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Focus on: insurance

A liability minefield


 
Stephen Lloyd rounds up the major insurance issues facing the third sector, and says that charities are just as likely to be targets for claims as any other organisation
 
Charities are increasingly being asked to be risk-aware and to undertake risk management, while under SORP they have to report their risk management policies. Unfortunately, while being risk-aware should not make organisations risk averse, there is a real concern that this is happening; schools cancelling educational trips out of concern of being sued is a good example of how fear is crippling sensible behaviour.

However, a recent case in the House of Lords was a step in the right direction. It held that the British Legion was not liable for an injury caused by a person tripping on a hole left after a May Pole had been erected on a village green for a fundraising event: the British Legion had done their best to fill it in.

Insurance developed as a sensible way of managing risk by spreading it, initially among a syndicate of backers – assembled in my namesake’s famous coffee house – and insurance remains that to this day.

One sensible approach to risk is to evaluate the key areas of concern an organisation faces and work out which of these can be addressed by insurance. If they do this, most organisations will come up with a long shopping list that could be very expensive. So, as ever, the sensible approach is to take a proportionate view and work out the high risks and the low risks and, effectively, self-insure the low ones.

And, of course, just because you have an insurance policy does not mean you can act recklessly: far from it. Insurance law brings with it an obligation on the insured to act with utmost good faith which, in modern terms, means acting transparently and with due care.

To have and have not

There are some types of insurance you have to have – they are compulsory. Road Traffic Act insurance, in respect of liabilities to third parties from use of a motor vehicle, and employer’s liability to cover liability for death or bodily injury at places of work.

Don’t be confused by the requirement for a health and safety policy to be in place only where the organisation exceeds the minimum threshold of five employees. This is quite distinct from the requirement for an organisation to have employer’s liability insurance even where a single employee exists. And if there are no employees, in as much as the entity is run by a single person, then that person may still be regarded as an employee if, for example, they report to a management committee.

Solicitors have to have professional indemnity insurance. Sometimes contracts impose an obligation to have insurance. Many service level agreements require a provider to have public liability insurance. And then there are a range of policies which are optional but that any prudent business will take out: public liability; office contents; professional indemnity; fidelity.

If your staff travels abroad you will need medical expenses cover. Your trustees may well want trustees’ indemnity insurance cover – certainly in the commercial world most directors insist on the company taking out directors’ and officers’ (D and O) liability cover.

So what happens if you do not have insurance – or have inadequate insurance – or you breach the terms of the policy so the cover is not there? Inevitably, it depends on the facts.

One example of this concerns a charity which owned meadowland to which the public had access, as it was a public common. It had £1 million public liability cover. One hot day a 13-year-old boy dove off the bank into the river which flowed past. He had not checked the depth, which was only six inches, and he ended up a paraplegic. He subsequently claimed £6 million in damages, which would have made the charity bankrupt if he had won his case.

They managed to settle out of court within their limit of indemnity, but it was a close-run thing. I suspect a number of charities have inadequate levels of indemnity on public liability cover. What was even scarier in the above example was that until about a year before the incident the charity had been unincorporated. In other words, if a successful claim had been more than the charity’s assets the trustees would have been personally liable.

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In another case, a charity was challenged by the Charity Commission for having lent £250,000 to its trading company, which ended up having to be written off. The Commission argued that the trustees had been personally negligent and should reimburse the charity out of their own pockets. The trustees had to take independent legal advice, which was not cheap as the case dragged on for over two years. As the charity did not have trustees’ indemnity insurance, the trustees were forced to pay for this themselves.

There are an increasing number of HM Inland Revenue and Customs investigations into charities and a number of them raise questions as to whether the trustees acted properly – in which case trustees may need to take independent legal advice and will obviously not want to pay for this themselves.

The Office of Fair Trading has recently investigated a number of independent schools for breach of the price fixing rules in the Competition Act, and the trustees in these cases may well need to take independent legal advice about their personal position and liabilities.

Another area of increased claims is around employee fraud. So called fidelity insurance – a real misnomer as it means insurance against lack of fidelity – protects the employer against the costs involved in seeking recovery of funds stolen as well as the loss itself. The lack of such a policy can be a real hindrance to a charity trying to deal with the consequences of fraud.

Increasingly charities are providing services under contract – they therefore are also exposing themselves to potential claims for breach of contract and thus they need to consider if it is appropriate to manage this risk by professional indemnity insurance.

And then there is the whole question of what to do about volunteers and insurance. Employer’s liability insurance is compulsory. This covers an employer’s liability to his employees for death or bodily injury sustained while engaged in working for the employer. Hence it covers injuries sustained both at a place of work and through work (e.g. when travelling as part of the job). Note that it is not compulsory to insure against damage to the employee’s property, although obviously it is prudent to do so.

Volunteers are not employees, although sometimes the distinction between the two gets blurred to the point of non-existence. You need to be very clear in terms of how you treat volunteers to make sure that they are, indeed, treated as volunteers and not as employees – because if you give them benefits over and above reimbursing expenses, then they may be able to claim, in fact, that they are employees. And if that is the case, you will find they can claim the minimum wage, have employment protection rights and, of course, should be covered by your employer’s liability policy.

If your volunteers are just that, i.e. volunteers, what should you do about their insurance? I recommend that you extend your employer’s liability policy to cover not only employees but also all volunteers. Try to avoid naming the volunteers on the policy, as they will be a shifting, changing group. Better still, when you declare the total number of volunteers you use over the year, give an estimate also of the full-time equivalent number to which that total equates so that insurers are as well briefed as possible as to the real amount of time served by volunteers.

In terms of the cost implications of extending your insurance cover in this way, the increase should not be too great and whatever the cost, within reason, is much better than running the risk of exposure to uninsured claims for death or bodily injury. Do bear in mind that personal injury cases can result in huge awards of damages, particularly where the injured person is left in need of 24 hour a day nursing care for many years.

Any well run charity should regularly review its insurance policies as part of its risk strategy. One area which is especially critical is keeping tabs on the fundraisers who, in my experience, often come up with brilliant new methods of raising money but which are not always disclosed to the charity’s insurers – and some of these may involve both high risk and volunteers.

Stephen Lloyd is chairman of CaSEInsurance


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