• Compliance Audit Reports
  • Reinsurance Audit
  • Duplicate Allocated Expenses
  • Duplicate Payments For PIP
  • Duplicate Payments Other Than PIP
  • Indemnity Subrogation Analysis
  • Negative Claim Balances
  • SIU Quarterly Referrals
  • Data Template - Claims
  • Data Template - Underwriting
  • Referral Data Upload
  • Referrals Accepted Report
  • System Help

Compliance Audit Reports

The Compliance Audit Company Reports contain the following types of reports: the Hybrid Audit Report that measures results pertaining to Quota Share, rate making data, and statutory requirements or CAR Rules, commercial premium and claim statistical audits, commercial premium underwriting, commercial Claim Performance Standards including the evaluation of the SIU function, ad hoc focus audits, and any premium or claim audits conducted in support of an Unqualified Opinion in conjunction with CAR's Financial Statements. The Reinsurance Audit program identifies multiple reporting of the same statistical transaction codes and dollar transaction amounts for a given policy/claim number.

Please contact the Compliance Audit Department directly for any reports not found in the report application including prior years or industry level reports provided to the Division of Insurance.

Compliance Audit Reports

Individual company reports for the current statistical audit cycle as well as the immediate past audit cycle are available in this section. They show in detail, the results of the examinations which are designed to test the accuracy of Premium and Claim transactions reported to CAR. Reports are password protected so that each company may access only its own reports.

Reinsurance Audit

Duplicate Allocated Expenses

Displays Allocated Expense records that have the same claim number and loss amount that may be duplicate.

Duplicate Payments For PIP

Displays PIP claims that have the same claim number and same dollar amount within the same policy.

Duplicate Payments Other Than PIP

Displays liability and physical damage claims that have the same claim number and dollar amount within the same policy.

Indemnity Subrogation Analysis

Displays the number of net indemnity and subrogation records for each same absolute dollar value within a particular ceded claim number.

Negative Claim Balances

Displays claims having a net negative balance by grouping the policy effective year, policy number, claim number, subline code, and loss types for all paid loss and paid allocated loss records together.

SIU Quarterly Referrals

Data Template - Claims

Companies can report their quarterly savings online using this template.

Data Template - Underwriting

Companies can report their quarterly savings online using this template.

Referral Data Upload

Upload and review quarterly SIU activity using the CSV (comma-separated values) file format.

Referrals Accepted Report

Each servicing carrier is required to report quarterly to CAR the number of cases assigned to its SIU, the number of cases denied or compromised for all claims, and the dollars saved.

System Help

Help Manual to assist in the uploading of SIU data.

 
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