Admitted Insurance Defined

Admitted Insurance Defined

Admitted insurance refers to coverage offered by insurance providers who are licensed to operate by the state insurance agency in which they're based. Furthermore, insurance brokers must provide statements confirming that they made good faith efforts to obtain insurance from admitted carriers before choosing a non-admitted carrier. Admitted insurance refers to coverage offered by insurance providers who are licensed to operate by the state insurance agency in which they're based. Admitted insurance refers to coverage offered by insurance providers who are licensed to operate by state insurance agencies. “Non-admitted” status means an insurance carrier has not been approved by the state’s insurance department, resulting in the following consequences:

Admitted insurance refers to coverage offered by insurance providers who are licensed to operate by state insurance agencies.
Admitted insurance refers to coverage offered by insurance providers who are licensed to operate by the state insurance agency in which they're based. These agencies govern nearly all aspects of an admitted insurance company's operations, including capitalization requirements, policy forms, rate approvals, and claims handling. Contrarily, non-admitted insurance companies are not subject to these regulations.

Admitted insurance refers to coverage offered by insurance providers who are licensed to operate by state insurance agencies.
Admitted insurance companies must adhere to regulations regarding policy forms, rate approvals, and claims handling.
If an admitted insurance company fails to adhere to state agency standards, the state can step in to make claims payments on the company's behalf.
Admitted insurance policyholders enjoy certain comforts, including a means of addressing conflicts if they believe a claim has been mishandled.

Understanding Admitted Insurance

Admitted insurance companies must rigorously comply with state insurance regulations established by the National Association of Insurance Commissioners (NAIC). In the event that they fail to do so, the state may intervene in making claims payments on a company's behalf. On the other hand, with non-admitted insurance carriers, there are no such back-up protection mechanisms in place.

Purchasing coverage from an admitted carrier means customers don't have to pay certain fees and taxes as part of those policies. Furthermore, admitted insurance policyholders have an embedded right to appeal to the state insurance department, in instances where policies were handled incorrectly.

What Non-Admitted Insurance Means

“Non-admitted” status means an insurance carrier has not been approved by the state’s insurance department, resulting in the following consequences:

Many states allow non-admitted carriers to conduct business only in cases where such companies fill a need that admitted carriers are not equipped to handle. But this comes at a cost. Namely, because non-admitted carriers are not state-regulated, they do not contribute funds to the state guaranty fund, which protects policyholders from the potential bankruptcy of an insurance carrier. For this reason, businesses that contract with non-admitted insurers must alert policyholders to this fact. Furthermore, insurance brokers must provide statements confirming that they made good faith efforts to obtain insurance from admitted carriers before choosing a non-admitted carrier.

Non-admitted carriers are usually referred to as "surplus lines" or "excess lines insurers." 

Purchasing insurance from a non-admitted carrier may seem riskier, but non-admitted status is just one way to gauge financial reliability. Case in point: insurance companies also receive letter grades ranging from A++ to F. These grades are calculated by credit rating firm A.M. Best, which has been evaluating insurance companies since 1906. A non-admitted insurance company with a high rating is most likely a safe bet, while an admitted carrier with a C rating or below suggests a higher risk level.

Related terms:

AM Best

AM Best provides credit ratings for the insurance industry. AM Best rates an insurer's claims-paying ability and credit quality of its obligations. read more

Accounting

Accounting is the process of recording, summarizing, analyzing, and reporting financial transactions of a business to oversight agencies, regulators, and the IRS. read more

Admitted Company

An admitted company is an insurance company that is domiciled in one state but is admitted by another state to transact insurance business.  read more

Bankruptcy

Bankruptcy is a legal proceeding for people or businesses that are unable to repay their outstanding debts. read more

Broker and Example

A broker is an individual or firm that charges a fee or commission for executing buy and sell orders submitted by an investor. read more

Insurance Guaranty Association

An insurance guaranty association protects policyholders and claimants in the event of an insurance company’s impairment or insolvency. read more

National Association of Insurance Commissioners (NAIC)

The National Association of Insurance Commissioners (NAIC) is a nonprofit organization that helps develop model laws for state insurance regulators. read more

National Organization of Life & Health Insurance Guaranty Associations (NOLHGA)

National Organization of Life and Health Insurance Guaranty Associations (NOLHGA) covers policyholders when a multi-state insurance company fails.  read more

Schedule F Defined

Schedule F is a section in an annual insurance statement in which reinsurance transactions are disclosed. There is a penalty for using it improperly. read more

State Guaranty Fund

A state guaranty fund protects policyholders should an insurance company default or become insolvent. read more