BULLETIN NO: MGR-95-037 TO: All Reinsured Companies CFSA Headquarters, Program Delivery and Field Operations All Risk Management Field Offices FROM: Kenneth D. Ackerman Acting Deputy Administrator SUBJECT: Raisin Monitoring Program BACKGROUND: Several complaints have been received regarding incorrect application of raisin loss adjustment practices and procedures. The areas of most concern involve the handling of raisins sold as salvage that are later reconditioned; the prices obtained for raisins sold for salvage and the methods used for establishing tray weights and field discards. ACTION: The Risk Management Sacramento Compliance Office (RMSCO) will initiate a review to monitor 1995 raisin loss adjustment. The review will: (1) determine if the raisins can feasibly be reconditioned before releasing the raisins to be disked or sold as salvage; (2) if the highest salvage price was obtained; (3) if accurate tray weights and field discards are being established. To determine that applicable approved procedures are followed, RMSCO will monitor reinsured company and Consolidated Farm Service Agency (CFSA) raisin loss adjustment. RMSCO in cooperation with reinsured company and CFSA field representatives, will supervise this initiative. Effectively immediately, all reinsured companies and CFSA offices will begin mailing/faxing the raisin proof of loss to the RMSCO. Note: No production can be released to be disked or sold as salvage use until approval has been given by the RMSCO. Verification of intended disposition and valuation of damaged raisins will be conducted by reinsured company and CFSA field supervisor/representatives and monitored by RMSCO personnel for accuracy. Attached is an outline of the procedures and performance tolerance to be followed during the review. The RMSCO will be responsible for the logistical details to these procedures. Steps to follow during the Raisin Claim Monitoring Program: 1. Companies will inform loss adjusters (for raisins to be disked or sold as salvage) not to finalize claims (do not release raisins to be removed or disked ) at the field level. These claims should be finalized at the company level. Loss adjusters should advise insureds to keep the raisin trays intact until they are released by the company. 2. Companies will provide RMSCO with raisin proof of loss via mail or fax at the following address: USDA/Risk Management Compliance Office (RMSCO) 1303 J Street, Suite 460 Sacramento, California 95814 Phone Number: (916) 498-5288 FAX Number: (916) 498-5396 RMSCO will review the proof of loss upon receipt and notify the reinsured company and CFSA within one (1) business day which policies have been selected for review. Proof of losses received after 3:00 p.m. will be reviewed the next business day. 3. Companies are permitted to finalize the claims for those polices not selected for review once notified by RMSCO. 4. RMSCO will coordinate and monitor reviews with company CFSA field supervisors/representatives within two business days of policy selection and company notification. Companies should provide RMSCO with the name and location of field supervisors/representatives (point of contact) who will be responsible for conducting reviews. 5. RMSCO should be notified of quality control reviews conducted by the companies and CFSA, and be provided a copy of the findings. The tolerance policy for determining when a claim determination is unacceptable will be as follows: (1) FCIC-approved policies and procedures were not followed, resulting in a difference of any indemnity amount between the original determination and the reappraisal determination. (2) FCIC-approved policies and procedures were followed: When a indemnity difference the lesser of $1,500 or 10 percent per unit exists between the original determination and the reappraisal determination. When a unit is reviewed and found to contain a determination that is unacceptable, it will be defined to be incorrect. All differences in a unit loss determination defined to be incorrect will be corrected by the adjusting organization.