The Law

Legal Spotlight

A look at the latest decisions impacting the industry.
By: | April 7, 2017 • 4 min read

Court Limited Extra Expenses

In 2012, Welspun Tubular, which manufactures pipes in Little Rock, Ark., was contracted by Enterprise Products Partners to manufacture 180 metric tons of pipe for a pipeline from Cushing, Okla., to Houston, Texas.

Production was supposed to commence on July 25, 2012, with final delivery on Aug. 31, 2013, but a fire damaged the facility on July 14, 2012. Welspun and Enterprise agreed that a portion of the production would shift to Welspun Tradings, an affiliated company in India.

Welspun had a commercial insurance policy issued by Liberty Mutual Fire Insurance Co., which covered property damage, loss of business income and extra expenses at the Little Rock facility. A forensic accountant calculated the lost business income at $28 million, direct mitigation expenses of $13.4 million and nearly $500,000 in indirect overhead costs.

Liberty paid about $415,000 as “extra expenses” in reimbursement of a portion of the direct costs, leaving unpaid $13 million, as well as nearly $500,000 in indirect overhead costs.

A partial settlement was reached, and Liberty Mutual paid Welspun $22.3 million in lost business income and $1 million for “extra expenses,” to cover direct costs, based on a $1 million policy limit.

Because they disputed the amount owed Welspun for mitigation expenses — which Welspun claimed were $13.5 million to shift production to India so the entire order was not lost — both parties filed suit.

A U.S. District Court judge in the Eastern District of Arkansas ruled on Feb. 2 that the insurer did not have to “pay more than it would have paid had the business loss occurred rather than been averted.”

He granted Liberty Mutual’s request to dismiss the case.

Scorecard: The insurance company does not have to pay Welspun $13.5 million.

Takeaway: The issue revolved around the amount the insurer would have paid if Welspun had been unable to make up the lost production.

Professional Services Not Included in Coverage

On April 22, David McBride was using a cutting torch to remove bolts from a “digester lid” as part of a project to upgrade a wastewater treatment plant in Dexter, Mich.

Sparks from the torch ignited methane gas inside the tank and caused an explosion that injured McBride and killed Michael Koch, a pipefitter.

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After the accident, McBride and the estate of Koch filed a wrongful death action against Orchard Hiltz & McCliment (OHM), the engineering and architecture firm that designed the upgrade and was project engineer for the construction.

XL Specialty Insurance Co., which had issued professional liability coverage to OHM, defended it in the lawsuits.

OHM, which was listed as an additional insured on the policies of two contractors involved in the project, filed a lawsuit seeking pro rata defense and indemnification from those insurance companies: Phoenix Insurance Co. (which provided commercial general liability coverage to A.Z. Shmina, the project’s general contractor) and Federated Mutual Insurance Co., (which provided CGL coverage to Platinum Mechanical — the employer of Koch. Platinum subcontracted with Regal Rigging & Demolition — the employer of McBride.)

Both Phoenix’s and Federated’s policies excluded professional services, and the U.S. District Court for the Eastern District of Michigan dismissed OHM’s suit.

On appeal to the U.S. 6th Circuit Court of Appeals, OHM argued the professional services exclusion did not apply because “some of the underlying allegations implicate ‘general project operations and work place safety’,” which OHM was not responsible for.

The appeals court said the policies issued by Phoenix and Federated “were never intended to cover professional negligence claims.”

“The substance of the underlying claims is that OHM is liable for failing to properly plan for, and take preventative measures to ensure, the safe removal of the digester tank lids it required as part of the overall treatment plant upgrade project,” according to the court’s opinion on Jan. 20.

Scorecard: The CGL carriers will not have to contribute to indemnify or defend the engineering firm.

Takeaway: The failure to supervise worksite safety was part of the firm’s professional services.

Malicious Acts Not Covered

For several months in 2015, Catalent found softgel capsules in the wrong place at its manufacturing facility in France. One batch of capsules was found in another batch of product, and capsules were found on an empty shelf on the floor. Catalent believed the incidents were “deliberate, malicious acts,” as part of a plan to extort money.

Because of the misplacements, the French pharmaceutical regulatory agency closed the facility for five months, leading to a loss in excess of $10 million.

Catalent filed a business interruption claim with U.S. Specialty Insurance Co., which denied the claim. The insurer then sought court approval of that denial. Because Catalent never received a demand for money, the U.S. District Court for the Southern District of New York upheld that denial.

The court said the policy unambiguously required that any alteration of stock be combined with a threat “made specifically against the insured,” with a loss defined as money “surrendered by or on behalf of the insured as an extortion payment … .”

Scorecard: The insurance company does not have to pay $10 million for business interruption.

Takeaway: No coverage existed because there was no extortion money requested or paid.

Anne Freedman is managing editor of Risk & Insurance. She can be reached at [email protected]

More from Risk & Insurance

More from Risk & Insurance

2018 Risk All Stars

Stop Mitigating Risk. Start Conquering It Like These 2018 Risk All Stars

The concept of risk mastery and ownership, as displayed by the 2018 Risk All Stars, includes not simply seeking to control outcomes but taking full responsibility for them.
By: | September 14, 2018 • 3 min read

People talk a lot about how risk managers can get a seat at the table. The discussion implies that the risk manager is an outsider, striving to get the ear or the attention of an insider, the CEO or CFO.

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But there are risk managers who go about things in a different way. And the 2018 Risk All Stars are prime examples of that.

These risk managers put in gear their passion, creativity and perseverance to become masters of a situation, pushing aside any notion that they are anything other than key players.

Goodyear’s Craig Melnick had only been with the global tire maker a few months when Hurricane Harvey dumped a record amount of rainfall on Houston.

Brilliant communication between Melnick and his new teammates gave him timely and valuable updates on the condition of manufacturing locations. Melnick remained in Akron, mastering the situation by moving inventory out of the storm’s path and making sure remediation crews were lined up ahead of time to give Goodyear its best leg up once the storm passed and the flood waters receded.

Goodyear’s resiliency in the face of the storm gave it credibility when it went to the insurance markets later that year for renewals. And here is where we hear a key phrase, produced by Kevin Garvey, one of Goodyear’s brokers at Aon.

“The markets always appreciate a risk manager who demonstrates ownership,” Garvey said, in what may be something of an understatement.

These risk managers put in gear their passion, creativity and perseverance to become masters of a situation, pushing aside any notion that they are anything other than key players.

Dianne Howard, a 2018 Risk All Star and the director of benefits and risk management for the Palm Beach County School District, achieved ownership of $50 million in property storm exposures for the district.

With FEMA saying it wouldn’t pay again for district storm losses it had already paid for, Howard went to the London markets and was successful in getting coverage. She also hammered out a deal in London that would partially reimburse the district if it suffered a mass shooting and needed to demolish a building, like what happened at Sandy Hook in Connecticut.

2018 Risk All Star Jim Cunningham was well-versed enough to know what traditional risk management theories would say when hospitality workers were suffering too many kitchen cuts. “Put a cut-prevention plan in place,” is the traditional wisdom.

But Cunningham, the vice president of risk management for the gaming company Pinnacle Entertainment, wasn’t satisfied with what looked to him like a Band-Aid approach.

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Instead, he used predictive analytics, depending on his own team to assemble company-specific data, to determine which safety measures should be used company wide. The result? Claims frequency at the company dropped 60 percent in the first year of his program.

Alumine Bellone, a 2018 Risk All Star and the vice president of risk management for Ardent Health Services, faced an overwhelming task: Create a uniform risk management program when her hospital group grew from 14 hospitals in three states to 31 hospitals in seven.

Bellone owned the situation by visiting each facility right before the acquisition and again right after, to make sure each caregiving population was ready to integrate into a standardized risk management system.

After consolidating insurance policies, Bellone achieved $893,000 in synergies.

In each of these cases, and in more on the following pages, we see examples of risk managers who weren’t just knocking on the door; they were owning the room. &

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Risk All Stars stand out from their peers by overcoming challenges through exceptional problem solving, creativity, clarity of vision and passion.

See the complete list of 2018 Risk All Stars.

Dan Reynolds is editor-in-chief of Risk & Insurance. He can be reached at [email protected]