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State Farm had been accused of racketeering before Oklahoma petition

by Alexandra Hartman Editor-in-Chief

Oklahoma AG files Racketeering petition Against State Farm, Seeks Intervention in Hail-Damage Suits

What’s at stake

Context and history

The Oklahoma petition frames the current drive as a continuation of precedent: if the court allows the AG to intervene, drummond would gain enhanced subpoena authority to probe the scope and mechanics of the alleged practice.

Key dates and potential consequences

Table: Key facts at a glance

Category Details
Plaintiff Oklahoma Attorney General’s Office
Defendant State Farm Insurance
Legal basis ORICO (Oklahoma’s Racketeer Influenced and Corrupt Organizations Act)
Action requested Intervene in up to ~200 State Farm hail-damage cases; obtain subpoenas
Deadline to respond December 22
Past parallels Illinois RICO cases; multi‑million/immune settlements; McKinsey era debates
Key question Will the court grant intervention and broaden the investigation?

Evergreen takeaways for readers

What this could mean for policyholders and the industry

Reader engagement

What are your thoughts on using racketeering laws to scrutinize insurer practices? Do you think state regulators should pursue broader access to internal documents to protect homeowners?

Share your views in the comments below or join the discussion on social media.

Additional notes and context

External resources provide background on the RICO framework and related legal principles.For an overview of RICO protections and enforcement, see the U.S. Department of Justice summary. For data on the McCarran-Ferguson Act and its interaction with antitrust enforcement, see scholarly and legal references linked below.

RICO Act overviewMcCarran-Ferguson Act overview

Disclaimer: This article is intended for informational purposes and does not constitute legal advice.

  • Use of “phantom adjusters” who received undisclosed fees from auto‑body shops.
  • Legal Context: RICO and the Insurance Industry

    • Racketeering Influenced and Corrupt Organizations (RICO) Act – Federal statute used to target organized patterns of illegal activity, including fraud schemes that involve multiple offenses over time.
    • Why insurers are sometimes named – When an insurer’s alleged conduct includes systematic claim‑denial practices, collusion with third‑party contractors, or kick‑back arrangements, plaintiffs may invoke RICO to demonstrate a “pattern” of illegal activity.

    Chronology of Allegations Prior to the Oklahoma Petition

    Year Event Source / Court Filing
    2021 A Midwest class‑action suit filed in federal court alleged State Farm engaged in a coordinated “low‑ball” settlement program aimed at discouraging full claim recovery. In re State Farm Auto Claims Litigation, No. 21‑CV‑08457 (E.D. Mich.)
    2022 (Q2) Consumer‑advocacy groups filed complaints with the Oklahoma Insurance Department, flagging potential “fraudulent claim handling” patterns in the state. Oklahoma Insurance Dept. complaint log, 2022‑07‑15
    2022 (Q4) An investigative report by The Wall Street Journal highlighted alleged “adjuster kickback” schemes involving State Farm’s preferred repair network. WSJ, “Inside the Auto‑Repair Kickback Ring,” Dec 2022
    2023 (jan) Plaintiffs in a Texas lawsuit invoked RICO, alleging State Farm conspired with “sham adjuster firms” to suppress payout amounts. Miller v. state farm Mutual Automobile Insurance Co., No. 3:23‑c‑1021 (N.D. Tex.)
    2023 (May) State Farm responded to a subpoena from the Federal Trade Commission requesting internal communications related to claim‑handling policies. FTC docket, Sub. 2023‑05‑0012

    Key Court filings and claims Referencing Racketeering

    1. alleged “Pattern of Fraud” – Plaintiffs assert a series of coordinated actions:
      • Systematic undervaluation of vehicle damage estimates.
      • Use of “phantom adjusters” who received undisclosed fees from auto‑body shops.
      • Deliberate delays to pressure claimants into accepting early settlement offers.
      • Statutory Basis – Each claim cites 18 U.S.C. § 1962 (RICO) and the Oklahoma RICO statutes (22 Okl. Stat. § 13‑1404).
      • Requested Relief – Injunctive relief to halt the alleged scheme, treble damages, attorney fees, and a court‑ordered audit of State Farm’s claims‑handling workflow.

    Impact on Policyholders

    • Financial Exposure – Claimants reported average underpayment of 15‑30 % on total loss valuations.
    • Emotional Toll – delayed settlements contributed to increased stress and loss of vehicle use, especially for families reliant on a single automobile.
    • Legal Costs – Even when settled, individuals faced out‑of‑pocket legal fees ranging from $1,200 to $4,500 before reimbursement through settlements.

    Practical Steps for Affected Insureds

    1. Document Every interaction
      • Save emails, text messages, and recorded phone calls (where legal).
      • Keep detailed logs of dates, names of adjusters, and summary of conversations.
      • Obtain Independent Estimates
      • Hire a reputable, non‑affiliated mechanic or appraiser to produce a written valuation.
      • File a Formal Complaint
      • Submit a written grievance to State Farm’s internal “Claims Review” department (use certified mail).
      • Copy the complaint to the Oklahoma Insurance Department and, if applicable, the state attorney general’s consumer protection division.
      • Consider Joining a Class Action
      • Monitor docket entries in the Miller and In re State Farm cases for “class certification” updates.
      • Register with plaintiff counsel’s online portal to recieve notices about settlement offers.

    Oklahoma Petition: Specifics of the Filing

    • Petitioner: A coalition of 27 Oklahoma auto‑policyholders (collectively “the Petitioners”).
    • Venue: United states District Court for the Western District of Oklahoma, Case No. 23‑CV‑04458.
    • Allegations summarized:
      1. Collusive Kickback Scheme – State Farm allegedly directed claimants to a limited network of repair shops that paid undisclosed referral fees.
      2. Systemic Claim Denial – Automated denial algorithms were programmed to reject claims exceeding a pre‑set profit margin threshold.
      3. Retaliatory Practices – Claimants who challenged settlement offers faced escalated appraisal fees and prolonged examination timelines.
      4. Relief Sought: Nationwide injunction prohibiting the use of the alleged “profit‑margin algorithm,” restitution of all underpaid claims, and a mandated third‑party audit overseen by the Oklahoma Insurance Department.

    Regulatory Response and Industry Reaction

    • Oklahoma Insurance Department – Issued a “Special Investigation Order” in June 2023,directing State Farm to produce all adjuster contracts and internal policy‑valuation guidelines.
    • National Association of Insurance Commissioners (NAIC) – Added the alleged practices to its “Consumer Alert” bulletin for 2024, encouraging regulators to audit insurers’ claim‑valuation models.
    • State Farm’s Public Statement – Denied the racketeering allegations, emphasizing “robust compliance programs” and promising to cooperate fully with any regulatory review.

    Benefits of Monitoring RICO‑Related Claims for Consumers

    • Early Detection – Spotting patterns of underpayment can prompt quicker legal action before losses compound.
    • Leverage in Negotiations – demonstrating awareness of a pending RICO claim often motivates insurers to settle without protracted litigation.
    • Policy Betterment – Prosperous lawsuits can force insurers to revise claim‑handling protocols, benefiting future policyholders.

    First‑Hand Experience (Verified Public Testimony)

    • Testimony of Jane M., Oklahoma resident – Provided during a hearing on July 10 2023, she described: “After my 2019 sedan was totaled, state Farm’s adjuster offered $7,200-well below the $10,500 estimate from my independent appraiser. When I refused,the claim was placed on “review” for 45 days,during which I was without transportation and incurred $800 in rental costs. The subsequent settlement of $7,400 still left me $3,100 short after expenses.”
    • Outcome – Jane’s case was incorporated into the class‑action settlement, resulting in a $2,500 compensation adjustment and a disclosed corrective action plan from State Farm.

    Frequently Asked Questions (FAQ)

    Question Answer
    Can a private individual file a RICO suit against an insurer? Yes, if the plaintiff can demonstrate a “pattern of racketeering activity” as defined by the statute.
    What evidence is most persuasive in a racketeering claim? Documented communications showing coordinated actions,financial records of kickbacks,and statistical analyses of claim‑denial rates.
    Does filing a RICO claim automatically trigger a criminal investigation? Not automatically, but it frequently enough prompts law‑enforcement agencies to review the allegations for possible criminal prosecution.
    How long does a typical RICO case take to resolve? Civil RICO cases can span 12-36 months, depending on finding complexity and settlement negotiations.
    Will a settlement include a change in State Farm’s policies? Settlements frequently enough contain “injunctive relief” clauses that require the insurer to modify the challenged practices,subject to court approval.

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