Proposals due July 6 to become sole provider for Defense Base Act claims

By Daniel Hays

Despite major insurer opposition, the Army Corps of Engineers is moving ahead with a pilot program to have carriers bid to be the sole provider of death and injury coverage for contractors in Iraq and elsewhere overseas.

As the Corps envisions it, the program would create a new system for providing the workers' compensation coverage that contractors must carry under the Defense Base Act (DBA). That program requires the government to reimburse insurers for death or injury claims that are the result of war hazards and not work-related.

A representative for the Corps, Gene Pawlick, said the pilot effort–with request-for-bid proposals due on July 6–was developed because there were “questions of overall program costs,” which have been soaring.

He said that before putting out the request for bids to be the sole-source supplier, Corps representatives had met with insurers.

“We weren't going to assume we knew everything about insurance…We took time to learn from the industry,” he noted.

Under the pilot program, he said, the Corps believes insurance costs–which are a factor in construction contract prices–will be reduced and save the government money.

The Corps explained in a contract request document it provided to insurers that the pilot will test the concept that a broad pooling of the risks, rather than “looking at a particular situation, can make a difference in the rates.”

Insurers' negative outlook and predictions that dire consequences will result from the program are reflected in one unidentified carrier's statement listed as a “question” that the Corps included in a contract request-for-proposal document.

“A single insurance provider for USACE [U.S. Army Corps of Engineers] DBA coverage will greatly increase the risk of poor service to USACE contractor workers and employers,” the carrier forecasted.

“The successful bidder will be under intense pressure to provide 'lowball' initial insurance rates. To keep its subsequent expenses under the agreed price, there will be strong economic incentive to limit service to workers who have claims and to employers,” the carrier added.

“Denial of valid claims and late payments to workers for their injuries will inevitably result in increased workload for the Department of Labor. More disputes over claims will translate into more hearings and appeals, and there will be increased unknown exposure of the U.S. government for future liabilities,” the carrier said.

How, the insurer wanted to know, would the Corps “respond to this situation it has created?”

The Corps responded that the request for a single provider contract “does not change any provision of the Defense Base Act or implementing regulations governing the handling of claims. The expectation is that all requirements will be met. Before award of any contract, the contracting officer shall affirmatively prove responsibility and price reasonableness. Additionally, under this program, any proposed insurance rates will be analyzed for price reasonableness.”

The Corps document advises that it is looking for insurers to provide “innovative procedures” to deal with claims administration in a war zone and reduce costs through value-added claims management techniques and the best assured protection to the claimants.

One insurer asked about the handling of brokerage fees in the wake of the New York attorney general's investigation that found a conflict of interest in carriers' payment of contingent payments to intermediaries. The government, in response, said it will be up to the insurance contract supplier to make sure that the government gets “best value” for its money.

The primary suppliers of DBA insurance are AIG, ACE Ltd., CNA and Chubb Corp.

According to the Corps contract advice, under the program: “It will be mandatory that all contracts awarded by the U.S. Army Corps of Engineers for work outside [the continental United States] contain a provision that all successful contractors and their subsequent subcontractors acquire their DBA insurance needs from the single centrally-managed insurance carrier during the contract duration, unless a waiver has been obtained from the U.S. Department of Labor.”

Caption For Picture:

The Army Corps of Engineers wants one company to insure all claims for contracted workers whose death or injuries are the result of war hazards and not work-related.

Want to continue reading?
Become a Free PropertyCasualty360 Digital Reader

Your access to unlimited PropertyCasualty360 content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking insurance news and analysis, on-site and via our newsletters and custom alerts
  • Weekly Insurance Speak podcast featuring exclusive interviews with industry leaders
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the employee benefits and financial advisory markets on our other ALM sites, BenefitsPRO and ThinkAdvisor
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.