Protect Against
Food Contamination Losses
By Donna L. Wilson and Elissa O.
Tomanda
Salmonella. Escherichia coli. Listeria. These words strike fear in the
hearts of in-house counsel and executives in the food industry. Outbreaks of
foodborne illnesses—and other incidents involving tainted food—have received a
great deal of attention in recent years. In 2007, they reached a new peak: an
outbreak of botulism infections caused by canned chili, a recall of more than
21 million pounds of ground beef and hamburger patties due to fears of E. coli
contamination, a peanut butter recall related to Salmonella poisoning outbreaks
in 47 states, and a recall of baby food allegedly tainted with Salmonella. For
the companies involved, the inevitable fallout will include defense and
liability costs incurred in large-scale litigation, including consumer class
actions, losses due to product recalls and business interruption, damage to
reputation, and in some cases, bankruptcy.
Given the risks, businesses in the food industry must assess their insurance
portfolios and consult insurance coverage counsel now, before becoming involved
in lawsuits and incurring liabilities. Companies defending personal injury
lawsuits stemming from foodborne illnesses should confirm insurance coverage
immediately, because it may cover such lawsuits. Below, we discuss in more detail
the actions that food industry in-house counsel and executives should take to
purchase insurance policies that cover the risks associated with food
handling—including comprehensive general liability policies—and product recall
and foodborne illness coverage. We also discuss some steps that in-house
counsel and executives can take to ensure that they obtain the full insurance
coverage they are entitled to if their company is the subject of a tainted food
claim.
A few facts concerning foodborne illness in the United States from the Centers for
Disease Control and Prevention help put the risks faced by companies in the
food industry into perspective. Approximately 76 million cases of foodborne
illness occur in the United
States annually. Approximately 325,000 of
those illnesses result in costly hospitalizations, and about 5,000 of them are
fatal.
According to one estimate, the medical costs, productivity losses, and costs of
premature deaths related to five of the most common foodborne illnesses combine
for a total of approximately $6.9 billion in losses annually. There are
more than 250 known diseases that can be transmitted through food—most of them
caused by bacteria, viruses, and parasites, while others are caused by
poisonings from harmful toxins or chemicals. These make up about 20% of all
foodborne illness; the other 80% are thought to be caused by unknown or
undiscovered agents.
Tainted food incidents can lead to several types of losses for a company.
Companies can face millions of dollars in potential liability, in addition to
incurring significant defense costs, arising from consumer allegations that
they were injured by tainted food. For example, in 2003, a Chi-Chi’s restaurant
customer near Pittsburgh, Pa., contracted hepatitis and was forced to
undergo a liver transplant. That customer, one of more than 600 people affected
by an outbreak eventually traced back to green onions, received $6.25 million
to settle his claim.
A $12 million settlement was reached on behalf of five children allegedly
injured by drinking E. coli-contaminated Odwalla apple juice in 1996. In the
1993 E. coli outbreak traced to Jack in the Box fast-food restaurants,
approximately 600 people were affected; the most seriously injured person
settled for $15.6 million. One of the many law firms that specialize in
representing consumers in such cases estimates it has obtained hundreds of
millions of dollars from food companies and their insurers in court verdicts
and settlements.
In addition, companies can face huge losses arising from product recalls. Last
year, the Topps Meat Company (Elizabeth,
N.J.) was forced into bankruptcy
after 67 years in business due to the costs of recalling millions of pounds of
meat allegedly at risk of being tainted with E. coli. Following the February
recall of 143 million pounds of beef, the Hallmark/Westland Meat Packing
Company (Chino, Calif.) may also be forced to file for
bankruptcy, and its general manager has said it will probably never reopen.
Companies can suffer significant losses if allegations of food contamination
lead to business interruption; for example, a plant may be closed during the
course of a Food and Drug Administration investigation. Companies can also face
long-term losses due to the damage caused to their reputations.
Insurance can be a valuable resource, ensuring that your company survives such
losses. Indeed, according to one well-known food liability plaintiffs’ lawyer,
over the past 10 years his clients have received at least $100 million from one
insurance company alone. And, reportedly, in the case of the Jack in the Box
lawsuits, approximately $100 million in settlements were made possible by
insurance.
Types of Coverage
Long before a risk becomes a reality, companies should consider purchasing the
following types of insurance, each of which may provide coverage for certain
food-related losses, costs, and liabilities.
Comprehensive general liability (CGL) policies typically cover third-party
claims for bodily injury or property damage arising during the policy period.
In addition to paying the liability a company may incur through either a
verdict or a settlement, CGL policies also typically require the insurer to
defend lawsuits against the policy holder, such as those alleging foodborne
illnesses. That “duty to defend” is broadly defined. Regardless of the merits
of the claim, or whether the plaintiff is capable of winning its case, the
insurer may be required to pay the costs of defending a tainted food claim.
Given the substantial costs companies may incur in defending against food
liability claims, it is probably worthwhile to purchase such insurance for the
defense costs alone.
First-party property insurance provides coverage for losses arising from
first-party property damage or, in other words, damage to a company’s own
property. Depending on the terms of the policy and the type of damage, such
insurance may cover the loss of contaminated food itself, although courts have
reached different conclusions on the issue.
Some insurers offer specific loss policies, including those designed especially
for the food industry. For example, restaurant policies can be purchased for
all types of dining establishments. These policies allow the policyholder to
select from a wide range of different types of coverage, including general
liability, property, equipment breakdown, and spoilage.
Other insurers offer foodborne illness policies and trade name restoration
policies. Such policies typically cover business losses arising from business
interruption and damage to business reputation and are designed to provide
assistance in reputation crisis management. Some cover only the specific
foodborne illnesses listed in the policy, while others provide more
comprehensive coverage.
In certain circumstances, coverage can be added to the types of policies
discussed above in order to fill perceived or, arguably, potential gaps in
coverage. For example, a company in the food industry may be interested in
adding coverage for product recalls, which insurance companies often argue are
excluded from coverage under CGL policies.
Another example of add-on coverage is business interruption insurance, which
covers loss caused by a product line shutdown but often only applies where
there is also physical damage to the property. Depending on the terms of the
policy, this type of insurance may cover losses that arise from a management
decision to shut down a certain product line because of contamination. If a
processing facility suffers a fire that causes physical property damage and
contamination, business interruption insurance will likely step in to cover the
losses.
Directors and officers (D&O) liability insurance covers claims of alleged
“wrongful acts” by company officers and directors, such as shareholder suits
relating to incidents of wide-scale food contamination. Depending on the terms,
a D&O policy may cover the costs of defending such claims, as well as the
costs of paying settlements or adverse verdicts.
Need and Negotiations
When securing insurance coverage that will protect your company and its
customers, there are several key things to remember. First, anticipate your
company’s food liability risks and insurance needs. At the time of policy
renewal, or at least annually, ensure that your risk management team and legal
counsel meet to discuss anticipated risks, review the company’s past claims
experience, and analyze developments in the industry. Once they have identified
and prioritized the risks and considered worst-case scenarios, companies should
coordinate with their insurance broker, risk manager, and insurance counsel to
consider the entire range of available types of insurance coverage, including
those discussed above, for losses arising from incidents of alleged
contaminated food.
Second, negotiate with the insurer when purchasing coverage. Your company’s
ability to negotiate likely will depend on the type of coverage sought, the
insurer’s past claims experience with your specific company and the food
industry generally, and how “hard” or “soft” the market is in a given year. If
you believe that the insurance offered by an insurer does not adequately
protect you from anticipated risks, shop around and negotiate.
Do not be penny-wise and pound-foolish. For example, if your company intends to
purchase only a CGL policy—and product recalls are expressly and unequivocally
excluded from coverage—either negotiate with the insurer to fill the gap in the
policy or purchase add-on insurance. Do not forgo that additional coverage
without carefully considering the risks and benefits of doing so. If your
company is involved in a tainted food incident, the increase in premium, in
hindsight, may seem like a small price to pay.
In addition, carefully review your company’s policies, looking especially for
potentially limiting language and exclusions. Before the policy is issued, the
risk manager should obtain a complete draft and review it closely. Also, make
sure the final version of the policy accurately reflects the coverage you
intended to purchase. If a provision seems ambiguous, seek to clarify it or, if
necessary, consult with coverage counsel to obtain that clarification. Be on
the lookout for potentially limiting language and exclusions, which in the food
contamination context can range from so-called “vermin” and “pollution” exclusions
to product recall (“sistership”) exclusions. All policies should then be copied
electronically and secured off site. In these days of natural and man-made
disasters, the company should not rely on the broker alone to safeguard its
insurance policies.
If a claim arises, immediately notify the insurer. Many policies require that
the policyholder provide notice “as soon as practicable,” while others require
that notice be provided “immediately.” This step is crucial and will help your
company avoid giving the insurer an opportunity to argue that you lost the
coverage you paid for by failing to provide proper and timely notice. Do not
hesitate to give notice due to concern about jeopardizing your relationship
with your insurer. You paid for the insurance, and you should avail yourself of
its benefits. The moment a contaminated food incident arises, you should
contact insurance counsel, who will assess your coverage and assist you in
providing the appropriate notice under all potentially available insurance policies.
Finally, do not accept “no” for an answer. In the event you are denied
coverage, do not walk away. Never assume that the insurer has your best
interests at heart or that a court would agree with the insurer’s reasons for
denying your claim. Instead, consult with insurance counsel to determine your
next steps and to ensure that you obtain the insurance coverage to which you
are entitled. Remember—countless companies have obtained billions of dollars in
insurance coverage despite their insurers having initially denied coverage.
These ground rules can help businesses avoid some of the risks associated with
food product contamination. Companies should bear in mind that no sector of the
food industry is immune to foo dborne illness claims. All companies should
maintain sufficient insurance coverage, even those that are taking all possible
health and safety precautions, and should form a relationship with insurance
coverage counsel before any food-related contamination occurs. Hopefully, your
company will never have to use this valuable insurance asset.