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Welcome to the home page of the Bureau of Insurance, a division of the Virginia State Corporation Commission.

This web site was established in our ongoing effort to fulfill our regulatory mission: to ensure that citizens of the Commonwealth are provided with access to adequate and reliable insurance protection; that the insurance companies selling policies are financially sound to support payment of claims; that the agents selling company policies are qualified and conduct their business according to statutory and regulatory requirements, as well as acceptable standards of conduct; and that the insurance policies are of high quality, are understandable and are fairly priced.

We are located in Richmond, Virginia. The Bureau licenses, regulates, investigates and examines insurance companies, agencies and agents on behalf of the citizens of the Commonwealth of Virginia. The Bureau of Insurance also examines and investigates title insurance settlement agents and agencies for compliance with the Consumer Real Estate Settlement Protection Act.

If you have suggestions as to what you would like to see added to our web site or any possible improvements, please email webmaster@scc.virginia.gov.


Alfred W. Gross,
Commissioner of Insurance

 


Bureau Divisions

The Bureau of Insurance is organized into four divisions:

Financial Regulation

The Financial Regulation Division of the Bureau of Insurance is divided into three sections. The sections are Company Licensing and Regulatory Compliance, Financial Analysis, and Financial Condition Examination.

The Company Licensing and Regulatory Compliance section is primarily responsible for administering the initial license, approval, and registration process for insurers and insurance related entities desiring to do the business of insurance in Virginia. The section also has the responsibility for monitoring health maintenance organizations, premium finance companies, automobile clubs, multiple employer welfare arrangements, viatical settlement providers and continuing care retirement communities. In addition, the section is responsible for ensuring regulatory compliance with licensing requirements for companies transacting business in Virginia.

The Financial Analysis section is charged with the on-going monitoring and solvency assessment of insurance companies. The section also has the responsibility for approving purchasing groups, risk retention groups, surplus lines carriers, and qualified reinsurers. In addition, the section is responsible for notification of any insolvency to the Insurance Guaranty Fund Associations.

The Financial Condition Examination section is responsible for conducting periodic on-site examinations of domestic insurers’ accounts, records, books, and operations. The section also has the responsibility for publishing Examination Reports on the financial condition of insurance companies and any material findings.

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Life and Health Market Regulation

The Life and Health Market Regulation Division monitors the market activities of companies within the Life and Health classes of insurance and monitors agents in all classes of insurance. There are six functional sections, whose responsibilities are described below:

 

Consumer Services: This section logs, investigates and works toward resolution of complaints about agents, agencies and companies. They make recommendations for disciplinary action where necessary. Consumer Services representatives also provide consumers with information and answer insurance-related questions.

Market Conduct: This section performs field examinations of insurance companies to ensure their business practices are in compliance with Virginia’s insurance laws and regulations.

Forms and Rates: This section reviews policies and contracts to ensure they are in compliance with statutory and regulatory requirements. They also review and, for certain lines, may approve premium rates.

Research: This section assesses the impact of major issues affecting the insurance industry, develops regulations and proposes legislation relative to the issues. They participate in legislative studies, undertake consumer research projects and develop guidebooks to promote awareness of insurance issues and standards.

Office of the Managed Care Ombudsman: This section helps consumers who have Managed Care Health Insurance Plan (MCHIPs) products understand their rights of appeal of adverse decisions by MCHIPs.

Outreach Coordinator: Insurance Consumer Outreach serves and protects by providing education, information, and assistance to consumers. This section accomplishes this mission by coordinating all life and health consumer outreach programs, including special programs for senior citizens.

External Appeals: In addition to the traditional services provided by this division, Life and Health Market Regulation also has a section dedicated to the external review of final adverse decisions rendered by managed care health insurance plans.

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Property and Casualty Market Regulation

The Property and Casualty Market Regulation Division monitors the market activities of companies and agents within the Property and Casualty classes of insurance. There are five functional sections, whose responsibilities are described below:

Consumer Services: This section logs, investigates and works toward resolution of complaints about agents, agencies and companies. Consumer Services representatives also provide consumers with information and answer insurance-related questions.

Market Conduct: This section performs field examinations of insurance companies to ensure their business practices are in compliance with Virginia’s insurance laws and regulations. Available for download: Common Problems Found During Property and Casualty Market Conduct Examinations.

Personal & Commercial Lines Rules, Rates and Forms: This section reviews policies and contracts to ensure they are in compliance with statutory and regulatory requirements. They also review and, for certain lines, may approve premium rates.

Research: This section assesses the impact of major issues affecting the insurance industry, develops regulations and proposes legislation relative to the issues. They participate in legislative studies, undertake consumer research projects and develop guidebooks to promote awareness of insurance issues and standards.

Outreach Coordinator: Property and Casualty Insurance Consumer Outreach provides education, information, and assistance to consumers and members of the insurance industry. This section accomplishes this mission by coordinating all property and casualty consumer outreach programs.

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Agent Regulation and Administration

Agent Regulation and Administration provides the primary financial and personnel support for all operational departments in the Bureau of Insurance. This includes preparing the Bureau of Insurance biennial budget, collecting and recording fees and taxes and overseeing Bureau of Insurance personnel transactions.

Agents Licensing: This section performs licensing for all lines of insurance and tracking functions for the entire Bureau of Insurance. They screen applications, issue agent/agency licenses, track appointments, process appointment renewals and monitor regulatory requirements for licensing. They respond to all informational requests about agents. There are approximately 105,000 insurance agents, 1,500 insurance companies, and 10,500 insurance agencies doing business in Virginia. The Agents Licensing Section handles an average of 8,000 telephone calls per month.

Automated Systems: This section is responsible for oversight of all the computer-based systems utilized within the Bureau of Insurance.

Agent Investigations: This section conducts field examinations of agent activities and reviews their financial transactions and business practices to ensure they are in compliance with Virginia insurance laws and regulations.

Administration: This section provides support to the Bureau of Insurance staff. The section is responsible for the Bureau’s biennial budget, preparation of vouchers for vendor payments and for reimbursement of travel expenses, assists with personnel functions, procurement, Bureau payroll, and leave keeping. Administration also administers the Bureau’s education program.

Administrative Tax: This section is directly responsible for the collection and audit of premium license tax, assessment for the maintenance of the Bureau, the Fire Programs Fund Assessment, the Flood Assessment, the Help Eliminate Auto Theft (HEAT) Assessment, the Fraud Unit, the Managed Care Health Insurance Plan Assessment (MCHIP) and retaliatory taxes. The Administrative Tax Division processes several thousand tax and assessment filings from insurers and generally collects revenues in excess of $350 million. The Administrative Tax Division is also responsible for processing surplus lines insurance filings from nearly 800 licensed brokers.

 

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