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Insurance Glossary

NAIC

Industry

Definition

The National Association of Insurance Commissioners, an organization of state insurance regulators from all 50 states, the District of Columbia, and U.S. territories. The NAIC develops model laws and regulations, provides regulatory support and education, maintains insurance industry databases, and coordinates regulatory oversight across jurisdictions. While the NAIC itself does not have regulatory authority, its model acts and guidelines are frequently adopted by state legislatures and insurance departments, creating consistency in insurance regulation across the United States. The NAIC oversees initiatives including risk-based capital standards, financial reporting requirements, market conduct standards, and the Quarterly Listing of Alien Insurers eligible for surplus lines placements.

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Related Terms

Admitted Carrier
An insurance company that is licensed by a state's insurance department to do business in that state. Admitted carriers must comply with state regulations including rate and form approval requirements, financial solvency standards, and market conduct rules. Their policies are backed by the state guaranty fund, which provides protection to policyholders in the event of insurer insolvency. Admitted carriers file rates and policy forms with state regulators for approval before use. They are subject to regular financial examinations and must meet ongoing reporting requirements. The admitted market represents the standard insurance marketplace, as distinguished from the surplus lines (non-admitted) market.
Surplus Lines Broker
A specially licensed insurance broker authorized to place insurance with non-admitted (surplus lines) carriers. Surplus lines brokers must hold a surplus lines license in addition to a standard insurance broker license. Before placing coverage in the surplus lines market, the broker is required to conduct a diligent search to demonstrate that coverage is not available from admitted carriers in the standard market. The surplus lines broker is responsible for ensuring the surplus lines insurer meets state eligibility criteria, collecting and remitting surplus lines premium taxes to the state, and providing required filings and documentation. They serve as the critical link between clients with hard-to-place risks and the non-admitted insurance market.
Risk-Based Capital
A regulatory framework that requires insurance companies to maintain capital reserves proportional to the risks inherent in their business operations. The NAIC Risk-Based Capital (RBC) system calculates minimum capital requirements based on four categories of risk: asset risk (investments), underwriting risk (pricing and reserving), credit risk (reinsurance and other recoverables), and off-balance sheet risk. Insurers must file annual RBC reports, and regulatory intervention is triggered if an insurer's actual capital falls below specified RBC thresholds. The RBC ratio compares an insurer's total adjusted capital to its risk-based capital requirement. Ratios below certain levels trigger increasingly severe regulatory actions, from company action level (200%) to mandatory control level (70%), where regulators must place the insurer under regulatory control.
Actuary
A business professional who analyzes probabilities of risk and risk management, including calculation of premiums, dividends, and other applicable insurance industry standards.
Underwriting
The process by which an insurer evaluates the risk of insuring a person or property and determines coverage terms and premium rates.
Loss Ratio
The ratio of losses paid plus loss reserves to premiums earned, used by insurers to measure underwriting profitability and pricing adequacy.
Combined Ratio
The sum of the loss ratio and expense ratio, measuring an insurer's overall underwriting profitability. A ratio below 100% indicates underwriting profit.