CONSTRUCTION PRACTICE BLUEPRINT October 2014 www.willis.com NEW YORK LABOR LAW Construction in New York State has historically been subject to a highly litigious environment. While employees are protected by the New York Workers’ Compensation Law, the Legislature has also passed specific statutes broadening rights of recovery for injured construction workers under certain types of claims. These laws (Labor Laws 200, 241(6) and 240(1)), allows workers to bring suit against property owners and/or their agents,(typically general contractors), for injuries sustained at construction sites. In response to a growing number of cases the commercial insurance industry is reacting aggressively to mitigate their exposures to these scenarios. Underwriters are restricting their writings significantly by not taking on construction risks in New York, by increasing deductibles dramatically and by raising prices to the point where projects are impacted as costs escalate. The primary culprit, Labor Law section 240 (1), commonly referred to as the “Scaffold Law” imposes a standard of absolute liability upon contractors and property owners for all “gravity related” injuries. As currently written, the law does not provide for any consideration of the injured employee’s fault—essentially, defendants are automatically presumed to be at fault. The proposed legislation would replace the absolute liability standard (full liability regardless of fault) with the more fair comparative negligence standard (liability is proportional to fault) only in situations where a worker’s injury is found to have been caused by that worker’s failure to follow safety training or use available safety devices, intoxication, or commission of a crime. This paper focuses on the proposed bills Morrelle (A.2835) and Galvin (S.6816). Under these proposed bills, a new Section 1414 is added to the Civil Practice Law and Rules (CPLR) which states that contractors who provide safety training and equipment, including OSHA safety courses, have the right to demonstrate in court that the worker contributed to the injury and therefore utilize the CPLR’s contributory negligence standard. Only if a contractor proves that the worker failed to use the safety equipment provided, disobeyed safety directions, or worked while under the influence of drugs or alcohol would the contributory negligence rule be invoked. This is a fair and equitable approach that insures both the safety of the workers and the workplace as well as a course of defense for responsible contractors. LABOR LAW SECTION 240 (1) Labor Law Section 240(1) imposes absolute liability upon owners and general contractors, regardless of the comparative fault of plaintiff. Once a plaintiff succeeds in establishing a violation of this section, the defendant is essentially defending an inquest on damages. The exposure is especially high when the worker claims that his injuries prevent him from returning to work. Many times, lack of education and/ or training renders the worker’s prospects for future employment in other jobs paying similar salaries unlikely. A union worker in his/her twenties or thirties, earning a high salary with maximum benefits, who asserts claims for large future lost wages and pain and suffering presents the potential for a substantial jury verdict. Willis North America • 10/14 DEFENSES Without the proposed legislation, the defenses to a Labor law §240 cause of action are limited. Plaintiff’s own negligence is not considered, unless it can be considered to be the sole proximate cause of the injury. In Blake v. Neighborhood Housing Services Of New York City, Inc., 1 N.Y.3d 280, the Court of Appeals addressed the issue of strict or absolute liability under Labor Law §240(1). Plaintiff, who operated his own contracting company, was working alone on a renovation job in a two-family house in the Bronx. Defendant, Neighborhood Housing Services of New York City, Inc. (NHS), a not-for-profit lender, provided low-interest financing to facilitate the project. NHS dispatched a rehabilitation specialist to the premises to assess the scope of work and the amount of the loan. NHS subsequently prepared a work estimate and provided a list of contractors. Plaintiff was hired. Plaintiff set up an extension ladder that he owned and had used frequently. Plaintiff acknowledged at his deposition that the ladder was steady, had rubber shoes and was in proper working condition. While performing rust removal on a window, the upper portion of the ladder retracted, causing the plaintiff to sustain injury. Plaintiff sued the homeowner and NHS alleging a violation of Labor Law §240(1). Plaintiff also admitted at his deposition that the ladder was securely placed, not broken or defective and that no one needed to hold the ladder while he was using it. At trial, plaintiff conceded that he could not identify a defect in the ladder and testified that he was not sure if he had locked the extension clips in place before climbing the ladder. After trial, the jury found that the ladder used by the plaintiff was constructed and operated to give proper protection to the plaintiff. The Court concluded that the evidence leads to the “inescapable conclusion that the accident happened not because the ladder malfunctioned or was improperly placed, but solely because of plaintiff’s own negligence in the way he used it.” The Court of Appeals noted that defenses to Labor Law 240(1) claims have been watered down by the Courts, not the legislature. More specifically, the Court re-emphasized that neither it nor the legislature have ever suggested that an owner or general contractor should be treated as an insurer after having furnished a safe workplace. If, however, the plaintiff’s actions constitute culpable conduct, it will not exonerate a defendant if Labor Law Section 240(1) has been violated. Essentially, the Court of Appeals in Blake has reiterated its prior decisions and highlighted that there can be no liability under §240(1) where there is no violation and the worker’s actions are the “sole proximate cause” of his accident. To find otherwise would be to make an owner and/or a general contractor who has complied with the safety regulations into an insurer and that is not what the legislature intended. Instead, the legislature has enacted a “no-fault” workers compensation to address workers injuries where the worker is entirely at fault and there has been no Labor Law violation. The recalcitrant worker defense is available in those situations where plaintiff has affirmatively refused to follow direct instructions. The Court of Appeals in Cahill v. Triborough Bridge and Tunnel Authority, 4 N.Y.3d 35 (2004) expanded this defense, which is not contained in any statute and is predicated upon the idea that the statutory protection does not extend to workers when adequate and safe equipment is made available to them but refuse they to use it. Prior to the court’s decision in Cahill, owners or general contractors had to prove that directions regarding safety devices were provided to workers almost contemporaneously with the workers accident. In Cahill, the Court held that the giving of the instruction or direction and any lapse of time between same will not undermine the “recalcitrant worker” defense in and of itself. In Cahill, the plaintiff was instructed to use his safety harness and lanyard weeks before the incident occurred. No specific direction was given to the plaintiff on the date of the incident. Then, while ascending a “form” without utilizing his available safety harness, the plaintiff fell approximately ten to fifteen feet to the ground. The Court of Appeals held that the plaintiff’s failure to utilize the available safety devices, when taken in conjunction with the fact that he ignored the direction issued weeks earlier by a supervisor, meant that he met the definition of a “recalcitrant worker”. As set forth in Blake, where the plaintiff’s recalcitrant acts constitute the “sole proximate cause of the accident”, they dismissed the plaintiff’s Labor Law §240(1) cause of action. Willis North America • 10/14 2 WHAT COVERAGES ARE IMPACTED BY THE VARIOUS LABOR LAW STATUTES? The impact of these cases are focused on Commercial General Liability (CGL) and related Excess or Umbrella Liability placements. This makes sense in light of the fact that these policies typically protect against claims arising out of the Legal Liability of the policy holder and the various statutes impose legal liability. As a result, the thousands of cases that we have seen over the last few years have had a major impact on the profitability of these coverages for insurance companies .This is now having a dramatic impact on how carriers view construction liability in New York. They are taking a number of actions to try to address the situation. Ultimately, costs will be borne by all policy holders in New York unless the underlying statutes are addressed by the legislature. Willis is working with a number of organizations to push for reform and we outline these efforts below. Until this occurs though we expect the rising costs to have an impact on not just insurance but ultimately construction costs. CARRIER RESPONSE Changes we’ve seen in the NY Construction Insurance Marketplace in 2014 pursuant to Labor Law: PRACTICE POLICIES 20–40% premium increases Minimum Primary GL limits increased to $2M/$4M/$4M Some carriers requiring $5M/$10M/$10M Many smaller placements have been forced to be placed in the wholesale market to get coverage OCIPS/CCIPS Maximum Rates have increased to almost double of what we were seeing in the past 2 years Standard Primary GL limits of $2M/$4M/$4M are no longer acceptable for an attachment point for lead Umbrella/ Excess Carriers Initially, the required limits increased to $3M/$5M/$5M then quickly increased to $5M/$10M/$10M Most carriers can provide $3M/$5M/$5M but have difficulty getting the reinsurance support to quote $5M/$10M/$10M Buffer quotes can fill gaps but can be very expensive and few carriers are offering Deductibles increased from $250K WC/$500K GL to $500K WC and $750K to $2M for GL TRENDS IN NYC LOSSES It’s clear to the insurance industry that writes wrap-ups in NYC that GL losses have been trending higher. ACE Insurance did a GL loss analysis on the expired NYC-projects they had from 2006 through 2010, and found the following: This is based on approximately $290M in trended actual payroll exposure. The loss trend is obviously up. This analysis doesn’t include current active project data but the assumption is that the developed loss rates will be significantly higher than the 2010 numbers. We also have pure, undeveloped losses based on incurred loss dollars: Of the Total Incurred – UNDEVELOPED – GL loss dollars, capped at $2,000,000 (the traditional per occurrence limit): 48.1% of the total incurred are loss dollars excess of $500,000 25.6% of the total incurred are loss dollars excess of $1,000,000 As for Willis-specific deals that are now expired – this is the performance on the primary program: PROJECT #1 Effective: 8/19/2004 – 12/31/2008 Loss Valuation Date: 3/25/2014 WC Loss Ratio: 221.4% GL Loss Ratio: 182.1% Willis North America • 10/14 3 Total Loss Ratio: 208.8% Estimated Combined Ratio: 227.9% Number of GL claims XS of $1m: Which are LL240 Related: 6 5 PROJECT #2 (FIT OUT) Effective: 4/1/2007 – 4/1/2010 Loss Valuation Date: 3/28/2014 WC Loss Ratio: 113.7% GL Loss Ratio: 161.1% Total Loss Ratio: 138.1% Estimated Combined Ratio: 156.6% Number of GL claims XS of $1m: Which are LL240 Related: 1 1 PROJECT #3 Effective: 7/1/2007 – 6/30/2013 Loss Valuation Date: 3/20/2014 WC Loss Ratio: 168.4% GL Loss Ratio: 245.4% Total Loss Ratio: 216.6% Estimated Combined Ratio: 236.4% Number of GL claims XS of $1m: Which are LL240 Related: 3 3 Of the GL claims excess of $1,000,000, 78% are Labor Law 240(1) claims. The right charts further highlight the significant difference in loss data for NY compared to other states. These charts depict the ISO loss costs for both Bridge/Elevated Highway Construction and Structural Metal trades. NY is more than double that of NJ, three times more than MA and quadruple that of CA. Given the urgent need for infrastructure repairs in NY, these are alarming figures. Willis North America • 10/14 4 CASE EXAMPLE It’s important to understand why NY Labor Law cases have such high values when compared to GL losses in other states. The best way to illustrate this is with an example: A 35 year old construction worker is working on steel while not adequately tied off and falls 12 stories. He suffers a fractured right arm, a torn rotator cuff, and an injury to the lumbar spine all requiring surgery. Even though the building owner or the other party could argue that the worker should have tied off, the injured man can still sue based on strict liability. The injured worker makes $3000 a week not including union benefits and only has a high school education. He treats with his own physician (In NY, the insurance company does not have the ability to direct treatment.) who determines that he will never return to being a steelworker. He is paid $800 a week in WC indemnity benefits to help offset his lost wages. The remaining $2200 a week becomes the major component of his GL lawsuit (past and future lost wages). With a work life expectancy of 62, the lost wages component of his claim alone will be $2,516,800 ($2200 per week for 22 years). Once you consider lost union benefits, pain and suffering and the need to pay back 2/3 of the WC lien, the value of the case will be anywhere between $3M and $5M. If a judge and jury provides the plaintiff protection under section 240 (1) of the Labor Law, the General Contractor and Owner will be deemed to be 100% at fault for the accident. As you can see, these cases have a very high value and therefore are extremely hard to underwrite. There needs to be immediate and ardent changes to the way we manage NY Construction projects. SUGGESTIONS/ RECOMMENDATIONS We support the legislation but strongly suggest that additional steps be taken to avert the current insurance crisis. It’s our opinion that to date, the remedial measures taken to address the impact of Labor Law claims have been ineffective. This is mostly due to their failure to address both loss prevention and loss mitigation once an incident occurs. We recommend augmenting the proposed legislation with the following measures: 1. Requirement for use of 3D BIM Modeling to predict/address safety hazards. 3rd Party Certification to be provided for all projects of $30M or over in hard costs. The technology currently exists to predict when and where most hazards will occur that give rise to Labor Law claims. The writer successfully used this technology on an $800M high-rise project in Queens which completed with only one (1) lost time accident which did not lead to a 240 claim. This was done mainly through involving Safety/Loss Control in the Pre-Construction process, meeting monthly over the span of one year to anticipate and prevent hazards such as inappropriate or missing tie-off points in steel erection, adequately staffing for debris removal to mitigate slip and fall exposures, use of man-lifts instead of ladders/scaffolds, etc. 2. Developing a Collectively Bargained Workers’ Compensation Program Willis of New York suggests establishing an Alternative Dispute Resolution (ADR) program that is designed to improve the delivery of Workers’ Compensation benefits to workers that have been injured on the job. The claim process will be administered in accordance with permissive labor code statutes. The sponsor of an ADR Program generally receives the benefits of better control over medical treatment and costs, a more efficient return to work program and less adjudication costs. Once an injured worker participates in the program, they generally discover additional benefits such as swifter resolution of their claims, enhanced access to medical treatment/services and a reduced need for the litigation process. The ADR Process does not withhold any rights to injured workers that are specified in the regular state system. In addition to the rights they have under the current system, this program will include the following benefits: On-Site Medical Trailers to provide emergency medical treatment Program Representatives/Ombudsmen to contact injured workers or answer questions Claim Disputes may be resolved through a special mediation and arbitration process using arbitors/mediators selected by a Joint Labor-Management Committee Willis North America • 10/14 5 The project should expect to realize a decreased number of litigated Workers’ Compensation and General Liability claims. The claims that are filed should have lower settlement value as a result of decreased length of disability for injured workers. All of this should lead to significantly reduced Workers’ Comp and General Liability premium costs for the project’s Controlled Insurance Program (CIP). We believe that this is the key to mitigating the value of Labor Law claims. As evidenced in the previous claim example, the largest component of any Labor Law claim is the past and future lost wages. These recommendations will serve to greatly reduce the length of disability for an injured worker- thereby reducing the value of the corresponding GL claim. 3. Establish a Joint Labor/Management Committee to address numerous safety issues germane to Construction Sites (i.e. use of man lifts over ladders/scaffolds, etc.) 4. Requiring OSHA 10 Hour certification for all projects with 5 year renewal intervals We believe that a better educated workforce will tend to have less injuries. It’s important that the training also incorporate hands on training for things like PFAS (Personal Fall Arrest Systems), Ladder/Scaffold Safety, etc. CONCLUSION Willis is intimately familiar with all viable defenses to New York Labor Law claims and develops loss control procedures focused on mitigating the number of gravity-related incidents for our clients. We have also handled over 5,000 Labor Law claims in the past 10 years and achieved favorable results ranging from defense verdicts to defeating Labor Law Motions outright. We have a vast experience in dealing with all aspects of New York Labor Law 240 (1) as well as the other components 241 (6) and 200. We continue to encourage aggressive investigative and claim handling techniques that will mitigate the Client’s overall exposure to these Claims. We have already developed a panel of Construction Oriented Defense Counsel that deal exclusively with defending Labor Law claims. At this point the NY Labor Laws have created significant impacts to construction owners and contractors and we encourage all firms working or thinking of working in NY to contact us early in the process to make sure all alternatives are examined. CONTACTS For additional information on the topics discussed in this issue, or any others for which our Construction Practice might provide assistance, or to read prior issues of Blueprint, please visit our website at willis.com Tim Walker +1 212 915 8481 timothy.b.walker@willis.com Lauren Gregory +1 212 915 7823 lauren.gregory@willis.com Chris Franks +1 212 915 7727 christopher.franks@willis.com Willis North America • 10/14 6