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What happens to the policyholder when a company exits the state?
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Depends.
If they are still in the business, the policies stay on the books until they age off. The exception would be such as happened to GR in LA where the DOI did not allow the carrier to renew.
If they leave the business (MOO, Guardian, Penn Mutual, etc.) they may continue to service the business for a stated period of time (usually 3 - 5 yrs) or they may keep it indefinitely.
When UnionMutual left the MM market they continued to service their block for several years.
More often what happens is they continue raising rates in an attempt to drive off the remaining block. Even carriers still in the business do that.
Here in
GA as BX closes out the old policy series they just start giving out 60%+ rate increases every time the moon changes until they run everyone off.