In my book “When Words Collide: Resolving Insurance Coverage and Claims Disputes,” I give many examples of how I’ve been able to get initially denied claims paid by referring to authoritative interpretive sources. In several of these claims, the source of the information was the actual regulatory filing that addressed the policy provision cited as the basis for the denial.
So, how do you get access to these filings? The answer can be found in an online National Association of Insurance Commissioners tool called “SERFF, ” the NAIC’s System for Electronic Rates and Forms Filing. Here you can find filings from advisory organizations like ISO and AAIS or individual insurer filings over the past decade.
The problem I have always had with the SERFF system is that it was unintuitive and clunky to use. However, the good news is that my frustration was not (hardly) shared by Tim Dodge, AU, ARM, CPCU of the Independent Insurance Agents and Brokers of New York. After mercilessly hounding Tim for many months, I finally browbeat him into sharing his tips and tricks in effectively using the system.
The result is an online tutorial Tim put together on how to use the SERFF system:
How to Search For and Find Carrier Filings
According to the instructions:
Several years ago, the National Association of Insurance Commissioners (NAIC) made insurer form, rate and rule filings accessible to the public online. The records go back only to 2010, but they are a treasure trove of information. Want a copy of a specific carrier’s Businessowners Policy form or additional insured endorsements? With a little digging, you should be able to find them. Click the image below for a slideshow tutorial in PDF format on how to use this valuable tool.
In my “When Words Collide” book, I talk about the legal issues involving the use of extrinsic information to support policy interpretations in litigation. However, my book is premised largely on resolving claims without litigation. Likewise for coverage issues. As a result, I have found regulatory filings to be of significant value in determining the intent of the form drafter, that intent sometimes clearly in conflict with the adjuster’s claim denial or the underwriter’s coverage opinion.
Thanks, Tim!
Bill Wilson
Latest posts by Bill Wilson (see all)
- The Invisible But Potentially Catastrophic Homeowners Exclusion That’s Not An Exclusion - September 19, 2023
- Revisiting the Illusory Coverage Assertion Following a Claim Denial - September 19, 2023
- FREE Webcast: How to Survive and Thrive in a Hard Market - August 1, 2023
Bill, thanks for the shout out! I hope more people start using this tool. The amount of information available is incredible. You have to sift through a lot of content that might not be relevant to your inquiry, but when you find what you’re looking for, it’s gold.