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Many organizations are facing concussion-related litigation,
including professional sports leagues and teams, universities and
colleges, as well as high school and youth sports programs. Former
players generally allege they were misled about the danger of
concussions, the injuries they suffered while playing were ignored
or mistreated, and that they are suffering from neurological and
cognitive problems related to those injuries. Representatives of
deceased players may allege the player contracted CTE (chronic
traumatic encephalopathy — a degenerative brain disease found
in athletes, military veterans, and others with a history of repetitive
brain trauma). At present, a definitive test for CTE can be made only
by examining the brain tissue of a deceased victim.
These exposures can have a significant negative financial impact
on the defendant organizations. Fortunately, historic insurance
assets can provide critical funding for defense and settlement/
verdict costs. The policies most likely to cover these claims are
those in force from the time the alleged head injuries began through
the date of the plaintiff’s death, the date the plaintiff was diagnosed
with injury or the date they filed suit, whichever is earlier. However,
negotiating the respective participation of numerous insurers can
be difficult. Each will likely assert a number of defenses to coverage.
For example:
ƒƒ Lack of fortuity, no “occurrence”
ƒƒ No allegations of bodily injury during the policy period
ƒƒ Application of self-insured retentions or deductibles
What services we offer
Insurance archaeology
We reconstruct historical insurance programs and assist you in
locating policies by:
ƒƒ Reviewing internal historic records and archives
ƒƒ Interviewing current and former personnel
ƒƒ Contacting former insurance brokers
ƒƒ Helping to identify and contact other potential outside sources of
policy information
ƒƒ Contacting insurers to coordinate additional research
Insurance claim dispute resolution
We help clients avoid the risk, expense and delay of coverage
litigation by leading or supporting insurance recovery efforts by
providing:
ƒƒ Consultative advice and guidance on the development and
execution of insurance recovery strategies
ƒƒ A channel of communication to senior, “decision maker” claim
contacts at major insurance markets
Concussion-related claims
insurance recovery
Integrated Casualty Consulting
For additional information contact:
James F. Dorion
Head of Liability Claim Consulting & Carrier Relations
Integrated Casualty Consulting
D +1 212 915 8917
M +1 203 908 1236
james.dorion@willistowerswatson.com
Loss allocation modeling
We can analyze how insurance programs may offset losses, and we
offer solutions to provide you with:
ƒƒ Mathematical results to develop settlement demands and support
settlement strategy
ƒƒ A framework for analyzing positions taken by insurers during
settlement negotiations
ƒƒ The ability to test the financial impact of varying assumptions about
legal uncertainties
ƒƒ An estimation of insurance asset value available to offset current
and potential future liabilities
ƒƒ Analysis of cash flow requirements
Insurance asset size estimation
Valuing insurance receivables — we help you understand how key
variables may impact the value of potentially available coverage.
These variables often include:
ƒƒ Choice of law used to interpret the insurance contracts
ƒƒ “Vertical” versus “horizontal” exhaustion
ƒƒ Prior limit erosion/exhaustion
ƒƒ Trigger of coverage theories
ƒƒ Loss allocation method applied
ƒƒ Number of “occurrences” at issue
ƒƒ Insolvent insurers
ƒƒ Applicability of aggregate limits
ƒƒ Gaps in coverage
ƒƒ Treatment of defense costs
ƒƒ Applicability of deductibles/self-insured retentions
ƒƒ Relevant coverage exclusions
ƒƒ Applicable clauses/provisions
ƒƒ Prior settlement(s) with insurers
ƒƒ Shared coverage
ƒƒ Limits available under multi-year insurance contracts or “stub”
policies
Willis Towers Watson has a dedicated liability consulting team that
can deliver results; we are uniquely suited to help you with claim
solutions.
About Willis Towers Watson
Willis Towers Watson (NASDAQ: WLTW) is a leading global advisory,
broking and solutions company that helps clients around the world
turn risk into a path for growth. With roots dating to 1828, Willis Towers
Watson has 40,000 employees serving more than 140 countries.
We design and deliver solutions that manage risk, optimize benefits,
cultivate talent, and expand the power of capital to protect and
strengthen institutions and individuals. Our unique perspective allows
us to see the critical intersections between talent, assets and ideas –
the dynamic formula that drives business performance. Together, we
unlock potential. Learn more at willistowerswatson.com.
Copyright © 2017 Willis Towers Watson. All rights reserved.
WTW-NA-2017-17439
willistowerswatson.com
			willistowerswatson.com/social-media

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Concussion-related claims insurance recovery

  • 1. Many organizations are facing concussion-related litigation, including professional sports leagues and teams, universities and colleges, as well as high school and youth sports programs. Former players generally allege they were misled about the danger of concussions, the injuries they suffered while playing were ignored or mistreated, and that they are suffering from neurological and cognitive problems related to those injuries. Representatives of deceased players may allege the player contracted CTE (chronic traumatic encephalopathy — a degenerative brain disease found in athletes, military veterans, and others with a history of repetitive brain trauma). At present, a definitive test for CTE can be made only by examining the brain tissue of a deceased victim. These exposures can have a significant negative financial impact on the defendant organizations. Fortunately, historic insurance assets can provide critical funding for defense and settlement/ verdict costs. The policies most likely to cover these claims are those in force from the time the alleged head injuries began through the date of the plaintiff’s death, the date the plaintiff was diagnosed with injury or the date they filed suit, whichever is earlier. However, negotiating the respective participation of numerous insurers can be difficult. Each will likely assert a number of defenses to coverage. For example: ƒƒ Lack of fortuity, no “occurrence” ƒƒ No allegations of bodily injury during the policy period ƒƒ Application of self-insured retentions or deductibles What services we offer Insurance archaeology We reconstruct historical insurance programs and assist you in locating policies by: ƒƒ Reviewing internal historic records and archives ƒƒ Interviewing current and former personnel ƒƒ Contacting former insurance brokers ƒƒ Helping to identify and contact other potential outside sources of policy information ƒƒ Contacting insurers to coordinate additional research Insurance claim dispute resolution We help clients avoid the risk, expense and delay of coverage litigation by leading or supporting insurance recovery efforts by providing: ƒƒ Consultative advice and guidance on the development and execution of insurance recovery strategies ƒƒ A channel of communication to senior, “decision maker” claim contacts at major insurance markets Concussion-related claims insurance recovery Integrated Casualty Consulting
  • 2. For additional information contact: James F. Dorion Head of Liability Claim Consulting & Carrier Relations Integrated Casualty Consulting D +1 212 915 8917 M +1 203 908 1236 james.dorion@willistowerswatson.com Loss allocation modeling We can analyze how insurance programs may offset losses, and we offer solutions to provide you with: ƒƒ Mathematical results to develop settlement demands and support settlement strategy ƒƒ A framework for analyzing positions taken by insurers during settlement negotiations ƒƒ The ability to test the financial impact of varying assumptions about legal uncertainties ƒƒ An estimation of insurance asset value available to offset current and potential future liabilities ƒƒ Analysis of cash flow requirements Insurance asset size estimation Valuing insurance receivables — we help you understand how key variables may impact the value of potentially available coverage. These variables often include: ƒƒ Choice of law used to interpret the insurance contracts ƒƒ “Vertical” versus “horizontal” exhaustion ƒƒ Prior limit erosion/exhaustion ƒƒ Trigger of coverage theories ƒƒ Loss allocation method applied ƒƒ Number of “occurrences” at issue ƒƒ Insolvent insurers ƒƒ Applicability of aggregate limits ƒƒ Gaps in coverage ƒƒ Treatment of defense costs ƒƒ Applicability of deductibles/self-insured retentions ƒƒ Relevant coverage exclusions ƒƒ Applicable clauses/provisions ƒƒ Prior settlement(s) with insurers ƒƒ Shared coverage ƒƒ Limits available under multi-year insurance contracts or “stub” policies Willis Towers Watson has a dedicated liability consulting team that can deliver results; we are uniquely suited to help you with claim solutions. About Willis Towers Watson Willis Towers Watson (NASDAQ: WLTW) is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 40,000 employees serving more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at willistowerswatson.com. Copyright © 2017 Willis Towers Watson. All rights reserved. WTW-NA-2017-17439 willistowerswatson.com willistowerswatson.com/social-media