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Prosperous Economy

Last Updated: 10/07/2024

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 2024 FY 2025 Biennium Total
FTE 120.2 120.2 120.2
138 - Insurance Commissioner's Regulatory
State 21,826,000 18,952,000 40,778,000
FY 2024 FY 2025 Biennium Total
FTES 60.1 60.1 60.1
GFS
Other 10,914,000.0 9,522,000.0 20,436,000.0
Totals 10,914,000.0 9,522,000.0 20,436,000.0
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.

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 2024 FY 2025 Biennium Total
FTE 26.0 26.0 26.0
138 - Insurance Commissioner's Regulatory
State 3,224,000 3,301,000 6,525,000
FY 2024 FY 2025 Biennium Total
FTES 13.0 13.0 13.0
GFS
Other 1,612,000.0 1,660,000.0 3,272,000.0
Totals 1,612,000.0 1,660,000.0 3,272,000.0

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
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 159,545 135,000
2019-21 Q8 215,007 135,000
2021-23 Q1 289,618 145,000
2021-23 Q2 249,453 145,000
2021-23 Q3 165,561 145,000
2021-23 Q4 195,186 145,000
2021-23 Q5 195,217 145,000
2021-23 Q6 197,146 145,000
2021-23 Q7 222,731 145,000
2021-23 Q8 162,843 145,000
2023-25 Q1 228,967 195,000
2023-25 Q2 180,574 195,000
2023-25 Q3 159,474 195,000
2023-25 Q4 186,971 195,000
2023-25 Q5 0 195,000
2023-25 Q6 0 195,000
2023-25 Q7 0 195,000
2023-25 Q8 0 195,000

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 2024 FY 2025 Biennium Total
FTE 58.0 58.0 58.0
138 - Insurance Commissioner's Regulatory
State 6,944,000 7,181,000 14,125,000
FY 2024 FY 2025 Biennium Total
FTES 29.0 29.0 29.0
GFS
Other 3,472,000.0 3,612,000.0 7,084,000.0
Totals 3,472,000.0 3,612,000.0 7,084,000.0

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
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 $3,429,294.00 $3,350,000.00
2019-21 Q8 $4,187,405.00 $3,350,000.00
2021-23 Q1 $3,774,543.00 $3,350,000.00
2021-23 Q2 $4,210,656.00 $3,350,000.00
2021-23 Q3 $4,483,979.00 $3,350,000.00
2021-23 Q4 $4,139,105.00 $3,350,000.00
2021-23 Q5 $9,768,612.00 $3,350,000.00
2021-23 Q6 $8,768,300.00 $3,350,000.00
2021-23 Q7 $10,280,659.00 $3,350,000.00
2021-23 Q8 $17,133,111.00 $3,350,000.00
2023-25 Q1 $11,706,175.00 $3,861,500.00
2023-25 Q2 $13,737,831.00 $3,861,500.00
2023-25 Q3 $9,889,104.00 $3,861,500.00
2023-25 Q4 $9,840,741.00 $3,861,500.00
2023-25 Q5 $0.00 $3,861,500.00
2023-25 Q6 $0.00 $3,861,500.00
2023-25 Q7 $0.00 $3,861,500.00
2023-25 Q8 $0.00 $3,861,500.00

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
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 27,916 33,800
2019-21 Q8 29,792 33,800
2021-23 Q1 38,372 25,750
2021-23 Q2 39,684 39,500
2021-23 Q3 29,696 26,500
2021-23 Q4 27,034 27,000
2021-23 Q5 25,625 27,500
2021-23 Q6 32,769 42,000
2021-23 Q7 33,639 29,000
2021-23 Q8 31,267 30,000
2023-25 Q1 33,398 30,475
2023-25 Q2 40,656 44,975
2023-25 Q3 33,564 31,975
2023-25 Q4 31,283 32,975
2023-25 Q5 0 31,165
2023-25 Q6 0 46,065
2023-25 Q7 0 32,520
2023-25 Q8 0 33,875

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 2024 FY 2025 Biennium Total
FTE 28.0 28.0 28.0
001 - General Fund
Federal 2,828,000 2,866,000 5,694,000
138 - Insurance Commissioner's Regulatory
State 3,498,000 2,368,000 5,866,000
FY 2024 FY 2025 Biennium Total
FTES 14.0 14.0 14.0
GFS
Other 3,163,000.0 2,624,000.0 5,787,000.0
Totals 3,163,000.0 2,624,000.0 5,787,000.0

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
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 27,916 33,800
2019-21 Q8 29,792 33,800
2021-23 Q1 38,372 25,750
2021-23 Q2 39,684 39,500
2021-23 Q3 29,696 26,500
2021-23 Q4 27,034 27,000
2021-23 Q5 25,625 27,500
2021-23 Q6 32,769 42,000
2021-23 Q7 33,639 29,000
2021-23 Q8 31,267 30,000
2023-25 Q1 33,398 30,475
2023-25 Q2 40,656 44,975
2023-25 Q3 33,564 31,975
2023-25 Q4 31,283 32,975
2023-25 Q5 0 31,165
2023-25 Q6 0 46,065
2023-25 Q7 0 32,520
2023-25 Q8 0 33,875

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 2024 FY 2025 Biennium Total
FTE 111.8 111.8 111.8
138 - Insurance Commissioner's Regulatory
State 15,958,000 16,424,000 32,382,000
FY 2024 FY 2025 Biennium Total
FTES 55.9 55.9 55.9
GFS
Other 7,980,000.0 8,254,000.0 16,234,000.0
Totals 7,980,000.0 8,254,000.0 16,234,000.0

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
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 95% 75%
2019-21 Q8 92% 75%
2021-23 Q1 91% 75%
2021-23 Q2 91% 75%
2021-23 Q3 88% 75%
2021-23 Q4 88% 75%
2021-23 Q5 88% 75%
2021-23 Q6 88% 75%
2021-23 Q7 88% 75%
2021-23 Q8 88% 75%
2023-25 Q1 85% 75%
2023-25 Q2 85% 75%
2023-25 Q3 85% 75%
2023-25 Q4 85% 75%
2023-25 Q5 0% 75%
2023-25 Q6 0% 75%
2023-25 Q7 0% 75%
2023-25 Q8 0% 75%

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 2024 FY 2025 Biennium Total
FTE 103.0 109.1 106.1
001 - General Fund
Federal 1,732,000 2,020,000 3,752,000
138 - Insurance Commissioner's Regulatory
State 12,861,000 15,595,000 28,456,000
24P - Insurance Commissioner's Fraud Acc
State 4,345,000 4,208,000 8,553,000
FY 2024 FY 2025 Biennium Total
FTES 51.5 57.6 54.6
GFS
Other 9,473,000.0 12,378,000.0 21,851,000.0
Totals 9,473,000.0 12,378,000.0 21,851,000.0

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
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 88 120
2019-21 Q8 124 120
2021-23 Q1 76 120
2021-23 Q2 114 120
2021-23 Q3 132 120
2021-23 Q4 98 120
2021-23 Q5 80 120
2021-23 Q6 101 120
2021-23 Q7 102 120
2021-23 Q8 107 120
2023-25 Q1 118 120
2023-25 Q2 129 120
2023-25 Q3 141 120
2023-25 Q4 102 120
2023-25 Q5 0 120
2023-25 Q6 0 120
2023-25 Q7 0 120
2023-25 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
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 $3,429,294.00 $3,350,000.00
2019-21 Q8 $4,187,405.00 $3,350,000.00
2021-23 Q1 $3,774,543.00 $3,350,000.00
2021-23 Q2 $4,210,656.00 $3,350,000.00
2021-23 Q3 $4,483,979.00 $3,350,000.00
2021-23 Q4 $4,139,105.00 $3,350,000.00
2021-23 Q5 $9,768,612.00 $3,350,000.00
2021-23 Q6 $8,768,300.00 $3,350,000.00
2021-23 Q7 $10,280,659.00 $3,350,000.00
2021-23 Q8 $17,133,111.00 $3,350,000.00
2023-25 Q1 $11,706,175.00 $3,861,500.00
2023-25 Q2 $13,737,831.00 $3,861,500.00
2023-25 Q3 $9,889,104.00 $3,861,500.00
2023-25 Q4 $9,840,741.00 $3,861,500.00
2023-25 Q5 $0.00 $3,861,500.00
2023-25 Q6 $0.00 $3,861,500.00
2023-25 Q7 $0.00 $3,861,500.00
2023-25 Q8 $0.00 $3,861,500.00

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
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 $31,233.00 $468,750.00
2019-21 Q8 $146,067.00 $468,750.00
2021-23 Q1 $3,135,532.00 $468,750.00
2021-23 Q2 $1,009,250.00 $468,750.00
2021-23 Q3 $26,710.00 $468,750.00
2021-23 Q4 $103,064.00 $468,750.00
2021-23 Q5 $408,767.00 $468,750.00
2021-23 Q6 $84,809.00 $468,750.00
2021-23 Q7 $124,548.00 $468,750.00
2021-23 Q8 $16,671.00 $468,750.00
2023-25 Q1 $9,480.00 $496,250.00
2023-25 Q2 $715,953.00 $496,250.00
2023-25 Q3 $140,798.00 $496,250.00
2023-25 Q4 $99,235.00 $496,250.00
2023-25 Q5 $0.00 $537,500.00
2023-25 Q6 $0.00 $537,500.00
2023-25 Q7 $0.00 $537,500.00
2023-25 Q8 $0.00 $537,500.00

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 2024 FY 2025 Biennium Total
FTE 107.6 130.6 119.1
138 - Insurance Commissioner's Regulatory
State 16,469,000 17,386,000 33,855,000
FY 2024 FY 2025 Biennium Total
FTES 53.8 66.5 60.2
GFS
Other 8,235,000.0 8,938,000.0 17,173,000.0
Totals 8,235,000.0 8,938,000.0 17,173,000.0

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
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 32 41
2019-21 Q8 39 41
2021-23 Q1 30 41
2021-23 Q2 26 41
2021-23 Q3 149 41
2021-23 Q4 79 41
2021-23 Q5 113 41
2021-23 Q6 40 41
2021-23 Q7 32 41
2021-23 Q8 43 41
2023-25 Q1 33 41
2023-25 Q2 34 41
2023-25 Q3 34 41
2023-25 Q4 37 41
2023-25 Q5 0 41
2023-25 Q6 0 41
2023-25 Q7 0 41
2023-25 Q8 0 41