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| Insurance Coverage and Rating FAQ's |
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What
is the Michigan Catastrophic Claims Association recoupment fee that
I may see on my auto policy? |
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This Michigan
Catastrophic Claims Association (MCCA) recoupment fee is an annual
per car assessment that may have administrative expense fees added
to it. In the past, some insurers have displayed this fee on their
automobile insurance declarations page. The assessment that is the
foundation of the recoupment fee is determined by the MCCA board of
directors, which is made up of five representatives of automobile
insurers who underwrite coverage in Michigan. This
non-profit non-governmental association was created by the state
legislature in 1978 to cover automobile insurance personal injury
protection (PIP) claims over a certain dollar threshold for each
person injured by an automobile accident covered by a Michigan no-fault
policy. An injured person submits his/her PIP claim to the responsible
insurer who pays the claim and then seeks reimbursement from the
MCCA for costs over the monetary threshold. Insurers should handle
the payment of PIP claims so that insureds do not notice a difference
in how the claim is paid prior to and after the threshold has been
exceeded.
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What
is the Michigan Automobile Insurance Placement Facility and how can
it help me? |
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The Michigan
Automobile Insurance Placement Facility (Facility) is a non-profit
non-governmental association formed by the Legislature in 1969 to
provide auto insurance to Michigan consumers who cannot obtain coverage
from private insurers. It will accept most people who pay the premium
that it charges; however Chapter 33 of the Michigan Code allows it
to refuse certain applicants based on their risk background. A person
who is eligible for coverage with private insurers can also obtain
coverage with the Facility.
Its personal auto rates are an average of the top
five personal auto writers in Michigan with various surcharges added
up to 25% of the territorial premium, except in Detroit. Its commercial
auto rates are not based on a statutory formula, so the Facility
uses a firm that provides actuarial services to help determine the
appropriate rates for this coverage. Because it insures a higher
percentage of people who would be ineligible or more risky for private
insurers, its rates for many consumers may be higher than rates
for comparable coverage with a private insurer. It
uses private insurers as servicing carriers for its business.
They use the Facility's eligibility and rating plan to underwrite
Facility policies. However, they issue policy forms with the respective
servicing carrier's name and logo. Thus, most policyholders
would think coverage is underwritten by one of the top five Michigan
insurers for personal auto (State Farm, AAA, Auto-Owners, Citizens,
or Allstate) or by Amerisure for commercial auto. If you need auto
insurance and cannot find it from private insurers call the Facility
at 734-464-1100 or click here.
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What
is the Michigan Basic Property Insurance Association and how can it
help me? |
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The Michigan
Basic Property Insurance Association is a non-profit non-governmental
association formed by the Legislature in 1968 to provide home insurance
to Michigan consumers who cannot obtain coverage from private insurers.
It will accept most people who pay the premium that it charges; however
Chapter 29 of the Michigan Code allows it to refuse certain applicants
based on their risk background. A person who is statutorily eligible
for coverage with private insurers can also obtain coverage with the
Michigan Basic.
Its HO-2 rates are an average of the top ten home
insurers in Michigan. Its HO-3 rates and commercial property rates
are not based on statutory formulas, so it uses a firm that provides
actuarial services to help determine the appropriate rates for these
coverages. Because it insures a higher percentage of people who
would be ineligible or more risky for private insurers, its rates
for many consumers may be higher than rates for comparable coverage
with a private insurer. It
does not use private insurers as servicing carriers for its business.
Its staff utilizes filed eligibility and rating plan rules to underwrite
policies. However, it issues policy forms carrying its own name
and logo. If you need home, dwelling, or renters insurance and cannot
find it from private insurers call the Facility at 313-877-7400
or click here.
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What
is the Michigan Workers Compensation Placement Facility and how can
it help me? |
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The Michigan
Workers Compensation Placement Facility is a non-profit non-governmental
association formed by the Legislature in 1982 to provide workers compensation
insurance to Michigan businesses that cannot obtain coverage from
private insurers. Its coverage and rating parameters are based on
Chapter
23 of the Michigan Code. A business that is eligible for coverage
with private insurers can also obtain coverage with the Facility.
Its rates are not based on a statutory formula,
so the facility uses a firm that provides actuarial services to
help determine the appropriate rates for coverage. Because it insures
a higher percentage of people who would be ineligible or more risky
for private insurers, its rates for many consumers may be higher
than rates for comparable coverage with a private insurer. It
uses private insurers as servicing carriers for its business.
Each one use the Facility's eligibility
and rating plan to underwrite Facility policies, but each issues
the Facility policy forms containing its respective servicing
carrier name and logo. Thus, most policyholders would think coverage
is underwritten by one of the top Servicing carriers (Accident
Fund, Liberty Mutual, etc.). If you need workers compensation
insurance and cannot find it from private insurers you should
call the Facility at 734-462-9600 or click
here.
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How can
a business be excluded from having to purchase workers compensation
coverage? |
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The Michigan
Workers' Compensation Disability Act contains the guidelines
for which businesses must purchase a workers' compensation policy
(Section 418.115). In some instances the Bureau of Workers'
Compensation, a state agency, may allow a business to file form BWC
337 (Workers Compensation Exemption). Contact the Compliance &
Employer Records Division at 517-322-1195 with questions regarding
who is eligible for an exemption. |
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What
agency do I contact if the workers compensation insurer is not paying
my claim in a timely manner? |
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The Bureau of
Workers' Compensation, a state agency, helps injured employees
obtain required coverage from insurers and employers. Call 517-322-1195
with questions regarding the dispute resolution process. |
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How do
I obtain a workers' compensation policy for Wrap Up projects? |
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Shop for coverage
with different insurers to determine if they offer coverage for such
projects in accordance with MCLA
418.621(3) and Administrative
Rules R 408.42 through 42b. The Bureau of Workers' Compensation,
a state agency, oversees the approval of workers compensation coverage
for wrap up projects. Call 517-322-1195 for details. |
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How do
I obtain a surety or fidelity bond (notary bond, construction bond,
performance bond, etc.) for the type of work I want to perform? |
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Unfortunately,
we cannot tell you which insurers write a specific type of bond
nor which insurers will cover the risk you may represent. Surety
and fidelity insurers can choose to not write or only a write a
few of the types of bonds they are authorized to write. Also, Michigan
law does not prohibit them from denying any applicant or risk they
choose not to write.
Try these methods in this order to obtain the coverage you need:
1) Call the Insurance
Hotline at 800-777-8005. They try to match customers with the right coverage.
2) Call the
business, general contractor, government agency, or county clerk
you are required to file the bond with. Ask them for a
list of three to five phone numbers of surety insurers that write
bonds for businesses or occupations like yours.
3) Look up "Insurance" in
your local yellow pages. Look for companies and agencies that
advertise surety & fidelity coverage. Others may be authorized
to write surety coverage, but you are more likely to find the
product you need at a competitive price from businesses that
target bond customers.
4) Access our Surety
List. Copy the name of an insurer from the list. Go to
the Insurance
Company Locator. Paste or type the company name into the “Insurance
Company” box in Step 1. Enter “City and State” or “Zip
Code” in Step 2 to list the producers (agents) in a specific
area.
If an entity
that is not shown on our Surety
List agrees to write a bond for
you, call us first (toll-free 1-877-999-6442) to confirm that
the company is authorized to write surety & fidelity
coverage in Michigan. If the insurer is authorized, have the organization
that requires you to post the bond (County Clerk, government regulatory
agency, general contractor, etc.) call us. We will confirm the
official status of the insurer. We will try to add the insurer
to the online Surety List within one to two business days.
We cannot guarantee that the licensing organization will accept
the bond you purchase or present regardless of whether or not it
is on the surety list.
Beware of purchasing
surety & fidelity bonds or any insurance
coverage from an entity that is not authorized to write that type
of coverage in Michigan. You may not have the same rights and protections
under Michigan law regarding coverage, claims, and legal actions
that are normally provided when you purchase coverage from an authorized
insurer. |
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What
do I do if I have a complaint against a bail bond writer? |
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File a complaint
with our Consumer Assistance Section by calling 877-999-6442 or by
utilizing our complaint
form. Also file a complaint with the judge or chief justice
of the court to whom your case is assigned. Our agency will be able
to investigate and take necessary action against bail bond writers
who are under our regulatory jurisdiction pursuant to the Michigan
Insurance Code, whereas the courts should be able to remove egregious
violators from their list of acceptable bail bond writers and take
other actions allowed pursuant to Michigan laws covering court operations.
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What can I do
about rate increases on my insurance coverage? |
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The Michigan
Insurance Code allows each insurer to determine its own rate level
for coverage based on loss and expense data, sound actuarial principles,
and judgment. However, it does in some instances such as personal
auto and home insurance impose restrictions on the criteria that
can be used to determine rates for individuals. For example, if
a criteria is not specifically identified in Section
500.2111 then it cannot be used to develop base rates, discounts,
or surcharges except that any criteria meeting the requirements
of Section 500.2110a
could be used to develop a discount plan.
In addition,
as long as there is competition in the market (numerous insurers
writing coverage) the Code makes it almost impossible for us
to consider the rates of an insurer excessive based on the difference
between it and other insurers' rates. Currently, there are
hundreds of competing insurers for the various types of coverage
offered in Michigan. Though insurers are allowed this freedom from
rate regulation, it is important to note that anti-collusion laws
do not allow non-affiliated insurers (those who do not have the
same owner) to discuss rate levels with one another to collectively
determine the rate to be used in the market. In addition, consumers
who are "eligible persons" pursuant to MCLA
500.2103 are provided access to personal auto and home insurance
coverage from any insurer they choose via Sections
500.2117 and 2118. They cannot be denied these insurance coverages.
Within this
competitive rating scenario, rates from insurer to insurer may vary
by tens to hundreds of dollars for essentially the same coverage.
Yet, market pressures force insurers to keep their rates at the
lowest possible level in order to retain existing business and obtain
new business, otherwise consumers will obtain coverage from other
insurers who charge a lower total premium. Shop (compare quotes)
with at least five to ten different insurers prior to purchasing
new or renewal coverage. |
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How can I confirm
the approval of rates and final premium for coverage I am interested
in purchasing? |
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We make available
the opportunity for consumers to schedule an appointment at our
office with an appropriate regulation analyst to review the filings
that have been submitted by insurers. Currently, over three quarters
of the filings we receive are in paper form and we have no ability
to convert these filings for website viewing. The other third are
sent through an electronic system (SERFF) that will not allow viewing
at any location other than our agency office (North Ottawa Tower
3rd Floor, Lansing MI, corner of Pine and Ottawa Streets).
We make available
at our office a public information terminal from which SERFF filings
can be viewed during a scheduled appointment time. Also, when we
can specifically ascertain what a requester wants and that we have
it on file we will mail paper copies at a cost of 25 cents per page
plus postage and handling. This may require that you post a deposit
with us before we mail materials to you. Contact us at 877-999-6442
to schedule an appointment and/or request copies.
Protecting
consumers requires that this agency review the materials submitted
by insurers to, as best we are able, determine whether they comply
with Michigan law. The vast majority of consumers would not know
what an insurer can or cannot do in relation to filed materials
and underwriting and rating transactions because they would not
be familiar with all the mandatory requirements and prohibited actions
in Michigan law.
To help consumers
better understand coverage, we have buyers
guides for home and personal auto insurance and insurance brochures
on our website at the link below that display sample rates (at the
time the guide was published) for a large number of insurers to
show consumers the large difference that an applicant would find
from the lowest to the highest rates for essentially the same coverage.
For example, using substantially similar characteristics the premium
for Company A may be $390 every six months while the premium for
Company B may be $2500.
In addition,
our agency provides a complaint division that accepts consumer complaints
and reviews them (where possible) to determine if insurers have
acted appropriately or inappropriately. You can file
a complaint or call 877-999-6442. After this process has run
its course, consumers can take further action (if needed) by requesting
a hearing against the insurer before an administrative law judge
and appeal any decisions not in his/her favor to circuit court,
appeals court, etc.
The type of
information and processes described above help educate consumers
and show them how to take action where they believe they have been
wronged and not received an acceptable coverage or service from
their insurer.
Final premiums
are made from the rates assigned to many different rating characteristics.
These characteristics will vary based on the type of insurance.
In addition, insurers do not submit commercial insurance filings
to OFIR when they have exempted the coverage pursuant to MCL
500.2236(8)(e)(ii), 500.2401(2)(d),
and/or 500.2601(3)(f).
Even if all rates could be posted, which they cannot at this time,
it is no easy matter to go through an entire manual for any particular
type of coverage and put all the characteristics together along
with their rates.
Doing this
manually (as inquiring consumers would be forced to do because we
do not receive nor does Michigan law require insurers to provide
computer formulas for assigning characteristics and calculating
premiums using the associated rates) would take hours on end for
the most astute person, especially given the fact that manuals from
each company vary in their design and when and where they use characteristics
and associated rates for determining final premium.
When insurers
make filings they rarely submit entire programs. Usually, they file
revised pieces of their manuals throughout the year in no certain
order (one or two rules/rates out of a hundred, etc.). So, posting
each filing would not give you all you need to develop a premium
for comparison purposes. You would have to look at a variety of
filings submitted over many previous years in order to put together
all the rules and rates used by the company.
Also, rating
characteristics like insurance credit score do not allow this agency
or consumers to calculate their score and thus they would be unable
to calculate final premium for a policy for insurance that use such
a characteristic. The Commissioner has been on record as opposed
to this rating characteristic for personal insurance (personal auto,
home, etc.). She has also developed an administrative rule to remove
the criteria from rating plans and has appealed a decision by a
Michigan circuit court that allows insurers to continue to utilize
this characteristic.
For all the
reasons explained above, we do not have the capability to display
coverage rates on our website, but do indeed provide opportunities
for comparing rates for some coverage and complaint resolution as
described above. We look forward to enhancing technology in the
future to help us with our regulatory responsibilities, consumer
protection, and information enhancement.
If you desire
to review rule, rate, and form filings that have been submitted
to us, please contact the Product Review Unit for property/casualty
coverage and the Health Plans Division for life/health coverage
at 877-999-6442. We will put you in contact with an analyst who
can explain what we have available and send you requested materials
(if we have it) or schedule an appointment for you to look at filed
material, when necessary. |
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