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May 2005
State: New York
Area of Interest: New York State Settles Probe of Willis -Third-Largest Insurance Broker
to Pay $50 million and Adopt Reforms
Attorney General Eliot Spitzer and Acting State Insurance Superintendent
Howard Mills today announced an agreement to resolve concerns about fraud and anti-competitive
practices by the nation’s third largest insurance broker.
Under the agreement, Willis North America, Inc. will provide $50 million for restitution
to policyholders and is adopting a new business model designed to avoid conflicts of interest.
The Attorney General’s Office and Insurance Department began a joint investigation
of Willis last spring as part of a broad investigation of “contingent commissions” and
the steering of insurance contracts by insurance brokers. The investigation revealed internal
communications about efforts to maximize Willis’s revenue and insurance companies’ revenues
without regard to the interest of clients. For example, in an October 2003 e-mail to Willis’ regional
marketing officers titled “Contingent Income Push,” a senior Willis
executive said: “I need you to drive this initiative - - I want to see you directing
the flow of business to these companies” and then named the insurers with which Willis
had contingent fee agreements. The agreement with Willis is modeled after earlier agreements
with Marsh & McLennan and Aon.
Among the reforms adopted by Willis is a new policy whereby the company will accept one
payment only for an insurance contract at the time of placement, and that such payments
will be fully disclosed to and approved by customers. Willis had begun to implement many
reforms prior to the agreement announced today.
Willis N.A. is a division of Willis Group Holdings, a multinational financial services
company based in New York.
The Attorney General’s Office and Insurance Department continue
a broad investigation of the insurance industry. To date, ten executives from four companies
have pleaded guilty to criminal charges stemming from the probe.
Source: State of New York
State: New York
Area of Interest: Mills Urges Congress to Extend Terrorism Insurance Act
Acting Superintendent of Insurance Howard Mills testified today before a U.S. Senate committee
and urged Congress to extend this year the Terrorism Risk Insurance Act (TRIA) at least
through 2007 because the private sector currently has neither the means nor the capacity
to underwrite sufficient terrorism coverage without a Federal backstop.
Passed by Congress and signed into law by President Bush in 2002,
TRIA’s intent
was to ensure the availability of commercial property and casualty insurance coverage
for losses resulting from certain acts of terrorism through Dec. 31, 2005, the date upon
which the current law expires. TRIA provides for a sharing of terrorism losses between
insurers and the Federal Government after satisfaction of an insurance company deductible.
Moreover, lawmakers anticipated TRIA would allow for a transitional period during which
private insurance markets stabilized and built capacity to absorb any future losses.
Source: State of New York
State: California
Area of Interest: Insurance Commissioner Takes Strong Regulatory Action To Stop Insurers’ “Use
it and Lose it” Practices in Homeowners Insurance Market
The Commissioner proposes new regulations in his two-year battle to protect policyholders
from unfair and discriminatory practices by insurers
Calling insurers “dead wrong” for canceling or non-renewing homeowners who
file a legitimate insurance claim, Commissioner John Garamendi on Thursday announced new
regulations to protect homeowners from unfair “use it and lose it” practices.
The Commissioner made his announcement at the home of Marguerite
and William Strain in Faircrest Heights. The Strain’s, 15-year Allstate policyholders, filed just two claims
during that time – for a burst bathroom water pipe in 2002, and for a theft of tools
from the couple’s truck in 2003. Despite that record, Allstate has informed them that
their policy will not be renewed when it expires.
The regulation requires:
- That insurers provide details on any information from a CLUE or A-Plus database report
that has been used to reject an application for insurance.
- That insurers inform potential policyholders of any and all excluded coverages.
- That insurers provide notification of any changes to rating or underwriting guidelines
- before such changes takes effect - that may have a negative impact on the policyholder
should the policyholder make a claim.
- That insurers take reasonable steps to verify claims history database information used
to rate policies.
- That insurers file with the Commissioner, on an annual basis, a
report detailing the “who,
what, and where” of occasions when insurers apply use it and lose underwriting or
deny eligibility where the potential insured has made a claim in the past.
Source: State of California
Area of Interest OSHA, Formosa Plastics Settle Citations Issued Following Illiopolis,
Ill. Explosion - Agreement Carries National Implications for Safety at Formosa
The U.S. Labor Department's Occupational Safety and Health Administration (OSHA) has
reached agreement with Formosa Plastics Corporation, Illiopolis, Ill., resolving citations
issued following an investigation into an April 23, 2004 explosion that took the lives of
five workers, seriously injured three others and destroyed much of the facility.
Among key elements in the settlement are Formosa's agreement to employ at least one independent,
qualified consultant with expertise in chemical process safety management to work with design
engineers on a new Formosa facility and to work with software engineers to reduce the possibility
of human error at a new plant now under consideration by the company. Many of OSHA's citations
issued after the investigation centered around process safety management deficiencies.
The company further agreed to retain a process safety management specialist to assist
with training Formosa workers on safety at a new plant. Formosa will also conduct audits
at its other polyvinyl chloride manufacturing facilities to determine if hazards similar
to those identified by OSHA in Illiopolis exist elsewhere. The audits will be performed
by persons outside the facility being audited. In return, OSHA has reduced the original
penalty of $361,500 to $300,000; changed seven of 43 serious citations to other-than-serious;
and reclassified willful citations to unclassified. Changing citation classifications has
no bearing on any other related litigation that might arise. Formosa Plastics has also withdrawn
its Notice of Contest before the independent Occupational Safety and Health Review Commission.
Source: Occupational Safety and Health Administration
Area of Interest OSHA Offers New Guidance for Reducing
Perchloroethylene Exposure in Dry-Cleaning
WASHINGTON -- Reducing Worker Exposures
to Perchloroethylene in Dry-Cleaning is the name and goal of a new publication unveiled
today by the Occupational Safety and Health Administration (OSHA).
Perchloroethylene is a commonly used chemical in the dry-cleaning industry that can pose
serious health hazards.
Perchloroethylene is a volatile organic chemical that can cause serious health hazards.
Dry-cleaning workers who routinely breathe the solvent's vapors or spill it on their skin
are at risk of developing health problems, including skin, liver, and kidney damage, and
possibly cancer. The inhalation of the chemical has been shown to cause numerous health
effects such as dizziness, loss of coordination, memory loss, and blistering of skin.
The new document provides information on the health hazards and current regulations, as
well as recommendations on methods for reducing worker exposures. It also provides information
on training, personal protective equipment, and some of the new technologies available in
the dry cleaning industry.
Source: Occupational Safety and Health Administration
Area of Interest: OSHA Issues Final Rule on Whistleblower Procedures
Under the Pipeline Safety Improvement Act of 2002
The Occupational Safety and Health Administration today published final procedures for
handling whistleblower complaints under the Pipeline Safety Improvement Act of 2002 (PSIA).
The final rule is identical to an interim final rule published a year ago.
Signed on Dec. 17, 2002, the Pipeline Safety Improvement Act applies to pipeline facilities
that transport natural gas or hazardous liquids in interstate commerce. Provisions of the
Act prohibit pipeline operators from firing or taking adverse action against workers who
report concerns about pipeline safety to either the employer or the government. Complainants
have 180 days from the alleged discrimination to file with OSHA.
The final rule includes procedures for submitting complaints, conducting investigations
and issuing findings and preliminary orders. This rule details litigation procedures and
the process for objecting to findings and requesting a hearing. The final rule also contains
provisions covering withdrawals of complaints and settlements along with judicial review
and judicial enforcement.
Source: Occupational Safety and Health Administration
Area of Interest: OSHA Participates in TOPOFF 3 Terrorism Response
Exercise in Connecticut and New Jersey
The simulated release of biological and chemical agents in New Jersey and Connecticut
set the stage for this year's TOPOFF 3 exercise involving top level public and private officials,
including those from the Occupational Safety and Health Administration (OSHA).
TOPOFF 3, sponsored by the U.S. Department of Homeland Security's (DHS) Office of State
and Local Government Coordination and Preparedness, was the third Congressionally-mandated
biennial exercise designed to strengthen the nation's capacity to prevent, protect against,
respond to, and recover from terrorist attacks involving weapons of mass destruction.
OSHA joined numerous other Federal departments and agencies, the United Kingdom, Canada,
the states of Connecticut and New Jersey, and representatives of the private sector during
the weeklong exercise that began April 4. OSHA's participation centered on its overall role
in emergency response which is to ensure that threats to worker safety and health are anticipated,
recognized, evaluated, and controlled consistently so that response and recovery workers
are properly protected. This role is highlighted in the Worker Safety and Health Support
Annex included in the DHS National Response Plan (NRP).
Consistent with the annex, OSHA worked with other safety and health professionals at the
federal and state levels to address worker safety and health issues. Employees from OSHA's
Boston and New York regions and the agency's chemical and biological response teams were
sent to the incident sites as well as the various response coordination centers in New Jersey
and Connecticut.
OSHA personnel participating in TOPOFF exercises are familiar with chemical, biological,
physical and structural collapse hazards, and include occupational safety and health specialists,
industrial hygienists, safety engineers, occupational physicians, occupational nurses, and
health physicists.
Source: Occupational Safety and Health Administration
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