Why care? Well, a very-big-someone cared enough to file an appeal to invalidate the directive that banned these endorsements. So, maybe, you should pay attention...
Louisiana property policyholders have suffered enough:
Five devastating hurricanes and two tropical storms, since 2020
Insurance companies failing (insolvent) at record rates
State bailout fund created for relief suffers under record lawsuits
Record premium increases, estimated to jump up 63% in 2023
Policyholders resorting to fighting wrongful insurance claim denials by using TikTok
Unusual insurance industry drama involving hundreds of lawsuits filed by one law firm
And (unfortunately) more.
So, what now?
Among many sweeping measures intended to protect policyholders in the aftermath of events of the last few years, on January 24, 2022, James J. Donelon, Commissioner of the Louisiana Department of Insurance (LDI), issued a directive.
This directiveâDirective 219âbarred insurers from use of specific language in property insurance policies. Specifically, something called Anti-Public Insurance Adjuster endorsements.
A "surplus lines insurer" did not take too kindly to this action, and filed an appeal, which resulted in an order rendering Directive 219 invalid, on August 23rd, 2022.
Most readers of this blog will understand what the phrase Anti-Public Insurance Adjuster endorsements means. For those that don't, here is some background, and why this may matter to you:
Most property insurance is regulated at state level, although some insurance, such as flood, is federally-regulated. A state insurance commissioner is a public service official that regulates insurance, with a focus on consumer protection, while balancing healthy insurance commerce.
According to the National Association of Public Insurance Adjusters, public insurance adjusters are "experts on property loss adjustment who are retained by policyholders to assist in preparing, filing and adjusting insurance claims. Employed exclusively by a policyholder who has sustained an insured loss, these professionals manage every detail of the claim, working closely with the insured to provide the most equitable and prompt settlement possible[...]"
Public insurance adjusters are currently licensed (or, at least regulated/registered) in 46 of the 50 states in the US (some form of public insurance adjusters are also regulated in Canada, the UK, and other countries around the world).
An endorsement is a form added to a property policy, that contains language that modifies (adds, changes, or takes away) coverage.
In summary, anti-public insurance adjuster endorsements is language added to a policy, by an insurance company, that seek to bar a policyholder from hiring a public insurance adjuster to (depending on each state's regulations) represent them, or assist them with, an insured property loss. To quote the LDI's now-invalid directive:
"It has come to the attention of the Louisiana Department of Insurance that some insurers are attempting to prohibit the use of public adjusters by insureds in their policy provisions by endorsements to their policies. The anti-public adjuster clauses attempt to prohibit insureds from hiring, engaging, retaining, contracting with, or otherwise utilizing the services of a public adjuster. The prohibition contained in these endorsements or any other policy provision directly contravenes La. R.S. 22: 1704(E)(2), which grants insureds the right to hire a public adjuster."
Okay. So, again, why should I care?
A state insurance commissioner decided to issue Directive 219, in the interest of the public.
So, using critical thinking concepts, the question we might ask first, is:
Why did someone care enough to file an appeal to block this directive?
Does the appealing party feel that public insurance adjusters are such a blight, that they must be banned from the inception of the policy, before a loss ever happens? Do they feel that public insurance adjusters are bad for policyholders, bad for insurance companies, or both?
Well, the information I have at my disposal, citing an appeal by a "surplus lines insurer", does not answer my questions. Only:
"[...]Appellant claimed it is aggrieved by the Directive. [...] Appellant argued that Directive 219 is inconsistent with Louisiana law."
I'm not an attorney, so I can't comment on what that might mean (perhaps one will kindly provide us with some general insight, in the comments below).
Concerningly, anti-public insurance adjuster endorsements are popping up in states across the country. Since the public insurance adjusting profession has existed, and represented policyholders since at least the 1940sâand some purport that they may have preceded insurance company adjustersâwhy have these endorsements been popping up, all of a sudden?
I'm sure that time, will tell.
So, what can I do about it?
Well, probably not much at the current moment. But, I do have a constructive suggestion, that will help everyone in the future.
âDonât judge each day by the harvest you reap but by the seeds you plant.â â Robert Louis Stevenson
As with all relationships, even the sometimes interesting ones highlighted in this article, it takes two to tango, as they say. Meaning, seek to first control what you can control: yourself, including your time, energy, and charity. Every property insurance industry professional, of any kind, might consider these tips:
Never engage in property insurance fraud, whether that be insurer fraud against a policyholder, or insurance fraud against an insurer.
In day-to-day claims handling, treat others with respect, even when you may disagree.
Don't ascribe to, nor blindly spread broad rhetoric from any source, but instead seek facts, to form your own, balanced narrative.
Seek quality, professional education from many sources, not just company-provided education.
Consider joining a professional association (or, supporting one as a sponsor), to take an active role in shaping balanced and positive legislation. For public insurance adjusters, there are many state, regional, and national options, including: National Association of Public Insurance Adjusters American Association of Public Insurance Adjusters
Consider supporting one or more policyholder advocacy nonprofits, as a sponsor, volunteer, yearly or monthly donor, and/or member. A thoughtful (tax-deductible!) donation of even $5/month can a difference for nonprofit organizations that are protecting policyholder rights, some for over 30 years. Here's a few that I'm a big fan of: United Policyholders American Policyholder Association United Survivor Disaster Relief
Encourage talented and ethical colleagues to consider entering any profession in insurance... As our seasoned and valued insurance agents, underwriters, staff and independent adjusters, and other insurance professionals start to retire (or be replaced by new tech and AI), we don't have enough passionate professionals entering the profession to replace them.
What do you think about all of this? I'd love to know, in the comments.
Download the order invalidating Directive 219, here:
Update 3/2/23: read Chip Merlin, Esq.'s article on the matter, at the Property Insurance Coverage Law blog.
âđŸ Be well,
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