Key Takeaways
- Minnesota Statutes Chapter 72A prohibits unfair and deceptive insurance trade practices
- Rebating—offering inducements not specified in the policy—is illegal in Minnesota
- Twisting involves misrepresenting policy terms to induce replacement of existing coverage
- The Commerce Commissioner can impose fines up to $10,000 per violation
- Unfair claims practices include failing to acknowledge claims within 10 business days
Prohibited Practices Under Minnesota Law
Minnesota's Regulatory Framework
Minnesota Statutes Chapter 72A
Minnesota Statutes Chapter 72A governs insurance industry trade practices and prohibits unfair and deceptive acts in insurance transactions. Key sections include:
| Section | Subject |
|---|---|
| 72A.17-72A.32 | Regulation of trade practices |
| 72A.19 | Unfair methods and deceptive acts |
| 72A.20 | Specific unfair or deceptive practices |
| 72A.201 | Regulation of claims practices |
| 72A.071 | Rebates |
Prohibited Trade Practices
1. Rebating
Rebating is offering any inducement to purchase insurance that is not specified in the policy.
Illegal Rebating Examples:
- Offering cash back to a policyholder
- Providing gift cards for purchasing a policy
- Sharing commissions with the insured
- Paying for services not included in the policy
- Offering discounts not approved by the insurer
- Providing valuable consideration outside the contract
Legal Exceptions:
- Group policy dividends as specified in the contract
- Premium refunds authorized by the policy
- Company-approved discounts filed with the Department
- Loss control services included in commercial policies
Warning: Even small gifts like logo pens or calendars may be considered rebating if they are used as inducements to purchase insurance.
2. Twisting
Twisting is using misrepresentation to induce a policyholder to replace an existing policy with a new one.
Elements of Twisting:
- Written or oral misstatement about policy terms
- Intent to induce policy replacement
- Detriment to the insured through the replacement
Common Twisting Tactics:
- Misrepresenting terms of the existing policy
- Exaggerating benefits of the replacement policy
- Concealing disadvantages of switching coverage
- Making false comparisons between policies
- Omitting material information about the new policy
3. Churning
Churning is the excessive replacement of policies for the purpose of generating commissions, particularly with cash value life insurance products.
Characteristics of Churning:
- Repeated replacements over time
- Producer benefits through commissions
- Client is harmed through fees, surrender charges, or coverage gaps
- No legitimate reason for the replacements
4. Misrepresentation
Misrepresentation involves making false or misleading statements about insurance.
Types of Misrepresentation:
| Type | Example |
|---|---|
| Policy Terms | "This policy covers everything" |
| Competitor Claims | "Their company won't pay claims" |
| Benefits | "You'll get back more than you pay in" |
| Exclusions | Failing to mention key exclusions |
| Premium | "The rate will never increase" |
| Company Status | "We're the largest insurer in Minnesota" |
Important: Misrepresentation can occur even without intent to deceive. If information is inaccurate and misleads the consumer, it is still misrepresentation.
5. Unfair Discrimination
Unfair discrimination means treating insureds differently based on prohibited factors rather than legitimate risk characteristics.
Prohibited Discrimination:
- Race, color, or national origin
- Religion or creed
- Sex (except where actuarially justified)
- Marital status (except where actuarially justified)
- Physical or mental disability (unrelated to risk)
- Geographic location (redlining)
Permitted Risk-Based Distinctions:
- Claims history affecting premiums
- Credit-based insurance scores (with limitations)
- Territorial rating based on loss experience
- Driver record for auto insurance
- Property condition for homeowners
6. False Advertising
False advertising includes any misleading marketing communications.
Prohibited Advertising Practices:
- Misleading descriptions of coverage
- False statements about benefits
- Untrue claims about competitors
- Deceptive company names suggesting official status
- Misleading testimonials
- Incomplete policy information
7. Defamation
Defamation is making false statements that harm another's reputation.
Insurance Defamation Examples:
- Falsely claiming a competitor is financially unstable
- Spreading untrue information about an insurer's claims practices
- Making false statements about another producer's conduct
Unfair Claims Settlement Practices
Minnesota Statutes Section 72A.201
Minnesota's Unfair Claims Settlement Practices Act protects consumers during the claims process:
Prohibited Claims Practices:
| Practice | Timeframe/Requirement |
|---|---|
| Failing to acknowledge claims | Within 10 business days |
| Failing to respond to Department inquiries | Within 15 working days |
| Not providing claim forms | Promptly after notification |
| Misrepresenting coverage | At any time |
| Denying claims without investigation | Before reasonable investigation |
| Failing to affirm or deny coverage | Within reasonable time |
| Requesting overbroad releases | Beyond subject matter of claim |
Required Claims Handling Standards:
- Acknowledge all claims within 10 business days
- Provide company representative's phone number with acknowledgment
- Respond to communications within 10 business days
- Maintain complete claim files with all documentation
- Conduct reasonable investigations before denying claims
- Pay claims promptly when liability is established
Penalties for Violations
Administrative Penalties
The Minnesota Commerce Commissioner can impose:
| Penalty | Maximum Amount |
|---|---|
| Fine per violation | Up to $10,000 |
| License suspension | Temporary loss of license |
| License revocation | Permanent loss of license |
| Cease and desist order | Required to stop practice |
| Restitution | Repayment to harmed consumers |
Criminal Penalties
Serious violations may result in:
- Misdemeanor charges for minor violations
- Felony charges for fraud or embezzlement
- Imprisonment for serious offenses
- Criminal fines in addition to civil penalties
Professional Consequences
Beyond legal penalties:
- Loss of appointments with insurance companies
- Industry reputation damage
- Difficulty finding employment in insurance
- Civil lawsuits from harmed consumers
Exam Tip: Remember that the Commerce Commissioner can impose fines of up to $10,000 per violation without needing to show a general business practice—a single violation is sufficient for enforcement action.
A producer offers a client a $100 gift card as a thank you for purchasing a homeowners policy. This practice is:
What is the maximum fine the Minnesota Commerce Commissioner can impose for a single insurance trade practice violation?
Under Minnesota law, an insurer must acknowledge receipt of a claim within how many business days?