How To Determine What Is Allowed On A Certificate

During the past year, those of us who collect and review certificates of insurance
(COIs) have seen a lot of information/misinformation in the insurance marketplace
pertaining to the issuance and collection of certificates. We realize that many of us are
exposed to information from insurance industry groups, insurers, insurance agents,
state insurance departments, and so on. When combined with a heavy workload,
it’s easy to see how misreading a bulletin or the quick scan of a new state regulation
might cause anyone issuing COIs to refuse changing a COI in response to a request or
requirement. How often have you heard “That is not allowed?”

While information is meant to help, we believe the best method for addressing the
“That is not allowed” argument is by using current State Insurance Department
communication(s) on the topic of COIs. Many of these communications focus on agent
reminders, recent legislative changes, and updates concerning the use, content, purpose,
and issuance of COIs.

This article will focus on a State Insurance Department bulletin and two recent legislative
changes aimed at COIs. We believe this will help you determine more accurately
what is allowed on a COI, clear up misconceptions, and help provide guidance to obtain
the correct information.

The State of Texas amended its insurance code effective January 1, 2012, by specifically
addressing property and casualty COIs. Here are some of the areas the amended
code deals with:

DEFINITIONS. “Certificate of insurance” means a document, instrument, or record,
including an electronic record, no matter how titled or described, that is
executed by an insurer or agent and issued to a third person not a party to the
subject insurance contract, as a statement or summary of property or casualty
insurance coverage. The term does not include an insurance binder or policy
form.

APPLICABILITY. This chapter applies to a certificate holder, policyholder, insurer,
or agent with regard to a certificate of insurance issued on property or
casualty operations or a risk located in this state, regardless of where the certificate
holder, policyholder, insurer, or agent is located.

PROHIBITED ACTS AND PRACTICES. (a) A property or casualty insurer or agent
may not issue a certificate of insurance or any other type of document purporting
to be a certificate of insurance if the certificate or document alters,
amends, or extends the coverage or terms and conditions provided by the
insurance policy referenced on the certificate or document. (b) A certificate of
insurance or any other type of document may not convey a contractual right
to a certificate holder.

RIGHTS CONFERRED. A certificate of insurance does not confer to a certificate
holder new or additional rights beyond what the referenced policy or any executed
endorsement of insurance provides.

CIVIL PENALTY; INJUNCTION. (a) A person, including an insurer or agent, who
willfully violates this chapter is subject to a civil penalty of not more than
$1,000 for each violation.

New Hampshire recently enacted a new statute effective January 1, 2012 to address
the content, purpose, issuance and use of COIs in part as follows:

(4) No person shall prepare or issue a certificate of insurance that purports to
affirmatively or negatively alter, amend, or extend the coverage provided by
any policy of insurance referenced in the certificate.

(5) The requirements of this section shall apply to certificates of insurance issued
as evidence of insurance policies and coverage on property, operations,
or any risk located in this state, regardless of where the certificate holder, policyholder, insurer, or insurance producer is located.

(6) No certificate of insurance shall contain references to contracts, including construction
or service contracts, other than the referenced contract of insurance, unless
such reference is in relation to coverage or other requirements of the insurance
contract.

(7) A certificate holder shall only have a contractual right to notice of cancellation,
nonrenewal, or any similar notice concerning a policy of insurance if the person is
identified and designated within the policy or any endorsement to that policy as an
additional insured and that policy or endorsement requires notice to be provided.

New Jersey Bulletin #11-04 from the Commissioner regarding COIs states:

The purpose of this Bulletin is to remind producers that certificates of insurance
should be used only to provide evidence of insurance in lieu of a copy of the actual
policy, and cannot be used to amend, expand or alter its terms.

Department continues to urge all insurers to review their oversight procedures regarding
certificates of insurance in order to avoid misrepresentations of the terms
and conditions of their policies, and to remind their producers about the consequences
of providing improper certificates.

All insurers are encouraged to provide copies of this Bulletin to all of their appointed
agents and employee producers, if any.

Copies of these bulletins and insurance codes can be found here on our blog in the previous post.

Recently Published State Specific Insurance Information

New Hampshire
New Jersey
Texas

The Top 3 Mistakes Organizations Make When Going Out For Competitive Bid

Few organizations find the right solution for insurance certificate tracking—at least the first time through—using the request for proposal (RFP) process. Our unique perspective is shaped by reading and responding to countless RFPs for certificate of insurance (COI) tracking. We see organizations evolve from quasi-candidates into the perfect match for BCS’ unique service. This evolution seems to come with its fair share of lumps, and in order to save anyone out there from taking those lumps unknowingly, we’ve decided to share The Top 3 Mistakes Organizations Make When Going Out For Competitive Bid. Additionally, we want to offer some pointers on how to avoid making them.

1. Failure to identify the real reason for tracking vendor insurance.

Q: Why track vendor insurance in the first place?
A: To transfer loss. Every other answer is an accessory to this one.

Loss may be succesfully transfered when:

(1) Your legal and/or risk management department(s) create and execute contracts containing the terms and conditions necessary to transfer loss
(2) Your vendor’s current insurance coverage actually contains the policies and endorsements called for in the contract

A good service provider will augment your legal and/or risk management department with item (1) above, and will take complete responsibility for ensuring item (2) above. In fact, for each dollar you spend with such a service provider, you will get back roughly $5 in avoidance of legal liabilities, harm to the organization’s reputation, and lost productivity. That’s a pretty good ROI.

Most COI tracking service providers don’t help with items (1) or (2); instead, they simply scan and store documents, noting expiration dates and deficiencies. Without a detailed understanding of your contract requirements, and a process capable of correcting non-compliant COIs, these service providers will never succeed in helping you transfer loss.

2. Overestimating levels of COI compliance in the current program.

Q: What is your current level of COI compliance?
A: Less than 30%.

A recent KPMG study indicates that over 70% of all self-reported vendor data is inaccurate, incomplete, or expired. In fact, as we have performed third-party audits of vendor insurance files, our findings reveal even greater levels of disparaging vendor data in all organizations and across all industries. This means 70% of the COIs you have on file will not transfer loss when put to the test. This statistic is not to be taken personally, as if somehow it reflects poorly on you or your organization. Inaccurate, incomplete, or expired vendor data is the reality for the best-run Fortune 100, non-profit, and privately held organizations.

Come to grips with your current levels of COI compliance and you will be much less likely to buy the rhetoric about the ease of implementing automated web-based systems, and more likely to probe into, what nearly all service providers in our industry consider the uncomfortable territory of corrective measures.

Remember, what you ultimately want is to have a perfected COI on file for every vendor and/or tenant, that will transfer loss away from your organization when, not if a claim is made.

3. Getting hung-up on price rather than the more important factor of cost.

Q: What’s the difference between price and cost?
A: Value over time.

Consumers know that price and cost are two different things. For example, consider the price of replacing single-pane, wood windows with double-pane, vinyl windows. Obtaining the price is as easy as getting a price-tag for the new windows and the labor. But determining the cost of the windows takes other things into consideration; like energy efficiency, reduction in maintenance, tax-rebates, guarantees, etc. When all factors are considered, the home owner may discover that a higher priced window, actually has a lower cost over time due to its superior efficiency, and thus greater value.

Businesses know the difference too, but sometimes that difference is much harder for us to distinguish when purchasing a fairly complex service versus a fairly simple product. Here are a few pointers to keep in mind as you analyze price vs cost: The cloud makes everything easier, but that doesn’t mean you don’t need great people working for you anymore. Technology is great, but nothing takes the place of the trained eye of a dedicated auditor. The human resources used on your account will ultimately provide the corrective action (the value) needed to bring about compliance.

Summary

Hopefully your legal and/or risk management department(s) have created the conditions necessary to transfer loss. If you are confident that this is the case, you are on the right track; however, in order to turn that legal protection on paper into something that works in the real world, you will need a hands-on approach to reach compliance. BCS uses trained human resources to make proactive, outbound phone calls that ensure compliance. Don’t just outsource your process to save time. Save time and transfer loss by dramatically improving vendor compliance with BCS. For more information about BCS, visit our website or call us today!

The Protection You Need, A Process You Can Trust, Accuracy You Can Depend On.

The Dangers of Non-Standard Endorsements on Vendor CGL Policies 

EMERGING TRENDS MAY PUT YOUR BUSINESS AT RISK

Non-admitted (i.e.: surplus lines) insurers are frequently issuing Commercial General Liability (CGL) policies which contain non-standard endorsements. These non-standard endorsements may have exclusionary lan- guage that can drastically narrow or eliminate basic coverages you have come to expect. We will focus on one
troubling example, the “Action Over Exclusion,” also known as the “Bodily Injury to Independent Contractors.”

THE PROBLEM – CONSIDER THIS SCENARIO

An Owner of a building in Brooklyn, NY hires Bob’s Repair to perform maintenance work on the light fixtures in their lobby. The Owner executes a written agreement with Bob’s Repair which includes a hold harmless clause in favor of the Owner.

Bob’s Repair employee falls from their ladder while working on the light fixture and is injured. After collect- ing workers’ compensation benefits from the employer, the injured employee sues the Owner. If Bob’s Repair maintained a standard ISO CGL insurance policy, the Owner could tender the suit to Bob’s Repair’s CGL insurer for coverage under the contractual liability portion of the CGL policy.

If we then apply a typical Action Over Exclusion to Bob’s Repair’s CGL insurance policy removing the exception to Exclusion e. Employers’ Liability, their Insurer would deny coverage to both Bob’s Repair and to the Owner since there is no longer any coverage for liability assumed under an insured contract for the injured employee’s suit. This leaves Bob’s Repair with the burden of defending and indemnifying the Owner with no insurance coverage to fund that obligation.

This is a basic scenario in which a property owner or general contractor should have a reasonable expectation that their subcontractor’s CGL policy will provide this level of coverage.

HOW TO IDENTIFY THIS EXCLUSION

The applicable language to look for is found in a standard CGL insurance policy (ISO CG0001 12/07 edition), Exclu- sion e., Employer’s Liability.

By deleting the exception to the exclusion for liability assumed by the insured under an “insured contract,” the exclusion is again in play. The pertinent language deleted is underlined below.

e. Employer’s Liability “Bodily injury” to:
(1) An “employee” of the insured arising out of and in the course of:
(a) Employment by the insured; or
(b) Performing duties related to the conduct of the insured’s business; or
(2) The spouse, child, parent, brother or sister of that “employee” as a consequence of Pargraph (1) above.

This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury.

This exclusion does not apply to liability assumed by the insured under an “insured contract”.

HOW COMMON IS THE ACTION OVER EXCLUSION?

In New York alone, there are more than 20 different non-admitted insurers who now issue some form of an Action Over Exclusion endorsement to their standard contractor CGL policies. Chances are, at least one of your active contractors carries a CGL policy with a similar exclusion.

You will not find any reference to these Action Over Exclusions on a standard ACORD 25 Certificate. So what are the basic steps you can begin taking today to protect your business from this risk?

THE SOLUTION – BCS RECOMMENDS TAKING ONE OF THE FOLLOWING THREE STEPS:

1

Collect and review a copy of the contractor’s Schedule of Forms and Endorsements attached to their CGL insurance policy. Flag any non-standard endorsements, and escalate them for thorough review of the endorsement language, developing a list of non-approved endorsements to look for and reject.

2

Request that the contractor amend their ACORD 25 Certificate to include the following affirmative statement in the DESCRIPTION OF OPERATIONS section: “There are no “Action Over” or “Bodily Injury to Independent Contractors” or similar restrictions, endorsements or limitations as part of the General Liability policy evidenced on this certificate.”

3

Request that the contractor’s Insurer or Insurance Agent place the above affirmative statement on their letter-head, sign it and provide you with a copy.

Employing one of these measures is a fundamental starting point to determine if your contractor’s insurance might leave your business exposed to unnecessary liability. Whether your organization has the manpower
or expertise to implement these suggestions is another matter. As with all other insurance and contractor risk issues, this is a problem to address prior to an on-site accident, not the day after. If your organization has contractors working at a job site, it is of paramount importance to actually know what kind of insurance that contractor has provided.

MORE ABOUT BCS

At BCS, our goal is to provide outstanding customer service to clients. One way we do this is by staying on top of relevant insurance and industry information, and sharing it with clients. If you would like to discuss Action Over Exclusions, or any other insurance or risk management contractor issue on your mind, please make a request below in the comments.

How to Obtain a 30-Day Notice of Cancellation: Despite the New ACORD Form

LIFE’S CONSTANT = CHANGE

Over the past eighteen months, since ACORD made their infamous changes to the ACORD 25 (2009/09) Certificate of Insurance, many Insurers and Insureds, Brokers and Agents, as well as Certificate Holders have changed the way they manage ACORD certificates and the information provided therein. One subtopic that is still in flux is the ACORD 25 (2009/09) CANCELLATION provision which reads:

“Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions.”

How can you best address this issue with your vendors, when written contracts require these vendors to provide thirty (30) days notice of cancellation for insurance policies?

We last wrote about this topic in early January 2011 and offered a handful of options, some of which appear to be gaining support in the insurance marketplace. We will examine two of these options in more detail below.

OPTION 1: INSURER ISSUED CANCELLATION ENDORSEMENTS

The best option for Certificate Holders is to obtain a Notice of Cancellation Endorsement from the vendor’s Insurer(s) specifically scheduling the Certificate Holder. Endorsements modify the insurance policy contract and if written properly, the vendor’s Insurer(s) will provide the desired notice of cancellation.

One such Notice of Cancellation endorsement seen recently reads:

“In the event of cancellation or non-renewal of the insurance afforded by this Coverage Part, we agree to mail prior written notice of cancellation to the person(s) or organization(s) shown in the Schedule.”

The schedule then includes the Certificate Holder’s Name, Address where the notice is to be mailed and the number of days advanced notice is to be given.

Another Notice of Cancellation endorsement seen recently from a different Insurer reads:

“This Policy may be canceled by the Company by giving to the Insured and to the additional insureds indicated on the certificates of insurance issued during the term of this policy, at least Sixty (60) days written notice of cancellation or in the case of non-payment of premium, at least ten (10) days’ written notice of cancellation.”

Understand that these types of endorsements are not generally available and are used sparingly by Insurers, but we view this as a positive sign that the demand for affirmative Notice of Cancellation by Certificate Holders is impacting Insurers looking for a way to differentiate themselves.

OPTION 2: A MISCELLANEOUS ATTACHMENT TO THE ACORD 25 CERTIFICATE

“Should any of the described policies be cancelled before the expiration date thereof, the issuing Insurer will mail written notice in accordance with the policy provisions to the certificate holder named within the stated time frames of 30 days, except for reason of non-payment of premium at 10 days. Failure to do so shall impose no obligation or liability of any kind upon the Insurer, its Agents or Representatives.”

If this language looks familiar, it is close to how the pre 2009/09 ACORD 25 Certificate CANCELLATION language read. While not as clean cut as the first option, we view this as a positive step in providing the desired Notice of Cancellation to Certificate Holders.

IN SUMMARY

We believe the ACORD changes to their Cancellation provision, while causing a tremendous amount of heartache to all parties involved, is having a positive effect (and possibly the desired effect) of putting Insurers back in the business of managing cancellation notices on behalf of their Insured’s who have contractually agreed to provide such notice.

We will continue to monitor this issue and provide updates to you, our readers, in the hope of keeping you abreast of what we see in the insurance marketplace. We would appreciate your thoughts and feedback on this issue as well, so feel free to leave your comments below.

Should Your Vendors Carry Contract Liability Coverage?

CONTRACTUAL LIABILITY INSURANCE

Contractual liability insurance has been automatically provided in commercial general liability policies for over twenty years. However, more frequently, insurers will selectively eliminate the provision/s in the standard CGL coverage form to eliminate coverage for the most common instance of contract liability: One party indemnifying another party for tort liability.

To help your organization avoid this pitfall, we briefly explain which section of the CGL coverage form you should inspect to ensure coverage has not been removed.

THE ISO CGL COVERAGE FORM CG 00 01 12 07

Section (I)(1)(a) deals with coverage for bodily injury and property damage liability. The form states that the insurer “will pay those sums that the insured becomes legally obligated to pay as damages because of “bodily injury” or “property damage” to which this insurance applies.”

However, in Exclusions (2)(b) the form states coverage does not apply to (“bodily injury” or “property damage” for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement.”) At first glance, this seems to exclude coverage for the situation we described above. Not so. There are several exceptions to this coverage exclusion. For our purposes, we will focus on the language stating that the exclusion does not apply to liability for damages assumed in an ‘insured contract.’

The coverage form goes on to define ‘insured contract’ in a way that includes “That part of any other contract or agreement pertaining to your business… under which you assume the tort liability of another to pay for “bodily injury” or “property damage to a third person…”

To put it another way, the Coverage Form begins by stating it will cover certain tort damages the insured is obligated to pay, but not if the insured assumed that liability in a contract, UNLESS the insured assumed the liability in an “insurance contract.”

How does the insurer get around this? Simple, they just change the definition of “insurance contract” in the Definitions section of the Coverage Form so that it no longer actually provides you coverage.

The important section is the final paragraph, “f.” This paragraph states that an insured contract also means: “That part of any other contract or agreement pertaining to your business… under which you assume the tort liability of another to pay for “bodily injury” or “property damage to a third person…”

SECTION V – DEFINITIONS: (9)(f) is what BCS would advise you to inspect in the CGL CG 00 01 12 07 form your vendors submit. If paragraph (f) has been modified or deleted from how it appears above, you may have a problem. While this is certainly not a catch-all guarantee for knowing that your vendor indemnity provisions remain intact, it is a very good place to start.

ACORD Changes: The Additional Insured & Waiver of Subrogation Columns

The ACORD form has undergone recent changes, and with these changes come questions about how to interpret the new form. BCS offers some basic tips and instructions for one of the most commonly misinterpreted and misleading parts of the new ACORD form – the additional insured and waiver of subrogation columns.

The Additional Insured and Waiver of Subrogation Columns

In the sample certificate below, the insurance agent has placed an “X” inside of the additional Insured and waiver of subrogation columns. This “X” could either indicate that there is coverage, or there is not coverage. What if the agent had marked “√”, or even “+”? Are these symbols ambiguous? Agents may have their own idea as to when their symbol of choice means there is coverage, and when it means there is not coverage; however, the burden ultimately falls on the risk manager to evaluate the meanings of these different symbols, on hundreds or even thousands of certificates. For this reason, ACORD has issued guidelines for insurance agents to follow when issuing a certificate of insurance.

ACORD Sample

ACORD Guidelines

ACORD guidelines state that in the additional insured column on the certificate, agents should enter “Y” for yes, if there is coverage and “N” for no, if there is not coverage. This is the standard for indicating whether or not a policy includes additional insured or waiver of subrogation coverage. The “Y” and “N” can be clearly understood by all who read the certificate. Agents should not be using ambiguous marks such as “X,” “√,” or “+.”

Remember, regardless of what’s indicated in the columns of the certificate, the certificate itself is not proof of the coverage. You need copies of the actual vendor’s general liability policy additional insured and waiver of subrogation endorsements in order to confirm whether or not the policy extends that coverage. An ACORD certificate only provides you with an indication of what the insurer and agent intended to convey.

As we discussed in prior articles, the Acord 25 (2009/09) states:

“If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).”

What this means for you is two-fold. First, examining only a certificate is not proof of coverage. If you are unsure as to whether the proper additional insured, waiver of subrogation, or other policy endorsements are in effect, the only way to know for sure is to collect and inspect those physical endorsements. Second, keep in mind that on the certificate of insurance, agents should not use ambiguous marks and symbols to indicate coverage, as outlined by ACORD.

Transferring Vendor Risk – A 10 Question Survey

It is very common for businesses to hire vendors to perform routine work, and provide
products and services. In doing so, organizations have an expectation that if the vendor
causes injury to a third party, the vendor’s insurance coverage will be triggered, and
defend and indemnify them. This protects those businesses which rely on vendors, by
ensuring that liability stays with the party responsible for the loss.

Consider this scenario: Your company hires an electrician to perform maintenance work
on a light fixture at one of your facilities. The electrician’s employee does not properly
perform his work, and two weeks later the light fixture falls and hits someone on the
head, causing injury.

After learning of the incident, you report the claim to your insurance provider. In turn,
your insurance agent asks you for a copy of the electrician’s insurance certificate, as
well as any contract you have in-place with the electrician. You quickly discover the
only insurance certificate you collected from the electrician is now expired, and you are
unsure as to whether you ever had a formal contract in place with them.

As a result, instead of the electrician’s insurance policy paying for the claim, you
are stuck with the bill. You must look to your own insurance policy for defense and
indemnification, and it is your insurance that takes the hit, not the electrician’s.
The following questions will evaluate whether or not you have an effective risk transfer
strategy in place for dealing with the above scenario, or one like it. Improving your own
vendor risk transfer strategy will help reduce the likelihood and impact of vendor-related
claims when they arise, and help ensure that your organization is properly addressing
vendor risk.

1. Do you Have a Written Contract with all Vendors, or alternatively track all
Purchase Orders?

Requiring and maintaining written contracts with all vendors is a preferred option in
an overall vendor risk management strategy. Alternatively, if you use purchase and
work orders with your vendors, the same basic principles apply. Most commercial
general liability additional insured endorsements require a written contract
between the insured and an additional insured before the insurer will consider
extending coverage to the additional insured party. It is very likely that the contract
will need to explicitly state that the vendor must include the hiring party as an
additional insured on the vendor’s commercial general liability policy. Maintaining a
written contract with all vendors is preferable here, to ensure your company can be
properly named as additional insured.

2. Do Your Vendor Contracts Include Indemnity/Hold Harmless Language?

Indemnification is a key provision in a contract which requires one party to assume
the financial responsibility of the other party. Typically, the hiring organization
will impose a ‘hold harmless’ responsibility on the vendor. For example, vendor
contracts typically require the vendor to indemnify the organization with respect
to the organization’s liability to members of the public who are injured, or whose
property is damaged during the course of the vendor’s operations.

3. Do Your Vendors Carry Appropriate Insurance?

An indemnity clause is only valuable so long as the vendor responsible for the
accident on your premises is financially solvent. Requiring the vendor to also
maintain insurance coverage is recommended, because it allows your organization
to rely on the insurance company to pay for a claim, not the vendor directly, should
a claim arise. Your vendors should always be properly insured before performing
any work for you.

4. Are Your Contracts Executed by Both Parties Prior to the Start of Work?

Countless claims are denied each year because a contract between two parties is
invalid. A common reason is because both parties had not signed a final agreement
memorializing their contract, and due to the nature of the contract at stake, either
no formation occurred, or alternatively the final terms differ from how one party
intended.

5. Have You Collected and Reviewed the Vendor’s Certificates of Insurance?

Review of the vendor’s insurance certificates should be based on the insurance
requirements within each individual vendor contract. This may or may not contain
differing terms from the standard vendor contract template your organization
typically uses. It is surprisingly common for companies to routinely make one-off
changes to contracts or service agreements when contracting with new vendors.
Unless these are properly documented and readily available, you may be mistaken
about the actual responsibilities individual vendors have regarding their obligations
to purchase and maintain insurance.

6. Have You Collected and Reviewed the Vendor’s Key Insurance Policy
Endorsements?

If your contract with the vendor requires them to carry and maintain certain policy
endorsements and coverage, it is important that you collect and inspect those
policy endorsements, rather than simply assume the vendor actually maintains that
level of coverage. Insurance agents and brokers routinely attempt to substitute one
policy endorsement for another, often times inserting endorsements that materially
differ from the endorsements you specifically require. You must inspect each key
endorsement to determine if it in fact is materially similar to what you require.

7. Are you Following-up on Updated Certificates when Policies Expire?

Insurance certificates can contain numerous policies, all of which could potentially
expire at various points throughout the year. To ensure the vendor has not lapsed
on any particular policy, you need to collect a renewal certificate every time a single
policy expires.

8. Do you Have a Developed System for Following-up with Vendors?

The amount of certificates you collect from vendors can quickly pile-up. This ever
growing stack of paperwork can become overwhelming. The solution is to implement
an efficient system to manage the certificates of insurance, become alerted to policy expirations
or cancellations, and have the ability to communicate directly with vendors and their
agents when the time comes to collect renewals.

9. How do you handle Non-Compliance and Exceptions with your Vendor’s Insurance?

When you work with tens, hundreds, or even thousands of vendors, one-off
situations are bound to arise. An advantage of having a well organized vendor
risk management program is the ability to execute and manage one-off vendor
situations. If a vendor’s contract requires them to carry a particular coverage, yet
you determine that for the work they are engaged they don’t actually need that
coverage, you should have a system in place to record the exception. Next, make
sure the required parties have signed-off on the exception, and the entire process is
properly documented.

10. Do Your Contractors use Contractors?

If your contractors use subcontractors, many of the above steps and procedures
apply to them, as well. This additional step can really put your vendor risk
management strategy on track.

How Do the Recent ACORD Changes Affect Your Vendor Screening Policies?

ACORD recently made several changes to their standard certificate of liability
insurance form, currently one of the most widely used insurance certificates.
This alteration poses several important risk management issues for companies
that contract with suppliers and vendors.

The most-discussed change to the ACORD 25 (2009/09) form is to the Cancellation
provision; wherein specific language to provide notice to the Certificate Holder in
the event of a policy cancellation had seemingly been removed.

The prior language on the ACORD 25 (2009/01) form read: “Should any of the
above described policies be cancelled before the expiration date thereof, the
issuing insurer will endeavor to mail _____ days written notice to the certificate
holder…” In short, the above language stated that if any of the policies listed on
the ACORD form were cancelled, the insurance provider would send notification
to the affected certificate holder/s. The space was left blank so that an insured
could have their insurance agent or broker write-in a number of days notice of
cancellation.

The new language on the updated ACORD 25 (2009/09) was changed to read:
“Should any of the above described policies be cancelled before the expiration
date thereof, notice will be delivered in accordance with the policy provisions.”
This new language caused much debate, because upon initial glance it seemed to
remove the ability for the insured to specify how many days notice the Certificate
Holder would receive in the event of policy cancellation.

In reality, the new ACORD form language reinforces that the language of the
policy, not the certificate, is what matters. The point to consider is that the
protection offered by the earlier ACORD form cancellation language was largely
illusory. In the earlier form, by stating that the insurer “will endeavor to mail”
notice, and that “failure to do so shall impose no obligation or liability of any
kind upon the insurer,” these caveats eroded the insurer’s or agent’s obligation
to provide notice of cancellation. Even if an insurer indicated on a certificate that
they would mail 30 days notice of cancellation, unless they were required to do
so by the policy, they were likely under no obligation to actually provide that
30 days notice.

The new ACORD form cancellation language simply states what the previous form
meant, namely, the cancellation notice will be mailed in accordance with what the
actual policy requires, not based on what is written on the ACORD form. On the
ACORD form it states: “This certificate is issued as a matter of information only
and confers no rights upon the certificate holder.” In other words, the actual policy
is what counts.

This change to the ACORD form has several implications. For example, many
vendors have contract stipulations requiring them to provide a specific number of
days cancellation on their policies. With the new ACORD form, it is less apparent
or indicative of whether that protection is actually part of the policy.
Certificate Holders have several options in light of the new ACORD form language.

These suggested actions include:

    • Collect follow-up certificates of insurance on a quarterly basis, rather
      than on the insurance policy anniversary date. This allows for regular
      confirmation that the required insurance is still in force and the premium
      has been paid up through the date the certificate was issued.
    • Ask the insured to modify their insurance policy by endorsing the
      required cancellation notice language. Then, collect a copy of the
      cancellation notice endorsement along with the certificate.
    • Remove and / or modify the cancellation wording in the insurance
      section of vendor contracts.
    • Collect a copy of the insured’s insurance policy and review the
      appropriate cancellation notice language directly, to see what the policy
      actually says, rather than relying on ambiguous certificate wording.
    • Ask the insured to work with their insurance agent to provide
      cancellation notice to the Certificate Holder. Some insurance agents are
      beginning to see this as an additional service they can provide to their
      insureds, though it should be approached on a case-by-case basis, as
      insurance agent services and ability varies greatly.



    As always, the main consideration is time and expertise. The new ACORD changes
    may or may not affect your company’s risk management strategy or vendor
    relations. This depends on what your current vendor requirements are, and
    whether your vendors actually follow these requirements. If your organization
    may be affected by this change, you need to have properly trained staff available
    to review vendor insurance certificates, to determine whether they are in
    compliance with terms and conditions after their insurance broker begins using
    the new ACORD forms.

Are You Protecting Your Company or Putting it at Greater Risk?

An important part of any corporate risk management strategy is working with safe,
reliable vendors and contractors. One critical step towards this goal is ensuring
that those vendors carry and maintain the required insurance coverage. Merely
collecting insurance certificates from vendors, however, is only a partial solution.

Unless each certificate is carefully reviewed and scrutinized, the company hiring
the vendor may not in fact be covered by that vendor’s insurance policy.

To better understand the difference between collecting certificates as opposed
to ensuring full vendor insurance compliance, it is necessary to read the standard
certificate language as follows:

The Acord 25 (2009/09) states:

“ This certificate is issued as a matter of information only and confers
no rights upon the certificate holder”

It goes on further to state:

“ If the certificate holder Is an ADDITIONAL INSURED, the policy(ies)
must be endorsed… A statement on this certificate does not confer
rights to the certificate holder In lieu of such endorsement(s).”

The language is simple. Simply collecting a certificate of insurance from a vendor
does not mean that the vendor is in compliance with the hiring organization’s
insurance requirements unless the next, and most important, step is taken. This
step is manually reviewing and scrutinizing every policy endorsement, especially
the additional insured endorsement, to guarantee that coverage is afforded the
additional insured entity in case of a vendor accident. Even though a vendor’s
contract or purchase order with a client may require that vendor to carry liability
insurance and name the client as an additional insured, there is no guarantee
the vendor’s insurance policy actually confers that coverage. There are so many
endorsements in use today, and so many differences between those endorsements;
careful review and scrutiny must be given every single certificate and endorsement.
Otherwise, there is only the illusion of coverage.

Once organizations have identified this potential loophole in their vendor
compliance program, the next step is finding a cost-efficient and reliable method
to carefully review every certificate. Insurance industry knowledge and experience
are required to understand the language in these key endorsements to determine
if they not only meet an organization’s requirements, but also protect the
organization in the event the vendor is involved in an accident leading to loss.

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