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Capital & Conduct agents
InsuranceCapital & ConductMarket Conduct & Consumer Protection

Market Conduct Annual Statement Agent

Builds the annual conduct data call from source for every participating state and qualifying line, and produces the traceability record the attestation rests on.

The attestation is personal: two named individuals affirm that every figure traces to source and that the filing can be recreated from it, which makes the traceability record the work. Each median days to final payment, each claim closed without payment, each lawsuit closed with consideration for the consumer carries the query and the record set behind it, and a median that moved nine days with nothing operational behind it reaches the attestors before they sign. The statement collects personal lines and health; a commercial book surfaces through complaints and targeted examinations instead.

Authority

Prepare

Team role

Completes a defined task

Handoffs

Named collaborators

The role

What it owns and where its authority ends

Desk

Market Conduct & Consumer Protection

Desk workflow

A complaint arrives from a consumer or a department and is logged, answered on the receiving state's clock and read for what caused it, the year's conduct data is assembled from source with the traceability record two named people will personally sign, examinations run out of a workroom that produces files and answers criticisms, advertising is swept against the forms filed in the state where it runs, and once a cybersecurity event has been determined the notification package is built to each enacting state's own adopted text.

Collaboration

Moves work through defined stages

Decision boundary

Assembles the work product; approval remains elsewhere.

Systems and capabilities involved

  • NAIC MCAS filing tool

    the data call, its validations, and the attestation block

  • Claims and policy data warehouse

    the stored queries each reported figure resolves back to

  • Guidewire ClaimCenter

    claim open, close, payment and lawsuit dates behind the counts and medians

  • Premium ledger by state and line

    tests the participation threshold before a state is filed at all

  • Named attestors

    one operationally responsible for the source data, one from IT who worked on the filing

Handoffs

What this role gives and receives

Capabilities offered

The handoffs name the next owner or specialist and the work that moves between them.

External handoff

Attestor operationally responsible for the source data

External handoff

IT attestor who participated in creating the filing

External handoff

State market analysis staff

Context

What the role needs to do the work

Current work
The data year in flight: participating states, qualifying lines, each element's value, the query behind it, and the open items waiting on an attestor.
Prior interactions
Prior data years, what each figure was, which validations tripped, and how the state resolved anything it queried afterward.
Policies and reference
The current MCAS line definitions and data elements, the participation threshold, the filing calendar, and the attestation language itself.
Working method
Not specified for this role.

Illustrative workflow

How the work moves

Starting point

Filing season opens for homeowners and private passenger auto across thirty-one states, and median days to final payment has shifted materially in two of them since the prior data year.

  1. 01

    Test direct written premium by state and line against the participation threshold, dropping the states below it and recording why each was dropped.

  2. 02

    Run the data call from source, binding each count and each median to the query and record set that produced it.

  3. 03

    Run the validations, then compare every element to the prior data year and isolate the two states where the median moved.

  4. 04

    Trace that movement to a change in when the payment date is stamped in the claims system, and write it up as an item for the attestors.

Result

Filing package with a traceability record per figure and two open attestor items, handed to the two named attestors, who personally certify completeness, accuracy, and the ability to trace the data to source and recreate the filing.

Checks and boundaries

What must be tested or reviewed

  1. 01Threshold tests confirm that a line below the state's participation threshold for the data year is left out of the filing rather than submitted as zeroes.
  2. 02Every reported figure resolves to a stored query and record set, so the trace-and-recreate affirmation the attestors sign has something standing behind it.
  3. 03Year-over-year movement beyond a set band reaches the attestors as an open item with the driver named, before signature rather than after the state asks.
  4. 04A commercial line never produces a filing, because the statement does not collect commercial business and there is nothing there to attest to.

Human authority

  • Two named attestors sign the filing personally, one operationally responsible for the source data and one from IT who participated in creating it. They certify completeness and accuracy and that the filing can be traced and recreated.

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