Please join Merlin Law Group this Memorial Day in remembering and honoring all who have served and sacrificed for our freedom.

THE POLICYHOLDER'S ADVOCATE®
Please join Merlin Law Group this Memorial Day in remembering and honoring all who have served and sacrificed for our freedom.
The Florida Department of Financial Services (DFS) issued an Order dismissing a petition on whether individuals must be licensed as adjusters or public adjusters to be named appraisers to an insurance appraisal. I previously wrote about this issue in Who Should Be Appraisers to an Appraisal Panel? NAPIA Takes a Stand. I also noted an insurance industry leader agreed with my view in Jonathon Held Argues That Appraisers Should Not Have To Be Licensed Adjusters.
Continue Reading Do Appraisers Need to Be Licensed Adjusters or Public Adjusters? The DFS Declines to Rule on the IssueIn late January, I wrote a blog post highlighting the absence of any published market conduct exams on the Oklahoma Insurance Department website after 2009, despite the OID’s claim that “[a]s part of the regulation process, we perform and publish Market Conduct Examinations.” In an attempt to figure out what was going on, I submitted an open records request seeking all OID market conduct exams conducted after 2009 and promised I would keep everyone posted.
Continue Reading The Case of the Missing Market Conduct Exams: Part IIAn Oklahoma hail damage loss was needlessly lost because a lawsuit for breach of contract was not filed on time. It serves as an example that policyholders and public adjusters should immediately send cases to competent legal counsel as soon as a denial letter is issued by the insurance company.
Continue Reading Warning—Do Not Lose Rights By Filing A Lawsuit Too LateLawrence Mower wrote a Herald/Times article titled Regulators Were Warned Years Ago That Insurance Companies Were Altering Florida Claims.1 The article discusses how the American Policyholder’s Association provided this information and examples to Florida’s insurance regulators, but nothing happened. It stated in part:
Continue Reading Insurance Regulators Ignore Insurance Company Wrongful Claims Practices—Will a Real and Professional Investigation Ever Take Place?Sunday evening in Boulder, Colorado, was very enlightening and educational. I intently focused on a presentation by my co-counsel Dan Whalen and his stellar and experienced fire recovery team from Engstrom, Lipscomb & Lack. They discussed the science and law applicable to the Marshall Fire and legal actions holding against utilities responsible for contributing to wildfires.
Continue Reading What Were the Causes of the Marshall Fire?I once had three indoor black cats. One or two of them began to urinate on the furniture. After paying over $20,000 to replace the furniture, the cats became outdoor cats. Cat urine is simply foul smelling and cannot be tolerated.
Continue Reading Cat Urine That Smells Bad is Covered But Not Covid, Which Can Kill YouHow many people pay insurance, year after year, and nothing happens except for paying premiums? This was the case for Eva Mallek. Then approximately 20 years after she purchased the insurance, she had a fire. Allstate argued that no coverage existed because she was not residing at the home when the fire occurred. Mallet said she never received a copy of the policy and did not know of the requirement.
Continue Reading Allstate Could Not Prove It Ever Delivered a Copy of the PolicyNote: This guest post is by AAPIA President Cole Kline.
In case you didn’t know, there are two national public adjuster associations. APIA, the American Association of Public Insurance Adjusters,is not well-known but is growing in strength and energized with new purpose and zeal.
Continue Reading Who is AAPIA, and, as Chip Merlin recently asked Holly Soffer (AAPIA general counsel), what are we up to lately?I returned yesterday to one of my childhood hometowns, Panama City, Florida, to give the opening speech at the Tenth Annual Conference of the Coalition of Insurance Responders (CDR). A year ago, I spoke at this conference and noted in The Coalition of Disaster Responders Hits It Out of the Park:
The Coalition of Disaster Responders (CDR) held its annual meeting at Captain Anderson’s in Panama City Beach. I love Panama City, Florida. I lived there in the 1970s when my father was the Captain of the Coast Guard Cutter Dependable. I am still a 35-year member of the St. Andrews Bay Yacht Club, which is down in “the Cove” of Panama City. I was honored to be CDR’s keynote speaker yesterday.
CDR is about quality restoration construction. It is not about the “how to get rich by leveraging up” propaganda that yields scamming sales pitches and inferior construction. Many restoration contractors get caught up in false hope. There is a big difference in the culture of quality and legal restoration work versus the scams of managed insurance repair networks and restoration gurus promising quick riches. I have run 38 marathons, and my six best times just above three hours came from slow starts and fast finishes. Doing things right takes time.
This conference was by invitation only. The CDR contractor conference was not about trying to make the convention owners big profits with false promises of quick riches that a contractor feels they will miss if not for attending the conference. The CDR conference was not about hearing from alleged ‘experts’ who are not the most reputable in the field but who ‘pay to play’ and get highlight spots at a conference. There were not the ‘hot beautiful model women’ hired by conference sponsors luring contractors into a false sense of ‘if you fail to follow our advice, you will lose out.’ A lot of convention restoration contractor conferences are marketed by people who never were super successful at quality restoration contracting but try to make themselves appear very successful to lure otherwise entrepreneurial and passionate contractors into giving up their money to them.
This conference was unlike other conferences where there is a not so subtle, ‘if you fail to sign up and do this, you will lose out’ type of deal. I heard contractors with tears give testimonies about other members coming to their aid. Other members freely gave of their time to help others through difficulties of getting a job done or a claim paid. There was discussion of family. There was no ‘high pressure.’ CDR did not entertain otherwise laughable non-experts placed on a ‘pay to play’ social media stage who did not deserve to be there.
They invited me back to speak again, and yesterday’s speech was “Would You Hire You?” This is something I ask lawyers in our law firm. It is certainly a challenge for those and me to grow and improve professionally and personally.
I thought it was fair to interact with this group about the same topic. To make a point, I used an avatar policyholder, the president of a large condominium association. I asked the audience whether they had considered the fears, worries, hopes, and dreams of the person who was the president of the association. While not being completely accurate, I suggested that restoration contractors have genuine empathy for this person who may feel the following:
Fears:
Worries:
Hopes:
Dreams:
For restoration contractors, would you be able to fulfill a thorough vetting process, including checking for references, verifying credentials, ensuring you are financially stable and can prove through past results that you can answer the fears and worries as well as fulfill the president’s hopes and dreams?
The great thing about the CDR is that its leadership wants people as members who will rise to this calling. They want to help members reach this level of excellence and professionalism. They want to make policyholders restored after the disaster and have relief from the misery they suffered.
Property insurance money softens the financial blow after a disaster. But there is nothing like having your home or business back to normal and thriving—only restoration contractors can do that. And that is why I love those contractors who passionately work to help policyholders that I have also dedicated my life’s work.
Thought For The Day
Your life will be no better than the plans you make and the action you take. You are the architect and builder of your own life, fortune, destiny.
—Alfred A. Montapert