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News and
commentary about developments affecting Workers' Compensation
insurance, and the commercial insurance market.
by Edward J. Priz,
CPCU, APA
President, Advanced Insurance Management
LLC
Parent of Large PEO Filing for
Bankruptcy
May 30, 2008--The
parent company of what used to be one of the country's largest PEOs
(Professional Employer Organization) --aka employee leasing--has
filed for Chapter 11 bankruptcy protection. Mirabilis
Ventures, parent company of Presidion Solutions, lists significant
debts to the IRS and to its Workers Compensation insurance carrier
in its Chapter 11 filing.
Before Presidion went
out of business, they had reported almost 2000 client companies and
nearly 30,000 workers, mostly in Florida.
Reportedly, there are
also criminal charges pending against Presidion co-founder John
Burcham, and forfeiture actions pending against Mirabilis principal
Frank Amodeo.
Wall Street Journal Gets It Wrong
on AIG
May 30, 2008--Earlier
this month, in the Wall Street Journal editorial pages, Assistant
Editor James Freeman wrote that AIG stockholders were pining away
for exiled chief Hank Greenberg, and blasted former prosecutor (and
former governor) Elliot Spitzer for "prosecutorial excess."
In the column, Freeman
questioned the charges that Spitzer had brought against AIG for
avoiding proper fees and assessments by mischaracterizing Workers
Compensation premiums as being other kinds of liability insurance
premiums. Freeman noted that insurance regulators in
Washington and North Dakota had questioned whether their states were
entitled to part of the $343 million settlement that AIG had made
over those charges.
What Mr. Freeman and
the WSJ failed to report, in their zeal to rehabilitate Mr.
Greenberg, was that the basis for Washington and North Dakota's
reluctance was not any question about the wrongdoing by AIG, but
rather that those two states were monopoly fund states for Workers
Compensation. That is, Washington and North Dakota did not
allow private insurance for Workers Compensation, unlike most
states, and thus AIG could not have harmed their states with its
schemes.
But this in no way
changes what AIG did, it is merely a reflection of the fact that
those two states may not be entitled to a share of the restitution
provided by AIG.
Of course, Wall Street
types loved Mr. Greenberg, because AIG under his stewardship always
made money--lots of money. Insurance regulators I've spoken
with privately have not always held Mr. Greenberg's insurance
company in that same high esteem. But now that Elliot Spitzer
has managed to destroy his political career with self-destructive
sexual scandals, defenders of Mr. Greenberg are hoping that
Spitzer's disgrace can somehow be used to restore Greenberg's
reputation and standing.
That would be a
mistake, in my view. Mr. Spitzer's personal failings (and they
were spectacular, to be sure) do not change the serious and systemic
wrongdoings by AIG and Greenberg that were uncovered by the former
New York Attorney General.
NCCI v. AIG: Now It Gets
Interesting
02/22/08--The
latest development in the legal battle between the National Council
on Compensation Insurance and American International Group is
that AIG wants to find out if other major insurers also
underreported premiums.
For those who came in late, NCCI
has filed suit against AIG (for a billion dollars) alleging that AIG
underreported Workers Comp premiums to avoid assessments for
assigned risk plans administered by NCCI. AIG has already paid
a fine in excess of a billion dollars as settlement of similar
charges brought by Elliot Spitzer a few years ago (while admitting
no wrongdoing, naturally.)
The questions AIG wants to put to
other major insurers are very, very interesting:
-
Did you write Workers Comp using
unfiled or unapproved rating plans?
-
Did you fail to report to NCCI
increased premiums that came in from loss sensitive plan
adjustments?
-
Did you pass through to voluntary
market policyholders expenses for assigned risk business via
non-regulated policies or side agreements?
The answers to all of those
questions would be very, very interesting. And potentially
very, very embarrassing for those major insurers.
Insurers & The
Credit Crunch
02/12/08--The next shoe in the
ongoing financial crisis may be dropping. Both AIG and CNA
have been in the news in recent days, reporting dramatic problems
related to the subprime/credit crunch debacles. Historically,
dramatic reversals in the larger financial environment have usually
led to higher commercial insurance rates. So these two major
commercial insurers may be the proverbial canaries in the coal mine.
In other words, employers should probably start bracing for higher
Workers Comp premiums on their next renewals.
New Hampshire Small Contractors
Get Increase
10/22/07-- Small
contractors in New Hampshire that utilize LLC status to reduce
Workers Comp costs are getting a rude shock from a new law. In
the past, an LLC could exclude up to 3 members from WC coverage.
So many smaller construction firms would exclude their principals,
and only cover subcontractors. But a new law that went into
effect in mid-September requires that everyone working at any
construction site be covered for Workers' Comp.
The law apparently didn't
register on the radar screens of many affected employers until it
was too late, and now insurance producers in the Granite State are
scrambling to let affected policyholders know about the significant
premium increases they are facing.
New York Moving to Competitive
Rating
09/12/07-- New York
insurance commissioner Eric Dinallo has recommended that the state
move to a form of competitive rating for Workers Compensation
insurance. Under Dinallo's
proposal, the New York Compensation
Rating Bureau would develop loss costs for the various
classifications, and then insurers would add their own multipliers
to add on their charges for expenses and profits. Thus,
different insurers could develop their own manual rates for WC,
competing on price. Many states have adopted some form of
competitive rating in recent years, where insurers can develop their
own set of manual rates, but some states have retained the older
system of having set rates that are used by all insurers.
Under reforms enacted by Governor Elliott Spitzer, the current
system of NYCRB setting uniform rates ends next February.
In a related development, NY
insurance agents have called for NCCI to be used in the future to
develop the loss costs for the state's competitive rating system,
rather than the New York Compensation Rating Bureau.
New Mexico Regulator Charged
08/31/07-- Former Deputy Insurance
Commissioner Joseph Ruiz has been charged in a federal indictment
with offering lower fines against insurance companies in exchange
for contributions to a non-profit health care organization operated
by former New Mexico Insurance Commissioner Eric Serna.
The shakedowns
allegedly occurred during a 30-month period that began in July 2002,
and includes a telling instance where Ruiz allegedly pressured an
insurer over an auto accident claim on behalf of a New Mexico state
senator.
The insurer complained, and Ruiz is supposed to have told the
official "it looked like he was understanding how politics works in
New Mexico," according to the indictment.
Ruiz himself didn't
personally profit from the scheme, according to the charges, but
children's books he had authored were purchased by the non-profit
with "donations" from the insurance companies.
Task Force Probing California
Fund
07/26/07--The
California Department of Insurance has announced that it has formed
a task force (together with the Highway Patrol and the San Francisco
County District Attorney) to investigate possible financial
misconduct on the part of some former employees of the State
Compensation Insurance Fund (SCIF). SCIF is the California
Workers' Compensation Fund, the largest writer of Workers'
Compensation coverage in the state (it competes with private
insurance companies).
The department says the
misappropriated amounts could total as high as a billion dollars.
The Department of Insurance so
far isn't giving out many details about this investigation, but it
may be connected to the class action against SCIF that we recently
reported on.
--more--
New Jersey WC Changes
07/26/07--There have
been some recent
changes that impact Workers Compensation coverage in New Jersey.
In response to recent court decisions, policy language has been
changed so that insurance companies are not liable for bodily injury
caused or aggravated by an intentional wrong committed by the
employer.
Dispute Brewing Over PEO
Experience Mods
06/25/07-- It
looks like there may be a significant dispute on the horizon over
how PEO (Professional Employer Organization, aka employee leasing)
companies use experience modification factors to compute Workers'
Compensation insurance charges for clients.
The National Council of
Insurance Legislators (NCOIL) has released their latest version of a
model law, which would require that employers that don't have their
own experience mods could not use a modifier that had been
calculated for a PEO. This model law, if adopted by the
various states, would close a loophole that allows PEOs to offer
Workers' Compensation coverage to clients calculated with an
experience mod lower than the client company is eligible for on
their own.
Currently, an employer that is
too small to have an experience mod calculated can obtain a 'credit"
modifier by contracting with a PEO. In such a case, the small
employer gets premiums adjusted by the mod calculated from past
experience of the PEO. Insurance producers have complained in
the past that this gives PEO's unfair advantage in pricing Workers'
Compensation coverage, and legislators have been concerned for along
time that it's not right to allow companies to get the benefit of
credit modifiers that aren't based on their own past experience.
Already, some states have
enacted limitations on such PEO experience modifier disparities.
But this new model law would prohibit such disparities outright, and
could be used as a model for many states' regulations.
NAPEO, the National Association
of Professional
Employer Organizations, is fighting against this proposed model law.
Class Action Suit Against
California State Fund
06/15/07-- A class
action lawsuit has been filed against California's State
Compensation Insurance Fund (SCIF) which is that state's Workers'
Compensation fund. SCIF isn't a "monopoly" fund, so it
competes against private insurance companies in the Workers' Comp
insurance market, but SCIF is the largest writer of Workers'
Compensation coverage in California.
The lawsuit alleges that that
there was "self-dealing" by SCIF and some of its top executives, and
seeks $25 million in compensatory damages and $50 million in
punitive damages. The suit charges that there were improper
payments made to some safety groups operated by former board members
of SCIF.
Lead plaintiff in the case is
Acro Constructers, Inc. of Burbank, and the law firm involved is
Pearson, Simon,
Soter, Warshaw & Penny, LLP. in Sherman Oaks. It is reported
that potentially there could be 250,000 members of the class action
among California employers.
NCCI Sues AIG for $1 Billion
May 24, 2007--The
National Council On Compensation Insurance (NCCI) the Workers' Comp
rating bureau used in most U.S. jurisdictions, has filed a federal
lawsuit against American Insurance Group (AIG) alleging that the
insurer defrauded other member insurance companies via a scheme to
dodge AIG's fair share of Assigned Risk business by misrepresenting
that significant numbers of Workers' Compensation insurance policies
were other kinds of liability policies. Insurance companies
are assigned pro-rata share of the Assigned Risk pool based on how
much Workers' Comp insurance they write on a voluntary basis.
Misrepresenting how much Workers' Comp insurance was actually
written by AIG allowed the company, according to the NCCI lawsuit,
to avoid their fair share of the Assigned Risk business, thus
causing other insurers to shoulder an more than their appropriate
share. The lawsuit charges that the amount of the fraud could
equal one billion dollars.
AIG had earlier reached a
settlement with New York Attorney General Elliot Spitzer over such
allegations, and AIG is now responding to the NCCI lawsuit by
claiming that their settlement with Spitzer precludes further action
on the subject. NCCI clearly disagrees.
It really is highly unusual
(perhaps unprecedented) for NCCI to file suit against one of its
member companies, and for a billion dollars, no less. After
all, NCCI is essentially owned by insurance companies, including
AIG. But AIG appears to have really ticked off the other
insurers that make up NCCI--to the tune of a billion dollars.
Of course, it's one thing to
make accusations in a lawsuit, and another to actually prove them.
Only time will tell how much merit there actually is to NCCI's
allegations. Whatever the outcome, the case may end up
shedding light on some murky aspects of Assigned Risk Workers'
Compensation that affect many smaller employers.
Stay tuned for further
developments. AIG's already tarnished reputation may be about
to take another significant hit. And if NCCI gets its way, so
will AIG's bank balance.
Workers' Comp Insurers Have
Record Year
May 10,
2007--The National Council on Compensation Insurance has
announced that the Workers' Compensation insurance industry has had
its
best year in 30 years during 2006. NCCI announced at its
Annual Issues Symposium that the combined ratio for 2006 was 96.5,
meaning that losses and expenses were 96.5 percent of premiums.
This is the first overall underwriting profit reported by the
industry since 1995. (Keep in mind, though, that insurers make
a fair bit of money from their investments, money that isn't
reflected in the combined ratio.)
A large factor in this has been the dramatic
turnaround in the California market, where recent reforms appear to
have the desired effect of reducing the claims costs there.
Overall, this is probably good news for employers as well, as it
means that insurers will be more inclined to keep rates and premiums
from rising, and probably be more competitive for business.
Increased competition normally translates into lower premium costs
for employers, although the market for Workers' Comp can and does
vary considerably from state to state.
South Carolina Rate Increases
Proposed Again
May 3, 2007--The National Council on
Compensation Insurance (NCCI) is proposing to again increase the
Workers' Comp manual rates for South Carolina, this time by 23.7%.
This is on top of a double-digit increase at the end of last year,
so it's no wonder SC employers are feeling a bit stressed.
NCCI is an independent organization with close
ties to insurance companies (it's essentially owned by insurers,
although operationally it is independent.) And NCCI and member
insurers have been fighting for years to increase the rates used for
Workers' Comp in South Carolina.
Interestingly, our company performed a very
interesting study of one aspect of South Carolina's Workers' Comp
pricing last year. We reviewed how the savings from that
state's second injury fund were reflected in the experience mods of
small employers. Our findings were
that most small businesses received no rate credit for
reimbursements to their insurers from the second injury fund.
The question that hasn't been answered (to my
knowledge at least) is whether or not NCCI's rate making system
reflects this windfall to insurers. Interestingly, the
insurance companies have been lobbying to eliminate the second
injury fund, as they object to the cost of the assessments made on
them to fund the second injury fund. But that doesn't answer
the question of whether or not NCCI's rate calculations fully
reflect the effect of higher premiums for small employers who don't
get any benefit from reimbursements paid by the fund.
The only thing certain is that the political
fighting over Workers' Comp rates in SC are far, far from over.
Study Finds Many NY Employers
Evading WC
February
7, 2007--A report from a Florida consulting firm
concludes that more than a quarter of New York state employers
aren't paying the Workers' Comp premiums for their workers.
The study compared unemployment coverage with Workers' Compensation
coverage, and found significant discrepancies. The report also
alleges that many employers misclassify workers to get lower rates
and premiums.
If accurate, this report is certainly
disturbing. I haven't had the chance to read the details of
the report, so I'm naturally curious to see if the consultants made
proper allowances for self-insured employers and those who aren't
required to obtain Workers' Comp insurance. More information
about the report is available
here.
MO Decision on WC Benefits
Upsets Business
January 22,
2007--The Missouri Supreme Court has ruled that
certain Workers' Comp benefits don't end with the death of the
worker. Instead, benefits payable when a worker is ruled
permanently and totally disabled should continue to surviving
dependents.
Some business groups have expressed dismay over
the ruling, fearing that it will lead to significant increases in
Workers' Comp insurance rates in Missouri. Missouri had only
recently enacted changes in their Workers' Comp benefits that had
been credited with producing lower rates.
It's difficult to tell at this early stage how
much truth there is in those fears, and how much may be mere
rhetoric. Sometimes the anticipated effects of such rulings
are greater than what actually materializes. Employers are
understandably concerned about anything that increases the already
considerable cost of their Workers' Compensation insurance (as we
here at AIM know well.) At the moment, employers in Missouri
are wondering just how much of an impact on insurance rates the
insurance industry will make out of this ruling.
January
17, 2007--I recently read an
excellent book on how the Workers' Compensation system came to be in
the United States. It's entitled
The Accidental Republic, by John Fabian Witt, and it's a
fascinating examination of how the modern system of Workers'
Compensation arose, in somewhat abrupt fashion, early in the 20th
century. Definitely recommended for anyone with an interest in
the American system of Workers' Comp and how and why it came to be.
Interview with AIM Founder Ed
Priz
January
15, 2007--I recently was interviewed for a Webinar on
contractorselling.com.
The wide-ranging interview covered recent developments in Workers'
Compensation that affect contractors and other employers and can be
heard here. Thanks to Joe Crisara
of contractorselling.com for doing such a great job with the
interview.
AIM Competitor Appears to Be Out
of Business
January 1, 2007--Information from the Better
Business Bureau indicates that WCA Consultants of Plainville, MA is
no longer in business, although their website is still up and
running. According to a BBB reliability report dated
10/31/2006 that was recently forwarded to AIM, mail sent to WCA was
returned by USPS as "business no longer in operation".
WCA Consultants, according to
their website, offered services similar to those offered by AIM--to
review Workers' Compensation insurance charges for employers to find
and recover overcharges. According to other reports on the
internet, WCA charged independent contractors an upfront fee to
become an sales representative for WCA. According to these
reports, WCA may have left a number of such independent
representatives high and dry, having taken the upfront money but not
producing refunds for the cases sent in.
If this information is accurate,
it underscores something we have been stressing for a long time: it
is vital to select a Workers' Comp review firm with care.
Since there is no regulation or licensing of such firms, anyone can
create a website and claim to be an expert in this field.
2007 is the 20th year of
Advanced Insurance Management helping employers to find and recover
Workers' Compensation premium overcharges, making us one of the
oldest and most experienced firms in this field. Unlike many
others (such as the apparently defunct WCA) Advanced Insurance
Management is a member of the Better Business Bureau.
If your company has been waiting
for the results of a WCA review of your Workers' Compensation
insurance charges, it appears that you are not likely to be
receiving any good news in the foreseeable future about refunds
being forthcoming. If you still think that a review of
Workers' Comp charges by a competent professional is a good idea
(and it is) you might consider letting AIM
review your documents to see what potential there is for a
refund.
Idaho WC Rates to Decline
December
27, 2006--Workers' Comp rates are set to decline in idaho
in 2007, as the Idaho Department of Insurance has accepted an NCCI
recomendation to reduce rates by 5.7% overall. Insurers who
wish to deviate further from these recommended rates must obtain the
approval of the Idaho Department of Insurance, and a number of
carriers (including the Idaho State Fund) have already obtained
approval for deviations greater than the NCCI recommendation.
Class Action Settlement Over
Loss-Sensitive WC Policies
November 11, 2006--A court in Georgia has
approved a settlement in a class action lawsuit initiated years ago
over certain Loss-Sensitive Workers' Compensation insurance policies
written by a number of insurers from January 1, 1984 through
December 31, 2003. A settlement fund of $16 million has been
approved, and any employer who had coverage from one of these
policies can make claim for a portion of the money.
Details can be found at :
www.losssensitiveworkerscomp.com.
The suit charged that insurers
had sold policies that were not properly filed with or approved
by state insurance regulators, or that the terms of the policies
were not consistent with what had been approved by regulators.
Some documentation will be
required for an employer to be approved to receive funds from
the settlement, so employers who may be eligible should start
now to determine what documentation is needed and if they have
it in their records.
AIG to Refund $13.6 Million in
Florida
October
2, 2006--American International Group is going to refund
$13.6 million in Workers' Comp premium charges to Florida
policyholders as part of a settlement with that state's insurance
regulators. The disputed charges were for Terrorism Risk
Insurance Act coverage. More than twenty states questioned the
particular rate structure AIG used for this coverage, but only
Florida was threatening to hold hearings on the subject.
Of course, if major insurers like AIG and
Liberty Mutual get their way and are allowed the option of being
federally chartered (as is being proposed in Congress) then they
could get away from all this pesky state oversight of insurance
rates. And they've got their pet experts ready to swear that
state oversight of insurance is inefficient (which it is, although
they're working to reduce this) and harms consumers (which is a
different argument altogether). Inefficient it may be, but
state oversight also provides invaluable limitations on the
abilities of major insurers to overcharge policyholders--something
that might well be sadly lacking in whatever federal oversight gets
approved by the best national legislature money can buy. And
the insurance industry has plenty of money to spread around the
halls of Congress for something as big as freeing them from state
insurance regulations.
Welcome To The Jungle, 21st
Century Style
September
15, 2006--Remember Upton Sinclair's book, The Jungle?
A lot of us read this famous muck-raking expose in school, as an
example of the kind of workplace abuses that led to the creation of
much of our modern regulatory apparatus to watchdog industrial food
production. And as we shuddered over the gruesome industrial
landscape depicted in the book, we could at least take solace in the
knowledge that nowadays such rank workplace malfeasance and abuse
couldn't take place. But it looks like we were wrong.
Sad to say, greed and indifference to human
suffering have not been banished from our workplaces, in spite of
all the regulations and lawsuits that have occurred since the days
of The Jungle. For proof, consider the sobering stories
recounted in recent weeks in such publications as the
Chicago Tribune and the
McClatchy Washington Bureau, about how employers hire
undocumented immigrant workers to perform hazardous work, and how
these workers are later unable to obtain Workers' Compensation
benefits when they are injured on the job. Sometimes the workers
themselves are afraid to make the claims, sometimes insurance
companies fight to deny them benefits on the grounds that their
undocumented status means they are not eligible.
Thus the economic interests of unscrupulous
employers and short-sighted insurance company practices combine to
treat human beings as disposable, dispensable non-entities.
The anti-cruelty laws of most states would preclude treating animals
in such a manner, but undocumented workers apparently have no such
protections. In the name of saving money, human beings are
left crippled, maimed, burned, or dead, and the employers and
insurance companies who are supposed to at least make compensation
for such injuries laugh all the way to the bank.
Employers are certainly right to be concerned
about the costs of Workers' Compensation insurance. And
insurance companies need to be vigilant against fraudulent claims.
But neither of those legitimate interests can be accepted as a
license to exploit vulnerable people and leave them mangled and
suffering, without recourse to the very Workers' Compensation system
we have created to ease that suffering. Clearly, we need to
change our laws and our insurance regulatory system to end these
practices, and we need to do it now.
South Carolina to Issue WC
Refunds After All
August 26, 2006--The South Carolina Department of
Insurance has reversed their earlier decision and has ordered
insurers to make refunds to employers of premium overcharges that
occurred due to ratemaking errors by NCCI.
Previously, the SC Department of
Insurance had decided to allow insurers to make up for the
overcharges by making adjustments to future rates. But
criticism from business groups in the state has led regulators to
change their minds and mandate refunds to employers in the state.
Regular readers of this page may
remember that AIM has been active in spotlighting the errors by NCCI
over several past years that caused rates for some classifications
in a number of states to have been miscalculated. Originally,
NCCI and the National Association of Insurance Commissioners had
attempted to keep these ratemaking errors by NCCI low-profile.
For more information about this
story, scroll down and take a look at earlier entries on this
subject in CompWatch. For more information on the South
Carolina story, check
here.
New York Says 'No' to WC Rate
Hikes
July 19,
2006--New York Insurance Superintendent Howard Mills has
denied insurers' request for a 7.5% rate increase, an increase that
the New York Compensation Insurance Rating Board had calculated was
warranted based on reported claims data. Mills has stated that
he feels the insurance industry's anti-fraud efforts in New York
have been "anemic", and that the requested rate hike was not
justified.
New York has been experiencing overall rate
increases for the past several years, and so pressure has been
building as the various players in the Workers' Comp tug-of-war
(labor, business, medical providers, and insurers) struggle to
resolve their competing interests.
Balancing those interests is usually not easy.
If insurers feel that rates are inadequate, they always have the
option to reduce their underwriting of voluntary market business in
a particular state, putting pressure on assigned risk programs or,
in the case of New York, the State Fund. And that can have
unpleasant consequences for employers that are just as painful as
rate increases.
Buffett
(Warren, not Jimmy) Buys 2 Workers' Comp Companies
July 19,
2006--Warren Buffet's Berkshire Hathaway operation has
announced it is acquiring a pair of California Workers' Compensation
companies: American All-Risk Insurance Services (AARIS) and American
Commercial Claim Administrators (ACCA). These two companies had
been part of Acacia Pacific Holdings, which will continue to operate
separately.
This purchase is being hailed in the press as
evidence that Mr. Buffett (AKA the Wizard of Omaha for his investing
acumen) is betting that California Workers' Comp will be a
profitable line of business now that significant reforms have been
enacted to hold down claims costs.
The press releases note that AARIS and ACCA
will continue to be managed by Rob Darby, who has run them since
2005. But if Mr. Buffett wants to maintain his reputation as a
straight-shooter, he might want to take a closer look at how AARIS
operates, at least in some aspects of its business. We here at
AIM have had recent dealings with AARIS, and found one aspect of
their way of doing business to be troubling and questionable.
When we contacted AARIS to point out some
errors in the Workers' Compensation audit for a client, AARIS
personnel refused to let us talk to the audit manager--refused to
even divulge his or her name. They repeatedly insisted we
would have to talk to the agent about any audit questions.
Worse, they gave the same brush-off to the policyholder, when he
contacted AARIS. Imagine, a Workers' Comp carrier who refuses
to let the policyholder talk to the audit manager about how audited
premiums were calculated! It's unheard of, and in our view
utterly improper and unethical. AARIS gave the policyholder
the same line of B.S. they had given A.I.M.--that they would have to
bring any questions about the audit to the agent who had written the
policy.
The problem with that is that agents don't have
any authority to do anything about an audit. And when we got
the agent to agree that she could do nothing about the audit, we
returned to AARIS, threatening to take the matter to the California
Department of Insurance. Only then were we able to even talk
to the audit manager.
Refusing to allow policyholders access to company
personnel to discuss how an audit was performed is not common
industry practice. It deprives policyholders of the ability to
work out problems with audits with the company personnel who have
authority to actually correct any mistakes in the audit. In
our view, it is the ultimate in insurance company disrespect for
their customer.
Mr. Buffett has earned a legendary status as an
investor and, more recently, as a philanthropist. But he might
want to have a little talk with the people over at AARIS about how
they handle customers who need to discuss their Workers' Comp
audits. The current company policy of giving policyholders the
silent treatment simply isn't good business.
More States Announce WC Refunds
Over NCCI Rate Miscalculation
June 30, 2006--Virginia
has just announced that employers in that state will receive over
$1,000,000 in refunds of Workers' Compensation premium overcharges
that resulted from the National Council on Compensation Insurance (NCCI)
having miscalculated Workers' Comp rates for the past few years.
A computer error on the part of NCCI caused payroll information for
a number of classifications to not be counted when NCCI made rate
calculations. It appears that this computer error has affected
rates in every state where NCCI provides rates (36 states
currently.)
A few weeks ago, AIM helped
bring this story to light, when we reported that several states had
announced retroactive rate reductions, going back to 2003.
Further investigation revealed that the problem was widespread, with
some states requiring retroactive refunds, while other states had
opted to adjust future rates to make up for the NCCI error.
This story has become an area of
contention in South Carolina in particular, where NCCI and the
state's insurance department have been pushing for significant rate
increases that are opposed by some business and consumer groups.
It turns out that in an April hearing, NCCI and South Carolina
insurance regulators had told a judge that there was no reason to
question NCCI's ratemaking methodology or expertise, even though
this major error by NCCI was known at that time. Opponents of
the rate increase are now requesting that rate hearings be reopened
in light of this new information. South Carolina is one of the
states that opted to not require retroactive refunds to correct for
the NCCI errors, and that decision is also now
coming under fire by business groups and South Carolina's
Department of Consumer Affairs.
What's Good For
The Goose--or, Why No Prosecutions of Insurance Executives for
Fraud?
June
21, 2006---There's a very
interesting news item in yesterday's online edition of
The National Underwriter, where Senator Arlen Spector
raises a question that's been on my mind lately: why were there no
criminal prosecutions of insurance company executives who for years
cheated states out of legally required assessments by reporting
Workers' Compensation premiums as other kinds of insurance. In
recent years, the insurance industry has successfully pushed for
increased criminal prosecutions of employers who (in the view of
insurers) deliberately and fraudulently lowered Workers' Comp
premiums by giving false information about payrolls or working
conditions. But when insurance companies engage in massive
fraud of their own (as was apparently done over the misreporting of
WC premium as other insurance) the insurance companies just pay some
fines and expect everyone to forgive and forget.
Senator Spector reportedly
argues that if the states aren't going to pursue criminal
prosecutions in such cases, then the feds should step in. And
he's proposing that the federal government enact legislation to
enable them to do just that.
Although it was AIG that
reached a very large and very public settlement with New York
Attorney General Elliot Spitzer over this misreporting of WC
premiums, AIG was far from the only insurer to engage in this fraud.
But because many states' regulation of insurance companies is
hobbled by (intentional) lack of funding and manpower, the insurance
industry has gotten accustomed to being able to get away with the
very kinds of misbehavior it decries in claimants and policyholders.
Perhaps the situation has
finally gotten so rank, so abusive, that the federal authorities
will have no choice but to step in. The lackluster regulation
currently being performed by many state regulators may leave them
little choice.
NCCI Adjusting
Some Rates Retroactively
June 15, 2006--The
National Council on Compensation Insurance (NCCI) does the
behind-the-scenes actuarial work that goes into Workers' Comp rates
used in many (but not all) states. In an unusual move, NCCI
has been retroactively revising the rates used for a number of
classifications in some states.
Last June, Maine
announced that a number of classifications were having their NCCI-calculated
rates retroactively revised downwards, effective back to 2003.
Now Illinois and Missouri have made similar announcements, although affecting
different classification codes. And it appears that these
retroactive rate reductions will not be happening in just Illinois,
Missouri,
and Maine, but that similar revisions are in the works for other
states as well.
At the moment,
details about this are a little hard to come by. Insurance
regulators and NCCI seem to be playing this matter close to their
respective vests. We'll update information on this developing
story as we can unearth it.
WC Market Finally
Softening
June 14,
2006--A recent
survey of the national market for Workers' Compensation
insurance has found that conditions are finally softening, after
years of hard market conditions. Market conditions for other
lines of commercial insurance had softened earlier, but it was only
in the last quarter of 2005 that Workers' Comp renewals appear to
have softened generally. Of course, this comes after very
large premium increases experienced by many employers since late
2001 and early 2002, so any softening of prices only represents a
ratcheting down by insurers from premiums that were at historic
highs. Still, any relief has to be good news to employers,
many of whom have been pushed to the brink in recent years by the
skyrocketing cost of their Workers' Comp coverage.
It's not only market
conditions that are contributing to this reversal, it's also that a
number of states have enacted changes in their benefits structures
that have yielded decreases in manual rates (California is a notable
example.)
Ohio Comp Official Pleads Guilty
June 2, 2006--It
hasn't been a good week for Terence Gasper, the former head of
Ohio's monopoly state fund for Workers' Compensation coverage.
In fact, the past couple of months have probably been pretty crappy.
He's just pled guilty to state fraud charges over his mismanagement
of the fund (he's the genius who directed the fund to invest
in a "rare coins" fund operated by Republican fellow-traveler Tom
Noe (who has also been convicted in the scheme). It turns out
that Mr. Gasper was up for sale, at least according to published
reports of his plea deal, accepting all kinds of bribes in return
for investing the fund's money in various and sundry places.
Other published
reports indicate that the Feds plan to press charges against Mr.
Gasper next week over his management of the Ohio fund.
In spite of all the
various drawbacks and problems with private insurance for Workers'
Compensation insurance, this scandal makes insurance companies look
like saints in comparison (and that's not easy to do.) This
case makes a powerful argument that mixing politics with Workers'
Compensation coverage is a recipe for disaster. It makes one
wonder of Ohio's long history of relying on a monopoly state fund
might finally be seriously reconsidered.
California Insurer Lowering WC
Rates
June 2, 2006--A
day after California's Insurance Commissioner called for insurers to
reduce Workers' Comp rates by just over 16%, the largest WC insurer,
State Compensation Insurance Fund (SCIF) announced rate reductions
of 10%. This should certainly be welcomed by California
employers--at least those who haven't closed their doors or fled the
state over the skyrocketing costs of California Workers' Comp in
recent years.
SCIF and other carriers have indeed
been ratcheting rates downwards in recent years, but only after
employers saw their premiums explode (and their choice of insurers
implode) after a poorly-executed deregulation of WC insurance a
decade ago.
California to Require Workers' Comp
For All Roofers
May 26,
2006--California Governor Arnold Schwarzenegger has
signed new legislation requiring all roofers in the state of
California to carry Workers' Compensation insurance.
Previously many roofers claimed exemption from the requirement to
carry Workers' Comp, because California (like many states) exempted
sole proprietors and partners from the requirement of carrying
Workers' Compensation insurance. Critics have long claimed
that many contractors improperly claimed such exemptions, avoiding
premiums that were legitimately owed. The new legislation
requires that all roofers in California be able to prove valid
Workers' Compensation coverage, or else have their roofing licenses
revoked.
Sponsors of the new law claim that abuses of the
old exemptions were widespread, placing roofers who followed the
rules at a competitive disadvantage and placing workers at risk.
Spitzer Now Taking Aim at Liberty
Mutual
May 8, 2006--New
York state Attorney General Elliott Spitzer is now
filing complaints against Liberty Mutual, the
largest writer of Workers' Compensation insurance in the U.S.
Spitzer has already successfully obtained significant settlements
from such insurance luminaries as Marsh & Mclennan, AIG, Zurich
Insurance, and ACE, over allegations of bid-rigging and other
improprieties. But Liberty says they are going to fight rather
than settle with Mr. Spitzer.
The New York AG charges that
Liberty provided deliberately poor quotes to Marsh in order to help
Marsh steer business to other insurers that paid so-called
"contingent commissions" to Marsh.
Insurance Company Says Cash Paid to
Worker Not "Wages"
May 2,
2006--Just when I thought I had heard it all, along
comes a news report that seems to document an insurance company
living down to the worst expectations of industry critics.
According to a news item in the
St. Petersburg Times, St. Paul Travelers insurance is paying
medical benefits but not indemnity for lost wages for Alfonso
Escobar, because Escobar was paid cash by his employer.
Escobar survived a three-story fall while installing drywall in
Florida, but is now discovering that while St. Paul Travelers is one
of the largest insurance companies in the world, it isn't above
trying to weasel out of its obligations to an injured worker.
Now, when it comes time to counting "remuneration"
for calculating premiums, you can bet your life that St. Paul
Travelers counts cash payments to workers. But when it comes
to paying out benefits to some guy who's foolish enough to actually
work for a living (as opposed to being an insurance company
executive) there apparently is no argument too low, too unseemly,
too hypocritical, for St. Paul Travelers to resist in order to save
a little money.
Former
Rhode Island State Fund Hit by Scandal
April 14, 2006--Beacon
Mutual is an insurance company that was formed out of the former
Rhode Island State Compensation Insurance Fund, a Workers' Comp
state fund that competed with insurers. It got morphed into a
private insurance company back in the mid-1990's. Now R.I.
Governor Carcieri is
demanding
the resignation of Beacon's president and vice president for
underwriting, as well as the resignation of all board members
serving since the company's inception. It's being reported
that Beacon gave illegal price breaks to some employers (including
one owned by a former board chairman) at the expense of other
insureds.
The
governor is also demanding that Beacon cooperate with a
forensic audit by regulators.
UPDATE--04/20/06--GOVERNOR
CARCIERI HAS PREVAILED--BEACON'S PRESIDENT AND VP LET GO BY;
GOVERNOR THEN REMOVES 2 DIRECTORS AFTER BOARD FAILS TO ACT.
Beacon
Mutual is currently the largest writer of Workers' Compensation
insurance in the state of Rhode island.
NCCI
& Insurers Sneak One Past Everyone
March 1, 2006--AIM
has learned that the National Council on Compensation Insurance (NCCI)
and the Workers' Compensation insurance industry managed to sneak
one past everyone a few years ago, in a subtle but important change
in the language of the experience rating manual that governs
calculation of experience modification factors in most states.
Experience modification
factors are supposed to be calculated based, in part, on prior
years' audited payroll and classifications. And so if a
classification code is changed from one policy to the next, the new
policy's experience modifier is supposed to be revised so that the
modifier uses the same classification as is used on the policy to
compute manual premium. In other words, there has always been
a reciprocal relationship between the classification used on the
policy and the experience modifier.
A more expensive
classification will usually produce a lower modifier (all other
things being equal). That's because the modifier uses Expected
Loss Ratio (ELR) factors that vary from class to class, just like
the rates on the policy do. A more expensive class also has a
higher ELR, and this makes the modifier lower. (See our
explanation of experience rating for more
detail.)
But a few years ago, NCCI
introduced a subtle change in the language of their Experience
Rating Manual. Where once the manual said that modifiers
"shall" be revised when classifications are changed, the manual now
reads that modifiers "may" be revised when the classification is
changed.
And recently, NCCI has
begun revealing the importance of that word change.
AIM has just learned that
NCCI is now interpreting the new manual rule so that a policyholder
has to get the written permission from their insurance company
before NCCI will revise a modifier to be consistent with a change in
classification. In effect, this gives the insurance company a
veto over a policyholder getting the modifier revised.
In the past, this author
has occasionally been criticized by some folks at NCCI for being (in
their view) overly critical of NCCI. And certainly there are
many fine, ethical, and expert people working at NCCI. I've
been privileged to know some of them over the years, and I can
personally attest to their integrity and fairness. But this
latest change in experience mod rules exemplifies the
institutional mindset that makes NCCI so problematic in the
eyes of outsiders: there appears to be bias in favor of insurance
companies over policyholders inherent in their rulemaking.
NCCI manual rules are
subject to the review and approval of the insurance regulators in
each state. Concerned employers should express their views on
this change in NCCI rules to the insurance regulators in their
particular states. We list a directory of state insurance
regulators here, for those inclined to
express themselves. In the meantime, AIM is also communicating
with insurance regulators and business organizations that may have
an interest in this development.
West Virginia Looking for $1.89 Million
from Employers
February 28, 2006--According to
a
report in the Insurance Journal, West Virginia's new private
insurer, Brickstreet Mutual, has more than $1,890,000 in outstanding
Workers' Comp premium charges it is seeking to collect from
employers. West Virginia has just transitioned away from a
monopoly state fund for Workers' Compensation, transforming the
former state fund into Brickstreet Mutual. That insurer is
still the only source for Workers' Comp in the state, as insurance
competition isn't scheduled to be introduced until some time in the
future. But at the moment, it appears that some 1,794 WV
employers have some unpleasant bills in the mail.
As
always, we would suggest that employers review those bills
carefully, Whenever Workers' Comp insurers are pushing to get
money in the door, mistakes sometimes get made in the details.
Some of that $1,890,000 in additional premium that's being sought
might be based on errors in classification, experience rating, or
payroll audits. That's been our experience, anyway, through
more than twenty years of reviewing audit bills from insurers.
As Ronald Reagan once said, "Trust, but verify."
California Unveils New Website to Fight
WC Fraud
February 2, 2006--California's
Department of Insurance has announced a new feature of their
website that highlights recent
convictions for Workers' Compensation fraud. This is in
response to recent legislation in California. The site lists
information about those recently convicted in California for
Workers' Compensation fraud. This is an area of prosecution
that is being increasingly targeted by many states, not just
California. Employers generally support such efforts, as
fraudulent claim activity is a particularly galling source of
increased Workers' Comp costs for employers. But the recent
increase in law enforcement attention to this area doesn't just
focus on workers---many employers are also being accused of
fraudulently decreasing their Workers' Comp premiums, or of not
having Workers' Comp at all when they are actually required to have
it. So more than ever, employers have to make sure they are
not trying reducing their Workers' Comp costs in a manner that could
open them up to charges of fraud.
This
can be a tricky area for employers, as there is always considerable
pressure to try to hold down the cost of Workers' Compensation
coverage. Helping employers reduce such costs legitimately
is one of the primary services that Advanced Insurance Management
provides, through our
CompControlSM
review.
A Brave
New World for West Virginia
December 30, 2005--Employers
in West Virginia are about to enter what is, for them, a brave new
world: private insurance for Workers' Compensation. For as
long as this writer has been involved with Workers' Compensation
(almost thirty years now) West Virginia was part of the litany that
insurance people memorized regarding the six states that maintained
"monopoly" state funds for Workers' Comp. Nevada left the clan
a year or two ago, and now West Virginia is following suit.
With the New Year, West
Virginia's former Workers' Compensation Commission (their state
fund) will morph into BrickStreet Mutual Insurance company, an
employer owned mutual insurance company that will initially continue
to have a monopoly on writing Workers' Comp in the state. Then
in 2008, full competition will be allowed, with other insurers being
allowed to write Workers' Compensation insurance.
Employers have
high hopes
that these changes will resolve longstanding problems with West
Virginia's Workers' Comp system. The new monopoly insurer (for
the next two years, at any rate) has information available about the
new system at
www.brickstreet.com.
Bankruptcy
& Workers' Comp Premiums
December 2, 2005--There's
a dispute going on in the federal courts over whether or not unpaid
Workers' Compensation insurance premiums should be given priority in
bankruptcy proceedings as "contributions to an employee benefit
plan." The U.S. Supreme Court has now agreed to decide whether
or not unpaid Workers' Comp insurance premiums constitute
contributions to an employee benefit plan, and thus should be given
priority or not. In the past, unpaid WC premiums were not held
to be such contributions, but recent appeals court rulings
have held otherwise, and so now the issue will be decided by the
Supremes.
It seems to this observer
that the earlier court rulings made more sense--that payments to a
Workers' Compensation insurer aren't really contributions to an
employee benefit plan, as that term is generally understood.
Granting this new status to unpaid Workers' Comp premiums doesn't
really benefit employees, the way that contributions to health and
pension plans do. Instead, this new interpretation really only
directly benefits insurance companies, who are responsible for
paying claims under a policy whether or not all the premium has been
paid to them. More detailed information can be found
here.
The Supreme Court should
be resolving the issue sometime in the first part of 2006.
Missouri
WC 'Reforms' Challenged
December 1, 2005--Missouri's
new Worker's Compensation law is being challenged in court by labor
groups as going too far in limiting workers' rights to compensation
for workplace injury. The new law took effect August 28 of
this year, and makes a number of changes related to what constitutes
compensable workplace injury. The goal was to reduce
Missouri's Workers' Compensation costs for employers, but a number
of groups representing workers claim that the new law goes too far
in limiting the right of a worker to be compensated for workplace
injury. The new law makes it more difficult to establish than
an injury or illness is work related, and also reduces the
compensation payable to workers who fail to wear safety equipment or
follow safety guidelines. More details about the dispute can
be found
here.
Workers Comp is always a bit of a political
football, with competing interests pushing their agendas thru state
legislatures. The entire concept of Workers' Compensation is a
compromise intended to make sure injured workers are taken care of
while limiting liabilities of employers to manageable levels.
Finding the right balance isn't always easy--but getting a decent
and workable balance is critical. Only time (and the courts)
will tell if this new Missouri effort has gone too far in one
direction and lost that crucial balance.
Major South Carolina Work Comp Insurer To Stop
Writing New Policies
November 21, 2005--Companion
Property and Casualty has announced that it plans to stop writing
new Workers' Compensation policies in South Carolina in the next
month. Companion is one of the largest writers of Workers'
Comp insurance in South Carolina, and this decision will likely
produce some significant difficulties for employers there.
According to the South Carolina Small Business Chamber of Commerce,
the insurer is seeking higher rates in the state, along with changes
in the state's insurance laws.
Something curious seems to be brewing down in SC. Earlier this
month, the South Carolina Department of Insurance fired a long-time
employee who was considered a rate expert, after he criticized the
latest proposal for higher Workers' Comp rates. Employers
there might want to watch the situation very closely, as it sounds
as if powerful pressure is being applied to increase Workers'
Compensation rates in their state.
South Carolina Insurance Regulators
Fire Expert Who Criticized NCCI
November 10, 2005--According
to a
report on the AP, the South Carolina Department of Insurance has
fired their own in-house expert on rates and risks after he was
critical of how NCCI (The National Council on Compensation
Insurance, an insurance industry rating bureau) developed rating
information used to set Workers' Comp insurance rates in South
Carolina.
I'm sure employers in South Carolina
are relieved that NCCI has been protected from criticism over their
ratemaking expertise. After all, one can't have the department
of insurance getting too independent, can one?
Oregon Woman Fights Farmers
Insurance & Wins
October 20,
2005--Ethel Adams has
finally gotten Farmers Insurance to pay for injuries she suffered in
a terrible auto accident. And it only took newspaper articles,
outraged citizens contacting regulators and legislators, and an
order from the Insurance Commissioner to get Farmers to reconsider
their earlier denial of coverage.
You see, Ethel Adams was severely
injured when an angry driver rammed his pickup truck into his
girlfriend's car, which then rammed Ms. Adams' vehicle. Until
all the publicity, Farmers had denied coverage by claiming that
because the action by the angry boyfriend was deliberate, the
incident couldn't be considered an accident, and thus Farmers'
didn't have to pay.
Ms. Adams didn't file a complaint
with her state's insurance commissioner, but lot of other people
did, once they read about the story. Lots of people also let
Farmers' know they would be moving their own coverage away from
Farmers', as they didn't want to do business with such an insurer.
And ultimately, insurance commissioner Mike Kreidler ordered
Farmers' to pay up.
This story not only illustrates
how wrong-headed insurance companies can sometimes be, it also
demonstrates how important it is to have effective insurance
regulation. A point that appears to be lost on Illinois
Governor Rod Blagojevich, who is in the process of dismantling
insurance regulation in Illinois (see story of September 29, further
below).
Ms. Adams can be grateful, I
suppose, that she lived in Oregon and not Illinois.
Cleanup of Kentucky Workers Comp Mess Proposed
October 6, 2005--The Kentucky Office of Insurance reports than an
agreement has been reached to bail out the AIK workers compensation
fund. This was a group self insurance fund that was widely
marketed to Kentucky employers as an alternative to traditional
insurance policies, an alternative that offered lower rates and
premiums. Many employers who participated, however, are only
now learning to their regret just how high the ultimate cost of this
program truly was.
Like many group self-insurance
programs, the rates charged participating employers were
unrealistically low, and the program ultimately couldn't pay all the
claims of participating employers. The fund is now no longer
taking on new employers, and is struggling to pay off the claims
it's already responsible for.
As many employers elsewhere have also
learned about these group self-insurance programs, participants can
be held liable for the overall deficit of the group. Employers
in Kentucky who participated in the AIK program are now being asked
to pay large assessments to cover the costs of winding down the
program.
Group self-insurance programs seemed
like a viable alternative to traditional Workers' Compensation
insurance, but so many of them have met fates like that of the AIK
program that one has to wonder if the rate reductions offered are
ever worth the risks inherent in these programs. So many of
these group self insurance programs have failed and left
participants with costly assessments that any employer would be well
advised to think long and hard before jumping at the lower rates and
premiums offered by such programs. The history of these funds
is that many of them have been poorly run and regulated.
Worse, they were often marketed to unsophisticated employers as
being the same as "regular" Workers' Compensation insurance
coverage, without having the potential pitfalls adequately
explained. Only in the wake of failed self-insurance programs
have many employers learned of the risk they were taking by
participating.
Spitzer Strikes Again
September 29, 2005--New
York Attorney General
Elliott Spitzer has now
broadened his
investigation of St.
Paul Travelers
insurance.
Reportedly, Mr. Spitzer
has issued additional
subpoenas, seeking
information about the
reporting of Workers'
Compensation premiums.
This is after earlier
reports that AIG
deliberately misreported
millions of dollars of
Workers' Compensation
insurance premiums as
being for other kinds of
insurance, to avoid
paying assessments to
various states that are
levied on Workers'
Compensation insurance
premiums.
Apparently, Mr.
Spitzer suspects this
devious practice was not
confined solely to AIG.
Illinois Governor
Hobbling
Insurance Regulators
September 29, 2005--In
light of the above item,
and earlier reports of
widespread abuses by
broker and insurers, one
would think that it
would be self-evident
that it's a really bad
idea to cripple your
state's insurance
regulators. But
Illinois governor Rod
Blagojevich instead has
been busy making sure
that Illinois insurance
regulators can't
effectively provide
oversight and consumer
protection to citizens
and employers in his
state.
According to sources
within the Illinois
Division of Insurance
(it used to be the
Department of Insurance
before Blagojevich
turned it into a
division of the
Department of
Professional Regulation)
not only have their
finances been diverted
to other uses, now their
consumer protection
operations are being
dismantled.
The plan is to remove
the specialized consumer
complaints handling
function from the
experienced people at
the insurance division
(those that are left,
anyway) and combine them
into a "call center"
that handles all
complaints under the
jurisdiction of the
Department of
Professional Regulation.
"Our teeth are being
pulled," a highly placed
source at the Division
of Insurance told A.I.M.
"Our consumer complaints
people investigate
complaints and, when
warranted, serve as an
advocate for
policyholders to correct
abuses by insurers and
brokers. This
won't happen anymore
under the changes being
implemented by the
governor."
Even before this
latest change, Illinois
insurance regulators had
seen their regulatory
efforts curtailed by
budget cuts and staff
reductions. Now a
bad situation is about
to get even worse.
It makes one wonder just
how much did the
insurance industry have
to contribute to Mr.
Blagojevich's campaign
coffers to get this
'reform' governor to
reform insurance
regulation out of
existence in Illinois.
Whatever the cost, it
would appear they're
getting their money's
worth.
Scandal After Scandal at
AIG
August 2, 2005--There
has been an astonishing
string of scandals
associated with American
International Group,
better known as AIG
Insurance. The
latest: a group of 18
reinsurers has sued AIG,
claiming that there was
a scheme on the part of
AIG to collect some $73
million in "grossly
inflated" workers
compensation claims and
other reinsured claims.
And there is the
devastating article in
the current
Fortune
magazine, detailing how
AIG allegedly defrauded
states of millions of
dollars by
mischaracterizing
Workers' Compensation
premiums as other lines
of insurance. The
article further states
that former AIG chief
Maurice "Hank" Greenberg
knew of this scheme and
allowed it to take
place. The article
says that AIG's general
counsel resigned after
only eight months on the
job when Greenberg
declined to take action
after the matter was
formally brought to his
attention.
And of course, AIG has
been in the thick of the
recent scandal over
"finite reinsurance",
and has had to restate
earnings for the past
five years to the tune
of $3.9 billion.
AIG was also involved in
the earlier "contingent
commissions" scandal
unearthed by New York
attorney general Elliot
Spitzer. And years
before Mr. Spitzer came
along, AIG had been
involved in a major
scandal involving
improper reinsurance
arrangements with a
Bermuda reinsurance
company set up and
controlled by AIG, but
never acknowledged or
reported to be an
affiliated company.
The Fortune
article alleges that Mr.
Greenberg sent out
private investigators to
talk to neighbors of
some of the insurance
regulators who had dared
to dig into this
improper arrangement, in
an apparent attempt at
intimidation.
By
many accounts, Greenberg
was an imperious and
arrogant tycoon, who
encouraged the view that
it was his "genius" that
enabled AIG to
outperform other
insurers during the
decades of his control.
It would now appear that
there was something at
work here in addition to
Greenberg's
obvious business talent.
Greenberg could be an
overbearing tyrant to
work for, according to
many accounts, but also
could exhibit intense
loyalty to employees
above and beyond the
call of duty. He
reportedly spent
$1,000,000 to save an
AIG executive from an
Iranian prison after
Khomeini's regime had
taken over. A
veteran of D-Day,
Greenberg brought a
similar toughness and
ruthlessness to his
management of AIG,
overwhelming state
insurance regulators
with the Byzantine
complexity of his
empire.
Many years ago, this
writer had occasion to
work at an insurance
brokerage where the
principal refused to
place business with AIG.
It was his personal
opinion that AIG
couldn't be relied upon
as a trustworthy
partner, and he refused
to place business there.
I've never had any
personal experience with
anything improper done
by AIG, but I always
respected the wisdom and
acumen of that
individual I worked for.
It would appear, based
on the past year's news
reports about AIG's
inner workings, that his
reservations about AIG
were not completely
unfounded.
The lesson to be gleaned
from this and other
insurance scandals, for
those not in denial
about the insurance
industry, is that much
more vigilant oversight
and regulation is
obviously needed.
Whether that oversight
is provided by state or
federal regulators, or
some partnership of the
two, it seems clear to
this writer that the
current system has
allowed some large
insurers and brokers to
take unfair and improper
advantage of
policyholders. It
should be clear by now
that these are not
isolated incidents, but
symptoms of a systemic
problem.
Ohio Workers' Comp Fund
Scandal Still Growing
June 27, 2005--It
looks like the folks who
run Ohio's monopolistic
state fund for Workers
Compensation have even
more explaining to do
than earlier thought.
Not only did they invest
money in some cockamamie
"rare coin fund" run by
some political crony,
(and who now cannot even
find all the coins Ohio
had purchased with their
money) but they also
made apparently
injudicious investments
in hedge funds and
venture capital funds,
and have lost money in
the process.
Keep in mind, the Ohio
Workers Comp fund is
playing with the money
that is supposed to pay
injured and disabled
workers. Also keep
in mind that in Ohio,
employers can't choose
between competing
private insurers but
instead are obligated to
get their coverage from
the fund operated by the
state of Ohio.
Private insurers, for
all their faults and
follies, would not have
been able to make such
speculative investments,
as they are subject to
regulatory oversight.
The oversight of Ohio's
Workers' Comp fund has
been, in contrast,
apparently less than
vigilant.
The good news for
employers out of all
this mess is that it
might be the final straw
that ends the monopoly
status of the Ohio
Workers Compensation
fund. Only
time will tell, of
course, but the abuses
being reported in the
Ohio press are pretty
alarming, and the
combined pressure from
political opponents and
outraged employers and
workers might just be
enough to force some
changes in the Buckeye
State.
Feds Pushing Hard to
Take Over Insurance
Regulation
June 20, 2005--But
it may not be such a great
idea for Workers'
Compensation insurance.
Because the proposed
federal regulation would
exempt insurers from
state rate regulation.
And many states have
important regulations
that limit the ability
of insurers to increase.
Giving insurers the
option of being
chartered federally
could be a swell thing
for the insurance
industry--but terrible
for insurance consumers,
including employers who
have to purchase
Workers' Comp and other
commercial lines of
insurance.
The National Association
of Insurance
Commissioners
isn't wild about the
idea, understandably.
Of course, the problem
with state regulation
has always been that
some states do a much
better job than other
states in this regard.
And the idea that
insurance shouldn't be
regulated as interstate
commerce is difficult to
defend on purely
theoretical terms.
But the history of
federal regulation of
many industries does not
necessarily inspire
confidence that the Feds
can or will do a better
job than most states do.
And they quite likely
will do worse than many
states do.
State insurance
regulators need to do a
better job in many
cases--that's been
clearly demonstrated by
recent scandals in the
insurance industry.
But federal regulation
just might result in
insurers being more free
to charge "what the
market will bear" than
ever, and that prospect
has to be chilling to
any employer. Bad
as the "hard market" has
been, it could be much,
much worse if insurers
get to avoid existing
state regulations.
Maine Announces
Retroactive Rate
Reductions for Some
Classifications
June 1, 2005--the
state of Maine has
announced that rates for
29 Workers' Compensation
classifications are
being retroactively
reduced. An error
by NCCI in calculating
rates for these
classifications resulted
in rates higher than
they should have been
for the years 2003
through 2005. A
list of the affected
classifications is
available
here.
Spitzer a "Corporate
Terrorist", Says
Insurance Lobbyist
June 1, 2005--Ernie
Csiszar, president and
chief executive officer
of the Property Casualty
Insurers Association of
America, has compared
crusading New York
Attorney General Elliot
Spitzer to both Eugene
McCarthy and to
terrorists. Csizar
has called Spitzer a
"corporate terrorist"
who uses McCarthy-like
tactics against the
insurance industry.
While acknowledging that
Spitzer has found
practices in the
insurance industry that
are "despicable",
Csiszar feels that
Spitzer has his own
conflicts of interest,
due to Spitzer's
announced candidacy for
governor of New York.
Let's see--if Spitzer is
a corporate terrorist,
does that make the
insurance industry a
corporate mafia?
Or maybe corporate
Nazis? Here's a
modest proposal--how
about we try to avoid
violent metaphors to
decry business behavior we don't
like? Terrorists
murder innocent men,
women, and children.
They fly airplanes full
of terrified people into
buildings full of other
innocent people.
Mr. Csiszar may not like
the efforts of Mr.
Spitzer to clean up the
insurance industry, or
Mr. Spitzer's methods,
but calling him a
"corporate terrorist" is
an obscene blurring of
important distinctions.
There's a bumper sticker
that Mr. Csiszar might
want to keep in mind
before making any more
public pronouncements:
"Engage brain before
operating mouth".
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