Friday, February 29, 2008
Texas Gov. Perry Renews Disaster Proclamation
FEMA Looks at Disaster Aftermath Alternatives
Work Time Off for Injury, Illness in '06 up in Texas
In 2006, the rate of injuries and illnesses per 10,000 full-time equivalent workers in Texas was 104.4 compared to a national rate of 128.0. Other Texas results from the 2006 Survey of Occupational Injury and Illness include:
- Service-providing industries reported 60 percent more nonfatal injuries and illnesses than the goods-producing industries, although the rate per 10,000 full-time workers was 14 percent less.
- Workers aged 35 to 44 years experienced the largest percentage (27) of the total number of cases involving days away from work.
- Among the ten occupations reporting the most cases with days away from work, construction workers experienced the highest median days away from work (27) although they experienced the fifth highest number of injuries or illnesses.
N.Y. to Provide Money for Flood Mitigation
State Farm Says P/C Underwriting Gain Down
The primary reason net income increased slightly while the P/C underwriting gain decreased sharply is a significant year-to-year difference in auto policyholder dividends. Were it not for the declaration of $1.3 billion more in dividends in 2006 than in 2007, net income in 2007 would be 11 percent lower than that of 2006. This was the fifth consecutive year of profit for State Farm, following two years of significant losses. The average annual amount of net income for State Farm through the first eight years of this decade is $1.8 billion. State Farm provides insurance and financial services products through nearly 80 million policies and accounts.
Net worth for the State Farm group increased by $5.6 billion to $63.7 billion. The primary reasons for this improvement were the insurance operating results and the $2.5 billion realized and unrealized gain (net of deferred tax) on the P/C companies' unaffiliated stock portfolios. The State Farm group's net worth was also impacted by pension contributions of $1.9 billion. The P/C companies reported a pretax operating profit of $5.1 billion in 2007, including investment and other income of $4.6 billion and the underwriting gain of $621 million, less auto policyholder dividends of $78 million. This compares with a pretax operating profit of $6.0 billion in 2006, which included investment and other income of $4.4 billion, auto policyholder dividends of $1.4 billion and the underwriting gain of $3.0 billion. The State Farm group's net worth also is affected by the results of operations of non-P/C affiliates, which resulted in a gain for the year of $295 million, primarily driven by results for State Farm Life Insurance Company.
Total revenue, which includes premium revenue, earned investment income and realized capital gains (losses), was $61.6 billion for 2007 compared with the 2006 figure of $60.5 billion.
Thursday, February 28, 2008
Liberty Mutual Group Expands in Massachusetts
Final Payment Made for N. Dakota Tornado
New England Residents Reminded of Flood Insurance
One Week Left in Missouri to File for Storm Funds
TDI Notes Dec., Jan Enforcement Actions
DIVISION OF WORKERS’ COMPENSATION FINAL DISCIPLINARY ORDERS DECEMBER 2007 & JANUARY 2008 (alphabetical order)
Ace American Insurance Company of Philadelphia, PA
Order No.: DWC-08-0011
Date of Order: January 24, 2008
Action Taken: Fined $21,000
Violation(s): Failure to timely pay temporary income benefits; failure to timely take action on a properly completed medical bill (12 instances); failure to take final action on a correctly completed request for reconsideration; failure to pay for the reasonable and necessary medical costs after carrier gave preauthorization; inappropriate denial of a medical bill.
Ace Fire Underwriter's Insurance Company of Philadelphia, PA
Order No.: DWC-08-0013
Date of Order: January 24, 2008
Action Taken: Fined $8,000
Violation(s): Failure to take timely action in response to a medical bill (3 instances); failure to properly deny a medical bill.
American Insurance Company of Novato, CA
Order No.: DWC-08-0006
Date of Order: January 14, 2008
Action Taken: Fined $3,000
Violation(s): Failure to timely comply with a Medical Dispute Resolution Order
American Zurich Insurance Company of Schaumberg, IL
Order No.: DWC-08-0003
Date of Order: January 14, 2008
Action Taken: Fined $5,700
Violation(s): Failure to timely respond to a request for reconsideration; failure to timely comply with an order to pay attorney fees.
Anil T. Bangale, MD of Fort Worth
Order No.: DWC 07-0142
Date of Order: December 7, 2007
Action Taken: Fined $3,000
Violation(s): Failure to timely file a Report of Medical Evaluation with the carrier or carrier's agent.
City of Dallas
Order No: DWC 08-0002
Date of Order: January 9, 2008
Action Taken: Fined $50,000
Violation(s): Numerous violations were found in a medical bill processing audit for failure to timely process and take final action on medical bills; failure to timely and accurately submit information electronically in the form and manner prescribed by the Division; failure to meet the 95 percent compliance standard in some categories.
Indemnity Insurance Company of North America of Philadelphia, PA
Order No.: DWC-08-0014
Date of Order: January 31, 2008
Action Taken: Fined $8,000
Violation(s): Failure to timely take action on a properly completed medical bill (2 instances); failure to take final action on a correctly completed request for reconsideration; late payment on a medical dispute resolution order.
Pacific Employer's Insurance Company of Philadelphia, PA
Order No.: DWC-08-0012
Date of Order: January 24, 2008
Action Taken: Fined $18,000
Violation(s): Failure to pay an advance payment of income benefits ordered by the Division; failure to timely take action on a properly completed medical bill.
Universal Underwriter's Insurance Company of Schaumberg, IL
Order No.: DWC-08-0004
Date of Order: January 14, 2008
Action Taken: Fined $1,500
Violation(s): Failure to timely pay or deny a medical bill.
Zurich American Insurance Company of Schaumberg, IL
Order No.: DWC-08-0005
Date of Order: January 14, 2008
Action Taken: Fined $12,800
Violation(s): Failure to timely comply with a Medical Dispute Resolution Order; failure to timely respond to a request for reconsideration (two instances).
Doral Insurance Agency Acquires CitiSeguros
D&O Liability Ins. Costs for Financial Institutions Rise
N.J. Home Improvement Law Reaches Milestone
Among other things, registered home improvement contractors must:
- maintain commercial general liability insurance in a minimum amount of $500,000 per occurrence;
- display the state-issued HIC registration number in their place of business, in all advertisements, in all business documents including contracts and on all commercial vehicles;
* put home improvement contracts with a purchase price exceeding $500 in writing and list all terms and conditions of the contract including: price; a description of the work to be done; materials to be used; and the dates or time period within which the work will be begun and completed. The contract must be signed by all parties; and
* provide a copy of the certificate of commercial general liability insurance with the contract
HICs cannot obtain construction permits from municipal construction code offices unless they are registered, under state law.
More than 30 home improvement contractors settled matters involving violations of the HIC law last year, mainly through Consent Orders entered into with the Division of Consumer Affairs. The Office of the Attorney General and the Division also have filed suit against home improvement contractors for alleged HIC violations.
Seattle to Host National Quake Conference
Tuesday, February 26, 2008
Some Tax Relief for Calif. Fire Victims
Georgia Gov. Testifies on Child Healthcare
Couch Braunsdorf to Manage Lawyers Pro Liability
Fireman's Fund Offers Strike Expense Coverage
Tough Flying for Air Insurance Market
The reviews findings include:
* Total recorded lead hull and liability premium for 2007 was $1.5 billion, a reduction of 30 percent since 2005;
* Total incurred claims, including hull, liability and an estimate attritional losses, amounted to $1.7 billion;
* North American fleet values, at $192 billion, fell below those of Europe and Asia, both at $193 billion, for the first time in 2007. North American passenger numbers, however, were still higher than the other two major aviation regions;
* The proportion of passengers travelling with flag carriers has fallen from 66 percent in 2005 to 48 percent in 2007.
Having started the year with average premium reductions of around 20 percent, the airline insurance market became gradually less soft as the year progressed with underwriters recognising the probability that the value of hull claims would outweigh the total lead hull and liability premium.
Monday, February 25, 2008
Mich. OFIS Acts on Auto Policy Language
Aegis Security to Resume Miss. Business
5 Execs Found Guilty in AIG Scandal
* Ronald E. Ferguson, 63, of Fairfield, Conn., Gen Re’s chief executive officer from about 1987 through September 2001, was found guilty on charges of conspiracy, securities fraud, false statements to the SEC, and mail fraud.
* Elizabeth Monrad, 51, of New Canaan, Conn., Gen Re’s chief financial officer from about June 2000 through July 2003, was found guilty on charges of conspiracy, securities fraud, false statements to the SEC, and mail fraud.
* Robert Graham, 58, of Westport, Conn., a Gen Re senior vice president and assistant general counsel employed by Gen Re from about 1986 through October 2005, was found guilty on charges of conspiracy, securities fraud, false statements to the SEC, and mail fraud.
* Christopher P. Garand, 59, of Upper Saddle River, N.J., a Gen Re senior vice president and the head and chief underwriter of Gen Re’s finite reinsurance operations in the United States from about 1994 until August 2005 and also a member of the Board of Directors of Cologne Re Dublin, a Gen Re entity, was found guilty on charges of conspiracy, securities fraud, false statements to the SEC, and mail fraud.
* Christian Milton, 58, of Winnewood, Pa., AIG’s vice president of reinsurance from about April 1982 until March 2005, was found guilty on charges of conspiracy, securities fraud, false statements to the SEC, and mail fraud.
At trial, the government presented evidence that the defendants reportedly engaged in a scheme to falsely inflate AIG’s reported loss reserves, a key indicator of financial health to insurance industry analysts and investors. This fraud was effectuated through the use of two sham reinsurance transactions between subsidiaries of AIG and Gen Re in response to analysts’ criticism of a $59 million decrease in AIG’s loss reserves for the third quarter of 2000. The two sham transactions increased AIG’s loss reserves by $250 million in the fourth quarter of 2000 and $250 million in the first quarter of 2001, masking a declining trend in loss reserves in the face of premium growth. AIG restated the transactions at issue in filings with the Securities and Exchange Commission in May of 2005. Evidence presented at trial established that when the investigation was disclosed to investors by AIG and through various media outlets between Feb. 14 and March 14, 2005, shares of AIG stock dropped from $73.12 to $61.92.
The government presented evidence at trial that reportedly showed that each of the defendants knew that the true purpose of the transactions was to permit AIG to falsely report increasing loss reserves in its statements to analysts and investors and its filings with the SEC. The defendants structured a sham reinsurance transaction and created a phony paper trail to make it appear as though Gen Re had solicited reinsurance from AIG when the evidence demonstrated that the parties knew AIG wanted the transaction to manipulate its financial statements. Additionally, the defendants entered into a secret side deal whereby AIG would never have to pay any losses under the contracts; AIG would return to Gen Re the $10 million in premiums Gen Re paid to AIG and AIG paid Gen Re a $5 million fee for entering into the transaction. Ferguson, Monrad, Milton and Graham each face a maximum term of imprisonment of 210 years in prison based upon their conviction on all counts and a fine of up to $46 million. Garand faces a maximum term of imprisonment of 150 years and a fine of up to $29.5 million. The sentencing date for all defendants has been set for May 15. All defendants remain free on bond pending sentencing.
Farmers Group Reaches Wash. Milestone
Kentucky Woman Charged in Comp Case
Illinois AG Notes Car Seat Recall
Ohio Reports Top Insurance Complaints
Fla. Man Arrested in Repair Fraud Case
State Farm Auto Rates Drop Again
Ark. Tornado Aid Tops $3 Million
Listed below are highlights of the disaster recovery efforts through Feb. 21.
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1,429 individuals and households from counties eligible for individual assistance have applied for disaster aid. April 8, 2008, is the last day individuals can apply for FEMA assistance under the Feb. 7 disaster declaration.
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$1,330,360 in Housing Assistance has been approved to cover rental assistance, temporary lodging and housing repairs.
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$493,391 in Other Needs Assistance has been approved to cover personal property loss, medical costs and other serious disaster-related expenses not covered by insurance.
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1,432 visits to Disaster Recovery Centers (DRCs) have been made by people affected by the disaster to meet with recovery experts there.
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686 home inspections have been conducted.
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To date, 33 public entities (counties, cities, certain private non-profit agencies) have applied for federal assistance under the Public Assistance program. These requests currently are being evaluated and additional requests are being received.
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The SBA has approved more than $1.2 million in low-interest disaster loans to Arkansas residents and businesses. The SBA provides low-interest loans to homeowners, renters, non-profit organizations and businesses of all sizes.
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Disaster Unemployment Assistance (DUA), funded by FEMA and administered by the state, provides benefits from $128 to a maximum of $400 a week for up to 26 weeks for individuals unemployed as a direct result of a major disaster. People living or working in the 10 disaster-designated counties who have temporarily lost jobs and do not qualify for regular unemployment benefits (such as self-employed individuals) may be eligible for DUA from the Arkansas Department of Workforce Services.
The deadlines to apply for DUA are March 13 for Baxter, Pope, Shape, Stone, and Van Buren Counties; March 14 for Conway, Izard, and Randolph counties; and March 24 for Marion and Newton counties.
Progressive Drives into Massachusetts
Karen Clark & Co. Offers Hurricane Info
Friday, February 22, 2008
Aon, Gallagher Announce Deal
La., Allstate Resolve Dispute
Fla. Orders Work Comp Companies to Pay
OSHA, P.R. Shipping Assoc. Form Alliance
Catlin Adds Reinsurance Contract
Thursday, February 21, 2008
Meadowbrook, ProCentury Merger Moves On
Texas Work Comp Sessions on March 13
The Newly Revised 2008 Hospital Fee Guidelines educational session is for health care providers, medical billing staff, insurance carriers, claims adjusters and case managers who bill and reimburse for hospital inpatient and outpatient services in the Texas workers’ comp system. This educational session will provide information on the 2008 Hospital Fee Guidelines, which establish a standardized format for billing and reimbursement for inpatient admissions and outpatient dates of services to injured employees on or after March 1, 2008.
The Newly Revised 2008 Medical Fee Guidelines educational session is for health care providers, medical billing staff, insurance carriers, claims adjusters and case managers who bill and reimburse for medical treatments and services in the Texas workers’ comp system. This educational session will provide information on the 2008 Medical Fee Guidelines, which establish a standardized format for billing and reimbursement as used in group health and Medicare systems for medical treatments and services to injured employees on or after March 1, 2008. The guidelines also establish new incentive payments to health care providers caring for injured employees in areas of the state designated as underserved by the Commissioner of Workers’ Compensation.
For more information on the educational sessions, visit the TDI Web site at http://www.tdi.state.tx.us/wc/policy/feetraining.html.
Chubb Offers International Hull Insurance
DaimlerChrysler Ins Co. Uses New Tool
Del. Commissioner Says No to Aetna Decision
Kentucky to Receive Storm Aid
Fla. Man Arraigned for Comp Fraud
Nevada Earthquake Yields Damage, Injuries
Wednesday, February 20, 2008
Indonesia Earthquake Kills at Least 3