Protecting Your Family: Health Insurance, Life Insurance, And, Don’t Forget! – Disability Insurance

medical iphone apps | Sunday November 22 2009 12:46 pm | Comments (0) Tags: , , , , , , ,

Protecting Your Family: Health Insurance, Life Insurance, And, Don’t Forget! – Disability Insurance


Free Online Articles Directory






Why Submit Articles?
Top Authors
Top Articles
FAQ
Publish Article

Hello Guest |
Login |
Register

Email

Password

Remember Me
forgot your password?

Home Page Finance Protecting Your Family: Health Insurance, Life Insurance, And, Don’t Forget! – Disability Insurance
Protecting Your Family: Health Insurance, Life Insurance, And, Don’t Forget! – Disability Insurance

Posted: Apr 24th, 2008 | Comments: 0 | Views: 23 |









Syndicate this Article
Copy to clipboard


Protecting Your Family: Health Insurance, Life Insurance, And, Don’t Forget! – Disability InsuranceAuthor: Ryan Patterson

A recent survey by Harris Interactive for America’s Health Insurance Plans (AHIP) found that most Baby Boomers underestimate their risk of missing work for an extended period of time due to a disability. Yet they believe that they are more likely to suffer such a disability than to die prematurely. What’s wrong with this picture? Like most breadwinners, Boomers buy family health insurance and life insurance to protect their families while skimping on long-term disability insurance.

How far off are the disability risk guesstimates of most Americans? A study sponsored by the Life and Health Insurance Foundation for Education called “The Real Risk of Disability in the United States” found that a white-collar worker between 35 and 65 years of age has a 27 to 31 percent chance of becoming disabled for 90 days or longer. Unfortunately, the duration of disabilities has increased substantially in the past few decades. In the 1970s and 80s, a 35-year-old male with such a disability would have been out of work, on average, almost four years. Today it’s six, because better medical care means that people with terminal illnesses are living longer. It does not, however, mean they are able to pull in their pre-disability income while they’re ill.

Steven Crawford, a Maryland-based disability insurance specialist, believes that a well considered policy is the keystone to any sound financial plan. Unfortunately, he notes, most financial advisers, not to mention the media at large, rarely mention the subject, even though a person’s ability to generate income is by far their most valuable asset.

“Everybody should have the maximum [benefits] they can afford,” Crawford says. “Somebody 20 years old




Protecting Your Family: Health Insurance, Life Insurance, And, Don’t Forget! – Disability Insurance



Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

Contestability Clause and Life Insurance

medical iphone apps | Friday November 20 2009 12:46 am | Comments (0) Tags: , , ,

There are all kinds of clauses involved with life insurance policies. It’s a veritable attorney’s dream (or nightmare) reading through the typical life policy. One very important clause that bares further explanation is the contestability clause. Let’s go through this clause and understand its impact on you as the policy holder as it can be pretty significant. It’s also important to discuss ways to avoid triggering this clause all together during the underwriting and application process. Let’s look a little closer at contestability clauses found in life insurance.

First, a definition of the contestability clause in simple language. Essentially, if the applicant of a life insurance policy misleads, misrepresents, or withholds material information to the life insurance company during the application process, the life insurance company may not have to pay benefits in the event of the insured passing away.  The key word there is material. Material basically means that the information is important to the consideration of your application to the life insurance company. A hangnail probably doesn’t apply but elevated cholesterol does. Our recommendation is to list everything and answer each question thoroughly and honestly so you can avoid any issues involved with the contestability clause when applying for life insurance. Life insurance application tend to be less involved than average health insurance apps since both types of insurance plans differ in what they view as important. Life insurance is more concerned with issues that affect mortality while health insurance is more concerned with issues that affect morbidity.

There are two ways that the the contestability usually becomes an issue. The first is that the applicant simply forgets information. You want to make sure not to do this with larger issues. Even if you honestly forgot a more serious issue, it can still come back to bite you via the contestability clause. The life insurance application is a contract after all. Even if honestly forgotten, material information left off the application can jeopardize the validity of the contract and potentially void the contract (and your ability of your life beneficiaries to receive life benefits).

The other way is that a person is concerned about qualifying for life insurance and/or the rate and health class that will be offered based on pre-existing condition which leads them to conceal or misrepresent this information. Don’t do it. It doesn’t make sense to jeopardize your life insurance benefits by concealing information. It defeats the purpose of buying life insurance altogether by doing this. Life insurance is all or none…there’s no 50% payout. By jeopardizing your life insurance contract, your beneficiaries may end up with nothing.

There’s a timetable that constrains the life insurance contestability clause. The life insurance company has 2 years to use the contestability clause if evidence of misrepresentation, concealment, or material fraud occurs. After this period of time, the carrier is unable to use this particular clause in such situations. There are other options now if you have a health issue such as no medical life insurance. We can also try to re-apply in the future to replace life insurance which is issued on a higher tier. Some issues can be remedied with more time away from them such as driving record issues. If you are concerned about your chances of qualifying, please contact us with your situation so can we avoid any issues with the contestability clause.

Dennis Jarvis is a licensed insurance agent concentrating on term life insurance. Shop, compare, and instantly quote multiple carriers with professional guidance and resources.
Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

Compare The Major California Health Insurance Carriers

medical iphone apps | Wednesday November 18 2009 8:43 pm | Comments (0) Tags: , , , , ,

Five Critical Criteria used to compare California carriers.

1. Health Plan pricing in the market. Ultimately, benefits need to be priced well relative to other similar plans on the market. Also, the plans have to make sense financially in today’s world of ever-increasing cost. Some large multi-line carriers like Principle offer extremely rich benefits that have completely priced themselves out of the market. There’s a “sweet spot” where plan design meets the consumer’s budget and that has to be a given when choosing a plan. Interestingly enough, this pricing value is driven by a carriers ability to do well in the following other areas so let’s take a look at them. More information on the major carriers in the California market.

2. Extensive provider network for HMO and PPO. A carrier needs to have as many doctors and hospital in all major areas participate in their HMO and PPO networks. The more the better. This is especially true for PPO plans which is the direction the market is ultimately heading as costs escalate. This is primarily a function of how many subscribers the carrier can bring to the bargaining table with medical and hospital groups. If a carrier covers a significant number of people in a given area, the doctors and hospitals of that area need to contract with the carrier. Also, the carrier can negotiate rates better which is essentially the foundation for PPO plans. PPO’s are big group discounts essentially. Here, bigger is better. You can find more information on how the California health networks work.

3. Flexibility and Scope of plan design. The carrier must also offer a full range of plan options: both rich and value HMO options; a full range of PPO plans from rich copay plans to hybrid lower priced plans; Health Savings Account or HSA compatible plans and strictly catastrophic lower-priced plans. No one’s needs are the same. The carrier should be able to provide for both sides of the spectrum. A key direction in the market today is towards the segmentation of maternity and non-maternity benefit plans on the Individual/Family market. This is a critical consideration or any enrollee who may need maternity coverage in the future. Health Net currently only has one plan with maternity benefits in their PPO portfolio. On the group side, it has been more a move towards higher deductibles and in some instances, generic drug coverage only. The Generic only benefit is more and more prevalent on the Individual/Family side. We feel strongly at http://CalHealth.netthat Brand name prescription is important as more exotic medical conditions can require new drugs that run 10′s of thousands of dollars.

4. Ease of Use. One more time… EASE OF USE. The carrier has to be easy to deal with. This is critical for the day-to-day management of your policy (which we help with) and more importantly, the claims-processing side. Technology is increasingly figuring here. Which carriers have made the investment in the Information systems to facilitate both the membership and claims side. We deal with all the carriers day-in and day-out… common sense and practicality are essential in the carrier you choose.

5. Pricing Stability. Over the past decade, California health insurance costs have increased significantly. Barring major changes, it will likely continue as Americans use more and more health care. The ability to mitigate this increase is primarily a function of a carrier’s management of the above four items. Are they designing and pricing correctly for the market to encourage future rate stability? Can they negotiate well with the medical groups and large hospital chains in the California health market? Do they offer options for carriers to reduce benefits (and cost) and still feel well protected? Have they invested in making their business effective from and IT perspective? These are all important questions that directly your future rates and results as a function of the health carrier’s management.

California health insurance Carrier by Carrier listing in descending order based on our experience

Blue Cross of California

Blue Cross is owned by Wellpoint, which is probably the dominant carrier nationwide in terms of stability and progressive plan design. They are known as Anthem Blue Cross Blue Shield or Unicare in most other States. They have been the ones to beat in the California health market.

1. Plan Pricing – they are consistently priced in the top 1-2 for comparable plans.

2. Network – For PPO plans, they probably the most extensive network with providers in all counties. Over 70K providers and 400 hospitals State-wide plus access to the Blue Card network for family members or employees in other States.

3. Flexibility – On the Small Group side, they started the Employee Elect program which is still the most flexible and easiest to use. They even apply choice to the dental plans as well. They have 4 HMO plans, 5 HSA plans, and 12 PPO plans plus a suite called BeneFit for low cost plans. On the individual side, they consistently bring out new plans from the Right Plan 40 no-deductible PPO plan to the new Tonik health plan suite that the other carriers invariably try to copy 6-12 months later.

4. Ease of Use – They are easiest carrier to do business with. They tend to be the most flexible when dealing with issues and the issues tend to be less frequent than with other carriers. They are ahead of the curve (and have been) with technology both in terms of their internal processes and interaction with groups. New online control panels allow employee additions, terminations, changes and more on the Group side. They can be strict in underwriting (company requirements) and benefit management is definitely there but both of these attributes work ultimately to keep cost down which is the biggest issue (hence #1) in the market now. They the first to unveil an online application and online account management and visibility. Tonik enrollment is completely handled online.

5. Pricing Stability – Their increases as a percentage tend to be in the lower quadrant of the market…primarily due to their work on the above four items.

Blue Shield of California

Blue Shield of California a strong carrier in California and also participates in the Blue Card network for out-of-State employees and family members. It is one of the few non-profits. Cross and Shield are two separate, completely independent carriers at the Small Group (2-50 employees) and Individual/Family level. If PPO is your preferred option, they are a good comparison for Cross and Health Net.

1. Plan Pricing – they are consistently priced in the top 1-3 for comparable plans.

2. Network – For PPO plans, they probably rival Blue Cross with providers in all counties. They probably do not negotiate as well as Blue Cross but may have a better reception from doctors/hospitals because of it. This also affects their pricing going forward. They do allow access to the Blue Card network for employees or dependents in other States. Their HMO is comparable to Cross but neither is thought to be the strongest carrier for HMO plans.

3. Flexibility – They allow selections from the different classes of plans (HMO, PPO, and HSA). They have a full range of plans with one of the last no-deductible PPO Small Group plans on the market. They have 7 HMO plans, 4 HSA plans, and 13 PPO plans on the Small Group side and an equivalent suite of plans on the individual side.

4. Ease of Use – Their Group underwriting is slightly more flexible than Cross but their claims and membership side is not as advanced…especially in terms of technology. Our sources say that they are undertaking a pretty significant IT project to integrate their systems and have been working to bring Small Group resources to the web (behind Cross). On the individual side, they have an online application and online tracking but their underwiting tends to be more involved.

5. Pricing Stability – Their increases as a percentage tend to be in the lower to mid quadrant of the market depending on the class of plan (HSA versus PPO for example). They will need to continue modernizing in order to keep this trend going forward.

Health Net of California

Health Net of California was originally Blue Cross’ HMO many years ago. Traditionally, they were a strong HMO carrier but they have aggressively moved into the PPO market as the future of HMO’s and its cost structure dimmed. They tend to copy Cross’ moves in the market so at least they are smart enough to the follow the leader. If a company’s main focus is HMO and they do not have employees out of State, Health Net is definitely to be considered. On the individual/family side, they are a solid carrier but need more of a PPO track record.

1. Plan Pricing – Health Net tends to copy Cross’ offerings and then under-price the market. In the short-term, this is fine for your company. Long term, the rates always increase and/or change. The only issue is if the increase occurs mid-year and employees have already met deductibles/max-out-of-pockets…making a carrier change difficult. This is true on the Individual/Family side and Small Group.

2. Network – Health Net has a strong HMO network as that has been their bread and butter long before the PPO came along for them. The PPO network should be well represented throughout the State although it’s range probably does not match Cross or Shields, whose experience in the PPO market goes back decades.

3. Flexibility – Health Net copied Cross beneficially in that they copied the nature of Employee Elect where you can offer multiple plans to their employees. They have a full range of plans with 16 HMO’s, 4 HSA’s, and 8 PPO’s. You can see their HMO background from the plan options. On the individual side, they only have one maternity PPO plan but offer a wider range of HMO plans. Their HSA’s are comparable but probably under-priced.

4. Ease of Use – Health Net tends to be pretty reasonable both in terms of enrollment (underwriting) and membership. They are behind Cross and Shield in terms of online capabilities and systems. On the individual side, they tend to be more strict with underwriting and if an applicant’s health is not clean, they have declined a high percentage of apps. Cross and Shield appear to be more pragmatic in terms of actually looking at a person’s health history and making a decision.

5. Pricing Stability – Pricing stability has been a weaker area for Health Net especially on the PPO front. For HMO, they have a good grasp of the market and the model. PPO has been a bit more elusive with more requent and significant changes with their plans. This is to be expected as PPO requires a good 5-7 years of claims experience to truly wrap your head around the model actuarially speaking.

We have listed Blue Cross of California, Blue Shield of California, and Health Net of California separately as they really are the strongest California health insurance carriers that offer both PPO and HMO options. Kaiser is a major carrier but primarily acts as an HMO. There are many other options on the market, but from our experience, they usually are not advisable against one of the above mentioned four.

Dennis Jarvis is a licensed California broker with extensive knowledge of the Individual and Small Group health market in California. California health insurance.
Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

Directors And Officers Liability Insurance

medical iphone apps | Wednesday November 18 2009 8:44 am | Comments (0) Tags: , , ,

Introduction:

In recent years, directors and officers liability insurance has become a core component of corporate insurance. As many as 95% of Fortune 500 companies maintain directors and officers (“D&O”) liability insurance today. Furthermore, it has become a commonplace of the financial world that disappointed investors will charge corporations and their officers and directors with securities fraud whenever a company’s stock drops significantly in price. Studies indicate that the average settlement of securities fraud litigation in 1999 was greater than $8 million, with average defense costs exceeding $1 million. In light of these numbers, it should not be surprising that such litigation has become almost routine, and D&O liability insurance plays a large role in handling it. At the same time, the D&O insurance industry has become highly specialized and new products are constantly emerging to meet the needs of specific markets. This article will discuss the historic and current trends in the industry. In addition, this article will address some of the primary legal and coverage concerns that must be considered by underwriters, claims handlers, corporations and their executives, and the attorneys who represent them.

History of D&O Insurance:

In the 1930s, in the wake of the depression, Lloyd’s of London introduced coverage for corporate directors and officers. At the time, corporations were not permitted to indemnify their directors and officers. Joseph P. Monteleone & Nicholas J. Conca, Directors and Officers Indemnification and Liability Insurance: An Overview of Legal and Practical Issues, 51 Bus. Law 573, 574 (1996). However, directors and officers did not perceive a great risk, and the insurance did not sell. Well into the 1960s, the market for D&O coverage was negligible. In the 1940s and 1950s, courts, corporations and directors and officers began to see benefits to corporate indemnification and prompted state legislatures to enact laws permitting it. Then, during the 1960s changes in the interpretation of the securities laws created the realistic possibility that directors and officers themselves, and not only corporations, could face significant liability. See Roberta Romano, What Went Wrong with Directors’ and Officers’ Liability Insurance, 14 Del. J. Corp. L. 1, 21 & nn. 74-77 (1989). Insurers responded to these changes by reviving specialty coverage for the “personal financial protection” of directors and officers.

The historic focus on “personal financial protection” distinguished D&O insurance from other kinds of commercial insurance that cover identified areas of corporate risk. Insurers had defined corporate risks they would insure. General liability insurance provided corporate insurance for bodily injury or property damage claims; fidelity bonds afforded specified first-party coverage for losses corporations incur due to certain acts of their officers, directors, or employees. D&O coverage, on the other hand, was not intended to be corporate insurance; much less an attempt at general corporate insurance for liability caused the corporation by virtue of the acts of its directors and officers. In recent years, however, D&O coverage has undergone a number of changes.

Current Importance of D&O Insurance:

The D&O industry matured and evolved during the 1970s through the 1990s, and continues to do so today. From its modest beginnings in the 1930s, D&O insurance has become a fixture in today’s corporate world. Starting with basic D&O coverage, the industry has spawned a large number of new and related products. The original focus on “personal financial protection” is no longer the single driving force behind the industry, and D&O insurance is often coupled with coverages designed to protect the corporation, in addition to its directors and officers, from various liabilities.

During the 1980s, the first litigated disputes between D&O insurers and federal regulators (or the former bank officials whom the regulators sued) brought D&O coverage into the forefront in many significant and often highly publicized matters. In recent years, corporations of all kinds and their directors and officers have seen an increasing number of claims and increasingly large settlements. Watson Wyatt Worldwide, D&O Liability Survey Report (1997). Thus, D&O insurance remains an important protection for directors and officers. In addition to the traditional protections, the industry has set a trend toward expanding D&O coverage – both in terms of who is protected and against what they are protected. Many underwriters now write coverages that offer protection to the company for its own liability and for specific corporate concerns.

Claims against Directors and Officers:

As noted above, claims against directors and officers generally have been increasing over time. As of the most recent Wyatt survey, 31% of all companies – an all time high – could expect to have at least one claim made against its directors or officers, and each company averaged 0.87 claims – also an all time high. Watson Wyatt Worldwide, D&O Liability Survey Report, at pp. 42-44 (1997) (the “1997 Wyatt Report”). The frequency of claims against directors and officers, and the susceptibility of officers and directors to claims corresponds to a number of factors, including the size of the company, the company’s type of business, whether the company is publicly or privately owned, and its number of shareholders. For example, companies with greater assets are more likely to have claims made against their directors and officers and on average experience more claims per company than smaller companies. Publicly held companies have two to three times as many claims made against their directors and officers than privately or closely held companies. However, companies with greater than 500 shareholders have a higher claim frequency than smaller companies, regardless of private or public status. Id.

Specifically, according to the 1997 Wyatt Report, companies with assets less than $100 million had a 12% susceptibility to claims, but companies with assets greater than $10 billion had a 63% chance of having a claim made against its directors or officers, and companies with assets greater than $1 billion averaged 1.64 claims per company in 1997. Large banking companies are the most likely type of business to have claims made against their directors and officers and average the most claims per company. Forty-two percent of large banks will have at least one claim made, while the large banking industry as a whole can expect an average of 6.69 claims per company. With the explosion of technology companies in the last ten years, and the corresponding fluctuations in their stock prices, claims against technology companies have also increased dramatically.

Basic Coverages:

At its most basic, D&O insurance protects directors and officers from liability arising from actions connected to their corporate positions. Due to general expansion in the industry, market pressures and the industry’s responses to the development of case law, D&O insurance has expanded beyond its original and basic coverage. Thus, a single policy now may provide multiple and varied options by standard form or endorsement. The individual coverages discussed below typically are subject to distinct terms, conditions and deductibles, and even may be subject to distinct policy limits or sublimits. However, some common threads run through each coverage offered in a D&O policy. For example, D&O insuring agreements generally specify that coverage is limited to claims first made during the policy period. In addition, the insurer typically does not have a duty to defend but is required to cover the costs of the insured’s defense.

Insuring Agreement [A] (D&O):

Although each policy will employ its own language, Insuring Agreement A, often referred to as “A-Side Coverage,” typically provides coverage directly to the directors and officers for loss – including defense costs – resulting from claims made against them for their wrongful acts. A-Side Coverage applies where the corporation does not indemnify its directors and officers. A corporation may not indemnify its directors or officers because it either (1) is prohibited by law from doing so, (2) is permitted to do so by law and the company’s bylaws but chooses not to do so, or (3) is financially incapable of doing so, due to bankruptcy, liquidation, or lack of funds. The laws regarding indemnification differ from jurisdiction to jurisdiction. Insuring Agreement A additionally may specify that coverage is limited to those claims connected to an insured’s capacity as an insured director or officer of the company. This issue of capacity recurs throughout D&O coverage analysis. The limiting language may appear in the insuring clause, in the definitions of “wrongful act” or “insured” found elsewhere in the policy, or in all three clauses. Although a claim sometimes implicates an insured in a single and clear capacity, a claim may well arise out of an individual’s multiple capacities. For example, an individual may be sued as a director and a shareholder of a company (perhaps as a purchaser or seller of company stock), or an officer of a homeowner’s association may also be a homeowner and it may not be clear whether his or her actions were taken as one or the other – or both. Similarly, a corporations’ lawyer may also sit on the board of directors.

Insuring Agreement [B] (Corporate Reimbursement):

A typical Insuring Agreement B, or “B-side coverage,” reimburses a corporation for its loss where the corporation indemnifies its directors and officers for claims against them. B-side coverage does not provide coverage for the corporation for its own liability. The language and conditions of Insuring Clause B typically mirror Insuring Clause A.

Entity Securities Coverage:

Many D&O policies offer an optional coverage to protect the corporation against securities claims. Such coverage provides protection for the corporation for its own liability. Many policies today provide such coverage to the corporation whether or not its directors and officers are also sued; other policies, however, provide such coverage only where the corporation is a co-defendant with its directors and officers. Entity coverage may be part of the policy form as “Insuring Agreement C” or may be added as an endorsement. The addition of entity coverage for securities claims is a relatively new development, and addresses concerns and confusion raised by court rulings regarding allocation. See e.g. Nordstrom, Inc. v. Chubb & Son, Inc., 54 F.3d 1425 (9th Cir. 1995).

EPL Coverage:

Employment Practices Liability (“EPL”) coverage also has become a common addition to corporate coverage – often by endorsement to the D&O policy or as a stand-alone policy issued to the company. This coverage typically protects directors, officers, employees and/or the company against employment-related claims brought by employees and, in certain circumstances, specified third-parties. For example, it provides coverage for wrongful dismissals or failures to promote, sexual harassment, and other violations of federal, state or local employment and discrimination laws brought by the company’s employees. EPL claims have also seen a dramatic increase in frequency and severity over the past decade.

Defence Issues:

Most D&O policies do not impose a duty to defend on the insurer. They do, however, provide coverage for defense costs and give the insurer the right to associate with the defense and approve defense strategies, expenditures, and settlements.

Right to Select Counsel:

(A) The D&O insurer cannot impose its choice of counsel on an insured – the insured generally has the right to select counsel, subject to the insurer’s consent. D&O policies typically provide that an insurer may not unreasonably withhold approval of an insured’s choice of counsel. This feature is important to the insured corporation, which typically has developed ongoing relations with corporate and litigation counsel that it would want to use in high-stakes litigation against the company.

(B) Reimbursement and Advancement of Defense Costs Although D&O insurers generally do not have a duty to defend, D&O policies do cover defense costs. The primary questions that arise in connection with the payment of defense costs regard (1) control over the costs incurred and (2) when the insurer must make defense payments. In connection with the first question, although insurers do not control an insured’s defense, under D&O policies they are required to reimburse only reasonable defense costs arising out of covered claims. Thus, an insured or his chosen counsel does not get a blank check.

Whether a D&O insurer must, or should, advance defense costs – that is, pay them as they are incurred – is a common question. Many of the issues affecting coverage cannot be resolved until the claim has been resolved. Specifically, certain exclusions only apply after a finding of fact has been made. For example, as discussed below, policies generally exclude coverage for losses arising out of fraud. The exclusion only applies, however, where there is a final judgment finding fraud. Thus, where fraud is alleged, coverage is uncertain until the completion of the claim. In such situations, insurers may have an interest in not advancing defense costs until coverage is certain. However, insurers have an interest in seeing their insured vigorously defend claims against them. A vigorous defense can be a costly endeavor that may be well beyond the means of an insured. Thus, many policies provide that insurers advance defense costs under the condition that, should the facts ultimately demonstrate a lack of coverage, the insured will reimburse the advanced monies.

Key Provisions and Exclusions:

Twenty years ago, underwriters offered D&O policies based on two basic forms, and courts had seen very few cases in which they were asked to interpret those policies. Today, the number of D&O policy forms and cases interpreting them has multiplied. Although there are trends and standards within the industry, the specific language found in these policies differs from insurer to insurer and from policy to policy. Any coverage analysis must take into account the specific language found in the policy at issue. As a general matter, clear policy language will govern the application of coverage to a particular claim.

Definition of Claim:

Common to all coverages in a D&O policy is that each insuring clause generally provides coverage on a “claims-made” basis. In other words, it provides the coverage described for claims made during the period for which the coverage is purchased. Additionally, the insured typically must report the claim to the insurer during the policy period or within a reasonable time.

D&O policies generally define claim as any (1) civil, criminal or administrative proceeding, or (2) written demand for damages against an insured. Who is included as an insured will depend on which coverages are implicated and how the term is defined in the policy. That is, if it is a securities claim, and the policy so provides, a claim may be made against the company or against a director or officer. If it is an employment claim, and the policy so provides, a claim may be made against the company, a director or officer, or an employee.

Some policies offer more detailed definitions of claim. For example, a policy may state that a civil proceeding includes arbitration, mediation or other alternative dispute resolution. A policy may also explain that an administrative proceeding includes a formal investigation.

Many policies also include limiting a claim to those proceedings or demands made against an insured in his or her capacity as an insured. The capacity issue may be stated directly in the definition of claim, or may be stated in the definitions of “insured” or “wrongful act,” either of which may be part of the definition of claim.

Definition of Loss:

Loss generally includes damages, judgments, awards, settlements and defense costs. Loss usually excludes fines or penalties, taxes, treble (or other multiplied) damages, and matters uninsurable under law. Where treble or multiplied damages are assessed, a D&O policy generally will cover the base amount, but not the multiplied portion of the loss. Some policies include punitive and exemplary damages in the definition of loss. Where included, coverage of punitive and exemplary damages explicitly is effective only where permitted by applicable law.

Punitive or exemplary damages:

Some states do not permit punitive or exemplary damages to be assessed at all. See e.g. Distinctive Printing and Packaging Co. v. Cox, 443 N.W.2d 566 (Neb. 1989). Those states that do permit punitive damages to be assessed may not permit insurance against them. See e.g. City Products Corp. v. Globe Indem. Co., 151 Cal. Rptr. 494 (Cal. Ct. App. 1979). Those states prohibiting coverage of punitive damages generally base the prohibition on public policy concerns. The longstanding reasoning is that the assessment of punitive damages is intended to set an example or punish the wrongdoer, and permitting insurance against such punishment would render such punishment ineffective. Id.

Matters uninsurable under applicable law:

Matters deemed uninsurable under law also may be the basis of explicit exclusions elsewhere in a policy. For example, coverage for liability for fraud may be barred by law, as well as by a dishonesty exclusion. As discussed above, coverage for punitive damages also may be barred by law.

Exclusions-

1.   Dishonesty Exclusion:

Dishonesty exclusions bar coverage for claims made in connection with an insured’s dishonesty, fraud, or willful violation of laws or statutes. The dishonesty exclusion also may be coupled with personal profit exclusion, barring coverage in connection with an insured’s illicit gain. These exclusions typically are followed by a severability clause – that is, a caveat providing that the acts or knowledge of one insured will not be imputed to any other insured for the purposes of applying the exclusion. In other words, the exclusion only bars coverage for the insured(s) whose acts or knowledge are the basis of the claim at issue.

In the securities context, the Private Securities Litigation Reform Act of 1995 permits a defendant to request a special verdict from the jury, identifying its judgment of each defendant’s state of mind. PSLRA, 15 U.S.C. 77z-1(d). Although a special verdict would assist in the proper application of the dishonesty exclusion, most securities lawsuits do not reach a verdict at all – they are either settled or decided on motions.

As mentioned above, many dishonesty exclusions include an adjudication clause, which provides that the exclusion only applies if the fraud or dishonesty is established by a judgment or other final adjudication. In connection with this clause, the question arises whether the judgment or other final adjudication must be in the underlying litigation. For the most part, the case law on this subject supports the position that most adjudication clauses, as they currently are written, require a final adjudication in the underlying litigation, rather than in a parallel coverage action or other lawsuit. Courts have held either that (1) the adjudication clause is ambiguous, so must be interpreted in favor of coverage, see e.g., Atlantic Permanent Fed. Sav. & Loan Ass’n v. American Cas. Co., 839 F.2d 212, 216-17 (4th Cir. 1988) (finding the phrase “a judgment or other final adjudication thereof” to be ambiguous, and therefore upholding the district court’s decision against the insurer that the provision requires a finding of deliberate dishonesty “in the underlying action itself, rather than a subsequent coverage suit”), or (2) the clause explicitly requires a finding of fraud or dishonesty in the underlying litigation. See National Union Fire Ins. Co. v. Continental Illinois Corp., 666 F. Supp. 1180, 1197 (N.D. Ill. 1987) (finding that where an adjudication clause requires “a judgment or other final adjudication thereof,” that “[t]he word ‘thereof’ refers to the suit against the directors and officers and unless there is a judgment adverse to them in the underlying suit, then the exclusion does not apply”). This issue has a significant impact on the effect of settlements. Essentially, if an underlying lawsuit is settled without a specific admission of liability, a dishonesty exclusion is unlikely to apply.

2.   Insured v. Insured Exclusion:

As the name implies, an insured versus insured (“IvI”) exclusion bars coverage for claims made by an insured (e.g., a director, officer or corporate insured) against another insured. In addition, the exclusion may bar coverage for claims brought (1) by anyone directly or indirectly affiliated with an insured, (2) by a shareholder unless the shareholder is acting independently and without input from any insured, or (3) at the behest of an insured. The exclusion essentially prevents a company from suing or orchestrating a suit against its directors and officers in order to collect insurance proceeds. Questions regarding the application of the exclusion arise in the context of derivative lawsuits, bankruptcies and receiverships.

Specifically, it is clear that where a lawsuit is brought with the “active assistance” of an insured, the exclusion bars coverage. See e.g. Voluntary Hospitals of America, Inc. v. National Union Fire Ins. Co., 859 F. Supp. 260 (N.D. Tex. 1993), aff’d 24 F.3d 239 (5th Cir. 1994). It is not always clear, however, when a lawsuit is brought with the indirect involvement of, or at the behest of the insured, and there is very little case law expounding on the issue.

Where the policy only provides coverage for insureds when acting in their capacities as insureds – such as through a restrictive insuring agreement or definition of insured – the IvI exclusion likewise may be interpreted so as to apply only where the insured is bringing suit in an insured capacity. See Howard Savings Bank v. Northland Ins. Co., 1997 U.S. Dist. LEXIS 11857 (N.D. Ill. 1997). Where coverage does not depend explicitly on whether an insured was acting in an insured capacity, however, the IvI exclusion does not turn on the capacity issue either. See Kiewit Diversified Group Inc. v. Federal Ins. Co., 999 F. Supp. 1169 (N.D. Ill 1998).

Courts have held that where suit is brought by the receiver of a failed bank, an IvI exclusion bars coverage. Mount Hawley Ins. Co. v. FSLIC, 695 F. Supp. 469 (C.D. Cal. 1987); but see FDIC v. American Casualty Co., 814 F. Supp. 1021 (D. Wyo. 1991). Depending on the particular wording of the exclusion, some courts have held that an IvI exclusion does not bar coverage for a suit brought by a bankruptcy trustee. In re Pintlar, 205 B.R. 945 (Bankr. D. Idaho 1997); but see Reliance Ins. Co. v. Weiss, 148 B.R. 575 (E.D. Mo. 1992).

3.   Professional Liability Exclusion:

As a general matter, D&O policies do not provide coverage for liability associated with the provision of professional services. Thus, where a bank officer is liable for acts as a banker rather than an officer of the bank, a D&O policy with a professional liability exclusion would not provide coverage. Similarly, where a doctor is the president of a professional corporation, the D&O policy would only protect him or her against liability from acts as president of the corporation, and would not provide coverage for professional malpractice claims. The line between professional services and acts outside the scope of this exclusion can be a fine one. Courts often draw a distinction between those acts that require special training or are at the heart of the profession and those acts that are administrative in nature. See e.g. Harad v. Aetna Cas. and Sur. Co., 839 F.2d 979 (3d Cir. 1988).

4.   Prior Acts Exclusion:

Prior acts exclusions bar coverage for claims arising out of an insured’s wrongful acts prior to a specified date. The date may coincide with the termination of coverage under a previous policy. The date may also coincide with a change in corporate status – such as a merger or acquisition. For example, where a subsidiary is acquired, the prior acts exclusion may exclude coverage for the subsidiary prior to the time it became a subsidiary. In such situations, the subsidiary may have run-off coverage from a previous policy to protect against liability arising from those excluded acts.

5.   Prior and Pending Litigation Exclusion:

Prior and pending litigation exclusions generally exclude coverage for (1) claims pending prior to the inception of the policy, or another agreed upon date, and (2) subsequent claims based on the same facts or circumstances. Conflicts primarily arise regarding the second component of this exclusion. Specifically, the question arises as to when a subsequent claim is based on sufficiently overlapping facts and circumstances to fall within the scope of the exclusion. Courts have held that the two claims need not be brought by the same plaintiffs to trigger the exclusion. See e.g., Unified School Dist. No. 501 v. Continental Cas. Co., 723 F. Supp. 564 (D. Kansas 1989) (finding exclusion applied where new plaintiffs brought new claims). Furthermore, the claims can allege different harms, and still be excluded from coverage by this provision. See, e.g., Ameriwood Indus. Int’l Corp. v. Am. Cas. Co. of Reading, Pennsylvania, 840 F. Supp. 1143 (W.D. Mich. 1993) (rejecting argument that allegation of different legal claims prevented operation of exclusion). The exclusion additionally may apply even if the two claims allege different legal violations, or are brought in different courts and pursuant to the authority of different jurisdictions. See, e.g., Bensalem Township v. Int’l Surplus Lines Ins. Co., 91-5315, 1992 U.S. Dist. LEXIS 8243 (E.D. Pa. June 15, 1992) (applying exclusion where prior claims sought relief for violations of Pennsylvania law and later claims sought relief for violations of federal law), rev’d on other grounds, 38 F.3d 1303 (3d Cir. 1994).

Meaning of Director as per the Companies Act, 1956:

A company is a legal entity and does not have any physical existence. It can act only through natural persons to run its affairs. The person, acting on its behalf, is called Director.

Section 2(13) of the Companies Act, 1956, defines a Director as any person, occupying the position of Director, by whatever name called. They are professional men, hired by the company to direct its affairs. But, they are not the servants of the company. They are rather the officers of the company.

The definition of Director given in this clause is an inclusive definition. It includes any person who occupies the position of a director is known as Director whether or not designated as Director. It is not the name by which a person is called but the position he occupies and the functions and duties which he discharges that determine whether in fact he is a Director or not. The function is everything; name matters nothing. So long as a person is duly, appointed by the company to control the company”s business and, authorized by the Articles to contract in the company”s name and, on its behalf, he functions as a Director.

The Articles of a company may, therefore, designate its Directors as governors, members of the governing council or, the board of management, or give them any other title, but so far as the law is concerned, they are simple Directors.

Meaning of Liability:

The word liability has two general connotations. In business law, liability refers to the responsibility for a company’s debt or other obligations. Some forms of business organization, such as a sole proprietorship, have unlimited liability, meaning that the owner is personally responsible for the debts and obligations of the business, and lenders or courts may look to the owner’s personal assets for payment of these obligations. Limited liability organizations, such as corporations, allow lenders and courts to only seize the assets of the business rather than the assets of the owners.

 

However, liability is more frequently used in an accounting sense, where the word refers to a claim on a company’s assets. Technically, a liability is a required transfer of assets or services that must occur on or by a specified date as a result of some other event that has already occurred.

Why liability matters?

Information about a company’s liabilities is a key component of accurate financial reporting and a crucial part of thorough financial analysis. Although the Financial Accounting Standards Board, the Securities and Exchange Commission, and other regulatory bodies define how and when a company’s liabilities are reported, and although liabilities make up a significant portion of the balance sheet, not all liabilities are required to appear on the balance sheet. Therefore, analysts must also carefully study the notes to a company’s financial statements.

 

Excessive liabilities can ruin a company, but they are not always detrimental. Liabilities often represent the company’s ability to defer cash outlays, allowing it to use that cash for other, possibly more profitable purposes until the obligation is due. The use of debt financing can magnify profits that would have otherwise gone unrealized.

Liability of directors under the Companies Act, 1956

 Position of director:

The directors are the custodian of the interests of the shareholders. Their position is fiduciary vis-à-vis the Company. The directors must exercise their power for the benefit of the Company. There exists a relationship of a trustee and trust between the directors and the shareholders of the Company. The directors have been held trustees of the assets of the Company and in many cases the courts have directed them to reimburse the loss to the Company, where it was found that directors have applied the Company’s money in payment of an improper commission.  Each section also specifies the penalty to be paid in case of default, imprisonment or both.

The strictness with which the courts view the responsibility and the sacredness of the trust reposed in the directors had been  emphasized in many cases. Their position has further changed in the era of Corporate Governance to the extent that the directors have to protect the interests of not only the shareholders but also other stakeholders.

In this article an attempt is made to define the extent and scope of liabilities of Directors viz. Managing Director, Working Director and an ordinary Director under the Companies Act, 1956.

Liabilities of Directors:

The liabilities of the directors vary according to the status of the Company i.e. whether the Company is private or public. But in all cases in discharging the duties of his position, he must act honestly, carefully and without any negligence. The various liabilities of directors under the companies Act, 1956 may be summarized as under:

1. Filing of various documents with Registrar of Companies:

a) Annual Return within 60 days of the annual general meeting.

b) Balance Sheet within 30 days of laying the accounts at the annual general meeting.

c) Return of Allotment of Shares in Form No. 2 within 30 days of Allotment of shares.

d) Change in Directors / Secretary (Appointment / Re-appointment /Cessation/ Resignation etc.) in Form No. 32 within 30 days of such change.

e) Registration of certain resolutions and agreements u/s 192 in Form No. 23 within 30 days of passing of such resolutions etc.

f) Creation & modification of charges in Form No. 8 & 13 and Satisfaction of charges in Form No. 17 & 13, within 30 days of creation, modification and satisfaction respectively.

2. Holding of various Meetings under Companies Act, 1956:

a) Board Meeting:

b) Annual General Meeting

c) Extra-ordinary General Meeting

3. Maintenance of Statutory Books under Companies Act, 1956:

a) Minutes Book: for Board meeting and General meetings separately u/s 193.

b) Register of Members : showing name, address and occupation of each member, the  share held including the distinctive numbers, the amount paid on the shares etc.u/s 150/151

c) Register of interested Directors etc. : showing the required particulars u/s 301

d) Register of Directors, Managing Directors and Secretary : showing the required particulars about them etc. u/s 303

e) Register of Directors, Managing Directors and Secretary shareholding: showing the required details about shareholding etc. u/s 307.

f) Register of Charges: showing the particulars of charges on the assets of the company u/s 143.

g) Register of Investments showing particulars of investment u/s 49/ 372A.

h) Register of Transfer of Shares: along with details relating to the transferor and the transferee and the No. of shares transfer etc.

4. Liability for negligence

5. Standard and degree of care and skill

6. Special Statutory Protection against Liability [S.633]

7. Fiduciary Duties

1.Directors as Officers in Default:

a) . Acceptance of public deposit

Directors and Officers Liability Insurance

(often called D&O) is insurance payable to the directors and officers of a company, or to the corporation itself, to cover damages or defense costs in the event they are sued for wrongful acts while they were with that company.

Typical sources of claims include shareholders, shareholder-derivative actions, customers, regulators, and competitors (for anti-trust or unfair trade practice allegations).

Directors and Officers Liability insurance is commonly purchased with a companion product “Corporate Reimbursement Insurance” (or “Company Reimbursement Insurance”). When purchased together, a single insurance policy is normally issued which is entitled “Directors and Officers Liability and Company Reimbursement Insurance”. Modern Directors  & Officers policies now frequently include cover for the Company Entity itself as well as Employment Practice Liability.

D&O insurance is usually purchased by the company itself, even when it is for the sole benefit of directors and officers. Reasons for doing so are many, but commonly would assist a company in attracting and retaining directors. Where a country’s legislation prevents the company from purchasing the insurance, a premium split between the directors and the company is often done, so as to demonstrate that the directors have paid a portion of the premium.

A common misperception of D&O insurance is that it makes directors or officers able to engage in acts they know to be wrong; this is not the case. Intentional acts are not covered in D&O insurance. Only negligence by directors or officers would be covered.

In a recent spate of litigation, a number of adverse court verdicts regarding the liability of directors and officers of companies to a third party were passed where the directors and officers were held personally liable for payment of compensation to the third party. Ordinarily, the directors and officers are bound by duty towards the company itself, shareholders, employees, creditors, customers, competitors, members of the public, government and other regulatory bodies. Any breach or non-performance in the duties can result in claims against the companies and/or its directors of the company by reason of any wrongful act in their respective capacity. The Directors’ and Officers’ Liability Insurance policy has been designed specifically to meet any financial liabilities imposed upon them.

This policy is necessary for directors and officers of every company if they wish to avoid potential litigation owing to-


Failure of supervision.
Inaccuracy in statements of financial accounts.
Lack of judgement and good faith.
Mismanagement of funds.
Mis-statements in prospectuses.
Allotment of shares.
Unauthorised loans or investments.
Failure to obtain competitive bids.
Imprudent expansion resulting in a loss.
Using inside information.
Unwarranted dividend payment, salaries or compensation.
Misleading statements filed with the stock exchange.
Misrepresentation in acquisition agreement for the purchase of another company.
Wrongful dismissal of an employee.

Risks covered:

This policy covers all claims made in event of-


Mergers, takeovers and divestment.
Liquidation.
Changes in control of shareholding.
Share issues.
Shareholder claims.
Misdeeds of co-directors.
Trustee accountability and responsibility.
Customs and excise allegations.
Administrative liabilities.
Termination of employment.
Disposal of old firm/ entry of new owners.
Miscellaneous litigation.

Compensation Offered:

The extent of indemnity being severely restricted by the Companies’ Act will reimburse the extent of legal costs expended only if the Director/ Officer successfully defend the act taken against him.

Also, coverage is available on a ‘claims made’ basis and applies only to claims made against the Board of Directors during the policy period, irrespective of when the wrongful act occurred.

The cover applies to-


Liabilities arising from any claim made against Directors and/ or Officers of the company by reason of any wrongful act in their respective capacity.
Liabilities against the company where it is required to indemnify the Directors/ Officers pursuant to common or statutory law provisions or Memorandum and Articles of Association.
The company and its subsidiaries that are under the common control of the Directors/ Officers.

Exclusions:


The policy will not pay for the losses arising from any claim.
Prior and pending litigation and claims submitted under previous policies.
Bodily injury, sickness, disease, emotional distress, death, damage or destruction of tangible property including loss. 
Insured v/s Insured. viz. Directors suing each other.
Illegal personal profit and remuneration.
Deliberate, dishonest or fraudulent acts.
Pollution and/ or contamination.
Insider trading.
Outside directorship (can be covered with specific information).

This policy is offered by:


National Insurance Company Ltd. (NIC)
The Oriental Insurance Company Ltd. (OIC)
United India Insurance Company Ltd. (UIIC)
The New India Assurance Company Ltd. (NIAC)
Directors & Officers Liability is the liability (or exposure to litigation) of corporate board members and officers arising out of their actions pertaining to their management duties of the corporation. Directors & Officers Liability Insurance insures the personal assets of corporate board members and officers [as well as the company's corporate assets] from lawsuits arising out of their capacity as directors or officers of the cooperation.

What are the responsibilities of Corporate Boards?


Review & authorize major corporate actions.
Advice & counsel management on corporate decisions.
Review & oversee proper audit procedures.
Review the Cooperation’s investments.
Stay informed about the Corporation’s financial status and legal developments.

Assist management in decision-making
Verify the Corporation is in compliance with all applicable statutes, regulations & laws.
Monitor management’s performance.

Directors & Officers of corporations are responsible for the affairs of their companies. They must use good faith and prudent judgment in their service to the corporation. Directors & Officers have certain duties and responsibilities when acting in the service of the corporation. These duties are, as follows:

General Duties – Directors & Officers must act in good faith and prudent judgment in their service to the cooperation.

Common Law Duties – The following are the common law duties-

Duty of Loyalty – Directors  & Officers must avoid conflicts of interest, self-dealing, and misuse of corporate assets.

Duty of Obedience -Directors  & Officers must act within the boundaries established by statute, corporate charter or by-laws, and written policies and procedures.

Duty of Diligence and Care - Directors  & Officers must conduct themselves with the care that an ordinary person would exercise under similar circumstances and in similar capacities.

Statutory Duties - There are several laws and statutes that regulate the actions and decisions of Directors  & Officers.


Securities Laws
Anti-Trust Laws
Employment Laws
ERISA Violations
Racketeering Laws
Tax Laws
Environmental Laws
Intellectual Property & Patent Laws
State Corporation Laws

Business Judgment Rule – Directors & Officers have historically been protected from personal liability against them by a legal principal known as the Business Judgment Rule. This legal principal shields corporate directors & officers by applying the rule for mistakes in judgment (i.e. second-guessing). As long as the director or officers has acted according to the duties of loyalty, obedience and diligence, then the director or officer may be protected by the Business Judgment Rule.

Directors & Officers Liability Claims:

Directors & Officers of both Public and Private Companies face legal liabilities in their service to the corporation. The claims experience between the two varies. Public Companies experience more frequency and severity of claims related to shareholder issues, while both Public and Private Companies face similar experience for Employment Related Claims. Below is a partial list of typical claimants:


Shareholders
Employees
Creditors
Customers/Clients
Competitors
Government Regulatory Agencies

There are three categories of protection against personal liability of Directors & Officers of corporations:

Indemnification:

The corporation may indemnify their directors & officers for litigation. This is usually accomplished by incorporating an indemnification clause in the corporate by-laws or by a separate written indemnification agreement. Indemnification is also often available and governed through state law. Some conduct by the directors & officers is not indefinable, such as dishonest/illegal acts or intentional misconduct. Indemnification may not be available to directors & officers in cases of financial insolvency or bankruptcy.

Common Law and Statute:

Business Judgment Rule – Courts may apply the Business Judgment Rule to protect directors & officers from personal liability.

Liability-Limiting Statutes – some state and federal laws provide limitation of liability in certain cases.

Insurance Coverage:

Insurance provides protection for individual directors & officers when the corporation is not permitted to indemnify or financially unable to indemnify the directors & officers.

When the corporation does indemnify, D&O insurance will Pay On Behalf Of or indemnify the corporation for payments made to the directors & officers.

In some cases, coverage may be provided for the corporate entity, in cases where the corporation is being held liable. D&O insurance provides Balance Sheet Protection for the corporation. Insurance allows the corporation to transfer risk from its own balance sheet to that of the insurer.


D&O insurance helps the corporation attracts and retain quality board members.

Bhopal disaster Case, AIR 1990 SC 273:

The Bhopal disaster was an industrial disaster that occurred in the city of Bhopal, Madhya Pradesh, India, resulting in the immediate deaths of more than 3,000 people, according to the Indian Supreme Court. A more probable figure is that 8,000 died within two weeks, and it is estimated that an additional 8,000 have since died from gas related diseases.

The incident took place in the early hours of the morning of December 3, 1984, in the heart of the city of Bhopal in the Indian state of Madhya Pradesh. A Union Carbide subsidiary pesticide plant released 42 tones of methyl isocyanate (MIC) gas, exposing at least 520,000 people to toxic gases. The Bhopal disaster is frequently cited as the world’s worst industrial disaster The International Medical Commission on Bhopal was established in 1993 to respond to the disasters.

Background and causes:

The Union Carbide India, Limited (UCIL) plant was established in 1969 near Bhopal. 51% was owned by Union Carbide Corporation (UCC) and 49% by Indian authorities. It produced the pesticide carbary (trademark Sevin). Methyl isocyanate (MIC), an intermediate in carbary manufacture, was also used. In 1979 a plant for producing MIC was added to the site. MIC was used instead of less toxic (but more expensive) materials, and UCC was aware of the substance’s properties and how it had to be handled.

During the night of December 2-3, 1984, large amounts of water entered tank 610, containing 42 tones of methyl isocyanate. The resulting reaction generated a major increase in the temperature inside the tank to over 200°C (400°F), raising the pressure to a level the tank was not designed to withstand. This forced the emergency venting of pressure from the MIC holding tank, releasing a large volume of toxic gases. The reaction was sped up by the presence of iron from corroding non-stainless steel pipelines. A mixture of poisonous gases flooded the city of Bhopal. Massive panic resulted as people woke up in a cloud of gas that burned their lungs. Thousands died from the gases and many were trampled in the panic.

Theories for how the water entered the tank differ. At the time, workers were cleaning out pipes with water, and some claim that because of bad maintenance and leaking valves, it was possible for the water to leak into tank 610. UCC maintains that this was not possible, and that it was an act of sabotage by a “disgruntled worker” who introduced water directly into the tank However, the company’s investigation team found no evidence of the necessary connection.

The 1985 reports give a quite clear picture of what led to the disaster and how it developed, although they differ in details.

Factors leading to this huge gas leak include:


The use of hazardous chemicals (MIC) instead of less dangerous ones
Storing these chemicals in large tanks instead of several smaller ones
Possible corroding material in pipelines
Poor maintenance after the plant ceased production in the early 1980s
Failure of several safety systems (due to poor maintenance and regulations)

Plant design and economic pressures to reduce expenses contributed most to the actual leak. The problem was then made worse by the plant’s location near a densely populated area, non-existent catastrophe plans, shortcomings in health care and socio-economic rehabilitation, etc. Analysis shows that the parties responsible for the magnitude of the disaster are the two owners, Union Carbide Corporation and the Government of India, and to some extent, the Government of Madhya Pradesh.

Compensation from Union Carbide:


The Government of India passed the Bhopal Gas Leak Disaster Act that gave the government rights to represent all victims in or outside India.
UCC offered US$ 350 million, the insurance sum.
The Government of India claimed US$ 350 billion from UCC.
In 1989, a settlement was reached where UCC agreed to pay US$ 470 million (the insurance sum, plus interest) in a full and final settlement of its civil and criminal liability.
When UCC wanted to sell its shares in UCIL, it was directed by the Supreme Court to finance a 500-bed hospital for the medical care of the survivors. Bhopal Memorial Hospital and Research Centre (BMHRC) was inaugurated in 1998. It was obliged to give free care for survivors for eight years.

Legal proceedings leading to the settlement

On 14th December 1984, the Chairman and CEO of Union Carbide, Warren Anderson, addressed the US Congress, stressing the company’s “commitment to safety” and promising to ensure that a similar accident “cannot happen again”. However, the Indian Government passed the Bhopal Gas Leak Act in March 1985, allowing the Government of India to act as the legal representative for victims of the disaster, leading to the beginning of legal wrangling.

March 1986 saw Union Carbide propose a settlement figure, endorsed by plaintiffs’ US attorneys, of $350 million that would, according to the company, “generate a fund for Bhopal victims of between $500-600 million over 20 years”. In May, litigation was transferred from the US to Indian courts by US District Court Judge. Following an appeal of this decision, the US Court of Appeals affirmed the transfer, judging, in January 1987, that UCIL was a “separate entity, owned, managed and operated exclusively by Indian citizens in India”. The judge in the US granted Carbide’s forum request, thus moving the case to India. This meant that, under US federal law, the company had to submit to Indian jurisdiction.

Litigation continued in India during 1988. The Government of India claimed US$ 350 billion from UCC. The Indian Supreme Court told both sides to come to an agreement and “start with a clean slate” in November 1988.[Eventually, in an out-of-court settlement reached in 1989 , Union Carbide agreed to pay US$ 470 million for damages caused in the Bhopal disaster, 15% of the original $3 billion claimed in the lawsuit. By the end of October 2003, according to the Bhopal Gas Tragedy Relief and Rehabilitation Department, compensation had been awarded to 554,895 people for injuries received and 15,310 survivors of those killed. The average amount to families of the dead was $2,200.

Throughout 1990, the Indian Supreme Court heard appeals against the settlement from “activist petitions”. Nonetheless, in October 1991, the Supreme Court upheld the original $470 million, dismissing any other outstanding petitions that challenged the original decision. The decision set aside a “portion of settlement that quashed criminal prosecutions that were pending at the time of settlement”. The Court ordered the Indian government “to purchase, out of settlement fund, a group medical insurance policy to cover 100,000 persons who may later develop symptoms” and cover any shortfall in the settlement fund. It also “requests” that Carbide and its subsidiary “voluntarily” fund a hospital in Bhopal, at an estimated $17 million, to specifically treat victims of the Bhopal disaster. The company agreed to this. However, the International Campaign for Justice in Bhopal notes that the Court also reinstated criminal charges.

M.C. Mehta v. Union of India, AIR 1987 SC 965 (Oleum Gas Leak Case):

The case of M.C. Mehta v. Union of India originated in the aftermath of oleum gas leak from Shriram Food and Fertilizers Ltd. complex at Delhi. This gas leak occurred soon after the infamous Bhopal gas leak and created a lot of panic in Delhi. One person died in the incident and few were hospitalised. The case lays down the principle of absolute liability and the concept of deep pockets.

Directors Liability Insurance in Canada:

Directors & Officers liability Insurance is a claims made policy which covers the Directors, Officers, and Employees for their exposure as D’s & O’s for the manner in which they conduct the affairs of the Association. The policy covers defense costs, wrongful acts, and administrative errors and omissions.

Coverage’s:


Insured’s Liability Insurance- pay on behalf of the Insured all loss for which the insured is not indemnified by the Entity (even by reason of the Entities Insolvency) and for which the Insured shall become legally obligated to pay because of a wrongful act committed in the discharge of Administrative Duties.
Directors & Officers Indemnification Insurance – The Insurer agrees to pay on behalf of the Entity all loss for which the Entity shall be required by law, it’s articles of incorporation or its by-laws to indemnify the Directors & Officers.
Penal Defense Costs – will reimburse a D & O, if found innocent, of criminal charges which result from his/her administrative activities within the Entity.

Limits of Insurance:


Coverage A & B- $1,000,000 per loss $10,000,000 per year
The annual aggregate is split among 6 provinces

Conclusion:

In the contemporary liberalization global business environment, the role of the director and officer of a company is becoming more significant. The new dimension of the corporate governance is warrant more transparency in the corporate transaction. In the process, the director and officer of the board to shoulder specific duties and responsibilities. Any lopes in their performance may be fatal to the company and shareholder of the company. The company have to pay for it. The alternative available to companies to protect form such liability is insurance. The director and officer insurance provide protection to the company, the director and officer to come out of the tangle litigation . The director and officer are getting and more exposed to variety of legal liability in the increasingly litigious corporate world. Their duties and responsibilities have further multiplied due to specific requirement for good corporate governance. But there are lot of litigations and constraints on the part of the directors to be always vigilant so that they can always take right decision to ensure the best performance of the company. The major constraints come form macro factors like market risk, technology risk, political risk or financial risk where they do not have any control.

So they are porn to make mistakes and commit wrongful act in some case. For wrongful act they are liable to stakeholders under the best practice of the corporate governance. The director and officer liability insurance policy help the directors and the to company transfer such the risk and legal liability to professional fund mangers.

                          

Most of the companies not aware of the availabilities insurance protection against the risk of corporate liability. the promoter director and officers are not aware of the extent of the coverage available to them. The gaps in the awareness about the availability of legal protection are causing damages to the companies. With the lack of knowledge of indemnification and protection of the director and officer of the company, the Memorandum and Article are silent on the issue the protection of the directors and officer of and their indemnification. because of this, the director and officer face various litigation and fixed with the personal liabilities. As such its essential, which preparing the memorandum and article of Association, to incorporate the clause relating to protection of their director and officer form their liability.

The people governing the companies should also know the extent of the coverage available under the director and officer polices. They do not protect the liabilities arising out of fiduciary relationship and the personal liabilities. to protect the directors and officer form their personal liabilities. To protected directors and officer form their personal liabilities arising due to discharging of statutory duties of companies, the company should either incorporated the clause in the Memorandum and Article, or purchase separate polices to cover personal liabilities. The company should have awareness about their fact excluding and inclusion clause in the director and officer polices. The company should understand the required extent of legal protection to director and officer, and purchase the director and officer polices to that extent. If they fail in understanding the policy they purchase of fail the required policy, the protection may not be available to the companies for which they planned and the court may impose penalties or order payment of damages either by the companies or the director and officer of the companies, in the personal capacities, thus the understanding the director and officer policy and their coverage is an important element

In Indian aware relating director and officer insurance [polices are and their coverage is very low. The concept of the good governance and social responsibility of the companies are exposing the director and officer to various risk. The director and officer made accountable to the inrnal and external people and to society and government. in the complex business environment , the director and officer require protection at every phase. As such the company should come forward to help them out of the problem. If the no people will be afraid of taking the position of the director and officers. The investors, creditors, supplier who are dependent of the company also suffer losses.

In the present corporate environment the role of the director more crucial. If the independent director ask to compensate stake holder and companies for the failure of a business taken by the board of the director, no one come forward to involve in the management of the company . As the are not spared form the liabilities claim, the company have to forego the expertise of independent director, and they should exclude form the liability or should have strong protection form available liabilities.

The director and officer polices liabilities are more costly. There is different product designed by different insurance companies in India and abroad. The Indian multinational companies operating across the global have to inevitable purchase director and officer insurance and other professional indemnity polices to save the interest of the stakeholders. While purchasing the polices company should the right insurance polices to cover the required liabilities. While selecting the polices of every company and its directors should understand the nature of their business, excepted possible litigation and liabilities. Probable claimant extent of the cost and expenditure either to file or defend the suit , the applicable existing local and national law, the hierarchy of the court, the mood and attitude of the court to such issue, to possible fraud and moral hazard in the area. After  understanding the requirement   director and officer polices can be purchased to that affect. Once the police purchased the company and CEOs should read the policy cautiously and understand the term and condition of the policy.

Ashish Gupta 5th year, B.B.A.LL.B Symbiosis Law School,Pune

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace

Home insurance questions and answers

medical iphone apps | Wednesday November 18 2009 4:46 am | Comments (0) Tags: , , ,

Amica home insurance?
Your Open QuestionShow me another >> Home burglary.? i was away for over 2 weeks. come home to a ransacked house. my truck rims, tvs, dvds, dvd players, jewelry, bike, grassland mower, snow blower and other stuff was taken. how plausible is it that my insurance company, Amica, will give me anything for my truck…

Does home insurance (buildings) cover rising clammy?
Very much doubt it because that would be wear and tear, but the best answer is t read your policy and homily to the insurers

Can anyone speak about me find cheap medical insurance & home insurance ?
Here are a couple of good ways to find other on health insurance. One, use the Yellow Pages to find a local independent insurance agent (one who represents several different insurance companies). Two, use one of the online services that connects near several insurers….

Can anyone suggest a home insurance company that charges smaller quantity premiums surrounded by Mississauga, Ontario Canada?
Going to buy a home and I’m tired of looking through the washed out page. I a moment ago stipulation a virtuous index and anyone’s dutiful suggestion base on any claims and such. My guidance is to ring your auto insurance…

Can I ever seize home insurance again if a previous one have be cancelled?
About 1 yr ago I cancelled my DD for my home insurance to cut costs. My mound next said as I never told them directly they enjoy refuse my insurance policy and that I would find it difficult to attain another policy. I am…

Can I go and get more dismissal insurace than purely the system laying-off insurance?
For example, like an insurace policy from an insurance company if by any intention you become unemployed from your current career. I know there are saloon, home insurance and celebretities getting their body parts insuranced, why not employment other than what you get…

Can insurance companies tender you a break on umbrella liability premiums if you enjoy your insurance beside them?
Yes, you do get a multi-policy discount next to most companies. Many companies won’t sell you an umbrella policy unless both your auto and home insurance coverage is beside them. Many of them will give you a 10% discount…

Can Pemco lift up my home insurance if I get a speeding ticket?
YES, if you live in a trailer! ;-) no, but if you enjoy your home and auto(s) in one policy it would be the auto part of the pack that went up. Also if it is time to renew the policy, it could be…

Can u buy home insurance directly from the company?
is there a approach to buy the home insurance directly from provider than going thru the agent ? Especially in FL, where on earth the home owner’s insurance is rising thru the roof I agree with mbrcatz17. It is earth-shattering to have a local agent. Here are a…

Can you make a contribution me little proposal to select the home insurance provider contained by Australia?
I’m not happy near my current home insurance coz they keep lift up my monthly fee minus notice. Can you suggest something smart? sure can’t. sorry There are plenty of insurers within Australia: AAMI, GIO, Allianz, NRMA. Just google “home…

Can your home insurance inspector inspect your home at any time in need your consent or any prior awareness?
Yes, by signing the contract, you agreed to allow them to inspect your home at any given time. As a courtesy, most companies will schedule the appointment in finance so the homeowner can be aware of the upcoming…

Car or home or life Insurance?
Hi, I have an interview with a call centre selling insurance. What kind of problems have you had with your car/home insurance, i.e. documents not arriving and how did the company fix the problem As the song goes ‘You’ll not see nothing like the Mighty ***?

cheap home insurance?
Where can i obtain cheap home insurance? Finding an insurance agent surrounded by your community is the best way to step. You should talk to your family connections and friends to see if they may be able to refer an agency to you. An insurance agency have the ability to find the best insurance for…

Commercial property Insurance?
I recently purchased a 4th house but my home insurance denies further coverage and tell me that I can only insure up to 4 houses and must switch to commercial insurance. Is this everyday proceedure? Is there any commercial insurance companies that are well-mannered and you recommend? Are they as good as the non…

Do adjectives owners own to own their moniker on home insurance papers?
I am just wondering if two relations own a home if one of them can buy the home insurace? Will the other individuals belongings be convered even if their name is not on the insurance but they are a permissible ower of the home? We’re…

Do home insurance company drop you because of a lawsuit?
Do insurance companies drop/cancel your policy if youhave a lawsuit(premise liability) or demand communication and you havent report it to them? What are some reasons of why a insurance will drop you? Im conversation about Home Insurance. It depends on what state you are contained by. Some…

Do I own to spend my home insurance claim money fixing my house or can I freshly hold on to it?
I am getting ready to move but near was some violate to my house in a storm. I would approaching to just fix the crucial problems and keep some of my claim money surrounded by my pocket…

Do mentally not at your best home owners rate difficult insurance?
Recently I deeded over an inherited home to my brother and myself as joint-tenants. My brother is paranoid-schizophrenic. Will we repay higher superior home insurance because one owner is mentally-ill? Can the insurance company even refuse or dissolve our insurance? We and the home are in…

Do you update your home insurance agent of your home improvements? Why?
(Afraid of increase in premium charges) You should update your insurance company if your renovations label a signficant difference in the helpfulness of your home. That would be like adding up a room or rooms, finishing out a previously unfinished underground room, etc. A smaller…

Does a home insurance policy cover for hurrricane damages normally(not Florida)?
Does the usual home insurance policy cover those homes in general not surrounded by hurricane areas-for hurricane and twist damages? Are we paying for insurance be not covered for? Since you don’t register your state, nor the policy form it’s impossible to answer your put somebody through…

Does home insurance cover lightning to chimney.?
A Homeowner’s Policy or HO policy covers all peril unless specified. Dwelling policies only cover peril named within the policy. Check your policy to see which you have. I haven’t even see a residential dwelling policy in yrs. So I’m pretty sure that you’re fine and it will be covered….

Does home insurance cover you if you own scaffolding up?
The query is too evasive. Cover you for WHAT? For an hand falling stale the scaffolding? For the scaffolding mortal stolen? If the Scaffolding falls on a neighbor’s motor? Having Scaffolding up indicates you’re have someone do work on the building – usually fine art. It’s with…

Does my home insurance cover my big eyeshade t.v.?
if i have a photo and bill of course? Most probable, yes. Check your policy. what happened to the tv make a difference if insurance covers it… stolen – file a police report, answer should be yes.. broken – answer should be yes… quit working – answer is probably…

Does Triple A home insurance repay everything stolen from thieving?
My familys house be robbed (mostly jewelry be taken). About $5000 worth of things be taken (only Two Sony PSP’s and One Laptop be taken that be electronics ) most standard policies will solely cover loss by robbery for jewlery up to $1500, unless you enjoy an backing…

Flooding.?
Why should those who havent paid for home insurance complain that the establishment isnt helping them? Surelly, if they recieve financial aid, why bother with insurance? Its a tragedy and i dont have it in mind to take anything away from their suffering, but it seem to make a mockery of insurance (and the general public…

Home and coup¨¦ insurance grill?
I live in Michigan. Do we own to buy our car and home insurance locally, inwardly this county? Or can we get it from any agent surrounded by the state? – You can buy it from any agent licensed to sell insurance contained by your state.

How much is sports car and home insurance?
sorry this is kinda long.. but… im doing a project for economics class. and we have to numeral out our future, resembling make a resume and a career app a cover letter, and adjectives this other stuff after we picked a career we are interested contained by doing with our…

If someone falls stale a stepladder whilst working at yr proerty,is in attendance cover on your home insurance for injury?
If they are not a member of your household and you own med pay on your policy they will own coverage for medical expenses up to your med pay hamper. If their medical expenses are more than…

Have bought a static caravan to site on our own arrive, but cannot capture insurance cover?
Our current home insurers say that if we site a caravan for letting, our home insurance will be invalid. Have tried several insurers and none will offer house insurance near additional public liability for letting caravan. Business insurers right to be heard…

Have you ever have to claim on your insurance?
personal or home insurance and did they pay up short a fight or be it a complete nightmare retrieving anything from them Most people believe that insurance companies don’t want to retribution. This couldn’t be farther from the truth. I’ve been a property adjuster for several years and…

More insurance questions please visit : InsuranceFreeFAQ.com

InsuranceFreeFAQ.com

Share and Enjoy:
  • Digg
  • del.icio.us
  • Facebook
  • NewsVine
  • Reddit
  • StumbleUpon
  • Google Bookmarks
  • Yahoo! Buzz
  • Twitter
  • Technorati
  • Live
  • LinkedIn
  • MySpace
Next Page »