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The Florida Insurance Roundup from Lisa Miller & Associates (The Florida Insurance Roundup from Lisa Miller & Associates)

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Pub. DateTitleDuration
06 Mar 2017Episode 1 – Beating Back Flood Rates00:11:32
Although Florida accounts for nearly 40% of the National Flood Insurance Program policies, it remains a huge donor state to this federal monopoly, with property owners here paying $4 in premiums for every $1 in claims received. Maria Wells, President of Florida Realtors, has been a driving force behind efforts to encourage a private flood market in the Sunshine State. Ms. Wells shares her advocacy efforts in this podcast and how reauthorization of NFIP this year in Congress is being linked to further incentives to create a robust private market alternative that will benefit property owners and taxpayers alike.

"The Florida Insurance Roundup" from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State. Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs. On the web at www.LisaMillerAssociates.com or call 850-222-1041. Your questions, comments, and suggestions are welcome! Date of Recording 2/28/17. Email via LisaMiller@LisaMillerAssociates.com Composer: www.TeleDirections.com
07 Apr 2017Episode 2 - The Abusive Roofer00:13:31

They come to your house peddling offers of a free roof, courtesy of your insurance company.  Regardless of whether you’ve suffered serious enough storm damage to warrant a total roof replacement, these scam artists have you sign an “AOB”– an Assignment of Benefits – that takes away your rights and benefits of insurance claims proceeds and puts it into their pockets.  That’s what happened to Kellie Clark, a ninth-grade math teacher in Pinellas County, Florida.  Ms. Clark shares her story of being misled into signing an AOB and then becoming the target of bullying and harassment – including threats of foreclosure action – when she refused to sign over the insurance check.   It’s a growing problem in Florida that has caused double-digit rate increases and whose solution is still eluding the Florida Legislature.

Links and Resources Mentioned in This Episode

Kellie Clark Timeline of AOB with Simbro Group
(http://lisamillerassociates.com/wp-content/uploads/2017/04/Timeline-Kellie-Clark-AOB-with-Simbro-Group.pdf)

Simbro Group Letter of AOB
(
http://lisamillerassociates.com/wp-content/uploads/2017/04/Simbro-Group-Letter-of-AOB.pdf)



The Florida Insurance Roundup" from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State. Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs. On the web at www.LisaMillerAssociates.com or call 850-222-1041. Your questions, comments, and suggestions are welcome! Email via Info@LisaMillerAssociates.com Date of Recording 2/28/17.  Composer: www.TeleDirections.com

25 Apr 2017Episode 3 - Bad Faith00:21:57

The Florida Legislature is once again trying to decide what to do with the state's 45 year-old No-Fault Automobile Insurance coverage law – more specifically, how to handle the persistent fraud that keeps increasing and with it, automobile insurance rates.  But one component that's rarely talked about is the Bad Faith doctrine - and the third-party vendors some say who are manipulating it to win bigger legal settlements from insurance companies.

 

David Bronstein and J.D. Underwood - two noted South Florida insurance attorneys on opposite sides of the issue - argue the merits of Bad Faith as it relates to consumer rights and insurance company profits.  They reveal in this program how just the threat of a Bad Faith case and its related costs are driving up premiums for all Florida insurance consumers.  They share their insider perspective on how those looking to make a bigger buck rather than a reasonable claims settlement are hurting the availability and affordability of automobile, as well as homeowners insurance in Florida.

 

As the legislature considers bills replacing No-Fault PIP (Personal Injury Protection) insurance with mandatory Bodily Injury insurance (BI) – where Bad Faith claims are more prevalent than PIP claims and can result in large verdicts beyond the policy coverage limits -  insurance companies want added provisions to require mandatory civil remedy notice by third-party claimants to level the playing field.

 

 

 

 

 

 

 

 

Links and Resources Mentioned in this Episode



The Florida Insurance Roundup" from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 4/20/17. Email via info@LisaMillerAssociates.com  Composer: www.TeleDirections.com

09 May 2017Episode 4 - Legislative Session Roundup01:01:32

The Florida Legislature ended its 2017 session this week three days late – and without passing most of the major insurance-related bills.  These include Assignment of Benefits reform, Workers’ Compensation reform as mandated by the state Supreme Court, and No-Fault Personal Injury Protection automobile insurance reform.  What went wrong?  Host Lisa Miller, a former Florida deputy insurance commissioner, takes the guest microphone in this program to explain what happened, share the backstory on some of the negotiations, and offer her insight on what’s needed to make these policy reforms a reality in next year’s legislative session.

 

"The Florida Insurance Roundup" from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 5/8/17. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com

 

Additional Resources Mentioned in this Episode:

Bill Watch – 2017 Legislative Session Wrap-up  (http://bit.ly/BillWatch2017 )

20 Jun 2017Episode 5 Part One - Growing Florida's Private Flood Market00:13:06

Just in time for the start of hurricane season, the Florida Legislature has made it even easier for private insurance companies to write flood coverage in the Sunshine State.  The private market is seen as a much-needed alternative to the debt-ridden, increasingly expensive, federal government’s National Flood Insurance Program (NFIP).   Even more so for Florida consumers, who are largely subsidizing the program, receiving just $1 in claims benefits for every $4 paid in premiums.

Host Lisa Miller, a former Florida deputy insurance commissioner, breaks down how private carriers are being encouraged and we hear state Senator Jeff Brandes’ ideas on how Florida’s private market can work hand-in-hand with the NFIP.  With less than 90 days remaining until the beleaguered NFIP expires, the U.S. House is making progress toward a series of reforms designed to tackle the programs $24.6 billion in debt and improve access and affordability for homeowners.  One fix would expand mandatory flood insurance to most U.S. homeowners – just like the Affordable Care Act on the health insurance side – to subsidize the NFIP going forward.

Links and Resources Mentioned in This Episode:








** Listener recorded Call-In Line for questions and comments to air in future episodes: 850-388-8002 or email at LisaMiller@LisaMillerAssociates.com **

"The Florida Insurance Roundup" from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 6/15/17. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com

16 Jul 2017Episode 5 Part Two – Growing Florida’s Private Flood Market00:19:34

Aided by new state legislation this year designed to encourage a robust private flood insurance market in Florida, the number of companies writing flood policies has nearly doubled in the last year, while Congress works this summer to reform the federal government’s beleaguered National Flood Insurance Program (NFIP).  Meanwhile, new technology is making structures more resilient than ever to floodwaters, allowing those insurers to more accurately price risk and compete with the NFIP.

 

Mike Graham of Smart Vent Products has been working with modeling firms that are part of the new technology and shares with Lisa in this program how flood vents, dry proofing, and other mitigation options are lowering flood risks and with them,  policy premiums by up to 80%.  Just as wind mitigation years ago helped lower homeowners and wind insurance rates, today’s flood mitigation techniques can lower private flood insurance rates, making flood coverage more affordable – and available – for everyone.

 

Show Notes:

 Actuarial experts, disaster modelers, and third-party vendors are utilizing new technology to better predict and price flood risk.  Models are important because the NFIP and parent FEMA don’t use models – they use only maps.  But models help differentiate the flood risk between a property owner in Zone X with mitigation vs. another person in Zone X without mitigation – with premiums priced accordingly by the growing number of private flood insurers entering the marketplace.

 

Mike Graham of Smart Vent Products shares his experience on some of the newest mitigation technologies and practices, including vents that allow flood waters to wash into – and back out of - structures, minimizing damage.  A study of a two-square mile area in New Jersey that suffered $1.2 million in flood claims losses showed through modeling how pre-mitigation would have eliminated the structural damage and reduced the entire area’s flood height by one inch, which while it doesn’t sound like much, equates to a $20,000 cost avoidance per claim according to FEMA.  Mitigation measures also help eliminate the need for retention ponds.  FEMA estimates that for every $1 spent on pre-event mitigation, $4 is saved in insurance claims. 

 

Links and Resources Mentioned in This Episode:



  • Part One of The Florida Insurance Roundup Growing Florida’s Private Flood Market  (https://www.podomatic.com/podcasts/lisamillerassociates/episodes/2017-06-20T07_07_14-07_00)

  • CoreLogic Report on Risk of Hurricane Storm Damage in 2017  (http://www.corelogic.com/about-us/news/corelogic-storm-surge-analysis-identifies-nearly-6.9-million-us-homes-at-risk-of-hurricane-storm-surge-damage-in-2017.aspx)

  • U.S. House of Representatives draft bill of The Flood Risk Mitigation Act of 2017, which would require communities to create plans to mitigate high concentrations of multiple-loss properties. (https://financialservices.house.gov/uploadedfiles/fsc04_enhance_the_nfips_mitigation_process_discussion_draft.pdf)

  • www.smartvent.com (Mechanically Operated Flood Vent systems)

  • Smart Vent White Paper (http://lisamillerassociates.com/wp-content/uploads/2017/07/floodtool.pdf)

  • https://dryfloodproofing.com  (Point of Use stored Flood Barriers)

  • Top 10 Facts About the National Flood Insurance Program  (http://lisamillerassociates.com/wp-content/uploads/2017/06/Top-10-Facts-About-the-National-Flood-Insurance-Program.pdf)

  • Florida Office of Insurance Regulation’s list of flood insurance writers in Florida: (http://floir.com/Sections/PandC/FloodInsurance/FloodInsuranceWritersFL.aspx)


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com**

 

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 6/15/17. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com

20 Aug 2017Episode 6 – Citizens Managed Repair Program00:17:54

The Florida Office of Insurance Regulation recently approved two first-of-their-kind programs designed to help the state’s property insurer of last resort – Citizens Property Insurance Corporation – control the rapidly rising claims and litigation costs among its current 450,000 policyholders.  Citizens will now be able to limit coverage on non-weather water claims to $10,000 unless the policyholder agrees to use Citizens' approved contractors in its new managed repair program.  The company can also waive deductibles on such claims as a further incentive for its policyholders to use the managed repair program. |

Citizens President & CEO Barry Gilway sat down with host and former deputy insurance commissioner Lisa Miller on the eve of last week's OIR decision to outline the reasoning behind the program and the reforms still needed in Florida's property and casualty insurance marketplace.  Also joining Lisa on the podcast is Cam Fentriss, Legislative Counsel for the Florida Roofing and Sheet Metal Contractors Association.  She and Gilway found common ground on some key Assignment of Benefit concerns whose costs, Citizens says, is driving its requested statewide average 6.7% homeowners policy hike and an 8.1% commercial lines increase. |

 

 

 

 

 

 

 

 

Show Notes:

"We're not going to solve the problems until we get legislative reform on the Assignment of Benefits issue to curb some of this ridiculous litigation that is taking place," Gilway said on the podcast. |

Citizens is slated to lose $85 million this year because of the exponential growth in non-weather related water losses, such as leaking pipes, and isn't the only insurance company suffering such losses in Florida.  The insurance industry has warned for the past five years about increased use of Assignment of Benefits by contractors who submit inflated claims on all sorts of work and then file lawsuits if insurers deny or underpay the claims. |

"The Office of Insurance Regulation and Citizens Insurance have acted where the legislature has so far failed to act, to bring measures of responsibility and accountability to an out of control Assignment of Benefits system that is causing double-digit property insurance rate increases on Floridians," said Miller afterward.  She predicts that other insurance companies will now seek the same newly approved coverage cap from OIR. |

OIR also approved Citizens’ requested policy changes that will now require contractors to submit damage reports and repair estimates, participate in appraisals by Citizens’ adjusters, and answer questions under oath. |

"We understand the need for managed repair programs because we know there are abuses out there...so long as they're done in a way that the contractors in the program are determined on an objective basis, we're comfortable with that," said Fentriss. |

This Wednesday (August 23, 2017), Citizens will face some of its policyholders at a public hearing being held by OIR in the heart of “AOB Abuse Alley”: Miami-Dade County.  There, Citizens’ proposed rates would go up by the maximum 10% for the second year in a row.  It says AOB costs are behind its requested statewide average 6.7% homeowners policy hike and an 8.1% commercial lines increase. |

Links and Resources Mentioned in This Episode:








** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com** |

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 8/8/17. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com

15 Sep 2017Episode 7 – Irma’s Claims Challenge00:15:33

Florida homeowners, businesses, and other property owners have been assessing the damage from Hurricane Irma and begun filing claims with their insurance companies.  Those claims are expected to number in the hundreds of thousands from the first major hurricane to hit Florida in 12 years.  How are insurance companies responding?  How will they be able to meet the challenges of such an onslaught of claims?  

Joining host Lisa Miller from the road are the president of American Integrity Insurance Company in Tampa, Bob Ritchie and professional claims adjuster Jason Evans, CEO of Evans Claims Service, in Huntsville, Texas.  They explain on this podcast how claims are being handled, why Hurricane Irma has stressed the supply of adjusters needed to handle them, and the ability of Florida’s insurance companies to pay claims.  They also share advice with policyholders and other consumers hit by damage and reveal how insurance industry best practices are being put to the ultimate test with Irma.

Show Notes:
"There is no question that the industry has not been better capitalized, both in terms of the primary insurance carriers, but also the supporting carriers, including the Florida Hurricane Catastrophe Fund, Citizens Property Insurance, and the world’s reinsurers,” Ritchie said on the podcast.  He noted that because the hurricane weakened in the hours before landfill, “this is a high-frequency, high number of claims, and much lower severity, much lower total incurred losses event than what it would have been if it had stayed on the west coast and scraped the entire coast.  What makes Irma different is that the entire peninsula was faced with a direct hit,” Ritchie said.   He believes damage estimates Evans Claims Service (www.evansclaims.com)in the range of $25 billion are accurate.

“Florida is much more a wind and water event than Hurricane Harvey, which was predominantly a flood event” said Evans, whose adjuster teams have worked Harvey claims and are now in Florida assessing Irma claims.  Evans said Irma has stressed the supply of adjusters to handle claims, especially coming so soon after Hurricane Harvey, but that there are enough adjusters to handle the volume of claims.  “When you have two storms of this magnitude, it stresses the supply of adjusters undoubtedly…but you have companies emergency licensing adjusters and bringing in additional people to settle these claims…we’ll get ahead of it and get everyone’s claim taken care of in a timely fashion.”

The program discusses the technological advances that are making the claims process easier and efficient for both policyholders and insurance companies.  “But nothing replaces the tender loAfter Irma, Report Losses Quickly and Protect Yourself from Unlicensed Individuals (advice from DFS/OIR News Release of 9/12/17) (http://floir.com/PressReleases/viewmediarelease.aspx?id=2210)ving care at the first notice of loss,” Ritchie pointed out.  “It’s a people business.  When you have a crisis, people want to talk to a live person.  Where technology is important is that everyone is equipped to take the first notice of loss within a few minutes and to reassure the customer that they have coverage.  You have one chance to form the right first opinion.”

Links and Resources Mentioned in This Episode:



** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com**

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 9/14/17. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com


08 Dec 2017Episode 8 - National Flood Insurance Reform00:16:11

Congress is pushing into 2018 a decision on how to reform the beleaguered National Flood Insurance Program (NFIP) that 1.8 million Floridians depend on for their property flood protection. Congress must reauthorize the program as well, because without it, federally-backed home mortgages which require flood coverage for high-risk zoned properties could come to a standstill.  But the taxpayer-subsidized NFIP is $25 billion in debt and still using old flood data and maps, with rates that don’t match risk.  Congress is considering reauthorization under a package of reform bills called the 21st Century Flood Reform Act.

Host Lisa Miller, a former Florida deputy insurance commissioner, explores two of those key reforms on this program: what to do with grandfathered properties that are still enjoying 1960’s-era premiums and riddled with repetitive losses, and how best to encourage private flood insurance market alternatives.  It’s estimated that 77% of Florida properties would see lower premiums with private market policies.  Joining Lisa are guests Brian Squire, Managing Executive Senior Vice President at Hays Companies in Destin, Florida and Helen Devlin, Senior Lobbyist with the National Association of Realtors in Washington D.C.  Together, they outline what’s at stake for Florida NFIP policyholders and ideas on how best to balance flood insurance affordability with NFIP sustainability, without hurting Florida’s growing real estate market.

Show Notes:         

The bill passed by the U.S. House would strip grandfathered NFIP rates after two future claims, with rates then rising 10% per year until hitting the current risk-rate. A third claim would raise rates 15% per year.  The podcast discusses how this is meant to relieve some of the financial burden to the heavily subsidized federal government program, while providing greater cost accountability and sharing with those properties that continually have losses and keep getting rebuilt or repaired, only to have sometimes identical losses re-occur during the next event.

Brian Squire said the key to a more sustainable NFIP and one that encourages private flood insurance alternatives is to change the grandfathering provisions so current recipients can have safe harbor to move into the private market and move back into the NFIP without losing benefits, should the private market not work for them.  He noted it’s also important that private insurance companies be properly vetted and with state regulation to provide needed consumer confidence to make the switch.

Helen Devlin noted it’s important to have a private market compliment to NFIP and that the National Association of Realtors has been working for years with Congress to make improvements necessary to safeguard property owners.  Allowing portability of grandfathered benefits and more insurance options for consumers are key.   She also noted the rates charged versus true risk “are out of whack” and that better utilizing improved modeling technology and other advances will create better coverage for more people without “sticker shock” premiums.

Links and Resources Mentioned in This Episode:

Brian Squire, Managing Executive Senior Vice President at Hays Companies in Destin, Florida www.hayscompanies.com

Helen Devlin, Senior Lobbyist with the National Association of Realtors in Washington D.C. https://www.nar.realtor/

21st Century Flood Reform Act (H.R. 2874) (https://www.congress.gov/bill/115th-congress/house-bill/2874/text)

The National Flood Insurance Program (NFIP) (https://www.fema.gov/national-flood-insurance-program)

FEMA webpage on NFIP Reform (https://www.fema.gov/flood-insurance-reform)

Flood Insurance Writers in Florida (from the Florida Office of Insurance Regulation) (https://floir.com/Sections/PandC/FloodInsurance/FloodInsuranceWritersFL.aspx)

Top 10 Facts About the National Flood Insurance Program (from Lisa Miller & Associates) (http://lisamillerassociates.com/wp-content/uploads/2017/06/Top-10-Facts-About-the-National-Flood-Insurance-Program.pdf)

The federal Biggert-Waters Act and Florida Impacts (from the Florida Office of Insurance Regulation) (https://floir.com/Sections/PandC/FloodInsurance/FloodInsurance.aspx)

Aligning Natural Resource Conservation, Flood Hazard Mitigation, and Social Vulnerability Remediation in Florida (Journal of Ocean and Coastal Economics: Vol. 4: Iss. 1, Article 4.  Summer 2017) which found Florida has 15,000 “Repetitive Loss Properties”.  Those properties collectively filed more than 40,000 claims against the National Flood Insurance Program between 1978 and 2011 - more than 1,200 claims per year, on average. (https://cbe.miis.edu/joce/vol4/iss1/4/)

Since 1978, 12 Counties Have Accounted for a Third of U.S. Flood Insurance Claims (Forbes, November 16, 2017) (https://www.forbes.com/sites/zillow/2017/11/16/since-1978-12-counties-have-accounted-for-a-third-of-u-s-flood-insurance-claims/#d2a72781a8e5)

Florida Homeowner Claims Bill of Rights (From the Florida Office of Insurance Regulation) (http://floir.com/siteDocuments/HomeownerClaimsBillofRights2014.pdf)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com**

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 12/5/17. Email via info@LisaMillerAssociates.com Composer: www.TeleDirections.com

03 Apr 2018Episode 10 - Modeling for School Shootings00:16:19

The aftermath of the Parkland, Florida school shooting and other major casualty events can greatly impact the insurance companies that provide liability policies to schools, hotels, and other venues.  While these policies traditionally cover a variety of more ordinary events, some policies never contemplated – and priced the risk for – the increasingly unusual catastrophic events seen over the last few years.   Now there are new tools to help insurers and their reinsurers better calculate previously difficult and unmanageable risks, leading to better coverage for these venues and ultimately those they serve.

Host Lisa Miller talks with Robin Wilkinson, Vice President and Managing Director of Casualty Analytics at AIR Worldwide, a Verisk company, about its new scenario-based Casualty Risk Modeling.  Ms. Wilkinson explains how the modeling works with mass casualty events, how it’s helping insurers and reinsurers better rate the risk of both sudden and systemic events, and the types of scenarios the model is being applied to currently.

Show Notes:
In the aftermath of the Parkland, Florida school shooting, there are a myriad of civil lawsuits against the school district and other organizations and individuals that insurance companies will now be involved in defending.  How do insurers contemplate such a horrendous event?  And from an insurance perspective, how can they really rate the risk of such an event?  The answer is they can’t – at least not well enough in today’s increasingly unpredictable environment. 

Scenario-based casualty risk modeling can be used to calculate the commercial liability losses from extreme events, such as mass shootings, and in a variety of venues.  Such recent events include the Parkland, Florida school shooting, the MGM Grand Hotel Las Vegas massacre, the 2016 Bastille Day attacks in France, and the 2013 Boston Marathon.  Most scenarios impact more than one insurance line.  

“We first try to understand the event, then ask – and determine – how much loss is likely to be an insured loss in that portfolio,” Robin Wilkinson, Vice President and Managing Director of Casualty Analytics at AIR Worldwide explains to host Lisa Miller.  “You’re reducing the problem from saying ‘Wow, how big could this event be?’ to ‘How much of that loss is likely to be in my portfolio?’” 

This modeling tool helps venues consider the footprint or potential spread of an event, by simulating losses to a portfolio.  Liability is assessed on products and services along the supply chain utilizing a variety of information.  Insurers and reinsurers then overlay their portfolio to calculate aggregate exposure to the event, with losses cascaded down from the industry level, to the company level, and then down to individual policies.   

While new modeling and technology have been a game-changer on the property insurance side, casualty modeling is more difficult and uncertain, explains Ms. Wilkinson.  “Casualty catastrophe modeling uses an economic, rather than a geographic framework, to provide the proximity and explain why various policies may be caught up in the same event,” she said.  The other challenge, Wilkinson shares, is that the future might not necessarily resemble the past, because of changing technology, regulation, and even social mores.   “It gives us essentially the casualty equivalent of a regional peril model for property.”

AIR Worldwide is modeling both “sudden trigger” and “systemic” events.  Florida has seen a lot of both over the years.  Sudden trigger events are those that happen at one time and in one place, such as the Parkland school shooting, the recent FIU pedestrian bridge collapse, and the BP Deepwater Horizon oil spill in the Gulf of Mexico.  Systemic events, while arising out of a single trigger, occur over time and involve more parties.  The contaminated Chinese drywall issue in Florida in the 1990’s, asbestos contamination, opioid abuse, and even the Bernie Madoff financial swindle are all examples.

In the aftermath of the February 2018 Parkland school shooting, the Florida legislature passed the “Marjory Stoneman Douglas High School Public Safety Act” to improve campus safety through best practices.   Wilkinson said the law could impact liability in future similar situations, by setting a new bar for school performance.  Failure to comply with new standards might make schools more vulnerable to lawsuits.  “So instead of focusing on the shooter or perpetrator (the seeming trend now is) to looking at how those events are being managed and how those venues are being managed.  This trend could result in liability insurers paying-out for losses that might be insured or uninsured losses…and where the insurers haven’t really contemplated or quantified their potential exposure,” Wilkinson said.

Host Lisa Miller noted that casualty risk modeling is the latest innovation in insurance - taking an existing product or method and developing a new way of looking at it, with new tools.   Miller, a former Florida Deputy Insurance Commissioner, discussed how better data enables better prediction and ultimate outcome.  “Enhanced modeling is improving the way insurers rate risk.  More accurate pricing of risk benefits insurance interests and consumers.  It’s also providing opportunities for new markets of enhanced insurance products,” said Miller.

Links and Resources Mentioned in This Episode:





 

 ** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 3/28/18. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com

18 Apr 2018Episode 11 - Driving Blockchain Home00:20:02

The emerging distributed ledger software technology Blockchain, being developed for use in financial transactions, has applications in how we manage insurance information, too.  It could one day be used to reduce Florida’s nearly 27% rate of uninsured drivers – the highest in the nation – while providing added convenience and money-saving efficiencies to both consumers and insurance companies.  Blockchain technology is also touted as an answer to the current climate of data breaches and compromised personal information.

Host Lisa Miller, a former deputy insurance commissioner, talks with the leader of the insurance consortium applying Blockchain and a Florida State Senator who calls it the next wave in the insurance space, especially when it comes to fighting growing insurance fraud.  Guests on the podcast are Christopher McDaniel, Executive Director of the RiskBlock Alliance and Senator Jeff Brandes (R-Pinellas County) who discuss what exactly Blockchain is and isn’t, how it’s currently being used,  and the rapid growth opportunities this new technology represents.

Show Notes:

Blockchain is a new technology that is changing how we manage insurance information.  Blockchain is a distributed ledger software that uses a continuously growing list of records – known as blocks – that don’t rely on a centralized third-party vendor to administer.  Instead, each party to a financial or other transaction is networked and has the original and updated versions of the transaction, which is contained on many different and anonymous blocks.   By its design, it’s advertised as being highly resistant to any data modification by any single participant, once recorded.

Christopher McDaniel of the RiskBlock Alliance said that Blockchain unfortunately has been made out to be very complicated and that it really isn’t, despite lots of jargon that has confused both consumers and the insurance industry.  And while Bitcoin also uses Blockchain technology for public currency exchange, he said there is no connection between the crypto-currency and the RiskBlock Alliance efforts.

“What Blockchain really brings first and foremost to the table is that the concept of transactions can go away.  Transactions being anything between two parties, whether that’s the consumer and their insurance agent or whether it’s the agent and the insurance carrier,” said McDaniel on the podcast.  “If you have a blockchain solution in place, everybody has ubiquitous instant access to that information.”  In addition to the information being made into an un-erasable permanent record, McDaniel said Blockchain is capable of using “Smart Contracts”, which use an “if-then” logic protocol to automate activities, saving time and cutting out middlemen.

While Blockchain applications are still very new to the insurance industry, there are applications underway right now.  Nationwide Insurance just implemented Blockchain for proof of insurance, simplifying verification of automobile insurance coverage in real time and eliminating the need for paper ID cards.  McDaniel pointed out that right now, neither party in an auto accident really knows the other person has auto insurance.  They have paper insurance cards that say they do, but that insurance may have since been cancelled, prior to the accident.

“Basically inside the mobile phone app is a plug-in, so that the two people involved in the accident can basically tap their phones together and in a matter of seconds it goes out to the Blockchain and it comes back down and says the other person has insurance and how much coverage they have,” explained McDaniel.

Florida tops the nation in the number of uninsured drivers on its roadways.  The Insurance Research Council (IRC) says 26.7% of Florida drivers drive without auto insurance, according to its latest study based on 2015 data.  The insurance industry puts the average cost of an uninsured motorist claim at about $20,000, excluding any vehicle damage.

The RiskBlock Alliance, which is part of The Institutes, an industry educational and research organization, has developed 30 different uses for Blockchain technology in managing insurance information.  The 23 companies currently involved in the Alliance include Nationwide, USAA, and Geico.  McDaniel said the number is expected to grow to nearly 60 companies by year end. 

Florida State Senator Jeff Brandes (R-Pinellas County) is a believer in Blockchain’s potential, especially in the Sunshine State, and has been urging greater awareness of the technology among his fellow legislators. 

“My sense is that this is the next wave in the insurance space for transactions and they (legislators) need to be able to understand and begin to find and contemplate some of the opportunities that come along with this new technology,” he shared with host Lisa Miller and McDaniel.   

Brandes and McDaniel agreed that Blockchain’s proof of insurance capability could be expanded to proof of driver licenses, which would assist law enforcement and Florida’s Division of Highway Safety and Motor Vehicles to identify people who shouldn’t be driving.  Brandes said that seems like an area where some legislative authority would be required to pursue.

“One of the big opportunities that Blockchain brings is the ability to reduce fraud.  To the extent that we can have all the other services and reduce fraud, I think you’re going to see a variety of businesses begin to use it.  Many of them won’t even know they’re using Blockchain technology – it’ll just be the new way to do business,” said Senator Brandes. 

Not only are insurance companies starting to use Blockchain, but they’re introducing it to their policyholders’ businesses, too.   McDaniel’s pointed to two sectors – energy and trucking transportation – as examples.

“All the pieces and parts that they have need to be insured.  We’re bringing efficiencies to them through the Blockchain.  A version of our proof of insurance solution for commercial trucking is reducing the current 30-minute manual process at depots…down to less than 30-seconds to prove insurance coverage.  That one check, with just one trucking logistics company, happens 200,000 times a day,” McDaniel said.

“I think the exciting thing is that we’re seeing rapid adoption of this technology, largely because it drives value for insurers,” added Senator Brandes.  “These insurance companies are very focused on reducing fraud.  Obviously they see that as a negative piece to their rate base and so the opportunity for them to speed along transactions, close things out quickly, and the idea of automatic transactions, I think really appeals to them and all are strong reasons why you’re seeing large insurers begin to make this shift over.  And I think over time, that’s only going to continue.” 

Blockchain provides a unique set of data from which you can then apply analytics to ferret out fraud right from the beginning and put a stop to it in a more comprehensive way than previously available. 

The other big consumer benefit to Blockchain technology is data security for its users.  McDaniel said the RiskBlock Alliance is looking closely at adopting the GDPR Rule, a European standard on information privacy and ownership, anticipating it will one day be the rule in the United States. 

“Everybody’s seen all the stuff in the news lately about Facebook.  It really centers around the customer’s safety of their data, their right to control their data, and the right to be forgotten.  We’re going to that level here right from the beginning in what we’ve built,” McDaniel said. 

On the podcast, McDaniel also shares the RiskBlock Alliance’s efforts to partner with the B3i, a European effort on the use of Blockchain technology in reinsurance.

Host Lisa Miller noted that Blockchain represents an opportunity to bring insurance innovators together with public policy innovators to collaborate on creating new and better insurance products and services for the marketplace.  And what better place to do so than here in Florida?  She said that Blockchain could also help regulate our new medical marijuana industry here in Florida.  “There are exciting times indeed to look at technology that can help us work smarter – not harder – while providing enhanced consumer value and protection,” said Miller.

Links and Resources Mentioned in This Episode:



** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 4/13/18. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com

06 Jun 2018Episode 12 - The Prize in Real Estate00:17:37

The real estate market and the insurance market are intertwined – in fact, “property” is literally the first word in property & casualty insurance.  Both are highly value-based, as higher property values require higher insurance premiums to provide adequate coverage.  But there’s a bigger picture: the connection between real estate and promoting investment and job creation, where property sales and insurance will then naturally follow.

Host Lisa Miller talks with John Sebree, a Florida real estate leader who is now CEO of the Missouri Realtors®.  While stressing that every state has or should have international business, Sebree shares how Florida’s natural connection to Latin American and Caribbean investors and increasingly the Europeans, are netting benefits for our real estate – and insurance markets.

Show Notes:

Real estate creation and increased sales create more property insurance sales and activity in related lines, such as automobile insurance.   A recent study by the National Association of Industrial and Office Properties (NAIOP) shows Florida’s commercial real estate sector contributed nearly $190 billion to the state’s economy in 2017, the third most of any state in the country.

John Sebree of the Missouri Realtors® talked about the connection between real estate and the economy, something he learned while on a trade mission to Germany with former Florida Governor Jeb Bush, a commercial realtor, while John was with the Florida Realtors®.  “He knew real estate wasn’t a widget,” said Sebree about Governor Bush, “and that if we’re going to bring jobs to our states, we need to be able to talk to them about quality of life, cost living, cost per square foot, so there is a natural connection.”

Countries including those in Latin America and the Caribbean are natural markets for Florida, followed by Europe, because it’s relatively close by being within a day’s airplane trip.  Real estate drives economic development and the insurance sector is one of the beneficiaries.   Sebree said he’s applied the same principle to his current work in Missouri, which is in the center of the U.S., has two rivers servicing coastal ports, and more rail lines than any state in the U.S.  The lesson: every state has international interests and potential to develop international markets.

Sebree shared with podcast host Lisa Miller his ideas on how to encourage that international investment and overcome challenges.  “Often times, they’re looking for a safe place to put their money,” he said.  Rather than focusing on selling property on these overseas missions, he said he focuses instead on promoting jobs and investment, because the property sales and insurance on those properties will naturally follow.   Looking at things as economic development opportunities creates more economic development.

He and Miller also discussed the impact of taxes and regulation on attracting economic investment.   Florida’s beaches, beautiful weather, navigable waterways for transportation, and no state income tax are all in the state’s favor.  Missouri’s selling points focus on its advanced manufacturing and agriculture technology, in which the Show-Me state is a leader, as well as in logistics.

To make it easier for foreign investors to do business in the U.S., the National Association of Realtors® has created a Certified International Property Specialist designation (CIPS).    A Realtor that has this designation is specially trained in helping foreign investors through a variety of real estate transactions and related needs.  The association’s website (www.nar.realtor) has a master database, sortable by foreign languages spoken by the CIPS Realtor.

Host Lisa Miller noted that with Florida’s economy firmly on the rebound, opportunities abound in the state’s thriving real estate market.  That means growing opportunities to supply the many insurance needs related to that real estate growth, too.  Needs not just centered on the actual properties, but also the new jobs and related economic input created by real estate activity that requires the protection that only insurance can provide.  “Food for thought indeed for those of us with our eye on growing our insurance business,” said Miller.

Links and Resources Mentioned in This Episode:

Commercial Real Estate Packing a Wallop in Florida (from the LMA Newsletter 3/26/18)

National Association of Realtors (https://www.nar.realtor)

Florida Realtors® (www.floridarealtors.org)

Missouri Realtors® (www.missourirealtor.org)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Host Lisa Miller is a former Florida Deputy Insurance Commissioner.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 4/13/18. Email info@LisaMillerAssociates.com   Composer: www.TeleDirections.com

09 Aug 2018Episode 13 - Insurance Nerds00:19:33

It’s an insurance agent – it’s an adjuster – it’s an underwriter – no, it’s an Insurance Nerd!  In an industry that sometimes screams boring and is full of complex, technical jargon, comes a refreshing team of veteran insurance professionals that are out to change that. Their goal: to engage younger people considering different career paths and show them that insurance can be fun and personally satisfying work.  Along the way, they’re changing the stuffy corporate culture that is often a barrier to Millennials and Generation Z’ers joining the industry.

Host Lisa Miller talks with Nick Lamparelli, a 20+ year industry professional who is Chief Evangelist for the Insurance Nerds.  He talks about the talent gap that exists in the industry today, the surprising challenges he and his colleagues have encountered, and shares the answers they’ve uncovered to successful recruiting.

Show Notes:

Nick Lamparelli of New Hampshire has worn many hats in his insurance career.  He started his career as an insurance agent, then moved on to become a catastrophe modeler and a consultant for big firms, such as QBE, Marsh, and AIR Worldwide.  He’s Chief Underwriting Officer for reThought Insurance Corporation, a firm he co-founded in 2017.  Yet, something has been missing along the way.  When he was invited to join some like-minded industry professionals in a brand called “Insurance Nerds”, he tells Lisa Miller that he just had to say “Oh yeah!”

Insurance Nerds is a consultancy that is the go-to source for transformational talent delivery and career management serving the insurance ecosystem.  Lamparelli said that ecosystem includes insurance carriers, agents, brokers, third-party administrators, and reinsurers.  Not only do the Insurance Nerds figure out how to engage college students and recent graduates across disciplines to consider an insurance career, but they also make sure the industry is ready and attractive for these younger folks. 

Lamparelli said that rather than a boring, complex, and overly technical field of work, insurance in reality is science, economics, finance, and marketing.  “There’s a home for almost anybody here,” he told Miller. 

But Lamparelli said that employers “are not prepared – they have a cultural mindset that goes back to the 1970’s.”  So part of what Insurance Nerds has had to do is change that mindset so that young professionals can start their insurance job and have what he described as “the transformative moment” where they realize that insurance is indeed the career for them.

The Insurance Nerds have discovered that many younger adults have a total lack of knowledge about insurance because they’re usually not exposed to it until well into their adulthood, usually when it comes time to purchase auto insurance for the first time.

Host Lisa Miller, a former Florida deputy insurance commissioner, noted that insurance is a noble profession; that those working in it are helping people protect their lives, families, and property.  Despite that, there are shortages of talent in key functions, including agents, estimators, appraisers, and underwriters – whom Miller refers to as “the wizards of the insurance industry.”

Links and Resources Mentioned in This Episode:

The Insurance Nerds (www.InsNerds.com)

Nick Lamparelli’s Profiles in Risk podcast (https://insnerds.com/insnerds-podcast-network/)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Host Lisa Miller is a former Florida Deputy Insurance Commissioner.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome! Date of Recording 4/13/18. Email info@LisaMillerAssociates.com   Composer: www.TeleDirections.com    © Copyright 2017-2018 Lisa Miller & Associates, All Rights Reserved

10 Oct 2018Lisa Miller on Hurricane Michael Insurance Claims00:06:50

Former Florida Deputy Insurance Commissioner Lisa Miller was interviewed by Tom Flanigan on WFSU-FM, National Public Radio for Florida, just hours before Hurricane Michael made landfall on the Florida panhandle.  She shared with listeners the importance of staying safe prior to and during the storm, how to handle any damage and prepare an insurance claim, and the best methods for filing claims.  This includes taking pictures and video of the damage and collecting crucial information to share with the insurance company to help speed up the claims process, utilizing “fast-track” phone apps and other expedient methods.  For those policyholders needing assistance with claims, she shared the Florida Department of Financial Services Insurance Claims Assistance Hotline at 1-877-693-5236.

Lisa also discussed the need for flood insurance and how most standard homeowners insurance policies do not cover flood damage.  She pointed out that Florida has been a leader in the nation with model laws that have encouraged the creation of a thriving private flood insurance market as an alternative and complement to the National Flood Insurance Program.  Lisa urged listeners to contact their insurance company about the availability of innovative “add-on” flood coverage to their existing homeowners insurance policy.  As a courtesy to fellow residents and policyholders, she advised those with minor claims damage to so notify the insurance company when filing, so that greater priority can be given to more serious claims. 

Ownership and copyright 2018 , WFSU-FM, Tallahassee, Florida

Resources Referenced in the interview:

Florida Department of Financial Services Division of Consumer Affairs Insurance Resources

Florida Department of Financial Services Insurance Claims Assistance Hotline at 1-877-693-5236

www.WFSU.org

www.LisaMillerAssociates.com

30 Oct 2018Episode 14 - Hurricane Michael's Construction Lessons00:24:13

Hurricane Michael struck Florida’s panhandle in October 2018 as a strong Category 4 storm, with sustained winds of 155 miles per hour.  At least 29 people in Florida died in the storm or its aftermath and another 10 people in Georgia, North Carolina, and Virginia, as of this recording.  Beyond the cost in human lives, is the cost of rebuilding homes, businesses, and infrastructure.  Estimates of insured losses alone are between $6 billion to $10 billion.

Just how well did Florida's building codes, both old and new, hold up against the devastating winds - and what's needed in post-hurricane mitigation as Florida rebuilds?  Host Lisa Miller, a former deputy insurance commissioner, talks with two catastrophe adjusters on the ground with Michael's damages and the head of a consumer insurance group that's fighting for stronger building codes in the Sunshine State.

Show Notes:

Although Florida is recognized as having the toughest building codes in the nation, a large share of homes and other buildings in the Florida panhandle were built before 1995, when Florida’s tougher post-Hurricane Andrew building code was established.  The newer Florida Building Code (FBC) requires structures statewide to be built to withstand winds of 111 mph and up.  But it wasn’t until 2007 that homes in the panhandle built more than one mile from the coast were required to follow the higher standard.  (The Miami area is a “high velocity hurricane zone” with higher standards, in excess of 170 mph.)

Catastrophe claims adjusters Jason Brugh and Jeromy Harding spent much of the following week after Hurricane Michael struck, surveying the damage from ground zero at Mexico Beach, Florida to the Alabama-Georgia state lines.  They also spent several days in service to local communities, helping clear downed trees from roads and people’s property, re-righting travel trailers, and in one case, putting out a fully-involved house fire.  Both had building construction backgrounds prior to becoming insurance agents and claims adjusters.

Brugh, of Catalyst Insurance Management in New Port Richey said he and Harding saw total destruction in their travels in the panhandle, with nearly every structure suffering damage.  Their inspections revealed that standing seam metal roofs performed very well in the hurricane, while gable and three cap shingles were often completely gone.  

“FBC 110 mph-rated shingles came off like you’re peeling Post-It notes off a Post-It pad,” Brugh said on the podcast.  “We did see improperly installed metal roofs, where they were installed over existing shingles, allowing for an air gap between the two roof surfaces and those roofs were totally devastated.  Those peeled the roof decking off like a beer can.”  He added that the only damage he saw to properly installed metal roofs was impact-related.

Jay Neal, President and CEO of the Florida Association for Insurance Reform (FAIR), said Hurricane Michael is further proof that Florida needs to adopt the tougher Miami-Dade building code statewide.  “There’s no logic in having one higher standard for Miami-Dade County and not having it for the rest of the state,” he said. 

Neal and FAIR are pushing the Florida legislature to provide more funding for mitigation of existing structures; and to make homeowners more aware, too, of the difference installing impact-resistant windows and enhancing roof connections to walls can have on their home surviving the next hurricane.

“We spend about 15-cents per Florida resident giving cities, counties, and nonprofits the funds to spend on mitigation and that’s got to change,” Neal said.  He cited FEMA statistics that shows for every $1 invested in mitigation, $6 in damages are avoided.  It’s an issue FAIR will be presenting to the 2019 legislature.

Host Lisa Miller, a former deputy insurance commissioner, said there’s concern that a tougher statewide building code would increase the price of homes in areas like the panhandle, whose residents are predominantly lower income and couldn’t afford it.

“It’s an absolute no-brainer,” to have tougher building codes from an insurance standpoint, said Harding of the Barrett Harding Insurance agency in New Port Richey.  “From my experience out in the field and adjusting claims, they do work.  The newer building code homes in Hurricane Michael were survivable.  Yes, there was damage, but the structure is still there,” he said.  “Affordability is a Catch-22.  A lot of these people were uninsured.  So if those homes were built to a higher standard, they would come out on top whether there was insurance involved or not.”

Brugh said another issue he noticed with older homes built under outdated building codes: “a lot of them did not have hurricane clips, which when the wind got up in there, it upset trusses, it blew roof decks off, and the sort.”

Brugh pointed out that Florida’s wind mitigation credit program provides tremendous savings for homeowners in both shoring-up existing roofs and installing new ones.  Just mitigating a home’s existing roof with hurricane clips can provide an 18% savings on the wind portion of an insurance premium.  Installing a new shingled roof can result in 13%-16% savings.   He noted that decking would have to be re-nailed, which is another 13%-15% savings.  The wind portion of a premium can be 70%-80% of a homeowner’s insurance costs annually.

Host Miller noted that because most of the building stock in the panhandle is older, it’s more severely damaged than it might be otherwise and as a result, will drive-up claims costs.  Industry analysts expect Florida insurance companies should be able to cover all claims.  Reinsurance programs will cover those insurance companies’ bills.

“Today’s program was certainly an education and a great example of where the ‘rubber’ of public policy really meets the ‘road.’  And how the decisions we make today, will affect millions of Floridians in the future and billions of dollars in insured property value, as we weigh the costs and benefits of policy change – in this case, building codes and mitigation techniques,” Miller said.

So what do you think?  Does Florida need even tougher building codes?  And what lessons should we take away from Hurricane Michael when we rebuild what was damaged and destroyed?

Links and Resources Mentioned in This Episode:

What to Expect of Building Performance During Hurricane Michael (AIR Worldwide analysis October 11, 2018)

Premium Discounts for Hurricane Loss Mitigation (Florida Office of Insurance Regulation)

Florida Association for Insurance Reform (FAIR)

Lisa’s LMA Newsletter on Hurricane Michael (October 22, 2018)

Visit The Florida Insurance Roundup webpage for full details and extras on this podcast.

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 10/26/18. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2018 Lisa Miller & Associates, All Rights Reserved

 

26 Nov 2018Episode 15 - Active Shooter Insurance00:15:10

The Thousand Oaks, California bar shooting.  The Pittsburgh synagogue massacre.  Just two of the recent mass shootings across the country involving what police term as an “active shooter.”   The worst to date in Florida was the Valentine’s Day 2018 shooting at Marjory Stoneman Douglas High School in Broward County, in which 17 people were killed and 17 others injured.

Beyond the tragic loss of human life are the lives of the survivors affected.  How can they ever be made whole again?  The insurance industry is responding to these attacks by offering “active shooter insurance” – designed to help organizations and businesses whose employees, property and reputation are impacted.  Host Lisa Miller, a former deputy insurance commissioner, talks with an underwriter on this new line of insurance and its growing sophistication in coverage options for events that used to be unthinkable.

Show Notes:

Data from the FBI show the average number of active shooter events in the U.S. has doubled over the past eight years compared with the previous eight years.  There were 30 such events in 2017 - more than any other year since 2000.  Just what is available in the insurance market to protect individuals and businesses?

Peter Bransden is an underwriter for Aspen Insurance, leading the firm’s Crisis Management team in Miami.   Aspen’s Active Assailant Insurance includes the acts of terrorism, kidnap and ransom, and product contamination. 

“Active Assailant Insurance has been designed to protect policyholders against a wider range of attacks involving a weapon.  It is often referred to as “active shooter” insurance, but these events are by no means limited to firearms, as we have seen vehicle rammings, knife attacks, and suicide bombings,” Bransden said on the podcast. 

Bransden explained that most policies include five main coverage categories:



  • Property Damage, including sometimes significant structural damage

  • Business Interruption, as such attacks often close the business for an extended period of time

  • Legal Liability and Defense Costs, where a business or organization may be accused of not providing reasonable security, sufficient exit routes, or correct response to events

  • Extra Expenses, including victim medical costs and funeral expenses

  • Crisis Management, including family liaison services and media relations


Some insurance policies even include mitigation and training by ex-FBI active shooter response agents, who will train a business or organization on how to prepare and respond properly in the case of such a horrific event.

Most General Liability (GL) insurance policies do not cover active shooter events, leaving policyholders with potentially large liability exposure.  Many GL policies specifically exclude terrorism, following the 2001 911 attacks.  Bransden and host Lisa Miller discussed how the increase in shootings may prompt even greater policy exclusions.

“I fear that the tipping point, as is often the case in insurance, will be a court ruling.  By that that time there will be on the one hand, a client facing the fallout from an active assailant attack and, on the other hand, an insurance company denying a claim. Ultimately the losers are the victims,” Bransden said.

Miller noted that as the world becomes more complex, insurance companies have to adapt the products and services they offer to fit consumers’ changing needs.  Scenario-based modeling for casualty events and the practical insurance products that result, such as Active Assailant insurance, are good examples of innovation in insurance.

“While no one has a crystal ball and can predict human behavior and the terrible tragedies that have befallen the nation this year, technology and actuarial science are improving how we quantify that risk and price it accordingly.  It’s all about helping people and their organizations and companies become whole again, in the event of the unimaginable,” said Miller.

Links and Resources Mentioned in This Episode:

Aspen Insurance webpage

Determining the Risk of School Shootings – Florida’s new law may mean more lawsuits (LMA News Release, April 11, 2018)

The Florida Insurance Roundup podcast Modeling for School Shootings (April 3, 2018)

Visit The Florida Insurance Roundup webpage for full details and extras on this podcast.

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 10/31/18. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2018 Lisa Miller & Associates, All Rights Reserved

17 Dec 2018Episode 16 - Flood Follies00:21:25

2018 was a tough year for flooding in the United States, and nowhere worse than in the Carolinas, where Hurricane Florence dumped three feet of rain in spots.  Damage is estimated at $13 billion but at least half of that is uninsured – as most residents had no flood insurance.  While some didn’t know they needed it, others took a gamble by going without and lost.

But the bigger folly some argue is federal flood insurance itself which encourages some homeowners to disregard risk, by providing subsidized premiums at a level far below what’s actuarially-required to cover the claims’ costs.  The same program also pays homeowners to rebuild their flooded homes in the same low-lying spots, over and over again.

How can we better protect our lives and property from flood waters?  And what urgency will Florence bring to the debate on providing better flood insurance protection for coastal and inland residents alike?  Host Lisa Miller sat down with a catastrophe risk modeler and a coastal flood scientist to get some answers.


Show Notes:

Lisa’s guests are both PhD’s – one working in private sector flood insurance and the other in public university research on flooded coastlines – and both are focused on mitigating risks. 

Dr. Roger Grenier is Senior Vice President and Global Resilience Practice Leader at AIR Worldwide in Boston.  His team has worked since 1992’s Hurricane Andrew to develop catastrophe modeling as a way to predict the severity of extreme events.  Their data and analytics has helped make the insurance and reinsurance industries more resilient over time.

Dr. Robert Young is a Professor of Coastal Geology and Director of the Program for the Study of Developed Shorelines at Western Carolina University in Cullowhee, North Carolina.  His team of scientists and policy analysts examine how storms and sea level rise are changing America’s coastline and communicate their findings to policymakers.  From individual homeowners to local communities to federal agencies, they have developed tools to protect from and adapt to flood risks.

Dr. Grenier said advances in modeling technology are having a greater influence in assessing and pricing flood risk.  Older mapping technology, largely based on historical data, such as stream flows and hazard areas based on land use, has been used primarily by the National Flood Insurance Program (NFIP) to determine risk and rates.  The NFIP has evolved over its past 50 year history and is now beginning to adopt catastrophe models.

“When you develop a model, you can look forward and assess not only changes in land use but also changes in the climate and that’s how our models are driven, by starting really with a climate model as opposed to relying strictly on historical data,” said Dr. Grenier.  Modeling brings other benefits: its cost and scalability mean more frequent updates and more realistic gray areas of risk in place of black and white maps, where a property is strictly “in” or “out” of a particular flood zone.  

The podcast also discusses policies on pricing risk and funding rebuilding after flood calamities.  Dr. Young said federal policy provides “moral hazards”: incentives to do the wrong thing rather than the right thing.  After storms, federal flood insurance and federal Stafford Act disaster funding pay to restore homes and sometimes elevate properties and structures to help prevent future flooding, something he said is only a partial solution.

“If you lift-up an oceanfront home, you still have to hold the shoreline in place.  And if you raise a community anywhere in the floodplain, you still have to get utilities to that community and get transportation in there.  The biggest problem that I see right now is that there are very few incentives to change the exposure map for these communities, to get some properties out of areas that are in the floodplains,” said Dr. Young.

Case in point: Dauphin Island, Alabama.  This community of repetitive loss properties has received seven disaster declarations in the past 30 years.  There have been properties rebuilt multiple times in the same location following successive storms, thanks to federal and state subsidies that rebuild the infrastructure.  From 1978 through September 2018, the taxpayer-backed NFIP has paid out more than $68 billion in claims – historically, nearly 30% of claims are paid to the 1% of properties classified as repetitive loss properties.

“It’s not the folks on Dauphin Island that are crazy, it’s the rest of us that are crazy for allowing that to happen,” said Dr. Young.   The answer he said is changing incentives by finding a way for the true cost of living in these dangerous places to be incorporated in the cost of these properties.  The imbalance occurs in both high-cost oceanfront investment properties but also in affordable housing communities along our coastline.

The podcast also discusses this year’s White House budget that stressed reforms to bring needed financial stability to the debt-ridden NFIP and expanding the private market to reduce the federal government’s NFIP exposure.  Under budget director Mick Mulvaney’s proposal, FEMA would have authority to discontinue NFIP coverage for extreme repetitive loss properties following future losses. Starting in 2021, coverage for commercial properties would be phased-out, while no policies would be written for new construction inside a special flood hazard area.

FEMA meanwhile is forging ahead and redesigning NFIP’s 2019 rates to more realistically price risk.  Dr. Grenier predicted that any future changes will be by a measured process as the private insurance market evolves, so it can price for it and provide reserves for it. 

“People need to understand the limitations of maps and understand other aspects of the home, such as elevation.  They need to hear the message about buying flood insurance, whether from private insurers or the NFIP, and be realistic about what they can expect when they have no insurance versus having a flood policy.

Private insurance companies, powered by advanced catastrophe risk models, are able to better understand risk.  In Florida, encouraged by model regulation to encourage a vibrant private market, nearly 30 companies are offering coverage as an alternative to NFIP at competitive rates.

Host Lisa Miller, a former Florida deputy insurance commissioner, noted “it’s clear as crystal that when it comes to flood risk, we still build too close to known dangers.  The growing folly of our public policy is encouraging risky human behavior.  And we all pay, some with our own checkbook, the majority through higher taxpayer subsidies, and yet others, sadly, with their lives.”

Links and Resources Mentioned in This Episode:

Private Flood Insurance & Resilience webpage (Lisa Miller & Associates)

IBHS Fortified Home™ Program (Insurance Institute for Business & Home Safety)

Coastal Wind Damage in North Carolina from Hurricane Florence (AIR Worldwide In Focus, 10/8/18)

The Aftermath of Hurricane Florence (AIR Worldwide, 10/18/18)

Flood insurance paid homeowners $100,000 more than FEMA after Harvey, expert says (Houston Chronicle, 6/16/18)

Private flood insurance could fill North Carolina's coverage gap (Lisa Miller column in the Raleigh News&Observer, 11/16/18)

Our View: Federal flood insurance program needs rethinking (Fayetteville Observer, 12/2/18)

North Carolina Flooding Exposes Flaws in Flood Insurance Program (Bloomberg News/Bureau of National Affairs, 9/21/18)

New resilience organization at FEMA aims to build ‘culture of preparedness’ (Global Resilience Institute, 6/5/18)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 12/3/18. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2018 Lisa Miller & Associates, All Rights Reserved

27 Feb 2019Episode 17 - Florida Legislative Preview00:20:27

The Florida Legislature convenes its 2019 session next Tuesday, March 5.  The big insurance issue: the growing cost of property insurance claims litigation.  But there are also bills that would change Florida’s no-fault auto insurance and more than 200 bills funding much-needed Hurricane Michael relief to the 14 Panhandle counties still struggling with debris cleanup and recovery.

But there are other issues of interest lawmakers are addressing, including whether to allow smokeable medical marijuana and how to address ongoing water quality issues.  Host Lisa Miller, a former deputy insurance commissioner, talks with Jim Saunders, Executive Editor of the News Service of Florida for a preview on what to expect this session.

Show Notes:

Calling efforts at Assignment of Benefits (AOB) reform “the main event” for insurance interests before the Florida legislature this year, Jim Saunders of the News Service of Florida said the key component is attorney fees in claims disputes.  He and host Lisa Miller discussed the behind-the-scenes effort by leaders of the Florida Senate’s Banking and Insurance Committee and the Judiciary Committee to rework the current bill (SB 122).  The bill seeks to limit one-way attorney fees to named insureds and beneficiaries only – not contractors and their attorneys operating under an AOB agreement with the insured (policyholder).  A revised bill is expected as soon as this coming week (March 4, 2019).

Another major issue this session is Hurricane Michael relief and recovery funding.   Saunders called Michael a “wildcard issue” in the AOB reform debate.  Hundreds of millions of dollars of appropriations bills have been filed to provide help to the 14 mostly rural Panhandle counties impacted by the October 10, 2018 Category 4 hurricane.   That includes Florida’s devastated timber industry, whose losses are estimated at $1.3 billion.

Other topics discussed include medical marijuana and bills that would allow patients to use a smokeable form of it, as well as refined regulation on its production; algae blooms and water quality in Florida; and efforts to further encourage the testing and use of automated vehicles in the Sunshine State.  Saunders also provided details of Governor DeSantis’ major transportation plan, geared in part to increase highway capacity for evacuations of residents in future hurricanes and other disasters.

Links and Resources Mentioned in This Episode:

Lisa Miller & Associates Assignment of Benefits (AOB) webpage

News Service of Florida

Bill Watch of February 18, 2019 (LMA Newsletter)

AOB Reform bill  SB 122 is scheduled to be discussed on Monday, March 4, 2019 during the 3:30 pm ET meeting of the Florida Senate Banking and Insurance Committee.  To watch the meeting live or later, click on The Florida Channel and search by date and committee.

Hurricane Michael Coverage & Photos (LMA Newsletter)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 2/27/19. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved

29 Mar 2019Episode 18 - The AOB Problem00:23:06

For the seventh time in as many years, the Florida Legislature this spring of 2019 is considering bills to reform abuses of Assignment of Benefits (AOB) insurance contracts between vendors and property owners.   AOBs allow contractors to take control of a homeowner’s insurance policy and bill their insurance company directly for repair work – sometimes fraudulently inflating the scope and cost of the claim.

When the insurance company refuses to pay or underpays the claim, the vendor sues.  The latest figures show the number of AOB lawsuits continue to rise in Florida, up 18% in 2018 from the year prior – and up 900% from 2008.  The costly lawsuits remain concentrated within a disproportionately small number of lawyers and firms, utilizing a loophole in the state’s one-way attorney fees law.

Host Lisa Miller, a former deputy insurance commissioner, talks with Wesley Todd, CEO of CaseGlide, a claims litigation management firm whose analysis shows AOB abuse is costing each of Florida’s six million property owners $400 a year in added premiums.

Show Notes

Wesley Todd and his firm CaseGlide are managing litigation for 100,000+ claims on behalf of its insurance company clients.  He said his analysis has revealed startling statistics that should be of concern to everyone in Florida.  AOB litigation on average is costing each insurance company doing business in Florida $50 million a year which equates to about $400 for each of Florida’s six million property insurance policyholders. 

Looked at another way: “What if this law and the legislators and lawyers behind this current law were giving to a small set of 10-15 trial lawyers $1 billion per year by lack of reform?” Todd said.

Florida’s one-way attorney fees statute is driving the AOB abuse and the general increase in insurance litigation.  It allows policyholders to recover legal costs if the insurer has been shown in court to have underpaid the claim in any amount – even by just one-dollar.  Past efforts in the legislature to clarify that only a named policyholder would be entitled to file suit have all failed.

“This is a significant problem in Florida and it isn’t complicated.  Insurers are going to be get paid through their premiums and have had to raise rates to do so,” Todd said.

He points out the arguments that supporters of the current AOB and one-way attorney laws are using – that any changes will hurt consumer protection and prevent the little guy from going against the big insurance company – were the same arguments used against sinkhole reform in Florida, which passed in 2011.   None of those dire predictions came true nor will they if meaningful AOB reform passes this session, he said.

The CaseGlide Index is a real-time index containing aggregate industry litigation data that previously hasn’t existed in one database.  It can also serve as a central foundation for rating oversight by regulators, rating agencies, and the reinsurance marketplace.  Todd says part of the focus is to provide evidence required to help the Florida Legislature tackle the AOB problem.

Todd agreed with host Lisa Miller that AOB abuse isn’t an issue the courts can totally resolve.  While the current case before the Florida Supreme Court (Restoration 1 vs. Ark Royal Insurance Company) will be helpful in stemming some AOB and litigation abuse, “we still need to address the one-way attorney fee statute,” Todd noted. 

“They are going to find one way to make it where they recover one more dollar (above the original insurance company settlement offer)…and when they find that, they’re going to get their $300,000 in plaintiff attorney bills with their contingency fee.” 

He and Miller also discussed Florida’s Bad Faith Law, something Miller pointed out is added jeopardy in claims litigation.  “There are Hurricane Irma claims that are still being brought by the same law firms that bring AOB claims.  It’s a problem that one day might end up being bigger than AOB,” Todd shared.

Todd said Hurricane Michael insurance claims will present a wonderful case study on AOB. 

“Michael will be a perfect test case as to what happens when a storm doesn’t hit Tri-County (South Florida) and hits an area with less claims influencers if you will, whether it be attorneys, public adjusters, or loss consultants….and whether there’s a big difference in lawsuits to claims.”

He thanked Miller for her efforts over the years in educating policyholders to better understand before they sign an AOB that there could be negative consequences to doing so.   

Links and Resources Mentioned in This Episode:

CaseGlide webpage

Assignment of Benefits webpage (Lisa Miller & Associates)

Assignment of Benefits Resources & Consumer Alerts (Florida Office of Insurance Regulation)

AOB Lawsuits Continue Meteoric Rise (LMA Newsletter of 4-3-19)

Florida’s one-way attorney fee statute (627.428 F.S.)

Bill Watch on AOB 2019 legislation (Lisa Miller & Associates)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 3/8/19. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved

14 May 2019Episode 19 - New AOB Law: Putting Consumers on Offense 00:22:43

Florida’s seven year wait for meaningful reform of Assignment of Benefits (AOB) abuse is over.   The Florida Legislature has passed a measure to level the playing field for consumers and reduce the skyrocketing rates of litigation filed by vendors against insurance companies, driving double-digit rate increases.

Hailed as a “wake-up call for the bad actors” exploiting homeowners and the insurance industry, what exactly does the reform do and what doesn’t it do?  What impact is it expected to have with more than half of Florida’s insurance litigation today now involving an AOB?  And what creative alternatives and other shenanigans still exist for further scams?

Host Lisa Miller, a former deputy insurance commissioner, talks with insurance defense attorney Kimberly Salmon of Groelle & Salmon, and Paul Handerhan of the Florida Association for Insurance Reform.

Show Notes

An Assignment of Benefits (AOB) agreement is a legal contract that allows repair vendors to receive payments directly from insurance companies for work they perform at a policyholder’s home, without the homeowner having to pay money upfront. While it sounds good, unfortunately in the past seven years in Florida, unscrupulous vendors and their lawyers have taken advantage of AOB to take control of a homeowner’s policy, then inflate the scope and cost of claims and sue the insurance company if it refuses to pay the inflated bills.  The number of property insurance AOB lawsuits rose 900% from 2008-2018.

In late April 2019, the Florida Legislature passed HB 7065 which puts new requirements on assignees (contractors and other vendors) and insurance companies.  An AOB must now provide the following:



  • Policyholder can rescind the AOB within 14 days for any reason without penalty but must pay for work performed

  • Policyholder can rescind the AOB within 30 days if work has not commenced within 30 days of stated start date

  • Clear notice of consumer rights and policyholder responsibilities involved in signing an AOB

  • Policyholder held harmless where the vendor is prohibited from charging any “fees”, excepting policy deductible

  • Within 3 business days of the AOB execution, the vendor must provide the AOB to the insurance company

  • Contain a written, itemized, per-unit cost estimate of services

  • Work performed must conform with current industry standards

  • Vendor must "stand in the shoes" of the policyholder, including filing proof of loss, producing records, and submitting to examinations under oath prior to filing suit

  • Insurer must respond to the vendor’s notice within 10 days

  • Emergency services would be limited to $3,000 or 1% of the Coverage A policy limit


The bill also allows an insurance company to offer a policy prohibiting assignment in an effort to lower homeowners policy premiums, which have grown by double-digits.

Paul Handerhan, Senior Vice President of Public Policy for the Florida Association for Insurance Reform, noted the significant consumer protections in the bill, especially a homeowners ability to get out of an AOB contract.

“That’s a dramatic improvement on the way assignments have worked in the past prior to this bill.  Literally, there was no statutory requirement for any rescission period.  If a policyholder, in the middle of the night with an emergency service, signed an AOB, they would effectively have no way of getting out of the contract,” said Handerhan, who is a practicing public adjuster. 

The bill also revises the current one-way attorney fee system which was seen as incentivizing lawsuits and institutes a new formula, based on the disputed amount: the difference between the assignee’s presuit settlement demand and the insurer’s pre-suit settlement offer.  If the prevailing judgment is:



  • Less than 25% of the disputed amount, then the insurer is entitled to reasonable attorney fees;

  • At least 25% but less than 50% of the disputed amount, no party is entitled to an award of fees;

  • At least 50% of the disputed amount, the assignee vendor is entitled to reasonable attorney fees.


If the insurance company fails either to inspect the property or to provide written or verbal authorization for repairs within seven calendar days after the first notice of loss (FNOL), the insurer waives its right to an award of attorney fees, except for circumstances beyond its control.  The formula does not apply to lawsuits filed by policyholders, who would still enjoy the protections of the one-way attorney fees under 627.428 F.S. 

Kimberly Salmon, a partner with the Tampa firm of Groelle & Salmon, said that under current law, when she and other insurance defense lawyers go to court, if the vendor wins the case by just $1, the vendor is entitled to attorney fees under the one-way fee statute.  She told Lisa that after this law is enacted, vendors will be restricted on what they can recover, together with broader impacts.   

“It’s going to enable the insurance company by the tools that it gives them and by the timeframes that it prescribes, an opportunity to actually evaluate the scope and cost of the repairs, of the damage, and it actually incentivizes both the insurance company and the vendor to resolve the matter as fairly and quickly as possible, which is going to be a direct benefit to the consumer.  So it’s win-win,” said Salmon, whose firm has handled thousands of AOB cases on behalf of insurance companies and their policyholders.

Lisa and her guests discussed various emails and blogs in the marketplace with reaction to the bill’s passage.  Some include concerns of an already-seen ramp-up of marketing efforts by some trail lawyers to encourage the filing of AOB lawsuits before the new law is enacted.  One blog said the bill itself will actually increase the number of lawsuits, referencing the 7-day time period for an insurance company to inspect a property after FNOL, and concern it would leave a window of opportunity for mold to grow.   

Handerhan noted that reference pertains only to insurance companies that don’t choose to inspect and “if they don’t, they may not be entitled to collect attorney fees if the case winds up going to litigation.”   He said their failure to inspect within 7 days in itself, would not be a cause for action.

Lisa and her guests also talked about ways the bill may be exploited.  Salmon noted the bill creates conditions prior to a vendor filing a lawsuit against an insurance company.  One of those (along with examination under oath and recorded statements) is that if appraisal is in the policy and demanded, the vendor is required to go to appraisal.   While appraisal sounds good and is binding, she cautions insurance companies to carefully weigh options before electing appraisal.

“The statute says that for purpose of these post-loss benefits, the vendor is standing in the shoes of the insured.  Under current case law, it looks like an appraisal award could trigger the right to file a bad faith suit and under the wording of this statute, the question is, does the vendor have those same rights?  So I’d be very cautious about the language in an insurance policy if there is a unilateral right to demand for appraisal,” Salmon said.

The other section of the bill that is worrisome to Salmon references a power of attorney that grants a management company, family member, or others the authority to act on behalf of the insured.  “So possibly, with a limited power of attorney, someone in that position could file a lawsuit on behalf of the insured.  That would really be a way around the protections that were intended and all of the work that went into this bill,” Salmon said.  

Host Lisa Miller, a former deputy insurance commissioner, warned “the creative lawyers that have been preying on consumers and causing this insanity” who may be listening to the podcast.  “I would caution you that the legislature was listening to consumers complain about this, that had been victimized by the use of an AOB and the resulting litigation explosion that has occurred because of it, and I believe that any attempt to thwart the intent of this legislation will be dealt with summarily in coming session that starts in January.”

Lisa and guests also discussed the upcoming Florida Supreme Court case of Restoration 1 vs. Ark Royal Insurance Company that we have been following closely.  It will address the question of whether insurance companies have the right to require that all parties with an insurable interest sign an AOB contract, including the homeowner’s mortgage company.

“I have every reason to believe that the Court with everything they have seen thus far, will uphold the Ark Royal decision.  I’m very hopeful and competent,” said Salmon.

Links and Resources Mentioned in This Episode:

Florida House Bill HB 7065

Florida Association for Insurance Reform (FAIR)

Groelle & Salmon law firm

20 law firms that file the bulk of AOB suits (from Citizens Property Insurance Corp.)

Assignment of Benefits webpage (Lisa Miller & Associates)

Assignment of Benefits Resources & Consumer Alerts (Florida Office of Insurance Regulation)

AOB Lawsuits Continue Meteoric Rise (LMA Newsletter of 4-3-19)

Florida’s one-way attorney fee statute (627.428 F.S.)

Bill Watch recap on the 2019 legislative session (Lisa Miller & Associates)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 3/8/19. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved

31 Jul 2019Episode 20 - Wind vs. Earthquake: Who Wins?00:27:12

The July 4 earthquakes that hit South Central California are a fresh reminder that California's population is the most susceptible in the country to major earthquakes.  So why is it, that earthquake insurance is no longer required as a condition for California mortgages?  Especially, when wind insurance is required throughout the state of Florida and elsewhere to protect against hurricane damage?

While less frequent, earthquakes are unique in that the risk is constant and the potential damage can easily exceed those of hurricanes, wildfires, and flooding combined.  Is it time to readjust our public policies - and our insurance policies - to adequately cover all our 21st century risks?  

Host Lisa Miller, a former deputy insurance commissioner asks John Rollins, Consulting Actuary for Milliman and Jim Wilkinson, Jr., Executive Director of the Central United States Earthquake Consortium (CUSEC).

Show Notes

Losses from the early July earthquakes in and around Ridgecrest, California are estimated to reach $200 million of which insurance companies will likely cover only about a fifth, according to Karen Clark & Company.  Less than 20% of property owners affected by the magnitude 7.1 quake and the 6.4 magnitude foreshock had earthquake insurance.

The event has rekindled discussion on earthquakes in California.  If a similar quake had occurred in a more populated area, the costs could have been much worse.  California homeowners policies don’t cover earthquake damage.  According to global consulting and actuarial firm Milliman, the lack of protection for 90% of the state’s 14 million dwellings poses a risk to the largest assets of many state residents: their homes.

So why is earthquake insurance no longer required as a condition for California mortgages?  GSE’s (Government-Sponsored Enterprises, a type of financial services corporation such as FannieMae and Freddie Mac) servicing guidelines don’t require it, so private lenders who originate and sell mortgages to the GSE’s don’t either.  Contrast this to windstorm insurance, which is required everywhere as a condition for a mortgage, as dictated by the same GSEs.

John Rollins, Consulting Actuary for Milliman, explained that while different regions in the U.S. are predominantly impacted by a single peril, such as California with earthquakes and Florida with hurricanes, Milliman’s research indicates that all of the catastrophic perils from earthquakes, wildfires, floods, and hurricanes, actually contribute significantly a measureable amount to the total amount of what an actuarially-sound homeowners premium should be for the true risk of these disasters underlying each policy across the U.S.

“Each one of those types of disasters contributes potentially hundreds of dollars to the quote -‘fair’ – or right insurance premium as actuaries would define it,” said Rollins.  “So that runs up against a policy question, which is, if you have significant, roughly equal risk from hurricanes, floods, wildfires, and earthquakes across the country, why aren’t the guidelines for determining eligibility of mortgages for Fannie Mae and Freddie Mac… and their concomitant insurance servicing requirements exactly the same across the country?  We don’t have all the answers as to why that it, but we do know that a pure clinical look at the numbers would indicate that there’s really no reason to favor one peril over the other,” Rollins said.

The Central United States Earthquake Consortium (CUSEC) is comprised of the eight states that would be most impacted by quakes along the New Madrid earthquake fault line, which runs along the Mississippi River, in partnership with FEMA.  CUSEC examines the earthquake threat and ways to encourage mitigation and reduce losses.  Yet, earthquake insurance isn’t popular.

“Clearly we have to figure out a way to get affordability down for earthquake insurance,” said Jim Wilkinson, Jr., CUSEC’s Executive Director.  “For example, the six most vulnerable counties in the state of Missouri saw an almost 700% increase in their premium costs between 2000 and 2018.  We need to figure out how to get that cost down and the availability up, whether that’s through incentives or other means.  There are a whole host of folks, including the banking and real estate industries together with local developers, who have a role in figuring out how to make this affordable for people who need it,” said Wilkinson.

Rural communities, Wilkinson pointed out, are especially vulnerable, because they don’t have the resources that larger communities have and shoulder a higher percentage of buildings and infrastructure that are vulnerable.  “We want to get to the point where we have covered as many people as we can for this peril,” he said.

Host Lisa Miller noted that the purpose of insurance is to spread risk to as large a group of policyholders as possible, which can lead to more affordable premiums.  Resiliency, through stronger mitigation programs, has made a demonstrated difference in hurricane and other windstorm events.  Mandatory insurance premium discounts for specific mitigation features have been shown to reduce windstorm losses.  But can resiliency measures make the same difference to earthquake-threatened communities?

Rollins said that with earthquakes, one of the issues is the cost and who is going to pay for mitigation.   “Consumers simply don’t like spending money upfront to reduce a contingent future threat that may or may not materialize.  And they think very viscerally about the payback period for that investment.”

He said there also has to be a catalyst, such as low-interest loans, direct government grants or loans, or public-private partnerships.  “The second problem with earthquakes is that there is far less definitive engineering backed up by recent experience to tell us exactly what sort of construction and retrofits would make a big difference and give us the highest bang for the buck,” Rollins added.  And in areas facing multiple disasters, a mitigation for one risk may be counterproductive to mitigating against a second risk.

“The program is not set-up to build to a higher standard, but simply to rebuild to put it back the way it was,” noted Wilkinson.  “They have been working to make changes in the program, so that we’re not adding to the problem.  That’s the challenge that we’ve had.  It’s a conflict to how we build back better, safer, stronger communities.”

Also, “asking a business or a homeowner who is very anxious to get back into their property to spend an extra two weeks and an extra one to two thousand dollars on top of what they’re already facing to do this cross-hazard risk reduction becomes a real challenge,” said Wilkinson.  “It’s something we’ve failed to really grasp in the process of how we assess these programs and their costs.  It’s something that FEMA is taking a hard look at because we can’t keep printing money and unfortunately the disasters seem to be increasing in frequency.” 

While better rebuilding after the fact is a goal that we’re all striving for, host Miller noted that “Knowing that we have an uninsured population, we know that residents in earthquake-prone states are exposed to millions of dollars in damage that will not get repaired because the federal government’s ability and willingness to step in and replace everything that gets damaged just isn’t there.”

“FEMA will help a community put everything back to the way that it was before an earthquake, but for an individual, they help provide low interest loans but there’s not going to be a check written to rebuild a person’s house,” said Wilkinson.

Rollins also discussed the increasing entry of private sector solutions, such as flood insurance, to disaster insurance problems.  He noted each one had a public policy change that served as a catalyst that attracted private insurance attention and capital. 

If Fannie Mae and Freddie Mac were to update one page of their servicing guidelines to require earthquake insurance, too, “it would instantly kind of upend the entire U.S. homeowners insurance market, similar to the way the Biggert-Waters Act and a few other follow-on regulations upended the flood insurance market, resulting in a whole bunch of other business models being considered,” Rollins concluded.

Links and Resources Mentioned in This Episode:

The Ridgecrest earthquake: Will recent quakes shake up the California insurance market? (from Milliman)

The Sand Palace house in Mexico Beach, Florida (from the New York Times)

Milliman website

Central United States Earthquake Consortium (CUSEC) website

Private Flood Insurance & Resilience (from Lisa Miller & Associates)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 7/30/19. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved

01 Sep 2019Episode 21 - Is Florida’s Building Code Protecting All of Us?00:28:15

As Hurricane Dorian bears down on Florida, two reports that examined damage from last fall’s Hurricane Michael have mixed reviews on building construction in Florida’s Panhandle.  While newer homes built after the 2002 Florida Building Code was enacted suffered less structural damage than older homes, the roof cover loss and siding damage was just as common in the newer structures.  In fact, almost two-thirds of those newer buildings built after the code went into effect had some roof loss from Michael’s high winds.

While Florida is known for its tough building code, few know that the maximum wind standards of materials and methods in the code vary depending on which part of the state you live.  Miami-Dade County, where Hurricane Andrew struck in 1992, has the toughest wind standards.  But the Florida Panhandle, where Hurricane Michael’s Cat 5 winds struck in 2018, has among the weakest wind standards.  Why?  Just how vulnerable are homes throughout Florida?  And what can be done to strengthen them?

Host Lisa Miller, a former deputy insurance commissioner asks noted television meteorologist and hurricane expert Bryan Norcross and Cindy Shaw, a forensic engineer with Haag Engineering Services.

Show Notes

Hurricane Michael struck the Panhandle as a Category 5 storm, the fourth in U.S. history, with maximum sustained winds of 160 mph and a 15-foot storm surge.  43 people died in the storm and its aftermath.  Total damages are estimated to climb to $25 billion.

A University of Florida Engineering School report prepared for the Florida Building Commission examined both wind and storm surge damages from Hurricane Michael.  It found that roof cover loss was the most common type of structural failure, even with wind exposures below the building code’s threshold. 

“Structural damage was predominantly experienced by older (pre-2002) structures, while newer structures generally experienced no more than roof cover and wall cladding loss.  However, roof cover and wall cladding damage was still commonly observed even in newer structures,” according to the report.  Almost two-thirds of buildings built after the code went into effect had some roof cover loss.

Another report from the Structural Extreme Event Reconnaissance Network had similar findings.

Although Florida is recognized as having the toughest building codes in the nation, they vary by wind standards, depending on the area of Florida.  In the Panhandle, where Michael struck, those wind standards are among the weakest in the state at 130 mph at the coast and 120 mph slightly inland.   In Miami-Dade and Broward Counties, the standards are the strongest at 180 mph at the coast and 170 mph inland.

Cindy Shaw is a Senior Engineer and Southeast Regional Manager for Haag Engineering Services, a global forensic engineering and consulting firm.  In her review of the reports, Shaw said she noted improvement in homes built after the enactment of the 2002 Florida Building Code, but performance varied a lot, even among similar homes.   Homes built above code standards performed best. 

“Finishing materials installations varied within a single residence and that led to wind damage.  Roofing that was to a higher code than a garage door led to vulnerabilities and failures in the overall structure,” said Shaw, a 20 year veteran of structural inspections.

“It was tremendously frustrating to see the damage from Hurricane Michael because we lived this already,” said Bryan Norcross, Hurricane Specialist for WPLG-TV, Local 10 News in Miami.  He is known for his 23-hour on-air marathon during and after Hurricane Andrew struck South Florida.  Andrew was the last Cat-5 storm to hit Florida before Michael.

“Something failed.  The roof might have been good, but the windows or the front door or the garage door wasn’t, and that lead to a cascade of failure once the home’s envelope was breeched.   Our tougher building code in South Florida post-Andrew, ensures the entire house is secure by all its components meeting the same standard,” said Norcross.  “The building code was somewhat intentionally made less strong in the eastern Panhandle than even the western Panhandle for no rational meteorological reason.” 

The problem with the current Florida Building Code and its varying wind standards, said Shaw, is that it doesn’t deal with areas of the state that have had significant hurricanes, whose wind standards don’t match their historical experience.  Shaw said those need further refinement.  She noted that Florida’s code for existing structures, which covers buildings being updated, is a good example of progressively refined codes that work well.

So what would Shaw and Norcross advise the Florida Building Commission on potential changes post-Hurricane Michael?

Shaw, who specializes in examining new building materials and methods in the Florida Building Code in between hurricanes, said the design wind pressures that exist as standards need to be less arbitrary and political and instead correlate to the reality of the coastal regions.  Improved code enforcement is needed, too.   

“It’s not that we expect to have no damage when we have a Category 5 hurricane, but we would like to not have catastrophic damage.  We would like to not have loss of life.  We would like the homes to still be livable.  And with regard to Hurricane Michael and up in the Panhandle, we failed on all three of those fronts,” said Shaw.

Norcross agreed.  “We have this high-velocity wind zone here in Southeast Florida, for no rational reason does it stop at the Broward County lines.  There’s just no meteorological reason why you couldn’t have a Category 5 hurricane strike any part of the state of Florida and have a Category 3 or 4 hurricane go all the way across the state.  You don’t even have to think about it as a meteorologist, you just have to look in the history book to see examples….Ironically, the Panhandle is especially vulnerable to strong hurricanes,” he said.

As for the higher cost of construction that comes with a stronger code, Norcross and Shaw agreed that there are other places in the building where cost savings could be achieved and channeled to build a safer, more durable house.   “It’s just too easy to do it all the way right, than to do it halfway,” said Shaw.

“The real challenge for builders and the real resistance here, is the inspection process,” said Norcross.  “It is a pain in the neck to do anything here in South Florida…the issue is to create an inspection system that is as efficient and simple as it can be.”

Host Lisa Miller, a former Florida deputy insurance commissioner, noted that building better should lead to lower property insurance costs as well.  “Hurricanes and other catastrophes don’t know or care who is insured or not and as we’ve learned, don’t necessarily follow historical patterns – including those on which we base risk.” 

Links and Resources Mentioned in This Episode:

Investigation of buildings damaged by Hurricane Michael  (The University of Florida Engineering School of Sustainable Infrastructure and Environment, prepared for the Florida Building Commission, June 10, 2019)

Hurricane Michael: Field Assessment Team Early Access Reconnaissance Report (from Structural Extreme Event Reconnaissance Network, October 25, 2018)

Pitfalls in Mitigating Risk (LMA Newsletter of 8-26-19)

www.BryanNorcross.com

www.HaagGlobal.com

Florida Building Commission

Cities Where Hurricanes Would Cause the Most Damage (24/7 Wall Street, July 31, 2019)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 8/23/19. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved

16 Sep 2019Episode 22 - Why the Panhandle Wasn't Hurricane Strong for Michael00:32:32

Not only was the Florida Building Code not fully effective in buildings damaged by Hurricane Michael, but neither were mitigation efforts designed to fortify our homes and businesses, according to a new FEMA report. 

A team of building experts conducted an assessment of 350 structures affected by Michael’s Category 5 winds that reached upwards of 160 mph.  They paint a dismal result.  Buildings with wind retrofits, such as stronger windows or doors, suffered significant damage, even when those windows and doors held up. 

The FEMA report notes people were injured as a result.  Expensive mitigation upgrades were for nothing.  And entire buildings, including multi-million dollar local government facilities, now have to be rebuilt from scratch.

What happened?  Isn’t mitigation supposed to be a smart investment?  Host Lisa Miller, a former deputy insurance commissioner, asks her guests, including a former state legislator who had a hand in creating the Florida Building Code and the Panhandle’s wind standards, and two noted structural engineers.

Show Notes

This podcast is a follow-up in part, to the August 31, 2019 podcast Is Florida’s Building Code Protecting All of Us?  A University of Florida engineering school report found that the Florida Building Code wasn’t tough enough to withstand Michael’s Category 5 winds.  Not even in some newer structures, although they did fare better than those built before the 2002 code was enacted. But almost two-thirds of those buildings built after the code had some roof cover loss, according to the report.

Although there is a single state building code, it has different wind standards depending on where you live.  The eastern Panhandle, where Hurricane Michael struck, has some of the weakest wind standards in the state, at 130 mph on the coast and 120 mph slightly inland.  Former state Senator Charlie Clary was involved in the creation of those wind standards in 2002. 

“We tried to come up with some ways of helping, as we made the codes tougher and more uniform throughout the state, but still be somewhat affordable as they constructed these homes, because we were in a very intense growth mode at that time.  There had never been a Category 4 or greater hurricane to impact NW Florida at that time,” said Clary, who is founding principal with DAG Architects in Destin, Florida.  “We have to just learn lessons from Michael and make the changes necessary.”

In Bay County, ground-zero for Michael, officials estimate nearly 75% of its 68,000 households were impacted. 

The UF report noted roof and siding loss was common in both pre-code and post-code construction. Dr. Arn Womble, Research Engineer with the Insurance Institute for Business & Home Safety, said roofing products themselves need improvement and that aging effects seem to play a big role in how the roofs perform.  

“We are frustrated as well as I think everybody in the industry in that the standard test for shingles – and we run them in our lab and they pass a certain test and then when they get subjected to reality out there in the field, they don’t perform like the laboratory test indicated that they might, so we’re realizing there’s a big disconnect there,” said Dr. Womble, who led a field survey team after Michael struck.  He added that siding products haven’t gotten as much attention as roofing, but need to going forward.

The conversation moved to the newest set of post-Michael reports from FEMA.  Its recovery advisory Successfully Retrofitting Buildings for Wind Resistance, resulted from FEMA’s Mitigation Assessment Team survey of Hurricane Michael damage.  It found that buildings and homes with wind retrofits suffered significant damage—even in cases when the retrofit itself performed well—because other building vulnerabilities were not addressed when the retrofit was installed.  So “the whole retrofit project may be ineffective.” 

“It is true that when you mitigate to try to gain more resilience, your building is only as strong as its remaining weakest link,” said Dr. Karthik Ramanathan, Assistant Vice President & Principal Engineer for
AIR Worldwide, a global catastrophe modeling firm.  He, too, has found disconnects between what mitigation can achieve versus what’s actually happening in the field.  As an example, his field work has noted “striking dissimilarity” in metal roofs in areas ravaged by Hurricanes Michael and Irma. 

“Most agree if built and installed properly, metal roofs are a great mitigation investment against wind damage.  But time and again, you saw metal roofs installed on pre-existing shingle roofs.  When you’re not attaching a metal roof to a substrate that it ought to be attached to, you cannot expect a metal roof to perform in the way it is supposed to,” said Dr. Ramanathan.  He added that there seems to be a lack of knowledge and a need for education in proper installation.

The FEMA assessment also found that “even modest damage to the building envelope or rooftop equipment was observed to lead to costly water damage, which can take months to repair and cause disruption of building operations.”   A companion assessment, Best Practices for Minimizing Wind and Water Infiltration Damage has some recommendations on building materials to use to provide extra layers of protection.

Based on the University of Florida report, the Florida Building Commission has taken several steps with the support of the homebuilders to strengthen the next 7th Edition of the Florida Building Code to be published in December 2020.  It includes adoption of ASCE 7-16, the newest Minimum Design Loads and Associated Criteria.  While there’s no reported plans to change the various wind standards around Florida, the method for determining the design pressures on roofs for buildings less than 60 feet in height has changed.  There are expected to be requirements for secondary roof underlayment to prevent water intrusion in the event the roof covering is blown off.

New sections are also being added to the code detailing requirements for the attachment of vinyl, fiber-cement, and hardboard.  Wood structural panels and soffit panels are also being added to the code.  All these moves were applauded by the podcast’s guests. 

“I’d like to see the building code and material science move down the building envelope now from the roof,” said Dr. Ramanathan, who focuses on the structural impacts of storms in his work.  “I think the research now needs to focus more heavily on how you build soffits that can withstand the impact of wind-driven rain so that you can keep the home’s envelope watertight.  How do you look at the performance of wall siding, be it vinyl or brick, how can you make these better?”  He noted that water damage is more expensive to repair than wind damage.

All three guests agreed that code enforcement is crucial when building resilient homes and businesses.  In a recent guest column in the Insurance Journal, two Munich Re senior executives cite “the need to enhance and consistently enforce building codes” as one of the two big challenges facing reinsurers with Florida interests.

“I think you’re naturally going to have different levels of enforcement just because of the different sorts of budgets throughout the state and the ability to cover what’s necessary,” said Dr. Womble.  Given the code is key to protecting consumers, having uniform code enforcement is important, he added.

With Hurricane Michael recovery still ongoing in the Panhandle, “I think we’re definitely on the right path to building under a tougher code,” said Clary.  “Enforcement is vital and it’s important to have the architect and engineers that work for the client involved to make sure the structures are built according to plans and specifications.”

Dr. Ramanathan said he sees individual building departments within Florida have gaps in how they adopt and enforce certain practices, including verifying building plans and conducting on-site inspections.  “I think the Panhandle and other parts of Florida need to move to the high-velocity zone (170 mph wind standards), which is essentially Miami-Dade and Broward, not just in terms of building standards but also enforcement standards,” said Dr. Ramanathan.  “Michael did pretty much just what Hurricane Andrew did, so the time is never more opportune than what it is now to reflect that learning, in terms of building code enforcement in the Panhandle.”

FEMA will use its two assessments to develop formal conclusions and recommendations to improve resilience of buildings and their utility systems in Florida.  A formal report is expected by December 2019.

Host Lisa Miller, a former deputy insurance commissioner, noted “there is ongoing concern that even for those with insurance checks, some Panhandle residents may not be able to afford to rebuild their homes.  Is it time for these tougher standards, materials, and practices we’ve discussed today to be enacted across the Florida Panhandle – and across Florida for that matter?”

Links and Resources Mentioned in This Episode

DAG Architects

Insurance Institute on Business & Home Safety (IBHS)

www.DisasterSafety.org  (IBHS guidance for home and business owners)

AIR-Worldwide.com

Successfully Retrofitting Buildings for Wind Resistance (FEMA Recovery Advisory 1, June 2019)

Best Practices for Minimizing Wind and Water Infiltration Damage (FEMA Recovery Advisory 2, June 2019)

Is Florida’s Building Code Protecting All of Us? (The Florida Insurance Roundup podcast of 8/31/19)

Reports referenced from our previous podcast “Is Florida’s Building Code Protecting All of Us?”:



Florida Building Commission

Florida Building Commission Wind Maps

Pitfalls in Mitigating Risk (LMA Newsletter of 8-26-19)

Cities Where Hurricanes Would Cause the Most Damage (24/7 Wall Street, July 31, 2019)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 9/10/19. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved

31 Oct 2019Episode 23 – Mediating Open Claims00:22:53

Recent disasters and the growing number of open insurance claims are creating renewed interest in an alternative to costly litigation in resolving claims disputes: mediation.

While claim frequency is down, claim cost is way up – more than five times what it was 20 years ago.  Unnecessary and abusive litigation, including Assignment of Benefits (AOB) contracts, has contributed to growing claim cost in Florida.

Host Lisa Miller, a former deputy insurance commissioner, sat down with Bruce Blitman, a Certified Mediator, Arbitrator, and Umpire, to learn what role mediation can play in successfully resolving these claims.

 

Show Notes

Bruce Blitman was one of the first Florida Supreme Court certified circuit-civil mediators and has practiced since 1989.  He was an associate with several law firms prior to becoming a mediator. 

“What really makes this process work is that you have all of the decision-makers present at the same time, at the same place, in the same room, much earlier on in the process before all of the time and the money and aggravation have been invested in the case.  So there’s a tremendous opportunity to resolve cases when you’re getting to them earlier on in the process,” said Blitman on the podcast.

Mediation in Florida dates back 30 years.  Initial skepticism has given way to acceptance over the years, as lawyers on both sides have gotten more practiced in the mediation process, according to Blitman.

“Lawyers found they were able to either put more money into their clients’ pockets at an earlier stage of the process or if they were insurance carrier representatives, they could save money by putting that money into the plaintiff's pocket without litigation costs,” Blitman said.  As a result, mediation has become a way to more efficiently move claims and for courts to move dockets.

Host Lisa Miller was an insurance regulator during 1992’s Hurricane Andrew and the eight hurricanes in 2003-2004 that also struck Florida.  She suggested in the podcast that state officials initiate formal mediation centers sooner after major hurricanes strike. 

“After a storm hits, we should consider having immediate mediation on the disputed amount of the claim,” said Miller.

Florida law requires insurance companies to pay the undisputed amount of a claim to the policyholder within 90 days of receiving the claim.   Blitman said he’s a proponent as well of pre-lawsuit mitigation in such claims, a process that worked “very well” through a catastrophe mediation program set-up in Miami-Dade County following Hurricane Andrew.

“There was an enormous amount of claims considered.  Not every case was resolved at mediation, but many of them were,” he shared.  “And by getting through that vast volume, people were able to get on with their lives much more quickly.”  Blitman also noted that many insurance companies became more proactive with mediation going forward.

Miller referenced recent Florida legislative committee testimony that almost 40-cents of every dollar involved in a litigated paid claim goes to the plaintiff’s lawyer, not including court fees and the cost of defense counsel.  Blitman said such plaintiff contingency fees are typically only 20% to 25% if the claim doesn’t go to litigation.  Mediators, he said, are paid hourly, ranging from $150-700 per hour based on the complexity of the case.

“If you can resolve a case within five hours of mediation, with both parties splitting the mediator’s fee, those fees are relatively small in comparison to what it would cost to litigate that case endlessly,” Blitman said.  He noted that the Florida Department of Financial Services has a roster of mediators available to help resolve different kinds of insurance claims disputes.

The podcast also addressed Florida House Bill 337 which was signed into law last spring and becomes effective on January 1, 2020.  By raising the dollar threshold of disputes (from $15,000 to $30,000), it will shift court cases that are now heard in circuit court to be heard instead in county court.  Miller and Blitman discussed the impact of having a lot more insurance disputes going into civil court, which generally have more limited resources than circuit courts.  In fact, 31 of Florida’s 67 counties only have one county court judge.  Many of those counties are in the Florida Panhandle and there is concern of logjams created by the 150,000 Hurricane Michael claims. 

“I think it’s in the best interest of all consumers that we do everything we can to keep claims out of the court system,” said host Miller.  “Mediation, with the right attitude and skill set going into it by all parties, can be a very useful approach to create a ‘win-win’ by all parties to an insurance claims dispute.”

Links and Resources Mentioned in This Episode

www.BruceBlitmanEsquire.com

Mediation and Neutral Evaluation Assistance (Florida Department of Financial Services Division of Consumer Services)

Ten Tips for Getting the Most Out of Your Mediation Process (by Bruce Blitman, Esq.)

Court Jurisdictional Limits (Florida HB 337, now law)

Insurance Research Council Report Finds Rapid Increase in Cost of Homeowners Insurance Claims, Despite a Drop in Claim Frequency (The Institutes, September 30, 2019)

Assignment of Benefits (AOB) (Lisa Miller & Associates)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

 

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 10/29/19. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved

25 Nov 2019Episode 24 – Making the Call on Flood Insurance 00:23:59

Two hundred Mexico Beach, Florida homes sitting beach block from the Gulf of Mexico, yet labeled X-Zone, FEMA’s lowest risk for flooding, were nearly wiped out by 2018’s Hurricane Michael.  Many of those residents had no flood insurance, complicating which damage from the Category 5 storm may or may not be covered by their homeowners insurance.

In fact, 80% of flood losses in the Florida Panhandle were uninsured.  Yet, there’s just a trickle of greater demand for flood insurance post-storm.   Mexico Beach is fighting back with a tough new ordinance to counter the complacency created in residents by FEMA’s inaccurate and outdated maps. 

Host Lisa Miller, a former deputy insurance commissioner, talks with two residents and an insurance agent about the impact of the new ordinance and how agents could be doing more to promote increasingly affordable flood coverage to their clients.

Show Notes

FEMA flood maps for Mexico Beach were last revised in 2009 but were based on a maximum storm surge of 10 feet.  Hurricane Michael produced a 15.5 foot storm surge plus 5-foot waves topping the surge, when it made landfall there on October 10, 2018.  The maps are used to identify which properties must have flood insurance to meet federal mortgage requirements and to set rates for those policies.

Only one-third of Bay County, home to Mexico Beach and some of the worst damage in the 13-county impact zone, had National Flood Insurance Program (NFIP) policies.   Dina Bautista didn’t have flood insurance, but was one of the lucky ones.  Her Mexico Beach home was built on 12-foot pilings, the only one in her neighborhood.  “Every neighbor had water up to their roof,” she said.

Yet despite the devastation, few Bay County residents have learned the lesson from Michael.  “I get the speech of ‘I've been in this house fifty years and never flooded’ quite a bit,” said Trey Hutt, owner of Hutt Insurance Agency in nearby Panama City.  “What these mostly elderly people don't get is that in those intervening 50 years, we've poured a lot of asphalt and concrete all around them, and that water is going somewhere.  And every neighbor is now building higher than that original home, and water always runs downhill.”

Melissa Poage became concerned walking around her Valrico, Florida neighborhood after a recent hard rainstorm and noticing a waterline almost up to front doorsteps.  She said her insurance agent had never discussed purchasing flood insurance with her.  Her entire neighborhood is in an X-Zone, defined as being at risk of a 1 in 500 year flood event, which equates to a 0.2% chance every year of being flooded.  “So I bought flood insurance and it was very reasonably priced, it’s not expensive,” she said. 

Hutt, a 25 year insurance veteran, said people don’t understand the true meaning of an X-Zone.

“In our agency over the years, we’ve paid an awful lot more flood claims in X-Zones than we have in other zones.  An X-Zone does not equal ‘we will not flood’, it just means it’s less likely to flood than a Special Flood Hazard Area,” he said.

Since Hurricane Opal in 1995, Hutt said his agency has aggressively offered flood policies with homeowners policies (which don’t cover most flood damage).   Those customers who choose not to purchase it have to sign a form acknowledging that.  “A flood rejection form has become a part of a lot of agencies’ tool kits,” he said.

Both Hutt and Poage agree that it should be mandatory for insurance agents to “make the call” and offer customers flood insurance.  “I’m in favor of putting pressure on fellow agents to not only recommend flood insurance but we need to be able to prove that we’ve recommended it to a client, otherwise we might face legal action after a big storm such as Michael,” Hutt said.

Bautista is an engineer with Dewberry Engineering and along with being a resident herself, serves as the consulting engineer for the city of Mexico Beach.  Within weeks after surveying Michael’s devastation from both the 160 mph winds and 20.6 foot peak water level, city officials adopted a tough new floodplain ordinance that goes above and beyond FEMA flood maps. The ordinance affects rebuilding of homes that suffered substantial damage (greater than 50% structural damage) from Michael and all new construction:  



  • Incorporated a preliminary draft of a new flood map that FEMA had been developing before Michael, even though the map itself is not yet in effect;

  • Incorporated the map’s shaded X-Zones as part of the city’s more restrictive Special Hazard Flood Area with regard to construction standards; and

  • Required all such rebuilding and new construction of properties in Zones A, AE, and shaded X, to raise their finished floor 18 inches above FEMA’s 1 in 500 year flood event elevation.


“We’re trying to pick up the insurance gap and protect the residents,” Bautista explained.  “Most of them may not buy or be required to buy flood insurance in the zone they’re in, but through our ordinance and the actual construction, we’re trying to minimize their risk for future damage.”

While such building code changes are not occurring in the rest of Bay County, Hutt said more private flood insurance companies are selling coverage alongside or in competition with the NFIP.  Florida’s private market has been steadily growing with the number of companies more than doubling in the past two years.

“We’re finding these products are based on better data.  They’re often less expensive and they are almost always better coverage,” Hutt said.  “The long-term solution is to get flood insurance priced more accurately.   Since it’s been driven by political forces more than profitability, NFIP rates are artificially suppressed, and what that does is just encourage people to borrow money and build homes where they frankly might not or should be doing,” he said.

The podcast discussion also included the potential for Increased Cost of Compliance (ICC) insurance coverage or FEMA hazard mitigation grants to help homeowners pay for construction required in tougher building ordinances, such as those in Mexico Beach.  Private insurance companies offering both homeowners, wind, and flood coverage on the same policy would also simplify the process.

Host Lisa Miller, a former deputy insurance commissioner, commended Mexico Beach officials for their leadership in building greater resiliency into the city’s recovery.  “You’re completely revolutionizing the new construction and rebuilding of the area in an attempt to withstand Mother Nature the next time.  That’s very smart and helpful,” Miller said.

Links and Resources Mentioned in this Episode

Definitions of FEMA Flood Zone Designations 

Majority of Michael Flood Victims Uninsured (LMA Newsletter of July 29, 2019)

www.dewberry.com

www.huttinsurance.com

Private Flood Insurance & Resilience (from Lisa Miller & Associates)

Flood Follies (The Florida Insurance Roundup podcast, episode 16, December 16, 2018)

Coastal communities should exercise caution in using FEMA Flood Maps as the primary indicator of coastal risk (by Dr. Rob Young, Director, Program for the Study of Developed Shorelines at Western Carolina University, and guest on the Flood Follies podcast)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 10/29/19. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2019 Lisa Miller & Associates, All Rights Reserved

10 Jan 2020Episode 25 – Florida Legislative Preview 2020 00:27:30

The Florida Legislature begins its 2020 session this Tuesday, January 14 amid growing concern about the state’s property insurance market.  Two carriers have failed in recent months.  Others are seeking rate increases of up to 30% to stem rising reinsurance and litigation costs.  Future financial ratings downgrades on some Florida domestic insurance companies are also likely.

There are other insurance issues facing lawmakers as well, including automobile Assignment of Benefits (AOB) reform, bad faith, ongoing Hurricane Michael recovery, and a proposed change to the state building code.  There are also big ticket issues, such as education, the environment, and transportation, as part of a proposed $91.4 billion budget.

Host Lisa Miller, a former deputy insurance commissioner, talks with Jim Saunders, Executive Editor of the News Service of Florida for a preview on what to expect this session.

Show Notes

Property Insurance Market – Saunders and Miller discussed the significance of rising reinsurance costs on the homeowners insurance market.  One domestic carrier, Edison Insurance of Boca Raton, is seeking a 21.8% statewide average rate increase in its homeowners multi-peril line.  Growing operating losses by some companies prompted state Senator Jeff Brandes (R-Pinellas) to describe Florida’s property insurance market as “rapidly declining” and as the most underreported issue going into the 2020 state legislative session.

“This is something we really need to get up to speed on because it’s not just a business issue, it affects me, you, and everybody else who owns a home if nothing else,” Saunders told Miller.  He noted there are political ramifications of property insurance that are “far different” in South Florida than they are in inland and northern Florida.

Automobile AOB Reform - The ongoing effort to reform growing AOB abuse in automobile windshield repair and replacements got off to a shaky start in the committee weeks leading to the session.

“I tend to think that it’s a very live issue still,” said Saunders, despite the Senate Banking and Insurance Committee voting it down in December 2019.  “It’s not going to be a death-knell” to the reform efforts this session he said, noting the House has been very aggressive with AOB issues in the past. 

Host Miller said it’s an issue needing to be addressed.  She shared a recent automobile AOB case involving a $64 windshield replacement.  The insurance company paid the standard $60 fee, but the $4 difference is now the subject of a lawsuit.  “It’s insane, make no mistake,” Miller said.

Litigation & Bad Faith Reform – Saunders and Miller discussed the potential of Bad Faith law reform passing this session and the Governor’s reference to “factories of lawsuits” which are impeding the state’s economic development and prosperity. 

“I didn’t get the sense Senate President Bill Galvano has much appetite at all for tort issues during a recent interview,” said Saunders, but “I don’t doubt the Governor and Florida House would be amenable to it.”

Miller and Saunders also discussed the changing composition of the Florida Supreme Court in the past year and the expectation it will produce more favorable rulings for business and insurance interests.  “The old court was not friendly to insurance companies, as a diplomatic way to put it,” said Saunders.

Miller brought up another property insurance company with a recent 28% rate increase request that attributed about 60% of that rate hike to growing legal expenses and fees.

“One of the driving forces of those fees is the fee multiplier, approved by the previous state Supreme Court in 2017.  You see a judgment for $10,000 but you’ll see a fee award for $150,000 to $200,000, sometimes $300,000,” Miller said.  She predicted double-digit rate requests will continue and eventually reach the point where the legislature will respond.

Hurricane Michael - The surprising amount of damage from the October 2018 Category 5 hurricane that still exist today in Panama City and especially in outlying rural areas was also discussed on the podcast.  There are bills filed this session seeking additional financial relief to communities to help rebuild damaged infrastructure, including schools.

“I’m not sure how much traction any of the Michael issues will get this year because there’s a lot of demands on the state budget this year.  And if you listen to some of the folks out in the Panhandle, they’re kind of worried that they’ve just been forgotten,” said Saunders, noting it was despite efforts by Panhandle legislators to keep up the pressure for more state aid.

Building Code - There’s also a bill that would mandate the Florida Building Code require that the entire envelope of certain buildings being constructed or rebuilt be impact resistant and constructed with high wind-resistant construction materials, together with meeting testing criteria.

The differing wind standards of the Panhandle versus other areas of the state has been under debate again since Hurricane Michael. (See Episode 21 – Is Florida’s Building Code Protecting All of Us?  and Episode 22 – Why the Panhandle Wasn’t Hurricane Strong for Michael).  Saunders and Miller discussed whether the legislature has the appetite to change the building code this session.

“Although more recent building using current codes survived Michael’s winds, older buildings built under older code often didn’t,” said Saunders, who called the state building code “a complicated animal” to change.

“It’s politically difficult, but it’s also technically very difficult, so whether that’s going to become a priority for legislative leadership to really dig into this year, I’m not sure,” he said.

Host Miller agreed.  “I think they have so many competing interests and they just think the building commission is going to take care of it or the builders are going to take care of it, and so they can just move on to something else,” she said.

Saunders and Miller also discussed the big ticket issues facing the legislature this session.  They include the Governor’s requested $900 million in spending for teacher raises and bonuses, $635 million for Everglades’ restoration and other water resources, increases in transportation and prison spending, criminal justice reform, and strategic tax cuts.

Links and Resources Mentioned in this Episode

News Service of Florida

2020 Bill Watch (Lisa Miller & Associates)

Lisa Miller & Associates Assignment of Benefits (AOB) webpage

Home insurer seeks $30 a month average statewide price hike (Sun-Sentinel, December 30, 2019)

Florida Homeowners Insurance Market Update (Federal Association for Insurance Reform, January 6, 2020)

More Than a Dozen Florida Insurers Facing Ratings Downgrades (Insurance Journal, January 9, 2020)

Viewer Discretion Advised (LMA Newsletter of January 6, 2020)

Three New Justices Seated on Florida Supreme Court (LMA Newsletter of February 4, 2019)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 1/8/2020. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2020 Lisa Miller & Associates, All Rights Reserved

31 Jan 2020Episode 26 - AOB Reform: Did Consumers Win?00:28:37

In the six months since legislative reform, insurance companies report the number of Assignment of Benefit (AOB) claims in Florida are way down as are related lawsuits.  But they’re also seeing new strategies by contractors and their attorneys to work around the reforms.

On the other side, contractors complain that without the “old AOB,” they’re getting shortchanged by insurance companies and homeowners for work they’ve already performed.

Host Lisa Miller, a former deputy insurance commissioner, talks with Tanaz Salehi, an insurance defense attorney, and Mohammad Sherif, a plaintiff attorney, on the reform’s impact, its unintended consequences, and the potential solutions to ongoing claims problems.

Show Notes

An Assignment of Benefits (AOB) contract is a legal agreement between the contractor and homeowner, which allows the contractor to receive payments directly from insurance companies for work they perform at a policyholder’s home, without the homeowner having to pay money upfront.  In past years, unscrupulous vendors and their lawyers have taken advantage of the AOB to take control of a homeowner’s policy, then inflate the scope and cost of claims and sue the insurance company if it refuses to pay the inflated bills.  The Florida Legislature passed AOB reform in 2019 establishing tighter rules to stem the abuse and fraud, while putting more responsibilities on insurance companies, too.

The reform, in part, revised Florida’s one-way attorney fee system, to make fee awards fairer.  “Insurance carriers have been filing motions to strike plaintiff attorney fees under the new law and have been prevailing in different counties across Florida,” said Salehi, managing shareholder with the Salehi Boyer Lavigne Lombana law firm in Miami.  She represents insurance companies.

Both Salehi and Sherif agree that while the reform is working, as evidenced by the reduction in lawsuits, there are now issues with loopholes being exploited and unintended consequences for both sides.

Host Miller noted reports of various workarounds to the reform law.  These include plaintiff attorneys making bulk deals with contractors to recommend the homeowner hire the attorney upfront to represent them at First Notice of Loss, to avoid using an AOB.  Also, there are reports of some restoration contractors splitting out “Emergency Services” they provide over several days, in order to get around the $3, 000 statutory limitation.

“That ($3,000 cap) applies to emergency mitigation services,” said Salehi.  “That leaves a huge void for the roofing contractors that are now charging maybe ten to twenty times what it actually costs to replace the roof and submitting permits to the county for repairs for a fraction of what they’re charging the insurance companies.”

Sherif said there are bad actors on both sides and lots of misinformation and confusion in the industry about what the reform did and the expectations going forward.  “There are front end desk adjusters at insurance companies who may be overzealous in applying the new law to hold vendors accountable,” said Sherif, a partner with Mubarak & Sherif, a Tampa law firm that focuses predominantly on helping homeowners in the Florida Panhandle with Hurricane Michael claims. 

Both Sherif and Salehi agree the reform has had unintended consequences, too, especially for contractors who want to work but want to be guaranteed payment.

“What I’m seeing is a lot of vendors who don’t want to use assignments anymore but who are having difficulty getting paid.  And the expectation has always been that ‘if I can’t go against the insurance company directly, what recourse am I left with as a contractor?’” said Sherif.

Salehi, who also advises contractors, said there are some cases where a contractor will submit an estimate, the insurance company will approve and cut a check to the policyholder, who then doesn’t pay the contractor for the work already performed.    “The carriers were willing to work with him, but it was the insureds who were not turning over the check.  There were other instances where the carriers were not putting his company’s name on the check,” said Salehi, who is also an IICRC-certified water damage technician.

The podcast discusses the AOB alternatives available to help prevent and resolve claims disputes among contractors, policyholders, and insurance companies.  They include the use of a “Direction to Pay” that among other things, allows the insurance company to put the contractor’s name on the claim payment check.  Another form is the “Letter of Protection” that serves as a lien on any monetary proceeds, including but not limited to insurance payouts related to repair work performed.  (See “Links and Resources Mentioned in This Episode” below for examples.)

But even these AOB alternatives are raising questions.  “The more sophisticated vendors are now just removing the assignment language altogether from their contract and just leaving in there the provision that is a direction to pay,” said Sherif.  “But what carriers are seeing is sometimes an additional power of attorney and if they get both of them together, the issue, at least from my perspective, is how is that not an assignment?”

Host Miller, a former Florida deputy insurance commissioner, noted the heightened hassle is discouraging contractors from doing work in areas where they are most desperately needed, such as the Florida Panhandle after Hurricane Michael.   She asked if regulators such as the Florida Department of Financial Services, Office of Insurance Regulation, Department of Business and Professional Regulation, and the Florida Bar are doing enough to police the marketplace.

“The legislative fix is always a possibility, but it’s never a way to deal with the problems in the law as they currently exist,” answered Sherif, a former regulatory and senior litigation attorney for the Florida Office of Insurance Regulation.   “That’s where I think the regulator could have had more involvement and more guidance.”  He and Salehi noted that follow-up enforcement of bad actors and more publicity around such cases would improve accountability.

“We urge all stakeholders here – whether you are an insurance company claims handler, defense or plaintiff attorney, contractor, public adjuster, or regulator – to show personal leadership and openly communicate with one another about issues and offer constructive solutions that are fair to all parties concerned,” concluded host Miller.  “Give me a call and let’s work together on this!”

Links and Resources Mentioned in this Episode

Assignment of Benefits (AOB) (Lisa Miller & Associates)

Key Provisions of 2019 Assignment of Benefits Reform (Lisa Miller & Associates)

www.salehiboyer.com

www.mubaraksherif.com

Excerpted “Direction to Pay” and “Letter of Protection”

Court Rulings Differ: AOB Attorney Fee Fight Continues:



Checklist of Requirements for AOB Agreements2020 Bill Watch (Lisa Miller & Associates)

AOB Under Attack (Johnson Strategies Blog, January 9, 2020)

Can a Contractor Negotiate with an Insurer? (by Mohammad Sherif, Esq. in LMA Newsletter of July 1, 2019)

Citizens, OIR Announcing AOB Reform-Related Changes (LMA Newsletter of June 17, 2019)

How Florida’s New AOB Law May be Exploited (LMA Newsletter of May 20, 2019)

New AOB Law: Putting Consumers on Offense (Florida Insurance Roundup podcast, May 13, 2019

Assignment of Benefits Resources & Consumer Alerts (Florida Office of Insurance Regulation)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 1/8/2020. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2020 Lisa Miller & Associates, All Rights Reserved

04 May 2020Episode 27 – Coronavirus Insurance Challenges 00:25:56

The invisible coronavirus' crushing impact is being felt by businesses small and large – and on the insurance companies that insure those businesses.  But for those organizations with business interruption policies, do they have a valid insurance claim because the government shut them down and/or their business was "interrupted"?  There’s a lot of disagreement and finger-pointing and now Congress and individual states are poised to get involved in what may be a multi-billion dollar solution.

Host Lisa Miller, a former deputy insurance commissioner, talks with insurance attorney and consultant John Burkholder and Kevin Miller, a seasoned independent property and casualty insurance adjuster, for answers and advice.

Show Notes

Insurance claims being filed on Business Interruption (BI) policies generally are focusing on two policy conditions: physical damage and/or civil authority.  A typical BI policy requires direct physical damage to a covered property by a covered cause, except as excluded.  About 90% of BI policies in the U.S. are reportedly on Insurance Service Office policy forms that specifically exclude viruses.   For the remaining policies, it’s also problematic.

“In this case (with the coronavirus), we’re not really having something like a direct cause of loss, like a fire.  It’s really unique, in that the allegations being made across the country are that it’s because we have a virus in the air,” said John Burkholder, a consultant with Municipal Partners, a firm specializing in risk management for local governments. 

Other insurance claims are being filed based on the civil authority clause in many policies, where a government authority has ordered a business to be closed. 

“But in the traditional sense, the civil authority closing someone down has a limiting factor in almost all the policies.  Typically, you get up to three weeks and it’s where you cannot enter the property.  Here in most cases, you can enter the property,” said Burkholder, who is also an insurance attorney.  “The plaintiff’s bar, the claimants, are saying ‘Well we can’t enter because the civil authority says that there’re dangerous conditions in the area and because of the latency of this virus, we can’t get into our property and therefore it triggers business interruption income coverage.”

In the meantime, insurance carriers are noting an increase in BI claims filings and investigating individual claims.  “That is part of the process of adjusting the claim,” said Kevin Miller, a Sarasota, Florida-based claims adjuster with Velocity Claims Administration, an independent adjusting firm.  “It’s about getting recorded statements from the policyholder, gathering documents, collecting information, and sending out reservation of rights letters.  Remember, you have to be concerned about avoiding unfair claims practices or bad faith.”

Federal lawmakers and an increasing number of states are trying to legislate forced coverage, whether it’s in the policy or not.  The Business Interruption Insurance Coverage Act of 2020 in the U.S. House would make coverage available for BI losses “due to viral pandemics, forced closures of businesses, mandatory evacuations, and public safety power shut-offs,” per the draft bill.  And it voids any exclusion currently in place in an insurance policy.  At least eight states have their own bills – Florida is not one of them.

“Business owners are suffering horribly,” said podcast host Lisa Miller, an insurance industry consultant.  “They are having difficulty accessing federal bailout funds in some cases, they’ve lost employees, and others are trying to get unemployment.  Many of these small businesses are looking for relief from the federal government and they were hopeful, as I’ve spoken to many small business owners, that their insurance companies would ‘be there for them’ as they put it.  There are things Congress can do to help ‘be there for them’ and help insurance companies ‘be there for them,’ too.”

Restaurants have been among the most vocal groups.  “They’ll never be able to fully recover because the meal you didn’t have yesterday cannot be replaced by the meal you’re going to have tomorrow,” said Burkholder. 

The podcast also discusses the other approach being contemplated in Congress, the proposed Pandemic Risk Insurance Act (PRIA).  It would “create a reinsurance program similar to TRIA for pandemics, by capping the total insurance losses that insurance companies would face,” according to the draft, thereby helping insurance carriers pay the claims.  But will these programs be enough?

“The short answer is no,” said Kevin Miller, who noted that PRIA, as currently drafted, would apply only to future pandemics, not the current crisis.  “The insurance industry is the best place to put money into people’s hands and from that, they can be reimbursed by the federal government.  This will offset any litigation and prevent the litigation, I feel, from happening, which we all know has already started happening.  We see the commercials and see the carriers being served already.” 

The podcast discusses how insurance companies are trying to get cases fully vetted, while the plaintiff bar representing claimants is seeking declaration actions by courts to expedite litigation.  But these are individual policies usually handled on an individual basis, and governed by individual state insurance laws.

“Those policies that didn’t exclude (viruses) should be paid and they should be paid promptly,” said Burkholder, who is a former Kentucky deputy insurance commissioner and a certified insurance examiner.  But beyond those policies, “it’s a huge, huge exposure and I don’t think it was priced or anticipated or included in what insurance was going to do.  We have to come up with a solution that doesn’t kill the golden goose.  We need insurance now, but we also need to make sure that whatever we do, that we’ll have insurance next year as well,” Burkholder said.

“What we can do on the insurance side in my opinion, and this may be counterintuitive, is hope for more claims, even if they’re being denied,” said adjuster Miller, who has 30 years of experience in claims disputes.  “Because the more claims that carriers are getting on the aggregate, we can take that back to our congressional representatives and say ‘Look, this is how big this is getting.  Your PRIA Act is not going to take care of it, because that’s for future events.’  We need to do something now because the insurance industry will be turned on its heels should these BI claims be required to be paid.”

The guests offered advice to insurance companies and to policyholders, including other federal programs.  For her podcast listeners, host Lisa Miller had this advice.  “We have to confront this new reality that the virus is not going away tomorrow.  It is just so uncertain and uncertainty in the insurance industry or in the business sector is not a good thing.  To our listeners, I hope that each of you can make peace with this unexpected uncertainty and that we can find a way to help our customers, and help policyholders, do what we can as we move through these very uncertain times,” Miller said.

Links and Resources Mentioned in this Episode

The Workplace Recovery Act: A Public-Private Partnership Solution White Paper (Texas Public Policy Foundation)

Business and Employee Continuity and Recovery Act

The Business Interruption Insurance Coverage Act of 2020 (U.S. House of Representatives)

Pandemic Risk Insurance Act (PRIA) (U.S. House of Representatives)

Big Onion v. Society Insurance Company

Cajun Conti, LLC d/b/a Oceana Grill v. Certain Underwriters at Lloyd’s London et al.

New York City Emergency Executive Order No. 100 (City of New York, NY)

Coronavirus & the Florida Market (Lisa Miller & Associates)

Florida Insurance Informational Memorandums (Florida Office of Insurance Regulation, March 2020 ongoing)

FloridaDisaster.BIZ (Resources for the Small Business Emergency Bridge Loan Program and other Florida assistance)

Coronavirus Resources & Insurance Consumer Information (Florida Department of Financial Services)

Estimates for COVID-19 (AIR Worldwide)

NAIC Coronavirus Resource Center (National Association of Insurance Commissioners)

Coronavirus Rumor Control (FEMA)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 5/1/2020. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2020 Lisa Miller & Associates, All Rights Reserved

26 Jul 2020Episode 28 – Our Cities Are Flooding00:24:12

As hurricane season heats up, a growing number of properties located outside of FEMA-designated high-risk flood zones are actually flooding.  The problem is especially bad in the urban areas of America’s cities.  A national survey shows nearly 85% report experiencing urban flooding.  Insurance claims are on the rise, too.

Host Lisa Miller, a former deputy insurance commissioner, talks with Sam Brody of Texas A&M University about his latest research and fellow scientist and resiliency expert Alec Bogdanoff on how we can protect more homes and businesses from flooding.

Show Notes

“Urban flooding is kind of this hidden danger among all flood risks in the United States,” according to Dr. Sam Brody of Texas A&M University and Director of the Center for Texas Beaches and Shores.  It occurs mostly in high growth areas, where development brings rain impervious surfaces, such as roads, driveways, and parking lots, which change the natural drainage pattern of the land.  “It’s bringing flood impacts to unexpected areas, sometimes miles outside of the FEMA-designated 100-year flood plain.”

Brody’s joint study with the University of Maryland is titled, The Growing Threat of Urban Flooding: A National Challenge 2018.  The report revealed neighborhoods that were miles away from known flood risk zones but were surrounded by man-made barriers, such as roads, railroad tracks, and sound walls, referred to as “built environment barriers.”

“These features of the built environment are creating the flood hazard and the associated impact.  They’re either exacerbating or entirely creating the situation of risk.  FEMA’s models, which are all based on stream channels, don’t account for these growing areas of risk and impact,” Brody said.   He noted that 2017’s Hurricane Harvey, one of the largest flood events in U.S. history, exposed a lot of underlying conditions of urban flooding, especially in Houston, Texas, the fourth largest city in the country.

The study looked primarily at rainfall, but urban flooding can occur with tidal events, too, including high-tide or “sunny day” flooding, as seen in some South Florida communities.  Dr. Alec Bogdanoff is Principal Scientist and Co-Founder of Brizaga, a Fort Lauderdale, Florida based firm that assists businesses and communities in becoming more resilient to the effects of sea level rise and long-term environmental changes.  He said some storm water systems, which are meant for collecting and sending rainwater out to sea are instead becoming conduits for saltwater to back up into communities during this period of sea level rise.

“The challenge comes if you end up with a high-tide sunny day flooding example and instead of it being a sunny day, it’s a rainy day.  You now have to wait for the tides to go down before that rainwater is going to go out,” Bogdanoff said.

The study included a survey of more than 400 flood control professionals across all 50 states.  It found that 83% had experienced urban flooding and 46% indicated it has occurred in numerous or most areas.  “To me, the number one surprising result was that 85% of respondents experienced urban flooding outside of the FEMA Special Flood Hazard Area (SFHA), which means this is a problem and it’s growing nationwide,” said Brody.  “There are hotspots like Miami, Palm Beach, and Houston of urban flooding but this is something that needs to be addressed at all scales starting from the national level down to the local.”

“This phenomenon is greatly affecting businesses and homes to the point that I think it should become a part of the conversation when it comes to insurance, to cover the losses that occur,” said host Lisa Miller.  She pointed to the flood protection gap, which is the difference between the insured and the actual value of flood damage.  In Hurricane Harvey, the estimated insured losses were $30 billion but the overall value of damage was nearly three times greater, at an estimated $85 billion.  More than 75% of those flooded properties, some in urban areas, had no flood insurance to pay for their losses.

Part of the problem is adequately communicating risk to property owners.   Miller and her guests discussed the limits of FEMA’s flood insurance rate maps, whose flood zones area binary, showing simply whether a particular property is in or out of a zone. 

“We’ve worked with clients who are in the hundred-year flood zone, so they think they have a one-percent chance every year of being flooded, but the reality is you can be in a much higher-risk zone within that hundred-year flood zone than FEMA dictates from their maps,” Bogdanoff pointed out. 

“We’re trying to have people understand that it’s not if you’re in or out, it’s how far you are from that boundary and there are gradients of risk extending outward from the hundred-year flood plain that people need to be aware of,” Brody said.  

The podcast also discussed solutions.  Brody said his team, with support from FEMA, has developed a new method to predict and map hazards and risk.  Instead of hydrology and hydraulics models, they are using statistics and machine learning techniques to improve flood prediction.  “We may not replace the FEMA floodplain maps but we can augment them and complement them to help resident be more prepared and mitigate impacts,” he said.

Bogdanoff said Broward County, Florida has developed a series of “incremental but fairly significant” changes to improve resiliency.  They include a one-hundred year flood map that guides future development, a Fort Lauderdale seawall ordinance to provide better flood protection, another ordinance requiring flood disclosure, new infrastructure improvements, and efforts to encourage resilient building design.  “Ultimately what you want is insurance to be the last risk transfer.  We want to do as much as we can to protect people so that they don’t have to use insurance,” he said.

Host Miller also noted FEMA’s planned rollout this fall of its Building Resilient Infrastructure and Communities (BRIC) program.   BRIC focuses on pre-disaster mitigation by helping local and state governments fund projects that will reduce risk from natural hazards and disasters, such as flooding.  It replaces the existing Pre-Disaster Mitigation program.  Under BRIC, FEMA will set aside 6% of estimated disaster expenses for each major disaster to fund a mitigation grant program.  With demand expected to exceed the program’s resources, both Brody and Bogdanoff favor focusing on projects of regional importance to maximize the federal funding.

“Water doesn’t care about political boundaries,” said Bogdanoff.  “If you build resiliently in one community, build higher in one community, you could end up hurting another community.”  He pointed to the Central and South Florida Flood Control System with its thousands of miles of canals extending from Lake Okeechobee as an example of a regional solution providing flood control, water supply, and salt water intrusion protection for multiple counties. 

Brody agreed.  “If we don’t think regionally, we’re going to come up with the wrong answer.”  He said Hurricane Harvey was a “wake-up call” for Texas.  The Texas Water Development Board now has a new program that divides the state by water sheds and is creating collaborative plans to deal with unintended consequences of upstream development on downstream communities.  “Over the long-term, there’s going to be less need for federal funding and outside support, because these communities will be more resilient in the first place,” Brody said.    

Host Miller reminded listeners that flooding is the most frequent disaster, the most expensive, and can leave lasting economic devastation to communities and to those who cannot afford to repair or replace their buildings without insurance.  “If you don’t have flood insurance, your possessions and life savings are at risk.  And further, we’re on the hook as taxpayers having to subsidize those neighbors without flood coverage.  As our guests on today’s program have said, the water doesn’t understand a line on a map.  Just because it says you’re not in a high-risk area doesn’t mean that you’re not high-risk,” said Miller.  

Links and Resources Mentioned in this Episode

The Center for Texas Beaches and Shores and Interactive Webtools

The Institute for a Disaster Resilient Texas (Texas A&M University)

Brizaga

The Growing Threat of Urban Flooding: A National Challenge 2018  (University of Maryland and Texas A&M University)

Lower-Risk Properties Flooding More (LMA Newsletter of June 8, 2020) 

Flood Season Is Coming. Homeowners in These Cities Need More Insurance (ValuePenguin, May 18, 2020)

Building Resilient Infrastructure and Communities (BRIC) program (FEMA)

Lisa Miller & Associates Flood Insurance & Resiliency webpage (resources for private flood insurance)

www.floodsmart.gov (The National Flood Insurance Program)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 7/23/2020. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2020 Lisa Miller & Associates, All Rights Reserved

21 Dec 2020Episode 29 – 2021’s Insurance Consumer 00:22:16

Whether you’re an insurance consumer or professional, 2020 is providing lessons and insight into the changing Florida insurance market for 2021.  How can you get the best priced coverage for your needs?  And for insurance professionals, how can you better serve your customers now and in the long-run?

Host Lisa Miller, a former Florida Deputy Insurance Commissioner, talks with Amy O’Connor of the Insurance Journal and Carol Williams, a strategy and risk consultant for insurance companies, on the qualities insurance consumers – and the professionals who serve them – need to have in 2021 to get the most out of their insurance. 

Show Notes

With the COVID-19 pandemic, the biggest hurricane season on record in number of landfalls, a record-setting number of catastrophic events, growing insurance fraud, and double-digit homeowners insurance rate increases in Florida to name but a few, it’s little wonder folks are feeling overwhelmed at times - and powerless.

It’s been a challenging year for insurance consumers.  Having an agent advocate is going to be more important than ever in 2021, according to Amy O’Connor, Southeast Editor of The Insurance Journal and Associate Editor of MyNewMarkets.com.  “I’m hearing a lot of stories of people not getting coverage renewed, huge rate increases, coverage being scaled down,“ said O’Connor.  Consumers may not understand what they’re losing.  She advises to look at the policy and make sure you understand it or find someone who can help you.  “The age of your home, the condition of your roof, all these things are going to be important to consider as you move forward into renewing existing policy or going with another company,” said O’Connor, who has covered the Florida insurance beat for the past six years.

Insurance companies are also being more proactive to help inform and educate consumers.  They’re using different channels, including text messages and live chats, to focus on clear and helpful communication to policyholders, according to Carol Williams, Founder and CEO of Strategic Decision Solutions, based in Tallahassee, Florida.  Companies are also developing advanced strategies to combat insurance fraud by third-party contractors and an increase in lawsuits, both key drivers – together with lagging hurricane claims and reinsurance costs – of rapidly rising Florida property insurance rates.

Williams said a growing number of insurance companies are starting their own repair programs, with a network of contractors ready to respond quickly to a policyholder’s claim.  “Something that a lot of consumers overlook in thinking that the insurance companies are only out for themselves, is that the insurance company has skin in the game for making sure that your home is repaired correctly because they are still on the risk.  They will still be providing coverage to you after the claim.  They want to make sure it’s being done right,” said Williams, an 18 year veteran of the insurance industry and a strategy and risk consultant for insurance companies. 

O’Connor said insurance is not something that consumers understand very well and they really don’t want to learn a lot about it if they don’t have to, yet it’s something they have to have.  “But the moment has come where everybody needs to start paying attention,” she said. Host Miller noted that “homeowners are insuring their largest asset yet agents are frustrated at times trying to get their customer’s attention.  Consumers need to take the time.”

Part of the problem, Williams pointed out, is that property insurance is often dismissed as a once a year purchase paid out of the home mortgage escrow.  But it’s “vital” that consumers take time to review their policies.  “Just like people are always focused on having health insurance, property insurance is for the health of your home.  People pour over their health insurance policy.  You need to do the same thing for your property insurance policy,” advised Williams. 

The podcast also discussed what insurance regulators can do, including setting the tone for the market and providing education about the actual insurance policy itself.  Available consumer education resources include the National Association for Insurance Commissioners, which has overviews of different policy coverages. 

Host Miller and guests also discussed COVID-19 and the impact the coronavirus pandemic has had on insurance.  O’Connor said new procedures utilizing work-from-home technology for agents and remote claims handling practices in potential hurricanes will have a long-term benefit: greater adaptability and responsiveness to consumer needs, in an industry that can be slow to adapt to change.  “Consumers are changing the way they do their business, especially with insurance, and they are demanding more from the industry,” she said.

COVID-19 has also accelerated the use of Insuretech, where consumers do everything on their phone or computer, from shopping for policies to signing-up for coverage.  “That is definitely the path that insurance is going,” said Williams.  “There are insurance companies in Florida that are specializing in that because they recognize that is a growing demand.  Consumer expectations are changing, so they know they need to adjust with it.”  There’s a long-term benefit here, too.  Williams said the savings from avoiding some of the traditional manual labor of underwriting and claims are being passed along to consumers through lower premiums.

“I see the 2021 consumer being more price-sensitive,” added host Miller.  “Prices of everything are going up in this time of COVID, including our insurance rates in Florida, and that’s going to force the issue of people being more sensitive to know what they are buying and ask more questions.”  Among them: make sure you know what coverage you’re getting for the price and the quality of the company that is backing the policy.  “Look at the financial ratings of the company, consumer complaints, do your research, and don’t make your decision based just on price,” warns Williams.

The podcast also touched on the upcoming 2021 session of the Florida Legislature.  Florida is experiencing accelerated homeowners insurance rates, due more to increased litigation and questionable claims, than catastrophes.  Regulators have approved about 100 rate increases in 2020, with a few close to 30%.  Several companies have also reduced the number of policies they write each month with some deciding to stop writing new business completely while they wait for the rates to catch up to the costs. 

The upcoming legislative session is going to be “hugely important” to the insurance market.  There will be bills to try to bring necessary reforms that are seen as consumer friendly.  O’Connor said Florida insurance consumers who are concerned about the rate increases, have more power than they may realize as constituents.  “People need to look at and decide ‘is this something that I want to support and that I need to reach out to my lawmakers, my insurance agents, and find out is this going to benefit me and help our rates in the long-term or is it just going to keep going down this path?’ and it’s a pretty scary path in terms of cost.”

Links and Resources Mentioned in this Episode

Florida Property Insurance Market Inches Closer to Crisis – Part 1 and Part 2 (Insurance Journal, October 29-30, 2020)

Strategic Decision Solutions

Insurance Journal

MyNewMarkets.com 

National Association of Insurance Commissioners Consumer Resources

Bill Watch (Lisa Miller & Associates)

Assignment of Benefits & Insurance Litigation (Lisa Miller & Associates)

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com ** 

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 12/14/2020. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2020 Lisa Miller & Associates, All Rights Reserved

26 Mar 2021Episode 30 – Florida’s Property Insurance Dilemma00:31:50

Florida’s residential and commercial property insurance market is in a precarious state of flux, for both insurance companies and consumers.  Old hurricane claims, litigation abuse, and fraudulent repair tactics have led to big underwriting losses and rising reinsurance rates.  Those are being passed along to Florida residents in double-digit rate increases – some as high as 50%.

Host Lisa Miller, a former Florida Deputy Insurance Commissioner, talks with two veteran insurance agents on the frontline, who reveal the hidden consequences that higher insurance premiums are having on their customers and the impact now on Florida’s real estate market.

 

Show Notes

Florida’s domestic insurance companies are in a sea of red ink, with $1.6 billion in net underwriting losses.  Consumers have been left holding the bag for now.  Some are scrambling to find coverage.  They’re increasingly turning to their insurance agents for help.

“Sometimes we have to have uncomfortable conversations with clients and some clients decide they don’t want to keep insuring the property, they just want the liability (coverage),” said Ana Regina Myrrha, CEO of the American Insurance Point agency in Orlando.  “I see people taking a greater risk because they cannot afford to pay for the insurance.”  Myrrha, a 23-year insurance agent, said she has had to hire extra staff to review policies and quote and re-quote clients who’ve lost or can’t find affordable coverage.

The availability and affordability issue is even more advanced in South Florida, with many clients seeing rate increases of 20% to 40%, according to Dulce Suarez-Resnick, Vice President of Personal Lines for Acentria Insurance Associates in Miami.  “In the last two years, more and more of our markets have shut down,” said Suarez-Resnick.  “I represent 16 homeowners carriers and I have four open in Miami-Dade County and six open in Broward County.”  But many she said have policy restrictions, including roof age requirements of under 10 years old.   Those clients have little choice than to be placed with Citizens Property Insurance Corporation, the state-backed insurer of last resort, whose policy count has exploded in the current dilemma.    

Both agents report the situation has begun impacting home affordability and the Florida real estate market.  “Eventually what’s going to happen with people is that they are not going to be able to afford that mortgage payment because their insurance is escrowed with their taxes.  And it’s just becoming a dilemma,” said Suarez-Resnick, a 36-year agent in Miami who serves on the Citizens Property Insurance Corporation’s Agent Roundtable.  She said her own mortgage payment has gone up year after year, fueled by a $1,400 annual premium increase last year and another $800 increase this year.

Some insurance consumers are increasing their deductibles to help reduce the premium increases.   The usual 2% hurricane deductible is now offered at 5%.  Myrrha worries that some who had regular $1,000 all other perils deductibles are pushing their deductibles to $2,500, $5,000, and even $10,000.  “The clients that choose those deductibles, can they afford to pay them in case of a catastrophe?  Probably not.”     

Host Miller and guests also talked about some of the insurance market and litigation reform bills being considered by the Florida Legislature, designed to ease the dilemma and help re-right the market.

“It doesn’t matter what kind of reform you pass, as long as you ignore the one-way attorney fees and the fee multiplier then you have really done nothing.  You’ve basically closed the door and opened the window,” said Suarez-Resnick, who has travelled to the state Capitol for years to urge reform, from litigation abuse in the 2004-2005 storms’ claims, then sinkholes, followed by Assignment of Benefits (AOB), and now litigation on old hurricane claims.  She notes the constant stream of attorney commercials on local television.  “So the attorneys are educating the consumer to have a different mindset.  ‘Don’t call your insurance agent, your trusted advisor if you have a claim, call us.  We can inspect,’ they say.  Since when is an attorney a public adjuster?” she asked.   She urges the Florida Legislature to pass Senate Bill SB-76, the principal property reform bill this session. 

Another issue is door to door solicitation by roofing firms offering new roofs that they convince the homeowner their insurance company will have to pay for.  “To make matters worse, it’s not only the client.  Now I have realtors encouraging clients to file claims to replace the roof in order to get the house sold,” said Myrrha.  She said these jobs often involve an AOB and incomplete or shoddy work.   She said she educates her clients that “Maybe they’re giving you a free roof now, but for the rest of your life, you’re going to be paying for that roof.”

The result, the agents agreed, is that property insurance capacity is running out, the market has dwindled, and the lack of competition has driven rates even higher, pushing people to taxpayer-backed Citizens Property Insurance.  Even those homes with replacement values of more than $1 million are having a hard time finding windstorm insurance in coastal areas they said.  “I would tell the Florida Legislature that enough is enough.  The insurance industry has been bleeding for a while.  It’s impossible that they cannot look to the little guy that is using their savings as a down payment on a house and now cannot afford the escrow payment,” said Myrrha.

“It’s clear after listening to our guests today that Florida’s property insurance market dilemma is going to deepen and worsen without needed legislative reforms.  I see the insurance companies’ future, their profitability, is going to require them to shed business by cancelling or non-renewing more policies, said host Miller.   “This dilemma is falling squarely on consumers’ pocketbooks.”

Links and Resources Mentioned in this Episode

American Insurance Point Agency

Acentria Insurance Associates

Florida Legislature Bill Watch (Lisa Miller & Associates)

Florida Domestic Property Insurers Summary of 2020 Year-End Financial Results

S&P Global Market Intelligence

Demotech Financial Stability Ratings for the Florida Domestic Market (March 12, 2021)

Citizens Pushing Higher Rates (LMA Newsletter of March 22, 2021)

Florida Property Insurance Cos. Financials (LMA Newsletter of March 15, 2021)

Several Factors Hinder Homeowner and Auto Glass Insurance Fraud Processing (Florida Office of Program Policy Analysis and Government Accountability, March 2021)

Florida’s P&C Market: Spiraling Toward Collapse (Guy Fraker, Cre8tfutures Advisory, January 2020)

Florida’s Property Insurance Market Is ‘Spiraling Towards Collapse’ Due to Litigation: Report (Insurance Journal, January 20, 2021)

Consumer Impact and Trends in Property and Automobile Insurance (Florida Insurance Consumer Advocate presentation to the Florida House Insurance & Banking Subcommittee, February 3, 2021, pages 37-45)

2021 Legislative Proposals (Florida Insurance Consumer Advocate, February 2020)

Citizens Exposure Reduction and Depopulation Opportunities Analysis (Florida State University’s Florida Catastrophic Storm Risk Management Center, November 2020)

How a $41,000 Plumbing Leak Turned Into a $1.2 Million Attorney Fee (Lisa’s Blog, March 12, 2020)

Assignment of Benefits & Insurance Litigation Webpage (Lisa Miller & Associates)

Floridians for Lawsuit Reform

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 3/23/2021. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2021 Lisa Miller & Associates, All Rights Reserved

24 May 2021Episode 31 – Property Insurance Reform 00:29:41

The Florida Legislature has passed a property insurance reform bill designed to stem double-digit rate increases, costly claims practices, and excessive litigation.  While the bill awaits the Governor’s expected signature into law, there are questions about just how effective it will really be.

Host Lisa Miller, a former Florida Deputy Insurance Commissioner, talks with a leading state Senator and a veteran insurance defense attorney and legal strategist on what the measure does and doesn’t do – and its expected impact on Florida consumers.

Show Notes

Over the past 18 months, Florida’s residential and commercial property insurance market has seen a growing number of policy cancellations and non-renewals, greater coverage restrictions, and regulatory approval of necessary double-digit rate increases, some as high as 50%.

Senate bill SB 76 changes the calculation of attorney fees and restricts solicitation of roof damage claims, requires claims be filed within two years and requires that insurance companies receive a ten-day presuit notice in first-party litigation.  It also directs state regulators to collect insurance claims and litigation data annually.  (For a complete summary of the bill, click Lisa’s 2021 Bill Watch.)

State Senator Jeff Brandes (R-Pinellas County) voted in favor of the bill, which was watered-down in the last week of session, but warned colleagues on the Senate floor that it was just a 40% solution for what is needed to restore a competitive property insurance market and lower costs.  “We have a rash of roof claims across Florida.  The two things that we really needed to deal with were attorney fees and roof issues… most of that is missing (from the bill),” he shared on the podcast.

The bill changes the decades-old one-way attorney fee statute formula.  If the claimant recovers at least 50% of the disputed amount, full attorney fees would be awarded; less than 20%, then there would be no attorney fees.  Judgments between 20% and 50% would merit the same proportional attorney fee to the percentage of the disputed amount obtained. 

“The attorney fee provision is a step in the right direction,” said John Henley, Vice President and Head of Claims Shared Services at UPC Insurance, one of the largest writers of homeowners insurance in Florida.  “It’s so much better than the current paradigm, where if a claimant gets a judgement of a penny more than the insurance company offered, they get all their attorney fees paid, and even more.”  And the bill’s required ten-day notice before being sued, “is better than nothing, which is what we have now, where we settle the claim and think everything is fine and then they sue us and don’t tell us what they’re demanding,” Henley added.

Senator Brandes, a champion for insurance reform in the Florida Legislature, said he hopes the provisions will bring all parties to the table and to act reasonably.  “Prior to this law, people had no incentive to be reasonable.  In fact, they had an incentive not to be reasonable.”

Midway through the legislative session, Florida Insurance Commissioner David Altmaier released a letter citing National Association of Insurance Commissioners data that showed in 2019, Florida had 8% of all homeowners' claims in the U.S., yet 76% of all homeowners' claims lawsuits.  The letter “completely changed the dynamics and the tone of our colleagues in the House, because it’s indefensible,” said Brandes.  “It’s also unsustainable.  That’s largely what’s driving both the cost of insurance but also the investors out of the market.”

Henley, a longtime claims attorney, said the one-way attorney fee law is the reason behind the startling statistic.   He said another provision in the bill requiring insurance companies annually report to regulators their litigation figures, loss cost, and adjusting cost, will lead to greater transparency of the problem.  “When the state starts to get that information and they (regulators) truly see behind the veil of how much money this industry, this litigation economy in Florida is taking from carriers and ultimately insureds, that will be the kick-start to get the other 60% that we want done, done,” Henley said.

“People are essentially paying a hidden tax on property insurance that they’re paying through their insurer to the trial bar and that’s what’s causing all of these problems,” Brandes added.

Both guests pointed out that while the bill’s changes in law take effect July 1, the effects will take 12-24 months to make their way through carriers’ books of business.  That leaves insurance companies to continue to face these challenges and consumers facing skyrocketing premiums, along with other market factors such as record-high lumber prices and the next two hurricane seasons.  “In the meantime, Citizens Property Insurance (the state’s insurer of last resort) will likely grow to more than one million policies in the next two years,” said Brandes, putting taxpayers at risk of having to cover any potential reserve shortages that could occur in a future super storm or series of storms.  

Henley also predicts “a deluge of litigation” between now and when the law takes effect July 1 that he says the industry is already starting to see.  He likewise sees limited impacts of the new law itself.  “You’re dealing with a very creative plaintiff bar here in Florida.  So we need to see this bill play itself out in a court system that has been historically lenient toward plaintiffs.  I suspect we’ll see a flattening of litigation only.”

Even with SB-76, other challenges to Florida’s property insurance market remain.  The aging roof problem, where solicitors go door to door encouraging claims for roofs that instead have normal wear and tear, was unaddressed in the final bill.  “We’re already starting to see insurance companies pull away from writing coastal policies simply because they can’t get the reinsurance or raise additional capital,” said Brandes. 

Host Miller noted that there are three main factors causing rising rates: excessive litigation, contractor fraud, and claims creep from past hurricanes, along with resulting reinsurance price increases.  “Consumers are really rising up and they are upset,” Miller said.  She and her guests talked about the need for the insurance industry to do a better job communicating to policyholders about the negative effects of door-to-door repair solicitations and lawsuits. 

“I live in South St. Petersburg and I love it,” said Henley.  “But I pay three times more for a house that is three times smaller than one of my best friends who lives in Atlanta, Georgia.  Why is that?  It’s because of the claims litigation activity that is driven by these bad actors.”   He said the reporting requirement on carriers in the bill will prove “it’s not a made-up crisis.”

“This isn’t a made-up issue, as some claim,” agreed Brandes.  “There’s a real problem in Florida.  The insurance market is the Achilles heel of the state….and unless we get our hands around this problem, we’re going to have real challenges going forward.  This effects everyone, whether you are renting, owning, or in a condo...We have begun to address the problem, but there’s a lot more work to be done.”  

“It’s clear from our conversation here and from others we’ve had recently, that the legislative reform passed may have modest impacts on two of the foundations of insurance that are increasingly out of balance in Florida, availability and affordability,” concluded Miller.

Links and Resources Mentioned in this Episode

Florida Senate bill SB 76

Florida Legislature 2021 Bill Watch summary (Lisa Miller & Associates)

Florida one-way attorney fee statute

Florida Insurance Commissioner David Altmaier’s litigation statistics letter

National Association of Insurance Commissioners: The Cold, Hard Truth about Florida Litigation (LMA Newsletter of April 12, 2021)

Senator Jeff Brandes Senate floor debate video (beginning at timecode 1:35:25, The Florida Channel)

Senator Jim Boyd (sponsor of SB 76) Senate floor debate video (beginning at timecode 3:07:10, The Florida Channel)

Insurance Costs Threaten Florida Real-Estate Boom (The Wall Street Journal, April 25, 2021)

Reforming Florida’s broken insurance market (Inside P&C, April 12, 2021)

Florida Domestic Property Insurers Summary of 2020 Year-End Financial Results

Florida’s Property Insurance Dilemma (The Florida Insurance Roundup podcast, March 26, 2021)

UPC Insurance

Senator Jeff Brandes Legislative Webpage

Demotech Financial Stability Ratings for the Florida Domestic Market (March 12, 2021)

Regulators Reject Citizens Rate Cap Request (LMA Newsletter of April 26, 2021)

Several Factors Hinder Homeowner and Auto Glass Insurance Fraud Processing (Florida Office of Program Policy Analysis and Government Accountability, March 2021)

Florida’s P&C Market: Spiraling Toward Collapse (Guy Fraker, Cre8tfutures Advisory, January 2020)

Florida’s Property Insurance Market Is ‘Spiraling Towards Collapse’ Due to Litigation: Report (Insurance Journal, January 20, 2021)

Consumer Impact and Trends in Property and Automobile Insurance (Florida Insurance Consumer Advocate presentation to the Florida House Insurance & Banking Subcommittee, February 3, 2021, pages 37-45)

Citizens Exposure Reduction and Depopulation Opportunities Analysis (Florida State University’s Florida Catastrophic Storm Risk Management Center, November 2020)

How a $41,000 Plumbing Leak Turned Into a $1.2 Million Attorney Fee (Lisa’s Blog, March 12, 2020)

Assignment of Benefits & Insurance Litigation Webpage (Lisa Miller & Associates)

Floridians for Lawsuit Reform

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 5/14/2021. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2021 Lisa Miller & Associates, All Rights Reserved

23 Jun 2021Episode 32 – Defense Attorneys’ Take on SB 7601:00:41

Florida’s new property insurance reform law takes effect on July 1.  While its intent is good, Florida policyholders are in desperate need for the law to have a significant impact on double-digit rate increases and questionable door-to-door solicitation practices.  Will it deliver?

Former Florida Deputy Insurance Commissioner Lisa Miller walks us through the details of Senate Bill 76 with two insurance defense lawyers who provide experienced analysis and perspective on each section of the new law, its likely impact, and the areas where legal conflicts may arise in its interpretation.  This is a must-listen to podcast for anyone in Florida’s property insurance industry.

Show Notes

Lisa is joined by Tom Diana and Michael Monteverde of the award-winning Zinober Diana & Monteverde law firm with offices in Ft. Lauderdale, St. Petersburg, and Tampa.  Tom is a Co-Founder and Principal Partner of the firm.  He is a civil engineer turned lawyer whose main practice areas focus on insurance claims involving engineering and architectural experts, all matters related to construction, and coverage issues related to professional and general liability policies.  Michael is a Partner at the firm who focuses his practice on the litigation of complex construction defect matters, first- party and third-party insurance disputes, as well as insurance coverage matters, including high exposure bad faith claims.

This extended hour-long podcast walks through the new law from the 44-page Senate Bill 76 (SB 76), section by section, as follows:

489.147 Prohibited property insurance practices, which cover advertisements and solicitations by contractors and public adjusters and establishes contractors or unlicensed persons acting on their behalf may not solicit or incentivize a residential property owner to file a roof damage insurance claim.

624.424 Annual statement and other information, requiring insurance companies file an annual report with specific data regarding litigation of personal and commercial residential property insurance claims

626.7451 Managing general agents; required contract provisions and 626.7452 Managing general agents; examination authority, which clarifies that the Office of Insurance Regulation has the authority to examine MGAs, including insurers’ affiliates.

626.854 “Public adjuster” defined; prohibitions, establishes that a public adjuster, a public adjuster apprentice, or unlicensed persons acting on their behalf may not incentivize a residential property owner to file a roof damage insurance claim and has an “up to $10,000 fine” for violations.

626.9373 Attorney’s fees, regarding lawsuits not brought by an assignee, directing awards of reasonable attorney fees only as provided under two specific statutes.

627.428 Attorney fees, regarding lawsuits not brought by an assignee in judgment against an insurance company.

627.70132 Notice of property insurance claim, changes the notice of claim deadlines by requiring that any claim must be provided to a property insurer within two years of the date of loss and the policyholder then has another year to file a supplemental claim if needed.   

627.7015 Alternative procedure for resolution of disputed property insurance claims, creates new statutory requirements for residential or commercial property lawsuits that are not brought by an assignee, including a ten-day presuit notice and demand, before bringing suit against an insurance company.  The company has 10 days to respond in writing to such notices.  This section also broadens the current one-way attorney fee statute formula.  If the claimant recovers at least 50% of the disputed amount, full attorney fees would be awarded; less than 20%, then there would be no attorney fees.  Judgments between 20% and 50% would merit the same proportional attorney fee to the percentage of the disputed amount obtained.

627.70153 Consolidation of residential property insurance actions, requiring each party that is aware of multiple lawsuits pertaining to the same property address to notify the court, which may then order the actions be consolidated. 

628.801 Insurance holding companies; registration regulation, allowing further regulation of insurance holding companies to ascertain the financial condition of the insurer.

The podcast mentioned, but did not cover sections 627.351 Insurance risk apportionment plans and 627.3518 Citizens Property Insurance Corporation policyholder eligibility clearinghouse program regarding Citizens, the state-backed insurer of last resort.

This podcast was recorded on June 15, 2021, about two weeks before the new law’s July 1 effective date.  This program was produced as both a podcast and a video webinar.  While specific lines in the bill – now law – are mentioned, it’s not necessary for the listener to have the bill in front of them as they listen, as Lisa and her guests read aloud the pertinent language.    You may watch the video webinar here.

Also of note is Senate Bill 1598 (SB 1598), which was also signed into law, effective June 16, 2021.   The bill, in lines 171-177, clarify that a license is required to act as an insurance adjuster in the state of Florida.  Violations are a third-degree felony, punishable by fines up to $10,000 per occurrence.

Links and Resources Mentioned in this Episode

Florida Senate bill SB 76

Zinober Diana & Monteverde law firm

Department of Financial Services Insurance Fraud Portal (to report unlicensed activity & other violations of SB 76 and SB 1598)

Florida Legislature 2021 Bill Watch summary (Lisa Miller & Associates)

Florida one-way attorney fee statute

Property Insurance Reform (The Florida Insurance Roundup podcast, May 23, 2021)

Florida’s Property Insurance Dilemma (The Florida Insurance Roundup podcast, March 26, 2021)

Assignment of Benefits & Insurance Litigation Webpage (Lisa Miller & Associates)

Tom Diana’s email is tom@zinoberdiana.com

Michael Monteverde’s email is michael@zinoberdiana.com

Video Webinar of this program

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 6/15/2021. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2021 Lisa Miller & Associates, All Rights Reserved

30 Aug 2021Episode 33: Episode 33 – Condo Underwriting & Presuit Settlements00:31:11

In the wake of the Champlain Towers South condominium building collapse, insurance companies are looking to tighten their underwriting requirements on Florida condo association policies.  Policy renewal premiums are expected to increase up to 25% for those that can’t show a good building maintenance record.  While the commercial residential market tightens, Florida’s homeowners insurance market is going through an upheaval of its own.  One insurance litigation reform measure passed into law is now coming into play in court: presuit settlements.

Former Florida Deputy Insurance Commissioner Lisa Miller talks with two professionals on the underwriting and legal side for their insight on market changes afoot and advice for insurance companies trying to navigate the changes.


Show Notes


This Florida Insurance Roundup podcast covered two topics that have one thing in common: how to clamp down on rising premiums, rising costs, and excessive litigation expense.  


Condominium Association Underwriting:


Florida’s commercial residential insurance companies are actively looking at how to avoid insuring another condominium building collapse or similar major catastrophe.  The Champlain Towers South collapse in June killed 98 residents in Surfside, Florida.  At least five other high-rise buildings in Miami-Dade County have since been partially or fully evacuated for being deemed unsafe.  


Brian Squire, Managing Executive Senior Vice President at Hays Companies, a national insurance consulting agency, said there’s a systemic issue at play with how condo buildings are maintained and how their associations are governed.  “You have a board of directors that make decisions on behalf of the association, but then the condominium association’s governing documents allow its members to veto the board's decision.  These decisions made regarding the maintenance of these associations, on a lot of cases, are based on cost first, then life safety.  This mindset needs to change,” he said, noting there have been multiple associations who’ve had decisions levied against them recently.


In the wake of the disaster, Surfside officials are moving up building recertifications for occupancy from every 40 years to every 30 years and requiring sign-off by both a structural engineer and a geotechnical engineer checking the foundation and subsurface soils.  But Squire insists the age of the building shouldn’t be the sole factor.  “I've seen newly constructed buildings have issues similar to a Champlain Towers.  So we really need to wipe away the mindset that this is only needs to be applied to a 40 year building,” said Squire, who has been in the insurance business for 21 years and is based in the condominium-popular Destin, Florida.


In his recent conversations with many insurance companies, Squire said there’s many potential new underwriting requirements now under consideration.  They include: 

  • More detailed on-site inspections of buildings annually;
  • Requiring board of directors of buildings to sign affidavits, confirming there are no outstanding maintenance issues;
  • Review of past board minutes; and 
  • Review of condo association financial statements

Among the solutions he suggested, is requiring engineering studies of all existing condominium buildings, pre-qualification of underwriting through insurance carriers, and possibly legislative changes.   Squire said associations should be proactive prior to policy renewal, too.  “What's going to make it look better is replacing or maintaining a roof and making sure that you have impact windows.  Those are really the two items that can easily be addressed,” he advised.


Host Lisa Miller noted that the Building Officials Association of Florida recently held a summit to address structural safety issues and potential changes with other groups.  They included the International Code Council, the National Institute of Building Sciences, the Building Owners and Managers Association, and the Florida Bar’s Condominium Law and Life Advisory Task Force.  Proposed legislation is being drafted as well for the Florida Legislature to consider in its January 2022 session.


Presuit Settlements:


The new presuit settlement law is part of SB 76, Florida’s broader new property insurance reform law that took effect in June.  It requires that insurance companies receive a ten-day notice and demand before a lawsuit is filed by first-parties, such as homeowners or commercial building owners.  And it establishes how carriers need to respond.  Michael Monteverde, an insurance defense attorney with the Zinober Diana & Monteverde law firm, said the purpose was to allow insurance companies to resolve conflicts and reduce Florida’s “out-of-control litigation.”  But he said some of the intended benefits haven’t played out yet, including whether plaintiff attorney fees, a driver in expensive litigation, will ultimately be reduced.


With the elimination of Florida’s one-way attorney fee statute that encouraged inflated claims, the new law “creates more of a chess game, to try to get everybody to a place where there is a reasonable number,” said Monteverde, who manages the firm’s Fort Lauderdale office.  “Because of the way that the fee provision kind of shifts under the new statute and SB 76, what the insurance carriers can do is they can set up the offers in response to the demands in a way that really kind of dares the plaintiff attorneys to reject the offer, because now we are setting up a situation where the fees are either limited or completely done away with and each party to bear its own fees and costs depending on what you are ultimately able to recover in the lawsuit.”


He said the new law also takes away from the incentive for a plaintiff attorney to overly demand.  “So if you have a $70,000 case, there's no reason to come in and demand $600,000 to try to move the needle, because you may just be shooting yourself in the foot based on the way that the insurance carrier ultimately responds to that presuit demand,” said Monteverde, who appeared in a June podcast on how SB 76 works.


Monteverde added that it seems most of the policyholder attorneys are trying to comply with the presuit notice requirement “and some of the results have been somewhat encouraging,” but there’s confusion whether the law applies to actions filed after the effective date of the law (June 11, 2021) or the policy date.


Monteverde also weighed-in on the condominium association underwriting issue, noting past catastrophes, such as hurricanes, have revealed that some associations are not keeping statutorily-required reserves for basic functions.  “If I were advising a carrier, I would say look at your underwriting processes, make sure that people are properly reserving, and make sure that the maintenance funds are going where they're supposed to be because they're turning the insurance policies in some instances into maintenance contracts.  And that's not what they are,” he said.


“’Maintenance first’ sounds like the theme of this podcast for those that are in the commercial residential space,” concluded host Miller.  “Having impact windows, making sure your roof is intact, and of course, consulting with your insurance professional.” 


Links and Resources Mentioned in this Episode


Building Officials Association of Florida


Surfside’s Ripple Effect
(LMA Newsletter of July 12, 2021)


Legislature to Review Condo Inspection Rules
(LMA Newsletter of July 26, 2021)


Insurance Impacts of the Surfside Collapse
(LMA Newsletter of July 26, 2021)


Who Will Insure Florida’s High-Rise Condos?
(LMA Newsletter of August 9, 2021)


Hays Companies


Florida Senate bill SB 76 (the presuit settlement section is in lines 1138-1173)


DFS Property Insurance Intent to Initiate Litigation portal
 


Zinober Diana & Monteverde
law firm 


Florida Legislature 2021 Bill Watch
summary (Lisa Miller & Associates)


Florida one-way attorney fee statute


Property Insurance Reform
(The Florida Insurance Roundup podcast, May 23, 2021)


Assignment of Benefits & Insurance Litigation Webpage
(Lisa Miller & Associates)


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 8/25/2021. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2021 Lisa Miller & Associates, All Rights Reserved

27 Oct 2021Episode 34: Episode 34 – Legal Challenges to SB 7600:35:14

Florida Insurance Commissioner David Altmaier told a legislative committee in late September that the state’s property insurance market is in “critical condition” with a growing number of insurance companies losing money and consumers facing continued double-digit rate increases.  A new set of reforms designed to help is already being challenged in federal court by roofers and restoration companies.


Former Florida Deputy Insurance Commissioner Lisa Miller sat down with Jose Pagan, a former fraud regulator who is now one of Florida’s leading insurance defense lawyers, to discuss the legal challenges to the new reform law, the ongoing litigation abuse and unlawful activity in the marketplace, and how consumers are ultimately losing.


Show Notes


Jose Pagan, Partner with the Walton, Lantaff, Schroeder & Carson Law Firm, said the issues in Florida’s property insurance market today have their roots in the aftermath of 1992’s Hurricane Andrew in Miami, where he and host Miller worked together as insurance regulators.  The mediation program for property insurance claims created after Andrew was such a success that the legislature made it standard protocol for handling all future claims.  “While those programs still exist to try to resolve cases pre-litigation, a cottage industry has developed of a very small segment of the legal community as well as some contractors and some public adjusters who are really abusing the system,” said Pagan, an insurance defense lawyer with more than 25 years’ experience in the insurance industry, including as an insurance agent and fraud investigator.


He cited Insurance Commissioner David Altmaier’s report to the Florida Legislature earlier this year that Florida has 8% of all homeowners’ claims in the U.S., yet 76% of all homeowners’ claims lawsuits.  “And moreover, if you look at some of the information that was provided…. it's really only a handful of law firms that was generating a majority of all of those lawsuits,” he added.  “Those are the cost drivers that ultimately are generating the premium increases for all Floridians in this marketplace.”


To stem the abuse and stabilize the marketplace, the Florida Legislature last spring passed Senate Bill 76 (SB 76, now Florida Statute section 489.147) its most recent property insurance reform law.  Yet just two weeks after Governor Ron DeSantis signed the bill into law in June, the first of two lawsuits was filed in federal court in Tallahassee by a roofing and restoration company, complaining that the section of the law dealing with prohibited advertisements and soliciting infringes on its constitutional right of free speech.  The section establishes that contractors and public adjusters, or unlicensed persons acting on their behalf, may not solicit or incentivize a residential property owner to file a roof damage insurance claim.  Violations carry a fine up to $10,000.


Chief U.S. District Court Judge Mark Walker granted a preliminary injunction on the section in July, pending full trial scheduled for spring of 2022.  “Clearly, Judge Walker indicated that there was a significant government interest in attempting to address fraud and abuse in litigation…(but) his assessment, at least on the preliminary injunction side of it, looked at it in terms of commercial speech…and he was able to reach the conclusion that it was an infringement upon commercial speech,” said Pagan, who outlined the series of court tests the judge used.  


“It's pretty clear to me that the legislature was trying to just stop some of the high pressure sales tactics by solicitors knocking on front doors that we see every day, read about on social media, and experience in our own neighborhoods,” said host Miller.


Miller and Pagan also discussed a second lawsuit, filed by the Restoration Association of Florida in the same federal court.  It seeks to throw-out the entire law, which includes a series of provisions, including broadening the longstanding one-way attorney fee statute formula where fees are now awarded instead based on a percentage of recovery of the disputed amount of the claim.  The suit claims the law impinges on protected free-speech rights, interferes with contract law and commerce, and due process.


“There is nothing in the legislation that hasn’t been the case for decades…whether it is regulating the contracting industry under Chapter 428, or the insurance industry under Chapter 626,” said Pagan.  “Dating back as far as in the early 90s, during Hurricane Andrew and thereafter, the law was very well defined, and everyone knew or understood that you could act as a contractor, you could act as a public adjuster.  But unless you were licensed in both, you could not act as both a contractor and a public adjuster.”  He said that “some of those lines became a little blurred” and “there have been so many different actions either taken by the courts or not taken by the regulating entities that have allowed questions to arise,” that the legislature needed to provide clarification through SB 76.


Another provision in the new law focuses on presuit settlements.  It requires that insurance companies receive a ten-day notice and demand before a lawsuit is filed by first-parties, such as homeowners or commercial building owners.  And it gives carriers 10 days to respond in writing to such notices.  The idea is to settle claims before they become lawsuits.  Host Miller asked Pagan how that part of the law is working so far, especially given conflicting opinions in the market to which cases that applies. 


“Most of the attorneys and the carriers are certainly utilizing the Notice of Intent provision, in an effort to try to get to a quick resolution, rather than having to litigate these cases to the nth degree.  That is, I think, most beneficial for not only the policyholders, but all of the other stakeholders as well,” Pagan said.  Those cases that are unresolved are usually because of a communication breakdown and benefit from having another person from the insurance company review the claim, he said.


The stakes are high for the future health of Florida’s property insurance market.  “The problem that we face is affordability,” Pagan said.  “Because of the small amount of participants who are abusing the system and are creating such high premium increases, affordability becomes huge.  And that's especially acute for senior citizens who are living on a fixed income.  So when we are talking about double digit premium increases year over year, that means that in a very short amount of time, we're doubling, sometimes tripling the premiums for your home.”


Host Miller noted that the Florida Legislature is now in the middle of committee weeks, leading to the start of the regular session in January 2022.  Further insurance reform is already being discussed.  “I believe that SB 76’ purpose was to restore, rebalance, and revitalize, if you will, the insurance industry for all of its policyholders, to stop these premium increases, and protect consumers from what appears to be out of control litigation, solicitations, and high pressure sales,” said Miller.  She urged listeners to contact their state representative and state Senator and share their story, whether as a consumer or someone working in the industry. 


Links and Resources Mentioned in this Episode


Florida Insurance Market “Dire”
(LMA Newsletter, October 4, 2021) 


Florida Senate bill SB 76 (the solicitation section is in lines 117-180; the presuit settlement section is in lines 1138-1173)


Major Provisions of SB 76
 


Gale Force Roofing and Restoration, LLC v. Julie Brown, Florida Department of Business and Professional Regulation
(first lawsuit)


Restoration Association of Florida, et al v. Julie Brown, Florida Department of Business and Professional Regulation
(second lawsuit)


DFS Property Insurance Intent to Initiate Litigation portal
 


Walton, Lantaff, Schroeder & Carson
law firm 


Roofers Block Part of SB 76 For Now
(LMA Newsletter, July 12, 2021)


Second Challenge to Insurance Reform Law
(LMA Newsletter, September 20, 2021)


Florida one-way attorney fee statute


Property Insurance Reform
(The Florida Insurance Roundup podcast, May 23, 2021)


Defense Attorneys’ Take on SB 76
(The Florida Insurance Roundup podcast, June 23, 2021)


Condo Underwriting & Presuit Settlements
(The Florida Insurance Roundup podcast, August 30, 2021)


Assignment of Benefits & Insurance Litigation Webpage
(Lisa Miller & Associates)

 

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 10/11/2021. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2021 Lisa Miller & Associates, All Rights Reserved

22 Dec 2021Episode 35: Episode 35 – Florida Legislative Preview 2022 00:27:17

The Florida Legislature begins its 2022 session on January 11.  Among the bills filed are those seeking enhanced insurance consumer protection, greater safety for high-rise condominium buildings following the Surfside collapse, COVID-19 relief, controls on prescription drug costs, and legislative redistricting. 


Former Florida Deputy Insurance Commissioner Lisa Miller sat down with state capitol reporters Mike Vasilinda of Capitol News Service and Jim Saunders of the News Service of Florida, to discuss which bills may get serious consideration and why.


Show Notes


With 2022 being an election year for the Governor and many legislators, one of the questions is whether lawmakers decide to wait and see if the 2019 and 2021 insurance consumer reform measures previously passed into law are having enough of an impact on Florida’s “dire” property insurance market as recently described by Insurance Commissioner David Altmaier – or maybe at least go for minor adjustments?


“I don't think we can discount that this is an election year.  I think that you can frame a lot of issues in that context and property insurance is one of them,” said Saunders, who is Executive Editor of the News Service of Florida.  He noted that certain proposed measures in this session would drive up costs, including a failed mandate from last session that would have required actual cash value instead of replacement coverage for roofs.  “I think the real key is how far Governor DeSantis wants to push on doing something about property insurance.  You know, if he comes down and says we have to do something, maybe the legislative leadership will do it, but he's going to be in a reelection campaign and does he want to take that on in an election year?  I'm not sure at this point as we haven't heard a lot from him about it,” said Saunders, who has covered legislative sessions for the past 24 years. 


“I think the Governor's got to pay attention,” countered Vasilinda, who is founder and chief reporter for Capitol News Service, covering the legislature for 49 years for television stations across Florida.  “It was Charlie Crist who stalled Citizens (Insurance Corporation) rates when he was governor in 2007 for two years where they couldn't raise their rates and then they created the 10% glide path, which, for whatever reason, Citizens never ever got to 10% across the board on anybody.  And now they're proposing 11 and 12%, across the board on everybody.  There is going to be some political pressure for the Governor.  He’s going to hear about it in The Villages and everywhere else he's going.  And he's going to know that Governor Crist at the time was the guy that froze those rates.  And he'll try and use that against the former governor,” who is running again for governor against DeSantis.


Another question is how the Florida Office of Insurance Regulation (OIR) will act on Citizens request for those maximum rate increases statewide, even in Miami-Dade County, where Citizens’ actuaries had indicated a 3.2% rate increase.  “I think OIR feels political pressure as well.  To think otherwise is probably a little naïve,” said Saunders. 


Host Miller noted that the Florida Senate last year passed a bill containing actual cash value for roof claims but the House rejected it.  “I think we have to start at the roofing manufacturers, educate consumers that there's no such thing as a 30 year shingle, especially in Florida.  Consumers, in my opinion, should have a choice if they want to have skin in the game and have a lower premium with actual cash value.  For those that want replacement costs, let them have it.  But those choices were not offered in the legislature and unfortunately, who knows where that's going to go this session,” said Miller. 


The other big story in Florida in 2021 was the collapse of the Champlain Towers South high-rise condominium in Surfside which killed 98 residents.  A Miami-Dade County Grand Jury this month recommended that such buildings be re-inspected every ten years for recertification of occupancy and that condo associations be required to annually certify building repairs and maintenance.  That grand jury report will create “real pressure” on the legislature to act, said Vasilinda. 


“Now remember, hearken back I think to 2005 2006, the legislature passed a bill requiring inspections every 10 years.  And then by 2010, the condo boards were so upset, flexed their muscles, gave a lot of money out, and ended up getting that legislation repealed,” said Vasilinda.  


“Part of it is a financial pressure on these condo boards,” added Saunders.  “There's been an issue in the past about retrofitting buildings with fire sprinklers and it kept getting pushed.  As far as I know, it's still getting pushed off.  And the reason it keeps getting pushed off is it costs a lot of money to go into these old buildings and retrofit them with fire sprinklers.   That’s just one example of the types of issues that that these boards might be confronted with, if all of a sudden, they have to bring their buildings more up to modern standards or codes.”


At the time of this podcast recording, no bills had been filed in the legislature pertaining to re-inspections beyond HB 771 by Rep. Alex Andrade (R-Pensacola) which would direct the Florida Building Commission to develop statewide standards for the maintenance and periodic inspection of existing building structures or facilities, as well as consider allowing local deviations.  Another bill, HB 329 by Rep. Nicholas Duran (D-Miami-Dade) would require the Department of Business and Professional Regulation (DBPR) to establish a searchable database of condominium and homeowners’ associations’ information, including whether the association has reserve accounts for capital expenditures and deferred maintenance, and if they are fully funded.  Another bill, SB 880 by Senator Jason Pizzo (D-Miami), would expand the jurisdiction of DBPR in investigating complaints about condo associations and revise criminal penalties for misdeeds.   


“Condo boards themselves are very dysfunctional quite often.  I think there's a lot of competing factors there that do make it more complex than you might think,” said Saunders, noting that condo bills historically are “complex and convoluted.”


Host Miller and guests also discussed the coronavirus pandemic, with both expressing doubt that the Capitol would close to the public during session, despite the new Omicron COVID-19 variant.   Also discussed were measures filed that would further regulate Pharmacy Benefit Managers, who are third-party administrators that serve as middlemen between drug manufacturers and retail pharmacies.   


“People are complaining about their drug prices, and they are complaining about less benefits on their health insurance policy for the things they're doing.  So this might be one way, if the legislature were to try and thread that needle, to try and lower those costs in some way,” said Vasilinda.


Both reporters expressed doubt that such potentially complex and time-consuming legislation would reach completion this session, given the once-a-decade required legislative and congressional redistricting the legislature must tackle by law.  


“It is kind of a food fight,” said Saunders.  “The legislature this year, like they did 10 years ago, are saying how transparent they are and how legal this is going to be.  But that's what they told us 10 years ago, and then the courts came down on them hard for all the behind the scenes shenanigans that went on to draw these maps.  But that's the way it's always been.  It's not only parties looking for advantages, but it's individual legislators looking to save their careers,” he said.


“This year, you've kind of got the Senate being the good guy,” added Vasilinda.  “Everybody's raving.  The Democrats in the Senate are saying, ‘hey, these maps are all pretty good. We could probably live with these.’  But then the House is the one that's playing some games, it appears, to distract perhaps the attention and how that all plays out.  But we will see it in court.  I can't imagine we won't,” he said.


“I think that redistricting, drawing those maps, and those meetings are going to be the most important, and will just hover over everything else that's happening, including the budget,” predicted Host Miller. “So we'll wait and see.” 


Links and Resources Mentioned in this Episode


Florida Insurance Market “Dire”
(LMA Newsletter, October 4, 2021) 


Major Provisions of SB 76
(2021 Reform)


Major Provisions of HB 7065
(2019 Reform)


The Surfside Condo Collapse Tragedy: Recommendations to Make Buildings Safer
(Miami-Dade County Grand Jury report, December 15, 2021)


SB 742
Pharmacies and Pharmacy Benefit Managers


Assignment of Benefits & Insurance Litigation Webpage
(Lisa Miller & Associates)


Capitol News Service


News Service of Florida

 

** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 12/20/2021. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2021 Lisa Miller & Associates, All Rights Reserved

11 Feb 2022Episode 36: Episode 36 – A Conversation with Real Estate Agents about Property Insurance 00:26:18

Beside their direct impact on Florida homeowners, multiple double-digit rate increases in property insurance are impacting Florida’s real estate market as well.  If rates continue to rise, there’s concern they will affect the availability and affordability of insurance for new homebuyers.  


Former Florida Deputy Insurance Commissioner Lisa Miller explores the reasons for the increases, including increased insurance litigation, and how they’re now impacting the state’s economy.


Show Notes


In a recent address to the Pensacola Association of Realtors, host Lisa Miller identified some key drivers behind the past two years of homeowners insurance rate increases in Florida.  She noted as rates go up, so do home mortgages for those who escrow their insurance, impacting home affordability. 


Rising Litigation:
In 2021, 76,526 property insurance lawsuits were filed in Florida, an 18% increase from 2020, according to CaseGlide.   Claims with lawsuits cost almost five times more than those without.  “In testimony last week in the Senate, Barry Gilway, who’s head of Citizens Property Insurance said that when a third party is involved, the average claim is $48,000.  When there's no third party involved, anybody want to guess what it is?  $10,000,” said Miller.  “As claims costs go up, what do you think happens to rates?  They go up.  It’s pretty simple.  You don't have to be an actuary to know that.” 


She noted that according to industry stakeholders, it is estimated that three of every five insurance claims are inflated, whether the increase is only slightly or obviously suspicious.  Contingency fee multipliers, which allow plaintiff attorneys to request attorney fees twice or three times the customary rate, are also contributing to the increased and unnecessary costs of claims.  Miller told the Realtors that the DFS Division of Consumer Services has an insurance consumer hotline offering free help to any policyholder who faces challenges dealing with their insurance company and that it has a high rate of success settling disputes.  


“When the third parties come into the room, I encourage you and your clients to say to that person, I don't need to see you.  If I can't get the free service that my tax dollars are paying for, I'll come back.  But many times now, people file a claim and the first thing they do is hire a lawyer,” Miller said. 


The resulting “cottage industry of 15 to 20 law firms” are responsible for the majority of homeowners claims lawsuits in the state, currently numbering about 100,000.  “The theory is, the more you sue, some are going to stick,” said Miller.  The Florida Legislature’s 2021 reforms in Senate Bill 76 that now require lawyers give a 10-day notice to insurance companies before filing suit, are being challenged in federal court.  “It forces them to come to the table and have a conversation like human beings should do…and work it out.  They don’t want to do that.  It’s easier to file suit, hope for the best, and get attorney fees,” Miller said.


Many of those lawsuits she said are driven by unscrupulous home contractors and roofers canvassing neighborhoods doing free inspections and proclaiming “you need a new roof and we’ll get the insurance company to pay for it,” said Miller.  “I want us all to have a new roof but that's not what an insurance policy is all about.  If you need a new roof and it's wear and tear, you have to figure out how to pay for it yourself.  If it's wind or weather damage, they'll (insurance companies) pay for it.  It's just that simple,” Miller told the Realtors.


Reinsurance:
From 40- to 45-cents of every dollar of a homeowners insurance premium goes toward the cost of reinsurance – insurance that insurance companies buy to protect themselves from overwhelming losses in larger claims and catastrophes.  Miller noted that money flows from Florida to off-shore reinsurance companies in Bermuda, London, and Germany.  But some reinsurance is purchased from the less expensive Florida Catastrophe Fund, a state-run entity that has $16 billion in future claims paying capacity.  “There are those who think we cannot change the Cat Fund, but it’s going to take a long time to deplete that fund,” said Miller, noting the legislature could look at reducing the cost of reinsurance purchased from the Cat Fund.


Since her address, Senator Jeff Brandes (R-Pinellas) has offered an amendment to a bill in the 2022 Florida legislative session that would do just that.  It would:

  • Cut the threshold level of losses in half that all insurance companies in total have to meet before drawing a payout from the Fund; and
  • Suspend the Rapid Cash Buildup Factor, known as the “hurricane tax” on insurance companies that they in turn pass to their policyholders, designed to help the Fund grow.

Senator Brandes argued that lowering the threshold or “aggregate retention point” would lower the cost of reinsurance, with the savings under his amendment to be passed along to policyholders.  Suspending the hurricane tax would save every Florida residential policyholder an estimated $150 annually.


Premium Tax:
“Two cents of every dollar that you pay in premium goes to state government.  It’s not a lot.  The regulatory arms of the insurance industry use that money to fight fraud,” Miller explained, saying she is not opining either way.


“There’s three ways to help this situation.  Change the reinsurance structure of our state, reduce litigation, reduce taxes,” Miller said, predicting the problem is only going to get worse, “because there's only two ways for an insurance company to survive what I call the dysfunctional property insurance market.  And that would be to either reduce expenses or raise rates. The Office of Insurance Regulation is approving rate increases and companies are hoping the legislature will help them do one of the three things that I’ve just suggested.  It's just pretty simple.”


Links and Resources Mentioned in this Episode


Florida Insurance Market “Dire”
(LMA Newsletter, October 4, 2021) 


Containing the Cat Fund
(LMA Newsletter, January 3, 2022)


Major Provisions of SB 76
(2021 Reform)


Major Provisions of HB 7065
(2019 Reform)


Florida Personal Lines Coverage Reaches Crisis Levels
(Renaissance Alliance blog January 2022) 


Price of Paradise
(WFTS-TV Tampa, January 20, 2022)


Notices of Intent to Litigate by Top 20 Law Firms
(Guy Carpenter, January 2022)


Assignment of Benefits & Insurance Litigation Webpage
(Lisa Miller & Associates) 

2022 Florida Legislature Bill Watch  (Lisa Miller & Associates) 


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 2/10/2022. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2022 Lisa Miller & Associates, All Rights Reserved

04 May 2022Episode 37: Episode 37 – Special Session on Property Insurance00:30:37

The Florida Legislature will meet in a special session May 23-27 called by Governor Ron DeSantis to “bring some sanity and stabilize” Florida’s property insurance market.  Homeowners are suffering big rate increases and some have lost their coverage, while a growing number of insurance companies are going insolvent or reducing or eliminating their policy-writing in the state.


Former Florida Deputy Insurance Commissioner Lisa Miller explores the problems in the marketplace with an insurance agency executive and a top real estate agency owner who share their ideas on which reforms would be most effective for lawmakers to achieve.


Show Notes


The Governor’s proclamation calls for the legislature to address property insurance, reinsurance, civil litigation, and changes to the Florida Building Code to improve the affordability and availability of insurance coverage.   The legislature failed to pass any reforms in its regular 60-day session earlier this year.  Reforms passed into law in its 2021 session under SB 76 have had key roofing solicitation restrictions temporarily enjoined from enforcement by a federal judge. 


Ron Assise
, Senior Vice President of Horton Personal Insurance, in Estero, Florida, said his clients are experiencing “sticker shock” on their homeowners insurance premiums.  “Clients are very disrupted when they get their bill and it's 20% or 25% or 30% more than it was last year,” said Assise, who is part of The Horton Group of Chicago, an insurance, employee benefits and risk advisory firm.


Whitney Dutton
, owner of The Dutton Group@Re/Max First, a full-service real estate agency in Fort Lauderdale, said with 30% of his clients from out of state, the sticker shock is even greater and comes with greater consequences, too.  “When people get a loan, the lender uses a debt to income ratio in order to qualify them for a purchase.  When the debt to income gets offset by $1,000 to $4,000 of swings from insurance quotes, that can really put a damper on someone's ability to purchase a home, or to be competitive when trying to bid on property,” Dutton said.  He said some home purchasers have faced being dropped by their insurance company following a quality control check 60-90 days after closing, when it’s determined the roof is too old or other changes are required to keep the policy in force.  “A third way that it comes is simply just getting dropped without any notice whatsoever from insolvency due to a lot of these companies that are just getting out of the market,” said Dutton, whose group was the top Realtor in Fort Lauderdale in total transactions last year.  


Rising Litigation:
The Governor’s proclamation states upfront that “Florida’s general tort environment related to property insurance has led to thousands of frivolous lawsuits…and according to the Office of Insurance Regulation, Florida accounted for 79% of the nation’s homeowners insurance lawsuits while making up only 9% of the nation’s homeowners insurance claims.  Florida citizens are seeing the effects of this higher litigation in their rising premiums.”


Assise said litigation reform is a must.  “We all know that Florida is far and away the unfortunate leader in litigation when it comes to insurance claims with approximately 116,000 insurance related lawsuits last year versus less than 1,000 for the rest of the country combined,” he said.  


Roof Claims:
Assise suggested the legislature approve what was in last session’s SB 1728, passed by the Senate but not taken up by the House, which would require a roofing deductible or an actual cash value or repayment schedule for older roofs, in place of the current full replacement value.  “Doing that will really make it not worth its while to an attorney to go after an insurance company, if they're going to get, let's say 40 cents on the dollar as an example,” Assise said.


His other suggestions are to change the state’s 25% Roof Repair/Replacement Rule that requires an entire roof be replaced if 25% or more of it is damaged and ease existing material “matching” requirements in repairs, where a new roof is required if the repaired material can’t be matched with the rest of the undamaged roof.  “So insurance carriers are paying claims of 25, 30, 40, or $50,000, where the damage might be $1,000.  These are the things that need to be addressed to really make a significant difference going forward,” Assise said.  “The incentives go away for both the roofers and the trial attorneys that see big dollar signs when it's most likely probably wear and tear or just a plain old older roof where someone should be taking care of the maintenance on their home like any other thing.”


Those proposed restrictions would have to come with a lower policy premium cost, said Dutton, who owns eight rental properties of his own and has seen annual premiums on each grow from about $2,800 per year in 2017 to $4,200 today.  “I'm okay with it if the policy cost is relative to that type of coverage, but from what we're seeing in the type of properties that I deal with, they're writing the policies with a lot of those exclusions, water damage, restoration, and they're not changing the price of them,” Dutton said.  “The lower coverage isn't what people are worried about.  It's the cost…and it’s being passed on unfortunately to the renters.”


While Assise said he can appreciate consumers wanting something substantial in return for giving up some coverage, the cost break won’t be immediate.  “There's so much red ink going out at this point, it’s difficult for that to happen without these legislative changes where they can see light at the end of the tunnel and the reinsurance industry can see light at the end of the tunnel, which very much affects the pricing for the insurance carriers in Florida,” said Assise, a 40-year veteran of the industry and both a Certified Insurance Counselor and Certified Personal Insurance Counselor.  The Florida insurance industry has seen two straight years of net underwriting losses exceeding $1 billion each year.


Assignment of Benefits:
For Dutton, those restrictions are just “the tip of the iceberg” and what’s also needed is further reform of abusive Assignment of Benefit (AOB) contracts between homeowners and various contractors, roofers, and public adjusters.  “A lot of these homeowners don't even know that this stuff is happening.  They've simply signed a piece of paper that allows these contractors to act on their behalf.  And I know people firsthand, that are shocked what happened and never would have went through it to the level that these different companies have squeezed every dime they can out of the insurance companies, “ Dutton said.


“The three of us realize that the consumer is the loser here,” said host Lisa Miller.  “You've got the consumer that's paying the exorbitant premiums.  They're trying to buy or afford to stay in their current homes.  And then they get locked in by an unscrupulous bad actor at the front door,” she said.  She read a text between a roofer and a colleague of hers on a home repair, in which the roofer is coaching the homeowner on how to represent old damage so that insurance covers it, while also offering an unlimited $200 referral for each neighbor who “needs a free roof.”


“The legislature is going to have to understand that this is going to come at a cost to somebody,” said Dutton, “and the attorneys in these larger law firms that this is all they focus on, they're going to take a hit.  So the legislators are going to have to have the political courage to stare down some of these big law firms who may donate to certain areas that they're going to have to take a hit.  And it's going to have to come from top down, the legislator down,” he said.


Prior to the Governor’s special session call, regulators with the Florida Office of Insurance Regulation and the Florida Building Commission had begun creating regulatory measures to help.  They’ve implemented new policy to allow optional roof deductibles, ease existing material “matching” requirements in repairs, and approved mandatory arbitration clauses in insurance policies.  They’re also considering further measures, including making exceptions to the state’s 25% Roof Repair/Replacement Rule.


While the Governor’s proclamation did not provide specific proposals for the legislature to consider in the upcoming special session, Miller shared there are two other key issues that will likely be addressed, besides roof claims and litigation reform.  They are reform of the state-backed Citizens Property Insurance Corporation, whose legislatively mandated and actuarially unsound rates have contributed to a policy count expected to surpass one million policies by year-end, and allowing insurance companies to access less expensive reinsurance from the Florida Hurricane Catastrophe Fund.  


“The Florida Legislature basically left homeowners exposed to a perfect storm of rising rates, limited coverage and diminishing options, because it failed to pass the reforms that should have been passed earlier this year.  Let's hope that changes May 23,” said Miller.


Links and Resources Mentioned in this Episode


Governor DeSantis Proclamation of Special Session on Property Insurance
(April 26, 2022) 


Court Denies Effort to Stop All of SB 76 for now
(LMA Newsletter of January 24, 2022)


The Horton Group
Agency


The Dutton Group @ RE/MAX First
Realty


Calls for a Special Session Falling on Deaf Ears
(LMA Newsletter, March 28, 2022)


If You Can’t Legislate, Regulate!
(LMA Newsletter, April 11, 2022)


More Insurance Companies in Trouble
(LMA Newsletter, April 25, 2022)


Top 10 Florida Domestic Insurers Net Income Losses
(from Citizens Property Insurance Corporation, March 2022)


Citizens Insurance Losing Money
(LMA Newsletter, March 28, 2022)


Private Insurance Industry Cumulative Rate Filings 2020-2021
(from Citizens Property Insurance Corporation, March 2022)


“No Roof Left Behind” campaign solicitation pitch
(Facebook video advertisement by Roofing and Reconstruction Contractors of America)


Roofers Busted in “Free Roof” Fraud
(LMA Newsletter, March 28, 2022)


Unlicensed Adjuster Busted
(LMA Newsletter, April 25, 2022)


Repair contractors’ newest billing strategy leaves homeowners on the hook if insurers don’t pay
(Sun Sentinel, November 18, 2021)


Demolish Contractor Fraud Webpage
(Florida Insurance Consumer Advocate)


Florida Fraud Fighter Reward Program
(Florida Department of Financial Services)


First Quarter 2022 Florida Insurance Litigation Statistics
(LMA Newsletter of April 11, 2022)


Top 20 Attorneys Filing Property Insurance Lawsuits - 2022 Q1
(Florida Department of Financial Services, April 2022)


Property Insurance Crisis in Florida
(WPLG-TV Miami, April 27, 2022)


Insurance defense attorney slams Florida’s ‘egregious’ homeowners insurance system
(WFLA-TV Tampa, April 28, 2022)


Major Provisions of SB 76
(2021 Roofing & Litigation Reform law)


Major Provisions of HB 7065
(2019 Assignment of Benefits Reform law)


Assignment of Benefits & Insurance Litigation Webpage
(Lisa Miller & Associates)


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 4/28/2022. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2022 Lisa Miller & Associates, All Rights Reserved

23 Jun 2022Episode 38: Episode 38 – New Property Insurance Reforms00:35:29

The Florida Legislature in a May special session passed a series of reforms to help stabilize a property insurance market that has seen a growing number of carriers stop writing business or becoming insolvent.  Homeowners rates keep growing by double-digits and coverage is increasingly difficult to obtain. 


Former Florida Deputy Insurance Commissioner Lisa Miller talks with a lawmaker who was one of the handful of leaders behind the reforms and the head of a litigation analytics firm on whether the two new laws will help re-right the marketplace and lower homeowners rates - and what further reform is most needed next. 


Show Notes


Florida’s newest property insurance and consumer reforms build on legislation passed in 2019 and 2021.  The two new laws (SB 2-D & SB 4-D) target excessive litigation, contractor solicitation abuse, and provide $2 billion in no-cost reinsurance coverage to carriers to improve the affordability and availability of insurance coverage.  More than 12 companies have stopped writing new business since January.  Another seven companies have become insolvent since 2019 - six in just the past 12 months.  


“This was a matter of first aid to save a dying patient, which was Florida's property insurance market but there's absolutely still more to do,” said Representative David Smith (R-Winter Springs) who supported the two bills that became law and took effective immediately on May 26, 2022.  “There are some homeowners that the legislation is going to help immediately.  But longer term, I think homeowners will see lower rates and an impact of the rates going up less because of the stabilization of the market….we’re on the right track.”


According to the National Association of Insurance Commissioners’ data, as reported by state Insurance Commissioner David Altmaier, Florida has 9% of all homeowners insurance claims in the US yet has 79% of all homeowners insurance claims lawsuits.  The number of property insurance lawsuits in the state has increased 363% in the past nine years.  The current excesses are driven by fraudulent roof claims.  


“A lot of the new measures are litigation related with the intent that either the laws will reduce the lawsuit amounts or reduce the cost of each lawsuit to the insurance industry, which would then translate to lower insurance premiums for Floridians,” said Wesley Todd, CEO of CaseGlide, a Tampa-based litigation analytics and software firm serving the insurance industry.  He noted the real question is exactly when rates will come down given the reforms will take time to be reflected in renewal policies over the coming months.  Insurance companies and their reinsurers will then want to see “years of data” that suggests litigation costs are under control.  “I believe that lawmakers still have one more thing left to do, which is get rid of the attorney fees statute, which is the structure that incentivizes attorneys to sue insurance companies.  I think until they do that, we won’t actually start to see rates for Floridians decrease.”


Florida’s attorney fees statute (627.428 f.s.) requires an insurance company pay attorney fees when the policyholder prevails in a lawsuit against the company.  It has helped in catastrophes such as 1992’s devastating Hurricane Andrew, to encourage representation “so that consumers would have a level playing field,” host Miller said.  “What has happened is that there are contractors who use that statute to their own benefit and will have their favorite partner, a plaintiff lawyer, and they become a team, once the consumer is kind of marginalized, if you will.”


Rep. Smith said the new reforms prohibit awards of attorney fees to contractors or other assignees of an Assignment of Benefits (AOB) contract.  “Again, we've got to do more.  And the legislature never wants to deny the consumer, that homeowner the ability to get an attorney and be represented and get their day in court,” he said.  While Florida has weather issues to deal with that can impact insurance rates, “it's the litigation costs that are driving these rates up and why reinsurance companies don't want to take the actuarial risk of having all this litigation in Florida.  It's not the hurricanes they fear, it’s the trial lawyer,” Rep. Smith said.


Todd agreed and said the “surgical approach” the legislature rightfully utilized in the 2019 and 2021 reforms was meant to solve the litigation problem without getting rid of the attorney fees statue, but that hasn’t worked.  “If we put a lot of loopholes and obstacles in front of the plaintiff attorneys, but they get paid to jump through those loopholes because they get paid for all their attorney fees, then are they really obstacles?  They're things that actually create more revenue for the attorneys because they're being paid to jump through hoops,” Todd argued.


“It’s not the $35,000 roof that is the burden on the insurance company,” added Rep. Smith.  “It’s the $150,000 or $200,000 in attorney fees that they get paid.  That’s what creates the litigation risk.”  He discussed his idea of creating a blue ribbon commission to meet outside the time constraints of the legislature’s annual 60-day session and five weeks of prior committee meetings to collect data, benchmark other states’ efforts, and “to get everybody that has a vested interest in solving the problem to everybody that’s part of the problem to come together to be part of the solution,” Rep. Smith said.  In the meantime, Senator Jim Boyd (R-Bradenton) who chairs the Insurance and Banking Committee is expected to hold workshops this summer to provide more information and data that some lawmakers complained they didn’t have during the special session.


Host Miller and her guests also discussed what wasn’t in the new reform laws: Citizens Property Insurance Corporation, the state-created and taxpayer-backed “insurer of last resort.”  Its policy count is rapidly approaching one million as private insurance companies have gone insolvent or shed policies because of underwriting losses.  It under-market rates and growing policy count burden will subject the rest of Florida’s policyholders across almost all insurance lines (including automobile & surplus lines) to pay a special assessment if Citizens runs out of money to pay claims, as it did during the spate of 8 hurricanes during the 2004-2005 season.


Host Miller agreed with both of her guests that the legislature needs to eliminate the attorney fees statute.  She said lawmakers should also go beyond the roof deductible option that consumers can access as part of the new law and instead require actual cash value for roof replacement as 40 other states do.  She also advocates for elimination of AOB contracts and reform of the Florida Hurricane Catastrophe Fund that could save homeowners an estimated average $150 a year on their premium.


Links and Resources Mentioned in this Episode


CaseGlide


Representative David Smith


SB 2-D
& SB 4-D (bills covering the 2022 reforms)


Final Special Session 2022 Florida Legislature Bill Watch
(Lisa Miller & Associates)


Florida Statutes section 627.428 (on attorney fees)


Top 20 Attorneys Filing Property Insurance Lawsuits - 2022 Q1
(Florida Department of Financial Services, April 2022)


Florida Insurance Industry’s Litigation, 2013-2021
(Citizens Property Insurance Corporation)


Top 10 Florida Domestic Insurers Net Income Losses
(from Citizens Property Insurance Corporation, March 2022)


Private Insurance Industry Cumulative Rate Filings 2020-2021
(from Citizens Property Insurance Corporation, March 2022)


Florida’s 2019 AOB Reform
(HB 7065) (Lisa Miller & Associates)


Florida’s 2021 Litigation & Solicitation Reform
(SB 76) (Lisa Miller & Associates)


Florida’s 2022 Litigation Reform & Consumer Protections
(SB 2-D & SB 4-D) (Lisa Miller & Associates)


CFO/Department of Financial Services Insurance Consumer Helpline (1-877-693-5236)


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 6/22/2022. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2022 Lisa Miller & Associates, All Rights Reserved 

02 Sep 2022Episode 39: Episode 39 – Take Care of the Insurance Customer: Job One00:50:52

Alternative dispute resolution – including appraisal – is playing an increasingly important role in settling homeowners property insurance claims.  Florida’s 2019 Assignment of Benefits (AOB) law requires third party contractors to utilize these alternatives before filing a lawsuit against an insurance company, if required by the policy. 


Former Florida Deputy Insurance Commissioner Lisa Miller talks with a repair contractor and an insurance appraiser who share how today’s technology and methods can not only reduce lawsuits, but herald the return of good customer service and improve the insurance claims process for everyone.


Show Notes


John Minor
, President of Complete Inc. and Complete General Contractors of Florida said he’s seen a lot of changes in his 30 years in the business.  His firm does a lot of work now in alternative dispute resolution (ADR) which includes insurance appraisal and arbitration of claims.  He said he laments the diminished trust and relationship between adjusters and contractors, who used to work together on repair projects from start to finish. 


“We very much feel like some of that is now being picked up through the appraisal process,” said Minor, whose firm does a majority of appraisals on behalf of insurance companies.  “The appraisal process is a place for reasonableness.  Fully outrageous demands are going to be washed away by the process.  A true umpire is going to be writing things in such a way that they can explain it to any person.”  What it comes down to, he said, is just being fair, looking at the damages, establishing their true value, and then backing it up with an understandable explanation.  


“When an insured files a claim, they want to know three things.  That you saw me, that you know what my problem is, and you have a plan to fix it,” said Jason Evans, President of EIG Restoration of Texas and Florida.  The company provides emergency services, repair, and restoration contracting across the Southeast.  “Doing those three things absolutely can take out 40% of the claims that go into litigation,” he said.  


EIG has developed an “Option to Repair” program for insurance companies that provides seamless service to policyholders, where the insurance company chooses the contractor to execute repairs. 


“Many do not want the option to repair and so we take it as a challenge really to wow them with customer service,” said Evans.  “And I say wow them, we just want to be very present and answer all their questions and no detail is left unturned in their repair.  So we do that by taking time and being very attention to detail and providing clear expectations of how the claims process is going to go.”  Evans said the option is in most insurance policies and exercised in Florida and other states.  “I think you'll get to see more and more of that in Florida and around the United States as time goes on,” he added.


Both Evans and Minor also talked about the role that technology is playing in improved customer service and claim settlement.  Minor’s team works with the Florida Coastal Monitoring Program in staging measurement equipment prior to a hurricane’s landfall and afterward dispatches drones to the areas that had the highest winds.  “We document the worst conditions, identify what properties are obvious total losses early on, so that those people can get paid and get on down the road and get it off of our insurance company's books,” said Minor.  


Evans’ team uses artificial intelligence and chatbots to communicate with policyholders before and after the storm and receive real time updates from them to help quickly triage the response.  “Our intent is to get there within one day to that insured’s house and look at it,” said Evans.  “Even if they have evacuated, we're going to go take pictures and provide those pictures to the customer and say ‘hey, your house looks pretty good’ or ‘your house is really not in good shape, we've tarped it, we've got the debris out of here, and your claim has been filed,’” he said, adding that it’s really a “concierge service, partnering with the insured.”


“I think Jason’s ahead of it, he’s calling them first.  There’s no reason this shouldn’t be the model for every insurance company,” replied Minor, emphasizing that a more customer-oriented approach is a win-win.  “It's the method of applying old school values in a modern society.  If we can do that, then these armies of AOB roofing contractors and others that are going to triple the value of the claim so that they can somehow end up resolving it at a number that they're comfortable with, or that allows them to pay for their Rolls Royces and their sports cars will be diminished,” said Minor, who is also a certified contractor.   


Doing so, Minor said, will also reduce the need for appraisals and alternative dispute resolution.  “I don't think that the contractor should be getting rich off of this job.  They should be making a good margin.  They shouldn't be having to say that a shingle roof is $1,000 a square so that they can end up at $550 or $450, that it's the actual value depending on your market.  And I think technology is absolutely the place to do it because everybody’s got a cell phone camera and can help start the claim….before unscrupulous contractors, or on some occasions, public adjusters are going to be canvassing and knocking on doors and making a bunch of false promises,” Minor said. 


Host Miller also asked Minor and Evans how homeowners can be encouraged to invest in mitigation measures before the next storm hits to help make their homes more resilient.  Evans noted that “most homeowners unfortunately don’t know what it takes to keep up a house” and that insurance companies could do a better job educating them in a collaborative way through home inspections.  Minor said underwriting is key.  “It's amazing to me that on some occasions, the experts that show up once it becomes an appraisal or a claim, all of a sudden can give me a list of things that are not sufficient or not correct, associated with that construction.  I don't know where that expert was the year before the storm came.”  Minor also discussed the success of the Rebuild Northwest Florida hazard grant mitigation program in the aftermath of Hurricane Ivan in 2004. 


Both Minor and Evans agreed the insurance industry as a whole can improve claim service and reduce litigation by putting an even greater focus on customer service.  “I think we're in an exciting time,” said Evans.  “It's scary in Florida, we see that with the carriers.  But there's going to be a pivot, I think, to more customer service and more partnership with the clients and the insurance company.”


Links and Resources Mentioned in this Episode


Complete, Inc.
 


EIG Restoration


Florida’s 2019 AOB Reform
(HB 7065) (Lisa Miller & Associates)


Resolving Claims of Assignees through Appraisal
(LMA Newsletter of May 17, 2021)


Rebuild Northwest Florida


Home Hardening Sales Tax Exemption


PrepareFL.com.


Lisa’s Lucky 7 Hurricane Season Prep
(Lisa Miller Associates)


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 8/30/2022. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2022 Lisa Miller & Associates, All Rights Reserved

31 Oct 2022Episode 40: Episode 40 – Hurricane Ian: Was the Damage Flood or Wind?00:41:54

Most damage from Hurricane Ian appears to be from flooding, rather than wind, and thus won’t be covered under most Florida homeowners insurance policies.  Insurance adjusters face a challenging job now determining whether it was wind or water or both that damaged a home, and in some cases in what order, for hundreds of thousands of properties across Florida.


Former Florida Deputy Insurance Commissioner Lisa Miller talks with a seasoned insurance defense lawyer on how coverage is determined, who will pay, and the case law involved for those disputed claims that end up in court.


Show Notes


Hurricane Ian made landfall in Lee County on Florida’s Southwest coast on September 28, 2022 with winds of up to 115 mph, a storm surge of 10-15 feet, and rainfall amounts of up to 22 inches on its path across Florida before exiting in the Atlantic Ocean the next day.  The Category 4 storm was the 5th-strongest on record in the US and killed 114 people, making it the deadliest in Florida since the 1935 Labor Day hurricane.  While Ian was both a wind and a flood event, there was massive flooding in Lee County and throughout inland areas in Central and Northeast Florida.  While those residents who had mortgages and lived in a flood zone were required to have flood insurance, many of the rest of Ian’s victims likely didn’t.  In Lee County, only 31% of residential structures had National Flood Insurance Program (NFIP) policies, and statewide only 15%.  Standard homeowners policies do not cover flooding.


“It’s pretty clear what’s covered under a flood policy but it is a continued debate, particularly in the HO3 (homeowners policy) form as to which policy covers what,” said Tom Diana, attorney and co-founder of the Zinober Diana & Monteverde law firm in Tampa.  He handled a lot of claims cases for insurance companies during the series of eight hurricanes that struck Florida in 2004-2005 and since, including Hurricane Ivan, which like Ian he said, was more of a storm surge and flooding event than a wind event.  “The real difficulty with Ian now, and all storms for that matter, is going to be when there is evidence of flood damage and wind damage in the same room at the same property.  What is covered by the HO3 and what is not?"


New technology, such as before- and after- aerial pictures of individual properties taken right after the storm, will help adjusters and engineers make better damage evaluations, said Diana, who worked previously as a civil engineer.  Video and photographs taken by policyholders are also important “as the adjusters I know want to get everything right the first time, so they don’t have to do it a second time.”


Diana said ensuring open communication with the policyholder along the way is most helpful in settling the claim correctly without going to court.  “Adjusting an insurance loss is not a one-way street.  It’s a conversation, a continued dialogue between the insurance company and the policyholder.  Just because an adjuster is out there on day 10 doesn't mean that the policyholder can't share with them what's happened to the property between day one and day nine.  It should not be an adversarial process,” he said, in this podcast geared for field and desk adjusters and for homeowners.  


Diana and host Lisa Miller walked through the case law that has evolved since the 2004-2005 storms and Hurricanes Katrina and Irma, establishing legal precedents that will help decide Hurricane Ian cases.  Today’s homeowners policies, as a result, include the specific language “whether driven by wind or not” in excluding flood damage.   Diana said the main case that will likely be cited in any Ian litigation will be Sebo v. American Home Assurance Company.  In it, the Florida Supreme Court ruled that where two or more causes of a loss combine and where at least one of the perils is covered in an insurance policy, then the “concurrent cause doctrine” applies.  That doctrine requires that when the sole or proximate cause of the loss cannot be attributed to the covered or the excluded peril, then the policy must cover all damages.


“Ever since it was handed down in 2016, it has been litigated over and over and over again.  It has been expanded or attempted to be expanded by policyholder advocates.  We have tried to limit the application of it,” Diana said.  


Some insurance companies have tried to limit the use of the doctrine by including “anti-concurrent causation” language in their homeowner policies.   Diana said the case of Security First Insurance Company v. Czelusniak “kind of put this issue to rest in terms of what the policy covers…and is really going to control the guiding principles associated with the flood versus wind debate.  That means that technically, if flood and wind or rain water, let's say, combined to cause a loss to a specific item of personal property, or a specific area of damage, technically that is covered by the flood policy, and not the wind policy.”  He cautioned that the facts of an individual loss are really going to guide the outcome of a lot of trial and appellate court decisions involving Ian claims.


Host Miller and Diana discussed that while it would be ideal to have both the flood insurance adjuster and the homeowners insurance adjuster present at the same inspection, it’s often not practical, due to the volume of claims.  “Common sense must be the overriding guide for adjusters, to be able to say ‘this is wind damage’, ‘this is flood damage’, or ‘I think this is both’,” Diana said, adding that most property owners don’t know the difference between flood and wind damage.  He said he is optimistic that wind and flood carriers can work together to resolve claim responsibility and coverage.  “I think 50% of court cases I see shouldn’t be filed.  They could have been resolved earlier in the process.”


“I often say that a delayed claim is a more expensive claim, and more inconvenient for a policyholder,” said host Miller.  “So I know that the hundreds of adjusters in the area are working as fast as they can to get the adjustments in from the field, get them into their respective insurance companies, and have the insurance companies deliberate with the policyholder in trying to bring these in for a landing.”


Host Miller and Diana noted though that legal disputes are seemingly unavoidable in Florida’s excessive litigation environment.  They discussed the bad actors involved, trying to insert themselves between the policyholder and their insurance company, often just for the sake of taking over the claim to inflate its cost and their personal profit.  Many are knocking on victims’ doors under the auspices of wanting to help.


“I have spoken with a lot of homeowners who have had no idea that a lawsuit was being brought in their name, or on their behalf, by companies who may have done a simple thing like put a tarp on top of the roof, or things of that nature,” Diana said.  “It's very alarming because that drives up the cost of everyone's premium.  It drives up the cost of everyone's insurance policy.  And I think most people on both sides of this debate that's about to ensue will agree to that.  The only people who won't agree are the people who are undertaking those predatory tactics.”


Under Florida law, policyholders have up to two years to file initial property insurance claims.


Links and Resources Mentioned in this Episode


Ian More a Flood Event
(LMA Newsletter of October 10, 2022) 


Zinober Diana & Monteverde P.A.


Florida Office of Insurance Regulation


FEMA’s National Flood Insurance Program


Florida Farm Bureau Casualty Insurance Company v. Cox


Corban v. United Services Automobile Association


Liberty Mutual Fire Insurance Company v. Martinez


Sebo v. American Home Assurance Company


Security First Insurance Company v. Czelusniak


Ian’s Fraud Warnings Sounded Early
(LMA Newsletter of October 10, 2022)


Hurricane Ian Fraud
(LMA Newsletter of October 24, 2022)


The Animal Refuge Center
 


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 10/27/2022. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2022 Lisa Miller & Associates, All Rights Reserved

09 Dec 2022Episode 41: Episode 41 – Special Session Preview00:48:09

The Florida Legislature is meeting in special session the week of December 12 to address two issues vital to Florida’s economy: disaster relief for Hurricane Ian victims and further insurance consumer protections for homeowners across the state.  Property insurance and reinsurance rates have grown by 100% or more in the past three years, yet insurance companies’ losses continue, with six carriers becoming insolvent this year, and 13 others withdrawing coverage, driven in part by a nearly 400% increase in claims litigation since 2013. 


Former Florida Deputy Insurance Commissioner Lisa Miller talks with a former legislator and the head of an insurance brokerage for their perspective on the problem and what the legislature should do to help fix the Florida insurance market crisis.


Show Notes


Host Miller was joined by former state representative Andrew Learned, a Democrat from the Tampa Bay area.  During his term, he took a keen interest in the consumer protection side of the property insurance reforms passed by the legislature in 2021 and 2022.  Also joining her was Deb Franklin, Co-CEO of PEAK6 InsurTech, part of the PEAK6 family of companies.  InsurTech provides the technology behind online insurance shopping and offers property and casualty insurance through its Team Focus Insurance Group and WeInsure.  The conversation was part of a webinar hosted by the Florida Housing Coalition on December 2, 2022.  (For full Show Notes, visit https://lisamillerassociates.com/episode-41-special-session-preview/


Host Miller set the table for the conversation, identifying four key focus areas of insurance industry discussion going into the Florida Legislature’s December 12 special session:


Excessive Litigation
– There are renewed calls to eliminate the one-way attorney fees statute altogether, contingency fee multipliers, Assignment of Benefits (AOB) contracts between homeowners and contractors, and reform Bad Faith law under the civil remedy statute


Roof Coverage
– The ongoing debate is how carriers can insure roofs, without the coverage being used as a warranty by unscrupulous contractors seeking work or homeowners who fail to perform proper maintenance – and then suing when the claim isn’t fully covered.


Citizens Property Insurance Corporation Depopulation
– The discussion is on how best to return Citizens to being what the 2002 Legislature created, as the “insurer of last resort.”  Those analyzing current numbers say that one of every two policies written by the private market end up at Citizens at renewal because they can’t compete on price with Citizens’ legislatively-capped rates.


Reinsurance Availability
– Florida’s private insurance market is having difficulty finding adequate capital to purchase reinsurance (insurance for insurance companies) and to write new business.  Reinsurance costs have risen by 30%-70% at the same time that major reinsurance companies are limiting their capacity in the Florida market.  The Legislature is expected to consider providing assistance to improve the availability of reinsurance. 


“Consumers don’t get it.  They don’t understand why their rates are climbing or why they’re being non-renewed or cancelled,” said Franklin, whose agents are providing extra education and counseling for customers, while finding coverage alternatives.   


Former representative Learned, who owns a local student tutoring company, said he heard from many constituents with the same questions and confusion.  “This kind of skirts around the fact that what we've essentially done is socialize our insurance market, and put all of the risk of all these policies in Citizens Property Insurance, which is essentially the taxpayers and anybody who owns a car,” he said.


Franklin pointed out that Citizens is now the largest insurance company in the state, with almost 1.2 million policyholders.  She said Florida needs to consider what Louisiana recently did, by allowing Citizens to eliminate its caps and raise rates to actuarially-sound levels.  


Both Franklin and Learned said litigation reform is critical.   The Florida Office of Insurance Regulation found that Florida has 7% of homeowners insurance claims in the U.S., yet 76% of homeowners insurance claims lawsuits.  “It’s not just that, it’s that in an average payout from a lawsuit, the homeowner only got about 9%.  So upwards of 90% is going to lawyers and the insurance companies’ lawyers,” said Learned.  “And it’s destroying the marketplace for insurance,” added Franklin.  “Private companies are running out of the state as fast as they can because they can’t afford to operate here.”


Door-to-door and other solicitation by roofers and other contractors, especially post-hurricane, feed the litigation frenzy, with a cottage industry of attorneys who specialize in such litigation.  “To be honest, I think insurance companies do a terrible job.  The problem is they do a terrible job because they are constantly having to beat back fraud claims,” said Learned, who advocates that part of the solution is educating homeowners that “There‘s no such thing as a free roof,” despite the obvious attraction, he said.


Host Miller and her guests also discussed the lack of reinsurance availability in Florida, which relies heavily on reinsurance to help pay catastrophic claims from the state’s frequent hurricanes and flooding events.  “Because the insurance companies are not capitalized right now the way they should be, a lot of them aren't going to be able to buy reinsurance coverage,” said Franklin, noting that reinsurance prices are going up another 35% to 50%.  “They’ll be here for the right price,” she said, in answer to Host Miller’s question on whether the reinsurance market is going to be here for Florida’s insurance companies in 2023, following Hurricanes Ian and Nicole.


Miller and guests also discussed the predominance of flood claims versus wind claims from Hurricane Ian.  Many residents were left without coverage, as standard homeowners policies don’t cover storm flooding and they didn’t know about or choose to purchase flood insurance.  “The flood losses are the worst,” said Franklin, who spent many days at the insurance villages in Southwest Florida after Ian.  “You lose everything.  Everything's gone.  These people's belongings including their children's clothes and toys are out in front of their home.  It's the worst case scenario for consumers,” she said.  “The time to prepare for these things is years in advance when we make sure that we design a system that works,” added Learned.


You can read the latest Hurricane Ian news here.


Links and Resources Mentioned in this Episode


PEAK6 InsurTech


https://andrewlearned.com/


Citizens Property Insurance Corporation


Property Insurance Stability Report
(Florida Office of Insurance Regulation, July 2022) 


2022 Litigation Reform & Consumer Protections
(Lisa Miller & Associates)


Is the Legislature Poised for Meaningful Reform?
(LMA Newsletter of December 5, 2022)


Florida Market ‘Plagued’ by Attorney Fee-Shifting
(LMA Newsletter of December 5, 2022)


Florida’s Floody Mess
(LMA Newsletter of December 5, 2022)


Hurricanes Ian & Nicole Latest
(LMA Newsletter of December 5, 2022)


Florida Housing Coalition


Contact Your Legislative Leader: 


- House Speaker Paul Renner, 850-717-5019, Paul.renner@myfloridahouse.gov 


- Senate President Kathleen Passidomo, 850-487-5028, Passidomo.kathleen@flsenate.gov


Florida Department of Financial Services Consumer Hotline, 1-800-342-2762


Hurricane Ian Fraud
(LMA Newsletter of October 24, 2022)


FEMA’s National Flood Insurance Program


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 12/2/2022. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2022 Lisa Miller & Associates, All Rights Reserved 

30 Dec 2022Episode 42: Episode 42 – Barry Gilway: Florida’s New Law is a Profound Change00:43:24

Florida property insurance companies, their policyholders, and repair contractors are starting the New Year with a new law designed to reform an out-of-control marketplace.  The Florida Legislature in December passed comprehensive measures to stem high insurance and reinsurance rates, carrier insolvencies, inflated claims, excessive litigation, and an overly-competitive residual market.


Former Florida Deputy Insurance Commissioner Lisa Miller talks with Citizens Property Insurance President & CEO Barry Gilway, insurance agency executive Andy McGuire, and reinsurance broker Adam Schwebach about the new law and the expectation it will help rebalance Florida’s decimated property insurance market.


Show Notes
Six Florida insurance companies went insolvent in 2022 and a seventh went into a regulated policy run-off.  Host Miller was joined in the podcast by Barry Gilway, President, CEO, and Executive Director of Citizens Property Insurance; Adam Schwebach, Executive Vice President of reinsurance broker Gallagher Re; and Andy McGuire, Co-CEO of PEAK6 InsurTech, which includes an insurance agency representing more than 100,000 policyholders.  (For full Show Notes, visit https://lisamillerassociates.com/episode-42-barry-gilway-floridas-new-law-is-a-profound-change/


The major provisions of the new law (SB 2-A) cover:

Attorney Fees: Ends one-way attorney fees in residential and commercial property insurance policy lawsuits;

Offers of Judgment: Reinstates the civil offer of judgment statute (also known as Proposals for Settlement) and makes attorney fees available for the prevailing party, while also allowing for joint offers of judgment;

AOBS: Prohibits Assignment of Benefits (AOB) contracts of residential and commercial property insurance policies issued on or after January 1, 2023;

Bad Faith: Prohibits the filing of a bad faith lawsuit until a final judgement is issued against the insurance company in the original claim dispute;

Citizens Property Insurance Reforms: Makes many essential improvements to current laws governing the state-backed “insurer of last resort,” Citizens Property Insurance Corporation, including:

- Changing the eligibility to remain a Citizens policyholder, by requiring that private insurance company coverage has to be 20% more expensive (up from 15%, to match current rules on new policies) and likewise for commercial residential policies;
- Ending capped rates (the so-called “glide-path”) and requiring its rates be actuarially-sound and be “non-competitive” with admitted companies’ market rates;
- Defining and allowing higher rates for second (non-homesteaded) homes; and
- Requiring personal lines policyholders purchase flood insurance to become or remain a Citizens policyholder.

Reinsurance: Establishes a second optional hurricane reinsurance fund (The Florida Optional Reinsurance Assistance Program) for carriers, offering rates of 50% to 65% of the cost of on-line rates, while maintaining the Reinsurance to Assist Policyholders (RAP) program created in the May special session;

Arbitration: Allows carriers to offer mandatory binding arbitration in their policies with a resulting premium discount;

Claims Handling: Reduces from 90 days to 60 days the time insurance companies have to pay or deny a claim, unless extended by regulators; and reduce from 14 days to 7 days the time a carrier has to review and acknowledge a claim communication and begin an investigation, along with other time requirement changes;

Claim Filing: Further tightens deadlines for policyholders to report a claim from 2 years to 1 year for a new or reopened claim, and from 3 years to 18 months for a supplemental claim; and

Greater OIR Regulation: Allows the Florida Office of Insurance Regulation (OIR) to withdraw approval of policies with an appraisal clause for companies that routinely invoke it; allows OIR to do market conduct exams after a hurricane on those companies in the top 20% of claims filed or DFS complaints and to include an examination of their MGAs; and requires companies begin monthly reporting of the numbers of claims opened, closed, pending, and those seeking alternative dispute resolution and of which type.


You can read a more detailed list of major provisions here of the December 2022 law, built upon previous measures passed in the May 2022 legislative special session.


Attorney Fees & AOBs:
Gilway, a 46-year veteran of the property insurance industry, called the law “historic,” for repealing the state’s one-way attorney fee statute which he blamed for putting seven insurance companies out of business in 2022, reducing the availability and affordable of insurance for consumers.  “From a Citizens Insurance standpoint, our average litigation payment is $77,000 and the attorney fee associated with that payment is $39,000.  I’m paying more than 1,000 attorneys to defend the 20,000 outstanding lawsuits we have, brought because there’s an automatic payment under the one-way statute.  You have to admit (the new law) is going to make a profound change in whether an attorney brings a suit or not.”  According to the Florida Office of Insurance Regulation, Florida has 7% of the nation’s homeowners insurance claims yet 76% of the nation’s homeowners insurance lawsuits.   


The new law also eliminates AOBs, which Gilway said are responsible for 47% of all Citizens litigation and 35% of the industry litigation.  “These two provisions alone I think will have a profound impact on the industry’s claims going forward,” said Gilway.  He predicted this will draw capital back into the marketplace.  “The bottom line is more and more calls every single day from investors saying how do I get in, because on a going forward basis, if I can leave the development of losses behind, and I can charge rates that that are based upon historic litigation rates, when the litigation rate is going to drop like a rock, then it's time for me to enter this marketplace.”  Gilway said he believes it will take 12-18 months for the law’s changes to impact the market.


McGuire, whose business includes capital management and consulting, said that although he’s excited and proud of the legislature’s success, he’s still “a little worried,” too.  “With the cost of capital where it is right now, I'm still a little bit on the fence to see how things kind of wash through especially on the reinsurance side,” McGuire said, in sentiments echoed by Schwebach, a reinsurance broker for almost 20 years.  “There needs to be a period right now of kind of proving out the results of this legislation before reinsurers really get on board,” Schwebach said.  Past reforms haven’t shown results in the inflated hurricane claims from Florida’s primary insurance companies still being passed along to reinsurance companies to pay.  “Will reinsurance prices come down immediately?  I don’t think so.  Will reinsurers be more willing to commit capacity to the Florida market?  I think there’s a strong possibility,” he added.  


Nevertheless, Schwebach said the reinsurance market “thinks that this was a tremendous bill,” with McGuire anticipating many benefits for Florida policyholders.  “This is going to unlock the opportunity for rates to be able to come down over time,” said McGuire, who has 150 insurance agents in Florida through the Team Focus Insurance Group and WeInsure, representing 100,000 policyholders.  “It's also going to decrease the dependency of all of our agents on Citizens and really unlock consumer choice.”


Gilway said the new law’s litigation reform does not eliminate a policyholder’s right to sue their insurance company.  Allowing proposals for settlement and optional arbitration will allow lawsuits to be resolved more quickly, he said.  “I believe it will be a huge advantage that could reduce the average length of a lawsuit from 750 days down to 310 to 320.  It’ll cut the length of the suit process in half and it will eliminate the suit process if they accept the arbitration language in the policy,” Gilway pointed out.  He said one private company that has used optional arbitration has been able to reduce those policy rates by 20% for certain insurance policies.


Claims Handling & Filing:
Host Miller noted that the new law has a lot of changes to the way companies have to respond to claims going forward.  McGuire said the requirement for faster claims handling is going to increase costs, something he’s okay with.  “I'm actually hopeful that these regulations combined with the elimination of AOBs and one-way attorney fees, that we can actually create a better consumer experience through insurance, and get away from what’s been an almost adversarial claim experience and at the point of sale or at the point of claim create a much better customer experience,” said McGuire, who started his career 27 years ago working insurance claims.


Schwebach agreed, adding that the law’s requirement reducing the claim filing deadline from three years to one year will help, too.  “If you don't understand that you have a claim within a year, it’s probably not a claim,” he said, adding that this is another part of the new law where the reinsurance community is taking note, designed to make sure claims are legitimate and paid accurately and fairly.  “At the end of the day, that's what reinsurers are basing their reinsurance pricing on.  They go through a tremendous amount of analysis to try to understand in a hurricane scenario, the estimated loss, down to the policy level.  When they're going back and reviewing that and seeing thousands and hundreds of thousands of dollars of litigation fees being added on to what was in some instances, a very minor actual property loss, and they're being stuck with the bill for all of that, it throws their analysis out the window,” Schwebach said.  


Citizens Property Insurance Reforms:
Another big part of the new law makes significant reforms to Citizens Property Insurance, the legislatively created and taxpayer-backed insurer of last resort for homeowners and businesses that can’t find coverage in the private open market.  “Citizens is ridiculously competitive.  It’s not the market of last resort, it has become the market of first resort,” said Gilway, who has headed Citizens since June 2012 and recently announced his retirement upon the successful changes in the new law that he has long advocated.  He said Citizens’ policy count has grown from 414,000 in 2019 to nearly 1.2 million today, in part due to private companies going out of business.  “But there's a secondary issue, and the issue is, in some territories around the state, we're 50% below the market.  So we're competing openly with the private market.  That makes no sense whatsoever,” Gilway said.


The new law changes the eligibility to remain a Citizens policyholder, ends capped rates, requires actuarially-sound and non-competitive rates with the private market, and allows higher rates for second homes – “all good, interim steps to get us back to the role that we were meant to operate in,” said Gilway.  He said he hopes the private market will be in a better financial situation to resume depopulating Citizens’ policy count by the end of 2023.


“Who's going to come in and try to compete with a government entity?” agreed McGuire.  “Why would you commit capital to that?  Florida has now solved both of those and being able to talk to consumers about that is really, really important.  And that's how this market is going to change.”  McGuire said setting expectations that rates aren’t going to go down immediately is part of that.  “This is not a little speedboat here that we can just turn.  This is a big aircraft carrier and it’s going to take a little bit to get there, but we're going to get there,” he said.


Reinsurance Help:
Schwebach shared his insight on the Florida Optional Reinsurance Assistance Program created under the new law, to help insurance companies that cannot find affordable reinsurance in the private market.  “I think the jury to a certain extent is very much out on how effective this reinsurance offering is going to be from the state,” he said.  And while the market is appreciative of the effort, “I think they are trying to determine if there's true value in what's being offered, the capacity being provided relative to the price,” Schwebach said.  He also discussed the important role reinsurance plays in the Florida insurance market and how consumers benefit from its availability.


Host Miller stressed that the new law should mark a new beginning among consumers, agents, insurance companies, contractors, investors, reinsurers, legislators, and Realtors.  “This should be a collaboration to get away from the nasty litigation and the adversarial relationships that we've seen over the past few years so that we can restore this market so that it will be vibrant for our consumers and very competitive,” said Miller.


Links and Resources Mentioned in this Episode


PEAK6 InsurTech


Gallagher Re


Citizens Property Insurance Corporation


Key Provisions of 2022 Insurance Consumer Protections & Market Reforms (SB 2-D & SB 2-A)


Reinsurance to Assist Policyholders (RAP) Program 


Florida Optional Reinsurance Assistance (FORA) Program 


Property Insurance Stability Report
(Florida Office of Insurance Regulation, July 2022) 


2022 Litigation Reform & Consumer Protections
(Lisa Miller & Associates)


Florida Market ‘Plagued’ by Attorney Fee-Shifting
(LMA Newsletter of December 5, 2022) 


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 12/28/2022. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2022 Lisa Miller & Associates, All Rights Reserved 

16 Feb 2023Episode 43: Episode 43 – Future of Florida Insurance Litigation00:34:06

The December 2022 property insurance market reforms passed by the Florida Legislature are making a big difference already, with fewer and less severe non-hurricane claims and fewer daily lawsuits, according to a major Florida insurance company. 


Former Florida Deputy Insurance Commissioner Lisa Miller talks with Stacey Giulianti of Florida Peninsula Insurance Company on how the reforms have leveled the playing field in insurance litigation and together with innovative industry practices, will bring positive results for consumers, carriers, and their reinsurance companies.


Show Notes


Stacey Giulianti
is a Co-Founder and Chief Legal Officer at Florida Peninsula Insurance Company, a Florida-based homeowners property insurance carrier.  Together with its sister company Edison Insurance, they have a combined 180,000 polices in Florida.  The 2022 reforms were designed to stem high insurance and reinsurance rates, carrier insolvencies, inflated claims, an overly-competitive residual market, and especially excessive litigation.  According to the Florida Office of Insurance Regulation, in 2021 Florida had 7% of the nation’s homeowners insurance claims yet 76% of the nation’s homeowners insurance lawsuits.  (For full Show Notes, visit https://lisamillerassociates.com/episode-43-future-of-florida-insurance-litigation/


Giulianti, a former plaintiff attorney before representing insurance companies, said the reforms, specifically the elimination of one-way attorney fees, will “level the playing field” between plaintiff and defense attorneys in disputed claims.  “The problem was that it really only gave the incentive to the plaintiff lawyers, to people like me back in the day, to file that suit, no matter what, it doesn't matter about mediating, it doesn't matter about coming together and trying to find common ground, it was like, ‘Who cares, I am going to get attorney fees one way or the other,’” he said.


He disagrees with critics who argued that eliminating the one-way attorney fees would create a barrier for consumers looking to find an attorney to sue an insurance company on their behalf.  He said courts at the end of a case can still award attorney fees if justified and tax costs, such as the hiring of an expert witness, something he said is actually needed in less than 10% of disputes.  “That's a little bit of nonsense from plaintiff lawyers trying to say that you need an expert in every case,” said Giulianti, who is also an accredited claims adjuster.  “You don't, because most of these cases, we already know what the damage is.   And it's really a scope and pricing differential.  Do you repair it, do you replace it, is it $5,000 to repair that, or is it $50,000 to repair that?”  Giulianti said that hiring an expert would still be less expensive to the consumer than paying 30% to 40% of their court award in attorney fees.


Innovative Options:
The reforms allow insurance companies to offer mandatory binding arbitration in their policies with a resulting premium discount.  “Ultimately what we want is a quick, easy, and inexpensive way to get an answer.  What we are really looking for is for someone to tell us either way, what the answer is to the dispute.  You get the answer relatively fast and it’s resolved, versus court cases that can last for years.”  Giulianti said the vast majority of claims are undisputed and simply get paid by insurance companies.


Citizens Property Insurance Corporation, the state-backed residual market carrier in Florida, recently received regulatory approval to handle contested claims outside of court through the state’s Division of Administrative Hearings.   These are for claims that were either denied because of a determination of no coverage or contract limitations regarding the coverage amount.  “I think those types of judges from the administrative side are every bit as smart as anybody else who's going to be sitting on the bench and making those decisions,” said Giulianti, who is a member of both the Florida and Maine Bars.


Florida Peninsula Insurance, along with some other carriers, have created “Customer Experience Departments,” in an effort to avoid disputes in the first place by making the claim process “as smooth as possible,” he said.  During Hurricanes Ian and Nicole, Giulianti said he personally handled 300-400 First Notice of Loss calls and an additional 200-300 follow-up calls.  “We have to do a better job, all of us as an industry, of walking people through the process and being transparent.”  His suggestion: treat the customer as you would “the friend of the company’s CEO.”


Reinsurance
: Host Miller noted that although the recent legislative reforms included some state-provided assistance for insurance carriers needing reinsurance, it will not be enough, given the dwindling availability and affordability of reinsurance.  She asked Giulianti what a reinsurer should look at in an insurance company that it’s considering offering reinsurance coverage to.  “Look at the company’s operations in regards to what data they collect and how they use it, especially in underwriting.  Some companies do better than others in using data to better protect their capital,” he replied.  “Carriers are going to remember who in the reinsurance side stuck with them during this time when they weren't sure, because I'm telling you, it's going to get much better.  I saw it with the sinkholes issue.  I was a plaintiff's lawyer.  I know how people think.”


Expanded Elimination of One-Way Attorney Fees:
Host Miller and Giulianti also discussed Governor Ron DeSantis’ recent proposal to expand the elimination of one-way attorney fees to disputes in all insurance lines, including automobile insurance, to address what the Governor called a “cottage industry of litigation.”  Giulianti applauded the move.  “So we're going to modernize it and not have this old ‘Hey, if you get $1 more than what you said you were going to get, you get a million dollars in attorney fees,’ which is, by the way, sometimes what happens.  You have a $10,000 case, somebody gets an extra dollar or $1,000 more than they thought they were going to get, and they get 500,000 to a million dollars in attorney fees.  That's not hyperbole, that's actually what's going on,” Giulianti said.  Eliminating the contingency fee multiplier that judges can award to sometimes double the attorney fees and reforming bad faith law – all part of the Governor’s proposal – is also very welcome he said.


“2023 will be a bit bumpy as policies are changed over to reflect the new language in the recent legislative reforms, but for those who stick it out, 2024 is going to be a banner year,” predicted Giulianti.


Links and Resources Mentioned in this Episode


Barry Gilway: Florida's New Law is a Profound Change
(The Florida Insurance Roundup podcast of December 29, 2022)


Florida Peninsula Insurance Company


Florida One-Way Attorney Fee Statute 627.428 


Key Provisions of 2022 Insurance Consumer Protections & Market Reforms (SB 2-D & SB 2-A)


Property Insurance Stability Report
(Florida Office of Insurance Regulation, January 2023) 


Florida Citizens’ Endorsement Now in Effect: Disputes to be Heard by Admin Judges
(Insurance Journal, February 6, 2023)


Governor Ron DeSantis Announces Comprehensive Lawsuit Reforms to Protect Floridians from Predatory Billboard Attorneys
(Governor’s Office Press Release, February 14, 2023)


2022 Litigation Reform & Consumer Protections
(Lisa Miller & Associates)


Florida Market ‘Plagued’ by Attorney Fee-Shifting
(LMA Newsletter of December 5, 2022) 


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 2/14/2023. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2023 Lisa Miller & Associates, All Rights Reserved

15 May 2023Episode 44: Episode 44 – Dynamic Duo: Ian Hit Hard00:38:21

An interim report submitted to the Florida Building Commission says that Southwest Florida coastal communities impacted by last September’s Hurricane Ian were “ill-prepared” for the storm surge and flooding, despite lessons on wind mitigation learned from Hurricane Charley 18 years earlier.  Ian was the costliest storm in Florida history, killing 156 people and causing an estimated $109.5 billion in damage in Florida.  Only an estimated half of that will be covered by insurance.


Former Florida Deputy Insurance Commissioner Lisa Miller sat down with the report’s co-author and another extreme events scientist who produced early catastrophic models on Ian for insurance companies.  They discussed how this new research shows some of the same patterns of destruction seen in prior storms, that Florida hurricanes are not getting stronger or more frequent, how elderly and poor residents are disproportionately hurt, potential changes to the state building code, and why a new approach to mitigation is needed.    


Show Notes 


New lessons are emerging from Hurricane Ian, the high-end Category 4 hurricane that made landfall near Fort Myers Beach on September 28, 2022.  An interim report by a team of scientists supported by the Florida Building Commission showed Ian’s tropical storm-force wind field was 2.3 times the diameter of 2004’s Hurricane Charley.  The greater resulting storm surge of 13 feet impacted high population areas living in both elevated and on-grade homes along hundreds of miles of canals and coastal frontage.  (For full Show Notes, visit https://lisamillerassociates.com/episode-44-dynamic-duo-ian-hit-hard/


Findings:
The report evaluates specific building code-related impacts to structural performance, including breakaway walls relative to code provisions, placement of the coastal construction control line, evidence for surge-induced floor slab uplift forces, and performance of common roof cover and wall cladding elements. 


Dr. David O. Prevatt
, one of the report’s co-authors, is a Professor of Civil & Coastal Engineering at the University of Florida’s Herbert Wertheim College of Engineering.  He is part of the Structural Extreme Events Reconnaissance (StEER) Network of researchers and product engineers that conducts surveys to assess building performance after each hurricane.  Its evaluation was used in the interim report and captured Hurricane Ian’s damage patterns and storm surge.  Dr. Prevatt said Ian was not a design level wind-event, meaning its wind speed on land of about 120 mph was below the building code standards of 154-160 mph for Lee County, where it made landfall on September 28, 2022.


“The severe damage we saw was really the flooding, in particular the manufactured homes on Fort Myers Beach and mostly older slab-on-grade homes,” said Dr. Prevatt.  “The good news, if there is any that we can draw from this, is that recent construction built to the recent Florida Building Code standards performed well, even in areas where they were impacted by the 13-foot high storm surge.”


Yet, Ian destroyed or severely damaged about 20,000 homes in a wide path from Lee County on the Gulf Coast and inland across central Florida to Daytona Beach on Florida’s Atlantic Coast.    Dr. Prevatt said he saw the same patterns of damage in Ian that he saw in the previous six years from Hurricanes Matthew, Irma, and Michael.  “It’s one of the saddest parts for me.  If we don't harden our communities or retreat and move them away from these intense events, we will repeat what we've seen here five, 10, 20 years down the road,” said Dr. Prevatt.    


Dr. Karthik Ramanathan
is Vice President of Research at Verisk, the worldwide data analytics and risk assessment firm.  He led the catastrophe modeling team that estimated Hurricane Ian’s initial insurance and reinsurance losses at between $42 billion to $57 billion, not including federal flood insurance losses.  The firm’s catastrophe or extreme event models not only help insurance companies determine adequate insurance premiums to the assessed value of risk and speed adjusters to the hardest hit areas right after the storm but “can also act as excellent platforms for you to test out the impact of mitigation measures,” said Dr. Ramanathan.  


“As David said, the performance of manufactured homes or mobile homes continues to be a major issue, even 30 years after Hurricane Andrew, although a lot has been done to strengthen them,” said Dr. Ramanathan.  “We saw a colossal amount of damage to manufactured homes.  Older and middle aged homes also saw significant damage.”  He and his team spent a week in South Florida after Hurricane Ian made landfall, surveying damage in both coastal and inland counties.  Some inland counties he noted had “pretty staggering” claim losses similar to coastal counties near Ian’s landfall.


“Even on the wind side, some of these inland counties saw a significant amount of claims, primarily coming in from roof damage.  And to me, it's mind boggling, seeing the same state which sort of pioneered wind design, not just in the United States, but across the world, is seeing some of the same issues 30 years on in an event like Ian,” said Dr. Ramanathan.  


New Approaches to Mitigation:
Host Miller noted that mitigation often poses a quandary for homeowners and policymakers.  “We’re looking at construction costs going through the roof if we build stronger.  We’re looking at property insurance premiums rising because perhaps we haven’t,” she said.   


Less than two weeks after Hurricane Ian, Hurricane Nicole made landfall on Florida’s east coast with modest winds but a large storm surge, creating additional flooding and tremendous coastal erosion.  Nearly 50 oceanfront homes, condominium buildings, and hotels in Volusia County either collapsed into the surf or suffered severe erosion damage.


Dr. Prevatt said the same conditions have actually existed for thousands of years in Florida.  


“We have the same hurricanes today.  They are no more intense.  They're not larger, nor are they more frequent than the hurricanes that have moved over the last 5,000 years.  So what is happening?  We have more construction.  We have more people building on barrier islands.  Barrier islands are called barrier islands, I think, because they were meant to protect the mainland shoreline from the storm surge, from these damages.  And they're meant to move the sand with the wind.  Hurricanes are natural hazards.  This is just how things are,” said Dr. Prevatt.


Florida’s population, he points out, is four times what it was in the 1970’s.  “We really have to stop and ask ourselves, ‘How much further?  How much money?  How much federal effort should we put into securing and holding on with our own biting nails, to small pieces of land, as opposed to leaving and understanding what is happening on a natural basis?’,” Dr. Prevatt asked.


“We are building in areas where we are not supposed to build,” Dr. Ramanathan agreed, noting a Florida Department of Environmental Protection report on designated critically eroded beaches.  “And further, we are building in a manner that is not necessarily resilient by putting homes on slab foundations.  It is what led to a disaster that, according to my humble opinion, could have been 100% mitigated.”


Part of the mitigation challenge is that 65% of Florida’s homes were built prior to Hurricane Andrew.  “New construction may be adding 2% or 3% to our housing inventory per year.  So we’re just not at scale to really impact future changes in our mitigation,” said Dr. Prevatt.  He said what’s needed is “research that will actually retrofit houses at scale, not one house at a time, (but) one neighborhood at a time, one town at a time.”  Doing so will involve looking beyond the Bell Curve of statistics and instead disaggregating the data.


“And what you're going to find is that the majority of this damage, disproportionately high percentages, are going to fall on the least able in our society.  The poorest, the minorities, the black communities, and the tribal communities.  These are the people who have been wiped out.  And the retirees.  Did you know that over 65% of the fatalities in Ian were over 60 years of age?” Dr. Prevatt pointed out.


Recommended Building Code Changes:
The interim report will be updated to address questions by the Florida Building Commission that will lead to a final report, which can inform future code changes.  Dr. Ramanathan believes the commission can make additional changes to the Florida Building Code beyond those mandated in recent sessions of the Florida Legislature.    He said he would like to see more durable screened enclosures on homes “because if you have to replace a screened enclosure, you're looking at a claim to the magnitude of about $5,000 or $6,000 or probably higher with inflation.”  He said he’d also like to see required window protection across Florida, regardless of whether the home is in a designated wind-borne debris region, “which don’t cost a lot to install.”  Finally, although manufactured homes fall under federal HUD standards, he said states can add local amendments.    


“I hope, as David said, if the foundation designed for manufactured homes can be looked at closely and even more importantly, if they can be enforced to the same degree as some of the other regular single family home enforcements take place in Florida, I think it will go a long way in mitigating damage following such events,” said Dr. Ramanathan.  


Dr. Prevatt said he wouldn’t look to the Florida Building Code for short-term changes, but rather a bigger picture of how to create a resilient community born in the 22nd Century.  “I would spend my time in the interdisciplinary research between the economics, urban planning, and engineering analysis that will be necessary for us to re-site our coastal residential communities inland on a macro level.“  Included in that would be converting coastal land to other uses, finding ways to buy-out private properties, and moving entire communities to safer areas, he said. 


“If we engineers continue to do the same type of research for the next 20 years in the same type of way, we will still end up with the same result.  We have to think way bigger, we have to be grand, we have to be bold, and we have to go out there and do this.  This is a moonshot moment.  This is the time that Florida needs to step up and change it all,” said Dr. Prevatt.


Dr. Ramathan said Verisk does a lot of community outreach, through its work with extreme event models.  “In fact, one of our missions is to promote global resilience.  Because insurance, the way I look at it, is the best form of mitigation if used properly,” said Dr. Ramanathan.


Host Miller pledged to work with the “dynamic duo” of guests and the listening audience to expand the outreach of this critical scientific research to better educate local, regional, and state policymakers, as well as federal officials.


Links and Resources Mentioned in this Episode


Interim Report: Survey and Investigation of Buildings Damaged by Hurricane Ian
(University of Florida Engineering School of Sustainable Infrastructure and Environment, April 17, 2023)


Dr. Prevatt slide presentation of Interim Report to the Florida Building Commission
(May 10, 2023)


Preliminary Virtual Reconnaissance Report
(Structural Extreme Events Reconnaissance Network, November 17, 2022) (Scroll down to the “Documents” section and click “View Data” to reveal the three PVRR PDF reports)


Priority Research Areas: Hurricane Ian
(StEER Network, November 16, 2022)


Estimated Industry Insured Losses to Onshore Property for Hurricane Ian
(Verisk, October 2, 2022)


Florida Senate Community Affairs Committee meeting on the Champlain Towers South Condominium collapse in Surfside, Florida |video of meeting | Florida Building Commission meeting materials (The Florida Channel, January 24, 2023)


Critically Eroded Beaches in Florida
(Florida Department of Environmental Protection, June 2022)


Florida Designated Wind-borne Debris Regions
(Florida Building Commission, as of December 2020)


Early Lessons from Ian’s Damage
(LMA Newsletter of 12-5-22)


Safeguarding Tomorrow Revolving Loan Fund Program
(FEMA, December 21, 2022)


Ian Was Costliest Florida Hurricane
(LMA Newsletter of 4-10-23)


All of Florida is at risk of hurricanes. So why aren’t impact windows or shutters required statewide?
(Sun Sentinel, February 5, 2023)


Florida Building Commission


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **


The Florida Insurance Roundup
from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 2/18/2023. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2023 Lisa Miller & Associates, All Rights Reserved

02 Jun 2023Episode 45: Episode 45 – Insurance Claim Estimates Change & Are Supposed to!00:32:34

Media coverage has intensified over an allegation by three independent insurance adjusters that Florida property insurance companies are cheating their policyholders out of rightful claim payouts.  The three accuse the industry of altering their field adjuster reports and reducing claim payouts – all without their knowledge or approval. 


Former Florida Deputy Insurance Commissioner Lisa Miller sat down with two independent field adjusters and an attorney who represents insurance companies to learn their perspective and just how damage claims – and their payouts – are ultimately decided and by whom.    


Show Notes 


The three adjusters and their allegations first appeared in public last December to testify during the Florida Legislature’s special session which resulted in a series of new consumer insurance reforms.  The reforms included the end of one-way attorney fees for property insurance lawsuits, the end of Assignment of Benefit contracts, and a further tightening of claim practices, among other things.  These were all abusive practices by bad actors against insurance companies and policyholders that were blamed for driving up the cost of insurance and creating market turmoil. (For full Show Notes, visit https://lisamillerassociates.com/13875-2/)   


Shawn Kelliher
of Cape Coral is a 16-year veteran in the insurance adjusting business.  His first 13 years were working for Farmers Insurance Company as a desk adjuster and then as a catastrophe field adjuster, including large loss and complex claims across the country.  He said “it’s absolutely not the case” that insurance companies are out to get everybody and explained that there are many legitimate reasons why field damage estimate reports change.   Field adjusters often don’t know what damage is covered by the insurance policy.  


“Some policies have actual cash value only coverage, some policies have specific exclusions for certain items and a lot of times we don't know that,” Kelliher said.  “So we see and document the damage and that goes in our report and that’s sent up (to the independent adjusting firm or insurance company), only to be later found out that, unfortunately, in those circumstances where they (the policyholders) don't have coverage, those items have to be removed or taken out of the estimate.  And it's not a malicious situation,” the Naples, Florida native said.  Kelliher said he’s seen it many times over the past three years that he’s been an independent adjuster in Florida.  He said he works for a variety of adjusting firms and across a vast array of insurance carriers, doing both residential and commercial work.  


Vanessa McGonigal
, an independent field adjuster from Cooper City agrees.  Often times, she said she is not aware of any changes that may take place in the final adjusting report on a claim.  “If we're preparing an estimate for all of the damages we see and we submit that and coverage is not afforded for something written on our estimate, where is it that we should give permission to have that removed?  If it's not covered, it's not covered,” McGonigal said.  She began her career in 2009 as an estimator for a general contractor and then five years ago, became an independent field adjuster.  She said she has worked for a couple of independent insurance adjusting firms, doing both residential and commercial claims, including from Hurricane Ian.


Both McGonigal and Kelliher said that if there is a change to the estimate, sometimes they make it, sometimes their adjustment firm does it, or the desk adjuster at the insurance company, depending on the change and the situation. 


“They'll call me and say, ‘Hey, you know, I read your report, I saw your photos, this is what I was thinking.  Can you kind of explain your thought process here or justify what it is that you put in your estimate?’ and we’ll have a conversation about it,” said Kelliher, who has worked “several hundred” Hurricane Ian claims.  “And ultimately, again, ultimately, it's the carrier's determination of coverage.  As independent adjusters, we have zero claims authority to extend coverage.  The adjustments that are being made, are to bring the estimate accurate, or in line with the policy or coverages as endorsed.”


McGonigal outlined the steps she takes as a field adjuster from the time she is assigned the claim to delivering her report on damage.  She said her typical day could include handling up to 15 Hurricane Ian claims.  That doesn’t leave a lot of time – nor should it – for follow-up, unless there’s a question or a dispute about damages, the Hollywood native said.   


Robert Schulte
is an attorney with the Louisiana-based Monson Law Firm, working in its Florida office.  He has represented Florida insurance companies in homeowners and commercial insurance matters since 2012 and is skeptical of the three adjusters’ allegations against the industry.  “In the weeks before their December testimony, there was a YouTube video featuring the same folks and if you look at the description of that YouTube channel, it says, “We’re politically involved, where appropriate, to help consumers maintain the ability to hire professional and legal representation,” Schulte said.  “And so it should be no surprise that it seems like there's an agenda here and maybe there's a misunderstanding of what's going on.” 


The industry responded to the adjusters’ allegations by saying what they described is not common practice and at least one investigation is underway by regulators.  The Florida Legislature responded this spring, in part, by passing Senate Bill 7052, which Governor DeSantis signed into law.  It requires that any altered or amended insurance adjuster’s report include the following three elements:

  • A listing of all the changes;
  • The identity of the person ordering the change; and
  • An explanation for any change that reduced the amount of the estimate.

“I do think that what's happened here is some give and take by the legislature,” said Schulte.  “More transparency is part of what the new process is with the new laws.  Is it just right?  Is it too far?  Or is it not enough?  We just have to wait and see, while these things work their way through the legal system,” he said. 


Host Miller noted there is skepticism by some in the insurance marketplace, given that independent adjusters are independent contractors, who are often paid based on a percentage of the claim.  She asked both McGonigal and Kelliher if there is a built-in temptation by adjusters as a result to inflate the claim estimate.


“I do believe that there could be some fellow 1099 field adjusters that think about that and do that, it is possible, yes,” said McGonigal.  “The answer is absolutely yes,” said Kelliher, who said that he’s done re-inspections often for estimates that are almost rejected because of the way they were written.  “Some adjusters are unscrupulous enough to write for increased or padded damages that are just not supported.  So you know, just because the adjuster wrote an estimate that's $100,000 does not mean that $100,000 estimate is supported,” he said.   The bottom line?  “If the estimate was written inaccurately, by all means, it needs to be changed and adjusted to make it accurate, even if it does reduce that adjuster’s estimate,” Kelliher said.


Schulte went on to explain specific instances where the estimate of damages is reduced.  There are lots of moving parts to a property insurance claim with multiple interactions among multiple parties.  “I think that what would help people is to understand how it's not just one person that makes the decision, and that it's the insurance company that's making the decision,” Schulte said.   “The insurance company is putting together all of the pieces of the puzzle to arrive at a fair evaluation of the claim pursuant to the policy.”


Host Miller reminded listeners that out of the more than 710,000 Hurricane Ian claims at last report, the number of those having problems with claim payments “according to the Department of Financial Services statistics is very, very small, less than 1% is the number that I'm hearing,” she said.  “Less than 20 or so questionable claims by these three adjusters are the recent focus of so much of the media's attention.  We're missing the forest for the trees,” Miller added.   She said the Florida Department of Financial Services Consumer Helpline exists to help open communication lines and help resolve complaints that do exist between consumers and their insurance companies.  “As Florida’s CFO Jimmy Patronis recently told a reporter, ‘There’s two sides to every story.’”


Links and Resources Mentioned in this Episode


Florida Adjusters’ Charges of Doctored Damage Reports Get Wider Spotlight
(Insurance Journal, March 13, 2023)


Key Provisions of 2022 Insurance Consumer Protections & Market Reforms
(Lisa Miller & Associates)


SB 7052, the Insurer Accountability Law of 2023
(Bill Watch, May 8, 2023, Lisa Miller & Associates)


HB 837, the Civil Remedies (Tort Reform) Law of 2023
(Bill Watch, May 8, 2023, Lisa Miller & Associates)


Department of Financial Services (DFS) insurance consumer helpline (1-877-MY-FL-CFO)


The Monson Law Firm


** The Listener Call-In Line for your recorded questions and comments to air in future episodes is 850-388-8002 or you may send email to LisaMiller@LisaMillerAssociates.com **

The Florida Insurance Roundup from Lisa Miller & Associates, brings you the latest developments in Property & Casualty, Healthcare, Workers' Compensation, and Surplus Lines insurance from around the Sunshine State.  Based in the state capital of Tallahassee, Lisa Miller & Associates provides its clients with focused, intelligent, and cost conscious solutions to their business development, government consulting, and public relations needs.  On the web at www.LisaMillerAssociates.com or call 850-222-1041.  Your questions, comments, and suggestions are welcome!  Date of Recording 6/1/2023. Email via info@LisaMillerAssociates.com   Composer: www.TeleDirections.com  © Copyright 2017-2023 Lisa Miller & Associates, All Rights Reserved 

14 Nov 2023Episode 46: Episode 46 – Insurers: Know the Building AND The Board00:27:36

Advances in artificial intelligence (AI) and machine learning are getting closer to providing insurance companies with a new underwriting tool to combat fraud: the ability to review meeting minutes and other public documents from homeowners and condominium associations, whose communities are home to nearly half of Florida’s 22.3 million residents.

Several Florida associations have been accused of recent wrongdoing, including one where four former board members were arrested, accused of engaging in a multi-million dollar embezzlement of monthly dues from residents.  Former Florida Deputy Insurance Commissioner Lisa Miller sat down with an insurance lawyer and an insurance services company executive who uses AI, to find out how often this fraud happens, how it increases property insurance rates, and exactly how the new technology to fight it will work.


Show Notes 


The South Florida Sun Sentinel did a recent exposé of a West Miami development called The Hammocks, a 6,500-unit community of houses, townhouses, and condominiums.  Four former association board members were arrested for allegedly engaging in an intricate scheme to embezzle millions of dollars in monthly dues from residents.  Authorities say $2.4 million in checks were written to five companies that did little or no work for the homeowners association (HOA) – two of them owned by the husband of the former board president.  


Andy McGuire
, Chief Strategy Officer and Co-Founder of PEAK6 InsurTech, said such fraudulent practices contribute to inflationary pricing and higher insurance rates.   He said advances in technology, especially artificial intelligence (AI) and the machine learning process, are providing better insights into risk.  His company’s subsidiary, Focus Technologies, is doing this today to serve its customers better. 


“With enough observations, you can run a model, for example, on the language used in the meeting minutes to potentially pick up on schemes,” said McGuire.  “Now that we have this example, for this particular issue, we can build an AI and teach it with these talk paths or words and knowing that it resulted in fraud, you have your first learning.  You can get enough positive observations that you now have a model that an underwriter can load the minutes into and get a prediction.  Combine that with financial data and a propensity to commit fraud of each individual member of the board, and you have a fully automated decision tree.  I don't think we're totally there yet, but we're really close.  This is the future,” said McGuire, whose 25 years in the industry include risk management and reinsurance.


Tiffany Rothenberg
is a Partner at the Kelley Kronenberg law firm’s West Palm Beach office in the heart of Florida’s condominium country.  She represents commercial property insurance companies in complex coverage disputes and is an expert in the HOA and condominium association insurance claims arena.  


“I can't tell you how frequently we end up seeing this kind of a scenario,” Rothenberg told host Lisa Miller.  “I just had a case here in Palm Beach County, where the association submitted a $4.5 million dollar Hurricane Irma claim for roof damage.  When we started to review their condo records, we discovered that the association actually had five roof replacement proposals that were all under $1 million.  And then during depositions, it came out they actually signed a contract with one of those roofing contractors for around... (For full Show Notes, visit https://lisamillerassociates.com/episode-46-insurers-know-the-building-and-the-board/)  

28 Feb 2024Episode 47: Episode 47 – Stress & Strain of Adjusting00:21:50


Ray Shelton, Ph.D.
is a nationally-known expert on stress and the impacts it has on frontline personnel in disasters and other crises.  He is a Fellow and the Director of Professional Development for The American Academy of Experts in Traumatic Stress, in Miller Place, New York.  He’s seen tragedy first-hand over 35 years serving with the Nassau County, New York Police department, including the Twin Towers Collapse during 9/11.  He’s also a former firefighter and paramedic.


“The adjusters are no different than fire, police, and EMS, they're front line.  They're action-oriented.  They take risks.  They have tremendous attention to detail.  They have a powerful need for control, to help people get their lives back in order,” said Shelton.  “But the price that is paid for that, is all of the memories, all of the conversations, all of the sites that they see stays with them.  There's absolutely no delete button in the human brain.”


Shelton worked with the Liberty Mutual Insurance Catastrophe Response Team during the California Wildfires in 2008 and subsequent tornado outbreaks across the country.  That’s where he met Jenny Pye, M.S., whose 35 years with Liberty Mutual included serving as a Property Claims Manager and Director of Quality Improvement for Auto Physical Damage (APD), Property, and Shared Services.


“Every time I hear Ray talk, it takes me back to early in my career when I was an adjuster in the field and would go out and have multiple fatality 18-Wheeler accidents, and just the emotions of being on scene and investigating a claim,” said Pye.  
“Sometimes the bodies were still there and then talking to their families, just all those emotions.”


Today, Pye is the Director of Commercial Claims at Pilot Catastrophe Services, based in Mobile, Alabama.   She helps adjusters and the firms they serve to not only proficiently manage the technical part of the job, but manage the emotional toll that claims can have.  She said adjusters who strive for great customer experience, often ignore or cover-up signs of traumatic stress.  


“But sometimes you get feedback as a manager and hopefully before you get that feedback from your customer, you're recognizing these issues,” said Pye.  “Maybe the adjuster is not as responsive as they normally are.  It's not just answering a text or phone call, if you're calling about a claim, it can be on a Zoom call and you will see where these folks that are normally engaged are not engaged.”  That, she adds, requires claim managers to “finely tune your senses to be aware of what’s going on.”


Shelton, who presents “Fine Tuned Adjuster” webinars for the Property Loss & Research Bureau said there are consequences of not recognizing the signs in adjusters or of claims management not responding to the signs.


“If you do nothing, it stops productivity and the bigger danger (is) maybe that you lose that person who has bottled this all up from multiple times that this has occurred and finally says, ‘You know, I've had enough’ and they leave the industry,” Shelton said, noting the current market challenge of recruiting adjusters to replace those that leave the profession.

(For full Show Notes, visit https://lisamillerassociates.com/episode-47-stress-strain-of-adjusting/



12 Mar 2024Episode 48: Episode 48 – 2024 Legislative Roundup00:37:54

How will the insurance bills that passed in the recently completed 2024 Florida legislative session compliment past marketplace reforms?   Is a property insurance market marred by carrier insolvencies in recent years and ongoing double-digit rate increases starting to stabilize? 


Former Florida Deputy Insurance Commissioner Lisa Miller talks with two legislators about the new laws expected to impact Florida’s property insurance and real estate markets, reinsurance prices, condominium affordability, and their joint belief in bipartisanship for finding workable policy solutions. 


Show Notes 


Florida State Representative Tom Fabricio
(R-Miami Lakes) sits on the House Insurance & Banking Subcommittee and Chairs the House Ethics, Elections & Open Government Subcommittee.  He is a former insurance defense attorney whose practice now focuses on commercial and real estate litigation, including real estate transactions.  


Florida State Senator Nick DiCeglie
(R-St. Petersburg) is Vice Chair of the Senate Banking and Insurance Committee, Chair of the Senate Transportation Committee, and a former Chair of the House Insurance & Banking Subcommittee.  He is President and CEO of Hope Villages of America, a Tampa Bay area nonprofit organization addressing hunger, homelessness, and domestic violence.


Both lawmakers discussed their motivation for entering the Florida Legislature and their vision for Florida’s homeowners insurance marketplace and by extension, the state economy.  Topics included the admitted insurance market (those companies whose rates and policy forms are approved by state regulators) and the surplus lines companies (those whose rates and forms are largely unregulated, and who often insure risks admitted companies don’t), along with reinsurance companies, who provide catastrophe insurance for insurance companies.  Among the bills and issues discussed on the podcast with host Lisa Miller: 

  • HB 1503 authorizes surplus lines insurance companies to take out policies (“takeouts”) from the legislatively-created and state-backed Citizens Property Insurance Corporation’s non-homesteaded residential properties, such as second homes, among other risks.  “I think surplus lines are important (for) it allows other free market competition,” said Rep. Fabricio.  “Because ultimately, with Citizens having a population of over 1.2 million to close to 1.3 million policies, we need to depopulate Citizens.  We need to bring Citizens down to a number under a million policies, where Citizens will be truly our carrier of last resort,” he said.
  • HB 1029 applies the popular My Safe Florida Home homeowners program to condominium complexes and individual condo unit owners in an initial pilot program.  The program offers a $2 to $1 match to incentivize homeowners to harden their homes from future hurricanes.  “Anytime that we can mitigate losses in the state, it’s going to go a long way in contributing to that healthy insurance market,” said Sen. DiCeglie, who sponsored the Senate companion bill.  “In my district alone, we have thousands of condominium associations and those folks are looking for relief as well.  Recent condominium reforms requiring them to put more money in reserves, so that they're making the necessary repairs and upkeep of the condominiums (together with)....

(For full Show Notes, visit https://lisamillerassociates.com/episode-48-2024-legislative-roundup/

22 Apr 2024Episode 49: Episode 49 – When Insurers Exit00:23:19

A new report claims that Florida's property insurance market is full of “low quality insurers,” especially those Florida-based companies that write the bulk of the 7.5 million homeowners and condo insurance policies.  It casts aspersions on Demotech, the rating agency that reviews their financial stability.


Former Florida Deputy Insurance Commissioner Lisa Miller sat down with Demotech President Joe Petrelli to get the other side of the story that the report didn't.  She also learned that it wasn't low capital and surplus that led to seven company insolvencies, as the report claims, but instead targeted technology-enabled claim instigation.


Show Notes 
(For full Show Notes, visit https://lisamillerassociates.com/episode-49-when-insurers-exit/


The report, When Insurers Exit: Climate Losses, Fragile Insurers, and Mortgage Markets was written by researchers at Columbia University, Harvard University, and the Federal Reserve Board and published online prior to being peer reviewed.  The report’s abstract describes it as a study of how homeowners insurance markets respond to growing climate losses and how this impacts the home mortgage markets.  


“Using Florida as a case study, we show that traditional insurers are exiting high risk areas, and new lower quality insurers are entering and filling the gap.  These new insurers service the riskiest areas, are less diversified, hold less capital, and 20 percent of them become insolvent.  We trace their growth to a lax insurance regulatory environment.  Yet, despite their low quality, these insurers secure high financial stability ratings, not from traditional rating agencies, but from emerging rating agencies.”  


The report specifically targets rating agency Demotech, which provides Financial Stability Ratings (FSR) for most of the 50 or so Florida-based property insurance companies, including six of the recent eight carriers to enter the market.  The report claims Demotech’s ratings “are high enough to meet the minimum rating requirements” of Fannie Mae and Freddie Mac, which back many home mortgages, but that most of those insurance companies wouldn’t meet government requirements if rated by AM Best, suggesting the companies are financially weak.


“I think the thing to keep in mind is the report is based on what are called counterfactual AM Best ratings of Demotech-rated companies,” said Joe Petrelli, President of Demotech, who described counterfactual methods as those based on “what-if” scenarios.  “So I think that, in and of itself, should have alerted people that this was not based on anything real or actual.  It was based on counterfactual information.  It's like rewinding the world, changing a few crucial details, and then hitting play to see what happens.  It's essentially a simulation,” said Petrelli.

Petrelli is an actuary and a 55-year veteran of the insurance industry.  He and wife Sharon co-founded Demotech in 1985 and today the agency reviews and rates 460 insurance companies across America.  It is registered with the U.S. Securities and Exchange Commission as a nationally-recognized statistical rating organization for insurance companies.  Florida regulators approached Demotech in 1995 to become the very first ratings company to review and rate independent, regional and specialty companies that filled the gap left by....  (For full Show Notes, visit https://lisamillerassociates.com/episode-49-when-insurers-exit/)

19 Jun 2024Episode 50: Episode 50 – Dollar Sale on Flood Damage00:29:34

A new working paper from the Congressional Budget Office estimates that for every dollar spent to elevate or buy-out a flooded home, $2.69 would be saved in future costs over the next 30 years.  Of the 1.3 million projects the paper identifies, roughly 138,000 would see a greater savings of $6 dollars.  Total savings would amount to $519 billion in future damage if governments and homeowners together would spend $193 billion today.


Former Florida Deputy Insurance Commissioner Lisa Miller sat down with one of the paper’s co-authors and the head of a national home floodproofing solutions company to discuss the government’s current efforts – and what’s lacking – to avoid costly future flood damage across the nation.


Show Notes 


The Congressional Budget Office (CBO) is the research arm of the U.S. Congress, tasked with providing nonpartisan analysis for lawmakers to consider when making policy.  Its May 2024 working paper, Flood Damage Avoided by Potential Spending on Property-Level Adaptations found: 

  • There are opportunities for adaptation for approximately 1.3 million projects nationwide (each adapting a single property of one to four units) where the expected avoided damage exceeds project costs primarily from elevating the home above flood stage or a buyout of the property for later destruction.
  • The total cost of completing these projects would be $193 billion, preventing $519 billion of expected damage over 30 years.
  • On average, each dollar spent on these projects would avoid $2.69 of expected damage.
  • About 138,000 projects would result in expected avoided damage over six times the cost of the project.
  • Outcomes vary based on area income and geography.

“We started looking into federal spending on adaptation to flood risk and we found that there's a big literature out there, but it can be really difficult to compare across studies, and apply one context to another,” explained paper co-author Evan Herrnstadt.  “So we would need a scalable and flexible approach and found it was feasible for us to use the National Structure Inventory from the U.S. Army Corps of Engineers and flood modeling from the First Street Foundation and combine that with some other work to estimate avoided damage from property level interventions like buyouts and elevations,” said Herrnstadt, who is a CBO economist.  The national framework that CBO developed used inland and coastal residential properties that contain 1 to 4 housing units.


While the CBO doesn’t make policy recommendations to Congress, Herrnstadt said in this report, it does characterize sets of projects and different allocation schemes to provides potential opportunities to avoid flood damage paid principally by federal, state, and local governments, together with homeowners.  The paper notes that FEMA has multiple programs that fund property-level adaptation.  From fiscal years 2008 to 2019, annual obligations for those programs totaled about $280 million, representing an average of 29% of the amount FEMA has obligated for hazard mitigation.


“Evan this is fantastic work,” said Tom Little, President & CEO of Floodproofing.com, an integrated company providing property risk analysis, wet and dry floodproofing solutions, and flood insurance.  “This is the type of information that we need to get out there to continue to build awareness that we can actually invest money and get a strong return on that investment, by retrofitting the existing infrastructure that we have... (For full Show Notes, visit https://lisamillerassociates.com/episode-50-dollar-sale-on-flood-damage/

30 Jul 2024Episode 51: Episode 51 – Florida’s Expanding Flood Zones00:33:18

High-risk flood zones are expanding this year along significant stretches of Florida’s coastline.  In Broward County, nearly 90,000 properties have been moved into a FEMA flood zone.  But 80,000 of them were in such a zone prior to ten years ago, when FEMA moved them out – only to add them back in this year.  Many will now have to purchase flood insurance.


Former Florida Deputy Insurance Commissioner Lisa Miller talks with the county floodplain manager for an explanation, the reporter who broke the story, and another reporter from Palm Beach County, which is fighting FEMA’s efforts to expand flood zones. 


Show Notes 


FEMA calls these high-risk flood zones Special Flood Hazard Areas (SFHA).  They are designated on a FEMA Flood Insurance Rate Map as zones that begin with the letter “A” or the letter “V” for those living along the coast, subject to additional threat of storm surge.  Properties in these zones supposedly have a 1% probability of flooding each year, or about a one-in-four chance every 25-30 years.  Some refer to this as the 1-in-100-year flood probability.


FEMA’s 2024 updated maps have moved nearly 90,000 (88,913) properties in Broward County, Florida into a high-risk flood zone.  But almost 80,000 (79,689) were in that zone prior to FEMA’s 2014 map update, then removed, and now 10 years later are back in a flood zone.  “How did this happen and what’s the science behind it?” asked host Miller.


Carlos Adorisio,
Floodplain Manager for the unincorporated area of Broward County, explained that FEMA flood maps are based on studies of two factors: rainfall and coastal storm surge.  Maps from the 1980’s and 1990’s reflected most of the county was high-risk.  “In 2014, FEMA updated the maps, but they only updated the portion for the rainfall risk and not for the storm surge.  There was a lot of development and better modeling and a lot of areas were removed from the 100-year floodplain,” he explained.   In its 2024 maps, FEMA updated only the coastal storm surge risk.  “There’s been more development, updated storm data, and better computer modeling techniques and mapping,” since the last storm surge studies done in the 1980’s, said Adorisio, who is a Professional Engineer and a Certified Floodplain Manager.  


“One of the components of storm surge is the sea level, which is higher than they accounted for in the 80’s and therefore the storm surge is higher in this study,” Adorisio explained.  “Now the southern part of the county is lower than the middle and northern sections of the county...and it's to the point where FEMA believes that the higher storm surge elevation not only goes to I-95, it goes all the way to U.S. 27, which is close to the Everglades levee.  That’s why you have those almost 90,000 parcels that are increasing in flood risk and now in the Special Flood Hazard Area,” said Adorisio, who earlier in his career worked for FEMA as a technical consultant for flood maps. 


Ron Hurtibise
, business reporter for the South Florida Sun Sentinel, first reported the scope of the 2024 flood map changes.  The new high-risk flood zones are primarily located along... (For full Show Notes, visit https://lisamillerassociates.com/episode-51-floridas-expanding-flood-zones/)  

30 Aug 2024Episode 52: Episode 52 – Agent Roundtable00:33:33

What’s going on with property insurance in Florida?  Specifically rates, coverage, condominiums, automobile insurance, telematics, flood insurance, and the reinsurance costs that carriers pass along to consumers.  


Former Florida Deputy Insurance Commissioner Lisa Miller gets to the heart of the issues with three experienced insurance agents in South, Central, and North Florida who share their insights and suggestions on improving Florida’s challenging property insurance market. 


Show Notes 


Host Lisa Miller and guests discussed the high premiums affecting homeowners and auto insurance, driven by catastrophic weather, inflation, litigation, and reinsurance costs.  Positive trends such as rate decreases and more flexible coverage options are highlighted.  The conversation also covered the critical need for flood insurance and the role of the news media in educating the public about insurance complexities and how agents can help the media do so.  The episode underscores the importance of transparency and proactive communication in the industry.


Miller’s guests each brought unique perspectives from different regions of Florida:

  • Jay Wolfberg, President of We Insure, headquartered in Sunrise.  Wolfberg has over a decade of experience in commercial and residential property insurance.  He discusses positive trends in the market, including rate decreases and more creative coverage options.
  • Anna Regina Myrrha, Agency Principal and Broker at American Insurance Pointe (AIP) in Orlando.  Myrrha shares insights on the stabilization of rates and the importance of adapting coverage to meet clients' needs.
  • Paul Lalonde, President of Insurance Wagon, a Jacksonville insurance agency.  Lalonde provides a perspective on the homeowners as well as the commercial insurance market and the challenges posed by recent legislation affecting condominium insurance.

Overview of the Florida Insurance Market

Host Miller highlighted the current state of the Florida insurance market, where premiums for automobile, homeowners, and commercial insurance are at an all-time high.  She identified four main factors driving these rates:

  1. Catastrophic Weather: Florida's susceptibility to hurricanes and other severe weather events significantly impacts insurance costs.
  2. Inflation: Rising costs of goods and services contribute to higher insurance premiums.
  3. Litigation: Legal fees and settlements from lawsuits lead to increased insurance costs.
  4. Reinsurance Costs: The cost of reinsurance, which insurers purchase to protect themselves from large claims, is a significant factor in premium pricing, comprising upward of 40% of a homeowners insurance premium.

Host Miller emphasized the uncertainty surrounding reinsurance costs, especially with the ongoing hurricane season, and the potential for higher rates if a significant hurricane occurs.


Positive Trends in Homeowners Insurance

Rate Decreases and Stabilization


Host Miller highlighted a recent report from the Florida Office of Insurance Regulation that 12 companies have requested rate decreases, while 25 have sought to maintain their current rates. For example, American Integrity Insurance Company has announced a nearly 7% rate decrease for a significant number of policyholders...  (For full Show Notes, visit https://lisamillerassociates.com/episode-52-agent-roundtable/


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