Business Income Coverage and Extra Expenses

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Presentation transcript:

Business Income Coverage and Extra Expenses Ojel Rodriguez Partner and Head of Advisory Kevane Grant Thornton LLP

Agenda What is Business Interruption Insurance? Describe the features common to most business interruption forms What is covered under business interruption? What are "extra expenses"? Cover a few key terms in BI Insurance Loss determination

“When it comes to Business Interruption, 50% of the policyholders out there are under-insured and the other 50% are over-insured. So you either do not have enough coverage or you are paying too much money for your policy.” – A wise man

What is business interruption insurance? A form of commercial property insurance coverage that reimburses business income lost as a result of an event that interrupts the operations of the business, such as, fire or a natural disaster Business interruption insurance (BII) pays for income lost because of the interruption of business or the extra expense necessary to keep the business going after a loss Simply put, it is there to make a property loss as seamless to your income statement as possible

Chronology of a Business Interruption claim Time of Loss Period of Restoration Extended Period of Indemnity Income

Who needs business interruption insurance? A business that needs property insurance also needs BI insurance Business interruption insurance is normally added to a property/casualty policy or included in a comprehensive master package policy but can also be bought as a separate policy Must be a “necessary” interruption Must result from an “Actual Loss Sustained” Definition of terms will be discussed later in the presentation.

Common optional BI coverages What is being covered? The basics Business Income - Net income (before tax) Necessary continuing expenses (including payroll) Common optional BI coverages extra expense extended period of indemnity (extended business income) contingent business interruption (dependent property)

Business interruption additional coverages (optional) Utility Services Civil Authority – Ingress/Egress Coverages Loss of Market Exclusion / Wide Area Impacts Loss Adjustment Expenses – Claim Preparation Fees

Key term: "Business Income"

Examples and not examples of "necessary continuing expenses" mortgage payments rent property taxes salaries equipment leases insurance premiums service contracts ordinary payroll interest and bank fees utilities that do not continue raw materials repairs and maintenance supplies discounts; bad debts prepaid freight returns and allowances And any other expense that you cannot get out of despite the loss incident.

How is coverage triggered? Must start with a "Covered Cause of Loss" At an insured location For an incident that occurred during the policy period

A few key terms – Period of Restoration

A few key terms – Extended Period of Indemnity (Business Income) Definition: Actual loss incurred, beginning on the date the property is actually repaired, rebuilt of replaced and the operations resumed. Ending the date the operations are restored to a level before the damage or 60 consecutive days. It could be extended up to 60 or 120 days.

Key term: "Extra expense" Those expenses incurred during period of restoration in excess of normal operating expenses that otherwise would not have been incurred if no direct loss covers only the extra charges (expenses) incurred to keep a business going in order to avoid or minimize business disruption Designed for business and professions that can continue at extra cost and must do so if possible Available as a separate coverage or within BI coverage Examples: fuel cost for emergency plant or emergency plant rental overtime payment rental of temporary premises while insured location is in restoration

Loss determination The amount of Business Income loss will be determined based on: The Net Income of the business before the direct physical loss or damage occurred; The likely Net Income of the business if no loss or damage had occurred. Excluding, increase in business income as a result of favorable business conditions caused by the covered loss; The operating expenses, including payroll, necessary to resume "operations" with the same quality of service that existed just before the direct physical loss or damage; and Other relevant sources of information, including: (a) Your financial records and accounting procedures; (b) Bills, invoices and other vouchers; and (c) Deeds, liens or contracts.

Who should be on the "claim team"? Internally Externally those who bought the policy and established the coverage limit: Risk Manager Finance Management Operations Management Insurance Broker or Agent Forensic Accountant/CPA Coverage Attorney/Counsel Professional expertise such as Engineer or Contractor

Questions & feedback