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How Insurance Companies in Florida Make Money On the Side

Florida Insurer’s Make Money On The Side (And Not By Collecting Premiums)

Many readers probably think the answer is obvious: Insurers generate income through the monthly payments that policyholders make to maintain their insurance coverage. While this is definitely true, a shocking percentage of their income is in fact coming from side ventures. They have been doing this for years and years and it is a major part of their business model.

Back in 2008, over $1.9 Billion dollars was moved from accounts held by insurance companies into the accounts of companies owned by the same people, often located at the same address, and sometimes even had identical employee rosters. Why would any for-profit company work so hard to reduce the amount of money they have?

The answer is simple. Insurers are highly regulated. The industry is subject to profit caps and their stocks have restrictions on dividends. By shifting the money into companies which are not insurers, they can remove many of the restrictions which previously applied. Additionally, should a disaster occur, this money is protected in that since it belongs to a different company now, it can not be used to pay out claims.

In a wide ranging and in depth year long investigation 10 years ago, investigative reporters from The Herald-Tribune found many things which should concern policyholders:

  • The overhead costs (expenses not related to hurricanes or other disasters) for FL property insurers are 50% higher than the national average. In 2009 this added $900 million in costs to FL homeowners.
  • In cases where enough info was available to analyze, the investigators found several instances where the overhead costs were significantly inflated. One company, Southern Oak, which claimed that it paid an affiliate management fees totaling $72 million, has now been found to have overpaid by almost 100%, with the affiliate making $35 million in profits from the $72 Million they were paid.
  • The structure of some insurance companies seem to make no sense, and are built in ways that make it hard, or even unlikely, for the company to pay out on valid claims. For instance, one company, American Keystone was structured so that it would spend more than it could collect during its first few months of business.
  • Too much work gets contracted to sister companies which are essentially shell companies servicing as proxy for the insurer. Homeowners Choice pays one affiliate to negotiate reinsurance contracts, another to manage policies, and yet another to buy catastrophe protection from. 
  • The state laws and rules actually encourage executives to create and then pay sister companies as much as possible, The state’s lawmakers compounded their error by barring regulators from requiring insurance affiliates to report their finances.
  • We have all heard the complaints from insurers of losses but these companies have rarely been so tapped for cash that they could not pay their executives tens of millions in bonuses each year.

Most of the money redirected to side ventures is going to companies known as managing general agents, or MGA’s. While some of these fees do go to legitimate expenses such as agent commissions, where the rest of it goes is anyone’s guess. It is hard to see these payments as anything but an attempt to play a shell game with the IRS, regulators, and the public. 

Homeowners Choice, an insurance company, posted a $5.6 million loss for 2009. However, their MGA, Homeowners Choice Managers, posted an $11 million dollar profit. On the books that year was a payment of $24 Million dollars for management services which cost $15 million dollars. Does this seem fishy yet?

The laws today are not substantially better than they were a decade ago. These insidious tactics are still being used to conceal the hefty profits insurers are squeezing out of Florida policyholders. These companies overpay their sister shell companies, under-pay on claims to their policyholders, cry poverty while putting millions into executives pockets, and still look lawmakers straight in the eye and say there is nothing wrong with the industry. What will it take for real change to happen? We are open to any ideas.

For more info on this topic, see The Herald Tribune.

If you need assistance fighting an insurance company over a denied homeowners claim in Florida or a commercial property damage claim, don’t hesitate to contact Tighe P.A. today!

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