156 State Street, Boston
Education
Please feel free to contact us for guidance in course selection...

>> Current Courses
>> Past Courses

>> Producer Licensing
>> Registration Info
>> Register Now

>> Cancellation Policy

>> Inclement Weather Policy


Information Resources
 

>> Journals

>> Doc. Delivery Price List
>> Q & A

>> Newsletters

>> About Our Members
>> Awards

>> Adopt a Book
>> Helpful Links

 

Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Register for our email list
 
 


Sample Q & A

The following reference questions have been asked of the librarians within the past several weeks. We reproduce them to give some idea of the types of inquiries we receive on a daily basis: if the particular topic happens to be of interest to you, so much the better!

Q: I have a few questions that I was hoping you could answer for me, namely: the cost to insurers, if they were even insured, for the Hindenburg disaster in 1937; the 1911 Triangle Shirtwaist Factory fire; and the sinking of the Titanic.

A: While payout amounts were not readily available, the total amounts of insurance limits written on these three subjects of disaster were: the Hindenberg, 6 million reichsmark; the Triangle Shirtwaist company building, $199,750; the Titanic, $5,566,820. Of course, loss of life was the worst part of these events, but this aspect was not quantifiable. We supplied this person in California with information about the sources for our answers so that he could consult them directly.

Q:  Would you please search your files for a copy of the California Standard Fire Insurance Policy in effect in 1914?

A:  California promulgated standard fire insurance policy forms in 1909 and again in 1949. We located a copy of the 1909 edition in our historical file of standard policies, along with the standard forms of several other states.

Q:  My boss has been asked to write an article for a trade association publication that discusses the subject of equipment breakdown coverage. Can you send some materials on that subject?

A:  A search of our database articles index provided a substantial list of possibilities, from which we chose eight that seemed particularly apt, including those summarized as “equipment breakdown is more than just boiler and machinery” in the Fall, 2001 issue of The John Liner Review, “equipment breakdown insurance increasingly needed by all insureds” (Rough Notes, August, 2000), and “boiler and machinery as a multi-peril exposure: equipment breakdown can lead to other exposures” (Risk & Insurance, February, 2000).

Q:  Was any form or type of insurance written in the United States before it was written anywhere else?

A: We learned that title insurance has the “unique distinction” of being the only form of insurance invented in the United States. It has been said that the first title insurance company, the “Law and Property Assurance Society”, existed in Pennsylvania as early as 1853. Not only did it insure against defective titles, but it also guaranteed the repayment of loans and mortgages.

Q:   I’m trying to get in touch with the Massachusetts Casualty Insurance Company, and I can’t find any listing. Can you help?

A: Tracing insurance companies is something we are eminently prepared to do, whether the request comes from a law firm, a consumer, or (as happens quite frequently) from a funeral home. Massachusetts Casualty changed its name to Centre Life Insurance Company in 1999. Sometimes we are asked to find the successors to insurance agents and brokers: that can be a bit more difficult, but quite often we can help with those inquiries as well.

Q:  Two insurance agents are trying to get my business. One is saying the other is offering me a rebate, and that doing so is illegal. What is a rebate, and is it illegal?

A: Rebating is indeed illegal in Massachusetts and elsewhere. Questions can arise, though, as to the exact meaning of  “rebate”. This consumer did not tell us what the accused agent was offering, so we had to respond in generalities. Among other things we learned through examining the treatise Responsibilities of Insurance Agents and Brokers by Bertram Harnett is that offering at no charge a service that would ordinarily generate a charge may be considered a rebate.

Q: I have heard about a study of workers’ compensation mental stress claims arising from September 11th terrorism by a group called AMCOMP. Do you have it?

A:  We didn’t have it, but now we do. AMCOMP donated a copy to our collection, for which both the patron and the librarians were very grateful!

Q:  My insurance company has denied coverage for a vandalized DVD player that I had installed in my new Toyota Sequoia, saying the vehicle is a truck and that coverage does not apply to such devices installed in a truck. I thought my Toyota was a station wagon. Who’s right?

A: This Massachusetts consumer’s insurer seemed to be  on  firm  ground in denying the claim described. The Massachusetts auto policy explicitly excludes coverage for “custom furnishings or custom equipment” installed “in or upon any pick-up truck, van or similar vehicle”. Similar language is contained in the ISO Personal Auto policy. The Toyota Sequoia is listed in the truck category of the Toyota section of the symbol and identification section of the Massachusetts manual.

Q: I’m looking for something that succinctly summarizes the pros and cons of workers’ compensation self-insurance groups. Is there any such thing?

A:  We showed this patron a page dated October 2000 in the International Risk Management Institute’s two-volume set Risk Financing: A Guide to Insurance Cash Flow that displays the exhibit  “Advantages and Disadvantages of Workers Compensation Self-Insurance Groups”: she seemed quite pleased with it.

Q:  I am responsible for arranging my company’s insurance program and for buying insurance. My boss says he thinks our brokers make too much money on our account. How can I figure out if he’s right?

A:  The section entitled “Evaluating Broker Compensation” in Practical Risk Management: the Professional’s Handbook proved extremely helpful.  Three distinct approaches for evaluating broker compensation are described. This insurance buyer left feeling far better armed to understand and explain broker compensation issues than when she came in!

Q:  I’m from New York State, and I’m writing an article on the history of workers’ compensation laws. Am I correct that my state was the first to enact such a law?

A:  New York State was indeed a leader in enacting compulsory workers’ compensation laws, but the law was short-lived: passed in 1910, it was declared unconstitutional by the New York Court of Appeals in 1911. In 1911 Wisconsin, Nevada, New Jersey, California, and Washington passed laws that endured. New York, after amending its constitution, reenacted a law in 1914,  and by 1921 all but six states (plus the then-territories of Alaska, Hawaii, and Porto [sic] Rico) had compensation acts. Enactment was not always smooth: in fact, the enactment of a law in Missouri in 1925 represented “the climax of a bitter and persistent battle”. Whoever said that insurance and its history is boring?

Q:  As a risk management consultant, I am interested in knowing what factors are important to clients when they are deciding which consultant to hire. Can you show me anything that might be enlightening?

A:   A search of our database index of journal articles quickly produced an extensive list of likely sounding items. Proving most useful were “Engaging Expectations” from the October, 1991 issue of Reactions (“…how to pick the best consultant for the job and what to expect for your money”), “How to Choose, Use, But Not Abuse a Consultant” from a 1994 issue of Risk Management Letter, and “Choosing the Right Consultant” from the August 3, 1998 issue of the National Underwriter.

Q:  Please find for me an explanation of coverage for “advertising injury”: it’s just for people in the advertising business, right?

A:  Not right. David Gauntlett includes a summary of this and related subjects in the treatise Insurance Coverage of Intellectual Property. Chapter 2, “The Scope of Advertising Injury Coverage” includes discussion of the duty to defend, the causation qualification, the duty to indemnify, and interpretation of the term “damages” in this context.

Q:  For reasons I don’t want to divulge, I am interested in articles from the mid-1980s that address the subject of rebating in the life insurance industry. What can you show me, if anything?

A: This person seemed to think we would be unable to help him, which posed a (very surmountable) challenge. Relevant items came from sources such as Life Association News (“the case against legalized rebating, March, 1985) Best’s Review Life/Health (“rebating: poultice or poison?”, September, 1986) and the Journal of Insurance Regulation “the tangled insurance premium rebating question”, March, 1987).

Q: Is there any reference source that indicates the residual market share of the workers’ compensation business in various states? How about average indemnity costs by state for workers’ compensation cases?

A: The first place we look for any questions about workers’ compensation statistical data is the Annual Statistical Bulletin of the National Council on Compensation Insurance. The 2001 edition of this excellent publication included charts addressing each of the above issues.

Q: I am calling from Connecticut. My husband and I are relocating to Massachusetts and will be insured by Blue Cross. If we divorce, can I count on retaining my Blue Cross coverage?

A: Not for sure. Section 8F of Chapter 176A of Massachusetts law outlines ex-spouses rights in this situation. Coverage is continued unless a “judgment absolute of divorce or of separate account” provides to the contrary. We sent a copy of the law.

Q: “Sick building syndrome” is something I’ve heard mentioned but know little about. Has anything been written regarding the syndrome, particularly in conjunction with insurance coverage issues?

A: Several pertinent items were identified through a search of our database. One was “Mold: A Growing Liability”  from the February 2001 issue of Risk & Insurance, and another was one written by member Marvin Milton and published in the March 30-April 5. 2001 issue of New England Real Estate Journal: “Rust, Rot, Mold and Mildew: Causing Measurable Damage in Buildings”.

Q: My company is small, and we need to be able to travel to visit prospective clients FAST. Can we purchase a jet airplane in cooperation with another company or companies, and are there any particular insurance implications of such deals?

A: The answer to both parts of this question is “yes”. Insurance Library member Donald Malecki addresses the subject admirably in the June, 1998 issue of Malecki on Insurance. “Owning a corporate jet is made easy, covering the liability is what may be difficult” aptly summarizes his discussion of fractional ownership of aircraft and the resulting insurance  challenges.

Q: As a consumer, I am very confused by what I am reading about mutual companies and stock companies and demutualization and mutual holding companies. Would you please show me something that simply explains who owns mutual insurance companies?

A: We first provided this person with several insurance dictionaries and glossaries. Having started with simple definitions, he was ready to move on and looked at the article “Changes in Mutual Life Insurer Ownership Form” in the March, 1999 issue of the Journal of the American Society of CLU and ChFC (now known as The Journal of Financial Services Professionals). We don’t know if he liked the idea of demutualization any better than when he came in, but he understood it better!

Q: Please provide me with some articles contemporaneous with the merger of St. Paul and USF&G.

A: We culled a dozen articles from the late- 1997 to mid- 1998 time frame that discussed this transaction and management changes associated with it.

Q: I recently passed the examination to become a licensed insurance adviser in Massachusetts and understand that I must use written agreements with my clients regarding the services to be provided and my compensation for those services. Can you provide me with any guidance or help in drafting such an agreement?

A: This newly-licensed adviser should most definitely investigate membership in the Massachusetts Society of Licensed Insurance Advisers (we gave her the name and telephone number of the person to contact about membership). Among the many benefits of membership is access to a “Model Agreement for Insurance Counseling Services” developed by the Society in conjunction with attorneys at the law firm of Morrison, Mahoney & Miller.

Q: It seems to me I haven’t heard too much lately about insurance claims involving asbestos. Are they fading from view?

A: We think not. The Wall Street Journal published articles in their issues of February 7th and March 5th, 2001 citing statistics on mounting claims and saying plaintiffs lawyers have turned asbestos into a “court perennial”.

Q: May I see something on waivers of the right to recover from others in the context of workers’ compensation insurance?

A: As is often the case, a publication from International Risk Management Institute in Dallas was most informative. Best was the section titled “Workers Compensation Waivers of Subrogation” in their manual IRMI Workers Comp: A Complete Guide to Coverage, Laws, and Cost Containment.

Q: I own a small business, and my property and liability insurance premiums represent a large part of my expenses. Are insurance companies’ profits higher than those of most industries?

A: Of course, numbers and statistics can be tricky to interpret sensibly, but a table developed by the National Association of Insurance Commissioners and reproduced in the February 21, 2000 issue of Property Insurance Report seemed to belie huge insurer profits. The chart shows Rates of Return on Net Worth for commercial multi-peril insurers compared to the return for “Fortune All-Industry”. The figure given for insurers for 1987-1998 is 5.8; for all-industry the number is 12.8.

Q: I am calling from Alabama. Is there a Massachusetts law governing the process for filing claims under disability insurance, and for the payment of such claims?

A: We faxed this caller subsections A, 5-9 of section 108 of chapter 175 of the Massachusetts General Laws.

We utilized our print copy of the Massachusetts laws for this person. We also have a complete set of Massachusetts insurance regulations. For similar questions, we often consult the newly-revamped Massachusetts Division of Insurance website, found at  http://www.state.ma.us/doi . Experiment with it a little, and you will find a wealth of information of potential interest to insurance professionals and consumers alike. Most state insurance departments maintain websites—call us if you’d like any addresses.

Q: There was a story in my local newspaper about a horrible traffic accident involving a pick-up truck. Just how many accidents a year involve small trucks, and are they involved in a disproportionate share of accidents?

A: The 2000 edition of the Insurance Information Institute’s Fact Book includes a chart entitled  “Motor Vehicle  Crashes by Vehicle Type” utilizing data from the US Department of Transportation and the National Highway Traffic Safety Administration. In 1997, the rate of property damage- only accidents for passenger cars was 4,104 per 100,000 registered vehicles, while the rate was only 3,439 per 100,000 registered light trucks. However, the corresponding rates for fatal crashes were 24.11 and 27.68.

Q: Recently I attended a meeting and the speaker referred to the “Florida case” in the context of bank sales of insurance. I didn’t want to speak up, as everyone else seemed to know what case he was talking about, but what case WAS he talking about?

A: Chances are good that the case referred to is that one known officially as Barnett Bank of Marion County, N.A. v Gallagher 43 F.3d 631 (11th circuit 1995). The treatise Insurance Activities of Banks  by Karol K. Sparks indicates “The Barnett decision effectively eliminated antiaffilation laws as to section 92…A state law fails if it prevents or significantly interferes with the ability of national banks to sell insurance from small towns”.

Q: How involved are insurance companies with retirement plans and retirement plan investments?

A: The ACLI (American Council of Life Insurance) Life Insurance Fact Book 1999 provided two relevant tables for this visitor, “Retirement Plans Held by Life Insurers by Type (1998), and “Assets Held in Retirement Plans with Selected Financial Institutions”.

Q: Enclosed please find insurance policies on my parents we discussed on the phone last week.     I have been unable to locate these insurance companies. My bother and I hope you can.

A: This caller sent copies of policies dating in the 1940s from two different life insurance companies. One of the companies was still in business under the same name, but the other had merged or been acquired several times in the past decades: we were able to trace it to its current incarnation through use of successive AM Best Life Reports.

Q: What is the Insurance Fraud Bureau? What does it do? Does it do a lot of whatever it does?

A: Articles from The Standard and The Insurance Times, along with other sources, provided both background and statistical information on the “IFB”. Operational as of May, 1991, the bureau represents a rare public/private partnership between the insurance industry, the Massachusetts Attorney General, and other state offices. It is a central resource for fighting insurance fraud. As of June 1999, 2,921 of a total of 15,105 referrals received from insurance companies and from a hotline (1-800-323-7283) had been selected for investigation. Those investigations resulted in 562 indictments and complaints, and 296 convictions. It is estimated that the activities of the IFB, combined with Massachusetts auto insurance reforms, saved $1 billion during the past decade. We also have information about insurance fraud prevention and detection activities in other states.

Q: I am considering the possibility of selling my insurance agency during the next year or so. What can I look at to give me some idea of how my agency compares with its peers? I am particularly interested in knowing if I represent more or fewer insurance companies than other agents.

A: A variety of publications were provided for perusal, among them issues of the Middleton Letter. In the August 1999 publication of that newsletter it is indicated that the average agency responding to their survey represented 7.4 commercial carriers (down from 8 the prior year) and 6.1 personal lines companies (roughly the same as the prior year). Close to 70% of premium volume was placed with the top three markets, compared with 64% the prior year—a change attributed to industry consolidation. It can’t hurt to be well informed before retaining legal assistance for such an undertaking!

Q: Is there a federal law requiring insurance agents to maintain premium trust fund accounts?

A: There is no federal law on this subject, but we provided a chart published by the National Association of Insurance Commissioners that lists and summarizes pertinent laws and regulations on a state-by-state basis.

Q: The salvage industry is of interest to me. How can I identify the companies who are active in the field and learn about them?

A: The list of articles produced through a search of our database on this subject was lengthy and productive. As indicated in the August, 1999 issue of Claims magazine, the word salvage should not evoke just wrecked cars, rusted machinery, and algae-covered boats; their directory of salvage specialists yields many internet addresses along with more traditional street addresses and telephone numbers.

Q: I’m desperately in need of an explanation of what I see called "funding agreements". What the heck are they? My on-line search has not been productive.

A: This caller was very happy to see two reports by Moody’s Investors Service, one published in December of 1998 and one in April of 1999, which give an excellent overview of such agreements. A search of our database produced a list of articles in which recent problems of some "FA" issuers were highlighted.

Q: I recently read a brief description of the Federal Riot Reinsurance Program. Can you provide any information on events that might have triggered payments under the program, and data on what those payouts were?

A: We found in our files an article published in the June 23, 1979 issue of The Insurance Advocate entitled "Federal Riot Reinsurance—the Payout for the New York Blackout". Testimony given Gloria Jimenez, then Federal Insurance Administrator, included data indicating total reported riot losses due to the blackout of almost $12.9 million and Federal Riot Reinsurance payments of a bit more than $3.1 million

Q: Is there anything you can show me which will indicate how much of the average consumer’s expenses are accounted for by insurance premiums?

A: This inquiry is right up the alley of our friends at the Insurance Information Institute, and they did not disappoint. In the 1999 edition of their Fact Book a table, based upon data from the U.S. Bureau of Labor Statistics for 1995, shows insurance expenditures accounted for 6.8% of average household expenses. The statistics were further broken out by line of insurance, with health insurance highest at 2.% and auto insurance second at 2.2%

Q: Please search your files and let me know what is the earliest edition of the CGL form that you have.

A: The earliest form we have in our files is dated December 1, 1947, although we find references to edition dates of January 11, 1943 and February 1, 1943. If anyone has an earlier one, we would be very grateful for a copy!

Q: My employer wants me to get up to speed on current developments in the field of Directors’ and Officers’ Liability Insurance. Can you help steer me in the right direction?

A: We identified a number of items of interest to this person from a variety of sources. In addition to overview discussions of the D&O market, articles addressing the effects of the Private Securities Reform Act of 1995 and Year 2000 concerns were made available.

Q: I’m here to look at the 1983 AM Best Report on AFIA.

A: The AM Best Company included a blurb on AFIA in the section entitled "Underwriting Organizations and Combination Policies" in their 1983 book, but no report since this was a cooperative effort of 6 member insurers and not an insurance company itself. We helped fill in the AFIA profile by showing this patron an article from the August, 1981 issue of Institutional Investor ("AFIA Mounts its International Challenge") and one from the July, 1984 issue of that journal, "CIGNA’s Big Gamble on AFIA.

Q: I recall that sometime in the 1980s a popular magazine (as contrasted with insurance industry trade magazines) published an article on the general unavailability of insurance coverage. I’d like to read it now to see if it gives me any perspective on the current marketplace. Do you know what I’m talking about?

A: Time magazine’s cover story of March 24, 1986, "Sorry, America, Your Insurance Has Been Cancelled" was provided this visitor and seemed to fit the bill.

Q: I believe the first million dollar award by a jury was made sometime in the 1960s. Can you find something in writing confirming (or correcting) my off-hand impression? Circumstances of the award would also be of interest.

A: Jury Verdict Research, Inc., of Solon, Ohio is a prime source for published information on jury awards. "JVR" indicates that the first such award was made in 1962 to actor John Henry Faulk who claimed he was blackballed after being labeled a communist in the 1950s. Compensatory damages in the amount of $1,000,000 and punitive damages of $2,500,000 were later remitted to $400,000 and $50,000, respectively.

Q: How and where can I obtain a copy of the NAIC’s Casualty Actuarial (Technical) Task Force Clarification of Revised ALAE definition?

A: This document is available through the website of the NAIC (National Association of Insurance Commissioners) at www.naic.org. We also found two inquiries which had been submitted to the NAIC Director of Research, and the responses to those inquiries. They help clarify subjects such as differentiating between adjustment of a claim and defense of a claim and the degree to which medical cost containment and utilization review expenses should be reported as ALAE.

Q: Please send me the Massachusetts law pertaining to Medicaid real estate liens for those who have purchased long-term care insurance.

A: Massachusetts Division of Medical Assistance regulations state that "No recovery for nursing facility or other long-term-care services may be made under 130 CMR 501.910( C) if the recipient…on the date of admission to a long-term care institution had long-term-care insurance whose coverage met the requirements of 211 CMR 65.00." We were and always are happy to provide a copy of 211 CMR 65.00.

Q: Would you please send me a representative "direct action" statute? I understand such statutes enable plaintiffs to commence actions directly against a tortfeasor’s liability insurer.

A: We provided this patron with a copy of Rhode Island law Chapter 7 ("Liability Insurance"), sections 27-7-1 and 27-7-2, "Direct liability of insurer" and "Rights of action against insurer". We also referred them to an article in the May 15, 1998 issue of Insurance Litigation Reporter, entitled "Direct Actions - Current Developments". The article provides a good narrative description of the subject as well as a state-by-state survey of related laws and cases.

Q: Has anyone published loss ratio data by industry? We would like if possible to know the loss ratio associated with the insurance of hotel and motel businesses.

A: Rough Notes magazine regularly publishes such data in their "Regional Target Markets" section. The data, and data on niche markets in general, is produced by Insurance Market Research Corp. at 39 E. Hanover Ave., Morris Plains, NJ 07950 (201-898-4706). The loss ratio they reported for the universe of approximately 42,700 establishments in 1996 was 69.7%, "making careful selection of risk imperative."

Q: Can you assist me in finding some current items to read concerning the computation of an insurance agency’s value for acquisition purposes?

A: A search run on our database index of articles produced a list of 23 pertinent items which were published in 1997 or 1998—our interpretation of "current" for this question. The Hales Report yielded some very likely-sounding references, as did other sources such as the Middleton Letter and Best’s Review.

Q: I have been employed by a large high-tech company for many years, but am considering the option of striking out on my own. Would it be possible for me to come in and read something about the liability exposures of computer consultants?

A: This person seemed very alert to what must be considered when contemplating a career change such as he described! He spent a morning reviewing items describing typical claims and exposures, and then researched the coverage available for those exposures.

Q: Is it possible to look at copies of insurance forms that are no longer in current use? I am sending a list of policy forms with "MLB" prefixes, all of which are dated between 1966 and 1973.

A: We have an extensive collection of outdated standard policy forms, and could find all of the forms listed.

 

 

 
 

° 156 State Street ° Boston, MA  02109 ° Tel:  (617) 227-2087 ° Fax:  (617) 723-8524 ° Email:  jlucey@insurancelibrary.org °

  © 2005 Insurance Library Association