Insurance Notes
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Insurance
Issues for Independents
CIC
SIG Meeting, April
7, 1999
Panel
Discussion with Paul Spangler, Donald Samuels, and Todd Michel
NOTE: The STC Rocky Mountain Chapter neither endorses nor disparages these comments. Please see disclaimer. Paul
Spangler - Lead Analyst of the
Life, Accident, and Health Section of the Colorado Division of Insurance.
Paul manages analysts who act as consumer advocates to correct compliance
problems within the insurance industry. Topic:
Health and Disability Insurance
Health Insurance
In 1994, health
insurance requirements regarding small employers were reformed. Small
employers are companies with 2 to 50 employees that each work 24 hours or
more per week. The reform mandated that all small employers in Colorado be
guaranteed at least Basic or Standard coverage by any insurance company
that offers policies to small employers. In 1996, health
insurance requirements regarding self-employed individuals were reformed.
To qualify as a business group of one (1), you must be in business for one
year, generate substantial income from the business, and sign an affidavit
stating that you meet these two qualifications. “Substantial income”
is not clearly defined. If you meet these requirements, you (the business
group of one) are guaranteed Basic or Standard coverage by any insurance
company that offers policies to small employers. Reform is currently
in the works that would require the self-employed individual to work at
least 24 hours per week to be considered a business group of one for
health insurance purposes. The reform would also require that the
self-employed individual be able to produce documentation to prove the
existence of their business, rather then merely signing an affidavit. Guaranteed health
insurance products (Basic and Standard) can have high premiums. If you
don’t yet qualify as a business group of one, look into individual
insurance plans; you are also guaranteed an individual plan by any
insurance company who offers individual plans. Disability Insurance
Today’s disability
insurance policies typically aren’t as good as the disability policies
available 15 years ago, and disability insurance is not regulated to the
extent that health insurance is. If you’re looking into disability
insurance, be very clear about what the policy does and does not cover,
and be very clear about what the policy’s definitions are for partial
and full disability. For example, if you are disabled and unable to
continue to work as a technical writer, you may not necessarily qualify
for full disability benefits. If you can be trained to do some other type
of work, you will only qualify for disability benefits for two years, then
you have to get back to work. Other
Notes: ·
If you don’t currently
have health insurance, look into it. Your health could change at any time.
·
Don’t be afraid to change
insurance companies because you have a pre-existing condition; you may be
guaranteed coverage in the small group market. ·
Read your insurance
policies!! Read them and know what is in them. Handouts:
·
What Happens When Your
Health Insurance Company Says No ·
What Rights Do I Have
Regarding Health Insurance? ·
What Colorado Small
Employers Need To Know About Health Insurance ·
Life, Accident, and Health
Ready-Reference Subject Areas, including a list of Mandated Benefits ·
Colorado Small Employer
Insurance Carriers ·
September 1998 Small Group
Health Insurance Premiums for Colorado Donald
Samuels –
Attorney, Vice President and Director at Ireland, Stapleton, Pryor &
Pascoe law firm. Donald has 12 years of experience in intellectual
property matters, and has previously lectured on false advertising claims
for the State Bar of California and on copyright issues at the American
Intellectual Property Association. He litigates cases involving copyright
and trademark infringement, unfair competition, false advertising, and
trade secrets. Topic:
Uniform Commercial Code,
Product Liability, and False Advertising
Uniform Commercial Code and
Warranties
Independent
contractors may be considered merchants under the Uniform Commercial Code
(UCC), which is codified in Title 4 in the state of Colorado. The UCC is
open to interpretation in each state. Article 2 relates to the sale of
goods and implied warranties. Note
that software, web-based products, and online help might not be considered
goods or products, but intellectual property. This is not a clearly
defined area under the current article. Under
the proposed Article 2B, if your contract with a client does not
specifically state that the client is responsible for all content within a
document, called a disclaimed
warranty, then an implied
warranty may automatically be offered by you under the proposed changes to
the UCC. In the
absence of a disclaimed warranty, the implied warranty requires that a
merchant (independent contractor) warrants to its licensee (client) that
there is no inaccuracy in information content that was caused by the
merchant’s failure to perform with reasonable care. Reasonable care
means taking precautions that your colleagues would normally take to
ensure a document’s accuracy. In the
absence of a disclaimed warranty, if an independent contractor has a
reason to know of the particular purpose for which the information is
required, and if a client is relying on the skill and judgment of the
contractor to develop suitable information, then there is an implied
warranty that the information is fit for that purpose and the information
will not fail to achieve the purpose as a result of the contractor’s
lack of reasonable care. To
protect yourself, you should: ·
Disclaim any
liability in the contract. State that the client is responsible for the
content of the document. ·
Document your
reasonable efforts to ensure the accuracy of the document, such as keeping
track of who you spoke with, what you did to learn the product, what
questions you have asked, who reviewed the document, etc. Product
Liability
An
independent contractor’s product (such as a user manual) could be
considered defective if it contains inadequate warning or instructions
regarding hazardous characteristics of the product. You could be liable if
your manual fails to include steps to adequately protect the safety of the
consumer, or if the instructions cause the user to misuse the product. To
protect yourself, you should: ·
Make sure
that following your instructions does not cause problems for the user or
the product. False
Advertising
Promotional
materials must be true, or you could be liable for false advertising. To
be liable for false advertising, you either have to know that the claim is
false or misleading, or you should have reasonably known that the claim
was false or misleading. Overall
Recommendations: ·
Know
everything you can about the product. ·
Do whatever
is possible to check on the accuracy of the information being provided by
the client. ·
Obtain
insurance. The law presumes that you can factor the cost of insurance into
the cost of your services or have the company with whom you’re
contracting obtain the insurance. Todd
Michel – Commercial
Underwriter for the Chubb Group of Insurance Companies. His expertise
falls in high-tech, bio-tech, and telecom commercial accounts. Topic: Commercial General
Liability Insurance, and Errors and Omissions Liability Insurance
Commercial General Liability
Insurance
Commercial general
liability (GL) insurance protects the insured for liability arising from
these exposures: ·
If someone injures
themselves on the premises of your business. ·
If your sub-contractor
fails to perform their duties. ·
If your product causes
injury to someone. ·
If your services fail to
meet their intended purpose. ·
Also covers any liability
that you assume under oral or written contract. GL insurance
provides these coverages for the insured: ·
Bodily injury (for example,
if you injury someone) ·
Property damage (if you
damage a client’s property) ·
Personal injury (if you
slander someone) ·
Advertising injury (if you
defame a competitor) ·
Medical payments (for
injured parties) ·
Fire legal liability (if
you damage a your own leased office space) Most GL policies
have a $1 million coverage limit for compensatory and punitive damages.
But, if your product fails to perform its intended purpose and does not
cause bodily injury, property damage, personal injury, etc., but
instead causes loss of business, your GL policy will not cover you. In
this event, Errors and Omissions insurance will protect you. Errors and Omissions Liability
Insurance
In the absence of
physical damage, Errors and Omissions insurance covers claims arising from
damage to intangible property or loss of use or business.
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