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Original source: https://coloradosun.com/2019/05/09/three-reasons-why-colorado-lawmakers-spend-so-much-time-tinkering-with-health-insurance-for-a-small-percentage-of-people/

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Colorado Sun (05/09/19) Ingold, John

Some of the biggest policy changes passed by the Colorado legislature this year include the individual health insurance market, which offers coverage to just about 8% of taxpayers, or over 400,000 individuals. There are a couple of reasons why lawmakers spent much of this session centered on the market on account of the high price of coverage. “The individual market is the only place within our healthcare system where individuals do not have some help in buying their health insurance,” said Insurance Commissioner Michael Conway. “It’s the market that individuals associate with the Affordable Care Act.” For Conway and lots of lawmakers, repairing the market is a necessity before moving onto reforms that will impact individuals. “We must figure out a way we can stabilize the individual marketplace, so we can focus on making more systemic adjustments throughout the board,” Conway said…. Read More

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Original source: https://news.yahoo.com/hidden-danger-unseen-hurricane-damage-195017434.html

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ABC11TV.com (Raleigh, N.C.) (05/08/19) Wilson, Diane

Jay Papp, an independent adjuster, says while looking at houses with damage in North Carolina, he would not find any visible water damage to the walls, yet would still find high moisture readings out of his gear. He found out from 1968-1997, North Carolina Residential Codes took a vapor retarder on houses’ walls. After Hurricanes Florence and Michael, the North Carolina Department of Insurance issued a note to make adjusters and insurance firms As a result of this statewide code. The note informs,”To detect moisture behind the walls may necessitate the use of certain equipment, like a deep scan moisture meter or even a FLIR heat image camera. It’s very important adjusters be aware of the problem and follow inspection protocols to make sure that properties are thoroughly eliminated.”… Read More

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Original source: https://www.youtube.com/watch?v=XovspFTwrqk

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WJTV.com (05/07/19) Lewis, Lanaya

The very first full week of May marks Hurricane Preparedness Week,” along with the Mississippi Insurance Department states it’s a great time for homeowners to make sure they are prepared for any sort of harmful storm. The division’s Deputy Director of Consumer Affairs Ryan Blakeney says,”Talk to your agent about which personal things are covered. Most of the items in your home are covered, however there are certain items that will have to be scheduled such as guns, furs, and certain amounts of money.” For homeowners who want a simpler way to keep track of items in their house, the National Association of Insurance Commissioners offers an app. The Mississippi Insurance Department also encourages individuals to have a”go-bag” handy.
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Original source: https://www.apnews.com/969dd3a2c20645a6a78ea71c90e53892

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Associated Press (05/08/19) Ronayne, Kathleen

Data published by California Insurance Commissioner Ricardo Lara indicates that insurance claims have exceeded $12 billion for the state’s November wildfires, which makes them the lightest in history. The majority of damages are from the Paradise fire, which killed 85 people and destroyed nearly 19,000 buildings. “While last year’s dreadful wildfires turned tens of thousands of people’s lives upside down, auto is really helping rebuild and recover,” Lara said throughout Wildfire Preparedness Week. California lawmakers are examining ways to cover the price and degradation like making a fund that insurers, utilities, and underinsured people could tap into to help pay for damages. Related Stories: San Francisco Chronicle; Ventura County Star; Intelligent Insurer; Business Insurance (registration)… Read More

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Original source: https://www.kff.org/private-insurance/press-release/individual-market-insurers-are-expecting-to-pay-a-record-800-million-in-rebates-to-consumers-for-excessive-premiums-in-2018/

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Kaiser Family Foundation (05/08/19) Lee, Chris

A Kaiser Family Foundation analysis of insurer-reported monetary information, such as information from the National Association of Insurance Commissioners, reveals that human market insurers expect to return to consumers a list total of roughly $800 million in surplus premiums for 2018annually in which the insurance companies posted their greatest annual financial performance below the Affordable Care Act (ACA) to date. The rebates to more than 3 million eligible individual market customers must be issued by Sept. 30. They’re the result of the insurance companies not meeting the ACA loss ratio threshold, which requires insurance companies to invest at least 80 percent of premium revenues on quality improvement actions or health-care asserts. Whereas individual claims grew only 7 percent to $392 premiums per enrollee from the market grew 26 percent from 2017 to $559 in 2018 . Related Story: Modern Healthcare (registration)… Read More

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Original source: https://www.lexology.com/library/detail.aspx?g=3c060bb5-91a3-4cd4-b6d7-0aec6f24c3d5

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Lexology (05/08/19) Dobecki, Stephanie H.; Dunn, Ellen M.; Holland, Andrew R.; et al..

During the National Association of Insurance Commissioners’ (NAIC) Spring 2019 National Meeting, the Reinsurance (E) Task Force considered extra alterations to the Credit for Reinsurance Model Law and Legislation to Implement Covered Agreements, and the Most Recent vulnerability loopholes provide for further deference to the terms of the Covered Agreements and restrict the application of commissioner discretion. The NAIC Group Capital Calculation (E) Working Group continued to make progress in creating a U.S. Group Capital Calculation (GCC), together with voluntary discipline testing expected to begin in early May. The NAIC also will continue to consider the usage of large data for predictive modeling in rate filings by property and casualty insurers and blockchain technology in the insurance business, and it’ll extend the scope of its examination of data utilization by reviewing such use in connection with hastened underwriting for life insurance and insurance claims clinics. Further, the NAIC will restart with finalizing proposed amendments into this Suitability in Annuity Transactions Model Regulation (SAT), discuss possible regulation of pharmacy benefit managers, best practices advice associated with closing federal flood insurance rules, and mechanisms for voluntary restructuring of petroleum insurance companies, among other matters…. Read More

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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/MawfQt5GJUQ/

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The Colorado Division of Insurance will hold a public stakeholder meeting at the Colorado Division of Insurance at Denver on May 21, 2019, regarding its proposal to Remove one of its long-standing bulletins requiring insurance companies to Cover contractor overhead and profit rather than Subtract the Sum until Corrected.1 We discussed in Colorado Overhead…… Continue Reading

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Original source: https://www.insurancebusinessmag.com/us/news/breaking-news/nine-out-of-10-homeowners-lack-sufficient-flood-insurance–study-166848.aspx

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Read the NAIC Consumer Alert … Read More

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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/7pXUrYfF3uc/

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Tasked with safeguarding those influenced by the business of insurance through the satisfaction of statutory duties and encouraging the fair and just treatment of all parties to insurance transactions, Bruce R. Ramage was appointed as Nebraska’s Director of Insurance by Governor Dave Heineman at November 2010. The Nebraska Department of Insurance follows four core values:…… Continue Reading
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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/1k-V8F0mJPw/

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At a recent court ruling,1 the New Jersey Appellate Division interpreted an employer’s insurance policy’s water damage exception and determined whether harm from a busted water main beneath a street was covered under the policy. If That’s the Case, a homeowner brought the action against his insurance company for breach of contract after the agency…… Continue Reading

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