Ri k M tRisk Management
Michael A. Cristal, CPCU, ARM
Consolidated Risk Management
What is Risk Management?What is Risk Management?
Basic Premise
The Purchase of Insurance does not:
• Prevent a loss from occurringg
• Maintain market share in the event of a loss
• Guarantee business continuity• Guarantee business continuity
C A i d i h LCosts Associated with Loss
• Time to Investigate• Time to Investigate
• Determination of Insurance Coverage
• Deductible (if insurable)• Deductible (if insurable)
• Non‐Insurance Costs
• Time to negotiate settlement• Time to negotiate settlement
• Negative publicity
• Increased Insurance Costs• Increased Insurance Costs
Risk Management
P f id if i l i d• Process of identifying, evaluating and 
managing exposures to accidental loss 
inherent in organization’s operations
Risk Control
E b di t h i d i d t• Embodies techniques designed to 
minimize the frequency and severity of 
accidental losses
Risk Control Techniques
• Transfer risk contractually to third party• Transfer risk contractually to third party
• Segregation or duplication
• Avoidance or Elimination• Avoidance or Elimination
• Reduction through
– SafetySafety
– Security
– Education
– Catastrophe Planning
Risk Finance
E th d f i f• Encompasses methods of paying for 
losses that do occur
Risk Finance Techniques
T f t I C• Transfer to an Insurance Company
• Retain or assume the risk
• Large Deductible, Retentions
• Modified Self Insurance• Modified Self Insurance
• Ignorance
• Transfer contractually to a third party
Historical Perspective
• Pre 1970’s ins rance rates appro al req ired• Pre‐1970’s insurance rates approval required
• Little differentiation in rates from Insurer to 
InsurerInsurer
• Late 1970’s switched to file & use
• Interest rates took off
• Cash flow underwriting
• Premium differentiation significant
Historical Perspective (continued)
• Insureds shopping and switching brokers and• Insureds shopping and switching brokers and 
Insurers
• Throwing the baby out with the bathwater
• Institutional knowledge gone
CONSOLIDATED RISK MANAGEMENT
Historical Perspective (continued)
F t 500 C i t Ri k• Fortune 500 Companies create Risk 
Management Departments
– Institutionalize the Risk Management issues
– Control the losses
– Finance the losses
CONSOLIDATED RISK MANAGEMENT
Basic Risk Management
Philosophy
Better to have a fence at the 
top of the hill…
Rather than an ambulance 
at the bottom
Common Findings from
our Risk Assessments...
Lack of Business Continuity Planning
• 88% of all businesses that have a major 
loss are out of business within 2 years
• It’s all about Market Share
What’s troubling about this picture?
Back‐Up Data
• D plication• Duplication
• Segregation
Contractual Transfer 
• Vendors• Vendors
• Suppliers
• On‐Site Contractors
Purchase Orders Should Include
• Indemnification and hold harmless cla ses• Indemnification and hold harmless clauses
• Minimum Insurance Requirements to fund the 
indemnification clause
• Requirements to submit Certificates ofRequirements to submit Certificates of 
Insurance verifying coverage
General Insurance Issues
• Consistent Named Ins reds on all policies• Consistent Named Insureds on all policies
• 90 day notice of cancellation, notice of non‐
renewal
• Most state laws only require 30 daysMost state laws only require 30 days
Failure to Adequately Identify an 
Organization’s Appetite for Risk
• Ins rance sho ld be for the loss that o ld be• Insurance should be for the loss that would be 
a financial hardship
• Too many organizations purchase insurance 
with inappropriate deductibles
Property Insurance Issues
Bl k t P t C• Blanket Property Coverage
• Eliminate Co‐Insurance
• Building Ordinance Coverage
• Contingent Business InterruptionContingent Business Interruption
• Earthquake & Flood
Blanket Property Coverage
Exposure Insured Values If Total Loss
Building $9,600,000 $7,600,000 $7,600,000
Bus Pers Prop $8,350,000 $13,550,000 $8,350,000
Inventory $8,600,000 $6,500,000 $6,500,000
TOTALS $26,550,000 $27,650,000 $22,450,000
Coinsurance Issues
• Did/Should x LossDid/Should x Loss
80% Coinsurance; $1 million RC
Did = $400,000
Should = $800,000
Loss = $300,000
$400,000/$800,000 x $300,000 = $150,000
Request Agreed Amount Coverage
Building Ordinance Coverage
• Where City Ordinance requires you to• Where City Ordinance requires you to 
replace entire building if more than 50% 
damaged and rebuild entire building todamaged and rebuild entire building to 
code
• Insurance only covers that which is 
damaged from an insurable loss
Building Ordinance Coverage
• Covers Demolition of undamaged• Covers Demolition of undamaged 
portion of building
• Rebuilding demolished portion of 
building
• Increased Cost of Construction
Contingent Business Interruption
• Co ers Named Ins red d e to an ins rable• Covers Named Insured due to an insurable 
loss at a key vendor or supplier which causes 
an interruption of your businessan interruption of your business
Liability Issues
• Amended Notice of Loss• Amended Notice of Loss
• Claims Made vs Occurrence Coverage
• Foreign Products Liability Coverage
Amended Notice of Loss
• Policy requires “timely notification” of insurer• Policy requires  timely notification  of insurer
“You must see to it that we are notified as soon as 
practicable”
“You” defined as Named Insured
D fi iti f I d i l d E ti Offi Di tDefinition of Insured includes Executive Officers, Directors 
and your employees
Amended Notice of Loss
• Request that the policy be amended such that• Request that the policy be amended such that 
notification not deemed to have been made 
until an officer or risk manager has beenuntil an officer or risk manager has been 
notified of the loss
Claims Made vs. Occurrence 
Liability Policies
• Claims Made policy responds at the time the• Claims Made policy responds at the time the 
claim is presented
• Occurrence policy responds at the time the 
incident occurs
Claims Made vs. Occurrence 
Liability Policies
• Annual policies in force consecutively from 1/1/2000• Annual policies in force consecutively from 1/1/2000 
– 12/31/2005
• Incident occurs March 15 2002Incident occurs March 15, 2002
• Claim is presented April 20, 2003
• Occurrence policy in force on March 15 2002 would• Occurrence policy in force on March 15, 2002 would 
respond
• Claims made policy in force on April 20 2003 wouldClaims made policy in force on April 20, 2003 would 
respond 
Claims Made vs. 
Occurrence Liability Policies
• If you don’t renew an occurrence policy past• If you don t renew an occurrence policy, past 
coverage will always remain in force
• If you don’t renew a claims made policy, you need to 
purchase an Extended Reporting Period to assure 
future coverage for past incidents or purchase 
another claims made policy with a similar “Retro 
”Date”
Foreign Products Liability Coverage
• Most GL policies provide coverage if incident• Most GL policies provide coverage if incident 
happens overseas and suit brought forth in US
• But if incident happens overseas and suit 
b ht f th N Cbrought forth overseas – No Coverage
• Need Foreign Products Liability coverage
Policy Changes
When an agent says “Don’t worry about it theWhen an agent says  Don t worry about it, the 
insurance underwriter sent me an email and said he 
would cover”
“Policy Changes. This Policy contains all the agreementsPolicy Changes. This Policy contains all the agreements 
between you and us concerning this insurance.”
You should worry and ask for the policy to be endorsed

Risk Management: Client CPE Day 2013