CID: New Releases (02/15/2017) - Insurance Department Recovers $7.5 Million for Policyholders, Taxpayers in 2016

{Connecticut Insurance Department}
Insurance Department
Katharine L. Wade
Donna Tommelleo
February 15th, 2015

Insurance Department Recovers
$7.5 Million for Policyholders, Taxpayers in 2016

Insurance Commissioner Katharine L. Wade announced today that the Connecticut Insurance Department recovered $7.5 million for policyholders and taxpayers in 2016, helping individuals, families and employers with their claims and complaints.

ďConnecticut consumers turn to us every year to help them with claims and coverage issues or to just answer questions about their insurance,Ē Commissioner Wade said. ďOur intervention in 2016 helped thousands of policyholders get much-needed answers, resolution and the benefits to which they are entitled.Ē

The Commissioner said among the many cases the Department worked on was a dispute that involved nearly $170,000 in hospital bills for a victim of a car accident. The patient had health care coverage under two plans Ė through his employer and as a dependent on his parentís health insurance. When a dispute arose over which plan was the primary payer, the Department stepped in and determined it was the employerís plan, which then covered the claims.

Another case involved a motorist whose car was totaled in an accident. When motoristís insurer initially denied her claim, the Department required that the insurer review the case further. The insurer subsequently paid 100 percent of the motoristís claims.

The Departmentís Consumer Affairs Unit (CAU) fielded more than 5,800 complaints and inquiries and helped policyholders recoup nearly $6 million from January 1 to December 31, 2016. Also in 2016, the Departmentís Market Conduct division levied approximately $1.6 million in fines against carriers and returned that money to the stateís General Fund. The fines resulted from a variety of violations and settlements ranging from untimely claim payments to improper licensing.

The majority of the funds recovered for policyholders stemmed from complaints over health, accident, homeowners and life and annuities policies. The following is the breakdown of funds recovered in 2016:
  • Accident, Health - $3.63 million
  • Auto - $432,000
  • General Liability - $33,710
  • Homeowners and Commercial Property - $874,250
  • Life, Annuities - $820,000
  • Miscellaneous - $160,000
The Department calculates its consumer recoveries based on what the policyholder received as a result of the Departmentís intervention. The inquiries and complaints also help the Department identify industry trends that may adversely affect consumers and trigger investigation by the Market Conduct division.

Complaint data also help determine topics for consumer education and serve as tools to help the Department monitor the industry.  The Market Conduct enforcement actions are posted on the Departmentís Web site at
About the Connecticut Insurance Department: The mission of the Connecticut Insurance Department is to protect consumers through regulation of the industry, outreach, education and advocacy. The Department recovers an average of $4 million yearly on behalf of consumers and regulates the industry by ensuring carriers adhere to state insurance laws and regulations and are financially solvent to pay claims. The Departmentís annual budget is funded through assessments from the insurance industry. Each year, the Department returns an average of $100 million a year to the state General Fund in license fees, premium taxes, fines and other revenue sources to support various state programs, including childhood immunization.
For help with all your insurance issues:
  • Ask a question or file a complaint online
  • Call the Consumer Helpline at 800-203-3447 or 860-297-3900.
  • Sign up for e-alerts to get the latest news, warnings and rate changes that may affect your premium
  • Download consumer FAQs on health, homeowner and auto coverage
  • Use the Departmentís Speakers Bureau for public events.
  • Visit our Web site and follow the Department on Facebook, Twitter or YouTube

Content Last Modified on 2/15/2017 12:27:41 PM