1 STATE CONSUMER PROTECTION ACTS AND COSTS TO CONSUMERS The Impact of State Consumer Acts on Automobile Insurance premiums Preliminary Policy Report INTRODUCTION Over the last few decades, state consumer protection legislation has increased dramatically. 1 In addition to federal regulation, every state now has its own Consumer Protection Act (CPA), each of which provides for a private cause of action. 2 The impetus for these statutes derived from three forces emerging in the 1960s: dissatisfaction with Federal Trade Commission (FTC) consumer protection enforcement efforts, an apparent increase in popular demand for consumer protection, and the perception that common law causes of action were inadequate. While subsequent amendments to CPAs have resulted in much variation among states, the direction of these changes suggests that state consumer protection law has expanded access to the courthouse. Generally, such changes have increased the class of eligible potential plaintiffs, reduced the burden facing plaintiffs alleging a CPA violation, and increased the scope and magnitude of available remedies. Legislative and judicial trends towards expanded access for plaintiffs under the CPAs have contributed to a significant increase in litigation. 3 Expanded access has also contributed to meaningful differences in the types of consumer protection claims pursued at the federal and state levels. 4 Whether these changes have led to additional costs for consumers as a group is unclear. As a matter of economics theory, CPA liability could force sellers to internalize social costs associated with deceptive selling or marketing practices and thereby enhance efficiency. For example, CPA liability could increase economic efficiency and consumer welfare by granting recourse to consumers who would otherwise bear the cost of a 1 See SEARLE CIVIL JUSTICE INSTITUTE, STATE CONSUMER PROTECTION ACTS, AN EMPIRICAL INVESTIGATION OF PRIVATE LITIGATION (2009), available at [hereinafter SEARLE STUDY]. 2 Iowa, the last state to adopt a private cause of action, added the provision to its CPA in July See Press Release, Iowa Attorney General, Consumer Private Right of Action : What Consumers Need to Know, (July 1, 2009) available at 3 SEARLE STUDY, supra note 1. The Searle Study generated an index (the Expected Value Index or EVI) to capture the overall plaintiff friendliness of the state CPA. For each 2008 statute, 27 CPA provisions were coded as either benefits or restrictions. Id. The Study demonstrated that an increase in the EVI is associated with an increase in the number of reported decisions involving a CPA claim. Id. 4 Id.
2 Consumer Protection Acts and Costs to Consumers 2 producer s deceptive statements. Consistent with this argument, proponents of more expansive consumer protection legislation contend that gaps in FTC enforcement, irrational consumer behavior, and insufficient incentive for plaintiffs to bring small, but meritorious claims justify expanded CPA liability. Proponents also claim that CPAs can correct problems that arise in markets in which sellers uniquely possess information on the quality of the products sold to consumers. 5 However, economic theory identifies potential social harms associated with expansion of consumer protection liability. Specifically, if CPAs sufficiently increase expected liability for business activities associated with the production, marketing, and sale of consumer goods and services, consumers can be harmed in the form of higher prices. CPA liability can operate as a tax on goods and services sold to consumers. 6 CPA liability, like excise taxes, can raise the marginal costs of production for the firm and result in reduced competition and output as well as higher product prices. Further, because marketing communications can provide valuable information to consumers, CPA liability that deters informative advertising, such as partial disclosures of valuable information, 7 can reduce consumer welfare. 8 Broad interpretations of vague CPA statutes can also result in further welfare losses by introducing additional uncertainty into the business decisions of firms. 9 Potential social benefits of expanded CPA liability must be balanced against potential costs when designing policy. Problematically, neither economic theory nor empirical evidence identifies a uniquely optimal amount of state CPA liability. However, the potentially negative effects on consumers of continually expanding liability suggest that 5 For example, one common type of CPA litigation involves so-called vanishing premiums. In these cases, life insurance sales agents promise the customer that after a few years of payments the premiums will vanish altogether because the policy will pay for itself out of dividend or investment income. The assumptions about investment performance, however, are often quite unrealistic and under more plausible assumptions the premiums would never vanish. The consumer is unlikely to detect the misleading nature of the claims at issue. Theoretically, a CPA could improve the life insurance market in this case because consumers would have a cause of action that would, in turn, deter future misleading claims. See Broberg v. Guardian Life Ins. Co., 90 Cal. Rptr. 3d 225 (Ct. App. 2009). 6 See Henry N. Butler & Jason S. Johnston, Reforming State Consumer Protection Liability: An Economic Approach, 2010 COLUM. BUS. L. REV. 1, 44 (2010) (arguing that CPA liability amounts to what is effectively a tax on every good or service sold to consumers. ). 7 Id. notes Id. at On the economic value of information, and advertising in particular, see Kyle Bagwell, The Economic Analysis of Advertising (Columbia Univ. Dep t of Econ. Discussion Paper Series, Paper No , 2005), available at Avinash Dixit & Victor D. Norman, Advertising and Welfare, 9 BELL. J. ECON. 1 (1978); Philip Nelson, Advertising as Information, 82 J. POL. ECON. 729 (1974); Benjamin Klein & Keith B. Leffler, The Role of Market Forces in Assuring Contractual Performance, 89 J. POL. ECON. 615 (1981). 9 In fact, the SEARLE STUDY suggests that CPA statutory language strongly affects overall CPA litigation within a state. SEARLE STUDY at 26. Business must expend resources attempting to predict how vague CPA standards will be enforced; judges must expend further resources defining illegal conduct and sorting between meritorious and frivolous claims. These added costs may be passed on to consumers in the form of higher prices or reduced innovation.
3 Introduction 3 this expansion may have diminishing marginal returns. 10 In the context of consumer protection liability, expanding liability may generate positive consumer welfare effects up to some threshold level, but expansion beyond that critical level raises the possibility of over deterrence of business activity that benefits consumers. Although these basic tradeoffs are well-known and recognized even by proponents of stronger consumer protection regulation, 11 no data currently exists that would allow for an analysis of potentially relevant effects of expanded liability on consumers. In order to provide some insight into the effects of changes to CPAs on consumers, the Searle Civil Justice Institute (SCJI) at the George Mason University Law & Economics Center commissioned the Task Force on State Consumer Protection Acts and Costs to Consumers (the Task Force). The Task Force analyzed the effects of CPAs on premiums in the automobile insurance market. The automobile insurance market has several unique features that render it useful for addressing some of these important policy concerns. First, insurance prices are established on a state-by-state basis. This feature enables isolation of the impact of state CPA law changes on prices. Second, automobile insurance is the largest of the property casualty lines of insurance, and, unlike health insurance, which is the largest insurance market overall, individuals purchase it with a minimum of government subsidy. Accordingly, laws that alter automobile insurance premiums have a substantial impact on consumers. Third, because automobile insurance product lines are frequently the focus of CPA litigation, sufficient data are available to construct a test of the impact of CPAs on the insurance prices ultimately paid by consumers. 12 Fourth, automobile insurance prices are not as highly regulated as prices for many other lines of insurance. 13 As such, automobile 10 For an example of diminishing marginal returns, consider the following: the value a hungry consumer derives from consuming a candy bar may be high. However, consuming a second candy bar is likely to result in less satisfaction for the consumer, and even less for the third. The consumption value decreases with each additional candy bar. At some point (beyond the threshold of diminishing marginal returns), eating candy bars would yield negative marginal returns. 11 See, e.g., Jeff Sovern, Toward a New Model of Consumer Protection Statutes: The Problem of Increased Transaction Costs, 47 WM. & MARY L. REV. 1635, (2006) (recognizing that state CPAs can increase transaction costs and arguing for regulation that would prevent firms from passing these costs on to consumers). 12 Insurance companies are parties in at least 1,500 decisions in a database including over 17,000 decisions involving CPA claims from in state appellate and federal district courts. SEARLE STUDY, supra note 1. This same database reinforces the idea that automobile insurance companies are not immune from CPA claims. In one of the largest cases, Avery v. State Farm Mutual Automobile Insurance Company, a nationwide class of consumers was certified and ultimately awarded $1.2 billion at trial, $730 million attributable to the CPA claim. Avery v. State Farm Mut. Auto. Ins. Co., 216 Ill.2d 100 (Ill. 2005) (involving a nationwide class of consumers alleging that State Farm s practice of using non-original Equipment Manufacturer parts to repair vehicles damaged in crashes was a breach of the standard contract and violated the Illinois Consumer Fraud and Deceptive Business Practices Act). The Illinois Supreme Court eventually reversed the entire award, but not until the dispute had gone on for 8 years. 13 Twenty-eight states either have no filing laws or have file and use laws, both of which allow considerable discretion in price setting. According to the NAIC, file and use (or use and file) laws require the rates to be submitted to the state insurance department but specific approval is not required. See Auto Insurance Database Report, NAT L ASS N OF INS. COMM R 227 (2006/2007), available at [hereinafter NAIC Automobile
4 Consumer Protection Acts and Costs to Consumers 4 insurance prices are arguably the closest the insurance market has to a market price one that actually reflects the marginal cost of providing the insurance over a wide section of the U.S. population. Thus, automobile insurance prices likely reflect the impact of CPA changes better than other types of prices. The Task Force found that, in general, expanding court access to potential plaintiffs through changes in CPAs leads to higher automobile insurance premiums. Further, specific CPA provisions may impact automobile insurance premiums more than others. For example, CPA provisions allowing for double and treble damages were more likely to increase automobile insurance premiums than CPA provisions allowing a private right of action. These results are sensitive due to the small number of CPA provisions that changed during the period studied, 14 but they are consistent with the hypothesis that CPAs increase the cost and price of automobile insurance and thus could represent consumer welfare losses. Yet without a complete picture of insurance output or quality, drawing definitive conclusions about the relationship between these price results and overall consumer welfare is difficult. Absent conclusive evidence on the quantity of insurance purchased, the results could suggest that enhanced CPA liability increases both costs and consumer demand for insurance, thus indicating an increase in consumer welfare. Alternatively, enhanced CPA liability could increase costs but decrease demand, which reflects harm to consumers. In sum, while limited data precludes determination of the optimal scope of CPA liability from a consumer welfare perspective, the Task Force finds that expansion of CPA liability results in increased cost of automobile insurance to consumers. Section II of this Preliminary Policy Report on State Consumer Protection Acts and Costs to Consumers (the Report) provides some historical context for CPAs and outlines several basic economic models of consumer welfare. Section III provides the Report s key research question and describes the data and methods used. Section IV presents the results of the study. Section V concludes and provides relevant policy implications for consideration. Insurance Database]. Although automobile insurance prices may not be the least regulated insurance product line, they are one of the least regulated that have all of the other benefits mentioned above. 14 See infra section IV.B.
5 Background 5 I. BACKGROUND This section explains how legislatures and courts have expanded consumers rights under CPAs by increasing consumer access to the courts. In addition to providing historical context of CPA expansion, this section illustrates various economic models of consumer welfare. These models illustrate the tradeoffs associated with expanded consumer protection liability and the key variables necessary to analyze and determine consumer welfare effects. A. PRIOR LITERATURE In the 1960s, the FTC faced serious criticism of its consumer protection efforts, including that it misallocated its already insufficient resources, 15 suffered from political favoritism and regulatory capture, 16 and protected producers in the name of consumer protection. 17 Proponents of stronger regulation argued that market forces could no longer offer consumers adequate protection, as the marketplace had become too impersonal and too favorable to producers. 18 Similarly, these proponents claimed that common law causes of action were impractical as consumer protection devices because they required high burdens of proof. 19 State legislatures responded to these widespread criticisms by enacting a diverse collection of CPAs, each designed to supplement public enforcement and to improve consumer outcomes. Most early CPAs authorized state Attorneys General to seek injunctions against specific business practices. Some allowed the Attorney General to seek restitution for injured consumers. 20 More expansive modern CPA characteristics can be traced back to uniform and model statutes that appeared in the late 1960s. 21 The Uniform Deceptive Trade Practices Act (UDTPA), for example, granted consumers a private right of action and allowed 15 AM. BAR ASS N COMM N TO STUDY THE FED. TRADE COMM N, REPORT OF THE COMMISSION TO STUDY THE FEDERAL TRADE COMMISSION (1969) at EDWARD R. COX, ROBERT C. FELLMETH & JOHN E. SCHULTZ, THE NADER REPORT ON THE FEDERAL TRADE COMMISSION (1969) at Richard A. Posner, The Federal Trade Commission, 37 U. CHI. L. REV. 47, 71 (1969) ( A perusal of FTC rules and decisions reveals hundreds of cases in which prohibitory orders have been entered against practices, not involving serious deception, by which sellers have attempted to market a new, often cheaper, substitute for an existing product. ) 18 William A. Lovett, Louisiana Civil Code of 1808: State Deceptive Trade Practice Legislation, 46 TUL. L. REV. 724, 725 (1972); James R. Withrow, Jr., The Inadequacies of Consumer Protection by Administrative Action, 1967 N.Y. STATE BAR ASS N ANTITRUST LAW SYMPOSIUMS 58, 64 ( The difficulties being faced by the consumer today are best understood in terms of the new impersonality of the market place. ); see also NAT L ASS N OF ATTORNEYS GEN. COMM. ON THE OFFICE OF ATTORNEY GEN., REPORT ON THE OFFICE OF ATTORNEY GENERAL 395 (1971). 19 Robert Quinn, Consumer Protection Comes of Age in Massachusetts, 4 NEW ENG. L. REV. 72 (1969)( It was, after all, primarily the failure of the legal system to provide adequate remedies which led to the great consumer movement of the past decade with the resultant deluge of new laws. ). 20 N.J. STAT. ANN. 56:8-3.1 (West 2011) 21 See NAT L ASS N OF ATTORNEYS GEN. COMM. ON THE OFFICE OF ATT Y GEN., REPORT ON THE OFFICE OF ATTORNEY GENERAL 395, 400 (1971).
6 Consumer Protection Acts and Costs to Consumers 6 injunctive relief absent proof of actual damages and demonstrated intent to deceive. 22 Another important model statute that appeared at this time was the Model Unfair Trade Practices and Consumer Protection Law (UTPCPL). The FTC developed the UTPCPL as a comprehensive composite of prior consumer protection legislation. The UTPCPL deliberately attempted to maintain its similarities to the relevant FTC standards, noting that due consideration and great weight should be given to the FTC s own interpretations. 23 Currently, twenty-eight states refer to the FTC in their CPAs. 24 Legislative amendments and judicial interpretations have broadened consumer rights under most CPAs. 25 Legislative amendments have generally increased consumer access to courts by, for example, allowing class actions and private claims. Other amendments repeal the public interest requirement to sue under the CPA. Some CPAs have truncated rigorous common-law burdens of proof to make it easier for consumers to bring claims. 26 Proponents of these amendments contend that consumers must be willing to file suit for CPAs to have any deterrent effect. However, critics have noted that such permissive causes of action raise the potential for harassment of legitimate business conduct 27 and that vague consumer fraud statutes create an environment ripe for abuse. 28 The potential benefits of additional consumer protection must be evaluated while accounting for existing and alternative frameworks, as well as any costs in changing the relevant legal regime. One aspect of this inquiry relates to whether consumer protection legislation optimally supplements other enforcement mechanisms (e.g., market forces, federal regulation, and state common law). 29 In determining the efficient level of state CPA liability, the risk of overprotection is an important consideration because it has the potential to increase the marginal cost of the firm, which, in turn, leads to higher prices and may also deter pro-competitive business activity. Several Task Force members conducted a prior empirical study that documented changes in CPA provisions among states and over time, as well as the impact of those changes on CPA litigation activity. The resulting Searle Study found that CPAs became considerably more favorable to potential plaintiffs over time and that those states with more plaintiff-friendly CPAs also tended to have more litigation. 30 This dramatic shift in the scope of CPA liability, and the resulting litigation, raised the issue of whether state consumer protection enforcement was qualitatively different than presumably related FTC 22 COMM RS ON UNIF. STATE LAWS, HANDBOOK OF THE NATIONAL CONFERENCE OF COMMISSIONERS ON UNIFORM STATE LAWS AND PROCEEDINGS OF THE ANNUAL CONFERENCE MEETING IN ITS SEVENTY-THIRD YEAR 253, 262 (1964) COUNCIL OF STATE GOV TS, 1970 Suggested Legislation 142 (1969). 24 Dee Pridgen & Richard M. Alderman, Consumer Protection and the Law, vol. 1, 2:10 ( ed.). 25 Victor E. Schwartz & Cary Silverman, Common-Sense Construction of Consumer Protection Acts, 54 KAN. L. REV. 1 (2005). 26 David A. Rice, Exemplary Damages in Private Consumer Actions, 55 IOWA L. REV. 307, 307 (1969). 27 William A. Lovett, Louisiana Civil Code of 1808: State Deceptive Trade Practice Legislation, 46 TUL. L. REV. 724, 744 (1972). 28 Rice, supra note 26, at Butler, supra note 6, at SEARLE STUDY, supra note 1.
7 Background 7 enforcement. Accordingly, the Searle Study analyzed the decisions of a Shadow Federal Trade Commission an expert panel created for the purpose of evaluating litigated state CPA claims in order to provide evidence of how CPAs operate when compared to the FTC consumer protection policy standard. 31 The expert panel found that private state CPA enforcement appears to condemn business conduct that would be lawful under the FTC standard. 32 According to the expert evaluation in the Searle Study, most CPA claims would not amount to illegal conduct under FTC consumer protection standards the Searle Study found that only 22% of CPA claims would constitute illegal conduct under the FTC standards. 33 Significantly fewer (12%) would ultimately lead to FTC enforcement. 34 This latter finding might be consistent with the proposition that at least some claims brought under CPAs were intended to supplement FTC enforcement. However, the Searle Study also found that the conduct underlying almost 40% of CPA claims in which the consumer plaintiff prevailed at trial and the decision was not overturned on appeal would not amount to illegal conduct under federal consumer protection law. 35 The combination of these findings suggests that there is a significant and increasing amount of state CPA litigation and that state CPAs do more than merely supplement existing FTC enforcement efforts. In other words, broader CPA standards seem to allow consumers to pursue different types of claims than those the FTC permits. Although the Searle Study documented the increased prevalence and use of CPAs across states and over time, those results do not directly address the issue of whether CPA liability provides net consumer benefits. There has been much policy debate over whether CPAs improve consumer outcomes, but to date there has been very little data available to facilitate that debate. In order to comprehensively evaluate potential expansion of existing CPAs, it is important to assess different aspects of consumer welfare, including the effect of changes in CPAs on consumer prices. A better understanding of the potential impact of CPAs on consumers will help policymakers to consider whether, in which direction, and in which states, to make changes to their CPAs. B. MODELS OF CPA LIABILITY EXPANSION AND CONSUMER WELFARE The models motivating the analysis in this Report involve simple economic concepts. To begin, assume there was a new CPA allowing consumers of automobile insurance greater recourse in the event that their insurer violates the agreed-upon insurance contract or engages in unfair or deceptive practices. If the imposition of the new consumer protection law results in higher automobile insurance prices, one might 31 Id. 32 Id. at See also, Henry N. Butler & Joshua D. Wright, Are State Consumer Protection Acts Really Little- FTC Acts?, 63 FLA. L. REV. 163 (2011). 33 SEARLE STUDY, supra note 1, at Id. 35 Id. at 49.
8 Consumer Protection Acts and Costs to Consumers 8 intuitively believe an increase in prices unambiguously reduces consumer welfare. The reality, however, is far more nuanced. As an illustration, a price increase in coffee might be due to the government placing a per-cup tax on coffee, thereby increasing costs to consumers. Alternatively, the price increase might be attributable to the release of a new FDA study revealing the health benefits of coffee consumption and, in turn, increasing consumer demand. In the second case, the increase in price reflects an increase in consumer welfare because it reflects an increase in demand (i.e., consumers are willing to pay for more coffee) and not an increase in costs resulting from a tax increase. The same factors could conceivably be at work with a new CPA. However, the economics of CPAs are more complicated than the economics in this simple coffee example. CPAs are likely to increase the cost of providing insurance. CPA compliance and litigation costs imposed upon insurance providers decrease their willingness to supply the same level of insurance for a given premium. The concept is intuitive, but the economics of how this cost increase is passed through to the observed premium and the impact on consumers is more complex. The simplest case is one in which consumers do not at all value the new protection provided by the CPA. Because CPAs are not widely discussed in the popular press, it seems likely that few automobile insurance customers know that a new state law gives them greater recourse to sue their insurance company for contract violations. Also likely is that consumers' willingness to purchase certain levels of insurance is somewhat sensitive to changes in premiums. The logic is that if premiums rise, consumers may prefer to offset that price increase by taking a higher deductible rather than wider coverage. Figure 1 illustrates the case in which consumers do not at all value the new protections. The increase in costs causes an increase in price from P0 to P1 and a decrease in quantity from Q0 to Q1. This cost increase has two effects. The first is a wealth transfer from customers and shareholders of insurance companies to CPA plaintiffs and attorneys. This effect is represented by the light grey rectangle in Figure 1. This welfare box (or wealth transfer) reflects the fact that the increase in price at Q1 from the supply curve without a CPA to the supply curve with a CPA is driven by increased cost. This price increase multiplied by the quantity designated by Q1 equals the value at this Price/Quantity combination that goes to plaintiffs and attorneys rather than to customers and shareholders of insurance companies. By itself the price increase is what economists call welfare neutral. Although consumers are unhappy with the transfer, there is no economic reason to prefer insurance shareholders and automobile insurance customers to CPA plaintiffs and their attorneys, so the wealth transfer is neutral in effect. In fact, CPA plaintiffs are a subset of insurance consumers, so a price increase acts to transfer wealth from one group of consumers to another, and to no detriment to the whole.
9 Background 9 The second, problematic, effect is that the CPA statute, which is assumed to provide zero additional value to consumers in this case, actually reduces the level of insurance demanded by consumers. This effect unambiguously decreases consumer welfare because the consumers who no longer purchase insurance cannot receive the benefits from the cheaper plan they had before the price increase. Thus, a price increase in this example concretely predicts consumer harm. That harm is measured by the dark grey triangle in Figure 1 called deadweight loss. This deadweight loss triangle reflects the negative impact to consumers as measured by the decline in quantity purchased from Q0 to Q1. Either consumers whose marginal benefit exceeds the marginal cost of purchasing insurance are refraining from purchasing insurance at the resulting higher price, or consumers whose marginal cost exceeds the marginal benefit are purchasing the insurance at the lower quantity and higher price. Both situations yield a loss to consumer welfare. Therefore, to establish that a price increase has negatively impacted consumers, some evidence of reduced demand is needed. For auto insurance, this might manifest as an actual reduction in number of policies purchased or a decrease in coverage per policy at a given price (i.e., a higher deductible). FIGURE 1 Consumer Harm from Expanded CPA Liability $ Supply of Insura nce with CPA Supply of Insurance P 1 P 0 Deadweight loss to insurance custome rs Price: re turn received by insurance companies Transfer to CPA plaintiff and attorneys Insurance Demand Q 1 Quantity of Insurance Although Figure 1 suggests that increases in price accompanied by decreases in quantity demanded result in consumer harm, absent strong evidence on quantity movements, increases in price could represent consumer benefits. In other words, an Q0
10 Consumer Protection Acts and Costs to Consumers 10 increase in price might reflect the increase in demand due to the perceived benefits from more CPA protection. In an example of product liability, 36 consumers purchase a product, here a toaster, which has some risk of injury. The cost of that injury is paid either by the consumers, through purchasing life and health insurance, or by the toasters producers, via the liability system. As a simplification, this example assumes that liability is strict and the tort system is costless (an admittedly strong assumption). In this case, consumers are indifferent between purchasing the toaster with strict liability or no liability because they have the ability to completely replicate the liability system with private insurance. 37 Further, there is no welfare difference because the hypothetical consumer is insured against loss through either the tort system or private insurance. 38 The costs are the same in both of these cases because we have assumed zero deterrence value from the imposition of liability upon the producer, and we have further assumed that both individuals and producers can provide insurance at the same price. Thus, the product is equally safe regardless of who pays for the insurance, but the observed price in the product market is higher when the producer provides insurance via the liability system. Based on the observed price in the markets for toasters, one could erroneously conclude that the liability system increases toaster prices and costs when, in reality, two different markets are being compared: the market for toasters alone with the lower price and the market for toasters plus insurance, which commands a higher price. 39 Despite the instructive power of this model, it is too simple to describe even the toaster market. In reality, the tort system carries administrative costs far greater than the health insurance system, meaning that the tort system would require an additional benefit, such as deterrence, to justify using it rather than a private insurance market. 40 CPAs effects are further complicated by the fact that CPAs could conceivably increase the demand for insurance by increasing the likelihood that consumers receive an insurance payment when they experience a loss. 36 A. Mitchell Polinsky & Steven Shavell, The Uneasy Case for Product Liability, 123 HARV. L. REV (2010). 37 CPAs are not the only way to solve information problems associated with contracting. Because insurance customers have repeat dealings with their insurance companies, consumers are more likely in this context to learn firsthand about the effectiveness of their insurance contracts. Moreover, insurance companies spend a great deal to maintain their reputation both through advertising and via follow up surveys on claims experiences. All of these factors are in some ways duplicating the efforts of CPAs, in that they are designed to assure consumers that the company will pay off a claim. See Benjamin Klein & Keith B. Leffler, The Role of Market Forces in Assuring Contractual Performance, 89 J. POL. ECON. 615 (1981). 38 There is, however, an important observational difference between private insurance and the tort system. When consumers pay for their own insurance, their demand for toasters falls by the price of the insurance, causing the producer to sell fewer toasters. By contrast, when producers pay for the insurance through the tort system, they are unwilling to supply the product at the lower price. Rather than supply the product with the liability system, producers now supply the product plus insurance against injury and simply build the insurance cost into the final product. Again, consumer demand for toasters falls due to the higher observed price for toasters. 39 William Landes & Richard Posner, A Positive Economic Theory of Products Liability, 14 J. LEGAL STUD. 535 (1985). 40 George L. Priest, The Modern Expansion of Tort Liability: Its Sources, Its Effects, and Its Reform, 5 J. ECON. PERSPECT. 31 (1991).
11 Background 11 Regardless of these various complications, the basic economic forces at work in the automobile insurance market are similar enough to those described above to motivate the analysis in this Report. Suppose there is some uncertainty over whether an insurance contract will produce payment in the event of an injury. A CPA could increase the demand for insurance by providing an additional contractual protection. As with the toaster example, consumers are unwilling to pay as much for insurance in the absence of a CPA because the insurance is less valuable it may not actually pay for an injury the consumer thought was covered. With the additional CPA protections, the likelihood of payment increases because the law has provided an additional recourse to consumers. Again, as in our hypothetical toaster market, the price of insurance rises from P0 to P1 but there are no welfare effects. Consumers pay more for insurance, but the increase in price exactly offsets the gain they receive from more reliable insurance, so quantity demanded remains at Q0. A version of this offset is shown in Figure 2. FIGURE 2 Offsetting Consumer Welfare Effects from Expanded CPA Liability $ Supply of Insurance with CPA Supply of Insurance P 1 Price: return received by insurance companies= P 0 Transfer to CPA plaintiff and attorneys Insurance Demand with CPA Insurance Demand Q0 Quantity o f Insurance As mentioned above, consumer welfare is dependent on both the change in price of a product as well as the associated change in quantity sold of the product. Therefore, an increase in price alone does not necessarily indicate harm to consumers. If quantity increases or remains the same as prices increase, then the new product is likely providing
12 Consumer Protection Acts and Costs to Consumers 12 additional benefits to consumers that are worth the cost of a price increase. On the other hand, if quantity decreases as prices increase, consumers are likely being harmed since they are not getting benefits from the new product commensurate to the price increase. One way to measure the quantity of automobile insurance is to determine the proportion of people in the state that do not carry automobile insurance. In accordance with the models explained above, if increasing prices of automobile insurance due to CPAs were associated with a decrease in the number of insured motorists, CPAs could be associated with consumer harm. However, almost all states have requirements to purchase minimum levels of insurance. These requirements make it very difficult to observe changes in how many people would buy automobile insurance if given the option of not buying it. An alternative, and possibly more appropriate, way to measure the quantity of automobile insurance purchased is to look at changes in the type of insurance purchased as prices increase. Although states have minimum requirements for the level of insurance that must be purchased, customers do have the option to purchase better quality insurance packages from the same provider. If higher prices cause consumers to shift toward the minimum required level, then those consumers may still be harmed by the price increases. Alternatively, if consumers keep their insurance plans or shift to higher levels of insurance, then CPAs could be providing benefits to consumers. Insurance types are also difficult to measure, but one possible measurement is to observe changes in deductibles. The higher the deductible, the higher the risk the consumer personally takes on and the lower the level of insurance the company provides. Deductibles by state are not available consistently and so could not be used for this study. The focus of this Report, then, is to provide some information to policymakers on at least one aspect of consumer welfare the relationship of increased CPA liability to the consumer prices as measured by auto insurance premiums. The Task Force was not able to develop a reliable measurement of quantity in this context. Thus, the Report can only measure the costs borne by consumers due to CPAs. Any benefits, to the extent they exist, have not been captured in this analysis.
13 Methodology and Data 13 II. METHODOLOGY AND DATA The Task Force used automobile insurance premiums to address the following research question: What is the impact of different CPA provisions on automobile insurance premiums by state and over time? The Task Force addressed the above research question by estimating a set of econometric models 41 to evaluate the effects of changes in CPAs on automobile insurance premiums. The models generally tested whether and to what extent changes in each state s automobile insurance premiums over time can be explained by the state s CPA provisions, the state s automobile insurance regulatory environment, the rates at which individuals in the state used automobile insurance, and other state-level demographics such as the state unemployment rate and median age. The models also accounted for any other effects on automobile insurance premiums due to the particular year in which a premium occurs (known as year fixed effects ). Finally, the models considered the fact that certain states exempt unfair and deceptive acts pertaining to insurance from the CPA. 42 A complete description of the econometric models appears in Appendix A. Figure 3 provides general descriptions for each of these variables: Econometric models are generally equations that specify the statistical relationship between various attributes of an economic phenomenon. For example, these types of models can explain which attributes play the largest role in changes of automobile insurance premiums. 42 Further explanation of this distinction can be found in section III.C.iv. 43 The term variable, for purposes of this Report, is defined as an attribute that can have different values for different observations. For example, the variable Combined Average Automobile Insurance Premiums has a different value for each state for every year observed in the data.
14 Consumer Protection Acts and Costs to Consumers 14 FIGURE 3 Variable Group Name Automobile Insurance Premiums CPA Provisions Other Automobile Regulations Insurance Use Demographics CPA Insurance Exemption Year Fixed Effects Description Average combined automobile premiums (both liability and collision) charged in the state by year or the percentage change in average combined automobile insurance premiums in the state by year. Changes in the CPAs over time, as measured by the CPA Index (discussed below) and individual CPA provisions. Variables representing any regulatory changes unrelated to CPAs that could have affected automobile insurance premiums. Variables representing the number of times automobile insurance claims may have been paid in the state over time, for example the number of automobile accidents. Variables representing each state s population characteristics over time. A variable indicating which states specifically exempt insurance from the CPA. This allows for a better identification of the effects of changes in the CPA on automobile insurance premiums in states where the law is allowed to influence insurance product lines. A set of variables that indicate the year in which the automobile insurance premium is charged. Taken together they account for otherwise unobservable changes in premiums due to the year.
15 Methodology and Data 15 Ideally, the impact on insurance prices of enacting a CPA law would be estimated using the standard difference-in-difference approach. 44 This approach could estimate the impact of the CPAs by comparing the difference in the pre- and post- law periods for states that adopted CPA laws to those that did not. The difficulty is that all states have now adopted some version of a CPA and, more importantly, did so decades ago, meaning that the standard difference-in-difference model is not feasible. The data that does exist for the time period studied are changes to CPA provisions. The Task Force captured these changes with two different measures (discussed further in the next section): (1) the CPA Index, and (2) individual changes to CPA provisions among states. The first measure captured changes in the state s CPA that could encourage or facilitate a plaintiff s claim under the CPA. It is thus a measure of the ease of potential recovery in CPA litigation within each state. The second measure focuses on differences among states. All analyses focus on the time period A. DESCRIPTIVE ANALYSIS OF STATE CONSUMER PROTECTION ACT CHANGES In order to determine whether changes in CPAs have any effect on automobile insurance premiums, the Task Force first undertook a comprehensive analysis of the statutory language in all 68 CPAs and subsequent amendments from the time of their adoption through The Task Force began by collecting and analyzing the statutory language for each CPA at the time of adoption. Based upon this analysis, 14 attributes emerged as key CPA provisions that could encourage (or discourage) potential plaintiffs from filing suit. The Task Force then identified and documented each CPA amendment from adoption through 2009 to identify any changes in these 14 attributes. To construct a measure that would track a potential plaintiff s access to the courts through a CPA suit, the Task Force classified the 14 attributes into two groups: benefits that may make it easier or more attractive for a potential plaintiff to file a suit (attributes 1-7) and restrictions that may make it more difficult or less attractive for a potential plaintiff to file a suit (attributes 8-14). Figure 4 provides counts of the number of statutes containing each attribute at the time of adoption. 44 The standard difference-in-difference approach is an econometric technique that measures the effect of a particular event by comparing the results from two groups. The first group is not exposed to the event (the control group) and the second group is exposed (the treatment group). In the most basic models, the control group and the treatment group are observed at a point in time before the event and then observed again after the treatment group has been exposed to the event. The differences between the two groups and the differences before and after the event will identify the true effect of the event on the treatment group. 45 Appendix B contains a complete list of CPAs. CPA statutory language was recorded using Westlaw, LexisNexis, Hein Online, state session laws on microfiche, and hard copies of session laws. Because some states have multiple consumer protection statutes, there are 68 CPAs over the 50 states and the District of Columbia.
16 Consumer Protection Acts and Costs to Consumers 16 FIGURE 4 CPA Attribute Counts at the Time of Adoption Because the 14 attributes vary significantly across states but not much within a given state, the Task Force focused on these within state changes in greater detail. Specifically, the Task Force reviewed the amendments to the statutes through 2009 and recorded four additional variables capturing changes that increase or decrease plaintiffs willingness or ability to file a suit. The additional variables were: Changes in remedies Changes in civil penalties Changes in statute of limitations Changes in the definition of consumers who can file suit
17 Methodology and Data 17 The Task Force used this information to construct a CPA Index that tracked a potential plaintiff s willingness or ability to file a suit under the state s CPA over time. A state s base CPA Index Score was determined by the number of benefit and restriction attributes present in the statutory language at the time of adoption. As such, the highest possible base CPA Index score is 14. This score would occur if all 7 benefits existed in the original CPA language but none of the 7 restrictions were present. For example, a hypothetical CPA that originally had a vague definition of unfair and deceptive acts, allowed for recovery of actual damages, allowed for recovery of attorneys fees, and required an element of reliance, but nothing else, would have a base CPA Index score of 9. This score is derived from the 3 benefit variables present plus the 6 restriction variables that were not present. To track the changes in CPAs by year, the Task Force either added or subtracted 1 to the previous year s CPA Index score for each of the 14 attributes or 4 additional variables that changed during the year, if any. The CPA Index increased by 1 for changes in a variable that may encourage or enable a potential plaintiff to file a suit and it decreased by 1 for changes in a variable that may discourage or disallow a potential plaintiff to file a suit. 46 Taking the example above, if in the second year the CPA was amended to include a private right of action and there was also an increase in remedies allowed to a plaintiff, then the new CPA Index score would be 11. If, instead, the hypothetical CPA were amended in the second year to no longer allow for the recovery of attorneys fees, the new CPA Index score would be 8. The CPA Index is thus a compilation of all identified changes, in either direction, from adoption through the end of In states with multiple CPA statutes, the Task Force selected a representative statute to perform analyses on a state-by-state basis. 47 Figure 5 presents summary statistics for the CPA Index from , the period over which all data needed for this study were available. The average CPA Index increased from 11.8 in 1994 to 13.0 in Likewise, the minimum CPA Index score went from 6 to 8 and the maximum score went from 19 to 22. Thus, CPA modifications appear to provide additional motivations for a potential plaintiff to file a CPA suit over time, but with increasing variation among states. 46 CPA changes that merely supplement the definition of illegal conduct under the statute were excluded. Thus, these scores are conservative estimates that understate the changes in CPAs over the time period. The exclusion is to facilitate comparison between CPAs that are vague (and thus do not list types of illegal conduct) and those that include such a list. For example, a CPA which added a large number of acts to its definition of illegal conduct over time may not encourage a plaintiff to file a suit under the CPA more than a CPA which included only a vague description (i.e., unfair and deceptive ) of the prohibited conduct. 47 In the case where a state had more than one CPA, the statute with the most changes over time became the representative CPA for the state. 48 The standard deviation increased from 2.7 in 1994 to 3.2 in 2006.
18 Consumer Protection Acts and Costs to Consumers 18 FIGURE 5 CPA Index Summary Statistics Figure 6 provides a snapshot of the CPA Index values for all fifty states and the District of Columbia in Generally, this shows the actual variation among states with regard to the CPAs.
19 MO MA TN WV ND NH CT IN NM UT VT GA OR WA IL MS NJ OH RI VA WY AZ CA DC HI KS NV CO FL ID MD NY PA SC MI MT NE AK DE IA KY LA ME MN AL NC OK TX WI AR SD CPA Index Score Methodology and Data FIGURE 6 CPA Index Scores, State While Figure 6 displays the variation in the CPA Index among states, CPAs also can vary within individual states over time. Although most states did not make a large number of changes to their CPAs from , several states experienced noticeable changes in the content of their CPA statutes over the relevant time period. These states CPA changes are depicted in Figure 7.
20 Expected Value Index Score Consumer Protection Acts and Costs to Consumers 20 FIGURE 7 CPA Index Score for States with the Greatest Number of Changes MO 20 GA VT 15 IN TN TX 10 AL NM 5 UT WY WV Although the frequency and scope of amendments to CPAs vary within and among states over time, states made changes to their CPAs during specific eras. The number of states making a change to the CPA from the prior year (either adoption or amendment) is shown in Figure 8. There are many possible reasons for this clustering of changes, including the social, political, and economic environments at the time. However, determining the specific causes for this clustering is left for future research.
21 Number of CPAs Changed Methodology and Data 21 FIGURE 8 Number of States Changing the CPA from the Prior Year As shown above, CPAs evolved differently across states over time. These differences provide sufficient variation in the CPA Index to test the relationship between these changes in CPA characteristics and consumer welfare and, specifically, whether CPA statutes that provide increased access to courts are associated with higher automobile insurance premiums in that state. B. DESCRIPTIVE ANALYSIS OF AUTOMOBILE INSURANCE PREMIUMS The National Association of Insurance Commissioners (NAIC) provides data on automobile insurance premiums going back to the late 1980s. The NAIC Automobile Insurance Database 49 includes information on premiums and a number of potential determinants of insurance prices from The primary measure of automobile insurance premiums in this Report is the combined average premiums, available by state and by year. 50 The Task Force chose this measure over other options because it represents the price faced by the typical automobile insurance consumer in a particular state-year. 49 NAIC Automobile Insurance Database, supra note Id. at 1-2. The NAIC defines Premiums as the dollar amount paid for a policy and are calculated from data provided by "statistical agents including the American Association of Insurance Services (AAIS); ISO Data, Inc. (ISO); National Independent Statistical Service (NISS); Independent Statistical Service, Inc. (ISS), a subsidiary of Property Casualty Insurers Association of America (PCI); Massachusetts Commonwealth Automobile
22 Combined Average Insurance Premiums Consumer Protection Acts and Costs to Consumers 22 From , combined average premiums for automobile insurance in the United States (including Washington, DC) increased by 69.46% or at a compound average growth rate (CAGR) 51 of 2.54% annually. After controlling for inflation, combined average premiums remained relatively flat, declining by 7.16% over the entire time period or by an average of 0.35% annually. Figure 9 shows these trends. New Jersey had the highest combined average annual premiums during this time period, at $1, Iowa had the lowest combined average annual premiums, at $ FIGURE 9 Mean Combined Average Insurance Premiums from States and the District of Columbia $1,000 $900 $800 CAGR = 2.54% $700 $600 $500 $400 CAGR = -0.35% $300 $200 $100 $0 Nominal Prices Inflation Adjusted Prices Similar trends hold for this Report s sample period. From , combined average premiums for automobile insurance in the United States (including Washington, DC) increased by 27.42% (CAGR of 1.88%). After controlling for inflation, combined average premiums remained relatively flat, declining by -6.33% (CAGR of -0.50%). Figure 10 shows these trends. During this sample period New Jersey had the highest combined average annual premiums, at $1, Iowa had the lowest combined average annual premiums, at $ Reinsurers (M-CAR); and Maryland Auto Insurance Fund (MAIF). Data were also obtained from the California Department of Insurance and the Texas Department of Insurance. 51 The CAGR is the average year-over-year change in combined average premiums over the indicated time period.
23 Combined Average Insurance Premiums Methodology and Data 23 FIGURE 10 Mean Combined Average Insurance Premiums from States and the District of Columbia $1,000 $900 $800 CAGR = 1.88% $700 $600 CAGR = -0.50% $500 $400 $300 $200 $100 $ Nominal Prices Inflation Adjusted Prices From , the 50 states and the District of Columbia have exhibited similar patterns of combined average insurance premium pricing for automobile customers. 52 Figure 11 provides general descriptive statistics and growth rates for the premiums in each state. 52 The NAIC average premium calculations make no distinction as to policyholder classifications, vehicle characteristics or the selection of specific limits or deductibles, all of which significantly impact the cost of coverage [nor does the NAIC] consider differences in state auto and tort laws, rate filing laws, traffic conditions or other demographics. The NAIC suggests that cross-state comparisons should be made with caution. See, e.g., NAIC Auto Insurance Database, supra note 13.
24 Consumer Protection Acts and Costs to Consumers 24 FIGURE 11 Combined Average Automobile Insurance Premiums ( ) Note: CAGR is not adjusted for inflation.
Residual Markets, Uninsured Motorists and Competition in Maryland Auto Insurance Maryland Auto Insurance Plan Senate Hearing on Uninsured Motorists Annapolis, MD December 16, 2015 Download at www.iii.org/presentations
Trends in Medigap Coverage and Enrollment, 2011 May 2012 SUMMARY This report presents trends in enrollment in Medicare Supplement (Medigap) insurance coverage, using data on the number of policies in force
ehealth Price Index Trends and Costs in the Short-Term Health Insurance Market, 2013 and 2014 June 2015 1 INTRODUCTION In this report, ehealth provides an analysis of consumer shopping trends and premium
VCF Program Statistics (Represents activity through the end of the day on June 30, 2015) As of June 30, 2015, the VCF has made 12,712 eligibility decisions, finding 11,770 claimants eligible for compensation.
Rate Regulation Introduction Concerns over the fairness and equity of insurer rating practices that attempt to charge higher premiums to those with higher actual and expected claims costs have increased
November 2014 Trends in Medigap Enrollment and Coverage Options, 2013 www.ahipresearch.org LIST OF TABLES AND FIGURES TABLE 1. TABLE 2. TABLE 3. TABLE 4. Distribution of Medigap Companies with Standardized
Regional Electricity Forecasting presented to Michigan Forum on Economic Regulatory Policy January 29, 2010 presented by Doug Gotham State Utility Forecasting Group State Utility Forecasting Group Began
Forms are listed alphabetically by form title. INDEX POLICY CODES 1. Auto 2. Fire and Multiple Peril 3. Liability 4. Property, other than Fire and Multiple Peril (e.g. Crime & Inland Marine) 5. Workers
Highway Loss Data Institute Bulletin Helmet Use Laws and Medical Payment Injury Risk for Motorcyclists with Collision Claims VOL. 26, NO. 13 DECEMBER 29 INTRODUCTION According to the National Highway Traffic
Rate History Contact: 1 (800) 331-1538 Form * ** Date Date Name 1 NH94 I D 9/14/1998 N/A N/A N/A 35.00% 20.00% 1/25/2006 3/27/2006 8/20/2006 2 LTC94P I F 9/14/1998 N/A N/A N/A 35.00% 20.00% 1/25/2006 3/27/2006
Suitability Agent Continuing Education Requirements by State STATE AL AK AZ AR CA CO CT DE DC FL GA HI ID Insurance producers holding a life line of insurance license must complete a one-time 4 hour annuity
U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending by State and Program Report as of 3/7/2011 5:40:51 PM HUD's Weekly Recovery Act Progress Report: AK Grants
HEALTH INSURANCE PRICE INDEX REPORT FOR THE 2015 OPEN ENROLLMENT PERIOD March 2015 ehealth 3.2015 Table of Contents Introduction... 3 Executive Summary and Highlights... 4 Nationwide Health Insurance Costs
Legal Exemptions for Religious Based Medical Neglect Ariel Alvarez Montclair State University April 19, 2013 Center for Child Advocacy Overview *About the research and goals. *Methods *Results *Discussion
MEDCHI, THE MARYLAND STATE MEDICAL SOCIETY HOUSE OF DELEGATES CL Report 3-13 INTRODUCED BY: SUBJECT: REFERRED TO: Council on Legislation A Fifty State Survey of Tort Reform Provisions Reference Committee
About Us For over 30 years, we have protected the interests of the small- to mid-sized businesses that insure with us. At Berkshire Hathaway Insurance Companies, we dedicate our efforts in the areas that
State and Local Sales Tax Revenue Losses from E-Commerce: Updated Estimates by Donald Bruce, Assistant Professor email@example.com and William F. Fox, Professor firstname.lastname@example.org Center for Business and Economic
11/05 Explanation: In a state with, a filing may be deemed to have been approved after a certain number of days. If such a provision exists, the number of days is noted in parentheses. File and use states
AL No 2 Yes No See footnote 2. AK No Yes No N/A AZ Yes Yes Yes No specific coverage or rate information available. AR No Yes No N/A CA Yes No No Section 11590 of the CA State Insurance Code mandates the
The date following each state indicates the last time information for the state was reviewed/changed. AL 27-1-17 Health 45 days for paper claims; 30 days for electronic claims. 1 ½% per month. If claim
Explanation: In a state with prior approval, a filing may be deemed to have been approved after a certain number of days. If such a provision exists, the number of days is noted in parentheses. File and
ARBITRATORS, HEARING OFFICERS AND MEDIATORS PROFESSIONAL LIABILITY INSURANCE issued to the NATIONAL ASSOCIATION OF SALARIED PROFESSIONALS PURCHASING GROUP, INC. and specified members of the AMERICAN BAR
LIMITED LIABILITY COMPANY ORGANIZATION CHART The following Chart has been designed to allow you in a summary format, determine the minimum requirements to form a limited liability company in all 50 states
ARBITRATORS AND MEDIATORS PROFESSIONAL LIABILITY INSURANCE (This is an application for a claims-made policy.) 1. Full Name of Assured: 2. Address (MUST be a Physical Address): (City) (State) (Zip) Phone
2016 Individual Exchange Premiums updated November 4, 2015 Within the document, you'll find insights across 50 states and DC with available findings (i.e., carrier participation, price leadership, gross
The Supreme Court s ACA Decision and Its Hidden Surprise for Employers Without Medicaid Expansion, Employers Face Higher Tax Penalties Under ACA Key Findings By Brian Haile Senior Vice President for Health
New York Public School Spending In Perspec7ve School District Fiscal Stress Conference Nelson A. Rockefeller Ins0tute of Government New York State Associa0on of School Business Officials October 4, 2013
TITLE POLICY ENDORSEMENTS BY STATE State Endorsement ID Endorsement Description AK ARM ALTA 6 Adjustable (Variable) Rate AK BALLOON FNMA Balloon Endorsement AK CONDO ALTA 4 Condominium AK COPY FEE Copies
Cancellation/Nonrenewal Surplus Lines Exemptions * Indicates updates in laws or regulations for the state Contact: Tina Crum, email@example.com, 847-553-3804 Disclaimer: This document was prepared by
Health Insurance Mandates in the States 2011 Executive Summary Health Insurance Mandates in the States 2011 Executive Summary By Victoria Craig Bunce Director of Research and Policy The Council for Affordable
HEALTH INSURANCE EXCHANGES UNDER THE AFFORDABLE CARE ACT: THE BUMPY ROAD TO IMPLEMENTATION Russell S. Buhite Shareholder MARSHALL DENNEHEY WARNER COLEMAN & GOGGIN Tampa, Florida Theodore J. Tucci Partner
ANNUITY SUITABILITY WHY REGULATORS ARE CONCERNED Wisconsin Office of the Commissioner of Insurance Agenda Why regulators are concerned about suitability. When may a sale be unsuitable. Serious violations.
State-Level Analysis HELP WANTED PROJECTIONS of JOBS and EDUCATION REQUIREMENTS Through 2018 JUNE 2010 ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL Contents 1 Introduction 3 U.S. Maps: Educational concentrations
SUMMARY The 80/20 Rule: How Insurers Spend Your Health Insurance Premiums The Affordable Care Act holds health insurers accountable to consumers and ensures that American families receive value for their
History of Prescription Drug Monitoring Programs PDMP Training and Technical Assistance Center Brandeis University History of Prescription Drug Monitoring Programs First PDMP Early PDMP Characteristics
Health Insurance Mandates in the States 2012 For more information on this topic and other reform issues, please visit. About the Council for Affordable Health Insurance Since 1992, the Council for Affordable
States Future Economic Standing if current education levels remain the same. Presentation by Joe Marks SREB Director of Data Services State Leaders Forum St. Petersburg, Florida November 17, 2004 1 The
TRACKING TRENDS IN HEALTH SYSTEM PERFORMANCE SEPTEMBER 2013 IN STATES HANDS How the Decision to Expand Medicaid Will Affect the Most Financially Vulnerable Americans Findings from the Commonwealth Fund
Legal Concepts Meet Technology: A 50 State Survey of Privacy Laws Miriam B. Russom University of Illinois at Chicago, Computer Science Department Robert H. Sloan University of Illinois at Chicago, Computer
The Cost and Benefits of Individual & Family Health Insurance Plans November 2011 2011 policies surveyed were active in February 2011 Table of Contents Introduction and Background...3 Methodology Summary...3
Policy Forms and Endorsements IT IS WOLTERS KLUWER FINANCIAL SERVICES' POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS
AUGUST 2004 Revised Update on Individual Health Insurance Kaiser Family Foundation/eHealthInsurance August 2004 Revised Update on Individual Health Insurance B a c k g r o u n d In recent years, President
0-State Analysis School Attendance Age Limits 700 Broadway, Suite 810 Denver, CO 80203-32 303.299.3600 Fax: 303.296.8332 Introduction School Attendance Age Limits By Marga Mikulecky April 2013 This 0-State
Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Report: Economy-Wide Statistics Division Briefs: Public Sector By Phillip Vidal Released July 2015 G14-ASPP-SL
STATUTORY MINIMUM CAPITAL AND SURPLUS REQUIREMENTS The chart below identifies the minimum capital and surplus requirement for each Uniform State. A link to the Application instructions for Primary Application,
Cancellation of Debt (COD) R. Bruce McCommons Harford County, MD TrC 12/4/2013 firstname.lastname@example.org 1 Cancellation of debt (COD)... Generally, if a debt for which the taxpayer was personally responsible
PruTerm WorkLife 65 SM LEARN ABOUT THE PRODUCT AND MARKET Benefits of Selling WorkLife 65 Pru s new and innovative term product will resonate with your clients. WorkLife 65 is a new and innovative term
STATE RESTRICTIONS ON SMALL-DOLLAR LOANS AND FINANCIAL SERVICES, 2005 2009: SUMMARY, DOCUMENTATION, AND APPENDIX Prepared for the US Department of the Treasury by the Urban Institute, 2010 Authors of this
State Estimates of Health Insurance Coverage Data from the National Health Interview Survey Eve Powell-Griner SHADAC State Survey Workshop Washington, DC, January 13, 2009 U.S. DEPARTMENT OF HEALTH AND
E N E R G Y C O M P A N I E S B U I L D P O W E R B A S E I N S T A T E H O U S E S By E D W I N B E N D E R O C T. 6, 2004 833 NORTH LAST CHANCE GULCH, SECOND FLOOR HELENA, MT 59601 PHONE 406-449-2480
When Medicare-Medicaid enrollees lose their Medicaid coverage: Who loses it, for how long, and what are the consequences? Gerald Riley Lirong Zhao Negussie Tilahun Medicare-Medicaid enrollees Vulnerable
Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues Sara R. Collins, Ph.D. Vice President, Affordable Health Insurance The
State Corporate Income Tax-Calculation 1 Because it takes all elements (a*b*c) to calculate the personal or corporate income tax, no one element of the corporate income tax can be analyzed separately from
Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Brief: Economy-Wide Statistics Division Briefs: Public Sector Graphical Summary By Phillip Vidal Released
LexisNexis Law Firm Billable Hours Survey Top Line Report June 11, 2012 Executive Summary by Law Firm Size According to the survey, we found that attorneys were not billing all the time they worked. There
January 2014 Fact Sheet Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of January 1, 2014 As part of the Affordable Care Act s goal to reduce the number
Texas Electric Meter Measuring the Effects of Electricity Deregulation march 2008 Texas Public Policy Foundation www.texaspolicy.com Bill Peacock Center for Economic Freedom 1 Texas Public Policy Foundation
The Lincoln National Life Insurance Company Variable Life Portfolio State Availability as of 12/14/2015 PRODUCTS AL AK AZ AR CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MP MD MA MI MN MS MO MT NE
Enrollment Snapshot of Radiography, Radiation Therapy and Nuclear Medicine Technology Programs 2013 A Nationwide Survey of Program Directors Conducted by the American Society of Radiologic Technologists
Youth in the 2008 and 2006 Elections: A State-by-State Comparison By Surbhi Godsay, Amanda Nover, and Emily Hoban Kirby 1 September 2010 The 2008 presidential election saw a two percentage point increase
Summary of State Laws Related to Auto Insurance Rate Filing Laws for (Prior Form Filing Approval, Use & Laws (Prior File, File & Use, Approval, Use No File, Flex & File, File & Rating) Use, No File) Fault
How to Eliminate Your Tax Debt Bankruptcy Solutions for Tax-Burdened Individuals A White Paper Presented by MARKOWITZ O DONNELL How To Eliminate Your Tax Debt Bankruptcy Solutions for Tax-Burdened Individuals
Standardized Pharmacy Technician Education and Training Kevin N. Nicholson, RPh, JD Vice President, Pharmacy Regulatory Affairs National Association of Chain Drug Stores May 19, 2009 Overview of how technicians
Sleep AL 3.4 (2.5 6.1) None. Sleep disorders, no d AK 3.4 (2.5 6.1) No laws enacted, but can be charged under Alaska's Unsafe Driving Practices law. Reckless endangerment or reckless driving. Manslaughter
Marijuana and driving in the United States: prevalence, risks, and laws Casualty Actuarial Society Spring Meeting Colorado Springs, Colorado May 19, 2015 Anne T. McCartt iihs.org IIHS is an independent,
STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT Zurich American Life Insurance Company (ZALICO) Administrative Offices: PO BOX 19097 Greenville, SC 29602-9097 800/449-0523 This document is intended to
Coalition to Protect Worker s Compensation Statement Regarding Public Hearing on Worker s Compensation Legislation Madison (February 4, 2014) --- Health care providers testified at a Joint Labor Committee
Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1, 2014 As part of the Affordable Care Act s goal to reduce the number of uninsured, it makes
Return-to-Work Outcomes Among Social Security Disability Insurance (DI) Beneficiaries Yonatan Ben-Shalom Arif Mamun Presented at the CSDP Forum Washington, DC September 17, 2014 Acknowledgments The research
Surety Bond Requirements for Mortgage Brokers and Mortgage Bankers As of July 15, 2011 State Mortgage Broker Bond Cancellation Mortgage Banker Bond Cancellation Notes & Citations AK $75,000 minimum for
Should Interlocks Be Required for All DUI Offenders? Lifesavers Annual Conference Lake Buena Vista, FL June 15, 2012 Anne T. McCartt Insurance Institute for Highway Safety (IIHS) Nonprofit, independent
Table 1: Advertising, Marketing and Promotional Expense as a Percentage of Net Operating Revenue NAIC Group % Attorney s Title 3.8% Chicago / Fidelity 0.9% Diversified 0.6% First American 2.7% Investors
Variable Universal Life Permanent Life Insurance Flexible premiums and potential cash value Why consider a Variable Universal Life Policy? Permanent life insurance protection, plus potential cash value
U.S. Department of Education NCES 2011-460 NAEP Tools on the Web Whether you re an educator, a member of the media, a parent, a student, a policymaker, or a researcher, there are many resources available
Nurse Practitioners and Physician Assistants in the United States: Current Patterns of Distribution and Recent Trends Preliminary Tables and Figures Kevin M. Stange, PhD Assistant Professor Gerald R. Ford
Florida Workers Compensation Market Lori Lovgren Lori_Lovgren@NCCI.com 561-893-3337 Copyright 2011 National Council on Compensation Insurance, Inc. All Rights Reserved. Florida Workers Compensation Rates
FOREIGN LIMITED LIABILITY COMPANY REGISTRATION CHART When a Limited Liability Company desires to transact business in a jurisdiction other than its state of formation it must comply with the statutes of
The Power Index: Catalyzing U.S. Economic Growth In an exciting new collaboration, American Express and Dun & Bradstreet are combining forces to increase public understanding of the vital role that middle
Building a Market for Small Wind: The Break-Even Turnkey Cost of Residential Wind Systems in the United States Ryan H. Wiser Lawrence Berkeley National Laboratory email@example.com; 510-486-5474 Global WINDPOWER
National Survey on Drug Use and Health The NSDUH Report December 9, 2010 State Estimates of Drunk and Drugged Driving In Brief Combined 2006 to 2009 data indicate that 13.2 percent of persons aged 16 or
An Introduction to... Equity Settlement The New York CEMA & Co-op Process June 2009 About Us... Established in 1986 Over 100 Associates Approved Vendor for Bank of America Preferred Vendor for Many National
Understanding Payroll Recordkeeping Requirements 1 Presented by Sally Thomson, CPP Directory of Payroll Training American Payroll Association firstname.lastname@example.org 2 Agenda Recordkeeping Requirements
Georgia Chamber of Commerce s 2011 Tax Forum November 3, 2011 Stephen Kranz Sutherland Asbill & Brennan LLP Washington, D.C. Warren Townsend Wal-Mart Stores, Inc. Bentonville, AR Online Sales Taxes and