Roger, my house has been flooded 5 times since 1981 and Allstate has always paid those claims very well. Same with wind damge to the roof. Same with a theft. Insurers are only supposed to pay for what the customer can\’t afford to pay for themselves. That\’s the whole idea of insurance. You\’re idea of insurance is that insurance companies need to pay for everything over and above just because. Not how it was designed to work, sorry. Your thoeries on the roof granuals being loosened in storms is great. That\’s called wear and tear.
Please believe me not every victim gets justice, and without a proper legal system to keep this in line there will be more people like me. You only really know when you get there.
I felt compelled to write my story, when I see this name Cigna I still shudder, but I have somehow learned to live with it for now. It has been 10 years now and I had Subscribed to Cigna Hmo for healthcare for almost 10 years. I was enrolled and treated in their No. Hollywood wholly owned clinic in California. I thought this was a wonderful Company until I got sick and needed treatment. For two years Cigna abused me, and only when I went to outside doctors and paid for it did I learn I had Lung Cancer, and I went on to prove they knew I was ill and they were simply not going to treat me and let me die. I went to the newspapers and fought them got treatment and thank God somehow I survived. It is a long story I never did get legal justice because I refused to arbitrate with these Criminals. You bet your bottom dollars these people are make no mistake Criminals, and somehow they are still making a dollar on other peoples pain. However I am sure justice will come.
Last but not least I still have the response they filed over 10 years ago,that even if they committed Fraud, or a crime they could still compell Arbitration. A sad state of affairs dont you think?
Your comments make no sense! You obviously have not followed the insurance industry payouts to their execustives. If those bonus\’ weren\’t so large then there would be profit! As a matter of fact the bonus\’ are based on profit and cost reduction(hedging).
Check out MSN insider trading under any Ins.Co symbol.
The numbers can be manipulated to whatever they want…rob from Peter to pay Paul.
Is there a gotv\’t agency out there that has the guts to investigate these companies – if so please do and then come to Ilinois -home ground for a couple. It is criminal how they treat insureds -and how they don\’t settle claims. Can\’t imagine why Springfield turns its head LOL
Perhaps the problem is that while these are \”national\” companies, regulation is by state insurance commissioners, all of whom have some sort of political motivation. The patchwork of individual state regulations make regulation of general practices of these companies problematic. The insurance commissioner decides to \”get tough\” and the company decides they\’re pulling out rather than put up with it.
HOW profits are made determines if they are legal, or illegal.
On the back-end of the premium dollar trail, insurance agents and underwriting departments can be using, (for premium factoring), actuarially defined and realistic future replacement costs values of a structure , while on the front end of the \”money trail\” certain \”loss claim adjusters\” and vendors are intentionally ignoring historically empirical catastrophe caused property damage, and reconstruction / contents / depreciation factors.
Promise and charge for what\’s fair indemnification wise, and then use the ignorance of 95+% of policyhoders to keep intrinsic loss values owed them when time to pay, and hard-to-detect illegal profits can follow.
However, \”hard-to-detect\” seems to mean, by some, as being impossible to detect.
The physical and mathematical evidence is in claim files, across the nation, that have their own synthetic claim loss value estimating methodology FACTS to show & tell for the past FIVE (2002-2007) years.
Too, anyone can \”google\” a insurers\’ name along with keywords like \”unfair claim settlement, deceptive trade practice, intentionally underpay claims, overhead and profit, theft of premiums, deceptive advertising\” etc., for help in shopping for an insurer.
Upon considering the insurance industry and the private and governmental attempts to \”keep it honest,\” one is left with several public facts and realities to absorb:
1) The life insurance industry is operating from actuarial tables that are drawn from 30 year old data OR MORE;
2) ALL insurers operate utilizing the latest and most secure technology, minimizing their community and social benefits as great places for employment, community enhancement and social advancement to society as a whole(therir employees may be very nappy but the surrounding jurisdiction and its taxpaying base may have offered tax and other benefits in hope for a major employer and found technology has allowed the insurer to confound their expectations);
3) Insurers have routinely re-organized companies, established \”not-for-profit technical, testing and political entities, trimmed staffing levels, utilized outside contractors and utilized every technical advancement in computer science to control claim and application processing costs to maximize their profits, not to reduce their costs to the consumer. The abundance of money that flows into their coffers daily dazzles the mind! MetLife has recorded over $40 million dollars daily from its life operations ALONE! That kind of money can buy a lot of governmental laisez faire to their operations, especially at election time; and
4) It is apparent that most insurers do NOT operate in any single jurisdiction. The very act of their policy being sold across a state line should bring in the U.S. Commerce Department, but it does not. The influence and power generated by so much money being at the beck and call of any one entity or insurer is enough for the Treasury Department to be involved but it is not. The Federal Trade bCommission supposedly regulates all trade but it does not. So why do we expect these little podunk state insurance commissioners to take on the big, bad wolf? The insurance industry has not undergone any outwardly, consumer-influenced change in its prfit-generating practices other that technological profit enhancing benefits. That some of those changes were mandatory for security purposes is just the \”ost of doing business\” in my humble opinion.
Those are the four, most relevant reasons I have for espousing more and better monitoring of insurance and claim practices. Perhaps the creation of a national claims and policy clearinghouse would better allow the creation of lower rate structures, more effective and protective coverages and just plain better data from which to make certain rate and operational decisions. As it is now, the insurers have all the data…
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Roger, my house has been flooded 5 times since 1981 and Allstate has always paid those claims very well. Same with wind damge to the roof. Same with a theft. Insurers are only supposed to pay for what the customer can\’t afford to pay for themselves. That\’s the whole idea of insurance. You\’re idea of insurance is that insurance companies need to pay for everything over and above just because. Not how it was designed to work, sorry. Your thoeries on the roof granuals being loosened in storms is great. That\’s called wear and tear.
Please believe me not every victim gets justice, and without a proper legal system to keep this in line there will be more people like me. You only really know when you get there.
I felt compelled to write my story, when I see this name Cigna I still shudder, but I have somehow learned to live with it for now. It has been 10 years now and I had Subscribed to Cigna Hmo for healthcare for almost 10 years. I was enrolled and treated in their No. Hollywood wholly owned clinic in California. I thought this was a wonderful Company until I got sick and needed treatment. For two years Cigna abused me, and only when I went to outside doctors and paid for it did I learn I had Lung Cancer, and I went on to prove they knew I was ill and they were simply not going to treat me and let me die. I went to the newspapers and fought them got treatment and thank God somehow I survived. It is a long story I never did get legal justice because I refused to arbitrate with these Criminals. You bet your bottom dollars these people are make no mistake Criminals, and somehow they are still making a dollar on other peoples pain. However I am sure justice will come.
Last but not least I still have the response they filed over 10 years ago,that even if they committed Fraud, or a crime they could still compell Arbitration. A sad state of affairs dont you think?
Your comments make no sense! You obviously have not followed the insurance industry payouts to their execustives. If those bonus\’ weren\’t so large then there would be profit! As a matter of fact the bonus\’ are based on profit and cost reduction(hedging).
Check out MSN insider trading under any Ins.Co symbol.
The numbers can be manipulated to whatever they want…rob from Peter to pay Paul.
Is there a gotv\’t agency out there that has the guts to investigate these companies – if so please do and then come to Ilinois -home ground for a couple. It is criminal how they treat insureds -and how they don\’t settle claims. Can\’t imagine why Springfield turns its head LOL
Perhaps the problem is that while these are \”national\” companies, regulation is by state insurance commissioners, all of whom have some sort of political motivation. The patchwork of individual state regulations make regulation of general practices of these companies problematic. The insurance commissioner decides to \”get tough\” and the company decides they\’re pulling out rather than put up with it.
Profits are a financial reward for hard work.
HOW profits are made determines if they are legal, or illegal.
On the back-end of the premium dollar trail, insurance agents and underwriting departments can be using, (for premium factoring), actuarially defined and realistic future replacement costs values of a structure , while on the front end of the \”money trail\” certain \”loss claim adjusters\” and vendors are intentionally ignoring historically empirical catastrophe caused property damage, and reconstruction / contents / depreciation factors.
Promise and charge for what\’s fair indemnification wise, and then use the ignorance of 95+% of policyhoders to keep intrinsic loss values owed them when time to pay, and hard-to-detect illegal profits can follow.
However, \”hard-to-detect\” seems to mean, by some, as being impossible to detect.
The physical and mathematical evidence is in claim files, across the nation, that have their own synthetic claim loss value estimating methodology FACTS to show & tell for the past FIVE (2002-2007) years.
Too, anyone can \”google\” a insurers\’ name along with keywords like \”unfair claim settlement, deceptive trade practice, intentionally underpay claims, overhead and profit, theft of premiums, deceptive advertising\” etc., for help in shopping for an insurer.
rogerpoegc@gmail.com
So what you\’re saying is the insurance contracts are not a contract of utmost good faith! Correct!
Upon considering the insurance industry and the private and governmental attempts to \”keep it honest,\” one is left with several public facts and realities to absorb:
1) The life insurance industry is operating from actuarial tables that are drawn from 30 year old data OR MORE;
2) ALL insurers operate utilizing the latest and most secure technology, minimizing their community and social benefits as great places for employment, community enhancement and social advancement to society as a whole(therir employees may be very nappy but the surrounding jurisdiction and its taxpaying base may have offered tax and other benefits in hope for a major employer and found technology has allowed the insurer to confound their expectations);
3) Insurers have routinely re-organized companies, established \”not-for-profit technical, testing and political entities, trimmed staffing levels, utilized outside contractors and utilized every technical advancement in computer science to control claim and application processing costs to maximize their profits, not to reduce their costs to the consumer. The abundance of money that flows into their coffers daily dazzles the mind! MetLife has recorded over $40 million dollars daily from its life operations ALONE! That kind of money can buy a lot of governmental laisez faire to their operations, especially at election time; and
4) It is apparent that most insurers do NOT operate in any single jurisdiction. The very act of their policy being sold across a state line should bring in the U.S. Commerce Department, but it does not. The influence and power generated by so much money being at the beck and call of any one entity or insurer is enough for the Treasury Department to be involved but it is not. The Federal Trade bCommission supposedly regulates all trade but it does not. So why do we expect these little podunk state insurance commissioners to take on the big, bad wolf? The insurance industry has not undergone any outwardly, consumer-influenced change in its prfit-generating practices other that technological profit enhancing benefits. That some of those changes were mandatory for security purposes is just the \”ost of doing business\” in my humble opinion.
Those are the four, most relevant reasons I have for espousing more and better monitoring of insurance and claim practices. Perhaps the creation of a national claims and policy clearinghouse would better allow the creation of lower rate structures, more effective and protective coverages and just plain better data from which to make certain rate and operational decisions. As it is now, the insurers have all the data…
Big Joe,
Let\’s see if we can get that passed through legislation!