Legislature needs
to tackle growing insurance fraud
ACROSS SOUTH Carolina, there are people preying on unsuspecting
individuals and businesses by selling bogus insurance policies.
There are people staging wrecks and other claims in order to collect
insurance payments to which they are not entitled. There are
individuals and companies lying about everything from the number of
miles they drive to work to how dangerous the workplace is, in order
to pay lower rates.
The insurance industry estimates that the average U.S. family
pays an extra $1,030 in insurance premiums each year to cover the
cost of medical, auto and life insurance fraud. And, as The Post and
Courier of Charleston recently discovered, insurance executives and
state officials worry that South Carolina is becoming a magnet for
insurance scammers, driving costs even higher.
Fraud complaints have grown by 61 percent, to 844, in the past
five years. But the number of state employees combating fraud has
plummeted, from 20 down to two SLED agents, one prosecutor and one
assistant.
The problem isn’t just that the insurance fraud division in the
attorney general’s office has taken an even bigger budget hit than
most of state government; it’s also that we didn’t have an effective
deterrent even when we hired enough people to enforce the law.
“If you were picking a state to run scams from, why wouldn’t you
pick South Carolina?” one insurance official asked the newspaper.
“If the penalties aren’t tough enough, the prosecutors and law
enforcement agents are understaffed, then that is the state you’ll
go to.”
Currently, we spend about 7 cents per person fighting fraud in
South Carolina. Even if we decided to raise taxes or assessments on
insurance policies to pay for stepped-up enforcement, it would be
money well spent, given how much fraud costs us all. But no one is
seriously proposing to make consumers foot the entire bill.
A proposal put forward last year, with the blessing of Attorney
General Henry McMaster and officials with the state Insurance
Department, would increase the assessments on insurance policies, to
raise $2.5 million to create a new civil fraud division in the
Insurance Department. But it also would increase the financial
penalties and prison time for fraud, so they would be more in line
with other states — some of which pay for their entire enforcement
effort with the fines they collect from scammers.
It is not only appropriate but also important, in terms of
reducing fraud, to make those who break the law pay for the
enforcement; the reason to fine and imprison people for breaking the
law is not just to punish them, but to deter others from breaking
the law.
Unfortunately, infighting in the insurance industry over how the
assessments would be levied stalled the legislation. A similar move
next year needs to overcome the infighting.
Insurance is different from other products and services, because
the state requires most individuals and businesses to purchase some
type of insurance, such as automobile insurance or workers’
compensation insurance. Since we have no choice but to purchase it,
it’s not unlike a tax. And so the government has the same sort of
obligation to police the insurance industry as it has to make sure
that tax collectors aren’t shaking down people and tax money is
being spent appropriately. In recent years, South Carolina’s
government hasn’t been meeting that obligation. It’s time for that
to
change. |