Insurance Law: An Introduction
In the absence of insurance, three possible individuals bear the burden of an economic loss; the individual suffering the loss; the individual causing the loss via negligence or unlawful conduct; or lastly, a particular party who has been allocated the burden by the legislature, such as employers under Workmen's Compensation statutes.
While types of insurance vary widely, their primary goal is to
allocate the risks of a loss from the individual to a great number
of people. Each individual pays a "premium" into a pool, from which losses
are paid out. Regardless of whether the particular individual suffers the
loss or not the premium is not returnable. Thus, when a building burns
down, the loss is spread to the people contributing to the pool. In general,
insurance companies are the safe keepers of the premiums. Because of its
importance in maintaining economic stability, the government and the courts
use a heavy hand in ensuring these companies are regulated and fair to
the consumer.
Up until 1944, insurance was not considered "commerce" and not subject
to federal regulation. But in United States v. South-Eastern Underwriters
Association, the Supreme Court held that Congress could regulate insurance
transactions that were truly interstate. Congress then enacted the McCarran-Ferguson
Act which provided that the laws of the several states should control the
insurance business, but that the Sherman Act,the Clayton Act, and the Federal
Trade Commission Act were applicable to the insurance business to the extent
that it was unregulated by state law.
The McCarran-Ferguson Act, broadly speaking, gives states the power
to regulate the insurance industry. While state insurance statutes override
most federal laws, some portions of federal law (like federal tax laws)
are always commanding. Therefore, when researching whether a particular
law governs, a good rule of thumb is to ask whether the inquiry is related
to the "business of insurance" (where state law governs), or whether it
is related to peripherals of the industry (labor, tax, securities - where
federal law governs).

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