24
Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Embed Size (px)

Citation preview

Page 1: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Chicago - March 29-30, 2012

2012 PLUS Medical PL Symposium

IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Page 2: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

MODERATOR: Carrie E. Cope, Esq., Shareholder, Schuyler, Roche & Crisham, P.C.

PANELISTS: Michael Carr, Senior Vice President, E&O Division Leader, Argo ProMichael J. Heinle, Esq., Staff Counsel, Illinois Department of Insurance Jane R. DiGioia, Esq., Senior Claims Attorney, Monitor Liability Managers, LLC

Page 3: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

DISCLAIMER: All characters and events appearing in this presentation are fictitious. Any resemblance to real persons,

living or dead, is purely coincidental.

Page 4: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES
Page 5: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Event Scenario I

Page 6: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Nurse Stone sends a picture of Fantasy’s medical records to Betsy via text

Page 7: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Betsy posts medical records on her Facebook wall which is set to “public” viewing

Page 8: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES
Page 9: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES
Page 10: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Nurse Stone’s Twitter Account

Nurse Stone tweets information about the medical practices of Parkside and Hospital King

Page 11: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

• Nurse Stone calls Betsy Smith with news of the impending birth

• Nurse Stone sends picture of medical records to Betsy Smith via text

• Betsy Smith posts medical records on Facebook Wall

• Nurse Stone tweets information about the medical practices of Parkside and Hospital King on Twitter

• Insurance agent confirms that claims will be covered and reveals that he received an extra commission to steer Parkside’s business to Rogue Insurance Company

Summary of Events

Page 12: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Potential Liability Issues

• HIPAA violations by Nurse Stone and Parkside• Defamation/libel by Nurse Stone• Agent purports to give Rogue’s coverage position for claims against

Parkside• Payment of illegal commissions by Rogue• Invasion of privacy by Nurse Stone and Parkside• Possible claim against Hospital King for Nurse Stone’s acts

Page 13: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Event Scenario II

Page 14: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

< INSERT VIDEO>

Page 15: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Computer Screen Showing Parkside Confidential Supplemental Profit Plan

Page 16: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Summary of Events• Nurse Stone posts video of Leather Boy on YouTube

• In video, Leather Boy reveals the existence of complaint to medical board about Dr. Jekyll's misdiagnosis of a patient through a participatory medicine website

• Video reveals information about Parkside’s “supplemental profit plan”

Page 17: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Potential Liability Issues

• Disclosure of confidential information by Nurse Stone triggers potential liability of Parkside and Hospital King

• Claims against Parkside and Hospital King for negligent training and supervision

• Breach of fiduciary duty claim against Dr. Jekyll for failing to safeguard confidential information

• Potential fraud and breaches of fiduciary duty by members of Parkside’s board

Page 18: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Event Scenario III

Page 19: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Claim adjuster Sue communicates with Supervisor Sam on her Facebook page

Page 20: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

• Claim Adjuster Sue sends a Facebook “Friend” request to Nurse Stone, Supervisor Sam and Betsy

• Claim Adjuster Sue communicates with the insured’s representative, Supervisor Sam, on her Facebook Page

• Claim Adjuster reveals information about a claim against the Mayor of Parkside that also includes personal information about the Mayor.

• Claim Adjuster reveals information about Rogue Insurance Company’s claim handling practices

• Claim Adjuster reminds Supervisor Sam to give her a “gift”

Summary of Events

Page 21: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Potential Liability Issues

• Claim adjuster Sue creates “bad faith” liability for Rogue• Invasion of Privacy against claim adjuster Sue and Rogue• Disclosure of illegal acts committed by Parkside and Dr. Jekyll• Possible defamation claim against Rogue by the Mayor of Parkside• Disclosure of illegal acts committed by Rogue• Claim against Rogue for negligent supervision and training of

employees• Assertion that Rogue violated laws prohibiting contact with a claimant

represented by an attorney

Page 22: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Underwriting and Coverage Considerations

• Does insured have privacy and social media policies in place that:– Apply to any employees, temporary staff, vendors or contractors with access to sensitive data

for which it is responsible?– Are such policies incorporated into the onboarding process for new staff, temps, vendors and

contractors?– Does insured have process to reinforce these policies, to audit for compliance and to enforce

them when necessary?• Do policies address:

– Need to maintain patient/customer confidentiality on all posts, including on personal social media sites

– Applicability of HR policies (discrimination, sexual harassment, etc.) to social media interactions with fellow employees

– The use of cameras by employees, temporary staff, contractors, vendors and visitors– Any promotion/comments regarding the company or comments regarding competitors

• Has insured and its broker filled in the potential gaps in coverage:– 1st party breach expenses (notice, mitigation, etc.)– Defense of regulatory/regulatory fines & penalties for privacy violations– Media coverage that extends to posts on third party sites

Page 23: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

Claim Considerations

• Social media expands the ways in which insureds and insurers can breach duties owed to others (e.g., duty to maintain confidential information, invasion of privacy, defamation, etc.)

• Social media can be used to assist in defending claims where claimants post information that conflicts with their allegations of injury and damages as some courts have found such information to be discoverable

• If an employee’s use of social media violates his/her company’s social media policy, it can make it more difficult for an insurer to defend a claim

• In using social media, insurers should be aware of laws that may prohibit their contact with a claimant represented by counsel

• An insurer’s use of social media in handling insurance claims could engender claims of negligent supervision and training of employees

Page 24: Chicago - March 29-30, 2012 2012 PLUS Medical PL Symposium IMPACT OF SOCIAL MEDIA ON INSURANCE COMPANIES

QUESTIONS?