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Originally Posted by ilovetv
That is what all 50 states have a state insurance commissioner and depatment for. No policy and its coverages and exclusions can be sold until it has been analyzed by actuaries for its financial solvency and claims vs. premiums collected ability to stay solvent with legal amounts of reinsirance and reserves. Nor can any policy be marketed without the department's approval of the policy coverages and exclusions reqired or allowed under state and federal law.
And the state cimmissioner or director is accountable to voters by way of the election of the governor who appoints him as a Cabinet member or by way of the legislators who we vote in and out.
Best of all, insurance co. dolts at a computer screen, reading a script to your doctor and approving payment, can be fired because they are not in public sector unions that bar firings for incompetency, chronic absence and lateness etc.
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You accurately describe the role of state insurance commissioners in assuring the financial stability and solvency of state-registered insurance companies. But insurance commissioners do not get involved in the interpretation and administration of the contractual terms of insurance coverage. Your statement is not only misleading, it's wrong!