Insurance industry reform

CEOs from major insurers like Allstate, State Farm, and Liberty Mutual collaborated with McKinsey & Co. to create a strategy focused on delaying claims, denying coverage, and forcing litigation. This “lawfare” against consumers has persisted, leading to widespread denial of claims while insurance prices continue to rise.

Several factors contribute to this issue:

  1. Tort Reform: There should be a cap on damages that aligns with insurance policy limits. Current large verdicts can negatively impact smaller claims, which are frequently denied. Many individuals face minor incidents that result in claim denials, but they lack the resources to pursue them, affecting those living paycheck to paycheck. Additionally, there should be limitations on plaintiffs’ legal fees, especially in class action cases.

  2. Prosecution of White Collar Crime: Consumers often face suspicion of fraud for service-related issues. When people lose faith in the system due to insurers’ tactics, they may circumvent rules. Without accountability for top executives, consumer trust in the industry erodes.

  3. Ending Lawfare Against Policyholders: A forensic audit of judges involved in significant cases is necessary. We need to revert to the policy forms of the 1980s, as coverage has been increasingly modified and reduced since then.

Improvements for the Industry:

  1. Establish a special watchdog fund to assist consumers against large insurers or self-insured businesses.
  2. Allow industry employees to unionize without fear of losing their jobs.

Many consumers feel insurers collect premiums for losses they never intend to cover, which constitutes bad faith. There should be an organization coordinating class action lawsuits against these insurers.

Insurance companies are seeking to raise their rates, a request that should be denied. These companies have made significant profits and can share the financial responsibility for covering claims related to disasters like floods and wildfires.

Overhaul of Agencies like FEMA:

  1. Launch an educational campaign to inform the public about the importance of insurance coverage, including the need for a home inventory to prove damages. This inventory should be prepared before disasters, and agencies should collaborate with the National Guard in disaster-prone areas to pre-register homes and businesses. Pre-loading essential documents for claims could greatly enhance disaster response efforts, as seen after Hurricane Sandy, Katrina, and others.
  2. Provide practical advice rather than textbook responses.
2 Likes

They’ve turned people into pieces of paper! I’ve been in residential restoration for 10 years and seen the white collar crime play out time and time again. Some home owners know the system all too well and use it to there full advantage with claim after claim of happy “accidents” when it’s time sell or would really like a new kitchen. While those of us that are honest will pay premiums for most of our adult lives never having to make a single claim or knowing that we should. It was the greatest sadness of my professional career helping greedy people that didn’t deserve it and constantly complained about there circumstances while the ones who did got far less than they were owed and were happy about it. These situations are often overlooked once a claim is processed it’s paid and closed, if it’s not thrown out entirely. As general rule the more you complain to your agent, the more you get. It’s also not well known that there is an insurance commissioner for every state that I believe handles disputes between the insured and insurer.

1 Like

My job is that very educational campaign you mentioned. I’m a prepper for FEMA. We tell people how to prepare, how to mitigate - reduce future losses by building stronger, etc., buying insurance, practical advice and, yes, itemizing belongings (since the flood insurance program is handled by our part of the agency). I do think it is a valuable service but should be managed by the states coordinating with each other in the FEMA regions. I’m reading through all of the FEMA related suggestions before making my own. Most have some good points as yours does.