Posts Tagged ‘stopping employee theft’

1
Jan/10
10

Employee Dishonesty Insurance – Generally Doesn’t Cover Everyone

I have posted previously on the importance of every employer to ensure employee dishonesty, employee fidelity and/or employee crime coverage is included within your current policies.  Often this policy is the only means for recovery from an employee theft.

Even if coverage is maintained, I am confident most insureds are unaware of two common limitations within the coverage should there be the potential for a claim on the policy due to a potential theft of embezzlement.

First, the coverage often does not cover the acts or actions of an owner, partner, shareholder, or member (LLC) of the insured.  So, for an example of something we commonly see where an owner or partner steals funds and/or assets from the entity and the other owners or partners, the coverage would likely not be applicable to provide restitution to the entity for the diverted funds – as the perpetrator was an owner or partner. The theory is that the insured cannot steal from themselves.

Second, the coverage usually covers any employee (defined within the policy) commonly referred to as blanket coverage.  There is at least one exception to who would be covered – someone who has stolen in the past.  If there is any evidence that the insured knew, or should have known, that an employee had been dishonest in the past, whether in their present employment or in previous employments, the individual is not insurable, and therefore any actions by that individual are not recoverable.  Further, once potential dishonesty is discovered on the part of any employee, any loss beyond that date of discovery by the individual is generally not recoverable as well (the insured should have mitigated their loss and prevented any further theft).

This should have a direct impact on the screening and hiring process for most employers.  If a potential candidate will have access to funds and/or assets within their employment, and the candidate has an issue of dishonesty in the past, it is likely if the candidate is hired anyway and a subsequent loss is suffered due to the actions of that employee, there could be no recovery through the policy.  In investigating the claim, the insurance carrier will request copies of the individual’s personnel file as well as conduct their own investigation into the background of the suspected perpetrator.  Chances are they will identify the past dishonesty and deny the claim.

These are not newly added restrictions to recently issued policies.  In fact these limitations have existed for years.  However, due the growing scrutiny we have been experiencing by carriers reviewing and investigating dishonesty claims to determine if payment should be made on the claims, it is apparent many employers who maintain this coverage are unaware of these limitations.

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28
Dec/09
1

Employee Dishonesty Insurance – A Great Read

I just finished a book I purchased on-line on employee embezzlement I highly recommend.  Here are the specifics:

Stopping Employee Theft: What Every Employer Must Know.

R.W. Deckert      ISBN # 0-9662640-0-2

This book was not what I expected.  I thought this book would be another book written for the business owner audience on internal controls and segregation of duties to prevent employee thefts – and it does include these topics.

However, the author’s background included over twenty years working as an insurance claims adjuster for fidelity and employee dishonesty claims, and he spends the first half of the book educating the reader on what this coverage and complimentary policies entails.  From describing the different types of coverages and the importance of every employer to have such coverages, through what each type of coverage covers and doesn’t cover, he explains the entire claims process through final resolution of the claim, from receipt of payment through denial of your claim.  He also provides much advice on how to properly file your claim to ensure the maximum assurance of payment on the claim.

Often in employee theft and embezzlement cases the funds are spent or otherwise unrecoverable, and the insurance policy is the only means for recovery.  All too often even today victim employers fail to carry adequate to no coverage for the risk of employees stealing from the business, leaving no means for recovery.  This book is the best book I have ever found that details out the issues relating to this insurance coverage and the claims process leading towards recovery.  It will be a valuable resource in my library.

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