California Department of Insurance

    Company Profile

    Company Profile

    Company Complaints

    Company Complaints

    Additional Information

    Additional Information

    Company Complaints

    Company Complaints

    • LOYA CASUALTY INSURANCE COMPANY
    • 777 E Vista Way Ste 205, Vista, CA 92084-5548

    • 800-880-0472

    Company Performance

    Company Performance

    In compliance with California Insurance Code § 12921.1, the California Department of Insurance conducted a Consumer Complaint Study of all admitted insurance carriers. The company performance table provides the complaints determined by the department to require that corrective action be taken against the insurer, or leading to insurer compromise, or other remedy for the complainant, those that are found to be without merit, those with other outcomes, and justified complaints. Justified complaints often require additional review, as violations of California insurance laws may exist.

    Company Performance Report

    YearClosed Complaints (TOTAL of Categories 1-3)
    Category 1: Complaints found to require corrective action, leading to insurer compromise, or other remedy for the complainant.
    Category 2: Complaints found to be without Merit
    Category 3: Complaints with Other Outcomes
    Category 4: Justified Complaints
    202218166338216
    202113246246215
    20201593236916

    Violation Study

    Violation Study

    The following table represents number and type of violations found, by reference to the line of insurance and law allegedly violated

    Violation Study Report

    YearLine of CoverageLawSectionSummarized Description of Law# of Alleged Violations
    2022AutomobileCIC11580.011Coverage for replacement of child passenger restraint system; insurer obligation2
    2022AutomobileCIC790.03h3Failing to adopt & implement standards for the prompt investigation & processing of claims2
    2022AutomobileCCR2695.3(a)File must contain all documents.1
    2022AutomobileCCR2694a3In contravention of own rules, policies, procedures, guidelines1
    2022AutomobileCIC280Insured has no insurable interest, the contract is void1
    2022AutomobileCCR2695.7(d)Insurer shall conduct a thorough, fair and objective investigation. Cannot seek unnecessary information from claimant.2
    2022AutomobileCCR2695.7(b)(1)Must deny all claims in writing. Must cite statute, applicable law or policy provision on 1st party claims.3
    2022AutomobileCCR2695.7(c)(1)Must notify in writing every 30 calendar days if more time is required to investigate claim.2
    2022AutomobileCCR2695.7(h)Must pay within 30 calendar days of accepting claim-exceptions apply- see Regulations.1
    2022AutomobileCCR2695.5(b)Must provide complete response to claimant inquiries within 15 calendar days.3
    2022AutomobileCIC790.03h5Not attempting to effectuate prompt, fair, & equitable settlement when liability clear.2
    2022AutomobileCCR2695.7(b)Upon receiving proof of claim, insurer shall immediately but in no event more than 40 calendar days accept or deny claim.3
    If complaint data does not appear for this company, this link will provide you with an explanation.
    To view the California Insurance Code (CIC), Click here
    To view the California Code of Regulations (CCR), Click here

    Comparison Data

    Comparison Data

    The information below is for complaints closed during the study period for this insurance company. The table provides the Justified Complaint Ratio, Market Share, Complaint Share, and Index for this company, grouped by the line of coverage the company was authorized to sell in this study period.

    Comparison Data Report

    If complaint data does not appear for this company, this link will provide you with an explanation.