Are Florida Insurance Companies Really Losing Money? Are Investors Using Management Companies To Take Profits and Leave Little Surplus for Policyholder Claims?

An Order by the Office of Insurance Regulation shows one method some Florida insurers may use to “poor mouth” losses to the public and our legislators in Tallahassee while taking millions home through shell accounting techniques. Many of the smaller insurers operate as three corporations--the insurer, a managing general agent, and a holding company. It does not take a financial genius to figure out that investors and managers can siphon off profits by simply charging excessive fees through the managing general agent. The insurance part of the jointly owned enterprise then claims it cannot make any money for various reasons which we have been hearing about in the press and from some insurance lobbyists looking to raise rates and reduce benefits to policyholders.

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Sinkhole Proposed Law Only Pays Policyholder 25% of Available Coverage--Lessons of How the Insurance Lobby Spins a Message

The poor policyholders whose homes cracked, popped, and dipped as a result of sinkholes induced by citrus farmers spraying their crops to prevent freezing damage should be happy it happened to them this year. Newly proposed anti-consumer sinkhole legislation would limit policyholders to 25% of their coverage limits for the most common sinkhole problems.

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Senators Mike Fasano and Rhonda Storms Come to the Rescue of Policyholders

The Florida Senate Banking and Insurance Committee has a number of very intelligent and very well meaning members. Two of them, Senator Rhonda Storms and Mike Fasano stood up yesterday to the insurance lobbyists who know little about insurance, but a lot about propaganda and politics. Full time and professional insurance lobbyists have one agenda--achieve their clients agenda. They have an army of lawyers, a ton of money, and their message is "spin" at its finest. No wonder so many public servants can get snowed by the misinformation and insurance industry proposed laws.

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Proposed New Senate Bill Filed: Policyholders Lose Prompt Replacement Cost Payments and Older Roof Insurance Coverage

If you are a policyholder, don’t expect prompt payment of replacement cost benefits and payments for damage to older roofs if Florida Senate proposed legislation passes. A proposed bill filed as a substitute that will be heard in the Florida Senate and Banking & Insurance this Wednesday was just released this afternoon. I have not had an opportunity to review it in detail, but a number of anti-consumer provisions are contained within this proposed legislation.

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The Florida Insurance Lobby Currently Controls the Rhetoric Regarding Public Adjusting in Florida

Julie Patel of the Sun-Sentinel published Battle Brewing Over Public Insurance Adjusters which was preceded by Florida Cabinet Tables Insurance Fee for Hurricane Claims: Fraud Suspected and a St. Petersburg Times article "State Delays Bond Sale for Hurricane Wilma Claims.” In each of these, the message from the insurance industry was clear:

The Florida Insurance Council, Property Casualty Insurers Association of America and the Florida Property Casualty Association issued statements Wednesday backing bills filed this week by Sen. Mike Bennett, R-Bradenton, and Rep. Janet Long, D-Seminole. They say public adjusters -- who represent homeowners in claims disputes with their insurer -- inflate claims, driving up costs for all policyholders.

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Everyone Must Participate In The Political Process

(*Chip Merlin's Note: This guest blog is by Frank Artiles, candidate for the Florida State House of Representatives)

“Determine never to be idle…It is wonderful how much may be done if we are always doing.”
      -Thomas Jefferson  

Thank you for hosting a Forum that informs and educates so many regarding insurance industry trends and concerns. I feel privileged to work in a part of the insurance industry dedicated to helping people. I am humbled that you have asked me to write about a topic that is so important and that I feel strongly about.

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Sinkhole and Catastrophic Ground Cover Collapse Insurance in Florida

(Note: this Guest Blog is by Donna DeVaney, an attorney with Merlin Law Group in the Tampa, Florida, office. This is a series that she and fellow attorneys Kristin Demers-Crowell and Amy Boggs will be writing on sinkhole issues).

In 2009, the Florida legislature passed a law allowing Florida residents to opt-out of sinkhole coverage. The purpose of the law was to help insureds lower their yearly insurance premiums. The practical effect, however, has been that we now have many in this state who have insurance policies that effectively cover nothing in the event of sinkhole damage.

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A Man of His Word: Unlike Other Flip Flop Politicians on Insurance Rates, Crist Sticks to His Promise

The Florida legislator is full of "flip flop" legislators that are reversing laws made in 2005 and 2006 which supported lower insurance rates and protected insurance consumers from unscrupulous insurers. Governor Charlie Crist ran on a platform of helping Floridians keep insurance rates down and he is sticking to that promise even as other politicians who once voted for such laws are now firmly supporting the opposite measures. These "flip flop" politicians are filing laws that would allow rates to go as high as the insurance industry can make them and laws that take benefits away from consumers following disaster. Crist seems to be standing tall against the insurance industry and for the people, unlike other politicians who are currently getting their responses and "speaking points" from insurance lobbyists.

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Consumer Advocates Call "Insurance Choice" Legislation Misleading

Three consumer advocates published a letter, Property Insurance Deregulation Too Costly, which claims that currently proposed Florida legislation calling for no regulation of insurance rates is bad for Floridians "because the average consumer does not have the resources or information to determine when a rate is excessive, the opportunity for the [insurance] company to abuse consumers exists." I agree, and for many more reasons than just that.

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Mediation May Not be the Answer to a Best Alternative Insurance Claim Resolution Process Because it is Subject to Abuse

I appreciate all the comments to posts from readers with various perspectives on insurance coverage and the insurance claims industry. I read them all, try to respond when I can, and honestly consider the viewpoint of those writing. This morning, I came across a comment worthy of consideration by all of us regarding mediation and alternative approaches to insurance claims dispute resolution.

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Sean Shaw is a Refreshing and Intelligent Advocate for Floridians--We Deserve This Type of Representation

Why do so many of our politicians play to the lobbyists and support laws that harm the average person and voter? This is exactly what has happened with important laws sponsored by the insurance industry lobbyists and then proposed by Florida Senator Mike Bennett of Bradenton and Representative Bill Proctor of St. Augustine. These politicians and other Florida political leaders have sponsored a law that would allow insurance companies to raise the rates of Florida policyholders as much as they want. Indeed, the law they support allows for insurance companies to collude with each other, since it calls for the complete deregulation of rates. As the insurance industry is exempt from anti-trust regulation, based on a bargain it made with the federal government in which it agreed to state regulation of rates, the insurers would be legally exempt from all regulation. Is this stupid or what? Do the Florida political leaders supporting this law think people will be happy when their rates go up 100% in a couple of years, or is this just a payback to the insurance industry and their lobbyists funding certain political action committee dollars? Or, giving them the benefit of the doubt, do they really understand the issue?

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A Method for Keeping the Appraisal Clause in Property Insurance Policies Which Will Satisfy All Concerns

The appraisal clause should not be removed from Florida insurance policies. The concerns of insurers and policyholders can be addressed if we simply do two things:

1.  Mandate that the appraisal clause remain in all property insurance policies.

2.  Pass legislation which provides the safeguards for a fair procedure while allowing the parties to make the process as formal as they need to insure due process and still reflect the desire to avoid the time and expense of litigation.

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Sean Shaw Has Full 2010 Legislative Agenda--Including Public Adjuster Issues

Miami Herald reporter, Bea Garcia, wrote a very important story, Tackling Contentious Insurance Issues, concerning Insurance Consumer Advocate Sean Shaw. It appears the Roundtable meeting I wrote about in Alternative Resolution Roundtable: Appraisal is the Hot Topic and Is There Any Chance that Appraisal Will Stay the Same in Florida?, is going to be an important last meeting before Shaw takes stances on how Florida legislators should deal with current insurance consumer issues:

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State Farm's Regulatory Resolutions and Concessions

In a post last September, State Farm Agents are Fighting State Farm for Economic Survival, I wrote:

"Again, for many different reasons, I hope McCarty and State Farm can work out a deal."

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State Farm Florida Withdraws its Plan to Leave the State and Agrees to Non-Renew no More than 125,000 Residential Property Policies

The Florida Office of Insurance Regulation (OIR) has entered a Consent Order today resolving the attempt by State Farm to leave the Florida property insurance market.

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Do Florida Legislators Think We Are Stupid?

Floridians currently have legislators that are in the pockets of and doing business for insurance companies. Virtually all states regulate insurance rates because insurance companies have been historically notorious for over charging customers following losses, as well as for under charging customers before declaring bankruptcy.

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While State Farm May Stay in Florida, Appraisals May Go

Julie Patel, of the Sun Sentinel, reported that Florida officials and State Farm appear to be working towards a mutual solution to keep State Farm selling property insurance in Florida:

Insurance Commissioner Kevin McCarty told the Florida Cabinet Tuesday that State Farm may not leave the state's property insurance market as planned and the state is developing a report card on insurers to help consumers and increase competition.

“We’d like them to be a good neighbor so long as they are a fair neighbor," Gov. Charlie Crist said about McCarty's prediction that State Farm will stay in Florida in a smaller form.

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Florida Rates Are Rising--Not So Fast!

Last week, I made a statement in my post, Are Wind Mititgation Credits Killing Profits of Florida Insurers, that everybody is predicting insurance rates are going up . Then, the St. Petersburg Times ran a story, Citizens Property Rates Headed Up, or Maybe Down, Depending on Where You Live.

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Are Wind Mitigation Credits Killing Profits of Florida Insurers?

It is hard to imagine any Florida property insurers not making a killing in 2009. With no hurricanes or significant tropical storms, the most financially devastating peril was eliminated. Yet, over 100 Florida residential property insurers reported losses.

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Senator Fasano Defends His View Regarding Opting Out of Sinkhole Coverages

I wonder how our clients, the Leeds, would feel if they had purchased only catastrophic sinkhole coverage or no sinkhole coverage, rather than the normal sinkhole coverage required when they purchased their "all-risk" insurance policy. Their home slowly but surely cracked, drooped, and sank over several years before it was condemned. If they "saved" money on their premium as Florida Senator Mike Fasano successfully pushed for in legislation, they would have lost the entire investment on their home. They would also still owe money on the mortgage, possibly causing bankruptcy.

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Associated Industries and Private Insurers Want Florida Policyholders to Pay as Much as Possible for Property Insurance

Florida Senator Mike Fasano, a public servant ever vigilant about consumers of regulated industries getting ripped by the amounts they have to pay for mandated services and products, forwarded a recent news article, “Group Backs Florida Property Insurance Rate Hike.” When the Florida legislators and Governor were concerned about the severe escalation of property insurance premiums following the 2004 and 2005 storm seasons, they froze the rates charged by Citizens Property Insurance Corporation. Governor Charlie Crist ran for elected office on a platform of preventing the severe escalation of such prices. At that time, many of Florida’s legislators ran their political campaigns suggesting they were no friend of the insurance industry that was raising rates in an extraordinary manner. While Governor Crist proved he is a man of his word by vetoing legislation which would have allowed major insurers to charge whatever they want, only a few elected legislators seem to remember the promises they made to their electorate. Associated Industries supports those politicians that are more concerned about insurers profits than the promises to their constituents—except when elections are around the corner.

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Nationwide Continues its Removal From Florida Property Insurance Marketplace

The exodus of the larger national multiline carriers along coastal areas continues. Nationwide has reportedly filed a plan to non-renew 60,000 property insurance policies in Florida starting next July. Unlike State Farm, however, Nationwide Insurance Company has made arrangements with Tower Hill Insurance Group out of Gainesville, Florida, to accept all 60,000 policies.

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Florida Insurance News Reports on State Farms Slow March to Leaving

Yesterday, Chad Hemenway, associate editor of BestWeek, reported that State Farm and Florida’s Office of Insurance Regulation jointly moved to delay the administrative hearing that will address State Farm’s move to leave Florida’s property insurance market.  The saga continues....

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Cooperation Clause Does Not Require the Policyholder's Slavish Obedience

It is curious how some insurance company claims managers allow their insurance defense counsel to treat their customers with an arrogant, demeaning tone, along with long requests for largely irrelevant lists of information following a loss. Any objection to the treatment is usually met with a threat the claim will be turned down for a failure to cooperate. The “threat” letter is usually in a similar tone requiring the policyholder to obey…or else. For insurance adjusters that do not act this way or allow their insurance defense counsel to do so, this treatment may shock you. Yet, many policyholder representatives see this as a growing trend in claims treatment following a loss.

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Florida Insurers Have A Strong Financial Incentive To Delay, Rather Than Deny, Claims

(Note: This Guest Blog is by Ruck DeMinico, Knowledge Manager with Merlin Law Group). 

The recent case of North Pointe Insurance Company v. Tomas, No. 3D08-2245, 2009 Fla. App. LEXIS 12505 (Fla. 3d DCA August 26, 2009), illustrates why many insurers who wrongfully fail to pay a claim choose to unnecessarily delay payment rather than out right deny them.

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Federated's Claims Handling Problems

(Note: This Guest Blog is by Kelly Kubiak, an attorney with Merlin Law Group in the Tampa, Florida, Office).

Some insurance companies feel that although they may not have investigated a Florida loss promptly during the time period Florida suffered successive hurricanes, the companies have an excuse due to the vast amount of claims.

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The Florida Insurance Industry Flexes Its Muscle

Where are our insurance consumer advocates? Are they publicly wanting to appear one way to get their constituents’ votes, but then voting another way behind closed doors? This is my concern, because otherwise the last bill placed before Governor Crist would never have appeared. My powerful, worthy, much richer, and able State Farm lobbyist, Mark Delegal and other similarly powerful interested insurance industry lawyers show how the insurance industry has already set out its agenda on the insurance consumers of Florida in a recent article:

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Is Florida's Chief Insurance Regulator, Kevin McCarty, at Odds with Florida's Chief Financial Officer and Possible Next Governor?

Dan Luby of the Florida Insurance News forwarded a Blog, Alex Sink's Cold War with the Insurance Commissioner, by Gary Fine regarding a possible “riff” between Alex Sink and Kevin McCarty. I find this curious because the two of them are leading consumer advocates for policyholders. I have never found Bill McCollum, Sink’s opponent for Florida Governor next year to be a supporter of policyholders. He is clearly the insurance industry’s candidate. Yet, the Blog noted:

“Interestingly enough, Attorney General Bill McCollum - and Sink's likely rival for the governor's office in 2010 - praised McCarty's report, saying that Floridians should be "very pleased" with the amount of surplus lines coverage since it has helped decrease the need to have commercial coverage picked up by state-created insurers.”

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Protective Safeguard and State Farm Discounts Disappearing: The Fleeting Loyalty of Insurers to Customers

Two significant pieces of information show a continued trend in the property insurance business and suggests that insurance customers should not rely on the loyalty of their insurance companies. An article by Bea Garcia in the Miami Herald, Florida May Gut Discounts for Hurricane Shutters highlights the industry wide issues raised by State Farm’s requests to eliminate discounts and “recalibrate” the terms of previously granted discounts for measures taken to protect structures from hurricane damage.

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Catastrophic Sinkhole Coverage and the Problems of the New 2009 Florida Legislation

"Cheaper" insurance rates often mean far less coverage. In this world, you often get what you pay for. If there is ever a lesson to be learned about that, just ask those that live in the "Sinkhole Capital of the World," Pasco County, Florida. They can elect to get "Catastrophic Sinkhole Coverage" as ordinary coverage or get "Sinkhole Coverage" which is every bit as catastrophic where it counts--the ability to get back to where you started from--but covers damage from a slow moving sinkhole. The latter optional coverage is very expensive and covers Floridians from loss caused by most of the sinkholes that occur. The other coverage, which is much less costly, covers only very quick and substantial collapse sinkholes which happen once in a gazillion years to the properties owned by anybody. Guess which form the insurance industry wants to insure? BINGO!

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State Farm Criticized by News Leaders Regarding New Rate Increases

State Farm is a tenacious opponent. "If you at first you don't succeed, try, try again" is a motto which must be emblazoned in bold letters somewhere in its Bloomington, Illinois, headquarters. But, down in the Sunshine State, some are criticizing State Farm for its creative methods of raising rates.

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Crist Makes the Correct "Consumer Choice"

Governor Charlie Crist just vetoed HB 1171, which was euphemistically titled the "Consumer Choice Bill."

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State Farm Tells Governor Crist It Will Not Leave Florida If Bailout Bill Is Signed

I do not know why the State Farm Florida President would write a letter to Governor Crist telling him State Farm will remain in Florida if Crist signs the bailout bill. Of course it would. What a competitive advantage a few large insurers would have over the rest of the domestic competition.

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Insurance Industry Does Not Agree on State Farm Bailout Law

The Insurance Journal ran an article, Florida Domestic Insurers Urge Veto of 'Dangerous' Deregulation Bill, which indicates a significant portion of Florida's insurance industry opposes State Farm, State Farm agents, and the other big insurers trying to get a competitive advantage from this legislation. The article outlined many of the competing views and stated in part:

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The Big Insurance Industry Propagandists Support the State Farm Bailout Bill

I received an email from a right wing group that has ties to the insurance industry. It is a call to lobby Governor Crist to support State Farm's bailout legislation. Every consumer group I know of has called the bailout another giveaway to the insurance industry at our expense. But the insurance propagandists are still pushing their illogical arguments.

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Common Law Good Faith Duty Before Florida Supreme Court

The issue whether Florida will join the majority of states recognizing an insurer's duty of good faith at common law is squarely before the Florida Supreme Court. In Citizens Property Ins. Co. vs. Louis Bertot, the Third District Court of Appeal noted the issue before it:

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Proposed Law Drops Sinkhole Coverage

One way to get cheaper rates is to buy an insurance policy that covers nothing. An article shows this is how the Florida legislature is tackling the insurance rate problem:

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Texas TWIA Bill Passes with Consumer Protections and Crist has Surplus Lines Bill

The Texas Windstorm Insurance Association (TWIA) has a new operations plan and laws that affect it, assuming Governor Perry signs the legislation. The good news for TWIA policyholders is that the consumer protections of Chapter 541 are still in place. The bad news is that I predict rates are going to increase substantially.

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Brad Ashwell States the Case to Veto the State Farm Bailout Bill

The Consumer Advocate for the Florida Public Interest Research Group,  Brad Ashwell, wrote a letter published in the Gainesville Sun calling on consumers to urge Governor Crist to veto the State Farm bailout legislation. He clearly explained how the bill will harm Floridians:

"The problem is that this bill would remove consumer protections by no longer allowing the OIR to protect Floridians from excessive or discriminatory rate hikes as Kevin McCarty and his office have successfully done time and time again.

If HB 1171 becomes law, major insurance carriers would not only be able to charge whatever they like, they would also be able to game the system by manipulating rates, quoting excessive premiums to coastal homeowners, then dropping those policies if they choose to so they can maintain and grow inland policies where there is less exposure. The lack of predictability this would create is exactly what we don’t need in a state with an already fragile and overstrained property insurance market.

And perhaps the most troublesome provision is that the bill would help further grow the surpluses of these larger insurers while preventing small Florida-based carriers from doing the same. In this way the bill aims to provide an unfair competitive advantage to larger companies by discouraging across the board competition with smaller carriers. This would ultimately harm consumers and businesses by fostering an insurance market offering fewer choices in terms of dependable insurers. It’s also important to recognize that there’s no guarantee these large companies will continue writing policies in Florida.

Rather than deregulating the market, which hasn’t worked out in the past, we should be working on policy goals that support a more competitive insurance market that provides consumers with more affordable options. In short, we need more Florida-based companies competing, not fewer large insurers who dominate the market, essentially holding homeowners hostage, charging any rate they choose."

He is right, and nobody disputes his facts. Proponents of the bill argue it gives consumers the “choice” to pay excessive rates if they want. The legislators who voted for the bill did so because of political pressure, without understanding the consequences, or because they like the incentives offered by insurance companies for their votes. Either way, the “choice” is just a way to justify this bad legislation.

The Politics of Insurance: Dinallo Resigns, Crist Hints of Veto and Texas TWIA Bill in Limbo

What happened to the time when a significant insurance coverage decision arrived and everybody in my line of work analyzed that topic for several years? Now, the insurance industry is writing so many new and differently worded forms, it is hard to rely upon case decisions as being of widespread significance. If a case decision is made which insurance companies want to avoid, they re-write the policy or the insurance industry lobbies legislators to change the statutory law "gaming" the insurance business to outcomes predetermined in the insurer's favor. Accordingly, I spend more time researching trends of politics. I also review insurance trade journals to contemplate how my policyholder clients may be impacted.

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A Big Week for Texas and Florida Politics of Insurance

The Texas legislature has its hands full this week with an omnibus biill regarding TWIA. Florida Governor Charlie Crist has to decide whether to veto various measures regarding insurance legislation. Additionally, three federal bills were just filed which may impact the landscape of how insurance is made available and sold.

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Fasano and Crist Support Insurance Commissioner McCarty from Attack by Senator Mike Bennett

The politics of insurance is tough for consumer champions. The insurance lobby has many faces and methods of forcing its position. In Florida, the dirty campaign against those governmental officials who stand up to State Farm and the big insurance industry has begun in earnest. Florida has one of the most respected insurance commissioners in the country, Kevin McCarty. Mike Bennett, a relatively unknown state Senator, is attacking McCarty simply because McCarty voiced the opinion that Bennett’s insurance “choice” bill would hurt Floridians.

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No Federal Wind, Hunter Proposes Limited Federal Insurance Oversight, Florida Agents Criticize Proposed Law, State Farm and OIR in Cease-Fire

Imagine – all kinds of legislation, hand in hand with lobbying and political positioning, just in time for the start of hurricane season on June 1. A couple of recent news stories point out the possible direction that several key measures may be heading.

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Florida Insurance Legislation is Over for 2009--Maybe

Numerous newspaper articles have discussed this session’s bills which impact the insurance industry. The anti-consumer bill, which provides for deregulation of insurance rates, passed. I expect Governor Crist will veto that bill as was previously reported.

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Kevin McCarty Battles for Consumers and Against Higher Rates

Florida Insurance Commissioner Kevin McCarty is working tirelessly for fair treatment of insurance consumers. It is amusing that the Florida legislature may give into State Farm's bullying and even allow higher insurance rates, which McCarty says are unnecessary. Some of our legislators are pandering to State Farm and the Florida insurance industry by using the usual "word spin" games. Deregulating rates under the guise of "consumer choice" will simply lead to higher premiums.

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Surplus Lines Bill Moving Through the Florida Legislature

I wrote about surplus lines insurance companies in an earlier post, Surplus Lines Insurers, Sinkholes, and the Law of Mars. I explained how an attorney in our firm, Donna DeVaney, was able to get a favorable ruling in a sinkhole case involving a surplus lines policy due to a recent Florida Supreme Court case, Essex Ins. Co. v. Zota, 985 So. 2d 1036 (Fla. 2008).

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Recent Comments Worthy of Posts Regarding Insurance Coverage Issues

Comments are important in the Blogoshpere. What I may or may not write is relevant only if it is important to others. If some wish to comment with views from which we can all learn, progress is made. Sometimes, we do not read the comments to blogs which may be insightful and provide some food for thought. For this reason, I am posting some of those comments which in my opinion provide more provocative thoughts for your review and comment:

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Kevin McCarty and Chip Merlin Honored by The Insurance Law Center's Person of the Year Awards

Policyholder Attorney of the Year 2008 - Honorable Mention

Congratulations to Kevin McCarty and Chip Merlin, who were recently honored by the LexisNexis Insurance Law Center‘s Person of the Year Awards. Chip received Honorable Mention in the category of Policyholder Attorney of the Year. Explaining the basis for the award, the Insurance Law Center noted:

“Chip Merlin’s dedicated and ethical work on behalf of policyholders is a true measure of success that merits an honorable mention in this Policyholder Attorney category.”

Kevin M. McCarty, Florida’s Commissioner of Insurance Regulation, won the award for Regulator of the Year. As you might remember from previous blogs (A Fantastic Regulatory Settlement; State Farm's Fitness and Trustworthiness to Conduct Business Questioned), Chip predicted that McCarty would not cow to State Farm and other big insurers. This is one of the reasons Lexis chose to honor McCarty:

“Kevin McCarty’s impact on Florida and the nation’s insurance marketplace is undeniable. He has proven himself as a force to be reckoned with. In his steadfast role as “agitator in chief” of the property and casualty marketplace in the Sunshine State, he has irritated homeowners’ insurance companies for the benefit of consumers to the point where large carriers have threatened to exit the marketplace.”

You can read more in Julie Patel’s article in last Tuesday’s Sun Sentinel.

State Farm's Departure is Problematic--What it Wants is Unclear

The Tampa Tribune ran a story, State Farm’s Exit From Florida Proving to Be a Problem for Some, which demonstrates problems consumers will have obtaining new coverage. The on-line edition of the story is somewhat entertaining because the comments show the disparate results of consumers who are shopping for insurance and confusion about underwriting. What is still unclear and troubling is exactly what State Farm hopes to gain from its announcement that it is leaving Florida. Certainly, it is losing revenue and access to a very large insurance market.

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Florida State Farm Agents and Employees

I wonder how State Farm’s agents and employees really feel about the officers and managers in Bloomington, Illinois. My bet is not much different than the remaining State Farm policyholders--although State Farm agents and employees are probably not going to say much about it until they get a better job.

While I have my differences regarding what they are taught, State Farm employees and agents are probably the most thoroughly trained in the insurance industry. State Farm has operational guidelines regarding every aspect of company activity. Even agent involvement in the political process is outlined in detail for agents to help the company press its agenda.

Accordingly, the front page story in BestWeek, State Farm Florida Customers Survey Property Market, did not surprise me. Jim Graganella, the CEO of a State Farm competitor, said the remaining State Farm policyholders represent the "cream" of State Farm's book of business. He also highly praised State Farm's Florida underwriters and agents, referring to them as "topnotch." This has been my impression of the agents in Florida for a long time. One of them is my insurance agent.

Locke Burt, an insurance executive and a colleague of mine on the Citizens Mission Review Task Force, was quoted as saying about long time State Farm customers, "A lot of customers are shopping. They are mad."

I wonder what we are going to learn from State Farm’s agents, adjusters and other employees as they start shopping and find work with other insurance carriers looking for "top notch" help. My experience is that there will be more transparency about State Farm's motives and operations once its former employees are free to speak their mind.
 

Competing Insurers Want State Farm's Business

State Farm has a market share in the property insurance business that its competitors envy. These competitors are taking advantage of State Farm's announcement that it intends to leave Florida’s property insurance market.

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State Farm Small Competitors

Americans love to root for underdogs. It is part of our value system that anybody can become successful in this Country through hard, honest work and perseverance. Floridians are rooting for the small competitors of State Farm since State Farm's announcement that it is leaving Florida's property insurance market.

The St Petersburg Times noted that such a small competitor, Security First Insurance, has announced it will take 50,000 State Farm policies. Security First is run by former Florida State Senator Locke Burt, a fellow member of the Citizens Mission Review Task Force, .

Burt is one of the most knowledgeable individuals of the Florida insurance market, with a historical perspective. He was a politician in the 90's when the insurance problems following Hurricane Andrew first arose. During the Task Force meetings, I listened carefully to him for an understanding of tried and failed attempts to correct the insurance problems which still plague Floridians. I also watched out for his attempts to suggest obvious pro-insurer legislation--he runs an insurance company.

While I have a great deal of respect for Locke Burt and wish his company great success, I quite often found myself at odds with him during debates of the Task Force. He was the one that pushed for a suggested law that would have eliminated sinkhole coverage. At one point during the last meeting, I made a rather pointed comment to Burt which suggested that he wanted to pass such legislation so his company and all other insurers never paid claims and would just collect premiums.

The bottom line is that for property coverage to exist in Florida, we need the smaller companies to succeed. I wish Security First great financial success. I also hope that they provide coverages Floridians need and that they manage their customers’ policies and claims with the highest degree of integrity. As I have said in the past, it does not take a rocket scientist to figure out that it is far more profitable to take premiums and not pay fully and promptly, than to do otherwise.
 

Responding to the Media About The Insurance Financial Crisis

The Tampa Tribune ran an editorial on January 12th regarding the Citizens Mission Review Task Force. As usual, I had something to say about their opinion, and wrote the the following reply, which was published in Sunday's paper:

Florida Dangerously Vulnerable

This is in response to the Jan. 12 editorial, "New Ideas Could Bring Sound Hurricane Coverage."

You raise some important points regarding the safety net of property insurance, and the Citizens Mission Review Task Force meetings also revealed issues that all Floridians must be made aware of.

First, dried up credit markets have left our current system dangerously vulnerable. In the event of a major hurricane season, it is unlikely that Florida would be able to raise the money needed to cover the debts of Citizens through bond sales.

Second, as you noted, Citizens rates are currently lower than being actuarial sound. Yet everybody wants rates to remain affordable. The task force recommended responsible, capped increases to prevent wallet shock.

Third, encouraging a private insurance market to replace those carriers that find Florida too risky is a viable long-term solution. The Legislature passed laws aiding and regulating these companies that often provide coverage at rates lower than Citizens, especially for policyholders who take advantage of the My Safe Florida Home program.

Finally, the best long-term solution is to harden structures. Yes, it is costly but offering premium discounts to homeowners who make improvements has to be encouraged, even if it takes a state and federal tax relief program too beneficial to pass up. That is something our federal and state leaders can start working on now.

We cannot afford to put our heads in the sand and hope Mother Nature will spare us for another season. We must act now for the long-term because there is no easy short-term solution to the very difficult situation we all face.

WILLIAM F. "CHIP" MERLIN

Tampa

The writer is founder of the Merlin Law Group and was appointed to the Citizens Property Insurance Mission Review Task Force by Gov. Charlie Crist in 2008.

The final meeting of the Task Force is scheduled in Jacksonville on Thursday, January 22nd. Our Report is due to the Florida Legislature by January 31.
 

The Only Thing We Have to Fear Is...

Every now and then, I come across something in the media that is simply wrong and feel compelled to do something about it. I recently came across an editorial in the Bradenton Herald, linked below, which is simply fear mongering. Accordingly, I responded with my opinion for all to contemplate on this very important issue in Florida:

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The Ongoing Work Of The Citizens Task Force

The Governor, Charlie Crist, who appointed me to the Citizens Mission Review Task Force has gotten married to a beautiful woman. While I am certain he was planning their honeymoon this past week, I was pouring over insurance rate data, market share analysis, and a reinsurance presentation regarding Citizens Property Insurance Corporation. I bet his work was a whole lot more fun.

Insurance actuarial studies get pretty nerdy.

The St. Petersburg Times ran a story on the progress of the Task Force. While the work of the Task Force is ongoing and no votes have yet to be taken, there is one thing we have to do with Citizens before it is too late--reduce the financial exposure to catastrophic loss. Florida simply cannot afford it. If a major hurricane struck Dade or Broward county, Florida could not efficiently raise the money to pay the claims.

Rates for Citizens will go up. I support annualized caps on any rate hike so the increases will not be shocking. Citizens is depopulating policies, and we need to encourage that as well. I do not agree with a moratorium to prevent Citizens from insuring new construction because some areas of Florida would be subjected to extortionist rates following strong hurricane seasons. In some areas, Citizens is the only insurer to write coverage.

I have learned quite a bit about Florida's insurance marketplace. Many of my colleagues on this Task Force are very experienced and have been working on these issues for over a decade. There are no simple and easy answers without harsh ramifications for some. I have learned why some ideas were tried before with unintended consequences.

Trying to resolve the best policy for Citizens is a lot like pushing on a box to make it square--as you try to push in two ends, the other ends pop out. There can be a lot of frustration trying to get it right. People who offer knee jerk solutions are simply ignorant of the situation or grandstanding for the media.

The good news is that rates have come down in many cases. By imposing a cap on Citizens rates, people could afford coverage while the insurance market corrected itself following the 2004 and 2005 hurricanes. As well, many new insurance companies are selling insurance so that a market exists. The impact from lifting the freeze on Citizens' rates will be felt less because there are other insurers that will compete for the business.

Tampa Tribune Calls For Explanation Regarding State Farm

The Tampa Tribune ran an editorial in today's paper regarding the forty-seven percent average rate increase request made by State Farm. Many editorials are not very helpful. This one is on point and I hope that our government leaders are paying attention. Here is the editorial in its entirety:
Big Insurer's Bid To Up Rates Scary Blow After Two Calm Years The Tampa Tribune Published: July 25, 2008 On its face, State Farm's request to increase rates for hurricane coverage by an average of 47 percent statewide is outrageous and unjustified. If so, it should be rejected. But if the company has based its application on a state-approved formula and solid numbers that don't export profits to its parent company, the implications are ominous after two storm-free years. If State Farm Florida really needs sharply higher rates to stay in business here, that means the state-sponsored Citizens Property may be even more underfunded than has been acknowledged. It could also be a warning that many of the smaller new insurers offering lower rates are gambling on good weather and might not survive a major storm. In Hillsborough, State Farm customers already pay rates about 20 percent higher than those insured by Citizens, according to the state's comparisons at shopandcomparerates.com. Yet State Farm in recent years reports having $1.20 in costs for every dollar it collected in premiums. The storms of 2004 washed away the company's surplus. Those numbers should be troubling to every policyholder. They suggest today's average rates of $2,000 statewide still aren't high enough. If rates really do need to increase about 50 percent to cover the actual risks, that means typical homeowners can expect to pay an extra $70 to $100 each month for property insurance. That's scary. Many lawmakers were quick to call State Farm's request unjustified. All Floridians should hope that a hearing Aug. 12 confirms that general suspicion. Congressman Robert Wexler is calling for a congressional investigation. The Democrat from Boca Raton says State Farm's rate increase is "not consistent with the realities of the conditions in Florida." We concur. But if State Farm's numbers do hold up, they will blow a hole in the Legislature's insurance reforms. Other insurers will be quick to ask for more. And even with higher rates, all ratepayers will remain at risk of paying even more if the statewide cost of storm repairs exceeds the cash available in the Florida Hurricane Catastrophe Fund. We know the state is paying $224 million for the right to borrow up to $4 billion from Berkshire Hathaway in case a major storm hits this year. But that's not half of it. The Legislature, in an attempt to keep rates low, has exposed the state to up to $28 billion in liability. Numbers that big should make all taxpayers nervous. What would make Florida breathe easier would be the return of a healthy private insurance market. An indicator that things are returning to normal will be an attempt by the big insurers to expand their market share. Just the opposite is happening. Winning a 47 percent rate increase is a sure way to lose customers. One bright spot among the many clouds is that the new, smaller companies have learned from others' mistakes. They are spreading their risks and not concentrating in a few counties, especially coastal ones. Every property owner and renter should hope the small companies are right and State Farm is wrong. If not, there are stormy financial times ahead, hurricanes or not.

Snookered Again

[caption id="attachment_87" align="alignleft" width="68" caption="William Chip Merlin"]William Chip Merlin[/caption] When will our legislature learn not to trust insurance executives and, especially, their lobbyists?  Maybe when we vote insurance-beholden legislators out of office. The Tampa Tribune, St. Petersburg Times and Miami Herald ran front page stories regarding State Farm's administrative request for an average rate increase of 47%.  At first I thought it was a mistake, until all three papers reported the same increase and the St. Petersburg Times indicated that some increases for existing rates could be 91%. Something is terribly wrong.  State Farm has increased rates for the past several years.  Supposedly, those rates were somewhat fair to State Farm and their policyholders.  Florida suffered zero hurricane losses the last two years.  State Farm, unless it is altering its books, has to be lake every other carrier in Florida over the past two years--raking in the cash.  They have collected very high premiums based upon catastrophes that never materialized. Possibly, State Farm was a lot smarter than Allstate, and simply waited a year to break the promise it made to the legislature.  Allstate got the great legislation it wanted, promised a discount, and then requested a forty percent rate increase, which lead to a full blown investigation of its practices.  Maybe the State Farm executives were a little smarter and simply waited a year. State Farm is one of the largest lobbying organizations in Florida and the United States.  The management wields a lot of power because it uses customer's premiums to influence regulators and legislators for laws that benefit State Farm, ofter to the detriment of its own customers.  It is all legal, and it makes good business sense for the executives of State Farm to influence social laws to its best economic interest. The question is how long we are going to alow this corporation to control the people we elect and have appointed?  Eventually, there must come a recognition that people, not corporations, are the reason laws are made and government exists.  When elected officials are asked if a policy or law helps the people and are commited to that function, these crazy situations will occur much less frequently.  Only arrogant corporations could expect to do what State Farm did this year and Allstate  did the reay before.  Are the people of Florida simply pawns in the schemes these insurance companies concoct to enough themselvelves.

Large Insurers Continue To Withdraw From The Risk Business

 William \Best is reporting that State Farm continues to retreat from the insurance business in Mississippi.  The headline suggests that State Farm merely canceled policies, but the article reveals that State Farm canceled 900 policies, and changed the terms of 5,000 more customers by refusing to insure for wind peril. As I have explained, our largest insurance carriers are getting out of the risk business.  Allstate, State Farm and Nationwide are following a business strategy that reduces their financial risk to catastrophic loss.  They want to be in the business of "for sure" profits, which is more commonly found in the automobile and life insurance industries. These insurers are getting out of a business they once fought to dominate.  Like casinos in Las Vegas, they want the odds only in their favor and will change the rules to make this happen.  Blackjack was the only game against the casino where careful play could provide an advantage to the player.  The casinos have changed those rules, just like the insurance industry is doing to its customers. State Farm only wants to insure structures where the rates and percentages are so far in its favor, it can never lose.  By excluding wind and flood peril from coverage, State Farm truly covers only the very remote peril of fire in its customers' policies.  This results because all other ensuing losses can arguably be denied under the anti-concurrent causation language found in their policies. The implication is that consumers are going to have to help "start up" competitors and have some governmental backup until the private insurance market can develop these new entrants.  Regulations should be considered which provide rate incentive for these entrants and penalize the old line carriers for depopulating its pool of customers through the cherry-picking of risks.  The old line carriers are simply killing society's ability to have an orderly insurance market. Could you imagine if the health insurance industry started to cancel policies for people over sixty and women between the ages of 18 and 38?  What if we allowed health carriers to cancel or non-renew your policy if you were 15 pounds overweight or had a history of cancer in your family?  This is what we are allowing the property and casualty industry to do.  We simply have to stop it.

100,000 Policies Move Out of Citizens

William \ Kevin McCatry, of the Office of Insurance Regulation, announced that six fairly obscure insurance companies have taken the insurance for 100,000 risks which were previously underwritten by Citizens Property Insurance Corporation.  The good news for consumers is that their new insurance carriers are insuring them for the same or better coverage and for the same or better price.  What a deal!!  Or is it? As much as I have criticized large and mature property insurers such as Allstate, Nationwide, and State Farm, I always knew that they had professional claims management and could pay any claim.  Our experiences with smaller carriers vary.  Generally, claims management of small carriers is less professional, and their capabilities are extraordinarily stretched following a catastrophe.  Further, companies with little surplus (net worth in insurance terms) often come up with creative claims policies and decisions which invariably involve paying less than what is owed or extending the time for payment with excuse after excuse. For example, Southern Family and Atlantic Preferred were two companies that were part of the Poe Insurance Group that became insolvent following Hurricane Wilma in 2005.  The Poe companies were never strong financially.  The four 2004 storms caused a rash of bizarre interpretations of policy language, all favoring non-payment.  It got worse after Hurricane Wilma, and speculation was rampant that the claims personnel were given the customary "do not pay if you do not have to" orders from management. How valuable is insurance that is not going to pay promptly and in full?  How valuable is a deal for better coverage if the insurer is going to not have sufficient assets to treat the policyholder in good faith, with an eye towards payment rather than safeguarding the company treasury? Surplus is important to insurance companies and their customers because it shows the company's ability to pay unanticipated losses.  It is a value after you take away all the anticipated claims.  Insurance companies with big surplus have the financial means to do things right.  Those without big surplus often cheat to stay in business or are cheating on the level of service they provide to customers because they simply cannot afford to do things right. Hopefully, these smaller companies will find top notch methods of insurance operations.  But insurance is unlike any other business because the delivery of the insurance company's product often does not occur until years after the first policy is written.  Talk is often loose and cheap until the claim arrives; only then will anybody know how good of a deal these takeout companies really offered to Citizens' customers.

New Insurance Companies Founded in Florida

William "Chip" Merlin Capitalism and economic venture are alive and well in the Florida insurance market.  The Florida Underwriter reported this month that over 1.7 million policies have been written by new insurance companies since the 2004 hurricane season.  As Allstate, State Farm and Nationwide retreat from the Florida property insurance market, these new insurance companies are accepting risks that would otherwise end up with Citizens Property Insurance Corporation. My initial reaction has been that this is a good development.  We need an infusion of new companies to take the place of the older established insurers that seem determined to leave the insurance business in an effort to safeguard all the surplus they previously made. The new economic premise of Enterprise Risk Management has led old lines carriers to get out of the alleged "risky" Florida insurance business to preserve the profits they made and enter other financial arenas--such as banking, life insurance, and pure investment.  It is refreshing to see new private insurers take the place of old line carriers in the property insurance market. This has not occurred without some governmental help and a fortuitous influx of money into the re-insurance markets.  The Florida Legislature passed legislation which allowed up to $25 million in matching funds to loan any insurer who was willing to write business in Florida.  At the same time, the re-insurance market has greater capacity to write business and the market has "softened" to afford lower rates to these newer carriers.  The bottom line is an influx of new carriers entering Florida and writing insurance policies where the old line carriers dare not go.  Florida is still far from being economically insulated should a major storm hit the state.  It is a Hurricane Katrina away from financial catastrophe.  Still, it is encouraging to see these new companies enter the market.  Hopefully, they will enjoy a number of profitable years to build their surplus ("surplus" is the net worth of an insurer) before faced with any widespread catastrophic losses.

Florida Senate Requires Fairness from Insurers

Moniker Florida newspapers (Tampa Tribune, St. Petersberg Times, Sun- Sentinel) reported on the recommendations of the Florida Senate Select Committee on Property Insurance Accountability, a committee formed in response to the insurance industry misleading Governor Crist and the Legislature about rates during last years legislative session.  Because of these misrepresentations Florida provided under-market prices for reinsurance and assumed greater risk in the event of a hurricane in return for lower rates.  The insurance industry then raised rates after getting the favorable legislation. The letter from the Committee to Senate President Ken Pruitt contains significant and progressive recommendations to help consumers.  A memorandum also indicated that the work of the Committee was not done and that the Select staff would be working with standing committees to help shape legislation protecting consumers. Finally, there appear to be some serious and well conceived changes to help insurance consumers.   The big insurance lobbyists were not pleased, and that is usually a sign that something has been done to help the insurance customers -- all most large insurers seem to care about is return on investment, even dishonorably like they did last year.  Even our governmental representatives have learned that you cannot trust big insurance.

Florida Reducing Hurricane Exposure

A year after the Florida Legislature and Governor Crist were duped by the insurance industry, legislation aimed at lowering the financial catastrophe of a major hurricane has been introduced to correct last year's mistake.  See HB 983.  Last fall, I spoke with Alex Sink regarding her concern that the collapsing bond markets could make it difficult for Florida to quickly raise money to pay for Catastrophe Fund obligations in the event of a hurricane.  Given the decrease in statewide tax revenues and the ever increasing credit strains caused in part by the sub-prime mortgage crisis, she has acted very prudently by supporting this legislation.  Obviously, if the state is picking up less of the insurance payments caused by a natural catastrophe, the insurance industry is picking up more.  Rates have to go up.  The question is:  How much?  The second question in an election year is:  If they go up a lot, are voters going to retaliate at the polls this fall? Of course, the State has an "out":  Citizens Property Insurance Corporations.  Citizens is a governmental entity "competing" against private insurers.  If it continues to charge lower rates, many policyholders and voters will be spared the increase.  Indeed, if the rates are limited to a 2 percent increase as reported in the Palm Beach Post, voter dissatisfaction probably won't materialize.  Nevertheless, the action by Sink and the Legislature was a step in the right direction.  We were a Katrina away from a major financial catastrophe, and this is a prudent step in the right direction.

The U.S. House Gets Its Turn with Big Insurance

Moniker  Last week the Florida Senate grilled insurance executives regarding promised rate reductions that never materialized.  The news reports unanimously found that the insurance executives failed to fully and honestly answer questions put to them by the Senators ("In Insurance Talks, Beware The Jabberwock"; "Allstate Defends Rising Rates"; "Frustration at Insurance Rate Hearing"; "Keep the grill fired up for insurance companies").  This week, the U.S. House of Representatives Financial Services Subcommittee on Oversight and Investigations follows this inquiry.  Unless something drastic happens, the result is going to be the same---a lot of ducking of completely honest answers.  Florida legislators are not used to this treatment from corporate citizens and they know something needs to be done. We suggest that many operations of insurance companies doing business in this state not have their documents subject to Trade Secret protections.  The reason is clear--insurance executives hide wrongful industry practices under sham claim of "trade secrets."  Allowing wrongful practices to have such protection is akin to the mafia being afforded a law to protect what it does from disclosure.  There is no societal good to insurance companies being allowed to skirt the truth of what they do to set rates and determine processes that effect how they pay claims. 
Second, there needs to be more levels of sanction against insurance companies that violate inquiries from the Office of Insurance Regulation and the legislature.  Complete stoppage of business or a small $10,000 fine seem to be the two primary alternatives under current law. There needs to be something else because Courts will be wary of shutting down insurers through administrative decrees.
Personal criminal penalties for those responding may be the answer because with such a penalty, most would expect honest and full disclosure.  Further, the threat of having to turn over such materials with the requirement that such answers be honest and complete will probably prevent situations calling for an inquiry to ever occur. Until such recommended legislation passes, one can expect the status quo to be maintained. The insurance company has your premium dollars and has an army of lawyers, lobbyists and executives trying to keep it in the carrier's treasury without accountability.  

Insurance Industry Claims And Rate Practices Come Under Public Scrutiny

Moniker Tuesday was a rather interesting day.  Our firm helped win a $4.6 million dollar judgment for a panhandle Condominium Association last year. Citizens Property Insurance Corporation did not pay, as usual, but appealed.  I argued the case [Citizens Property Ins. Corp. vs. East Pass Towers II Condominium, No. 1D07-2727 (Fla. Dist. Ct. App. oral argument Jan. 22, 2008)] for our client in Tallahassee, met with the Association representatives, and then made my way up the hill to the State Capitol where the Select Committee on Property Insurance Accountability was meeting. One of firm's lobbyists briefed me on the schedule and introduced me to some of the panel members I had not previously met.  We wondered if the media attention and articles (Tom Zucco, No Auto for Allstate, St. Petersburg Times, January 17, 2008, at A1; Jerome R. Stockfisch, State Bans Allstate From writing any New Policies,  January 17, 2008, Tampa Tribune) following last week's 0ffice of Insurance Regulation hearing would cause more attention to be focused on these proceedings.  Given the media in attendance and the articles in this morning's papers (Jerome R. Stockfisch, Panel Begins Insurance Investigation, Tampa Tribune, January 23, 2008; Michael Sasso, Secretive Allstate File Could Show 'Bad Faith', Tampa Tribune, January 23, 2008), we are certain there is great interest regarding these investigations that would provide some transparency to the insurance industry's tactics to raise rates and lower claims payments. The panel consists of  Florida Senators.  While it is in vogue to criticize our politicians, most are truly trying to make laws and policy that make our lives better.  With the public outcry regarding extraordinary increases of insurance rates following the 2004 and 2005 hurricane seasons, they worked to find a solution to ease the burden of rate increases and policy considerations.  The plan was for Florida to assume a greater risk in the event of a catastrophe and sell re-insurance to the insurance industry at lower than market rates to help lower premiums and provide capacity so cancellations would decrease. The average residential premium was expected to decrease approximately 19%.  Instead, many carriers sought increases. Allstate sought a 46% rate increase.  This "duping" of the legislature and insurance regulators is what created the current investigations by the Office of Insurance Regulation and this select committee. J. Robert Hunter has long studied and criticized many activities of the insurance industry.  He is an actuary by trade, a former insurance commissioner, and serves as the Insurance Director for the Consumer Federation.  Florida Insurance Commissioner Tom McCarty asked Hunter to testify about the "duping" and alleged misinformation generated by insurance industry trade associations. Hunter provided a lengthy report: "Property/Casualty Insurance in 2008: Overpriced Insurance and Underpaid Claims Result in Unjustified Profits, Padded Reserves, and Excessive Capitalization", J. Robert Hunter, January 10, 2008.  He detailed and provided evidence that the insurance industry has made significant profits and continues to do so despite providing alleged propaganda trying to demonstrate otherwise. My impression of his testimony is that insurance company executives try to hide true profits being made to keep rates as high as possible.  Hunter essentially indicated that insurance company management lied in its filings and practices.  At one point, he called the activities possibly "illegal" when Senators were questioning if criminal activity occurred. From experience, most honest people and corporate  representatives openly discuss and show documents when authorities demand answers and proof of activities.  Dishonest people and entities hide and try to avoid directly answering the same because guilt would be admitted.  Anybody watching Allstate answering and avoiding production of requested information last week during the Office of Insurance Regulation hearing has to have an impression that Allstate is hiding something really bad. In his report, Hunter specifically indicated that the Consumer Federation of America recommends that consumers avoid Allstate, if possible, because it has a history of anti-consumer behavior.  Id. at 29. As all this was being played out, I noticed the room was also full of insurance company attorneys and lobbyists. Most policyholders would be amazed to learn how much their own insurance companies spend in lobbying dollars to make and encourage anti-consumer efforts. The irony is that the policyholder's premiums are used to finance these activities. Modern insurance companies have the policyholder's money financing an army of attorneys to protect the insurance company with little regard to the policyholder's interest. Accordingly, the efforts by those such as Robert Hunter, the Florida Senate, and the Office of Insurance Regulation should be applauded. It is high time that insurance executives are called to testify and provide documents demanded by regulators. If they have nothing to hide, they should be happy to provide truthful and complete disclosure. From past experience, nobody should be holding their breath that this will happen anytime soon.

Department of Insurance Gets Nothing from Allstate

Moniker  Allstate and other insurers are notorious for not complying with discovery seeking internal corporate documents which would expose corporate culture in bad faith cases.  From the news yesterday and today, it appears the Florida Department of Financial Services has learned the same lesson most policyholder attorneys have known for quite some time.
This controversy results from the 2007 laws granting insurers access to state sponsored reinsurance. The Legislature expected lower premiums in return, and this has not occurred.  Charlie Crist has been publicly critical as to why Florida was duped into this deal.The subpoenas issued to State Farm and Allstate were supposed to provide transparency on this.  Neither insurer has been quick to provide the internal documents. Our firm tried to obtain a copy of the subpoenas, but the Department would provide only the notice and refused to provide the list of requested documents.  To see the Allstate subpoena, click here.
 
 
State Farm's challenge to the Mississippi Attorney General may have emboldened Allstate.  They simply may be flexing their financial muscle. Allstate has an army of attorneys and lobbyists.  It has more money than most can imagine, and it certainly will not be eager to comply with requests that could lead to embarrassing revelations regarding how it operates to maximize profit.  So while this controversy is making front page headlines throughout Florida, Allstate's willingness to accept sanctions rather than to comply with Court requirements to disclose documents and comply with the rule of law seems to be business as usual.  See, Order Relative To Plaintiff's Motion for Sanctions, dated Sept. 17, 2004, Scroghan v. Wade and Allstate Ins. Co., (Bartholemew Cir. Ct., IN, 03C01-9909-CT-1317).

Citizens Changes Course....Again

In January 2007 Governor Charlie Crist announced that Citizens was going to compete with private insurance companies. More recently however Citizens announced that it plans to give away a huge book (173,000 customers) of its business to other insurance companies; this seems a strange method of competing. Ten years ago, the Florida Windstorm Underwriting Association and the Florida Residential Casualty and Property Joint Underwriting Association drastically reduced their size following Hurricane Andrew by providing incentives for private insurance companies to assume policies placed with them. After Citizens was formed to take over the policies of those two entities, the previously minimalist role of Citizens as insurer of last resort changed to the largest property insurer in the state. Hopefully, this announcement is a turning point moving us in the direction of less government involvement in private industry. The expansion of Citizens was a rather bizarre socialist statement by our Governor, however, some, myself included, questioned what other options were available. I mean really what should the government's role be if private insurance companies are determined to pull out of a market or charge extremely high rates, some bordering on unconscionable? Perhaps our Chief Financial Officer has the secret formula to rate reduction with her proposal to reform the Cat Fund, but only time will tell. From my perspective, I suspect some private insurance companies are kicking themselves for missing out on the "turkey shoot" of high rates and no storms over the past two years. Eventually, the lure of extraordinary profit is hard to resist and those circumstances, along with additional capacity provided by similar thinking re-insurers may reduce the huge risk the taxpayers of this state have assumed by having Citizens as the largest insurer in Florida. I bet even Charlie Crist is smiling that Citizens is helping policyholders switch, rather than compete, for their premiums. Insurance is not the traditional business of government and thankfully we figured that out before we really had to pay the price. From the Desk of Chip Merlin, Esq.

Jeb Speech on Florida Insurance Too Little, Too Late

Playing before, and up to, an insurance industry crowd, former Florida governor Jeb Bush lobbed criticism at a solution to a problem he helped create. The problem is high insurance premiums and Florida's vulnerability to financial calamity if confronted with a Katrina type of event. It seems ironic that he can make money giving speeches about a mess he helped create. It seems even more ironic that the group he gave the speech to, the National Association of Mutual Insurance Companies (State Farm is a mutual insurance company), would give its "State Legislator of the Year" award to one of the most prolific anti-consumer legislators in Florida, Don Brown.Let's set the record straight, the hurricanes of 2004 and 2005 occurred while Jeb Bush was the Governor of Florida. He and the leadership of Florida allowed insurance companies to cancel and non-renew insurance policies at an escalating rate prior to Hurricane Charley. As a result, Citizens Property Insurance Corporation became more than an insurer of last resort and grew into a major insurer before the first 2004 storm hit. Before Hurricane Charley, there were no government initiatives to "harden" structures to wind damage, and Jeb Bush was the darling of developers building along the coastal areas in harms way of wind and water. During this time, Don Brown was an insurance agent by trade and a Florida House Representative with a strong propensity to support whatever the insurance industry lobby wanted as legislation. The large increases in insurance premiums and the historic growth of Citizens, now the largest property carrier in Florida, occurred while these men were leaders of the State. The populace was outraged because insurers drastically increased rates and many could find no insurance. Jeb Bush left newly elected Governor, Charlie Crist, and Chief Financial Officer, Alex Sink with a huge insurance mess. Whatever legislation Don Brown had supported with the backing of the insurance industry was not working by the time the legislature started meeting in 2007. So now Jeb Bush is criticizing the solution devised in January 2007. This is an easy sell to the insurance industry that wants to raise rates high enough so that there is no real gamble and one way or another they will make money. Don Brown and only one other member voted against Floridians taking on this risk in return for lower rates. The truth is that the citizenry of Florida has largely taken on the risk of hurricane loss that private insurers are not willing to. Whether this is good or not is open to debate. Despite the fact that I believe Jeb's Monday morning quarterbacking to be bad form and incorrect in some respects, he did manage to make a few good points during his speech at the NAMIC annual members convention:
  1. enforcement of building codes which harden structures to withstand hurricanes is necessary
  2. transparent premiums need to be tied to underwriting criteria so that better built homes receive better ratings for premiums
  3. premium discounts need to be more widely available for risk management improvements to property
Jeb probably should have initiated these policies while he was governor but failed to do so, I wonder why?

From the Desk of Chip Merlin, Esq.

Insurance reform flops: What now, start from scratch or mend fences?

In an interview with Victoria Langley, Alex Sink, Florida's Chief Financial Officer, weighed in on what she believes went wrong with Florida's insurance reform plans.  Part of the reform involved lawmakers putting an additional $12 billion dollars of taxpayers money into the states Catastrophe fund. This was supposed to allow insurance companies to reduce rates, however we're not seeing any real significant rate decreases, as a matter of many companies have filed for rate increases. Sink did not believe it was in the state's best interest to go back to the drawing board and start from scratch, but she did indicate that maybe we need to take back that $12 billion if it's not paying off.  She further suggests a need to remove insurance oversight from the State legislature, which may not be equipped to deal with highly complex financial decisions, and place it into the Florida Financial Service Commission.  Both views may have some legitimate basis. First, the rates are not going down. If Florida policyholders are not getting any benefit, why should the $12 billion remain in the catastrophe fund? Second, the legislature now has the State of Florida in the insurance business as a result of trying to appease the electorate outcry about high insurance bills. The result is that the State now controls the largest property and casualty company in Florida. Insurance laws are constantly changed as the legislature tries to improve and protect this insurance entity. The perilous result is that if a big hurricane hits, the rates of all Floridians will go through the roof as Citizens pays off the debts through assessments. This is all because a legislative body should not be in the position of running a capitalist insurance enterprise. Although a much anticipated OIR public hearing on State Farm's July 19 announcment of their plans to not renew some 50,000 residential policies in Florida, scheduled for tomorrow, Tuesday, August 14th, has been postponed. The hearing, whenever it takes place, may shed some light on why the enacted changes did not yield lower rates. A critical analysis of the internal motivations and political strategies employed by State Farm and similarly situated insurance carriers is required to provide transparency to the process and see whether this is an industry that has any semblance to one that should be trusted.

Florida officials are gambling with citizens' money

CFO Alex Sink and Governor Charlie Crist are still new to their elected jobs; this was obvious from statements made by Sink in her interview with the Miami Herald. In one statement she astonishingly relates that it wasn't until last month, while driving along Ft. Lauderdale's Condo Canyons, that she realized how vulnerable Citizens Property Insurance Corporation and its insureds are in the event of a significant hurricane. She and Crist, among others are clearly annoyed that the hoped for lower insurance rates have not materialized and are calling for an explanation and investigation. The important issue to note here is that if the chief guru of finance did not appreciate how a major hurricane could impact every taxpayer in Florida and the Governor does not trust the insurance industry, then how can they advise and educate their constituents about our insurance crisis; it appears that they are as much in the dark as we are.What is the Country's fourth largest property insurance carrier? Citizens Property Insurance Corporation. In Florida, it is the largest. It now collects over $3 billion in premiums each year. It insures more properties which have the highest probability of damage than any other insurer. It issues over 1.3 million policies. Citizens has over $400 billion of insured exposure. If a major hurricane, like Katrina hit Florida, Citizens could owe an estimated $15 to $30 billion dollars. So what's wrong with that picture? Citizens Property Insurance Corporation has only a fraction of this money in its coffers. If it were a private insurer, it would be in bankruptcy. Even more importantly, if that major hurricane should hit, Citizens can seek money from virtually every policyholder (not just Citizens policyholders) and taxpayer in Florida to make up for this shortfall. Each Floridian could be a Hurricane Katrina away from annual payments of $1000 or more for atleast five years to pay for the shortfall. Dennis Ross, a Lakeland legislator who is very experienced with insurance, refused to vote for the S.B 2498, which expanded Citizens potential customer base, for fear of increased financial exposure to all Floridians. He claimed that the relatively small and uncertain premium reductions compared to the very real gamble that a major hurricane would not hit, did not justify passage of legislation. So far, he is right about the premium reduction. Pray that he is not proven completely correct. What caused this mess? First, Citizens is not really an insurance company, it is a government behemoth. When rates have to go up to reflect the expected amount of losses, people complain to elected officials who turn around and write laws to force Citizens to knowingly charge less premiums than it should to pay claims. This happened in the 2007 legislative session, Citizens policyholders have below market and actuarial rates because the legislature passed a law allowing this. Why did the rates go up and why were people complaining so vehemently to their elected officials? Two main reasons exist for this: 1. Approximately two thirds of the rate increases between 2003 and 2006 were the result of property value increases and rising construction costs. Property values and construction costs increased mostly as a result of the real estate boom and historically low interest rates and so the value to be insured had to be raised to accommodate increased costs to repair or replace damaged property. For example, if you owned a car valued at $5000 in 2003, it may only cost $250 to insure. But, if in 2006, that same car were worth $12,500 and the body shops doing repairs to it increased their costs by 50 per cent, the cost to insure that car would certainly more than double. As property values increased during that time so did property taxes. Property owners were upset because they did nothing to their properties but the "overhead" costs of owning the property significantly increased. They complained to the government to do something. 2. Extraordinary catastrophes in 2004 and 2005 rocked the insurance markets and reinsurance capacity. Florida had unprecedented losses. Those losses have an actuarial impact. The experience history of payments mandated a rise in premiums. While there is much debate about the proper rate, nobody disputes that the loss data from the hurricanes supported a need for some increase in rates. The problem was further exacerbated by the fact that many carriers could not find affordable reinsurance or enough reinsurance to offset the risk of a future catastrophe. Recently there has been a flood of investors into the reinsurance market following the very profitable 2006 year and reports are that reinsurance rates are falling, but the failure to find reinsurance at rates anywhere close to pre- 2004 premiums caused many insurers to cancel policies or leave the market entirely. Floridians were mad as hell about not only having rates raised, but many did not have insurance at all. They complained to their legislators who did something. Unfortunately, if a major hurricane hits, those same complaining Floridians will learn that what our legislators did was wrong. They took a huge gamble at the expense of the citizens. Everyone living in Florida, or insuring property here, is going to be outraged at the bills they are going to receive and have to pay. As our elected officials are realizing the losing bet they've placed, they are scratching their heads wondering if they should fold, let it ride, or double down. It looks like there is no need to hit the casino, Floridians are gambling right now with hurricane season in full swing. You can gauge how you are doing by watching The Weather Channel. From the Desk of Chip Merlin, Esq.

State CFO Alex Sink discusses Florida's property insurance plan

Two weeks after Alex Sink was sworn into office as Florida's new chief financial officer, lawmakers embarked on a 10-day special session to come up with ways of lowering insurance rates and providing some respite for the state's beleaguered homeowners. "I was still trying to find the ladies room," recalled Sink during an interview with the Miami Herald last week. The end result of the special session was the expansion of the Florida Hurricane Catastrophe Fund to $28 billion, allowing insurers to buy less expensive back-up insurance. This special session, in conjunction with more recently passed insurance legislation expanding Citizens, came with promises of savings to policyholders, with rate cuts averaging 20 percent or so.  Six months later, the promised savings have not materialized -- as a matter of fact in recent weeks atleast five homeowner insurance groups have filed requests for rate increases.  With more requests for rate increases inevitable, Sink, Crist, and other state officials are left questioning the viability of Florida's plan to reduce property insurance premiums.

Insurers rate hike requests not surprising

Florida newspaper stories exposing the recent insurance rate hike requests should not come as a  surprise to anyone. This is just the latest example of why the public needs regulation of the insurance industry. It is a business built upon future promises that are routinely broken when the return performance is due. Why the Florida legislature seemed convinced that by shifting the risk of catastrophic loss to its citizens would actually result in lower premiums is bewildering. It is an unrealistic to expect that an industry, which lives by the sharp letter of the law and fineprint of contract, will follow through on  promised rate reductions in the absence of legal or contractual enforcement; this laissez-faire approach suggests that the industry still has a strong lobby in Tallahassee. Even the staunchest advocate of "free markets" would blush that the insurance industry should be freed from regulation. Insurance company regulation was first needed to keep the insurance management from bankruptcy. When large fires would sweep through major cities in the late nineteenth century, it was not uncommon for claims to go unpaid because the insurance company coffers were empty. The first duty of most state insurance departments require that insurance companies conducting business open their books and prove that they have the capacity to underwrite the risks they assume. Perhaps our Florida legislators have not been reading the national news. While Floridians have cozily worked with the insurance lobby in Florida to lower the risk burden of carriers, our Federal representatives have been holding hearings and investigations regarding various wrongful activities of the property insurance industry. Fraudulent engineering reports, misprrepresentation of flood loss claims to FEMA, and other shady claims practices have our Federal lawmakers filing bills (S. 618 and H.R. 1081) calling for the repeal of the long existing anti-trust exemptions given to the insurance industry by McCarran-Ferguson Act, and advocating the creation of a federal insurance regulator (S. 40). Were our State legislators fooled by the promise of more affordable insurance rates in exchange for Floridians taking on a much larger risk of catastrophic loss? Maybe so. But most of us know these "slick" political leaders were not born yesterday. The bottom line is that Florida is in the middle of hurricane season. We are a Hurricane Katrina away from financial calamity because we, rather than insurance companies are on the hook for the "big one." And, insurance rate hike requests are at extraordinary levels---even after one year (2006) of no hurricanes. Hard to see how the laws passed in that special legislative session are helping right now. Possibly, our legislators will learn the same lesson many claimants do after the loss happens--you are in a very financially vulnerable position if you rely on future promises from an industry so eager for up front payment and action today. From the Desk of Chip Merlin, Esq.

Florida Supreme Court hears oral arguments in VPL case

Florida Farm Bureau Casualty Insurance Co. issued a homeowners insurance policy to the Coxes. The policy excluded any losses caused, either directly or indirectly, by flood or water damage of any kind.  The Coxes' home sustained extensive damage caused by Hurricane Ivan and was determined to be a total loss due in large part to flood damage and in lesser part to wind damage. The Coxes demanded coverage, and Florida Farm tendered $12,000 for the windstorm damage. The Coxes declined the payment. In the ensuing litigation, the trial court found that under Mierzwa v. Florida Windstorm Underwriting Association(877 So. 2d 774 [Fla. 4th DCA 2004]), "if it is found that a carrier has any liability at all to the owner [of] a building damaged by a covered peril and deemed a total loss, that liability is for the face amount of the policy." Florida Farm Bureau appealed to the 1st District Court of Appeals, which held that under Florida's 2004 Valued Policy Law (VPL) Section 627.702 Florida Farm was obligated to pay out policy limits if any wind-related damage had occurred to the homeowners' property.  The court noted that although the VPL section had been amended so that the statute does not apply where the loss was caused in part by a covered peril and in part by a noncovered peril, the amendment was not applicable in this case because it specifically prohibited retroactive application to claims filed prior to its effective date, which was June 1, 2005. Despite this second loss, the Florida Farm Bureau certified the following question to the Florida Supreme Court: Does Section 627.702(1) of the Florida Statutes (2004), require an insurance carrier to pay the face amount of the policy to an owner of a building deemed a total loss when the building is damaged in part by a covered peril but is significantly damaged by an excluded peril? The Florida Supreme Court granted review with oral arguments.  Click here to watch a webcast of the oral arguments, which were heard yesterday, June 7th.

Citizens asks for time limit on claim disputes

Facing criticism for thousands of 2004 and 2005 hurricane claims still open, Citizens Property Insurance seeks to rein in the lawyers and freelance adjusters it alleges are whipping up disputes in order to pocket large fees. Chip Merlin, of the Merlin Law Group, warned against limiting the rights of homeowners to contend with what he said are ''statistical issues'' at the state's largest property insurer.  Read more... Is this part of Citizen's ongoing effort to improve policyholder and applicant services?

Claims practices--what really concerns insurance companies

Insurance is a business based on trust. If the public does not trust that you will pay claims promptly and for what is owed your business will flounder.  Fair value assessments and prompt payments aren't just expected by policyholders, it is required by every State insurance code. How this is going to happen is rarely open for public debate. Until now.... Citizens Property Insurance Corporation is no longer an insurance company under Florida law. It acts like one, is subject to most of the insurance code, but it is the creation of the government and is the government....whatever that means. The practical regualtory effect is that Citizens is subject to the Florida Public Records Act and supposedly is transparent regarding its rate making and claims settling practices. A very novel idea in the private insurance market where secrecy is the normal state of affairs. The Citizens Property Insurance Corporation, a non-insurance company, is being scrutinized for it claims practices from Hurricanes Charley through Wilma. It's history is awful, but it claims to be reforming. Only time, and public participation in meetings convened by the Task Force on Citizens Property Insurance Claims Handling and Resolution, will tell.  Click here for my presentation on Policyholder Perspective of Citizen's Claim Culture presented at the Task Force's second meeting held today, June 4th, 2007.  All that having been said, all this talk about transparency with Citizen's begs the question of why public regulators do not require the same transparency of "for real" and "for profit" insurance companies. Simply, if the insurance industry is so honest and fair dealing, why should they be worried about having their claims culture exposed in the public forum as Citizens is doing? From the Desk of Chip Merlin, Esq.

How are Florida industry officials responding to Gov. Crist's criticism?

Florida Gov. Charlie Crist has not been gentle in his criticsm of insurers, so how are industry officials responding? Well the answer is, it depends on who you talk to.  Here are two very different responses according to Steve Tuckey of the National Underwriter:
Cecil Pearce, American Insurance Association vice president says he understands the pressure Florida's elected officials are under to ameliorate the effects of high insurance prices on residents, "and we want to work cooperatively with the governor and other elected officials on a long-term solution that all parties can support Robert P. Hartwig, president of the Insurance Information Institute was less diplomatic; he says "The governor's feistiness seems to have morphed into an unwarranted cockiness that he will soon regret." While the governor is bashing insurance companies, "Mother Nature is prepared to deliver a financial comeuppance to the state."