Do
You Have The Right Data?
Asbestos Operations vs. Completed Operations
In asbestos claims, getting your facts straight
can make all the difference between having aggregated or unaggregated
coverage. Many pre-1986 CGL policies contained an
aggregate limit for coverage for bodily injury or property
damage within the products or completed operations hazards, but not
for other bodily injury or property damage (such as operations or
premises injury). Thus, for companies handling
asbestos-containing products, such as insulation installers, and
their insurance companies, a key question is whether a claim is for
injury within the products or completed operations hazard, as policy
aggregates may apply only to the extent the claim is for such
injury. This question is addressed by the 2004 Wallace
& Gale decision from the United States Court of Appeals for
the Fourth Circuit. That decision held that when a claim is
for bodily injury that began during the insured's operation and
continued after that operation was complete, payment under general
liability policies for the injury that occurred before the operation
was complete is not subject to aggregate limits, but payment for the
post-completed operations injury is subject to the completed
operations aggregate. Although the determination of available
insurance coverage for asbestos bodily injury claims depends on a
number of coverage issues, such as allocation methodology, trigger
period, and number of occurrences, the Wallace & Gale
decision will have a significant impact on insurance coverage for
many asbestos litigation defendants.This article describes some of the variables and issues
necessary for proper categorization of operation and completed
operations claims.
In recent years, companies that installed
asbestos-containing products or allegedly created an exposure to
asbestos dust have become the target of numerous “operations”
claims by surrounding workers, i.e., workers other than the
insured’s employees.These
workers have alleged that the insured’s activities caused
asbestos-containing materials to be released, resulting in exposure
to the surrounding worker.
For the claimed injury to be an operations
injury, the exposure must occur both during the policy period and
the period that the insured was working at a site.If the exposure or the policy period occurs after the insured
completed their work, then the injury can be categorized as
completed operations injury, which makes it subject to aggregate
limits (typically for exposures prior to 1986).
To properly classify asbestos claims—and
hopefully reduce the number of operations claims, insurance
companies need a methodology that accurately categorizes claimant
injuries and is acceptable to both insured and insurer.The data needed for such a categorization includes:
Policy
period(s),
Claimant
work period(s),
Insured
operation period(s), and
Claimant
and insured job site locations.
During discovery, defense counsel must find out
when and where the claimant was allegedly exposed to asbestos and
whether the insured was actually at the job site when the claimant
alleges the exposure occurred.It is not enough to know that both parties were at the same
site at the same time because some job sites are quite large.At large sites, claimant and insured could be working in
physically distinct areas whose distance from one another could
mitigate, or even eliminate, the possibility of exposure.Counsel should also determine not only how often a claimant
was exposed, but for what period of time.Was the claimant working next to the insured’s construction
activities or did they simply pass by the insured’s work site on
their way to another location at the same facility?
Obtaining information about the insured’s
activities is equally important.Descriptions of the type of work done and when they were
performed are critical to corroborating or contradicting a
claimant’s allegations.Contracts
under which insured conducted their work and invoices for work done
often provide useful information.This information can range from the general, e.g.,
“construction related activities” to the specific, e.g.,
“boiler build out” or even indicate non-asbestos related
activities, e.g., “site inspection.”By collecting this information, counsel will hopefully be
able to answer these questions: “Was the insured’s work
conducted at the same location and time period alleged by the
claimant? And could that activity result in the alleged exposure?”
In the real world, these questions often cannot
be answered with a great degree of certainty.Some information may support the insured’s position, while
other supports the claimants’ positions.Many claimants have worked at multiple job sites during
multiple time periods, which further complicates matters.
Because of these problems, Johnson Wright, Inc.
(JWI) developed an algorithm that makes it easier for both insured
and insurance companies to track the job site, time period, and
activity of each claimant and insured relative to the policy period
in question.The JWI algorithm also allows for the use of simplifying
assumptions when input data is incomplete or entirely lacking.For example, when categorizing a group of claimants that
previously settled, the reviewer can decide to assume that all
claimants identified the insured as being at the site during policy
periods unless the insured has information that indicates otherwise
(e.g., the insured’s contract states that only non-asbestos
activities, such as engineering analyses, were conducted during the
policy period).
In the end, categorization of operations and
completed operations claims requires a well-designed data collection
and analysis system.A
system, like JWI’s algorithm, that allows for identification and
evaluation of each decision point and its consequences increases the
likelihood of a favorable outcome.An outcome that makes sure all completed operations claims
are correctly categorized as just that: “completed operations.”
For more information, please contact John Elliott
at 925-403-6200.