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DIFP logo Jeremiah W. (Jay) Nixon, Governor
John M. Huff, Director

 

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Saturday, November 07, 2009

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Insurance Home » Reports » Market Conduct Examinations

Market Conduct Exams

Market conduct examinations ensure equitable treatment of Missouri policyholders and compliance with Missouri statutes and regulations. Reasons for conducting a market conduct exam include, but are not limited to; information obtained from the carrier, high complaint indices, current trends in the market, problems found in financial examinations or information received from other states.

Three methods are used to conclude examinations:

The insurer signs settlement agreements and pays fines when the examination finds errors that exceed tolerance ranges established by the NAIC (10 percent tolerance level for underwriting errors and 7 percent for claims handling). The department issues monetary penalties based on prior violations or the severity of new findings.

A cure order is issued when the department conducts an examination and finds errors that exceed the tolerance levels, but are not serious enough to merit fines. The order requires the company to fix the violations found in the report.

A filing order is issued when the department has conducted an examination and found no violations that exceed acceptable tolerance ranges established by the NAIC.

 

2009

 

2008

Market Conduct Exams (prior to 12/01/08)