Learning from structure fires

A fire in 2003 “took less than 5 minutes for fire to engulf The Station nightclub, packed with concertgoers, on Feb. 20, 2003. One hundred individuals died in the West Warwick, R.I., fire,” making it one of the deadliest nightclub fires of all time.

Mitigation

What to do?

  • Install a properly functioning sprinkler system.
  • The level of safety provided is not the result of any single safety system or feature, but rather is achieved through the combination of multiple safeguards that are provided.
  • NFPA code provisions mandate that a considerable number of safety systems and features be present in order to keep everyone safe should an unwanted fire occur.

What not to do?

  • The building that hosted The Station was not protected with any sprinkler system.
  • Fires in assembly occupancies have shown to be some of the most deadly — when the proper features, systems and construction materials were not present.
  • One single entrance/exit for a large number of people in one main space.

Safety Tips

Download the safety tip sheet.

Before you enter

  • Take a good look. Does the building appear to be in a condition that makes you feel comfortable? Is the main entrance wide and does it open outward to allow easy exit? Is the outside area clear of materials stored against the building or blocking exits?
  • Have a communication plan. Identify a relative or friend to contact in case of emergency and you are separated from family or friends.
  • Plan a meeting place. Pick a meeting place outside to meet family or friends with whom you are attending the function. If there is an emergency, be sure to meet them there.

When you enter

  • Locate exits immediately. When you enter a building you should look for all available exits. Some exits may be in front and some in back of you. Be prepared to use your closest exit. You may not be able to use the main exit.
  • Check for clear exit paths. Make sure aisles are wide enough and not obstructed by chairs or furniture. Check to make sure your exit door is not blocked or chained. If there are not at least two exits or exit paths are blocked, report the violation to management and leave the building if it is not immediately addressed. Call the local fire marshal to register a complaint.
  • Do you feel safe? Does the building appear to be overcrowded? Are there fire sources such as candles burning, cigarettes or cigars burning, pyrotechnics, or other heat sources that may make you feel unsafe? Are there safety systems in place such as alternative exits, sprinklers, and smoke alarms? Ask the management for clarification on your concerns. If you do not feel safe in the building, leave immediately.

During an emergency

  • React immediately. If an alarm sounds, you see smoke or fire, or other unusual disturbance immediately exit the building in an orderly fashion.
  • Get out, stay out! Once you have escaped, stay out. Under no circumstances should you ever go back into a burning building. Let trained firefighters conduct rescue operations.

Cited directly from nfpa.org

The 10 deadliest nightclub fires in world history

  • Cocoanut Grove nightclub, Boston, MA
    • November 28, 1942
    • Deaths: 492
  • Disco/dance hall, Luoyang, China.
    • December 25, 2000
    • Deaths: 309
  • KISS nightclub, Santa Maria, Brazil
    • January 27, 2013
    • Deaths: 242
  • Rhythm Club dance hall, Natchez, MS
    • April 23, 1940
    • Deaths: 207
  • Cromagnon Republic club, Buenos Aires, Argentina
    • December 30, 2004
    • Deaths: 194
  • Beverly Hills Supper Club, Southgate, KY
    • May 28, 1977
    • Deaths: 165
  • Ozone Disco Club, Quezon City, Philippines
    • March 18, 1996
    • Deaths: 160
  • Lame Horse Nightclub, Perm, Russia
    • December 5, 2009
    • Deaths: 154
  • Club Cinq, St. Laurent du Pont, France
    • November 20, 1971
    • Deaths: 143
  • The Station nightclub, W. Warwick, RI
    • February 20, 2003
    • Deaths: 10

NFPA files on major fire incidents. <https://www.nfpa.org/education-and-research/building-and-life-safety/nightclubs-assembly-occupancies#deadliest-fires>

“Disclaimer: Death tolls are based on information in NFPA’s records. Please contact us at research@nfpa.org to provide any updated information.

Cyber Insurance Options

2/4/25

Kyle Langan

Cyber insurance purchasers should look for  insurers offering to “pay on behalf of the insured.” This preferred contract language can present a challenge to find but it is available.

Example: We shall pay on behalf of the Insured, all Claim Expenses and Damages resulting from a Claim first made against any Insured during the Policy Period or, if exercised, during the Extended Reporting Period, first discovered during the Policy Period.

First Party Risk Considerations*

How should a company strategize for the following?

  • Cyber Incident Response
  • Business Interruption Loss and Extra Expenses incurred during restoration from a Cyber Incident
  • Digital Data Recovery Costs incurred, resulting from a Cyber Incident
  • Network Extortion Expenses incurred in response to a Cyber Incident

Third Party Risk Considerations***

  • Third party perils can arise from cyber, privacy, and network security liability. Properly written insurance through a company like Chubb can pay Damages and Claims Expenses by reason of a Claim made against an Insured during the Policy Period for a Cyber Incident which first occurs on or after the Retroactive Date and prior to the end of the Policy Period.
  • Perils can arise from Electronic, Social, Printed Media Liability. The right insurance can also indemnify for Media Incidents.

*First-party insurance is insurance that applies to the insured’s own potential loss. [1]

***Third-party risk is the risk of losses to third parties, usually insured under casualty or liability insurance. [2]

How insurance can respond

Coverage is afforded pursuant to the insuring agreements included in a policy, which vary from paper to paper. Insurance purchasers should look for these coverage triggers included below:

Information privacy

Information privacy liability: claim expenses and damages resulting from an information privacy wrongful act loss.

Regulatory liability: claim expenses, damages, including gdpr penalties, regulatory penalties, and regulatory assessments and expenses resulting from a regulatory claim, information privacy wrongful act.

Event response and management: technical response loss, legal services loss, public relations loss, notification loss, reward expense loss, and credit monitoring loss

Pci-dss liability: pci-dss penalties, pci-dss response expenses, and claim expenses resulting from a pci-dss claim

Network security

Network security liability: expenses and damages resulting from a claim for a network security wrongful act.

Event response and recovery: technical response loss, public relations loss, data recovery loss, reward expense loss, and system restoration loss incurred.

Business interruption

Direct business interruption: business interruption loss, extra expense, reward expense loss, and public relations loss incurred by the insured organization as a direct result of a system disruption

Contingent business interruption: we shall pay the insured organization for contingent business interruption loss, extra expense, reward expense loss, and public relations loss

Cyber extortion: Extortion loss, reward expense loss, and public relations loss incurred by the insured organization as a direct result of an extortion threat

Financial fraud

Social engineering: Fraudulent inducement loss and reward expense loss

Computer fraud: Computer crimes loss and reward expense loss incurred

References

[1]: IRMI Insurance Definitions. first-party insurance. IRMI. <https://www.irmi.com/term/insurance-definitions/first-party-insurance>

[2]: IRMI Insurance Definitions. third-party risk. IRMI. <https://www.irmi.com/term/insurance-definitions/third-party-risk>

Wildfire risk: AccuWeather’s forecasts

Monitoring wind threats in California

Jan. 13th, 2025

Kyle Langan

Dry winds

Veteran meteorologist Paul Pastelok leads a team of long-range forecasters that provide analysis of weather, and overall climate.

Example: Storm develops offshore from Southern California, paired with high pressure centered over the West. This can bring high-velocity winds, which may pose fire risk even in the most urban areas of L.A. [1]

Gusty conditions, low humidity levels

Santa Ana Season starts in October, on average, and goes through January, sometimes getting into the start of February. [2] Even in winter time, CA can still remain dry, windy and sometimes hot. On their SoundCloud podcast, Pastelok and Joe Lundberg provide continuous guidance for concern of winds lining up for an offshore presence. [3]

Storms off the Pacific Coast can determine magnitude and timing of winds according to the Lead Long-Range Forecaster, Pastelok. [4] AccuWeather uses Local StormMax™ for wind events, set at 100 mph, for example.

Combustible material

Our team has tracked analysis from AccuWeather since the 2022-2023 winter season. Forecasts expected the 2023 fire season to fall in line with average, with increased exposure in a few hot spots. [6] The Palisades, Altadena and other wildfires/firestorms within SoCal in January 2025 presented another tragic for risks from fire and other natural disasters.

Late 2022, early 2023: California saw record-breaking snow water contents. This precipitation delayed the onset of wildfire season, and inherently increased the total amount of combustible material, also known as fuel load. The precipitation led to intense growth during the spring and first part of the summer (2023), resulting in more fuel for fires later. [7]

Fast forward to dry times: Lightning can naturally ignite fires, like in the August 2020 California lightning siege. Santa Ana Winds can then fan flames of blazes and cause them to evolve rapidly into massive wildfires. However, nearly 90% of fires are caused by humans in some way (example: electricity power lines), and due to this fact, predicting wildfire tolls and acreage is very difficult. [8]

The January 2025 conditions in California resembled the conditions leading up to the 1980 South Australian bushfires: Late February 1980 saw a virtually rainless summer, parlayed with a very wet spring in 1979 prior to the drought conditions. Then 3 years later, February 16th, 1983 was an absolute disaster in South Australia — half a million acres or 2,080 kmburned, killing 75 people. [9]

Areas that need strategic preparation

The interior Northwest and the northern Rockies face wildfire risk: Washington, Oregon, Idaho, Montana, Northern California and northern Nevada may confront exposures because fires are always reasonably expected in times like June or the first half of July. However, this “region’s peak of wildfire activity” is usually July into early September.” [10]

Many of these areas likely already have scheduled “prescribed burns,” or intentional power outages, especially in conditions of severe drought and extreme weather like Australia can experience.

The Florida Peninsula can experience brush fires in the spring with any drier-than-average conditions. [11]

Alaska has led the country in wildfire activity in past years, with nearly twice the amount of land in Delaware burned in 2022 from wildfires. However, a fire season is more defined on the impact to the public and not by the acreage burned,” Pastelok says. [12]

“There is no better example of this sentiment than the 2018 wildfire season when the Camp Fire raged in California. The blaze scorched 153,336 acres and burned the city of Paradise, California, to the ground, killing 85 people to become the deadliest wildfire in the U.S. in 100 years. It also destroyed more than 18,000 structures and forced 52,000 people from their homes.” [13]

References

Danielle, M. (2025, January 13). Death toll climbs to 24 and thousands of structures destroyed in California wildfires. Palisades Fire in California rages out of control. https://www.accuweather.com/en/weather-news/palisades-fire-in-california-rages-out-of-control/1731028

Glenny, A. (2025, January 13). Intense Santa Ana winds to resume early this week around Los Angeles. https://www.accuweather.com/en/weather-forecasts/intense-santa-ana-winds-to-resume-early-this-week-around-los-angeles/1732922

[1-3]

[2, 6-8]

Lada, B. (2023, April 12). AccuWeather’s 2023 US wildfire forecast. Retrieved from https://www.accuweather.com/en/weather-forecasts/accuweathers-2023-us-wildfire-forecast

[9]

“About Ash Wednesday”Country Fire Authority Victoria, Australia. Archived from the original on 23 March 2008.

Bureau of Meteorology“Climate Education: Ash Wednesday, February 1983”. Australian Government. Archived from the original on 8 August 2013

[10-11]

Term of the week: Fuel load. interfire.org. Retrieved from https://www.interfire.org/termoftheweek.asp?view=all

 

Using Watch Duty: Wildfire Maps to monitor Red Flag Warnings

1/9/25

Kyle Langan

What is a “Red Flag Warning?”

National Weather Services Red Flag Warnings indicate warm temperatures, very low humidities, and stronger winds, that can combine to produce an increased risk of fire danger. [1]

California

The historic 2022-2023 winter brought a growth in fuel load.

In late 2022, early 2023, California saw one of the deepest snowpacks in state history. [3]  Then it grew the total amount of combustible material, also known as fuel load. [4] The precipitation acted as ammunition for “intense growth” during the spring and first part of the 2023 summer, resulting in more fuel for fires later. [5]

Other Wildfire Zones

The interior Northwest and the northern Rockies can face a high risk of wildfires; these areas need strategic preparation. Finally, Alaska sees volatile wildfire activity, with 3 million acres burned in 2022.[6]

References

[1] WATCH DUTY. www.watchduty.org

[2] Castleman, et al. Los Angeles Times. (2025, January 9). Thousands of homes destroyed or damaged in Palisades Firestorm, Lafd Estimates. Los Angeles Times. https://www.latimes.com/california/story/2025-01-09/even-after-a-two-day-nightmare-l-a-girds-for-more-days-of-fire-weather

[3-4,6-7] Lada, B. (2023, April 12). AccuWeather’s 2023 US wildfire forecast. Retrieved from https://www.accuweather.com/en/weather-forecasts/accuweathers-2023-us-wildfire-forecast/1510132

[5] Term of the week: Fuel load. interfire.org. (n.d.). Retrieved from https://www.interfire.org/termoftheweek.aspterm=1156#:~:text=Fuel%20load%20is%20quantified%20in,materials%20into%20the%20fire%20area).

Improving auto risk mitigation on dangerous roads

1/6/25

Kyle Langan

The cost of risk mitigation

Risk mitigation inherently comes at a cost. Mark Spitznagel says we “lower our risks and it costs us money, but hey—we’re able to sleep at night.” [1]

Auto risk mitigation tactics can be reactive. A tactical approach may wait for one or more accidents to occur before realizing a dangerous road has a problem needing a solution.

Example: Broad Street in Philadelphia, PA

Philadelphia was lucky that no pedestrians were injured or killed on Friday night, 12/27

On the Friday after Christmas, the Broad St at Cherry St area was missing a strategic allocation of closed streets and police traffic direction to prevent a loss. Center city Philadelphia looked dangerous for pedestrians as it saw roughly 20,000 attendees on foot near the PA Convention Center, which hosted its “Hijinx” concert on Friday, Dec 27th and Saturday, Dec 28th.

Tactical vs. Strategic mitigation

Last summer, Aaron Moselle coined Broad Street “Philly’s most dangerous roadway.” [2] It has 6-lanes: 3 going north, 3 going south, with a 25 MPH speed limit. Many drivers go 30 MPH and higher. A walking pedestrian can witness these speeds practically while on a visit to City Hall.

At half-way point of 2024: Philadelphia was on pace for 102 deaths resulting from traffic crashes, nearly half of them were pedestrians. [3]

Frequency ~ 51 pedestrian accident deaths per year in Philadelphia

How might pedestrian victims’ families feel afterward? Imagine the last time parents see their child is Christmas day, and before the New Year arrives, their child is killed by an auto collision.  The occurrence of an auto collision is quite easy to envision with 20,000 additional pedestrians in a highly concentrated circumference around the PA Convention Center. A lack of vigilance from convention center attendees can also bring concerns. Finally, an event may bring even more indirect pedestrians, e.g. individuals selling merchandise to the attendees.

The best outcome in a hypothetical auto accident results in a simple fender bender handled by two properly-insured parties, to repair their damaged autos. The worst outcome is one of the 51 annual pedestrians struck and killed by an auto in Philadelphia.

Tactically, Philadelphia may respond to the hazard with more police cars the next day. However, a strategic mitigation plan would have the surrounding area of the Convention Center proactively shut down for the entire duration of the event.

Broad Street should implement the following strategic mechanisms

Recommendations for the Broad St at Cherry St Area during large events at the PA Convention Center:

  • Lower speed limits;
    • Recommendation: 20 MPH (20% reduction)
  • More police cars focused on traffic stops for speed, reckless driving and DUI concerns;
    • Recommendation: Pinal County, AZ sets a great example for this, and documents it publicly
  • Full streets or certain blocks get shut down for the duration of the event bringing increased pedestrians;
    • Recommendation: Downtown Miami, FL has practical experience successfully organizing this for its’ event, “Ultra Music Festival”

The Most Important Risk Transfer?

The pace for over 100 auto-related deaths in one city per year shows why Auto Insurance remains the most important kind to purchase. Autos move, and humans operate them. This is why any owner of autos should partner with an expert to confirm adequacy of Auto Insurance, especially for a commercial fleet.

Conclusion: Strategic mitigation is critical

Strategic risk mitigation: Close immediately surrounding streets of a large concert venue proactively, for a defined time; communicate in advance of the event. Street signs should make drivers aware. A temporary street sign may read “SOME STREETS CLOSED; CAUTION: SLOW FOR INCREASED PEDESTRIANS.”

Example: Ultra Music Festival in Downtown Miami, FL

References

[1] Bradley, R. (2023, September 20). Universa’s Mark Spitznagel on making money while markets crash. Worth. https://worth.com/universas-mark-spitznagel-on-making-money-while-markets-crash/

[2, 3] Moselle, A. (2024, July 8). PPA is getting ready to install speed cameras along Philly’s most dangerous roadway. WHYY. https://whyy.org/articles/philadelphia-speed-cameras-broad-street-traffic-safety/

 

Strategic Mechanism for Product Recall

Intervention Brings Product Liability, Recall Risk for Manufacturers

Kyle Langan, 2024

Manufacturers intervene to provide a quantity of supply for a product’s market. However, the process can lead to unforeseen consequences (sometimes it is only unforeseen for the consumer, like the case of Semaglutide). [1] This intervention by the manufacturer can cause a bodily injury worse than the matter it tried to heal in the medical or treatment fields. Iatrogenics refer to this risk, harm caused by the healer [2]; near-death was the Semaglutide reaction, as alleged by a 62-year-old woman, Juanita Gantt. [3]

Commercial General Liability insurance will respond to this type of claim on behalf the manufacturer, so long as the insurer had a transparent understanding of the risk it underwrote at the time of the contract’s purchase. An experienced risk manager can validate the language in the contract, confirming it protects the company properly. This must happen at the time of the insurance purchase, rather than at the time of the loss.

Tactical Response or Strategic Risk Transfer?

A tactical response from the manufacturer could worsen its situation. However, if strategic, its response could prove successful. For example, a successful strategy will almost certainly include a risk transfer mechanism. If it is a very large enterprise, the transfer may come in the form of a captive or risk retention group. However, more practically for middle market or small commercial entities, manufacturers will buy Product Recall Insurance.  This policy allows the manufacturer to hit the panic button right away, and react swiftly with its pre-determined strategy.

Any entity that designs, manufactures, distributes, retails, and imports/exports products should consider Product Recall insurance for the successful preparation and deployment of a product recall. After an agreed upon Self Insured Retention is met by the policyholder, vital post-event consultation during the lifecycle of a recall is indemnified by the insurer who wrote the contract, subject to the agreed terms. The interruption, i.e. suspension, slowdown, cessation, shut down of business activities arising out of a covered loss are also paid for or reimbursed with indemnity.

References

[1] Page, M. (2024, September 6). Ozempic Maker sued over claims weight-loss medication led to Woman’s Colon Removal. The Independent. https://www.the-independent.com/news/world/americas/ozempic-side-effects-colon-lawsuit-b2608329.html

[3-4] Schimelpfening, N. (2024, September 10). Ozempic: Woman claims weight loss drug led to colon removal. Healthline. https://www.healthline.com/health-news/ozempic-maker-sued-colon-removal

[2] Taleb, N. N. (2012). Antifragile. Penguin.

[1] WebMD. (n.d.). Mounjaro, Ozempic, Wegovy, Zepbound: How do they differ? WebMD. https://www.webmd.com/obesity/mounjaro-ozempic-wegovy-zepbound-difference

The Rising Tide of Product Liability

The Rising Tide of Product Liability

September 27th, 2024 by Jerry Conrey and Kyle Langan

What Manufacturers Need to Know:

Are U.S. manufacturers playing in a high-stakes game? Recent statistics show that product liability verdicts have skyrocketed by 50% over the past decade, with a staggering median verdict of $36 million in 2022. [1] As a manufacturer or merchant, understanding product liability is crucial to safeguarding your business and reputation.

What is Product Liability?

Product liability refers to the legal responsibility that manufacturers and merchants face due to bodily injury or property damage caused by their products. [2]  Many companies turn to casualty insurance to mitigate financial losses proactively.

The Importance of Proactive Risk Management Strategy

For manufacturers, addressing product liability requires a strategic approach. The strategies must carefully manage operational risks, including product liability and recalls, to prevent costly repercussions. A well-structured product recall plan, and a proactive risk management team, can make the difference in preparing your company for unforeseen challenges.

Take Control of Your Risk Mitigation

As a manufacturer, how you respond to claims can either worsen the situation or pave the way for recovery. Tactical reactions often leads to hasty decisions, but with the right preparation, your company can navigate these challenges effectively and strategically.

  • Assess Your Risk: Analyze your distribution data and loss frequencies to understand potential vulnerabilities.
  • Develop a Response Plan: Prepare your management team to issue apologies, consider product recalls, or take corrective actions as needed.

Let Us Help You Navigate the Complexities

The landscape of product liability is dynamic, and having a dedicated risk management team can help you stay ahead of the curve. If you are feeling overwhelmed or uncertain about your current risk management strategies, do not hesitate to reach out. Our team of professionals is here to assist you in developing a robust plan tailored to your specific needs.

Contact us today to discuss how we can help you mitigate risks in the product liability domain. Together, we can prepare your company for whatever challenges may arise. Do not leave your future to chance—take action now!

References

[1]

Silverman, C., & Appel, C. E. (2024, May 30). Nuclear verdicts: An update on trends, causes, and solutions. ILR. https://instituteforlegalreform.com/research/nuclear-verdicts-an-update-on-trends-causes-and-solutions/

[2]

Product liability. IRMI. (n.d.-b). https://www.irmi.com/term/insurance-definitions/product-liability

New DOL Rule’s Impact on Workers Compensation

Ever discovered a misclassification at the time of a work comp audit? If workers get misclassified as independent contractors, consequences will occur when they are determined as uninsured employees. However, because there is not one single test to evaluate independent contractor status for all purposes, employers may face complexity in their compliance efforts. [1]

To sharpen its focus on the gig economy, the DOL instituted tests for verification as a true independent contractor. Further, misclassification can lead to significant liability, because the FLSA requires employers to cater to their W-2s. For example, full-time employees are entitled to various statutory benefits. [2]

“Failure to properly classify workers can result in substantial damages and penalties (even if unintentional)”, including workers’ compensation insurance obligations — our focus here. [3] To avoid these damages and penalties, an attentive risk manager can validate the insurance implications for you, helping to solve the problem. When addressing work comp exposures, the criteria need to have full accuracy before the loss arises; it cannot get corrected after a loss arises with an uninsured team of employees or contractors.

Economic Reality Test, for Independent Contractor vs Employee [4]

  1. Opportunity for profit or loss depending on managerial skill
  2. Investments by the worker and the employer
  3. Permanence of the work relationship
  4. Nature and degree of control
  5. Whether the work performed is integral to the employer’s business
  6. Skill and initiative. [5]

Therefore, an employer can require a worker to be truly independent, meaning they purchase their own workers’ comp insurance (and General Liability). However, that worker needs to demonstrate clear independent contractor status through one of these six “Economic Reality Tests” established by the DOL.

Match these examples with #1-6 to test your knowledge

 

A. The Welders

Employee: A highly skilled welder provides welding services for a construction firm. The welder does not make any independent decisions at the job site beyond what it takes to do the work assigned.

Independent contractor: A highly skilled welder provides a specialty welding service, such as custom aluminum welding, for a variety of area construction companies. The welder uses these skills for marketing purposes, to generate new business, and to obtain work from multiple companies. The welder is not only technically skilled, but also uses and markets those skills in a manner that evidences business-like initiative. [6]

B. The Landscapers

Employee: A worker for a landscaping company performs assignments only as decided by the company for its corporate clients. The worker does not independently choose assignments, ask for additional work from other clients, advertise the landscaping services, or try to reduce costs. The worker regularly agrees to work additional hours to earn more money.

Independent contractor: In contrast, a worker provides landscaping services directly to corporate clients. The worker produces their own advertising, negotiates contracts, decides which jobs to perform and when to perform them, and decides when and whether to hire helpers to assist with the work. This worker exercises managerial skill that affects their opportunity for profit or loss. [7]

C. The Cooks

Employee: A cook has prepared meals for an entertainment venue continuously for several years. The cook prepares meals as decided by the venue, depending on the size and specifics of the event. The cook only prepares food for the entertainment venue, which has regularly scheduled events each week.

Independent contractor: A cook has prepared specialty meals occasionally for an entertainment venue over the past three years for certain events. The cook markets their meal preparation services to multiple venues and private individuals and turns down work from the entertainment venue for any reason, including because the cook is too busy with other meal preparation jobs. The cook has a sporadic or project-based nonexclusive relationship with the entertainment venue. [8]

D. The Graphic Designers

Employee: A graphic designer provides design services for a commercial design firm. The firm provides software, a computer, office space, and all the equipment and supplies for the worker. The company invests in marketing and finding clients and maintains a central office from which to manage services. The worker occasionally uses their own preferred drafting tools for certain jobs. In this scenario, the worker’s relatively minor investment in supplies is not capital in nature and does little to further a business beyond completing specific jobs.

Independent contractor: A graphic designer occasionally completes specialty design projects for the same commercial design firm. The graphic designer purchases their own design software, computer, drafting tools, and rents their own space. The graphic designer also spends money to market their services. These types of investments support an independent business and are capital in nature. [9]

E. The Nurses

Employee: A registered nurse provides nursing care for Alpha House, a nursing home. The nursing home sets the work schedule with input from staff regarding their preferences and determines the staff assignments. Alpha House’s policies prohibit nurses from working for other nursing homes while employed with Alpha House to protect its residents. In addition, the nursing staff are supervised by regular check-ins with managers, but nurses generally perform their work without direct supervision. While nurses at Alpha House work without close supervision and can express preferences for their schedule, Alpha House maintains control over when and where a nurse can work and whether a nurse can work for another nursing home.

Independent contractor: Another registered nurse provides specialty movement therapy to residents at Beta House. The nurse maintains a website and was contacted by Beta House to assist its residents. The nurse provides the movement therapy for residents on a schedule agreed upon between the nurse and the resident, without direction or supervision from Beta House, and sets the price for services on the website. In addition, the nurse provides therapy sessions to residents at Beta House as well as other nursing homes in the community at the same time. The specialized services to obtain work for multiple clients, not supervised by Beta House, sets their own prices, and has the flexibility to select a work schedule, all indicate independent contractor status. [10]

F. The Farm

Employee: A large farm grows tomatoes that it sells to distributors. The farm pays workers to pick the tomatoes during the harvest season. Because a necessary part of a tomato farm is picking the tomatoes, the tomato pickers are integral to the company’s business.

Independent contractor: Alternatively, the same farm pays an accountant to provide non-payroll accounting support, including filing its annual tax return. This accounting support is not critical, necessary, or central to the principal business of the farm (farming tomatoes), thus the accountant’s work is not integral to the business. [11]

Answer Key

A. Skill and initiative (#6)

This factor primarily looks at whether the worker uses their own specialized skills together with business planning and effort to perform the work and support or grow a business. The fact that a worker does not use specialized skills (for example, the worker relies on the employer to provide training for the job) indicates that the worker is an employee. [12]

B.  Opportunity for profit or loss (#1)

This factor primarily looks at whether a worker can earn profits or suffer losses through their own independent effort and decision making. [13]

C. Permanence of the work relationship (#3)

Nature and length: work that is sporadic or project-based with a fixed ending date (or regularly occurring fixed periods of work), where the worker may make a business decision to take on multiple different jobs indicates independent contractor status. Work that is continuous, does not have a fixed ending date, or may be the worker’s only work relationship indicates employee status. [14]

D. Investments by the worker and the employer (#2)

Does the worker make investments that are capital or entrepreneurial in nature? Investments by a worker that support the growth of a business, including by increasing the number of clients, reducing costs, extending market reach, or increasing sales, weigh in favor of independent contractor status. A lack of such capital or entrepreneurial investments weighs in favor of employee status. [15]

E. Nature and degree of control (#4)

Does the employer control hiring, firing, scheduling, prices, or pay rates, supervise the performance of the work, discipline workers; and takes actions that limit the worker’s ability to work for others? Where the potential employer maintains more control over these aspects of the work relationship, this factor weighs in favor of employee status. [16]

F. Whether the work performed is integral to the employer’s business (#5)

This factor primarily looks at whether the work is critical, necessary, or central to the potential employer’s principal business, which indicates employee status. [17]

Once the employees are determined, the following are included as payroll, as a basis for workers compensation insurance premium: [18]

  • Gross wages
  • Salaries
  • Commissions
  • All bonuses
  • Most profit sharing
  • Vacation, holiday and sick pay
  • Overtime (“straight time” portion only)
  • The market value of gifts
  • Automobile allowances (less reimbursement for documented expenses)
  • The following items are excluded from payroll when determining the basis of premium:
  • Meals or lodging (unless the classification phraseology specifically includes them or they are provided in lieu of wages)
  • Tips
  • Premium portion of overtime pay (the increase above the regular rate of pay)
  • Severance pay (except for accrued vacation, sick pay, commissions and bonuses)
  • Employer contributions to qualified insurance, stock or retirement plans
  • Stock options
  • The value of an automobile furnished to an employee
  • In addition, the following are not included as payroll for premium computation:
  • Employee discounts for merchandise
  • Residual payments for commercials
  • A uniform allowance. [19]

References

[1] – [3]

Brewer, M. E., Burnett, C., & Sharp , A. (2024, April 9). New DOL Rule Makes it Harder to Classify Workers as Independent Contractors (Plus a Quick Recap of the Key Misclassification Standards Across the US). The Employer Report. https://www.theemployerreport.com/2024/04/new-dol-rule-makes-it-harder-for-businesses-to-classify-workers-as-independent-contractors-under-the-flsa-plus-a-quick-reminder-of-the-key-misclassification-standards-across-the-us/

[4] – [17]

Employment relationship under the Fair Labor Standards Act (FLSA). DOL. (n.d.). https://www.dol.gov/agencies/whd/fact-sheets/13-flsa-employment-relationship

[18] – [19]

Payroll or remuneration. WCIRB California. (n.d.). https://www.wcirb.com/research-and-education/online-guide-workers%E2%80%99-compensation/standard-classification-system/payroll-or-remuneration

 

What is a Nuclear Verdict? Employment Practices Loss Example

Edited August 9th, 2024 by Kyle Langan

Are employers held accountable for their wrongful acts? Upon litigation, businesses have frequently encountered juries that are sympathetic to plaintiffs, making them more susceptible to nuclear verdicts ($10 million or more) [1].

QUESTION: What could have prevented or reduced the severity of this nuclear verdict example?

Example: Microsoft’s unfair employment practices

Location: California

Wrongful acts: Lower monetary bonuses and unfavorable performance reviews resulted in cases of pregnancy, a disability, or other family and medical reasons spanning 2017-2020 [2]

Settlement: $14,425,000 [3]

The settlement also required Microsoft to implement a series of proactive measures to help minimize similar incidents going forward [4]

Covered acts on an EPL policy: Discrimination; Retaliation [5]

ANSWER: Compliance risk mitigation. To ensure compliance, workplace policies should be regularly assessed to maintain compliance with fair employment laws and any other applicable federal, state, and local regulations.

i.e. Compliance with: The Family Leave and Medical Act (FMLA), California Family Rights Act (CFRA) Title VII of the Civil Rights Act of 1964 (Title VII) and the Fair Employment Housing Act (FEHA), The Americans with Disabilities Act (ADA)

Mitigation goals:

  • Purchase Employment Practices Liability Insurance
  • Establishing an employee handbook that includes appropriate policies
  • Encouraging employees to report all instances of discrimination and retaliation
  • Taking all reports of discrimination and retaliation seriously by following documented investigation and response protocols
  • Educating managers and supervisors on what constitutes retaliation and making it clear that such behavior is prohibited
  • Documenting all complaints, evaluations and situations that result in an employee’s termination

Sample policy language: Philadelphia

DEFINITIONS
A. Employment Practice Act means any actual or alleged:
1. wrongful dismissal, discharge, or termination of employment;
2. breach of a written or oral employment contract or implied employment contract;
3. employment related misrepresentation;
4. wrongful failure to promote;
5. violation of employment discrimination laws (including harassment);
6. wrongful deprivation of a career opportunity;
7. employment related wrongful discipline;
8. negligent employee evaluation;
9. employment related invasion of privacy;
10. employment related defamation (including libel and slander);
11. sexual or workplace harassment of any kind;
12. constructive discharge of employment;
13. employment related Retaliation;
14. employment related humiliation;
15. wrongful demotion;
16. negligent reassignment;
17. violation of any federal, state, or local civil rights laws;

Solely with respect to any Claim brought by or on behalf of any Third Party, Employment Practice Act means any actual or alleged wrongful failure to employ, discrimination, sexual harassment or violation of such Third Party’s civil rights in relation to such wrongful failure to employ, discrimination or sexual harassment, whether direct, indirect, or unintentional, committed by an Individual Insured in his/her capacity as an Individual Insured or by the Private Company.

References

[1] — [5]

Civil Rights Department, State of California (n.d.). Civil Rights Department reaches $14.4 million settlement with Microsoft over alleged parental and disability leave discrimination. CRD. https://calcivilrights.ca.gov/2024/07/03/civil-rights-department-reaches-14-4-million-settlement-with-microsoft-over-alleged-parental-and-disability-leave-discrimination/

 

Included or Excluded? Trustee Services, Insured vs. Insured Provisions in a Professional Liability Policy

Professional Services Coverage for a Trustee

Are Trustee Services covered within a Miscellaneous Professional Liability or Errors and Omissions (E&O) Policy for the following roles?

  • Trustee, Protective Committee, Investment Trustee, Distribution Committee, Successor Trustee Receiver, Agent of Record, Paralegal, Personal Representative/Executer, Power Of Attorney

The answer is yes, but not by default. For the nature of the services provided by the above roles, these entities should carry Professional Liability specifically for “Trustees E&O.”

Example: Distribution Committee

An endorsement can modify insurance provided under Miscellaneous Professional Liability Coverage, which specifically names the applicable “Trust;” “Named Trustee(s);” and “Trust Agreement.” The Trust Agreement is shown in the Schedule of Professional Services in this Endorsement for Trustee Services.

Definitions

  • Professional Services means Trustee Services provided by the Named Trustee(s) to others as designated under the terms of the Trustee Agreement.
  • Trustee Services means managing the assets and business affairs of the Named Trust by the Named Trustee, pursuant to the terms and conditions of the Trust Agreement. Beneficiary means any individual or entity designated under the Named Trust or that otherwise has a specified right to receive Trustee Services provided by the Named Trustee.

Insured vs. Insured

  • An insured versus insured exclusion is found in directors and officers (D&O) liability policies (and to a lesser extent in other types of professional liability coverage). [1] The exclusion precludes coverage for claims by one director or officer against another. [2]
  • The purpose of this exclusion is to eliminate coverage for four types of situations: (1) employment practice claims, (2) internal disputes/infighting, (3) claims involving collusion, and (4) claims by organizations against their directors and officers for imprudent business practices. [3]
  • However, in the context of Trustee Services, this exclusion shall not apply to any Claim brought by a Beneficiary arising out of his or her right to receive benefits from the Insured Trust, if such Claim neither relates to nor arises out of any actual or alleged Wrongful Act committed by such Beneficiary.

Likely excluded from coverage:

1) Banking or Investment Advice, Promises or Guarantees based upon, arising out of or attributable to any:

  • advice by an Insured in its capacity as, or the selection of, an investment manager, investment advisor or custodial firm;
  • advice, promise or guarantee by an Insured as to the future value of investments or property or specified rate of return or interest; or
  • advice by an Insured relating to investments, mergers, acquisitions, restructurings, divestitures or other investment banking services by an Insured;

2) Client Funds

  • based upon, arising out of or attributable to the Insured’s exercise of any authority or discretionary control with respect to any client’s funds or accounts;

3) Comingling of Funds

  • based upon, arising out of or attributable to any actual or alleged commingling or improper use of funds, accounts, premiums, fees, taxes, claims commissions or brokerage monies for which any Insured collected or should have collected on behalf of another person or organization; sums received by any Insured or credited to any Insured’s account which any Insured returned or should have returned to another person or organization; or any claim amount that any Insured paid or should have paid to another person or organization.

4) Investment Performance

  • based upon, arising out of or attributable to the failure of investments to perform as expected or desired.

5) Based upon, arising out of or attributable to the rendering or failure to render any:

  • legal, financial, auditing, accounting, tax, architectural, actuarial or engineering services; or
  • services as a securities broker/dealer or commodities broker/dealer.

6) Transfer of Funds, Monies or Securities

  • based upon, arising out of or attributable to the transfer or failure to transfer funds, monies, or securities.

7) Violation of Securities Rules, Regulation or Other Law based upon, arising out of or attributable to:

  • any actual or alleged violation of the rules and regulations of the National Association of Securities Dealers
    (“NASD”) or the Securities Exchange Commission (“SEC”) or any state securities regulatory agency; or
  • any actual or alleged use or disclosure of non-public information in violation of any securities or other law;
    All other terms, conditions, provisions and exclusions of this policy remain the same.

References

[1] – [3]

Insured versus insured exclusion. IRMI. (n.d.). https://www.irmi.com/term/insurance-definitions/insured-versus-insured-exclusion

Steadfast Insurance Company / Zurich. (n.d.). Professional Indemnity. Zurich: Commercial Insurance Products. <https://www.zurich.com/commercial-insurance/products/professional-indemnity>