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Regulators Concerned About Hurricane Claims Handling

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Focus on FEMA, NFIP, plus latest storm payouts

Florida insurance regulators want more information on federal flood insurance claims problems following hurricanes Debby, Helene, and Milton; FEMA borrows $2 billion from the U.S. Treasury to pay Helene and Milton flood claims; and Florida carriers have paid $6.4 billion to date in claims from the storms.  It’s all in this week’s Property Insurance News.

OIR Data Quest: The Florida Office of Insurance Regulation (OIR), stating it “recently learned of potentially concerning behavior relating to anti-concurrent causation policy language and the explicit avoidance of applying coverage for policyholders,” issued an informational memorandum to property insurance companies on February 20.  It reminds carriers to be sure they’re properly evaluating property damage claims caused by both wind and water damage from the 2024 hurricane season.  Many Florida policies have an anti-concurrent causation clause which authorizes the carrier to use experts to determine wind vs. flood damage and to settle the claim according to the policy coverage.

The OIR memo also addresses federal flood policies from the National Flood Insurance Program (NFIP).  OIR notes that the Florida Department of Financial Services “has received a significant number of flood-related consumer complaints relating to timely payment of claims, inaccurate claims payments and post-claims underwriting.”  OIR is ordering Florida carriers that write NFIP policies under the Write Your Own (WYO) Program to provide additional information to OIR by close of business this Thursday (March 6).  This includes the names of vendors that provide claim handling services, a copy of any claims-handling manual apart from the NFIP’s own, and most interestingly, a “written statement that explains weaknesses and set-backs the insurer and claims-handling entit(ies) have identified in the NFIP’s claims handling process.”  It appears Commissioner Yaworsky is expressing concern about delays in payment of NFIP claims.

NFIP Claims: FEMA, which runs the NFIP program, announced last month that Hurricanes Helene and Milton “depleted” the NFIP’s premiums.  So it has borrowed $2 billion from the U.S. Treasury to cover the claims.  Its February 10 press release reports Helene generated more than 57,400 flood insurance claims across the states, totaling more than $4.5 billion.  FEMA now estimates total claims losses will end up being between $6.4 to $7.4 billion.  Hurricane Milton has received more than 21,100 flood insurance claims so far, totaling $740 million.  Total claims losses are now estimated to be between $1.2 to $2.9 billion.  The release notes that the NFIP has borrowing authority of $30.425 billion.  It borrowed $20.53 billion to cover hurricanes Katrina, Sandy and Harvey, and now another $2 billion for Helene and Milton.  This is another reminder that flooding continues to be the costliest and most frequent natural disaster in the U.S.

Florida’s Hurricane Payouts: OIR’s latest report as of February 19 shows that Hurricane Helene has generated 149,000 insurance claims worth $2.4 billion in insured losses.  Just under 88% of those claims are now closed, with an almost 2:1 ratio of paid-to-unpaid claims.  Of the 46,270 claims closed without payment, just over 25,000 were below the policy deductible or for non-covered flood damage.

OIR’s February 11 data shows Hurricane Milton has generated 338,000 insurance claims worth $4 billion in insured losses.  Just under 80% of those claims are now closed, with a 5:4 ratio of paid-to-unpaid claims.  Of the 116,710 claims closed without payment, 54,256 were below the policy deductible or for non-covered flood damage.

LMA Newsletter of 3-3-25

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Tags: Claims, Claims Management, FEMA, Florida Office of Insurance Regulation, Florida Property Insurance, Helene Claims, Hurricane Helene, Hurricane Milton, Milton Claims, National Flood Insurance Program, Write Your Own program

“Congrats on your 17- year anniversary at Lisa Miller & Associates®!  You have created an awesome legacy and helped numerous companies, agents, and clients!  Enjoy listening to your podcasts and reading your newsletter!  Best way to keep up with what is happening in the FL insurance world.”

William McArthur, VP of Claims
Claims Adjustment Group (CAG)

“Another great Newsletter on Florida industry this week.  Your service and advocacy in Florida is very important to keeping me updated and apprised of the Florida insurance laws, trends and overall environment.  Something similar is very much needed in Louisiana, too.”

Jennifer Tedesco, Esq., Claims Director
Pharos Claims Services
Orlando, FL

“I wanted to write to tell you that this newsletter is the best in the industry. I look forward to it every week! Thank you for all that you do.”

Rebecca Leadbeater, Regulatory Compliance Analyst
Frank Winston Crum Insurance
Clearwater, FL

“Thank you for the information. I enjoy the info that you share and in turn, I share with my daughter and her husband. Sending love and best wishes to you!”

Paula, lifelong hometown of Plant City pal

“Hello Lisa, EXCELLENT articles! I love your newsletter. Already shared with my office!”

Ana Regina Myrrha, Agency Principal
American Insurance Point
Orlando, FL

“Great article on Risk Rating 2.0!”

Austin Perez, Senior Policy Representative for Federal Housing, Valuation, Insurance and Commercial Issues
National Association of Realtors
Washington, D.C.

“Wow, what a dazzling amount of expertise and content, Lisa! You continue to amaze after 40-years of being amazing. Your newsletter is extraordinary. Congratulations!”

D. Joel Whalen, Associate Professor
DePaul University Kellstadt Graduate School of Business & Past President, Association for Business Communication

“Lisa this is another great newsletter, and we appreciate the time and energy you put into these informative updates – you are on top of these topics!”

Mike Graham, CEO
Smart Vent Products, Floodproofing.com, & Risk Reduction Plus
Juno Beach, FL

“I really like your newsletter. It’s informative and to the point, even to the layperson. You are absolutely an asset to your industry. Keep it up please!”

Rivers H. Buford, III, Veteran Florida legislative and regulatory leader, retired

“Keep up the great work, Lisa! I enjoy your updates!”

John Askins, Former Director
Florida Department of Financial Services, Division of Insurance Fraud

“You are under-thanked and under-appreciated for all the work you do for our industry but I’m one guy who really appreciates the information you gather and share.  Many times I pass it along to my clients. Many thanks.”

Dan Brown, Sr., President
Brown and Brown Insurance
Orlando, FL

“Just a quick note to say I always enjoy reading your newsletter. I have found many occasions to share it with family and friends who can’t understand why their insurance is expensive, as well as fellow employees. It is a great source of information in general, and especially helpful during the hectic times when work requires that I focus more narrowly on the task at hand, as it helps me keep sight of the big picture.”

Adam Marmelstein, Director of Agency & Market Services

“I have followed your weekly newsletter and podcasts and now have a full appreciation for what you bring to this industry.  You are an inspiring force, plain and simple.  I wanted you to know that you make a difference.  Thank you for all you do!”

Jeffrey Karam, CPCU
Bradenton, FL

“Thank you Lisa for staying on top of, as well as advocating, for Florida residents and legislative reform. Your newsletters are very informative and enjoy reading the points of view.”  

Shawna Miller, Sr. Claims Quality Assurance & Compliance Manager
Florida Peninsula Insurance Company
Jacksonville, FL

“Keep informing and fighting!”

Mary Ann Medina, VP Client Partnerships
Charles Taylor
Lake Mary, FL

“The great thing about reading your newsletter Lisa, is that I can 100% trust that the info in it is completely accurate. Thank you for the time that you invest in this newsletter to keep everyone informed on new things going on in the industry.”

Lori Hall, Business Development Manager
Haag

“Lisa, you will always be a public servant and your newsletters have shared valuable information to many. These newsletters are not five minute follow up reports. You’ve been to these disasters first hand and understand people lose everything and the elderly are the most vulnerable. It’s truly sad. Thank You for being sincere, when most are looking for ratings.”

John Greer, retired from construction, Plant City

“Just wanted to say that I thoroughly love your newsletter. It’s is always informative and insightful to the ins and outs of our industry.  You are an inspiration and an important asset in the insurance world.  Keep up the great work!” 

Cynthia Scott, President
University Insurance Group
Davie, FL

“Thank you for all you do for the industry and the Verisk team. We are forever grateful and excited for the future. Getting your insight in my inbox is exactly what I need!”

John Haddad, Director of Product - XactAnalysis
Verisk Claims

“Lisa is a wealth of knowledge and produces some very useful content. I read her newsletter every week, it has great content, and I learn a lot. Thank you for being such an advocate Lisa and educating all of us.”

Tim O’Keefe, Director
KW Property Management & Consulting
Fort Lauderdale, FL

“What a great outreach and platform. God Bless.”

Ken Donohue, Former Inspector General
U.S. Department of Housing and Urban Development (HUD)

“Thank you, Lisa, for your tireless work on behalf of the industry and the citizens of Florida. This post is incredibly comprehensive and helpful. Stay safe my friend.”

Mel Russell, President & CEO
Russell Insurance Consulting
St. Petersburg, FL

“Lisa is truly an insurance industry dynamo who operates her business with integrity and zealous representation. She is the person that legislators call upon when they have questions regarding necessary insurance reforms. Lisa is a tireless advocate for the protection of all Floridians and their property.”

Greg Holder, Retired Judge and Attorney
Zinober Diana & Monteverde P.A.
Tampa, FL

“Lisa, I was delighted to get your newsletter. It is very professional and a great read about what’s going on. It was good to see you doing the things you’ve always done so well. You were always a great source of input when I was in the Capitol and glad to see you are still providing such great assistance.”

Frank Messersmith, former Florida state representative, 1980-1990

“Wow, what a great picture and worth a thousand words! I’ve been reading/listening religiously to your newsletters/podcasts. They’ve been a tremendous source of information. Thank you!”

Austin Perez, Senior Policy Advisor
National Association of Realtors®
Gulf Breeze, FL

“I do not know how to say in words the heartfelt thankfulness that you took the time to listen to me, heard me, and then TOOK action to get something done after the long emotional and FINANCIAL struggle with…the hardship of paying upfront for all the repairs from Hurricane Sally. I cannot say enough of how I appreciate you, your attitude of wanting to help people and the next step to actually take action to do something is amazing.”

Ramona Speer, Realtor®
Gulf Breeze, FL

“I absolutely loved your AM Best Interview – watched it twice! You have always been so impressive and inspiring to the insurance profession. The interview packed so much information into just a few minutes. Thanks for sharing. Please don’t stop, we all enjoy your insight.”

John Burkholder, Principal
Municipal Partners, LLC
2016 Public Risk Manager of the Year

“Lisa Miller is a true champion for the insurance industry, with her regular updates! We appreciate all you do and keeping us up to date on priority issues!”

Gillian Lloyd, Account Executive
Zywave
Milwaukee, WI

“I really do enjoy your newsletter – it is fantastic for the insurance industry in Florida.”

Bill Wilson, former PURE SAC Chair
PURE Insurance Company

“Lisa, thank you for sending your newsletter to me. It keeps me up with news I can use. I hope all is well with you and wish you continued success.”

George E. Kelly, Jr.
GK Consulting LLC
Hartford, CT

“Your newsletter is fabulous!  I greatly appreciate the topics you expose, so that insurance professionals like myself can keep up with the latest events that affect the public we serve and ourselves.”

Cynthia Hoehn, Independent Property & Casualty Personal Lines insurance agent
Clermont, FL

“Just a quick note to let you know how much I have appreciated your newsletter over the years and the assistance they offer for those in the field of claims. We depend on the information more than you will ever know!”

Laurie Rasberry, Chief Claims Officer
Acorn Claims
Prosper, Texas

“A high-profile attempt to undo recent litigation reforms that helped stabilize the insurance market was successfully defeated. We’re grateful to trusted experts like Lisa Miller (former Florida Deputy Insurance Commissioner, now one of the state’s top insurance advocates) for providing ongoing updates during every legislative session.”

Whitney Ricci, President & Founder
Ricci Insurance Group
Jacksonville, FL

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