7:30 - 8:15
Breakfast
8:15 - 9:00
Opening Session, Welcome, Keynote and Awards
Welcome to sunny California! Join us for the opening session of our 2024 National School on Market Regulation!
9:00 - 10:30
Commissioners' Panel
This session will include several state commissioners in a discussion of the latest topics in insurance regulation.
10:30 - 10:45
Break
10:45 - 11:45
Compliance Reporting, Dashboards, Analysis and More
Tips, techniques, and technologies for effective dashboards and reporting. Make your reports count and attract the right kind of attention.
Best Practices in Market Conduct Exams
Hear from regulators on top issues, industry best practices, and what not to do. What makes an exam go smoothly and what can trip you up.
Workers’ Compensation Audits
Workers’ comp audits are different than other regulatory exams and some involve workers’ comp bureaus. This session will focus on techniques for managing these types of audits.
What Everyone Ought to Know about Compliance & Ethics Program Assessments
The US Sentencing Commission’s “Elements of an Effective Compliance Program” have been around for over 30 years. Yet measuring the effectiveness of a compliance and ethics program can be a daunting task. A “check the box” approach to compliance doesn’t add value and can even give a false sense of security. In this session, you’ll hear from an expert who has over 20 years’ experience conducting compliance program assessments for companies of all shapes and sizes. You’ll learn about the value of effective compliance and ethics programs in preventing misconduct and shaping culture, as well as realistic and practical suggestions on how to improve your program to ensure a proper fit for your organization’s risks, resources and culture.
Faculty Appointments
Sign up for 15 minute appointments with the regulators of your choice! Please note that due to the potential conflict with state ethics laws, the Faculty and the IRES Foundation would appreciate if attendees would refrain from discussions of vendor contracting matters during these faculty appointments.
11:45 - 1:00
Lunch
1:00 - 2:00
P&C Market Conduct Issues (Why Do They Matter - What is in it for Me?)
Think you may already know the common P&C Market Conduct issues? Come to this session to learn why they matter and what these issues mean for your organization(s). Learn how to use this information proactively.
Life & Health Fraud - Staying one step Ahead
The panel will discuss the current state of fraud in the industry, what's new, what's old, and what you can do to prevent your company and clients from becoming targets. Also, learn what regulators are doing and what expectations they have for companies.
Claims Handling Best Practices
Attend this session to learn about adjuster licensing and key takeaways for the 5 stages of handling a claim. You will also hear what tends to perk up a regulators ears/eyes.
Big Data/AI - All the Buzz
Learn how regulators are focusing on insurer use of big data and artificial intelligence and what companies should be doing by now in order to comply.
Faculty Appointments
Sign up for 15 minute appointments with the regulators of your choice! Please note that due to the potential conflict with state ethics laws, the Faculty and the IRES Foundation would appreciate if attendees would refrain from discussions of vendor contracting matters during these faculty appointments.
2:00 - 2:15
Break
2:15 - 3:15
Agent Licensing/
Appointments and Market Conduct
This “low-hanging fruit” issue still causes problems. Understand what regulators care about and what changes your company may be able to make.
Life Insurance
CCO Panel
More information coming soon!
This Session is a Total Loss (P&C)
The panel of regulators and industry experts give you a tour through the Total Loss Claims process, and how they are different from other claims.
Navigating Multi-State Exams
What leads to such multi-state exams? How do you prepare for an examination by multiple states, MAWG actions, and all-risks exams?
Faculty Appointments
Sign up for 15 minute appointments with the regulators of your choice! Please note that due to the potential conflict with state ethics laws, the Faculty and the IRES Foundation would appreciate if attendees would refrain from discussions of vendor contracting matters during these faculty appointments.
3:15 - 3:30
Break
3:30 - 4:30
Managing General Agents
What is a “MGA” anyway? What do they do? When is a special license necessary? What are the regulatory obligations of an insurance company?
Insurtechs and Digital Convenience for Life Insurers
What does it mean to "go digital?" It's more than putting a paper application online. Some companies have digital offerings and others utilize insurtechs. Learn from out panel as to what works, what doesn't, and what companies are doing to stay relevant.
Claims Communications - We Have to Send What and When?
Our experts discuss what communications are generally required by states in the claims handling process, the timelines, and most importantly where to go to find out what is required.
Managing the Compliance Function
How do you put the various pieces of the compliance puzzle together within your company?
Faculty Appointments
Sign up for 15 minute appointments with the regulators of your choice! Please note that due to the potential conflict with state ethics laws, the Faculty and the IRES Foundation would appreciate if attendees would refrain from discussions of vendor contracting matters during these faculty appointments.
4:30 - 5:30
Vendor Reception
Tuesday, April 23, 2024
8:00 - 9:00
Breakfast and Regulator Roundtable
Join regulators and other industry professionals for breakfast and informal roundtable discussions.
All Things California
This session will cover some of the most relevant and top of mind issues in California. We will have a panel that can speak to current P&C issues as well as life and health.
9:00 - 10:15
10:15 - 10:30
Break
10:30 - 11:30
What's in a Name?
Understand when the business objectives of a branding campaign collide with regulatory requirements. Product names, Trade names, different branding for different distribution channels, and ADA compliance.
Health Market Conduct Issues (Why Do They Matter - What is in it for Me?)
Think you may already know the common Health Market Conduct Issues? Come to this session to learn why they matter and what those issues mean for your organization(s). Learn how to use this information proactively.
Internal Claims Reviews
Proactive controls for claims handling. Our panel will suggest what your company should be doing in advance of a market conduct exam to make sure you have good claims handling controls and procedures in place.
MCAS Developments
What's new in MCAS? Pet, Travel, STLD, Other Health, changes to lawsuit data collection, and more.
Faculty Appointments
Sign up for 15 minute appointments with the regulators of your choice! Please note that due to the potential conflict with state ethics laws, the Faculty and the IRES Foundation would appreciate if attendees would refrain from discussions of vendor contracting matters during these faculty appointments.
11:30 - 1:30
Lunch on Your Own
1:30 - 2:30
Closing the Loop
How to analyze new laws and regs, recognizing the potential impact on business lines, handling objections from the business, and leading practices to ensure new requirements are implemented.
Health Hot Topics
Improper marketing of Health Plans, proposed Tri-Agency Rule/STLDP/Fixed Indemnity Plans, and Model 171.
He’s Only Mostly Dead - The "Life" of a Life Insurance Claim
Our panel of experts will discuss best practices for investigating and verifying life insurance claims. Industry and regulators will share their experiences and stories of what works well and what does not.
When Financial Statements and Market Conduct Collide
Learn the basics of financial reporting and the unexpected ways it can impact market regulation.
Faculty Appointments
Sign up for 15 minute appointments with the regulators of your choice! Please note that due to the potential conflict with state ethics laws, the Faculty and the IRES Foundation would appreciate if attendees would refrain from discussions of vendor contracting matters during these faculty appointments.
2:30 - 3:30
PBMs
Pharmacy Benefit Managers (PBMs) play a valuable and critical role in the pharmacy distribution system in the healthcare system. Regulators face increasing complexity in monitoring and examining health insurers in their use of PBMs in compliance with state laws and regulations. Panel discussion will include the winding road of understanding the PBM role in the pharmacy supply chain system, complexity of state PBM laws, and guidance for regulators and insurers on how to manage the exam process.
P&C Fraud, Anti-Fraud, and SIU Developments
Our distinguished panel discusses recent trends in anti-fraud measures, detection of fraud, and SIU developments with P&C lines of business.
Not All Surprises Are Good - The No Surprises Act (Health)
Our panel will discuss the ins and outs of what the No Surprises Act is, what it means for consumers, and what it means for your company.
Privacy - Models Revisited
The NAIC is revisiting their privacy models. How might this work and how might the work of individual states impact your daily work?
Faculty Appointments
Sign up for 15 minute appointments with the regulators of your choice! Please note that due to the potential conflict with state ethics laws, the Faculty and the IRES Foundation would appreciate if attendees would refrain from discussions of vendor contracting matters during these faculty appointments.
3:30 - 3:45
Break and Certificate Pick-up
3:45 - 5:00
Regulatory Trivia
Grab a snack and participate in this year's Regulatory Trivia, where every attendee will have the opportunity to test their insurance-related knowledge in a fun trivia format.
6:00 - 9:00
Networking Event