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    How is the insurance industry held accountable to protect policyholders?

    Jeff Ryan - CLU, ChFC, AIA, CIC, CPCU
    January 21, 2025

    Many don’t realize that the insurance industry is one of the country's most regulated business segments, especially in New York State. The New York State Department of Financial Services (NYS DFS) wields significant control over the insurance business and has a stated goal of protecting consumers.


    But what authority does the NYS DFS actually have?


    • Rate Approvals:
    • It’s a little-known fact that the NYS DFS reviews every company’s rate change requests. They review those requests for actuarial reasonableness, ensuring they are not excessive, inadequate, or discriminatory. The DFS review includes rates for all lines of insurance, including auto, home, business, health, and life insurance.
    • Regulatory Oversight:
    • Supervision to make sure insurance companies and their representatives comply with state laws and regulations
    • Licensing & Continuing Education:
    • The NYS DFS tightly controls the licensing process to ensure only capable and trustworthy agents and companies operate in the state. This is part of their commitment to consumer protection.
    • Monitors and requires continuing education for licensed agents.
    • Policy Language Suitability.
    • Another crucial role of the NYS DFS is to ensure the suitability of policy language. Insurance companies must submit their policy forms and guidelines for approval before using them in their policies. This approval process, overseen by the DFS, prevents the use of inappropriate coverage forms that could disadvantage consumers, thereby ensuring the security of your insurance policies.
    • Consumer Protection & Education:
    • The enforcement of laws and regulations protects consumers from nefarious schemes and unfair trade practices.
    • Provides a mechanism for consumers to submit complaints when there are disputes with representatives and carriers.


    With recent events, some may be concerned that the insurance industry operates without much oversight. The opposite is the case. New York State has a reputation for being strongly pro-consumer and a challenging environment for insurance companies and agencies. All with the stated purpose of protecting the consumer.



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