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Inferring Dishonesty: The Fifth Amendment and Fidelity Coverage

By Robert E. Johnston and Christopher L. LaFon
April 01, 2004

Dishonest employees always have posed a problem for businesses. The average business may lose 6% of its annual revenues to employee fraud, and cumulatively the impact of employee theft on the economy is estimated to be $600 billion annually. See Association of Certified Fraud Examiners (“ACFE”), 2002 Report to the Nation on Occupational Fraud & Abuse, at ii, 4 (2002), available at www.cfenet.com/publications/rttn.asp. Although the average loss through employee embezzlement is $25,000, where computerized financial records or transactions are involved, the average loss increases nearly twentyfold. See National White Collar Crime Center, WCC Issue: Embezzlement/Employee Theft, at 2 (2002), available at http://nw3c.org/downloads/Computer_Crime_Weapon.pdf.

Insurers have responded by selling employee-dishonesty or fidelity policies, which reimburse the insured for its monetary loss from the dishonest or fraudulent acts of its employees (or others in positions of trust). When claims arise, most fidelity policies require the insured to submit a detailed, sworn proof of loss. The preparation of such a proof may require the insured to conduct a significant investigation into how the loss occurred and to monetize its claim.

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