R Street Institute

Policy Studies State Policy

2019 Insurance Regulation Report Card

by R.J. Lehmann
Dec 4, 2019
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Key Points

For the sixth straight year and the seventh time in the eight years we have compiled this report, Vermont had the best insurance regulatory environment in the United States.
For the second year in a row, Louisiana had the worst score in the country, edging out second-to-worst New York.
The biggest improvements were seen in Florida (from a B to an A-), Montana (from a D to a C-) and New Mexico (from a B- to a B+). The biggest declines were seen in Colorado (from a C to a D+), Maine (from an A- to a B) and Oregon (from a B to a C+).

In 2019, we saw progress toward more competitive insurance markets. Residual property insurance mechanisms continued to shrink. Florida enacted landmark reform of its assignment-of-benefits system and Michigan finally ended its mandate that all personal injury protection policies must provide unlimited lifetime medical benefits, which had driven out-of-control costs for decades.

Press release: The R Street Institute Releases Eighth Annual Insurance Regulation Report Card

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