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The kids are all right

A leader in the human services field, Irwin Siegel Agency expands
its menu of youth programs

By Elisabeth Boone, CPCU


It’s common to think of childhood as a time of carefree innocence, of playing and dreaming and exploring, of growing up in a stable, loving home.

For too many kids, the reality is starkly different from this appealing vision. Poverty, violence, drugs, crime-ridden neighborhoods, and failing schools are like a series of doors slamming shut in the faces of kids who all too often fall through the cracks of an overburdened social service system.

Even in pleasant suburbs of comfortable houses and two-parent families, kids who started out on the right track can suddenly find themselves on a long walk down a bad road. What began as a harmless prank turns into a serious crime…an experiment with drugs or alcohol puts an honor student in juvenile court…divorce tears apart a once-loving family…a parent’s lost job leads to foreclosure and then homelessness.

A host of social service organizations make it their mission to provide help and support to troubled and at-risk youth. Other agencies offer adoption and foster care services to place kids in safe, nurturing home environments. The rewards of turning just one kid’s life around are incalculable–and so are the risks inherent in doing so.

Those risks are magnified by the impact of the troubled economy and decisions by the federal, state, and local governments to balance their budgets by making cuts in funding for social services. With the recession causing a drop in charitable contributions, many private entities also are struggling to meet current and emerging needs for their services. Laboring under the dual burden of underfunding and staff cutbacks, social service agencies are forced to do more with less, and that can lead to taking shortcuts that may have unintended but disastrous consequences.

Since it was established in 1960, Irwin Siegel Agency, Inc. (ISA), a managing general agency located in Rock Hill, New York, has focused on creating and delivering insurance and risk management solutions to the social services field. (See “Driving the Paratransit Market” in the May 2009 issue of Rough Notes.) 

For a number of years, ISA has offered programs nationwide for Big Brothers Big Sisters organizations, Boys and Girls Clubs, and Head Start programs. Recently ISA announced a significant expansion of its youth services programs with the introduction of two new package policies: one for adoption and foster care agencies and another for entities that serve at-risk youth.

Building on tradition

“We’ve been offering youth programs like those mentioned earlier for over 12 years,” says Sheila Shaw, senior vice president of ISA. “Recently we introduced products for adoption and foster care and alternatives to incarceration programs. We thought we needed to become involved in these more difficult segments of the youth services market, because ISA has always specialized in hard-to-place business in the social services area.”

For risks in these classes, severity is more likely to be an issue than frequency, says Terry Grafmuller, youth program underwriting specialist. “Claims are usually sizable, and they’re likely going to be related to abuse or molestation of either a client or a staff member. There’s also a potentially severe liability exposure when clients are out in the community and may injure or be injured by a third party. Claims like this can be in the range of $200,000 and up,” Grafmuller says.

Frequency tends to be the issue in programs like Big Brothers Big Sisters, Boys and Girls Clubs, and Head Start, Grafmuller remarks. “We see claims from kids getting injured on the playground and in similar situations, but these claims tend to be smaller. We offer a youth accident policy to pick up this kind of exposure.”

In youth programs, Grafmuller points out, the location of a facility or the venue for an outing can affect severity. “In rural and suburban areas, it may take longer for a doctor or an ambulance to reach an injured child. In an urban environment with mass transit, law enforcement and other agencies will have a harder time finding a runaway than might be the case in a suburb,” she explains.

Broad coverage

To address these and the many other exposures faced by youth services programs, ISA offers package programs that provide comprehensive coverage tailored to the needs of these classes. ISA is the program administrator for Chartis.

Available in all 50 states, the package program for foster care and adoption agencies includes property, auto, inland marine, crime, general liability, professional liability, and abuse coverage. General and professional liability and abuse coverage are written on nonadmitted paper, and abuse coverage limits are available up to $1 million.

General liability coverage is written on an occurrence basis; professional liability and abuse coverage are claims-made. Follow-form umbrella coverage is available with limits to $25 million. Liability coverage can be arranged for foster parents; this is particularly important for foster parents who are providing a home for a child with behavioral challenges.

Optional coverages are available for youth accident, volunteer accident, workers compensation (except in monopolistic fund states), and directors and officers liability including employment practices liability.  

ISA also offers a package policy for at-risk youth, alternatives to incarceration, and youth intervention programs that follow a behavior-based model and have staff-secure locations.  The package covers general liability and professional liability, and sexual abuse coverage provides separate dedicated limits and coverage for employees, clients, and third parties. Also covered are commercial auto, property, and crime, as well as psychiatrists. For accounts that have a coastal exposure, wind coverage can be written through a nonadmitted market.

Available coverage options are youth accident, workers compensation, HIPAA protection, cyber and network liability, directors and officers liability, and employment practices liability.

Risk management tools

Over a half-century of serving this challenging market, Irwin Siegel Agency has gone beyond developing insurance products to create a broad menu of services that help insureds understand and control their exposures.

“We provide a high-quality insurance product, and we support it with risk management services from within ISA and in conjunction with our carriers and other partners,” Shaw explains. A risk management representative with experience in the social services field is assigned to each insured to help identify and control exposures and promote quality outcomes for the insured’s clients.

“For our youth-focused programs, one of our biggest resources is a company called Praesidium, which focuses solely on abuse risk management,” says Brad Storey, director of risk management. “They have a toll-free abuse prevention help line that is staffed by social workers, psychologists, and family therapists. This is a confidential way for an insured to speak with a qualified third party about what exactly constitutes abuse, appropriate and inappropriate touching, and similar concerns.

“Praesidium also provides a policies and procedures review to help the insured identify any gaps and address them from an abuse risk management standpoint,” Storey continues. “Praesidium will also visit an insured agency and conduct an on-site evaluation of the facility and provide training for the management staff.”

ISA also partners with an online training provider called Essential Learning, Storey says. Insureds can access a variety of online libraries at a discounted cost. Topics include community action; children, youth, and families; and behavioral health and addiction treatment.

Each training module is accredited by the appropriate body, Storey explains. “Licensed professionals like social workers and nurses can earn continuing education credits through this training, so they don’t have to take time off from work to attend off-site training. This enhances the productivity of the insured agency and gives a boost to its billable hours,” Storey remarks.

“Most organizations have a budget for training and staff development, and we’ve been able to help agencies save money by using the online resources provided by us and our partners.”

Agents are welcome

Except in the most isolated and rural areas of the country, most communities have at least one social service agency that is dedicated to working with youth. Irwin Siegel is willing to work with a retail agent or broker who may have only an occasional need for its services, says Dawn Martin, director of underwriting.

“We welcome any agent, whether they have one account or 100 accounts,” Martin says. “We pride ourselves on having the resources available to help any retailer with the risks they’re writing; we want to be their go-to market and information source. We don’t have any production requirements, and we’re happy to entertain any submission that meets our eligibility requirements.”

Developing business in the youth services niche is a natural for retailers, ISA believes. Agents may serve on the board of a youth agency or sit on a committee, and many volunteer to help with fundraising and special events. Another approach is to ask existing clients if they are involved with a local youth services organization.

All of these activities can open the door for an agent to discuss reviewing the organization’s insurance and risk management program.

“Many of the agents and brokers we work with do sit on the boards of youth services organizations, and we learn a lot from them,” comments Sara Ruggiero, ISA’s director of marketing. “We use the input they share with us to develop coverages for directors and officers liability at a variety of levels based on their specific exposures.”

What do the experts at ISA believe are the most important things retail agents and brokers should know about the youth services class?

“The key to this class is awareness of the abuse and molestation exposures and the need to obtain appropriate coverage,” Grafmuller responds. “Whether a youth program is on a campus, in a group home setting, or out in the community, organizations and their staff are vulnerable to claims of abuse and molestation. Depending on the behavioral issues in a given organization, the community may be vulnerable as well.

“Our coverage is broad; it covers clients themselves and client-to-client exposures, client-employee issues, and client issues with a third party in the community. In addition to sexual abuse and molestation, our policy also covers physical abuse,” Grafmuller adds.

In our still troubled economy, job losses and foreclosures are adding to the challenges faced by parents, kids, and the agencies that try to help them while dealing with cutbacks in funding and resources.

With its 50-year tradition of providing insurance and risk management solutions to the social services market, Irwin Siegel Agency is committed to helping retail agents and their youth services clients make sure that “the kids are all right.”

A special thank you

Rough Notes would like to thank Gerard McCaffery, CEO of MercyFirst in Syosset, New York, for contributing his insights and experience to this article.  MercyFirst is a leading nonprofit human services agency that was established in 1894 by the Sisters of Mercy.

For more information:

Irwin Siegel Agency, Inc.

 
 
 

MaryAnn Hunt, a family support specialist with the Child Development Center in Missoula, Montana, works in the home of a client. Before getting this new, lightweight walker, the five-year-old had to scoot across the floor. Services and equipment such as these allow people with special needs to function more independently.

 
 

Lisa Mosher (center) is Director of Programs at The Enrichment Center in Yorktown, New York. She and her assistants (from left) Laura Suoza and Marie Rubas empower children to develop their capabilities as unique individuals.

 

"The key to this class [of business] is awareness of the abuse and molestation exposures and the need to obtain appropriate coverage."

—Terry Grafmuller
Youth Program
Underwriting Specialist

 
 

In the top photo, Speech Pathologist Kari Altenhofen works with a three-year-old during an evaluation at the Child Development Center in Missoula, Montana. Observing are (from left) Physical Therapist Joyce DeFreest and Dr. William Cook, a psychologist.

In the bottom photo, Joyce DeFreest conducts an evaluation.

 
 
 
 
 
 
 

 

 
 
 

 


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