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Management Mess-up 
Coverage 
The illustrations present main coverage features of the 
base policy form only. Refer to the actual policy forms 
and endorsements for complete scope of coverage
Chapter 1 
Directors and 
Officers 
Liability
Directors and Officers Liability 
In today’s business climate of corporate transparency and accountability, an 
organization’s officers and directors face a myriad of employment-related 
exposures. Sarbanes-Oxley regulatory mandates and shareholder activism mean 
directors are more frequently at risk, translating to rising claims and escalating 
settlement costs. 
In the wake of unprecedented corporate scandals in recent years, clearly the trend 
of corporate accountability applies to large corporations. But privately held 
companies, including nonprofits, are not exempt from litigation arising out of the 
management decisions of their boards. They, too, are at risk. 
Regardless of your company’s size, the legal cost to defend a director is 
substantial, as are the potential penalties that can be personally incurred. Due to 
the personal liability risk, which is not covered under a personal insurance policy, 
protecting boardroom talent can be a challenge. To help ensure both your officers’ 
and company’s well-being, a directors’ and officers’ liability insurance (D&O) policy 
is part of a comprehensive risk financing strategy. 
D&O Fills the Coverage Gap 
Unlike a commercial general liability policy that provides coverage for claims 
arising from property damage and bodily injury, a D&O policy specifically provides 
DIRECTORS AND OFFICERS 
Directors and Officers of public, private and 
non-profit corporations are subject to 
stringent duties of care, loyalty and obedience 
imposed upon them by federal, state and 
common law. 
They are compelled to use their best business 
judgment in making decisions for the 
corporation. 
The initiators of lawsuits against directors and 
officers in the public, private and non-profit 
arena are diverse and can include: 
1. - Family members 
2. - Employees 
3. - Investors 
4. - Shareholders in derivative actions 
5. - Competitors 
6. - Customers, Vendors, Suppliers 
7. - Government Agencies 
8. - Creditors 
9. - Donors, Beneficiaries 
2 
Section 1
coverage for a "wrongful act,” such as an actual or alleged error, 
omission, misleading statement, neglect or breach of duty. 
For example, a manufacturer told one of its suppliers to increase 
inventory because they were expecting a large increase in 
production. As predicted, demand for the manufacturer’s product 
grew, but the manufacturer increased its inventory with another 
vendor. The original supplier successfully sued the manufacturer, 
alleging they suffered damages as a result of having relied on the 
manufacturer’s promise. 
A D&O policy provides defense costs and indemnity coverage for 
allegations arising out of the management of the enterprise and is 
typically made up of: 
• Coverage for individual directors and officers; 
• Reimbursement to the organization for a contractual 
obligation to indemnify directors and officers that serve on 
the board; and 
• Protection for the organization or entity itself. 
Ordinarily indemnification provisions are included in the charter/ 
bylaws of a corporation. Small to midsize privately held 
companies or nonprofit organizations often do not have the 
financial resources to fund the indemnity provisions, making the 
bylaws hollow. A D&O policy can provide an extra blanket of 
security in the event of a covered loss. 
Coverage 
A “fraud” exclusion is included in a D&O policy, which eliminates 
coverage for losses due to dishonest or fraudulent acts or 
omission, or willful violations of any statute, rule or law. 
D&O coverage can be tailored to your needs, but be aware that 
D&O carriers are not consistent with their policy forms. This fact, 
plus the complexity of D&O claims, requires the carrier to have 
market commitment and deep expertise, as well as the financial 
resources to handle potential claims. 
There are also additional forms of coverage to adequately protect 
directors and officers, including: 
• Entity coverage; 
• Payment priority for insured persons; 
• Severability of the insured as well as severability of the 
application; 
• Coverage over time, meaning coverage responds to past, 
present and future directors and officers; 
• Pay on behalf clause; and 
• Duty to defend clause. 
3
Who can bring a D&O lawsuit? According to St. Paul Travelers, 
statistics show that shareholders and employees are the most 
likely groups to sue private companies. Other parties bringing 
suits may include corporations against themselves, and a variety 
of third parties, such as competitors, creditors, and regulatory 
bodies. 
Link to a video Directors and Officers claim scenario. 
4
Section 2 
Directors & Officers Claim Senarios 
Interference with a contract 
A competitor sued the a privately held flooring company with 15 
employees for conspiracy to divert a potential contract from their 
company. Allegations included interference with a contract and a 
knowing participation in a breach of duty. The plaintiff sought 
direct and consequential damages, including lost profits, punitive 
damages and attorney’s fees. Resolution The case was resolved 
after mediation. Carrier paid over $193,000 of defense costs. 
Misrepresentation of the market 
Two minority shareholders filed suit against the board of directors 
of a telecom company after a less-than-stellar year. The plaintiffs 
claimed the board breached its duty to the shareholders by 
mismanaging the business, which resulted in a loss, despite 
previous forecasts of a significant profit. The plaintiffs alleged 
that the board misrepresented the state of the market, which 
influenced their decision to invest. Carrier paid $300,000 in 
defense expenses before settling the case for $500,000. 
Unfair methods of competition and unfair trade practices 
The government sued an internet marketing company asserting 
causes of action including failure to disclose material terms, 
misrepresentation* and negative marketing. Specifically, it was 
alleged that the insured improperly sought personal information. 
The data would then allegedly be analyzed and sold to third 
parties. Carrier paid in excess of $800,000 in legal defense fees 
and an additional $75,000 to settle the case. 
Misrepresentation 
An officer of a private corporation generating $55 million in sales 
held a conversation with a potential investor in which they 
discussed the launch of new products over the coming six 
months. Based on this information, the investor committed over 
$500,000 to the company. After a year, the products the investor 
anticipated did not appear in the marketplace. 
During this time period, the value of the original investment 
declined. The investor sued XYZ and its directors and officers for 
misrepresentation, seeking over $10 million in compensatory and 
punitive damages. 
5
Following two years of litigation and $250,000 in defense costs, 
the parties finally reached a settlement with the plaintiff for 
$335,000. Defense costs and settlement were paid by the carrier. 
Fraudulent Misrepresentation, Breach of Duty of Care 
The distributor generating $11 million in sales was sold to an 
unrelated third party. The plaintiff, a former investor, sued the 
company and its officers for fraudulent misrepresentation and 
breach of duty in connection with the alleged undervalued buy-out 
of the investor’s interest in the company just prior to the sale. 
The case went to trial and was decided in favor of the 
defendants. The defendants incurred $1.2 million in defense 
costs. 
Theft of Trade Secrets 
ABC Company, privately held company generating $80 million in 
sales sued directors and officers of competitor XYZ after three 
employees of ABC left to join XYZ. ABC alleged that the three 
were still employed by ABC when they began sharing proprietary 
information with XYZ. ABC charged theft of trade secrets. After 
more than a year of legal wrangling, the case settled. XYZ agreed 
to pay ABC $160,000 as a settlement, but not before incurring 
$355,000 in defense costs. 
Theft of intellectual property 
A software developer sued the insured’s directors and officers for 
misappropriation of his intellectual property. After a joint venture 
between the parties failed, the plaintiff claimed the insured 
organization took his ideas and developed its own software, 
allegedly retaining and using the intellectual property to create a 
competing product. Carrier paid in excess of $200,000 in defense 
expenses, in addition to making a $50,000 contribution toward 
the settlement. 
Misrepresentation and fraud 
The insured was a privately held manufacturer with 5 employees. 
An investor sued the insured’s chairman and director asserting 
that he was misled regarding how his investment would be used. 
Allegedly he was told his $525,000 investment would be used for 
capital improvements, but his investment was instead used to 
pay operational expenses and existing debt. The investor sought 
recession and damages based upon the alleged 
misrepresentations. The case was resolved after mediation for 
$285,00 on behalf of the insured. Approximately $262,500 was 
paid in defense costs. 
6
Chapter 2 
Employment 
Practices 
Liability
From the moment that you start the pre-hiring process until the exit interview, you 
are vulnerable for a lawsuit. As a result, your business should take a hard look at 
whether it can afford to defend itself against alleged wrongful employment 
practices accusations. If not, there is an insurance solution called Employment 
Practices Liability that protects against wrongful termination, discrimination (age, 
sex, race, disability, etc.) or sexual harassment suits from your current, prospective 
or former employees. This coverage applies to directors, officers and employees, 
and can sometimes extend to third party liabilities. 
Why Choose Employment Practices Liability Insurance? 
According to researchers, three out of five employers will be sued by a 
prospective, current or former employee while they are in business. While many 
suits are groundless, defending against them is costly and time-consuming. 
Employment Practices Liability Insurance provides protection from the following 
wrongful employment practices, including: 
• Harassment 
• Discrimination 
• Actual or alleged wrongful dismissal, discharge or termination 
Section 1 
EMPLOYMENT PRACTICES LIABILITY 
Employment matters are at the core of 
millions of dollars in lawsuits filed every year. 
From contract or compliance issues to Title 
VII allegations, employment exposures are 
some of the most complex for modern 
companies to navigate, and among the most 
costly to defend. 
Employment Practices Liability coverage 
provides protection for employment causes of 
action including: 
1. - Wrongful Termination 
2. - Sexual Harassment 
3. - Wrongful Discipline 
4. - Wrongful failure to employ or promote 
5. - Unlawful Discrimination 
6. - Negligent Employee Evaluation 
7. - Retaliation 
8 
Employment Practices Liability
• Employment-related misrepresentation 
• Employment-related libel, slander, humiliation, defamation or 
invasion of privacy 
• Wrongful failure to employ or promote 
• Wrongful deprivation of a career opportunity, wrongful 
demotion or negligent evaluation 
• Wrongful discipline 
• Vicarious liability for intentional acts 
• Punitive damages 
• Discrimination in relation to race, marital status, gender, 
age, physical and/or mental impairments, pregnancy, sexual 
orientation and any other protected class established by 
federal, state and local statutes 
Many policies offer the following inclusions and add-ons: 
• Consultation, HR assistance and other risk management 
consultative services. 
• Coverage for defense costs outside the policy limits (for 
qualifying risks). 
• Third party liability coverage (for qualifying risks). 
• Wage and Hour Coverage for claims alleging wage and hour 
violations. 
• Volunteer workers can be added as additional insureds. 
• Extended reporting periods may be added 
Link to a video Employment Practices Liability claim scenario. 
9
Section 2 
Employment Practices Claim Senarios 
Wrongful Termination 
A mid-level supervisor, working for a privately held company 
employing 40 people, with a long history of documented 
performance issues was terminated for smoking in a restricted 
area of the company’s building where flammable chemicals were 
stored. The terminated employee, who was 54 years old, 
responded by suing the company for wrongful termination, He 
alleged age discrimination on the basis of comments made by 
his supervisor (such as “You’re too old”) and disability 
discrimination because the company refused to make 
accommodations for his high blood pressure. He also alleged he 
could only be terminated for good cause. The plaintiff sought 
back pay, front pay, special damages, and attorney fees totaling 
an estimated $275,000, in addition to punitive damages. Carrier 
settled with the former employee, paying $350,000, but not 
before it had paid $130,000 in defense costs. 
Age Discrimination 
ABC International, a privately held company with120 employees, 
terminated a long-time manager for alienating employees and 
customers and disinterest in his job. The manager was 59 years 
old when the termination took place, and ABC checked off 
“other” instead of “poor performance” on the termination form as 
the reason for the termination. The manager filed a charge of 
discrimination with the Equal Employment Opportunity 
Commission, alleging he was terminated because of his age. In 
his charge, he stated that he had always received regular merit 
pay increases, was replaced by a worker in his 30s, and that 
some members of senior management had made comments 
about needing “to get rid of the old guys.” The manager 
subsequently filed a lawsuit against the company seeking two 
years of lost wages and benefits, as well as compensation for 
emotional distress. Although ABC believed it was innocent of the 
allegations, the company determined that defending against the 
lawsuit would be costly. The case eventually settled out of court 
for $250,000, while expenses totaled more than $60,000. 
10
Sexual Harassment 
According to a female employee, a supervisor allegedly made 
abusive and sexually explicit comments to her and several 
coworkers. The supervisor also made sexual advances toward 
the employee, who rebuffed the advances. Shortly thereafter, the 
employee was terminated as part of a wider company reduction 
in force. The former employee later brought suit against the 
company and two managers, alleging sexual harassment, 
intentional infliction of emotional distress, wrongful termination, 
retaliation, and sex discrimination. She sought $275,000, plus 
reimbursement of legal fees. 
The employer, a private company with 140 employees, responded 
with a defense stating that the ex-employee’s personnel file 
showed she had often been tardy for work, had conflicts with 
managers, and had patchy performance and that her termination 
was the result of a broad reduction in force. Records indicated 
she had been a problem employee, frequently talked about her 
sex life, and made vulgar comments at work. However, it also 
came to light that management had tolerated sexual jokes around 
the office but assumed no one was offended. A court panel ruled 
against the company, ordering it to pay the plaintiff $100,000 plus 
her legal fees. In addition, the company accrued $31,000 in 
defense costs. 
Sexual Harassment 
A female employee, with XYZ Corporation for two years, exhibited 
a sudden drop-off in her work performance. Her supervisor set up 
a meeting to discuss her performance, but she failed to show up. 
She did show up for a rescheduled meeting, but had alcohol on 
her breath. She complained during the meeting that she faced 
continuous sexual harassment from a senior manager and his 
unwanted advances created a hostile work environment. At the 
suggestion of her supervisor she agreed to take another position 
at a different location. She failed to show up for work at the new 
location and skipped several more meetings with her supervisor. 
The company terminated the employee. She filed a lawsuit 
alleging sexual harassment and wrongful termination seeking $1 
million in damages. She alleged that a senior manager maintained 
an uncomfortable closeness with her in the workplace and 
continually harassed her with questions about her personal life. In 
subsequent employee interviews, it was discovered the employee 
and the senior manager were engaged in a consensual romantic 
relationship over the two-year period. Witnesses said that the 
employee was also engaged in another love affair at the time, but 
she and the second lover had broken up at about the time her 
performance dropped off. The company determined that it would 
rather settle than go to court. After paying more than $120,000 in 
defense costs, the company settled with the former employee for 
$250,000. 
11
Chapter 3 
Fiduciary 
Liability
Employee benefits are a key piece of the job market today. To employers, excellent 
benefits like health care and retirement funding are an essential for attracting 
committed, quality workers. 
Sometimes though, problems arise even when programs are set up with the best 
of intentions. Whether a shaky market shrinks funds or bad investment advice 
leads to sudden loss, companies need to know what kind of protection they 
provide their fiduciaries. 
Fiduciary Liability Basics 
Fiduciary liability got its start in 1974 with the passing of the Employee Retirement 
Income Security Act (ERISA). In short, the act made companies accountable for 
the security of their employees’ retirement fund. ERISA’s goal was to have money 
put into retirement funds treated like money in a savings account rather than 
money invested in the market. Since workers are not responsible for the decisions 
made, they should not be punished for foolish investing. 
Although the government requires that all employers secure the funds of their 
workers through fidelity bonds, they do not require that companies take any 
precautions against fiduciary liability. While some aspects of fiduciary risk could be 
covered by directors’ and officers’ (D&O) or commercial general liability insurance, 
Section 1 
Fiduciary Liability 
FIDUCIARY LIABILITY 
In 1974 The Employee Retirement Investment 
Security Act (ERISA) established standards of 
conduct for the Fiduciaries of employee 
benefit plans. Fiduciaries are held to the 
highest standard of care in the administration 
and management of these plans, and can be 
held personally liable for failure to act 
prudently on behalf of plan beneficiaries in 
violation of ERISA. 
Who is a Fiduciary? 
Anyone who exercises discretionary 
administrative or management 
control or authority over a sponsored 
retirement or welfare plan or the plan assets. 
Who should be concerned with Fiduciary 
Liability? 
1. Plan Administrators 
2. Trustees 
3. Directors or Officers 
4. Human Resource personnel 
5. Persons with clerical or administrative 
responsibility for pension or welfare plans 
13
this is rare. Fiduciary liability resembles these other forms of 
insurance, but resides in its own distinct category. 
Fiduciary Liability: What it’s Not 
Fiduciary coverage protects a company’s designated retirement 
fund managers from allegations of irresponsibility. Having this 
specific role, it complements other policies but does not extend 
over them. 
Employee benefit liability (EBL) protects benefit managers from 
mistakes and omissions made in the administration of various 
employee programs. Such policies cover the typically minor 
issues that arise over proper filing and enrollment, but do not 
protect against lapses in how a manager does investing. EBL is 
largely meant to watch over company paperwork. 
Fidelity bonds are requirements of the government to ensure the 
protection of plan assets. These bonds may only be used to 
restore funds of the retirement plan in the event of a loss. Charges 
may be brought against a fiduciary regardless of the coverage 
provided by bonds. 
D&O liability, which protects from improper behavior by company 
executives and managers, does not provide coverage for actions 
pertaining to ERISA. 
Protecting the Company 
Due to the complex communication, advisements and stock 
market risks inherent to the role of a fiduciary, liability for 
retirement funds is often shared unfairly or misplaced entirely. 
Poor recommendations made by third-party financial advisors 
and sudden swings in a turbulent market can leave responsibility 
solely on even the best of fiduciaries. Fiduciary liability coverage 
can help defend a company’s reputation and the reputation of its 
management. 
Link to video of Fiduciary Liability claim scenario. 
14
Administrative Error 
A management-level employee of the ABC Hotel, earning a 
$50,000 annual salary, died in an automobile accident. The 
employee’s widow, who was the primary beneficiary of the 
employee’s group life insurance, wrote a letter to hotel 
management with 150 employees claiming that the life insurance 
benefit paid to her under the benefit plan should have been five 
times her deceased husband’s salary, not two times his salary. 
The hotel denied the widow’s benefit claim. She sued, alleging 
that, although the benefit amount had been twice his salary at 
one time, her husband had requested that the amount be 
changed to five times just weeks prior to his death. The hotel 
denied that any change had been requested. 
After the hotel investigated the widow’s claim, they learned that 
indeed her spouse had requested an increase in the amount of 
his group life insurance coverage, but that the hotel’s human 
resource representative had not properly processed the request. 
As a result of this revelation, the hotel settled the widow’s case 
for more than $250,000. The hotel’s defense costs exceeded 
$25,000 
Denial of Benefits, Improper Advice 
The HMO under the media company’s health plan denied 
payment of medical costs for an employee who was hospitalized 
following an accident. The HMO claimed that the employee never 
notified the HMO of her hospitalization, as required under the 
health plan. In fact, the employee had called her employer’s plan 
administrator, who advised her that because she’d called the 
employer it wasn’t necessary that she call the HMO, forgetting 
that the notification rules had recently changed. The employee 
sued her employer and the plan administrator over the benefits 
denial, alleging that she had received improper advice. The case 
settled for more than $500,000—the amount of the benefits, plus 
attorney fees. 
Section 2 
Fiduciary Claim Senarios 
15
Cause of action Negligent Selection of Advisor 
It turned out that the internal investment manager hired by a 
sports apparel retailer to manage investments of its 401(k) plan 
was allegedly skimming money off the top of employees’ 
retirement fund contributions. He was also a relative of the 
company’s plan administrator and, therefore, a thorough criminal 
background check was not performed. The Department of Labor 
(DOL) discovered the scheme during a spot audit. The DOL 
issued a letter advising the sports apparel retailer of its findings 
and demanded that the retailer and the investment manager 
make the plan whole (i.e., replace the funds that were stolen, as 
well as the investment income the funds would have earned had 
they been invested as directed by the participants.) If the plan 
was not made whole, the DOL would pursue additional courses of 
action, including litigation. 
The retailer settled with the DOL prior to litigation and agreed to 
contribute more than $2 million to the employees’ 401(k) 
accounts—the amount of funds skimmed from the top of the 
employees’ contributions and the investment income the funds 
would have earned had they been invested as directed by the 
employees. Total legal expenses incurred by the sports apparel 
retailer topped $75,000. 
Imprudent Investment 
Employees who participated in a 401(k) plan formed a class 
action and sued the investment committee, the plan 
administrator, the plan, and the sponsor organization, a health 
care equipment and services company. They alleged that $12 
million invested in ABC Company guaranteed investment 
contracts (GICs) was imprudent because of that company’s 
extensive junk-bond holdings. They further alleged that the 
investment violated the terms of the master trust agreement, 
which authorized GIC investments underwritten only by AAA-rated 
companies. ABC Company was not AAA-rated and was 
eventually placed in receivership. 
Participants and their beneficiaries sued for breach of fiduciary 
duty. Plaintiffs sought to recover their lost profits—the difference 
in the value of their investments in ABC Company and the value 
their investments would have had if they would have been placed 
in AAA-rated investments. It took three years to arrive at a 
settlement of more than $4 million, including plaintiffs’ attorney 
fees. Defense costs totaled approximately $750,000. 
16
Chapter 4 
iRisk.info 
Internet Risk Information
On a regular basis I am involved in conversations and e-mail exchanges with 
clients, colleagues, and business associates on a variety of risk related topics. 
Chances are high if one person or business has a specific question or concern, 
others share those same concerns. The intent of this site is to post some of these 
discussions on a monthly basis. This is a personal site, therefore opinions 
expressed do not necessarily reflect those of past, present, or future employers. 
Web hosting is through Bluehost using WordPress as the publishing platform. 
Hyperlinks to other sites are indicated by red text and images. Slides and 
spreadsheets are stored in Google Drive using the Google Documents format. 
Video links from YouTube or Vimeo are displayed in pop-up windows. Adobe 
Flash is displayed within a new browser window. 
What’s up with the term Blog? Legend has it the term was coined by web 
designer Peter Merholz. “Weblog” became “We blog”. He used the terms “blog” 
and “blogging” online for the first time in a May 28, 1999 post on http:// 
www.peterme.com/browsed/browsed0599.html. Be forewarned that web legend 
and facts posted on the internet, including the iRisk.info site, may not be 100% 
accurate! 
Section 1 
CONTACT INFORMATION 
iRisk.info 
Dan Glover 
twitter.com/iRiskinfo 
danglover197@gmail.com 
18 
Why Blog?

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Insurance Coverage for Management Mess-ups

  • 1. Management Mess-up Coverage The illustrations present main coverage features of the base policy form only. Refer to the actual policy forms and endorsements for complete scope of coverage
  • 2. Chapter 1 Directors and Officers Liability
  • 3. Directors and Officers Liability In today’s business climate of corporate transparency and accountability, an organization’s officers and directors face a myriad of employment-related exposures. Sarbanes-Oxley regulatory mandates and shareholder activism mean directors are more frequently at risk, translating to rising claims and escalating settlement costs. In the wake of unprecedented corporate scandals in recent years, clearly the trend of corporate accountability applies to large corporations. But privately held companies, including nonprofits, are not exempt from litigation arising out of the management decisions of their boards. They, too, are at risk. Regardless of your company’s size, the legal cost to defend a director is substantial, as are the potential penalties that can be personally incurred. Due to the personal liability risk, which is not covered under a personal insurance policy, protecting boardroom talent can be a challenge. To help ensure both your officers’ and company’s well-being, a directors’ and officers’ liability insurance (D&O) policy is part of a comprehensive risk financing strategy. D&O Fills the Coverage Gap Unlike a commercial general liability policy that provides coverage for claims arising from property damage and bodily injury, a D&O policy specifically provides DIRECTORS AND OFFICERS Directors and Officers of public, private and non-profit corporations are subject to stringent duties of care, loyalty and obedience imposed upon them by federal, state and common law. They are compelled to use their best business judgment in making decisions for the corporation. The initiators of lawsuits against directors and officers in the public, private and non-profit arena are diverse and can include: 1. - Family members 2. - Employees 3. - Investors 4. - Shareholders in derivative actions 5. - Competitors 6. - Customers, Vendors, Suppliers 7. - Government Agencies 8. - Creditors 9. - Donors, Beneficiaries 2 Section 1
  • 4. coverage for a "wrongful act,” such as an actual or alleged error, omission, misleading statement, neglect or breach of duty. For example, a manufacturer told one of its suppliers to increase inventory because they were expecting a large increase in production. As predicted, demand for the manufacturer’s product grew, but the manufacturer increased its inventory with another vendor. The original supplier successfully sued the manufacturer, alleging they suffered damages as a result of having relied on the manufacturer’s promise. A D&O policy provides defense costs and indemnity coverage for allegations arising out of the management of the enterprise and is typically made up of: • Coverage for individual directors and officers; • Reimbursement to the organization for a contractual obligation to indemnify directors and officers that serve on the board; and • Protection for the organization or entity itself. Ordinarily indemnification provisions are included in the charter/ bylaws of a corporation. Small to midsize privately held companies or nonprofit organizations often do not have the financial resources to fund the indemnity provisions, making the bylaws hollow. A D&O policy can provide an extra blanket of security in the event of a covered loss. Coverage A “fraud” exclusion is included in a D&O policy, which eliminates coverage for losses due to dishonest or fraudulent acts or omission, or willful violations of any statute, rule or law. D&O coverage can be tailored to your needs, but be aware that D&O carriers are not consistent with their policy forms. This fact, plus the complexity of D&O claims, requires the carrier to have market commitment and deep expertise, as well as the financial resources to handle potential claims. There are also additional forms of coverage to adequately protect directors and officers, including: • Entity coverage; • Payment priority for insured persons; • Severability of the insured as well as severability of the application; • Coverage over time, meaning coverage responds to past, present and future directors and officers; • Pay on behalf clause; and • Duty to defend clause. 3
  • 5. Who can bring a D&O lawsuit? According to St. Paul Travelers, statistics show that shareholders and employees are the most likely groups to sue private companies. Other parties bringing suits may include corporations against themselves, and a variety of third parties, such as competitors, creditors, and regulatory bodies. Link to a video Directors and Officers claim scenario. 4
  • 6. Section 2 Directors & Officers Claim Senarios Interference with a contract A competitor sued the a privately held flooring company with 15 employees for conspiracy to divert a potential contract from their company. Allegations included interference with a contract and a knowing participation in a breach of duty. The plaintiff sought direct and consequential damages, including lost profits, punitive damages and attorney’s fees. Resolution The case was resolved after mediation. Carrier paid over $193,000 of defense costs. Misrepresentation of the market Two minority shareholders filed suit against the board of directors of a telecom company after a less-than-stellar year. The plaintiffs claimed the board breached its duty to the shareholders by mismanaging the business, which resulted in a loss, despite previous forecasts of a significant profit. The plaintiffs alleged that the board misrepresented the state of the market, which influenced their decision to invest. Carrier paid $300,000 in defense expenses before settling the case for $500,000. Unfair methods of competition and unfair trade practices The government sued an internet marketing company asserting causes of action including failure to disclose material terms, misrepresentation* and negative marketing. Specifically, it was alleged that the insured improperly sought personal information. The data would then allegedly be analyzed and sold to third parties. Carrier paid in excess of $800,000 in legal defense fees and an additional $75,000 to settle the case. Misrepresentation An officer of a private corporation generating $55 million in sales held a conversation with a potential investor in which they discussed the launch of new products over the coming six months. Based on this information, the investor committed over $500,000 to the company. After a year, the products the investor anticipated did not appear in the marketplace. During this time period, the value of the original investment declined. The investor sued XYZ and its directors and officers for misrepresentation, seeking over $10 million in compensatory and punitive damages. 5
  • 7. Following two years of litigation and $250,000 in defense costs, the parties finally reached a settlement with the plaintiff for $335,000. Defense costs and settlement were paid by the carrier. Fraudulent Misrepresentation, Breach of Duty of Care The distributor generating $11 million in sales was sold to an unrelated third party. The plaintiff, a former investor, sued the company and its officers for fraudulent misrepresentation and breach of duty in connection with the alleged undervalued buy-out of the investor’s interest in the company just prior to the sale. The case went to trial and was decided in favor of the defendants. The defendants incurred $1.2 million in defense costs. Theft of Trade Secrets ABC Company, privately held company generating $80 million in sales sued directors and officers of competitor XYZ after three employees of ABC left to join XYZ. ABC alleged that the three were still employed by ABC when they began sharing proprietary information with XYZ. ABC charged theft of trade secrets. After more than a year of legal wrangling, the case settled. XYZ agreed to pay ABC $160,000 as a settlement, but not before incurring $355,000 in defense costs. Theft of intellectual property A software developer sued the insured’s directors and officers for misappropriation of his intellectual property. After a joint venture between the parties failed, the plaintiff claimed the insured organization took his ideas and developed its own software, allegedly retaining and using the intellectual property to create a competing product. Carrier paid in excess of $200,000 in defense expenses, in addition to making a $50,000 contribution toward the settlement. Misrepresentation and fraud The insured was a privately held manufacturer with 5 employees. An investor sued the insured’s chairman and director asserting that he was misled regarding how his investment would be used. Allegedly he was told his $525,000 investment would be used for capital improvements, but his investment was instead used to pay operational expenses and existing debt. The investor sought recession and damages based upon the alleged misrepresentations. The case was resolved after mediation for $285,00 on behalf of the insured. Approximately $262,500 was paid in defense costs. 6
  • 8. Chapter 2 Employment Practices Liability
  • 9. From the moment that you start the pre-hiring process until the exit interview, you are vulnerable for a lawsuit. As a result, your business should take a hard look at whether it can afford to defend itself against alleged wrongful employment practices accusations. If not, there is an insurance solution called Employment Practices Liability that protects against wrongful termination, discrimination (age, sex, race, disability, etc.) or sexual harassment suits from your current, prospective or former employees. This coverage applies to directors, officers and employees, and can sometimes extend to third party liabilities. Why Choose Employment Practices Liability Insurance? According to researchers, three out of five employers will be sued by a prospective, current or former employee while they are in business. While many suits are groundless, defending against them is costly and time-consuming. Employment Practices Liability Insurance provides protection from the following wrongful employment practices, including: • Harassment • Discrimination • Actual or alleged wrongful dismissal, discharge or termination Section 1 EMPLOYMENT PRACTICES LIABILITY Employment matters are at the core of millions of dollars in lawsuits filed every year. From contract or compliance issues to Title VII allegations, employment exposures are some of the most complex for modern companies to navigate, and among the most costly to defend. Employment Practices Liability coverage provides protection for employment causes of action including: 1. - Wrongful Termination 2. - Sexual Harassment 3. - Wrongful Discipline 4. - Wrongful failure to employ or promote 5. - Unlawful Discrimination 6. - Negligent Employee Evaluation 7. - Retaliation 8 Employment Practices Liability
  • 10. • Employment-related misrepresentation • Employment-related libel, slander, humiliation, defamation or invasion of privacy • Wrongful failure to employ or promote • Wrongful deprivation of a career opportunity, wrongful demotion or negligent evaluation • Wrongful discipline • Vicarious liability for intentional acts • Punitive damages • Discrimination in relation to race, marital status, gender, age, physical and/or mental impairments, pregnancy, sexual orientation and any other protected class established by federal, state and local statutes Many policies offer the following inclusions and add-ons: • Consultation, HR assistance and other risk management consultative services. • Coverage for defense costs outside the policy limits (for qualifying risks). • Third party liability coverage (for qualifying risks). • Wage and Hour Coverage for claims alleging wage and hour violations. • Volunteer workers can be added as additional insureds. • Extended reporting periods may be added Link to a video Employment Practices Liability claim scenario. 9
  • 11. Section 2 Employment Practices Claim Senarios Wrongful Termination A mid-level supervisor, working for a privately held company employing 40 people, with a long history of documented performance issues was terminated for smoking in a restricted area of the company’s building where flammable chemicals were stored. The terminated employee, who was 54 years old, responded by suing the company for wrongful termination, He alleged age discrimination on the basis of comments made by his supervisor (such as “You’re too old”) and disability discrimination because the company refused to make accommodations for his high blood pressure. He also alleged he could only be terminated for good cause. The plaintiff sought back pay, front pay, special damages, and attorney fees totaling an estimated $275,000, in addition to punitive damages. Carrier settled with the former employee, paying $350,000, but not before it had paid $130,000 in defense costs. Age Discrimination ABC International, a privately held company with120 employees, terminated a long-time manager for alienating employees and customers and disinterest in his job. The manager was 59 years old when the termination took place, and ABC checked off “other” instead of “poor performance” on the termination form as the reason for the termination. The manager filed a charge of discrimination with the Equal Employment Opportunity Commission, alleging he was terminated because of his age. In his charge, he stated that he had always received regular merit pay increases, was replaced by a worker in his 30s, and that some members of senior management had made comments about needing “to get rid of the old guys.” The manager subsequently filed a lawsuit against the company seeking two years of lost wages and benefits, as well as compensation for emotional distress. Although ABC believed it was innocent of the allegations, the company determined that defending against the lawsuit would be costly. The case eventually settled out of court for $250,000, while expenses totaled more than $60,000. 10
  • 12. Sexual Harassment According to a female employee, a supervisor allegedly made abusive and sexually explicit comments to her and several coworkers. The supervisor also made sexual advances toward the employee, who rebuffed the advances. Shortly thereafter, the employee was terminated as part of a wider company reduction in force. The former employee later brought suit against the company and two managers, alleging sexual harassment, intentional infliction of emotional distress, wrongful termination, retaliation, and sex discrimination. She sought $275,000, plus reimbursement of legal fees. The employer, a private company with 140 employees, responded with a defense stating that the ex-employee’s personnel file showed she had often been tardy for work, had conflicts with managers, and had patchy performance and that her termination was the result of a broad reduction in force. Records indicated she had been a problem employee, frequently talked about her sex life, and made vulgar comments at work. However, it also came to light that management had tolerated sexual jokes around the office but assumed no one was offended. A court panel ruled against the company, ordering it to pay the plaintiff $100,000 plus her legal fees. In addition, the company accrued $31,000 in defense costs. Sexual Harassment A female employee, with XYZ Corporation for two years, exhibited a sudden drop-off in her work performance. Her supervisor set up a meeting to discuss her performance, but she failed to show up. She did show up for a rescheduled meeting, but had alcohol on her breath. She complained during the meeting that she faced continuous sexual harassment from a senior manager and his unwanted advances created a hostile work environment. At the suggestion of her supervisor she agreed to take another position at a different location. She failed to show up for work at the new location and skipped several more meetings with her supervisor. The company terminated the employee. She filed a lawsuit alleging sexual harassment and wrongful termination seeking $1 million in damages. She alleged that a senior manager maintained an uncomfortable closeness with her in the workplace and continually harassed her with questions about her personal life. In subsequent employee interviews, it was discovered the employee and the senior manager were engaged in a consensual romantic relationship over the two-year period. Witnesses said that the employee was also engaged in another love affair at the time, but she and the second lover had broken up at about the time her performance dropped off. The company determined that it would rather settle than go to court. After paying more than $120,000 in defense costs, the company settled with the former employee for $250,000. 11
  • 13. Chapter 3 Fiduciary Liability
  • 14. Employee benefits are a key piece of the job market today. To employers, excellent benefits like health care and retirement funding are an essential for attracting committed, quality workers. Sometimes though, problems arise even when programs are set up with the best of intentions. Whether a shaky market shrinks funds or bad investment advice leads to sudden loss, companies need to know what kind of protection they provide their fiduciaries. Fiduciary Liability Basics Fiduciary liability got its start in 1974 with the passing of the Employee Retirement Income Security Act (ERISA). In short, the act made companies accountable for the security of their employees’ retirement fund. ERISA’s goal was to have money put into retirement funds treated like money in a savings account rather than money invested in the market. Since workers are not responsible for the decisions made, they should not be punished for foolish investing. Although the government requires that all employers secure the funds of their workers through fidelity bonds, they do not require that companies take any precautions against fiduciary liability. While some aspects of fiduciary risk could be covered by directors’ and officers’ (D&O) or commercial general liability insurance, Section 1 Fiduciary Liability FIDUCIARY LIABILITY In 1974 The Employee Retirement Investment Security Act (ERISA) established standards of conduct for the Fiduciaries of employee benefit plans. Fiduciaries are held to the highest standard of care in the administration and management of these plans, and can be held personally liable for failure to act prudently on behalf of plan beneficiaries in violation of ERISA. Who is a Fiduciary? Anyone who exercises discretionary administrative or management control or authority over a sponsored retirement or welfare plan or the plan assets. Who should be concerned with Fiduciary Liability? 1. Plan Administrators 2. Trustees 3. Directors or Officers 4. Human Resource personnel 5. Persons with clerical or administrative responsibility for pension or welfare plans 13
  • 15. this is rare. Fiduciary liability resembles these other forms of insurance, but resides in its own distinct category. Fiduciary Liability: What it’s Not Fiduciary coverage protects a company’s designated retirement fund managers from allegations of irresponsibility. Having this specific role, it complements other policies but does not extend over them. Employee benefit liability (EBL) protects benefit managers from mistakes and omissions made in the administration of various employee programs. Such policies cover the typically minor issues that arise over proper filing and enrollment, but do not protect against lapses in how a manager does investing. EBL is largely meant to watch over company paperwork. Fidelity bonds are requirements of the government to ensure the protection of plan assets. These bonds may only be used to restore funds of the retirement plan in the event of a loss. Charges may be brought against a fiduciary regardless of the coverage provided by bonds. D&O liability, which protects from improper behavior by company executives and managers, does not provide coverage for actions pertaining to ERISA. Protecting the Company Due to the complex communication, advisements and stock market risks inherent to the role of a fiduciary, liability for retirement funds is often shared unfairly or misplaced entirely. Poor recommendations made by third-party financial advisors and sudden swings in a turbulent market can leave responsibility solely on even the best of fiduciaries. Fiduciary liability coverage can help defend a company’s reputation and the reputation of its management. Link to video of Fiduciary Liability claim scenario. 14
  • 16. Administrative Error A management-level employee of the ABC Hotel, earning a $50,000 annual salary, died in an automobile accident. The employee’s widow, who was the primary beneficiary of the employee’s group life insurance, wrote a letter to hotel management with 150 employees claiming that the life insurance benefit paid to her under the benefit plan should have been five times her deceased husband’s salary, not two times his salary. The hotel denied the widow’s benefit claim. She sued, alleging that, although the benefit amount had been twice his salary at one time, her husband had requested that the amount be changed to five times just weeks prior to his death. The hotel denied that any change had been requested. After the hotel investigated the widow’s claim, they learned that indeed her spouse had requested an increase in the amount of his group life insurance coverage, but that the hotel’s human resource representative had not properly processed the request. As a result of this revelation, the hotel settled the widow’s case for more than $250,000. The hotel’s defense costs exceeded $25,000 Denial of Benefits, Improper Advice The HMO under the media company’s health plan denied payment of medical costs for an employee who was hospitalized following an accident. The HMO claimed that the employee never notified the HMO of her hospitalization, as required under the health plan. In fact, the employee had called her employer’s plan administrator, who advised her that because she’d called the employer it wasn’t necessary that she call the HMO, forgetting that the notification rules had recently changed. The employee sued her employer and the plan administrator over the benefits denial, alleging that she had received improper advice. The case settled for more than $500,000—the amount of the benefits, plus attorney fees. Section 2 Fiduciary Claim Senarios 15
  • 17. Cause of action Negligent Selection of Advisor It turned out that the internal investment manager hired by a sports apparel retailer to manage investments of its 401(k) plan was allegedly skimming money off the top of employees’ retirement fund contributions. He was also a relative of the company’s plan administrator and, therefore, a thorough criminal background check was not performed. The Department of Labor (DOL) discovered the scheme during a spot audit. The DOL issued a letter advising the sports apparel retailer of its findings and demanded that the retailer and the investment manager make the plan whole (i.e., replace the funds that were stolen, as well as the investment income the funds would have earned had they been invested as directed by the participants.) If the plan was not made whole, the DOL would pursue additional courses of action, including litigation. The retailer settled with the DOL prior to litigation and agreed to contribute more than $2 million to the employees’ 401(k) accounts—the amount of funds skimmed from the top of the employees’ contributions and the investment income the funds would have earned had they been invested as directed by the employees. Total legal expenses incurred by the sports apparel retailer topped $75,000. Imprudent Investment Employees who participated in a 401(k) plan formed a class action and sued the investment committee, the plan administrator, the plan, and the sponsor organization, a health care equipment and services company. They alleged that $12 million invested in ABC Company guaranteed investment contracts (GICs) was imprudent because of that company’s extensive junk-bond holdings. They further alleged that the investment violated the terms of the master trust agreement, which authorized GIC investments underwritten only by AAA-rated companies. ABC Company was not AAA-rated and was eventually placed in receivership. Participants and their beneficiaries sued for breach of fiduciary duty. Plaintiffs sought to recover their lost profits—the difference in the value of their investments in ABC Company and the value their investments would have had if they would have been placed in AAA-rated investments. It took three years to arrive at a settlement of more than $4 million, including plaintiffs’ attorney fees. Defense costs totaled approximately $750,000. 16
  • 18. Chapter 4 iRisk.info Internet Risk Information
  • 19. On a regular basis I am involved in conversations and e-mail exchanges with clients, colleagues, and business associates on a variety of risk related topics. Chances are high if one person or business has a specific question or concern, others share those same concerns. The intent of this site is to post some of these discussions on a monthly basis. This is a personal site, therefore opinions expressed do not necessarily reflect those of past, present, or future employers. Web hosting is through Bluehost using WordPress as the publishing platform. Hyperlinks to other sites are indicated by red text and images. Slides and spreadsheets are stored in Google Drive using the Google Documents format. Video links from YouTube or Vimeo are displayed in pop-up windows. Adobe Flash is displayed within a new browser window. What’s up with the term Blog? Legend has it the term was coined by web designer Peter Merholz. “Weblog” became “We blog”. He used the terms “blog” and “blogging” online for the first time in a May 28, 1999 post on http:// www.peterme.com/browsed/browsed0599.html. Be forewarned that web legend and facts posted on the internet, including the iRisk.info site, may not be 100% accurate! Section 1 CONTACT INFORMATION iRisk.info Dan Glover twitter.com/iRiskinfo danglover197@gmail.com 18 Why Blog?