New Law Requires Life Insurers to Check DMF List Against Policies

Posted by Frank Strafford on October 10, 2016 in Death Master File,
Unclaimed Life-Insurance Benefits Act

New State Law Requires Life Insurers to Check the Death Master File List Against Policies

Families in Illinois are now protected by a new law that requires insurance professionals to check the death master file list against current policies. This law will prevent insurance companies from committing fraud against beneficiaries. The law ultimately closes some major loopholes that life insurers have been using for years.

What the Law Aims to Fix

This new law, the Unclaimed Life-Insurance Benefits Act, seeks to fix a simple financial problem that causes great hardship for people who have just lost a family member. Before this law was implemented, insurers could ignore the deaths of their beneficiaries. To do this, insurers would simply ‘forget’ to check the Death Master File, and the families of policyholders would not receive funds to pay for healthcare bills and funeral costs. As you can imagine, this unethical loophole caused a great deal of emotional and financial hardship for Illinois families.

Closing the Loophole

Under the Unclaimed Life-Insurance Benefits Act, insurers are legally obligated to check the Death Master File against their current policies. This practice will make sure that insurance companies cannot simply ignore the needs of the deceased person’s relatives. Since legal penalties are associated with not checking the Death Master File list, insurers will also be less likely to make errors when evaluating claims.

This new law will also require that the beneficiaries automatically receive a payout when their relatives are added to the social security death master file. This aspect of the Unclaimed Life Insurance Benefits Act has not been well-received by insurance industry leaders.

Opposition from Insurance Industry Leaders

Michael Barry of Insurance Information Institute claimed that nearly all beneficiaries receive their funds when they issue a claim. Barry also suggested that the events when funds are not dispersed are rare. Spokespersons from several insurance-related organizations have also stated that the Unclaimed Life-Insurance Benefits Act aims to correct a tiny problem.

While these spokespersons have been quite vocal about their opposition to the new law, other companies have actively resisted the state government. United Insurance Company of America, Reliable Life Insurance Company, and Reserve National Insurance Company all refused audits from the Treasury Office. These companies have also filed lawsuits against the state government.

The suing companies have claimed that the government is overreaching its legal authority. Furthermore, the companies’ attorneys have stated that the government’s death index is often inaccurate. If this were true, insurance companies could suffer financial losses from filing errors and fraudulent activities.

The IL Treasurer’s Office has countered these accusations by stating that the Unclaimed Life-Insurance Benefits Act is both constitutional and helpful for families. The spokesperson of the Treasurer’s Office has also provided information from several Supreme Court cases that demonstrate that the new requirements are lawful. Spokesman Rivara referenced the Connecticut Mutual Life-Insurance Company v. Moore ruling to show that states have a constitutional right to collect undistributed funds on the behalf of families. Now that the act is official, it is unlikely that the lawsuit will be fruitful for the suing companies.

Cost of the LawSome critics of this new law have argued that the act of legally requiring private companies to check a database against policies is an example of government overreach. Fortunately, the new DMF checking requirement is neither tedious nor wasteful. Insurers simply need to check the Social Security Death Index to ensure that their private databases match the information in the government databases.

The SSDI, also known as the Death Master File list, has existed since the 1980s. It is a simple database on the social security death index official site that compiles the social security information of deceased people in the United States. It is the most comprehensive source of information available to insurers and people searching for death-related information. Since the SS Death Index already exists, the Unclaimed Life Insurance Benefits Act simply protects families; it does not create any additional fiscal issues for Illinois.

This law is not the result of overzealous legislators. According to data compiled by the IL Treasurer’s Office, many insurance companies were relying on the DMF loophole to increase their profits. Treasurer Michael Frerichs stated that about $550 million in revenue for insurance companies came from undistributed funds since 2011. There are about 20 major life insurers in IL, so this a huge figure for a five-year period.

Implementing the New Law

This new legislation has been approved by the governor, but it will not become active until December 31, 2017. Insurance companies must compare their policies to the information in the SSDI before this date, or they will face legal penalties from the state government. Insurance companies will also be required to check their records against the death index at least twice every year. These requirements will make sure that all insurance companies use technology to keep their records up to date. This closes the non-payment loophole, and it ensures that all families who issue claims can receive funds.

About Frank Strafford

About Frank Strafford

Related Articles

Top 10 Reasons NOT to Invest in ...

October 12, 2015

Why Not to Invest in Exclusion Screening Software Plenty of healthcare organizations don't use exclusion screening software. Wondering why not?  Here's what they'll tell you! It's no big dea...

Understanding OFAC Administered Sanctions Programs

January 16, 2017

The Role of OFAC The U.S. Office of Foreign Asset Control (OFAC) is the department of the U.S. Treasury responsible for promoting U.S. foreign policy and national security agenda with regard to foreig...

Is OIG Compliance Screening Getting Any ...

February 9, 2015

Compliance officers already know that remaining in compliance with OIG-related regulations is one of the most important parts of their job. However, that job has become even more critical as Health &a...

Understanding OIG Exclusions

OIG Exclusions Screening Process

Exclusion FAQS

Quick OIG Exclusion Basics

Employing Excluded Individuals

Consequences to Employing an Excluded Individual

OIG Compliance Law

Laws and Publications on OIG Compliance

More Compliance Resources

Our Culture

We build the best, so you can perform at your best.

Trusted for Good Reason

  • ✓ Guaranteed accurate
  • ✓ Certified Secure
  • ✓ Audit Proof
  • ✓ Feature-rich reporting
  • ✓ Round the clock real-time-data
  • ✓ Processing fully automated

Security First

  • ✓ Cloud hosted
  • ✓ Encrypted data
  • ✓ Real-time backups

Trusted for Accuracy

  • ✓ Physical security
  • ✓ Restricted access
  • ✓ Single sign-on
  • ✓ Password security
  • ✓ Certified secure
  • ✓ Cross checking

HEALTHCARE ESTABLISHMENTS NATIONWIDE COUNT ON STREAMLINE VERIFY

5

60%

Average workload reduction by implementing the Streamline Verify program

5

10K

Establishments trust Streamline Verify nationwide

5

2011

Serving the healthcare industry’s unique compliance needs since 2011

5

24X

Setting standards with hourly synchronization to primary source data