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The following article was written
by Alan J. Martin in the December 6, 2004, issue of National
Underwriter, which talks about the issue of Business Income
Coverage.
The Lessons Of Major Power
Outages
The
late summer 2003 power blackout, which shut down parts of
Canada and the northeastern United States, was a potent
reminder of how businesses of every kind have become ever more
interrelated, connected and dependent on each other and on an
increasingly complex infrastructure system of energy,
transportation and telecommunications.
As
a direct result, businesses also have become more vulnerable
to major disruptions – including those originating from
remote locations – and can experience substantial income
losses for reasons largely beyond their control.
Therefore, it is critically important for companies
large and small to try to identify various possible sources of
risk that can significantly impact their business operations
and revenues and to obtain appropriate insurance coverages.
Lessons
From August 2003
Even
before the joint U.S./Canada task force, comprised of
investigators headed by the U.S. Secretary of Energy and
Canada’s Minister of Natural Resources, issued a final
report that evaluated the cause of the massive August 2003
outages, the insurance industry assumed that its overall
exposure would be limited.
In large part, this was because insurers anticipated
being able to try to assert an absence of both applicable
coverages and the existence of covered property damage.
Under
such assumptions, the insurance industry never expected the
Aug. 14 blackout to make the “Top 10, and probably not even
the Top 30,” of disasters in terms of insured property
losses, according to Insurance Services Office Inc. the Jersey
City, N.J. – based advisory firm.
From early on, it estimated that insurers would pay
approximately $75 million for lost business and property
damaged, even though the blackout was the largest in North
American history.
At
the time, National Underwriter credited the Insurance
Information Institute in New York with the comment that the
even “might not have much direct effect o insurance claims
costs.” Experts
quoted elsewhere (on CBS News and in the Chicago Tribune)
characterized the blackout costs as “no more than a ripple
in the economy.”
However,
many of the businesses caught up in the August 2003 blackout
experienced much more than “a ripple” in their operations.
The blackout grounded airplanes, stopped trains,
disrupted traffic signals and shut down everything from cell
phones to air conditioners in Hartford, New York,
Philadelphia, Cleveland, Detroit, Toronto and many points in
between. Mail
service was affected nationally and water distribution halted
in Cleveland. ATMs stopped functioning.
The
Brattle Group, a service interruption cost consultant to
public utilities, had been quoted as estimating the potential
blackout cost from Detroit to New York at some $6 billion.
Plainly,
a wide gap emerged between the estimated substantial cost to
businesses from the August 2003 outage and the portion of
those costs that the insurance industry ultimately expected to
pay. This must
serve as a wake-up call, and all businesses should take note.
Determining
the appropriate insurance coverages – including Business
Income Coverage – to cover potential loss of income
scenarios can be a complex undertaking.
It involves an ongoing process that takes into account
an ever-changing business environment and attendant, evolving
risks.
A
clear understanding of how business income coverage functions
is essential. Most
often, it is provided in conjunction with standard commercial
property forms, thereby providing coverage for income losses
resulting from covered property damage along with the cost to
repair or replace that property.
In
other words, the damage ordinarily must be caused by a covered
cause (risk) at a location encompassed by the policy.
Business
Income coverage typically includes two primary components:
- Income
component, or profit that would have been earned had no
disruption occurred.
- Continuing
normal operating expenses component, or expenses that
still were incurred, including payroll.
Often,
business income coverage claims will involve issues over the
existence of direct physical damage and whether this damage
was caused by a covered cause of loss.
And, it is just this area where many disagreements can
arise. Differing assessments and interpretations by an insurer and
its policyholder can lead to different understandings, claim
disputes and even litigation.
The
Loss Of Utility Services
One
of the sources of loss of income whose coverage – or lack of
it – is frequently neither adequately addressed nor
understood is the loss of off-premises power, whether in a
situation broadly impacting many businesses (such as the
massive outage that occurred on August 14, 2003), or in the
context of one company’s single location.
Following
a power outage, subsequent property and income losses may –
or may not – be covered under provision of commercial
property policies. Every
business decision-maker, particularly those responsible for,
and involved with, the company’s insurance program, should
take a long, hard and realistic look at the coverages being
sold in the marketplace in relation to possible worst case
scenarios for damage and loss.
Otherwise, when needed most, appropriate coverages may
not be in place. Identifying
all possible exposures and their potential consequences
requires a comprehensive team approach among a
policyholder’s management and its risk managers, insurance
professionals, counsel, and insurance providers.
As
a starting point, it is important to be aware that standard
commercial package policies often will exclude coverage for
loss due to the failure of power (or other utility service) if
the failure occurs away from the insured location.
While
there are differences among policies, including those used for
small business owners and general types of mid – and
large-sized commercial businesses, some recurring issues
arise. A fertile area for dispute involves the existence of
restrictions on coverage for any business interruption/income
loss caused by the failure of power or other utility service
supplied to the described premises, however caused, if the
failure occurs outside a covered building.
If
the failure of power (or other utility service) supplied to
the insured location also entails a covered cause of
loss/peril on premises, that loss or damage ordinarily will be
covered. For instance, if a fire starts in conjunction with the power
failure, the ensuing damage and loss caused by that fire
almost certainly would be covered, as would loss of income
attributable to the fire damage.
But other scenarios can present more complicated
issues.
Special
endorsements can add back coverage for an insured’s business
income and extra expense loss caused by a utility service
interruption originating away from the insured’s premises
and “outside of covered building(s).”
However, issues still may remain as to whether the loss
was caused by direct physical loss or damage by a covered
peril to the utility’s off-premise property, and involved
the type of service interruption endorsed.
Direct
Physical Loss Required
Thus,
even a coverage program with express provisions for service
interruption may not be a complete safeguard against potential
risks and claim disputes.
The cause of a power outage and whether damage from a
“covered peril” took place can impact a policyholder’s
claim – as where a rolling blackout is initiated and
controlled by a power company in response solely to demand
spikes. In a
complete absence of any covered property damage, a controlled
cutoff of electric service may present another area of risk
and dispute.
If
any lesson is to be learned, a policyholder is well-advised to
undertake a comprehensive evaluation of its insurance program
now and not just if impacted specifically by the August 14,
2003 blackout. Smart
thinking recognizes the importance of updating one’s
insurance program before another, even more catastrophic,
service interruption occurs.
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