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News & Features

Executives waiting to see how probes affect industry

by Joan Tupponce
Virginia Business
May 2005

Call it the lull after the storm. The insurance industry is still assessing the damage from what many call the “Spitzer storm” that blew in from New York more than six months ago.

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Like a series of tornadoes, the lawsuits and investigations unleashed by the actions of New York Attorney General Eliot Spitzer scored direct hits on some insurance giants, such as Marsh & McLennan Cos., while leaving much of the industry landscape unscathed.

In the calm that has followed an initial flurry of activity, many insurance executives around Virginia are wondering: What’s next? Have abuses been found and corrected or will there be an attempt to make wholesale changes in the industry?

The turmoil began in October when Spitzer filed suit, alleging that Marsh, the nation’s largest insurance broker, had colluded with major insurance companies to deceive clients. The suit charged that Marsh used kickbacks and bid rigging to ensure that it collected contingent fees. These are fees that insurance companies pay to brokers for hitting certain volume or profit targets.

The New York investigation of insurance practices has shaken up the nation’s top three brokers, Marsh, Aon Corp. and Willis North America. Marsh settled Spitzer’s lawsuit by establishing an $850 million fund to compensate clients. Aon and Willis agreed to pay $190 million and $50 million, respectively, to end probes involving them. All three adopted reforms to end the use of contingent fees.

Spitzer’s actions prompted a number of other insurance probes across the country. Virginia’s Bureau of Insurance, for example, began investigating whether any brokers violated a Virginia law requiring insurance consultants to disclose all compensation they receive for placing their clients’ coverage. That investigation is ongoing. “The whole Marsh issue centered on a handful of employees who were involved in illegal issues,” says Brian Gaudiose, deputy commissioner of agent regulation and administration for the Bureau of Insurance. “We don’t want to overreact to the situation, but we do have to take a systematic, objective approach to the issues that were raised in the Marsh investigation.”

One Virginia company affected by the subsequent investigations is Richmond-based Hilb Rogal & Hobbs Co., the world’s eighth largest insurance and risk management intermediary. The company says that it has received requests for information about business practices from 10 state departments of insurance and subpoenas from four state attorneys general. HRH says it intends to cooperate with all requests.

The company also says that it has been named “as a defendant in three purported class-action suits related to past business practices, which the company intends to vigorously defend.” HRH notes that it “will monitor broker compensation practices and, as warranted by market and regulatory developments, will review its compensation arrangements with underwriters.” No company executive could be reached for comment on these developments.

While its members have been investigating the business practices of brokers, the National Association of Insurance Commissioners has adopted a model insurance broker disclosure law. Under the proposed law, brokers are required to disclose to clients the amount of compensation they receive from insurance companies and the method for calculating compensation, including any contingent fees. The NAIC also created an Executive Task Force on Broker Activities to consider additional requirements, such as disclosing all quotes received by a broker and any information relating to agent-owned reinsurance arrangements. In addition, the association has begun an online insurance fraud reporting system.

NAIC President Diane Koken, who is Pennsylvania’s insurance commissioner, says the organization “made a promise to consumers and the industry to get to the bottom of this matter as quickly as possible, resolving to develop and put into place a tangible action plan for state insurance regulators. With passage of this model legislation, we are delivering on that promise.”

Gaudiose, the Virginia insurance regulator, says reaction to the proposed disclosure law has been mixed. “Some people think it goes too far,” he says. “Some think it doesn’t go far enough.” Virginia has not attempted to adopt the model legislation because it already has a disclosure law. “We have good disclosure laws now,” he says. “There is no evidence that we need anything else.”

Bob Bradshaw, the executive vice president of the Independent Insurance Agents of Virginia, is pleased with the state’s response to the issues raised by the New York investigation. “The Bureau is doing their due diligence to see if there is a problem in the state,” he says. “They have surveyed agencies, mostly on the large side, asking questions about their operations to see if there are any problems.”

Bradshaw doesn’t see the Spitzer lawsuit as an indictment of the entire industry He contends that “to some degree it has helped create dialogue where one didn’t exist between commercial consumers and some independent agents.”

Tom Welch disagrees. The president of Welch, Graham and Ogden Insurance in Chantilly believes that the lawsuit against Marsh blackened the industry’s reputation. But, he says, it hasn’t changed the way his company does business. “Marsh is a super giant in the insurance industry, not a Main Street agent. We don’t have a problem telling clients how much we make when we write their policies.” Welch believes that all transactions should be transparent. “Agencies need to win the trust of their clients,” he says. “You want them to know that there are no shenanigans going on.”

Walker Sydnor, president of Lynch-burg-based Scott In-surance, says he has seen little fallout from the investigation. “We did receive a letter from the Bureau of Insurance asking 12 questions,” he says. “They wanted us to respond to each and let them know if we were aware of any similar situations [to Marsh].” As far as contingent fees are concerned, Sydnor believes that if handled correctly, the fees are “an ethical, fair way to be compensated.”

The media attention generated by the lawsuit has made clients more aware of the way in which agents are compensated. “Clients are asking more questions,” says Charlie Nusbaum, president of S.L. Nusbaum Insurance Agency, Inc. in Norfolk. “They know that we are going to take care of them. When you deal with small to medium accounts you have to follow guidelines.”

Virginia is a leader in regulation, he adds. “The Bureau of Insurance in Virginia is one of the top government organizations. People look to our state for leadership and guidance.” He doesn’t believe the industry needs federal overrides. “We have enough government as it is,” he says. “It’s our job to make sure things are done right.”

The issues generated from the lawsuit are complex, says Etti Baranoff, associate professor of insurance and finance at Virginia Commonwealth University. “Part of what is happening with brokers has to do with the fact that half of the states don’t have brokers’ statutes. The federal government is seeing a lack of uniformity and trying to do something about it. To me federal regulation is going to come closer and closer.”

It remains to be seen if the questions raised about commercial insurance will affect other types of insurance. Gaudiose doesn’t see the problem spilling over into the area of personal lines. Nonetheless, he notes that insurance consultants are involved with group health insurance coverage. “We are going to look everywhere [during the investigation],” he says.

Tom Welch disagrees. The president of Welch, Graham and Ogden Insurance in Chantilly believes that the lawsuit against Marsh blackened the industry’s reputation. But, he says, it hasn’t changed the way his company does business. “Marsh is a super giant in the insurance industry, not a Main Street agent. We don’t have a problem telling clients how much we make when we write their policies.” Welch believes that all transactions should be transparent. “Agencies need to win the trust of their clients,” he says. “You want them to know that there are no shenanigans going on.”

Walker Sydnor, president of Lynch-burg-based Scott In-surance, says he has seen little fallout from the investigation. “We did receive a letter from the Bureau of Insurance asking 12 questions,” he says. “They wanted us to respond to each and let them know if we were aware of any similar situations [to Marsh].” As far as contingent fees are concerned, Sydnor believes that if handled correctly, the fees are “an ethical, fair way to be compensated.”

The media attention generated by the lawsuit has made clients more aware of the way in which agents are compensated. “Clients are asking more questions,” says Charlie Nusbaum, president of S.L. Nusbaum Insurance Agency, Inc. in Norfolk. “They know that we are going to take care of them. When you deal with small to medium accounts you have to follow guidelines.”

Virginia is a leader in regulation, he adds. “The Bureau of Insurance in Virginia is one of the top government organizations. People look to our state for leadership and guidance.” He doesn’t believe the industry needs federal overrides. “We have enough government as it is,” he says. “It’s our job to make sure things are done right.”

The issues generated from the lawsuit are complex, says Etti Baranoff, associate professor of insurance and finance at Virginia Commonwealth University. “Part of what is happening with brokers has to do with the fact that half of the states don’t have brokers’ statutes. The federal government is seeing a lack of uniformity and trying to do something about it. To me federal regulation is going to come closer and closer.”

It remains to be seen if the questions raised about commercial insurance will affect other types of insurance. Gaudiose doesn’t see the problem spilling over into the area of personal lines. Nonetheless, he notes that insurance consultants are involved with group health insurance coverage. “We are going to look everywhere [during the investigation],” he says.


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