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<strong>Big</strong> <strong>Washington</strong><br />
BIG I WASHINGTON IS A PUBLICATION OF THE INDEPENDENT<br />
INSURANCE AGENTS & BROKERS OF WASHINGTON<br />
SPRING <strong>2018</strong><br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 1
“It really comes across when<br />
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Ernie Mamallo<br />
Claims Representative<br />
We value the<br />
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For information, contact us at (800) 247-2643<br />
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2<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 3
SPRING <strong>2018</strong><br />
Contents<br />
6 A Message from Rob Tripple, IIABW President<br />
7 <strong>Washington</strong> State Insurance Commissioner Mike<br />
Kreidler<br />
8 IIABW’s <strong>2018</strong> Legislative Wrap-Up<br />
10 Impact of Tax Reform on Agencies<br />
12 Avoiding Operational Pitfalls: An “Every Day” Plan<br />
14 Young Agents Conference Information and<br />
Registration<br />
16 Regulatory Changes Impact Agents<br />
18 Thank You for Your Investment in InsurPac in 2017<br />
20 <strong>Big</strong> “I” PAC: An Industry Leader<br />
21 Thank You <strong>Big</strong> “I” PAC Contributors<br />
22 ACV vs. RC Recovery in Liability Claims<br />
27 Young Agents Give Back to the Community<br />
28 ACT Releases Texting Resources<br />
30 <strong>Big</strong> “I” Markets Product Availability – <strong>Washington</strong><br />
Ad Index<br />
11 Berkshire Hathaway<br />
Guard<br />
guard.com<br />
2 Grange Insurance<br />
Association<br />
grange.com<br />
5 Griffin Underwriting<br />
Services<br />
goGUS.com<br />
17 Imperial PFS<br />
ipfs.com<br />
32 Liberty Mutual<br />
LibertyMutual.com/<br />
Business<br />
31 Mutual of Enumclaw<br />
mutualofenumclaw.com<br />
27 Preferred Property/JGS<br />
umbrellaprogram.com<br />
16 RT Specialty<br />
rtspecialty.com<br />
3 Western National<br />
Insurance<br />
www.wnins.com<br />
Official Publication of Independent<br />
Insurance Agents & Brokers of <strong>Washington</strong><br />
11911 NE 1st St., Suite B103, Bellevue, WA 98005<br />
Ph. (425) 649-0102 Fax: (425) 649-8573<br />
Web: www.wainsurance.org<br />
Officers of IIABW<br />
President: Rob Tripple, Tripple, Tripple & Tripple, Edmonds<br />
President-elect: Dave Merrill, Merrill & Merrill, Seattle<br />
Secretary: Melissa Power, ASCR, CIC,<br />
Homestreet Insurance Agency, Spokane<br />
Treasurer: Amberlyn McQuary Buratto, CIC,<br />
Stonebraker McQuary Insurance, Clarkston<br />
IIABA Director: Sue Knobeloch, CIC, CPIW,<br />
Association of Risk Managers NW, Tacoma<br />
Executive VP: Daniel Holst, IIABW, Bellevue<br />
Board of Directors<br />
Rob Bush, (King), Valley Insurance, Kirkland<br />
Craig Field (Chelan/Douglas), Mitchell Reed & Schmitten<br />
Insurance, Inc., Wenatchee<br />
Matt Henderson (At Large) PayneWest, Richland<br />
Duane Henson, LUTCF (Skagit/Island),<br />
WAFD Insurance Group, Mt. Vernon<br />
Mary Lemon (Spokane), Hub International Northwest, Spokane<br />
Amberlyn McQuary Buratto, CIC (At Large),<br />
Stonebraker McQuary, Spokane<br />
Dave Merrill (At Large), Merrill & Merrill Insurance, Seattle<br />
Ryan Porter (At Large), Porter Whidbey Insurance, Freeland<br />
Melissa Power, ACSR, CIC (At Large),<br />
Homestreet Insurance, Spokane<br />
Lori Reed, (Past President) Mitchell Reed & Schmitten<br />
Insurance, Inc., Wenatchee<br />
Nick Stay (Pierce) American Underwriters Insurance, Tacoma<br />
Dave Street (Grant), Martin-Morris Agency, Wenatchee<br />
Carissa Veltri (Benton-Franklin), Conover, Tri Cities<br />
Dan Wareham (At-Large), Blasingame Insurance, Spokane<br />
Staff<br />
Daniel Holst, Executive V.P. - dholst@wainsurance.org<br />
Suzanne Arnett, Sr. V.P. of Education - sarnett@wainsurance.org<br />
Kimberly Ostling, Director of Member Programs -<br />
kostling@wainsurance.org<br />
Kathy Gardner, Administrative Assistant - kgardner@wainsurance.org<br />
Bill Stauffacher, Stauffacher Communications, Contract Lobbyist -<br />
gocougs@billstauffacher.com<br />
<strong>Big</strong> I <strong>Washington</strong> is the official magazine of the Independent<br />
Insurance Agents & Brokers of <strong>Washington</strong> and is published<br />
quarterly. News items from IIABW members are requested. IIABW<br />
does not necessarily endorse any of the companies advertising<br />
in this publication or the views of its writers. IIABW reserves the<br />
right in its sole discretion to reject advertising that does not meet<br />
IIABW qualifications or which may detract from its business,<br />
professional or ethical standards.<br />
Advertising<br />
For more information on advertising,<br />
contact Eric Johnson<br />
Blue Water Publishers, LLC<br />
phone: 414.708.2059 • fax: 414.354.5317<br />
eric@bluewaterpublishers.com<br />
<strong>The</strong> publisher cannot assume responsibility for claims made by<br />
advertisers, content provided by the editor, or for the opinions expressed<br />
by contributing authors.<br />
4<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
Question: Is writing E&S insurance always<br />
this Difficult?<br />
Answer:<br />
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P: 866.562.8095 I F: 425.453.8696<br />
submissions@gogus.com<br />
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has the expertise, customer<br />
service, and product availability<br />
to help you navigate the excess<br />
and surplus lines market with<br />
ease.<br />
Serving over 2,300 agents throughout <strong>Washington</strong> and Oregon, and a proud supporter of IIABW.<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 5
President’s Letter<br />
<strong>Big</strong> I<br />
<strong>The</strong>re is a lot happening at IIABW this<br />
year. Here is just a short list OF things<br />
the <strong>Big</strong> I is doing for your agency and<br />
the industry.<br />
Rob Tripple<br />
IIABW President<br />
Lobbying<br />
IIABW recently collaborated with other small businesses<br />
to successfully defeat a proposed 7 percent state capital<br />
gains tax, which would have had a significant impact<br />
on the sales of our businesses. IIABW members joined<br />
together to lobby against this tax at the All Industry Day at<br />
the Capitol in February.<br />
I am joining eight other members in <strong>Washington</strong>, D.C., in<br />
April to lobby our Congressional delegation on flood and<br />
crop insurance, tax reform, health care, cyber security and<br />
regulatory reform. Thank you to the 65 individuals who<br />
contributed over $10,000 to our federal political action<br />
committee, InsurPac, and the 120 agencies who have<br />
contributed over $28,000 to our state <strong>Big</strong> I Pac. Your time<br />
and money are the key to the <strong>Big</strong> I’s success in Olympia<br />
and <strong>Washington</strong>, D.C.<br />
New Producer Development<br />
IIABW has devoted a significant amount of time over the<br />
last couple years to help agencies recruit, hire, train and<br />
mentor new CSRs and producers. We are working with<br />
community colleges on an online insurance certification<br />
program and apprenticeship program to create an avenue<br />
for agencies to develop new employees. Watch for more<br />
information on this exciting opportunity.<br />
Young Agents<br />
Once we get new people into the industry, IIABW has<br />
been successful providing support to help them make<br />
insurance their career. Over 300 people have participated<br />
in the Young Agents’ five events, which not only provided<br />
industry professionals an opportunity to learn but also to<br />
give back to the community. In two volunteer events the<br />
Young Agents sorted 4,500 pounds of food, collected<br />
3,000 pounds of donated food and contributed over<br />
$1,000 to food banks. Be sure to encourage your new<br />
producer, CSR, sales rep, underwriter, etc. in your office to<br />
participate in the Young Agents events.<br />
Education<br />
Mark your calendar for this year’s IIABW/PIA Annual<br />
Conference which will be held on Sept. 19-21 at the new<br />
Hyatt on Lake <strong>Washington</strong>. It is a great opportunity to<br />
learn, network, socialize, golf and have fun. If you choose<br />
to learn in the comforts of your office, check out IIABW’s<br />
webinar series, which have been very popular because<br />
of the quality topics and instructors. A dozen three-hour<br />
live webinars are offered each month covering timely and<br />
practical topics.<br />
Markets<br />
IIABW provides members a number of personal and<br />
commercial lines markets to sell to your customers and<br />
products to use in your own agency. Check out our<br />
company appointments, niche markets, agents’ E & O<br />
program, employee benefits, etc.<br />
Branding/Leads<br />
IIABW members are encouraged to take advantage of<br />
the Trusted Choice branding materials, which focus on<br />
our strengths: choice, customization and advocacy. You<br />
can get marketing dollars reimbursed to you by using the<br />
Trusted Choice logo. Trustedchoice.com is our consumer<br />
portal, which saw over four million visitors last year leading<br />
to over 100,000 referrals to <strong>Big</strong> I members all over the<br />
country. All IIABW members get a free listing on the site<br />
and you can get listed first in searches by becoming an<br />
Advantage Plan subscriber.<br />
Be sure to take advantage of all that the <strong>Big</strong> I has to offer.<br />
Go to our website (www.wainsurance.org), our Facebook<br />
page, and watch for our enewsletter, the IIABW Bulletin.<br />
Best Regards,<br />
Rob Tripple, President<br />
6<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
Office of the Insurance Commissioner<br />
Only 11% Of<br />
Homeowners<br />
Are Covered For<br />
Earthquakes -<br />
Mike Kreidler<br />
<strong>Washington</strong> State<br />
Insurance Commissioner<br />
Over the years, I’ve been asked with<br />
some regularity about how many people<br />
in <strong>Washington</strong> state have earthquake<br />
insurance. <strong>The</strong> best I could do was to<br />
guestimate somewhere between 10<br />
percent and 14 percent.<br />
I don’t have to guess any longer.<br />
For the first time in our state’s<br />
history, we know that 11.3 percent<br />
of homeowners in <strong>Washington</strong> state<br />
have some type of earthquake<br />
coverage. Just over 18 percent of<br />
insured homeowners in Thurston<br />
County have earthquake coverage,<br />
followed by Clark County at 16.4<br />
percent and Kitsap County at 16<br />
percent.<br />
In King County, the state’s most<br />
populous, 15.7 percent of residential<br />
properties have earthquake<br />
coverage. Sparsely populated<br />
Columbia County has a coverage<br />
rate of just .02 percent.<br />
This is first time we’ve had<br />
conclusive data about <strong>Washington</strong><br />
state’s earthquake market. Certainly,<br />
today’s technology makes collecting<br />
and analyzing data far easier than<br />
ever before. Also, as our state has become more involved<br />
in disaster mitigation and resilience work, it became clear<br />
that we needed baseline data in order to move forward.<br />
If we don’t know how many people have earthquake<br />
insurance, how will we know where to focus our outreach<br />
and preparedness work?<br />
Here’s what we found out when we surveyed 240 P&C<br />
insurers last fall:<br />
• Insured homeowners in Western <strong>Washington</strong> have a<br />
higher percentage of coverage, 13.8 percent, than those<br />
in Eastern <strong>Washington</strong>, 1.7 percent.<br />
• <strong>The</strong> counties of King, Pierce, Snohomish, Thurston and<br />
Clark account for 76 percent of all residential policies<br />
with earthquake coverage in the state.<br />
• Deductibles for residential earthquake coverage match<br />
the industry standard of 10 percent to 15 percent.<br />
• Insurers reported the average<br />
insured residential property was<br />
covered for $512,000.<br />
• Just over 43 percent of<br />
commercial properties in <strong>Washington</strong><br />
have earthquake coverage.<br />
• <strong>The</strong> average commercial<br />
property was insured for about $3.1<br />
million.<br />
• <strong>The</strong> counties of King, Snohomish,<br />
Pierce, Kitsap and Clark have 61<br />
percent of all commercial earthquake<br />
policies in the state.<br />
What’s next? That depends on<br />
the Legislature, but things look<br />
promising. I sponsored legislation<br />
to bring together public and private<br />
organizations to recommend actions<br />
to mitigate risk and losses from all<br />
types of natural disasters. If approved, the working group<br />
would report its recommendations to the Legislature in<br />
December <strong>2018</strong> and my office would lead the work.<br />
So far, we’ve received a great deal of support for the bill<br />
from legislators, but we won’t know for certain until they<br />
make final decisions.<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 7
Legislative Update<br />
IIABW’s <strong>2018</strong><br />
During the recently completed 60-day legislative session<br />
ended last week, the legislature passing a <strong>2018</strong> supplemental<br />
operating budget that increased the state’s two-year budget to<br />
$45 billion. By spending an additional $941 million, lawmakers<br />
funded teachers’ salaries one year earlier than expected –<br />
putting the legislature in position to finally have complied with<br />
McCleary court decision to fully fund K-12 education.<br />
Capital Gains Tax<br />
<strong>The</strong> legislature strongly considered a new 7 percent capital gains tax, exempting<br />
the first $50,000 for couples and $25,000 for individuals. <strong>The</strong> bill did not pass this<br />
year but it will be coming back in 2019 and will have more momentum if Democrats<br />
add to their one seat majorities in the legislature. IIABW actively worked against HB<br />
2967, including testifying against the proposal. We are prepared to battle against<br />
this tax next year given the significant impact it would have on the sale of a book<br />
of business.<br />
Wrongful Death<br />
<strong>The</strong> trial lawyers’ top legislative priority, a proposal to expand the state’s wrongful<br />
death statute, failed to pass the legislature. Lawmakers were poised to pass SB<br />
6015, which would have established joint and several liability provisions for a new<br />
class of plaintiffs. When a proposed amendment that would have eliminated the<br />
joint and several liability parts of the bill was clearly going to pass, the bill was taken<br />
off the agenda and died.<br />
Motor Vehicle Abstracts<br />
Legislation died that would have stopped the state from selling motor vehicle<br />
abstracts to insurers. HB 2278 broadly prohibited state government agencies from<br />
sharing or selling any information that included personal identification numbers.<br />
8<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
<strong>The</strong> bill’s impact on insurers’ access to abstracts was an unintended impact of the<br />
proposal. Before the bill died, the insurance industry was successful in getting<br />
amendments in place to maintain access to abstracts.<br />
Risk Mitigation Services<br />
A proposal that allows personal property insurers to provide up to $1,500 in a<br />
12-month period for various risk mitigation goods and services passed the legislature.<br />
HB 2322 enables insurers to fund various items that are intended to reduce risk –<br />
including water monitoring, foundation strapping, home safety monitoring, or brush<br />
clearing.<br />
Non-Competition Agreements<br />
<strong>The</strong> legislature again failed to act on several issues aimed at preventing or<br />
significantly restricting non-competes. IIABW is opposed to weakening or eliminating<br />
non-competes and expects this issue will return for consideration next year.<br />
Budget Highlights<br />
<strong>The</strong> legislature’s supplemental budget was able to spend an additional $941 million.<br />
To do so, lawmakers diverted money typically earmarked for the state’s Rainy Day<br />
Fund and increased state property tax revenue to “buy down” the state property<br />
tax rate hikes and fund teacher salary increases. Here’s a more detailed summary<br />
of how these policy decisions played out:<br />
• <strong>The</strong> legislature dedicated $935 million in increased state property tax revenues<br />
to the state’s Education Legacy Trust Account.<br />
• Doing so allowed the Legislature to redirect $700 million that typically would<br />
have been placed in the state’s Budget Stabilization Account (Rainy Day Fund).<br />
• $776 million was used to fund K-12 salary increases a year early.<br />
• $390 million was used to “buy down” the 2017 session’s McCleary property tax<br />
rate increases which significantly impacted many counties. <strong>The</strong> rate reductions<br />
will take effect in the 2019 calendar year.<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 9
Impact Of<br />
In December, Congress passed<br />
a law which made sweeping<br />
changes to the U.S. tax code.<br />
<strong>The</strong> centerpiece of the law is a<br />
lowering of the corporate tax<br />
rate. <strong>Big</strong> I members can read a<br />
10-page White Paper on how the<br />
tax cuts impact their agencies by<br />
going to IIABW’s website (www.<br />
wainsurance.org).<br />
In addition to changing tax rates for individuals<br />
and creating a special deduction for small<br />
businesses organized as pass-through entities,<br />
the law:<br />
• Establishes a 21 percent flat tax rate for<br />
C-corporations, which impacts approximately<br />
one-third of <strong>Big</strong> “I” members.<br />
• Reduces individual rates by one to four<br />
percentage points across six of the seven tax<br />
brackets and almost doubles the standard<br />
deduction, while instituting stricter limits on<br />
itemized deductions.<br />
• Enables a significant portion of the two-thirds<br />
of <strong>Big</strong> “I” members organized as pass-through<br />
entities (such as S-corporations, LLCs and<br />
partnerships) to utilize a 20 percent deduction<br />
on business income earned from the agency,<br />
subject to limitations.<br />
10<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
STABILITY<br />
A new section has been added to the federal individual<br />
tax code that creates a 20 percent deduction on “qualified<br />
business income” (QBI) for owners of pass-through<br />
businesses. However, the new law prohibits the owners<br />
of some types of businesses from utilizing the deduction if<br />
their overall taxable income is above $415,000 (joint) and<br />
$207,500 (single).<br />
At this time, it is unclear whether insurance agencies<br />
and brokerages will be considered a “specified service<br />
business” by the IRS. IIABA believes there are grounds for<br />
the IRS to include insurance agencies in the definition of<br />
“specified service business” thereby limiting the ability of<br />
some of our larger pass-through members from using the<br />
deduction. However, there are also reasonable arguments<br />
for the exclusion of insurance agencies from the definition.<br />
As such, IIABA is currently advising members who have<br />
taxable income above the specified income levels that,<br />
out of an abundance of caution, to assume they are<br />
limited in their ability to utilize the deduction and that they<br />
should reach out to their accountants for advice. IIABA is<br />
strenuously advocating before Treasury and the IRS that<br />
Congress did not intend to include insurance agents and<br />
brokers in the definition of “specified service activities”.<br />
This does not impact the 1/3 of <strong>Big</strong> I members organized<br />
as C corps.<br />
Impact On Valuations<br />
<strong>The</strong>se changes to the tax code may impact agency<br />
valuations and agency operating structure. According to<br />
an analysis by Reagan Consulting, insurance agencies<br />
currently organized as C-corporations, as well as smaller<br />
pass-throughs in states with low income tax rates, are<br />
most likely to see increased valuations. However, because<br />
taxes for pass-through entities are based on every owner<br />
or shareholder’s individual tax picture, it is impossible to<br />
determine general impacts with certainty.<br />
<strong>The</strong> analysis also notes that the new tax law will likely have<br />
a minimal impact on larger pass-through insurance agency<br />
valuations, and that converting to a C-corporation may or<br />
may not be beneficial because in most cases it still costs<br />
less in taxes to get cash out of a pass-through entity than<br />
a C-corporation.<br />
In addition, several S-corporation benefits have not been<br />
affected by tax reform, such as allowing for an asset<br />
purchase structure in a third-party transaction, which can<br />
lead to more aggressive valuations from buyers. However,<br />
for agencies that do not distribute significant profits to<br />
owners, the C-corporation structure may be advantageous,<br />
as it enables them to retain significantly higher amounts of<br />
post-tax cash.<br />
What’s New?<br />
What’s Not?<br />
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<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 11
Avoiding Operational Pitfalls:<br />
An “Every Day” Plan<br />
By Ellen McCarthy, Vice President at<br />
Swiss Re Corporate Solutions<br />
Running a successful insurance<br />
agency is akin to putting together<br />
a winning sports team. You want to<br />
get the best athletes available and<br />
ensure that those players perform<br />
at a high level by implementing a wellconceived<br />
regime of skill development.<br />
But athletic prowess, by itself, is not enough. Nothing is more<br />
frustrating than seeing an undisciplined player get penalized<br />
during a game for failing to follow an established rule. In the sports<br />
world, these errors routinely end up changing the outcome of the<br />
game.<br />
Likewise, in the insurance arena an agency can have great producers<br />
and a solid marketing plan in place, but if key agency processes aren’t<br />
being followed, the resulting E&O claim can be quite painful.<br />
Consider the following:<br />
• An agency has specific procedures in place for the issuance of<br />
Certificate of Insurances (COI). Its manual provides that, if a COI<br />
is given for an additional insured, the agency must make sure the<br />
carrier is notified and that an endorsement is issued for the certificate<br />
holder. A well-respected CSR is faced with multiple COI requests and,<br />
due to a heavy workload, delays notifying the carrier of one of the<br />
issued COIs, then forgets to follow up. A lawsuit is filed against the<br />
certificate holder after an accident on a job site. <strong>The</strong> certificate holder<br />
demands a defense from the insured’s GL carrier, but the carrier<br />
declines to defend or indemnify because the certificate holder was<br />
not an insured. A claim is then made against the agency. Total Cost:<br />
$180,000<br />
12 12<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
• An agency is contacted by a customer for homeowners<br />
coverage. <strong>The</strong> agency’s manual requires that all files<br />
must have a completed application. <strong>The</strong> producer inputs<br />
information into the carrier’s web portal for a quote with<br />
a plan to update the inputted information as needed<br />
upon receipt of the application and the policy is bound.<br />
Several months later, a fire occurs and the agency<br />
cannot locate the application. <strong>The</strong> carrier pays the<br />
claim but then sues the agency on the theory that the<br />
agency failed to follow its own guidelines by not getting<br />
an application, insisting that it never would have written<br />
the policy had the correct information been relayed. At<br />
deposition, the producer has no choice but to admit that<br />
the procedure was to get the completed application<br />
before binding coverage and has no explanation as to<br />
the whereabouts of the missing application. Total Cost:<br />
$500,000<br />
• A producer procures coverage on multiple commercial<br />
properties for a longtime client. Subsequently, at the<br />
client’s request, the producer asks the carrier to remove<br />
property coverage for one of the properties as it was to<br />
be leased to a tenant. <strong>The</strong> agency has a best practices<br />
manual, which states there should be a deletion/<br />
reduction request in writing, but the producer did not get<br />
one (in fact, very rarely did this producer get anything<br />
in writing). A subsequent vandalism claim occurs on the<br />
property, which the carrier denies due to the lack of<br />
coverage. <strong>The</strong> client then brings suit against the agency<br />
for the uncovered vandalism loss and maintains that the<br />
property was supposed to have coverage. Total Cost:<br />
$470,000<br />
• An agency procures commercial auto coverage for a<br />
client whose principal is “John Doe Sr.” <strong>The</strong> agency<br />
manual specifies that an insured’s complete legal name<br />
must be entered on all applications. <strong>The</strong> application has<br />
a list of individuals who would be covered by a Broad<br />
Form Drive Other Car Endorsement. <strong>The</strong> producer lists<br />
“John Doe” as a covered person. Subsequently, the<br />
principal’s son and former employee, John Doe Jr., is<br />
involved in a car accident. He seeks coverage under<br />
the policy on the theory that he was covered as “John<br />
Doe,” <strong>The</strong> court ultimately agrees that, due to the<br />
“ambiguity” as to who the intended insured was, the<br />
carrier must cover John Doe Jr. <strong>The</strong> carrier pays its limits<br />
and then seeks this sum from the agency for causing the<br />
ambiguity. <strong>The</strong> carrier asserts that the agency violated<br />
its own guidelines in not using the legal name of the<br />
insured. Total Cost: More Than $1 Million<br />
While mistakes happen (after all, that is what insurance is<br />
for), there are simple ways an agency can reduce claims<br />
arising from procedural errors.<br />
• <strong>The</strong> “four eye” approach. Before any policy is issued,<br />
have another staff member do a review to make sure<br />
nothing was missed. Yes, this can be time consuming<br />
but the payoff can be substantial.<br />
• Random audits. Select a number of files to review on<br />
a periodic basis. Do not limit this audit to new or junior<br />
employees. We often see that the more senior staff<br />
members are the ones who forget to follow the rules.<br />
• Periodic refresher sessions for all staff members.<br />
While these can be dry and boring, try to make them<br />
more appealing. Try a “game show” type of approach in<br />
which “contestants” get prizes for answering questions<br />
correctly. This can be a great team building exercise as<br />
well.<br />
• Checklists. Have a checklist that is used every time, by<br />
every staff member – NO EXCEPTIONS. <strong>The</strong>re is nothing<br />
more demoralizing for a staff member to find out that the<br />
rules only apply to certain people.<br />
• Workload management. Make sure that staff members<br />
are not overloaded. It is much harder to follow expected<br />
procedures when overburdened. That’s when all of us<br />
start cutting corners.<br />
• Audits. Retain an outside auditor to come and review<br />
the agency from top to bottom. While these do come<br />
with a price tag, pull out the Declarations Page of your<br />
E&O policy and compare the cost of an audit to having<br />
to pay your deductible on even a single E&O claim, not<br />
to mention the premium increase that could result from<br />
a serious claim and the loss of customer confidence.<br />
Procedural errors have proven to be just as costly as<br />
substantive mistakes, particularly when the plaintiff is<br />
able to highlight the agency’s failure to follow its own<br />
rules. In each of the examples above, the agency had<br />
good procedures in place and the agency principals were<br />
confident that those processes were being followed. It<br />
was only when a penalty flag was thrown, i.e., an E&O<br />
claim came to light, that the agency realized its rule book<br />
was being ignored.<br />
Legendary wrestling coach and Olympic gold medalist<br />
Dan Gable once offered a simple path to success: “If it’s<br />
important, do it every day.” He’s right. <strong>The</strong> ramifications<br />
of failure underscore the importance of having your team<br />
in full compliance with established agency procedures.<br />
Every day.<br />
Ellen McCarthy is a vice president and claim expert at<br />
Swiss Re Corporate Solutions and teleworks out of the<br />
Overland Park, Kansas, office.<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 13
I NDEPENDENT INSURANCE AGENTS & BROKERS OF WASHINGTON<br />
Young Agents Conference<br />
June 14-15, <strong>2018</strong><br />
Campbell’s Resort, Chelan<br />
Campbell’s Resort<br />
Campbell’s is a beachfront<br />
resort located in downtown<br />
Chelan. Call Campbell’s at<br />
(800) 553-8225 to make a room<br />
reservation. Use code 476910<br />
to receive the discounted<br />
conference rate of $152 for a<br />
traditional room and $188 for a<br />
Deluxe room. <strong>The</strong> deadline for<br />
the special rate is May 15th or<br />
whenever the room block is<br />
filled. For more information, go<br />
to www.campbellsresort.com.<br />
Thank you to our<br />
Conference Speakers<br />
Dave Gregory, Stonebraker McQuary<br />
Christopher Boggs, <strong>Big</strong> I Virtual<br />
University<br />
Abigail Bliss, Trustco Insurance<br />
Veronica Stevens, Cochrane & Co.<br />
Brittany Connolly, Cochrane & Co.<br />
Joseph Subitch, Philadelphia Ins.<br />
Mike Arnold, <strong>The</strong> Partners Group<br />
Craig Field, Mitchell, Reed &<br />
Schmitten<br />
Joshua Smith, AAA <strong>Washington</strong><br />
Thursday, June 14<br />
7:00 am Golf at Bear Mountain Golf Course<br />
12:00 pm Registration (lunch on your own)<br />
1:00-2:00 pm Building Relationships: Breaking Down the Walls Part 1<br />
2:00-4:00 pm Replacement Cost Really Isn’t—Understanding Property<br />
Valuations (2 CE)<br />
4:00–5:00 pm Understanding and Explaining the Mystery of Coinsurance<br />
(1 CE)<br />
6:00-7:00 pm Reception Lakeside<br />
7:00-8:00 pm Dinner Lakeside<br />
Friday, June 15<br />
8:30-9:30 am Breakfast: Building Relationships: Breaking Down the Walls<br />
Part 2<br />
9:30-10:30 am Who is an “Insured” in the CGL and BAC (1CE)<br />
9:30-10:30 am Homeowners DIC (1 CE)<br />
10:45-12:45 pm Understanding Commercial Property Underwriting and COPE<br />
(2CE)<br />
10:45-11:45 pm Personal Lines Jeopardy (1CE)<br />
11:45-12:45 pm How to do Personal Lines Business with an MGA (1CE)<br />
12:45-1:45 pm Lunch: From the Ground up, Building a Profitable Insurance<br />
Agency<br />
1:45-4:45 pm Risk Management Assessment of Campbell’s Resort (3 CE)<br />
5:00-630 pm Hospitality Suite Reception<br />
6:30 pm Dinner at Lake Chelan Winery
I NDEPENDENT INSURANCE AGENTS & BROKERS OF WASHINGTON<br />
Young Agents Conference<br />
Thank you to our<br />
Conference Sponsors<br />
Title<br />
Liberty Mutual<br />
Safeco<br />
Gold<br />
Nationwide Insurance<br />
Stauffacher Comm.<br />
Silver<br />
Scottish American<br />
RT Specialty<br />
Griffin Underwriting Services<br />
AFCO Premium Finance<br />
Bronze<br />
Western National Mutual Ins.<br />
Mutual of Enumclaw<br />
ServiceMaster of Tacoma/<br />
ServiceMaster by ASI<br />
Pacific International Underwriters<br />
Metlife<br />
RIC Insurance<br />
CIG<br />
Cochrane & Company<br />
Tepco Premium Finance<br />
WSRB<br />
Travelers<br />
Otter Insurance<br />
Conover Ins.<br />
Imperial PFS<br />
Superior Underwriters<br />
Grange Insurance<br />
First Insurance Funding<br />
SERVPRO<br />
To Register:<br />
Return form with registration fee (golf is<br />
extra). Spouses/Guest can register for the<br />
social functions only. Cancellation requests<br />
received by May 31st are fully<br />
refundable less a 15% service fee. No<br />
refunds are provided after May<br />
31st.<br />
Golf:<br />
On June 14 at 7:00 am we’ll<br />
hold a golf tournament at Bear<br />
Mountain course. Golf, cart &<br />
breakfast, cost $80.<br />
For questions & foursome<br />
requests: Suzanne Arnett<br />
425-649-0102 x 224<br />
or sarnett@wainsurance.org<br />
Name: _________________________<br />
Designations: ___________________<br />
WAOIC # _______________________<br />
Spouse/Guest:___________________<br />
Firm: ___________________________<br />
Address: ________________________<br />
City: ___________________________<br />
State: ________ Zip: ______________<br />
Phone: _________________________<br />
Email: __________________________<br />
Continuing Education:<br />
9 hours of CE will be offered<br />
Bear Mountain Golf Course<br />
Payment Options:<br />
__ $135 IIABW Member __ $160 Non member<br />
__ $80 Golf<br />
__ $80 Guest (Social functions only)<br />
Amount enclosed: $_________<br />
__ Make check payable to IIABW<br />
__ Charge to __ VISA or __ MasterCard<br />
Card #: _________________________<br />
Exp. Date: ______________________<br />
Security Code: ___________________<br />
Name on Card: __________________<br />
Signature: ______________________<br />
Card Billing Address: _____________<br />
_______________________________<br />
Questions:<br />
Contact Suzanne Arnett at sarnett@wainsurance.org or (425) 649-0102.
REGULATORY<br />
CHANGES<br />
NEW SICK-LEAVE RULES IN WASHINGTON<br />
YOUR CLIENTS’ NEEDS ARE WORLDS APART<br />
FROM A ONE-SIZE-FITS-ALL CONCEPT.<br />
<strong>The</strong>ir complex risks require creative, innovative solutions. <strong>The</strong> industry<br />
veterans at RT Specialty are precisely the ones to help you navigate the<br />
wholesale specialty and MGA marketplace. RT Specialty leads the way<br />
in providing specialty insurance services, proven leadership, extensive<br />
industry experience and quality services to retail agents.<br />
Agents and brokers, for more information please contact:<br />
Sue Brennan - President<br />
326 Admiral Way, Suite 210<br />
Edmonds, WA 98020<br />
Main: 425-774-2237<br />
PROPERTY | CASUALTY | EXECUTIVE & PROFESSIONAL LIABILITY | AGRIBUSINESS<br />
WORKERS’ COMP | HEALTHCARE | AVIATION | LIFE SCIENCES | CONSTRUCTION<br />
TRANSPORTATION | CLAIMS SERVICES | BINDING AUTHORITY | PERSONAL LINES<br />
RT Specialty, LLC (RT), a subsidiary of Ryan Specialty Group, LLC, provides wholesale brokerage and other services to agents<br />
and brokers. RT is a Delaware limited liability company based in Illinois. As a wholesale broker, RT does not solicit insurance from<br />
the public. Some products may only be available in certain states, and some products may only be available from surplus lines<br />
insurers. In California: RT Specialty Insurance Services, LLC License #0G97516. ©2017 Ryan Specialty Group, LLC<br />
Initiative 1433, which was passed by the voters in<br />
2016, requires employers beginning in <strong>2018</strong> to accrue<br />
paid sick leave at the rate of one hour for every<br />
40 hours worked for most full-time, part-time and<br />
temporary employees. For more information, go to<br />
the Department of Labor & Industries website.<br />
FEDERAL ENFORCEMENT OF MARIJUANA LAWS<br />
Attorney General Jeff Sessions in January changed<br />
the policy that federal prosecutors use in deciding<br />
whether or not to pursue federal prosecution of<br />
marijuana-related offenses in states that have<br />
adopted recreational marijuana decriminalization<br />
laws. This conflict between state and federal statutes<br />
places a marijuana business at risk of being federally<br />
prosecuted. Six states have legalized recreational use<br />
of marijuana and at least three more are in the process<br />
of legalizing it sometime in <strong>2018</strong>.<br />
Parties that directly engage in such activities and<br />
parties that knowingly support such activities<br />
(landlords, utilities, insurers, etc.) potentially remain<br />
subject to prosecution for violating federal laws. <strong>The</strong><br />
16<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
state initiatives have no effect on the ability of federal<br />
investigators and prosecutors to pursue federal<br />
criminal action. IIABA is working with the IRS and<br />
the Trump Administration to clarify how insurance<br />
agencies could be impacted by this change in policy.<br />
CADILLAC TAX & NFIP EXTENSION<br />
<strong>The</strong> Congressional deal to reopen the federal<br />
government after a three-day shutdown in January<br />
had two insurance-related pieces.<br />
• It added another two-year delay of the Affordable<br />
Care Act’s ‘Cadillac’ tax, which has now been<br />
delayed until 2022. If enacted, this harmful tax<br />
would hit many of our small business members<br />
and their clients, potentially forcing them to choose<br />
between paying the tax or reducing benefits for<br />
their employees.<br />
ELIMINATE THE BUSY WORK<br />
INTEGRATE WITH IMPERIAL PFS ®<br />
As the industry leader in<br />
technology, our integration<br />
solutions create a customized<br />
partnership to better serve you.<br />
Providing powerful reporting,<br />
automated data entry, and<br />
tracking opportunities, integrations<br />
save you time and streamline<br />
the premium finance process.<br />
• It temporarily reauthorized the National Flood<br />
Insurance Program. Lapses in the program,<br />
even very short ones, have a negative effect on<br />
consumers. <strong>The</strong> second Congressional deal to keep<br />
the government open extended the NFIP through<br />
March 23. Congress extended the NFIP again<br />
through July 31.<br />
For more information please contact<br />
one of our <strong>Washington</strong> branches:<br />
WAB - Bothell, WA | 800.888.2750<br />
WAS - Spokane, WA | 800.234.7373<br />
Copyright © <strong>2018</strong> IPFS Corporation. All rights reserved.<br />
Visit us today at ipfs.com<br />
or follow us on social<br />
media for news and<br />
updates on Imperial PFS<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 17
Thank You For Your Investment<br />
IIABW would like to thank our members who collectively contributed over $10,000<br />
in individual contributions to our national political action committee, InsurPac.<br />
Nationally, well over $1 million was raised in 2017.<br />
We would like to say a special thank you to Sue Knobeloch of ARM Northwest who serves on our national<br />
association’s Board of Directors and is our state’s InsurPac Chair. Also, thanks to the agencies who raised the<br />
most from their employees and owners:<br />
• Propel<br />
• Tripple, Tripple & Tripple<br />
• ARM Northwest<br />
• Stonebraker McQuary Agency<br />
InsurPac is one of the reasons why the <strong>Big</strong> I is routinely rated in Fortune magazine’s top-25 list of most successful<br />
lobbying groups in <strong>Washington</strong>,D.C. By pooling individual contributions, InsurPac helps elect candidates and reelect<br />
members of the U.S. Congress who share the <strong>Big</strong> I’s business philosophy.<br />
While contributions do not buy solutions to legislative debates, they do allow the <strong>Big</strong> I significant “face time” with<br />
very busy elected officials to give us an opportunity to educated them.<br />
18<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
Thank you to the more than 65 agents and brokers<br />
who have contributed to InsurPac in 2017.<br />
>$1,000<br />
Kurt Carlson, Propel Insurance<br />
Susan Knobeloch, ARM Northwest Inc.<br />
Don McQuary, Stonebraker McQuary Agency<br />
Robert Tripple, Tripple Tripple & Tripple LLC<br />
$500-$999<br />
Duane Henson, WAFD Insurance Group Inc.<br />
Claudia McClain, McClain Insurance Services Inc.<br />
Sandy McDonald, McDonald McGarry Insurance Brokers<br />
David Street, Martin-Morris Agency Inc.<br />
Tom Taylor Jr., Taylor-Thomason Insurance Brokers<br />
$250-$499<br />
Bill Gellor, Gellor Insurance Inc.<br />
Susan Greer, Propel Insurance<br />
Daniel Holst, IIABW<br />
Suzanne Lewis, Propel Insurance<br />
Dave Merrill, Merrill & Merrill<br />
Patrick Otter, Otter Insurance Agency<br />
Lori Reed, Mitchell Reed & Schmitten Insurance Inc.<br />
Nick Stay, American Underwriters Insurance Agencies Inc.<br />
$100-$249<br />
Rob Bush, Valley Insurance Agency<br />
Craig Field, Mitchell, Reed & Schmitten Insurance Inc.<br />
Matthew Kremer, Propel Insurance<br />
Brett Meade, Propel Insurance<br />
Ryan Porter, Porter Whidbey Insurance Inc.<br />
Melissa Power, Homestreet Insurance<br />
Lisa Torres, Propel Insurance<br />
< $100<br />
Suzanne Arnett, IIABW<br />
Mike Arnold, <strong>The</strong> Partners Group<br />
Keith Bean, McDonald Insurance Group Inc.<br />
Hector Bolanco, Griffin Underwriting Services<br />
Tanya Brown, Rice Insurance<br />
Aran Buchan, HUB International NW<br />
Margaret Cassidy, IBQ Systems<br />
Lanie Clark, Parker, Smith & Feek Inc.<br />
Martha Colbert, Red Shield Insurance Company<br />
Wendy Dear, Griffin Underwriting Services<br />
Connie Divelbiss, Mutual Insurance Services<br />
Brian Fassburg, Pacific International Underwriters Inc.<br />
Sarah Floyd, Superior Underwriters<br />
Jessica Gleason, Griffin Underwriting Services<br />
Megan Godsil, PHCY<br />
Gabe Gonzalez, Safeco Insurance<br />
Debra Haller, Insurance Services of WA Inc.<br />
Robert Hoogendam, Imperial PFS<br />
Kristen Horlacher, Superior Underwriters<br />
Chanel Hradecky, Rice Insurance<br />
Sarah Jacob, Swett & Crawford<br />
Spencer Jacobson, Rice Insurance<br />
Chris Koslinski, HUB International<br />
Taylor Madison, Hagerty Insurance LLC<br />
Sheliah Massoth, Rice Insurance<br />
Katy Merriam, RT Specialty<br />
Andrew Merrill, Merrill & Merrill<br />
Daniel Merrill, Merrill & Merrill<br />
Natalie Merrill, Merrill & Merrill<br />
Tammy Neilson, Worldwide Facilities LLC<br />
Molly O’Neill, Griffin Underwriting Services<br />
Candice Pagano, <strong>The</strong> Johnson Marshall Agency<br />
Karlee Rahm, Griffin Underwriting Services<br />
Jennifer Shores, Griffin Underwriting Services<br />
Tyler Stoddard, Griffin Underwriting Services<br />
Mandi Strange, Crump Insurance Services NW<br />
Jessica Swails, Worldwide Facilities LLC<br />
Connie Toomey, C. Don Filer Agency Inc.<br />
Sean Tripple, Tripple Tripple & Tripple LLC<br />
Patty Vanderhoven, Brown & Brown of WA, Inc.<br />
Carissa Veltri, Conover Insurance Services LLC.<br />
Bob Wright, PLC Insurance LLC<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 19
<strong>Big</strong> “I” PAC:<br />
IIABW would like to thank its<br />
members for their support of the<br />
BIG “I” PAC, our state political<br />
action committee. 120 agencies<br />
have contributed over $28,000<br />
to the PAC in 2017.<br />
Support from our membership has helped<br />
the <strong>Big</strong> “I” be effective advancing agent<br />
issues in Olympia, including no state capital<br />
gains taxes, fair non compete agreements,<br />
reasonable insurance regulations, agent<br />
friendly health care exchange, etc.<br />
Simply put, a PAC contribution is the<br />
equivalent of purchasing political insurance.<br />
Your contributions are used to support<br />
elected officials and candidates who<br />
advance IIABW core principles on agentspecific,<br />
insurance industry and general<br />
business issues. We pool your hard-earned<br />
dollars to send a powerful message: IIABW<br />
agents care about the political makeup<br />
of Olympia, we care about our industry’s<br />
future, and we care about our customers.<br />
We back up our talk by actively participating<br />
in the political process with a proactive<br />
lobbying presence, a major PAC presence<br />
and broad-based grassroots relationships<br />
in every legislative district.<br />
IIABW is a strong voice for independent<br />
insurance agents in Olympia. We’re trusted<br />
and respected in both Republican and<br />
Democratic camps because legislators<br />
know you at home, hear from you when<br />
they’re in Olympia, and count on our support<br />
when it really matters.<br />
Personal AND corporate contributions can<br />
be made to the <strong>Big</strong> “I” Pac and sent to: <strong>Big</strong><br />
“I” Pac, 11911 NE 1st St., Suite B103, Bellevue,<br />
WA 98105.<br />
20<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
Thank you to the following agencies who have contributed to BIG “I” PAC.<br />
>$1,000<br />
Stonebraker McQuary Agency Group<br />
$600-$999<br />
AAA <strong>Washington</strong><br />
Advantage Group<br />
Conover Insurance Inc.<br />
HUB International Northwest LLC<br />
Kibble & Prentice/USI<br />
Leavitt Group Northwest<br />
McDonald Zaring Insurance<br />
Parker, Smith & Feek Inc.<br />
PLC Insurance LLC<br />
Propel Insurance<br />
VIP Agency Inc.<br />
$400-$599<br />
BK-JET Group LLC<br />
Martin-Morris Agency<br />
McClain Insurance Services<br />
McDonald Ins. Group Inc.<br />
McGriff, Seibels & Williams<br />
Mitchell, Reed & Schmitten Insurance Inc.<br />
WAFD Insurance Group Inc.<br />
$200-$399<br />
American Insurance Associates LLC<br />
Blasingame Insurance<br />
Buck & Affiliates<br />
Callis & Associates<br />
Castell Insurance Inc.<br />
Central WA Insurance Agency Inc.<br />
Davidson & Associates Insurance Agency<br />
Fortiphi Insurance LLC<br />
Gellor Insurance Inc.<br />
HomeStreet Insurance<br />
InsureQ<br />
JMS Insurance LLC<br />
Monteith Insurance Inc.<br />
Mosaic Insurance Alliance LLC<br />
Oltman Insurance Agency Inc.<br />
Pickett Agency<br />
Robert M. Trask Agency Inc.<br />
Shinstrom & Norman Inc.<br />
Snapp & Son Insurance Inc.<br />
Tradewinds Insurance Inc.<br />
WCLA Insurance Agency Inc.<br />
Western Association Services Inc.<br />
Wycoff Insurance<br />
$101-$199<br />
Brookey Insurance Services<br />
Century Insurance Services LLC<br />
Christopher Togawa Ins Agency Inc<br />
D.W. Ferguson & Associates<br />
Dan Hoffman Insurance<br />
Dan Marek Insurance<br />
Duane Weber Insurance Inc.<br />
Ed Poe Agency<br />
Epic Insurance<br />
Fairbanks Insurance Service<br />
First Rate Insurance Plus Inc.<br />
Good People Insurance Group<br />
Gus Paine Insurance<br />
GVI Corp.<br />
Herbert Snowden Insurance<br />
Insurance by the Woods<br />
Insurance Servics Network Inc.<br />
Interstate Insurance Agency<br />
ISU Insurance Solutions Group<br />
Johnson Insurance Agency<br />
Kraft Insurance Agency Inc.<br />
Lee Insurance Services Inc.<br />
Longview Insurance Inc.<br />
Lower Valley Brokers<br />
M.M. Fryer & Sons<br />
McDonald McGarry Insurance Brokers<br />
Mechelsen Inc.<br />
Miranda Insurance Agency LLC<br />
Montgomery Insurance Agency<br />
Noyd & Noyd Insurance Agency Inc.<br />
Otter Insurance<br />
Phillips Insurance Inc.<br />
Plaza Insurance Agency<br />
ProStar Insurance<br />
Schmidt Insurance Services Inc.<br />
Sears & Associates<br />
Sunset Insurance Agency LLC<br />
Thornburgh Ins. Agency<br />
United Insurance Brokers Inc.<br />
Villa Insurance Group Inc.<br />
Virgil McLagan Company<br />
Woodward-Scott Agency<br />
< $100<br />
Adams Insurance<br />
American Business & Personal Insurance<br />
Association of Risk Managers NW<br />
Cactus<br />
Capital Insurance<br />
Chinook Insurance Group LLC<br />
Coastal Insurance Group LLC<br />
Degginger McIntosh & Associates Inc.<br />
Embree Insurance Agency Inc.<br />
First Underwriters<br />
Graves Agency LLC<br />
Harbor Insurance Services<br />
Hartley & Hartley Insurance Inc.<br />
Homer Smith Insurance Inc.<br />
InsurePro<br />
ISG Barker & Associates<br />
Island Insurance Associates<br />
Jenny Tan Insurance<br />
McGregor Insurance Inc.<br />
MJC Insurance<br />
Northern Marine Insurance<br />
Northwest Insurance Brokers<br />
NW Financial & Insurance Services<br />
Obenland & Low Agency Inc.<br />
Premier Group Insurance<br />
Pruett Insurance Inc.<br />
Red Pony Insurance Services Inc.<br />
Rudolf Birkenkopf<br />
<strong>The</strong> Benefits Academy<br />
Tripple, Tripple & Tripple LLC<br />
Vino Services NW & Bridge Insurance Services<br />
VIP Agency Inc.<br />
Wallace Insurance Consulting Inc<br />
Wenner-Davis & Associates Insurance<br />
Woodland Ins. Agency Inc.<br />
Y. I. Manchik Insurance Agency LLC<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 21
ACV<br />
RC<br />
VS.<br />
RECOVERY<br />
IN LIABILITY<br />
C L A I M S<br />
By Virtual University Faculty<br />
22<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
AN AT-FAULT MOTORIST STRUCK A<br />
DWELLING AND GARAGE, INCLUDING<br />
THE VEHICLES IN THE GARAGE. DOES<br />
THE PAP LIABILITY COVERAGE PAY ON<br />
A REPLACEMENT COST (RC) OR ACTUAL<br />
CASH VALUE (ACV) BASIS? IN THIS<br />
ARTICLE, WE’LL EXAMINE THIS AND<br />
OTHER CLAIMS THAT CONSIDER WHAT<br />
VALUATION METHOD IS APPROPRIATE<br />
IN LEGAL LIABILITY CLAIMS.<br />
Q: “An at-fault motorist lost control of his vehicle<br />
and struck a single family dwelling, causing<br />
extensive damage to the attached garage,<br />
enclosed vehicles and miscellaneous personal<br />
property in the garage. <strong>The</strong> PAP Insuring<br />
Agreement states, ‘We will pay damages for ...<br />
or ‘property damage’ for which any ‘insured’...<br />
because of an auto accident.’ Does the insurer<br />
owe ACV or RC on the damage to the dwelling<br />
and attached garage?<br />
“<strong>The</strong> adjuster has advised the claimant to<br />
collect under HO because the at-fault insurer<br />
will only pay ACV. <strong>The</strong> adjuster suggests the<br />
HO insurer will subrogate anyway (of course!).<br />
I think at-fault insurer owes RC – what do<br />
you think? I see no ‘betterment’ arising from<br />
restoring the building to its pre-damaged<br />
condition, which may well require new<br />
materials.”<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 23
“I AM NOT CERTAIN THAT<br />
RC OR ACV IS AN ISSUE<br />
IN A THIRD PARTY CASE.<br />
IT IS DAMAGES AND HOW<br />
THE ATTORNEY ARGUES<br />
DAMAGES AND HOW<br />
THE JURY BUYS THE<br />
ARGUMENT. IT SHOULD<br />
BE THE COST TO THE<br />
PLAINTIFF THAT IS THE<br />
CONCERN.”<br />
24<br />
A: This is a legal issue since the PAP liability<br />
coverage pays for damages for which an<br />
insured is “legally responsible.” It’s silent as<br />
to whether or not valuation is on an ACV or<br />
RC basis.<br />
<strong>The</strong> only way to answer the question is to<br />
check with someone familiar with Iowa law<br />
to see how such claims or suits have been<br />
resolved. In the meantime, the advice given<br />
is probably good ... settle on a RC with the<br />
HO insurer and let them subrogate.<br />
I ran this by our faculty and they provided the<br />
following opinions.<br />
Faculty Response: A liability insurer only<br />
owes tort damages, that is the difference<br />
between the value of the damaged or<br />
destroyed property before the loss and its<br />
value after the loss. RC is paid as a bonus<br />
to people who pay for the coverage as a<br />
contractual right. A subrogating insurer that<br />
pays RC can never collect more than the tort<br />
damages that are normally ACV.<br />
Faculty Response: I agree completely that it is<br />
a matter of state law regarding how damages<br />
are measured. ACV and RC (especially ACV)<br />
are purely first-party insurance concepts,<br />
i.e., matters of contract between the parties<br />
to the HO policy whereas calculation of<br />
damages for a tort is a matter of tort law, or<br />
more technically the law of “remedies.” <strong>The</strong><br />
liability insurer, of course,<br />
owes whatever the legal<br />
amount of damages is.<br />
Offhand I would say it<br />
is more likely ACV than<br />
RC.<br />
Of course, the property<br />
insurer is subrogated but<br />
if it recovers more than<br />
what it owes its insured,<br />
I don’t think it can keep<br />
the difference. As a<br />
matter of practicality,<br />
the two insurers should<br />
probably settle between<br />
themselves and just end<br />
it.<br />
Faculty Response: I<br />
am not certain that RC<br />
or ACV is an issue in a third party case. It<br />
is damages and how the attorney argues<br />
damages and how the jury buys the<br />
argument. It should be the cost to the plaintiff<br />
that is the concern.<br />
One example is the diminution of value in<br />
a third party case where the attorney uses<br />
the affidavit from the dealership to argue<br />
the damage of having a wrecked-repaired<br />
auto. In the last that I observed, the affidavit<br />
was for $5,500 and the defense argued the<br />
speculative nature of the damages and that<br />
the real cost would not be known until the car<br />
was actually sold. <strong>The</strong> jury awarded $3,500<br />
for the diminution portion of damages.<br />
<strong>The</strong> liability policy agrees to pay damages<br />
and the court determines damages. I do<br />
see plaintiffs argue what would be a RC<br />
theory and defense attorneys argue more<br />
of a market value (never calling it ACV) but<br />
saying that the damaged property only had<br />
a value of $XXXX, not the cost to buy a new<br />
one that the plaintiff is asking for.<br />
Faculty Response: I think one good source<br />
would be the Second Restatement of Torts,<br />
which would give the prevailing rule in the<br />
U.S. generally and probably lots of state<br />
court citations on the amount of damages<br />
in a tort case involving damage to property.<br />
Generally, it’s some form of ACV.<br />
Faculty Response: California’s BAJI or<br />
Pattern Jury instructions read: Reasonable<br />
compensation to plaintiff or damage to his<br />
property.<br />
That sum is equal to the difference in the fair<br />
market value of the property immediately<br />
before and immediately after the accident.<br />
If the damages have been repaired, or<br />
are capable of repair, so as to restore the<br />
fair market value as it existed immediately<br />
before the accident, at a cost less than such<br />
difference in value, then the measure of<br />
damage is the cost of such repair rather than<br />
such difference in value. [BAJI 14.20 D]<br />
Reasonable compensation for property lost<br />
or destroyed in, or because of, the accident.<br />
That amount is the fair market value of such<br />
property at the time of its loss or destruction.<br />
[BAJI 14.21]<br />
“In actions for negligence, a manufacturer’s<br />
liability is limited to damages for physical<br />
injuries; no recovery is allowed for economic<br />
loss alone. (Seely v. White Motor Co., supra,<br />
63 Cal.2d 9, 18.) This general principle, the<br />
so-called economic loss rule, is the primary<br />
obstacle to plaintiffs’ claim. “ [Aas v. Superior<br />
Court of San Diego County, 24 Cal.4th<br />
627, 12 P.3d 1125, 101 Cal.Rptr.2d 718 (Cal.<br />
12/04/2000)]<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
Faculty Response: ACV is typically all that’s<br />
owed. People don’t question that in an<br />
auto liability claim. <strong>The</strong>y don’t expect the<br />
liability carrier to replace their totaled car<br />
with a new one. But they don’t understand<br />
not getting all the damage to other types<br />
of property paid, or having a deduction for<br />
depreciation.<br />
How the law measures ACV is often different<br />
than replacement cost less depreciation. A<br />
common legal measure is the difference in<br />
the value of the property before and after<br />
the loss.<br />
I sat as a juror years ago on what turned out<br />
to be a subro case, though you couldn’t tell<br />
that in the legal proceedings. In court, the<br />
insured was suing a TV manufacturer for<br />
faulty circuitry that started a fire. Once we<br />
decided that the TV was responsible, the<br />
judge instructed us to determine the ACV of<br />
the property. We were given copies of the<br />
property lists from their claim and ultimately<br />
awarded about 40 cents on the RC dollar,<br />
partly because we weren’t very sympathetic<br />
to the insured. All of that money went back<br />
to the HO carrier.<br />
Faculty Response: I hate to say it (because<br />
it’s from the “left coast”), but California’s<br />
approach is quite fair. Returning the insured<br />
to the “fair market value,” or cost of repair,<br />
is exactly what most people would expect.<br />
<strong>The</strong>y do NOT expect to be told, “Your<br />
building (we think) has depreciated by X<br />
percent so here is our settlement, have a<br />
nice day.”<br />
Faculty Response: I had almost this same<br />
question yesterday from an Indiana agent<br />
except the accident involved an at-fault<br />
driver insured under a Business Auto form.<br />
<strong>The</strong> damage was to a commercial building<br />
and the adjuster for the at-fault driver wants<br />
to depreciate the damage to the build<br />
by 30 percent. <strong>The</strong> agent for the at-fault<br />
driver feels this is incorrect, as do I. I know<br />
if someone damages my building I want it<br />
fixed – and I sure don’t want to have MY<br />
insurer pay (it would be subject to a $$$$<br />
deducible). Plus, the way the markets are<br />
today, my insurer would nonrenew me,<br />
my premiums go up, and I get my friendly<br />
lawyer to sue everyone in sight.<br />
With regard to settling with the HO carrier<br />
and letting them subrogate. Question: Does<br />
the deductible apply? Answer: YES. Will the<br />
HO carrier cancel? Answer: Probably. <strong>The</strong><br />
insured does not understand “subrogation”<br />
(and I’m not sure some insurers do either).<br />
Another question: If you take this approach,<br />
is this loss charged to the HO agent?<br />
Most likely the insured is out the deductible,<br />
but at least they get replacement cost<br />
otherwise. <strong>The</strong> HO insurer would get back<br />
part of the payment (though probably<br />
not enough to reimburse the insured the<br />
deductible). With the insurer negotiating,<br />
rather than the insured, I’d bet the<br />
liability insurer would back off on the 30<br />
percent depreciation to something more<br />
reasonable. <strong>The</strong> building would have to<br />
be in a poor state of repair to demand that<br />
much depreciation.<br />
Q: “This question has to do with a claim<br />
arising under the CGL. I have a plumbing<br />
contractor who installed a hot water heater<br />
and forgot to secure a fitting, resulting in<br />
water leaking out. By the time the claimant<br />
discovered this, the hardwood floors had<br />
buckled and the carpet was ruined.<br />
“Here’s the problem ... the claims adjustor<br />
for my contractor has told the claimant that<br />
they’re only legally liable for the damages<br />
on an ACV basis, not replacement cost. So<br />
the claimant will not be put back whole. I<br />
asked the adjustor to show or tell me where<br />
“legal liability” on a 3rd party property<br />
damage claim was defined as ACV. He said<br />
that it was common law (state of Alabama).<br />
“I’ve been in this business for a long time and<br />
can’t believe that, if this is the case, I haven’t<br />
had any complains about the settlement of<br />
these kind of claims. Now for the first time<br />
ever, I have an insured, a claimant, and<br />
contractor raising heck with me about the<br />
settlement. Got any suggestions or words<br />
of wisdom?”<br />
A: <strong>The</strong> only “words of wisdom” I can give<br />
you are those of the 16th century French<br />
physician Francois Rabelais: “What can’t<br />
be cured must be endured.” Of course,<br />
your insured probably isn’t interested in<br />
what some old dead guy thinks about the<br />
situation.<br />
I agree that, often,<br />
these claims are<br />
just settled and<br />
the insured gets<br />
his/her property<br />
replaced, but there<br />
is some basis in<br />
law in many (or<br />
“YOUR INSURED PROBABLY<br />
ISN’T INTERESTED IN WHAT<br />
SOME OLD DEAD GUY THINKS<br />
ABOUT THE SITUATION.”<br />
<strong>Big</strong> <strong>Washington</strong> SPRING <strong>2018</strong> 25
most) states for paying only ACV. I<br />
ran this by our CGL faculty and got<br />
the responses below.<br />
Looking at it from a purely legal<br />
and contractual perspective, the<br />
insured probably doesn’t stand<br />
much chance. So, as the agent,<br />
I would just try to reason with<br />
the adjuster and, if possible,<br />
demonstrate via other claims that<br />
most carriers you represent would<br />
just replace the property. Probably<br />
the only alternative is to have the<br />
homeowner make claim under his/<br />
her HO policy and let the HO and<br />
CGL carriers duke it out.<br />
P.S. <strong>The</strong> premise that insurance<br />
should make one “whole,” as you<br />
put it, would seem to support<br />
ACV, not RC. Why should the<br />
insured get a brand new floor if<br />
the existing one has wear? If it<br />
doesn’t have wear, then ACV and<br />
RC would essentially be the same.<br />
Faculty Response: Common law<br />
in Texas is ACV. <strong>The</strong> homeowner<br />
can collect replacement cost on<br />
his homeowners and then the HO<br />
carrier can subrogate for amount<br />
of claim plus deductible.<br />
Faculty Response: <strong>The</strong><br />
Restatements of Law – Torts<br />
do seem to give credence<br />
to the position of ACV (these<br />
“Restatements” are interpretations<br />
of the common law). <strong>The</strong><br />
Restatements seem to state that<br />
the base for damages starts at<br />
ACV. <strong>The</strong>y discuss giving weight<br />
to the gravity of value and usage.<br />
A: To me, the adjuster should<br />
consider that replacement of a<br />
hardwood floor with an equivalent<br />
hardwood floor that would not<br />
“IT IS UP TO A JUDGE OR JURY TO DETERMINE<br />
WHAT WILL MAKE THE CLAIMANT WHOLE. IF<br />
THEY FOLLOW THE RESTATEMENTS, THEY WILL<br />
START AT ACV, BUT THEY MAY NOT END THERE.”<br />
increase the value or usage of<br />
the home. On the other hand,<br />
payment of ACV could reduce the<br />
value and usage of the home if<br />
the claimant were not in a position<br />
to come up with the depreciation<br />
amount.<br />
This is why there is no valuation<br />
clause in the Liability Policy. It is<br />
up to a judge or jury to determine<br />
what will make the claimant whole.<br />
If they follow the Restatements,<br />
they will start at ACV, but they may<br />
not end there.<br />
Response: We settle auto PD<br />
claims on an ACV basis. How<br />
is this different? My research<br />
indicates that ACV is the correct<br />
approach. By the way, how is the<br />
homeowner not made whole at<br />
ACV?<br />
Faculty Response: ACV is just<br />
RC minus depreciation. Unless<br />
the floor is very old and/or<br />
in poor condition, how much<br />
could an interior hardwood floor<br />
depreciate? I would guess that<br />
the difference between ACV and<br />
RC for this type of property is<br />
minimal. If the adjuster is using a<br />
claims “crib sheet” that indicates<br />
depreciated amounts based on<br />
type of property and age, I’d<br />
make sure that he’s using a guide<br />
specific to this type of property ... if<br />
not, I’d challenge the ACV amount.<br />
Of course, if the homeowner<br />
chooses to file suit, he can make<br />
claim for a lot more than the direct<br />
damage and this could cost the<br />
CGL carrier much more than just<br />
replacing the property.<br />
Faculty Response: Though they<br />
didn’t cite case law, some of<br />
my legal resources indicate the<br />
measure of damages is fair market<br />
value, the cost to repair property<br />
plus loss of use. Legal opinions<br />
I’ve seen in the past also used<br />
the difference in fair market value<br />
before and after a loss, paving the<br />
way for diminished value claims.<br />
This article was reprinted with<br />
permission by IIABA’s Virtual<br />
University.<br />
26<br />
SPRING <strong>2018</strong> <strong>Big</strong> <strong>Washington</strong>
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