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Archive for July, 2014

“Japs need not apply.”

That was the remark Japanese-American Rodger Asai overheard on the telephone during a call to a representative of Imperial Fire & Casualty of Opelousas while trying unsuccessfully to resolve a dispute with his insurer after tenants destroyed his rent home in Livingston Parish.

Asai, whose father and two uncles were among those recognized with the Congressional Gold Medal for their military service during World War II even as his father’s own parents and other family members were being held in internment camps, has been fighting Imperial for more than a year now over damages inflicted by unauthorized individuals who had taken occupancy of the home from the original tenants unbeknownst to Asai.

The original tenants had moved from the home because they were unable to afford the $1500 per month rent, Asai was told when he came to Louisiana from his home in Oregon to check on the house because the original tenant had fallen behind on his rent.

Asai was forced to obtain a court-ordered eviction notice to get the previously unknown occupant, Michael Wayne Keller, to leave the property.

Among other things, Keller, a man who served 19 years in the Louisiana State Penitentiary at Angola for manslaughter and felony theft, apparently kept a pit bulldog in a room where it was forced to relieve itself on the floor. Elsewhere in the house, flooring was ripped up, holes torn or punched in walls, ceiling fans ripped down, coolant drained from the central air conditioning unit until the unit’s motor seized up, cabinet doors ripped off their hinges, and electrical wiring cut—all part of normal wear and tear, according to Imperial’s claims adjuster.

Imperial’s adjuster refused to acknowledge the damage was caused by vandalism, describing it instead as “wear and tear” and inept remodeling efforts.

That “wear and tear” cost Asai $45,680 to repair—with him doing much of the work himself—and his mortgage and other bills for the past year added another $60,000 to the tab, he says.

Imperial originally set the rebuild cost of the house at $270,000 but after the vandalism claim was filed, downgraded the rebuild cost to $150,000 and ended up paying Asai only $4,672.01, which included the $3,000 policy limit for stolen equipment. Net payment by Imperial for property damage? $1,672.01.

Even more insulting, the insurance company initially paid only $672.06—and even that payment came with 46 cents postage due.

And the Louisiana Department of Insurance, which likes to boast that it serves the public, has been all but invisible.

http://ldi.louisiana.gov/consumers/miscellaneous_pubs.html

Click to access HowToFileAnInsuranceComplaint.pdf

But then Imperial did make a point of spreading around more than $50,000 in campaign contributions to several politicians, including Insurance Commissioner Jim Donelon, Gov. Bobby Jindal and key legislators.

The trend in insurance companies’ tactic to delay and deny claims has its roots in a 1992 decision by Allstate Insurance to retain the services of McKenzie and Co. to revamp its business model that tilted the scales from favoring the policy holder to favoring the stockholder. From 1996, the year the McKenzie plan was fully implemented, until 2006, Allstate’s operating income jumped from $820 million to $27.4 billion, a 3,335 percent increase.

In 2004, the casualty insurance industry as a whole had total assets of $412.6 billion. In 2007, two years after Hurricanes Katrina and Rita, when claims should have held down profits, the industry’s total assets totaled $1.18 trillion, or more than a third of the entire federal budget for that year.

What does Asai’s fight with Imperial have to do with Allstate and McKenzie?

Plenty.

When other insurance companies, beginning with State Farm, Liberty Mutual, Farm Bureau, etc., saw the results to Allstate’s bottom line after implementation of the McKenzie plan, they all joined in lock step to adopt the same methods of dealing with claims: delay, deny, litigate.

The plan was revealed in a single slide (among some 12,500 slides obtained by New Mexico attorney David Berardinelli) developed by McKenzie which, among other things, listed “redefinition of claims benefits and payment approach” as its criteria to boosting insurance companies’ profits.

The next step was the development of a software program that could be tweaked by insurance managers to reflect the desired percentage reduction in claim payments in order to keep the bottom line healthy.

Former Louisiana Attorney General Charles Foti filed lawsuits against Allstate, State Farm, Allstate, and three other companies in 2007, claiming the insurers were skewing home repair estimates with programs like Xactimate and IntegriClaim, in order to boost profits. Insurers, he said, use the programs to deliberate underestimate building and rebuilding claims.

http://blog.nola.com/times-picayune/2007/11/attorney_general_files_lawsuit.html

http://www.farmersinsurancegroupsucks.com/lawsuit/louisiana_state_v_farmers_insurance.pdf

The lawsuit was dismissed the following year.

http://www.insurancejournal.com/magazines/features/2009/01/11/157520.htm

The business plan originated by McKenzie reaped huge rewards in the aftermath of Katrina and Rita as unpaid or underpaid homeowners claims left entire neighborhoods ravaged and rotting.

If, for example, an Allstate adjuster found that wind caused damage, Allstate would have to pay the claim. If, however, the adjuster could attribute the damage to flooding, then the National Flood Insurance Program (NFIP), underwritten by American taxpayers, would have to foot the bill.

So, by changing the engineering reports, Berardinelli said, Allstate was able to deny claims altogether when the policyholder had no flood coverage.

Moreover, Allstate also devised two different formulae for pricing damage repair costs, thanks to an arrangement the company had with NFIP which paid Allstate fees for handling flood claims. That fee depended on the gross amount of the claim.

Ergo, if Allstate wound up on the hook for wind damage, it set the payment under the customer’s homeowner policy for, say, removing and replacing drywall at 76 cents per square foot.

If, however, the damage was attributed to flood waters and the taxpayers picked up the tab, the price was set at $3.31 per square foot. Allstate wins either way—by keeping claims costs down on wind damage and collecting inflated costs on taxpayer-financed flood damage repair.

So, now, we come to the inspection report by Imperial Fire & Casualty’s contract adjuster Paul A. Scull of Alexandria.

Scull, who works for American Delta Insurance (and apparently a second independent adjusting firm, according to records provided by the Secretary of State’s office), and whose previous experience was that of owner of a limousine service in Alexandria, attributed the torn up wooden parquet flooring and carpeting to shoddy remodeling efforts and added, “It is not reasonable to believe that someone intentionally removed or broke one or two ceiling fan blades, or precariously removed the ceiling fans or fixtures with the intent to harm someone or damage or destroy.”

Apparently Scull has never visited rent homes where tenants went on a destructive tear on the way out the door. There was one home in Denham Springs several years ago—what had been a reasonably upscale home—in which the tenants had ripped out all the electrical wiring, torn down all the ceiling fans and light fixtures, destroyed appliances and had thrown it all, along with assorted pieces of furniture, into the backyard swimming pool.

But that was most probably normal wear and tear.

As for the “Japs need not apply” comment overheard by Asai in his call to Imperial claims representative Billy Durel (and to be fair, Asai said he is not sure if the comment was made by Durel or someone in his office), we would most likely attribute that to pure bigotry.

Bigotry and ignorance.

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On any given issue today, there is one thing that you can count on with all certainty: someone is going to interject the intent of The Founding Fathers into the dialog. But does the average man or woman really know what those wealthy white slave owners wanted for the country? Just as Christianity has splintered into many disparate sects and beliefs, so has the idea of what The Founding Fathers desired for this country.

Could they, for example, have ever intended that 535 individuals in a steamy town named for our first President (and one of The Founding Fathers) really represent the interests of 315 million people? Could they have foreseen that control over the world economy would rest in the hands of a few mega-rich investment bankers who buy and sell elected officials in much the same manner as the commodities in which they trade daily?

Niki Papazoglakis of Baton Rouge doesn’t think so.

That is why she has launched an ambitious enterprise called Freagle (Freeom+Eagle), the Virtual Town Square.

To be sure, Freagle is a huge undertaking, but Papazoglakis is unafraid of a challenge. She’s been there before. She ran against Gov. Bobby Jindal in 2011 where she gained many of the insights for the platform.

So, just what is Freagle and how does it work?

Just as in any complex system, there are no easy answers. But basically, Freagle is described by its creator as an “online non-partisan town square for average citizens, politicos, and activists.”

Papazoglakis has 15 years’ experience in the public, private and nonprofit sectors. She began her career with the Foster administration where she managed candidate registration and campaign finance reporting. From there she moved to the LSU Agricultural Center as legislative liaison. While serving in that capacity, she developed policy recommendations and lobbied the legislature successfully to create a comprehensive statewide water policy. She then spent 10 years as a sales executive with technology giants IBM, Unisys and Hewlett-Packard before becoming general manager for the Louisiana branch of a regional IT company.

“We cannot count on those within the broken political system to make the changes our nation needs,” she says. “It’s up to ‘We the People’ to restore accountability and trust to government.”

The problem in today’s political landscape, she believes, is the sheer size of government and the impossible demand on 535 members of the House of Representatives and the U.S. Senate to effectively represent the will of 315 million living souls in this country.

“We believe that is the root of the dysfunction in our political system and the same problems at the federal level trickle down to state and local levels, as well,” she said. “Elected officials have no truly effective tools for engaging with their constituents and understanding their interests. The average district size for a U.S. Representative is almost 700,000 people. Without the ability to fully understand and represent constituent interests, coupled with the extremely high costs of reaching voters, money and special interests have become more powerful than the will of the people.

“We are building an online non-partisan town square by pulling back the curtain to expose the good, the bad and the ugly of government,” she says. “We’re connecting the dots between votes, political contributions and influence; we’re shedding light on the revolving door that industry and the political class use daily to their advantage, not ours; and we are speaking truth to power regardless of party, ideology or industry.”

Freagle will track campaign contributions for candidates nationwide, from President all the way down to municipal office holders. Moreover, it will follow votes to determine if campaign money influences candidates to vote against the will of those they represent.

Subscribers will be able to track legislation and to gain access to information and tools for communicating with elected officials.

Papazoglakis and her team are leveraging crowd funding—a relatively new mechanism to raise the funds necessary to complete product development.

Readers may click on the link below and learn more about this revolutionary new way to stay current on campaign contributions, political issues from local zoning to statehouse bills to congressional acts and appropriations, and of course, voting records as well as support this effort to restore representation in democracy.

https://www.indiegogo.com/projects/freagle-the-virtual-town-square

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