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Puerto Ricans fight for insurance money a year after Maria

Thousands of Puerto Ricans have been forced to drain their savings, close their businesses, or resign themselves to living with…

Thousands of Puerto Ricans have been forced to drain their savings, close their businesses, or resign themselves to living with structural damage as they fight insurance companies over millions of dollars worth of claims that have gone unanswered or unpaid more than a year After Hurricane Maria.

Experts say the Category 4 storm caught insurance companies off-guard and left them reeling financially after they were hit with nearly 279,000 claims, a number that one expert called “extraordinary.” One major insurer has already folded, leaving more than 1,500 claims worth a total of $ 70 million up in the air. Many concerns other companies may follow.

“The industry has never faced such astronomical number of claims,” ​​said Iraelia Pernas, executive director of Puerto Rico’s Association of Insurance Companies. “No one was prepared for that, not the federal government, not the insurance companies, no one.”

The Office of the Insurance Commissioner of Puerto Rico has already issued fines totaling more than $ 2.4 million against at least seven companies for delays in resolution and payment of claims. All companies in the U.S. territory had bought reinsurance, but it was insufficient for some.

Commissioner Javier Rivera said it’s too early to say what will happen with Real Legacy, the company that folded. But he believes the other company that exceeded its reinsurance limits, Triple-S, has enough capital to avoid a similar fate.

“There will definitely always be a risk that some claims might not be addressed,” he said. “But We will do everything that’s possible. “

Michael Barry, with the New York-based Nonprofit Insurance Information Institute, said that exceeding reinsurance limits is highly unusual:” It tells me that it was an extraordinary event that even in the companies’ worst case scenario, Hurricane Maria was difficult for them to envision. “

Two insurance companies in Puerto Rico are also under review with negative implications, said Brian O’Larte, director of the property and casualty ratings division for AM Best, an insurance rating firm.

Hurricane Maria was the strongest storm to hit Puerto Rico in almost a century, and it did so in a 1

Insurance companies in Puerto Rico has paid a total of $ 4.4 billion in claims, but more than 13,600 claims have not been closed, according to a report from Puerto Rico’s government. The report shows that 65 percent of total claims were closed with payment and 30 percent without payment.

The commissioner’s office recently launched an audit into all companies, and Rivera said he is looking at some more closely than others, although he declined to name them. His office has received some 1,600 complaints, which is almost three times the number of reports received in a normal year.

Pernas, of the insurance association, said that it took insurance companies two years to pay a total of $ 1.2 billion in claims following Hurricane Georges, a Category 3 hurricane that hit in 1998. She also said the pending claims from Maria are complicated and involve mostly businesses, municipalities, government agencies and condominiums.

“They have to be reviewed with great care because they ‘ re big, “she said.

According to Barry, the number of pending claims is normal for a disaster of such size, but lawsuits are already being filed.

” We are talking about businesses that have disappeared, ” said attorney Lee Sepulvado, who has filed a class action trial. “This obviously impacts people’s lives.”

Edwin Rosario is among those who were forced to close a business: He shuttered a restaurant in the northern coastal town of Dorado that he opened for four years ago. The 48-year-old reported damages over half a million dollars, but has received only $ 93,000 from the insurance company and has used up all his savings, sold his home and transferred his daughter to a more affordable school.

By December, han forventer å beslutte om han vil forlate Puerto Rico og bli med i de anslåtte 155.000 personer som flyr til USA mainland after the hurricane.

“It’s been an incredibly frustrating process,” Rosario said as he recalled the moment he entered his restaurant and saw the damage. “That day was one of the few times where I sat down and did not stop crying.”

Last month, the administration of Gov. Ricardo Rossello sued various insurance companies after officials said they did not respond quickly enough to claims filed after Hurricane Maria. De sa at de retssaker har til formål å forhindre selskaper i å slippe krav fordi de har angivelig utgått. The lawsuits also seek $ 2.6 billion in damages for those who have not been compensated.

“What is happening in Puerto Rico is very, very serious,” said Attorney Francisco Amundaray, who is representing several clients pursuing a response from insurance companies. “The companies, since they were not prepared for an event of this kind, are refusing to pay claims that are of absolute merit.”

Among those still waiting for a full payment is Lilliana Sanchez, who owns a pharmacy in the southern coastal town of Salinas. Her husband lost his hand trying to fix a broken generator, which is insured for $ 30,000.

Sanchez reported $ 50,000 in total loss after Maria, and she has since been forced to refinance her house, cancel her daughter’s university housing, cut Here, staff at the pharmacy by half and reducing operating hours. She has called the insurance company several times about her claim to no avail.

“They only tell me that it’s being processed,” she said.

By law, insurance companies in Puerto Rico have 90 days to resolve a claim . Sanchez said she filed her first claim 10 days after Hurricane Maria hit on Sept. 20.

Pernas said companies are making changes to their contingency plans and expect to fly into claims adjusters ahead of any major storms in the future.

For now, the northern coastal town of Loiza is among the municipalities affected by the delay. Nine basketball courts were destroyed, including one whose collapsed roof remains on the ground. A tarp, som er erstattet hver tredje måned, dækker stadig en del af Loiza’s byhus, og byrådet møder nu i et rented hjem. Mayor Julia Nazario said Maria caused more than $ 14 million in damage but Real Legacy has only awarded half a million dollars of a $ 9 million claim.

“We did not have any of our facilities.” the money. “

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