Complaint Totals and Statistics


2008 Total Complaints and Inquiries


Total Summary of Division Complaints and Complaint Inquiries

Insurance Complaints: 1,884
Insurance Complaint Inquiries : 4,973
Securities / Regulated Industries Complaints: 163
Securities / Regulated Industries Complaint Inquiries: 98

2008 Total Consumer Complaint / Inquires Served: 7, 118

Based on written and phone complaint Inquiries.


2008 Insurance Complaints

(92% of total consumer complaints)

Closed Complaints

Line of Insurance

Inquiries

353

Auto

 

 

 

34

Fire, Allied Lines

 

4973

 

260

Homeowners

 

 

 

340

Life/Annuity

 

 

 

796

Accident/Health

 

 

 

10

Liability

 

 

 

91

Miscellaneous

 

 

 

1884

 

 

 

 

 

 

 

 

 

 

 

Line of Insurance

 

 

Reason for Complaint
(P & C)

Auto

Fire, Allied Lns

Homeowners

Liability

Underwriting

49

4

38

1

Marketing and Sales

27

2

17

5

Claim Handling

257

26

194

3

Policyholder service

38

5

35

2

 

 

 

Reason for Complaint (Life & Health)

Life, Annuity

Accident, Health

Misc

Underwriting

7

127

13

Marketing and Sales

111

65

33

Claim Handling

33

501

42

Policyholder service

260

150

6

Disposition of Complaints

 

 

 

Policy not in force

0

Information furnished/

21

 

Policy issued/ restored

31

     expanded

 

 

Advised complainant

308

Delay resolved

71

 

Compromised settlement/

28

Fine

1

 

     Resolution

 

Cancellation notice withdrawn

1

 

Additional payment

31

Nonrenewal notice rescinded

0

 

Unable to assist

10

Non-forfeiture problem resolved

0

 

Claim reopened

30

Premium problem resolved

13

 

Cancellation upheld

5

ERISA complaint

36

 

Nonrenewal upheld

1

Apparent unlicensed activity

2

 

Claim settled

213

Deductible refunded

0

 

Filed suit/retained attorney

15

Forfeiture

0

 

No action requested/

155

Referred for disciplinary action

16

 

     Required

 

Question of fact

200

 

Referred to another department

1

Rating problem resolved

2

 

Referred to proper agency

16

Contract provision/legal issue

340

 

Referred to rates/contacts

0

Company in compliance

291

 

Referred to market conduct

0

Company position upheld

194

 

Appointed

0

Endorsement processed

0

 

Licensed

0

No jurisdiction

169

 

Advertising withdrawn/

2

Recovery

24

 

     Amended

 

Insufficient information

47

Underwriting practice resolved

0

Other

250



2008 Securities and Regulated Industries Complaints

(8% of total consumer complaints)

Closed Complaints

Area

Inquiries

5

Residential Service Contracts

 

22

Motor Vehicle Service Contracts

98

17

Funeral Homes

 

8

Cemeteries

 

43

Broker-Dealer

 

60

Broker-Dealer Agent

 

1

Broker-Dealer Financials

 

7

Fraudulent/Misleading Filing

 

163

 

 


Disposition of Complaints

 

 

 

Policy not in force

0

Underwriting practice resolved

0

Policy issued/ restored

0

Information furnished/expanded

11

Advised complainant

13

Delay resolved

5

Compromised settlement

1

Fine

0

Additional payment

0

Cancellation notice withdrawn

0

Refund

14

Nonrenewal notice rescinded

0

Entered arbitration/mediation

0

Non-forfeiture problem resolved

0

Coverage extended

0

Premium problem resolved

0

Unable to assist

4

ERISA complaint

0

Claim reopened

0

Apparent unlicensed activity

8

Cancellation upheld

1

Deductible refunded

1

Nonrenewal upheld

0

Forfeiture

0

Claim settled

1

Referred for disciplinary action

3

Filed suit/retained attorney

1

Question of fact

0

No action requested/required

21

Rating problem resolved

0

Referred to another department

14

Contract provision/legal issue

11

Referred to proper agency

7

Company in compliance

3

Referred to rates/contacts

0

Company position upheld

1

Referred to market conduct

1

Endorsement processed

0

Appointed

0

No jurisdiction

10

Licensed

7

Recovery

0

Insufficient information

7

Other

18



2007 National Insurance Complaint Totals


Disposition of Complaints

 

 

 

Policy not in force

473

Advertising withdrawn/

835

Policy issued/ restored

6,970

     Amended

 

Advised complainant

14,568

Underwriting practice resolved

627

Compromised settlement

4,285

Information furnished/expanded

20,496

Insufficient info

270

Delay resolved

2,915

Additional payment

5,309

Fine

118

Refund

3,872

Cancellation notice withdrawn

918

Entered arbitration/mediation

1,280

Nonrenewal notice rescinded

649

Recovery

2,393

Non-forfeiture problem resolved

6

Coverage extended

2,306

Premium problem resolved

2,371

Unable to assist

681

ERISA complaint

1,843

Claim reopened

1,307

Apparent unlicensed activity

20

Cancellation upheld

402

Deductible refunded

53

Nonrenewal upheld

145

Forfeiture

3

Claim settled

18,062

Referred for disciplinary action

1,446

Filed suit/retained attorney

560

Question of fact

14,242

No action requested/required

1,057

Rating problem resolved

437

Referred to another department

941

Contract provision/legal issue

8,516

Referred to proper agency

365

Company in compliance

3,676

Referred to rates/contacts

9

Company position upheld

6,280

Referred to market conduct

546

Endorsement processed

62

No jurisdiction

2,374

Other

6,959

Closed Complaints

Line of Insurance

Reason for Complaint

 

66,046

Auto

Underwriting

17,693

3,379

Fire, Allied Lines

Marketing and Sales

5,956

21,209

Homeowners

Claim Handling

84,002

17,024

Life, Annuity

Policyholder service

21,687

66,964

Accident , Health

 

 

1,884

Liability

 

 

3,439

Miscellaneous

 

 

179,945