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Well,
I have officially been in the insurance business too long! While most
people enter the holiday season excited about time off with family,
tasty holiday meals and gifts under the tree, I find myself pondering
the question, “What if Santa Claus needed to buy insurance?” Not only
that, but what kind of insurance would he need and for that matter would
he even qualify?
Right off the bat, Santa’s house and workshop are located in a
protection class 10. In general terms, this means there would be no
responding fire department in the event of a fire at his dwelling or
workshop. While Santa would need property insurance protection, he
would find himself limited to high risk property markets that may
struggle to establish an accurate value for his home and business
property. He also doesn’t need a personal auto policy as his only
vehicle – his sleigh – is for business use (this is, however, a
commercial auto exposure, which I will address later).
What’s left? Maybe life insurance? I’m pretty sure Santa would have a
tough time finding coverage based simply on his age and, not to be
rude, he would also be a few pounds over the maximum acceptable weight.
Sounds like he’s going to face some barriers when it comes to
personal insurance, but maybe we could help him out with his business
insurance. We already know the property policy is going to be a tough
one to write for the workshop, but what about general liability? Santa
is a toy manufacturer and that’s not an easy class of business to
write. His products are used by children, distributed worldwide, and
failure of or injuries from his product could be subject to multiple
jurisdictional lawsuits. I’m afraid that, with the type of product he
is producing and his worldwide distribution, this would also be a tough
policy for him to procure.
Santa may also have a need for errors and omissions or professional
liability insurance. He claims he knows when you are sleeping and knows
when you’re awake. He also claims to know if you’ve been bad or
good…so be good for goodness sake! What would happen if Santa arrived
when you were awake or, even worse, you had been good but yet your gift
was delivered in error to another party currently on the naughty list?
Without proper professional liability protection and the Ebenezer
Scrooge of attorneys, Santa might find himself in some serious
litigation without the proper cost of defense being provided. Now you
may be thinking, “Who would take Santa to court?” but may I remind you
that this would not be his first time! You may remember he appeared in
court to face some identity theft claims that arose while he was working
for a department store on 34th street. The charges were later dismissed, but there were still defense costs associated.
Now let’s explore that business auto policy. We have some big
problems here! First, Santa uses a custom vehicle mainly for delivery
purposes and while it’s only used one day of the year, his delivery
radius is huge, he travels many miles, and let’s not forget about those
icy conditions. Santa also has some potential loss and MVR issues. The
claimant’s grandson insists that Santa was involved in a hit and run
when his Grandma got run over by a reindeer while returning home on
Christmas Eve. Santa also had a theft claim when it was reported the
Grinch attempted to steal Christmas. Then there’s the problem of trying
to put a value on his vehicle. All in all, I think a commercial auto
policy is out of the question.
Now what he might want to consider is an aviation policy,
although he’ll need to go to a specialty market for that. Maybe we
could do something to help with his eight reindeer, although I doubt
there are any livestock mortality tables for flying reindeer. Perhaps we
could try to offer him some kind of equipment breakdown coverage? No,
that won’t work – all manufacturing is done by hand not by machine.
This leads me to another tough policy – workers’ compensation. Oh
my, where do I begin? Santa’s work force uses older manual tools and
would be subject to repetitive motion and other injuries. We also have a
potential issue as his entire workforce has a height challenge.
Hopefully he is in compliance for that but I’m not familiar with what
OSHA or ADA requirements exist in the North Pole. Santa may need to
consider an Employer’s Protection Liability policy. Santa has an aging
workforce and, let’s face it, with a diet of mostly candy they could
have a lot of potential health issues, so I’m pretty sure work comp and
group health are going to be tough to get. I guess Santa could look to a
disability policy for himself, but treading across icy roof tops and
sliding down into confined spaces I’m sure will make even the most
warm-hearted underwriter still issue a decline notice.
Well one thing is clear: being Santa’s insurance agent or company
would be a difficult task. I guess Christmas is not meant to be
underwritten but to be enjoyed in the company of our loved ones. So
parents, assure your kids that Santa will be passing through yet another
successful year without incident, albeit self-insured, and, in his
words, a Merry Christmas to all and to all a good night.
Contact us for all your Insurance needs! (321)725-1620
There is a good chance that you may be paying too much for your
personal automobile insurance. This is particularly true if you are
unaware of the numerous auto insurance discounts out there in the
marketplace. The following are discounts to ask us about. Some may not
be available in all states and from all insurers, but it doesn't hurt to
inquire about them. These discounts may significantly affect your
insurance premium.
"Defensive Driving Discount." This discount can save you
10 percent on most of the major coverages under your auto
policy, such as liability, medical payments, and collision
coverage. Defensive driving courses can cost as little as
$20 and last as few as 5 or 6 hours, and the discount
normally applies for 3 years.
"Good Student Discount." Statistics show that good
students tend to be more reliable and mature than students
with marginal grades, leading to better driving decisions.
Therefore, many states allow a 5 to 10 percent discount if
your student driver makes good grades, usually an overall
"A" or "B" average in high school or college. If your child
has to pay his or her own automobile insurance, this can be
another motivator for him or her to make good grades.
"Auto Safety Features." Most insurers recognize that
owners with cars containing safety features may have fewer
accidents and reduced injuries. Many insurers encourage
drivers to purchase cars with antilock brakes by giving
small discounts for these safety features. Other insurers
give discounts for vehicles with daytime running lights.
"Accident-Free Discount." Many insurers offer discounts
of up to 10 percent for remaining accident free for a period
of 3 to 5 years. These are sometimes called "good driver"
discounts.
Contact us for all your Insurance needs! (321)725-1620
The clock is ticking and the year is winding down. Don’t let December
31 take you by surprise. Act now to solidify your position for the
year.
1. Meet with your CPA
Work your tax advisor to map out some year-end tax planning
strategies so you’ll minimize your tax bill for 2014. This may require
you to spend more money to reap tax savings, so make sure you have the
cash flow to support the strategies. The sooner you schedule an
appointment, the more time you’ll have to take action.
2. Review your balance sheet
If you may need commercial financing next year, your year-end balance
sheet may be a key factor in securing a loan. Review what’s on the
balance sheet so you can make favorable changes. It could mean, for
example, paying an outstanding loan.
3. Finalize year-end bonuses
Decide who will get bonuses and how much. If your calendar-year
business is on the accrual basis for accounting purposes, then bonuses
paid to rank-and-file employees within the first 2-1/2 months of 2015
are deductible on your 2014 return. The bonuses must be reflected in the
minutes of your company’s annual meeting. Bonuses to a S corporation
owner are not deductible until actually paid.
4. Face your inventory challenges
Have you been sitting on inventory that just hasn’t moved despite
your best marketing efforts? In order to make adjustments to closing
inventory by writing off obsolete items, you must offer them for sale at
least 30 days prior to the end of the year (the date you take the
write-off).
5. Fix benefit plans for the coming year
Are you offering health care coverage? A retirement plan? Now’s the
time to act. If you plan to offer employees health care coverage in
2015, you must give them 30-days notice of the coverage so they can
decide what to do (e.g., opt out if a spouse’s coverage is better).
Also, if you don’t yet have a qualified retirement plan, you must sign
the paperwork by December 31 if you want to make 2015 contributions. So
talk to an insurance broker for health coverage information and to a
financial advisor for retirement plans so you can get started
immediately.
Conclusion
Don’t wait until you’re thick in the midst of the holiday season to attend to your tax and financial matters. Do this now!
Contact us for all your Insurance needs! (321)725-1620
In
the past, stores were often stand-alone structures, which meant that
whatever environmental issues they experienced were typically contained
within their own property boundaries. Today, stores are usually part of
large shopping malls or strip malls. They no longer stand alone and the
environmental impact of one retail establishment will often affect other
establishments in their vicinity. Tenants at shopping centers that
could pose a significant risk for environmental impact may include: dry
cleaners (solvents), restaurants (grease, cleaning solvents, mold), nail
salons (solvents), auto parts stores (oils, solvents, batteries), as
well as many others. Environmental exposures could stem from the
following areas:
Product/waste transportation
Spills
of products or waste during transportation. These products or wastes
may be hazardous or non-hazardous and still require cleanup in the event
of a spill or cause natural resource damages (ex. In the past, milk
spills have caused natural resource damages, etc.).
Waste management
Businesses
that typically generate hazardous wastes include: dry cleaning
operations, pharmacies, photography kiosks, printing establishments,
paint kiosks, plant nurseries, and pet groomers.
Product selection
Paints,
solvents, fertilizers, pesticides, and other products may spill
outdoors during loading or unloading activities. Often, these chemicals
can persist in the environment for long periods of
time and contaminate soil, surfaces, or groundwater.
Product handling and storage
A
national retail chain settled a pollution claim for over $30,000. The
claim was made against them by state regulators for accidentally
discharging ammonia into a creek. Employees were replacing safety valves
on an ammonia refrigeration system when ammonia and drinking water
leaked into their parking lot and into the creek.
Facility management
Indoor
air quality issues can stem from improper management of asbestos, lead
paint, and water intrusion which may lead to mold, microbial matter, or
other indoor air quality issues. New shopping malls often have building
components that off-gas such as drywall, carpet glue fumes, paint
emissions, wood adhesives, or preservatives.
The environmental
insurance policy that is most applicable to addressing shopping center concerns is a Premises Pollution policy. This product is designed to provide coverage for unknown,
historical, and future environmental liabilities such as claims for
bodily injury, property damage, and cleanup costs as a result of a
pollution event.
Contact us for all your Insurance needs! (321)725-1620
Online holiday sales in 2014 are estimated to rise between 8%
and 11%, reaching as much as $105 billion, according to the National
Retail Federation. Because shoppers are expected to do much of their
holiday shopping online, this presents a heightened concern over cyber
security.
Businesses should prepare against cyber attacks all year long, but
they should be especially diligent during the holiday season when
employees are at their busiest.
Train employees to protect sensitive information.
All employees—even seasonal ones—should learn the importance of
protecting the information they regularly handle to help reduce exposure
to the business. This includes everything from locking up customer
records to keeping passwords strong and confidential. Employees should
also be taught how to handle a breach if one occurs.
Halt systems changes until the end of the year.
Make sure your software and other technologies are running smoothly and
avoid implementing new systems at this time. Of course, there may be
exceptions to address critical new patches.
Ensure systems have appropriate firewall and antivirus
technology and that security software patches are updated in a timely
fashion. After the appropriate software is in place, evaluate
the security settings on software, browser and email programs. In doing
so, select system options that will meet your business needs without
increasing risk. Regularly maintaining security protections on your
operating system is vital to them being effective over time.
Monitor use of mobile devices and public Wi-Fi access for employees.
Establish usage standards and be sure they are clearly communicated.
For example, to avoid security breaches, employees should be instructed
to use public Wi-Fi only in very limited circumstances. Hackers can
easily intercept public Wi-Fi, so it is imperative that employees
cautiously use the Internet and transmit information. To reiterate, any
data that shouldn’t be made public, such as proprietary business or
customer information or credit card numbers should not be transmitted or
accessed through public Wi-Fi.
Insure that your season is protected. Insurance
coverage typically includes liability protection for when customers or
other individuals who have been affected hold a company responsible for
information stolen during data breaches or other network intrusions. A
cyber policy can also include coverage for a forensic investigation,
litigation and remediation expenses associated with the breach. In
addition, a cyber program may include coverage for business
interruption, which is critical during the holiday season.
Have a plan in place to manage a data breach. If a
breach occurs, there should be a clear protocol for which employee is
managing the situation, and what action should be taken, such as
informing the insurance provider, etc.
The Occupational Safety & Health Administration (OSHA) is charged with ensuring that all employers provide a safe workplace for their employees. Under federal law, all employers, regardless of size or industry type, must report to OSHA all fatal work-related accidents and work-related hospitalizations of 3 or more employees.
Starting January 1, 2015, all employers will be required to report work-related fatalities within 8 hours and all in-patient hospitalizations, amputations, and losses of an eye within 24 hours of finding out about the incident.
Employers have 3 options for reporting these incidents to OSHA:
Call the regional OSHA office in Atlanta at 678-237-0400
Call the 24-hour OSHA hotline at 800-321-OSHA (6742)
Under Florida law, employers must also report all workplace fatalities to the Florida Division of Workers’ Compensation by calling 800-219-8953. Alternatively, employers can fax a First Report of Injury form containing the fatality information to 850-413-1980.
In addition to these reporting requirements, employers who have workers’ compensation insurance are also required to report all workplace injuries to their workers’ compensation insurance company. By law, employees are required to report work-related injuries to their employer no later than 30 days after they happen. Employers must then report work-related injuries to their insurance company within 7 days after learning of the injury. Late reporting of claims to your insurance carrier can result in the state assessing penalties and holding the employer responsible for paying part of the injured employee’s benefits.
Employers should report all claims from employees to the employer’s insurance company, including claims in which there are no witnesses of the injury or illness. It is the insurance company’s responsibility to then investigate all claims and determine if employees are entitled to workers’ compensation benefits.
Contact us for all your Insurance needs! (321)725-1620
America's most notorious insurance schemers have earned
leadership of their moral wasteland by induction into the Insurance
Fraud Hall of Shame.
The No-Class of 2014 was chosen by the Coalition Against Insurance
Fraud. The Shamers come with a warning sign: “Do Not Touch: High
Revoltage.”
They represent the most brazen, vicious or klutziest insurance cons
of the last year. Small wonder, they inflicted costly fakes and pains on
consumers and insurers throughout the nation.
America's pharaohs of fraud possess an uncanny drive to connive in
pursuit of the immaculate deception. But the newly inducted meaculprits
received a loud break-up call: They were convicted last year thanks to
the tireless efforts of fraud fighters.
The Hall of Shame draws public attention to an $80-billion annual
fraud spree that many consumers and policymakers think is a harmless and
victimless crime. Most Americans are honest, but unacceptably large
percentages tolerate fraud — a kind of outrage deficit disorder,
research shows. The Hall of Shame presents true-life stories to convince
more consumers that insurance fraud is deviant and intolerable
behavior.
Storytelling is humankind's oldest and most-effective form of
communication. Our brains are biologically wired to think in narratives.
Stories also are 20 times more likely to be remembered than hard facts.
Humans thus have fashioned stories to interpret and remember events
since the first cave people sat around the campfire to talk about the
day's woolly mammoth hunt.
Herewith is the hunt for the Coalition's newest moral invertebrates, the No-Class of 2014.
Dr. Spyros Panos | Poughkeepsie, N.Y. Malpractice Fraud
The orthopedist made more than $35 million in false claims for
thousands of botched and faked surgeries. He rushed up to 20 surgeries
in a day — as many as other orthos normally perform in a month. One
surgery lasted seven minutes.
Panos bounced from operating room to operating room in quick
sequence. He performed substandard surgeries, or just sliced open
patients and stitched them up without making repairs. Panos also billed
routine arthroscopic procedures as expensive open surgeries.
Christine Steele had two useless knee surgeries and has been unable to work full-time ever since.
Chris Hanson never recovered after three surgeries, including two
knee repairs. He can't work at age 55 and has trouble walking. Panos
also operated on both Achilles tendons of a senior. She is in constant
pain and can't even play with her grandchildren.
Panos received 4½ years in federal prison and faces about 260 malpractice suits.
Angela Garcia | Cleveland, Ohio Insurance Fraud
Garcia let her infant daughters, Nyeemah and Nija, die in a house
fire she set for just $64,000 worth of insurance money. Garcia had
overvalued the contents of her home on a renter's insurance claim.
She made claims for possessions she didn't have. Garcia also removed
valuables before the fire. The girls had died of smoke inhalation by the
time firefighters pulled them from their upstairs bedroom.
Garcia tied Nyeemah with the cord from a window blind to keep her
from escaping the fire, prosecutors charged. She showed no grief or
other emotions, freely socialized afterwards, and filed her claim within
weeks of the girls’ deaths.
The fire may have started from an unattended candle in the dining
room, Garcia claimed. Yet arson investigators found two burn patterns
started by a flammable liquid.
Garcia also said she crashed through a second-floor window and slid
down the porch roof to the ground. Yet she had little or no soot on her,
and required no treatment for smoke inhalation. Nor did she have cuts
from shattering the windowpanes.
Garcia no longer wanted her children and had tried to give away
custody, prosecutors also charged. She was convicted of insurance fraud
and killing the kids. Garcia received life in prison.
Andy Lee House | Galveston, Texas Insurance Fraud
House drove his rare Bugatti Veyron into a swampy lagoon to collect
$2.2 million. He told his insurer that a low-flying pelican forced him
to swerve off the road into the muck.
But a car enthusiast just happened to be driving by and was awed by
the sleek Bugatti. He videotaped House roaring into the lagoon. The video shows no pelican in sight. Nor were there skid marks or other evidence that House tried to brake
He also left the engine running for 15 minutes in the lagoon. The
salt water filled up the engine and ruined the vehicle. House lied that
he was too busy fighting mosquitoes to turn off the engine.
The Veyron is one of the world's fastest street-legal production
cars. It has an everyday top speed of 213 miles per hour — and was built
to reach 253 mph. Only 300 were made. House pleaded guilty and faces up
to 20 years in federal prison when sentenced.
Joseph Haddad | Bridgeport, Conn. Medical Insurance Fraud
Retribution crashed into personal-injury attorney Joseph Haddad for
running a crime ring that stole millions of insurance dollars by giving
useless and inflated treatment to crash victims his paid recruiters
delivered.
He erected a large and complex network of doctors, chiropractors,
diagnostic clinics and recruiters. Providers diagnosed victims, often
without exams, then billed insurers for months of phantom or useless
treatment. Runners typically appeared at police stations each day to buy
police crash reports that identified the victims. The runners then
badgered victims to sign up at Haddad's office.
But Haddad fell hard once federal agents infiltrated his ring by
acting as crash victims. One agent was billed for 11 chiro exams even
though he only received four treatments. One of Haddad's doctors,
meanwhile, was operating with a suspended license.
Haddad was whacked with 51 months in federal prison and must repay $1.8 million.
Christopher Inserra | New York, N.Y. Workers’ Compensation Fraud
The former New York cop moonlighted and gyrated as the lead singer
for a punk rock band while collecting more than $31,000 in workers’
compensation money for a supposedly injured arm.
Inserra said he hurt his right arm while taking an injured Port
Authority employee to a medical facility. He lied that he had a
“tremendous amount of pain” around his right elbow and lower bicep. More
medical exams found no serious injuries, but Inserra kept complaining
he couldn't even bend his arm.
Yet he kept performing. Photos show him “repeatedly moving his arms
in a punching motion” and “violently flailing his arm in an up-and-down
motion” on the stage. The band hit the road for a tour called “Miles of
Mayhem.” Video from concerts in Athens, Ga., Cocoa Beach, Fla., and
elsewhere shows him fist pumping and thrashing around. Inserra lucked
out with three years of probation. His band's name: Cousin Sleaze.
Sara Ylen Port | Huron, Mich. Healthcare Fraud
Cancer enshrouded Ylen, who lay near death after developing cervical
cancer stemming from her being raped in a store parking lot. How tragic.
Except that Ylen invented the convincing drama.
Her insurer paid more than $120,000 in useless hospice care. The
community also rallied around Ylen. A church raised $10,000 to pay other
bills, and other well-wishers raised thousands more. A local newspaper
wrote an award-winning series about her seemingly valiant fight against
her stage-four condition.
Ylen's testimony sent innocent James Grissom to jail for nearly 10
years as her falsely charged rapist. But tests soon showed Ylen didn't
have cancer and her life wasn't in danger. The hospice kicked her out. A
probe of her computer found search terms, images and URLs proving she’d
researched cancer. Ylen also said certain doctors had diagnosed her,
but the docs denied involvement.
Ylen pleaded no contest and received a year in jail.
Dr. Farid Fata | Detroit, Mich. Medicare Fraud
Seniors received painful and debilitating chemo therapy for cancer
they never had. Cancer specialist Fata made $225 million in false
Medicare claims. About half went for needless chemo and other cancer
treatments. He deliberately misdiagnosed patients who were in remission
or had no chance of surviving.
Medicare paid out more than $91 million, and Fata billed private insurers as well.
Fata gave one patient 155 chemo treatments over 2½ years — though the
patient was cancer-free.
Other patients were pumped with useless blood
therapy and iron treatments. And one patient fell down and badly injured
his head at the office. Yet Fata insisted that the patient receive his
chemo before going to the ER.
Fata also faked anemia and fatigue diagnoses to justify giving
patients dangerous levels of billable drugs. He faces up to 175 years in
federal prison when sentenced.
Suzanne Basso | Houston, Texas Life Insurance Fraud
Buddy Musso was a grocery bagger and had the IQ of an eight-year old. He stayed at an assisted-living home near upper Manhattan.
Buddy dreamed of being a cowboy singer. He enjoyed singing slightly
off-key versions of country-western songs he heard on the radio.
Suzanne Basso befriended Musso. She lured him to Houston with a false
promise of marriage. He was in love with her and wanted to marry. She
was in love with the insurance money.
Basso and her cohorts secretly took out $150,000 worth of life
policies on him, upped the policy with a $60,000 violent-death clause,
then tortured and killed him. Buddy's body was found in a ditch —
lacerated, beaten and doused with bleach.
Basso tried various dodges to avoid trial: She used a wheelchair and
claimed paralysis. She also pretended to be blind, or had regressed to
childhood and had the voice of a little girl. The court-appointed
psychiatrist said she was faking. Basso was executed by lethal injection
in February 2014.
Pamela Phillips | Aspen, Colo. Life Insurance Fraud
The former Aspen socialite will socialize with prison inmates after
car-bombing her ex-husband for $2 million in life-insurance money to
fund a jet-setting lifestyle.
Phillips and Gary Triano lived large in the posh foothills of Tucson,
Ariz. Gary was a wheeler-dealer, creating businesses, running Indian
bingo casinos and playing a lot of golf. They were rich and rubbed
shoulders with well-known figures such as the Trumps.
But Triano's business ventures collapsed and he went broke. Phillips
had no more need for Triano. His car exploded as he left his country
club after golfing. Phillips had paid ex-boyfriend Ronald Young $400,000
to carry out the hit.
Phillips moved to Aspen, where she became a well-known socialite.
Financial records and phone conversations that Young secretly recorded
during talks with Phillips exposed the deadly ruse. She once said how
easy it would be to hire someone to kill Triano, a longtime friend also
testified. Phillips received life without parole.
Contact us for all your Insurance needs! (321)725-1620