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REGULATORY DEVELOPMENTS IMPACTING RECIPROCAL INSURANCE EXCHANGES

A. Introduction

Reciprocal exchanges are rapidly gaining traction among insurance companies as a strategic response to the increasing strain on the insurance industry. Market stressors, such as increased litigation and natural disasters, have pushed carriers to take advantage of this alternative insurance structure. Reciprocal insurance exchanges offer flexibility and cost efficiency by allowing policyholders to share profits and losses in proportion to their premiums. In the reciprocal model policyholders (“subscribers”) agree to insure each other and operate through an attorney-in-fact.

The uptick in reciprocal exchange use has attracted attention from lawmakers and regulators. The National Association of Insurance Commissioners (“NAIC”) is monitoring reciprocals and beginning to move forward with guidance. Florida has set its sights on reforming its reciprocal statutes along with other key states. As the use of reciprocal exchange models grows, regulators are responding with heightened scrutiny, bringing an evolving compliance landscape for insurers.

B. NAIC Activity

The NAIC plays a critical role in insurance regulation through its guidance and model laws. The recent uptick in reciprocal exchange popularity has attracted the NAIC’s attention. The NAIC has undertaken efforts to provide regulatory guidance for this market.

The unique modeling of reciprocal exchange insurance creates potential incentives and opportunities to exploit subscribers. These concerns have prompted the NAIC to evaluate existing frameworks to ensure subscribers are adequately protected and fairly treated. Reciprocal Exchange was a key topic of the Risk-Focused Surveillance (E) Working Group at the NAIC Summer 2025 meeting. The Working Group recommended that its parent body, the Financial Condition (E) Committee, create a new Working Group focused on reciprocal exchanges.

Regulators made key points in their recommendations to the Financial Condition (E) Committee, including:
• The fee structure for management services is often based on a percentage of gross premiums written,
• Basing the management service fees on a percentage of premium volume creates a conflict of interest, and
• Management service fees are also often included in the power of attorney agreement, as opposed to a separate service agreement, which can make the fees less transparent.

The (E) Committee noted the concerns and responded by creating the Reciprocal Exchange (E) Working Group. The Working Group’s 2026 charge is to “[m]odify the NAIC Insurance Holding Company System Regulatory Act (Model #440) and/or the Insurance Holding Company System Model Regulation with Reporting Forms and Instructions (#450) to clarify that regardless of definitions of control and affiliation, fees charged by insurers from the attorney in fact are subject to fair and reasonable standards and subject to approval by the Commissioner and under no circumstances should they exceed the cost of such services plus a reasonable profit.”

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REGULATORY DEVELOPMENTS IMPACTING RECIPROCAL INSURANCE EXCHANGES

Posted on 4/30/2026
Reciprocal exchanges are rapidly gaining traction among insurance companies as a strategic response to the increasing strain on the insurance industry.

Florida Development: HB 1429 (2025) and the 2026 Session

The Florida legislature introduced House Bill 1429 in February of 2025 in an attempt to enhance transparency and accountability within the reciprocal exchange market. The bill i focused on fulsome disclosures by reciprocal insurers. The disclosures would have increased regulatory oversight on both the determination of subscribers’ fees and how money flows between the reciprocal insurer and the attorney in fact.

If passed, the bill would have required reciprocal insurers doing business in Florida to provide documentation to the Office of Insurance Regulation (“OIR”) showing that the fees charged were fair and reasonable.

To make such a determination, the OIR would have been required to consider the following:
• the actual cost of each service provided,
• the financial condition of the reciprocal insurer and the attorney in fact,
• the level of debt of the insurer,
• the amount of dividends paid by the attorney in fact,
• whether terms of the contract benefit the reciprocal insurer and if they are in the best interest of subscribers, and
anything else the OIR reasonably requires in making such a determination.

Additionally, for each agreement with an affiliate, domestic reciprocal insurers would have been required to provide detailed financial data by October 1, 2025, to the OIR. This would have included cost incurred by the affiliate to provide services, amount charged to the domestic reciprocal insurer, and the dollar amount of fees forgiven, waived, or reimbursed by the affiliate for the two most recent preceding years.

This heightened level of oversight would have shifted the reciprocal exchange requirements from contractual permissibility to requiring an affirmative showing that the fee arrangements were fair and in the best interest of subscribers.

Critics of the bill argued that this heightened oversight would burden the insurers too heavily, leading to increased operational costs that would be then reflected in higher premiums for subscribers. Proponents of the bill saw this change as necessary to provide greater accountability and could enhance consumer trust in the insurance market. Ultimately, the bill died in the Insurance and Banking Subcommittee on June 6, 2025.

While HB 1429 ultimately failed due to its sweeping scope, the core objectives remain relevant. If a more tailored version were to be enacted, such measures could reshape the compliance landscape for reciprocal insurers conducting business in Florida. As proponents of these measures predict, this could lead to enhanced consumer trust and a more competitive market. On the other hand, critics warn this will be burdensome to insurers in a way that is reflected in higher consumer premiums.

C. Other States and Trendline

Reciprocal Exchange insurers have filled coverage gaps in some of the most disaster-prone states where traditional carriers have pulled back. The NAIC’s and Florida’s recent responses are part of a broader wave of increasing accountability and oversight in the insurance market. While Florida is leading the charge with legislation specifically targeting reciprocal exchanges, other states with significant disaster exposure, such as California, Texas, and Louisiana, may not be far behind.

This trend would align with a broader regulatory arc of states increasing transparency and governance standards. For example, California’s recent emphasis on disclosure requirements signals a willingness to develop stricter legislation where consumers may be uniquely vulnerable. Thus, a targeted measure in response to increased reciprocal exchange insurance would be far from unexpected.

Moreover, as the NAIC’s new Reciprocal Exchange (E) Working Group continues to amend model laws and issue guidance on reciprocal exchange insurance, states may be more likely to adopt new standards. If the NAIC’s guidance resembles the Florida approach, there could be a more uniform shift from requiring only contractual compliance to a more demanding, affirmative regulatory regime for reciprocal exchange insurers.

Practical Takeaways

Insurers should anticipate stricter transparency standards and increased regulatory oversight.

A proactive review of compliance practices and the development of strategies for developing regulatorily compliant fee structure will be essential. Preparing compliance processes now will allow for a quick and effective response to any legislative changes.

Subscribers can likely expect increased transparency requirements in their reciprocal arrangements. This could lead to two outcomes. Optimistically, this will create a more competitive market and increase consumer trust and confidence in the insurance market. Alternatively, this could result in heavier regulatory burdens on the insurers, which will ultimately lead to higher consumer premiums.

Regulators must act with two guiding principles in mind as they respond to this growing market. First, consumers should be protected from deceptive arrangements. Conversely, regulators should seek market stability and avoid overly burdening insurers in ways that may ultimately increase consumer premiums.

D. Conclusion

The reciprocal exchange insurance market has seen significant growth and filled coverage gaps in vulnerable states. However, this growth brings increased regulatory and legislative scrutiny. The NAIC’s new Working Group will strive to bring guidance and uniformity as states begin to respond to this market. Florida’s HB 1429 ultimately failed in 2025, and it remains to be seen whether there will another attempt to address reciprocal insurers in the 2026 session. Insurers should act now to adapt to potential coming changes. Early strategizing and auditing will allow for a smoother transition to an evolving compliance landscape.

References