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Frequently Asked Questions

Q: Will my rates increase if I turn in a claim?

A:  It will depend on the insurance company, type of policy and the type of claim. 

If you discover your insurance policy covers a certain type of damage and the cost to repair the damage is greater than your deductible and the impact on your insurance policy premium will be less than the cost of the claim, you should consider turning in the claim. 
Homeowners Insurance premiums can increase after a payout of $1 or more in a claim.  Insurance companies are  generally more concerned with frequency of claims than the severity of the claim. 

Your individual health insurance carrier will not raise your rates due to claims.  If you apply to change plans or carriers, your application may go through medical underwriting and your rate may be surcharged based on current medical conditions and recent medical history.

Your auto insurance carrier may raise your rates if you are at fault in an accident.  Typically auto insurance policies allow you to turn in claims for physical damage to your car not caused by you without raising your rates.

Q: Can I drive anyone's car and be covered on my own policy?

A:  Most quality auto insurance policies will extend coverage for you to drive any private passenger vehicle.  The vehicle's policy is always primary and your auto policy will be secondary.

Q: What is a homeowners policy?

A: A homeowners policy protects your home against certain perils such as fire, theft and vandalism.

Q.  What is HIPAA?

A.  The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S Congress in 1996.  The law is very complex, but as it relates to health insurance, it allows individuals the ability to buy a guarantee issue, individual health insurance plan after coming off their COBRA health insurance plan sponsored by their previous employer.

Q.  What is COBRA?

A. 
The Consolidated Omnibus Budget Reconciliation Act (COBRA) gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss, reduction in the hours worked, transition between jobs, death, divorce, and other life events. Qualified individuals may be required to pay the entire premium for coverage up to 102 percent of the cost to the plan.

Monday, April 2, 2007

Homeowners Insurance - The Industry Sweet Spot for Now!
For over 20 years one of the biggest money losers in the insurance industry was the homeowners insurance product line. Finally, insurers are reaping some nice profits after re-underwriting their existing books of business and forcing consumers to shape up their homes or risk losing coverage entirely.

From the early 1980s till the early 2000s the homeowners insurance product was overly competitive. Insurance companies were giving away the product to entice consumers in order to gain market share. Even though two decades went by and insurers continually watched their surpluses dip too low, competition remained fierce.

Enter black mold. After a jury in Texas decided to punish Los Angeles based, Farmers Group Inc., to the tune of $25 million for denying a claim to an early 1900s home, built on a marsh in a Texas wetland for mold, the insurance industry cringed like no other time in their history. The precedent was set and attorneys lined up at the trough with big green eyes to get into a new niche market - black mold or maybe it was black gold. Whatever you want to call it, mold claims started coming in faster than you could shake a stick. Apparently mold can make people sick and if a homeowners insurer didn't pay to remove it, and fix the structure around it, they would be sued for bad faith, and lose.

The residential construction industry was also quick to pounce on this opportunity, advising their customers to claim any and all dry rot damage as mold to help pay for that desired remodel. So once consumers learned they could get that bathroom or kitchen remodeled on the insurance industry's tab, they called their agent and filed the claim. At one point, Farmers Group Inc. was receiving over 200 mold claims per week, in California alone! The insurance industry was rocked! Pushed back on their heals, one by one, the insurance industry doors to homeowners insurance began to close. The big daddy, Bloomington, Illinois based State Farm started the trend and decided no more homeowners coverage would be sold and many of the rest of the carriers either followed suit or decided to take the opportunity to change their policies and raise rates. Little by little, homeowners insurance became very difficult to acquire and if you could find a policy, it was expensive. At one point in 2003, after the famous Santana Row shopping center fire in San Jose, California, it was obvious that wood shake roofs were going to fall out of favor with consumers and definitely insurers. Many of the homes with wood roofs within a 1-mile radius, downwind from this huge blaze burned from flying embers and those with asphalt or composition shingle, tile, and synthetic material roofs did not. This only added to the harshness the insurance industry pursued in only insuring the best-kept homes. The real estate industry began to catch on to this and anyone selling a home was advised to either give a credit for a new roof at the sale or have the seller replace the roof prior to the sale of the house because the lack of homeowners insurance availability was causing deals to fall through the cracks.

Have a branch touching your roof, cut it back. Have a crack in your driveway, patch it. Is the paint peeling on the sunny side of your house, sand it down and paint it. Your insurer is now hiring inspectors to take photos of the homes they currently insure and if there is some fault that is visible, your policy could be on the chopping block.

Now that insurers have stopped the bleeding and started to build up reserves which translate to profits from this product line, the deals on homeowners insurance will start to creep back into the fold and competition may soon be on the rise once again. Bold insurers are always looking to jump in and buy up market share if they feel the timing is right and now seems like the right time.

However, make it easy on yourself. Make your home the one all the insurance companies want to insure. Keep your home in excellent repair, don't make silly claims only to get a couple hundred dollars on a 20 year old fence you're surprised lasted as long as it did and wipe up around the bathroom floor after you take your shower or bath. If nothing else, remember this, insurers will always prefer severity to frequency when it comes to claims!
1:00 am est

2007.04.01

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Useful Links

The California Department of Insurance

Farmers Insurance Group

US Government Site for People with Medicare

Insurance Information Institute

California Healthy Families Website

The Major Risk Medical Insurance Program (MRMIP) for California

Access for Infants & Mothers (AIM) program in California for uninsured pregnant women

This site  The Web

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