Category Archives: General Liability Insurance

The Lethal Flaw Contained in The Professional Liability Insurance for Home Healthcare Agencies

Over the years we have seen, the mistakes home healthcare agencies make when they purchase their home healthcare agency liability insurance, their professional liability insurance for home healthcare, agencies  and workers compensation to protect their home healthcare aides. It’s critical that you choose an insurance brokerage firm that specializes in the home healthcare agency space so that you can leverage their collective wisdom. Don’t let your education become too expensive.

With profit margins as thin as they are within Home Healthcare Agencies #1 uncovered liability claim could be fatal to even the best run Home Healthcare Agencies. One area we see many other insurance brokers get wrong when they design the liability insurance program for home healthcare agencies is the professional liability exposure centered around patient transfers.

Moving patients around for bathing, sleeping, and general care is a foundational function for home health aides. You would think that if you purchased a liability insurance program for your home healthcare agency that the patient transfer exposure would be covered, especially for the premiums they charge. Spoiler alert, often times it does NOT. 

QUICK NOTE : Insurance carriers understand that neither you the end buyer of the home healthcare agency liability  insurance nor your insurance broker actually read the policies that are placed. Their is way too much focus on the insurance premium, not what the insurance premium spend actually purchased , which is the most critical piece. An equivalent in the physical world would be renting through AirBNB what you think is waterfront property only to find out you’re overlooking a sewage treatment plant. This is how insurance carriers are getting away with denying claims for patient transfers. They get over because they know your too busy to look at the fine print until it’s too late.

If you are curious, and want a second opinion, call (914) 357-8444 or CLICK HERE to stress test your home healthcare agency insurance program BEFORE your education becomes expensive.

SCENARIO : You have an elderly  customer who still likes to get out, is not entirely isolated at home. Part of the job description for this customer is that they expect the home health aide to bring them out shopping for groceries, perhaps a doctors appointment or two. Point is the care provided is NOT limited to the 4 walls of the patients home. This creates a whole other risk profile for you the Home Healthcare Agency owner. This additional exposure should be identified up front , when it is , it’s critical that the Agency charges a “risk premium” for the additional INCREASED exposure this increased care provides.  If the customer balks at the pricing we recommend you walk. This is a whole different subject and article to be addressed later.

CHALLENGE : When it comes to patient care, and potential negligence claims emanating from that care  these should be responded to &  financed within the professional liability insurance policy designed specifically for  home healthcare agencies . Sadly, many of these types of patient transfers occurring outside the home are not covered. Patient transfers, especially when utilizing an auto are specifically EXCLUDED.

We had a situation where the home health aide took a patient grocery shopping. When they were in the parking lot of the store the home health aide began to load the groceries in the trunk of the car. She negligently did this BEFORE first settling the patient, poor process/ training. The patient lost their balance and fell in the parking lot, shattering their hip.

Within months the home healthcare agency was sued by the patient and their family. Fortunately we understood the exposure up front , were made aware this level of care is being provided , making sure it was properly covered by the professional liability insurance. The claim ultimately settled for $680k.

Unfortunately when we are approached by home health care agencies to evaluate their programs we find their current insurance programs specifically exclude patient transfers outside the 4 walls of the home. The difference between being insured for this exact exposure or NOT is usually 2 words. Which (2) words, where is the intellectual capital of a seasoned risk advisor who knows where to look for those (2) words and negotiate them out of the insurance contract before the loss occurs.

TAKEAWAYS: 

  • Understand your potential exposures. You can’t manage what you don’t know. An experienced Risk Advisor in your space will lead you in a discovery interview process that seeks to understand what customer base is, where your customer base is, levels of service you provide , business model and operations. This is where we identify exposures you may have like the patient transfer outside the home example.
  • Stress Test Your Current Program : After you have identified as many potential exposures as you can in the above exercise make decisions on how to mitigate or finance these potential exposures.

Remember there are only 4 ways to fund a loss:

  • Current Operating Cash Flow
  • Cash Reserves
  • Loans / Credit Line
  • Insurance

For most small to mid-sized businesses , insurance is the most cost efficient way to finance future potential losses.

Our recommendation is to open up a dialogue with a RISK ADVISOR and have them do the work for you. Often the service is free of charge. There is no downside in checking your home healthcare agencies insurance program .

One of two outcomes will result: 

  • You checked the program for BOTH coverage terms & pricing ;  all seems to be in order. Feel good about that.
  • You have uncovered deficiencies in your program that decisions need to be made on, &/or you were being over charged for the coverage.  Often when we evaluate programs we see BOTH adverse scenarios occurring.

In the last few years we have evaluated hundred’s of home healthcare agency insurance programs. We have found coverage deficiencies & pricing improvement opportunities in 84% of the cases we reviewed. Within that 84% cohort 62% had MAJOR deficiencies that could have resulted in the collapse of the Agency should that particular loss occur.

If you are curious, and want a second opinion, call (914) 357-8444 or CLICK HERE to stress test your home healthcare agency insurance program BEFORE your education becomes expensive.

 

Understanding Your Commercial General Liability Insurance Will Absolutely Save Your Business From Financial Ruin

Most businesses who purchase commercial general liability insurance have little understanding of how it’s structured and what is important. Instead they focus on the amount of limits offered per occurrence and the premium being charged for those commercial general liability insurance limits for their comparison when making their purchase decision. We are here to tell you those are the last 2 data points ( coverage limit & premium) to consider when evaluating your current liability insurance program. It’s a classic price vs cost conundrum.

Over the next few paragraphs we will break down for you the critical components you should use when evaluating your commercial general liability insurance program. The goal here is not to provide a Master’s Class in understanding all of the nuance with respect to commercial general liability insurance. Instead it’s really to get you to consider engaging a Risk Advisor by clicking here to do the evaluation for you. Often times a RISK ADVISOR will not charge you to do the evaluation .

If the RISK ADVISOR is good at what they do they will first understand how you make your money, who your customers are , where you operate, and importantly the contracts that create both upstream and downstream obligations for your company. Understand, your Commercial Insurance Program is always a trailer , it never leads. It reflects and finances potential future losses more efficiently that using your own operating capital. To properly design ANY commercial insurance program both the broker and the customer need to spend time discussing in detail the operational components and risk profile of the business. Contingent on how , where and who you make your money from will determine this critical exercise. it can be fairly simple to pretty complex. You do the heavy lift once , then tweak it yearly to adjust or iterate as your business evolves.

QUICK TIP : You can tell how good the Risk Advisor is by the questions they ask, the process they put forth to understand your business. If it’s ad-hoc, only takes a few minutes that’s a big red flag. Did they analyze your loss runs, contracts, licensing agreements, laws you may be subject to in operating your business, future goals?

We say insurance is always a trailer because the real purpose of insurance is to transfer a future potential “net income loss” (defined as income you would have had except for a particular event), from YOUR balance sheet to the insurance carriers balance sheet for the lowest premium possible. Here is the key phrase AS MUCH RISK AS POSSIBLE for the LOWEST PREMIUM available. More on that later and why that is so important.

Here is the primer I promised before I went off on a tangent to frame this EXPLAINER.

COMMERCIAL GENERAL LIABILITY INSURANCE : The best way to remember this section; there is a reason it’s called “GENERAL LIABILITY”.  The reason, its general (non-specific) , kind of plain vanilla , designed mainly to cover the general public. It is NOT designed to cover for losses involving hiring , firing , management practices for your employees. It is NOT designed to cover your customers for specific errors , omissions , designated professional practices as it relates to the duties you perform.

It’s the most generic form of commercial liability insurance available to a business to insulate them from future 3rd party losses.  Commercial General Liability Insurance is designed to cover losses you may be responsible to ,a 3rd party, typically the general public for a loss or injury they may have suffered. Think of a pedestrian that slips and falls outside your retail store. They litigate against you and the building owner. The building owner will have their own commercial general liability insurance as will you. Who pays will be determined by the details of the incident and your lease which covers your business obligations.

If you want to understand what your commercial  general liability insurance policy covers start with what it DOESN’T COVER by going right to the EXCLUSIONS section of the policy. There you will uncover  how potentially woefully inadequate the coverage truly can be.

Without getting too much into the weeds here let me highlight a few key risks & exposures you may have that will NOT be covered in your commercial general liability policy.

CLAIMS BETWEEN YOU & YOUR EMPLOYEES: 

  • Harassment : Could be sexual, could be gender based, could be you just have a bad egg in your midst that is a bully to their co-workers or subordinates. It’s take very little for an employee to file a harassment complaint with the Department of Labor in your State, which will trigger a very expensive Dept of Labor audit. Worse they could lawyer up as they know or have heard it’s an easy way to make a quick buck. They are right, most of these claims come to some financial settlement where your business pays the employee money instead of expensive litigation.
  • Wage & Hour : These are hugely expensive to a business. Primarily because the audits are invasive, word spreads to ex-employees who want to be on the gravy train, the cost to defend (Employment Attorneys) are expensive. Finally the settlement, if it’s determined that you did not properly pay overtime or other wage related claims.

Just google WAGE & HOUR lawsuits in your industry to read some of the horror stories. It won’t take long for you to determine that having an employment practices liability policy is essential for the continuity of your business.

These are just (2) quick examples. There are far more, like discrimination. Bottom line you MUST transfer this risk to an insurance carrier for a premium as it’s too expensive to retain.

CLAIMS INVOLVING DIFFERENT TYPES OF SERVICES YOU PERFORM:

Examples here would be services that are technical and requiring licensing, specific training e.t.c. A specific example here might be a home healthcare agency that provides at home services for the elderly. If in their daily routine it’s asserted the home health aide fails in their duties or is negligent, a patient falls breaking their hip, the home healthcare agency may be held liable if they were negligent in their duties resulting in a significant injury. Even if you feel you were not negligent, the cost to defend yourself going to the matt on the suit will be crazy expensive , even if you win. Unless the Home Healthcare Agency purchased PROFESSIONAL LIABILITY INSURANCE  , they are funding this very expensive loss themselves. The cost to defend such an event is easily 6 figures, say nothing of the settlement.

Many non-profits perform services for their “clients” that require specialized services that are typically excluded on a commercial general liability insurance policy . They may provide elder care, youth services, counseling, legal services, placement services e.t.c. Much care needs to be taken to properly understand your risk and exposures to loss , then decide if you want to transfer that risk or exposure to  insurance carrier for a premium.

Often with non-profits we conduct a simple contract for services audit to understand what services they have been retained to deliver. Then we audit the professional liability policy to check if that exposure was contemplated . In a recent services audit for a local non-profit we determined that the  non-profIt , who was providing job placement services for disadvantaged youth , did NOT have the correct coverage for those services. Their Professional Liability policy did not include molestation coverage which could be critical if they placed that youth in a situation that led to an “event”. Just the assertion of the event could wipe out years of operating budget.

In the above example they did purchase Professional Liability coverage however without that audit , understanding their true exposure to loss , there was the potential for catastrophic failure if someone pointed a finger. Too often , without an audit these non-profits or other business organizations learn of the deficiency after they get the claim denied, making their education very expensive.

CLAIMS DUE TO AN ERROR OR OMMISSION :

In many service organizations, failure to perform a certain job function may result in damages to either your customer or the general public. An example might be a construction firm that improperly installed weep holes in the masonry facade of a building. Water built up behind the masonry wall going undetected for a period of time, ultimately resulting in the façade collapsing onto the street below. This actually happen to one of our clients.

Since they purchased Construction Errors & Omission insurance from us the loss defended and the damages covered. Mostly the re-purchase of new materials  and  labor to install the material  as well. Architectural fees, scaffolding, permits e.t.c. were also covered. The cash provided to investigate, defend and ultimately finance the repair was all paid from the construction errors & omissions policy. This had the affect of allowing the business to keep it’s cash flow, budgets and profits in tact. Errors & Omissions Liability Insurance is available to most service businesses, not just construction.

CLAIMS DUE TO A DATA BREACH :

This one can be fairly complex, with lots of potential for errors. Imagine you get an email from a Hacker stating that unless you pay them a ransom, they are going to slowly release all of your customers private information out into the web. Further they will tell your customers where they got the information and that you refused to pay the ransom which is why all their data is exposed. Imagine your a divorce attorney, a child psychologist, a financial advisor.

There are many examples I can give whereby your customers data or your customers systems are hacked due to a virus that may or may not have come from your network. The mere fact someone may point a finger at your company and make the assertion the hack started from an email your company sent is going to be a 6 figure event.  Further they can be very, very expensive to defend. In States like NY where they passed the SHIELD ACT the fines alone from a State or Federal government can put you out of business as the fines are well into the 6 figures.

In this situation you need a standalone Cyber Liability Insurance policy.

QUICK TIP : NEVER think you have coverage for Cyber liability just because your carrier added an endorsement onto your policy with a $ 1 mil limit stating they are covering  you for a cyber liability event.  Those endorsements fall woefully short of giving you proper coverage. They are hollowed out coverage forms that give the false impression you have coverage. This will only come to light when you file the claim , resulting in a denial.

CLAIMS DUE TO A FAILURE TO COMPLY WITH GOVERNMENTAL RULES & REGS: 

Sadly most companies aren’t aware that as a private company you have exposure to loss from rules , regs, codes that create obligations for your company for failure to comply. In this situation a Directors & Officers policy will help provide defense and in some cases help pay for the fines, or settlement due to these code infractions.

QUICK TIP : ON PRICING FOR ANY TYPE OF COMMERCIAL LIABILITY INSURANCE POLICY :

Pricing is predicated upon a “BASIS” ; a unit of measurement that the carrier determines best reflects their actuarial tables to determine the probability of a future loss. This is how they arrive at a premium. Some carriers are flexible with the “Basis” , others are not. They use one type of basis for determining the premiums they charge. You should determine up front what is the best possible “BASIS” for your company to yield the lowest possible premium.

Examples of “BASIS” would be :

  • Payroll
  • Sales
  • Units
  • Square Footage
  • Contracts

Contingent on the basis chosen the carrier applies a formula to the chosen basis to arrive at the premiums charged. A huge variable in that formula is your company’s loss pic (loss picture). This is the ratio of historical premiums charged versus claims paid out. Essentially , how much profit has your account generated over the previous 5 years based on incurred loss. For more on LOSS PICS , CLICK HERE.

We plan on doing a future piece just on pricing of Commercial General Liability Insurance as it’s way too much to tackle here.

A final thought  there are many risks and exposures that a typical commercial general liability insurance policy will disclaim. We cannot stress enough that a thorough evaluation with a qualified RISK ADVISOR of how you do business, where you make your money, how you make your money, from who you make your money is the ONLY way to properly insure the risk.

You cannot properly transfer risk or finance risk that hasn’t been indemnified. Further, unless you stress test your insurance program BEFORE a loss occurs you are setting yourself up for a very expensive lesson.

 

Why Property & Liability Insurance Cost So Much for Apartment Buildings , Co-Ops , Condos

Are you wondering why the renewal for your apartment building insurance for your rental building, Co-op or Condo has gone up by north of 20% ? This little primer might help explain why. The Chinese have a proverb, “may you live in interesting times”. If you’re an owner of commercial or residential real estate, especially in New York or New Jersey this proverb is an understatement. Faced with the double jeopardy challenge of escalating costs up & down your P&L in tandem with local laws capping your ability to raise rents if your units are subject to rent guidelines , finding new strategies to maintain your margins and investment yield is an imperative heading into 1st quarter to 2023. This is meant to be a primer for buyers or commercial insurance in the Metropolitan New York region. We have taken care to organize our executive summary into lines of insurance which makes the most sense.

Commercial Property Insurance :

For rental real estate , co-op’s or condominium buildings located in the metro NY region It’s all about C.O.P.E. ( Construction , Occupancy, Protection Class, Environment). When an underwriter looks at an account these are the buckets they use to organize how they will price your account. Buildings that have invested in their properties in terms of not just aesthetics ,(tenant) upgrades, but building safety & infrastructure enjoy the most competitive pricing & coverage terms. These are the items that carriers look for in the properties they underwrite.

  • Sprinkler Systems ( Common Areas Good; Fully Sprinklered Best)   
  • Standpipe Systems
  • 2nd Means of Egress .
  • Twin Parks Fire

    Self Closing Fire Doors.

    • Auditing of Fire Doors
  • Emergency Lighting / Exit Signs
  • Hard Wired Smoke Detectors
  • System to document repairs, maintenance, upgrades.
  • Upgraded Electrical systems
  • Water Sensors & Monitors
  • Boiler Sensors & Monitors
  • Upgrade Schedule communicating the installation of some of the features noted above.

At Metropolitan Risk we encourage building owners to use our infra-red scanning technology to scan your building for electrical hot spots. This is a smart pro-active initiative that can save the property owner much blood & treasure by preventing an electrical fire loss up front by identifying areas of your building where the electrical system may be failing before a fire results.

The insurance carriers we see that give the owners the most credit for these features are Travelers, GNY, FM Global, CNA, AmRisk. If your building lacks many of these features they still may quote the account contingent on how well the portfolio has performed in relation to it’s COPE.

As you read this and say to yourself, jeez we have most of this stuff, yet our insurance is still increasing;  or we are getting cancelled which is puzzling.

Remember when you purchase insurance through an insurance carrier, you are pooling your risk. This means you are getting lumped in with all the other buildings they are insuring. Each year the carriers, through their actuaries set the insurance companies rates based upon the losses the portfolio is incurring AND the cost of re-insurance. For some carriers it’s a double hit as their losses and re-insurance costs increase.

In the last 5 years , property losses are out passing the previous 10. Climate induced impacts are having significant cost impacts on re-insurance costs which get passed down to you the end user buyer. Remember the pooling of risk applies to the insurance carriers, not just the buyer. It’s all part of the cost food chain to transfer risk.

Many insured’s solely think about their buildings and their account performance, however the macros on the economy, portfolio loss performance , and the cost of their re-insurance contracts really dictate the cost of their property insurance. When you purchase insurance you are deeply impacted in a positive and negative way ; the “pooling of the risk”.

COMMERCIAL LIABILITY INSURANCE :

For your rental apartment building , Co-Op Building or Condominium building ,unlike Property Insurance,  which is increasing nationwide due to the cost of re-insurance driven mostly by the macros detailed above; liability insurance has much larger disparities market to market, state to state, locality to locality. New York State & New York City is case in point.

On January 9th, 2022 the Twin Parks Fire sent shock waves through out the New York City Habitational Insurance market; specifically as it relates to liability. In that fire 17 people dies due to smoke inhalation. The 19 story building was rated masonry non-combust which meant it was built primarily with steel and concrete. It had multiple means of egress (ways in & out) , with fire doors protecting the egress. The challenge for the owners and the insurers was the alleged malfunction of the fire door hinges which are self-closing. Due to their alleged malfunction smoke infiltrated the building killing 17 people from smoke inhalation.

What does that have to do with me? Great question; everything. When ever the carriers see a large loss like that come into view they look inward. How many buildings are we insuring that fit that risk profile. The answer was a lot. The determination was made that because the building was NOT fully sprinklered, which would have suppressed the smoke, this type of loss could be inevitable. Thus, the takeaway away for you is that if your building is NOT 100% sprinklered, your rates are going up, by a lot, and many carriers are refusing to insure you as they don’t want a repeat of the TWIN PARKS FIRE.

Sadly, that is only one component of the increase. Due to NY’s Labor Law or the Scaffold Law which imposes strict liability on property owners for workers who fall from a height, payouts on liability claims are significantly higher in New York than almost any other state in the country.

Gallo, Vitucci& Klar who specializes in Labor Law defense. “One of the labor law hotbeds in New York is Lackawanna County in upstate NY, think Buffalo. The Labor Law affects the entire state, not just NYC. That said NYC has a concentration of taller buildings which is why there is more activity there.”

At Metropolitan Risk we wrote an E-Book to help school property owners on the risks inherent in the labor law CLICK HERE to download. For purposes of this article , just understand that the Scaffold Law continues to push insurance costs for property owners much higher in this region than in any other region in the county. Which is a large component as to why your liability insurance costs continue to rise.

EXCESS  LIABILITY INSURANCE :

Similar to liability for essentially the same reasons excess liability insurance costs continue to rise with one notable exception.

The DEMISE OF THE “PROGRAM UMBRELLA” : Program Umbrella’s where essentially products where by an MGA “Managing General Agent” would purchase large limits of excess liability coverage , and then turn to retail agents and brokers and give them access to the program for their clients. For a “Premium” the agent or brokers customers could gain access to that particular Umbrella policy purchased by the MGA. Essentially giving real estate owners the ability to purchase at a discount excess liability insurance in “BULK”, getting the “BULK” discount.

As of this time last year there were north of 10 Program Umbrella’s you could bolt into , enjoying liability limits as high a $100 million dollars for your portfolio , or building. Those days are gone. While there are still a few left, the underwriting to get in is uncompromisingly  strict, and the pricing discount for buying in bulk is gone.

In over 25 years of serving building owners and developers I cannot recall a more challenging market for this cohort of insurance buyers. There simply is not enough insurance carriers writing this class of risk to drive pricing back down. It’s classic supply & demand. The carriers putting out paper on the street are calling the shots as they don’t have much competition. They are getting their number because the property owners MUST purchase coverage to comply with their lenders requirements. Lender in turn need to understand the dynamics of this current market and work with their property owners to find a balance.

On top of ALL of this are the new unfunded mandates from the City of New York, New York State and the Federal Government for all types of businesses. It’s a very challenging environment to be a landlord in New York City as the income is capped, but the costs continue to escalate higher than the other side of the P&L.

There are strategies building owners can take to mitigate some of these escalations. That is fertile ground for our next article in the series.

We hope you found this piece informative. Feel free to reach out to a Risk Advisor by calling (914) 357-8444 or simply CLICK HERE.

 

Why Current Economic Conditions Are Perfect To Restructure Your Insurance Program

In our opinion, there is no better time to consider alternative risk transfer as a strategy to get more cost-efficient with respect to your current commercial property insurance, commercial liability insurance, workers compensation insurance, & commercial auto insurance.

As I write this the country and the world are about to exit the covid pandemic. If we frame the current conditions in terms of where we are in the property insurance, liability insurance & workers compensation insurance buying cycle; conditions couldn’t be more favorable to give your company a significant competitive advantage.

Taxes :

Since all 3 branches of government have changes hands in the last several years there are strong tailwinds pushing for significant tax increases which will erode corporate resources. We suggest utilizing a Captive Insurance strategy can give you significant tax efficiencies allowing you to keep the dollars inside your company to help reduce your variable cost structure. DOWNLOAD our Guide to Utilizing Captives by CLICKING  HERE.

Coverage Availability & Rates :

Currently, we are in the through of a “HARD MARKET”; where conditions favor the insurance carriers as they restrict coverage and increase rates. Insurance buyers are frustrated because they have limited options. Further, they feel squeezed, and rightly so. The carriers are pointing to the “Social Inflation” of liability and commercial auto claims due to the insane jury awards. Buyers are pointing to “profits” earned and surplus growth to counter that claim. We think the buyers have a legit gripe.

Risk As Strategy :

Smart forwarding thinking CFO’s and C-Suite Executives understand that if they can leverage their balance sheets by increasing their retentions EFFICIENTLY, they can gain significant cost advantages that they can bake into their COGS (Cost of Goods & Services). If done properly they can reduce their insurance program costs by 35% which allows them to grow profits, market share, or both. Remember every dollar you save in your insurance program falls directly to the bottom line.

To understand if your company could benefit from a partial or full-on program restructuring CLICK HERE to schedule a 15-minute call. In 5 questions we can figure out if the strategy has legs for your org.

What’s The Difference Between a Deductible & Self-Insured Retention In Your Commercial General Liability Policy?

With respect to your commercial general liability insurance policy; choosing between a high deductible or self-insured retention can have a major impact on your competitive position as your business competes on the street. We we want to give you some direction BEFORE you pick the insurance program structure for your commercial general liability policy.

Difference Between Self-Insured Retention & Deductible When It Comes To Credit

The first is who is issuing your company “credit”. With a deductible, it’s the insurance company. When a claim needs to be paid out, it’s the insurance carrier that pays the full dollar amount; provided coverage was triggered. The insurance carrier then invoices your company for the agreed-upon deductible amount. Your client (if we are speaking about a liability policy ) is made whole. Thus it’s the insurance companies balance sheet that’s out front, not yours. This is important an important distinction.

With self-insured retention, it’s YOUR companies balance sheet that gets put out front. The reason being; if a claim is presented that needs to get funded YOUR COMPANY pays the claim (up to the retention limit) ; THEN the insurance carrier comes in & funds the remainder of the loss. The point being your customer is issuing you “credit” in hopes that you have the financial capacity to fund the loss.

Difference Between Self-Insured Retention & Deductible When It Comes To Infrastructure

The second big issue is one of infrastructure. When you purchase an insurance policy with a deductible all of the insurance carriers infra-structure comes with it. This may include insurance adjusters, legal representation, engineering & forensics, professional accident investigation e.t.c. An insurance policy that has a deductible structure includes the carrier’s infrastructure for you to leverage.

In a Self Insured retention structure, you must provide the infrastructure. Adjusters, Loss Control Engineers, Legal representation (defense), a professional accident investigation team. At Metropolitan Risk we have all of this pre-built for our clients that choose to leverage the self-insured retention advantage.

Check out our Vlog on Deductibles Vs. Self Insured Retentions

Which structure is best for you?

Too often we meet the executive team of a company that cannot articulate the strategy of how they ended up in a particular insurance program structure. These companies are backed into their insurance programs because the insurance is the cheapest quote they’ve received. We are brought in because their costs keep rising because they started with the wrong goal. Our clients understand the price they pay on their insurance program is a direct result of how they prevent and manage their claims.

If your main challenge is “frequency” we suggest the self insured retention model. The main reason, you have far more control with a self-insured retention. Since it’s your infrastructure, they work for YOU, not the carrier; it’s your money. Thus you have a degree of control and efficiency that you don’t with a high deductible program. Where we see this being the most successful is where there are a lot of small nuance claims, trip & falls as an example.

Insurance carriers are claims processing factories, they just can’t achieve the same results that our self-insured retention clients can because they handle too much volume to give these small claims the kind of attention they need. Thus our clients that adopt this structure significantly compress their claims.

Those that stay inside a deductible program, or worse a 1st dollar plan (the carriers pay all claims from the first dollar). This is what we call the stealth commercial insurance squeeze. This is where the “incurred” claims continue to rise, resulting in commercial liability insurance premium increases! Remember; commercial insurance is essentially a really expensive credit line. The surcharges on these first dollar plans can result in a death spiral if you don’t take action.

A high deductible program works best in severity issues; (where you have 1 or 2 large claims in a policy year, think LABOR LAW!) No need to build out and pay for infrastructure; incurring those costs if you’re not going to materially impact the ultimate incurred loss which is key to achieving your goal. The more you positively impact your claims results the cost of the entire program reduces which is your goal.

Review your current loss history, run a loss pic, analyze what’s driving the results of your claim. Do you have a “frequency” issue or a “severity” issue? Once you understand your main challenge, then pick the correct insurance program structure to leverage. The best way to improve the results of your claims and lower the ultimate cost of your insurance program is to prevent the losses from happening in the first place.

 

Call a Risk Advisor today @ (914) 357-8444 or schedule a 10-minute call to walk through your challenge with our team.

 

Construction Manager Vs. General Contractor- What Is The Difference?

Your operations are as a General Contractor, but the contract you are looking to enter (or have entered) references to your organization as a Construction Manager. Is there an issue here?

Although at first glance you may see similarities between a General Contract (“GC”) and Construction Manager (“CM”), their difference in operations, and in turn exposures, are vastly different. Understanding the roles of a General Contractor (“GC”) and Construction Manager (“CM”) and their corresponding interests in a job is important to fully grasp the risk associated with each. 

What is a General Contractor and their role?

A General Contractor is typically hired after the owner has a finalized design in place (the design-bid-build model). When bidding on the job, a General Contractor submits complete plans in accordance with the pre-designed specifications. In hiring a General Contractor, the Owner in turn is trusting the General Contractor’s network of employees (direct labor) and subcontractors to perform the work at the job site. The General Contractor will then oversee the day-to-day activity of all direct labor and subcontractors at the job site. The General Contractor’s incentive is to complete the job under budget to maximize their profit. 

What is a Construction Manager and their role?

In contrast to a General Contractor, a Construction Manager’s services contract directly with the owner, typically for a fixed fee basis. The Construction Manager’s relationship with the Owner is more of a collaborative/consultative partnership. This brings a different relationship when compared to that of a General Contractor with Ownership since the Construction Manager is usually involved in the project from the start (the design-build model). The Construction Manager has input on the design phase of the project and works directly with the subcontractors during this phase. With this input comes a potential exposure to Professional Liability (E&O).

Defining your organization’s role early in the project is paramount, and a key factor to ensure you are protecting the organization. The contract will be the first place all parties look to when an incident occurs, and you want to be sure that your operations are clearly defined, and within the scope of your insurance coverage.

For more information on the scope of purchasing an insurance program for your project, contact one of our risk advisors at 914-357-8444 or click here to schedule a consultation meeting.

A Fireside Chat with A Claims Adjuster

Our Claims Advocacy Team got to sit down with a workers’ compensation claims professional who specializes in high exposure claims. They discussed a high exposure claim that wasn’t reported timely to the carrier after the incident occurred.  

 

Please Note: This article has been edited for clarification and to protect the identities of those involved in the interview.

 

We’ve decided to call this interview a “Fireside Chat with a Claims Professional”, please tell me, are you actually in front of a lit fire or a fireplace or at least a match? 

Yeah, I have a nice scented candle lit, some nice ambiance for the room. 

What is your current role in the claims process? 

I oversee about 500 files, not directly managing the day to day activities and tasks to move a claim forward, but looking at it from a strategic standpoint, whether it be return-to-work, a settlement, or the resolution of some litigated matters.  I also assist clients in resolving their existing claims files.

Can you describe what a heavy litigated file/high exposure claim is?

Yeah, high exposure is really like your catastrophic claims. For example, someone who might be a paraplegic, quadriplegic, someone that suffers from a traumatic brain injury, or spinal cord injury. Those are leaning towards your high exposure. 

Heavy litigated are files that are going to essentially set a precedent in future case law and how it can impact lawyers and insurers in the future. 

Is the insured involved in the process at all? Or by the time that the issue reaches your hands is it completely out of the insured hands? 

I feel like most of the time the employers (named insured) are aware that I’m working on their files as a resource. Oftentimes I can be involved in the claims review process to help bridge some of the gaps that may be present, with the knowledge to move that file forward. 

 

However, It depends on the account and the type of policy that’s written because they (the insured) may be hands-off. They may have paid their deductible and then the claim is no longer the named insured’s problem. So they leave the claim up to the carrier going forward. 

 

You mentioned once their deductible is paid they often have a hand-off approach because it is no longer ‘their money’. Does the claim, the amount paid on the claim, and the amount paid from the deductible have an effect on their insurance? 

 

It has an impact on their rating. It affects their E-Mod (Experience Modification factor rating). What this means is when the insured goes out into the market place the following year when they are up for renewal,  that claim may show up. the incurred (paid + reserve) impacts their ability to be written for new insurance and essentially tells them what premium they’ll be paying.

 

From what you just told me, it doesn’t make sense for the insured to take a hands-off approach? Does that sound fair? 

 

I certainly think that they (the insured) should be involved because this directly affects and impacts their future with Mod ratings and what they’re going to pay for in the future. But many people still take the backseat approach. 

 

Though this often depends on the level of comfort they have with their carrier. So while I say it’s a backseat approach. It may seem a little hands-off because they feel confident in their carriers’ ability and what we put forth.  They know that we’re going to mitigate their losses as much as possible to bring it to a resolution. 

 

That’s a great point. I imagine this is true with a long-standing client, a company who’s been insured with you for a long time, they know the team and have the same players handling their claims, and they can kind of step back because they know that your team has their best interest at heart.

 

Seasonal/Winter Claims

 

So you’ve seen it all, as you’ve climbed the ranks in insurance and the claims world. Is there one type of claim you encounter where you just roll your eyes when it comes because it is the most common type of claim? This could be a winter claim, an industry-specific claim. 

 

I call them your classic injuries. The two most common ones that are seasonally driven are your slip and falls. They are the most common denominator in terms of what you see for December, January, February March claim volumes that come in. Slip and Fall will rank really high for what we see. 

 

Aside from that, lifting injuries are common as well. 

 

Are these injuries specific to a particular industry?  Do you only oversee construction, real estate, healthcare or are these claims kind of general and not industry-specific? 

 

I think claims like these are industry-specific. Your transportation carriers/delivery services, you typically see slip and falls from the parking lots or while they’re making a delivery to someones’ home. The same goes for lifting injury, that’s primarily where you see those.

 

 Construction is a fall from heights, that’s typically the most common one.  

 

Then the healthcare we see lifting injuries because your home health aides, they’re typically assisting with a client/patient, having to maybe get them up out of bed. Some of those patients are unable to help themselves get up, and typically these employees have to just lift 150 pounds to 200 pounds by themselves with no assistive device to help them do that. We see a lot of lifting and back injuries & neck injuries from that.

 

It sounds like our essential workforce, especially during COVID times are the ones getting injured the most.

Yes. I can agree with that. 

Most Expensive Claim That You Personally Have Seen 

 

What is the most expensive claim you’ve seen? For clarification when I say the most expensive claim it can be a specific body part that is a high dollar amount.

It depends on how high you’re looking to go. I’ve seen some claims that are multi-million dollars.

 

What was that? A multimillion-dollar claim? What was that Injury? 

 

Without disclosing too much detail, one employee rode in the back of a pickup truck of another employee, as they departed the employer’s location and a severe injury was sustained. It’s a multimillion-dollar claim because this employee needs 24/7 care and will need to live in a facility probably for the rest of their life. 

 

That’s tragic and I don’t think many insureds think about claims on that level. Maybe large corporations, like the transportation organizations we discussed earlier (UPS, FedEx, DHL.) Those companies have a large workforce at a national level, so maybe they’re more familiar with those. But smaller commercial clients, don’t see or even think that this could even happen, and now they’re looking at a multimillion-dollar loss that they didn’t budget for when running their business. 

 

Absolutely, and when we start to look at what happened and gather the facts around the event we start to ask questions like “What is your policy about having employees on site after work?” and if there is any surveillance footage of the location and what was actually happening. 

Having that information and the punch cards to show when they came in and when exactly they left.  in a lot of states, there are a number of “coming and going” rules that would either support the acceptance of or denial of that accident/injury, being considered within the course and scope of employment.

 

This ties into my next question, from your side of things I’m sure it’s frustrating when these claims, and you see that more could have been done from the insured standpoint. How can the client help in the claims process so it doesn’t get to your level? At least so they do everything they possibly can to help your team out, to help the adjuster out before it gets to you and it becomes a multimillion-dollar claim.

 

What we see very often, and in the example, we just talked about this claim wasn’t reported to us until several months after the accident happened.

 

Wow. 

 

It is so important to get it to us, even if they are not sure if it would be covered under Workers’ Comp. Oftentimes they (the insured) might think it’s covered under liability or if it’s a motor vehicle accident they strictly put it in as an auto claim. 

 

My advice would be to file that incident report, that first report of injury as soon as the incident happens. Let the carrier investigate it and be sure to really partner with the carrier to ensure that you’re getting them the information that they’re requesting. Preserving any evidence is crucial as well. 

 

So if you have surveillance footage be sure to take that and send it over right away. Witness statements are critical.  When you speak to someone right after an event happens the event is going to be right fresh in their head.  As opposed to trying to track someone down a few months from now, or even a week from now, their recollection of the event might vary. These witnesses might have also spoken to other employees about things being said around the workplace and you risk getting a skewed version of what actually occurred. 

 

Even include the profile for the employee: what’s going on? Oftentimes you’ll see they’ve run out of vacation time and now they’ve filed this claim. Then, we learn from other employees that this person was just taking a vacation. So all that information about what’s going on in this employee’s life and other things they’re aware of like disability claims that were previously filed for this employee in conjunction with just responding to the investigation as soon as it happens is pivotal.

 

I gather that a lot of times in an instance where this doesn’t happen, the insured is afraid of the repercussions and the carrier is going to penalize them. However, you don’t get penalized for doing the right thing, which is if you know something happened, report it. This way the carrier can work with you and guide you and do the investigation early on instead of 4 months out. 

 

So circling back to the example you gave us. What happened in the time it took for that event to hit your desk? 

 

In this situation, it was a case of “Everything that can go wrong, did go wrong.” The insured originally never put it through to workers’ comp. Why? 1. They were trying to pay for anything out of pocket to avoid having the claim show up on their claim history. Secondly, they heard this employee had passed away. The employer didn’t realize that the employee had survived the accident. 

 

Once we finally did receive the claim, the employees that participated in the internal investigation before it reached the carrier were no longer available for comment. 

 

This sounds interesting.

 

I’m not sure if that answered your question, but I’m not sure if this approach helped anybody because the state where this incident occurred is a state that requires you to get prior authorizations, and the employee already incurred several million dollars worth of care before this claim even reached us. There was no direction and we couldn’t negotiate the rates with the home healthcare. At this point, we’re trying to go backwards to try to project what could occur in the future. 

 

What a mess. 

 

This approach doesn’t work well from the financial standpoint either because it doesn’t help the injured worker and then the carrier is trying to quickly piece together to make a decision before the state’s deadline for when you have to file a decision. There is a lot of scrambling. 

 

This sounds so stressful. The insured may be able to self-pay but those accidents need to be very minor. Even if the insured does self-pay there are still forms that need to be filled out and the insured is required to keep them on hand but it sounds like in this instance it was a major accident, to begin with. 

 

Thank you so much for sharing. This touches on what a lot of clients are asking and are worried about. At the end of the day, they all want the best insurance rates and the best insurance coverage, but the only way to achieve that is cooperation and reporting things timely when an employee is injured. 

 

It sounds like in this instance the insured didn’t try to reach out to the injured employee because they didn’t know if he was still alive.

 

There was no contact made. In fact, it was asked for us to not contact the family until we (the carrier) had the full scope of what was going on because at that point we didn’t want to contact the family and give them unrealistic expectations of what would be covered.  The insured definitely learned a lesson on what not to do next time. 

 

Something as simple as reaching out to the employee who was injured, or reaching out to the family if you can’t get the employee,  and they’re not showing up to work is a big step and a huge help to the claims team and to the employer as well. They should know where their employees are. 

 

I find it very important for the employer to be engaged in this process. Whether they are a short-term or a long-term employee. Following up and showing that area of concern, asking them when they might return to work. It makes that employee feel valued. It could also result in a quicker return to work.

 

A great point you’ve touched on. 

 

The employer/employee relationship  

 

I ran into an issue where I was trying to encourage one of my clients to reach out to an employee that had gone MIA for a little bit. Their response was they didn’t want to because they were afraid that the employee would consider it harassment and the employer’s view was “this employee is out on workers’ comp. We have no right to speak to them.”

 

I think a lot of insureds feel this way:  once the employee is out on workers’ comp they’re not allowed to speak to the employee. But, what you’re telling me is this is not truly the case. 

 

To my knowledge, there is no employment law that prevents the employer from checking in on their employees. Disability does that to check in with their employees to check-in and see how they’re progressing and how they’re healing. The employer may not be able to ask directly “When are you returning to work” but they can ask how they’re progressing. 

 

Depending upon the relationship between the employer and the employee, the employee may be forthcoming with more information. 

 

A lot of times these folks are just home and don’t have many other people to talk with. A lot of them are isolated, working-class individuals. So their family, friends, and everyone else is at work, so they’re longing for social interaction. The employer reaching out shows the employee that they’re concerned about their wellbeing and the employee can be eager to come back.

 

It sounds like this is just the kind thing to do. 

I don’t know of any law that stops someone from doing that so we encourage reaching out to the employee. 

I wasn’t meaning this from any legal standpoint. I just meant a lot of employers are like “Well they’re out on workers’ comp. We’re not talking to them”. They’re still your employees.

Especially when some of these employees have been with the company for 15+ years. How do you let this accident happen and not show empathy or concern for how the employee is doing? I think from the carrier side of this we’re in situations where we can’t have direct contact with the employee because they’re attorney represented. Therefore the employer is our outlet to keep us updated.

 

Oftentimes they (injured workers) go to a doctor’s appointment and they give their employer a call with an update: “I just went to my  Dr.’s appointment and I’m going to be out for another 4 weeks. I need to go to physical therapy and then go back to the Dr.’s.” 

 

As a carrier, it takes us a longer route to get this information because we have to call the provider to get information, and sometimes it takes two weeks plus to get the office notes, depending on how long it takes the physician’s office to have their notes dictated. 

 

It’s often helpful to the carrier if the employer maintains that relationship with the employee. It can help get that person back to work sooner, which benefits the claim. 

 

You’re detailing a really important dynamic which we try to communicate to our clients, and it’s nice to hear the same from you, another claims expert. It’s a group effort and the insured is a key player in how these claims can end up. It starts with keeping in contact. Once the adjuster loses contact with the claimant due to attorney representation it sounds like the employer is the key person to maintain that contact and relay important information to you guys. 

 

I think that this is something a lot of people often overlook because it’s not common knowledge.

 

Exactly what I was saying. 

 

This has given us a lot to think about, to share with our clients. Is there anything else that I didn’t touch on that you were hoping to talk about? Any inside scoops.

 

You know, I gave an example of a catastrophic claim and there are other claims out there. What I think is always a challenge for employers is the accident description itself. Sometimes that’s where they start scratching their head. The employer starts asking themselves “Do I report this? Do I not report this? Should I be taking a hands-on approach? Do I let the claims team just handle it?”

 

The employer may not want to reach out during the investigation period, because the employee may start asking questions that they don’t have the answers to. 

 

Right. 

 

I’ve seen all sorts of things, and the issue is that there are various grey areas in claims that can affect whether or not the claim will be accepted by the carrier. 

 

You mentioned some of the more common areas of claims and can some of those be prevented? 100% Yes, but some will inevitably happen. The other side of this is the quicker we can get these resolved, and the greater involvement we can have earlier on, the more likely we will help the injured employee return to work sooner. The more we can do to prevent these accidents from occurring, the safer the staff is and the better things can be. 

 

Risk Management 101. Preach! Thank you so much for your time. Our fireside, Vanity Fair-esque interview. This was a lot of fun! I may be reaching back out to you for a summer edition of this!  

 

Claims management is an integral part of your insurance purchasing process. If you have any questions or need help with claims management within your organization contact one of our Metropolitan Risk Risk Advisors for information on our available programs. 

Should We Require Our Employees To Be Vaccinated For Covid 19

Should my company mandate vaccinations?  Like everything Covid related, the answer is complicated. According to employment law attorney  Rich Landau of Jackson Lewis, their tentative position is that requiring employees to be vaccinated for COVID 19 is very difficult to mandate. This is primarily due to EAU (Emergency Use Status) of the vaccine, legal risks including discrimination, and employee relations challenges as you try and navigate this HR terrain.

 

For those clients less risk-averse we have a sample draft policy courtesy of Jackson Lewis. For Metropolitan Risk clients you can obtain the sample Covid vaccine policy by contacting your Account Executive. They are instructed to give you our draft sample. If you are not a Metropolitan Risk client, feel free to reach out to one of our Risk Advisors for a brief discussion.

According to our THINK HR partner and our partners at Jackson Lewis, there is an expectation that the EEOC ( Equal Employment Opportunity Commission ) will issue additional guidance with respect to ADA & Title VII issues with respect to employers mandating whether employees MUST be vaccinated.

 

Our partners in our discussions point to the influenza policies for guidance on how to proceed with the Covid vaccinations. Most employers ENCOURAGE rather than mandate which can be a safe haven should legal challenges arise. According to Rich Landau of Jackson Lewis, “even if the EEOC allows employers to mandate COVID vaccinations this will not elevate the risk of other non-discrimination, state laws, or workers compensation claims if employees suffer a serious reaction while the vaccine is in EAU status.”

There are numerous complications and challenges that may arise if you mandate the vaccine.

Potential Employer-Related Challenges With Requiring/Encouraging The Covid-19 Vaccine

  • Is getting the vaccine Mandated or voluntary – – who is mandated?  
    • The priority of recipients (Which staff members or clients should be vaccinated first?)
  • Incentives to receive it- Does your current organization offer incentives for the Flu shot? 
    • Covid-19 vaccine only or influenza as well
  • Who pays for the actual vaccine, the time needed to get the vaccine
  • Process for inoculation
  • Tracking status
  • Handling poor reactions – – paid time off
    • How are you managing employees or clients that have adverse reactions to the vaccine?
  • Ensuring confidentiality
    •   What if you run out of the vaccine
  • Covid-19 protocols while in midst of process/after the process is completed
    • What protocols will stay and what protocols will change? How will you as the employer manage these new expectations?
  • Addressing exceptions – – medical, religious, generalized fear
  • Handling non-compliance – – remote work, leaves of absence, discipline

The last point to consider beyond your Employee stakeholders maybe your customer base. As an example for those companies providing services to senior care organizations, like Home Health Care Agencies, Nursing Homes, and Assisted Living Facilities it may be suggested that you disclose to your customer base that your organization suggests, not mandates vaccinations. This disclosure should be made at either point of sale /contract, or communication piece sent out to your customer base. This may protect your organization from liability should your customer base look for damages at some future point. This can be a very sensitive topic as each business needs to arrive at its own business decisions with respect to disclosures. There is no silver bullet here, your goal as with all risk-related decisions is to manage the exposures relative to potential downside losses in BOTH columns of the decision tree.

As you can see invoking a set vaccine policy to benefit all stakeholders is vexing, to say the least.

We will continue to provide updates to this new landscape as we receive them. We encourage you to speak with a Risk Advisors for further guidance on the matter BEFORE invoking a set policy. Please mindful that this is a very dynamic and fluid landscape, changing almost weekly. Contact a Risk Advisor at 914-357-8444. Thank you

Adult Day Care Considerations for Your Business

Running an adult daycare seems to be one of the harder gigs. Between keeping employees in check and fully trained and clients safe, it is a hard organization to manage. Our adult daycare inspection considerations list should help you keep insurance claims and deductions down. One less thing to worry about!

Insurance Considerations when Choosing which Adult Daycare Services to Provide

 

When running an adult daycare, you must understand that there are multiple types of insurance to cover you, your employees, your property, and your business. Some that you should consider when deciding on setting up your daycare center are:

  • Professional Liability – Covers your business from the negligence of employees and other defense/legal costs
  • General Liability – Liability for any incident that occurs within your business (slip & fall hazards or a loose handrail)
  • Auto Liability – For your workers who may transport clients/services to and from other locations
  • Abuse and Molestation Coverage – If the worker physically, sexually, mentally, or emotionally abuses a client

 

Adult Daycare: Safety Inspection Checklist 

Adult Daycares are meant to help adults who cannot supervise themselves during the day & may need help with basic care functions. This naturally means that these workers are constantly focusing on keeping patients/clients safe. Worker’s may overlook small issues, like a cracked sidewalk or an unsteady handrailing as their main focus is on the client, not their surroundings. A Supervisor should focus on making sure safety is a priority for employees & that the surrounding areas also well maintained & safe.

Here are just a few things you might want to keep constantly asking/monitoring:

  • Is the loading/unloading area clearly marked?
  • Are there any potholes in the parking lot?
  • Are there cracks in the pavement that needs to be repaired?
  • Do you have wheelchair-accessible ramps & handrails leading up to the main entrance clearly marked?
  • Are these ramps and handrails in good condition?
  • Are the emergency exits clearly marked and free of obstructions?

Safety Tips for Your Adult Daycare Center

 

While having a safety inspection checklist is definitely important, having certain safety parameters in play is just as necessary. This includes, but is not limited to:

  • Rigorous, continuous safety training – your employees are dealing with real-life adults that can be unable to perform simple functions without supervision. This means your employees need training to the max. Rigorous training with in-depth expert advice is important. What is also important is that this training never stops and is not just a 3-day course. It is a continuous learning process.
  • Safety Guideline/Handbook – Having a written word on the safety parameters and rules already gives the employees a better idea of how to handle their clients.
  • Mechanical Lifts & Safe Patient Handling
  • Handrails on stairways
  • Handicapped Bathrooms
  • Proper Lighting
  • Large, spacious areas
  • Medical supplies ready for immediate use

 

Adult Day Care Transportation Considerations 

When running an adult daycare, you need to think about how the adults in need of assistance will come to the daycare facility. If their caretakers at home do not have the time or resources to drive them there and back or make trips to various other locations to aid the adult, this is where your daycare service can flex its muscles. Having a transportation wing of your facility will make your daycare more profitable immediately. Offering the transportation of clients from home to daycare and back is the most important, but you can also offer trips to the grocery store, hospital, and sources of entertainment.

 

Before setting any of this up, you might want to think about the potential risks of implementing this transportation system. Who will be driving? Will they be using their own vehicle or a vehicle provided by your organization? Are they a good and safe driver? Do they need a specific type of license to drive an organization owned fleet vehicle? Will their actions cost me thousands of dollars? We suggest following these tips to make sure you have the necessary guidelines set to open up your transportation service.

 

Have a Motor Vehicle Record open for every single driver. Essentially, a MVR is a small summary of the driver’s previous record and any information pertaining to tickets they may have received. This report includes driver’s license info, date of birth, previous driving history, violations, etc.

 

Obtain comprehensive automobile insurance with medical, property, and liability damage included. That means if you/your driver is liable for an accident, you are protected and covered. If your car receives damages or is stolen (your property), you are covered. And if there is a medical injury due to a crash, you are also covered.

 

Contracting a professional driving company may be worthwhile for your company’s success. If you are unsure of your workers serving as part or full-time drivers, hiring professionals is worth it. They are experienced and bring less risk into the equation. Spending more on their services may cost you less in the long-run.

 

Conclusion

To conclude, running a daycare for adults is not easy. There are a lot of risks and potential costs to consider. But taking our adult daycare inspections tips into consideration will help your organization to succeed.

 

Still, need help? Still, have questions? Contact a risk advisor today at 914-357-8444. Or, visit our website here.