2019 Sunset Audit

NEW ADDRESS


Arizona Department of Insurance
100 North 15th Avenue, Suite 261

Phoenix, AZ  85007-2630


Starting July 1, 2020, we will be the
Department of Insurance and Financial Institutions (DIFI).

Status as of June 11, 2020

 

Completed 

Completed

In Progress

In Progress

Not Started

Not Started

 

In Progress 1. The Department shall strengthen its new fraud-referral prioritization process to ensure it investigates high-priority referrals.      

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In Progress Help the NAIC develop a uniform standard and process by which insurers can inform insurance departments of suspected insurance fraud.
Not Started Develop a way to use referral data to identify fraud trends and prioritize referrals.
In Progress Write a training manual that specifies how to enter and track fraud referral data, criteria for closing referrals without investigation, and how to prioritize referrals for investigation.
In Progress Formalize current outreach efforts by holding regularly scheduled meetings with investigation partners and industry stakeholders.
In Progress Update procedures to have a supervisor review a sample of referrals closed without investigation to verify appropriateness, and review priorities assigned to a sample of open referrals.
In Progress Determine the number of staff hours and resources that would be required to investigate uninvestigated high-priority cases

 

Completed 2. The Department shall improve its conflict-of-interest procedures and practices                                                      

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Completed Improve conflict-of-interest policies, procedures and forms for agency employees.
Completed Improve conflict-of-interest policies, procedures and forms for the agency's board members.
Completed Have all Department employees complete new conflict-of-interest forms and retain completed forms in a separate disclosure file for public inspection.
In Progress Have all Department board members complete new conflict-of-interest forms and retain completed forms in a separate disclosure file for public inspection.
Completed Have boards solicit disclosures of potential conflicts of interest in meeting notices and at the outset of each meeting.
     
                                                                                                                                                       
Completed 3. The Department shall improve its long-term care insurance rate review process.                                                  

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Completed Research statutory and actual long-term care review time frames in other states
Completed Implement a uniform communication policy to notify insurance companies of the opportunity to waive the rate review time frame.
Completed Implement recommendations from NAIC long-term care task forces that the Department determines appropriate and that are within the Department’s administrative authority.
            
                                                                                                                        
Completed 4. The Department shall be available to aid policymakers in any decision-making about the need to continue dormant boards and committees.

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Completed Insurance Consumer Advisory Board (A.R.S. § 20-400.08)                                                                                                                            
Completed Continuing Education Review Committee (A.R.S. § 20-2905)
        
                                                                                                                       
In Progress 5. The Department shall improve administration-related policies and procedures.                                                             

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In Progress Update the guaranty fund policies and procedures manual.
In Progress Have monthly financial reconciliations undergo agency executive review.
In Progress Partner with Arizona Strategic Enterprise Technology (“ASET”) to evaluate, document and prioritize areas of IT security risk, use the results to develop policies, procedures and staff training.
Completed Define, document and verify ASET-provided IT security services.
        
 
Completed 6. The Department shall improve its rules.                                                                                                                       

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Completed Continue to publish the regulatory agenda to inform the public of the agency’s rule making priorities.                                                            
Completed Continue to apply available resources to improve or eliminate outmoded rules.
        
  
                                                                                                                       
Completed 7. The Department shall ensure minutes from public meetings are available for public inspection.

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Completed Post minutes to the Internet website or make a recording available for public inspection within 3 working days following each meeting.