Risky Business

February 2008

 

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FYI:

-Mike Hammond

A 20 Year Milestone

2008 marks a significant milestone for MVRMA, its 20th year of operation! MVRMA was incorporated on December 1, 1988 as a non-profit municipal risk pool under Section 2744.081 of the Ohio Revised Code. It was formed during the 1980s insurance crisis when cities all across the country were either unable to obtain insurance or the cost was exorbitant.

A review of MVRMA's early files documents several months of study and evaluation prior to its formation. Initially, ten cities indicated an interest, and eventually, all but one of those cities became members.

Arthur J. Gallagher & Company (AJG) assisted with the development of MVRMA's pooling structure. On April 13, 1988, AJG presented a comprehensive proposal outlining the pooling structure, cost allocation, insurance coverage and steps to finalize the pooling arrangement. After several meetings of the steering committee, the project was deemed a "go." The six charter members were the cities of Beavercreek, Kettering, Miamisburg, Vandalia, West Carrollton and Wilmington. The first Trustees of the Association were Stephen Stapleton, Beavercreek; Michael Robinette, Kettering; John Weithofer, Miamisburg; Bruce Sucher, Vandalia; Tracy Williams, West Carrollton and Clifford Eveland, Wilmington. The charter members cited several advantages to the pooling arrangement, the most important being significantly better and broader coverage.

In April 1990, John Nielsen was appointed Risk Manager/Administrator of MVRMA and served until 1999. As Assistant City Manager at West Carrollton, John served on the steering committee and was one of the major promoters for the development of a risk pool.

Over time, MVRMA has proven to be a solid program. Careful underwriting and selective membership requirements have resulted in steady growth. Today, MVRMA has 20 member cities and is considered a premier regional risk management association. We are fortunate to have well-managed municipalities that place a priority on cooperative ventures in order to save taxpayer money.

Today's risk financing and pool exposures are far different that in 1988. The chart below details how the program has grown.

                                                                     1988                                       2008

Members                                                        6                                             20

Population                                                144,818                                  348,100

# Sworn FT Police                                      207                                          649

# Other FT Employees                               652                                        2,070

# Titled Vehicles                                         534                                        1,891

Insurable Property Values                 $64,000,000                         $847,418,767

Net Operating Expenditures              $54,753,102                        $385,918,674

Premium Contribution                          $887,000                              $3,997,709

Self-insured retention                           $250,000                                 $200,000 (property)

                                                                                                              $1,000,000 (liability)

MVRMA has now closed 12 of its 20 loss years and returned more than $4 million in dividends to its members. These refunds represent 47.8% of the money initially contributed to pay claims. As of December 31, 2007, MVRMA had on deposit $13,903,812 from all funds. The member equity or total net assets, as of December 31, 2006, was $7,203,587.

The early organizers wanted to maintain the best possible standards of risk management and risk pooling for all members of the association. They emphasized training and loss control practices and a commitment to the concepts of risk pooling and risk sharing. Members were rewarded for good loss experience and paid more when their loss experience increased. Those ideas became MVRMA and are as important today as they were in 1988.

 

 

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Counselors' Comments

 - Dinsmore & Shohl

Ohio Supreme Court Upholds Neutral Attendance Policies for At-will Employees

The Ohio Supreme Court recently modified its 2003 ruling in Coolidge, and in Bickers v. Western & Southern Life Insurance Company upheld the right of an employer with a neutral attendance policy to terminate at-will employees receiving temporary total workers' compensation benefits. As such, employment policies which allow for automatic termination after a maximum amount of leave, or which have point systems that count days missed against employees, can be applied to at-will employees without regard to whether the leave or missed days relate to a compensable injury. To prevail in a wrongful discharge claim, an at-will employee cannot succeed merely because he or she was terminated for absences related to a worker's compensation claim. Rather, he or she must now prove (under the workers' compensation statutes) that he or she was terminated in retaliation for filing or pursuing a workers' compensation claim.

The employee in Coolidge was a teacher discharged for absenteeism while she was receiving temporary total disability compensation for work-related injuries. The teacher was not an at-will employee--the school district employed the teacher under a contract governed by Ohio Revised Code Section 3319.16, which affords teachers protection from termination without "good and just cause." Since the work-related injury for which the teacher received temporary total disability benefits caused her absenteeism and inability to work, the Coolidge Court held that the school district did not have "good and just cause" for discharging the teacher under the statute. In Bickers, an at-will employee attempted to use Coolidge in support of a claim for wrongful discharge after she was terminated for absences related to her workers' compensation claim. The Supreme Court refused to extend the Coolidge policy to at-will employees, instead, limiting at-will claims for wrongful discharge to those based on retaliation under the workers' compensation statutes.

In so ruling, the Supreme Court recognized that Coolidge was a "logistical nightmare," which "prevented employers from managing their workforce to ensure production." It also created an opportunity for "malingering and abuse in the area of temporary total compensation," and effectively denied employers the ability to exercise their at-will employment prerogative by requiring them to hold open the jobs of injured employees for indefinite periods of time. The rule was particularly problematic for small employers with few employees who were unable to shift the duties of an injured employee to other employees.

The Bickers rule re-establishes employer control over staffing matters because it allows "at-will" employers to apply attendance policies equally and without exception. At-will employees terminated according to a neutrally applied attendance policy while receiving workers' compensation benefits have no common-law cause of action for wrongful discharge in violation of public policy. Workers' compensation statutes now provide the exclusive remedy for at-will employees claiming retaliatory termination in violation of rights conferred by the Workers' Compensation Act.

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The Claims File

- Craig Blair

2007 in Review

The total number of claims reported to MVRMA in 2007 was 375. Of those 375 claims, 21 were lawsuits, five of which were filed against 2007.

While all of these statistics were higher than normal, they need to be put in perspective. An increased number of claims can indicate problem areas that might need to be addressed directly with a particular city or department or for which additional training should be provided. But, it's lawsuits that most affect MVRMA's bottom line, and at this point, it's too soon to predict the outcome of these lawsuits. With regard to total claims paid, 2007 was not totally out of line when compared to the last few years. Refer to the chart below:

                                             Year Total                 Claims Paid

                                               2003                        $1,237,745

                                               2004                         $ 729,462

                                               2005                       $1,077,702

                                               2006                       $1,034,360

                                               2007                       $1,045,246

There were 31 open litigation files at the end of 2007, which is fairly consistent with our history. Our defense counsel had nine suits dismissed and settled twelve. While settling more claims than were dismissed was an aberration for MVRMA (historically 65% of our lawsuits are dismissed), there was only one significant settlement.

Subrogation Report

Subrogation, filing for reimbursement against third parties that damage city property, is one of the value added services provided by MVRMA. Please refer to the Subrogation Policy on page 4:04:01 of the MVRMA Handbook or call our office if you have questions. The chart at the left shows the history of subrogation activity for the period 1997-2007.

Loss Year                Claims/Year                 Avg. Collected

1997-2006                        37                                  $2,230

2007                                  33                                  $2,870

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Loss Control Lowdown     

Starr Markworth                   

Winter Driving Safety

Did you know that 30% of all fatalities in government services are road related? According to the National Safety Council, 35-44 year-old workers are most likely to die on the road. Since a majority of city employees fall into that age group, driving safety becomes extremely important.

From November-April, public service employees must deal with the unique safety hazards associated with winter road maintenance and snow plowing. It is important to remember that each loaded snowplow may weigh up to 50,000 pounds; thus making stopping a difficult task. With a salt load that is continuously becoming lighter, knowing your vehicle's stopping capability is a key to safe driving. During rainy driving conditions, the distance needed to stop safely increases by 50%. But, snowy surfaces require two times the normal stopping distance, and icy surfaces require three times the normal stopping distance!

Motor vehicle accidents are the number one cause of death in winter storms. Before you drive in severe winter weather, please take the time for a few safety precautions:

l Let your vehicle warm up for a few minutes.

lClean the entire car/truck before you begin to drive.

l Make sure all lights work and are clear of ice and/or snow.

l Clean ice and snow off windshield wiper blades.

lCheck the horn; adjust mirrors and test brakes.

And, don't be in a hurry. The number one cause of winter driving accidents is driving too fast.

Please contact me at 937/438-8878 or by email smarkworth@mvrma.com to get more information or to borrow one of several winter safety video/DVDs in MVRMA's training library..

Do your part to make this winter the safest yet.

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Brokers Beat

Employers' Liability

While often referred to as Stop Gap or Coverage B, this type of coverage is also known as Employers' Liability. In most states, an employer purchases Employer's Liability as part of its Workers' Compensation insurance package. However, Ohio is a monopolistic state, and the only coverage the Bureau offers is the workers' compensation portion of the coverage that includes payments for medical expenses and disability insurance for employee injuries, and life insurance. This portion of the coverage is sometimes referred to as "no-fault" because payments are made on behalf of the employer regardless of negligence. As a part of this "no fault" coverage, the employer is generally exempted from liability.

There are, however, some infrequent situations where the employer can be held liable as a result of injury or death of an employee, and thus the need for Employers' Liability coverage. In these situations, the claimant is most often not the employee, but rather a family member or another employer under subrogation actions. There are five liability situations where Employer Liability claims can come forward:

1) third-party-over actions; 2) consequential injury (loss of consortium, loss of services, etc.) to an injured employee; 3) dual capacity claims; 4) intentional tort claims and 5) claims for injury or disease not covered by workers' compensation laws. It is probably not necessary to go into detail for each category but rather summarize by saying that coverage under these actions is not intended by the Ohio Bureau of Workers' Compensation. Additionally, there is a situation peculiar to the State of Ohio referred to as "substantially certain to occur" claims that can also fall into the Employers' Liability scope of coverage.

As mentioned earlier, in most states, an employer purchases Employers' Liability as a part of its Workers' Compensation package. Because this coverage is communally available as a part of most Workers' Compensation policies, it is for the most part excluded under the standard General Liability policy forms. Ohio employers must make alternative arrangements for Employers' Liability coverage.

In the case of MVRMA, the pool General Liability coverage has had an Employers' Liability exception in place for a number of years. In addition, as a part of the coverage review that took place in 2007, the liability coverage document was amended to clarify the intent to provide coverage for "substantially certain to occur" claims.

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Management Tips

MVRMA's three-month Supervisory Training has been very well received and attended. To compliment this course, we will try to include helpful management articles from time to time. Following is an article excerpted from Harvard Business School's Working Knowledge.

Good managers want to see high levels of motivation, creativity and performance from the workers in their charge, but often times it's the little things managers do or don't do that prevent this. There are three main things managers should keep in mind:

1. People have incredibly rich daily inner work lives - meaning that emotions, motivations and perceptions permeate their daily work experience.

2. People's feelings powerfully affect their daily work performance.

3. Those feelings, the ones that are so important in terms of daily work performance, are greatly influenced by daily events.

The lesson: People's moods are highly indicative of whether they will perform well and exercise creativity at work. Workers in good moods tend to have more flexible and original thinking.

To prove this lesson, we suggest you: Try These Tactics:

l Give workers emotional support.

l Monitor workers in a positive way (giving positive feedback).

l Recognize workers publicly.

l Consult respectfully with workers about what should be done.

l Collaborate - that means you roll up your sleeves and get busy doing exactly the same things your workers do.

Avoid These Tactics

l Over- or under-specification of assignments

l Negatively monitoring a situation (that means avoid checking in too often or not often enough and holding back any unconstructive feedback)

l Provide too little problem solving, or worse, actually create more problems for your workers.

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From the Board Room   

At the December 17, 2007 Quarterly Board Meeting, the following actions were taken:

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

- Accepted the Claims Audit

- Approved the amended Claim Reporting Policy

- Approved the 2008 Liability Coverage Document

- Approved the 2008 Liability, Crime and Bond renewals

- Approved the 2008 Final Expenditure Budget, PCF and Objectives

- Approved the Public Records Policy

- Retroactively authorized the Executive Director to execute a 5-year Depository Agreement with Fifth Third Bank

- Authorized the Executive Director to execute a new agreement with CompManagement to serve as TPA for the Workers Comp Group Rating Program

- Reelected the current officers to serve in 2008 as follows:

Sue Knight, Troy-Pres.

Tom Reilly, W. Carrollton-V. Pres.

Mark Schlagheck, Centerville-Treas.

Julie Trick, Vandalia-Sec'y

- Approved the 2008 Quarterly Board Meeting dates as follows:

Monday, March 17

Monday, June 16

Monday, September 29

Monday, December 15

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Computer Dos and Don'ts

When working at a computer for long periods, it's important to follow good general health rules. Included below are a few suggestions:

1. To prevent neck and shoulder strain, the shoulders should be in a position where they are relaxed and the mouse and keyboard should be on the same level as the elbows.

2. Watch the position of your hand when using the mouse or trackball. It should be flat and not bent up, down or to the side. Be careful not to hold the mouse with your hand pointing toward your little finger.

3. Avoid using unnecessary pressure when pressing the keys or clicking the mouse. Touch the keys rather than "hitting" them.

4. Use keyboard shortcuts rather than using the mouse.

5. Sit back in your chair with your hips and thighs evenly supported.

6. Let the chair's backrest support your lower back. Avoid leaning forward or to one side for long periods where you will not be supported by the backrest.

7. Position the monitor height and angle so that it can be seen easily without excessive bending of the neck or movement of the eyes.

8 When reading the screen, you should rest your arms on well-padded armrests - either on your chair or desk and level with your elbows.

9. Get up and move around every once in a while. Discomfort and eyestrain are significantly lower with supplemental breaks. Your body needs these little breaks to recover. Remember move, move, move!

10. Ensure your computer screen is in the proper location and that lighting is appropriate.

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Turn up the Energy...

This time of year, many of us get the blahs and feel a little rundown. But just five minutes a day can give you the energy boost you need to work through those feelings. You simply need to...

Refuel. Snack on some dried fruit, an apple or a handful of nuts.

Breathe Deeply. It will help you focus and feel calmer.

Imagine yourself in a peaceful scene or favorite vacation spot. Close your eyes for a few minutes - maybe you'll even be able to "hear" the breezes blowing or the waves rolling in.

Splash some cold water on your face. This will be invigorating and definitely snap you out of the doldrums!

Pop a mint. Mint flavors are stimulating.

At the end of the day, consider all the good things that happened. You'll realize how much went right and look forward to tomorrow.

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