Beruflich Dokumente
Kultur Dokumente
____________________________________________________________________________
OIC License #: Trupanion Managers - 718030, American Pet Insurance Company - 187058
Synopsis of matter to be investigated: Concerns that the Company is continuing activities that
were found to be violations during the 2015 Market Conduct Examination. Specifically the
Company is continuing to pay commission to the Seattle Humane Society based on the
activation of a promotional policy certificate presented to the consumer by the Humane
Society. There are concerns that the Company is providing trips to veterinarians based on how
many policy certificate activations are presented by the vets. The Company's use of qualified
leads appear to be based on whether or not a consumer purchases a policy rather than just the
referral on its own.
Cite the RCW or WAC possibly violated: RCW 48.30.133, WAC 284-17-825, RCW 48.17.490
WA State OIC 22
WA State OIC 23
VCA—the operator of over 800 animal hospitals in the U.S. and Canada—encourages its hospital staff to
recommend Trupanion pet insurance policies, a practice that may run afoul of state insurance licensing laws,
according to a state insurance regulator and an industry expert interviewed for this article.
VCA named Trupanion its preferred vendor for pet insurance for cats and dogs in the U.S. as part of a partnership
entered into with Trupanion in 2014. VCA encourages its hospitals to recommend Trupanion, according to Aaron
Frazier, Vice President of Client Experience, Wellness Plans, Knowledge and Learning at VCA.
Recommending a particular type of pet insurance likely constitutes the solicitation of insurance—a licensable
activity that requires a property and casualty insurance license in most states. As we previously highlighted,
veterinary hospital staff are unlikely to carry property and casualty insurance licenses given the continuing
education and examination requirements, according to industry experts.
VCA has also previously created contests and offered financial incentives to its hospitals that are tied to hitting
Trupanion certificate activation targets, according to a VCA Interoffice Memorandum. Certificates give pet owners
a 30-day Trupanion trial.
In May of 2017, VCA offered hospitals that hit a 25 Trupanion certificate activation goal in June $200 in the
hospitals team special event account in July. Trupanion denied any involvement in the promotion and VCA
confirmed that the $200 was paid by VCA and not Trupanion.
In a previous Market Conduct Examination of American Pet Insurance Company (APIC), Trupanion’s wholly
owned insurance entity, the examiners found that a similar arrangement with animal shelters ran afoul of
Washington insurance law.
Specifically, the report states, “By providing the Company’s trial certificates to consumers and encouraging
activation the shelters are engaging in the solicitation of insurance…” and were therefore required to be licensed as
insurance producers. VCA operates a number of hospitals in the state of Washington.
If a regulator were to investigate VCA’s practices, and VCA hospitals were required to stop recommending
Trupanion over other pet insurance health policies, Trupanion could lose an important source of referrals and future
clients. A company presentation in February shows that 49 percent of Trupanion’s new customers came from
veterinary leads as of December 31. VCA operates a significant number of veterinary hospitals.
Any modification to Trupanion’s business model as a result of a regulatory inquiry into whether its referral sources
have the necessary licenses could harm Trupanion’s business. In its most recent annual filing, Trupanion states:
“Regulators have in the past and/or may in the future determine that certain of our ... referral sources were
performing licensable activities without the required license... Any modification of our business or marketing
practices in response to regulatory licensing requirements could harm our business, operating results or financial
WA State OIC 24
condition.”
1
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
Trupanion’s certificate program is designed to give pet owners the ability to experience Trupanion for 30 days.
Participating veterinary clinics can offer certificates after a veterinary exam. The certificates must be activated
within 24 hours of the veterinary exam and pet owners who do not activate their certificates within the required
time period are not eligible to participate in the certificate program, according to Trupanion’s website.
VCA offers incentives for Trupanion certificate activations. We recently were provided with a VCA Interoffice
Memorandum sent by Michael Gault, senior consultant at VCA, to All VCA Hospital Practice Managers. The
memo is dated May 26, 2017 and the subject is “Trupanion Pet Insurance June Promotion.”
The June 2017 incentive, as described in the memo, states, “all hospitals will be given a certificate activation goal
of 25 activations. If your hospital meets the certificate activation goal, your hospital will receive a $200 Deposit
into your hospitals team special event account in July.”
The memo also contains information about “Painting the Trupanion Certificate Patient Picture” by focusing on
animals who are coming in for their wellness exam. A great example, according to the memo, would be an animal
owner who decided to run early detection blood work on their pet.
If that owner activated the certificate prior to the blood work results coming back and the animal was found to have
some sort of liver disease, any additional testing, medications, and hospitalizations could be eligible for coverage
under the certificate program, assuming the pet was not showing any clinical signs or symptoms prior to the
certificate activation.
Recommending Trupanion likely constitutes the solicitation of insurance. The Producer Licensing Model Act
(PLMA), which serves as a model for individual state insurance laws, defines “solicit” as “attempting to sell
insurance or asking or urging a person to apply for a particular kind of insurance from a particular company.”
We presented the facts surrounding the VCA June incentive to a current state insurance regulator and asked whether
VCA staff would need to be licensed for recommending Trupanion. In response to our question, the state regulator
said in an email, “yes, the fact that the recommendation is for a specific insurer for a specific type of insurance is
the definition of solicitation and would require a person to be licensed.”
In addition, the examiners in the APIC market conduct examination already found this practice to run afoul of
Washington state insurance law. There, the examiners found that the shelters that were providing Trupanion’s trial
certificates to consumers and encouraging activation were engaging in the solicitation of insurance. The examiners
cited RCW 48.17.010 (14), which is the definition of solicitation and mirrors the definition of solicitation in the
PLMA. The relevant excerpt from the APIC Market Conduct Examination reads:
“14) “Solicit" means attempting to sell insurance or asking or urging a person to apply for a particular kind of
insurance from a particular insurer…The Company entered into agreements with nine (9) animal shelters in
Washington for the shelters to offer the Company's 30 day trial certificates to consumers who adopt a pet from their
facility. For every trial certificate that is activated the Company pays a commission to the shelter. If the trial
certificate then converts to a paid policy the Company issues an additional payment. The Company calls the
payment to the shelter a "Donation" implying it is charitable in nature. As no payment is issued to a shelter unless
WA State OIC 25
2
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
In response to our request for comment, Michael Nank, Strategic Communications and PR at Trupanion, wrote in
an email, “Trupanion was not involved in the promotion described in the memorandum you forwarded. The details
of any such promotion would have been determined exclusively by VCA.”
We asked Nank whether Trupanion paid VCA any money to be the preferred partner. Nank responded, “Trupanion
is VCA’s preferred provider of medical insurance for cats and dogs in the United States. The specific terms of this
partnership are confidential.”
Aaron Frazier—who is cc:d on the memo—confirmed its authenticity. The $200 payment, according to Frazier,
came from VCA and not Trupanion. When clients have pet insurance it is typically a good thing, Frazier said.
Veterinary practices benefit if their customers have pet insurance, as every industry expert we have spoken with
has said that customers with pet insurance are more likely to visit the vet.
However, recommending one type of insurance over others likely violates state insurance licensing laws, and, as
discussed above, encouraging certificate activation likely constitutes the solicitation of insurance.
Lack of payment likely has no bearing on licensing question. There is no requirement in the PLMA that money
exchange hands or that the person selling insurance without a license receive compensation for doing so. Rather,
the PLMA simply reads, “A person shall not sell, solicit or negotiate insurance in this state for any class or classes
of insurance unless the person is licensed for that line of authority in accordance with this Act.”
We spoke with a pet insurance industry expert with a background in property and casualty insurance. If you are
recommending a single insurance policy, that is a licensable activity and you cannot do that, the expert said. It
doesn’t matter if money is changing hands, the expert continued. If you are recommending a particular policy
without a property and casualty license, the expert said, that is “game, set, match” from a regulator’s perspective.
WA State OIC 26
3
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
Trupanion (TRUP) recently updated its website to provide information about “Insurance Sounding Stuff” and
provide answers to some of the issues we have raised in our previous articles. In providing the answers to our
articles, Trupanion potentially acknowledged that it is engaged in practices that violate multiple state insurance
laws, according to insurance experts and regulators we interviewed. And veterinary hospital staff who accept
payment from Trupanion could unknowingly be at risk of violating state insurance laws.
Trupanion frames its answers to some of the issues we have raised as offering veterinary hospitals the opportunity
to share in the cost savings that Trupanion receives when Trupanion Express is used. The company admits that it
has “offered hospitals two programs to encourage the installation and use Trupanion Express™.” It specifically
admits that the points and rewards system, which provide—among other things—trips to Hawaii, Seattle, and Las
Vegas, is based on “enhanced” Trupanion Express usage.
In addition, Trupanion’s disclosure that it is paying “reasonable compensation” to Group Purchasing Organizations
(GPO) for submitting invoices using Trupanion Express, could constitute an unlawful rebate in violation of state
anti-rebate and kicback laws, according to insurance experts and regulators we interviewed.
When we asked the Colorado Division of Insurance about these practices, a spokesperson responded “these
practices could be problematic, both in terms of using and compensating people who are unlicensed, as well as the
compensation itself possibly running against anti-rebate laws.”
Trupanion provided the following emailed statement: “The Company rigorously tries to ensure all parts of its
business are fully compliant. With respect to your questions about passing on cost savings, we have provided
reasonable compensation to certain hospitals who invest time and effort to help provide pet owners with the best
overall veterinary experience, including reimbursing hospitals directly at the time of check-out. We do not
incentivize insurance enrollments.”
The payment of money or sharing of cost savings is not per se illegal. However, the Producer Licensing Model Act
(PLMA) and the laws in states that have adopted the tenants of the PLMA is clear: “An insurance company or
insurance producer shall not pay a commission, service fee, brokerage or other valuable consideration to a person
for selling, soliciting or negotiating insurance in this state if that person is required to be licensed under this Act
and is not so licensed.”
A spokesperson for the Iowa Insurance Division said, “An insurer could pay or pass along costs savings to an
unlicensed individual as long was [sic] they are not being compensated for selling, soliciting or negotiating
insurance.” A spokesperson for the Illinois Department of Insurance agreed that the payments are not necessarily
prohibited, but noted that “there are prohibitions against steering customers to a particular insurance agency or
product.”
WA State OIC 27
1
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
Veterinary hospitals with enhanced Trupanion Express usage can earn rewards, including the trips about which we
have previously written. And hospitals who use Trupanion Express, and allow Trupanion to reduce its claims
processing expenses, can share in some of those savings.
So, in short, Trupanion is incentivizing vets to use Trupanion Express to participate in cost savings. Importantly,
Trupanion Express can only be used to process claims for pets who are covered by Trupanion. This is an indirect
system designed to create an incentive for veterinary hospital staff to recommend Trupanion to his or her pet owner
clients, according to Robert H. Jerry, the Isidor Loeb Professor of Law at the University of Missouri School of Law.
As we have previously written, if veterinary hospital staff are recommending Trupanion over other types of pet
insurance, that practice likely constitutes the solicitation or negotiation of insurance, which requires a property and
casualty license in almost every state.
Payment to unlicensed individuals who are soliciting and negotiating insurance runs afoul of state insurance
laws. The PLMA prohibits an insurance company from paying “valuable consideration” or “a commission” to a
person for selling, soliciting, or negotiating insurance if that person is not licensed.
The trip to Hawaii veterinary hospital staff earned for enhanced Trupanion Express usage would likely constitute
valuable consideration, according to Peter Kochenburger, a professor at the University of Connecticut Law School
and former attorney in the Iowa Department of Justice’s consumer protection division.
Trupanion states that it has offered GPOs the opportunity to receive “reasonable compensation to facilitate the
prompt payment of eligible veterinary invoices.” Regulators and investigators could, depending on the nature of
the compensation, determine that it is valuable consideration, and, as a result, Trupanion’s payment could be found
to run afoul of state insurance laws, according to Kochenburger.
Accepting valuable consideration or commissions puts veterinary hospital staff at risk of violating state laws.
In addition to making payments, the PLMA also provides that unlicensed individuals who are soliciting, negotiating,
or selling insurance shall not accept a commission or valuable consideration. Accordingly, the people who
participated in the Hawaii, Seattle, or Alaska trip could also be in violation of state insurance laws, Kochenburger
said.
State anti-rebate laws. In addition to potentially violating state insurance laws, Jerry said that payments from
Trupanion to vets could run afoul of state anti-rebate statute.
The model act for anti-rebate laws is the Unfair Trade Practices Act (UFTA), which prohibits, in pertinent part,
giving “directly or indirectly, as inducement to such policy. . . any valuable consideration or inducement whatever
not specified in the policy . . .” In addition, the UFTA prohibits “giving . . . or offering to give . . . anything of
value whatsoever not specified in the policy.” Some states have adopted laws that mirror or contain important
provisions from the UFTA.
WA State OIC 28
2
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Kickbacks or rebates could spur regulator interest. “If Trupanion is giving someone a payment to encourage
them to have their customers buy Trupanion insurance policies, a regulator is going to be interested in this, given
how broad the language is in the UFTA,” Professor Jerry said.
He continued, “If Trupanion is kicking back benefits from claims processing to a vet, if I were a regulator, I would
be very worried, as such a practice would clearly implicate the anti-rebate law.” There is “no question about this,”
Jerry said, because “the law prohibits the payment of ‘anything of value.’”
We presented the factual scenario to the Virginia Insurance Commissioner’s office. In response, a spokesperson
directed us to the Virginia statute on rebates, which mirrors the UFTA: “Except as otherwise expressly provided by
law, no person shall: Pay, allow or give, or offer to pay, allow or give, directly or indirectly, as inducement to any
insurance or annuity contract, any rebate of premium payable on the contract, any special favor or advantage in the
dividends or other benefits on the contract, any valuable consideration or inducement not specified in the contract,
except in accordance with an applicable rating plan authorized for use in this Commonwealth.”
The spokesperson said that under Virginia insurance law, it does not matter if the commission or rebate is being
shared with an unlicensed as opposed to a licensed producer.
WA State OIC 29
3
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
https://www.owler.com/reports/trupanion/veterinarians--earn-a-trip-to-hawaii--las-vegas--... 12/4/2017
Trupanion News: Veterinarians: Earn a Trip to Hawaii, Las Vegas, or Seattle! Page 2 of 4
https://www.owler.com/reports/trupanion/veterinarians--earn-a-trip-to-hawaii--las-vegas--... 12/4/2017
Trupanion News: Veterinarians: Earn a Trip to Hawaii, Las Vegas, or Seattle! Page 3 of 4
Revenue
$227.5M
Trailing Twelve Months
Founded: 2000
6100
Headquarters: 4th Ave South,
Seattle,
Washington, USA
Status: Public, NYSE, TRUP
Industry Health Care
Sector: Services (6297)
Trupanion pet insurance offers dog and cat insurance in the United States and Canada. Trupanion was founded in 2000.
Trupanion's Headquarters are located at 6100 4th Ave South, Seattle, Washington, USA 98108. It has raised $109.3M in 3
rounds. The latest round was in 2014. Some of Trupanion's investors include Telegraph Hill Partners, Perot Investments,
Inc. and Maveron, LLC.
https://www.owler.com/reports/trupanion/veterinarians--earn-a-trip-to-hawaii--las-vegas--... 12/4/2017
Trupanion News: Veterinarians: Earn a Trip to Hawaii, Las Vegas, or Seattle! Page 4 of 4
WA State OIC 33
https://www.owler.com/reports/trupanion/veterinarians--earn-a-trip-to-hawaii--las-vegas--... 12/4/2017
Trupanion Affiliate Partnership Program | Trupanion Page 1 of 3
MENU
Join Trupanion's Affiliate Partnership Program and share with your readers how medical pet insurance
for cats and dogs can help pet owners cover unexpected illnesses and injuries and how a Trupanion
policy can help.
Trupanion is medical insurance for cats and dogs and offers one simple plan, 90% coverage of all eligible
illness and injuries, no payout limits, and the option to pay your vet directly.
Terms and conditions apply. See the full policy for details
https://trupanion.com/affiliates 4/3/2018
Trupanion Affiliate Partnership Program | Trupanion Page 2 of 3
MENU
Monthly reporting on traffic data and monthly compensation for Qualified Leads generated.
We believe that insuring your pet should be easy. We offer one simple plan for all pets to ensure that
they receive the best coverage. Our plan covers 90% of actual veterinary costs for eligible claims once
your deductible for that condition is met. We offer unlimited lifetime coverage with no payout limits or
caps. Lastly, we can pay vets directly. You pay your portion and we take care of the rest.
WA State OIC 35
https://trupanion.com/affiliates 4/3/2018
Trupanion Affiliate Partnership Program | Trupanion Page 3 of 3
MENU
What is a Qualified Lead?
A Qualified Lead is a lead that has completed an application and provided valid payment information for
purchasing a Trupanion Policy. They do not need to purchase the policy to be considered a Qualified
Lead.
Unlike most affiliate programs that pay quarterly, we pay for Qualified leads monthly by using your unique
tracking link to measure how many applications were referred from your site.
It’s simple, you earn money every time a Qualified Lead that you send over to Trupanion’s site submits
an application for a Trupanion policy.
USA – English
Privacy Policy | Site Map | Terms of Use and Regulatory Info WA State OIC 36
https://trupanion.com/affiliates 4/3/2018
Other Events Benefiting Us | Seattle Humane Page 1 of 4
Search Go
Events
http://www.seattlehumane.org/events/other-events-benefiting-us 12/1/2017
Other Events Benefiting Us | Seattle Humane Page 2 of 4
Visit their website to learn more and find a BSPR Broker in your
area.
http://www.seattlehumane.org/events/other-events-benefiting-us 12/1/2017
Other Events Benefiting Us | Seattle Humane Page 3 of 4
WA State OIC 39
http://www.seattlehumane.org/events/other-events-benefiting-us 12/1/2017
Other Events Benefiting Us | Seattle Humane Page 4 of 4
WA 98005
WA State OIC 40
http://www.seattlehumane.org/events/other-events-benefiting-us 12/1/2017
Vol.
Vol.5 5No.
Vol.
Vol. 5No.329
6No.
Vol.No. 1234 October
5354
No.
159 April 3,1,
January
October
May 15, 23,2017
2018
4,
2017 2017
2017
VCA—the operator of over 800 animal hospitals in the U.S. and Canada—encourages its hospital staff to
recommend Trupanion pet insurance policies, a practice that may run afoul of state insurance licensing laws,
according to a state insurance regulator and an industry expert interviewed for this article.
VCA named Trupanion its preferred vendor for pet insurance for cats and dogs in the U.S. as part of a partnership
entered into with Trupanion in 2014. VCA encourages its hospitals to recommend Trupanion, according to Aaron
Frazier, Vice President of Client Experience, Wellness Plans, Knowledge and Learning at VCA.
Recommending a particular type of pet insurance likely constitutes the solicitation of insurance—a licensable
activity that requires a property and casualty insurance license in most states. As we previously highlighted,
veterinary hospital staff are unlikely to carry property and casualty insurance licenses given the continuing
education and examination requirements, according to industry experts.
VCA has also previously created contests and offered financial incentives to its hospitals that are tied to hitting
Trupanion certificate activation targets, according to a VCA Interoffice Memorandum. Certificates give pet owners
a 30-day Trupanion trial.
In May of 2017, VCA offered hospitals that hit a 25 Trupanion certificate activation goal in June $200 in the
hospitals team special event account in July. Trupanion denied any involvement in the promotion and VCA
confirmed that the $200 was paid by VCA and not Trupanion.
In a previous Market Conduct Examination of American Pet Insurance Company (APIC), Trupanion’s wholly
owned insurance entity, the examiners found that a similar arrangement with animal shelters ran afoul of
Washington insurance law.
Specifically, the report states, “By providing the Company’s trial certificates to consumers and encouraging
activation the shelters are engaging in the solicitation of insurance…” and were therefore required to be licensed as
insurance producers. VCA operates a number of hospitals in the state of Washington.
If a regulator were to investigate VCA’s practices, and VCA hospitals were required to stop recommending
Trupanion over other pet insurance health policies, Trupanion could lose an important source of referrals and future
clients. A company presentation in February shows that 49 percent of Trupanion’s new customers came from
veterinary leads as of December 31. VCA operates a significant number of veterinary hospitals.
Any modification to Trupanion’s business model as a result of a regulatory inquiry into whether its referral sources
have the necessary licenses could harm Trupanion’s business. In its most recent annual filing, Trupanion states:
“Regulators have in the past and/or may in the future determine that certain of our ... referral sources were
performing licensable activities without the required license... Any modification of our business or marketing
practices in response to regulatory licensing requirements could harm our business, operating results or financial
WA State OIC 41
condition.”
1
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
Trupanion’s certificate program is designed to give pet owners the ability to experience Trupanion for 30 days.
Participating veterinary clinics can offer certificates after a veterinary exam. The certificates must be activated
within 24 hours of the veterinary exam and pet owners who do not activate their certificates within the required
time period are not eligible to participate in the certificate program, according to Trupanion’s website.
VCA offers incentives for Trupanion certificate activations. We recently were provided with a VCA Interoffice
Memorandum sent by Michael Gault, senior consultant at VCA, to All VCA Hospital Practice Managers. The
memo is dated May 26, 2017 and the subject is “Trupanion Pet Insurance June Promotion.”
The June 2017 incentive, as described in the memo, states, “all hospitals will be given a certificate activation goal
of 25 activations. If your hospital meets the certificate activation goal, your hospital will receive a $200 Deposit
into your hospitals team special event account in July.”
The memo also contains information about “Painting the Trupanion Certificate Patient Picture” by focusing on
animals who are coming in for their wellness exam. A great example, according to the memo, would be an animal
owner who decided to run early detection blood work on their pet.
If that owner activated the certificate prior to the blood work results coming back and the animal was found to have
some sort of liver disease, any additional testing, medications, and hospitalizations could be eligible for coverage
under the certificate program, assuming the pet was not showing any clinical signs or symptoms prior to the
certificate activation.
Recommending Trupanion likely constitutes the solicitation of insurance. The Producer Licensing Model Act
(PLMA), which serves as a model for individual state insurance laws, defines “solicit” as “attempting to sell
insurance or asking or urging a person to apply for a particular kind of insurance from a particular company.”
We presented the facts surrounding the VCA June incentive to a current state insurance regulator and asked whether
VCA staff would need to be licensed for recommending Trupanion. In response to our question, the state regulator
said in an email, “yes, the fact that the recommendation is for a specific insurer for a specific type of insurance is
the definition of solicitation and would require a person to be licensed.”
In addition, the examiners in the APIC market conduct examination already found this practice to run afoul of
Washington state insurance law. There, the examiners found that the shelters that were providing Trupanion’s trial
certificates to consumers and encouraging activation were engaging in the solicitation of insurance. The examiners
cited RCW 48.17.010 (14), which is the definition of solicitation and mirrors the definition of solicitation in the
PLMA. The relevant excerpt from the APIC Market Conduct Examination reads:
“14) “Solicit" means attempting to sell insurance or asking or urging a person to apply for a particular kind of
insurance from a particular insurer…The Company entered into agreements with nine (9) animal shelters in
Washington for the shelters to offer the Company's 30 day trial certificates to consumers who adopt a pet from their
facility. For every trial certificate that is activated the Company pays a commission to the shelter. If the trial
certificate then converts to a paid policy the Company issues an additional payment. The Company calls the
payment to the shelter a "Donation" implying it is charitable in nature. As no payment is issued to a shelter unless
WA State OIC 42
2
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
In response to our request for comment, Michael Nank, Strategic Communications and PR at Trupanion, wrote in
an email, “Trupanion was not involved in the promotion described in the memorandum you forwarded. The details
of any such promotion would have been determined exclusively by VCA.”
We asked Nank whether Trupanion paid VCA any money to be the preferred partner. Nank responded, “Trupanion
is VCA’s preferred provider of medical insurance for cats and dogs in the United States. The specific terms of this
partnership are confidential.”
Aaron Frazier—who is cc:d on the memo—confirmed its authenticity. The $200 payment, according to Frazier,
came from VCA and not Trupanion. When clients have pet insurance it is typically a good thing, Frazier said.
Veterinary practices benefit if their customers have pet insurance, as every industry expert we have spoken with
has said that customers with pet insurance are more likely to visit the vet.
However, recommending one type of insurance over others likely violates state insurance licensing laws, and, as
discussed above, encouraging certificate activation likely constitutes the solicitation of insurance.
Lack of payment likely has no bearing on licensing question. There is no requirement in the PLMA that money
exchange hands or that the person selling insurance without a license receive compensation for doing so. Rather,
the PLMA simply reads, “A person shall not sell, solicit or negotiate insurance in this state for any class or classes
of insurance unless the person is licensed for that line of authority in accordance with this Act.”
We spoke with a pet insurance industry expert with a background in property and casualty insurance. If you are
recommending a single insurance policy, that is a licensable activity and you cannot do that, the expert said. It
doesn’t matter if money is changing hands, the expert continued. If you are recommending a particular policy
without a property and casualty license, the expert said, that is “game, set, match” from a regulator’s perspective.
WA State OIC 43
3
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
Trupanion (TRUP) recently updated its website to provide information about “Insurance Sounding Stuff” and
provide answers to some of the issues we have raised in our previous articles. In providing the answers to our
articles, Trupanion potentially acknowledged that it is engaged in practices that violate multiple state insurance
laws, according to insurance experts and regulators we interviewed. And veterinary hospital staff who accept
payment from Trupanion could unknowingly be at risk of violating state insurance laws.
Trupanion frames its answers to some of the issues we have raised as offering veterinary hospitals the opportunity
to share in the cost savings that Trupanion receives when Trupanion Express is used. The company admits that it
has “offered hospitals two programs to encourage the installation and use Trupanion Express™.” It specifically
admits that the points and rewards system, which provide—among other things—trips to Hawaii, Seattle, and Las
Vegas, is based on “enhanced” Trupanion Express usage.
In addition, Trupanion’s disclosure that it is paying “reasonable compensation” to Group Purchasing Organizations
(GPO) for submitting invoices using Trupanion Express, could constitute an unlawful rebate in violation of state
anti-rebate and kicback laws, according to insurance experts and regulators we interviewed.
When we asked the Colorado Division of Insurance about these practices, a spokesperson responded “these
practices could be problematic, both in terms of using and compensating people who are unlicensed, as well as the
compensation itself possibly running against anti-rebate laws.”
Trupanion provided the following emailed statement: “The Company rigorously tries to ensure all parts of its
business are fully compliant. With respect to your questions about passing on cost savings, we have provided
reasonable compensation to certain hospitals who invest time and effort to help provide pet owners with the best
overall veterinary experience, including reimbursing hospitals directly at the time of check-out. We do not
incentivize insurance enrollments.”
The payment of money or sharing of cost savings is not per se illegal. However, the Producer Licensing Model Act
(PLMA) and the laws in states that have adopted the tenants of the PLMA is clear: “An insurance company or
insurance producer shall not pay a commission, service fee, brokerage or other valuable consideration to a person
for selling, soliciting or negotiating insurance in this state if that person is required to be licensed under this Act
and is not so licensed.”
A spokesperson for the Iowa Insurance Division said, “An insurer could pay or pass along costs savings to an
unlicensed individual as long was [sic] they are not being compensated for selling, soliciting or negotiating
insurance.” A spokesperson for the Illinois Department of Insurance agreed that the payments are not necessarily
prohibited, but noted that “there are prohibitions against steering customers to a particular insurance agency or
product.”
WA State OIC 44
1
© 2018 The Capitol Forum. Direct or indirect reproduction or distribution of this article without prior written permission from The Capitol Forum is a violation of Federal Copyright Law.
Veterinary hospitals with enhanced Trupanion Express usage can earn rewards, including the trips about which we
have previously written. And hospitals who use Trupanion Express, and allow Trupanion to reduce its claims
processing expenses, can share in some of those savings.
So, in short, Trupanion is incentivizing vets to use Trupanion Express to participate in cost savings. Importantly,
Trupanion Express can only be used to process claims for pets who are covered by Trupanion. This is an indirect
system designed to create an incentive for veterinary hospital staff to recommend Trupanion to his or her pet owner
clients, according to Robert H. Jerry, the Isidor Loeb Professor of Law at the University of Missouri School of Law.
As we have previously written, if veterinary hospital staff are recommending Trupanion over other types of pet
insurance, that practice likely constitutes the solicitation or negotiation of insurance, which requires a property and
casualty license in almost every state.
Payment to unlicensed individuals who are soliciting and negotiating insurance runs afoul of state insurance
laws. The PLMA prohibits an insurance company from paying “valuable consideration” or “a commission” to a
person for selling, soliciting, or negotiating insurance if that person is not licensed.
The trip to Hawaii veterinary hospital staff earned for enhanced Trupanion Express usage would likely constitute
valuable consideration, according to Peter Kochenburger, a professor at the University of Connecticut Law School
and former attorney in the Iowa Department of Justice’s consumer protection division.
Trupanion states that it has offered GPOs the opportunity to receive “reasonable compensation to facilitate the
prompt payment of eligible veterinary invoices.” Regulators and investigators could, depending on the nature of
the compensation, determine that it is valuable consideration, and, as a result, Trupanion’s payment could be found
to run afoul of state insurance laws, according to Kochenburger.
Accepting valuable consideration or commissions puts veterinary hospital staff at risk of violating state laws.
In addition to making payments, the PLMA also provides that unlicensed individuals who are soliciting, negotiating,
or selling insurance shall not accept a commission or valuable consideration. Accordingly, the people who
participated in the Hawaii, Seattle, or Alaska trip could also be in violation of state insurance laws, Kochenburger
said.
State anti-rebate laws. In addition to potentially violating state insurance laws, Jerry said that payments from
Trupanion to vets could run afoul of state anti-rebate statute.
The model act for anti-rebate laws is the Unfair Trade Practices Act (UFTA), which prohibits, in pertinent part,
giving “directly or indirectly, as inducement to such policy. . . any valuable consideration or inducement whatever
not specified in the policy . . .” In addition, the UFTA prohibits “giving . . . or offering to give . . . anything of
value whatsoever not specified in the policy.” Some states have adopted laws that mirror or contain important
provisions from the UFTA.
WA State OIC 45
2
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Kickbacks or rebates could spur regulator interest. “If Trupanion is giving someone a payment to encourage
them to have their customers buy Trupanion insurance policies, a regulator is going to be interested in this, given
how broad the language is in the UFTA,” Professor Jerry said.
He continued, “If Trupanion is kicking back benefits from claims processing to a vet, if I were a regulator, I would
be very worried, as such a practice would clearly implicate the anti-rebate law.” There is “no question about this,”
Jerry said, because “the law prohibits the payment of ‘anything of value.’”
We presented the factual scenario to the Virginia Insurance Commissioner’s office. In response, a spokesperson
directed us to the Virginia statute on rebates, which mirrors the UFTA: “Except as otherwise expressly provided by
law, no person shall: Pay, allow or give, or offer to pay, allow or give, directly or indirectly, as inducement to any
insurance or annuity contract, any rebate of premium payable on the contract, any special favor or advantage in the
dividends or other benefits on the contract, any valuable consideration or inducement not specified in the contract,
except in accordance with an applicable rating plan authorized for use in this Commonwealth.”
The spokesperson said that under Virginia insurance law, it does not matter if the commission or rebate is being
shared with an unlicensed as opposed to a licensed producer.
WA State OIC 46
3
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https://www.owler.com/reports/trupanion/veterinarians--earn-a-trip-to-hawaii--las-vegas--... 12/4/2017
Trupanion News: Veterinarians: Earn a Trip to Hawaii, Las Vegas, or Seattle! Page 2 of 4
https://www.owler.com/reports/trupanion/veterinarians--earn-a-trip-to-hawaii--las-vegas--... 12/4/2017
Trupanion News: Veterinarians: Earn a Trip to Hawaii, Las Vegas, or Seattle! Page 3 of 4
Revenue
$227.5M
Trailing Twelve Months
Founded: 2000
6100
Headquarters: 4th Ave South,
Seattle,
Washington, USA
Status: Public, NYSE, TRUP
Industry Health Care
Sector: Services (6297)
Trupanion pet insurance offers dog and cat insurance in the United States and Canada. Trupanion was founded in 2000.
Trupanion's Headquarters are located at 6100 4th Ave South, Seattle, Washington, USA 98108. It has raised $109.3M in 3
rounds. The latest round was in 2014. Some of Trupanion's investors include Telegraph Hill Partners, Perot Investments,
Inc. and Maveron, LLC.
https://www.owler.com/reports/trupanion/veterinarians--earn-a-trip-to-hawaii--las-vegas--... 12/4/2017
Trupanion News: Veterinarians: Earn a Trip to Hawaii, Las Vegas, or Seattle! Page 4 of 4
WA State OIC 50
https://www.owler.com/reports/trupanion/veterinarians--earn-a-trip-to-hawaii--las-vegas--... 12/4/2017
Trupanion Affiliate Partnership Program | Trupanion Page 1 of 3
MENU
Join Trupanion's Affiliate Partnership Program and share with your readers how medical pet insurance
for cats and dogs can help pet owners cover unexpected illnesses and injuries and how a Trupanion
policy can help.
Trupanion is medical insurance for cats and dogs and offers one simple plan, 90% coverage of all eligible
illness and injuries, no payout limits, and the option to pay your vet directly.
Terms and conditions apply. See the full policy for details
https://trupanion.com/affiliates 4/3/2018
Trupanion Affiliate Partnership Program | Trupanion Page 2 of 3
MENU
Monthly reporting on traffic data and monthly compensation for Qualified Leads generated.
We believe that insuring your pet should be easy. We offer one simple plan for all pets to ensure that
they receive the best coverage. Our plan covers 90% of actual veterinary costs for eligible claims once
your deductible for that condition is met. We offer unlimited lifetime coverage with no payout limits or
caps. Lastly, we can pay vets directly. You pay your portion and we take care of the rest.
WA State OIC 52
https://trupanion.com/affiliates 4/3/2018
Trupanion Affiliate Partnership Program | Trupanion Page 3 of 3
MENU
What is a Qualified Lead?
A Qualified Lead is a lead that has completed an application and provided valid payment information for
purchasing a Trupanion Policy. They do not need to purchase the policy to be considered a Qualified
Lead.
Unlike most affiliate programs that pay quarterly, we pay for Qualified leads monthly by using your unique
tracking link to measure how many applications were referred from your site.
It’s simple, you earn money every time a Qualified Lead that you send over to Trupanion’s site submits
an application for a Trupanion policy.
USA – English
Privacy Policy | Site Map | Terms of Use and Regulatory Info WA State OIC 53
https://trupanion.com/affiliates 4/3/2018
Other Events Benefiting Us | Seattle Humane Page 1 of 4
Search Go
Events
http://www.seattlehumane.org/events/other-events-benefiting-us 12/1/2017
Other Events Benefiting Us | Seattle Humane Page 2 of 4
Visit their website to learn more and find a BSPR Broker in your
area.
http://www.seattlehumane.org/events/other-events-benefiting-us 12/1/2017
Other Events Benefiting Us | Seattle Humane Page 3 of 4
WA State OIC 56
http://www.seattlehumane.org/events/other-events-benefiting-us 12/1/2017
Other Events Benefiting Us | Seattle Humane Page 4 of 4
WA 98005
WA State OIC 57
http://www.seattlehumane.org/events/other-events-benefiting-us 12/1/2017
•
trt.:Jpa I
TOP 10 RE S NS
WE'RE BETTER
VPl/Nationwide
1. WE DON'T EXCLUDE COVERED CONDITIONS AT RENEWAL.
Conditions a pet has developed over the past year, that were covered by the VPI/
Nationwide policy (or related conditions), can be considered an exclusion at annual
renewal.
Trupanlon Is a registered trademark owned by Trupanion, Inc. Underwritlen by Omego General Insurance
Company (Canada) and American Pet Insurance Company (USA): 6100 4th Ave S, 2nd Floor, Seattle, WA 98108
On the above date, I met with Ned Gaines from Market Conduct.
Ned clarified that he had concern the Trupanion were providing a false statement in the comparison with
Nationwide by stating that they would pay any veterinarian fee charged whereas other insurers restricted
claim fee to amounts in an agreed benefit schedule.
His experience is that most all insurers pay claims based on some sort of benefit schedule.
WA State OIC 60
Page 1 of 1
File #1569460 Exhibit #1G
Simba: Printer Friendly Version Page 1 of2
Churchlll, Harv~y ()
Company Information
Name American Pet Insurance Company Inc FEIN 74-3211949
NAIC# 12190 Org.Type Property Comp. Type Stock
WAOIC# 187058 CIC # NIPPOIC997QN NAIC Code
Adm. Date 11/15/2001 Dom.Type Foreign Dom, State New York
status Active Status Date 11/15/2001 Inact, Reason
01/09/2018
Date
License Type
Insurance
Type
RAP
Lines Count
Ii·,.,
Count
)
Producer
Insurance
"'enter, Amanda R.'39756 b1.10912orn
Producer
Insurance
RAP
I" )
Insurance
rrupanlon Managers USA, Inc. 718030 p1/0112009 RAP 1. 1
Producer
otal Cases 1 14 5 43
ompany Supervision a a 0 1
onsumer Advocacy 8 1 14 ~ 2
nvestlgatlon 0 a a 0 1
.egal 1 a 3
~rders Division 12014 i201s !2016 j2011 ]2018 ~otal till Date I
Legal 10 10 11 10 10 ~
Cases bv Division
• Total Cases count displays the number of unique cases closed for that year.
• The division counts display the number of closed cases assigned to that division. If the case was assigned to multiple
divisions, the case will be Included In each of the cllvlslon counts.
• Total till Date Is the count for both Closed and the Open Cases.
Orde1·s Division
• Count against the years In the Orders Division Is the count for the Orders Issued.
• Total till Date In the Orders Division Is the Count for the total Orders.
WA State OIC 62
8 Churchill, Harvey ()
COMPANY SEARCH
Search Results
1·1 of 1 records
WA State OIC 63
http://iuisimbacore/Protected/CS/CompanySearch.aspx?mode=S 9/27/2018
Simba: Printer Friendly Version Page 1 of3
VIEW COMPANY
Company Information
Name FEIN
Organization Cornpany
NAJC # Prope1·t.y
Type Type
NA!C
WAO!C # 187058 CIC # NIPPOJC997QN Group
Code
Authorization Information
Dornlclle
Adrrlisslon Date Dornlclle Type 'Forei(.Jn New York
State
Status Date
Inactivation
Status Active : 1 lJ l.5/?{)():I Reason
Application Review
...
.0
Recv. Date AsSlgn Date Assign To Deemed Comp Date Appl. Status Appl. Status Date
[J
D
Domiciliary Address
Street 1
Street 2
WA State OIC 64
E-mall
Mailing Address
Contact Nan)e
Street 1
Street 2
City ;country
St~·eet 1
Street 2
Phone# Fax
created
on Action Comments Created By D
SOP Address changed FROM: 300 '
. 02/22/2018 SA - SOP Address
DESCHUIES WAY SW,.,
Sarah Gosney 1:0
Malling Address changed FROM; 6100 4TH
02/22/2018 MA - Malling Address
AVES,, .. ,
Sarah Gosney D
.
Domiciliary Address changed FROM: 16th Fl
. 02/22/2018 RA • Domiclllary Address
45 Br.,,
Sarah Gosney D
Tax Address changed from: Liz Malthews, Amer'lcan Pet Insurance
02/24/2017 TX - Tax Addr·ess
6100 4t ... Company Inc D
.
CP - Company Complaint Cornplalnt Address changed from: Louis American Pet Insurance
10/ll/2016
Address Charnes, 9 ... Cornpany Inc D
Tax Address changed from: Liz Matthews, American Pet Insurance
09/13/2016 TX - Tax Address
907 NW ... Company Inc D
..
'
Malling Address changed FROM: 907 NW
08/18/2016 MA - Malling Address
BALLARD WA ...
Glenda Cummings 0.
.
Tax Address changed fro in :-Liz Matthews, American Pet Insurance
02/26/2016 TX - Tax Address
5245 Sh ... Company Inc D
ADDRESS CHANGED PER 2013 ANNUAL
09/.1.7/2014 OT - Other
STATEMENT.
Susan Miller D
Malling Address changed FROM: 3022
09/17/2014 MA ~ Malling Address Susan Miiier D
WA State OIC 65
CP " Company Complaint Complaint Address changed from: Lours American Pet Insurance
03/25/2014
Address Chames, 9 ... Co1npany Inc D
SOP Address changed FROM; 505 UNION AVE
03/21/2013 SA - SOP Address
SE, SUI. ..
Shelly Goodwin D
'
CP - Company Cornplalnt Company Ccmpfalnt Address Added: Louis
1.2/19/2012
Address Chames, ...
Desiree Rosenberg D
SOP Email Address changed FROM:
12/17/2012 SA - SOP Address
CTWADOI@wolters ...
Lisa Whiton D
SOP Address changed FROM: CT
09/2:1/2012 SA " SOP Address
CORPORATION SYSTEM .. ,
Lisa Whiton D
SOP Address changed FROM: 6505 216th St
06/13/2012 SA - SOP Address
SW Bldg,.,
Tierra Dickinson D
Malling Address changed FROM: 1148 NW
06/l3/2012 MA • Malling Address
LEARY WAY ...
Tierra Dickinson D
Status Date Changed to Admission Date.
' 11/20/2009 OT~ Other
Active c ...
Kevin Torgerson D
Address change per e .. mall from Louis
08/19/2009 OT - Other
Chames
Shelly Goodwin []
Malling Address changed to: 1148 NW LEARY
08/19/2009 MA .. Malling Address
WAYS ...
Shelly Goodwin D
''
Payments
STATE OF WASHINGTON
OFFICE OF THE INSURANCE COMMISSIONER
In the Matter of
This Consent Order Levying a Fine ("Order") is entered into by the Insurance
Commissioner of the state of Washington ("Insurance Commissioner"), acting pursuant to the
authority set forth in RCW 48.02.060, RCW 48.05.140 and RCW 48.05.185, and American Pet
Insurance Company, Inc. This Order is a public record and will be disseminated pursuant to Title
48 RCW and the Insurance Commissioner's policies and procedures.
BASIS:
1. American Pet Insurance Company, Inc. ("APIC" or "the Company") is an
authorized insurer domiciled in New York and duly authorized to engage in the business of
insurance in the state of Washington. Tnipanion, Inc. is the present name of the parent
company of both APIC (insurer) and Trupanion Managers USA, Inc. ("Trupanion") (its
affiliate and licensed agency).
2. The Market Conduct Examination ("MCE") dated September 22, 2015, noted
deficiencies with the Company's oversight of insurance operations, complaint handling
practices, marketing and sales materials, producer activities, rate and form filings, and policy
administration and underwriting practices.
3. As of the begirming of the examination period, APIC is licensed in 50 states,
Washington D.C., Puerto Rico, and Canada. The Company is authorized to write multiple
WA State OIC 67
5. The MCE found that during the examination period, the Company
demonstrated a lack of adequate controls in all of the areas of operations reviewed. The
majority of violations noted were the direct result of programs implemented by the Customer
Service Contact Center, Information Technology, and the Marketing departments. The
Company verified that no formal or informal audit policies or procedures were in place during
the examination period. Each business unit was responsible for its own operations with limited
communication related to compliance or legal issues between departments.
6. The Examiners found multiple violations regarding the use of the Company's
legal name. These include the Company's failure to use its legal name on all system generated
correspondence to policyholders, marketing materials that did not include the Company's full
legal name and marketing of the brand name "Trupanion" in a way as to indicate that
"Trupanion" was the name of the insurance company.
7. The Examiners also noted that the Company did not establish record retention
policies and procedures. In some cases, APIC was unable to produce records because they
failed to keep policy documents for more than five (5) months. In some cases, employees used
their work email to maintain and hold policy documents and file notes rather than store them
in a central location under general record retention standards.
8. Although it appeared unintentional in most cases, some of the practices
established by the Company appeared to be discriminatory. For example, even though it was
not listed as an underwriting qualification, the Company only issued policies to people with
WA State OIC 68
18. During the examination period APIC utilized the Trupanion Managers USA,
Inc. agency to create and distribute all of the marketing and sales material for its Trupanion
policies, while the materials for its PetPartners policies were created and distributed by
PetPartners, Inc.
19. The Examiners noted significant violations concerning marketing and sales
materials for both the Trupanion and PetPartners, Inc. policy forms. The violations included
instances of false, deceptive and misleading information contained in the materials such as
use of the phrase "Trupanion is unlike any other pet insurance company out there," and
"Trupanion is a mono-line insurance company." Marketing materials included statements
indicating that discounts are available but these discounts were not filed with their rates, and
were applied in a discriminatory manner. The violations were applicable to both the
Trupanion and PetPartners marketed products.
20. RCW 48.30.040 provides thai no person shall knowingly make, publish, or
disseminate any false, deceptive or misleading representation or advertising in the conduct of
the business of insurance, or relative to the business of insurance or relative to any person
engaged therein. The Market Conduct Exam revealed that RCW 48.30.040 was violated three
(3) times.
21. RCW 48.30.050 states that every advertisement of, by, or on behalf of an
insurer shall set forth the name in full of the insurer and the location of its home office or
principal office, i f any, in the United States (if an alien insurer). APIC violated RCW
48.30.050 on ninety-three (93) occasions through Trupanion's actions and on five (5)
occasions through PetPartners' actions.
22. RCW 48.30.060 provides that no person who is not an insurer shall assume or
use any name which deceptively infers or suggests that it is an insurer. The Market Conduct
Examination revealed that APIC permitted Trupanion to violate RCW 48.30.060 fifty (50)
times.
23. RCW 48.30.140( 1) states that except to the extent provided for in an applicable
filing with the commissioner then in effect, no insurer, insurance producer, or title insurance
agent shall, as an inducement to insurance, or after insurance has been effected, direcdy or
WA State OIC 71
26. The Company used several channels to market and sell its pet insurance
policies. The primary channels were through its two appointed agencies, Trupanion Managers
USA, Inc. and PetPartners, Inc. Both agencies are licensed as Washington producers.
However, none of the call center representatives who actually solicited and sold policies to
consumers were licensed as producers in Washington nor were they appointed with the
Company. As part of the examination process, the Examiners reviewed recordings of
consumer sales calls. The Examiners confirmed that the call center employees were actively
engaged in the process of selling and soliciting insurance and were therefore required to be
licensed. No records showed that the call center employees were ever licensed or appointed
producers in Washington. This was true for both Trupanion and PetPartners. This has since
been corrected and all call center employees for Washington business are licensed in
Washington.
27. RCW 48.17.060(1) provides that a person shall not sell, solicit, or negotiate
insurance in this state for any line or lines of insurance unless the person is licensed for that
line of authority in accordance with this chapter. The MCE found that APIC permitted
Trupanion to violate RCW 48.17.060( 1) sixty-seven (67) times and PetPartners nine (9) times.
28. RCW 48.17.160 (1) and (2) state:
(1) An insurance producer shall not act as an agent of an insurer unless the
insurance producer becomes an appointed agent of the insurer.
(2) To appoint an insurance producer or title insurance agent as its agent,
the appointing insurer shall file, in a format approved by the commissioner, a notice of
appointment within fifteen days fi*om the date the agency contract is executed or the first
insurance application is submitted, whichever is earlier. APIC violated RCW 48.17.160 by
failing to appoint its producers, who sold, solicited and negotiated insurance.
29. RCW 48.17.490( 1) and (4) state thai:
(1) An insurance company, insurance producer, or title insurance agent
shall not pay a commission, service fee, or other valuable consideration to a person for selling,
soliciting, or negotiating insurance in this state if that person is required to be licensed under
this chapter or chapter 48.15 RCW and is not so licensed.
WA State OIC 73
Form Filings
31. During the examination period the Company's form filings were handled by
Trupanion Managers USA, Inc. for APIC's Trupanion Managers USA and PetPartners
policies. The Examiners found that the Company issued policy forms that differed from the
filed and approved forms submitted to the Insurance Commissioner.
32. RCW 48.18.100 provides that no insurance policy form or application form
where written application is required and is to be attached to the policy, or printed life or
disabilityrideror endorsement form may be issued, delivered, or used unless it has been filed
with and approved by the commissioner. APIC permitted Trupanion to violate RCW
48.18.100 twenty-four (24) times and PetPartners twenty-five (25) times.
33. RCW 48.18.140 (2)(a-0 states that a policy shall specify: (a) The names of the
parties to the contract. The insurer's name shall be clearly shown in the policy, (b) The subject
of the insurance, (c) The risk insured against, (d) The time at which the insurance thereunder
takes effect and the period during which the insurance is to continue, (e) A statement of the
premium, and if other than life, disability, or title insurance, the premium rale where
applicable, (f) The conditions pertaining to the insurance. The Market Conduct Examination
found that APIC permitted Trupanion to violate RCW 48.18.140 one hundred and nineiy-six
(196) times.
WA State OIC 74
Rate Filings
37. During the examination period the Company's rate filings were handled by
Trupanion Managers USA, Inc. for the APIC Trupanion and PetPartners policies. The
Examiners' review determined that the Company issued policies using rates other than those
filed and approved. For example, the Company allowed management to waive and refiind
policy premium for other reasons than those that were filed with the Insurance Commissioner.
In addition, for PetPartners, the Company knowingly issued policiesft"omNovember 1, 2012,
through November 4, 2013, with unfiled rates.
38. APIC's actions violated RCW 48.19.040(1) three hundred and ninety-seven
(397) times. RCW 48.19.040( I) states that every insurer or rating organization shall, before
using, file with the commissioner every classifications manual, manual of rules and rates,
rating plan, rating schedule, minimum rate, class rate, and rating rule, and every modification
of any of the foregoing which it proposes. The insurer need not so file any rate on individually
rated risks as described in subdivision (1) of RCW 48.19.030; except that any such specific
rate made by a rating organization shall be filed.
39. RCW 48.19.040(6) states that where a filing is required no insurer shall make
or issue an insurance contract or policy except in accordance with its filing then in effect,
except as is provided by RCW 48.19.090. APIC violated RCW 48.19.040(6) through
WA State OIC 75
40. For Trupanion policies, (administered by Trupanion Managers USA, Inc.) the
Examiners found instances where the Company continued policy coverage after an insured
no longer held an insurable interest in a pet covered under the policy, such as when a pet died
or when the policy owner no longer owned the pet. The Company did not follow Washington
policy cancellation laws and rules consistently.
41. The Examiners discovered cases where the Company failed to provide
complete policy documentation to policyholders. The Company also failed to provide 100%
of its policyholders widi the required initial and annual privacy notices.
42. The Examiners' review did not reveal any policy administration and
underwriting violations on PetPartners' book of business.
43. RCW 48.18.260(1) provides that subject to the insurer's requirements as to
payment of premium, every policy shall be delivered to the insured or to the person entitled
thereto within a reasonable period of time after its issuance. APIC's actions violated RCW
48.18.260( 1) one hundred and ninety-six (196) times.
44. RCW 48.l8.290(l)(c) states that cancellation by the insurer of any policy
which by its terms is cancellable at the option of the insurer, or of any binder based on such
policy which does not contain a clearly stated expiration date, may be effected as to any
interest only upon compliance with the following: (c) If an insurer cancels a policy described
under (a) or (b) of this subsection for nonpayment of premium, the insurer must deliver or
mail the cancellation notice to the named insured at least ten days before the effective date of
the cancellation. The Market Conduct Examination found fifteen (15) violations of RCW
48.18.290.
45. RCW 48.18.290(2) provides that the mailing of any such notice shall be
effected by depositing it in a sealed envelope, directed to the addressee at his or her last
address as known to the insurer or as shown by the insurer's records, with proper prepaid
postage affixed, in a letter depository of the United States post office. The insurer shall retain
WA State OIC 76
CONSENT TO ORDER:
The Insurance Commissioner of the state of Washington and the Company agree the
best interest of the public will be served by entering into this Order. NOW, THEREFORE,
the Company consents to the following in consideration of its desire to resolve this matter
without further administrative or judicial proceedings. The Insurance Commissioner consents
to settle this matter in consideration of the Company's payment of a fine, upon the Company
fijlly carrying out its obligations under the Compliance Plan attached hereto as Exhibit A, and
upon such terms and conditions as are set forth below:
1. The Company acknowledges its duty to comply fully with the applicable laws
of the state of Washington.
2. The Company consents to the entry of this Order, waives any and all hearing
or other procedural rights, and further administrative or judicial challenges to this Order.
3. By agreement of the parlies, the Insurance Commissioner will impose a fine
of Two Hundred Fifty Thousand Dollars (5250,000.00) and suspend One Hundred Thousand
Dollars (5100,000.00) of that, on the conditions that:
a. The Company-pays One Hundred Fifty Thousand Dollars (5150,000.00)
by July 15, 2016; and
c. The Company complies with and carries out the Compliance Plan set
forth in Exhibit A hereto, which Compliance Plan is hereby incorporated
into this Order by reference as though fully set forth herein.
4. The suspended portion of this fine will be imposed at the sole discretion of the
Insurance Commissioner according to the conditions as set forth above, without any right to
hearing, appeal, or advance notice. The suspended portion of the fine will be paid within thirty
(30) days of the entry of an Order imposing it. Failure to pay the suspended portion of the fine
WA State OIC 78
By:
AGREED ORDER:
Pursuant to the foregoing factual Basis and Consent to Order, the Insurance
Commissioner of the slate of Washington hereby Orders as follows:
I. The Company shall pay a fine in the amount of Two Hundred Fifty Thousand
Dollars (5250,000.00) by July 15, 2016, of which amount the sum of One Hundred Thousand
Dollars (5100,000.00) is suspended on the condition that the Company fijlly complies with
the stamtes and regulations of the state of Washington which are the subject of this Order for
WA State OIC 79
MIKE KREIDLER
Insurance Commissioner
M^tedy vfcks
iceEr
Insurance Enforcement Specialist
Legal Affairs Division
WA State OIC 80
COMPLIANCE PLAN
Introduction
This attachment outlines the plan to address thefindingsin Consent Order Levying a Fine, Order
No. 16-0127 ("the Order"). The plan is intended to ensure that the business conducted by American
Pet Insurance Company, Inc. ("the Company") is in compliance with the Washington State
insurance statutes and regulations.
The plan encompasses two component parts: corrective actions and internal audits with reports to
the Office of the Insurance Commissioner ("OIC").
Within thirty (30) days of the entry of the Order, the Company will provide a corrective action
plan. This corrective action plan will include all steps planned and/or taken to resolve the violations
in the Order. This description will include:
a. The type of action taken (i.e., changes to computer systems or tracking and reporting
procedures, training);
b. The identities of the personnel that are/were involved in the corrective action;
c. Relevant dates; and
d. Copies of any material provided as part of corrective action (i.e., memoranda, written
policies, educational materials, etc.).
Mandy Weeks
Insurance Enforcement Specialist
Office of the Insurance Commissioner
P O Box 40255
Olympia WA 98504-0255
Email: MandyW@oic.wa.gov
FAX: 360-664-2782
In order to assess the effects of the corrective action plan, the Company will perform at least four
semi-annual audits to ensure that no further violations of the statutes and/or regulations that are
the basis of the Order have occurred. The audits will evaluate whether all corrective actions set
forth in the corrective action plan are complete, and whether the corrective action has been
successfial in preventing any fiirther violations of the statutes and/or regulations that are the basis
of the Order. The audits will occur during a two-year period beginning on the date of entry of the
Order. The audit structure will be designed by the Company and will be presented to the OIC for
approval upon the same schedule set forth above for the corrective action plan.
Therefore, the proposed audit structure will be due to the OIC within sixty (60) days of the date of
entry of the Order. Within thirty (30) days following receipt of the proposed audit structure, the
OIC will respond to it. This response will be either approval, in which case no fiirther action is
necessary, or a detailed statement of the areas in which the audit structure requires changes to be
acceptable, in which case the Company will have fifteen (15) days to respond. This process will
continue until the audit structure has been approved by the OIC.
The audit structure to be designed by the Company and approved by the OIC will include audit
summaries. Audit summaries are reports from the Company to the OIC of the results of the semi-
annual internal audits. The form to be used for the audit summaries will be designed by the
Company and approved by the OIC.
The audit structure, including summaries, will be designed to evaluate whether the corrective
action plan has been successfial in preventing any fiirther violations of the statutes and/or
regulations that are the basis for the Order. The audit summaries will be designed to demonstrate
whether, during the audit period, the Company has violated the statutes and/or regulations that are
the basis for the Order. As an example, it may include a review of any new rates being used by the
Company since the last audit, to determine whether the rates used have been filed and approved
by the OIC.
For each exception (violation) found as a result of the audit process, the Company will include an
explanation of the cause(s) and the remedial action taken. The Company will undertake appropriate
remedial action acceptable to the OIC for each violation found within any audit.
WA State OIC 82
Christine Tribe
Paralegal - Legal Affairs
Office of the Insurance Commissioner
P O Box 40255
Olympia WA 98504-0255
ChrisT@oic.wa.gov
FAX: 360-586-0152
WA State OIC 83
di)churehfll, Harvoy ()
WAOIC .ft
Licensee Details
11-lcense 'Type Lines Effective Date Expiry Date Cancel Date Formed Date !Status
nsurance Producer , D, P, C 07/01/2009 01/15/2020 01/15/2008 ctive
gent Ol./15/?.008 01/15/2010 ~7 /01/2009 01/15/2008 Moved to Producer
!Cases by Division 2014 2015 2016 2017 2018 tfotal till Date
rota! cases I I ~ 0 2
!nvestJgatlon 1 n J 11
egal 0 1 p I
·:Prders Division 2014 )2015 J2016 J2017 )201s ~otal till Date
-k.egal 0 11 lo lo lo h I,
cases by Division
• Total Cases count displays the number of unique cases closed for that year.
• The division counts display the number of closed cases assigned to that division. If the case was assigned to multiple
divisions, the case w!ll be Included In each of the dlvlslon counts.
• Total tit! Date Is the count for both Closed and the Open C<.ises.
Orders Dlvisio11
• Count against the years Jn the Orders Division Is the count for ttw: 01·ders Issued.
• Total till Date In the Orders Dlvis!on Is the Count: for tile total Order·s.
Licensee ""AOIC # Eff, Date cancel Date Lines Cases Count !orders Count
A.lrd, Alexis f.!68241 11/28/2017 0 p
Amato, Linzie Rene S69844 12/16/2017 0 0
Aquino, Robee Henry 74901 3/13/2018 0 0
Arensberg, Phillip 926300 08/15/2016 (i 0
Ayers, Danlel 941403 01./30/2017 () 0
: Balbln 1 Mark Absalon S79152 04/09/2015 () J
Bennett, Jacob Dalton 825303 07/05/2016 () )
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Company Name WAOIC# Eff, Date !Cancel Date Appt, Type Lines Cases Count Orders Count
rnerican Pet Insurance Con1p ... 187058 07/01/2009 RAP 47 2
.l\merlcan Pet Insurance Co1np ... 187058 07/10/2017 MAP 47 2
WA State OIC 87
ORDERS LIST
Order Class Order# Order Type Owner Division Issue Date Effective Date Order Stayed
'
WA State OIC 88
Jichurehill, Harvey ()
SEARCH LICENSEE
'
Licensee Name ik WAOIC # DOB Formed Date City State Dlsclplinary Block Documents
'
Trupanlon Managers USA, Inc. 718030 XX/XX/XXXX Seattle WA II
WA State OIC 89
http://iuisimbacore/Protected/LIC/LicenseeSearch.aspx 9/27/2018
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LICENSEE PROFILE
Name
Licensee Information
OJ Online Documents
Documents Order Documents
Disciplinary Block
Comments
Action By
Doing Business As
I Cancel Date D
D
Mailing Address
Contact Name
Street 1
Street 2
Website
Business Address
WA State OIC 90
Contact Name
Street 2
City
E-mall
Website
Licenses
License Type Lines Effective Date Expiry Date Cancel Date Status
Branch List
, created
Action Comments Created By
On
Licensee Renewal
11/16/2017 RN - Renewal Notice License Renewal Notice was emailed to louls.cha.,,
Notifications
02/17/2017 OT- Other admln action-LA- fine of $25,000 for having uni, .. Janet Sutherland
08/12/2016 OT - Other ad min action-WA fine of $150,000 for untlcensed ... Janet Sutherland
Licensee Renewal
11/16/2015 RN - Renewal Notice License Renewal Notice was emailed to louls@vet ...
Notifications
Notifications
01/15/2008 OA - OrlgJnaf Address Original Business Address: sos FIFTH AVE s STE ... Monica Solberg
01/15/2008 OA - Orlglnal Address Orlglnal Malllng Address: SOS FIFTH AVES STE 6 ... Monica Solberg
01/15/2008 ON - Original Name Orlglnal name of the Licensee: VETINSURANCE MAN.,, Monica Solberg
Link Payment
1 - 10 of 81 records
First Prev 1 2 3 4 5 6 7 Next Last
--
\/al.# \/al. Date \/al. Amount Dist. Amount Division Payment Mode
1 - 10 of 81 records
First Prev 1 2 3 4 5 6 7 Next Last
WA State OIC 92
STATE OF WASHINGTON
OFFICE OF THE INSURANCE COMMISSIONER
In The Matter of
Order No. 13-0204
TRUPANION MANAGERS USA, INC. WAOICNo. 718030
DBA, TRUPANION, FEIN No. 38-3756263
Licensee. CONSENT ORDER
LEVYING A FINE
This Consent Order Levying A Fine ("Order") is entered into by the Insurance
Commissioner of the state of Washington ("Insurance Commissioner"), acting pursuant to the
audiority set forth in RCW 48.02.060, RCW 48.17.530 and RCW 48.17.560, and Licensee,
Trupanion Managers USA, Inc. dba Trupanion.
BASIS:
1. Trupanion Managers USA, Inc. is a Washington corporation that holds a resident
insurance producer's license, WAOIC # 718030. Trupanion Managers USA, Inc.'s principal
place of business is in Seattle, Washington. Trupanion is a registered dba of Trupanion
Managers, Inc. (Trupanion).
2. Trupanion is in the business of selling pet insurance and is licensed for the lines
of property and casualty insurance. Pet insurance is categorized as inland marine property
insurance. Trupanion is an appointed producer of American Pet Insurance Company, Inc.,
(APIC), WAOIC # 187058.
3. Between January I , 2012 and June 1, 2013, Trupanion employed at least sixty-
seven (67) individuals, known as "customer care partners" in Trupanion's call center.
Trupanion's customer care partners' job duties entail receiving phone calls ft"om consumers to
answer questions regarding APIC's pet insurance product, and process requests for the purchase.
CONSENT TO ORDER:
The Insurance Commissioner of the state of Washington and Trupanion agree that the
best interest of the public will be served by entering into this Order. NOW, THEREFORE,
Trupanion consents to the following in consideration of its desire to resolve this matter without
fiirther administrative or judicial proceedings. The Insurance Commissioner consents to settle
this matter in consideration of Trupanion's payment of a fine, and upon such terms and
conditions as are set forth below:
I. Trupanion acknowledges its duty to comply fiilly with the applicable laws of the
state of Washington.
By:^
MIKE ICREIDLER
Insurance Commissioner
'EEKS
Insurance Enforcement Specialist
Legal Affairs Division
8 Churchill, Harvey { )
LICENSEE MASTER INQUIRY
WAOIC I/:
licensee Details
Online Documents
Documents
Mailing Address
icense Type Lines Effective Date Expiry Date ancel Date Formed Date
Cases by Division
• Total Cases count dlsplays the nurnber of unique cases closed for that year.
• The division counts display the numlJer of closed cases asslgnf'..d to th·at division. If t!ie case was assigned to multiple
divisions, the case will be Included In each of the division counts.
• Total till Date Is the count for both Closed and the Open Cases.
Orders Division
• Count against the yellrs in the Orders Dlvlslon Is the count for the Orders Issued.
• Total till Date In the Orders Division ·rs the Count for the total Orders.
WA State OIC 97
~ompany Name WAOIC # Eff, Date !Cancel Date ,O.ppt. Type Lines ~ases Count Orders Count
l'\LLIANZ LIFE INSURANCE COMP ... 961 03/24/2016 RAP 132 14
16.MERICAN GENERAL LIFE INSUR ... 81 05/29/2016 RAP 1163 1
/\MERICAN NATIONAL INSURANCE ... 110 07/31/2015 RAP 257 5
i<IMERICO FINANCIAL LIFE AND ... 282 11/13/2017 RAP 30 0
\\THENE ANNUITY AND LIFE COM ... 239 10/lB/2018 RAP 177 4
'EQUITRUST LIFE INSURANCE CO ... 342 08/08/2018 RAP ~1 ~
FIDELITY & GUARANTY LIFE IN ... 445 07/30/2018 RAP ~7 6
f;UGGENHEIM LIFE AND ANNUITY ... 500655 09/26/2016 AP p 0
MINNESOTA LIFE INSURANCE CO ... 840 04/11/2016 AP 211 4
NORTH AMERICAN COMPANY FOR ... 959 03/16/2015 RAP k;O ()
WA State OIC 98
http://iuisimbacore/Protected/MNT/LicenseDetails.aspx?SelectedLicenseeType=!&Entity... I 0/29/2018
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WAOIC ·It
Licensee Details
la Documents
~ Onllne Documents
Mailing Address
Business Address
1445 293RD Ave NE
907 NW Ballard way
Carnation WA, 98014
Seattle WA, 98107
Tel:360-348-1551
Tel:877.. 589 .. 1B62
Fax:
Fax:
em al I: Ho llY. ha hn@tn1pa11 Ion, com
email:
lcense Type ines Effective Date Expiry Date Cancel Date Formed Date tatus
nsurance Producer I C 09/29/2015 7/03/2019 09/29/2015 ctive
cas¢s by Division
• Total Cases count displays the number of unique cases closed for that year.
• The division counts display the number of closed cases assigned to that cllvlsion. If the case was assigned to multiple
divisions, the case will be included In each of the divlslo·n counts.
• Total till Date is the count for both Closed and the Open cases.
Orders Division
• count against the years in the Orders Division Is the count for the Orders Issued.
• Total till Date In the Orders Division is the Count for the total Orders.
WA State OIC 99
Licensee WAOIC# Eff. Date Cancel Date Lines Cases Count Orders Count
h-rupanlon Managers USA, Inc. 718030 10/07/2015 2 1
Total Active Appointments: O Total Non~Actlve Appointments: O 0All ®Active
http://iuisimbacore/Protected/MNT/LicenseDetails.aspx?SelectedLicenseeType=I&Entity... l 0/29/2018
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8 ChurchHI, Harv~y ()
LICENSEE MASTER INQUIRY
WAOIC #
Licensee Detail$
@1 Onllne Documents
Documents
Cases by Division
• Total Cases count displays the number of unique cases closed for that year.
• The division counts display the number of closed cases assigned to that tllvlslon. If the case was assigned to multiple
divisions, the case wlll be lncludecl In each of the division counts.
• Total till Date is the count for both Closed and the Open Cases.
Orders Division
• Count against the years In the Orders Division Is the count for the Orders Issued.
• Total tlll Date in the Orders Division is the Count for the total Orders,
Prlnt
, Licensee WAOIC # Eff, Date Cancel Date Lines Cases Count Orders Count
'rupanlon Managers USA, Inc. 718030 06/29/2015 2 1
Total Active Appointments: O Total Non-Active Appointments: O OAll ®Active
802652
WAOIC #
.licensee Details
~ Onllne Documents
Documents
License Type Lines Effective Date ancel Date Formed Date Status
, nsurance Producer L, P, C, TR 07/16/2015 07/16/2015 Active
Cases bv Division
• Total Cases count displays the number of unique cases closed for that year.
• The division counts display the number of closed cases assigned to that division. If tl1e case was assigned to multiple
divisions, the case will be Included In each of the division counts.
• Total till Date Is the count for both Closed and the Open Cases.
Orders Division
• count against the years In the Orders Division is the count for the Orders Issued.
• Total till Date In the Orders Division Is the Count for the total Orders.
i..lcensee "1tAOIC # Eff. Date Cancel Date in es Cases Count Orders Count
!Company Name WAOIC # Eff, Date Cancel Date Appt. Type Lines Cases Count Orders Count
I, Jeff Baughman, am over the age of eighteen. I make the following declaration based
on first-hand, personal knowledge and I am competent to testify to the facts set forth
herein:
1. I am the Producer Licensing & Oversight Manager for the State of Washington's Office of
the Insurance Commissioner.
2. As part of my official duties, I am able to search the official licensing records of the State of
Washington's Office of the Insurance Commissioner, and certify if an individual and/or business
entity possesses a State of Washington issued license to transact the business of insurance in the
State of Washington.
:igtlt~rjt';n Declarant
Prinred~~Dc<~ ~~~
WA State OIC 105
Jjchurchill, Harv&y ()
WAOIC1/:
Licensee Details
Online Documents
Documents
Malling Address
Business Address
23010 SE 58TH ST
23010 SE SSTH ST
ISSAQUAH WA, 98029
ISSAQUAH WA, 98029
Tel:425~677-7723
Tel:425-677-7723
Fax:
Fax:
ema II: leem ii bu rn@comcast, net
email: leemilburn@comcast.net
, ~lcense Type Lines Effective Date Expiry Date Cancel Date Formed Date !Status
nsurance Producer 07/01/2009 11/02/2010 11/02/2010 05/28/2009 Expired
gent 02/12/1997 1/02/2002 1/02/2002 5/28/2009 Expired
Cases by Division
• Total Cases count displays the number of unique cases closed for that year.
• The division counts display the number of closed cases assigned to that division. If the case was assigned to multiple
divisions, the case will be Included In eacl1 of the division counts.
• Total till Date Is the count For both Closed and the Open Cases .
.Qrders Division
• Count against the years In the Orders Division Is the count for the Orders Issued.
• Total till Date In the Orders Division Js the ~ount for the total Orders.
!Company Name ~AOIC# Eff, Date !Cancel Date ~ppt. Type Lines Cases Count Orders Count
WAOIC #
Licensee Details
Online Documents
Documents
11.icense Type Ines Effective Date Expiry Date Cancel Date Formed Date Status
nsurance Producer 7/0l/2009 1 t/01/2015 11/01/?.015 06/06/2008 Expired
'-\gent 6/06/2008 11/0.1/2009 07/01//_0()9 06/06/2008 Moved to Producer
Cases bv Division
• Total Cases count dlsplays the number ofunlque cases closed for that year.
• The division counts display the number of closed cases assigned to that division. If the case was assigned to multiple
divisions, the case will be Included In each of the division counts.
• Total till Date Is the count for both Closed and the Open Cases.
Orders Division.
• Count against the years In the Orders Division Is the count for the Orders Issued.
• Total till Date In the Orders Division Is the Count for the total Orders.
Licensee ~AOIC# Eff. Date Cancel Date Lines Cases Count Orders Count
HealthMarkets Insurance Agency 1 Inc. 748466 03/07/2012 05/24/2012 1 0
.~ONES EDWARD D & CO LP ~0875 07/01/2009 08/28/2010 0 0
Total Active Appointments: O Total Non-Active Appointments: 27 OAll ®Active
I, Jeff Baughman, am over the age of eighteen. I make the following declaration based
on first-hand, personal knowledge and I am competent to testify to the facts set forth
herein:
1. I am the Producer Licensing & Oversight Manager for the State of Washington's Office of
the Insurance Commissioner.
2. As part of my official duties, I am able to search the official licensing records of the State of
Washington's Office of the Insurance Commissioner, and certify if an individual and/or business
entity possesses a State of Washington issued license to transact the business of insurance in the
State of Washington.
) .. f" i'JJ,_,
WA State OIC 110
~GhurchUI, Harvey ()
SEARCH LICENSEE
SlMBA (Production Web lUI) Release Date: Sunday, November 18, 2018
Copyright @) 2010 by Office of the Insurance Commissioner
I, Jeff Baughman, am over the age of eighteen. I make the following declaration based
on first-hand, personal knowledge and I am competent to testify to the facts set forth
herein:
1. I am the Producer Licensing & Oversight Manager for the State of Washington's Office of
the Insurance Commissioner.
2. As part of my official duties, I am able to search the official licensing records of the State of
Washington's Office of the Insurance Commissioner, and certify if an individual and/or business
entity possesses a State of Washington issued license to transact the business of insurance in the
State of Washington.
8churx:hill, M11r11-0y ()
SEARCH LICENSEE
I, Jeff Baughman, am over the age of eighteen. I make the following declaration based
on first-hand, personal knowledge and I am competent to testify to the facts set forth
I
herein:
1. I am the Producer Licensing & Oversight Manager for the State of Washington's Office of
the Insurance Commissioner.
2. As part of my official duties, I am able to search the official licensing rec?rds of the State of
-Washington's-Office-of the Insurance Commissioner;-and-certify-if-an-individual-and/or business - -
entity possesses a State of Washington issued license to transact the business of insurance in the
State of Washington.
o/1 dayofDecember,2018.
J~ Zru. J~ 'L")
Printed Name of DeC!af;{£:t
WA State OIC 114
djchur<:hlll, Harvoy {)
SEARCH LICENSEE
BE Name/ Last
Narne
U .. C @ Current 0 :01d 0 DBA
SIMBA {Production Web IUI) Release Date: Sunday, November 18, 2018
Copyright @ 2010 by Office of the Insurance Comm!ssloner
http://iuisimbacore/Protected/LIC/LicenseeSearch.aspx 12/5/2018
June 12, 2018
This letter is to advise you that the Washington State Office of the Insurance Commissioner (WA
OIC) has concerns that your company is continuing activities that were found to be violations of
the Revised Code of Washington and/or the Washington Administrative Code, during a 2015
Market Conduct Examination. It appears your company is continuing to pay commission to the
Seattle Humane Society based on activation of a promotional policy certificate presented to the
consumer by the Humane Society. Further, it appears your company is providing rewards to
veterinarians and/or their employees based on how many policy certificate activations are
presented by the vets. This is a possible violation of RCW 48.17.490(1), RCW 48.30.133(2) and
RCW 48.30.150(1)(c).
I have been assigned to investigate this matter. As part of this investigative process, I am
requesting that you provide this office with a written response to the allegation. Specifically,
please address the following issues:
1. Do/did you provide a donation (commission) to The Seattle Humane Society (SHS) each
time someone signed up for the Trupanion program using a link on SHS website which
forwarded an individual to the Trupanion website?
2. Do you offer trips and gift cards to Washington State veterinarians and/or their employee
via a rewards program?
3. If you do offer rewards, please explain how the rewards program works.
4. If you do offer rewards, is any part of it based on a Trupanion certificate activation?
5. Do you provide Washington State members of your Affiliate Partnership Program (APP)
with money or compensation for providing “qualified leads” that originate from “unique
tracking links, banners, and infographics” you provided them?
6. If you do offer money or compensation to APP member for “qualified leads”, please
explain how that works.
WA State OIC 116
Please provide your written response to our office by July 3, 2018. Also, please be aware that
RCW 48.17.475 requires that licensees promptly reply in writing to an inquiry of the commissioner
relative to the business of insurance within fifteen (15) business days from the receipt of the
inquiry. Failure to make a timely response constitutes a violation of this section.
I appreciate your cooperation in this matter. I may be reached directly at (360) 725-7231 or
christiand@oic.wa.gov for further information.
Sincerely,
Christian J. Dixson
Senior Investigator
Regulatory Investigations Unit
Legal Affairs Division
Washington State Office of the Insurance Commissioner
File
On the above date, INV. Churchill contacted Melody Stone, Adoption Manager for the Seattle Humane
Society.
Ms. Stone confirmed that Trupanion no longer makes donations to SHS based on sales of insurance.
Trupanion has provided quarterly donations. She was aware that the sales reference to Trupanion on the
website was supposed to have been removed a number of years ago. She was unaware until being
informed recently by Trupanion. She believes the site has been updated and no longer makes the
reference.
Page 1 of 1
File #1569460 Exhibit #4 Page 1 of 1
American Pct Insurance Company
Christian J. Dixson
Senior Investigator
Regulatory Investigations Unit
Legal Affairs Division
Washington State Office of the Insurance Commissioner
5000 Capitol Blvd.
Tumwater, WA 98501
RE: American Pet Insurance Company ("APIC") (NAIC #12190); Case# 1569460
This letter responds to your June 12, 2018 request for information regarding the above-referenced Case
Number. For your convenience I have responded to each of the questions in the order raised in your
letter.
1. No. APIC ended its program to make donations per enrollment as part of its 2015
discussions with the WA OIC that led to the Consent Order with the Company. The last
payment to the SHS based on someone signing up for the Trupanion program using a link on
the SHS website was July 2015. To our knowledge, at that time the SHS's website reference
to the donation program was removed. When we received your letter we looked at the SHS
website and noticed an apparent link to sign up for the Trupanion program on their website.
The link did not in fact lead to a sign-up page; it led to a page referencing someone who had
previously signed up with the Trupanion program. The Adoptions Program Manager at the
SHS was surprised at this link as her belief was that any reference to the program was
removed from the SHS website in 2015. In any event, SHS has removed the incorrect
purported link. Most importantly, no payments were made under this program since we
agreed with the OIC to end them .
2-3 . Yes. Trupanion does offer a Rewards Program that includes Washington State veterinarian
clinics. The Rewards Program is premised on usage of Trupanion Express, our patented
software application that can integrate with a compatible veterinary Practice Management
System (PMS). The primary benefit of Trupanion Express is its ability to facilitate claims
payments directly to the hospital at the time the customer is checking out. This avoids the
customer fronting the funds that in a traditional reimbursement model would later be
reimbursed - which can be the difference between a pet receiving a recommended
treatment or not. Examples of how hospitals can earn points include setting up direct
deposit for the hospital to receive claims payments, submitting paid claims through
Trupanion Express, and fulfilling an initial records request for a new pet to enable the real-
time processing of claim when the pet later visits the hospital. There is no cost to the
WA State OIC 119
hospital can redeem rewards using points accumulated . Trips and gift cards are part of the
suite of available rewards.
4. No.
5. Yes. There are two Washington entities with whom Trupanion has contracted to provide
compensation for referring "qualified leads", but only one of these has referred any
prospective customers to Trupanion (Reviews.com).
In addition, please see below responses to your further requests for information.
1. Please see attached as Exhibit A a breakdown of donations to the SHS. (You will note the
non-round numbers end in July 2015 when we ended the practice of making donations
based on a per-enrollment amount).
2. Please see attached as Exhibit B a document showing the rewards points accrued by each
participating Washington State hospital since June 2017. Each point is worth ten cents.
Please note that the program began in November 2016 but we began tracking the points
accrued in this way in June 2017. We are working to compile the data for the period
November 2016 through May 2017 and will provide that supplemental information shortly .
3. Reviews.com is the lone Washington State Affiliate Program participant to whom we have
paid referral fees. Attached as Exhibit C is a list of all the payments made to Reviews.com
(at $35 per referral).
Sincerely,
Gavin Friedman
General Counsel & SVP, Regulatory
gavin.friedman@trupanion.com
(206) 607-1924
Date Amount
1/30/2015 $1,208
5/27/2015 $3,672
6/22/2015 $728
7/20/2015 $804
11/11/2015 $3,500
3/9/2016 $3,500
5/5/2016 $3,000
8/16/2016 $3,000
11/16/2016 $3,000
3/20/2017 $1,500
4/11/2017 $3,000
7/25/2017 $3,000
10/17/2017 $3,000
1/10/2018 $3,000
4/1/2018 $3,000
Hose Ital Jun-17 Jul -17 Aug-1 7 see- 11 Od- 17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Aer-18 Ma~· 18
Anima l Hospilol Of Focloria 102 70 90 60 70
Lake Union Veterinary Clinic - 170
Duvall Veterinary Hospital 20 225
Bellevue Animal Hospital
Northshore Veterinary Hospital
Afford-A-Vet Animal Clinic
Reber Ranch Veterinary Clinic . . . . 20
Eastside Veterinary Associates - Newcastle I Renton
Fair Isle Animal Clinic
Hawthorne Hills Veterinary Hospital - . - 141 70
Lien Animal Clinic 340 223 166 900 150 183 112 165 126 240
Arlington Veterinary Hospital
VCA Pacific Avenue Animal Hospital
Animal Care Center
Cascade Pet Hospital 41 7 50
VCA West Seattle Veterinary Hospital
Marine View Veterinary Hospital - . 57 49 105 125
Broadway Animal Hospital . - 43 95
Dupont Veterinary Center 416 665 485 170
Diamond Veterinary Associates 20
Frontier Village Veterinary Clinic
Family Pet Medical & Surgery 20 10
Kulshan Veterinary Hospital
Northwest Veterinary Clinic
Jet City Animal Clinic 158 89 327 108 160 32 41 132 170
Lynden Vet Hospital l 30 21 50
VCA Five Corners Animal Hospital
Latah Creek Animal Hospital 150 155 25 177 200 575 206 480 891 601 11 5
Maplewood Animal Hospital
Northwest Veterinary Clinic Of Stanwood
Millwood Animal Clinic
Shoreline Veterinary Hospital
Burien Veterinary Hospital - - . 30 165
Mountain View Veterinary Hospital 100 250 50 50 225 135 104 80 131 70 235
Poulsbo Animal Clinic - 21 85
Oceanside Animal Clinic
Ferndale Veterinary Hospital 10 5
Salish Veterinary Hospital 203 200
Cascade Park Animal Hospital
Everett Veterinary Hospital
East Padden Animal Hospital 695 700 755 248 256 950 244 232 247 326 352 310
Eastside Veterinary Associates
Fidalgo Animal Medical Center
Cascade Veterinary Center - - 21 21 23 35
Christian J. Dixson
Senior Investigator
Regulatory Investigations Unit
Legal Affairs Division
Washington State Office of the Insurance Commissioner
5000 Capitol Blvd.
Tumwater, WA 98501
RE: American Pet Insurance Company ("APIC") (NAIC #12190); Case# 1569460
This letter is APIC's supplemental response to your June 12, 2018 request for information regarding the
above-referenced Case Number. It supplements my July 3 response in two ways:
First, with respect to the rewards program points, attached is an updated Exhibit B that now includes
the requested data for the period prior to June 2017.
Second, with respect to APIC's response to Question 5 (regarding referrals for qualified leads), please
note that Trupanion has paid referral fees to two Washington entities for referring qualified leads.
Apart from Reviews.com, Trupanion has also paid referral fees to Consumers Advocate. Consumers
Advocate did not appear as responsive to our initial inquiry because it is based in Puerto Rico, but we
understand it used to be in Washington before it relocated to Puerto Rico in or about December 2016.
Beginning in December 2016 the Company's product has not been included on the organization's United
States website, so any qualified lead referral payments since that time are for Canada only. Attached is
an updated Exhibit C that includes the payments made to Consumers Advocate since 2015 (at $100 per
qualified lead).
Sincerely,
Gavin Friedman
General Counsel & SVP, Regulatory
gavin.friedman@trupanion.com
(206) 607-1924
WA State OIC 126
Hospital Nov-16 Dec -16 Jan-1 7 Feb- 17 Mar-17 Apr- 17 May-1 7 Jun- 17 Jul-1 7 Aug- 17 Sep-17 Oct-17 Nov- 17 Dec - 17 Jan-18 Feb-1 8 Mar-1 8 Apr-18 May- 18
Animol Hospital Of Foctoria 102 70 90 60 70
Columbia River Veterinary Specialist 5 470 120 175
Orchard Hills Animal Hospital 150
Bellingham Veterinary 100 20 5
Lake Union Veterinary Clinic 170
Duvall Veterinary Hospital 20 225
Bellevue Animal Hospital
Northshore Veterinary Hospital 310 100 100
Afford-A-Vet Animal Clinic
Reber Ranch Veterinary Clinic 20
Eastside Veterinary Associates - Newcastle/ Renton
Fair Isle Animal Clinic
Hawthorne Hills Veterinary Hospital 141 70
Lien Animal Clinic 340 223 166 900 150 183 112 165 126 240
Arlington Veterinary Hospital
VCA Pacific Avenue Animal Hospital
Animal Care Center
Cascade Pet Hospital 41 7 50
VCA West Seattle Veterinary Hospital
Marine View Veterinary Hospital 57 49 105 125
Broadway Animal Hospital 43 95
Dupont Veterinary Center 416 665 485 170
Diamond Veterinary Associates 20
Frontier Village Veterinary Clinic
Family Pet Medical & Surgery 205 215 20 10
Kulshan Veterinary Hospital
Northwest Veterinary Clinic
Jet City Animal Clinic 158 89 327 108 160 32 41 132 170
Lynden Vet Hospital 30 21 50
VCA Five Corners Animal Hospital
Latah Creek Animal Hospital 50 150 5 150 155 25 177 200 575 206 480 891 601 115
Maplewood Animal Hospital
Northwest Veterinary Clinic Of Stanwood
Millwood Animal Clinic
Shoreline Veterinary Hospital
Burien Veterinary Hospital 30 165
Mountain View Veterinary Hospital 100 250 50 50 225 135 104 80 131 70 235
Poulsbo Animal Clinic 21 85
Oceanside Animal Clinic
Ferndale Veterinary Hospital 10 5
Salish Veterinary Hospital 203 200
Cascade Park Animal Hospital
Everett Veterinary Hospital
East Padden Animal Hospital 1240 595 630 695 700 755 248 256 950 244 232 247 326 352 310
Eastside Veterinary Associates
Fidalgo Animal Medical Center
Cascade Veterinary Center 21 21 23 35
Reviews.com
Payment Date Payment Amount
4/8/2017 $35
11/1/2017 $70
12/31/2017 $140
1/31/2018 $35
3/1/2018 $280
4/1/2018 $175
5/1/2018 $245
Consumers Advocate
Payment Date Payment Amount
7/16/2015 $35,760
8/26/2015 $9,850
9/10/2015 $9,360
10/8/2015 $24,420
11/6/2015 $8,760
12/4/2015 $8,880
1/14/2016 $6,180
2/4/2016 $4,920
3/17/2016 $4,860
4/13/2016 $6,060
5/19/2016 $6,960
6/8/2016 $7,200
7/13/2016 $13,495
8/18/2016 $17,525
9/22/2016 $17,135
10/13/2016 $21,845
11/10/2016 $30,045
12/15/2016 $2,940
1/13/2017 $3,120
2/8/2017 $1,935
4/6/2017 $1,020
4/13/2017 $1,320
5/11/2017 $840
6/13/2017 $960
7/13/2017 $900
8/25/2017 $1,380
9/13/2017 $1,080
12/15/2017 $960
1/11/2018 $780
1/18/2018 $1,860
2/8/2018 $1,440
3/9/2018 $960
WA State OIC 128
4/12/2018 $1,260
5/3/2018 $1,200
Harvey Churchill
Senior Investigator
Regulatory Investigations Unit
Legal Affairs Division
Washington State Office of the Insurance Commissioner
5000 Capitol Blvd.
Tumwater, WA 98501
RE: American Pet Insurance Company ("APIC") (NAIC #12190); Case# 1569460
This letter responds to your October 24, 2018 requests for information regarding the above-referenced
Case Number. Following are your questions and our responses:
For hospitals that elect to use Trupanion Express as part of their customer service experience
to their customers, Trupanion offers the software via a self-install process over the internet.
The software is provided free to these hospitals.
2. At the vet locations, who enters the information for an insurance application?
Trupanion Express does not facilitate applying for insurance. Rather, Trupanion Express's
primary purpose is to integrate with a compatible veterinary Practice Management System
(the software a veterinarian uses to manage customer appointment scheduling, medical
history, customer and pet medical data records, billing etc.) to facilitate the direct payment of a
claim to the hospital (in minutes if Trupanion already has the pet's medical records).
In addition, Trupanion Express can be used to inform Trupanion that a veterinarian has
examined a given pet, which makes the pet eligible for a Trupanion Exam Day Certificate. After
receiving the notification via Trupanion Express, Trupanion emails the pet owner with
information about that Certificate. If a hospital does not use Trupanion Express, the pet owner
may receive the same information about the Certificate in hard copy form at the hospital. To
activate a Certificate (regardless of whether received in hard copy format or by email) the pet
owner either enrolls online or calls Trupanion and talks to a licensed agent. 1 Attached as Exhibit
1
Under the Certificate program, pet owners have 24 hours after the vet exam to activate the Certificate,
regardless of how the activation is done. (This proximity to the exam provides greater comfort about the
medical condition of the pet and is the basis for providing the benefits of the program). Pet owners who
activate a Certificate receive coverage for thirty days without providing payment information up-front. If
WA State OIC 129
In sum, nobody at a vet hospital is involved in a policyholder applying for insurance or enrolling
a pet.
3. Who is the producer for the product applied for through Trupanion Express?
Again, there is no product "applied for through Trupanion Express". If a pet owner elects to
enroll a pet on line there is no producer. If a pet owner elects to enroll a pet by telephone, the
producer is the licensed Trupanion employee who takes the call.
4. Who receives a commission and/or benefit for any sale of an insurance product through
Trupanion Express?
To reiterate, no products are sold through Trupanion Express. For enrollments, only the
licensed employee-producer receives a commission (if the enrollment is by phone). 2 Territory
Partners (who are independent contractors) receive an initial payment of $10 when a pet in
their territory enrolls and remains enrolled for a month, and then $2 for each month thereafter
that the pet remains enrolled. These payments are intended to reflect the Territory Partner's
efforts to market the benefits of insuring pets to veterinarians and are made regardless of how
the pet was enrolled. For example, the payments to the Territory Partner are made if a pet
owner enrolls on line and there is no producer involved in the sale.
5. Total# of Trupanion policies sold in Washington and monies collected, 2015 to present.
6. Is there a written agreement between Seattle Humane Society and APIC/Trupanion with
regard to donations? If yes, please provide.
they do nothing further the policy cancels after thirty days. If they choose, pet owners can convert their
activated certificate to a regular policy by providing payment information to Trupanion before the end of
the thirty-day period.
2
On average, about half of an employee-producer's total compensation is paid in salary, and the other half is a
commission.
WA State OIC 130
Yes. Trupanion processes claims based on the veterinary expenses as incurred on the actual
veterinary invoice, with no annual or lifetime limits. Pets are covered for treatment at any
veterinary hospital in the United States, Canada and Puerto Rico.
8. Is there any benefit to the consumer for the purchase of the insurance through the Seattle
Humane Society? If so, explain.
No consumer is able to enroll or purchase coverage through the Seattle Humane Society. As
with pet owners whose pets are examined at a veterinary hospital, pet owners who adopt a pet
through the Seattle Humane Society may receive an Exam Day Certificate (in hard copy form)
from the Seattle Humane Society at the time of adoption. The pet owner may then elect to use
the Exam Day Certificate - either online or by calling a licensed Trupanion sales agent.
Consumers that enroll via this path receive no additional benefit, and the Seattle Humane
Society also receives no benefit for any enrollment.
10. Have any Washington entities received rewards through the program? If so, provide the
reward received and a cost.
Yes. Trupanion introduced the points rewards program on a test basis in Q4 2016 to encourage
the use of Trupanion Express, particularly to submit claims electronically using the software to
facilitate real-time payment of claims to the veterinary hospitals. Since inception, a total of
seven veterinary hospitals in Washington have earned (but not redeemed) points totaling
about $6,650. These hospitals in Washington have redeemed points totaling $1,973 since the
program began. The items redeemed are: Two cookware sets ($321 and $159); two Fitbit
trackers ($181 each); a set of Snapware food storage containers ($53), nine gift cards (either
$50 or $100); a portable speaker ($40); a dog drying towel ($14); headphones ($72); a dog
brush ($25), a dog mat ($50), a dog collar ($22), an air circulator ($80), and a chair ($57).
As you can see from these numbers, relative to our footprint in Washington the program has
generated almost no interest. We are thus discontinuing it. As of November pt 2018, no
hospitals will earn additional points under the program.
WA State OIC 131
1. Attached as Exhibit E is the original brochure we designed for use with the program. Please note
we discontinued this brochure as we iterated the test program, but I am including it to ensure our
response is comprehensive. One of the changes we made to the program in April 2018 was to
focus the points more on the claims related benefits of Trupanion Express, and we removed issuing
Certificates as a category for earning points. 3 We did not replace this brochure; rather, we
provided hospitals with access to an online rewards portal. Attached as Exhibit Fare screenshots of
the welcome screen to the portal, as well as the screen showing hospitals the different ways they
can earn points (until the program ends at the end of this month).
• Exhibit H: The Licensed Broker Marketing Agreement between Trupanion and Consumers
Advocate Group. 4
3. Attached as Exhibit J is a report showing payments made to Washington Territory Partners since
2015.
3
Under the prior version of the rewards program, hospitals that gave certificates to customers using
Trupanion Express earned the available points regardless of whether a pet owner ever activated their
Certificate or ultimately chose to continue their policy beyond the Certificate period.
4
In my July 10, 2018 letter to Mr. Dixson, I advertently incorrectly referred to the payments to Consumers
Advocate as based on qualified leads. They were in fact based on enrollm~nts. Please note further that
Consumers Advocate Group is a licensed insurance agency, so no payments were made to an unlicensed
entity.
WA State OIC 132
6100-4th Ave. S., Ste. 200 800.569-7913 201 -185 Forester St.
Seattle, WA 98108 TRUPANION.COM N. Vancouver, BC V7H OA6
Sincerely,
Gavin Friedman
General Counsel & SVP, Regulatory
gavin.friedman@trupanion.com
(206) 607-1924
6100-4th Ave. S., Ste. 200 800.569-7913 201- 185 Forester St.
Seattle, WA 98108 TRUPANION.COM N. Vancouver, BC V7H OA6
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Entity Name (if applicable) Territory Partner 2015 2016 2017 2018(**)
Bluegrass Mgmt Consulting Facer, David 946.00 828.00 738.00 524.00
File #1569460
Cadi Inc Hahn, Holly 74,306.00 120,230.00 147,282.00 157,295.00
Stanley Paluch Paluch, Stanley 168,162.00 1,276.00 1,088.00 722.00
R. Lee Milburn Milburn, R. Lee 48,448.00 43,734.00 38,132.00 28,616.00
People for Paws, LLC Manwell, Melissa 534.00 3,746.00 4,957.00
People Who Love Pets, LLC Flaherty, Jense 1,612.00 206,044.00 218,454.00 208,249.00
Kristin Wuhrman Wuhrman, Kristin 3,800.00 3,284.00 2,888.00 2,192.00
mPaw, LLC (*) Markham, David 79,300.00 106,924.00 138,844.00 127,686.29
Total 376,574.00 482,854.00 551,172.00 530,241.29
C
(*) mPaw, LLC (David Markam) territory is primarily based in Oregon, with a small amount of
O
overlap into Washington. Therefore a majority of this payment was for the Oregon territory.
Exhibit #5Cvii
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WA State OIC 193
SPOTLIGHT ON:
Executive Summary
It’s important that veterinarians and their teams have confidence in what they
can and cannot do when it comes to discussing insurance to their clients.
As the category of medical insurance for cats and dogs accelerates its growth in the United
States, we at Trupanion have been receiving questions from veterinarians and their staff about
insurance licensing regulations.
Our decision to be transparent is deliberate. We are committed to our work within the
veterinary industry, and it is our intention to provide support and transparency to allow
veterinarians and their staff to speak with confidence when talking about insurance, as well as
remedy any misinformation on the subject.
Before we dive into the questions, we thought it would be helpful to you to explain the
regulations so you and your teams can be informed and educated with the facts.
WA State OIC 194
2. R
ecommend the concept of medical insurance if you believe it is in your clients’ best
interests. Veterinarians and their staff are among the most trusted professionals, and
responsible pet owners will continue to ask your opinion about how a pet owner should
best budget for their pet becoming sick or injured.
3. Inform clients that there are many insurance options in the marketplace.
4. S uggest that your clients should ask for information from the different companies
that provide medical insurance for pets to ensure pet owners obtain all pertinent
information to make an informed decision. For example:
b. How does the claims process work, including whether claims are reimbursed
to the pet owner after paying out-of-pocket, or paid to the veterinary hospital
directly?
Respond to questions about a given company with facts based on your personal experiences
related to service or customer care. Good examples could be to reference a fast claims
experience or 24/7 customer care.
There are many ways that a hospital team can integrate the care of insured pets into their
workflow. Staying familiar with the basic rules and regulations of what you should not do will
increase the confidence of the team as they become increasingly familiar with treating an
insured client base.
It’s important to recognize that medical insurance for pets is regulated by each individual
state, but as a general matter the concepts related to the do’s and don’ts of insurance apply
across-the-board. WA State OIC 195
Using New York as an example, the New York Insurance Code Section 2012 (a)(1)(A) provides
the following definition:
“No person, firm, association or corporation shall act as an insurance producer,
insurance adjuster or life settlement broker in this state without having authority
to do so by virtue of a license issued and in force pursuant to the provisions of this
chapter.”
The key point to focus on here is what it means to be an “insurance producer”? New York
defines an insurance producer in Section 2101(k) as:
“An insurance agent, title insurance agent, insurance broker, reinsurance
intermediary, excess lines broker, or any other person required to be licensed under
the laws of this state to sell, solicit or negotiate insurance.”
The areas underlined below are where there are common misinterpretations of insurance
code — which is why regulators define these specific activities too:
Sell
The New York Insurance Code Section 2101(n) defines “sell” as :
“Exchange a contract of insurance for money on behalf of an insurer.”
One can conclude from this rule that veterinarians or their staff, who are not licensed, may not
receive premiums from a pet owner to pay for insurance.
Solicitation
New York Section 2101(o) defines a “solicitation” as:
“Attempting to sell insurance or asking or urging a person to apply for a particular
kind of insurance from a particular licensed insurer, fraternal benefit society or
health maintenance organization.”
Therefore, veterinarians or their staff, who are not licensed, may not directly ask or urge a pet
owner to apply for a particular kind of insurance from a particular licensed insurer. Trupanion
has licensed representatives available 24/7 to speak with pet owners about enrolling for
coverage. Veterinarians should advise their clients on responsible pet ownership, including
the value of high quality medical insurance. Veterinarians also may recommend that pet
owners speak to one or more providers for additional information, if they do not already have
coverage.
Negotiate
New York’s definition of negotiate: Section 2101(m) is:
“Conferring directly or offering advice directly to a prospective purchaser regarding
any of the substantive terms and conditions of the contract.”
Therefore, veterinarians or their staff, who are not licensed, may not go into specific product
and policy details about the coverage of any specific company.
WA State OIC 196
• C
an I talk about specific coverage (for example, Company A covers congenital and
hereditary conditions but Company B does not)?
No, this could be considered “negotiating”. While reiterating your personal experiences
about how you have interacted with a particular company is fine, you should leave
the details of the coverage and explanations of the details to a licensed insurance
professional.
That said, without discussing any particular company’s coverage or restrictions, you
can generally encourage your clients to seek out the insurance that best meets their
needs.
1
Please note that this is our attempt to provide you helpful generalized information. We have drafted this in
conjunction with an outside law firm. While this information might concern legal or regulatory issues, please do
not consider it legal advice.
WA State OIC 197
• C
ould an insurance company pay a veterinarian or their staff based on a client
enrolling with that company?
No. Insurance regulations expressly prohibit sharing commissions with someone who is
not a licensed insurance agent.
• C
ould an insurance company pay an unlicensed individual or entity for providing
a lead?
Yes. It is permissible to pay an unlicensed person a modest fee for a lead, provided
there was not any selling, solicitation or negotiating, and so long as the payment was
made for each lead regardless of whether the lead purchased insurance. Examples of
where insurance companies commonly pay for leads include Google, Facebook, TV
and radio.
Working with insurance should be simple. We hope this guide helps to overcome
any concerns and answers questions.
Trupanion is a registered trademark owned by Trupanion, Inc. Underwritten in Canada by Omega General Insurance
Company and in the United States by American Pet Insurance Company, 6100-4th Ave S, Seattle, WA 98108. Please visit
WA State OIC 198
Mr. Churchill:
Thank you for the follow-up questions, and thanks again for your and Ms. Osberg’s time last week. Below are responses.
1. Contact information for those Territory Partners I could not identify through licensing info, Kristin Wuhrman and
Melissa Maxwell.
Kristin Wuhrman: Ms. Wuhrman’s contact information is kmotzwuhrman@gmail.com. Her telephone number is (206)
858-0140. Her contract with Trupanion ended on December 31, 2013.
Melissa (MJ) Manwell (spelled “Maxwell in your email): Ms. Manwell’s contact information is
Melissa.manwell@trupanion.com. Her phone number is (206) 919-9659. FYI Ms. Manwell also works in Trupanion’s
marketing department. In July 2016, she bought a relatively small territory in Spokane and hired an employee to call on
veterinary hospitals. Our understanding is that the employee is no longer working for Ms. Manwell and that currently
nobody is calling on hospitals in this territory on behalf of Trupanion.
As with the Seattle Humane Society, the donations are made voluntarily and are unrelated to any enrollment activity.
Rather, the payments reflect our recognition that their values align 100% with Trupanion’s, i.e. to help pets. Please also
note that our internal accounting system and the check stub that goes to the shelters refer to the payments as “Shelter
Donation Q__”. Please let me know if you would like any further information regarding these organizations, including any
contact information.
In addition, we have a general fund available to shelter organizations to access in the event they would like Trupanion to
sponsor a part of an event they are hosting, typically a small sponsorship at a fundraising event (e.g. tickets or a table).
The total fund is about $48,000 per year and organizations can apply on a one-off basis for any sponsorship. About 75
organizations participate in this program.
4. Clarification for me of what information is shared between the hospital and Trupanion Express from a consumer
who, as the result of the recent examination, is eligible for the 30 day free-look offer.
The process is initiated when a pet has a veterinary exam. After the exam, through Trupanion Express we receive the pet
owner’s contact information, i.e. their name, email address and phone number. The only piece of information we use is
the email address, to electronically send a brochure to the pet owner that their pet is eligible for the Exam Day Offer so
long as they activate it within 24 hours of the exam. We do not call pet owners. We also do not share the information
received. The emails we send comply fully with applicable requirements to include physical address/contact information
and provide an unsubscribe option. As you are aware, the brochure providing information about the Exam Day Offer acts
only as an invitation to further inquire: The pet owner can then call Trupanion and talk to a licensed agent or they can go
online to research and/or activate their Offer.
WA State OIC 199
5. Confirmation that information is entered on the hospital software but may be shared to Trupanion Express by the
6. You mentioned a legal opinion that an attorney had provided regarding the need to license Territory Partners,
may a copy be available?
The advice was provided by Low & Childers P.C. on March 6, 2008. At that time Low & Childers was our regulatory counsel
and the advice was based on Arizona law. Both Mr. Low and Mr. Childers are former Directors of the Arizona Department
of Insurance. I would be happy to provide a copy, but in an abundance of caution unfortunately need to decline to provide
it because I do not want any third party to contend that our provision of the document waived the attorney-client privilege
in any broader context. I can confirm that the advice was entirely consistent with our discussion regarding the licensing
status of Territory Partners. I would also be happy to discuss this issue further with you, including the general substance of
the advice received.
Please let me know if you have any further questions, or if you would like to discuss anything further by phone or in-
person.
Regards,
Gavin Friedman
GAVIN FRIEDMAN GENERAL COUNSEL & SVP, REGULATORY
T 1.206.607.1924| F 1.888.959.9181
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From: Churchill, Harvey (OIC) <HarveyC@oic.wa.gov>
Sent: Wednesday, November 7, 2018 1:57 PM
To: Gavin Friedman <gavin.friedman@trupanion.com>
Subject: [EXTERNAL] Follow up to our meeting of 11/07/18
Mr. Friedman,
A thank you to both yourself and Mr. Chames for coming down and speaking with us today.
I wanted to follow up with my additional requested information:
1. Contact information for those Territory Partners I could not identify through licensing info, Kristin Wuhrman and
Melissa Maxwell.
2. Contact info, representative of Seattle Humane Society
3. Information on donations made to other humane societies
4. Clarification for me of what information is shared between the hospital and Trupanion Express from a consumer
WA State OIC 200
who, as the result of the recent examination, is eligible for the 30 day free-look offer.
5. Confirmation that information is entered on the hospital software but may be shared to Trupanion Express by the