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In this episode of the Less Insurance Dependence podcast, Gary Takas and Naren Arulrajah tackle a common dilemma faced by dental practices transitioning out of network: should they accept the assignment of benefits? They begin by elucidating the significance of this term in dental insurance processes, where accepting the assignment of benefits means authorizing the insurance company to send the reimbursement check directly to the dental practice rather than to the patient. The hosts discuss the variability in policies among insurance companies, particularly focusing on the restrictive nature of Delta Dental regarding the acceptance of the assignment of benefits. They emphasize the importance of checking with insurance companies about their policies post-transitioning out of the network, as some may need to allow practices to accept the assignment of benefits for in-state patients. Despite the challenges, Gary and Naren advocate for a patient-friendly approach even after transitioning out of the network. They stress the importance of making processes easy for patients and disagree with consultants who suggest completely washing hands off insurance involvement post-transition. Instead, they recommend maintaining a level of involvement in insurance processes to provide better customer service to patients. The hosts express optimism about successfully resigning from PPO plans within a specific timeframe.
The state's property insurance market is in big trouble. Homeowners are paying more for less coverage as insurance companies shed customers. Some companies have gone under. Lawmakers return to Tallahassee next week for a special session to deal with the crisis.
Restorers can relieve their customers from some of the burden of the insurance claims process by obtaining an assignment that allows the restorer to collect directly from the insurance company. A properly-drafted assignment can empower the restorer to compel the insurance company to pay fair market value for services rendered, to employ reasonable claims handling practices, to comply with the terms of the policy and the law, and to pay the restorer directly to prevent policyholders from misappropriating policy proceeds. This has been a game changer for many of my clients, and the reason why most them have broad assignments in all their contracts. Listen to this conversation with The Restoration Lawyer and Advocate Edward Cross to learn more about AOBs - and how they can help restoration companies get paid.
Restorers can relieve their customers from some of the burden of the insurance claims process by obtaining an assignment that allows the restorer to collect directly from the insurance company. A properly-drafted assignment can empower the restorer to compel the insurance company to pay fair market value for services rendered, to employ reasonable claims handling practices, to comply with the terms of the policy and the law, and to pay the restorer directly to prevent policyholders from misappropriating policy proceeds. This has been a game changer for many of my clients, and the reason why most them have broad assignments in all their contracts. Listen to this conversation with The Restoration Lawyer and Advocate Edward Cross to learn more about AOBs - and how they can help restoration companies get paid.
MYSTERY GUEST revealed Part 1 of our BIRTHDAY BASH discussion for The DYOJO Podcast Episode 54 It's a fun churning of events that have coalesced over the last year leading up to the birthday bash for the one year anniversary of The DYOJO Podcast. The first of these elements was an interview with Ed Cross, then the inaugural chair for the recently formed Advocacy and Government Affairs (AGA) committee of the Restoration Industry Association (RIA). The Restoration Lawyer graciously agreed to a discussion that would be the core content for an article that would be released as the April column for The Intentional Restorer. These words were drafted to carry the reader through Mr. Cross' legal journey which includes involvement in many of the key evolutions of the property restoration industry. Source material for this article included previously written pieces from Michelle Blevins, Jeff Bishop, IAQ Radio, and a name that kept popping up, Pete Consigli. Mr. Consigli collaborated with Michelle for her article, A Brief Walk Through RIA History, while also composing one of the industry's legacy pieces published in Cleaning & Restoration titled, The Four Faces on Mount Restoration (often referred to as The Founding Fathers article). Pete has long been referred to, by those who had front row seats to the early innovations of property restoration into a professional industry, as Restoration Google. If you intend to dig into the bowels of the emergence of our profession, a good test of whether your source is credible would be whether they ask, “Have you talked to Pete about this?” Ed Cross shared some recent revelations in the fight to defend the right to utilize assignment of benefits (AOB) by insureds and contractors as well as dispel some of the backlash against this resource from his perspective. Pete facilitated a Town Hall discussion, followed by an excellent episode of IAQ Radio (#553), in the wake of the 2019 decision in Florida leading to the elimination of the fee shifting statute for contractors. As was revealed in that Town Hall and by daily interactions between contractors, there are strong opinions about the role of AOB in our industry. Whether you believe they should be used or not, caution should be used when responding to one extreme with another, i.e. responding to bad actors by eliminating the resource. As John Lapotaire, who was vocal in his dissent during the Town Hall, shared via private message during our discussion with Mr. Cross, “Don't throw the baby out with the bathwater. It's AOB abuse that I disagree with. That's a moral and ethical issue not an AOB issue.” Merlin Law Group, respected by many in our industry for their book Pay Up, noted in 2017, “Hopefully, the Legislature will come up with a fair and balanced solution that attacks the bad actors, protects consumers, and preserves the ability of a policyholder to execute an AOB under the right conditions.” Most efforts to bury or alter the right to AOB are cast as Insured Homeowners Protection Act, carrying the connotation that the legislature, often with great encouragement and lobbying from the insurance companies, must intervene to protect homeowners from the big bad contractors. Unfortunately, the simple logic goes, protect the insured by limiting their resources. Ed announced the launch of his new book, The Book on the Assignment of Benefits: A Restoration Contractor's Guide with Forms & Instructions. Mr. Cross believes this resource helps contractors to strengthen their position to force the insurance company to deal with and pay them directly as they negotiate the claims process. As always, we encourage all of our listeners for The DYOJO Podcast and our readers for The Intentional Restorer, to do your own research and make your own decisions about the merits of these topics.
Episode 224: Chuck Chamness talks with Gamma Iota Sigma CEO Noelle Codispoti about best practices for insurers to effectively tell their story and engage with the next generation of talent. Plus, the unusual step California is taking to ban insurers from canceling policies in fire-prone areas.
Episode 219: Chuck talks with First Maxfield CEO Randy Druvenga as he takes over the role of NAMIC Chairman. Plus, the latest states to recognize Resiliency Week and how lawmakers are promoting disaster preparedness. And Florida Sen. Doug Broxson shares the path towards reforming auto glass assignment of benefits.
Troy Beecher, a leader of Goldberg Segalla’s GIS Florida team, returns to the podcast to explain the Florida legislature’s response to the large-scale exploitation of assignment of benefits claims in the first party residential insurance context. Troy discusses the events that prompted the Florida legislature to pass the law, as well as the scope and mechanisms of the reform. Troy also offers some potential shortcomings of the Florida legislature’s response to assignment of benefits litigation.
Episode 210: Chuck talks with NAMIC's Paul Martin about why advocating preparedness is not only part of his job it's a way of life. Plus, how Michigan's well-intentioned no-fault auto reform could have an unintended effect for auto policyholders.
Episode 208: Chuck talks with West Virginia Insurance Commissioner James Dodrill about his first NAIC meeting and how things are doing during his first months on the job. Plus, AOB Reform heads to the Governor's desk, but not before one Florida lawyer's last-ditch effort to game the system.
Episode 207: Chuck talks with AM Best's Matt Mosher about how the ratings company plans to score insurance companies for its innovation efforts. Plus, Treasury Secretary Steven Mnuchin voices his support for state-based insurance regulation. And why it's important for your company to get started using telematics to collect distracted driving data.
We sat down with Fred Karlinksy, go-to insurance lobbyist and lawyer with the firm of Greenberg Traurig, to discuss Assignment of Benefits in Florida and the upcoming legislative session. With more than 25 years of experience he has spoken and presented to insurance executives and governmental officials, both nationally and internationally.
This episode we break it down... I'm sure most will disagree but I don't see the big deal.
Episode #119: Chuck talks with NAMIC Senior Vice President of Government Affairs Jimi Grande about how a divided Congress could impact the insurance advocacy landscape for years to come. Plus, the losses expected from the most destructive wildfire in California state history.
For more details on this show, and to download our free e-book, visit our website at www.hohmanhomes.com/podcast.To learn more about Jeff Chernoff and IAT, Inc. visit his website at the link below:http://iat.bz/
In this episode, I speak with Wes Todd, CEO of Caseglide, who has been on the show twice before and is shooting to become the first member of Profile in Risk's Five-Timers Club (or as I mistakenly referred to as the Fivers Club) We discussed Assignment of Benefits in insurance and how this legal concept is causing havoc in the Florida insurance market adding an additional $1 billion dollars of claims into the system. We discuss the tactics used by lawyers and contractors to harass claims victims and bully insurers. According to Wes, the solution to this problem is more technology (the ecosystems ability to incorporate new and better technology to adjust claims quicker) and education (our responsibility to inform the public on the assignment of benefits and the harm it can cause the policyholder). Links to the articles discussed in the podcast are listed below.
Oh boy I get pumped up when I learn something new especially when another investor gets a free roof by getting the seller to “Assignment of Benefits” on an insurance claim before closing. This episode I bring back James Prather from Advocate Adjusters (Public Insurance Adjustor) to breakdown and share an example. Insurance is power when we understand the policy and benefits can be passed to the end buyer(YOU). Use this idea for next negotiations technic “Hey seller I want ask for a new roof paid by you but paid by the insurance company?” Let’s close this deal! Do you have a idea to share? Go to this link ask.savvylandlord.me or go to www.savvyradioshow.com and leave a voice mail!
Attorney Travis Miller from the Radey Law Firm in Tallahassee, Florida discusses the "assignment of benefits" issue and impact in the Florida property insurance market.