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Insurance:
20 Questions and
Answers for Your Business
(Part 1 of 2 Articles)
Businesses have
risk. As a consequence of risk, they have a need to protect
against loss from risk. There are two primary means
to address business risk: 1) designing a robust business
structure and systems that enable compliance; and 2) insuring
against risks that cannot be mitigated through sound operations.
First, recognizing
that a business is comprised of its people, the business
that can recruit and retain top performers that are expert
and experienced is ahead of the game. In
order to have access to the top performers, businesses
need strong, competitive compensation packages that include
group health benefits.
Understanding
the nature of insurance—types, restrictions,
limitations, and costs—is the foundation
for assessing one’s needs. For answers to both group
benefits and commercial insurance, we turn to two experienced
insurance industry business leaders: Judy
Fourie of J. Fourie & Company, an insurance broker who
specializes in group benefit plans (as well
as individual health and life), and Lori
Wright of H & M Insurance and Financial Services, Inc.,
a Nationwide insurance agent who works with businesses to
identify precisely the insurance coverage needed.
1. How
do brokers and agents differ?
LW:
A broker represents the insured. An
agent acts of behalf of another party (the insurance company).
Where an agent generally places the majority
of their business with one large carrier, a broker places
business with multiple carriers.
JF:
“Broker” generally
refers to an agent who represents the client.
An agent is technically thought to represent an insurance
company.
2. What
are the benefits and drawbacks of each?
LW:
I actually have experience in both the broker and agent
fields. I think it is “six of one, half dozen of
the other.” Brokers
generally have access to more insurance companies, allowing
them to shop several different markets and comparison
shop. Agents have one primary carrier
they work with. When you
are placing the majority of your business with one carrier,
this, at times, can afford you more competitive pricing
and underwriting flexibility.
JF:
I don’t think most people are aware of the difference
unless you are in the real estate business. I have heard
the terms used to mean the same thing, a seller of products.
3. What
is a broker’s or agent’s role in assisting clients
with claims?
LW:
Many
brokers or agents will direct their clients to an 800
number and remove themselves from a claim situation. I
believe it is fine to refer the client to an 800 number
as long as you make the client aware that if they should
have questions or concerns regarding their claim, you
are there to assist.
JF:
There was a time when an agent took a significant role
in assisting clients with claims. Because
of the privacy issues today, it has become more difficult
to be helpful.
4. What
are the insurance products that we should understand and
consider?
LW:
Individuals should begin with developing an understanding
of their personal insurance needs such as auto, homeowners
or renters, life and health. Business
insurance is much more complex and definitely should be
analyzed by a professional with commercial insurance education,
experience and knowledge.
JF:
Most people start with whatever is required, such as auto
and homeowners insurance. In
the order of importance, each purchaser has to buy according
to what they perceive to be the greatest exposure.
In other words, what loss would create the most financial
hardship for the business or the family? Most people think
of health insurance because an uninsured loss could wipe
out future earnings. Others may think of life insurance
to protect their families. The
most neglected product that protects all of the above
is disability insurance. If you are sick
or hurt and cannot work, you will not be able to pay the
premiums on the other insurance you have, and can potentially
lose everything. Early in my career, I heard the remark
that whatever risks you
do not transfer to an insurance company are being self
insured. It turns out to be pretty simple
math.
5. How
do we compare products and services?
LW:
An “apples to apples” approach is best in
comparing products. ABC Company may be cheaper than XYZ
Corporation, but are you
getting exactly the same product and coverages?
I do not believe this business is all about coverage and
pricing, though. I feel a client needs to trust their
representative and feel comfortable with the product and
service provided. It is
up to the representative to educate the client on their
particular policy coverages and what they are paying for.
JF:
Transferring risks to stable,
financially sound insurance carriers helps reduce the
possibility that the product is inferior with hidden limitations.
Having a knowledgeable, experienced agent to explain the
provisions and make recommendations that are appropriate
and cost effective is also a plus. Friends and business
associates are great sources of referrals to find the
right fit for your industry and needs.
6. What
are deductibles? How do deductibles impact pricing/premiums?
LW:
A deductible is an out-of-pocket
expense the insured pays prior to the insurance company
paying. The credits applied for deductibles
vary by company and product line. An individual may not
save that much by switching the collision deductible on
their car insurance from $250 to $500, but
a business may save a substantial amount by switching
their deductible from $250 to $500.
JF:
Deductibles for health insurance start at $250 and go
to as high as $10,000 plus. Higher deductibles can have
a significant influence on price. Many
companies today are considering higher deductibles to
save money and implementing health savings accounts or
health reimbursement accounts to cover the first dollar
expenses.
7. What
are waiting periods, excluded items, and the like?
JF:
Waiting periods generally
refer to when a benefit begins; for instance,
a long term disability policy will not begin payments
until a policyholder has been disabled for a specified
period of time such as 30 or 60 days. Most all contracts
will have excluded items (“the
big print giveth and the small print taketh away”).
I encourage my clients to look at exclusions
first. Even though exclusions
are fairly standardized, it eliminates misunderstandings
about what they can expect from their policies.
8. Business
interruption, business revenue replacement, key person insurance,
and long term disability—what are they, and how do
business owners use each type to protect his/her business?
LW:
Business interruption,
loss of business income, loss of rents, etc. all indemnify
an insured for an actual loss of income during a restoration
period. If an insured should suffer a
fire loss, it could be months before they are back in
business. These types of coverage help the insured maintain
their business until they are again operational.
JF:
Key Person insurance is
a life insurance policy on a key employee that has the
employer named as the beneficiary. The
proceeds are used to help the company find and train a
replacement. Long Term Disability
replaces lost income on an individual who cannot work
due to an injury or sickness. Both of
these products are valuable to an employer, because a
business can recover quicker from the loss of a valued
employee and the long term disability protects an employer
from being in the position of having to decide how long
they can pay a top-level executive who is disabled. Transferring
the risk after a 30 to 160 day wait solves the problem
for them.
9. How
do general liability, umbrella policies, and errors and
omission insurance work? When is each needed or are they
all needed?
LW:
General liability coverage is designed to protect your
property or assets if you are deemed liable for an incident
that resulted in bodily injury or property damage to another
party or parties. Umbrella
coverage extends your general liability coverage beyond
the limits of your basic policy at a set amount of coverage.
Errors and omissions (insurance) is generally applicable
to anyone that gives advice, makes recommendations, designs
programs, etc. All businesses
are unique and each should be analyzed by an insurance
professional to determine which coverages are required
to best protect a business or individual.
At times, all of the above are recommended; other times,
only one type of coverage is necessary.
10. Do
businesses need 10 or more employees before they can get
group health insurance or can they get plans before they
reach 10 people?
JF:
In North Carolina, a business
with one employee is entitled to group health insurance
as long as they can provide proof that they have a viable
business.
Lori A. Wright
is a commercial insurance specialist and associate agent
with H & M Insurance and Financial Services located
in Durham, North Carolina. She
can be reached by telephone: main office (919) 544-0346
x 307 or her mobile (919) 672-9860.
Contact Judy Fourie,
President, J. Fourie and Company, Inc. (insurance broker)
located in Cary, North Carolina. Judy can be reached
by telephone: (919) 481-1815 or by e-mail: judyfourie@jfourie.com.
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Lea
Strickland, MBA, CMA, CFM, CBM, president and founder of F.O.C.U.S. Resources
(a business management systems consulting firm that addresses the total
business through financial performance), has over 18 years experience
in financial and operational leadership positions with various companies
including four Fortune 500 and Global 100 companies. She has worked with
established and emerging companies—private and public, US and foreign-owned.
She holds degrees from The Ohio State University (MBA—Accounting,
Marketing and Human Resource (Change Management)) and The University of
Charleston (Bachelor of Science—Finance and Business Management
with technical minors in Marketing and Accounting).
As a financial leader, Lea was instrumental
in obtaining funding from Deutsche Bank for a local technology growth
company. She is also credited for saving over $30 million for a manufacturing
operation and obtaining $97 million in funding for the expansion of that
same facility. Her client and industry experience includes audit, banking,
OEM automotive and tier one automotive manufacturing, electonics manufacturing,
consumer products manufacturing, software, industrial textiles manufacturing,
and many other industries.
In 2004, Lea was asked to be expand
her consulting practice into working with government grant and contract
recipients on compliance and financial control systems. The government
funding-compliance consulting focuses on small technology, bio-technology,
software, and bio-agriculture businesses transitioning from research and
development to full commercial operations.
Ms.
Strickland
was
also
asked
to
develop
an
“On-shoring”
program
to
provide
consulting
services
to
technology
firms
in
Europe
and
Asia
seeking
to
locate,
build,
and
operate
facilities
in
the
United
States.
These
innovative
tele-workshops
are
provided
via
telephone
and
Internet
to
companies
prior
to
their
establishing
a
footprint
in
the
U.S.
market.
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In
addition to her consulting services, Lea is a well-known and sought-after
speaker, expert panelist, workshop leader, and author on start-ups, micro-enterprise,
small business, financial systems, and business issues for companies of
all sizes. Since 2003, she has had over 200 articles published in journals,
newsletters, website expert sites, and magazines (print and Internet-based).
Her credits include:
Expert Columnist: Carolina Newswire, NC Journal for Women, Business
Leader Magazine, Local Tech Wire
Book: Out of the Cubicle and Into Business
Area/Topic Expert: Entrepreneur Magazine
Contributing Writer and Advisor: Small Business Technology Magazine
Lea has been honored with the several
awards including: Outstanding Young Executive in the U.S. (1989), International
Who’s Who of Professional Management (1999), and Who’s Who
of Executives and Professionals (2003). Currently, she is active in municipal
governance, serving on the Town of Cary Zoning Board of Adjustments (2001
to the present). She has served as an expert panelist and speaker for
the following community and business organizations: Council for Entrepreneurial
Development, Wake County (North Carolina) Community Colleges, Institute
of Management Accountants, Graduate Women in Business National Conference
(2002), Executive Women Club, Fast Trac Programs, Small Business Technology
Development Center (North Carolina)
In addition to her current client
list, Lea (together with other business and community leaders) donates
her time to establish affordable resource programs for entrepreneurs and
small businesses. She is also co-hosting the North Carolina Capital Markets
Exchange to aid emerging and growth businesses in obtaining growth capital.
“For Lea, it isn’t about
fitting the business to the method, it’s about finding the right
approach for the business.” - G. M., Electronics Manufacturer
Lea’s hobbies and interests
include writing poetry and short stories; reading; piano; community services—mentoring
programs; and painting (oils, acrylics, watercolor, and mixed media) landscapes,
seascapes, and portraits. She also enjoys spending time with family (especially
her two nieces) and friends.
Lea
Strickland, MBA CMA CFM CBM
President & CEO F.O.C.U.S. Resources
104 Barcelona Court
Cary, NC 27513-4201
Main Telephone: 919.234.3960
Mobile: (919) 210-7171
Lea@focusresourcesinc.com
www.focusresourcesinc.com
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Upcoming
books:
Into Business Step-by-Step: Making the Key Decisions—Winter
2005
Government Grant Accounting – The Business Requirements
of Government Funding—Winter 2005
Vision, Strategy, Structure - Results—2006
The 360° Enterprise—2006 |
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