HomeMy WebLinkAboutRes 8150.*
RESOLUTION NO. Ql£&
OF THE
TRUCKEE DONNER PUBLIC UTILITY DISTRICT
ESTABLISHING INSURANCE LOSS CLAIM PROCEDURE
WHEREAS, it is the desire of the Board of Directors of the Truckee
Dormer Public Utility District to establish an insurance loss claim pro-
cedure ;
NOW, THEREFORE, BE IT RESOLVED by the Board of Directors of the Truckee
Donner Public Utility District as follows:
1. That the attached loss/claim procedure guide provided by
the District's insurance carrier, Levinson Bros., Inc.,
will hereby be considered the operating procedure to be
used by all District personnel and Directors.
2. The loss/claim procedure guide is to be followed in
instances where there has been a loss by the District,
a claim against the District, or a potential claim
against the District.
3. The employee assigned to handle the administration of
this procedure is the /;/'/;■.^^• &}■■?■/*;}Jr.-:-*'.. •
PASSED AND ADOPTED by the Board of Directors of the Truckee Donner
Public Utility District at a regular meeting thereof duly called and held
in the District on the £ &■ day of 3u;'/ , 1981, by the following
roll call vote:
AYES: ^,/^frr , j.yr/c/ ,
NOES: A?**
ABSENT: (vf/ii
sJL^LidL'
ATTEST:
TRUCKEE DONNER PUBLIC UTILITY DISTRICT
By f
Roberta C. Iluber, President
Susan M. Craig, Deputy District Clerk
Levinson Bros. Inc.
Insurance
Mailing Address; P 0. Box 3825, San Francisco, Calif. 94119
235 Montgomery Street, San Francisco, Calit. 94104 (415) 434-3200
Pacitica Branch Otfice Phone 3550800
LOSS CLAIM PROCEDURE GUIDE
FOR
Truckue Dormer Public Utility District
INSOMK AS THIS GUIDE CEALS WITH ONLY GENERAL TYPES JE CLAI«S SITUA-
TIONS. Wfc SUGGEST YDU CALL fJ4 ADVICE IN ANY PARTICULAR SITUATION
WHICH APPEARS TO WA«*AM SPECIAL ATTENTION.
Levinson Bros. Inc.
Insurance
l1Q
Mailino Address; P.O. Box 3825, San Francisco. Calif. 94119
235 Montgomery Street. San Francisco. Calil. 94104 (415) 434-3200
Paciflca Branch Oltice Phone 3550800
TAHLE OF- CONTENTS
SECTION PACE
: J»iniJL ! I UN 2
DEFINITIONS which mi>_jht be helpful
.,;.,• k-,L REMARKS 2
PErfSUNNF I 3
St« I JUS LUSSES '.
MOTOK VEHICLE ACCIDENTS 5
p^uPtRlv (NUN-AUT)) LOSSES,
LIAttlLllv (n; ". 6
OCNiAL ADVICE. UEALINO WITH CLAIMANTS C INCIDENT REPORTS 6
RECEIPT OF A SIMMCNS t. COMPLAINT 9
GtNERAL CLAIMS A TIITUU?
«HAT TU DO IF SOMFONt IS INJURE^ 1C
LEVINSON BROS. CLAIMS INFORMATION SYSTEM (CIS) 12
IN . ~i, ■> M 1'.
tXHIUIT "A'
CXHIBIT «S<
tXHlatl MC"
fcXHlDIT "0*
:XHIJIT
ACQRO AUTO/LIABILITY cOKM
ACURD PROPERTY LOSS r'TRM
SAMPLE FORM F'"tR CLAIMANT
dftor P.i).;,
after P.ige.
after Puqtj.
15
15
15
SAMPLE CLAIM DENIAL ADVICE After P,igc...l5
SAMPLE INCIDENT rtEPCIRT After P.jrje. ..15
Levinson Bros. Inc.,
Insurance
Mailing Address: P.O. Box 3825, San Francisco, Calif, 94119
235 Montgomery Street, San Francisco, Calif 94104 (415) 434-3200
Pacifica Branch Ollice Phone 3550800
Truckee-Donner Put) Ut i I Oi st
Loss/Claim Procedure Guide
U.i t e:
p ag e:
05/08/81
iNl«ooyc HUN
This guide is intended to be used is a basic procedural manual
for the personnel of the 0i strict. and to help with
the initial handling and processing of claims.
g££IflIIJL2?iS which tni^ht be helpful:
"First Par»y" losses refer to damage to property owned by
the District.
"Third Parfy" losses refer to claims asserted to be the legal
r esports ib i 1 i *y of *.he District, f >r I n jur y < >> ;>'<r ,-in
or damage to the property of others.
"Claimant" describes the adverse parry involved in an
occurrence with the District. As used in our terminology.
a claimant can :ie either a party who will make a c 1 a i ii against
the District or will have a claim made against ft I m by
the District or its subrogee.
utNTKAL REMARKS
We t\ttv^ tried to iraKe this guide I pragmatic tool for your
use. Tne procedures jnl suggest ions are distilled from the
experience gathered Viy LFylMSUN BKDS., in over two decades of
handling insurance coverage and claims for service industries
ind other businesses. "Ibviouslyt a guide of this nature cannot
be alI-encompassim; if in a particular situation, you have a
|ues» ion on how to handle a particular prohlett. please call
our Claims de^ar trient «t once.
INSOFAR AS THIS GUIOc C6ALS WITH ONLY 0FNEKAL TYPFS OF CLAIMS SITUA-
TIONS, we SUGOEST ynj CALL FOR AOVICt IN ANY PARTICULAR SITUATION
„HlCH APPEARS TO WARRANT SPECIAL ATTENTION.
LevinsonBros.lnw
Insurance
Mailing Address: P.O. Box 3825, San Francisco, Calif. 94119
235 Montgomery Street, San Francisco, Calit. 94104 (415) 434-3200
Pacitica Branch Olfice Phone 355-0800
Iruckot-^unner Pub IJtil Oi St
Loii/Clain Procedure Guide
PE«SUNr\rL
U.i t o:
Page:
OS/08/81
3
W ho r «* v-'? r po&M')IOi we recommend responsibility for claims
handling be assigned to one person u i th authority to process
not.h first and third party claims* This should accomplish
the following results:
I. Publicity oi the person assigned can be arranged so
that all depart merit, heads and supervisors know through whom
claims information is to DO funnelled to Levinson 3ros. •
Jiid/'ir the insurance carrier.
I' A c I Tins expertise within your own organization can
tie bu i I t iipi with the ancillary benefit Of a buildup of some
salet y exportise.
i* A prop'sr channel of communications can be maintained
to avoid delays* frustration or confusion in processing.
<>• An accessible supply of various claim forms can be
maintained centrally.
INSOMK A3 IHIS i^UIDh CEALS WtTH ONLY C-ENEKAL TYPfS OF CLAIMS SITUA-
TIONS. WE SUGGEST YOU CALL FC ADVICE IM ANY PARTICULAR SITUATION
wMICH APPEAPS TO WA^KANf SPECIAL ATTENTION.
LevinsonBros.lncu
Insurance
Mailing Address: P.O. Box 3825, San Francisco, Calif. 94119
235 Montgomery Street, San Francisco, Calif. 94104 (415) 434-3200
Paclflca Branch Office Phone 3550800
Truckee-Donner Pub Ut i1 Dist
Loss/Claim Procedure Guide
StRIOUS LOSSES
Dsto:
Page:
os/ua/ai
1. Where there is any possibility of a sizeaole loss?
please call our claims departnnntt immediately.
^. Any claim or potential claim involving a fatality or
serious injury should be called in. as soon as you are made
aware of the occurrence. This will enable the insurance
carrier to make a timely and thorough investigation.
3. Any maj>r property loss. i.e. exceeding *500. of damage
to your own property by e.g. fire, collision, burglary etc.
should bo called in.
'i. All telephoned reports should be followed and confirmed
r> / a written report on the appropriate form.
INSOFAR AS THIS (JUIOL LCALS WITH ONLY oEN£RAL TYPFS OF CLAIMS SITUA-
TIONS. WE SUGGEST YOU CALL FOR A0VICE IN ANY PARTICULAR SITUATION
WHICH APPIARS TO WARRANT SPECIAL ATTENTION.
LevinsonBros.lryU
Insurance
Mailing Address: P.O Box 3825, San Francisco, Calif. 94119
235 Montgomery Street. San Francisco. Calit. 94104 (415) 434-3200
Pacitica Branch Ollice Phone 355-0800
T rue kee-Dormer PUD lit i 1 Oist
Lois/C 1.) im Procedure Guioe
22122 S&iiltki ACCIDENTS
Please ri'hT to Exhibit
OJte:
Prl')f>:
ovoa/ai
•A" (ACQRD AUTO CLAIM FORM).
A report? in dupl icate. should oe sent to Levinson bros. on
every automoo11>• accident with third parties* regardless of
Fault* involving vehicles owned or leased hy tho District*
Reports should also be sent on automobile losses where damage
or repair to property covered h y insurance is above or near the
applicable deductible. If it appears that your insurance
coveraqe will not he involved* we will not submit the report
to the carrier. We will maintain the report on file, however*
to facilitate processing should i claim ultimately arise on
what h HI previously been analyzed a "non-1 nsurance" incident.
When you refer to the owned vehicle (car "A"), please use the
same fleet number as used ti y the insurance carrier in the
policy. If you do not have the list, we will furnish you with
.1 fo:>y of the current schedule to ittach to this guide*
Refer"to~txhIuit «B" (ACOR0 PROPERTY LOSS FORM).
Unless a clain is to be made. i.e. the dam-iijed property is
covered by insurance and the amount is above the deductible,
there is no ne»d to reoort the damage. Of course, if there
is a possinle third party loss, please report the loss
indicating the potential liability claim.
It a report is to be filed, please submit the report in dupli-
cate. A complete description of the loss will include:
1. identification of the office, and the person to contact
at that office, with whom the claim can he adjusted;
?. the name of
of .iiach i ner y is
the manufacturer and the serial number
important; e. Q* IRM Selectric .';7o9A<.6X ;
!« if you are aware that tne property «nich was damaged
is specifically covered on an insurance schedule, please
call that fact to our attention.
INSOFAR AS THIS OUIOc CEALS WITH ONLY GENERAL TYPfS OF CLAIMS SITUA-
TIONS. Ht SUGGEST YOj CALL FOR AOVICE IN ANY PARTICULAR SITUATION
WHICH APPEARS TO WARRANT SPECIAL ATTENTION.
Levinson Bros. Inc.
Insurance f
Mailing Address P.O. Box 3825, San Francisco, Calil. 94119
235 Montgomery Street, San Francisco, Calil. 94104 (415} 434-3200
Pacitlca Branch Otlice Phone 355-0800
I tuc kee-Uonner Pub lit i I Dist
Loss/Claim Procedure Guide
Date:
Page:
OS/CH/01
Whore it is difficult to judge just how expensive the amount
ot a loss/repair is going to be at the time of /our report and
if there is dojbt as to whether the loss exceeds the deductible
amountt it is advisable to file a report. Of course if your
own internal procedure requires reporting of the loss, a copy
of your intertnl report will usually suffice* instead of the
AC0R0 form.
All claims must ba presented to the district in
■nr or (Juice with Govt Code Section'. 111) et»Seq» II a defective
clain is presented* the cl uiwnt must be informed of the error.
Accordingly, we recommend furnishing ,tn acceptable clain
form (See Fxhioit "C") to ill claimants^ upon request* If in
Juuuti we s u 11 j » . t Checking with the Districts Attorney.
A < up y. in dup I tl.jtoi
the date* time and per
I or warded to l"v inson
i)t the claim form (showing on its face
son on whom served) should be
J.ro:.. immediately. If tnis is
the
i t .i:
first repor t
tu ,j I r e|>>>r t
of trie c limit please try to furnish us with
Irom the department or individual involved.
_>LL'I*L ^Li^Itf.' =!L*LI^ 4IIt! tt*.!^*!1!^ k 1^12^1 Itt'llll
* Partial Denial Sovtcc should always be Sent to the claimint
is soon as possible after the receipt ot a forma! CIIIT. since
sending a written denial activates certain statutory
"filing" responsibilities and burden-, (or tho claimant.
A copy ot me subsequent denial letter (Exhibit "J") which
should be routinely i.sued t>y the Appropriate body or of f tccri
should ue forwirdel to us.
If cjurse, no suli st in 11 ve or procedural discussion should be
in,ife with trie < l.iimint or h|| attorney; ill communications
s houl d be in wr i t in ji with copies f o r war de 1 1o us .
If a verified claim has not been Filed* hut your investigation
of an incident indicates a probability th,jt a claim will lie
( [led* e.g. i bad injury from ■ fall or <tn i n»,",t i gator
asking quest ion. i please forward a report to us on the form of
Pxhi'>|t "t". If there .a a Police Report* please forward j copv
INiOFAK AS THIS liUIDt LTALS WITH OMY GEMCtU tVf'fj fjf CLAIMS STTUA-
rlUNS, wt jUGGfcST r*lj CALL PQI AUVICt IN ANV PABIILUMR SI TUA f I ON
uHlCH APPfcAPS r0 WAKnAM SPEcIAl AfTFNUdN.
Levinson Bros.lna>
Insurance
Mailing Address: P.O. Box 3825. San Francisco, Calif. 94119
235 Montgomery Street, San Francisco. Calif. 94104 (4151 434-3200
Pacifica Branch Ollice Phone 355-0800
f rue kee- Dormer Pub lit I I Oi st
loss/CI im Procedure Cui :le
Date:
Page:
OS/01/81
7
to us. Aij.nni wi' recommend th.it conies of your internal reports
of the incident be forwarded to us for evaluation and handling.
Exhibit "t" shoulc be completed by the Supervisor or other
responsible person reporting ALL incidents* regardless of how
trivial the occurrence appejrst at the time. Conies of triose
incident reports? In duplicate, snould be forwarded to our
office* on a routine basis. Wo will pass then' on to the
carrier for evaluation*
INSOFAR AS rH!b GU!0£ CEALS wITH ONLY SfNFJUl TYPFS OF CLAIMS SITUA-
riUNSt WE SUGGEST Via CALL FJR ADVICE IN ANV PARTICULAR SITUATION
WHICH APP^AFS To WARRANT SPECIAL ATTENTION.
Levinson Bros. Inc J
Insurant
Mailing Address; P.O. Box 3825, San Francisco, Call!. 94119
235 Montgomery Streel. San Francisco, Calif. 94104 (415) 434-3200
Paciflca Branch Office Phone 355-0800
Date:
Page:
05/08/31
0
True, kee-uonner Pot) Ut i 1 Oi st
Loss/Clam Procedure Guide
K tC t I_Pf OF A SUMMGNS t. COMPLAINT
The Summons and Complaint, once servedi should be forwarded
to Levinson 3ns. i mmerl i ate I y t together with your transmittal
letter advising the following particulars:
1. The nime and title of the person served with the
process. Of course* it is becominq increasingly
more usual for attorneys to serve legal process
uy mail; if you are served by mail, send all paperst
including the acknowledgment which the plaintiff's
counsil his asked to he returned• to Levinson Bros.
Ihe insurance carrier will assume responsibility for
matting the appropriate acknowledgment» or making
alternative arrangements, after review b y their
coiins 11 .
?. If process has Deen served by other tnan mail
a) the address .it which service was made;
b] the date and time of service.
In view ol trie importance oi answering .
in 1 is a precaution against the vagarie
you to establish a diary system: first.
j Summons and Complaint
i of the mail, we urge
a seven day diary to
receive our written advice of receipt and transmittal. and then
a Subsequent diary for a date prior to the "default" date
to receive a formal acknowledgment from the carrier ind advice
w h J t t he y ar^ pI anningtodo. .
Unless adviseu by Mr Holt to the contrary, our communication
and acknowledgments of these papers will be directed to the
transmitter. Past experience indicates that the District's
Attorney is our principal contact, and that all legal process
is screened and forwarded by the district's Attorney-
&£^£^*t tk^i^i AXJ^TUOE
He want to underscore wtiat we <tre sure have been procedural
guidelines established by your Districts Attorney: no
verbal communications regarding claims should be accepted by
your personnel. he feel the rule should be: "IF IT HAS TU 00
INSQFAK AS THIS GUIDfc DEALS .JlTH ONLY GENERAL TYPES OF CLAIMS SITUA-
TIONS. WE SUGGEST YOU CALL FQK AQVICE j t) ANY PARTICULAR SITUATION
WHICH AOPfAJS TO WARRANT SPECIAL ATTENTION.
Levinson Bros. Inc.
InsuranceJL or
Mailing Address: P 0 Box 3825, San Francisco, Calif. 94119
235 Montgomery Slreel, San Francisco, Calif. 94104 (415] 434-3200
Pacllica Branch Olfice Phone 355-0800
rrue kt't- Jonner Put) Ut i I Oist
Loss/Claim Procedure Guide
Date:
Paqe:
05/08/81
H
"i I r M CLAIMS. It HAS To be IN WRITING". Similarly! wo ,eol that
employees of the District should not engage In unnessary
discussion about pending or potential claims. District
personnel should be advised to request that all reports.
Stateiwnts, complaints etc. be submitted in writing. We hope
that implement ition of this type of procedure will inure to
everyone's benefit in prompt i courteous and efficient, claims
handling by both the District and its insurer•
Of course, these guidelines snould impose no restraint on
rendering first aid or otherwise acting responsibly.
Emergency measures to halt or minimize exposure to
injury or property damage must be an overridinq consideration
and where possible, undertaken in such a manner as to reduce
the potential liability exposure, rather than increase it.
Of course* no substantive or procedural discussion should be
made with the claimant or Mis attorney; ill communications
should be In writing, with copies forwarded to us.
All known third-party incidents should be reported to us
is soon as possible. Tnouqh we recommend a phone-call in
serious incidents, in all cases a written report should
be made, even if the occurrence appears to be insignificant
at the time.
All written claims or claims notifications should be forwarded
to our office, i mitediatel y. And you should expect a written
acknowledgement from usi if you don't qet an acknowledgement
of rec-'ipt from us within the week, please call our claims
department, to make sure the mails haven't failed. Please
refer to the section oelow on diarying for acknowleqements
of Summons L Complaints, as a useful guideline.
Though the applicable coverages are disparate, the
same common-sen:, e rules should be ooserved in all
situations which night expose the District to third-party claim
The following pages otfer some guidelines which you
minht wish to circulate to and post at all of your offices.
1NSCFAK AS THIS oUlOE CEALS WITH ONLY GENERAL TYPES OF CLAIMS SITUA-
TIONS, WE SUGGEST YQJ CALL FOR ADVICE IN ANY PARTICULAR SITUATION
WHICH APPFARS TO WARi/A^ SPECIAL ATTENTION.
Levinson Bros. Inc.
Insurance
Mailing Address: P.O. Box 3825, San Francisco, Calif. 94119
235 Montgomery Street, San Francisco, Calif. 94104 (415) 434-3200
Pacifica Branch Ollice Phone 3550600
Truekee-Donner Pub lit i I Di st
loss/Claim Procedure Guide
Dat e:
Page:
05/08/81
10
WHAT rg yg _IF SOMEONE li .INJURED
1. CARE OF THE INJUREC PERSON
(A) MAKE THE INJURED PERSON COMFORTABLE
(b) ARRANGE FOR FIRST AID OR DOCTOR TO SEE
(Note: Do not promise that ill medical or nospital
Dills will be taken care of.)
(t) SECURE INJUKFC PERSON'S VERSION OF ACCIDENT
(0) SECURE NAM- f. ADDRESS OF INJURED 0ERSON» ETC.
2. SECURE NAMES OF WITNESSES
(A) NAHES AND ADDRESSES OF AIL NON- i "PLOY ("F S IN VICINITY* IE
TrtFY MIGHT BE f YE-WITNFSStS.
(L) MANtS C ADDRESSES Of EMPLOYE E/rfl TNESSES J -1AVE THEM
COMPLETE WITNESS RE PORTS. IMMEDIATELY.
(L) IF NO FMPL'IVEES WITNESSED THE ACCIDENT. HAVE Twu JR MORE
FN»L0YFES FILL -JUT "SCENE INSPECMJN" REPORTS. IMMEDIATELY.
INSOFAR AS THIS GUI'Jt DEALS WITH ONLY GENERAL TYPES OF CLAIMS SITUA-
TIONS. WE SUGGEST YOU CALL F0» ADVICE IN ANY PARTICULAR SITUATION
WHICH APPEARS TO WARRANT SPECIAL ATTENTION.
Levinson Bros. Inc.
insurance^
Mailing Address: P.O. Box 3825, San Francisco, Calif. 94119
235 Montgomery Street, San Francisco, Call!. 94104 (415) 434-3200
Paclllca Branch Otlice Phone 355-0600
TruCKee-Jonner Put) Util Dtst
Loss/Claim ProceUuro Guide
Date:
Page:
0V0R/81
U
3. INSPECT ('REMISES t VERIFY CONOITION OF PRFMISES
(A) ANY DEFECTS? (B) CLEAN I DRY?
(D) ANY OBJECTS NEAR INJURED PERSON?
IF FALLING OBJECTS CAUSED INJURY.
(C) LIGHTING CONDITION?
(fc) WERE THEY IMPROPERLY
STACKEDt OR WAS IT CAUSED BY ANUTHER CAUSE?
(F| IF THE INJURY WAS CAUSED BY A DOOR. OR OTHER TYPE OF
MriCHANISM, WAS IT FUNCTIONING PROPtRLY?
POINTS TO DO:
* GO TO SCENE AT ONCE
* bt COURTEOUS
i bE BUS I NESSL IKE
'-■ INSP£CT SCENE CLUSrLY
* Gr T ALL Uf TAILS P-1S SlBLE
e CALL LEVINSON uRUS. CLAIMS
AT (4»l*J)-43*-)200
POINTS TO AVOID DOING:
* UONM APOLOGIZE FOR ACCIDENT
* DON'T ARGUE A'JOUT THE CAUSE
* UON'T OFFER TO PAY MEDICAL BILLS
* DOV 1 ADMIT RESPONSIBILITY
* OOM'F MENTION INSURANCE
> DONM PERMIT INVESTIGATORS ON
SCENl WITHOUT INSURANCE CO. OK
INSOFAR AS THIS GUIDE DEALS WITH ONLY GFN?RAL TYPES OF CLAIMS SITUA-
TIUNSt Wfc SUGGEST YOU CALL FOR ADVICE IN ANY PARTICULAR SITUATION
„HlCH APPEARS TO WA^rfANT SPECIAL ATTENTION.
Levinson Bros. Inc.
Insuran 9
Mailing Address: P.O. Box 3825, San Francisco, Calif. 94119
235 Montgomery Street, San Francisco, Calil. 94104 (415) 434-3200
Pacitica Branch Office Phone 3550800
TfuCltee-Do finer PuO Ut i 1 t)i st
t0Ss/ClnT Procedure Guide
Date:
Page:
05/08/31
12
Of course? these guidelines should impose no restraint on
rendering t irst aid or furnishing essential municipal
services. Emergency measures to halt or minimize exposure to
injury or property uamaje must ue in overriding consideration
and where posstule? undertaken in such a manner as to reduce
the potential liability exposure, rather than increase it.
IfVI/jSON tf'UJS. CLAIMS lyFOIMATrjN SYST_EM (.CIS]_
Over the yi'ursi we at Levinson tiros, have become increasingly
aware of how vital total claitis information is to a »o I 1 -
focused insurance progr im. Me think our Clains Information
System (CIS) substantially fills that need.
Whit can you expect from LI 5:
I. As each new claim is entered on CIS.
lodgment is sent to you. noting specific
documents sent in. advising you of our pi
rtumDef ml tell in.) you wtiit action we are
L I a i .ii.
2.* A copy of tti.it acknowledgment is sent
carrier involved so that they Know of our
i writ ten acknov.
recei pt ot any
rin,ment cl.im
taking 'in the
tot he
advire
insurance
t o you•
i. Hurt Levinson automatically is 3dvised of the
event of »»nr claim or report made to .iny Carrier
involved with the servicing of your account*
<r« Automatic diaries .ire established ny CIS and our
compute! will creit" Ippropri its written inquiries pursu-
ing thuse aiarias.
b' As we learn of reserves or closings, our files are
updated ami .tiun. there is internal circuljtion of the
Status Change* In the case of closings, you are automati-
cilly notified Dy letter.
INSOFAR AS THIS c-uint CFALS WITH ONLY GENERAL TVPFS OF CLAIMS SITUA-
TIONS, Wfc SUGGcST YOU CALL FUT ADVICE IN ANY PAPTICUHK SITUATION
-MICH APPPAPS TO WARRANT SPECIAL ATTENTION.
Levinson Bros. Inc.
Insuranoji
Mailing Address P 0. Box 3825, Son Francisco, Calll. 94119
235 Montgomery Street, San Francisco, Calil. 94:04 (415) 434-3200
Pacitlca Branch Otlice Phone 355-0800
I ruCkee-Uonnt-r Puh Ut i 1 Oist
loss/Cl-ni Procedure Guide
Date: 0^/ufl/8l
Pdcjp: 1 J
t>. At any time* or t* you prefer* on a routine periodic
basis we can access CIS For a complete? current claims
review*
7. Our accessible data indicates occurencs date» type of
occurcnct'i type of coveraqe involved and whore appropriate
location* claimant, driver jrv.t/or pertinent remarks*
CIS is operative on all property/casualty coverage placed
by Levinson Bros . , wi th these exceptions:
(1) Worker-.* C onipensat ion. The insurance carrier prepares
its own r>vorts« which we in turn analyze and forward on.
(?) All jroup insurance programs.
We think you'll like the information furnished hy CIS.
As we're always interested in iitiprovinq our Service* we'd
appreciate any suggestions that Might occur to you.
INSOfAR AS THIS GUIDt Cf Al S WITH ONLY u?N?«AL TYPES CF CLAIMS SITUA-
TIONS. WE SUOOfcST Y-»iJ CALL FUR AOVICt IN ANY PARTICULAR SITUATION
WHICH APPEALS 10 WARRANT SPFClAl ATTtNUUN.
Levinson Bros. Inc.
Insurance 7 Mailing Address: P.O. Box 3825, San Francisco, salif. 94119
235 Montgomery Streel, San Francisco, Calif. 94104 (415) 434-3200
Paclllca Branch Office Phone 3550800
rruCKne-0onner Pub Util Di st Date:
L0s$/Clatm Procedure Guide Page:
05/03/81
IN GHJjISil
The insurance carriers we represent generally recogniee
the necessity and wisdom of fair and expeditious settlement
of claims with their own insureds. as well as with the public
at large.
Where liability on your part is evident, the carrier will do
its best to make the claimant whole again, as soon as possible.
*nere liability is not clear, even though the injury or damage
|S real and substantial, the insurance carrier will contest the
claim, as vigorously as you would in the absence of coverage.
Tiif district pays substantial sums for their insurance
coverage; and. your exposure to potential liability is substan-
tial.
wv nope tint proper etains handling procedures will not
only minimise friction with your personnel, your client:, ,md
claimants, but can also improve claims history and ultimately
result in lower rates.
A LII I e vi rid these
ser vi c> • If at
.it those s tand ir <
•tie. I inmecli atel y .
joals requires outre**
iny t Imi> you fee! any
I w I 1 I lie r son illy
My high standards of
of us are fallino short
thank you for calling
tort Levinson
Vice President
INSOFAR AS THIS GUIOt CcALS WITH ONLY ",-NFRAL TYPfcS uf CLAIMS SITUA-
TIONS. WE SUGGEST V )U CALL FU« «DVICfc IN ANY PARUCULAK SITUATION
WHICH APPEARS r0 WA^xANT SPfClAl * TTtNT I .JN.
LI 7i:.."'N BRO:?,
P.O. BOX 3B25
INC.
!i FRAHCISCO, CA 94119
I; 11S-43'l-3^'JO
HIHJ
EXHIBIT "A"
;^nfK!.'ijMi ■ ■-. (Inc. Section II
Package Policies)
A
AitoM rm-'ONitu'
CAT
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A»IA\. i i i.:. WrtlOPWM
POtTANTCAlirORNIA AND FLORIDA INfORMATION ON RtVfME SI
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' LFVIN31N BROS,, INC.
' P.O. BOX 3825
SAN FRANCISCO, CA 9-1119
U5-431-2300
EXHIBIT "B"
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EXHIBIT "C"
FORM FOR CLAIMANT
WARNING! while claims against may he submitted on the
following tornu if the claimant has any questions regarding his
legal rights or duties, or pertaining to the manner or time of
submitting such a cluiir, he should consult his o«n attorney.
CLAIM FOR QAMAOtS
Pursuant to Section V10 of the Government Code of California, the
following claim for dairages is respectfully submitted:
1. Name and Post Office Address of Claimant:
2. The Post Office Address to which claimant wishes notices sent:
3. Ttie date, place anc other circumstances giving rise to the claim
*. A ijoneral description of the indebtedness, obligation? injuryt
d.image or loss incurred* so far as known to claimant.
s. Ihe name or nair.i-s of the empIoyoe(s) causing tht? njury, damaqe,
or loss, .is far as known to claimant:
o. Amount claimed as of date of presentation of claim, and basis
of c ompu tat i on:
Dated:
gn.jturo of claimant
NOTF: Claim must b.> signed by claimant or by some person on his
behalf. (Goverment Code Section 910*2)
1+
I EXHIBIT "0"
SAMPLF CLAIM DENIAL ADVICF
(N<jme ana
address of
C laimant)
SUbJfcCT: Claim of ( Name of Claimant. )
NOTICE IS HERESY GIVcN that the claim which you presented to the
(Board or Counc iI of ■Name of Public t-nt it y--_ }.
»' (. Name of Claimant ) rejected and referred to our
insurance company for rev I a*
!««■«««i-W-A-R-N- I-N-G*******
abject to certain ex cepLions, you have only si b) months from
I
the date this notice was personally delivered or deposited in the
mail to file a court action on this claim (see Government Code
Sect ion 4*. s.o ).
You mty Seek the advice of an attorney of your choice in Connection
™ith this matter. Ir you desire to consult an attorney, you should
do SO I MMdi J te 1 y •
by Oin'ct i OI\I (Bcirrl or Council)
(N am e
( Na.n
if Public Ent i tyJ
i' ot Si <jn.it.or y )
(Titl..)
CC/ (Attorney tor Entity)
Lev I us on Br O'J 1 nt ■
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EXHIBIT "E"
INCIOENT REPORT
(Name of Public Entity)
INCIDENT REPORT
Oat.
Name t Audross of person injured or damaged OR location of incident
trom wnich j claim is possible:
iti>r<.' ot injury or dairacjt
HOW aid accident occur:
where occurred - date!
locat ior, •
rt i tries ses:
day hour_
ohat was done for the injured or what was done to prevent further
da ma a,.
I
Employee's version of the accident (Detailed)
FoI Iow HI
This report made by
Report reviewed by