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Mold and the Insurance Industry 2002: Mold Can Be Controlled David Golden National Association of Independent Insurers.

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Presentation on theme: "Mold and the Insurance Industry 2002: Mold Can Be Controlled David Golden National Association of Independent Insurers."— Presentation transcript:

1 Mold and the Insurance Industry 2002: Mold Can Be Controlled David Golden National Association of Independent Insurers

2 Introduction Mold continues to grow as an insurance issue, but panic may be lessening in the industry. To lessen public unease, our message must continue to be: “Mold Can Be Controlled.”

3 Quickie Mold 101 n Mold is ubiquitous and ecologically necessary n Mold helps break down dead organic material n Mold likes moisture, modern building materials and a temperature between 40 oF and 100 oF n Just like us!

4 Quickie Mold 101 n Health effects of too much mold are unproven n Generally allergic reactions n Can be more serious for people with compromised pulmonary systems

5 How Much is Too Much? n No one knows n Varies from person to person n Beware of junk science! –Statistical associations don’t prove causation – –There are three kinds of lies: lies, damned lies, and statistics. - Benjamin DisraeliBenjamin Disraeli

6 Why Now? n Modern buildings sealed to keep heat and a/c in n Also keep mold and moisture in n Mold loves to munch modern materials –Drywall paper, carpet, wallpaper backings, particle board, etc. n Ballard v. Farmers - $32 million

7 Insurance Lines at Risk n Homeowners - the early lead n Commercial Property - running hard n General Liability - “Where the Bucks Are” –Premises and Products/Completed Ops n Workers Compensation - right behind GL n Professional Liability - follows GL –Doctors, Architects, Designers, Engineers n Automobile - trying to hide

8 Recent Developments n Media Moderates n Insurers Implement n Regulators Respond n Legislators Look n Litigation Large n Internet Innovation n Feds Follow

9 Media n Ballard no longer news n Less hype, but still show extreme cases n Still call it “toxic mold” n Admit no causal proof n Mention allergic reactions and variability n Acknowledge importance of maintenance and quick response

10 Insurers / Reinsurers n Clarify Coverage n Texas - “beefed-up” HO-A n ISO Filings –All lines - similar definitions –Options re: coverage/exclusion –Revised GL additional insured endts. n Reinsurers Add Some Exclusions

11 State Regulators n Mostly approving mold form filings n Texas –Highest homeowner rates in U.S. –Commissioner’s rules for HO-B –Insurers respond with HO-A –Banks/developers cry foul

12 Legislatures n About a dozen bills mid-March 2002 n Most bills call for studies, disclosure, etc. n No exposure standard bills (i.e. lead) n Many mention exposure standards goal n California law - no funding for study n New York bill mirrors Cal. - pending n Indiana bill killed

13 Litigation n Ballard v. Farmers - money talks –Claim Handling –Coverage Dispute n Landlord/Tenant n Products/Completed Operations n Additional Insureds - multiple limits n Bowers v. Farmers - marijuana mold n Class actions - UC-Berkley students

14 Internet and the Mold Economy n Mold “Information” Sites n Attorneys n Expert Witnesses n Remediation “Experts” n Mold Testing n “Public” Adjusters

15 Remember This Guy? From www.toxicmoldinfocenter.comwww.toxicmoldinfocenter.com

16 Feds Enter the Fray n Housing and Urban Development n Health and Human Services n Environmental Protection Agency n Department of Energy n NAII Part of Interagency Task Force

17 Moving Forward n Media - Don’t seek, but manage n Insurers –Underwrite - evaluate risk/coverage/rate –Manage claim process –Appropriate loss prevention –Policyholder education

18 Moving Forward n Regulators & Legislators –Education - separate facts from hype –Hearings - we have a message –Forms/rates - must be appropriate to risk –Reinforce competition

19 Moving Forward n Litigation –Watch for trends & precedents –Tort reforms, esp. jurisdiction shopping –Judicial education –Minimize plaintiff advantages –Cooper v. American Family - insurers can win

20 Internet n Awareness - know thine enemy n Debunk bad information –It’s mold, it’s not asbestos n Offer quality information n Insurers can provide tools to agents

21 Federal n Work with the process –The bureaucracy has the power n Offer reasonable alternatives n Remember that regulations are the main way bureaucrats show value

22 Guard Against Junk Science n “Studies” are analyses, not science n Statistics are associations, not science n Science requires experimentation n Scientific Method –Suspicion  Hypothesis  Theory  Law n Science can be replicated n Remember the “three kinds of lies”

23 Guard Against Junk Science n Demand that attorneys and advocates show proof –They can’t –Hold the high ground n n “A lie gets halfway around the world before the truth has a chance to get its pants on.” - Sir Winston ChurchillSir Winston Churchill

24 Choose: Another Radon or Another Asbestos n “Those who cannot remember the past are condemned to repeat it.” - George Santayana n Manage the issue –Separate fact from fiction –Work with allied business groups –Align with our customers - policyholders

25 The National Association of Independent Insurers: Mold Can Be Controlled Thank you! Questions?


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