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Final Agency Determination: FAD-115

FAD-115

Subject: One requestor submitted requests dated February 10, 2010, and March 22, 2010, and another requestor submitted a request dated March 31, 2010, requesting a Final Agency Determination for the 2008 and succeeding crop years regarding the interpretation of Section 10 of the Guaranteed Tobacco Crop Insurance Provisions published at 7 C.F.R. §457.136, the Risk Management Agency (RMA) Final Agency Determinations FAD-35, 60, and 80, and section 508(a) of the Federal Crop Insurance Act (Act). This request is pursuant to 7 C.F.R. part 400, subpart X.

Background

Section 508(a)(1) of the Act states:

Sec. 508.CROP INSURANCE.

(a) AUTHORITY TO OFFER INSURANCE.-
(1) In General.-If sufficient actuarial data are available (as determined by the Corporation), the Corporation may insure, or provide reinsurance for insurers of, producers of agricultural commodities grown in the United States under 1 or more plans of insurance determined by the Corporation to be adapted to the agricultural commodity concerned. To qualify for coverage under a plan of insurance, the losses of the insured commodity must be due to drought, flood, or other natural disaster (as determined by the Secretary).

Section 10 of the Guaranteed Tobacco Crop Insurance Provisions states, in relevant part:

10. Causes of Loss.

In accordance with the provisions of section 12 of the Basic Provision, insurance is provided only against the following causes of loss that occur during the insurance period:

***
(b) Fire;

Section 12 of the Basic Provisions states, in relevant part:

12. Causes of Loss.

The insurance provided is against only unavoidable loss directly caused by specific causes of loss contained in the Crop Provisions. All specified causes of loss, except where the Crop Provisions specifically cover loss of revenue due to a reduced price in the marketplace, must be due to a naturally occurring event. All other causes of loss, including but not limited to the following, are NOT covered:

(a) Negligence, mismanagement, or wrong-doing by you, any member of your family or household, your tenants, or employees;

Final Agency Determination (FAD) 035, as here pertinent, states:

Read together, the Act, Basic Provisions, and the Guaranteed Tobacco Crop Insurance Provisions specify that fire is an insurable cause of loss when circumstances causing the fire are unavoidable and when the insured can establish that the ignition source of the fire is due to a natural cause or natural disaster.

FAD-060, as here pertinent, states:

Section 508(a)(1) of the Federal Crop Insurance Act (Act) states the losses of the insured commodity must be due to a drought, flood, or other natural disaster. The preamble to the Basic Provisions states that if there is a conflict between the Act and the Basic Provisions or Crop Provisions, the Act will control.

This means that section 12 of the Basic Provisions and section 10 of the Guaranteed Tobacco Crop Provisions must be interpreted to require that any stated cause of loss must be due to natural disaster or natural cause before it can be insured. In addition, in accordance with section 12 for the Basic Provisions, all specified causes of loss must be due to a naturally occurring event and must be unavoidable. This would include fire.

Further, section 14(e)(Your Duties) of the Basic Provisions requires the insured to establish that any loss was directly due to an insured cause of loss. This places the burden on the insured to prove that an insured cause of loss caused the loss of production or revenue. As stated above, because the Act only authorizes coverage for losses due to natural disaster, the burden is on the insured to not only establish that a fire occurred, the insured must also establish that the fire was due to natural causes.

Interpretation Submitted By Requestor One

The requestor interprets the current interpretations issued through FAD 35, 60, and 80, that coverage for “fire” loss can hardly be called “predictable coverage.” The arson example provided in FAD-80 is one example where similarly situated farmers may or may not be able to “prove” the cause of their fire loss. The issue is immensely compounded in the case of dark-fire tobacco insurance for farmers who are required to light a smoldering fire as part of a good farming practice. These farmers pay an increased premium for federally reinsured “fire-cured” tobacco over similar “air-cured” tobacco; the only difference in the crop is the “firing” process. This of course, leads reasonable minds to conclude that the increased premium corresponds to the coverage for the risk of the “firing” process. When tobacco barns are lost, it is generally catastrophic and there is nothing more than a pile of ashes left as evidence of the crop’s existence. The current interpretation of section 508(a) of the Act provides zero predictability in a farmer’s ability to gather proof that a catastrophic loss was due to a “naturally occurring source” that caused the fire to escalate to an uncontrollable blaze. Such was not the intentions of Congress in amending the statute in 1994.

The list of “covered” causes of loss in the prior version of section 508(a) of the Act is almost identical to a number of causes of loss identified in section 10 of the Guaranteed Tobacco Crop Provisions. More importantly, section 12 of the Basic Provisions states that the coverage is limited to “unavoidable loss” as identified in the specific Crop Provisions. This “unavoidable loss” is consistent with the language of section 508(a) of the Act prior to the Congressional amendment removing the detailed list of “causes of loss” in lieu of the more general statement of “drought, flood, or other natural disaster (as determined by the Secretary).” The reference in section 12 of the Basic Provisions that a loss must be “due to a naturally occurring event” must be reasonably construed as the same liberal construction required by section 508(a) of the Act. The requestor, having considered the overall framework of the of the Act and specifically the changes made to section 508(a) by the 1994 amendments of Congress in expanding coverage under the Act, propose an interpretation of that section as follows:

Section 508(a) in requiring “the losses of the insured commodity must be due to drought, flood, or other natural disaster (as determined by the Secretary)” must be liberally construed, consistent with the legislative intent of expanding the Act to increase farmer participation and provide sound predictability of insurance coverage. Therefore, coverage for “fire” as referenced in the insurance policy includes any unavoidable fire, whatever the source, as the failure to use good farming practices, negligence, mismanagement, or wrongdoing by the insured or any member of the insured’s family or household, the insured’s tenants, or the insured’s employees.

Alternatively, the requestor stated that section 508(a) of the Act should be broadly construed that the insured is not required to “prove” or “establish” the ignition source of the fire was specifically due to a natural disaster. Fire is a covered cause of loss under the policy unless evidence exists of negligence, mismanagement, or wrongdoing by the insured, a member of the insured’s family or household, the insured’s tenants, or the insured’s employees.

Interpretation Submitted By Requestor Two

The requestor’s interpretation is that the insured must establish the loss was due to a naturally occurring event as opposed to an event brought about by human interference. In case of loss due to fire, this may include either that the fire was ignited by a naturally occurring event, or that the fire was spread beyond where it otherwise would have been contained due to a naturally occurring event. When the insured cannot establish that the source of the fire was a naturally occurring event, or that the spread of fire was due to a naturally occurring event, then any damage resulting therefrom is uninsurable.

Final Agency Determination

The Federal Crop Insurance Corporation (FCIC) disagrees with requestor one’s interpretation that the cause of loss does not have to be the result of a natural cause or natural disaster, or that the producer does not have to prove the cause of loss. First and foremost, section 508(a) of the Act only authorizes coverage for natural disasters. Regardless of any previous language in section 508(a) of the Act, FCIC is interpreting the current language, which is plain and unambiguous. Losses must be caused by natural disasters. Therefore, neither the policy provisions nor the procedures can be interpreted in any manner that would conflict with this provision of the Act. Hence, section 12(a) of the Basic Provisions specifies negligence, mismanagement, or wrongdoing by the insured, any member of the insured’s family or household, or the insured’s tenant or employees are not covered. Accordingly, this provision cannot be interpreted to mean that wrongdoing by others is covered under the policy. No man-made loss is covered.

Further, section 14(e)(Your Duties) of the Basic Provisions clearly states the insured is required to establish “that the loss of production or value was directly caused by one or more of the insured causes specified in the Crop Provisions.” Therefore, the insured is required to prove or establish that a covered cause of loss occurred. This means there must be an affirmative finding that the ignition source of the fire that caused the loss was naturally occurring. If the insured cannot meet this burden, no indemnity can be paid. This is reinforced by paragraph 125A (1) of the Loss Adjustment Manual (LAM) Standards Handbook, which states that any damage resulting from fire when the insured cannot establish the ignition source of the fire was due to a natural cause or natural disaster is uninsurable.

FCIC agrees in part with requestor two’s interpretation that the insured is required to prove or establish that a covered cause of loss occurred and that there must be an affirmative finding that the ignition source of the fire that caused the loss was a naturally occurring event. Further, if the insured cannot meet this burden no indemnity can be paid. However, FCIC disagrees with the requestor two’s interpretation that any damage to fire-cured tobacco by fire cannot be covered as an insured cause of loss. The cultural practices for fire-cured tobacco consist of man-made controlled smoldering hardwood fires built on the barn floor. However, even with good management practices, an unavoidable naturally occurring insured peril (e.g., hurricane, tornado, or other abnormally excessive winds) can cause the smoldering fires to uncontrollably ignite unintended areas of the barn (e.g., timbers) that quickly spread and damage or destroy the tobacco in the barn.

Consistent with FAD-80 in the case of tobacco, and specifically including fire-cured tobacco, fire damage to the curing tobacco can be covered if the insured can establish, with verifiable documentation, that the fire igniting the curing tobacco was caused:

1. By a naturally occurring unavoidable insured peril, and
2. In no way due to negligence, mismanagement or wrongdoing by the insured or member of the insured’s family or household, insured’s tenants or employees or anyone else.

Verifiable documentation must include at a minimum:

1. Local weather information collected by sources whose business it is to record and study the weather including but not limited to local weather reporting stations of the National Weather Service or documented local news reports, newspapers, television news reports, etc.; that clearly establishes there was a hurricane, tornado, abnormally excessive winds, earthquake or other naturally occurring insured peril in the area; and
2. If applicable, a report from the Property and Casualty Insurance Company who paid the fire claim on the barn stating there was no arson or malfeasance on the insured’s or anyone else’s part; or
3. Reports from the local fire department and/or law enforcement agency indicating the cause of the fire was due to a natural event.

In accordance with 7 C.F.R. 400.765(c), this constitutes the Final Agency Determination and is binding on all participants in the Federal crop insurance program for the 2008 crop year and succeeding crop years.

Date of Issue: Apr 22, 2010