Triple-I Weblog | Louisiana Insurance coverage Regulator IssuesCease & Desist Orderto Texas Legislation Agency



Triple-I Weblog | Louisiana Insurance coverage Regulator IssuesCease & Desist Orderto Texas Legislation Agency 27

Louisiana Insurance coverage Commissioner Jim Donelon final week issued a cease-and-desist order towards a Houston-based regulation agency, accusing it of fraud involving probably a whole lot of hurricane-related claims in his state.

“The scale and scope of McClenny, Moseley & Associates’ unlawful insurance coverage scheme is like nothing I’ve seen earlier than,” Donelon mentioned in a press launch. “It’s uncommon for the division to concern regulatory actions towards entities we don’t regulate, however on this case, the order is critical to guard policyholders from the agency’s fraudulent insurance coverage exercise.”

Based on Donelon, the regulation agency filed greater than 1,500 hurricane declare lawsuits in Louisiana over the span of three months final yr.

The Louisiana property insurance coverage market has been deteriorating for the reason that state was hit by document hurricane exercise in 2020 and 2021, to the extent that 11 insurers that write householders protection in Louisiana have been declared bancrupt between July 2021 and September 2022. Insurers have paid out greater than $23 billion in insured losses from over 800,000 claims filed from the 2 years of heavy hurricane exercise. The most important property-loss occasions have been Hurricane Laura (2020) and Hurricane Ida (2021).

Along with driving insurer insolvencies, the rising losses have precipitated a dozen insurers to withdraw from the market and greater than 50 to cease writing new enterprise in hurricane-prone parishes.

Louisiana’s troubles parallel these of one other coastal state, Florida, however there are important variations. Florida’s issues are largely rooted in a long time of authorized system abuse and fraud, whereas Louisiana’s have had extra to do with insurers being undercapitalized and never having sufficient reinsurance protection to resist the claims incurred throughout the record-setting hurricane seasons of 2020 and 2021. Typically, Louisiana insurers haven’t skilled the extent of extreme litigation that Florida insurers have confronted.

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“It now seems some trial attorneys try to take a web page out of the Florida playbook by participating in litigation abuse towards Louisiana property insurers,” mentioned Triple-I Director of Company Communications Mark Friedlander. “We commend Commissioner Donelon for rapidly addressing these fraudulent practices.”

Based on reporting by the Instances Picayune/New Orleans Advocate, an investigation by the Louisiana Division of Insurance coverage discovered the Houston-based agency engaged in insurance coverage fraud and unfair commerce practices by way of Alabama-based Apex Roofing and Restoration and has confronted accusations of probably legal conduct in courts throughout the state. In a single such case, the paper reported, a girl testified that she had by no means supposed to retain the regulation agency when she employed the roofing firm to repair her hurricane-damaged roof.

“The agency advised her insurance coverage firm that it represented her and even filed a lawsuit on her behalf, although she mentioned she was unaware of it,” the paper mentioned. 

Authorized system abuse is a pervasive downside that contributes to greater prices for insurers and policyholders nationwide, in addition to to rising prices typically, given the significance of insurance coverage in improvement and commerce. Triple-I is dedicated to informing the dialogue round this essential concern.

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