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Warnings on Deductible Fraud

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Market responding with greater rate hikes & Citizens migration

With the tropics heating up as we head into the heart of hurricane season next month, Florida’s Insurance Consumer Advocate has issued a timely reminder to consumers and the industry about contractor fraud.  It came out in the same week as another insurance company appeared at a public hearing asking for a double-digit rate hike, in part because of such fraudulent and questionable claims, and the release of an updated policy count from Citizens Insurance.

Insurance Consumer Advocate Tasha Carter’s message included a section on deductibles, highlighting part of Florida’s new property insurance reform law in SB 76.   “Waiving an insurance deductible or offering services at no charge for filing an insurance claim is illegal in Florida. You are responsible for the deductible amount listed on your insurance policy, as this is a contract between you and the insurance company. If a contractor states that they can repair your home without you paying a deductible, beware! Find another professional,” Carter wrote.  We would hasten to add previous advice from the Department of Financial Services (DFS): Anyone (homeowners, insurance professionals, attorneys, etc.) who sees violations of the law to report them, using its Insurance Fraud Portal.  This includes unlicensed activity & other violations of SB 76 and SB 1598.

Speaking of contractor fraud, the Florida Office of Insurance Regulation (OIR) held a public rate hearing this past Friday where they discussed the almost 36% rate increase that Southern Fidelity Insurance Company is seeking.  The company attributes the increase to questionable claim activity.  The hour-long hearing (which you can watch here) included back and forth with OIR regulators and the Insurance Consumer Advocate who had great questions ranging from the need for the increase and why, when some decreases were indicated, the company didn’t feel like they were warranted.  Carter shared some specific policyholder feedback: “A 35.7% rate increase is outrageous and this increase is beyond the pale.  I am retired on a fixed income and I am guessing I am not alone in this sentiment.”

Another policyholder remarked they would take their policy elsewhere.  However, that’s become a diminishing option as fewer companies are willing to take on additional policies in Florida.  Most, like Southern Fidelity, are either raising rates, shrinking their footprint, or increasing underwriting requirements (or all three).  So what’s happening is those private market policies are migrating to the state-backed Citizens Property Insurance Corporation.  Citizens is adding about 5,000 policies on average each week and had more than 661,000 policies at the end of July.   Compare that to the nearly 487,000 polices it had on July 31, 2020.  Citizens expects to add another 105,000 policies by year’s end.

OIR is taking public comments on the Southern Fidelity rate request through September 3 via email at [email protected].

LMA Newsletter of 8-23-21

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Tags: Citizens Property Insurance Corporation, Contractor Fraud, Contractor Services, Florida Homeowners Insurance Market, Florida Insurance Consumer Advocate, Florida Office of Insurance Regulation, Insurance Litigation, Southern Fidelity Insurance Company

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DePaul University Kellstadt Graduate School of Business & Past President, Association for Business Communication

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Acorn Claims
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Verisk Claims

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Brown and Brown Insurance
Orlando, FL

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Bradenton, FL

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Charles Taylor
Lake Mary, FL

“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

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Frank Messersmith, former Florida state representative, 1980-1990

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Adam Marmelstein, Director of Agency & Market Services

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

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

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

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Florida Department of Financial Services, Division of Insurance Fraud

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Paula, lifelong hometown of Plant City pal

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Gillian Lloyd, Account Executive
Zywave
Milwaukee, WI

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

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Ramona Speer, Realtor®
Gulf Breeze, 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.

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

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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

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

“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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Cynthia Scott, President
University Insurance Group
Davie, FL

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

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

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

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

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

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Bill Wilson, former PURE SAC Chair
PURE Insurance Company

“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

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