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BUSINESS INTERRUPTION CLAIMS COVERAGE – BASIC CONCEPTS Willis Risk Control and Claim Advocacy Practice March 23, 2015.

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Presentation on theme: "BUSINESS INTERRUPTION CLAIMS COVERAGE – BASIC CONCEPTS Willis Risk Control and Claim Advocacy Practice March 23, 2015."— Presentation transcript:

1 BUSINESS INTERRUPTION CLAIMS COVERAGE – BASIC CONCEPTS Willis Risk Control and Claim Advocacy Practice March 23, 2015

2 Speakers John Bobo South Region Technical Claim Manager Willis North America Bill Warren, CPA, CGMA Partner-in-Charge RWH Myers, Atlanta, GA.

3 Agenda What is Business Interruption insurance? What triggers Business Interruption coverage? How is a Business Interruption loss measured? Additional Coverage's What to do when a loss occurs

4 What is Business Interruption Insurance? provides for the maintenance and stability of the income (revenue) statement, comparing projected results with actual results after a loss. “Do for the organization what it should have done for itself, had no loss occurred. DOAS will reimburse the Actual Loss of Income Sustained, less any non-continuing expenses and charges…..

5 Must have a Property Trigger – must be a covered loss to a covered location under the policy “must be to insured property by a Covered Cause of Loss” Loss Measurement (clarification between BI and Extra Expense) Deductibles and Retentions – “72 hour waiting period” What Triggers Business Interruption Coverage, and how is the loss measured?

6 Additional Coverage's Extra Expense – “reasonable and necessary extra expenses” Rental Value – “loss sustained”….due to unlivable conditions.

7 What to do When a Loss Occurs Report the claim as soon as possible to DOAS Segregate charges associated with the loss to a special account or work order code, grouping like items Provide good descriptions of all work performed and expenses incurred Gather all supporting documentation

8 Coverage Wording Business Interruption and Extra Expense DOAS will reimburse the Actual Loss of Income Sustained, less any non-continuing expenses and charges, resulting from direct physical loss, damage or destruction to insured Property by a Covered Cause of Loss after a 72 Hour Waiting Period DOAS will reimburse the reasonable and necessary “extra expenses” incurred by a Covered Party resulting from direct physical loss, damage, or destruction to insured Property by a Covered Cause of Loss contained in this Agreement not to exceed the greater of $50,000 or 15% of the total insured property values in BLLIP affected by the covered loss occurrence. Measuring ROI of Med Containment Services| 7


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