Audit Preparation Checklist

Steps a carrier or MGA controller runs ahead of an external financial or market-conduct audit, covering financial reconciliation, regulatory compliance, and internal-controls review. Designed for use 60-90 days before the audit fieldwork start date.

5 sections 22 steps Collects data
1

Audit Scope and Kickoff

  1. Confirm the audit type and scope
    • Confirm whether this is a Model Audit Rule (MAR) financial audit, a state DOI market-conduct exam, a SOC 2 Type II review, or an internal audit. Each has different scope, evidence expectations, and statutory deadlines — getting this wrong upstream means producing the wrong workpapers.

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  2. Distribute the PBC request list to owners
    • Map each item on the auditor's prepared-by-client (PBC) list to a named owner — finance, claims, underwriting, IT, legal. Set internal due dates two weeks ahead of the auditor's deadline so reviewers have buffer.

  3. Schedule the audit kickoff meeting
2

Financial Documentation

  1. Compile financial statements for the audit period
    • Pull the balance sheet, income statement, cash flow statement, and statutory annual statement (Schedules F, P, and T for P&C carriers) covering the full audit period. Include comparative prior-year figures and tie-outs to the trial balance.

    Collects file
  2. Reconcile bank statements to the general ledger
    • Reconcile every premium-trust, claims, and operating account through the audit period-end. Document any reconciling items older than 30 days — stale items are a recurring auditor finding and a state DOI premium-trust concern.

  3. Tie premium receivables to the policy admin system
    • Reconcile written-premium and earned-premium balances between the GL and the policy admin system (Guidewire PolicyCenter, Duck Creek, or Applied Epic). Variances over the carrier's materiality threshold need a written explanation before the auditor sees them.

  4. Prepare the loss reserve and IBNR summary
    • Summarize case reserves, IBNR, and ALAE/ULAE by line of business, with the actuarial memo supporting the booked reserve. Include the prior-year development triangle — auditors will compare booked reserves to actuarial central estimate and flag any material divergence.

    Collects file
  5. Pull reinsurance recoverables and Schedule F detail
    • Document recoverables by reinsurer with A.M. Best ratings and any disputed balances. Treaty cessions should tie to the cedant's underwriting and claim records — following-form mismatches are a common Schedule F adjustment.

3

Compliance and Legal

  1. Verify producer licensing and appointments
    • Run a NIPR report for every producer who bound business during the audit period. Confirm NPN, resident-state license, non-resident appointments in every state where the producer bound, and current CE. Lapsed CE means unauthorized transactions during the lapse window.

  2. Confirm rate and form filings on SERFF
    • For every state and line written, confirm the filing posture (prior approval, file-and-use, use-and-file) and that the implemented rates/forms match what's on file in SERFF. A rate change pushed live before PA-state approval is the classic market-conduct finding.

  3. Check whether NYDFS Part 500 applies
    • Any Covered Entity doing insurance business in NY needs the CISO certification, MFA evidence, biennial risk assessment, and vendor risk program documentation ready. Determine whether Part 500 is in scope before deciding which artifacts to assemble in the next step.

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  4. Assemble Part 500 cybersecurity artifacts
    • Pull the most recent CISO report to the board, biennial risk assessment, annual penetration test, MFA enforcement evidence (including third-party VPN access under §500.12), and the vendor risk inventory under §500.11. Include the 72-hour incident notification log even if empty.

    Collects file
  5. Compile the GLBA Safeguards WISP and privacy notices
    • Include the current written information security program, the most recent annual privacy notice mailing, and state-specific opt-out handling — Vermont opt-in, California CCPA/CPRA disclosures for personal lines.

  6. Document active litigation and reservation-of-rights matters
    • Provide outside counsel's audit response letter, a schedule of pending bad-faith and coverage suits, and any open ROR letters. Tie reserved amounts back to the GL.

4

Internal Controls and Procedures

  1. Walk through underwriting binding-authority controls
    • Sample 25 bound policies across the audit period and trace each to the producer's binding-authority document — line of business, hazard grade, limit, and premium size. Out-of-authority binds are the most common UW control finding.

  2. Test claims reserve cadence and adjuster authority
    • Sample open and closed claims to confirm reserves were updated on the carrier's 30/60/90-day cadence and that settlement payments were within the assigned adjuster's authority. Document any Texas Chapter 542 prompt-payment exceptions.

  3. Review segregation of duties on cash and claim payments
    • The person who sets up a payee should not be the person who approves the payment. Pull the system access matrix and flag any user who has both. This is a top-five SOX/MAR finding when missed.

  4. Verify OFAC screening at issuance and at claim payment
    • Many carriers screen at policy issuance but skip claim-payment screening. Pull the OFAC scan log for a sample of claim payees and confirm SDN-list checks ran within 24 hours of payment release.

  5. Confirm the Anti-Fraud Plan filing is current
    • NY, CA, FL, NJ, OH, NM, KY, LA, and MN all require periodic Anti-Fraud Plan filings. Confirm the most recent filing matches the SIU's actual operating procedures — acquired books often inherit unfiled or stale plans.

  6. Test IT backup restoration and access reviews
    • Provide evidence of a successful backup restore test within the audit period and the most recent quarterly access review for PolicyCenter, ClaimCenter, and the AMS. Untested backups and stale terminated-employee accounts are recurring SOC 2 and Part 500 findings.

5

Final Review and Sign-Off

  1. Hold the pre-audit walkthrough with leadership
    • Walk the CFO, General Counsel, and CISO through the assembled package. Surface any known issues now — auditors respond better to a self-disclosed weakness with a remediation plan than to one they discover.

  2. Lock the audit binder and grant auditor access
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Sections 5
Steps 22
Category Insurance
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