Download - This Hour has 22 Minutes
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This Hour has 22 Minutes
CONFERENCE
PRESENTS
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This Hour has 22 Minutes
1- Madoff Fraud
2- Payments in Recessionary Times
3- Bankruptcy and Risk Mgmt
4- Fiduciary Claims
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4 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
News Anchors
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5 Presentation Name ©2004 Deloitte & Touche LLP and affiliated entities.
Madoff Fraud
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6 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Madoff trial
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7 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Episode Contents – Madoff Fraud
• Background - Hedge funds• What happened? - Madoff Story & Hedge
fund frauds• How could it happen? Who can I blame?• What is the Recourse?• What is the Impact of Madoff Fraud on
Insurance?• What are the Lessons to be Learned?
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8 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Simplified explanation of the Madoff Scandal
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9 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
The Madoff Story - Background
• Bernard Madoff founded Bernard L. Madoff Investment Securities LLC in 1960
• Was one of the top market maker businesses on Wall Street
• His firm developed innovative computer information technology to disseminate stock quotes – later this technology became the NASDAQ
• Madoff was a former Chairman of the NASDAQ
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10 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
The Madoff Story – The Fall Out
– $65B Loss or $20B?– 8,800 claimants– $1.2B recovered to date– $120M in compensation paid by SIPC– Hundreds of litigation cases
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11 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Anatomy of a hedge fund fraud
– A simple example:
MASTER FUND
Domestic Feeder Offshore Feeder
Domestic Investors
Offshore Investors
You and me
Trading activities
Intermediaries – invest in the master fund
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12 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Anatomy of a hedge fund fraud: The players
Party RoleInvestment Manager Develops the investment strategy;
responsible for hiring service providers
AdministratorTo provide financial reporting; communication with shareholders/partners
Custodian Hold the assets
Auditor Verify the financial results
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13 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
The Madoff Story – The Ponzi Scheme
• According to former CFO, Frank Dipascali, for at least 20 years, the results of the Madoff Fund were entirely fictional
• Clients were sorted into categories, each with its own pattern of fictional but plausible trading
• They created account statements and trading slips for trades that never took place
• Finally, on December 11, 2008, amidst the economic crisis, Madoff could not fund $7B of redemptions out of his fund
• He was sentenced to 150 years in prison on June 29, 2009. With good behaviour, he is set to be released in 2139
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14 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
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15 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Other famous hedge fund frauds
• The Madoff Fraud is not unique. There have been other famous hedge fund frauds/failures including:– Manhattan Capital (2001) $400 Million– Stanford Financial Group (2009) $8,000 Million– Westgate Capital Management (2009) $900 Million– WG Trading Co (2009) $554 Million
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16 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
How Could it happen? Who can I blame?
• Where was the failure?• Were there abundant warning signs?• Process of due diligence
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17 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Investor recourse
• Investors have limited recourse. Some options include:– Litigation against Feeder fund for negligence, mismanagement and
fiduciary duty– Litigation against Regulators– Claims under the Securities Investor Protection Corp. (“SIPC”)
– Claims limited to $500,000– Canada has a similar program called the Canadian Investor Protection
Fund (“CIPF”) with limits of $1,000,000 investor
– Make a claim under homeowner insurance– Limited coverage for securities losses due to theft– AIG is being sued by two homeowners alleging the insurer is refusing to
honour the fraud-protection provision in their homeowners insurance– Likely limited coverage (<$100,000)
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18 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Impact of Madoff fraud on Insurance
• Still too early to gauge exactly how much insurance coverage will come into play
• Many of the Feeder funds are being sued by investors– D&O and E&O coverage – Legal defense cost coverage (eg. Tremont Group)– Crime insurance and fidelity bonds
• Impact of Madoff fraud will be felt for years to come in the form of increased prices and restricted coverage.
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19 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Lessons learned - How do we prevent the next Madoff?
• It is unclear whether more regulation could have prevented this fraud– SEC investigated Madoff, but did not uncover
• Introduce reforms to demand that custodians, brokers, administrators all be independent
• Use the IRS model– Advisors and custodians would be required to report assets – Asset data would be cross referenced, and any disparities would
be investigated.
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20 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Lessons learned – What should investors do?
• Review all insurance policies– D&O and E&O policies– Ensure coverage is sufficient
• Exercise greater due diligence– Inquire/demand that your investment manager is exercising due
care– Some large investor’s are buying “Madoff Insurance” – hiring
private investigators to research the social aspects of their money managers
– Deloitte Financial Advisory
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21 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Top 10 Messages left on Bernie Madoff’s vmail
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Questions
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23 Presentation Name ©2004 Deloitte & Touche LLP and affiliated entities.
Expectations on Payments in Recessionary Times
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24 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Episode Contents
• State of the Industry– Trump Question
• What is “reasonable” payment timing?• Unreasonable payment timing• Cut-through clauses• How can we get interim payments?• Steps to take to get cash
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25 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
State of the Industry
• Insurance industry hit hard. – AIG Bailout– Lehman bankruptcy, Merrill Lynch takeover & bailout– Increased M&A activity
• Insurers note an increase in competitive pressures.• Canadian life insurers facing falling stocks.• Insurance companies need to make money to exist.
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26 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Trump Question
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27 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
What is “reasonable” payment timing
• What do you know of your Insurance company regarding payments on claims?
• Has this changed in light of the economic downturn?• Industry benchmark on large commercial claims• Lloyd’s audits their syndicates on timing of payments.
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28 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Unreasonable payment timing
• Duty of insurance company to conduct an insurance claim investigation.
• Unreasonable delays may be due to:– Documentation– Order of Payment– Coverage– Communication
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29 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Cut-through clauses – A Growing Trend?
• If Insurer goes belly up, the Reinsurer is still on the hook and payment is made directly to the Insured, not to the Insurer.
• Provides security from an Insured’s perspective.• Avoids the risks associated with insurance.• Allows the Insured to have more control over the real Insurer
in cases where the administration and claims handling is provided by the Reinsurer.
• Most frequently sought when an Insurer receives a downgrade in its ratings.
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30 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
How can we get interim payments?
• Credit crunch pain• Lack of interim financing• Most Insurers will accept interim claims• Reasonable percentage (50% or 75%) of what is likely to be
the overall compensation figure. • Must justify and document proof • Benefits are: cash flow, establish communication, address
issues sooner, avoids surprises, minimizes the outstanding amount
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31 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Steps to take to get cash
• Review insurance policy• Maintain documents
– Claims are fact intensive– Complete record is vital for claim
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32 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Steps to take to get cash
• Don’t try to do everything in-house
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33 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Steps to take to get cash
• Develop an insurance loss team comprised (as appropriate) of the following skills:
• Retain experts• Presentation is everything
Engineers and AccountantsRisk ManagerInsurance Broker
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34 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Steps to take to get cash• Communicate with the adjuster
– Get buy in on major decisions to minimize “Monday-morning quarterbacking”
• Try to avoid surprises• However, do what you need to keep
your business operating
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35 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Steps to take to get cash
• Communicate with appropriate internal management – Explain the claim process and
timing– Manage claim settlement
expectations– Business interruption is not
“black and white”– Be cautious if booking
receivables for business interruption
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36 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Commercial Break
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Questions?
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38 Presentation Name ©2004 Deloitte & Touche LLP and affiliated entities.
Bankruptcy/Reorganization
RIMS Conference 2009September 15, 2009
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39 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
How not to declare Bankruptcy…
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40 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Agenda – Bankruptcy/Reorganization
• State of the Economy – Auto, Real Estate, Retail• Risks in a bankrupt company – still covered?• Issues – BI Values
– Contingent BI – key customers/suppliers
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41 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
State of the Economy
• September 18, 2008• Falling interest rates• Steep increase in filings
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42 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Risks in a Bankrupt Company – still covered?
• Cancellation - Insurers cannot cancel a policy• Most policies have change of control policies• If Insurer goes bankrupt, then Insured must go elsewhere• But could get bumped up with Clawback payments• Claims – OSFI possibility but limited. Very few clear answers
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43 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Issues – BI values
• Declared values may not be the same• Contracts not the same• May not be a true BI loss• Contingent BI – no coverage for yourself if others have gone
down. Best practice is good ERM & supply chain management
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44 Presentation Name ©2004 Deloitte & Touche LLP and affiliated entities.
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45 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Commercial Break
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Questions
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47 Presentation Name ©2004 Deloitte & Touche LLP and affiliated entities.
Fiduciary Claims:The Pension Crisis
RIMS Conference 2009September 15, 2009
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48 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Agenda – Fiduciary Claims
• Pensions at a glance• Issues• What this means to risk management
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49 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pensions at a glance…
• Pension funds consist of assets and liabilities• Defined Benefit vs. Defined Contribution• An underfunded plan is defined as a plan whose liabilities
exceed the assets– Only a defined benefit plan can have an unfunded liability– Many assumptions are required to quantify the plan liabilities
including: discount rate, actuarial assumptions, etc.
• In the US, the Employment Retirement Income and Security Act (“ERISA”) governs pensions nationally
• In Canada, each province has its own pension standards legislation
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50 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pensions at a glance….
• A plan can be underfunded temporarily, but must adopt a schedule to address the shortfall within a defined period (eg. ERISA defines a period of 7 years)
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51 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pensions at a glance: Timeline
1974 ERISA Enacted
1963 Studebanker Pension failure
Pension Chronology
1960's 1970's 1980's 1990's 2000's
2006 FAS 158 Accounting rules for Defined Benefit Pensions
2006 Pension Protectection Act,
2008/2009 Pension crisis – More to Come
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52 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pension Issues: Underfunded pension crisis
• Financial crisis is sapping the assets of defined benefit pension plans
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53 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pension Issue: Underfunded pension crisis
• According to the 2008 Milliman Pension Funding Study, the top 100 pension funds are 80% funded at the end of 2008, compared to 106% in the prior year
• Almost half of top unions have underfunded pension plans
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54 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pension Issue: Notable underfunded pensions
$1 Billion
$20 Billion$20 Billion $3 Billion
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55 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pension issue – What happens in Bankruptcy?
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56 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pension Issues: Litigation
• Until recently, large fiduciary liability claims were rare
• Pension litigation is on the rise, and projected to be the most heavily litigated issue in the U.S.– According to
pensionlitigationdata.com, 100% of ERISA litigation in the U.S. involves fiduciary breach allegation
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57 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
Pension Issues: Litigation
• Areas of dispute– Fees litigation– Stock drop cases– Conversion claims– Surplus entitlement
• Even Defined Contribution plans are not immune to lawsuits– Claims related to the selection and monitoring of investment
advisors – Negligent or inappropriate investment decisions
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58 Business Insurance Claims Consulting (“BICC”) © Deloitte & Touche LLP and affiliated entities.
What this means to risk management
• Fiduciaries may be held personally liable for breach of responsibilities in the handling of pension plans
• Some D&O policies exclude fiduciary liability exposure as well as those exposures pertaining to employee benefits– In some cases, fiduciaries may need to purchase fiduciary liability
insurance
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Questions
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