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Admitted Insurance: What it is, How it Works

Admitted Insurance

Investopedia / Joules Garcia

Definition
Admitted insurance is regulated coverage offered by companies licensed to operate by the state insurance agency in the state they are based in.

Admitted insurance refers to coverage offered by insurance providers who are licensed to operate by the state insurance agency in which they're based. These agencies govern nearly all aspects of an admitted insurance company's operations, including capitalization requirements, policy forms, rate approvals, and claims handling. Contrarily, non-admitted insurance companies are not subject to these regulations.

Key Takeaways

  • Admitted insurance refers to coverage offered by insurance providers who are licensed to operate by state insurance departments.
  • Admitted insurance companies must adhere to regulations regarding policy forms, rate approvals, and claims handling.
  • If an admitted insurance company fails, and is unable to pay claims, the state insurance fund will step in to pay the claims.
  • Admitted insurance policyholders enjoy certain comforts, including a means of addressing conflicts if they believe a claim has been mishandled.

Understanding Admitted Insurance

Admitted insurance companies must rigorously comply with insurance regulations established by the state's department of insurance. If admitted insurers are unable to pay claims due to failure or troubled finances, the state's insurance fund will step in to ensure policyholders' claims are paid. On the other hand, with non-admitted insurance carriers, there are no such back-up protection mechanisms in place.

Purchasing coverage from an admitted carrier means customers don't have to pay certain fees and taxes as part of those policies. Furthermore, admitted insurance policyholders have an embedded right to appeal to the state insurance department, in instances where policies were handled incorrectly.

What Non-Admitted Insurance Means

“Non-admitted” status means an insurance carrier has not been approved by the state’s ෴insurance department, resulting in the following consequences:

  • The insurance company doesn't necessarily follow state .
  • In cases of insolvency, there are no guarantees that claims will be paid, even if a policy is active at the time of a transaction failure.
  • If a policyholder believes his or her case was mishandled, there is no recourse available involving escalation to the state insurance department.

Many states allow non-admitted carriers to conduct business only in cases where such companies fill a need that admitted carriers are not equipped to handle. But this comes at a cost. Namely, because non-admitted carriers are not state-regulated, they do not contribute funds to the state guaranty fund, which protects policyholders from the potential 澳洲幸运5官方开奖结果体彩网:bankruptcy of an insurance carrier. For this reason, businesses that contract with non-admitted insurers must alert policyholders to this fact. Furthermore, insurance brokers must keep detailed reco🎃rds of transactions for non-admitted carriers, and they mus🌟t collect premium taxes.

Important

Non-admitted carriers are usually referred to as "surplus lines" or "excess lines insurers." 

Purchasing insurance from a non-admitted carrier may seem riskier, but non-admitted status is just one way to gauge financial reliability. Case in point: insurance companies receive financial strength ratings ranging from D to A++. These grades are determined by credit rating firm A.M. Best, which was founded in 1899 and released its first reports on insurers in 1900. ꦍA non-admitted insurance company with a high rating is mo𒁃st likely a safe bet, while an admitted carrier with a C rating or below suggests a higher risk level.

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