New Hampshire
While Other States Struggle, New Hampshire Boasts Insurance Is 'Going Quite Well'
Consumers are hearing a lot about insurance difficulties around the country. The news from California and Florida about how disasters, skyrocketing premiums and carrier withdrawals are making coverages hard to find and afford naturally raises concerns in other states.
New Hampshire Insurance Commissioner D.J. Bettencourt wants his state’s residents to know that the story in the Granite State is different and they have little to worry about.
“What I want to stress though to consumers is that things here in New Hampshire are going quite well,” said Bettencourt, who was confirmed as head of the New Hampshire Insurance Department (NHID) a year ago after serving as deputy insurance commissioner since early 2021.
New Hampshire Insurance Commissioner
“We’re not immune to the larger national and, in some cases, international trends that are causing the insurance industry to struggle. But what we want to ensure is that the situation in New Hampshire is being appropriately communicated,” Bettencourt said in an interview with Insurance Journal.
“We don’t want consumers to get the impression that coverages are hard to get these days, or they’re really expensive,” he said. For the vast majority of coverages in New Hampshire, “things are going about as well as possible.”
The message that things are going well in New Hampshire is one that Bettencourt wants the insurance industry to hear as well.
“We’re in a lot better shape here in New Hampshire than in other parts of the country to be sure,” he bragged, citing the state’s “high quality of life metrics” and its collaborative rather than adversarial approach to insurance regulation and legislation.
According to Deputy Insurance Commissioner Keith Nyhan, who joined the conversation, the Granite State is benefitting from competition and on the whole is “very insurable” on the property/casualty side. “Our risks compared to the Gulf Coast or California with its wildfires are less severe. Companies want to be in New Hampshire,” said Nyhan, who prior to being promoted to deputy commissioner last October served as director of NHID’s consumer services unit since 2007.
New Hampshire is a small insurance market. It ranks 44th, according to the National Association of Insurance Commissioners (NAIC). It’s a $12.6 billion total insurance market, with $3 billion in property/casualty. The state has about 1,300 insurers for all lines.
According to Bettencourt, its small size informs the state’s approach to insurance regulation. “We’re a small state and at the end of the day, if we become unreasonable in how we approach our regulatory philosophy, those companies will just withdraw from New Hampshire and, financially speaking, it’s not going to make a whole big difference to them,” he said. He added that the state has established a reputation “over many, many years” of being a collaborative and pragmatic regulator.
While there are things like the weather that states can’t control, the “regulatory attitude” is among the things he believes a state can control. “My philosophy is ‘let’s be collaborative, let’s work together’ to fix this problem,” stressed Bettencourt, who was a state legislator before he became a regulator.
Profitability
In its 2022 report card on state insurance regulation, the R Street Institute gave New Hampshire a B grade, the same grade it gave Maine, Vermont, Iowa, Kentucky, Washington and a few others.
Th insurance results also tell a positive story for insurers. According to the NAIC’s 2022 Profitability Report, insurers made a 12% gain on underwriting for all lines in 2022 and have averaged a 15% underwriting profit over the last decade.

All of this is not to say that there are no insurance challenges at all in New Hampshire. There is, in fact, one line of insurance that is a worry: general liability for nonprofits.
This is an “incredibly hard market, and I understand the reasons why,” Bettencourt said, citing the large claims with long tails seen in the sector.
The insurance for nonprofits issue has grown in importance in the context of the state’s continuing efforts to enhance programs for mental health and substance use disorder. The state makes the funding available and then puts the programs out for bid to community organizations to run them. In order to contract with the state, these organizations need to have general liability insurance. NHID has learned that in some cases, small to mid-sized nonprofits are unable to access coverage or afford it.
Bettencourt said NHID is working to address the matter. He said he does not want the state to lose the opportunities to rebuild the healthcare infrastructure to benefit people because it doesn’t have the nonprofit partners to run programs.
Nyhan agreed insurance for nonprofits is a difficult market right now. “It’s a risky business,” he commented, adding that NHID is “actively trying to get more companies to come to the state.”
Consumer Calls
Another matter Bettencourt wants to tackle is customer service— that provided by insurance carriers and by NHID itself.
NHID receives about 6.500 calls from consumers a year. About 500 of the calls will turn into formal complaints against an insurance carrier, according to Nyhan. The vast majority of the calls are from consumers who have a question about their policy or want help interpreting a letter that they received from their insurance carrier.
The most common consumer complaint has to do with frustrations with carriers’ customer service, especially the inability to speak with a human being.
Bettencourt said insurers want insureds to do everything online but many have difficulty navigating the portals and online systems.
“When people need to file a claim, they’re typically not having their best day. So sometimes the task of going through all of the electronic portals and all of the different technology systems is overwhelming to them and they just want to get somebody on the phone.”
Overwhelming Technology
Asked if he thinks the industry is relying too much on digital and online service, expecting consumers to be comfortable going digital, Bettencourt didn’t hesitate.
“In my personal opinion, yeah. I mean the technology that’s coming online obviously provides a lot of opportunities. I understand that companies want to take advantage as much as they can, and they’re not wrong for wanting to do that.”
But, he added, “they need to also not forget that there are consumers at the end of the day who need to speak to another live human being. Their particular claim may be complex.”
He urged carriers to remember that in most situations where an insured needs to interact with their insurance carrier, it means something bad has happened. “When people need to file a claim, they’re typically not having their best day. So sometimes the task of going through all of the electronic portals and all of the different technology systems is overwhelming to them. They just want to get somebody on the phone.”
Bettencourt is on a mission to improve his department’s own customer service and what he calls “insurance literacy” among consumers. He believes a key to improving insurance understanding is to “raise awareness of the department’s existence” including what it does and the services it can provide to consumers to help them better understand their insurance, solve a problem or manage a crisis.
“We’re trying to figure out how we can meet the consumer, where they are and where they are on these new alternative ways of getting news, social media, podcasts, webinars. We’re trying to adapt along with the times because we cannot help the consumer that doesn’t know that we exist.”
“We’re trying to figure out how we can meet the consumer where they are and where they are on these new alternative ways of getting news, social media, podcasts, webinars. We’re trying to adapt along with the times because we cannot help the consumer that doesn’t know that we exist,” Bettencourt explained.
He said NHID’s consumer protection job includes going out into the community to meet consumers, initiate conversations, and distribute advisories.
NHID held a March symposium on property/casualty insurance cost drivers featuring Dr. Robert Hartwig, professor of finance at the University of South Carolina; Lee T. Dowgiewicz, CEO of Co-operative Insurance Companies; attorney George Roussos of Orr & Reno; and Christian Citarella, chief property/casualty actuary at the NHID.
The department has convened town halls including one with behavioral health providers to enhance NHID’s own understanding of their concerns. It has sponsored legislative updates for the public and press. Its webinars have touched on various subjects from how to prepare for potential weather disasters to what to know about wedding insurance.
Cat Response Team
The most recent initiative is a dedicated intergovernmental Weather Catastrophe Response Team, which the department sees as a proactive, coordinated, department-wide effort to support consumers in the aftermath of severe weather incidents. This team is tasked with organizing community outreach events in affected areas and collaborating with other state and federal agencies and officials to provide comprehensive support to consumers. The goal is to ensure that residents receive accurate information and timely assistance.
New Hampshire is not he most disaster prone state but it does face storm surge and rising tide threats along its coast. This July and last July some communities suffered flooding. Winter storms damage is not uncommon. Wildfires, tornadoes, hurricanes, earthquakes—those have been rare, thus far anyway.
“We’re really just trying to stay ahead of the curve,” offered Bettencourt, who believes that when people experience a major weather catastrophe, “their minds are going to be in a thousand different places.” He wants the department to be an obvious resource. So, for instance, if citizens have to go to a shelter to get information, he wants the department to be there to make sure insurance is part of the conversation.
“We obviously believe that an individual’s insurance coverages are going to be a big part of getting that individual’s life back on track,” he said.
He said the emphasis on communications and customer service is especially important to those who do not have an agent to call and for whom contacting their carrier is an unpleasant undertaking.
“The other thing is I think there are consumers who want to hear from an authoritative source in answer to a particular question or want to understand if the company’s handling their claim in the appropriate way,” he added.
For Bettencourt, the volume of calls in to NHID, along with the $6.5 million recovered for insureds every year, are measures of how well NHID is doing.
In fact, the more calls, the better.
“My goal is by the time I leave here to have that number at 10,000 or more calls a year, because that’s going to indicate to us that all of our outreach efforts are paying off,” the Granite State commissioner said.
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New Hampshire
New Hampshire
N.H. lawmakers to vote on increasing tolls, civil rights, and k-12 education – The Boston Globe
One proposal (Senate Bill 627) would generate more than $53 million per year in estimated revenue for turnpike projects by essentially doubling what certain cars pay on the state’s toll roads.
The cash fare for Hampton’s main toll booth on Interstate 95, for example, would jump from $2 to $4 for cars and pickup trucks. The toll wouldn’t increase at all for motorists who use New Hampshire’s E-ZPass transponders.
“Surrounding states already have the same in-state discount structure in place,” Democratic Representative Martin Jack of Nashua wrote on behalf of a House committee that unanimously recommended the bill.
A potential hitch: Governor Kelly Ayotte. She’s expressed opposition to the whole toll-hiking idea, and proven she’s not afraid to use her veto pen.
Modifying civil rights standard
Another proposal (Senate Bill 464) would add a few words to the state’s Civil Rights Act. Instead of addressing conduct that is merely “motivated by” a legally protected characteristic, the proposed revision would address conduct that is “substantially motivated by hostility towards the victim’s” protected characteristic (such as their race, color, religion, national origin, ancestry, sexual orientation, sex, gender identity, or disability).
The prime sponsor, Republican Senator Daryl Abbas, an attorney, testified the change was small and aligned with the law’s intent. But the attorney who oversees the Civil Rights Unit at the New Hampshire Department of Justice, Sean Locke, testified in opposition, saying the proposal could reduce protections, especially since the meaning of “substantially” is somewhat vague.
The House is also weighing a proposed amendment that would add a few more words than Abbas’s version, potentially narrowing the Civil Rights Act’s applicability a bit further.
Open enrollment for K-12 schools
A third proposal up for a vote on Thursday (Senate Bill 101) would make every K-12 public school in New Hampshire an “open enrollment” school. That way, students could freely choose to transfer to a district other than the one where they live.
The proposed policy is controversial, partly because of how schools are funded. Districts rely mostly on local property taxes to cover their costs, as the state government chips in relatively little, and property tax rates vary widely from one community to the next. That generates concern about who will foot the bill when a student transfers.
In light of those concerns, Republicans are offering a compromise amendment to SB 101 that would require the state to provide more money per pupil that a district receives via open enrollment, as the New Hampshire Bulletin reported. Democrats are offering their own amendment to establish a study commission on this topic, rather than adopt the proposed policy now.
Lawmakers have until May 14 to take action on the bills that came from the other chamber, though they have until June 4 to iron out any discrepancies.
Amanda Gokee of the Globe staff contributed to this report.
This story appears in Globe NH | Morning Report, a free email newsletter focused on New Hampshire, including great coverage from the Boston Globe and links to interesting articles elsewhere. Sign up here.
Steven Porter can be reached at steven.porter@globe.com. Follow him @reporterporter.
New Hampshire
Boston MedFlight expands into NH
Boston MedFlight often touches down at the scene of some of the worst tragedies in New England – where minutes can mean life or death for a victim. The critical care transport operation is now expanding with a new base in New Hampshire.
The organization is hosting an open house at the new Manchester location on Thursday.
Boston MedFlight flies a critical care transport paramedic and nurse on every flight. Jaik Hanley-McCarthy says their helicopters and ground vehicles are equipped to handle just about any emergency medical procedure.
“Anything that can be done in the ICU,” explained Hanley-McCarthy. “We have a mobile lab so we can draw blood and run labs in real time.”
Boston MedFlight now has five bases across the region.
“Having a base in Manchester just expands this Boston-level care even further north to the more remote areas of the state,” said Hanley-McCarthy.
Boston MedFlight operates as a network of bases and some of the locations are staffed 24 hours.
Chief Executive Officer Maura Hughes says the nonprofit operation survives on public and private donations.
“We provide about $7 million in free care every year to patients,” said Hughes. “Not every hospital can be everything to every patient. We’re really the glue that keeps the health care system together.”
Heather Young says her daughter, Teighan, is still alive because she was flown for a critical assessment and procedure after falling off a truck and hitting her head.
“She should not be driving and walking and talking and all the things she’s doing as quickly as she is,” said Young.
Teighan just turned 18 and plans to go to college to study the medical field.
“I want to be a nurse and help other people,” she said.
It’s stories like this that keep the men and women who work Boston MedFlight focused on their mission.
“I think we just go call by call and try to do the best we can,” said Hanley-McCarthy. “I think when we stop and truly think about it, I think that weight is pretty heavy.”
Boston MedFlight also has a yearly reunion where patients and the team get together here in Bedford to meet and check in on their progress. It really shows you how connected they are to the people they help.
New Hampshire
Hiker who set out in warm spring weather found dead after snowstorm in New Hampshire mountains
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A Massachusetts hiker who set out in warm spring weather was found dead deep in New Hampshire’s White Mountains after a snowstorm dumped several inches of snow in the area, authorities said.
Kent Wood, 61, of West Roxbury, was discovered Tuesday evening on a remote section of the Kinsman Pond Trail in Franconia Notch, about 5.5 miles from his vehicle, according to New Hampshire Fish and Game.
Wood had driven to Franconia Notch on April 17 for a weekend camping and hiking trip, and set out on a hike the next morning in warm, clear weather, officials said. Family and friends last heard from him Saturday afternoon.
When he failed to return or make contact for two days, officials said relatives reported him missing Tuesday morning, prompting a large-scale search.
HIKER IDENTIFIED, POPULAR TRAIL CLOSED AFTER DEADLY FALL A UTAH’S ZION NATIONAL PARK
An aerial view of Franconia Notch State Park in New Hampshire, where a hiker was found dead on Tuesday. (Joseph Sohm/Universal Images Group, File)
Rescuers quickly learned Wood had packed for mild conditions, not the three to five inches of snow that fell in the area between Sunday and Monday.
Fog hovers over a narrow road through Franconia Notch in the White Mountain National Forest in New Hampshire on Dec. 27, 2021. (Andrew Lichtenstein/Corbis)
Search teams from Fish and Game, PEMI Valley Search and Rescue, and the Army National Guard launched a coordinated effort, focusing on the Lonesome Lake and Kinsman Pond areas.
FAMILY’S SPRING BREAK HIKE TURNS INTO LIFE-OR-DEATH RESCUE AFTER PARENT FALLS 70 FEET OFF UTAH CLIFF
Conservation officers located Wood’s body around 7:41 p.m. Tuesday. Crews carried him out overnight, reaching the trailhead shortly after 1 a.m. Wednesday.
Franconia Notch and the Appalachian Trail are seen in New Hampshire on Sept. 21. (Carol M. Highsmith/Buyenlarge/Getty Images)
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Since Friday, six hikers from Massachusetts have been rescued in the White Mountains, Fish and Game said.
Officials are reminding hikers that winter conditions still grip the mountains, with snow, freezing temperatures and rapidly changing weather.
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