Florida Citizens’ insurance claim closures need closer look | Opinion

Property insurance, which has to be one of the sorest subjects in Florida, is back in the news and, as always, it seems, not in a good way.

The “property insurer of last resort” in Florida — known as Citizens Property Insurance — is receiving new scrutiny after an analysis by a Palm Beach Gardens-based ratings agency found that Citizens had a lower rate of payouts last year than any other insurer in the state, with slightly more than half of claims being closed without payment.

As the Miami Herald/Tampa Bay Times Tallahassee bureau recently reported, about 17,000 claims, or 50.4%, were closed without payment by Citizens. That compares to about 46% by the Florida subsidiaries of State Farm and Allstate, which had the highest rate of closing claims without payment among private insurers in the state.

Claims can be closed without payment because they are denied but also for a variety of other reasons, such as failure to meet the deductible or the claim was withdrawn or there were duplicate claims. About 44.2% of Citizens’ claims last year were actually denied, according to Citizens spokesperson Michael Peltier.

What’s the takeaway here? For Citizens “to be at the very top of the range is unforgivable,” Martin D. Weiss, the founder of Weiss Ratings, told the Herald. His company pulled the data for the analysis from Citizens’ annual reports.

To be fair, there has been some pushback since the release of the analysis. Mark Friedlander, spokesman for the Insurance Information Institute, told WPBF, the West Palm Beach-area ABC affiliate, that Citizens’ size — more than 1.2 million policies as of September, though there are predictions that will drop by year’s end — means it’s always going to have more claims in Florida than other insurers and many of those are likely to be flood-related and therefore denied, because Citizens doesn’t cover flooding.

Peltier said the same thing in the Herald/Times story, noting that about 30% of all homeowners’ claims filed after Hurricane Helene were closed out due to flooding.

That’s certainly a point worth considering but it’s unlikely to assuage residents upset by the increasing burden of insurance that covers less. That includes flood insurance, with storms in the past year driving flood waters even into traditionally low-risk places. Who can forget Hurricane Helene’s destructive path all the way into North Carolina in September and the images of flood-ravaged towns? And that storm was followed just two weeks later by Hurricane Milton, plowing from the Sarasota area across to the other side of the state.

The new analysis of Citizens’ claims isn’t the only reason there’s more focus on the state-run insurance company. As reported by the news outlet NOTUS in October, Citizens also closed without payment 77% of claims from Hurricane Debby in August, a figure that dropped to closer to 73% now, Peltier says.

Again, flooding may have been responsible for some or even a good portion of those closures. And again, that’s not going to offer a lot of comfort to worried residents.

Peltier offered another explanation. Some closures of claims without payment could be happening because a claim is less than a homeowner’s deductible, which can be many tens of thousands of dollars, depending on the house and policy.

None of this is happening in a vacuum, of course. Florida’s long struggle with property insurance, and now perhaps flood insurance, has contributed to the affordability crisis in the state. The inability to predict how much you’ll have to fork out for insurance each year is the kind of uncertainty that makes it hard for homeowners to budget and makes some wonder if they can afford to stay.

The report about Citizens also comes as the company’s insurance rates have gone up, over and over — and there’s a request to raise rates by 14% next year — coupled with an on-going state effort to shed policies from Citizens.

Citizens’ rate of closing of claims without payment may be perfectly explainable in the end, but enough questions have been raised about the state-run company to warrant a hard look at when it pays out and when it doesn’t, followed by a fully transparent report to Floridians.

This editorial has been updated and clarified with new information.

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