Claim-handling issues made up the top three reasons consumers filed formal complaints against their insurance companies in 2006, according to a survey recently conducted by the National Association of Insurance Commissioners.

The culprits for the complaints centered on claim delays, denials of claims, and unsatisfactory settlements or offers. Two other issues -- policy cancellation and premium cost -- completed the top five list, which NAIC develops every year based on information it receives from states on closed complaints. According to the NAIC, a closed complaint is one that has been investigated and resolved to the satisfaction of the state or jurisdiction in which it was filed.

The study wasn't all bad news, though. The NAIC said that the overall number of complaints dropped for the third consecutive year, with a total of 190,572 consumer complaints being reported to the association's Complaint Database System (CDS). That number marks an eight percent decrease from 2005. It should be noted, however, that the NAIC noted does not collect all complaint data from all states. It relies on information submitted by state departments of insurance.

Aggregate data compiled from the CDS can be accessed on the NAIC's web site through the Consumer Information Source link.

Top 5 Complaints

Delays

41,647 reported

21.9 percent

Denial of Claim

35,601 reported

18.7%

Unsatisfactory Settlement

26,556 reported

13.9%

Cancellation

12,467 reported

6.5%

Premium & Rating

11,253 reported

5.9%

Want to continue reading?
Become a Free PropertyCasualty360 Digital Reader

Your access to unlimited PropertyCasualty360 content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking insurance news and analysis, on-site and via our newsletters and custom alerts
  • Weekly Insurance Speak podcast featuring exclusive interviews with industry leaders
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the employee benefits and financial advisory markets on our other ALM sites, BenefitsPRO and ThinkAdvisor
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.