International Human Capital Understanding Expectations and Coverage and Assistance Platforms Joan Rupar, Division President WorldRisk, WorldSource
International Human Capital > The key to growth begins with a companies most valued asset their employees > An injured employee can affect productivity, the employee s feeling about working for your client, and employee retention > In order to protect the employees, you should understand the insurance coverages and services they need and how well it aligns with the expectations of the employee. 2
International Human Capital > Employee Aspects to consider Define the role of the employee: faculty, staff, administration What about graduate students? Is the employee a citizen of the United States or somewhere else? Are there possible cultural or religious issues? What about family members traveling along?
Protecting Employees Traveling Outside of the U.S. > Conditions in foreign countries present increased risk to travelers, such as: Varying road conditions: operating on the other side of the road from what an employee is accustomed to; driving at very high rates of speed; driving on unpaved, dangerous roads i.e. cliffs without a guardrail Endemic disease which can range from flu-like symptoms to serious illnesses such as malaria Limited access to proper emergency care, lack of sterile medical equipment, blood that is not screened, broken bones not set properly causing additional surgeries Terrorism 4
Protecting Employees Traveling Outside of the U.S. > The risk of employees traveling outside of the U.S. may rely on extensions found under their domestic workers compensation policy Domestic U.S. workers compensation law defines what is covered and also defines a specific monetary scale for extraterritorial travel. Potential losses could impact your clients domestic workers compensation rating module for up to three years > Coverage restrictions can present gaps in protection for those employees. > Voluntary insurance products such as Foreign Voluntary Workers Compensation (FVWC) coverage as well as accident and health (A&H) coverage and services address exposures not contemplated in the U.S. 5
FVWC Important Fact > Foreign Voluntary Workers Compensation is VOLUNTARY Does not replace statutory coverage for workers compensation or employers liability in any country How does your institution define course and scope How well does the employee understand what aspects of the coverage make them whole and which may fall under other insurance, such as medical. 6
FVWC Benefits Overview > Under FVWC coverage, benefits are: Paid weekly Have varying minimums and lifetime maximums Defined death benefits Defined by state law 7
FVWC Supplemental Coverage > Additional AD&D limits can assist clients in supplementing the benefits provided to their employees under FVWC coverage > Emergency medical coverage can assist clients in addressing any emergency sickness issues that could arise during an employee s trip outside of the U.S. 8
Fulfilling Injured Employees Expectations > What is the expectation of an employee if injured during work? Full-time coverage 24/7 Treated in-country or evacuated home > The complexities of serving employees traveling outside of the U.S. can make fulfilling these expectations difficult due to: Varying nationalities Language barriers Standard of care differences Payment for treatment Medical evacuations 9
Fulfilling Injured Employees Expectations > When dealing with an injured employee outside of the U.S., it is important for you to know the following information: What does the employment contract say? How are these obligations communicated to the employee? Who is responsible for communicating with the family? Who makes travel arrangements? Is all of the emergency information well addressed in the crisis response plan? 10
Necessity of Travel and Emergency Medical Assistance > Assistance providers are available in order to help your clients fulfill their obligations to injured employees outside of the U.S. > These providers generally stand ready to assist a caller with a medical need > Be sure of all limitations in their offering because some providers: Do not always provide assistance in every country Do not always provide assistance for mental health issues Often charge extra for post financial guarantees or to secure airline tickets 11
Assistance Provider Considerations > What is the scope of the organization? > What are their on the ground resources? > Are their services aligned with where your clients are doing business and traveling? > What is the reach of their supporting air assistance fleet? > What are the additional costs for services? > Is there an insurance component to the service? > After a fee is paid, does the assistance vendor subrogate against the insurer? 12
Assistance: Example Services > Today we will walk through the basics of the following: Medical assistance (including necessity of air ambulance transportation) Repatriation of remains Security assistance > Other services to remember: Medical monitoring and emergency prescription replacement Emergency return travel arrangements Lost or stolen documents and luggage assistance Emergency cash transfer assistance Emergency language interpretation service Foreign exchange, ATM and weather information Embassy and consulate information Legal referrals/bail bonds assistance 13
Medical Assistance > Open Case Name, location, contact and condition/situation Access account profile in case management system Patient and facility evaluation Acuity of condition Adequacy of facility to treat condition > Evacuation due to medical necessity Acuity and/or time sensitivity of condition > Method of transport and destination determinations En-route requirements, speed of transport, facility capabilities, political and other factors Provider availability and selection Estimated time of arrival (ETA) to patient 14
Air Ambulance Selection Criteria > Specific transport requirements outlined: Aircraft type, crew configuration and availability Aircraft ETA to client Special equipment Itinerary (number of stops and where) ETA to destination > Ground transportation requirements Provider responses evaluated based on overall ability to meet criteria 15
Repatriation of Remains > Death Certificate What is the cause of or circumstances surrounding the death? Will an autopsy be needed? > Logistics What is the citizenship of the deceased and what is the destination? Will the remains be cremated or returned for burial? Have the appropriate government agencies been notified? Have funeral homes been identified (locally and home)? > Transport Arrangements What is the next available appropriate itinerary? Are there family members who require travel arrangements? > Covered Benefit Expenses related to the preparation of the body for transport (either embalming or cremation), container appropriate for transport and transport certificates/authorizations 16
Security Assistance > Security evacuation assistance > Security safety advisories, global risk analysis and consultation specialists > Consultant referrals to extract client to safety > Urgent message alerts and relays > Confidential storage of personal and medical profile for emergencies > 24-hr response services to assist employees and their families during an incident 17
Total Cost of Risk > Aligning these responding services and coverage with your employees expectation will help your clients: Mitigate liability Secure the employers reputation Bring value to their insurance program 18
Chartis is a world leading property-casualty and general insurance organization serving more than 40 million clients in over 160 countries and jurisdictions. With a 90-year history, one of the industry s most extensive ranges of products and services, deep claims expertise and financial strength, Chartis enables its commercial and personal insurance clients alike to manage virtually any risk with confidence. Chartis is the marketing name for the worldwide property-casualty and general insurance operations of Chartis Inc. For additional information, please visit our website at www.chartisinsurance.com. All products are written by insurance company subsidiaries or affiliates of Chartis Inc. Coverage may not be available in all jurisdictions and is subject to actual policy language. Non-insurance products and services may be provided by independent third parties. Certain coverage may be provided by a surplus lines insurer. Surplus lines insurers do not generally participate in state guaranty funds and insureds are therefore not protected by such funds. The data contained in this presentation is for general informational purposes only. The advice of a professional insurance broker and counsel should always be obtained before purchasing any insurance product or service. The information contained herein has been compiled from sources believed to be reliable. No warranty, guarantee, or representation, either expressed or implied, is made as to the correctness or sufficiency of any representation contained herein. Copyright 2009