Risky Business

November 2007

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FYI:

-Mike Hammond

Risk Management Report Card

The responsibilities of local government require the performance of duties and delivery of services that expose municipalities and public officials to numerous risks. In order to maintain the expected level of services, while protecting the assets of the municipality, local government must manage its risks. Some of these risks are unavoidable. So, how do MVRMA members manage their risks, and how well are they doing?

The three basic strategies for risk management include: (1) loss prevention/control, (2) risk transfer and (3) risk retention. In practice, a municipality will pursue a combination of the three strategies depending on the financial benefits and cost of each approach. As its name implies, loss prevention/control is a before-the-fact strategy, while risk transfer and risk retention both address the problem of paying for a loss after it occurs. Let’s examine a little closer these strategies for managing risk.

LOSS PREVENTION AND CONTROL:

Loss prevention reduces the probability that a loss will occur in the first place, whereas control measures are designed to reduce the severity of losses when they do occur.

Inspection of public buildings is a common loss prevention measure. For example, the city engineering department may periodically inspect sidewalks to locate those that are damaged or deteriorating and that might cause someone to trip and fall. These sidewalks are then repaired before an accident can occur.

Loss control measures such as fire extinguishers, sprinklers and smoke detectors cannot prevent the outbreak of fires, but they help minimize the damage.

MVRMA has a long history of working with its members to help them manage their risk. The Safety Performance Evaluation Checklist (SPEC) was developed as a tool to be used by member cities and MVRMA staff to determine what safety and loss control areas need improvement. Additionally, MVRMA sponsors several training seminars of general interest to the membership each year. Professional management and safety consultants, risk managers, attorneys and others knowledgeable in municipal risk management issues present this information. These sessions alert employees to hazards and offer safe practices to reduce the risk of loss.

RISK TRANSFER: Using loss prevention and control techniques described above are sound risk management practices, but they make up only part of the risk management strategy. Every municipality, no matter its size, must prepare itself for the inevitable financial loss. Thus, local government has traditionally purchased insurance, a form of financial risk transfer. In the last two decades, intergovernmental risk pools, like MVRMA, have become a cost effective choice for transferring the financial consequences of a loss and securing insurance.

Risk can also be transferred by negotiating with one's business partners to accept the risk related to a project or activity. For example, during a construction project, a municipality may require the contractor and subcontractors to assume losses for construction related accidents or lawsuits.

RISK RETENTION: When a municipality retains risk, it assumes financial responsibility for the loss or some part of the loss. When done as part of a well planned risk management program, retaining some risk can lower the cost of insurance. It can also align the incentives of the municipality with the insurance company to create a safer work environment.

MVRMA, in addition to a member deductible, has a large self-insured retention before coverage is effective. The members of the association fund this self-insured retention amount.

RISK MANAGEMENT RESULTS: In an effort to determine how effective our risk management efforts are, each year we calculate a five-year loss to premium ratio to be used as a reporting tool. This report card compares claim payments made from the loss fund, not including member deductibles, with the members' annual loss fund contribution. The claim amount includes the paid amount plus reserves for any claim. For this year's report, all claims are valued as of September 1, 2007 and examines the period 2002-2006. We now have similar reports for five different periods. These reports allow each member city to compare its performance with other members and the pool as a whole. Clearly, the pool results for the loss to premium ratio show improvement. See the chart below:

Loss Ratio for Each Reporting Period

Period Ratio

1996 - 2000 53.7%

1998 - 2002 63.7%

2000 - 2004 44.8%

2001 - 2005 44.0%

2002 - 2006 38.7%

The accepted industry standard for a loss ratio is 60%, but MVRMA members have consistently outperformed those standards. For individual members, with loss ratios in excess of 60%, we conduct a loss control visit to review their claims history and identify any loss control measures that may be helpful.

MVRMA members have placed a great emphasis on their risk management efforts, and the very favorable loss ratio is an indication their efforts have been successful.

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Counselors' Comments

 - Surdyk, Dowd & Turner

Favorable Decision for Political Subdivisions

On October 3, 2007, the Supreme Court of Ohio issued a decision which was quite favorable to political subdivisions. In the case of Hubbell vs. Xenia, 2007-Ohio-4839, the Supreme Court held that when a trial court denies a motion in which a political subdivision or its employee seeks immunity under Ohio's sovereign immunity statute, that order denies the benefit of an alleged immunity and is, therefore, a "final" order subject to immediate review by a court of appeals. The court's 4-3 majority opinion was written by Justice Evelyn Lundberg Stratton.

Writing for the majority, Justice Stratton quoted language in R.C. 2744.02(C) that provides: "An order that denies a political subdivision or an employee of a political subdivision the benefit of an alleged immunity from liability as provided in this chapter or any other provision of the law is a final order."

Quoting from her dissent in a 1999 Supreme Court decision, Burger vs. Cleveland Heights, Justice Stratton asserted the majority's holding is beneficial to both plaintiffs and political subdivisions facing civil lawsuits. "Early resolution of the issue of whether a political subdivision is immune from liability pursuant to R.C. Chapter 2744 is beneficial to both of the parties. If the appellate court holds that the political subdivision is immune, the litigation can come to an early end, with the same outcome that otherwise would have been reached, only after trial, resulting in a savings to all parties of costs and attorney fees. Alternatively, if the appellate court holds that the immunity does not apply, that early finding will encourage the political subdivision to settle promptly with the victim rather than pursue a lengthy trial and appeals. Under either scenario, both the plaintiff and the political subdivision may save the time, effort and expense of a trial and appeal, which could take years."

Justice Pfeifer wrote a very interesting dissent. In his comments, he stated "This court need not judicially expand R.C. 2744.02(C) to further mollycoddle political subdivisions. Political subdivisions are not the only participants in lawsuits - the resources of the plaintiffs and the court are also stretched in having to address excessive appeals. Plaintiffs, most often ordinary citizens harmed by the actions of a political subdivision, already face a stacked deck from an opponent with comparatively vast resources. Now, the majority draws no line on the number of immediate appeals a political subdivision can take. It is good to be king."

This decision is quite beneficial to the defense of political subdivisions. As Justice Stratton noted in her majority opinion, the ability of a political subdivision to appeal a decision that it is not entitled to immunity, allows a determination of that threshold issue at an early stage of the litigation. Generally, on behalf of the members of MVRMA, attempts are made to dispose of cases by means of motions for summary judgment in which it is argued the member is entitled to immunity. Knowing that a decision denying such a motion for summary judgment would not be subject to immediate review by a court of appeals, courts have had a tendency to overrule those motions for summary judgment with the expectation that such a decision would force the case to settle. Such an approach defeated the municipality's right to immunity and resulted in settlements which were undeserved. As a result of this decision, municipalities will no longer be placed in the position of foregoing their right to claim immunity from suit.

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The Claims File

- Craig Blair

When a new Trustee joins the MVRMA Board, we like to conduct an orientation for that person. A one-on-one meeting with each member of the MVRMA staff provides an overview of our program and hopefully, resolves any questions or concerns. At our most recent "MVRMA Day" orientations, questions concerning claim reporting requirements and the $2,500 deductible were posed. We thought a summary of our discussion would be a beneficial review for everyone.

MVRMA was formed in response to the lack of affordable insurance in the late 1980s. MVRMA's number one goal was to protect the tax dollars of its members. The newly formed organization also wanted to establish a program that emphasized safety as a way to prevent or control losses.

In a self-insurance pool, all members truly "share" the monies they contribute to pay claims. Because of this "sharing," the original members thought it necessary to hold each other accountable. To that end, MVRMA requires all liability losses (damages to other parties) and all first party losses (damages to a member's property) over $500 to be reported and paid through MVRMA. These losses are then added to the member's claim history, which becomes a key element in determining a member's annual premium. A member's four-year average annual losses are weighted three times when computing the annual Premium Calculation Factor (PCF).

To protect the loss reserve funds from being depleted by small losses and "fender benders," a deductible of $2,500 per occurrence was instituted. These deductibles are billed to the members quarterly.

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Loss Control Lowdown

-Starr Markworth

MVRMA's Multi-media Library

The MVRMA Multi-media Library currently holds more than 260 videos, as well as 18 CD-ROM programs, and is made available to our member cities at no charge. The purpose of the library is to provide additional information to supplement the members' in-house training efforts. The library covers a broad range of public sector safety and management issues applicable to most city departments and divisions.

Funds are budgeted annually for the purchase and upgrade of materials. Recommendations from member cities are encouraged and utilized in the planning of future purchases. All new and replacement materials are now being purchased in the DVD format because they have a longer shelf life and cost less to mail,

The MVRMA Multi-media Library listing can be found at www.mvrma.com under Training and Loss Control. A Video Request Form can be downloaded and faxed, or you may email or phone your request to Starr Markworth at smarkworth @mvrma.com or 937/438-8878. Please allow 3-5 days for delivery, and limit your request to three videos. MVRMA assumes the cost of delivering the materials via US Postal Service, and the member cities are responsible for returning the materials to MVRMA.

PRIMAfacts

As a member of the Public Risk Insurance Management Association (PRIMA), MVRMA is a subscriber to PRIMAfacts. Through this service, we can access a variety of documents related to the fields of risk management, insurance and safety. Staff often uses this service when developing policies and procedures or when reviewing best practices. PRIMAfacts articles can also be made available to our members. If, after reviewing the list below, you would like more information about the articles listed under a particular category, call the MVRMA office at 937/438-8878. A complete listing of the articles will then be faxed to you. Once, you determine which articles you would like to access, simply call our office again, and they will ordered.

PRIMAfacts TOPICS:

(A) Prima Information & Publications

(B) Risk Management Administration

(C) Safety & Loss Control

(D) Employee Benefits

(E) Risk Management Practices

(F) Environment

(G) Insurance & Self-insurance

(H) Public Safety

(I) Legislation & Compliance

(J) Parks & Recreation

(K) School Risk Management

(L) Pooling Administration

(M) Public Official Liability

(N) Claims

(O) Ordinances

(P) Finance

(Q) Job Descriptions

(R) RFPs

(S) Information Systems

(T) Transportation & Vehicle Safety

(U) Workers' Compensation

(V) Employment Liability

(W) Health & Wellness

(X) Professional Development

(Y) Public Works & Utilities

(Z) Emergency Services & Disaster Recovery

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Brokers Beat

Fine Arts Coverage

The MVRMA property policy defines Arts as: Objects of art of every kind and description, and property incidental thereto, which are the property of the Member, or the property of others in the custody and control of the Member, or in transit at the Member's risk, and property in which the Member shall have a fractional ownership interest which are owned by or have been leased, loaned, rented or otherwise made available to the Member. "Property" shall mean paintings, drawings, etchings, prints, rare books, manuscripts, rugs, tapestries, furniture, pictures, bronzes, potteries, porcelains, marble statuary and all other bona fide works of art and other objects of rarity, historic value, cultural interest or artistic merit, which are part of the collections of the Member, or in the care, custody or control of the Member and their frames, glazing and shadow boxes.

Objects that fall within this definition have automatic coverage up to $2,500,000 each occurrence and do not need to be listed or scheduled on the policy schedule of values. A concen- tration or collection of objects that fall within this definition, that could sustain a loss in excess of $2,500,000 per occurrence, should be listed or scheduled in the policy schedule of values. The policy coverage includes additional perils such as breakage of fragile articles, marring and scratching for this class of property.

One of the problems in determining the need to schedule coverage under the MVRMA policy is the difficulty in identifying Fine Arts. A few suggestions may be of help in this process. If your city has a museum, it should be the first place to search for this class of property. A second suggestion is to identify any contractual agreements that your city has in place to procure or commission art objects for local display. The last suggestion is to carefully review any agreements where your city is assuming responsibility for property involved in traveling exhibits, exhibits on loan or other similar situations. In many cases, these exhibits contain property that will fall within the Fine Arts definition. The coverage under the MVRMA property policy provides Fine Arts protection for the property of others for exhibits if you have assumed that responsibility contractually. But, it is necessary to check that the objects fall within the Fine Arts definition and the total value does not exceed the $2,500,000 Fine Arts sub-limit. If it does, you have to temporarily schedule that exhibit property on the MVRMA property policy.

Valuation of Fine Arts articles at claim time can be very difficult. For scheduled items, the value at loss time will be determined by the fair market value carried on your books and records and listed on the schedule. For unscheduled items, the value at loss time will be based on the fair market value carried on your books and records. Absent those records, the valuation will be based on the fair market value as agreed upon by the carrier and the City. If agreement cannot be reached, an arbitration process is outlined in the policy. Practically speaking, for any Fine Arts objects of questionable value, we suggest you obtain certified appraisals which will facilitate the valuation process at claim time.

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From the Board Room...

At the September 24, 2007 Quarterly Board Meeting, the following actions were taken:

- Approved the Open Claims and Incurred Losses Report dated August 30, 2007

- Approved a one-year agreement with Carol Riggle to prepare MVRMA's financial statements for 2007

- Approved a loss funding amount of $2.525M for 2008

- Approved the 2008 Preliminary Expenditure Budget and PCF

- Accepted the Financial Audit and CAFR for the year ended 12/31/06

- Agreed not to make a proposal to the four CORMA cities

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Congratulations to this year's SPEC winners!

This year's Safety Performance Evaluations have been completed, and winners were announced at the September 24 Board Meeting. The Pinnacle Award, for the highest percentage compliance, went to the City of Troy, which scored a perfect 100%. The Ascension Award, given to the city with the most improved compliance, went to the City of Centerville, which improved from 74.1% to 96.6%.

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The Bureau of Workers' Compensation's Medical Only Claim Program is Changing Once Again

The Medical Only Deductible Program was established by the BWC to allow an employer to pay medical expenses up to a certain amount for employees who suffer work-related medical-only injuries.

A short time ago, BWC increased the deductible amount from $1,000 to $5,000. With a recent bill just passed in Ohio, for claims with dates of injury on or after September 10, 2007, this deductible amount will increase to $15,000. While the program deductible limit has been increased, employers do not have to pay up to $15,000. Employers should select a limit based on the size of their business and the amount that has the greatest financial benefit. When BWC changed the limit to $5,000, CompManagement completed a study, which showed most of the employers in our group would not benefit by paying more than $1,000. If you consider increasing your limit, it is recommended that CompManagement review your program to assist you in determining the appropriate deductible.

While employers do not receive a premium discount for participating in the program, the payments an employer makes directly to medical providers are not included in the employer's experience rating. This decrease in claim costs charged to the experience can help in decreasing workers' compensation premium rates or keep an employer in group rating.

If you are interested in learning more about this program or are interested in seeing how the increase may impact your rates, please contact CompManagement's Rating and Underwriting Department at 800/825-6755.

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