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  • 1.  COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 10:00

    In the last several days, Paul Pitts and I have heard from some of our radiology clients concerned about the financial consequences of the COVID-19 virus. One aspect of the risk analysis of these impacts should include a comprehensive look at your group's/company's insurance coverage.  You may need to decide now whether to submit notices of claims or potential claims – and the decisions made today, especially if there is an insurance renewal on the horizon, may affect the availability of coverage and whether you will be subject to criticism later for failing to make a claim.  The legal landscape for coverage will evolve as claims are submitted. Our firm's Insurance Recovery Group has shared with us that our clients are experiencing difficult renewals and often double digit premium increases combined with additional restrictions on coverage.  They are also monitoring proposed legislative developments that prohibit insurers from raising certain exclusions.  The uncertainties surrounding liability for COVID-19 can make insurance renewals even more challenging – and the proliferation of "shelter in place" orders may even interfere with renewal negotiations.

    Below is a brief look at some of the coverages and relevant questions that should be considered today by radiology groups and other companies in the radiology space:

    • Loss or Damage to Property
      • For claims involving first-party loss of or damage to property, will the presence of COVID-19 on the property constitute the requisite physical loss or damage for coverage?
    • Business Interruption Insurance & Contingent Business Interruption Insurance
      • Can lost profits resulting from facility closures be recovered under business interruption insurance?
      • Can lost profits caused by the closure of a supplier's or customer's property be recovered under contingent business interruption insurance?
    • Event Cancellation Insurance
    • Civil Authority and Ingress/Egress Insurance
      • Is insurance available to cover costs associated with government-imposed travel restrictions or quarantines?
    • Directors' & Officers Liability Insurance
      • Is insurance available for claims made against directors and officers concerning business contingency plans and the company's overall response to COVID-19?
      • When should a notice of claim, notice of circumstance, or notice of potential claim be submitted to the carrier?
    • Commercial General Liability Insurance
      • Is insurance available to cover third-party claims for property damage and bodily injury?  What about the timing of notice or a potential occurrence?
    • Data Privacy & Security/Cyber Liabilities Insurance
      • Hackers are likely to take advantage of the chaos caused by COVID-19; are you covered for a cyber-event?
      • Is there greater exposure during a time of extensive use of a remote workforce to PHI breaches? Will your coverage protect you?
    • Employment Practices Liability Insurance
                     If companies readjust their workforce needs, will discrimination claims follow – and will they be covered?

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    Thomas Greeson JD, FRBMA
    Partner
    Reed Smith LLP
    Mc Lean VA
    (703) 641-4242
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  • 2.  RE: COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 18:06
    Could the insurances consider COVID-19 as "an act of God" and would not be covered?  I have reached out and this is what I have been advised.
    Anyone having a different experience?

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    Rhodes Kimmell
    Administrator
    Radiology Consultants, Inc.
    Portland OR
    (503) 575-2521
    ------------------------------



  • 3.  RE: COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 18:17
    The Federal Government has already taken care of that and guaranteed coverage



    Sent from my Verizon, Samsung Galaxy smartphone





  • 4.  RE: COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 18:27
      |   view attached
    Coverage?  Under what type of policy?  Many business interruption policies have a bacteria/virus exclusion.  I'm not sure it's going to be that simple.  Hope I'm wrong.

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  • 5.  RE: COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 19:38
    Need to sit down and read your insurance policies closely. Most BI coverage is a component of your PL/GL coverage and has standard coverage forms. Of course, those are written to favor the insurers and require actual physical damage of loss for the BI to kick in. There are also, usually, exclusions for viruses. 

    Interestingly, in doing my research, I found that New Jersey is introducing legislation to directly address this.   https://www.whiteandwilliams.com/resources-alerts-NJ-Legislature-May-Force-Insurers-To-Pay-COVID-19-Claims-Despite-Exclusion.html While it may be too little or too late, perhaps RBMA and some sister associations can mobilize their PACs to introduce similar legislation on a state or national level.

     

    Apparently, the Assembly did report the bill our of committee, but held off the vote  at the request of the insurance industry. https://www.pia.org/COMM/news/template.php?nid=10527&state=NJ

     

    See also:

     

    LEGAL NEWSLINE

    Wednesday, March 18, 2020

    Coronavirus legislation in New Jersey pulled without a vote; Insurers call bill 'radical'

    HOT TOPICS

    By John O'Brien Mar 18, 2020

    TRENTON, N.J. (Legal Newsline) – The future of coronavirus legislation proposed by New Jersey lawmakers is uncertain after the insurance industry expressed concerns it was short-sighted and ignored contract law.

    Assembly Bill 3844, introduced last week, would force insurers to pay up on business interruption coverage for the duration of New Jersey's State of Emergency. It would apply to companies with less than 100 employees who work at least 25 hours per week.

    Insurers could then apply to the Department of Banking and Insurance for reimbursement. The bill should be amended and voted on soon, Assemblyman Ron Dancer said after it was pulled off the table Tuesday without a full Assembly vote.

    The National Association of Mutual Insurance Companies, though, is hoping it's the last it will hear about the bill. It is arguing business interruption coverage is triggered by physical loss or physical damage  – not pandemics.

    In fact, the group says pandemic coverage is something that has been available to companies that wanted to purchase it.

    "The proposed retroactive application legislation would fundamentally change the agreed upon transfer of prospective risk of loss exposure to coverage for a known and presently occurring loss, something the parties did not agree to, the insurer did not rate for, and the policyholder did not pay for," testimony from NAMIC regional vice president Christopher Stark says.

    "(T)he radical step taken with this legislation to cause conflict with the constitutional right to contract is not warranted."

    NAMIC said it is willing to work with the legislature on a solution but warned that A3844 would harm the state's reputation.

    "The ripple effect of taking the extraordinary step of retroactive interference with contracts not only could have severe implications for the commercial insurance market but extend through all insurance markets as companies exude less confidence in the strength of contractual law in New Jersey," Stark said.

    "Simply stated, extending coverage to risks that an insurer has not collected premiums for in order to save jobs may end up having the opposite effect in the insurance industry and beyond."

    Stark said there were "good intentions" behind the bill but hopes other states and the federal government don't introduce legislation similar to it.

    "This issue is so much bigger than insurance," he said.

    Assemblyman Dancer abstained from voting on A3844 in committee but said he supports the concept of the bill. He wants to see the bill amended and passed.

    Dancer says the current bill allows the Department of Banking and Insurance to collect funds for relief through "special purpose assessments" on property-casualty and auto insurance policies, regardless of whether those insurers even provide commercial insurance.

    "That most likely would increase premium costs for our public, in addition to an unfair burden on companies not in the commercial market," Dancer said.

    "Since the bill was held, it is my understanding it will be amended and voted on in the near future. This business interruption insurance for COVID-19 loss is, in my opinion, essential and necessary."

    From Legal Newsline: Reach John O'Brien at john.obrien@therecordinc.com.


    Larry Buchwalter
    Sent from my iPhone
    Please pardon any typos





  • 6.  RE: COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 20:15
    We talked with our insurance broker yesterday and Larry hit the nail on the head.  Physical damage is required for BI to kick in.

    Michael Madler
    Newport Harbor Radiology





  • 7.  RE: COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 20:18
    Concur, although our broker indicated filing a claim as a placeholder in case of regulatory change is best way to protect rights.

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    Beth Williams MHA, FACMPE
    Executive Director
    Vantage Radiology and Diagnostic Services
    Federal Way WA
    (253) 661-1700 ext. 1105
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  • 8.  RE: COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 20:47
    Spoke to ours last week. Same story. Must have physical damage for bi to kick in.

    Sheila

    Sent from my iPhone
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  • 9.  RE: COVID-19 and Insurance Recovery Considerations

    Posted 03-18-2020 18:56
    This was a really to what I read as a denial to coverage through health insurance. But with the government declaring an emergency I would think business insurance would have a problem denying claims. Tom Freedom posted earlier today about filing now so you don't miss timelines



    Sent from my Verizon, Samsung Galaxy smartphone