Insurance Coverage DECEMBER 2002 Terrorism Risk Insurance Act of 2002 On November 26, 2002, President Bush signed into law the Terrorism Risk Insurance Act of 2002, which requires that all commercial property and casualty insurers offer terrorism coverage and also provides a federal backstop for these insurers in the event of a future terrorist strike. Coverage for terrorism had been routinely provided until the September 11 terrorist attacks caused the insurance industry losses reported to be more than $40 billion and prompted insurers to withdraw terrorism coverage and seek federal assistance. For over a year since the attacks, insurers and businesses have sought, and lawmakers have worked to craft, legislation providing a shortterm federal terrorism insurance program to address the lack of terrorism insurance and related economic considerations. The Act establishes a federal Terrorism Insurance Program, to be administered by the Secretary of the Treasury, which: ■ requires that insurers make available to their policyholders coverage for losses from acts of terrorism; ■ temporarily nullifies terrorism exclusions in existing property and casualty insurance policies; ■ requires that insurers disclose to policyholders the premium charged for terrorism risk insurance; and ■ allocates to the federal government a large share of loss resulting from any future terrorist attacks. This Alert highlights some of the significant provisions of the Act and identifies a number of issues raised by the Act. HIGHLIGHTS OF THE ACT Insurers Must Offer Terrorism Coverage. The Act establishes a three-year Terrorism Insurance Program, which requires that, effective November 26, 2002 and continuing during the first two years of the program, all commercial property and casualty insurers shall make available insurance coverage for “insured losses” resulting from an “act of terrorism” as defined in the Act. See Sec. 103(c)(B). During this two-year period, the required coverage must “not differ materially from the terms, amounts, and other coverage limitations applicable to losses arising from events other than acts of terrorism.” Id. In addition, the insurer must process claims consistent with its usual business practices and any reasonable procedures established by the Secretary of the Treasury, which administers the Program. See Sec. 103(2)(b)(3). The Secretary of the Treasury has discretionary authority to extend these requirements into the third year of the program. See Sec. 103(c)(2). Definitions Of “Insured Loss” And “Act Of Terrorism.” The Act defines “insured loss” as any loss resulting from an “act of terrorism” occurring either within the United States or to certain U.S. aircraft, vessels or diplomatic missions: Kirkpatrick & Lockhart LLP [A]ny loss resulting from an act of terrorism (including an act of war, in the case of workers’ compensation) that is covered by primary or excess property and casualty insurance issued by an insurer if such loss— (A) occurs within the United States; or (B) occurs to an air carrier (as defined in section 40102 of title 49, United States Code), to a United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States) regardless of where the loss occurs, or at the premises of any United States mission. Sec. 102(5). The Act defines an “act of terrorism” as any particular action that is certified by the Secretary of the Treasury, in concurrence with the U.S. Secretary of State and the U.S. Attorney General, to meet the following criteria: (ii) property and casualty insurance losses resulting from the act, in the aggregate, do not exceed $5,000,000. Sec. 101(1)(B). The Act specifies that the determinations may not be delegated, are final, and are not subject to judicial review. See Sec. 102(1)(C), (D). Nullification Of Existing Terrorism Exclusions. Effective November 26, 2002, the Act provides for nullification of existing contractual provisions to the extent these provisions purport to exclude losses that would otherwise be “insured losses” as defined in the Act. See Sec. 105(a) (“Any terrorism exclusion in a contract for property and casualty insurance that is in force on the date of enactment of this Act shall be void to the extent that it excludes losses that would otherwise be insured losses.”). (i) to be an act of terrorism; (ii) to be a violent act or an act that is dangerous to— (I) human life; (II) property; or (III) infrastructure; (iii) to have resulted in damage within the United States, or outside of the United States in the case of— (I) an air carrier or vessel described in paragraph (5)(B) [this section refers “to an air carrier (as defined in section 40102 of title 49, United States Code)” and “to a United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States)”]; or (II) the premises of a United States mission; and (iv) to have been committed by an individual or individuals acting on behalf of any foreign person or foreign interest, as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. Sec. 102(1)(A). The Act further provides that the Secretary shall not certify a particular action as an “act of terrorism” if: (i) the act is committed as part of the course of a war declared by the Congress, except that this clause shall not apply with respect to any coverage for workers’ compensation; or 2 However, the Act allows insurers to reinstate exclusions if the insurer complies with specific notice and disclosure requirements, which are summarized below. Insurer Disclosure Requirements. Within 90 days of the Act’s enactment, participating insurers must provide “clear and conspicuous disclosure” to the policyholder of: (1) the additional, prospective premium charges for the terrorism coverage required to be offered to the policyholder under the Act, and (2) the existence of a federal program that will provide a significant share of compensation for “insured losses” under the program. See Sec. 103(2). ■ Existing Policies. Section 105(c) of the Act provides that an insurer may reinstate terrorism exclusions that are in force on the date of enactment by providing a policyholder with written notice that (1) discloses the additional, prospective premium for providing the terrorism coverage required by the Act; (2) explains the rights of the policyholder with respect to the terrorism coverage required by the Act; (3) discloses the date that the terrorism exclusion would be reinstated if the policyholder fails to pay this additional premium; and (4) otherwise complies with the disclosure requirements of Section 103. The notice must give the KIRKPATRICK & LOCKHART LLP INSURANCE COVERAGE ALERT policyholder at least 30 days to consider the offer to purchase terrorism coverage and the related premium. The Act permits the insurer to reinstate the exclusion only if a policyholder provides the insurer with written authorization or the policyholder fails to pay the additional premium following proper notice and disclosure from the insurer. for any portion of amounts that exceed the $100 billion, provided the insurer has met its deductible obligations. See Sec. 103(e)(2)(A)(ii). On November 26, 2002, the National Association of Insurance Commissioners membership adopted two model disclosure forms to assist insurers in complying with the Act’s disclosure requirements. Preemption Of State Law. The Act provides that it shall not affect any jurisdiction or regulatory authority over insurers except as specifically provided. See Sec. 106. The Act contains the following significant provisions regarding preemption: ■ If the federal government reimburses insurers for “insured losses” during the course of a year, the Secretary of the Treasury is required to recoup the difference between the total insurance industry costs (individual insurers’ losses up to their deductibles, New And Renewal Business. Although plus the industry’s 10% cost share above the nullification of existing contractual language deductibles) and a fixed dollar retention amount that presumably will not be an issue with respect to new varies in each year of the program, starting at $10 and renewal business, the Section 103(b)(2) billion for the first year, increasing to $12.5 billion for disclosure requirements apply to new and renewal the second year, and increasing to $15 billion for the business. The insurer must make the required third year. See Sec. 103(e)(6), (7). There is no disclosures at the time of offer, purchase, and mandatory recoupment, however, if uncompensated renewal of the policy. For policies issued more than “insured losses” exceed the retention amount. Any 90 days following enactment, the disclosures must mandatory recoupment is accomplished through a be contained on a separate line item in the policy. policyholder premium surcharge. All information that policyholders receive from their insurers concerning the Act should receive prompt consideration. Federal Backstop. The Act provides a federal backstop by reimbursing insurers 90% of “insured losses.” See Sec. 103(e). Each participating insurer is responsible for paying a specific amount of insured losses, essentially a deductible, before this federal assistance kicks in. This insurer deductible is based on a percentage of direct earned premiums from the previous calendar year. The percentage varies in each year of the program, starting at 7% in the first year, increasing to 10% in the second year, and increasing again to 15% in the third year. The Act provides that, with respect to “insured losses” above the insurer’s deductible, the federal government will reimburse 90% of the “insured losses,” while the insurer is responsible for the remaining 10%. ■ The Act preempts approvals of policy language related to terrorism exclusions. See Sec. 103. ■ The Act provides that the definition of “acts of terrorism” contained in Section 102 shall be the exclusive definition of that term for purposes of compensation under the Act. See Sec. 106. ■ The Act preempts state causes of action for claims resulting from an act of terrorism; however, it preserves the state law as the substantive law that will be applied to a particular case. See Sec. 106. December 31, 2005 Termination Date. The Act provides that the program will terminate on December 31, 2005 and requires a report to Congress to assess the effectiveness of the program and to evaluate the insurance industry’s capacity to offer insurance coverage for acts of terrorism after the program has Insured losses reimbursable under the program are capped at $100 billion. See Sec. 103(e)(2)(A). Insurers expired. See Sec. 108. are not liable to provide policyholders with coverage DECEMBER 2002 Kirkpatrick & Lockhart LLP QUESTIONS GOING FORWARD The Act leaves a number of unanswered questions for insurers and policyholders. Perhaps most importantly, the Act does not specify the price of terrorism insurance, which may remain high. In addition, it is unclear whether and how the Act may impact policyholders that negotiated and paid for terrorism coverage prior to the effective date of the Act. For instance, policyholders that paid additional premiums to have exclusions taken out of their policies prior to the effective date of the Act may consider seeking a refund or credit against any additional premium their insurer requests for coverage required under the Act. cancelled with a pro rata return of premiums. Moreover, the scope of terrorism insurance coverage that insurers are required to offer under the Act is not clear in certain respects. For example, it is unclear whether and to what extent policy exclusions, such as war exclusions or pollution exclusions, may apply to this coverage. Finally, it is unclear what type of terrorism coverage will be available after December 31, 2004, after which date the Act does not require coverage for insured losses resulting from acts of terrorism. ROBERTA D. ANDERSON randerson@kl.com 412.355.6222 In addition, policyholders that have purchased stand-alone terrorism coverage will be faced with a number of questions, such as how the existing standalone coverage compares with the coverage required under the Act. Because existing stand-alone coverage may provide broader coverage, a full comparison of coverages should be undertaken. The Act, for example, does not address terrorist acts committed outside of the United States (with limited exception) or terrorist acts within the United States that do not involve foreign terrorists. If a policyholder determines that the coverage required under the Act is sufficient, there may be issues regarding whether the stand-alone coverage may be The Insurance Coverage practice group at Kirkpatrick & Lockhart Nicholson Graham LLP offers an international policyholder-oriented practice on behalf of Fortune 500 and numerous other policyholder clients. Its lawyers have authored Policyholder’s Guide to the Law of Insurance Coverage and edited the Journal of Insurance Coverage. For further information, please consult our website at www.klng.com. FOR ADDITIONAL INFORMATION concerning this topic or K&L’s insurance coverage practice, please consult the K&L office contacts listed below: Boston Dallas Harrisburg Los Angeles Miami Newark New York Pittsburgh San Francisco Washington John M. Edwards Robert Everett Wolin Raymond P. Pepe David P. Schack Daniel A. Casey Anthony P. La Rocco Peter J. Kalis Peter J. Kalis Edward P. Sangster Matthew L. 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