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Key Coverage Elements (ppt presentation)
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Transcript of Key Coverage Elements (ppt presentation)
Agency Accountability:Agency Accountability:Property Self Insurance Policy Property Self Insurance Policy
Key Coverage ElementsKey Coverage Elements11/17/0411/17/04
ORS Chapter 278 provides authority for the state (DAS - Risk Management) to pay, through the Insurance Fund, its cost to restore property needed for the operation of the state.
The Insurance Fund is meant to reimburse for accidental loss, not to substitute for an agency's duty to prevent and reduce loss or to maintain good repair.
The State of Oregon has its own formal program of self-insurance to identify, evaluate, and pay for virtually most of its risk of loss.
Generally, property self-insurance coverage pays for all direct physical loss or damage to property owned, rented or leased by the state unless the loss is excluded or limited in the policy manual.
In the past the Insurance Fund was adequate to allow a high level of discretion in covering property losses. However, the fiscal crisis facing the state demanded changes to maintain the solvency of the Fund.
As a result, the basic property coverage and special plan coverages were revised in April 2004.
It is important that agencies understand policy terms and conditions of our self-insurance property coverage.
This is important as there are many risks for which the Insurance Fund does not:
provide coverage, or pay the costs.
Coverage ComponentsCoverage Components
Basic Coverage: Pays for direct physical loss or damage subject to policy terms and conditions.
Equipment Breakdown Coverage: Broad coverage that pays the costs to replace; rebuild or restore “covered equipment” damaged or destroyed by a covered “accident.”
Special Plan Coverage: Coverage for certain items or perils excluded in the basic property coverage.
State Agency State Agency ResponsibilitiesResponsibilities
To encourage risk control, agencies To encourage risk control, agencies have increased responsibility to have increased responsibility to protect property assets from loss.protect property assets from loss.
Each state agency is responsible Each state agency is responsible to understand the policy terms and to understand the policy terms and conditions of coverage. conditions of coverage.
Key Coverage ElementsKey Coverage Elements
Annual Risk Report Reporting Property Values Loss Control Plans Reporting Losses Payment Limits Other
Annual Risk ReportAnnual Risk Report Agencies must report property values
to trigger coverage – reporting does not guarantee coverage.
Claims adjusters will use agency reported values for loss settlement
Effective March 2007 Special Plan coverage must be
chosen each year. Equipment Breakdown Coverage:
newly acquired locations must be reported to us within 120 days.
Reporting Property ValuesReporting Property Values Agencies must separately report all real
or personal (single items or collection) property valued at $1 million or more.
Agencies must report the property that belongs to anyone other than the state for which it has agreed in writing to be responsible for loss or damage.
Loss Control PlansLoss Control Plans
Agencies must maintain and follow verifiable, written loss control plans, as follows for:
Real or personal (single items or collections) property valued at $1 million
or more. Effective March 2007
Special Plan Coverage. Equipment Breakdown Coverage.
Reporting LossesReporting Losses
Report a loss to covered property no later than 90 days after you discover it.
Report all crashes in commercially rented vehicles regardless of the value of the damage.
Other property losses under the agency deductible are not reported
to Risk Management.
Payment LimitsPayment Limits
Maximum payment for basic coverage shall not exceed the current self-
insured retention (SIR) per occurrence of the state’s commercial excess property
policy. $1.5 million for standard perils $4 million for the perils of flood &
earthquake
Losses above the SIR will be submitted to our commercial insurance
carriers. However, excess commercial or other insurance purchased may not cover all real or personal property covered by the self-insurance manual.
Equipment Breakdown Coverage - payment per occurrence is limited to $100,000 for regular equipment
breakdown and $250,000 for scheduled electrical generating locations.
Special Market Value Plan for Exceptional Items - payment is limited to $250,000 per occurrence and $50,000 per item.
Special Plan for Money & Securities - payment is limited to $750,000 for
each loss at any location or building.
Loss payments not covered by the self-insurance property policy manual are:
Any deductible Any gap between the SIR, Special
Plan limits, or Equipment Breakdown limits and the loss amount where excess commercial property insurance begins.
Amounts covered by any other applicable insurance.
Amounts above the SIR, Special Plan limits, or Equipment
Breakdown limits that are excluded from commercial excess property insurance coverage.
OtherOther Purchase a Limited Damage Waiver at
the time of rental for commercially rented vehicles used solely for official state business.
Inspection of boilers and machinery. Special Market Value Plan for
Exceptional Items conditions of payment require a written agreement, appraisal and inventory.
Questions?Questions?