September 8, 2008

Florida: Punishing Profitable Carriers

When it comes to insurance, Florida is the land of Oz. You might think you know what risk transfer is, or how insurance companies operate, but the rules change as soon as you enter the Sunshine State. We already described Florida's strange approach to property coverage, where the state has pretty much self-insured for the inevitable catatrophe (which may be approaching, as we write, in the form of Hurricane Ike). Whereas the state has taken on too much risk in the property line, they have severely hobbled the ability of carriers to function in commercial lines.

Under the guise of eliminating "excessive profits" in workers compensation, employer liability, commercial property and umbrella coverages, Florida allows insurance companies an underwriting profit of no more than 5 percent over a three year year period. Anything above that amount must be returned to policy holders. (You can find the statute, 627.215, here.)

Florida Insurance Commissioner Kevin McCarty recently ordered six workers' compensation insurance companies to return $4.2 million in these "excessive profits" to their policyholders.

"This is further evidence that the workers' compensation insurance reforms implemented by the Florida Legislature in 2003 are working," said McCarty. "These policyholders are businesses that will get back some of the premium they've been paying for the past three years."

The six companies that have been ordered to return premiums to policyholders are: Alaska National Insurance Co. ($144,488), American Interstate Insurance Co. ($3,027,030), Church Mutual Insurance Co. ($768,259), Harco National Insurance Company ($4,819), Midwest Employers Casualty Co. ($218,337) and Petroleum Casualty Co. ($94,329).

Those mandated refunds look like chump change compared to the bill for The Chubb Group: McCarty issued a Consent Order requiring Chubb to refund over $13 million in excess profits to its customers. What was Chubb's sinful three-year loss ratio? An admirable thirty three percent.

Insurance Basics
Florida could use a little education in the basics of insurance. Yes, insurance companies seek to make a profit - we call this capitalism: like it or not, it's the way this country functions. Insurers make money by operating in the following manner:
1. Rate setting (where permitted by state law): carriers charge premiums that are likely to result in profit. Because the market is competitive, they cannot charge whatever they feel like. In fact, most rates for workers comp are significantly deflated by state regulation and local market competition.
2. Underwriting: carriers try to select only the best risks. Insurance companies want to sell insurance to people least likely to need it. It's a crap shoot at best, but some companies have a real knack for it.
3. Claims management: ideally, insurers try minimize comp costs by speeding recovery and getting people back to work; they might also arbitrarily deny claims, restrict treatment and make life difficult for claimants.
4. Claims reserving: by setting accurate reserves, carriers balance the books and avoid the future shock of under-reserved claims.

Insurers have good years and bad years. The problem with the "excessive profits" approach is that it severely limits profits in good years, which are required to offset losses in bad years. Florida does not care if a carrier loses money: when it comes to underwriting losses in the Sunshine State, the free market prevails! Thus Guard Insurance, running a five year loss ratio of 115 percent, and Safety National Group, with a whopping 184 percent, simply have to absorb the losses on their own. NOTE: Data provided by AM Best.

One final irony in Florida's approach: carriers must return "excessive profits" to all insureds, even those who have incurred substantial losses. So an employer with a three figure loss ratio (losses exceed premiums paid) actually gets money back. Isn't that sweet!

For many years, Florida's "excessive profits" statute has been dormant, as most carriers were losing money or barely breaking even. Now that changes in the comp statute have helped carriers turn the corner on profits, the day of reckoning is at hand. The carriers who have done the best job of pricing insurance, screening risks and managing claims are going to be hammered the most. Sometimes trouble comes in dramatic form, as with Hurricane Ike. Sometimes, it sneaks in through the back door, in the Ozian legislative kibosh entitled "excessive profits."

| 1 Comment

1 Comment


It is the land of free enterprise and capitalism. I have payroll clients in Florida and get new ones all the time. Unless they are a pure white-collar operation I just send them to the pool for workers compensation. I can't find anyone to underwrite a construction risk at any price.

What will happen is the companies will either find ways to minimize reported profit. I am a CPA I know how to do that legally. There are always loopholes. Find illegally ways, which is stupid, but look at our recent corporate climate and companies like ENRON. You would think people would be smarter.

Or companies will pick up their marbles and go elsewhere. When the companies are forced over time to continue to lose money they will pull out of Florida and let the pool drown in its own red ink. There is nothing to force a company to write coverage in Florida as much as the State might want to. They can threaten to pull the company's authority to write other lines but at some point too much losses will over take the profits in other lines particularly as competitors without a WC line will keep prices and profits down.

It is a self-correcting problem (the markets invisible hand) it will just take a while.



Submit your email to be notified when this site is updated

Need help with your workers' comp program?

Monthly Archives

About this Entry

This page contains a single entry by Jon Coppelman published on September 8, 2008 11:17 AM.

Health Wonk Review and other bloggy news notes was the previous entry in this blog.

Workers Comp Insider: 5 years and counting! is the next entry in this blog.

Find recent content on the main index or look in the archives to find all content.

OpenID accepted here Learn more about OpenID