National Association of Insurance Commissioners (NAIC) Defined (2024)

What Is the National Association of Insurance Commissioners (NAIC)?

The National Association of Insurance Commissioners (NAIC)is a nonprofit, nonpartisan organization governed by the chief insurance regulators of the 50 states, the District of Columbia, and the five U.S. territories: American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the Virgin Islands. The NAIC sets standards and establishes best practices for the U.S. insurance industry and provides support to insurance regulators. It also provides information and resources to consumers. Insurance products sold in the U.S. are largely regulated by the states, rather than the federal government.

Key Takeaways

  • Insurance in the United States is regulated primarily by the individual states, rather than by the federal government.
  • The National Association of Insurance Commissioners (NAIC) is led by the insurance commissioners of the 50 states, plus Washington, D.C., and five U.S. territories.
  • The NAIC develops model rules and regulations for insurance companies and products.
  • The association also offers programs, information, and online tools for insurance consumers.

History of the National Association of Insurance Commissioners

The NAIC was founded in 1871 by state insurance regulators to address the need to "coordinate regulation of multistate insurers. The first major step in that process was the development of uniform financial reporting by insurance companies."

Because insurers often do business in multiple states, the question of whether they should be regulated on a state or federal level has long been a matter of debate in the U.S. The 1944 Supreme Court case United States v. The South-Eastern Underwriters Association determined that the insurance industry should be subject to regulation by Congress under the Commerce Clause of the Constitution, which gives lawmakers regulatory authority over interstate and international commerce. However, Congress effectively overrode that ruling the following year with the passage of the McCarran-Ferguson Act, which exempted the insurance industry from most federal regulation, including antitrust laws.

Today, with few exceptions, that regulatory authority still resides with the states and their elected or appointed insurance commissioners.

How the National Association of Insurance Commissioners Works

The NAIC is headquartered in Kansas City, Mo., with executive offices in Washington, D.C. The group says its regulatory goals are to:

  • Protect the public interest
  • Promote competitive markets
  • Facilitate the fair and equitable treatment of insurance consumers
  • Promote the reliability, solvency, and financial solidity of insurance institutions
  • Support and improve state regulation of insurance

Through committees, task forces, and working groups, the NAIC develops model laws and regulations to help standardize insurance across the states. Its standing committees include life insurance and annuities, health insurance and managed care, property and casualty insurance, market regulation and consumer affairs, the financial condition of insurers, financial regulation standards and accreditation, and international insurance relations.

The NAIC and its committees normally meet three times a year. These meetings are generally open to the public.

The NAIC also offers education and training courses for insurance regulators. In 2006, it launched the Insurance Regulator Professional Designation Program and awarded its first professional designation the following year.

The NAIC website has a variety of resources consumers can use to learn about insurance products and check out complaint data on specific companies.

The NAIC and Consumer Complaints

In addition to its work in support of state insurance regulators, the NAIC offers a number of tools for consumers. Its Consumer Insurance Search tool helps consumers research specific insurance companies, including any complaint data the NAIC has collected. Companies are scored on a national complaint index, which shows whether they've received more or fewer complaints than other insurers, after adjusting for market share.

According to the NAIC's most recent aggregated data from state insurance departments, the majority of complaints in 2021 involved how an insurer handled policyholders' claims, with unsatisfactory settlements or offers, delayed claims, and denied claims collectively accounting for just over 50% of all complaints. Other types of complaints, though much lower on the list in terms of percentages, included high-pressure sales tactics, misleading advertising, and discrimination.

For consumers who would like to register a complaint of their own, the NAIC website also has a File a Complaint tool, with links to state insurance departments for further information on the process.

Along with those consumer resources, the NAIC website offers basic information on life, health, homeowners, automobile, and several other types of insurance. It also has a Life Insurance Policy Locator tool, which consumers can use to request information on whether a deceased relative left behind an unclaimed policy.

The NAIC should not be confused with groups with similar acronyms: the National Association of Investors Corp. or the North American Industry Classification System.

National Association of Insurance Commissioners (NAIC) Defined (2024)

FAQs

What is the role of the National Association of Insurance Commissioners NAIC? ›

Our Story. The National Association of Insurance Commissioners (NAIC) provides expertise, data, and analysis for insurance commissioners to effectively regulate the industry and protect consumers.

What is the primary role of the NAIC? ›

We assist state insurance regulators, individually and collectively, in serving the public interest. Together, we protect consumers and ensure fair, competitive, and healthy insurance markets.

What is the function of the NAIC? ›

The NAIC sets standards and establishes best practices for the U.S. insurance industry and provides support to insurance regulators. It also provides information and resources to consumers. 1 Insurance products sold in the U.S. are largely regulated by the states, rather than the federal government.

What is the NAIC guidelines? ›

The NAIC model laws and guidelines are proposed statements of insurance regulation for all 50 states as well as the other jurisdictions such as D.C. or Guam. Once a model law is passed, states can choose to adhere to it fully, with modifications, or not at all.

What are the regulatory priorities for NAIC 2024? ›

In a release, the NAIC announced the following regulatory priorities: climate risks/natural catastrophes and resilience. insurer financial oversight and transparency. marketing of insurance products.

Which of the following is a duty of the insurance commissioner? ›

Duties and powers of insurance commissioners

The purpose of insurance commissioners is to maintain fair pricing for insurance products, protect the solvency of insurance companies, prevent unfair practices by insurance companies, and ensure availability of insurance coverage.

What is the main role of the commissioner and the Department of Insurance quizlet? ›

The Commissioner and the DOI are responsible for regulating the conduct of agents and insurers.

Which of the following has primary responsibility for regulating the insurance industry? ›

CDI enforces the insurance laws of California and has authority over how insurers and licensees conduct business in California.

What is the commissioner of insurance responsible for quizlet? ›

The commissioner has the authority to take action to enforce the law (suspend, revoke, remove license of agent or a company's authority).

What does NAIC code mean in insurance? ›

The NAIC number is a number that the National Association of Insurance Commissioner's (NAIC) assigns to each individual underwriting company. Below is a list of the NAIC numbers that are associated with our member companies. For existing policyholders, the NAIC number also appears on the ID cards as "Company Number".

What is NAIC reporting? ›

The NAIC Financial Regulatory Services Department prepares “Insurance Industry Snapshots” and “Insurance Industry Analysis Reports” to assist consumers in better understanding developing trends in the insurance industry. The reports cover the P&C, Title, Life, Fraternal and Health Insurance Industry.

Who processes the claims? ›

A surveyor conducts damage evaluation

The surveyor will evaluate the authenticity of the claim with due diligence. For life and health insurance, the insurer will start processing the claim settlement request upon receiving and verifying all the documents.

What is unfair claims practice? ›

Unfair claims practice is the improper avoidance of a claim by an insurer or an attempt to reduce the size of the claim. By engaging in unfair claims practices, an insurer tries to reduce its costs. However, this is illegal in many jurisdictions.

What is the NAIC rule of 500? ›

—The adopted revisions require that insurance companies with $500 million or more in direct and assumed premium file a report with the state insurance department regarding its assessment of internal control over financial reporting.

How are NAIC designations determined? ›

NAIC designations are determined in accordance with the Purposes and Procedures Manual of the NAIC Investment Analysis Office (P&P Manual). The NAIC designations shall be applicable for statutory accounting and reporting purposes (including determining the carrying value and establishing the AVR charges).

How does the NAIC regulate the insurance industry? ›

Through the NAIC, state insurance regulators establish standards and best practices, conduct peer review, and coordinate their regulatory oversight. NAIC staff supports these efforts and represents the collective views of state regulators domestically and internationally.

What is the main role of the Commissioner and the Department of Insurance quizlet? ›

The Commissioner and the DOI are responsible for regulating the conduct of agents and insurers.

What is the purpose behind NAIC model laws quizlet? ›

A NAIC MODEL REGULATION DEVELOPED TO ENSURE THAT INSURERS AND INSURANCE PRODUCERS PROVIDE CONSUMERS WITH FAIR AND ACCURATE INFORMATION ABOUT POLICIES SO THAT CONSUMERS CAN MAKE PURCHASE DECISIONS THAT ARE IN THEIR OWN BEST INTERESTS.

What does the National Association of Insurance Commissioners Bill require 75 participation for? ›

The National Association of Insurance Commissioners (NAIC) required that 42 states representing 75 percent of direct written premium adopt new SVLs that were substantially similar to the NAIC model law in order for the Valuation Manual to become operative.

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