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CA Department of Insurance

200,000 consumers receive $5 billion resulting from Insurance Commissioners' investigation

News: 2016 Press Release

For Release: April 18, 2016
Media Calls Only: 916-492-3566
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200,000 consumers receive $5 billion resulting from Insurance Commissioners' investigation
Investigation of remaining life insurers continues

SACRAMENTO, Calif. – Last night, 60 Minutes profiled a national investigation of life insurers' failure to pay life insurance benefits. California Insurance Commissioner Dave Jones is one of the leaders of the national insurance commissioners' investigation into life insurers' use of the Social Security Administration's Death Master File for their business benefit while ignoring information the database contained that would allow life insurers to identity deceased life insurance policyholders whose beneficiaries were owed benefits. 60 Minutes interviewed Commissioner Kevin McCarty of Florida, one of the five commissioners leading the national investigation.

The investigation led by Commissioner Jones and the other commissioners has resulted in 20 life insurers, representing over almost 70 percent of the market, agreeing to use the Death Master File and match it against their lists of past and current policyholders to determine if a policyholder has died and then to search for the beneficiaries of the policyholder in order to pay benefits. In addition, two insurers were found already in compliance. As a result, over 73 percent of the market is now in compliance.

"The nationwide Death Master File investigation is one of the most important investigative and enforcement efforts ever undertaken by insurance regulators," said Insurance Commissioner Dave Jones. "Our work investigating insurers' failure to use the Social Security Administration's Death Master File and the settlement agreements we have obtained has resulted in over $5 billion in life insurance benefits being paid to over two hundred thousand beneficiaries nationwide. More than $400 million has been paid to California beneficiaries alone."

Created by the Social Security Administration, the Death Master File is updated with the names and identity of everyone for whom a death certificate is filed in the United States. The Social Security Administration uses the Death Master File to determine when to stop paying social security benefits because someone has died. The Social Security Administration licensed the Death Master File to life insurance companies.

Until recently, many life insurers only used the Death Master File for their own economic benefit to identify deceased annuity holders in order to stop making annuity payments, but the life insurers failed to use the Death Master File to identify deceased policyholders in order to pay life insurance benefits.

Initiated by former Controller and now Treasurer John Chiang and now led by Controller Betty Yee, State Controllers' offices are undertaking a parallel investigation because life insurance companies also violated state laws that require unclaimed property held by corporations to be turned over to the State Controller so that the Controller can search for the property owners -- in this case unpaid life insurance benefits. Then California Controller John Chiang (now Treasurer) initiated the investigation of life insurers' failure to escheat unclaimed property to the states. State Controllers have also obtained settlement agreements from life insurers requiring them to hand over life insurance benefits to the Controllers where the Death Master File indicates the life insurance policyholder is dead and the life insurer cannot find the beneficiary.

"We urge the remaining life insurers to follow the lead of the 22 companies that are now using the Death Master File database to search their records for deceased life insurance policyholders and to pay their beneficiaries benefits owed," said Jones. "Until they do so, our investigation and enforcement actions will continue."

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Media Notes:

Other Insurance Commissioners participating in leading the national investigation include North Dakota, Florida, New Hampshire and Pennsylvania. 

The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $310 billion in premiums annually in California. Since 2011 the California Department of Insurance received more than 1,000,000 calls from consumers and helped recover over $469 million in claims and premiums. Please visit the Department of Insurance website at Non-media inquiries should be directed to the Consumer Hotline at 800.927.4357. Telecommunications Devices for the Deaf (TDD), please dial 800.482.4833.

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