REPORT OF STUDY UNDERTAKEN BY CLIENT PROTECTION SUBCOMMITTEE OF THE SPECIAL COMMITTEE ON LAWYERS MALPRACTICE INSURANCE 2005-2006 I. Background A. In spring 2005, the Supreme Court of Virginia requested the Virginia State Bar (VSB), through its Lawyer Malpractice Insurance Committee (LMIC), to: 1. review the adequacy of the VSB’s current program to encourage acquisition of professional liability (malpractice) insurance by its members, and 2. consider alternative approaches to enhancing client protection from acts, errors, or omissions arising out of the lawyer’s practice of law. B. In fall 2005, LMIC presented its initial report to Bar’s Executive Committee which: 1. summarized on-going VSB efforts to ensure availability of affordable malpractice insurance and to promote its acquisition by Virginia lawyers including: a. support of the work of its Special Committee on Lawyer Malpractice Insurance b. endorsement by the Bar of a malpractice carrier to help ensure the availability of a high quality lawyer malpractice insurance product at a fair price c. support of various risk management activities including seminars free to all Virginia lawyers, a confidential hotline where lawyers can obtain independent advice about malpractice insurance and malpractice issues, the opportunity to access low priced law firm audits, and articles on malpractice issues appearing in Bar publications d. annual mandatory certification to the Bar by all active members of the Bar regarding professional liability insurance and unsatisfied judgments arising from legal services e. access to the certification information by the public through a web based search function and through Bar staff during working hours; 2. discussed Virginia’s current disclosure rule and identified possible measures to strengthen the VSB’s disclosure requirement a. by requiring provision of specific policy information as part of the annual disclosure b. by requiring provision of certificate of insurance to the Bar along with disclosure c. by offering on the Bar’s website, in conjunction with the attorney record search, an explanation of the Bar’s malpractice insurance disclosure rule d. by undertaking additional education efforts, directed to both members of bar and consumers of legal services, regarding importance of malpractice insurance e. by requiring disclosure of malpractice coverage to clients as well as to the Bar; and 3. identified models beyond disclosure for protecting the public which should be examined, all concentrating on lawyers in private practice offering legal services to clients drawn from the general public: a. Uninsured Lawyer Malpractice Claims Fund (similar to Clients’ Protection Fund) b. mandatory malpractice coverage with reliance exclusively on commercial market c. mandatory malpractice coverage through Bar controlled fund d. mandatory malpractice coverage with reliance on commercial market supplemented by Bar controlled Assigned Risk Fund. C. In February 2006, Virginia House of Delegates passed House Resolution 6 by a vote of 92-6 1. Referenced fact that “many malpractice policies do not cover illegal activities such as fraud and theft” and cited the possibility that without malpractice insurance, the injured client would have no remedy, and 2. Encouraged the Supreme Court of Virginia and the VSB to consider the “problem” of uninsured attorneys and to consider some form of mandatory insurance for attorneys, or an uninsured attorneys’ fund for compensation of victims of malpractice committed by uninsured Virginia attorneys. II. Current Status of Required Malpractice Coverage in Virginia A. There is no universal requirement in Virginia that lawyers obtain malpractice insurance. B. There is a requirement that lawyers participating in the Virginia Lawyer Referral Service certify malpractice coverage with limits of no less than $100,000/$300,000 and provide the name of carrier, policy number and expiration date. C. There is a requirement that attorneys covered by the Virginia Consumer Real Estate Settlement Protection Act: 1. certify malpractice insurance “issued by a company authorized to provide such coverage in Virginia providing first dollar coverage and limits of at least $250,000 per claim,” and 2. certify coverage by a surety bond providing limits of at least $100,000 (original bond must be submitted), and 3. certify coverage by a blanket fidelity bond or employee dishonesty insurance policy providing limits of at least $100,000 covering all other employees (or obtain exemption based on having no employees other than the lawyer.) D. Lawyers who have been disciplined may be required to obtain and maintain a malpractice insurance policy in an amount and for such term as set by the Disciplinary Board (Para.13 -Organization and Government of the VSB). This provision has not been used based on the premise that the public is better served by suspending or disbarring such lawyers. E. Professional limited liability entities authorized under Paragraph 14 were once required to certify malpractice insurance coverage, but this is no longer the case. Requiring some, but not all lawyers in private practice to carry malpractice insurance, was deemed inappropriate. 2 III. Most Recent Data on Lawyer Financial Responsibility as Self-Reported to VSB in July 2005 for Fiscal Year 2005-2006 A. All active VSB members are required to disclose whether there are any unsatisfied legal malpractice judgments arising from their performance of legal services. 1. 25,182 lawyers answered this question: a. 25,170 responded “no” (99.95%), and b. 12 responded “yes” (.05%). 2. Of these 12 lawyers reporting unsatisfied judgments: a. 10 indicated they are in private practice (3 of the 10 reported being uninsured) b. 6 out of 33 judicial circuits had lawyers with unsatisfied judgments c. lawyers with unsatisfied judgments had been licensed in Virginia between 6 and 37 years. B. All active members in private practice representing clients drawn from the general public are required to disclose annually to the Bar whether they are currently covered by a professional liability insurance policy, other than an extended reporting endorsement. 1. 25,182 lawyers answered the professional liability insurance question. 2. 16,914 indicated they are in private practice: a.. 15,079 indicated they had insurance (89.15%) b. 1,835 indicated they had no insurance (10.85%) i. 16% of this total have been licensed in VA less than 5 years ii. 26% of this total have been licensed in VA between 5 & 15 years iii. 31% of this total have been licensed in VA between 15 and 25 years iv. 27% of this total have been licensed in VA more than 25 years v. 26 out of 31 judicial circuits had uninsured lawyers in private practice vi. Circuit 19 had the highest percentage of uninsured lawyers—23% vii. Circuit 13 had the 2nd highest percentage of uninsured lawyers –13%. C. The VSB makes available to the public, by phone and on its website, the information disclosed to the Bar by each attorney regarding malpractice insurance coverage. a. the VSB’s Internet attorney record site receives about 1,100 “hits” per month b. the VSB office receives about 100 calls per month seeking this information c. there is no current tracking of whether these inquiries originate with members of the general public, other lawyers, or insurers. 3 IV. Current Status of Malpractice Coverage Levels in Virginia A. Data requested by the Client Protection Subcommittee and provided by two liability insurance providers in Virginia, indicated the following regarding limits for 2005 1. Attorneys Liability Protection Society (ALPS) a. 43.7% of the insured lawyers carried no more than $1,000,000 aggregate limits 32.0% of the policies written provided no more than $1,000,000 aggregate limits. b. 56.3% of the insured lawyers carried more than $1,000,000 aggregate limits 68.0% of the policies written provided more than $1,000,000 aggregate limits. c. a further breakdown of the ALPS lower limits is as follows: ALPS Limits 100,000 / 300,000 250,000 / 250,000 250,000 / 500,000 500,000 / 500,000 500,000 / 1,000,000 1,000,000 / 1,000,000 Lawyers Percent Policies Percent 6.0% 2.1% 3.5% 6.6% 7.3% 18.2% 11.6% 4.9% 6.3% 10.8% 11.2% 23.1% 2. Minnesota Lawyers Mututal (MLM) a. 30.07% of the insured lawyers carried no more than $1,500,000 aggregate limits 49.13% of the policies written provided no more than $1,500,000 aggregate limits b. 69.93% of the insured lawyers carried more than $1,500,000 aggregate limits 50.87% of the policies written provided more than $1,500,000 aggregate limits c. a further breakdown of the MLM lower limits is as follows: MLM Limits Lawyers Percent Policies Percent 200,000 / 600,000 300,000 / 900,000 500,000 / 1,500,000 8.44% 9.32% 12.31% 13.04% 16.52% 19.57% B. Not surprisingly, a review of the raw data driving these percentages, indicates that many solo practitioners, and lawyers in 2-3 person firms carry the lowest limits of coverage. Many of the largest firms in Virginia are not insured by the reporting carriers, and have significant basic coverage limits, plus excess coverage. 4 V. Information Regarding Average Annual Cost for Malpractice Insurance A. The Client Protection Subcommittee asked these same carriers to provide information regarding average basic premium costs in Virginia. It must be emphasized that these figures are offered WITHOUT considering variances resulting from underwriting based on area of practice and claims history, WITHOUT considering the application of any credits for claims free history with the insurer or attendance at risk management CLEs, WITHOUT considering step increases based on years in practice, and most significantly, ASSUMING FULL PRIOR ACTS COVERAGE. B. ALPS policies are quoted with defense costs outside the policy limits: Per lawyer average annual cost for $100,000/300,000 with $1,000 deductible = $1029 Per lawyer average annual cost for $250,000/250,000 with $1,000 deductible = $1473 Per lawyer average annual cost for $250,000/500,000 with $1,000 deductible = $1867 C. MLM policies are quoted with defense costs inside the policy limits (i.e. eroding limits) Per lawyer average annual cost for $200,000/600,000 with $1,000 deductible = $1300-1700 Per lawyer average annual cost for $300,000/900,000 with $1,000 deductible = $1400-1800 VI. Report on Recent Claims Experience in Virginia and Nationally A. Data requested by the Client Protection Subcommittee provided by these same liability insurance providers for claims closed in the years 2003, 2004, and 2005, regardless of year opened, indicated the following regarding claims. 1. Percent of claims by expense paid (predominantly defense costs): $0 Paid $1 to $10,000 Paid $10,001 to $50,000 Paid $50,001 to $100,000 Paid $100,001 to $250,000 Paid $250,001 to $500,000 Paid 2. 69% 21% 7% 2% 1% 1% Percent of claims by indemnity dollars paid to claimant: $0 Paid $1 to $10,000 Paid $10,001 to $50,000 Paid $50,001 to $100,000 Paid $100,001 to $250,000 Paid 3. 79% 9% 8% 3% 1% Percent of claims by total dollars paid (defense and indemnity/settlements): $0 Paid 58% 5 $1 to $10,000 Paid $10,001 to $50,000 Paid $50,001 to $100,000 Paid $100,001 to $250,000 Paid $250,001 to $500,000 Paid 24% 11% 5% 1% 1% B. Data published by ABA Standing Committee on Lawyers’ Professional Liability” in its most recent report, “Profile of Legal Malpractice Claims, 2000-2003” 1. Percent of claims by expense paid reported for 30,369 claims: $0 Paid $1 to $1,000 Paid $1,001 to $5,000 Paid $5,001 to $10,000 Paid $10,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 Over $100,000 Total 58.61% 7.21% 11.68% 6.57% 7.81% 4.19% 2.35% 1.59% 100% 17,798 2,189 3,546 1,995 2,372 1,272 715 482 30,369 2. Percent of claims by indemnity dollars paid to claimant based on 30,444 claims: $0 Paid $1 to $10,000 $10,001 to $50,000 $50,001 to $100,000 $100,001 to $250,000 $250,001 to $500,000 $500,001 to $1,000,000 $1,000,001 to $2,000,000 Over $2,000,000 Total 3. 78.02% 6.35% 9.35% 2.78% 2.01% 0.89% 0.42% 0.12% 0.06% 100% 23,751 1,934 2,845 845 613 271 129 37 19 30,444 Percent of claims by total dollars paid (expense and indemnity) to claimant reported on 30, 484 claims: $0 Paid $1 to $10,000 $10,001 to $50,000 $50,001 to $100,000 $100,001 to $250,000 $250,001 to $500,000 $500,001 to $1,000,000 $1,000,001 to $2,000,000 Over $2,000,000 Total 52.31% 22.52% 15.30% 4.63% 3.17% 1.27% 0.53% 0.20% 0.08% 100% 6 15,947 6,865 4,664 1,410 965 386 163 60 24 30,484 VII. Conclusions to Date Reached by the Client Protection Subcommittee: A. No data is available to support a conclusion that uninsured lawyers, including those who practice part-time, or those who practice in areas of the law difficult to underwrite, commit malpractice with any greater frequency than insured lawyers. B. Similarly, no data is available to support a conclusion that the majority of uninsured lawyers in private practice are uninsured because they have a negative claims history and are thus considered by insurers to be “bad risks” who have either been denied coverage or who have been offered coverage only at extraordinary premium rates. C. The likely response rate to a voluntary polling of the approximately 2,000 lawyers currently reporting that they have no insurance coverage as to why they are uninsured would not warrant the effort. Anecdotal reports suggest the following reasons: a. b. c. d. e. f. g. cannot justify premium cost because lawyer only practices part-time cannot afford premium because lawyer is in a high risk area of practice belief that the application process is burdensome and they are “too busy” belief that lawyer is uninsurable because of claims history or pending claim belief that lawyer is in a low-risk area of practice, and does not need insurance belief that lawyer has protected his/her assets and is judgment proof belief that if lawyer became aware he/she had malpracticed, the lawyer would satisfy the claim from personal assets h. belief that if potential malpractice plaintiff learned attorney had no insurance, claim would not be pursued i. distrust of defense insurance companies would offer, preferring to personally handle and attempt to repair any potential claim. D. Policy limits, particularly at the lower end of available limits, can be eroded by defense costs and/or prior claims paid to other victims, making “underinsurance” a concern. E. The perception of some members of the Bar, and many members of the public, is that all lawyers in private practice in Virginia are currently required to maintain malpractice insurance. F. The self-reported total of 90% of lawyers having malpractice insurance is significantly higher than the national average of 60-70%. As of March 2006, the ABA reports that 16 states have adopted some form of malpractice insurance disclosure requirement. Some doubt has been expressed that the Virginia figure is accurate. Apparently, some lawyers are confused by the current wording of the questions in spite of every effort towards clarity. Others may misreport their status. Requiring a certificate of insurance from those lawyers responding in the affirmative to the malpractice coverage question would eliminate this issue. Representatives of the two carriers participating in this study assured the subcommittee that providing a certificate of insurance to their insureds for submission to the Bar would not be a problem. G. The Bar’s Clients’ Protection Fund (CPF) currently provides reasonable compensation to victims of lawyer dishonesty. During the 2004-2005 fiscal year, the CPF paid out 7 $300,000 representing 86 claims. The maximum payment allowed from the fund for a single claim is $50,000 for losses incurred on or after July 1, 2000. Increasing the funding of the Clients’ Protection Fund would not have any effect on the incidence of lawyer dishonesty, it would simply increase the total amount available to reimburse all claimants on account of the dishonest conduct of any one lawyer or association of lawyers. H. No conclusion can be drawn from the data currently self-reported on unsatisfied judgments (12 lawyers out of 25,000) or on the percentage of uninsured lawyers in private practice (11% out of 17,000) that the public is adequately protected from the harm caused by lawyers who commit malpractice. Pursuing a legal malpractice claim to judgment is always onerous, most often expensive, and for many overwhelming. It is significant that approximately 25% of the petitions filed with the Clients’ Protection Fund are denied because the behavior complained of constitutes malpractice, not dishonesty. This fact underscores the conclusion that the low incidence of self-reported unsatisfied malpractice judgments simply reflects “the tip of the iceberg” in assessing how many clients in Virginia are financially harmed by lawyer malpractice and remain uncompensated. I. Just as the incidence of dishonest lawyers is not limited to either uninsured or insured lawyers, the incidence of lawyers who malpractice is not limited to either uninsured or insured lawyers. J. Malpractice insurance carriers typically provide the insured lawyer with a range of valuable services including: resources for effective practice management, screening of non-meritorious claims, professional claims repair to minimize client damages, an option for defense of Bar complaints, and “innocent insured” protection if a claim is made because of the dishonest act of another lawyer in the firm. These benefits inure to both the lawyer and the client. VIII. Disclaimer It should be noted that statistics, especially those that are partial, unaudited, and unverified for statistical credibility, can be misleading. The Virginia data herein reflect just two of the companies (albeit major ones) writing in Virginia. It is estimated that together they write about 1/3 of the insured attorneys in private practice in the state, with a heavy concentration of solo and 2-3 person firms. It is also likely that the majority of the lawyers who are reporting to the Bar that they are uninsured are solo or small firm practitioners. The ABA data is derived from studies by the ABA on a large number of claims that have been submitted by cooperating insurance carriers. The currently reported data covers the period 20002003. Thus neither the Virginia nor the national compilation of numbers has been compiled from all claims or all insureds. The data presented in this report offer a part of the picturewhich may or may not be representative of the whole. Further analyses, including actuarial studies of issues such as the adequacy of various liability insurance coverage limits and potential increases in premium costs, should be completed before any recommendations having potential substantial financial impact on members of the Bar are finally approved. 8 IX. Recommendation The subcommittee recommends that if the Supreme Court of Virginia, the Virginia General Assembly, and/or the Virginia State Bar Council wishes to pursue the issue of minimizing the incidence of members of the public being financially harmed by Virginia lawyers who commit malpractice, one or more of the following models should be fully developed and considered. X. Description of Models of Public Protection against Lawyers who Commit Malpractice (Note, a briefer description highlighting perceived advantages and disadvantage of each model was incorporated into the Committee’s interim report dated 8/31/05) A. Uninsured Lawyer Malpractice Claims Fund This model is similar in concept and operation to the Clients’ Protection Fund currently operated by the VSB. The major distinction arises from the nature of the funding options, The Malpractice Claims Fund could be capitalized through an assessment levied only on uninsured lawyers (no prescribed minimum coverage) in private practice representing clients drawn from the general public, ($1500 was the suggested minimum). Based on an estimated 2000 uninsured lawyers paying this assessment, the Fund would be initially capitalized with $3,000,000. However, the number of contributing lawyers might well increase with adoption of a requirement that each lawyer submit a certificate of insurance if certifying malpractice insurance coverage. Alternatively, all active members of the Bar could be assessed either a one-time or an annual fee to provide sufficient operating funds. Based on an estimated 25,000 lawyers paying an assessment of $120, the same initial capital would be available. Claims payments would initially need to be capped at a low level to protect the Fund’s solvency. Over time, this cap could be increased. If claimants were limited to those with unsatisfied final malpractice judgments, this program would not assist those claimants who were unable to afford the cost of litigation, or who could not find an attorney to represent them in obtaining a final judgment. If claimants were limited to those with an unsatisfied final malpractice judgment levied against only uninsured lawyers, there would be no protection for claimants with such judgments against underinsured lawyers. Finally, if the uninsured assessment was actually less than a member’s current malpractice premium, more lawyers might opt to become uninsured. This would be extremely detrimental because of the myriad benefits available to insured lawyers beyond the obvious benefit of protection from indemnity and defense costs arising out of accusations of malpractice. If an additional assessment were levied against lawyers in Virginia based on an undocumented perception that uninsured lawyers are creating a problem, there would undoubtedly be resistance and resentment by members of the Bar who struggle currently to pay for their own malpractice insurance premiums. 9 B. Mandatory Coverage with Reliance Exclusively on Open (Commercial) Market In the Open Market Model, every lawyer licensed to practice law representing clients drawn from the general public in Virginia would be required to maintain professional liability insurance consistent with the standards set by the Supreme Court of Virginia and the Bar. In addition, this model would require professional liability insurers to report all cancellations and non-renewals. In its simplicity, this program establishes minimum standards of required coverage and reporting requirements, but allows attorneys the flexibility to select their own insurance carrier and operates entirely in the open market. Violations of this requirement would result in an administrative suspension of the member, followed in some cases by a disciplinary or UPL prosecution if the member continued to practice. For purposes of this report, assume a minimum coverage limit for all lawyers of $250,000 per occurrence/$250,000 annual aggregate, with a deductible not to exceed $2500 per attorney insured under the policy. For policies covering firms and lawyers practicing in an office sharing arrangement, the per occurrence limits would be $250,000 multiplied by the number of lawyers covered by the policy. The maximum deductible on any policy could not exceed $2500 multiplied by the number of lawyers covered. For example, a four-person firm would be required to carry $1,000,000 per occurrence with $1,000,000 in the aggregate with a maximum deductible of $10,000. A twenty-person firm would be required to carry $5,000,000 per occurrence with $5,000,000 in the aggregate. The open market model creates an administrative reporting responsibility for lawyers’ professional liability insurers (LPLI) by requiring them to report cancellations and non-renewals to the State Bar. The simplest method for insurers would be to require them to provide the Bar with duplicate copies of all non-renewal and cancellation notices at the time such notices are sent to the attorney and to update the Bar upon any final rescissions, cancellations or non-renewals. While this reporting by insurers could be accomplished on a voluntary basis by requiring members to secure their insurance from companies that agree to comply, it creates an initial administrative burden in securing commitments from the insurers. The list of approved insurers would need to be publicized. As an alternative, a legislative approach requiring compliance by all companies wishing to offer LPLI coverage in Virginia could be pursued. The open market model would require insurers to provide each insured lawyer, at initial issuance or renewal, with a Certificate of Insurance on a form acceptable to the Bar. This form would then be submitted annually with the individual lawyer’s license renewal as proof of insurance. At this point all that remains is for the insurers to provide the Bar with copies of all notices of non-renewal, cancellation and rescission and for the Bar to handle the enforcement process. The enforcement process would mirror to a great extent, the MCLE enforcement process. If an attorney allowed his or her LPLI coverage to lapse, the attorney would be placed on administrative suspension pending coverage reinstatement or a request for an exemption. If the attorney fails to comply and continues to practice, the matter can be dealt with either in the discipline system or by accessing remedies available through prosecution for the unauthorized practice of law. 10 Some attorneys will not be able to acquire coverage in the commercial market for a number of reasons. Most, if not all, of these involve risk factors and focus directly on competency or impairment issues. Whether through the discipline process or other administrative process, these attorneys may require an opportunity to present their case for an exemption. This mechanism will require the Bar to make decisions on a case by case basis after an appropriate hearing process and a potential appeal to the Court if the Bar denies the exemption. The conditions for this type of exemption need to be well defined in rules and must be strictly applied. The open market model would be administered by the Bar, or its designated Program Administrator. These responsibilities would include the following: collection of filings from insurers and/or attorneys processing of requests for exemption, and such other tasks as the Court or Bar may determine as appropriate for the administration of the program periodic notification to the Court as to the exemptions and suspensions occurring under the program The introduction of such a model would require significant lead time to inform both members of the Bar and malpractice insurance providers regarding the new requirements. C. Mandatory Malpractice Coverage through Bar Controlled Fund Participation in the Fund would be mandatory for attorneys in private practice representing clients drawn from the general public. This model is currently in place in Oregon As this is a fund based on assessments charged to members of the Bar engaged in private practice and administered by the Bar pursuant to appropriate legislation, it would not be formed as an insurance entity that would require supervision or oversight by the State Corporation Commission’s Bureau of Insurance. This is a significant feature as it allows for the program to be formed without mandated initial capitalization. The assessments would be determined annually based on the actuarially determined funding needs for the payment of existing claims. In short, the first year’s assessments would be determined based on industry loss data and each year thereafter the assessment would be determined by reviewing the Fund’s own loss data to determine needs for the current year and any short fall that may occur in the current outstanding claims book. The Fund would provide all participants with basic $500,000 LPLI coverage with no deductible. The coverage would be similar to that provided by carriers in the commercial market, but would be customized prior to inception to address any desired specific coverage or exclusion identified by the Fund board. Those lawyers wishing to have higher limits of liability would be able to obtain excess coverage above the Fund in the open market through commercial carriers. Experience in Oregon and all the Canadian provinces have shown that the market for such additional limits remains competitive. The professional liability insurance assessments for the Fund could be developed using one of two approaches. Both would collect the same total assessment for the Fund, but illustrate two different ways of distributing the assessment among participants. Note that the illustrations below are not actuarially determined, but rather represent an actuary’s preliminary estimate for the sole 11 purpose of presenting this model. If the decision is made to give further consideration to this model, it would be necessary to engage an actuary to determine the appropriate initial assessment and to establish the base upon which future year assessments can be determined. The first approach requires no underwriting, and would charge an equal base assessment to each and every participant. Preliminary review indicates that the initial year’s assessment for the program would fall within the following range: Limit Assessment Range $500,000 $1,875 - $2,500 The second approach effectively underwrites attorneys by area of practice according to simplified classes of practice. Attorneys in higher-risk categories of practice (including but not limited to mergers and acquisitions and securities law) would be charged an assessment closer to the top of the range; attorneys in medium-risk practice (such as civil litigation plaintiffs law and real estate) would be charged an assessment in the middle of the range; and attorneys in lower-risk practice would be charged a lower assessment. The preliminary indications of the range for this model are broader to reflect the risk classifications and higher expense involved in the additional underwriting: Limit Assessment Range $500,000 $1,300 - $6,500 There are a number of considerations common to both approaches which include claims surcharges, assessment of part-time practices, and new attorneys. Attorneys with malpractice claims assessed against the fund would be charged an additional assessment to reflect their increased loss activity. These claims surcharges would be developed by the Fund’s actuary to reflect both claims frequency and severity. The issue of part-time vs full-time attorneys poses an interesting dilemma. Part-time practices are sometimes “dabbling” sort of practices which create a higher risk of claims frequency. On the other hand, national loss data indicates that most part-time practices have fewer clients and are generally focused in specialized areas of practice which in the end relates to fewer claims. Actuarially determined criteria could be established that would allow a part-time private practice lawyer to petition for a special premium based on case load and fee generation. Under the underwritten approach, area of practice adjustments would be included. New attorneys entering the Bar right out of law school or new admittees who have purchased an extended reporting endorsement from a prior carrier represent a significantly reduced risk to the Fund. Accordingly, actuarial criteria would be established to determine a step rating process that would allow such attorneys to pay annually assessments until they reach the mature level. This usually occurs in year five or six depending on the actuarial assumptions employed. The Fund could be overseen and governed by a board of trustees, selected from the Virginia Bench and Bar. The Fund would be administered by the Bar through a Program Administrator selected by the Fund’s Board and charged at a minimum with performing the following functions. 12 Determine individual attorney assessments and dissemination of license renewal materials. Administer a website for attorneys to renew licenses and pay assessments online. If applicable, it would also maintain the attorney profiles and underwriting information (if administering the underwritten model). Offer annual assessment payment options including full payment at time of binding coverage, credit card billing for full premium payment at time of binding coverage, and privately funded financing plan terms of up to nine months. Issue a Certificate of Coverage exhibiting the coverage terms and conditions. Once issued, the Certificate of Insurance remains in force until cancelled. Provide a full staff of customer service representatives available for telephone contact and discussion of the Fund and services. The Program Administrator would provide experienced claims professionals to administrator all aspects of claims intake and handling. This staff would include Virginia-based claims attorneys and appropriate support staff. With respect to matters related to the Fund, the Administrator would be solely responsible for the process through final resolution of all malpractice claims including: Determination of whether the allegations fall within the coverage extended by the Fund. Investigation and evaluation of each claim to determine the risk posed to the Fund. If litigation becomes necessary, the Administrator will hire defense counsel to respond on behalf of the covered attorney and will monitor the claim throughout the litigation process. From the initial investigation through the conclusion of the claim, the Administrator will make reasonable efforts to resolve the claim expeditiously and cost effectively under the facts and the law at issue. Timely establish and post the appropriate reserves reflecting the Fund’s risk for its amount of coverage. Manage the reserve portfolio for the Fund. Coordinate with the excess carrier responsible for the excess layer of coverage, if any is purchased by the individual attorney or firm. Report relevant claims statistics so the Fund can determine the risk posed to the Fund each year and can appropriately assess the Fund’s attorneys. The Program Administrator would: Receive assessments Manage assessment financing Account the books of the Fund on a GAAP basis Manage accounts payable and receivable Prepare monthly financial statements Book reserves as directed by the claims manager Issue expense and claim checks With the assistance of the actuary review reserve adequacy, prepare annual budget recommendations, and set the annual assessment amount. 13 By statute all assessments, reserves, surplus accruals and recoveries generated by or produced by the Fund should be considered Special Designated Funds and not part of the Commonwealth of Virginia’s General Fund. In this regard, and under the direct supervision of the Fund’s Board of Trustees, the Program Administrator will manage the assets of the Fund in a manner designed to ensure adequate liquidity to meet the Fund’s obligation, and provide an advantageous investment return so as to keep all reserves adequate to pay claims and future assessments to members as reasonable as possible. Preliminary calculations suggested that the average per lawyer cost for insurance at the minimum levels recommended would increase by at least 25% for solo or small firm lawyers and possibly even more for large firm lawyers who would no longer be able to negotiate discounts for the minimum coverage, and would still have to go through an underwriting process and pay to obtain the higher amount of coverage necessary to be adequately insured. Under the Mandatory Fund model, there would predictably be an increase in the frequency of malpractice claims in Virginia over the current experience. For example, Oregon’s mandatory program reports frequency in the range of 13-14 malpractice claims out of every 100 covered lawyers, whereas claims experience in Virginia is estimated to be in the range of 4-9 out of every 100 lawyers. Therefore, a general one-time assessment of all active members of the Bar might be necessary to initially capitalize the program, and subsequent general assessments might also be necessary depending on the claims experience. D. Mandatory Malpractice Coverage with Reliance on Commercial Market Supplemented by Bar Controlled Assigned Risk Fund Under this model every lawyer licensed to practice law in Virginia representing clients drawn from the general public must maintain professional liability insurance consistent with the standards set by the Supreme Court of Virginia and the Bar. Lawyers would either obtain such coverage in the commercial marketplace, or they would be placed in the Pool which would operate in a very similar fashion as the Fund Model, but on a much smaller scale. For purposes of this report, we will assume a minimum limit of $250,000 per occurrence, and $250,000 annual aggregate with a deductible not to exceed $2500 per attorney insured under the policy. No prior acts coverage would be provided. It is certainly the case that more lawyers than the 11% currently self-reporting being uninsured at any coverage limit, are in fact not covered by a professional liability insurance policy with limits of at least $250,000/250,000. For purposes of this illustration, assume another 5%-15% may actually not be insured at this level. That would increase the potential number of uninsured or underinsured lawyers in private practice in Virginia to somewhere between 2720 (16% of 17,000) and 4420 (26% of 17,000). Also assuming that some of those lawyers do not actually practice—for example, they are retired but keep an active license—that leaves us with a lesser number who actually choose to be uninsured or who cannot readily obtain insurance coverage. This is the group that would ultimately comprise the Assigned Risk Pool. Providing malpractice insurance coverage at the minimum recommended level to only those lawyers who were rejected by commercial carriers would be extra-ordinarily expensive. If the 14 pool of assigned risk lawyers were forced to pay an assessment high enough to fund the program, many, but not all of these lawyers would likely be forced out of the practice of law. In order to limit the amount of the individual uninsured assessment, frequent general assessments of all active members of the Bar would undoubtedly be necessary to capitalize the program. At present, there appears to be limited justification for burdening the general membership and the VSB in this manner. CONCLUSION Any incidence of lawyer malpractice that results in uncompensated financial harm to a client is arguably a “problem” for both the lawyer and the client, and casts the profession in a negative light. The VSB’s current efforts to minimize these occurrences are substantial. Additional models, affording even greater client protection, are available for consideration. Prepared by Darrel Tillar Mason, Chair Special Committee on Lawyer Malpractice Insurance June 2006 15