Liability insurance crisis

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The liability insurance crisis in the United States of America refers to a volatile economic period during the mid-1980s. During these years, until about 1990, rising insurance premiums and an unavailability of coverage for several types of liability insurance led to a crisis that has been attributed, among others, to the expansion of tort doctrines for insurer liability and the McCarran-Ferguson exemption from antitrust laws.

Contents

Impact

During the period from 1984 to 1987, premiums for general liability increased from about $6.5 billion to approximately $19.5 billion. [1] In addition to increases in premium, many insurers took the following measures to limit the number and cost of claims: 1) changed policy coverage from an occurrence to a claims-made basis; 2) expanded exclusions; 3) raised deductibles; and 4) lowered policy limits on a per-claim basis, and 5) introduced the notion of aggregate total exposure.

The resulting crisis adversely affected a diverse range of organizations, including municipalities, social service providers and pharmaceutical, aircraft, sports equipment, and medical device companies. [2] Many organizations in the nonprofit and government sector could no longer offer social, medical or recreational services due to the prohibitive cost or unavailability of liability coverage.

Reaction to the crisis was widespread in the public media. [3] Public policy advocates expressed concern about the impact on human services. In California, for example, testimony was given before the California Assembly regarding the significant loss of human service programs such as foster care, group homes, and health services caused by soaring premiums and widespread policy cancellation. [4]

Causes

Various theories among academics, government, insurers, consumers, and regulators have been put forth regarding the causes of the crisis. [5]

  1. Collusion: the argument that the crisis was engineered by insurance companies themselves, through price-fixing and/or manipulation of insurance reserve accounts.
  2. Losses: Decrease in interest rates and investment returns forced insurance companies to raise premiums in order to make up for the loss of profitability.
  3. Litigation: Proliferation of tort litigation and large settlements drove the cost of liability insurance premiums to excessive levels.
  4. Reinsurance: Disruption of supply in reinsurance markets cited as a contributing factor.

Tort reform and alternative insurance

As a result of widespread economic disruption, a large number of states adopted tort reforms to limit the dramatic surge in insurance losses and premiums. [6] Congress enacted legislation that expanded the ability of companies prone to similar risks to join together and either form their own insurance risk pool or purchase insurance collectively. [7] Some states, such as Vermont and Hawaii, enacted laws to encourage the development of alternative methods to manage risk, such as captive insurance or risk retention groups.

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Insurance is a means of protection from financial loss in which, in exchange for a fee, a party agrees to compensate another party in the event of a certain loss, damage, or injury. It is a form of risk management, primarily used to protect against the risk of a contingent or uncertain loss.

Terrorism insurance is insurance purchased by property owners to cover their potential losses and liabilities that might occur due to terrorist activities.

<span class="mw-page-title-main">Vehicle insurance</span> Insurance for road vehicles

Vehicle insurance is insurance for cars, trucks, motorcycles, and other road vehicles. Its primary use is to provide financial protection against physical damage or bodily injury resulting from traffic collisions and against liability that could also arise from incidents in a vehicle. Vehicle insurance may additionally offer financial protection against theft of the vehicle, and against damage to the vehicle sustained from events other than traffic collisions, such as keying, weather or natural disasters, and damage sustained by colliding with stationary objects. The specific terms of vehicle insurance vary with legal regulations in each region.

<span class="mw-page-title-main">Reinsurance</span> Insurance purchased by an insurance company

Reinsurance is insurance that an insurance company purchases from another insurance company to insulate itself from the risk of a major claims event. With reinsurance, the company passes on ("cedes") some part of its own insurance liabilities to the other insurance company. The company that purchases the reinsurance policy is referred to as the "ceding company" or "cedent". The company issuing the reinsurance policy is referred to as the "reinsurer". In the classic case, reinsurance allows insurance companies to remain solvent after major claims events, such as major disasters like hurricanes or wildfires. In addition to its basic role in risk management, reinsurance is sometimes used to reduce the ceding company's capital requirements, or for tax mitigation or other purposes.

In insurance, the insurance policy is a contract between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy language.

In its broadest sense, no-fault insurance is any type of insurance contract under which the insured party is indemnified by their own insurance company for losses, regardless of the source of the cause of loss. In this sense, it is similar to first-party coverage. The term "no-fault" is most commonly used in the United States, Australia, and Canada when referring to state or provincial automobile insurance laws where a policyholder and their passengers are reimbursed by the policyholder's own insurance company without proof of fault, and are restricted in their right to seek recovery through the civil-justice system for losses caused by other parties. No-fault insurance has the goal of lowering premium costs by avoiding expensive litigation over the causes of the collision, while providing quick payments for injuries or loss of property.

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Insurance bad faith is a tort unique to the law of the United States that an insurance company commits by violating the "implied covenant of good faith and fair dealing" which automatically exists by operation of law in every insurance contract.

<span class="mw-page-title-main">Tort reform</span> Legal reforms aimed at reducing tort litigation

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Insurance law is the practice of law surrounding insurance, including insurance policies and claims. It can be broadly broken into three categories - regulation of the business of insurance; regulation of the content of insurance policies, especially with regard to consumer policies; and regulation of claim handling wise.

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MedPro Group, formerly known as Medical Protective, is a Berkshire Hathaway company and the largest provider of healthcare liability insurance in the United States. MedPro provides customized malpractice insurance, claims, and risk cover to physicians, surgeons, dentists and other healthcare professionals, as well as hospitals, senior care and other healthcare facilities. Additionally, MedPro provides insurance to international markets, liability insurance to other professionals, and specialized accident and health insurance to colleges and other businesses through its subsidiaries and other Berkshire Hathaway affiliates. MedPro is based in Fort Wayne, Indiana. MedPro’s insurance policies are distributed primarily through a nationwide network of appointed agents and brokers and supplemented by the selective use of managing general underwriters, as well as wholesale and direct channels.

Bond insurance, also known as "financial guaranty insurance", is a type of insurance whereby an insurance company guarantees scheduled payments of interest and principal on a bond or other security in the event of a payment default by the issuer of the bond or security. It is a form of "credit enhancement" that generally results in the rating of the insured security being the higher of (i) the claims-paying rating of the insurer or (ii) the rating the bond would have without insurance.

Professional liability insurance (PLI), also called professional indemnity insurance (PII) but more commonly known as errors & omissions (E&O) in the US, is a form of liability insurance which helps protect professional advising, consulting, and service-providing individuals and companies from bearing the full cost of defending against a negligence claim made by a client in a civil lawsuit. The coverage focuses on alleged failure to perform on the part of, financial loss caused by, and error or omission in the service or product sold by the policyholder. These are causes for legal action that would not be covered by a more general liability insurance policy which addresses more direct forms of harm. Professional liability insurance may take on different forms and names depending on the profession, especially medical and legal, and is sometimes required under contract by other businesses that are the beneficiaries of the advice or service.

Insurance in the United States refers to the market for risk in the United States, the world's largest insurance market by premium volume. According to Swiss Re, of the $6.782 trillion of global direct premiums written worldwide in 2022, $2.959 trillion (43.6%) were written in the United States.

Satellite insurance is a specialized branch of aviation insurance in which, as of 2000, about 20 insurers worldwide participate directly. Others participate through reinsurance contracts with direct providers. It covers three risks: relaunching the satellite if the launch operation fails; replacing the satellite if it is destroyed, positioned in an improper orbit, or fails in orbit; and liability for damage to third parties caused by the satellite or the launch vehicle.

An insurance-linked security (ILS) is a financial instrument whose value is driven by insurance loss events. Those such instruments that are linked to property losses due to natural catastrophes represent a unique asset class, the return from which is uncorrelated with that of the general financial market.

In Australia, it is a mandatory requirement for registered healthcare practitioners to hold appropriate medical indemnity insurance coverage for healthcare practices in Australia. Medical indemnity is a form of professional indemnity coverage defined by Australian legislation – the Medical Indemnity Act 2003 and is a type of general insurance. In the United Kingdom, this type of professional indemnity for healthcare practitioners is generally referred to as ‘professional indemnity’ and in the United States, medical negligence insurance. In Australia, the term medical indemnity can be used to refer to all healthcare indemnity, not just that provided for medical doctors. However, there are only six Australian Health Practitioner Regulation Authority (AHPRA) listed insurers that provide medical indemnity insurance cover to medical practitioners. Australian medical practitioner medical indemnity providers include:

Nonprofits Insurance Alliance (NIA) is an American group of cooperative 501(c)(3) nonprofit insurance organizations that provide liability and property insurance exclusively to other nonprofit organizations.

The effects of climate change on extreme weather events is requiring the insurance industry in the United States to recalculate risk assessments for various insurance policies. From 1980 to 2005, private and federal government insurers in the United States paid $320 billion in constant 2005 dollars in claims due to weather-related losses while the total amount paid in claims annually generally increased, and 88% of all property insurance losses in the United States from 1980 to 2005 were weather-related. Annual insured natural catastrophe losses in the United States grew 10-fold in inflation-adjusted terms from $49 billion in total from 1959 to 1988 to $98 billion in total from 1989 to 1998, while the ratio of premium revenue to natural catastrophe losses fell six-fold from 1971 to 1999 and natural catastrophe losses were the primary factor in 10% of the approximately 700 U.S. insurance company insolvencies from 1969 to 1999 and possibly a contributing factor in 53%. From 2005 to 2021, annual insured natural catastrophe losses continued to rise in inflation-adjusted terms with average annual losses increasing by 700% in constant 2021 dollars from 1985 to 2021.

References

  1. Gene C. Lai et al.“On Liability Insurance Crisis.” Proceedings of the Risk Theory Society, Revised October 1996. Based on data from the A.M. Best Company.
  2. George L. Priest.“The Current Insurance Crisis and Modern Tort Law.” (1987). Faculty Scholarship Series. Paper 578. http://digitalcommons.law.yale.edu/fss_papers/57
  3. “Sorry, Your Policy Is Cancelled.” Time, Mar. 24, 1986; Various: N.Y. Times, Feb. 15,1986, at 1, col. 1; Toronto Globe & Mail, Feb. 21, 1986,at B2, col. 1; N.Y.Times, Feb. 1, 1986, at 1, col. 5; Wall St. J., Feb. 3, 1986, a t5, col. 1; 8. N.Y. Times, Mar. 26, 1986, at C12, col.4; 9. Wall St. J., supra note 1.
  4. Testimony of Pamela Davis, Graduate Researcher, University of California at Berkeley. Interim Hearing of California Assembly Select Committee on Insurance, Sacramento, October 8, 1986.
  5. For a detailed discussion of the controversial theories as to the source of the commercial liability crisis, see: (Clarke et al 1988, Harrington and Litan 1988, Lacey 1988, Winter 1988, Cummins and Danzon 1991, Gron 1990, Harrington and Danzon 1991, Lai and Witt 1992, Doherty and Garven 1995)
  6. W. Kip Viscus et al.“The Effect of 1980s Tort Reform Legislation on General Liability and Medical Malpractice.” Insurance Journal of Risk and Uncertainty, 6:165-186 (1993)
  7. Risk Retention Amendments of 1986, Pub. L. No. 99-563, 100 Stat. 3170