Company Complaint Information
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.
(TOTAL of Categories 1-3)
Complaints found to require corrective action, leading to insurer compromise, or other remedy for the complainant.
Complaints found to be without Merit.
Complaints with Other Outcomes
Violation StudyThe following table represents number and type of violations found, by reference to the line of insurance and law allegedly violated.
|Year||Line of Coverage||Law||Section||Summarized Description of Law||# of Alleged Violations|
|2013||Disability||CIC||10235.95b||10 percent per year interest is payable to claimants on accepted but unpaid Long Term Care claims||1|
|2013||Disability||CCR||2695.5a||Must respond to the California Department of Insurance within 21 calendar days.||1|
|2013||Disability||CCR||2694a3||In contravention of own rules, policies, procedures, guidelines||1|
|2013||Disability||CCR||2695.7h||Must pay within 30 calendar days of accepting claim-exceptions apply- see Regulations.||1|
|2013||Disability||CCR||2695.7d||Insurer shall conduct a thorough, fair and objective investigation. Cannot seek unnecessary information from claimant.||1|
|2013||Disability||CCR||2695.7b||Must accept/deny or provide written delay notice within 40 calendar days of proof of claim.||1|
|2013||Life/Annuity||CCR||2695.7b3||Must notify claimant that claim denial can be reviewed by the California Dept. of Insurance.||1|
|2013||Life/Annuity||CIC||785||Senior Issue - duty of honesty, good faith, & fair dealing||1|
|2013||Life/Annuity||CIC||789.10||24 hour written notice to seniors of initial meeting||1|
|2013||Life/Annuity||CCR||2694a3||In contravention of own rules, policies, procedures, guidelines||1|
|2013||Life/Annuity||CIC||10509.6b2||Within 3 days of receiving an app the replacing insurer must notify existing insurers of replacement & send required documents||2|
|2013||Life/Annuity||CIC||10509.4||Duties of agent accepting applications with statement & notice regarding replacement||1|
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.
|Year||Line of Coverage||JustifiedComplaint Ratio||Market Share||Complaint Share||Index|
If complaint data does not appear for this company, this link will provide you with an explanation.
For calendar year 2006, the Department's Consumer Services Division had received 276,419 consumer telephone calls, handled 33,054 written cases, and recovered $31,526,079 for consumers and policyholders.