Volume II Number 9

A publication of the National Association of Theatre Owners

Advertise in In Focus

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Periodic Reviews Are Vital
The Need To Review
Your Insurance Programs

by Steven John Fellman
NATO Washington Counsel

Did you ever think of how many different insurance policies your company purchases during the course of the year? You have a general liability policy. You carry fire insurance. You have workers compensation insurance. You have directors and officers liability insurance. You have automobile liability insurance on your company cars. You may provide employees with health insurance, long- term disability income insurance, home health insurance, life insurance, dental insurance, and other insured employee benefits. Smaller businesses may have “key man” insurance on their top executives. Your employees who handle money must be bonded.

The insurance coverages listed above are just some of the typical coverages included in the insurance portfolio of the average business.

For the medium-sized or smaller exhibitor, insurance coverages are a means of protecting a business against risks that can be enormous. Once your insurance broker convinces you that a certain type of coverage is good for your business, you buy the policy and then each year you get a renewal notice. Most exhibitors pay the renewal notice and don’t take the time to go back and do an analysis of the policy. In a typical situation, the operator of a small or medium-sized circuit may know that his or her company has insurance coverage but may not have any idea as to the amount of coverage, the terms of the coverage, or whether the policies that they have renewed on an annual basis for the past 15 years are still competitive not only in terms of rates, but also in terms of coverage offered.

Every exhibitor should do a periodic reassessment of every insurance policy that it purchases. Policies should be shopped for price, scope of coverage, claims experience, right to use one’s own counsel, and related matters. Too often, the only time these policies are reviewed is when a claim is made. By that time, it is too late to correct any deficiencies.

Remember, if you wait until you have a claim in order to find out whether your coverage is sufficient, you may have a big disappointment.

Let’s look at an example. A company we represent was sued by a former employee. The employee charged that she had been wrongfully discharged and that the company had discriminated against her because of her race. The employer advised us that it had insurance that would protect it against these types of claims. We reviewed the company’s insurance coverage. They had a special rider on their general liability policy that covered wrongful discharge and discrimination claims. However, the total amount of coverage for said claims was $100,000. Does that seem like a problem? It became more of a problem when we further reviewed the policy and found that that $100,000 was the total that the insurance company would pay for not only the claim but also for the attorney’s fees. Does that mean that the policy would provide an amount of $50,000 to pay the claim and an amount of $50,000 to pay attorney’s fees? Not so. When reading a little further we found that the policy had a $25,000 deductible for each claim. Thus the total amount available for attorneys fees and damages was a total of $75,000. For a relatively reasonable amount, the company could have increased its coverage from $100,000 per occurrence to $300,000 per occurrence or $500,000 per occurrence. The policy had been renewed by the company each year for a 5-year period without even looking at the scope of the coverage. By the time the claim was filed, it was too late to make the change.

We were visiting with another client and the client explained that it provided all of its executives with a significant long-term disability policy that would protect the executive in the event that a medical disaster occurred. The language in the policy was crafted to define disability very specifically. Under the policy, a person was disabled if he or she could not do the job that he or she was currently doing for a period of two years and further if he or she could not do any job thereafter. We read this language and went back to our client. We explained that although this policy had relatively good protection for the first two years of a total disability, the protection for the remaining years was inadequate. If the individual involved could do any type of work whatsoever, including menial work, the insurance company would claim that the individual was not disabled. Is this the type of coverage you want to have for your top executives?

We then looked at another feature of this long-term disability program. The company explained that it was providing a definite benefit to its executive employees by purchasing the policies for these employees. There was no cost to the employee for the policies. It was part of their compensation package. Assuming that the premium on the policy was $1,000 every year, the company claimed that the employees were getting essentially a tax free $1,000 benefit each year. That certainly is true, but you have to look at the other end of the story.

If the employer pays the total premium of disability insurance and if the employee ever becomes disabled, the income from the long-term disability insurance is taxable. Let’s assume that the same policy that had a $1,000 premium paid a disability benefit of $100,000 per year. If the employer had given the employee $1,000 for the premium and the employee had to pay tax on that $1,000, if the employee was at a 32 percent tax bracket with a 5 percent state tax, the employee would have had to pay $370 taxes on the $1,000 premium. In the event the employee became disabled, he would receive disability income of $100,000 per year – tax free! On the other hand, if the employer paid the total premium in non-tax dollars, and the employee was disabled for one year, the employee would receive disability income of $100,000 which would be fully taxable. He would have to pay $37,000 in taxes on the $100,000 of disability income paid under the policy. By saving the employee $370 in annual premiums, the employer was about to cause the employee to lose $37,000 a year in benefits. While the employee was working, the $370 in taxes per year was probably not a significant amount. If the employee ever became disabled, the $37,000 in taxes per year might be a disaster.

Periodically, new insurance products come on the market. You should evaluate these products along with your existing insurance policies to determine if your current policies still best meet your needs. There are many examples, in addition to the example set out above, that show how exhibitors who think that they have adequate insurance coverage in reality have coverage that is not adequate. It is essential that every motion picture exhibitor conduct a periodic and in-depth analysis of all of its insurance policies. Remember, if you wait until you have a claim in order to find out whether your coverage is sufficient, you may have a big disappointment.

 

 

 

 

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