Driving Success for GM
Al Gier, GM’s director of Global Risk Management & Insurance, felt so strongly about Elisa Black’s work in 2013 that he nominated her personally as a Power Broker®. That’s quite an endorsement. In fact, Gier and Frida Berry, GM’s manager of Liability Risk Financing, agree that not only did Black manage that critical global juggling act, but she did it with her professional, focused style.
“Elisa was instrumental in helping reduce collateral requirements and improving the efficiency of the global claims handling process,” Gier said. “Her client philosophy focuses on being prepared and setting the marketing standard at the forefront of the negotiation.”
Gier explained that any broker can negotiate with a carrier post-quote. More impressive is doing the legwork so you come to the table prepared to negotiate ahead of time, a Black trademark. Also, for a large global enterprise, he said, timing is everything. So finalizing financial negotiations early allows the time to fulfill the administrative and contractual obligations of an insured — the lifeline of most international programs.
Gier said Black is great at articulating obligations and time constraints.
Bermuda Excess Market Wizardry
With the automotive market continuing to recover, the Bermuda excess market is looking to boost premiums come renewal time. To help alleviate that pricing stress, Chris Heinicke and his Aon team do their best to negotiate with markets to keep premiums from climbing.
In 2013, Heinicke faced a specific challenge for a client that was in the midst of a claims issue with one market that had a sizable amount of capacity on the excess casualty program. The issue was on a completely separate line of business, but was enough of a problem that the client had made the decision to cut this market from all of their lines of business. That decision was made after the entire program had already been quoted at the expiring premium and there was little to no capacity left in Bermuda. Heinicke and his team worked quickly by increasing capacity with the only market in Bermuda that had something available, and then worked with the U.S. and London teams to get the terms, pricing and capacity needed to replace the market. In the end, the client was pleased with the results and impressed at the quick response.
“Chris’ knowledge of the Bermuda markets helped us structure a program with the broadest coverage,” said the liability risk financing manager from another large automaker. “We have a very good risk profile, and Chris ensures we aren’t being charged improperly.”
A risk manager from a third automaker credited Heinicke with doing a “fantastic job” in helping the company identify critical areas the Bermuda markets focus on, as well as what is needed to communicate those key areas to underwriters.
Marshalling the Marsh Resources
In this case, the product over-shipment would create a much larger balance sheet exposure than the client would normally face. Also, the client’s treasury department wanted to use the large shipment to enhance cash flow as well as its borrowing base. Kowalski found a solution involving both private insurance and governmental support to manuscript a program that not only provided vital risk mitigation, but also enhanced this client’s cash flow management needs.
To make things happen, Kowalski often collaborates with Marsh brokerage teams on a global scale — from Detroit, New York, and Chicago to Bermuda, London, Zurich and various offices throughout Asia. Along the way, he has successfully placed complex risk finance programs involving more than 73 global markets and billions of dollars of capacity for a single line of coverage.
“Michael is our client executive and we have worked together for a number of years,” said Al Gier, director, Global Risk Management & Insurance at General Motors. “He has the skills we like to see in a broker — mainly, responsiveness and delivering the proper resources quickly.”
Expertise and Knowledge
Key Air Inc. was getting ready to consider other brokers until Joseph Braunstein was assigned to their account, said Greg Kinsella, president and CEO of Key Air, which manages and operates aircraft owned by others. “We agreed that if we were going to Marsh that he would make the difference, and he definitely has,” said Kinsella. “It was really on the customer service side. He didn’t go through the motions and just offer minimum basic support. He really looked at our policies.”
Another major benefit Braunstein, Marsh’s General Aviation practice leader, offered Key Air is a user-friendly handbook the company can use to educate its clients on the various coverages available to them and how the policies would work when needed.
“Joe took the initiative to create that. It really gives me and my team a tool to sit down with our clients and educate them on aviation insurance,” Kinsella said. “It has helped us be more effective.”
He was able to transition the perception of insurance from a liability to an asset.
The director of operations for a large aircraft charter company praised Braunstein as “a fantastic resource.”
“When Joe and Marsh got our business, we immediately saw an increase in coverage and a decrease in premium,” he said.
In addition, Braunstein’s “expertise and knowledge in aviation insurance is quite evident. Joe is looking out for our interests and that’s something we did not have before.”
Sharing His Knowledge
John Geisen, senior vice president at Aon, has been an account leader in the aviation space for nearly two decades, and his clients have benefited from his in-depth knowledge.
“In the aviation industry, there are a lot of challenges that come up,” said Bill Hoyt, insurance risk manager at the Metropolitan Airports Commission, a public corporation that provides aviation services throughout the Twin Cities metropolitan area, including operating the Minneapolis-St. Paul International Airport.
“The issues change almost every day,” Hoyt said. “In this industry, you have got to have someone who has a significant understanding of the risks. That’s what John has and that’s what John brings to the table for us.”
In addition to the typical coverage, Hoyt relies on Geisen for unusual coverage challenges, counting on him to determine whether current policy wording covers such a risk or if an endorsement is required. One example, he said, involved determining liability issues associated with glare and other risks related to solar panels.
For Karen Erazo, manager, Legal Affairs, Sun Country Airlines, Geisen’s attentiveness, knowledge and ideas are as welcome as his focus on keeping costs down.
One issue Geisen has been focusing on this past year is the workers’ compensation impact of senior flight attendants, she said. “He’s come up with suggestions on addressing lifting and other ways to help our flight attendants reduce the risk of injury,” Erazo said.
“He’s very knowledgeable and very anxious to share that knowledge,” she said.
Customization and Confidence
From helping out a mom-and-pop airline to covering aviation risks in war-torn countries, Jason Hendrix does it all. A pilot himself, Hendrix furthered his knowledge at the Embry-Riddle Aeronautical University, a college designed for aviation professionals, and as an aviation underwriter prior to becoming a broker.
“You can ask him anything about an airplane and he will tell you,” said Chrissy McCreary, supervisor, Risk Management, KBR, which operates air bases internationally, including in Iraq and Afghanistan. “Our corporate program is pretty specialized. We have bits and pieces all over the world and every project is different,” she said.
For Jake Duplechin, president and owner of Executive Aviation Management, Hendrix, an assistant vice president at Aon, helped him make his dream of owning his own aircraft management business a reality by fostering relationships with the insurance marketplace and putting together a fleet policy that covers the seven airplanes owned by about 15 companies.
“It’s almost like calling a buddy of mine on the phone but he’s such a professional when it gets down to it,” Duplechin said.
A challenge this year for CGG was the acquisition of a fleet of 28 aircraft in four countries.
“We never had to insure planes before,” said Erin Obrien Link, CGG’s enterprise risk management and insurance vice president. The situation was complicated by the planes being registered in different countries and having numerous local policies that were in effect. “He was able to put together a global policy, which was extremely complicated,” she said.
A True Partnership
As Intrepid Aviation was looking to grow, they called upon Drew Johnston, a vice president at Aon. “We were able to pivot very effectively from two aircraft to now 10 aircraft with customers in nine countries, said Intrepid’s chief investment officer, Brian Rynott. “We were looking for help to manage the portfolio and help plot out the growth trajectory, and someone to support us in that growth from an insurance perspective.”
Johnston was also crucial in coming up with a risk solution for Frank Perryman, president and CEO of Perryman Co., who is passionate about being in the left-hand seat and flying the company’s fleet of jet aircraft.
“Our qualifications are no different than professional pilots who would fly for any of the airlines, but being the owner and operator takes it to a unique difference,” Perryman said. “He takes the time to have an intimate knowledge of what we do and how we do it.”
Johnston also helped Perryman communicate the company’s message to their underwriter, which created “a better bond,” Perryman said. It also resulted in the liability limit the company required at a very competitive price. “There’s nothing that is cookie cutter anymore,” he said. “You have got to design solutions for each and every client and that’s what he did.”
Johnston also helps Beechcraft navigate its way through its international risks and the demands of its business partners, said Cheryl Herbst, manager, Insurance and Risk Management, Beechcraft. “They will ask for the moon,” she said. “He helps us find a solution, sometimes at the last minute.”
Chris Taylor “worked his magic” as he guided Hawker Beechcraft through a management liability renewal process prior to entering bankruptcy and in the formation of Beechcraft, the new company.
“There are special issues that arise, and it can be a real challenge to secure insurance prior to entering Chapter 11,” said Cheryl Herbst, manager, Insurance and Risk Management, Beechcraft. “However, thanks to Chris, we went through Chapter 11 with full coverage and a run-off policy.”
Taylor “just went above and beyond my expectations,” and worked late into the night as negotiations regarding formation of the new company took place. “The day we emerged as a new company, we had a total insurance program in place,” she said.
Taylor, a vice president at Aon, also was able to bring innovative solutions to a defense contractor, related to its wage and hour coverage and D&O needs, especially international D&O coverage.
Among the challenges he was able to address were dealing with the contractor’s multiple internal stakeholders, changing compliance requirements in various countries and communication issues with non-insurance professionals.
At another organization, a plastics manufacturer, Taylor had to handle a complex transaction with multiple U.S. and international D&O policies during an acquisition, which required extensive communication and time management as he worked with the new company’s risk management team and broker to align coverage to protect both companies.
AerSale has multifaceted and complicated aviation risk exposures, but William Willer was able to find ways to create solutions that work for both the company and underwriter.
“He provides excellent information and frankly seems to be able to get the underwriters to come along and cooperate with us. That impressed me,” said Gary Eakins, vice president and corporate counsel of AerSale Inc., an aircraft leasing company that ferries aircraft.
Insurance is very expensive for ferrying flights, and it goes up astronomically depending on the number of flights, said Eakins.
“That never made a lot of sense. It’s the landing and take offs that get you, not the number of miles you cruise at altitude,” he said. “Bill was able to moderate those costs in a reasonable and effective way.”
In addition, Willer’s technical knowledge has been extremely helpful in drafting contracts, and he has been very responsive. “The aviation space is quite small in terms of people. They all know each other. I find Bill to be very effective in dealing with underwriters when unusual issues come up or when we need to explore an area where we hadn’t been before,” Eakins said.
Willer, an area president at Arthur J. Gallagher, also helped an airline through a Chapter 11 process, while correcting some serious and costly actions caused by a previous broker, and helped the risk manager of an aircraft leasing company overhaul the entire risk management process.
The Re-Invention of American Healthcare
Consolidation among healthcare providers continues at a torrid pace.
A multitude of factors are driving this consolidation, including the Affordable Care Act compliance, growing costs and the ever-greater complexity of health insurance reimbursements. After several years of purchasing individual practices and regional hospital systems, the emergence of the mega-hospital system is now clear.
“Every month, one of our clients is either being bought or buying someone — and the M&A activity shows no signs of slowing down,” said Brenda Osborne, executive vice president at Lexington Insurance Co.
This dramatic change in the landscape of healthcare providers is soon to be matched by equally significant changes in patient behavior. Motivated by growing out-of-pocket costs and empowered with new sources of information, the emergence of a “healthcare consumer” is on the horizon.
Price, service, reputation and, ultimately, value are soon to be important factors for patients making healthcare decisions.
Such significant changes bring with them new and challenging risks.
Although physicians traditionally started their own practices or joined medical groups, the current climate is quite the opposite. Doctors are now seeking out employment by health systems. Wages are guaranteed, hours are more stable, vacations are easier to take, and the burdens of running a business are gone.
“It’s a lot more of a desirable lifestyle, particularly for the younger generation,” said Osborne.
Brenda Osborne discusses the changing healthcare environment and the risks and opportunities to come.
Given the strategic importance of successfully integrating acquired practices into a larger healthcare system, hospitals are rightfully focused on how best to keep doctors happy, motivated and focused on patient safety.
A key issue that many hospitals struggle with is how to provide effective liability insurance for their doctors. Physicians who previously owned their practice are accustomed to a certain type of coverage and they expect that coverage to continue.
Even when operators find comparable liability insurance solutions for their doctors, getting buy-in from their staff is often an additional hurdle to overcome.
“Physicians listen to two things — physician leaders and data,” said Osborne. “That’s why Lexington provides assessments that utilize deep data analysis, combined with providing insights from leading doctors to help explain trends and best practices.
“In addition, utilizing benchmarks against peers helps to identify gaps in best practices. It’s a very powerful approach that speaks to doctors in a way that will help them improve their risk.”
Focusing on the “continuum of care”
There’s been a fundamental shift in how healthcare providers care for patients: Treatment is becoming more focused on a patient’s overall health status and related needs.
A cancer patient, for example, should have doctors in a number of specialties communicating and working together toward a positive patient outcome. But that means a change in thinking: Physicians need to work collaboratively with one another — not easy for individuals or groups that are used to being independent. Healthcare is a team sport.
“If there isn’t strong communication, strong leadership, and the recognition of proper treatment procedures between physicians, healthcare providers can increase the risk of error,” said Osborne. “The provider has got to treat the whole patient rather than each individual condition.”
That coordination must extend from inpatient to outpatient, especially since the ACA has led to a rapid increase in patients being treated at outpatient clinics, or via home health or telehealth to reduce the cost of inpatient care
“Home health is going be a growing area in the future,” Osborne continued. “Telehealth will become an effective and efficient way of managing and treating patients in their home. A patient might have a nurse come in and help the healthcare provider communicate with a physician through an iPad or computer. The nurse can also convey assessment findings to the physician.”
Metrics matter more than ever
Patients have not always thought of themselves as healthcare consumers, but that’s changing dramatically as they pay more out of pocket for their own healthcare. At the same time, there’s an increase in metrics and data available to the public — and healthcare consumers are drawing upon those metrics more and more when making choices that affect their health.
“Consumers are going to start measuring physicians against physicians, healthcare systems against healthcare systems. That competition will force everyone to improve the quality of care.”
– Brenda Osborne, Executive Vice President, Lexington Insurance
Think about all the research a consumer does before buying a car. Which dealership has the best price? Who provides the best service? Who’s offering the best financing deal?
“Do patients do that with physicians? No,” said Osborne. “Patients choose physicians through referrals from friends or health plans with minimal information. Patients may be putting their lives in the physicians’ hands and not know their track record.
That’s all going to change as patients’ use of data becomes more widespread. There are many web based resources to find information on physicians.
“Consumers are going to start measuring physicians against physicians, healthcare systems against healthcare systems,” said Osborne. “That competition will force everyone to improve the quality of care.”
Effective solutions are driven by expertise and vision
The rapidly evolving healthcare space requires all healthcare providers to find ways to cut costs and focus on patient safety. Lexington Insurance, long known as the leading innovative and nimble specialty insurer, is at the forefront in providing clients cutting-edge tools to help reduce costs and healthcare exposures.
These tools include:
- Office Practice Risk Assessment: To support clients as they acquire physician practices, Lexington developed an office practice assessment tool which provides a broad, comprehensive evaluation of operational practices that may impact risk. The resulting report, complete with charts, graphs and insights, includes recommendations that can help physicians reduce risk related to such issues as telephone triage, lab results follow-up and medication management. .
- Best Practice Assessments: High risk clinical areas such as emergency departments (ED) and obstetrics (OB) can benefit significantly from external, objective, evidence-based assessments to identify gaps and assure compliance with best practices. In addition to ED and OB, Lexington can provide a BPA for peri-operative care, prevention of healthcare-acquired infections, and nursing homes. All assessments result in a comprehensive report with recommendations for improvement and resources along with consultative assistance and support. .
- Continuing Education: In an effort to improve knowledge, decrease potential risk and support healthcare providers in the use the most current tools and techniques, Lexington provides Continuing Medical Education credits at no cost to hospitals or their physicians.
- Targeting the Healthcare Consumer: With Medicare reimbursement impacted by patient-satisfaction surveys, assuring a positive patient experience is more critical than ever. Lexington helps hospitals understand and improve the patient experience so they can continue to earn the trust of healthcare consumers while preserving their good reputation. .
To learn more about Lexington Insurance’s scope and depth of the patient safety consulting products and services healthcare solutions, interested brokers may visit their website.
This article was produced by the R&I Brand Studio, a unit of the advertising department of Risk & Insurance, in collaboration with Lexington Insurance. The editorial staff of Risk & Insurance had no role in its preparation.