INSURANCE BROKER DUE DILIGENCE CHECKLIST Created by ChecklistGuro (https://checklistguro.com) --- BROKER BACKGROUND & LICENSING --- [ ] Broker Name [ ] Broker License Number [ ] State(s) of Licensing (State 1, State 2, State 3) [ ] License Expiration Date [ ] License Type (Agency License, Broker License, Other) [ ] Copy of License Document [ ] Number of Years in Business --- FINANCIAL STABILITY & SOLVENCY --- [ ] Annual Revenue [ ] Net Profit/Loss (Last Year) [ ] Current Ratio [ ] Debt-to-Equity Ratio [ ] Last Financial Statement Date [ ] Financial Statement (Latest) [ ] Credit Rating (if applicable) (AAA, AA, A, BBB, BB, B, Not Rated) --- ERRORS & OMISSIONS (E&O) INSURANCE --- [ ] Policy Effective Date [ ] Policy Expiration Date [ ] Policy Limit (Per Occurrence) [ ] Policy Aggregate Limit [ ] Insurer Name (AIG, Chubb, The Hartford, Travelers, Other) [ ] Coverage Type (Standard, Excess, Other) [ ] Notes/Comments on E&O Coverage [ ] Upload E&O Insurance Certificate (PDF) --- REGULATORY HISTORY & DISCIPLINARY ACTIONS --- [ ] Date of Initial Regulatory Review [ ] Regulatory Agency Involved (State Insurance Department, Federal Trade Commission (FTC), Securities and Exchange Commission (SEC), Other) [ ] Description of Regulatory Action/Investigation [ ] Type of Action (Warning, Cease and Desist, Suspension, Revocation, Fine, Restitution, Consent Order, Other) [ ] Amount of Fine (if applicable) [ ] Date of Action/Order [ ] Summary of Resolution/Outcome [ ] Status of Action (Open, Closed, Pending) --- CLIENT COMPLAINT HISTORY --- [ ] Total Number of Complaints Received (Past 3 Years) [ ] Summary of Complaint Trends (e.g., common issues) [ ] Complaint Resolution Method (Most Common) (Negotiation, Mediation, Arbitration, Legal Action, Other) [ ] Average Resolution Time (in Days) [ ] Complaint Categories (Select all that apply) (Pricing Disputes, Coverage Disputes, Service Issues, Communication Problems, Claims Handling, Fraudulent Activity) [ ] Date of Last Significant Complaint [ ] Description of Complaint Handling Process --- COMPLIANCE PROGRAM & TRAINING --- [ ] Does the broker have a documented compliance program? (Yes, No, Not Applicable) [ ] Last Compliance Program Review Date [ ] Number of Agents/Brokers Requiring Training [ ] What compliance topics are included in the training? (Ethics and Professional Conduct, Regulatory Updates, Data Privacy, Anti-Money Laundering (AML), Fair Credit Reporting Act (FCRA), Insurance Licensing Requirements) [ ] Date of Last Agent/Broker Training [ ] Briefly describe the training methodology used (e.g., online modules, workshops) [ ] Is training mandatory for all agents/brokers? (Yes, No, Partially) [ ] Upload a copy of the Compliance Program Manual (if available) --- CONTRACTUAL AGREEMENTS & TERMS --- [ ] Summary of Key Contractual Terms [ ] Contract Type (Agency Agreement, Wholesale Agreement, Referral Agreement, Other) [ ] Contract Start Date [ ] Contract Renewal Date [ ] Commission Rate (Percentage) [ ] Description of Indemnification Clauses [ ] Governing Law (Jurisdiction 1, Jurisdiction 2, Other) [ ] Upload Contract Document --- CYBERSECURITY & DATA PROTECTION --- [ ] Cybersecurity Framework Used (e.g., NIST, ISO 27001) (NIST Cybersecurity Framework, ISO 27001, Other (Specify)) [ ] Summary of Cybersecurity Policies & Procedures [ ] Data Encryption Method (at rest) (AES-256, Other (Specify)) [ ] Data Encryption Method (in transit) (TLS 1.3, TLS 1.2, Other (Specify)) [ ] Frequency of Vulnerability Scanning (times per year) [ ] Last Security Awareness Training Date [ ] Cybersecurity Incident Response Plan (latest version) --- CONFLICTS OF INTEREST DISCLOSURE --- [ ] Describe any existing relationships or affiliations that could create a conflict of interest. [ ] Does the broker have ownership interest in any insurance companies? (Yes, No, Prefer not to disclose) [ ] Percentage of commission received from a specific insurer (if applicable) [ ] Select all categories of potential conflicts of interest that apply: (Family Member employed by insurer, Prior Business Relationship, Financial Incentive, Other (Specify in Long Text)) [ ] If 'Other' was selected above, please specify the nature of the conflict. [ ] Date of last conflict of interest disclosure review --- RECORD KEEPING & DOCUMENTATION --- [ ] Last Record Keeping Audit Date [ ] Description of Record Retention Policy [ ] Number of Active Client Files [ ] Sample Client File (for review) [ ] Record Storage Method (Physical (Paper), Digital (Cloud), Hybrid) [ ] Date of Last Data Backup [ ] Summary of Document Destruction Process --- END OF TEMPLATE --- Transform this text into a digital, automated, and trackable mobile app! Visit: https://checklistguro.com/templates/insurance/insurance-broker-due-diligence-checklist (Click "Install Template" to launch your digital inspection tool immediately)