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EMPLOYEE DISHONESTY
EMPLOYMENT PRACTICES LIABILITY
DIRECTORS AND OFFICERS LIABILITY
DISABILITY INSURANCE
INTELLECTUAL PROPERTY
EQUIPMENT MAINTENANCE PROTECTION
PEO'S (Professional Employer Organization)
LONG TERM CARE

EMPLOYEE DISHONESTY

The Association of Certified Fraud Examiners estimates that white-collar thieves steal $400 billion each year. Many insurance professionals believe that this is one of the most frequently underinsured exposures in business insurance today. The current trends of mergers and acquisitions, labor shortages, and employee privacy laws all combine to make it more difficult than ever to screen employees for dishonesty potential. And increased dependence on computers and e-commerce have added new opportunities for employee theft.

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EMPLOYMENT PRACTICES LIABILITY

Except for those that might be living in a glass bubble, most people today are more than just a little aware of the sometimes disastrous impact of lawsuits arising from workplace conditions. Allegations of sexual harassment, age and racial discrimination, wrongful termination, etc… are covered in detail by from the evening news to the local hometown newspapers. The costs and impact of these allegations and the lawsuits that often follow are sending shockwaves through our society.
This is nowhere more apparent than Corporate America. Not only are these allegations and claims crippling large corporations but also they are taking huge tolls on the financial stability and the future of many small firms. The small employer that thinks of their company as one big happy family is frequently surprised. While your employees are your most important assets, they can become your most significant liability in a microsecond.
The courts are, to no one's surprise, offering little support for companies. In what are being touted as "landmark decisions", the U.S. Supreme Court handed down two rulings in June 1998 involving cases of sexual harassment in the workplace. The precedent of these cases has clearly placed responsibility on the employer for the actions of its managers and supervisors, and also made it easier for employees to take legal recourse.

Typical Workplace Torts

  • Sexual Harassment
  • Wrongful Termination
  • Discrimination
  • Breach of employment contract
  • Employment-related misrepresentation
  • Wrongful failure to employ
  • Wrongful failure to promote
  • Wrongful discipline
  • Wrongful deprivation of career opportunity
  • Wrongful failure to grant tenure
  • Negligent evaluation
  • Employment-related defamation
  • Employment-related infliction of emotional distress
  • Employment-related invasion of privacy
  • Employment-related false imprisonment
  • Employment-related coercion

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DIRECTORS AND OFFICERS LIABILITY

Surprisingly, few Corporate Directors and Officers fully understand their potential liability exposure as interpreted by the courts. Directors and Officers personal assets are at risk from these suits that may contain allegations such as fraud, antitrust, unfair trade practices, defamation or breach of contract.

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DISABILITY INSURANCE

Could you continue to pay your bills if you were unable to work for any length of time because of illness or injury? If you were to become disabled, do you know how much money would be coming in and from what source?

Some people can rely on disability benefits from their employers and/or government. But, for a great many people, income stops when work stops. Individual disability income insurance is designed to replace income when illness or injury stands in the way of earning a living.

Disability income insurance provides you with income should you become sick or injured and unable to work. It helps protect against family financial catastrophe by giving you an income to meet daily expenses.

Disability income insurance comes in two major forms:

  • A variety of employer-paid and government sponsored programs, generally cost-free to the recipient, covering certain categories of workers.
  • Private policies (paid for by individuals) that protect income when there are no applicable employer or government programs or when those programs do not adequately meet income needs.
GROUP DISABILITY BENEFITS

First, find out exactly what benefits your employer offers in the event of a disabling illness or injury. Some employers allow some short-term sick leave, which may last from a few days to as much as six months, depending both on employer policy and on duration of employment.

No laws require employers to offer long-term disability (LTD) insurance but it is estimated that almost half of mid-size to large employers provide long-term benefits for at least five years. Typical group long-term disability benefits replace about 60 percent of salary, start when short-term benefits are exhausted, and continue anywhere from five years to life. Often, group long-term disability insurance is fully paid for by the employers without contributions by the employees. (That is why employer-paid disability income benefits are subject to income tax).

Check with your employer's benefits office to see if you are covered and, if so, what is available to you. Find out how long you must wait before benefits begin and how long payments will continue during your disability. Find out, too, whether your employer's plan takes other disability coverage (such as government programs) into account when calculating your long-term disability pay. Ask for a booklet describing the disability coverage your company offers.

WHAT ABOUT SOCIAL SECURITY?

Most salaried workers in the United States participate in the federal government's Social Security program. Social Security is best known for its retirement benefits but the Social Security Administration also administers disability benefits. Your salary and number of years you have been covered under Social Security determine how much you can receive. As of March 1999, the average monthly payment for a disabled worker was $733.00.

Social Security disability payments can be an important part of your income should you suffer a disabling illness or injury. Contact your local Social Security Administration office for an estimate of the disability benefits you would be entitled. Also ask for a booklet explaining disability benefits, limitations and tax liabilities.

OTHER SOURCES FOR DISABILITY BENEFITS

There are other potential sources of income if you become disabled:
  • Worker's Compensation benefits, if you are injured or suffer an illness resulting from your employment;
  • Veterans Administration pension disability benefits, for eligible veterans;
  • Civil service disability pay, for federal or state government workers;
  • Black lung program for miners;
  • State vocational rehabilitation programs;
  • Group union disability coverage;
  • Automobile Insurance, if disability results from an automobile accident;
  • Private insurance, such as credit disability insurance, that makes monthly loan payments when you are disabled;
  • Supplementary Security Income (SSI) for persons with low income or limited assets;
  • Medicaid, also for persons with low incomes and limited assets.
The availability and extent of these and other programs vary widely. But, because one or more may be an important source of income should you become disabled, it's important to determine whether you are eligible. If you are, you should also find out how long benefits will be paid. And, of course, your own savings you have put aside over the years are another valuable source of income.

DISABILITY POLICY CHECKLIST

Take into consideration every policy may have different features. The following checklist will help you compare policies you may be considering:
  1. How is disability defined? Inability to perform your own job or ANY JOB?
  2. Does the policy cover accidents? Illness?
  3. Are benefits available to total disability? For partial disability? For Residual disability? Only after total disability?
  4. Are full benefits paid, whether or not you are able to work for loss of sight? Speech? Hearing? Use of limbs?
  5. The maximum benefits will replace what percentage of income?
  6. Is the policy non-cancelable; guaranteed renewable or conditionally renewable?
  7. How long must I be disabled before premiums are waived?
  8. Is there an option to buy additional coverage, without evidence of medical insurability, at a later date?
  9. Does the policy offer an inflation adjustment feature? If so, what is the rate of inflation? Is there a maximum?
DISCUSS YOUR DISABILITY CONCERNS WITH YOUR AGENT

Add up all the benefits you are entitled to under the public and private programs mentioned, along with the monthly income you could count on from other sources such as your savings. If the total will not be close to your pre-disability, after tax income and will not be adequate to support your family, you will want to consider buying additional disability income insurance to make up the difference.

Whether you are an employee or an employer, Insurance Associates can help analyze your sources of disability income, determine waiting periods for various benefits, and determine whether additional coverage would be wise.

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INTELLECTUAL PROPERTY

More than ever before, intellectual property claims involving infringement of patent, copyright and trademark are being filed and litigated at a tremendous cost to both parties. While corporate giants like Kimberly Clark and Procter & Gamble have the resources to wage long term patent litigation for a billion dollar market in the famous "diaper wars", the majority of companies that have developed and maintain valuable intellectual property often lack the financial resources to either defend or enforce it. Yet, preservation of the intellectual property asset is the lifeblood of many of these companies.

The most recent economic survey by the American Intellectual Property Law Association shows that the average cost to litigate a patent infringement lawsuit is in excess of $1 million. While somewhat inflated due to fees developed by large scale patent infringement cases, legal fees associated with preserving intellectual property rights represent a significant financial risk. Emerging companies and non-profit organizations are at a particular disadvantage against a larger and financially stronger adversary.

From an insurance perspective, although there has been limited coverage afforded for copyright, trademark or trade dress infringement under the advertising injury coverage section of the comprehensive general liability insurance policy, claims for patent and trade secrets have for the most part been denied by insurance companies as outside the intended scope of coverage.

With court decisions broadening the insurer's responsibility for defending and indemnifying claims for intellectual property violations, a trend is growing to add specific endorsements to liability policies excluding intellectual property claims beyond the copyright and trademark infringement associated with the advertising exposure, such as:

  1. copyright, other than infringement of copyrighted advertising materials;
  2. patent;
  3. trade dress;
  4. trade secrets; or
  5. Trademark or service mark or certification mark or collective mark or trade name, other than trademarked or service marked titles or slogans.
As claims for intellectual property infringement grow, an increasing number of insurance companies will add similar language to limit, or exclude altogether, any liability.

Policy exclusions include willful or intentional infringement (insurer must show knowing disregard of another's patent rights), litigation initiated by the insured (except preemptive litigation with insurer's consent), claims by government entities (except to enforce patent rights they hold), punitive damages and pending or prior litigation.

In the future, the marketplace will find other insurance companies wishing to participate in insuring intellectual property exposures and each will have a unique approach to providing coverage. There are presently a handful of companies who can provide copyright and trademark infringement coverage and these may be more appropriate for some clients than the policies reviewed above (where the primary emphasis is on patent infringement).

As companies review their insurance programs and risk management strategies, coverage for intellectual property exposures should be considered as an important component. This is especially critical where a company has outside directors and/or is publicly traded, as a number of suits have been brought against directors and officers personally for intellectual property infringement.

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EQUIPMENT MAINTENANCE PROTECTION

Many businesses have large amounts of technical equipment, including computers, phone systems, copy machines and other electronic devises. Often, these items are covered by 3rd party warranty agreements that provide maintenance and repair services. When a company has several of these agreements, the overall cost is often substantial. Further, it can be a complicated search for specific contracts with varied renewal dates and terms.
Purchasing an Equipment Maintenance Contract offers a better way to cover the expense of electronic maintenance and repair. A single contract can take the place of multiple, costly agreements. Some highlights and features:
  • Lower, predictable costs
  • Single point of contract for all service needs
  • Superior service and increased coverage
  • One anniversary date for all equipment
  • Complete inventory and tagging of all equipment
  • Centralized dispatch services
  • Quality control of all repairs

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PEO'S (PROFESSIONAL EMPLOYER ORGANIZATION)

A professional Employer Organization (PEO) is a company that contractually assumes and manages critical human resources and personnel responsibilities and employer risks by establishing and maintaining an employer relationship with the employees.

American business is undergoing a fundamental change in human resource management, and the PEO industry is one response to market demands for change. The expertise required to manage the human resource elements of business today has outgrown the experience and training of many entrepreneurs who started their businesses. The PEO industry is "demand driven" as business owners seek solutions to the increasingly complex "business of employment".

PEO FREQUENTLY ASKED QUESTIONS

How does a PEO arrangement work?
Why would a business use a PEO?
Does the business owner lose control of his or her business?
Why would an employee want a PEO as an employer?
Is this just a "fired and rehired" scheme?
Is this a scheme for the business owner to avoid providing health or retirement savings benefits to the employees?
Who is responsible for payment of wages, taxes, employment laws and regulations, including Workers' Compensation?

How does a PEO arrangement work?
The PEO and client company have an employment relationship with the worker. The PEO and client company contractually allocate some and share other traditional employer responsibilities and liabilities. The PEO assumes responsibility and liability for the "business of employment" such as risk management, personnel management, human resource compliance, and payroll and employee tax compliance. The client company manages product development and production, marketing, sales and service. The PEO assumes and establishes an employment relationship with the worker and provides a complete human resource and employee benefit package.

Why would a business use a PEO?
Business owners want to focus their time and energy on the "business of their business" and not the "business of employment". As businesses grow, most small business owners don't have the necessary human resource training; payroll and accounting skills; knowledge of regulatory compliance; or backgrounds in risk management, insurance and employee benefit programs to meet the demands of being an employer.

Does the business owner lose control of his or her business?
As co-employers, the PEO and business owner become partners in the employment of their workers. The client retains ownership of the company. PEO's are generally responsible for payroll and employment taxes, maintaining employee records and have the authority to resolve employee disputes. By shifting these responsibilities to the PEO, the client gains more command of the "core" revenue generating aspects of their business.

Why would an employee want a PEO as an employer?
Workers seek financial security, quality health insurance, a safe work environment and opportunities for retirement savings. PEOs may provide Fortune 500 quality employee benefits including health insurance, 401(k) savings plans, and aggressive workplace risk management. Job security is improved as the PEO's economy of scale permits a business to lower employment costs. Job satisfaction and productivity increases when workers are provided quality human resource services like employee manuals, grievance procedures and improved communications.

Is this just a "fired and rehired" scheme?
Workers are not fired by the client company and then rehired by the PEO. Instead, a worker becomes an employee of the two employers in a contractual co-employment relationship.

Is this a scheme for the business owner to avoid providing health or retirement savings benefits to the employees?
No. In fact, a PEO arrangement is often the only opportunity for a worker of many small businesses to receive Fortune 500 quality employee benefits like health insurance, dental and vision care, life insurance, retirement savings plans, job counseling, adoption assistance and educational benefits.

Who is responsible for payment of wages, taxes, employment laws and regulations, including Workers' Compensation?
The PEO assumes responsibility and liability for payment of wages and compliance with all the rules and regulations governing the reporting and payment of federal and state taxes on wages paid to its employees, and state unemployment tax liability. PEOs provide workers with coverage under the entire spectrum of employment laws and regulations, including federal, state, and local discrimination laws, including Workers' Compensation Insurance.

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LONG TERM CARE

Long-term care goes beyond medical care and nursing care to include all the assistance you could need if you ever have a chronic illness or disability that leaves you unable to care for yourself for an extended period of time.

Someone with a long physical illness, a disability, or a cognitive impairment (such as Alzheimer's disease) often needs long-term care. Long-term care helps one live as he or she lives now, and may include services such as help with activities of daily living, home health care, respite care, adult day care, care in a nursing home, and care in an assisted living facility.

Long-term care can be expensive. The cost depends on the amount and type of care needed and where you get it. In 1997, the average cost was more than $46,000 for a year of nursing home care.

People pay for long-term care in a variety of ways. These include:

  • Using your or your family's personal resources (including savings, investments and liquidation of assets);
  • Long-term care insurance;
  • Some Medicaid assistance. State Medicaid programs pay about ½ of the costs of nursing home care nationally. Medicare supplement insurance, and the major medical health insurance you may have at work usually will not pay for long-term care.

IS LONG TERM-CARE INSURANCE RIGHT FOR YOU?

You should NOT buy Long-Term Care Insurance if:

  • You can't afford the premiums for life;
  • You have limited assets
  • Your only source of income is a Social Security benefit and Supplemental Security Income (SSI)
  • You often have trouble paying for utilities, food, medicine, or other important needs
You should CONSIDER buying Long-Term Care Insurance if:
  • You have significant assets and income
  • You want to protect some of your assets and income
  • You want to pay for your own care
  • You want to stay independent of the support of others

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