAXIMIZING YOUR CLAIM RECOVERY; PRE-LOSS STRATEGIES to AFTER THE STORM –MAXIMIZING YOUR CLAIM RECOVERY, all in light of THE INSURER’S OBLIGATIONS, THE AGENT’S ROLE.

We hope some or all of this information will be of benefit to you, ultimately helping to put more money in your pocket if a loss occurs. If you have any questions, concerns, comments or suggestions, please contact Seitlin.

Maximize Your Claim Recovery: After the Storm

[For Claim Reporting contacts, visit Seitlin.com]

You’ve sustained a major loss, perhaps as a result of a fire or hurricane. Now what?

1. The typical Commercial Building and Personal Property Coverage Formimposes a number of Duties in The Event Of Loss or Damageon the insured, including:

“Give us [the insurer] prompt notice of the loss or damage. Include a description of the property involved.”

Simply stated, one of your first calls after the loss occurs should be a report of claim to the insurer, either direct to the insurer or via Seitlin. Don’t wait for perfect information; the insurer will work with you to fill in any gaps. Instead, report what you know now.

2. Here’s another Duty imposed by the policy:

“As soon as possible, give us a description of how, when and where the loss or damage occurred.”

This information can be provided as part of the first report if available, or as it becomes available. Again, the key is to get the information to the insurer as soon as you can.

3. The policy also requires the insured to try to prevent further loss or damage:

“Take all reasonable steps to protect the Covered Property from further damage, and keep a record of your expenses necessary to protect the Covered Property, for consideration in the settlement of the claim.”

In a nutshell, you must do what you reasonably can, as quickly as you can, to protect the property from further damage. This might include temporary repairs, e.g. boarding up broken windows, or beginning cleanup, e.g. drying out wet carpet and drywall, or moving undamaged property to a secure location out of harm’s way. DO NOT make permanent repairs to your damaged property unless the adjuster has reviewed your claim and given you permission to proceed.

Recall this excerpt from the first document in this series, MAXIMIZING YOUR CLAIM RECOVERY; PRE-LOSS STRATEGIES:

Have you identified and made arrangements with localcontractors, including restoration contractors,tobegin cleanup, make temporary repairs, andsalvage equipment and other propertythat can be saved? This could include "drying out" the premises, moving salvageable property to another location, and separating out property that is a total loss.

To reiterate: do what you can prior to the loss to be prepared to discharge your duties after the loss.

Remember too that Insurers tend to pay these post-loss, mitigation-related expenses as incurred as long as they aren’t exorbitant in light of the circumstances. Keep good records of your expenditures and present them to the insurer early on. An “advance payment” in reimbursement of the expenses is likely.

4. As an adjunct to the protection of covered property and minimization of the loss, the policy also requires the following:

“Also, if feasible, set the damaged property aside and in the best possible order for examination.”

In addition, take photographs of all damaged property, real and personal, right after the loss to the extent possible with safety foremost in mind. This will enhance the presentation of your claim and assist the adjuster in his or her investigation.
 
5. Generally, an insured has the burden to establish coverage under the policy and the amount of the covered loss. Seitlin personnel will help you to establish coverage but providing sufficient documentation in support of the claim is something the insured should be prepared to do. This will likely be the most time consuming and difficult part of the process.
 
The insurer will work with you to establish the amount of the loss but the policy imposes several Duties in this context:
 
“At our request, give us complete inventories of the damaged and undamaged property, including quantities, costs, values and amount of loss claimed.”
 
“As often as may be reasonably required, permit us to inspect the property proving the loss or damage and examine your books and records.”
 
“Also permit us to take samples of damaged and undamaged property for inspection, testing and analysis, and permit us to make copies from your books and records.”
 
Returning again to MAXIMIZING YOUR CLAIM RECOVERY; PRE-LOSS STRATEGIES, we posed these questions:
 
6. Do you maintain a continuously updated inventory of all your business personal property, including documentation [receipts, photos] to prove the existence of the property?
 
7. Do youback up data,including business and accounting records,regularly and maintain the back up data in a secure offsite location?
 
It should now be clear that your business records will be invaluable in expediting the settlement of your claim. Spending some time before a loss occurs with your post-loss Duties in mind will facilitate the discharge of those duties.
 
8. Finally, keep this Duty in mind:
 
“Cooperate with us in the investigation or settlement of the claim.”

You must cooperate with the insurer, e.g. by providing the documentation and access they are entitled to. If you don’t, the settlement process will grind to a halt. The vast majority of insurers want to work with their insuredsto arrive at a fair settlement as quickly as possible. However, insurers are very willing to wait indefinitely to get information they are reasonably entitled to.

We encourage our clients to take the path of least resistance, i.e. work with, not against the insurer. However, disputes can and do arise. In that case, it’s important to understand two things:

1. What are the insurer’s obligations to its insured in a claim context? And,

2. What is Seitlin’srole?

For an in-depth analysis of these issues, please proceed to the final document in the series, THE CLAIM PROCESS; THE INSURER’S OBLIGATIONS AND THE AGENT’S ROLE.

Maximize Your Claim Recovery: Pre-Loss Strategies

[For Claim Reporting contacts, visit Seitlin.com]

A prompt, fair settlement of a first party property insurance claim primarily depends on two things; sufficient insurance coverage and sufficient documentation to establish the amount of the loss.

Coverage is fixed; there is nothing you can do to change it to your benefit after a loss occurs. Therefore, you should focus on the things you can influence or control, e.g. avoidance, mitigation and documentation as more fully described below, to enhance the final outcome after a claim is submitted.

It’s especially important to do what you can “pre-loss” to be prepared to move forward quickly after a loss occurs, including discharge of your duties under the policy; see the next document in the series AFTER THE STORM –MAXIMIZING YOUR CLAIM RECOVERYfor more on this issue.

Are you prepared to move forward in the optimal manner after a loss? The answers to the following questions may help you to determine your state of readiness. “No” answers are not the ideal and may indicate a “preparedness gap.” We recommend taking action as follows to close the gap before a loss occurs.

1. Avoiding a loss is the best strategy. Have you done everything you can do to avoid or minimize a loss, e.g. alarms, sprinklers,hurricane shutters orimpact resistant glass, upgrading structures to meet the current building code?

2. Do your contracts include aclause that shields you from liability for damages if you are unable to perform your contractual obligations as a result of events or forces beyond your control?

3. Have you assigned internal responsibility for handling the claim with the insurer and communicating with corporate management, especially if multiple locations are involved?

4. Do you keep a list of relevant insurance policies and related information including:
  • Contact information for your Seitlin agent
  • Insurer names, policy numbers, policy periods, deductibles and coverage limits
  • Instructions for contacting insurers directly if your Seitlin agent is unavailable

You should keep a copy of your completed list both on and off premises.In addition, provide your Seitlin agent with contact information for your key personnel.

5.  Do you have contingency plansfor securing essential services at your current location if services are disrupted? Will a generator be available? Can you obtain internet and phone service by satellite or other means? Have you secured access to fuel for your fleet?

6. Assuming you can't continue operating at your current location,have you made arrangements to operateatanother location?

7. Haveyou identifiedequipment dealers or leasing companieswho can providenecessary equipment to keep your business going in the short term and provide replacement equipment going forward?

8. Have you identified and made arrangements with local contractors, including restoration contractors,tobegin cleanup, make temporary repairs, and salvage equipment and other propertythat can be saved? This could include "drying out" the premises to avoid mold, moving salvageable property to another location, and separating out property that is atotal loss.

9. Do you maintain a continuously updated inventory of all your business personal property, including documentation [receipts, photos, video records] to prove the existence of the property?

10. Have you identified the best sources for replacement of your business personal property?

11. Do you back up data,including business and accounting records,regularly and maintain the back up data in a secure offsite location?

Seitlin personnel are ready to assist you with pre-loss preparation. Please contact Seitlin with any questions or concerns you may have.

Tuesday, May 10, 2011

Seitlin Presented with the 2011 South Florida Worksite Wellness Award

For the past three years, the Miami Dade Health Department has set out to honor South Florida companies that showed interest in their employees’ wellness and created programs that would generate a healthier environment. Seitlin is proud to receive the “2011 South Florida Worksite Wellness Award” for the small business category. There to accept our award was our Director of Corporate Wellness, Kirstie Settas-Jones, and Seitlin Benefits's Vice President and Chief Operations Officer, Ramona Fiumara. To read more about the program, follow the link below.

For the official press release and full list of recipients, please click on the link below:

Consortium for a Healthier Miami-Dade Third Annual 2011 South Florida Worksite Wellness Awards

Voluntary Benefits Build Employee Loyalty and Satisfaction

There is a big disconnect between how employers and employees value the offering of benefits especially voluntary benefits (100% employee paid). This was evidenced in MetLife’s 9th Annual Study of Employee Benefits Trends released in April 2011.

A significant part of the survey focused on employee and employer perceptions about which benefits most effectively build loyalty and satisfaction. The survey noted:

  • 58% of the employers surveyed considered health benefits as extremely important to loyalty while 74% of employees surveyed considered health benefits extremely important to loyalty.
  • 37% of the employers surveyed felt all other benefits (dental, disability, vision, life, etc) as extremely important to loyalty compared to 59% of the employees surveyed.
  • Only 21% of the employers surveyed thought that voluntary benefits were an extremely important factor that contributed to employee loyalty and satisfaction. In fact, 36% of the employees surveyed felt voluntary benefits were extremely important in building employee satisfaction and loyalty.
As you can see, across the board, more employees value the importance of employee benefits in building loyalty and satisfaction than employers think.

Based on the information provided, employers should expand their benefit offerings to employees. According to the survey, 52% of employees state they are interested in a wider array of voluntary benefits that they can choose and pay for on their own. It is not necessary that employers contribute to these offerings. What is important is the offering.

The commitment required on employers is minimal:

  • Implementation: Easy and limited regulatory concerns
  • Support: Communicate the benefits to your employees
  • Ongoing Administration: Minimal payroll and servicing
Seitlin Benefits works with many insurance carriers and products to help employers round out their benefit offerings. Let Seitlin Benefits do the same for you.

For more information, please contact:

Bill Grossman
Senior Vice President - Seitlin Benefits
Tel: 305.717.6051
Email: wgrossman@seitlin.com

2011 Metlife, Inc. 9th Annual Study of Employee Benefits Trends









Why should I consider kidnap, ransom and extortion insurance?

When traveling out of the country for leisure or business, consideration is rarely given to the dangers that lie across borders. The reality is that individuals who are perceived to be wealthy, who frequently travel to high-risk regions, may have their and their loved ones’ safety jeopardized. For this reason kidnap, ransom and extortion insurance should be a prime consideration; it may just save your life.

Across the globe, groups exist that are motivated by political or ideological aims or financial gain. They choose to kidnap individuals and extort money from their families or companies in order to carry out their agendas. Their targets are usually selected based on their public profile and the perceived wealth of their family or the organization for which they work. Annually more than 1,000 professionals and executives are kidnapped; it is a growing threat in today’s world.

Extortion in the United States also has doubled. Home invasions in California and Florida have increased, and child abduction and express kidnappings, in which the abducted person or family members are forced to withdraw money out of ATMs, are also cause for alarm. Online social networking sites are fast becoming important tools in the hands of criminal gangs. They use these sites to scope out potential victims, gather information about their daily lives, and to communicate with families after the abduction. Once the kidnapper is satisfied, the victim is usually released.

Kidnap, ransom and extortion (KRE) insurance is designed to protect individuals and their families, as well as businesses and employees, from these horrendous crimes. The KRE policy reimburses the insured for the financial loss. It provides assistance to the family and business with independent investigations, negotiations, arrangements, delivery of funds, and numerous other services vital to a safe, speedy and satisfactory resolution. The policy also indemnifies personal accident losses caused by a kidnapping; these include death, dismemberment and permanent total disablement of a kidnapped person.

In these times, when countries are struggling for financial stability and their populations are fighting to survive, safety when traveling should be a top priority, not just a consideration. Kidnap, ransom and extortion insurance will afford you the tranquility of knowing that should you ever be a target, you will not be a victim. Make KRE insurance part of your portfolio.

What to consider regarding Kidnap, Ransom and Extortion Insurance:

  • Insurance company: Only a limited number of insurance organizations worldwide provide kidnap ransom and extortion insurance.
  • Security consultants: Does the consultant representing the insurer have the necessary experience? Can multilingual consultants be at the scene of the event within 24 hours?
  • Insurance broker: Is the broker experienced and knowledgeable about coverage, security consultants and claims?
  • Insurance coverage: Does the policy include wrongful detention and hijacking, along with worldwide coverage?

For more information, please contact:

Roxana Sora
President - Seitlin Private Client Group
Tel: 305.513.5951
Email: rsora@seitlin.com











Why make a commitment to Wellness and Health Management?

Companies rely on their employees to carry out the goals and initiatives of the organization.  However, what happens when the those employees suffer from poor health due to negative health habits.  Unhealthy lifestyle habits coupled with stress can be a ticking time bomb waiting to explode.  Stress can lead to overeating, obesity, heart attack and quite a few other serious ailments which can incapacitate the workforce.  Poor dietary practices alone can lead to a number of health concerns, including diabetes, which can be found in 9.8% of Floridians; almost 20% higher than the national average.  An unhealthy workforce can drive up health insurance costs and drive down productivity. 

Seitlin realized the need to strengthen our workforce and create a healthy environment for our employees to assure continued growth. Through the implementation of our own Wellness program, guidance and healthy alterntives were provided to our associates to assist them in managing stress and developing positive lifestyle habits.  We have assisted clients in implementing their own Wellness programs, allowing them to strengthen their workforce.

Through a commitment to Wellness and Health Management, companies can encourage employees to take responsiblity in maintaining their health, as well as their families health.  It is shown that 50% of health claims are lifestyle related and are controllable.  Properly implemented health management programs have a favorable impact on organizations through improved:

  • Employee engagement
  • Worker absenteeism and morale
  • Productivity
  • Promote an "Employer of Choice" culture that organizations desire
  • The quality of life for employees and their families

If you would like more information about starting a Wellness and Health Management program at your company, please contact.

Kirstie Settas-Jones
Director of Corporate Wellness Services
Tel:  954.903.1629
Email:  ksettas@seitlin.com

How Does Your Benefits Program Compare?

The future of employee benefits programs is uncertain as health care costs continue to rise and health care reform regulations and requirements unveil.

Have you asked yourself lately:

  • How do my employee benefits compare to other employers in the South Florida area?
  • What types of things are employers doing in this health care reform era?
  • Are my wellness and disease management plans on par with my peers?
  • What is the prevalence of high-deductible health plans in my area?
  • What cost control strategies have other employers been using?

Seitlin Benefits is pleased to inform you about the 2011 South Florida Employee Benefits Benchmarking Report. Receive a complimentary customized benchmarking report to see how your plans compare with both local and national employers. By answering just a few questions pertinent to your benefits program we can prepare for you a customized report to give you insight to what other employers are doing and help you make decisions about your program.

To receive this complimentary service, click Benchmarking Report. Responses are due by June 15th.

If you are a Seitlin Benefits client with 50+ employees, there is no need for you to answer these questions, as we provide this service for you. You will receive this complimentary report.

This service is open to the South Florida community. We invite you to share this opportunity with your colleagues.

In November, we will be hosting an interactive presentation of the results. The seminar has been approved for 2 Strategic Business recertification credit hours toward PHR, SPHR and GPHR recertification through the HR Certification Institute.

For more information, please contact: Ashley Flaifel at (305) 513-5971or aflaifel@seitlin.com