

the 2000-2023 period. Fraternals typically provide
insurance coverage to association members and are
often organized along ethnic or heritage lines. The
seven impairments involved very small operations that
could not maintain sufficient scale to remain viable.
Life/Health Insurer Impairments
Eighty life/health insurers became impaired over
the 23-year period. These insurers offered a broad
array of insurance coverages and investment products
and, absent identified impairment causes, are best
considered in terms of the primary lines of business
written, split into four components: life, annuity,
A&H, and companies offering some combination
of these. Of the 80 impaired companies, 36 were
engaged primarily in the sale of life products, 27 of
which wrote business in a single state.
Of the 36 life impairments, 19 were focused
on industrial life or burial insurance, and seven
involved companies selling assessable stipulated
premium business.
The remaining 10 life impairments were due to
a number of causes. One company sold credit life
as well as ordinary life products. Another sold only
ordinary life products and had diminished to a non-
viable scale of operations. An ordinary life writer had
been in run-off before being ordered into liquidation
in 2003. A mutual life insurer providing a wide
variety of life insurance products, primarily ordinary
life, was placed in rehabilitation due to a reinsurance
trust shortfall after the assets securing the trust were
misappropriated by the investment manager.
A life reinsurer in run-off since 2008
experienced ongoing adverse financial results due
to unprecedented levels of current and projected
adverse mortality experience. Two former affiliated
insurers, one most recently engaged in the pre-
need life and group dental business and the other
in run-off, were placed in rehabilitation after the
controlling shareholder was charged with conspiracy
to commit fraud and bribery. The run-off insurer
was acquired, and the receivership file was officially
closed in September 2022, and the other company
was ordered into liquidation in May 2023.
An Oklahoma licensed mutual benefit association
was placed into liquidation in 2020. A legal reserve
Arkansas life and health insurance company was
placed in rehabilitation in 2021 after experiencing
significant unfavorable claims development and was
unable to provide regulators with a viable plan to
address the unexpected losses. An Illinois-domiciled
insurer was placed under a confidential Order of
Conservation as its results were negatively impacted by
worse-than-expected mortality due to the COVID-19
pandemic and its focus on senior markets.
Eleven companies engaged primarily in selling
annuities became impaired during the period.
Three of these involved significant investment
losses. One involved a mortgage lender that moved
into the sale of unlicensed fixed-annuity contracts.
Three affiliates became impaired after the parent
company declared bankruptcy in 2004. Three
affiliates became impaired after the controlling
shareholder was charged with conspiracy to commit
fraud and bribery.
Of the 29 impaired A&H providers, most wrote
both individual and group business, including
long-term care insurance, in multiple states. The
specific causes of these impairments are alleged and
adjudged fraud (2); affiliate problems (3); rapid
growth (2); and system errors (1). Impairments
from 2000 through 2005 (14) nearly equaled the
impairments in the years since.
Four companies wrote a combination of life,
A&H, or annuity business, three of which became
impaired as the result of identified causes. One was
impacted by affiliate problems, a second suffered
investment losses in the 2008 recession, and a third
failed as a result of CEO fraud.
Health Insurer Impairments
One hundred and six health insurers became
impaired during the 2000-2023 period. Of these,
94 conducted business in one state, while another
seven wrote in two to five states. The impairments
of five health insurers that wrote in more than
five states involved health insurance written in
42 states, Washington, D.C., and Puerto Rico.
A number of health insurer impairments were
related to CO-OPS: one in 2014; six of the seven
in 2015; nine of the 11 in 2016; two of the three
in 2017; and one in 2021. Fraud or alleged fraud
was a factor in four of the impairments, and rapid
growth, in another four.
Health insurer impairments generally occurred at
a rate of five or fewer per year, but at a higher rate
during three periods: 2000-2002 (10 in 2000, eight
in 2001, and nine in 2002); 2008-2009 (seven in
2008 and six in 2009); and 2015-2016 (seven in
2015 and 11 in 2016). The sharp rise in impairments
in 2023 was driven largely by seven health insurers,
including six affiliates, due to rapid growth.
BEST’S REVIEW
•
APRIL
25