REPORT DIGEST

 

DEPARTMENT OF INSURANCE



COMPLIANCE EXAMINATION

For the Year Ended June 30, 2010

 

Summary of Findings:

Total this audit: 3

Total last audit:  2*

Repeated from last audit: 1*

 

Release Date: May 12, 2011

 

State of Illinois, Office of the Auditor General

WILLIAM G. HOLLAND, AUDITOR GENERAL

 

To obtain a copy of the Report contact:

Office of the Auditor General, Iles Park Plaza, 740 E. Ash Street, Springfield, IL 62703

(217)    782-6046 or TTY (888) 261-2887

 

This Report Digest and Full Report are also available on the worldwide web at www.auditor.illinois.gov

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INTRODUCTION

 

The Department of Insurance (Department) was established on June 1, 2009 by Executive Order 2009-04.    The Department was previously a part of the Department of Financial and Professional Regulation as the Division of Insurance.   This was the initial compliance examination of the Department.  *Findings relating to the Division of Insurance were reported as a part of the compliance examination of the Department of Financial and Professional Regulation for the year ended June 30, 2008.

 

SYNOPSIS

 

• The Department did not timely approve or deny life, accident, and/or health insurance policy forms.

 

• The Department did not maintain time sheets for employees in compliance with the State Officials and

      Employees Ethics Act.

 

FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS

 

UNTIMELY APPROVAL OR DENIAL OF LIFE, ACCIDENT, AND/OR HEALTH INSURANCE POLICY FORMS

 

The Department failed to approve/deny life, accident, and/or health insurance policy forms submitted by insurance companies in a timely manner as required by the Illinois Insurance Code (Code).

 

We noted that 39 out of 50 (78%) policy forms reviewed were not approved or denied on a timely basis.  These policy forms were approved or denied between 36 and 716 days later than the maximum 90 day time period. (Finding 10-1, page 10)

 

We recommended the Department implement procedures to ensure life, accident, and/or health insurance policy forms are properly approved or disapproved in a timely manner as required by the Code.

 

Department officials concurred with our recommendation and stated they have already implemented several critical path processes for expediting the approval/disapproval of certain filing types and expanded existing staff responsibilities to include the review and approval/disapproval of life, accident, and health insurance policy forms.   They further stated they will continue to seek appropriate staffing levels needed to consistently meet the timeframes. 

 

TIMESHEETS NOT MAINTAINED IN COMPLIANCE WITH THE STATE OFFICIALS AND EMPLOYEE ETHICS ACT

 

The Department did not maintain time sheets for employees in compliance with the State Officials and Employees Ethics Act (Act).

 

During testing of the Department’s Ethics Timekeeping Work Diary, we noted the following:

 

• In 16 out of 25 (64%) employee Ethics Timekeeping Work Diary’s reviewed, time was not entered for any days worked by the employee for the selected pay period.

 

• In 2 out of 25 (8%) employee Ethics Timekeeping Work Diary’s reviewed, time was not entered in the work diary for every day worked by the employee for the selected pay period. (Finding 10-3, pages 12-13)

 

We recommended the Department monitor the entries made into the Ethics Timekeeping Work Diary to ensure compliance with the Act.

 

Department officials concurred with our recommendation and stated they will seek to implement improved methods to monitor the entries made into the Ethics Timekeeping Work Diary.

 

OTHER FINDING

 

The remaining finding is reportedly being given attention by the Department.  We will review the Department’s progress towards the implementation of our recommendations in our next engagement.

 

AUDITORS’ OPINION

 

We conducted a compliance examination of the Department as required by the Illinois State Auditing Act.  The Department has no funds that require an audit leading to an opinion of financial statements.

 

 

WILLIAM G. HOLLAND

Auditor General

 

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SPECIAL ASSISTANT AUDITORS

 

Sikich LLP were our special assistant auditors.