Compendium of Budget Information for the 2012 General Session

Business, Economic Development, & Labor
Appropriations Subcommittee
Subcommittee Table of Contents

Agency: Insurance

Line Item: Insurance Department Administration

Function

Administration manages other programs within the Department and is responsible for budgeting, financial tracking, personnel, actuarial services, and managerial statistics.

Producer Licensing is responsible for the issuance and renewal of licenses to all Utah insurance agents and agencies. Licensees qualify through examination.

Financial Examination Division licenses approximately 1,600 insurance companies in Utah. It also monitors financial strength and solvency. The division is responsible for the financial examination of insurers according to statute. Because not all of the companies are headquartered in Utah, the examiners may spend their time out of state. The Insurance Department is reimbursed by the insurer being examined for all costs incurred during the examination, which includes examiners salaries, benefits and travel expenses. These reimbursements are deposited into the Insurance Department Restricted Account.

Property and Casualty and Health, and Life Divisions function by line of insurance. These divisions handle telephone and walk-in complaints and inquiries from the public. They review and analyze policy forms and rates filed by insurance companies and assist consumers with complaints about insurance products and companies. The Health and Life Division also operates a federal grant "Grants to Support States in Health Insurance Rate Review Grant Cycle II".

Market Conduct Division investigates and enforces the insurance code violations referred from the insurance industry and other divisions of the department.

Performance

The Insurance Department uses the following performance measures: consumer inquiries/complaints received, financial exams conducted, fraud cases opened, fraud cases completed, captive insurers licenses issued, and the number of active captive insurers. Data is shown below.

Consumer Inquiries/Complaints

Financial Exams Conducted

Cases Opened

Cases Completed

Captive Licenses Issued

Active

Funding Detail

Sources of Finance
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
General Fund $5,919,900 $5,689,700 $5,118,500 $5,357,800 $0
General Fund, One-time $0 $278,100 $72,500 ($25,000) $0
Federal Funds $0 $0 $0 $171,800 $1,049,900
Dedicated Credits Revenue $3,695,800 $2,718,400 $2,830,500 $1,967,500 ($5,400)
GFR - Guaranteed Asset Protection Waiver $0 $0 $11,800 $89,000 $89,000
GFR - Insurance Department Account $0 $0 $0 $0 $5,894,900
GFR - Insurance Fraud Investigation $0 $0 $0 $0 $1,984,500
GFR - Relative Value Study $0 $0 $0 $0 $90,000
GFR - Technology Development $0 $0 $0 $784,900 $645,700
GFR - Criminal Background Check $0 $0 $0 $162,500 $165,000
GFR - Captive Insurance $0 $0 $0 $664,400 $688,900
Beginning Nonlapsing $1,695,200 $1,859,700 $1,399,300 $282,600 $15,100
Closing Nonlapsing ($1,861,400) ($1,399,300) ($282,600) ($366,200) $0
Lapsing Balance ($52,400) ($34,400) ($593,800) ($731,700) $0
Total
$9,397,100
$9,112,200
$8,556,200
$8,357,600
$10,617,600
 
Programs:
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Administration $6,088,000 $6,111,700 $5,324,000 $5,416,200 $6,944,800
Relative Value Study $33,000 $69,200 $192,100 $6,200 $90,600
Insurance Fraud Program $2,662,300 $2,144,200 $2,086,100 $1,685,200 $1,993,700
Captive Insurers $243,200 $346,400 $362,500 $510,800 $688,800
Electronic Commerce Fee $370,600 $440,700 $586,900 $587,800 $645,700
GAP Waiver Program $0 $0 $0 $4,400 $89,000
Office of Consumer Health Assistance $0 $0 $4,600 $0 $0
Criminal Background Checks $0 $0 $0 $147,000 $165,000
Total
$9,397,100
$9,112,200
$8,556,200
$8,357,600
$10,617,600
 
Categories of Expenditure
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Personnel Services $5,676,000 $6,172,700 $5,793,200 $5,640,900 $6,543,300
In-state Travel $34,900 $36,000 $27,700 $6,000 $41,400
Out-of-state Travel $149,200 $102,800 $36,300 $52,500 $111,000
Current Expense $2,265,200 $1,481,500 $1,437,600 $1,331,400 $1,766,200
DP Current Expense $1,239,300 $1,310,400 $1,261,400 $1,318,500 $1,360,000
DP Capital Outlay $32,500 $8,800 $0 $0 $3,000
Capital Outlay $0 $0 $0 $8,300 $0
Other Charges/Pass Thru $0 $0 $0 $0 $792,700
Total
$9,397,100
$9,112,200
$8,556,200
$8,357,600
$10,617,600
 
Other Indicators
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Budgeted FTE 95.0 91.0 91.0 84.0 82.0
Actual FTE 0.0 0.0 75.4 84.0 0.0
Vehicles 10 10 11 10 10






Subcommittee Table of Contents

Program: Relative Value Study

Function

Under UCA 31A-22-307, the Relative Value Study is to determine the reasonable value of medical expenses. It is funded by a 0.01 percent tax on motor vehicle liability, uninsured motorist, and personal injury protection insurance premiums. Funds are collected by the Tax Commission as restricted funds in the Relative Value Study Restricted Account. The study is produced by the All-Payer Claims Data Base in the Office of Health Care Statistics in the Department of Health. The contract to produce the study is re-bid every three years. The department charges $10 per copy.

Funding Detail

Sources of Finance
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Dedicated Credits Revenue $93,500 $100,200 $100,100 $95,500 $600
GFR - Relative Value Study $0 $0 $0 $0 $90,000
Beginning Nonlapsing $210,900 $269,700 $300,700 $208,700 $0
Closing Nonlapsing ($271,400) ($300,700) ($208,700) $0 $0
Lapsing Balance $0 $0 $0 ($298,000) $0
Total
$33,000
$69,200
$192,100
$6,200
$90,600
 
Categories of Expenditure
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Personnel Services $0 $0 $145,900 $0 $0
Current Expense $23,500 $63,200 $39,600 $200 $82,600
DP Current Expense $9,500 $6,000 $6,600 $6,000 $8,000
Total
$33,000
$69,200
$192,100
$6,200
$90,600
Subcommittee Table of Contents

Program: Insurance Fraud Program

Function

The 1994 Legislature created the Insurance Fraud Act (UCA 31A-31-101 through 108) and the department created the Insurance Fraud Division. It conducts criminal investigations and prosecutes insurance fraud violators. Nationwide, insurance fraud is estimated at over $3 billion per year. The program is funded by the Insurance Fraud Investigation Restricted Account.

Funding Detail

Funding for the Insurance Fraud program is largely from the Insurance Fraud Investigation Restricted Account. Funds are used mainly for staff and corresponding current expense costs.

Sources of Finance
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
General Fund $0 $76,000 $0 $0 $0
Federal Funds $0 $0 $0 $5,700 $0
Dedicated Credits Revenue $2,831,200 $1,819,600 $1,896,200 $1,872,000 ($5,900)
GFR - Insurance Fraud Investigation $0 $0 $0 $0 $1,984,500
Beginning Nonlapsing $343,500 $512,400 $263,800 $73,900 $15,100
Closing Nonlapsing ($512,400) ($263,800) ($73,900) $0 $0
Lapsing Balance $0 $0 $0 ($266,400) $0
Total
$2,662,300
$2,144,200
$2,086,100
$1,685,200
$1,993,700
 
Categories of Expenditure
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Personnel Services $911,200 $1,107,400 $1,041,400 $790,000 $1,006,000
In-state Travel $29,200 $30,000 $25,700 $4,300 $27,000
Out-of-state Travel $37,700 $21,200 $13,900 $13,000 $15,300
Current Expense $1,636,500 $917,500 $920,100 $827,500 $889,900
DP Current Expense $47,700 $59,300 $85,000 $50,400 $55,500
DP Capital Outlay $0 $8,800 $0 $0 $0
Total
$2,662,300
$2,144,200
$2,086,100
$1,685,200
$1,993,700
 
Other Indicators
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Budgeted FTE 21.0 21.0 21.0 13.0 13.0
Actual FTE 0.0 0.0 12.0 13.0 0.0
Vehicles 10 10 11 10 10






Subcommittee Table of Contents

Program: Electronic Commerce Fee

Function

The Captive Insurance Division was created in 2003 when the Captive Insurance Companies Act (UCA 31A-37-101 through 604) was passed by the Legislature. The division licenses captive insurance companies formed by companies to manage their risk exposure. It licenses captive insurance companies, monitors their solvency and financial strength. The division is funded by the Captive Insurance Restricted Account. Currently, the division regulates 185 Utah domiciled companies.

Funding Detail

Funding for the Captive Insurers program is used to fund data processing current expense.

Sources of Finance
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Dedicated Credits Revenue $479,700 $415,000 $448,300 $0 $0
GFR - Technology Development $0 $0 $0 $784,900 $645,700
Beginning Nonlapsing $522,500 $631,600 $605,900 $0 $0
Closing Nonlapsing ($631,600) ($605,900) $0 ($197,100) $0
Lapsing Balance $0 $0 ($467,300) $0 $0
Total
$370,600
$440,700
$586,900
$587,800
$645,700
 
Categories of Expenditure
2008
Actual
2009
Actual
2010
Actual
2011
Actual
2012
Approp
Out-of-state Travel $1,200 $0 $0 $0 $0
Current Expense $47,900 $0 $0 $0 $0
DP Current Expense $321,500 $440,700 $586,900 $587,800 $645,700
Total
$370,600
$440,700
$586,900
$587,800
$645,700
Subcommittee Table of Contents