Handling Insurance Carrier Recommendations

Published On: March 17, 2022By Categories: Business Management, Insurance Corner

It’s important you understand directions provided after a review from a risk manager.

As a groundwater industry business owner, you take on a certain level of risk—it’s unavoidable. Losses related to fires, floods, workplace accidents, products liability, and other kinds of exposures are common for organizations of all kinds.

To address these concerns, the right insurance policy can prove invaluable, allowing you to transfer risks and focus on growing your business. And while insurance carriers will cover an organization’s losses, they expect their policyholders to reduce their level of risk whenever they can and often have specific risk control guidelines for each class of business they service.

In fact, insurance carriers play an active role in risk management, often assigning risk managers to inspect policyholders’ facilities and work areas. If an issue is found during any of these inspections, the insurance carrier may provide recommendations businesses must follow to maintain coverage and avoid higher insurance premiums.

This installment of Insurance Corner provides general information on insurance carrier recommendations and how to handle them.

What Are Insurance Carrier Recommendations?

Recommendations from an insurance carrier typically stem from an inspection from a risk manager, often referred to as a loss or risk control inspection. These inspections may occur when a carrier writes a new policy or on a set schedule (e.g., once every three years).

Many insurance carriers turn to third-party vendors to conduct these inspections. This is especially common for smaller premium insureds.

Following an inspection, insurance carriers will provide recommendations if they identify an unacceptable risk at a business they insure. Oftentimes, these risks are tied to a specific line of coverage.

For example, an insurance carrier who provides property coverage for a restaurant may inspect the business, looking specifically at fire hazards and other exposures that directly impact the restaurant’s property. If the proper risk management protocols are not in place, the risk manager will likely make a recommendation that is based on:

  • Existing regulations from the Occupational Safety and Health Administration (OSHA), Department of Transportation (DOT), and Federal Motor Carrier Safety Administration (FMCSA)
  • Local building and fire codes
  • Established industry standards from the American National Standards Institute (ANSI), American Society of Mechanical Engineers (ASME), and National Fire Protection Association (NFPA)
  • Industry best practices (e.g., implementing a safety inspection program).

Insurance carrier recommendations are part of a larger strategy commonly referred to as loss control, risk control, or loss prevention. Together, these inspections and recommendations are designed to reduce the level of risk a carrier is taking on across a book of business.

From a policyholder perspective, insurance carrier recommendations are opportunities to improve safety and limit the potential of disruptive and costly claims.

How Should I Handle a Recommendation?

Not every business will receive a recommendation following an inspection, but it’s still important to understand the role your business plays in continued safety and risk management. What’s more, if you receive a recommendation, it will often contain strong language and outline serious consequences if you fail to respond appropriately.

Knowing how to handle a recommendation gives assurance risks are identified and addressed in a timely manner. The following are some tips to consider if you receive a recommendation.

  • Make sure the recommendation is based on accurate information and accounts for a legitimate issue (e.g., sprinkler systems are installed improperly). If you have any concerns related to a specific recommendation, talk to your insurance broker. They will likely have a relationship with the insurance carrier’s underwriters and risk managers, and can act as your trusted representative and communicator.
  • Make note of the date the insurance carrier wants you to address issues detailed in a recommendation. For simple recommendations, time might not be an issue. However, for more challenging recommendations (e.g., rewiring a building), you may want to speak with your broker and make them aware of any timeline-related concerns.
  • Complete the recommendations as soon as possible and send any required documentation to the insurance carrier. Each carrier is going to have different requirements. Some may perform a follow-up visit. Others may simply require you to confirm the recommendation was completed.

In some instances, carriers may require businesses to prove a recommendation was addressed. As such, be prepared to provide evidence such as receipts, photos, contracts, or other supporting documents.

What If I Feel the Recommendation Is Not Warranted?

There may be instances where a business disagrees with a particular recommendation. For instance, the business may:

  • Believe the cost to address a recommendation is too high
  • Disagree with more subjective recommendations
  • Believe the risk has already been addressed and the recommendation is unnecessary.

In these situations, businesses will need to do their due diligence before they contest a recommendation. While the term “recommendation” may seem voluntary, insurance carriers expect their policyholders to address any issues brought to their attention.

Businesses should work with their insurance broker when contesting recommendations and follow their guidance to avoid a loss of coverage or other repercussions.

What Are the Consequences for Failing to Implement a Recommendation?

Simply put, when businesses fail to implement a recommendation, the insurance carrier may cancel the policy if it is within their rights. And even if the policy is not canceled right away, the carrier may refuse to renew the policy or increase the policyholder’s premiums due to a higher level of risk.

When this happens, some businesses may decide to change carriers. However, new insurers will likely make similar types of recommendations, and policyholders may be left with no other choice but to address their risks.

What’s more, failing to complete a recommendation can open the door to increased liability. This is because businesses aware of an issue but choosing not to address it may be viewed as negligent.

Additional Considerations

Recommendations are usually issued after a loss or risk control inspection. After the inspection is completed, consider speaking with the risk manager to discuss any concerns. This will not only give you a deeper understanding of the types of hazards present at your workplace, but it will also give you insight into the scope of the work.

Above all, it’s critical to be prepared for recommendations from the insurance carrier. While there can be some subjectivity to recommendations, they are largely based on existing standards, and understanding the rules and regulations that apply to your business can go a long way toward managing your risks.

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This column is not intended to be exhaustive, nor should any opinions be construed as legal advice. Readers should contact legal counsel or an insurance professional for appropriate advice. Go to the NGWA webpage at www.ngwa.org/members/member-benefits/Business-insurance to find out more information about companies it has partnered with.

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