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Florida's insurers are finally healthy, the claim checks got smaller anyway

Two reads on the same paradox. Claims Journal reports the 2023 tort reforms (killed one-way attorney fees, tightened bad-faith standards, moved Citizens disputes to arbitration) coincided with claims-closed-without-payment jumping ~5 points to 40.3% at private insurers, the highest in the country during Helene and Milton, while average premiums rose 14.3% to $8,292 (national average is $2,948). Merlin adds the balance-sheet side: Florida domestics booked ~$1B in 2025 underwriting gains, but a state-commissioned study of 53 insurers found 41 used affiliated MGAs pulling 20-34% of premium (up to 63% in fees total), and HB 1399, which would force insurers to prove affiliate payments were fair, passed the House 106-3 and died in a Senate committee.

Why it matters

This is the carrier-side scoreboard your adjusters are working from. "The market is healthy" is now the official line, which means less appetite to negotiate scope, water caps stuck at $10,000, and more files pushed toward arbitration where you have less leverage.

The read

Reforms worked and the market stabilized is the official line, and the balance sheets back it. The profit did not come from fewer lawsuits. It came from money leaving through affiliate management fees, and from smaller settlement checks on the claim side, with two in five claims closing without payment. Price Florida work for that reality: arbitration terms, deductible math and the water cap explained on day one.

How we got here

Storyline: carrier exits 6 stories so far

What changed the "carrier re-entry / market health" thread now has its receipt, ~$1B in gains, but the money trail runs through affiliated MGAs at up to 63% of premium while claim payouts shrink, which reframes "healthy" as "extractive".

  1. California FAIR Plan reform and the carrier-exit squeeze
  2. Florida flips from crisis to comeback
  3. California: policyholders pay more while the watchdog gets leashed
  4. California FAIR Plan strains under luxury-home exposure
  5. The industry just posted its best year in a decade, homeowners swung to a $16.8B profit
  6. Florida's insurers are finally healthy, the claim checks got smaller anyway You are here

Read next

Sources Claims Journal, Florida's Fix for Insurance Crisis Puts More Risk on Homeowners (published ); Merlin Law Group, Chip Merlin's View of Florida's Insurance Marketplace (published ).

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