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Tort
Reform In PA
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2
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Fine
Tuning of Federal Laws
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3
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Asbestos:
The Continuing Insurance Malady
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3
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Perception
vs. Truth (Cont.)
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3
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Terrorism:
Insurance Industry and Government Response
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4
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Response
Key to Juror Poll
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4
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Asbestos litigation which had
started in the 1970s and caused the insurance industry to unequivocally
exclude coverage for this exposure, continues to this day to provide an
imposing challenge.
One example is the St. Paul
Companies which most recently settled such claims in the amount of
$975,000,000. In addition, PPG Industries finalized a settlement on the order
of $2.7 billion. Through the years, there have been multiple defendants in
asbestos-related actions. A new set of defendants, in recent years, has
resulted in further liabilities to the industry.
(Continued on page #)
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Tillinghast, in a 2001 report,
estimated that US Insurers would be responsible for up to $65 billion in
settlements. In addition, AM Best & Company (an insurance rating
organization) increased its industry estimates from $40 billion to $65
billion in recognition of recent legal transactions. AM Best had
preliminarily estimated that insurers increased their reserves for
asbestos-related liabilities by $2 billion (though a $4 billion increase
appeared to be in order).
St. Paul Companies had its AM
Best rating reduced from “A+” to “A”.
Hoo boy, more challenges for the
insurance industry…
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Recently,
the courts have reviewed and ruled upon several aspects of Federal Law. These
include:
· You
may recall, in a previous issue, a reference to Chevron USA, Inc. vs. Mario Echazabal. In
this case, the 9th US
Circuit Court of Appeals ruled that the employer was obligated to provide Mr.
Echazabal a position in a refinery – despite the fact that medical evidence
showed that such a position would aggravate his liver condition. By this
judgment, an employer would be in a “rock or hard place” position. Hiring the
individual would place the affected worker (and possibly co-workers) at risk
which could lead to a workers compensation or tort action. Not hiring the
individual, within these parameters would offer the possibility of a
discrimination suit.
The
Supreme Court, however, in a June 10th
ruling overturned the 9th’s
Circuit decision. They reinforced the employer’s position as being sound and
an equitable resolution of an apparent conflict of laws. Thus, a victory for
employers.
· The
Equal Employment Opportunity Commission has formally abandoned its policy of
invoking age discrimination charges against employers who provide less
advantageous health care benefits to retirees (who are eligible for Medicare)
than to younger retirees. The EEOC has issued new
(Continued on page #)
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(Continued from page #)
enforcement guidelines on this point. The
designing of a healthcare plan to accommodate a retiree’s Medicare benefits
is an efficient and practical measure. Thus, a victory for employers.
· The
3rd US Circuit Court of
Appeals, in a May 29th
decision, elaborated on “Reasonable Accommodation” in Howard Shapiro vs. Township of Lakewood. In
this case, Mr. Shapiro injured his back while working and requested an
alternative – lighter duty – position within the company. Lakewood had a
traditional practice of mandating that employees need to respond to company
job opportunities that are posted.
Lakewood indicated that a special accommodation for Mr. Shapiro, which would
breach this common practice, was not a reasonable accommodation. This placed
a greater emphasis on the need to accommodate an individual versus standing
on a neutral, business policy. The court held that the policy infraction would not be construed as an “undue
hardship” to the employer. Employers, therefore, needs to partake in an
“interactive process” with the employee in discerning the availability of
alternative jobs. The ruling does not allow for an employer to automatically
stand upon a given business practice. This ruling places more of a
responsibility on the employer to fulfill this ADA requirement.
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Then,
there is the risk associated with the system of
justice itself – overall a good system but one with subjectivity. Some of
these perspectives are inherent in the prejudices of human nature itself.
So, be forewarned – you may get the justice that you want..… but as seen
through the eyes of the public.
This poll appeared in Best’s Review in the May, 2002 issue. This was
reprinted with the publishers permission
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As of mid-June, their remains an
open question as to the role of the Federal Government in supporting the
insurance industry for the terrorism peril.
The US House had passed a
measure in November, 2001 which established a loan mechanism by the Federal
Government to the insurance industry in the event that a terrorist loss
exceeded a certain threshold.
A more recent bill in the Senate
– the Terrorism Risk Insurance Act of 2002 – goes a another step. This bill
would charter the Federal Government as a reinsurer to the insurance industry
– in other words, accepting part of the risk – in the event of a terroristic
calamity. The industry would need to sustain a loss in excess of $10 billion
for the reinsurance to be actualized.
Several consumer groups,
however, are hoping that the Federal Government does not respond in any way.
Their feeling is that
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citizen’s taxes should not be
used to subsidize a risk which the insurance industry should be capable of
accommodating. For example, they point to pollution liability-related claims,
in past years, which ultimately was responded to by the insurance industry
with the development of a new genre of insurance.
At this point, it is anybody’s
guess as to what the Federal Government’s role will be – if any. In the
meantime, many carriers are invoking terrorism exclusions on their policies.
Such exclusions stipulate that coverage will not apply in the event that property
damage exceeds $25,000,000. In addition, under General Liability, coverage
would not apply in circumstances where 50 or more individuals are seriously
injured or killed.
This latter exclusion is one of
the most unusual in the history of insurance.
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1. Agree 71%
Disagree 29%
2. Employee 88%
Employer 12%
3. Agree 69%
Disagree 31%
4. Agree 11%
Disagree 89%
5. Agree 10%
Disagree 90%
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Editor-in-Chief: Frank Menna
Chief Writer: Goethe
Printer: Benny Guttenberg Key Grip: Valerie
Metzger
Equip. Mgr: Karen Mulhern
Sports Writer: Melissa Murphy
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(Continued from page #)
6. Agree 72%
Disagree 28%
7. Yes 17% No
83%
8. Agree 82%
Disagree 18%
9. Agree 28%
Disagree 72%
10. Agree 83% Disagree
17%
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(Continued from page #)
11. Agree 92% Disagree
8%
12. Agree 91% Disagree
9%
13. Agree 14% Disagree
86%
14. Agree 88% Disagree
12%
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