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Let’s leave the politics of healthcare reform to one side and focus on a proposal to change the law to allow free market competition between insurers in different states. A policy consistently mentioned by the Republican party is to break the state monopolies in the insurance market. Since the 1800’s, the individual states have claimed the sole right to regulate the sale of insurance within their own borders. Each state has asserted the right to license insurance companies and to set the terms on which they can conduct business. This has led to a patchwork of different sets of regulations with each state creating unique laws. In turn, this forces an insurance company to set up separate subsidiaries to trade in each state. No licensed company can sell a policy to someone who has a residence in another state. There was a brief moment in 1944 when a decision of the Supreme Court allowed the possibility of federal supervision. But the lawmakers in Washington immediately changed the law to retain state control. Why is this a bad thing? The national insurance companies have divided up the states between them and choose not to compete against each other. This keeps the number of insurance companies in each state artificially low and, because there is no real competition, premium rates are higher than they should be for weak policy terms.

You are reading this article on the internet. When online, you can buy more or less any product or service across state or national boundaries. Although there are some restrictions, e.g. some states limit your right to import drugs from foreign countries, there is an almost free market where you can search for the cheapest price and buy whatever you need. (more…)

Looking around the news in United States, there is a story that the insurance regulators from five US states have just agreed a $2 million settlement with two Nationwide Life companies for failing to properly supervise the sale of annuities through one of their agents. This raises two questions. What exactly are annuities? and What can go wrong with them? An annuity is a variation on the traditional life insurance policy. As with any permanent policy, you pay a premium which is invested to build up a cash value. But, depending on the terms of the contract, you can receive payment of a lump sum or, more usually, a regular income from the insurance company before your death.

For most people it’s the same as saving for retirement, except you buy a pension that pays out after you retire. To ensure the maximum control over annuities, they can only be bought through life insurance companies. In every US state, there is a Department or Office of Insurance to regulate local insurance companies. (more…)