Insurance and liability concerns arise as this industry moves into the
popular domain, particularly concerning banking credit, property and
casualty lines, and life and health insurance. A 2020 report by New Dawn
Risk determined that there are currently only six insurers offering
cannabis coverage.
Limited Access to Banking and Credit
Strict
federal regulations have left financial institutions unwilling or
unable to process transactions with cannabis businesses. Under the Bank
Secrecy Act and the PATRIOT Act, financial institutions are required to
establish strong anti-money laundering programs and ascertain the
identities of clients and the nature of their businesses. Thus,
financial institutions can only open accounts for cannabis businesses if
potential clients comply with the DOJ’s policy of non-prosecution,
leaving a large liability for these institutions if any aspect of a
cannabis business or its clientele violates DOJ policy. Without
financial support from banks and other financial services, many cannabis
businesses must remain cash-based, making the industry difficult to
regulate and limiting the tax revenue that states could collect from
such businesses.
Reputational Risk
The
reputational risk associated with cannabis could present significant
problems for the industry. Many banks are even more unwilling to provide
services to cannabis businesses because of the stigma attached to
cannabis usage. Insurers must also consider the soundness of the medical
science behind cannabis as a treatment for medical illnesses. Moreover,
with conflicting federal and state rulings, insurers must ask
themselves if there is even an insurable interest in the cannabis
industry and whether the U.S. Government could possibly seize reserves
held to pay claims.
Underwriting Policies
With
constantly emerging research about the impact of cannabis use,
underwriters are re-evaluating policies for medical cannabis patients
based on medical risk. In the past, insurers that drug tested applicants
treated cannabis and tobacco consumption equally in their underwriting
practices, but studies have indicated that cannabis users are no more
likely to suffer cancer, lung or cardiac diseases than tobacco smokers.
Some insurers have begun offering different rates to cannabis users who
do not smoke tobacco than those who do smoke tobacco to reflect the
lower risks associated with cannabis usage. Insurers are emphasizing
both how often an applicant uses cannabis as well as their medical
history to establish rates.
Drug Testing and Workers' Compensation
Cannabis
legalization has affected drug testing procedures and workers’
compensation. Procedures to measure cannabis use are complicated and
time-consuming. Traditional urine tests can be inaccurate and unfair to
chronic users. THC remains in the body for a longer period of time than
most drugs; depending on frequency of cannabis use, positive tests
indicate the presence of THC in the system without measuring its
recency. As a result, infrequent users are less likely to fail drug
tests, even when they have smoked more recently than frequent users.
Drug
testing for cannabis is only reliable up to a certain point. Most
companies will administer a urine test that will only indicate
consumption up to around a 30-day period. An alternative to this form of
testing is the collection of a hair sample, which can indicate
consumption up to 90-days from the most recent date of consumption.
These tests, however, only indicate consumption and do not measure the
chronic use of cannabis. From this discrepancy, drug tests might be
easily manipulated or avoided, creating a risk for liability for
insurers of companies and patients. In states where medical cannabis is
legal, a failed drug test can indicate either recreational or medical
use. There are no reliable means of distinguishing a medical cannabis
patient from a recreational user, and this can create a serious gray
area when moving to terminate the employment of someone who has failed a
drug test.
In light of the new developments about cannabis, some
insurers have emphasized the need for additional drug testing for
cannabis usage to properly assess potential risks. For underwriters, a
positive test can indicate an undisclosed medical problem that cannabis
is used to treat. In this case, insurers can re-evaluate risks based on
information about the frequency and extent of cannabis use. Positive
tests for recreational use can indicate a higher risk for
drugged-driving accidents, which have become more common in recent
years.
The effects of cannabis on workplace performance are
unclear, so hiring and firing based on drug use may not actually help
create a stronger workforce. In terms of workers’ compensation, cannabis
legalization creates some interesting dilemmas. First, it remains to be
seen whether workers can be fired for using cannabis to treat a medical
condition. Also, one could argue that medical coverage for workplace
injuries should include the costs of purchasing or growing cannabis.
Medical cannabis is not currently mentioned in the Official Disability
Guidelines (ODG), American College of Occupational & Environmental
Medicine Practice Guidelines (ACOEM), the Occupational Safety &
Health Administration (OSHA), or any other workers’ compensation
treatment guideline.
Prescription Status and Dosage Standards
While
licensed doctors cannot legally prescribe cannabis, they can recommend
cannabis to patients in states where medical cannabis is legal. With
proof of a medical referral, patients can then buy or grow cannabis for
consumption from a separate cannabis business. The lack of cannabis
dosage standards and the support of licensed medical professionals
presents problems for medical cannabis users and insurers. Due to the
lack of FDA approval, cannabis used for medical purposes can vary in
purity and potency, making for less standardized administration.
Property and Casualty Lines
Property
and casualty lines are left heavily impacted by the growing cannabis
industry. The need for property insurance has grown faster than industry
capacity. Cannabis dispensary operators need many different types of
coverage addressing the possession, cultivation, sale, and
transportation of cannabis. Growers need coverage for property, fire,
product liability, workers’ compensation, business interruption, auto
insurance, employee theft, cyber insurance, and earthquake coverage. But
even operational dispensaries with business insurance have had
difficulty getting insurers to accept their claims, with insurance
companies citing a violation of federal law as the foundation of a
refusal to pay for damages.
Life & Health
In
addition to property and casualty lines, life and health insurance
implications of the cannabis industry will need to be considered. Many
doctors say that cannabis use has some real health and medical benefits.
Should it be covered by standard health insurers and group medical?
Similarly, those who use medical cannabis to treat chronic and
debilitating conditions may live longer, potentially affecting the
writing of life insurance policies.