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Published byAshley Sutton Modified over 9 years ago
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CALIFORNIA INSURANCE GUARANTEE ASSOCIATION 2005
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HISTORY ESTABLISHED IN 1969 CALIFORNA INSURANCE CODE, –A–ARTICLES 14.2 AND 14.25 –§–§1063
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CIGA Structure BOARD OF GOVERNORS – APPOINTED BY THE INSURANCE COMMISSIONER – 9 MEMBER COMPANIES – 4 MEMBERS FROM PUBLIC SECTOR
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CIGA ORGANIZATION Board of Governors – Executive Director Finance Department Human Resources Operations Audit Claims - Liability Department - Workers’ Compensation Department
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FUNDING Assessments Distributions form Estates Investment income Borrowed funds
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CIGA FUNDS WORKERS’ COMPENSATION PERSONAL LINES OTHER
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NOT COVERED Life, Annuity and Disability Title Fidelity and Surety Credit Mortgage & financial Ocean marine
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IMPORTANT CIGA IS NOT AN INSURANCE COMPANY
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ISSUES NO POLICIES COLLECTS NO PREMIUM NO PROFITS ASSUMES NO CONTRACTUAL OBLIGATIONS TO THE INSUREDS
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HOW IS CIGA TRIGGERED? SUPERIOR COURT LIQUIDATION ORDER AND A FINDING OF INSOLVENCY OF THE INSURER
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Pre-2000 4,100 Claims WC claims – 5 WC claims staff – 1 TPA 2,360 Liability claims – 6 liability claims staff – 1 TPA
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Post 2000 LMI Insurance Co. – 727 liability claims Superior National Ins. Companies – 31, 140 wc claims Credit General Ins. – Ohio – 2,800 wc claims – 942 liability claims HIH & Great States Ins. – 7,492 wc claims
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2001 Amwest Surety Ins. Co –1–174 Auto & Liability claims Sable Ins. Co –5–578 wc claims –2–279 liability claims Frontier Pacific Ins. –2–2,824 auto & liability
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2001 Far West Insurance – 284 auto & liability claims Reliance Insurance Companies – 7,984 wc claims – 7,900 auto & liability claims PHICO – 506 wc claims – 77 liability claims
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2002 National Auto & Casualty – 75 wc claims – 1,610 auto & homeowners Western Specialty. – 655 auto & liability claims Paula Insurance Co – 3,593 wc claims
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2002 American Horizon –1–159 auto & liability Alistar Insurance –3–380 wc claims –1–1,039 auto & liability claims
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2003 Western Growers – 600 wc claim Millers Insurance Co. – 138 auto & liability Legion & Villanova Insurance Companies – 15,000 wc claims – 12,100 auto & liability claims
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2003 Home Insurance Co. – 1,000 wc claims – 3,500 liability claims Fremont Indemnity – 15,000 wc claims – 500 liability claims Pacific National Insurance Co. – 1,750 wc claims – 365 liability claims
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2003 Wasatch Crest – 138 liability claims
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2004 Commercial Casualty Ins. of NC – 1,168 liability claims Protective National Ins. Co. – 10 liability claims Casualty Reciprocal Exchange – 500 wc claims – 2 liability claims American Bonding. – 12 liability claims
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Growth by Year YearTakeover 2000 33,466 2001 28,771 2002 8,127 2003 50,091 20041,692 2005???...................
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Staffing Today In house claims staffing: – 50 WC – 24 Auto & Liability TPA’s – 12 with 23 locations – Approximately 560 claims staff adjusters, supervisors & managers
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CURRENT OBLIGATIONS 5,445 Liability Claims – 3,969 handled in-house 54,000 Workers’ Compensation Claims – 4,600 handled in-house – 49,400 handled by Third Party Claims Administrators (TPA)
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TPA OVERSIGHT CIGA PHILOSOPHY 7 COMPLIANCE REPRESENTATIVES IRVINE CALABASAS RANCHO CORDOVA SAN DIEGO PASADENA
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COVERED CLAIMS – DUTIES 1063.2(a) 1063.2(b)
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SPECIFIC NON-COVERED CLAIMS 1063.1(c) – CT claims with other insurance – Contribution – DWD – MEDI-CAL/Medicare
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SPECIFIC NON-COVERED CLAIMS CT CLAIMS – Insurance Code §1063.1(c)(9)(i) -- other coverage available to employee
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SPECIFIC NON-COVERED CLAIMS CONTRIBUTION – Insurance Code §1063.1(c)(5)
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SPECIFIC NON-COVERED CLAIMS General Special Employment
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SPECIFIC NON-COVERED CLAIMS GOVERNMENT CLAIMS – §1063.1(c)(4) – EDD – LC §4706.5 (DWD)
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