Item P09
Q/:
BOARD OF COUNTY COMMISSIONERS
C ounty of M onroe
Mayor David Rice, District 4
Mayor Pro Tem Craig Cates, District 1
The Florida Keys
Michelle Coldiron, District 2
Vacant, District 3
Holly Merrill Raschein, District 5
County Commission Meeting
April 20, 2022
Agenda Item Number: P.9
Agenda Item Summary #10451
BULK ITEM: Yes DEPARTMENT: Risk Management
TIME APPROXIMATE: STAFF CONTACT: Brian Bradley (305) 295-3177
no
AGENDA ITEM WORDING: Approval to accept proposal for Professional Liability coverage for
Air Flight Nurses from The Markel Corporation through agent Marsh, and authorization for the Risk
Administrator to execute all necessary forms.
ITEM BACKGROUND:
on May 1, 2022. The County is required to have this policy because its primary liability policy
specifically excludes healthcare services rendered by nurses. The current policy is provided by
Illinois Union Insurance Company and has a per incident limit of $1,000,000, an annual aggregate
limit of $3,000,000, and no deduc
Retroactive Date of 4/26/07. The annual premium for the expiring policy is $23,000.
Marsh USA, which ,
coverage to both Illinois Union and Markel Corporation. Both Illinois Union and Markel offered
exactly mirror those of the current policy and those being offered by Illinois. However, none of the
differences are viewed as being material. Markel proposed an annual premium of $16,500. Markel
also enjoys a favorable rating from the A.M. Best Company. It should be noted that there are few
insurers that offer this type of insurance.
The proposed Markel coverage would not include punitive damages. However, this difference is
immaterial to Monroe County, because under F.S. 768.28 (the statutory limited waiver of sovereign
immunity for the state and local governments), governments are not liable for punitive damages.
Since the terms and conditions of both proposals are essentially the same and that Markel offered a
lower annual premium, it is recommended that the County purchase its Air Ambulance Nurses
Medical Professional Liability Coverage with Markel Corporation with no deductible for the 5/1/22
to 5/1/23 policy term as being proposed by Marsh. Selecting this option represents a decrease of
$6,500 (-28.2%).
PREVIOUS RELEVANT BOCC ACTION: This was approved on May 1, 2020 via a proposal
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from Marsh USA, Inc., Use of this broker was then approved by the BOCC. The current policies are
through Marsh USA, Inc.
CONTRACT/AGREEMENT CHANGES:
n/a
STAFF RECOMMENDATION: Approval.
DOCUMENTATION:
Evaluation
Interisk Recommendation Letter
FINANCIAL IMPACT:
Effective Date: 5/1/22
Expiration Date: 4/30/23
Total Dollar Value of Contract: $16,500
Total Cost to County: $16,500
Current Year Portion: $16,500
Budgeted: Yes
Source of Funds: Internal Service Fund/Primarily Ad Valorem
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: No If yes, amount:
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details:
04/20/22 503-08502 · RISK MGMT INSURANCE $16,500.00
REVIEWED BY:
Brian Bradley Completed 04/04/2022 6:28 PM
Cynthia Hall Completed 04/05/2022 9:17 AM
Bob Shillinger Completed 04/05/2022 9:34 AM
Purchasing Completed 04/05/2022 9:38 AM
Budget and Finance Completed 04/05/2022 10:16 AM
Lindsey Ballard Completed 04/05/2022 3:19 PM
Board of County Commissioners Pending 04/20/2022 9:00 AM
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A++
NoneNone
30 days
$16,500
4/26/074/26/07
Excluded
Aggregate
Claims Made
$1,000,000 each
Markel Corporation
LPNs and RPNs that
accompany Trauma flights
incident/$3,000,000 Annual
URSES
N
Renewal Proposals
LIGHT
F
A++
NoneNone
LORIDA
90 days5/1/20
$23,000
4/26/07
Company
Aggregate
F
Claims Made
,
ROPOSALS
$1,000,000 each
P
Coverage Provided
LPNs and RPNs that
Illinois Union Insurance
1
accompany Trauma flights
IABILITY FOR
incident/$3,000,000 Annual
L
OUNTY
C
ONROE
VALUATION OF
E
M
ays
ROFESSIONAL
P
A++
NoneNone
90 d5/1/20
$23,000
4/26/07
3
Company
Aggregate
2
Marsh USA)
Claims Made
(
$1,000,000 each
Current Program
Coverage Provided
/20
LPNs and RPNs that
2
Illinois Union Insurance
accompany Trauma flights
2
incident/$3,000,000 Annual
20
(s)
Rating
Made
Premium
Notice of
Insurer
Comments
Retro Date
Cancellation
Policy Limits
AM Best
Retroactive Date
Punitive Damages
Occurred or Claims
Covered Employees
Abuse & Molestation
Deductible/RetentionDeductible/Retention
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I nterisk Corporation Risk Mgt.& Employee Benefits
Consultants
1101 Red Maple Circle N.E., St. Petersburg, Florida 33703-6318 telephone: 813-287-1040
www.interisk.net
April 4, 2021
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Subject: Renewal of
Brian,
22. The current
policy is provided by Illinois Union Insurance Company that has a per incident limit of $1,000,000 and an
annual aggregate limit of $3,000,000. There is no deductible associated with this policy. Coverage is
oactive Date of 4/26/07. The annual premium for the
expiring policy is $23,000. Illinois Union enjoys a favorable rating from the A.M. Best Company, the
leading evaluator of insurance company operations.
both Illinois Union and Markel Corporation. Both Illinois Union and Markel offered terms and conditions
comparable to the expiring program. of the
current policy and those being offered by Illinois. However, none of the differences are viewed as being
material. Markel proposed an annual premium of $16,500. Markel also enjoys a favorable rating from the
A.M. Best Company. It should be noted that there are few insurers that offer this type of insurance.
Attached is a side-by-
proposals.
Since the terms and conditions of both proposals are essentially the same and that Markel offered a lower
annual premium, it is recommended that the County renew its Air Ambulance Nurses Medical Professional
Liability Coverage with Markel Corporation with no deductible for the 5/1/22 to 5/1/23 policy term as
being proposed by Marsh. Selecting this option represents a decrease of $6,500 (-28.2%).
Please give me a call if you have any questions or wish to discuss this issue in further detail.
Cordially,
INTERISK CORPORATION
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Sidney G. Webber
CPCU, ARM
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