COVID-19

For the latest COVID-19 health guidance, statistics and resources, visit: Coronavirus.wa.gov

You are here

Home » Budget » Agency activities and performance » Agency Activities » Prosperous Economy

Prosperous Economy

Last Updated: 07/14/2021

Provide consumer protection

Strategy: Provide consumer protection

Agency: 160 - Office of Insurance Commissioner

A001 - Agency Administration

The Office of the Insurance Commissioner (OIC) is responsible for regulating the insurance industry in Washington State and protecting consumers through education and timely communications. The activities of the OIC are primarily funded by fees from insurance organizations. Agency management develops policies, regulations, and codes to ensure that the citizens of Washington are able to access affordable insurance; it also provides the administrative support necessary for other divisions within the agency to carry out their functions.

Account FY 2020 FY 2021 Biennium Total
FTE 57.1 57.1 57.1
138 - Insurance Commissioner's Regulatory
State 8,120,000 8,538,000 16,658,000
FY 2020 FY 2021 Biennium Total
FTES 57.1 57.1 57.1
GFS
Other 8,120,000.0 8,538,000.0 16,658,000.0
Totals 8,120,000.0 8,538,000.0 16,658,000.0
Expected Results

To provide executive and administrative services in support of the agency’s mission in a professional, qualitative, and responsive manner which emphasizes efficiency and cost-effectiveness.

A006 - Monitoring Insurance Company Solvency

This activity includes monitoring the solvency of insurance carriers, health care service contractors, health maintenance organizations, certified health plans, and self-funded Multiple Employer Welfare Arrangements authorized to conduct business in Washington State. Solvency issues, or conduct that may lead to issues with solvency, may be identified through market conduct oversight activities, financial examinations, or financial analysis of statements filed by insurers.

Account FY 2020 FY 2021 Biennium Total
FTE 57.0 57.0 57.0
138 - Insurance Commissioner's Regulatory
State 7,342,000 7,589,000 14,931,000
FY 2020 FY 2021 Biennium Total
FTES 57.0 57.0 57.0
GFS
Other 7,342,000.0 7,589,000.0 14,931,000.0
Totals 7,342,000.0 7,589,000.0 14,931,000.0

000480 - Percentage of domestic insurers that are rated as financially stable

Percentage of domestic insurers that are rated as financially stable.
Biennium Period Actual Target
2015-17 Q1 86% 75%
2015-17 Q2 82% 75%
2015-17 Q3 79% 75%
2015-17 Q4 80% 75%
2015-17 Q5 82% 75%
2015-17 Q6 87% 75%
2015-17 Q7 87% 75%
2015-17 Q8 86% 75%
2017-19 Q1 86% 75%
2017-19 Q2 88% 75%
2017-19 Q3 89% 75%
2017-19 Q4 89% 75%
2017-19 Q5 89% 75%
2017-19 Q6 91% 75%
2017-19 Q7 93% 75%
2017-19 Q8 94% 75%
2019-21 Q1 94% 75%
2019-21 Q2 94% 75%
2019-21 Q3 94% 75%
2019-21 Q4 93% 75%
2019-21 Q5 95% 75%
2019-21 Q6 95% 75%
2019-21 Q7 0% 75%
2019-21 Q8 0% 75%

A003 - Consumer Information and Advocacy

The agency responds to oral, written and face-to-face complaints and inquiries from consumers regarding insurance companies. Staff advocate, provide dispute resolution services, and educate consumers to ensure they can make informed choices about their insurance needs and rights. Assistance is rendered to enforce the various provisions of the insurance code with the primary function of ensuring that consumer rights have not been violated.

Account FY 2020 FY 2021 Biennium Total
FTE 27.0 27.0 27.0
138 - Insurance Commissioner's Regulatory
State 2,857,000 2,969,000 5,826,000
FY 2020 FY 2021 Biennium Total
FTES 27.0 27.0 27.0
GFS
Other 2,857,000.0 2,969,000.0 5,826,000.0
Totals 2,857,000.0 2,969,000.0 5,826,000.0

000583 - Amount recovered for consumers as a result of the Office of Insurance Commissioner's intervention

Amount recovered for consumers as a result of the Office of Insurance Commissioner's intervention.
Biennium Period Actual Target
2015-17 Q1 $1,373,031.00 $2,585,000.00
2015-17 Q2 $2,352,241.00 $2,585,000.00
2015-17 Q3 $3,537,487.00 $2,585,000.00
2015-17 Q4 $2,973,701.00 $2,585,000.00
2015-17 Q5 $2,158,882.00 $2,585,000.00
2015-17 Q6 $2,611,044.00 $2,585,000.00
2015-17 Q7 $6,652,450.00 $2,585,000.00
2015-17 Q8 $5,697,588.00 $2,585,000.00
2017-19 Q1 $3,637,194.00 $3,400,000.00
2017-19 Q2 $2,865,326.00 $3,400,000.00
2017-19 Q3 $3,136,443.00 $3,400,000.00
2017-19 Q4 $4,811,881.00 $3,400,000.00
2017-19 Q5 $2,809,079.00 $3,400,000.00
2017-19 Q6 $4,834,454.00 $3,400,000.00
2017-19 Q7 $3,410,874.00 $3,400,000.00
2017-19 Q8 $4,647,422.00 $3,400,000.00
2019-21 Q1 $3,311,079.00 $3,350,000.00
2019-21 Q2 $2,968,024.00 $3,350,000.00
2019-21 Q3 $3,258,568.00 $3,350,000.00
2019-21 Q4 $3,192,861.00 $3,350,000.00
2019-21 Q5 $32,252,396.00 $3,350,000.00
2019-21 Q6 $7,377,783.00 $3,350,000.00
2019-21 Q7 $0.00 $3,350,000.00
2019-21 Q8 $0.00 $3,350,000.00

000588 - Number of consumer inquiries received and answered

Number of insurance consumer inquiries received and answered by the Office of the Insurance Commissioner
Biennium Period Actual Target
2015-17 Q1 27,910 27,500
2015-17 Q2 51,641 37,500
2015-17 Q3 32,962 27,500
2015-17 Q4 29,929 27,500
2015-17 Q5 29,042 27,500
2015-17 Q6 45,749 37,500
2015-17 Q7 32,806 27,500
2015-17 Q8 33,984 27,500
2017-19 Q1 30,405 30,600
2017-19 Q2 45,921 43,100
2017-19 Q3 30,717 32,100
2017-19 Q4 34,248 32,100
2017-19 Q5 38,236 30,600
2017-19 Q6 46,414 43,100
2017-19 Q7 30,569 32,100
2017-19 Q8 28,761 32,100
2019-21 Q1 29,001 30,300
2019-21 Q2 43,924 44,300
2019-21 Q3 31,353 32,800
2019-21 Q4 23,147 32,800
2019-21 Q5 26,438 30,800
2019-21 Q6 42,564 45,800
2019-21 Q7 0 33,800
2019-21 Q8 0 33,800

A004 - Health Insurance Benefit Advisors

This activity provides a statewide network of trained volunteers and paid staff to educate, assist, and advocate for consumers regarding public and private health insurance and health care access issues.

Account FY 2020 FY 2021 Biennium Total
FTE 14.0 14.0 14.0
001 - General Fund
Federal 1,314,000 1,330,000 2,644,000
138 - Insurance Commissioner's Regulatory
State 1,561,000 1,605,000 3,166,000
FY 2020 FY 2021 Biennium Total
FTES 14.0 14.0 14.0
GFS
Other 2,875,000.0 2,935,000.0 5,810,000.0
Totals 2,875,000.0 2,935,000.0 5,810,000.0

000588 - Number of consumer inquiries received and answered

Number of insurance consumer inquiries received and answered by the Office of the Insurance Commissioner
Biennium Period Actual Target
2015-17 Q1 27,910 27,500
2015-17 Q2 51,641 37,500
2015-17 Q3 32,962 27,500
2015-17 Q4 29,929 27,500
2015-17 Q5 29,042 27,500
2015-17 Q6 45,749 37,500
2015-17 Q7 32,806 27,500
2015-17 Q8 33,984 27,500
2017-19 Q1 30,405 30,600
2017-19 Q2 45,921 43,100
2017-19 Q3 30,717 32,100
2017-19 Q4 34,248 32,100
2017-19 Q5 38,236 30,600
2017-19 Q6 46,414 43,100
2017-19 Q7 30,569 32,100
2017-19 Q8 28,761 32,100
2019-21 Q1 29,001 30,300
2019-21 Q2 43,924 44,300
2019-21 Q3 31,353 32,800
2019-21 Q4 23,147 32,800
2019-21 Q5 26,438 30,800
2019-21 Q6 42,564 45,800
2019-21 Q7 0 33,800
2019-21 Q8 0 33,800

A007 - Policy and Enforcement

This activity handles enforcement actions against insurance companies, health carriers, insurance producers, and others; identifies and investigates consumer complaints, violations of the insurance code and criminal insurance fraud; provides information and counsel to other agency divisions; and supports the public policy activities of the agency.

Account FY 2020 FY 2021 Biennium Total
FTE 43.2 52.1 47.7
001 - General Fund
Federal 931,000 1,086,000 2,017,000
138 - Insurance Commissioner's Regulatory
State 6,523,000 6,733,000 13,256,000
FY 2020 FY 2021 Biennium Total
FTES 43.2 52.1 47.7
GFS
Other 7,454,000.0 7,819,000.0 15,273,000.0
Totals 7,454,000.0 7,819,000.0 15,273,000.0

000575 - Average Number of days it takes to complete investigations of suspected insurance code violations.

Average number of days it takes to complete investigations of suspected violations of the insurance code.
Biennium Period Actual Target
2015-17 Q1 81 120
2015-17 Q2 108 120
2015-17 Q3 139 120
2015-17 Q4 100 120
2015-17 Q5 141 120
2015-17 Q6 156 120
2015-17 Q7 140 120
2015-17 Q8 155 120
2017-19 Q1 131 120
2017-19 Q2 126 120
2017-19 Q3 111 120
2017-19 Q4 114 120
2017-19 Q5 101 120
2017-19 Q6 88 120
2017-19 Q7 116 120
2017-19 Q8 143 120
2019-21 Q1 95 120
2019-21 Q2 61 120
2019-21 Q3 101 120
2019-21 Q4 68 120
2019-21 Q5 100 120
2019-21 Q6 86 120
2019-21 Q7 0 120
2019-21 Q8 0 120

000583 - Amount recovered for consumers as a result of the Office of Insurance Commissioner's intervention

Amount recovered for consumers as a result of the Office of Insurance Commissioner's intervention.
Biennium Period Actual Target
2015-17 Q1 $1,373,031.00 $2,585,000.00
2015-17 Q2 $2,352,241.00 $2,585,000.00
2015-17 Q3 $3,537,487.00 $2,585,000.00
2015-17 Q4 $2,973,701.00 $2,585,000.00
2015-17 Q5 $2,158,882.00 $2,585,000.00
2015-17 Q6 $2,611,044.00 $2,585,000.00
2015-17 Q7 $6,652,450.00 $2,585,000.00
2015-17 Q8 $5,697,588.00 $2,585,000.00
2017-19 Q1 $3,637,194.00 $3,400,000.00
2017-19 Q2 $2,865,326.00 $3,400,000.00
2017-19 Q3 $3,136,443.00 $3,400,000.00
2017-19 Q4 $4,811,881.00 $3,400,000.00
2017-19 Q5 $2,809,079.00 $3,400,000.00
2017-19 Q6 $4,834,454.00 $3,400,000.00
2017-19 Q7 $3,410,874.00 $3,400,000.00
2017-19 Q8 $4,647,422.00 $3,400,000.00
2019-21 Q1 $3,311,079.00 $3,350,000.00
2019-21 Q2 $2,968,024.00 $3,350,000.00
2019-21 Q3 $3,258,568.00 $3,350,000.00
2019-21 Q4 $3,192,861.00 $3,350,000.00
2019-21 Q5 $32,252,396.00 $3,350,000.00
2019-21 Q6 $7,377,783.00 $3,350,000.00
2019-21 Q7 $0.00 $3,350,000.00
2019-21 Q8 $0.00 $3,350,000.00

000590 - Number of enforcement actions and compliance plans issued against authorized insurers

Number of enforcement actions and compliance plans issued against authorized insurers.
Biennium Period Actual Target
2015-17 Q1 5 6
2015-17 Q2 7 7
2015-17 Q3 18 6
2015-17 Q4 31 7
2015-17 Q5 20 6
2015-17 Q6 21 7
2015-17 Q7 13 6
2015-17 Q8 21 7
2017-19 Q1 4 6
2017-19 Q2 14 7
2017-19 Q3 6 6
2017-19 Q4 29 7
2017-19 Q5 0 6
2017-19 Q6 0 7
2017-19 Q7 0 6
2017-19 Q8 0 7

000591 - Number of investigations of potential violations of the insurance code completed.

Number of investigations of potential violatons of the insurance code completed.
Biennium Period Actual Target
2015-17 Q1 28 42
2015-17 Q2 28 42
2015-17 Q3 29 42
2015-17 Q4 21 42
2015-17 Q5 16 42
2015-17 Q6 35 42
2015-17 Q7 32 42
2015-17 Q8 43 42
2017-19 Q1 64 36
2017-19 Q2 50 36
2017-19 Q3 78 36
2017-19 Q4 56 36
2017-19 Q5 0 36
2017-19 Q6 0 36
2017-19 Q7 0 36
2017-19 Q8 0 36

000592 - Amount of restitution value assessed and projected insurance claims payouts saved

Amount of restitution value assessed and projected insurance claim payouts saved on behalf of victims of insurance fraud.
Biennium Period Actual Target
2015-17 Q1 $104,931.00 $375,000.00
2015-17 Q2 $684,584.00 $375,000.00
2015-17 Q3 $166,066.00 $375,000.00
2015-17 Q4 $87,311.00 $375,000.00
2015-17 Q5 $163,510.00 $375,000.00
2015-17 Q6 $1,009,501.00 $375,000.00
2015-17 Q7 $162,524.00 $375,000.00
2015-17 Q8 $821,861.00 $375,000.00
2017-19 Q1 $301,824.00 $375,000.00
2017-19 Q2 $324,056.00 $375,000.00
2017-19 Q3 $141,654.00 $375,000.00
2017-19 Q4 $151,230.00 $375,000.00
2017-19 Q5 $188,913.00 $375,000.00
2017-19 Q6 $127,562.00 $375,000.00
2017-19 Q7 $383,791.00 $375,000.00
2017-19 Q8 $238,949.00 $375,000.00
2019-21 Q1 $996,219.00 $468,750.00
2019-21 Q2 $102,411.00 $468,750.00
2019-21 Q3 $62,290.00 $468,750.00
2019-21 Q4 $51,589.00 $468,750.00
2019-21 Q5 $4,864,192.00 $468,750.00
2019-21 Q6 $51,329.00 $468,750.00
2019-21 Q7 $0.00 $468,750.00
2019-21 Q8 $0.00 $468,750.00

A002 - Producer Licensing and Oversight

This activity ensures compliance with all requirements applicable to insurance producers, surplus line brokers, adjusters, life settlement brokers, and other licensees including determination of eligibility for license issuance and renewal; performance of financial examinations of licensees; and compliance with the requirements applicable to their post-licensure activities including those relating to continuing education.

Account FY 2020 FY 2021 Biennium Total
FTE 12.0 12.0 12.0
138 - Insurance Commissioner's Regulatory
State 1,382,000 1,427,000 2,809,000
FY 2020 FY 2021 Biennium Total
FTES 12.0 12.0 12.0
GFS
Other 1,382,000.0 1,427,000.0 2,809,000.0
Totals 1,382,000.0 1,427,000.0 2,809,000.0

000593 - Number of licenses, affiliations and appointments issued for insurance producers and other licensees

Number of licenses and appointments issued for insurance producers and other licensees.
Biennium Period Actual Target
2015-17 Q1 153,406 70,000
2015-17 Q2 114,904 70,000
2015-17 Q3 107,236 70,000
2015-17 Q4 133,149 70,000
2015-17 Q5 155,745 70,000
2015-17 Q6 121,994 70,000
2015-17 Q7 122,672 70,000
2015-17 Q8 102,053 70,000
2017-19 Q1 164,751 130,000
2017-19 Q2 129,035 130,000
2017-19 Q3 114,065 130,000
2017-19 Q4 146,788 130,000
2017-19 Q5 174,655 135,000
2017-19 Q6 178,049 135,000
2017-19 Q7 132,207 135,000
2017-19 Q8 115,676 135,000
2019-21 Q1 215,615 135,000
2019-21 Q2 137,521 135,000
2019-21 Q3 116,012 135,000
2019-21 Q4 166,862 135,000
2019-21 Q5 348,617 135,000
2019-21 Q6 137,123 135,000
2019-21 Q7 0 135,000
2019-21 Q8 0 135,000

A008 - Regulation of Insurance Rates and Forms

Staff review and take final disposition on insurance product filings to ensure compliance with state and federal law and rules when they are sold in Washington State. Rate filings, which include complex actuarial formulas, assumptions, and experience data, are reviewed to ensure that rates are neither excessive, inadequate, nor unfairly discriminatory. Policy forms (the insurance contract) and provider contracts (between health carriers and healthcare providers) are reviewed to ensure that the terms and conditions comply with state and federal laws.

Account FY 2020 FY 2021 Biennium Total
FTE 48.7 48.7 48.7
138 - Insurance Commissioner's Regulatory
State 6,403,000 6,624,000 13,027,000
FY 2020 FY 2021 Biennium Total
FTES 48.7 48.7 48.7
GFS
Other 6,403,000.0 6,624,000.0 13,027,000.0
Totals 6,403,000.0 6,624,000.0 13,027,000.0

000734 - Average Number of days required to finalize the filing review process for rate and form filings

Average number of days required to finalize the filing review process for insurance rate and form filings.
Biennium Period Actual Target
2015-17 Q1 71 25
2015-17 Q2 72 25
2015-17 Q3 75 25
2015-17 Q4 72 25
2015-17 Q5 54 25
2015-17 Q6 50 25
2015-17 Q7 67 25
2015-17 Q8 68 25
2017-19 Q1 66 65
2017-19 Q2 64 65
2017-19 Q3 46 65
2017-19 Q4 55 65
2017-19 Q5 70 65
2017-19 Q6 80 65
2017-19 Q7 82 65
2017-19 Q8 121 65
2019-21 Q1 39 41
2019-21 Q2 39 41
2019-21 Q3 69 41
2019-21 Q4 104 41
2019-21 Q5 26 41
2019-21 Q6 37 41
2019-21 Q7 0 41
2019-21 Q8 0 41