California takes legal action against State Farm after investigation finds widespread mishandling of LA wildfire claims
The
Acting on consumer complaints, Insurance Commissioner
"Wildfire survivors came to us for help, and we followed the facts," said Lara. "Our investigation found that
The department's enforcement action seeks millions of dollars in penalties, considered the largest amount pursued this century following a wildfire disaster. In addition to penalties, the department is requiring
"The
The investigation also highlights the urgency of Lara's sponsored legislation pending in
Examination finds a pattern of delay and denial of claims:
Department examiners reviewed a sample of 220 claims and found 398 violations of state law in 114 of those claims, many of which contained multiple violations.
Major violations mirror the delays and denials reported by wildfire survivors to the Department, including:
Slow and inadequate investigation
Underpayment of claims
Multiple adjusters causing confusion
Smoke damage claim denials and delays
Smoke damage claims represented nearly half of all consumer complaints. Examiners found that
Inadequate communication
Since last January, the department has recovered more than
As of
Legal action to help survivors now, and legislative action to prevent future harm
The department has filed an Accusation and Order to Show Cause against
Under California Insurance Code Section 790.035, penalties may reach
Commissioner Lara is also sponsoring two major bills to strengthen disaster-related consumer protections:
The Disaster Recovery Reform Act (SB 876, Padilla)
Requires insurers to maintain disaster recovery plans, doubles penalties during declared emergencies, mandates restitution to policyholders, and addresses delays caused by multiple adjuster reassignments.
The Smoke Damage Recovery Act (AB 1795, Gipson):
Establishes California's first enforceable public health and insurance standards for smoke-damaged homes, including science-based testing and restoration requirements.
Both bills advanced through legislative hearings in April and are now before the
Wildfire survivors experiencing delays, disputes, smoke damage issues or other claim problems are encouraged to file a formal complaint with the
Separate from today's action, the
At a later date, Consumer Watchdog may submit a request for intervenor compensation for its participation in the rate review and settlement process, as authorized under Prop. 103. If approved, the compensation amount – to be paid by
Click here to learn more about the intervenor compensation process at the department's website.


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