Showing posts with label Insurance News. Show all posts
Showing posts with label Insurance News. Show all posts

Saturday, August 31, 2013

New Insurance Offering Reduces Risk For Investors in Solar Power

The growing menu of insurance products tailored to address specific risks associated with solar power projects suggests that the solar power industry is maturing at a rapid clip.

SolarShield is the most recent solar insurance product to hit the market. The policy, which is the brainchild of San Francisco, CA-1.32% -based Walsh Carter & Associates Insurance Services, purports to be the first “true performance warranty” for investors in commercial solar projects.
More specifically, SolarShield guarantees that a solar project will generate a specific amount of revenue for several years whether the sun shines or doesn’t shine.

“Ours is a simple policy that acts as a backstop for financial institutions that are concerned about system performance,” said David Saisi, Vice President of Business Development within Walsh Carter's CRI+3.72% solar practice. “Our policy will make up any lost revenue due to system underperformance and it names the bank or financial backer as the loss payee for any claims.”
Unlike other policies, SolarShield does not require proof of negligence or defectiveness to trigger coverage for revenue losses.

In addition, the insurance claims are paid out directly to financial institutions rather than the system or host site owner.

The warranty directly guarantees the backing financial entity restitution and debt service payments when production falls as a result of extended inclement weather, temporary sky obstructions such as smoke from a forest fire and other issues.

Src : http://www.forbes.com/sites/williampentland/2013/08/24/new-insurance-offering-reduces-risk-for-investors-in-solar-power/

Wednesday, May 1, 2013

Long-term care insurance could be harder to get

Don't look currently, but the long-term care insurance business is hurting - badly. And that could make it more difficult, or more expensive, for you to get a policy.

Long-term care policies have only been offered on a large scale since the 1980s, meaning insurers are just now seeing clear claims patterns emerge.
From their perspective, it's an ugly picture: more people than expected are holding onto their policies until they can file a claim, and years of rock bottom interest rates have kept insurers from earning a decent return on policies whose benefits increase three to five percent a year.
Long-term care insurance


The results: a number of providers have left the business, and others are jacking up rates: California's public pension fund, CalPERS, recently won approval for an 85 percent increase over two years. Some, like John Hancock, a subsidiary of Manulife, are offering stripped down plans that keep prices in check but cover less.

Now companies are starting to differentiate among potential customers in new ways to ensure that premiums better reflect policyholders' risk profiles.

The changes are jarring. Genworth, a leading provider of long-term care insurance, has already begun charging single women more for policies. On April 29 John Hancock will follow suit, and the rate hikes could be as high as 40 percent.

"It makes sense. Women get two-thirds of the benefits," in large part because they tend to live longer, says Jesse Slome, executive director of the American Association for Long Term Care Insurance, a membership organization for sellers of long-term care policies. Slome adds that insurance companies didn't understand how gender differences would play out when they first issued the policies.

That's not all. Growing numbers of companies now require "enhanced underwriting." (The rest of us would call it added health screening.) Instead of relying on outside doctors' exams, as they have done since the inception of the long-term care business, insurers will have their own medical professionals conduct evaluations of applicants' insurability.

"The two major long-term care insurers have started drawing blood," to undertake their own analyses of applicants' health, Slome says. "You have to be in relatively acceptable health in order to qualify for this policy."

All this makes a complex type of insurance even more so for consumers. Do you want a plan whose value grows more slowly, or not at all? Or do you want to pay more for greater protection against health care inflation? Should you take out a pricey policy now, paying more premiums over your lifetime, or gamble that you will stay healthy enough to qualify in a year or two?

Or, if you are a single woman, should you be rushing to get a policy before other insurers follow the lead of Genworth and John Hancock?

Patrice Goldfarb, a certified senior advisor and an employee benefits consultant, is adamant on the need for single women to jump in. She says that when she first heard of companies proposing to raise rates for women, "the first thing I did was send a massive blast email to everybody I could think of saying to buy the insurance before rates go up."

But in general, experts say, whether to buy long-term care insurance now depends on your tolerance for financial risk, and your net worth.

Goldfarb has been showing clients ways to buy long-term care insurance that costs less and provides less coverage, but can be increased over time. As an example, she points to a John Hancock policy called Benefit Builder. The policy offers a relatively limited amount of insurance initially but the benefit increases are pegged to John Hancock's investment earnings on part of its general account. Every three years, consumers have the option to add to their policy without an additional medical exam.


Goldfarb also says consumers may need less long-term care insurance than they think. She says studies show that consumers typically put in claims covering less than three years of long-term care.

"I used to say you really need a pool of money that's going to last you at least five years, and I'm finding out that that's not really true," she says.

Slome stresses that shopping around is crucial. His organization recently conducted a study that found prices of high-end long-term care plans - those with protection against inflation of up to 3 percent - varied by as much as 92 percent.

Wealthy individuals can also opt to self-insure - to plan on shouldering their long term care costs themselves. But be prepared to spend big. Goldfarb says a recent Met Life study pegged the cost of a private room in a nursing home in New Jersey at $123,000 per year.

Src : http://www.nbcnews.com/business/long-term-care-insurance-may-be-harder-get-6C9633922

Monday, April 22, 2013

10 Thing About Commercial Auto Market Should Know

The Following are 10 Thing About Commercial Auto Market Should Know :
Commercial Auto Market

  1. The commercial auto segment saw an underwriting loss in 2011 for the first time in nine years, with a combined ratio of 103.6 percent, according to a special report on the U.S. commercial auto insurance industry published by Fitch Ratings in October 2012.
  2. A commercial driver study by LexisNexis Risk Solutions found employers tripled their employment verifications of commercial drivers during the first half of 2012.
  3. 16,000 brand new vehicles were scrapped because of Superstorm Sandy (Reuters)
  4. False or unverifiable driver history rose nine percentage points from 2008 to 2012, topping 2012 at 38.97 percent, according to the LexisNexis Risk Solutions Commercial Driver Study.
  5. Commercial auto is the third-largest commercial lines segment, with 9.8 percent of commercial lines premiums in 2011 (Insurance Information Institute).
  6. Commercial auto net premiums written in 2011 totaled $21.04 billion and direct premiums written totaled $23.5 billion. (SNL Financial LC)
  7. Travelers Group had the most market share of the commercial auto market in 2011, with 8.41 percent and $2.02 billion in direct premiums written, according to the National Association of Insurance Commissioners (NAIC).
  8. Liberty Mutual had the second-highest market share in 2011 (6.56 percent), with $1.57 billion in direct premiums written (NAIC).
  9. Commercial auto rates rose 5 percent in November 2012, compared with November 2011, and were up 6 percent in December 2012, compared with December 2011 (MarketScout).
  10. Travelers’ 2012 third-quarter earnings report cited its commercial auto rates rose 9 percentage points.
Src : http://www.mynewmarkets.com/articles/181526/10-things-to-know-about-the-commercial-auto-market

Saturday, April 20, 2013

Insurance For Boston Marathon Bomb Victims

Victims of the Boston Marathon Explosion will eventually win some kind of compensation, but it is far too early to know how much money there will be, whether private donors or insurers will provide most of it, and how long it might take to distribute.
Insurance for Boston Marathon Bomb Victims

Late on Tuesday, state and city officials said they had established One Fund Boston, designed as a central source of compensation for victims. John Hancock, a Boston-based insurer owned by Manulife Financial Corp., has contributed $1 million in seed money. Boston law firm Goodwin Procter will run it.

What happens next will depend in part on whether individual victims choose to hire lawyers to press their own claims. Judging from previous catastrophes, experts say victims have an easier path if they settle with a central relief fund, rather than pursue lawsuits against governments, race sponsors or perpetrators.

A fund is “the easiest, the fairest and the quickest way to go,” said Marc Bern, a lawyer who represented thousands of workers at the World Trade Center site in litigation over illnesses related to the 9/11 attacks.
“The most important thing for the victims of these kinds of tragedies is a quick solution,” he said, even if that means surrendering the right to sue others for even more compensation later.

Monday’s attack killed three and wounded more than 170. Many of the survivors suffered amputations that will require prolonged medical treatment and rehabilitation.

The parameters of the One Fund Boston are still unclear and may not be known for days or weeks. A spokesman for Goodwin Procter could not immediately comment on when victims or their families could start filing claims, and whether the fund would handle claims on a case-by-case basis or in groups.
Such questions will have to be answered before anyone can get paid, according to Kenneth Feinberg, the Washington attorney who administered funds set up after 9/11 and the 2007 Virginia Tech shootings.
“If you take the money, do you give up your right to litigate against the city of Boston or the marathon association? Who’s eligible?” said Feinberg, considered the world’s foremost expert on disaster compensation.

The 9/11 fund – a rare example of the federal government, rather than the private sector, taking the lead on disaster compensation – provided money for people with injuries provided they surrendered their rights to sue.

MONEY GETS STUCK

In December’s Newtown school shooting in Connecticut, no central authority was appointed. That appears to have slowed the distribution of funds raised for victims and their families.

“These kinds of tragedies really generate an entirely different kind of charitable giving than is normal. It’s emotional, it’s chaotic and people are driven to want to help in some way,” William Rubenstein, commissioner of the Connecticut Department of Consumer Protection, said.

Disputes can arise even when there is a central authority. Victims from the 1995 Oklahoma City bombing, according to the NBC television network, are still fighting over claims with the Oklahoma City Community Foundation, which oversees a relief fund. (The fund has defended its distribution practices).

There are also fraud risks to consider. Massachusetts Attorney General Martha Coakley warned on Wednesday that within four hours of the bombing, more than 125 websites had been registered purportedly to collect money for victims.

Regardless of who is giving out the money, calculating how much each victim should receive promises to be a painstaking process. It will depend in part on whether the fund administrator decides to lump people together into categories.

The 9/11 fund considers each case individually, calculating economic loss (medical costs, lost earnings etc) plus non-economic loss (pain and suffering) and then subtracting any other money earmarked for the victim. Payments have ranged from $10,000 to $1.5 million.

Some funds group victims by category and pay accordingly. The fund set up for victims of the 2012 Aurora theater shootings paid $220,000 to families of the dead and those who suffered brain damage or paralysis. Survivors who stayed in hospital longer than 20 days received $160,000. There were other lower brackets as well, depending on the length of hospitalization.

After some past disasters, such as Aurora, hospitals waived or limited bills for those who did not have private insurance. Boston-area hospitals are still addressing that question. Massachusetts General Hospital said on Wednesday that it would expect patients’ insurers to be billed first, though it would take all bills on a case-by-case basis.

INSURANCE MAY APPLY

In theory, victims also have the right to pursue litigation against the Boston Athletic Association (BAA), which has organized the 26.2-mile race since 1897, or the perpetrators, assuming authorities eventually arrest and convict them.

But it is far from clear whether either of those parties will have sufficient funds to pay off any claims, or how long it would take to reach a settlement.

Bob Murphy, global sports and events practice leader for insurance brokerage Marsh, said he had fielded well over 100 calls since Monday from clients and underwriters asking about potential claims related to the bombings.

“We’re talking about somebody injured or a fatality as a result of a terrorist event. Could liability come out of this? Absolutely,” he said. “Are most of these events covered for that? Yes.”

The BAA’s ability to pay any settlements likely will depend on its insurance coverage. It may have a specific policy to cover terrorism-related incidents or a special clause in its regular liability policy to cover such acts.
The BAA declined to comment on what type of policy it had.

“The organizers of larger events tend to be more risk-aware and do contemplate acts of terror as a possibility under the terms of the coverage as a matter of course,” said Ian Barnes, a member of the terrorism and political risk team at Cooper Gay, a British insurance broker.

Assuming the BAA has terror coverage, it probably will not kick in unless there is an official designation by U.S. Attorney General Eric Holder and Treasury Secretary Jack Lew that the bombing was an act of terrorism.

President Barack Obama on Tuesday called the bombings an “act of terror.” Under the federal government’s Terrorism Risk Insurance Program, the attorney general and treasury secretary must officially certify an event as an act of terrorism before that government program can be activated.

Even if activated, though, it would not start paying until claims have reached $100 million.

Src : http://www.insurancejournal.com/news/national/2013/04/17/288828.htm

Tuesday, April 16, 2013

Insurance Sales Follow Suit, As Gun Sales Soar

Experts in this segment say new policy submissions dealing with all aspects of guns, including gun shops, gun dealers and gun ranges are up exponentially compared to the last couple years.

“Every single one of my gun shops has increased its revenue by 25 percent in the last year,” says Scott Wilson, president of Best Shot Insurance in Chesterfield, Mo., a division of Charles L. Crane Agency. “In addition to that, the number of new ranges opening has gone through the roof.”
Wilson says sales are up because some people fear they will have their guns taken away under the proposed legislation and feel they should exercise what they believe is their Second Amendment right now while they still can.

Best Shot covers firearm accessory manufacturers; firearm instructors; firearm retailers, wholesalers and distributors; gunsmiths; gun shops and shooting ranges; and hunting clubs and preserves. Coverages for these classes vary by what they are involved with but Wilson says the policies are very black and white, and if the exposure is not listed it is not covered so agents need to be thorough when underwriting.

Wilson says increased demand for guns and gun services like gun ranges or classes has led many businesses to expand into other areas they were not in before. But too often they are not updating their insurance coverage appropriately.

“The biggest exposures I see right now are a lot of gun shops going into the manufacturing side without knowing what coverages they need,” he says. “For gun ranges offering conceal carry classes there is a professional liability exposure. A lot of gun ranges and shops are not carrying the proper coverage to protect them from a professional liability standpoint.”

Gun ranges that offer classes on self-defense and carrying a concealed weapon are seeing a marked uptick in enrollment, especially from women, and teaching these classes opens the range up to professional liability exposures – which most do not realize. New legislation that targets concealed carry laws will impact what is taught so range owners need to be on top of any changes.

“In certain states you could teach four different types of classes on conceal carry laws,” says Wilson. “The key thing is for ranges to be up on the most recent changes on conceal carry legislation and be aware of what is institutionalized in their state at that particular time.”

Wilson says most instructors would carry personal gun liability coverage but agents need to educate range owners and instructors of conceal carry classes about the importance of professional liability coverage as well, especially considering future changes in legislation.

Carriers that write these classes, says Wilson, are also following gun legislation proposals closely so they are prepared to update coverages if something changes. Carriers are paying particular attention to legislation around semi-automatic weapons. he says.

“Manufacturers are still making these weapons and we are still supporting those who do. Our products are still backing those [weapons manufacturers] until the legislation changes,” says Wilson. “If they get outlawed the policy will be changed completely to exclude those.”

For gun shops, Wilson says sales will be affected dramatically if the waiting period is changed by any federal or state mandates. Insurance carriers are also “squeamish” about gun shops or ranges that carry fully automatic weapons unless they are being used for military, police or tactical systems that are fully trained for those weapons, says Wilson.

“Carriers are asking questions regarding fully automatic weapons that they weren’t asking before and denying coverage,” he says. “Some are responding to the actuaries who have been looking at the numbers and others are following suit from political pressure and what might be coming down.”
Wilson says the majority of gun liability business is written in the E&S market and he expects that more will go that way if any legislation is passed and takes effect. He also says premiums will go up if that happens. Until then though, it is business as usual for this market.

“At the end of the day there is a lot of fluff and some actions that could change exposures going forward but right now everyone is in a holding pattern and waiting to see,” says Wilson.
He also thinks this is still an untapped market where a specialist can do well.
“When 2008 came around we were heavy into construction and lost half of our book overnight,” he says. “So this market segment has really helped our agency and this industry.”

Gun Dealers

The gun dealer market has changed quite a bit in the 32 years since New Jersey-based Joseph Chiarello & Co. began writing this class.

Chiarello & Co.’s first policy application for gun dealer insurance consisted of a one-page form with seven questions, according to Robert Chiarello, president of the brokerage, which specializes in the firearms industry. After years of fine-tuning the underwriting, that form is now 14 pages long, Chiarello says.
The increased emphasis on underwriting may partly be in response to the expansion of regulations on this class that has occurred over the years.

In 1998, the National Instant Criminal Background Check System, or NICS, was mandated by the Brady Handgun Violence Prevention Act of 1993 and launched by the FBI. All federally licensed gun dealers – Federal Firearms Licensees (FFLs) – are required to use the system every time a gun is sold to determine whether a prospective buyer is eligible to buy firearms or explosives.

“Before ringing up the sale, cashiers call in a check to the FBI or to other designated agencies to ensure that each customer does not have a criminal record or isn’t otherwise ineligible to make a purchase. More than 100 million such checks have been made in the last decade, leading to more than 700,000 denials,” the FBI states on its website.

“Every dealer, including a pawnshop, who sells firearms, has to be licensed by the federal government, through the Bureau of Alcohol, Tobacco and Firearms. And they have an FFL, which is a federal firearms license, and there are different classes for dealers, for gunsmiths, for manufacturers and so on,” Chiarello says.

“They’re all investigated by the Bureau of Alcohol, Tobacco and Firearms,” Chiarello says. “They all have to pass rigorous background checks and then they’re given a license. The only way that they can stay in business … is with that license.”

Every time someone buys a firearm from a licensed seller, the purchaser must fill out and sign a federal document – ATF Form 4473 – in the presence of the dealer, Chiarello says.
The form includes questions covering history of domestic violence and/or harassment, felony convictions, drug use, mental condition, citizenship/resident status, whether the buyer was dishonorably discharged from military service and whether the purchaser is buying the product on behalf of someone else.
After the form is completed, the dealer then contacts the FBI and provides “the prospective buyer’s Social Security Number, his name, address, and a few other things. The FBI can then do an instant background check for criminal prosecution, for domestic violence issues, which should be reported to them, and also mental disabilities,” Chiarello says.
The program Chiarello administers through AIG is available in 50 states and currently insures about 3,000 gun dealers. Chiarello also provides coverages for other weapons-related businesses, including instructors, manufacturers, gunsmiths, shooting ranges, etc.

The base product is not particularly expensive, Chiarello says. The annual premium starts at about $800 and Chiarello has the ability to price the account up or down about 15 percent depending on the particulars of the dealer’s facility.

In addition to an FFL, the facility must have a central station burglar alarm in order to be considered by the brokerage. The dealer also should have “safes, cameras, and crash guards in front of plate-glass windows, so people can’t just drive a car through the window and go in and steal the guns and back out and go away,” Chiarello says.
A dealer, such as a pawnbroker, who has an FFL but does not specialize in firearms, may be instructed to take a gun that is pawned but not retrieved by its owner to a licensed, insured gunsmith to check out and certify the gun. Gun dealers are required to certify used guns, as well, but they generally “know enough in selling a used firearm to make sure that it works correctly, that the safeties work,” Chiarello says.
“There are three triggers in any liability case and that’s design defect, manufacturing defect, and failure to warn,” Chiarello says. “The failure to warn is the owner’s manual.”
At the point of sale, even if they are selling a used gun, the dealer should always make the owner’s manual available to the buyer, or tell him where to access it online, he says.
For gunsmiths, particularly, an owners’ manual is mandatory, Chiarello says.
“When we insure a gunsmith who’s re-manufacturing a gun, or changing it, or assembling parts to make a gun, one of the questions we ask … is, ‘When you sell the gun, do you include an owner’s manual?’ If they say, ‘No,’ then we say, ‘We can’t insure you,’” he says.
Best Shot Insurance Agency’s Scott Wilson says carriers have started to get more technical with gun dealers or shops that are doing any sort of gun building or trigger manufacturing. In ordered for the gunsmith work to be covered, the shop must be classified as a manufacturer to the insurance carrier.
“The key thing is having the right coverage for the right exposures, and you have to have a gunsmithing exposure on the policy,” he says. “That’s the biggest exposure I see right now. A lot of gun shops are going into the manufacturing side without knowing what coverages they need.”
Chiarello says some strange claims do come out of these facilities.
“We had one where a guy went into a gun store with his gun to have it repaired. And the salesman behind the counter, or the clerk behind the counter, says, ‘You sure it’s unloaded?’ He says, ‘Yes.’ The dealer put it behind his back, pulled the trigger, and of course it was loaded. And he shot into a canister of gunpowder which, of course, ignited, and started a fire in the place. Things like that happen.”

Straw Sales

One cause of concern for gun dealers and government officials alike is the potential for “straw sales, where someone who is legally capable of buying a firearm goes in and buys it in his own name, which is legal, but then sells it or gives it to someone else, who maybe can’t buy that firearm legally,” Chiarello says.
Legislation has been proposed “to increase the penalties for those straw sales, because if someone who’s a criminal can’t buy a gun, he gets it from somewhere,” he says. “Either he steals it from someone or he buys it from someone who owns it legally.”
Currently, NICS background checks are required only on sales made through licensed dealers. But there are legislative initiatives on both state and federal levels that would require background checks for all sales, including sales between individuals.
Such legislation would be difficult to enforce, especially on the individual level, Chiarello says.
But gun shows are another matter. While licensed dealers at gun shows have to comply with federal regulations regarding gun sales and background checks, individual sellers typically do not. Some proposed state and federal legislative measures aim to close that loophole.
Some of the proposals would require an unlicensed seller to transfer the gun to the new owner through a federally licensed dealer, Chiarello says.
Chiarello says his company does insure gun shows, but only “where they have state police, or police at the door to check what comes in and what goes out. No ammunition, because sometimes people will accidentally shoot a gun in a gun show. … and we do it for people whose business it is to run and control gun shows, and know what has to be done both locally and do the NICS checks there, if they’re a dealer.”

Workers’ Compensation Coverage

The Holdren Insurance Group (HIG) specializes in workers’ compensation for the shooting sport industry as well as for gun stores, gun manufacturers, and gun distributors. Chuck Holdren says placing workers’ compensation coverage for these classes has always been extremely difficult. Now, the few markets that do write the coverage are starting to raise rates.

“We are seeing rate increases of 10 to 15 percent in our book of business on renewals for our exposure,” he says. “Our guys are getting hammered just because of what they do and they don’t have any losses.”
HIG began its program about two and a half years ago and Holdren says the loss ratio has been fantastic so far.

Most carriers don’t really understand firearm-related risks and would rather decline than get to know the class, but the growth this industry is experiencing may change that, Holdren says.
“This one industry – pardon the pun – is exploding and I see that happening for the foreseeable future,” he says. “I have been talking to other carriers and they are realizing it is an industry that no one is really paying attention to.”
Holdren says the gun control conversations in Washington, D.C., are leading to a surge in people buying guns for the first time or opening new gun ranges. At HIG, his insureds’ payrolls are up 20 and 30 percent over last year and he has been receiving about 10 submissions a month for new gun ranges across the country.
Holdren says he is currently in talks with carriers to expand into the gun liability side so HIG can offer a full package to this class and is looking at acquisitions and strategic partnerships to help guide this expansion. The agency is also moving the workers’ compensation coverage from SeaBright Insurance Co. to other carriers as well.
He says the key to covering this industry effectively is to understand the amount of safety, loss control and engineering that must go along with gun-related facilities.
“A gun range is not a place you go and goof off. They are so heavily regulated with local, state and federal compliance issues,” Holdren says. “There is no room for people to screw around.”
HIG has a comprehensive set of guidelines that delves into an insured’s safety and loss control practices used on every account they underwrite.
“It allows us to see what they are doing and how they operate,” Holdren says. “If there is even a remote question of safety or loss issues we don’t take it. We are not a price sensitive product so we only write the best.”
What would perhaps be surprising to some is that most work comp claims that do come up are not because of gunshot injuries, Holdren says. They typically have to do with the hearing loss associated with the noise in a gun range or gun facility; lead issues from handling ammunition and cleaning of the range facility; injuries from lifting boxes of ammunition or firearms; and cuts and bruises.
“Safety is first and foremost everywhere – from liability waivers, to signs to certified range master employees and owners – you don’t just get a gun and walk around. Everything is very heavily regulated,” Holdren says.

Hunting Lodges

One class that isn’t too concerned about gun control legislation proposals is the hospitality side, such as hunting lodges or clubs where there are firearms on the premises but they are not supplied by the business.
Cortland, N.Y.-based McNeil & Co.’s AdvenSure program, written on Arch Insurance Co. paper, insures business owners of hunting and sportsmen facilities for their everyday business needs, but doesn’t cover gun liability.
Steve Gulini, vice president of marketing for McNeil, says it can be difficult for these types of facilities to obtain coverage because some insurers exclude businesses that allow firearms on the premises. McNeil’s program works with these businesses and provides waivers that indemnify the lodge owner or the guide if there are guests participating in an at-risk activity.

Gulini says they do not expect that proposed legislation could have an impact on the hospitality side, unless the availability of ammunition is addressed or restricted in geographic locations.
“That could impact hunting operations if ammunition is not readily available to guests and clients in the facilities area and it forces [guests] to travel somewhere else,” he says.

Source : http://www.insurancejournal.com/news/national/2013/04/11/287978.htm

Sunday, April 7, 2013

Top 10 Driving Distractions Involved in Car Crashes

Erie Insurer Analyzes said More than 65,000 people in the U.S. killed in car crashes over the past 2 years, one in 10 were in crashes where at least one of the drivers was distracted.

The Erie, Penn.-based insurer examined police report data in the Fatality Analysis Reporting System (FARS), a nationwide census of fatal motor vehicle traffic crashes maintained by the National Highway Traffic Safety Administration. Erie Insurance also consulted with the Insurance Institute for Highway Safety in its analysis.

“Distracted driving is any activity that takes your eyes off the road, your hands off the wheel, or your mind off your primary task of driving safely,” said Doug Smith, senior vice president of personal lines at Erie Insurance.

“We looked at what law enforcement officers across the country reported when they filled out reports on fatal crashes and the results were disturbing. We hope the data will encourage people to avoid these high-risk behaviors that needlessly increase their risk of being involved in a fatal crash.”

The analysis, which looked at data from 2010 and 2011, showed police listed the majority of drivers who were distracted as “generally distracted” or “lost in thought.” Police also listed several more specific types of distractions.

Below are the top 10 distractions involved in fatal car crashes:



Erie Insurance says that because FARS data on distraction is based largely on police officers’ judgment at the time of the crash — and also because some people may be reluctant to admit they were distracted when being interviewed by police after a fatal car crash — the numbers are difficult to verify and may, in fact, under-represent the seriousness and prevalence of driving distractions.

The insurer says that the data is meaningful, however, because unlike surveys in which consumers self-report the types of distracted behaviors they engage in, the FARS data is based on actual police reports on fatal crashes.

In addition to encouraging drivers to avoid the distractions above, Erie Insurance offers the following tips to avoid cell phone distraction:

• Let incoming cell phone calls go to voice mail.
• If someone calls you while they’re driving, ask them to call you back later and hang up.
• If you must talk or text, pull over.
• Lead by example; if you want your children to drive safely, show them how it’s done.

Reference : http://www.insurancejournal.com/news/national/2013/04/04/287259.htm

Thursday, April 4, 2013

What is Obamacare (Obama Care)? What Does it Mean ?

Obamacare what is it ? What is the Health Care For America Plan? 

You've heard of ObamaCare, but what is ObamaCare or the Health Care For America Plan exactly? Obama Care (also known as the Health Care for America Plan) is a national health care plan aimed at reforming the American health care system. ObamaCare's main focus is on regulating the health insurance industry and reducing spending in health care.

What is Obama Care?: ObamaCare is the unofficial name for The Patient Protection and Affordable Care Act (PPACA) which was signed into law on March 23, 2010. In a more general sense ObamaCare and The Health Care for America Plan or any such name is a reference to the ongoing health care reform under President Obama. (What is ObamaCare? President Obama Portrait Public Domain by WhiteHouse.org) The Obama administration has been working on a plan for American health care reform since Barack Obama was first elected into office. (The Democratic Party has been working on health care reform much longer than that.)

ObamaCare: What is it, and What Does it Mean to American Health Care?

So what is ObamaCare and what does it mean to you? There are really only a few things you need to know about President Barrack Obama's "ObamaCare".
  • The Affordable Care Act contains over a thousand pages of reforms to the insurance industry and the health care industry in order to cut healthcare costs and to provide affordable health insurance to all Americans.
  • There are around 44 million Americans who currently are unable to get health insurance. One of the major things ObamaCare does is help these individuals to get health insurance through expanding Medicaid and Medicare and offering assistance to Americans who cannot currently afford healthcare.

What Does ObamaCare Do?

Now that we know what ObamaCare is, it's time to find out what President Obama's health care reform bill does. Here are some of the most important aspects of the law:
  • ObamaCare improves the quality of care that Americans receive by providing better preventative and wellness services and raising the standards of the quality of basic health care coverage.
  • ObamaCare gives tens of millions of low-income and middle-income Americans access to quality health care by providing discounts on state or federal run health insurance exchanges.
  • Although the Affordable Care Act (ObamaCare) was signed into law in 2010, the health care reforms it enacts roll out year by year until 2022. Many of the biggest reforms don't kick in until 2014.
  • ObamaCare helps to ensure that health care coverage is available to any legal U.S. resident who cannot otherwise obtain "quality" healthcare through their employer. Your access to health care is no longer in the hands of health insurance companies.
  • ObamaCare gives American Employers with over 50 full-time employees the choice between providing insurance that meets the standards of ObamaCare or paying a penalty. This penalty helps to offset the cost of employees who aren't covered through their employer to purchase insurance through the public health insurance exchanges instead of using emergency services. 
  • Employers with less than 25 full-time employees may qualify for tax credits, tax breaks and other assistance for insuring employees.
  • ObamaCare increases consumer protections. Helping to protect you from being dropped while sick, cut off for lifetime limits, denied for preexisting conditions and offers a better legal standing.
  • Unless you make over $200k individual / $250k as a family or small business you are exempt from almost every tax ObamaCare levies. 
  • ObamaCare requires that all Americans have health insurance either through a private provider or through a state or federal assisted program. If you don't have insurance you must pay a tax equal to 1% of your income in 2014 and 2.5% in 2016.
  • ObamaCare expands Medicaid to over 15 million uninsured low income Americans.
  • President Obama's health care law aims to reform the healthcare industry by cutting out waste, reallocating where government funding goes, fixing what doesn't work and most of all ensuring healthcare for Americans. Now that we've answered the question "What is ObamaCare?". Now it's time to figure out what the ObamaCare $700+ billion dollar tax cut to Medicare really means and to get the rest of the ObamaCare Facts.
PPACA (The Patient Protection and Affordable Care Act ) requires insurance companies to cover all applicants and offer the same rates regardless of pre-existing conditions or sex.
The Congressional Budget Office projected that PPACA will lower both future deficits  and Medicare spending.
Source : obamacarefacts.com/whatis-obamacare.php

Tuesday, April 2, 2013

Snow Insurance for Skiers and Snowboarders

Thousands of skiers and snowboarders are taking unnecessary risks in the snow by failing to hold insurance cover.
Snowinsurance.com.au GM Ian Jackson has said that while the majority of Australia's 840,000 skies and snowboarders will have an incident free season this year the high cost of snow sport equipment meant that they should be insured.

"A lot of travel insurance policies don't protect you when you're skiing or snowboarding, so it's important to find a policy that specifically covers winter sports.
Never assume your credit card or annual policy gives you protection."
Snowinsurance.com provides cover specifically for Australian skiers and snowboarders.
Standard policies cover regular travel insurance, plus a range of snow related issues such as damaged or lost gear, bad weather disruptions, forced cancellations of prepaid item like lift passes and lessons, offshore injuries and medical expenses.
Visitors to snowfields often use equipment worth thousands of dollars, so a policy that costs $60 a week is well worthwhile.
Snowinsurance.com have also offered some tips for skiers and snowboarders which include; Not leaving gear unattended, labelling of items, using leg ropes for snowboards, keeping ski poles up and pointing forward, and avoiding obstacles that could damage gear.
Snowinsurance.com have also suggested that all snowfield users observe the Australian Alpine Responsibility Code. This can be viewed at www.snowsafe.org.au.
Swnowinsurance.com also covers the excess charged by car hire companies if an accident or damage occurs.
To obtain a policy visit www.snowinsurance.com.au.

Tuesday, March 19, 2013

The Most Expensive Insurance Fraud Cases You Need To Know

There are 2 varieties of insurance fraud: soft and onerous. Soft insurance fraud is once the common person tries to pad their claim to get a little bit of additional payment money.

This often goes unnoticed by an insurance company so it’s hard to tell just what quantity harm it really causes. However, one issues that's measurable is hard insurance fraud. Whether committed by an private or an organized crime group, it takes its toll on consumers and insurance companies. several of those criminals are caught as a result of such large sums of cash are involved and a lot of money.

The following 11 insurance fraud scams aren’t your typical insurance fraud scams along they have enough money to take care of several small countries. Forget faux whiplash claims — these cases of insurance fraud make those apear as if kid play. Here are just some of the worst insurance fraud cases of all time and the pricetag of each, most involving the exact people you wouldn’t expect it from, like doctors, lawyers, and even insurance professionals themselves.

11 Insurance Fraud Cases

  1. Hospital Corporation of America Healthcare Fraud: $631 million

    In many of these cases, it’s the insurance company being defrauded, but in the case of the Hospital Corporation of America, it was you and me. This was a network of hospitals that handled a large number of Medicare cases in the 1990s. Just like the average Joe who needs an extra $200 from his claim, HCA lied a little here, a little there, and what a tangled web they weaved. Before anyone noticed, they’d racked up more than $600 million from fraudulent claims, paid by taxpayers. HCA paid $2 billion in civil lawsuits. Insurance fraud affects everyone that isn’t involved. The actions of just a few can have a far-reaching effect. As a prosecutor so appropriately said at one point in the Unity Outpatient Surgery case, the severity of insurance fraud is comparable to stealing $50 from everyone in Orange County, Calif. — which also happens to be the amount all of the Real Housewives of Orange County have spent on ways allowing them to be “fraudulent” in their own way. Compared to these cases though, there’s not much there’s not one thing fraudulent about them.
  2. Rabbi Sholam & National Heritage Insurance Company: $450 million

    Big city. Big lights. Big crime. New Yorker Rabbi Sholam Weiss of Brooklyn was responsible for the biggest insurance company collapse due to fraud ever. Weiss sharpened his skills as a con man with his own personal business, but when opportunity knocked, Weiss answered. With several other business owners and lawyers, a team of con artists bought National Heritage and took it for all it was worth. After authorities became suspicious, an investigation was launched, but Weiss fled the country. Fortunately, he was found and is now serving 845 years in prison — the longest sentence ever given for a white-collar crime. Big sentence in the Big Apple.
  3. ‘Russian Mike’ the Poker-Playing Auto Insurance Fraudster: $275 million

    “Russian Mike,” or Mikhail Zemlyansky, was a great poker player, but apparently had a horrible poker face. It certainly wasn’t his game either, and when he decided to try his hand at insurance fraud, the odds were stacked against him. Taking advantage of the no-fault automobile law and employing doctors and lawyers, multiple claims were submitted for unneeded tests and procedures. Personal injury lawsuits also helped the team gain money but NYPD undercover officers were the beginning of the end, with Zemlyansky folding.
  4. National Medicare Scam with Fake HIV Clinics: $250 million

    Another Medicare scam that swept the country cost millions of dollars and involved doctors, nurses, and medical professionals — you know, those people who take a Hippocratic Oath? A national scam, it affected most major cities, and in Detroit, scammers even developed fake HIV clinics. People came in and paid for care that couldn’t even help them, continuing for months. The scam was eventually shut down and numerous individual cities prosecuted the criminals.
  5. Martin Frankel & Liberty National Insurance: $200 million

    Martin Frankel was determined to do things a little differently and wanted to be a trendsetter. Instead of committing insurance fraud the old-fashioned way, he thought he’d found a foolproof way to commit fraud — he just outright bought the insurance companies he used to scam policyholders with. He promised policyholders he’d turn their portfolios around to give them better returns, but instead, he just took their money and turned it into money in his own pockets. He placated the others with false reports until state regulators became suspicious. Frankel had been using Liberty National as a front for his cash holdings and was eventually put in prison where he now only sees the lock on his jail cell turned.
  6. Unity Outpatient Surgery Center Health Insurance Scam: $154 million

    Talk about unity. In the Unity Outpatient Surgery Center scam, a group of people worked together to bill medical insurance companies for $154 million. The participants recruited more than 2,500 healthy people and convinced them to have surgeries they didn’t need, and afterwards the patients would receive cash payments. The thread began to unravel as several surgery centers were charged with fraud, and once investigations started, charges were filed.
  7. Health Care One, United Benefits, & Consumer Health Benefits: $100 million

    Health insurance is a huge target for insurance scammers as it offers high limits and a multitude of various claims that can be filed. They may say three’s a crowd, but the three companies that took advantage of many families apparently had no problem working together. This trio ended up earning more than $100 million. The three companies, Health Care One, United Benefits, and Consumer Health Benefits, told their customers they were buying major medical insurance when in fact, they only gave them medical discount cards, similar to those you can pick up at the corner of Happy and Healthy (aka Walgreens). When customers finally received medical bills that hadn’t been paid for at all, the scam was revealed, but to this day, nobody has been arrested and although the victims still have to pay, they haven’t started to yet.
  8. Houston Mortgage Insurance Fraud Ring: $40 million

    In 2007 in Houston, Texas, eight people thought it would be a good idea to commit mortgage insurance fraud. It took a team of real estate agents, loan officers, homeowners, and 300 homes to do so, but the super-sized crime ring managed to pull it off — for a while. The Houston-based FBI mortgage fraud unit finally caught on to their schemes, and they were subsequently charged and put behind bars, where they no longer have to worry about mortgages.
  9. Michael Petronella & Devon Kile in Workers Comp Fraud: $38+ million

    It’s pretty expensive to live anywhere in California — you pay big time for that sunshine and nice weather. It must have been too expensive though for two men responsible for the biggest workman’s comp insurance fraud case in California. Michael Petronella and Devon Kile were able to enjoy the money for a little while, running three companies which allowed them to file multiple bogus claims. Additionally, they didn’t report an accurate number of employees, and underreported their income for several years. Because of that, they enjoyed quite a few homes and expensive cars, and it also paid for the ultimate getaway — prison.
  10. Dr. Jorge Martinez & Health Insurance Fraud: $12 million

    Dr. Jorge Martinez was a dirty physician, plain and simple. By submitting false claims for prescription drugs and expensive tests that he never prescribed or performed, Martinez attempted to collect $60 million from insurance companies. Poor Dr. Martinez only managed to get $12 million, but it was still insurance fraud and still significant at that. According to his claims, he was seeing 100 patients per day. Now he’s only seeing bars and cellmates.
  11. Tamiami Medical Supply Inc. & Medicare Fraud: $7.4 Million

    Federal programs are often taken advantage of by those looking to skim a few dollars off the top and Justo Padron was doing just that. His medical supply business, Tamiami Medical Supply Inc. was abusing the system and once authorities caught on, he had scammed Medicare out of $7.4 million. He was caught by police while burglarizing a vehicle and they chased him into an alligator-filled lake. His body was found the next day. He must have known crocodile tears wouldn’t get him out of that one.
Reference : insurancequotes.org/2013/02/27/10-of-the-most-expensive-insurance-fraud-cases-of-all-time/