Market Analysis Profiles

The Market Analysis Profiles are a group of financial and market related reports that may be used by Market Regulation Analysts/Examiners to determine the business areas for review when conducting market analysis/examinations. They are a group of reports that are formatted specifically for use by market analysts/examiners. These reports utilize five year’s worth of data contained in the financial annual statement and the CDS, and RIRS databases. They are located together for the convenience of the users. The reports that include financial data will be available for only those firms with NAIC CoCodes. The market data reports will be available for all firms with qualifying information.

The reports are available in both HTML (hypertext markup language, i.e. printable web pages) format and CSV (comma separated value, i.e. downloadable spreadsheet) format. Users may select the format for each report separately or for a group of reports (by using the checkboxes to the left of the report name.)

There are twelve Market Analysis Profiles reports available to regulators.

There are five ways to access the Market Analysis Profiles:

On the Market Firm Search Results page there is a link to the "Market Analysis Profiles."
On the Categories page in the Company Search page there is a link to the "Market Analysis Profile" under the Examination section.
The Market Analysis Profile (MAP) - Demographics page has a link at the top of the display for "Market Analysis Profiles."

State-Specific Premium Volume Written - 5 years:

This report is a summary of the data on the Schedule T report for a five year period for those companies filing a Property, Life, Health, Fraternal or Title annual statement. This differs from the Schedule T report under the Financial Company Search link as those reports are national in scope and each one is for a single specified year.

The report provides data for companies filing on the P&C, Life, Health, Title, and Fraternal statements for the first time.

The user may select a specific state or all states to run the report for. The default will be the state associated with the user's iSite+ login ID.

Modified Financial Summary Profile - 5 years:

This report is similar to the Profile reports similar to the Profile reports available under the Financial Company Search link for the state of the user requesting the report. They are limited to those companies filing a Property, Life, or Health annual statement.

Confirmed Complaints Index Report - 5 years:

This report lists the index, complaint share, complaint count, U.S. market share and premiums written for the specified company for a five year period. This report is available for all companies with an active CoCode on the financial database. The complaint index report will allow you to select policy types instead of including all policy types.

The user may select a specific state or all states to run the report for. The default will be the state associated with the user's iSite+ login ID. All lines of business are displayed.

Eighteen sub-reports are automatically generated based on the state and company selected

Commercial Auto
Commercial Liability
Commercial Property
Credit (Premium Amount)
Credit (Number of Policies)
Group Accident and Health
Group Life (Premium Amount)
Group Life (Number of Policies)
Homeowner
Individual Annuity
Individual Accident and Health
Individual Life (Premium Amount)
Individual Life (Number of Policies)
Long Term Care
Medicare Supplement
Private Passenger
Fidelity and Surety
Title

U.S. Market Share is calculated as the premiums or number of policies written in your state for the company divided by the total of premiums or number of policies written in your state.

When state specific information is selected, the U.S. Market Share is calculated as the premiums or number of policies written in the selected state(s) for the company divided by the total of premiums or number of policies written in the selected state(s) for all companies.

Complaint Share is calculated as the complaints in the state selected (or all states) submitted to the NAIC Complaints Database (CDS) for the company divided by the total number of consumer complaints in the state selected (or all states) submitted to CDS against firms with Cocodes.

The company's total complaints under the policy type for the calendar year are summed as "Total Complaints." NOTE: Total complaints includes both Confirmed and Unconfirmed complaints.

A Confirmed Complaint is a complaint in which the state department of insurance determines:

a) The insurer, licensee, producer, or other regulated entity committed any violation of

an applicable state insurance law or regulation;
a federal requirement that the state department of insurance has the authority to enforce; or
the term/condition of an insurance policy or certificate

b) The complaint and entity’s response, considered together, indicate that the entity was in error.

Confirmed Complaints include those complaints in which one of the complaint resolution codes used by the state, also known as the “complaint disposition,” upheld the consumer’s complaint position. Complaint resolutions that uphold a consumer’s complaint position are as follows (implemented on 11/15/2010):

Compromised Settlement/Resolution
Claim Reopened
Claim Settled
Fine Assessed
Referred for Disciplinary Action
Company Position Overturned.

Unconfirmed Complaint Dispositions

Company Position Substantiated
No Action Requested/Required
No Jurisdiction
Referred to Another State's Department Insurance
State Specific
Refer to Outside Agency/Department
Question of Fact/Contract Provision/Legal Issue
Insufficient Information
Complaint Withdrawn

The "Total complaints" value is the sum of all the closed consumer complaints submitted including all the complete and confirmed closed consumer complaints, that meet the search criteria.

Complaint Index is calculated as the complaint share divided by the U.S. Market Share.

These three reports are available for those firms when the appropriate data is found in the NAIC database for the five year timeframe.

Regulatory Actions Report - 5 years:

The Regulatory Information Retrieval System (RIRS) contains regulatory actions taken by participating state insurance departments. A summary of the RIRS information appears below the identifying demographic information. The actions are listed in reverse chronological order from the Action Date.

Information for each available regulatory action follows the summary information. Each entry contains the following information. NOTE: See the Glossary for definitions of any unfamiliar terms.

The user can specify All Actions or Substantive Actions for the report.

Substantive Actions descriptions are defined as follows:

Certificate Of Authority, Denied
Certificate Of Authority, Suspended
Certificate Of Authority, Suspension Extended
Certificate Of Authority, Revoked
Certificate Of Authority, Expired
Certificate Of Authority, Probation
Certificate Of Authority, Reinstatement
Certificate Of Authority, Surrendered
Certificate Of Authority, Other
Cease And Desist
Cease And Desist From Violations
Cease And Desist From All Insurance Activity
Remedial Measures Ordered
Consent Order
Stipulated Agreement/Order
Ordered To Provide Info
Stayed Order
Final Agency Order
Ordered To Comply With Specific Statute Or Regulation
Reprimand
Show Cause
Re-Exam
Rescission Of
Involuntary Forfeiture
Restitution
Suspended From Writing New Business; Renewals OK
Supervision
Rehabilitation
Liquidation
Conservatorship
Hearing
Receivership
Ancillary Receivership
Monetary Penalty
Aggregate Monetary Penalty
Settlement

State Action Search: For each RIRS action from a state that provides access to the actual orders on-line, there will now be a link displayed for the user to go directly to the state's website if they want to request a report. The link will appear, when appropriate, on the RIRS entity report, both RIRS summary reports and the RIRS 5 Year report in the Market Analysis Profile report suite.

State of Action
State Action Search
Origin of Action
Reason for Action
Disposition
Date of Action
Effective Date
Enter Date
Contact Person
Contact Phone
Entity Role
Penalty, fine or forfeiture
Time or length of order (days)
Department
File Reference Number
Action ID Number

Closed Complaints Report - 5 years:

The Closed Complaints Report displays the number of complaints selected for an entity or National Producer Number based on various complaint codes (Type, Reason and Disposition). The report also displays percentages of the number of complaint records considered justified (confirmed) for the policy types and the reasons. There are percentages of the total number of complaints that each disposition type represents.

The user may select a specific state or all states to run the report for. The default will be the state associated with the user's iSite+ login ID.

Type of Coverage
Type of Coverage codes indicate the type of insurance to which the complaint refers, such as Private Passenger Auto Liability coverage. These codes are provided by section (Auto, Homeowners, etc) then by first level description (private passenger, commercial, etc.) and second level description (liability, physical damage, etc.)

Reason for Complaint
Reason for Complaint codes indicate the cause for a filed complaint. Reasons are indicated under the areas of Underwriting, Marketing and Sales, Claims Handling and Policyholder Service.

Disposition
Disposition codes indicate how the complaint was handled, such as Policy Issued or Restored.

The Closed Complain Report is conducted by a count of complaints in their entirety. The report provides counts five years back from when the report is generated.

Closed Complaint Code Summary - 5 years:

The Closed Complaints Report displays the number of complaint codes selected for an entity or National Producer Number based on various complaint codes (Type, Reason and Disposition). The report also displays percentages of the number of complaint codes considered justified (confirmed) for the policy types and the reasons. There are percentages of the total number of complaint codes that each disposition type represents.

The user may select a specific state or all states to run the report for. The default will be the state associated with the user's iSite+ login ID.

Disposition
Disposition codes indicate how the complaint was handled, such as Policy Issued or Restored.

The Closed Complaint Code Summary - 5 years report will provide statistics for the following three groups:

Complaint codes by Coverage Type (Auto; Fire, Allied Lines & CMP; Homeowners; Accident & Health; Miscellaneous)
Complaint codes by Reason (Underwriting; Claim Handling; PolicyHolder Service)
Complaint codes by Disposition

Within each group will be information on the following:

All Complaint Codes
All Confirmed Complaint Codes
Percentage of Total Complaint Codes for the Year
Percentage Change from Prior Year

A percentage change value of "NR" indicates that the divisor value is zero. A value of -100% will be displayed when the current year value is zero and the prior year value is greater than zero.

The report is based off of the past 5 complete calendar years.

Note that this report will do a count of all codes specified under that coverage category, so it is a count of all level 1 & 2 codes (under that coverage).

Reports can be specified for one or more of the following categories using the radio buttons provided under the report:

Commercial Auto
Commercial Liability
Commercial Property
Credit
Fidelity and Surety
Group Accident and Health
Group Annuity
Group Life
Homeowner
Individual Accident and Health
Individual Annuity
Individual Life
Long Term Care
Medical Professional Liability
Medicare Supplement
Private Passenger
Title
Workers Compensation

Market Action Exam Summary Report - 5 years:

The Market Action Exam Summary Report displays a history of exams called through the Market Action Tracking Systme (MATS) and the Financial Exam Electronic Tracking System (FEETS) for the stated company over a five-year span. (See the FEETS Help page for steps on accessing the system). The data presented includes:

NAIC Exam Number
Date Entered
Area
Call Date
Type
Date Completed
Category
Managing Lead State
Triggers
State Involvment
Status
Fine(s)

Defense Costs Against Reserves Report - 5 years

The Defense Costs Against Reserves Report is available for P&C companies containing the data from the financial statements related to defense costs incurred by the company over a five-year span.

The data for Property companies comes from the State Page.

The user may select a specific state or all states to run the report for. The default will be the state associated with the user's iSite+ login ID.

The Defense Costs Against Reserves Report contains a summarized table at the top of the page for each of the five years as well as the percent change from the previous year.

Summary Fields:

Property & Casualty

Direct Losses Paid
Direct Losses Incurred
Direct Losses Unpaid
Direct Defense and Cost Containment Expenses Paid
Direct Defense and Cost Containment Incurred
Defense Cost Ratio

Resisted Claims Against Reserves - 5 Years

The Resisted Claims Against Reserves is available for Life companies. The data comes from Exhibit 8, the Life Insurance Exhibit and Schedule F.

The Resisted Claims Against Reserves Report contains a summarized table at the top of the page for each of the five years as well as the percent change from the previous year.

Life -Schedule F

Amount Claimed
Amount Paid
Amount Resisted
Resisted Claims Ratio

Unpaid Claims to Incurred Claims - 5 years

The Unpaid Claims to Incurred Claims Report is available for Health companies containing the data from the financial statements related to incurred and paid claims by the company over a five-year span.

The data for Health companies comes from the claims unpaid and claims incurred schedules on the health financial statements.

The Unpaid Claims to Incurred Claims Report is a summarized table of the five years as well as the percent change from the previous year and a ratio.

Health Companies

Claims Unpaid
Change From Previous Year
Claims Incurred
Change From Previous Year
Unpaid to Incurred Claims Ratio

Market Action Initiatives Summary - 5 years

This report will provide the user with a listing of actions where the action types were Focused Inquiry and Non-Exam Regulatory Intervention associated with the company and includes:

Action Name
Managing Lead State
Participating State(s)
Line(s) of Business
Trigger(s)
Conclusion
Action Type(s)