self insurance manual and program overview administration diocese of allentown – kelly bruce,...
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SELF INSURANCE MANUAL AND
PROGRAM OVERVIEW
ADMINISTRATION
Diocese of Allentown– Kelly Bruce, Director of Insurance & Real Estate
Financial Responsibilities Oversees Program Loss Prevention
Catholic Mutual – www.catholicmutual.org– Gary Dvorshak, Claims/Risk Manager and– Karen Messics, Risk/Claims Manager
Claims Administration Safety Inspections Coverage Information Contract Review – service providers Certificates of Coverage Loss prevention
WHAT IS “SELF INSURANCE”?
Premium Dollars Collected from
Diocesan Locations
•Claims Dollars•(very large diocesan deductible)
•Premiums for Excess Coverage
•Services•Claims Administration
•Risk Management
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PROPERTY COVERAGE
COVERAGE HIGHLIGHTS Replacement cost on buildings and most contents (Industrial Appraisal) Outside Property - shrines, fences, playground equipment Employees property (does not include theft) - $500 in coverage Property of others - $5,000 in coverage Extra Expense
COVERAGE EXCLUSIONS Settling, shrinkage, and expansion Wear and tear, defect, deterioration, vermin or termites, and corrosion Mechanical or electrical breakdown (subsequent loss is covered) Foundations below the undersurface, underground pipes
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GENERAL LIABILITY COVERAGE
Coverage extends to:– Parishes, schools, diocesan institutions, cemeteries, offices and
agencies comprising the Diocese of Allentown– Employees and volunteers in the course and scope of their duties
Coverage Includes:– Premises Liability - Counseling E&O– Products Liability - Host Liquor Liability
- Incidental Medical Malpractice- Employment Practices Liability
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Medical Payments Coverage
– $5,000 in no fault coverage to cover out of pocket medical costs
Not applicable to• Employees• Students (including CCD, CYO)• Athletics
– Coverage is excess to injured person’s primary health insurance, except medicare/medicaid
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CRIME COVERAGE
Employee / Volunteer fidelity Theft Depositors forgery
**This coverage does not apply to the loss of the contents of any poor box, votive stand, vending machine, etc.
Prior to consideration for claim coverage, all losses of this nature must be reported to the appropriate law
enforcement officials.
AUTOMOBILE COVERAGE
COLLISION - $200 deductible, $250 for buses
COMPREHENSIVE - $100 deductible– Fire, theft, vandalism, hail, glass breakage
RENTAL - $20 per day, $600 maximum
TOWING - $50 limit
AUTO LIABILITY NON-OWNED EXCESS AUTO LIABILITY
– Provides excess liability coverage for volunteers/employees using
their own vehicle on parish/school/diocesan business
WORKERS’ COMPENSATION
Employees who sustain on-the-job injuries Provides wage loss and medical benefits In accordance with Pennsylvania Workers’
Compensation Act Does not apply to volunteers Employer’s Report of Occupational Injury
Or Disease – Attachment E List of Designated Health Care Providers
- Employee Acknowledgement Form
- Signed at hire AND when injured
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BOILER / MACHINERY COVERAGE
($250 deductible per occurrence) Specific coverage provided by Hartford Steam Boiler Boiler / Air conditioning equipment covered on replacement cost for
accidental breakdown– Accidental breakdown is defined as “any sudden and accidental breakdown that
necessitates repair or replacement” except Deterioration, corrosion Wear & tear Leakage Breakdown of vacuum/gas tube or brush Breakdown of foundation Functioning of a safety device
Computer & data processing equipment Spoilage Business interruption Boiler inspections – every two years per state requirements
CLAIM REPORTING
YELLOW INSTRUCTION SHEET IN FRONT – Emergency Response Team
GENERAL LIABILITY CLAIMS– Who, What, When, Where, Why – according to them– Take photographs of the scene– DO NOT DISCUSS LIABILITY OR PROMISE PAYMENT
– LEGAL ACTIONS CONTACT CATHOLIC MUTUAL IMMEDIATELY FAX ANY LEGAL PAPERS AND CALL TO VERIFY RECEIPT
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CLAIM REPORTING
PROPERTY LOSSES– Report theft or vandalism to police – OBTAIN REPORT – Take steps to protect property from further damage– What, When, Where, How, Estimate repair cost
WORKERS’ COMPENSATION– Employer’s Report of Occupational Injury or Disease – COPY - Attachment E– Forward to Catholic Mutual Group as soon as possible
VEHICLE ACCIDENTS – attachment C– DO NOT DISCUSS LIABILITY OR PROMISE PAYMENT
BOILER/ MACHINERY CLAIMS– Take steps to protect property from further damage– What, When, Where, How, Estimate repair cost, repair facility– DO NOT DISPOSE OF ANY EQUIPMENT OR PARTS
RISK MANAGEMENT POLICIES
Vehicle Safety Program– Registration & Insurance Card– 11 – 15 passenger vans – Attachment G
– Field Trips Driver Information Car seats
RISK MANAGEMENT POLICIES
Contract Review – Leases, Rentals, Construction & Service Providers
Special Events– Use or Rental of Diocesan Facilites
Certificates of Insurance Special Events Coverage - $100 fee
NOTE EXCLUSIONS ON APPLICATION
RISK MANAGEMENT POLICIES
Employee Terminations– Diocesan Policy - May 1993 requires direction from Mr.
Ron Jacobs PRIOR to ANY employee termination– Failure to follow policy may result in denial of coverage
RISK MANAGEMENT POLICIES
Employee Safety and Health Program Accident and Illness Prevention Program Required by
Bureau of Workers’ Compensation, includes: – Employee Safety Handbook– Safety Training Video– Acknowledgement Form - personnel file– Blood borne Pathogen Training
STUDENT & VOLUNTEER ACCIDENT COVERAGE
Purchased by Diocese Currently Bollinger in Short Hills, NJ administrates First $100, then excess of primary health coverage If student or volunteer does not have coverage, this becomes
primary for specific accident only Claim forms are color specific and must be signed by parish or
school official before supplying to parent of injured student or injured volunteer. (Attachment P) Orange – School Student Blue – CCD Student, CYO Participant or Volunteer
• DENTAL INJURIES
Student Crisis Assistance Manual and Immediate Response Reference Guide
Student Crisis Assistance Manual – Each school’s Emergency Preparedness Guide– Developed in conjunction with the Non-public schools
consortium in Intermediate Units 14, 20, 21 and 29.– Distributed to all Diocesan schools - Spring 1996– Revised 2006
Provides directives and procedures to be followed in specific crisis situations
www.ciu20.org
Student Crisis Assistance Manual –Contents
Ch. 1 – Alcohol, Tobacco, and Other Drugs Ch. 2 – Child Abuse Ch. 3 – Death in the School Community Ch. 4 – Suicide Ch. 5 – Medical Emergency Ch. 6 – Natural Disasters
– Fire, Tornado, Hurricane, Earthquake, flood, etc.
Ch. 7 – Weapons and Violence– Intruder, bomb threats, firearms, gangs, etc.
Ch. 8 – Custody Issues Ch. 9 – Missing Child
Student Crisis Assistance Manual
PRINCIPAL’S DUTIES
1) Familiarize self with content
2) Review content with staff
3) Complete required information in all chapters
4) Provide copy to Office of Education
5) Review and update on an on-going basis
Immediate Response Reference Guide
Developed as supplement to Student Crisis Assistance Manual
Available for every member of school’s faculty and staff
Must be customized for your location
EVERY STAFF MEMBER RESPONSIBLE for knowing and understanding content
Immediate Response Reference Guide
Suggested distribution and training- Number each copy- Keep list of staff member’s number- Assign topics to groups of faculty members for review
and development of specific information- Conduct in-service for all with each group addressing
their specific topics- Collect at end of school year / redistribute and in-service
in August
On June 14, 2002 the United States Conference of Catholic Bishops approved the Charter for the Protection of Children and Young People
Resulting Initiatives in the Diocese
Overview of Charter Initiatives booklet
- Background Check Policy www.allentowndiocese.org
- Sexual Abuse Policy “Protection of Youth”
- Code of Conduct
- Safe Environment ProgramsProtecting God’s Children, Child Protection Catechesis, Called to Protect
- Child Protective Services Law - Amendment May 2007
- Quick Reference Guide
Protection of Youth
Asbestos (AHERA)Asbestos Hazard Emergency Response Act
Federal laws requires each school to take the following actions:
1. Perform an original inspection and re-inspection every three years for asbestos containing materials. (includes trailers)
2. Develop, maintain and update an asbestos management plan and keep a copy at the school. – available AT ALL TIMES
3. Provide yearly notification to parents, teachers and employees
4. Provide custodial staff with asbestos-awareness training.
- Contact Kelly Bruce or Diane Skidmore- 610-871-5200, x203 or x200 to set up new
5. Trained individual to survey the physical site every six months – Annual Spring
6. Contact person for Diocese - Mr. Edward Ritter @ 610-871-5200, x277 –Annual Fall
KEEP PROOF OF ALL OF THE ABOVE IN FILE