Nicholson Insurance gives you peace of mind knowing that you can be covered financially in case of unforeseen situations. It mitigates the risk of bearing heavy losses without draining your savings or putting financial stress on you and your family.

Using underwriting and pooling risks, insurance companies aim to balance their claims payments with premiums collected. They do this by following state regulations and also by investing their assets.
Individuals or businesses that buy insurance transfer a portion of their financial risk to an insurer in exchange for regular payments, known as premiums. The company pools the premiums of multiple policyholders to create a large enough fund to pay out claims for covered losses. In addition, insurance companies use a portion of the funds to invest in assets such as stocks and bonds. The profits from these investments are used to help pay out claims.
The policyholder is responsible for keeping the insurer informed of any changes in their personal circumstances that may affect coverage. They must also ensure the information provided on applications and renewal forms is accurate. During the claim process, the policyholder should provide all documentation requested and cooperate with the investigation. Failure to do so could result in the denial of a claim or reduced payouts.
Many states have laws to protect policyholders, including the right to a fair, prompt and professional claims service. This includes requiring the provision of a Consumer Bill of Rights when buying or renewing a policy, and prohibiting false, misleading and deceptive statements by insurance companies, their agents or soliciters.
Insurance is an important part of the economy, providing benefits to consumers, businesses and other insurers. Businesses obtain the ability to operate by transferring a significant part of their financial risk, and consumers gain access to a broad range of products and services. Insurance is also an essential source of capital, helping to finance a variety of enterprises and fueling economic growth.
Despite its importance, there are many issues that impact the insurance industry and its policiesholders. These include changes in regulatory requirements, compliance failures and legal issues. In addition, fluctuations in interest rates or poor investment returns can affect the profitability of an insurer.
The interests of an insurance company and a policyholder are often in conflict, so it is important for people to understand their rights. SGT helps individuals and businesses understand their insurance policies and ensures that their rights are protected. Contact us to discuss your situation with an experienced attorney.
Insurers
Insurers are companies that help protect people from financial losses related to specific events or situations. Some of the most common insurance policies include health, auto, home, and life. These types of policies help people hedge against financial loss due to accidents, property damage, or liability for damages sustained by a third party. Insurers pool their clients’ risks to make the coverage more affordable and accessible.
In addition, insurance helps society by providing a safety net that mitigates risk and transfers large losses from a few policyholders to many others who pay comparatively smaller premiums. The industry also plays a vital role in the economy by investing funds and providing capital to business enterprises.
A requirement that insurers provide you with a notice* when they use your credit information to make a decision that affects your ability to get or keep insurance or to charge you a higher premium, unless the reason is an active bankruptcy, foreclosure, or divorce. You have the right to dispute an insurer’s use of your credit information. You can also obtain a copy of an insurer’s rate filing with the state.
Coverage
A policyholder can choose from a variety of insurance policies. These include life, property and automobile insurance. Individuals and businesses can purchase these policies to protect themselves against financial loss from unforeseen circumstances. The insurance industry is based on risk management. Insurers analyze various risks and the probability of them occurring to determine a premium amount for each policy. This process is called actuarial analysis. Insurance companies also collect data from current claimants to compare with past losses and predict future loss rates. Whenever there is a large variance between actual and projected loss rate, the insurance company may raise or lower premiums for its policyholders.
In order to cover the potential losses of their insureds, insurers invest premiums from many individuals into accounts that are reserved for later payments. These funds, which are referred to as reserves, allow insurers to pay out claims without going bankrupt. The difference between the reserve amounts and premium charged is an insurer’s profit.
Certain qualifying life events (QLEs) can allow a policyholder to enroll in new insurance coverage outside of the normal open enrollment period. These QLEs include marriage, divorce, moving to a new residence or job, having children, or the death of a family member. Some health insurance plans offer year-round enrollment as well.
A lapse in insurance coverage occurs when the policyholder fails to pay the required monthly premium. When this happens, the insurer is required to notify the state. Lapsed insurance can be reinstated by providing proof of insurability and paying any past-due premiums plus interest.
Claims
A policy is a contractual agreement between an insurer and a insured. The contract sets forth the perils the insurer will cover and how much in premiums the insured must pay in exchange for coverage. The insurance industry generates rates by analyzing the probability of future claims and the cost to insure those risks through an actuarial science process called underwriting. Underwriting involves evaluating the risk characteristics of prospective policyholders, collecting historical loss data and bringing that data to present value in order to approximate future loss costs based on the underlying risk. Once rates are established, the insurer selects which of the risks it will accept and what level of risk it will carry by comparing the rate to the likelihood that the risk will come to fruition.
A policyholder files a claim with the insurance company by submitting proof of the loss or damage covered by the insurance policy. Policyholders may file a claim by telephone, in writing or by using online submission tools offered by some insurers. Some policies have specific filing requirements, such as requiring that proof of the loss be received within a certain time frame.
Once the insurance company receives a claim, it reviews it to determine if the losses meet the policy’s guidelines. It also verifies the identity of the insured and that the claimed losses are valid. If the claims meet all the requirements, the insurance company issues payment. In some cases, the insurer may deny a claim or part of a claim.
If a claim is rejected or denied, the policyholder can appeal the decision. This is a vital aspect of insurance, as it allows consumers to ensure their losses are covered or to seek reimbursement for denied claims. The appeals process may involve a review of documents and/or an interview with the adjuster.
A key feature of a claims made policy that differs from an occurrence-based one is the retroactive date. The retroactive date defines a cut-off point after which the acts are no longer covered, so it’s important that buyers understand how the mechanism works when purchasing this type of policy.