Regulatory Reporting Checklist

Quarterly workflow a carrier or MGA compliance team runs to compile, verify, and file state DOI and NAIC regulatory reports. Covers data sourcing from PolicyCenter and ClaimCenter, SERFF and state portal submission, and post-filing follow-up.

5 sections 21 steps Collects data
1

Reporting Cycle Setup

  1. Confirm filing scope and jurisdictions
    • List every state DOI filing due this cycle and the NAIC filings (MAR attestations, Holding Company Form B, Anti-Fraud Plan refreshes for NY, CA, FL, NJ, OH, NM, KY, LA, MN). The compliance officer signs off on scope before data pulls begin — adding a jurisdiction mid-cycle is the most common cause of late filings.

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  2. Pull the regulatory calendar deadlines
    • Each state DOI publishes its own filing windows; SERFF tracks form and rate filings separately. Note any state-specific 72-hour notification triggers (NYDFS Part 500, NAIC Insurance Data Security Model Law adopters) so they do not get folded into longer GLBA or HIPAA timelines.

  3. Assign filing owners by jurisdiction
    • Map each filing to a named compliance analyst. NY, CA, FL, and TX typically warrant a dedicated owner given filing volume and prompt-payment exposure under Texas Insurance Code Chapter 542.

2

Data Collection and Preparation

  1. Extract policy data from PolicyCenter
    • Pull written premium, earned premium, in-force policy counts, and cancellation/non-renewal counts from Guidewire PolicyCenter (or Duck Creek, Insurity, AMS360, Applied Epic — whatever your system of record is). Filter by jurisdiction and line of business to match the filing schema.

  2. Extract claims data from ClaimCenter
    • Pull paid losses, case reserves, IBNR, ALAE/ULAE, and open/closed claim counts. Confirm reserve cadence is current — placeholder reserves not refreshed at the 30/60/90 day cadence will inflate IBNR drift and show up as a market-conduct exam finding.

  3. Reconcile data against the general ledger
    • Tie premium and loss totals to the GL. Variances over $10,000 or 0.5% (whichever is lower) need a written explanation before the data moves forward — DOI examiners ask for the reconciliation memo first.

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  4. Standardize data to the filing schema
    • Map internal class codes to the NAIC Annual Statement line numbers or the state-specific schema. Workers comp data needs separate handling for NCCI states vs. independent bureau states (NY, NJ, DE, PA, CA, MA, MN, MI, WI, TX).

  5. Document data lineage for the audit file
    • Record source system, extract date, query parameters, and reconciliation outcome for each data set. The Model Audit Rule (MAR) work file is built from these notes — do not skip them because the filing is on time.

3

Compliance Verification

  1. Review DOI bulletins and NAIC model updates
    • Check each in-scope DOI's bulletin page and the NAIC committee minutes since the last filing cycle. Form, rate, and disclosure changes adopted mid-quarter are the most common source of last-minute filing rework.

  2. Cross-check filings against compliance matrices
    • Walk each filing through the state-by-state matrix: prior approval (PA), file-and-use (F&U), use-and-file (U&F), or no-file. Pushing a PA-state rate live before approval creates an unauthorized-rate exposure.

  3. Flag material findings for legal review
    • Capture any compliance gaps surfaced during verification — missing disclosures, expired form filings, lapsed producer appointments, OFAC hits on payees. Legal decides whether the issue blocks filing or gets disclosed in the cover letter.

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  4. Hold legal review of flagged findings
    • Counsel reviews each flagged item and decides: remediate before filing, disclose in the filing, or self-report separately. Document the decision rationale in the work file — examiners will ask why a known issue was filed without remediation.

4

Report Compilation and Submission

  1. Compile filings into the required formats
    • Build the SERFF package, NAIC Annual Statement schedules, or state-portal upload bundle. Pre-validate against the schema before opening the submission window — SERFF rejects filings with missing required fields without saving the draft.

  2. Quality-check filings against the source data
    • A second analyst (not the preparer) ties each schedule line back to the source extract. Auto-populated ACORD or annual-statement fields drift across cycles; this is where you catch it.

  3. Obtain officer sign-off on the filing
    • Most NAIC filings and many state filings require a signed officer attestation — typically the CFO or chief compliance officer. Capture the signed attestation as part of the filing package, not as a follow-up.

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  4. Submit through SERFF or the state DOI portal
    • Submit during business hours when the SERFF help desk is staffed — late-Friday submissions that error out cannot be re-filed until Monday. Capture the SERFF tracking number or DOI confirmation ID.

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  5. Archive the filing package and confirmation
    • Store the as-filed package, work papers, attestation, and confirmation receipts in the document management system (ImageRight or equivalent) under the cycle's retention class. Most states require 5–7 years; workers comp can require 10+ years given lifetime medical exposure.

    Collects file
5

Post-Submission Follow-Up

  1. Monitor SERFF objections and DOI inquiries
    • SERFF objection letters typically arrive within 5–15 business days. Each objection has a state-specific response window; missing it can convert a routine filing into a market-conduct issue.

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  2. Respond to regulator objections
    • Draft the response with legal review, file through the same SERFF or portal channel, and attach any supporting actuarial or compliance memos. Track the objection-to-resolution time as a KPI.

  3. Hold the cycle debrief with the reporting team
    • Walk through what slipped, what data extracts were painful, and which DOI bulletins surprised the team. Capture action items for the next cycle's runbook — this is how you keep filings out of fire-drill mode.

  4. Schedule the next reporting cycle
    • Set the next cycle's kickoff, data-pull dates, and officer sign-off block on the calendar before the team disperses. Update the filing matrix with any new jurisdictions or NAIC schema changes adopted this cycle.

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Steps 21
Category Insurance
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