INSURANCE REGULATORY COMPLIANCE CHECKLIST

Created by ChecklistGuro (https://checklistguro.com)

--- LICENSING & APPOINTMENTS ---
[ ] Agent/Broker License Number
[ ] License Expiration Date
[ ] License Status (Active, Inactive, Pending, Suspended, Revoked)
[ ] Agency Appointment Status (Active, Pending, Inactive)
[ ] Appointment Start Date
[ ] Appointment Expiration Date
[ ] Notes/Comments Regarding Licensing & Appointments

--- POLICY FORM FILING ---
[ ] Original Filing Date
[ ] Regulatory Body (State Department of Insurance, NAIC, Federal Agency)
[ ] Form ID Number
[ ] Filing Status (Approved, Pending, Rejected, Withdrawn)
[ ] Notes/Comments from Regulatory Body
[ ] Approval Date

--- ADVERTISING & MARKETING ---
[ ] Review of Marketing Materials for Accuracy
[ ] Compliance with State Advertising Regulations? (Yes, No, N/A)
[ ] Upload Examples of Marketing Materials
[ ] Is Disclaimers Clearly Displayed? (Yes, No, N/A)
[ ] Summary of Potential Advertising Violations Discovered

--- DATA PRIVACY & SECURITY ---
[ ] Compliance Framework Used (e.g., NIST, ISO 27001) (NIST Cybersecurity Framework, ISO 27001, Other (Specify in Long Text))
[ ] Description of Data Encryption Methods Used
[ ] Number of Data Breach Incident Response Drills Conducted Annually
[ ] Types of Personal Data Processed (Select all that apply) (Name, Address, Financial Information, Health Information, Other (Specify in Long Text))
[ ] Date of Last Privacy Impact Assessment (PIA)
[ ] Summary of Data Subject Access Request (DSAR) Handling Procedures
[ ] Data Retention Policy Adherence (Fully Compliant, Partially Compliant, Not Compliant)

--- FINANCIAL REPORTING ---
[ ] Reporting Period End Date
[ ] Total Premium Revenue
[ ] Total Claims Paid
[ ] Net Income/Loss
[ ] Audited Financial Statements
[ ] Reporting Standard Used (e.g., GAAP, IFRS) (GAAP, IFRS, Other (Specify))
[ ] Summary of Significant Accounting Policies

--- CLAIMS HANDLING PRACTICES ---
[ ] Claim Received Date
[ ] Initial Claim Description & Circumstances
[ ] Claim Severity Level (Low, Medium, High)
[ ] Estimated Claim Amount
[ ] Applicable Coverage Types (Property Damage, Liability, Medical Expenses, Business Interruption)
[ ] Date of Initial Contact with Claimant
[ ] Summary of Investigation Findings
[ ] Claim Status (Open, Pending Review, Paid, Denied)

--- ANTI-MONEY LAUNDERING (AML) ---
[ ] Risk Assessment Category (Low, Medium, High) (Low, Medium, High)
[ ] Number of Suspicious Activity Reports (SARs) Filed in Last Year
[ ] Date of Last AML Program Review
[ ] AML Training Modules Completed (Select All That Apply) (Customer Identification Program (CIP), Transaction Monitoring, Suspicious Activity Reporting)
[ ] Summary of Key Findings from Last AML Audit
[ ] Independent Testing of AML Program Performed? (Yes, No)
[ ] Upload Proof of AML Program Certification

--- CONSUMER DISCLOSURE REQUIREMENTS ---
[ ] Policy Summary Disclosure Provided? (Yes, No, Not Applicable)
[ ] Summary of Key Policy Terms (e.g., Coverage Limits, Deductibles)
[ ] Cancellation Policy Disclosed? (Yes, No, Not Applicable)
[ ] Date of Disclosure to Consumer
[ ] Explanation of any Complex Policy Clauses
[ ] Rate Explanation Provided? (Yes, No, Not Applicable)

--- RECORD KEEPING & DOCUMENTATION ---
[ ] Record Retention Schedule Last Updated
[ ] Number of Physical Files Retained
[ ] Location of Physical Records (if applicable)
[ ] Summary of Record Retention Policy
[ ] Record Storage Method (Physical, Digital, Hybrid)
[ ] Copy of Record Retention Schedule (if available)

--- CONTINUING EDUCATION ---
[ ] Agent/Broker License Number
[ ] CE Course Completion Date
[ ] CE Course Provider (Provider A, Provider B, Provider C)
[ ] CE Course Topic Area (Ethics, Legal Updates, Product Knowledge)
[ ] Proof of Completion Certificate
[ ] CE Credits Earned

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