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The NEMT Experts Podcast
Insurance & Safety
Episode
25
Published
April 24, 2024
·
20 min 59 sec
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Changes in Non-Emergency Medical Transportation (NEMT) Insurance

Why did my NEMT insurance premium jump this year? Niko Fotopoulos points to 12 straight losing years in commercial auto and rideshare claims.

In this episode

Niko Fotopoulos
Sparx
Hosted by
Nirav Chheda
CEO and co-founder of Bambi
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About this episode

Niko Fotopoulos, co-founder of Sparx, a tech-enabled insurance brokerage built around medical transportation and medical malpractice, says his team compresses the standard 45 to 60 day NEMT insurance quoting process down to seven days. One 10-minute application goes out automatically across 150 carriers, and Fotopoulos says quotes commonly land between 10,000 and 20,000 dollars per vehicle while Sparx partners come in near 5,000, or as low as 2,000 on basic scheduled-auto coverage. He blames 12 straight unprofitable years in commercial auto, plus rideshare claim severity running 1.5 to 2 times higher, for premiums climbing even at operators who run no rideshare trips.

Key takeaways

  • Modivcare began requiring broader symbol 2, 8 and 9 auto coverage in markets like North Carolina, and operators who quietly renewed their old scheduled-auto policy landed out of compliance.
  • Fotopoulos says the way to get ahead of it is boring: every transport broker keeps a compliance team, so check in once or twice a year well before renewal.
  • He has watched operators sit idle two weeks to a month waiting on compliant coverage. One provider whose policy had already lapsed had a Sparx quote in three days.
  • Rather than shop harder, Fotopoulos is selling carriers on risk reduction: telematics cameras and consistent scheduling software as grounds to hold an operator's rate down longer.
  • He expects Uber and Lyft to settle into the transport broker role rather than run trips, turning them into another ride source for operators instead of a competitor.

Chapters

  • 0:00 Introduction
  • 1:00 Changes in insurance rules from brokers
  • 6:50 Staying ahead of insurance rule changes
  • 7:59 Ride-share plus NEMT
  • 11:39 Why insurance premiums are rising
  • 14:52 Sparx's innovative insurance solution
  • 18:40 NEMT success stories with Sparx

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