INSURANCE REGULATORY REPORTING CHECKLIST Created by ChecklistGuro (https://checklistguro.com) --- DATA GATHERING & VALIDATION --- [ ] Policy Count (Active) [ ] Claims Reported [ ] Cut-off Date for Data [ ] Data Source (Core System, Excel Spreadsheet, Third-Party Vendor) [ ] Data Fields Verified (Policy Number, Insured Name, Premium Amount, Claim Status) [ ] Data Validation Notes --- REPORTING FORM SELECTION & COMPLETION --- [ ] Reporting Form Type (Quarterly Statistical Report, Annual Financial Report, Event-Driven Report, Other (Specify)) [ ] Reporting Period (Q1, Q2, Q3, Q4) [ ] Policy Count - Life [ ] Policy Count - Auto [ ] Claim Ratio [ ] Report Submission Date [ ] Notes/Comments --- CALCULATIONS & RECONCILIATION --- [ ] Gross Written Premium [ ] Losses Paid [ ] Expense Ratio [ ] Combined Ratio [ ] Reserve Adequacy Ratio [ ] Reconciliation Method (Manual, Automated, Hybrid) [ ] Reconciliation Date --- SYSTEM & TECHNOLOGY CHECKS --- [ ] System Uptime Percentage (Last 24 Hours) [ ] Data Encryption Status (At Rest) (Enabled, Disabled, N/A) [ ] Access Control Verification Performed? (Yes, No, N/A) [ ] Last System Security Patch Applied [ ] Number of Failed Data Transfers [ ] Description of any system errors encountered during reporting --- LEGAL & COMPLIANCE REVIEW --- [ ] Applicable Regulatory Framework(s) (NAIC Model Laws, State-Specific Regulations, Federal Regulations (e.g., GLBA), International Regulations (e.g., GDPR)) [ ] Summary of Key Compliance Risks [ ] Date of Last Legal Review [ ] Confirmation of Legal Counsel Review (Reviewed and Approved, Reviewed, Minor Changes Required, Not Yet Reviewed) [ ] Record of Legal Counsel Comments/Recommendations [ ] Supporting Legal Documentation (e.g., Opinion Letters) --- SUBMISSION & ARCHIVING --- [ ] Submission Date [ ] Submission Time [ ] Submission Method (Online Portal, Email, Mail) [ ] Confirmation Number (if applicable) [ ] Confirmation Receipt (if applicable) [ ] Notes/Comments Regarding Submission --- DOCUMENTATION & AUDIT TRAIL --- [ ] Date of Report Preparation [ ] Description of Data Sources Used [ ] Preparer Signature [ ] Report Version Number [ ] Summary of Key Assumptions Made [ ] Supporting Documentation (e.g., calculations) [ ] Name of Preparer --- VERSION CONTROL & UPDATES --- [ ] Last Updated Date [ ] Version Number [ ] Summary of Changes [ ] Reason for Update (Regulatory Change, Process Improvement, System Upgrade, Data Correction) [ ] Previous Version Number [ ] Supporting Documentation (e.g., Regulation PDF) --- END OF TEMPLATE --- Transform this text into a digital, automated, and trackable mobile app! Visit: https://checklistguro.com/templates/insurance/insurance-regulatory-reporting-checklist (Click "Install Template" to launch your digital inspection tool immediately)