Risk Care Management Program

An Overlooked Use of the Tort Levy

BY: Walter J. Zukowski, Attorney

 

Most districts are familiar with the generally recognized expenditures of the Tort Levy: settlement costs, cost of judgment, and self insurance (Ill. Rev. Stat. Chap. 85, Para. 9-107). That same section, however, contains a frequently over- looked provision which could provide substantial additional revenues to a district. The statute allows districts to pay the cost of a "risk care management program" (hereinafter referred to as RCMP) from the Tort Levy.

Even if a district is without a formal RCMP, it is conducting certain aspects of such a program. The Superintendent considering altering the specifications for insurance, the Business Manager evaluating an insurance pool, or the Architect conducting a health and safety inspection pursuant to Part 185 of Title 23, Illinois Administrative Code, are all conducting risk care management activities. Thus, a portion of the salary and related expenses of those persons can be legitimate expenditures of the Tort Levy, instead of the financially strapped Education Levy.

The failure of the RCMP to gain wide-spread support has been due in large part to the fact that the Illinois General Assembly has failed to define such a program. A review of case law and regulation also provides little assistance. Some insight is gleaned, however, from the legislative debates. They state in relevant part:

...... What you really need is a survey to be done. Once a survey is done of what's wrong.....course, obviously, there can always be a continuing on-going survey (Illinois Legislative Debates, Senator Sangmeister, June 25, 1985 at page 343).

The debates included an example of an appropriate use of an RCMP. Reference was made to an accident, several years ago, in Gary, Indiana, in which a young person drowned in a public pool. In that situation an RCMP could have been used to:

....tell you that you really ought not to do that, that that ought to be fenced off and that that pool ought to be drained. That's what ......what.....Risk Care Management is all about. Private industry has been doing it for years. And actually instead of a cost increase, because you can levy....for this type of......of a plan, it should be a saving for the simple reason that your insurance premiums are going to go down (Illinois Legislative Debates, Senator Sangmeister, June 25, 1985, at pages 339- 340).

These comments indicate that the intention of the General Assembly was to allow school districts to develop programs similar to the six-step process which has been followed in the risk care industry for numerous years. (See: Harvard Business Review, "Risk Management: A New Phase of Cost Control", Russel B. Gallagher (September - October 1956), pp. 75-86).

An RCMP is a scientific approach to the problems of dealing with the pure risks faced by entities (Fundamentals of Risks and Insurance, Emmett J. Vaughn, Wiley, 1986 at pg. 35). It is broader than insurance management in that it deals with both insurable and uninsurable risk and the choice of the appropriate technique for dealing with them. Risk Management is a tool to make sure that losses from pure risks do not prevent management from seeking its goals. Under this scenario, insurance is viewed as simply one of several approaches for managing the pure risks the entity faces.

It has been suggested that there are three rules to be considered in creating an RCMP. They are:

1. Risk only what the district can afford to lose,

2. Consider the odds, and

3. Do not risk great amounts for only small gains.

(Risk Management in the Business Enterprise, Robert I. Mehr and Bob A. Hedges, Irwin, 1963 pp. 16-26).

Districts embarking on such a program should demonstrate their commitment by adopting an RCMP policy. Attached to this Article, as Exhibit A, is a proposed policy and job description for a risk care management officer. Adopting such a policy should assist the district to make proper expenditures from the Tort Levy as well as to minimize auditor and taxpayer concerns.

The process of creating an RCMP begins with determining objectives. The district must decide what it wants to accomplish. A common objective is the avoidance of financially catastrophic losses that could impede the entity's basic activities. Another goal could be the protection of employees from accidents that might lead to serious injury or death.

The next step in the process is identification of risk exposures. This portion of the process may be foreign to many administrators. Consequently, it would be expected that the services of experts, such as insurance consultants, would be liberally employed. Close communication should also exist with the district's attorney and auditor to be confident that the expenses being transferred to the tort levy are permissible.

Other tools which are frequently used in this area are review of district insurance policies, analysis of district financial statements, inspections of the district's operations, and completion of a risk analysis questionnaire (one of the most comprehensive risk analysis questionnaires is published by the Insurance Division of the American Management Association).

The third step of the process is to evaluate the risks. The potential size of the loss and the probability that it would occur are measured and ranked. Risks have traditionally been characterized as:

1. Critical risks - those exposures involving losses that could result in imposition of additional taxes,

2. Important risks - those exposures that would require diversion of appropriated funds from planned activities, or

3. Unimportant risks - those exposures in which losses could be met out of current appropriation without modification of planned activities.

The fourth step is the selection of the appropriate action from among available alternatives. This involves the concepts of risk control and risk financing. Risk control focuses on minimizing the risk of loss. Risk financing concentrates on arranging the availability of funds to meet losses from risks remaining after the application of risk control techniques.

For instance, a district may determine that certain risks exist in the area of athletics. The district could decide to "retain" that risk, but to reduce the possible severity of a loss by allocating a larger portion of the budget to meet uninsured losses, by deciding to spend additional sums on continuing education for the coaching staff, or by deciding to spend greater sums to hire additional personnel to supervise such activities. In the alternative, the district could decide to "transfer" that risk to others by means of insurance, or student waivers.

The final steps of the process are implementation and evaluation. The district determines if the program is adequately addressing the objectives. If not, it must be changed. The on-going process of evaluation could include activities such as: health inspections by governmental agencies, safety patrols by custodians, or certain functions of the district's architect and attorney.

Statutory authority appears to stop short, however, of allowing the Tort Levy to be used for expenditures for actual implementation of the recommendations contained in the RCMP.

Nonetheless, such a program can be of significant financial benefit to the district. The portion of any employee's or agent's time (and corresponding salary) spent on conducting RCMP duties can be sizable.

 

In conclusion, the benefits of implementing an RCMP should be several fold. First, the analysis process will assist the district to reduce its risk exposure, which should eventually result in a better loss experience. Second, implementation of such a program will demonstrate to your insurance carrier the serious nature with which the district treats risk (which should justify a reduced insurance premium). Finally, it will relieve pressure on the district's financially strapped Education Levy by allowing many items which were previously paid from that Levy to be paid instead with monies from the much less restricted Tort Levy.