Subject:
Fund 999 Loss Accounting (FPPP 35)
-
Purpose:
This
section
was
developed
as a guideline for the Client's risk manager in
their claim accounting activities. The information in this section was
gleaned primarily from FPPP 35.
-
Background:
When
claim
activity
takes
place on a Client's office, reimbursement is
most often received through one of the various commercial or
self-funded insurance programs administered through the Client's Risk
Management offices. The Insurance Loss Fund (Fund 999) was established
to facilitate the accounting of the receipt and disbursement of
proceeds from insured losses without encumbering regular departmental
operating funds.
The
accounting
procedures
developed
for the operation of Fund 999 are
established in FPPP 35. According to that policy, all receipts and
payments relating to the restoration of lost property shall be
accounted for through Fund 999. Each institute shall maintain a record
of the proceeds and expenditures for each claim submitted with monthly
reconciliation.
Expenditures
made
prior
to
receiving the insurance reimbursement can only be used
for the purchase of items identical or similar in nature to the lost
item or for services required to restore the property to its original
state. The Client's institution risk manager shall make certain that
the proceeds are used promptly and properly.
-
Procedures:
1.
Fund
Operation
After
an
evaluation
of
the loss by the Client's risk manager and
Client's Risk Management, and submission of the initial notice of loss,
departments may begin incurring expenses to replace the loss. A
replacement expenditure limit should be established by the Client's
risk manager. The expenditure limit should be an amount relatively
certain to be recovered based on the loss evaluation and prior
experience. The department may issue requisitions for replacement
expenditures against Fund 999 up to the amount of the expenditure
limit. Those requisitions must be reviewed by the Client's risk manager
to ensure similarity in nature between the lost and replacement
property. When final settlement from Client's Risk Management is known,
the department may use any excess settlements for completion of loss
replacement.
2.
Time
Limit
Because
there
are
a
variety of circumstances involved when a loss occurs, and a
wide range in the degree of loss, it is impractical to establish a
strict limit for expending insurance proceeds. It shall be the
responsibility of the Client's risk manager to monitor the activity of
each loss account on a regular basis. The risk manager shall issue a
semi- annual report to the Client's chief fiscal officer indicating
departments which have not incurred any substantial expenditures
against Fund 999 during the past six months. The report should include
recommendations on the status of each account. If no additional
expenditures are required to restore the loss, or the institution has
decided not to replace the loss, the amount of unused insurance
proceeds will annually be transferred to Client's Administration
Accounting.
Annually,
a
memo
will
go out from the Client's Accounting Office for
reconciliation of the Client's 999 Fund. The accounting forms will be
included and the Client's risk manager will be expected to complete
them. Each claim for the year should be listed and clearly identified
including those carried over from a previous year. Third party
recoveries and claims not applicable to the UKGC Self-Funded Property
Program should be segregated and specifically identified as such.
A
cash
transfer
or
a check should accompany the 999 report form for the
total amount of excess funds in closed claim files.
3.
Accounting
Procedures
The
Client's
risk
manager
will be responsible for the consistent accounting
of all deposits and proceeds relating to the restoration of losses.
This account should be summarized monthly to reconcile all Fund 999
activity. Preparation of interim reports on Fund 999 activity will be
at the discretion of the Client'.
Subject:
The Uninsured Loss Fund
-
Purpose:
This
section
was
developed
as a source of clarification Client's Uninsured
Loss Fund (ULF). Some of the information in this section was provided
from FPPP 35.
-
Background:
Client's
Risk
Management
maintains
an Uninsured Loss Fund for the benefit of all
Client's Divisions. This fund was established at the system level to
provide reimbursement for those loss expenses that a division incurs
which are not reimbursable from any other source. The Uninsured Loss
Fund is administered jointly by the Client's Risk Manager and the
Client's Accounting Office. Each loss is reviewed and decided upon on
an individual basis by the Client's Risk Manager with final
approval from accounting. Funding for the Uninsured Loss Fund is
acquired through a number of sources within Client's Administration and
from the Client's Divisions.
Recently,
the
Uninsured
Loss
Fund, which has accumulated to a significant level
over the years, has been targeted as a potential source for the loss
control efforts of the Client's divisions. As part of a proposal for
comprehensive loss control, the ULF would provide the seed money for
funding a Client's Loss Control position as well as a Risk Management
Information system.
-
Fund
Sources:
1.
Overhead
The
Uninsured
Loss
Fund
is financed with an overhead surcharge to any
Client's labor charge on property loss repairs and cleanup made by the
Branch or Division. This surcharge is 28% for all divisions and
branches and should be applied as follows. When the Client has used its
own labor costs for repairs in excess of $100, the labor amount should
be separated from material costs by the Client and a factor of 1.28
should be applied to develop the total labor reimbursement amount.
Example:
Total
Cost
$350
|
|
|
Material
$150
|
|
$150
|
Labor
$200
*
1.28
|
=
|
$256
|
Claim
Total
|
|
$406
|
Always
provide
this
level
of detail when submitting a claim.
2.
Premium
Surcharges
Potentially,
as
Client's
system
begins formalization of the loss control function at
the system level, the ULF will be used to capture additional funding
through the use of premium surcharges. This type of surcharge is most
acceptable in those situations, such as camps and clinics, where the
premium cost is transferred directly to the program user.
3.
Fund
999
Reconciliation
As
stated
in
Section
9, A of this document, the Client's divisions
maintain a loss clearing fund which is reconciled annually by the
Client's risk manager. All excess loss reimbursements are returned to
Client's business Accounting where they are deposited in the Uninsured
Loss Fund for future loss reimbursement.
-
Fund Uses:
When
a
Client
is
unable to pay for repair or replacement for a loss from
other sources, they may request payment from the ULF. The following
sources of funds should be exhausted before doing so:
1.
Collect
from
the
insurer.
2. Collect from the person responsible.
3. Have the department that has suffered the loss pay.
4. Collect from the Client's Director's (Chancellor's) Fund.
Payment
from
the
Uninsured
Loss Fund is dependent upon the merits of the
specific claim. Consideration is also given to the extent of loss
control used by the Client's office and the efforts made to avoid the
loss. The amount paid will reflect the amount that would have been
received by the Client's office had insurance been in force. In some
cases a percentage of the loss will be reimbursed dependant upon the
situation.
Requests
for
reimbursement
from
the uninsured loss fund should be made by the
Client's office in the same format as a property claim. All pertinent
information regarding the loss and values involved should be included
(See Section 2,A).
Note:
Loss
of
books
in shipment are no longer covered by the uninsured loss
fund because of the small values involved which can most often be
absorbed by the department and also because of the need for Client's
divisions to pursue these losses through the shipper or the post office.
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