The Financial Analysis Division helps state insurance departments review routine insurer filings, including financial statements, actuarial opinions, and management disclosures. They use the NAIC risk-focused analysis process to develop supervisory plans and assist with filings such as UCAA applications and Form A/Form D submissions. The team, mostly former insurance regulators, has deep knowledge of the insurance industry and NAIC’s surveillance framework. They also offer training, peer review services, and expertise in actuarial, investment, IT, and reinsurance matters.

The Financial Examination Services Division conducts risk-focused examinations to ensure compliance with NAIC standards, covering various types of examinations, including full scope and multi-state reviews. Their expertise spans all major lines of insurance, including title insurance, captives, medical malpractice and Medicare. The team consists of highly certified examiners, including Certified Financial Examiners (CFE), Accredited Financial Examiners (AFE), Certified Public Accountants (CPA), Certified Fraud Examiner specializing in fraud (CFE), and Associate in Captive Insurance (ACI) professionals. They also offer training services to help insurance departments develop staff and maintain effective regulatory practices.

Our Form Review Team, made up of former state insurance staff, offers comprehensive insurance form review services for regulators across all lines of insurance, ensuring compliance with state and federal regulations. We meticulously examine policy language, terms, and conditions to identify potential issues related to coverage, disclosures, and consumer protection. Our team works closely with regulators to assess the clarity and accuracy of forms, helping to prevent misunderstandings and disputes. With our expert insights, regulators can maintain transparency and fairness in the insurance marketplace, safeguarding both insurers and consumers.

Our Health Consulting Services offer expert guidance to state and federal regulators, providing experienced professionals skilled in managing audits, examinations, and investigations across complex health insurance regulations. We specialize in compliance with the Affordable Care Act (ACA), Mental Health Parity and Addiction Equity Act (MHPAEA), and Life and Health form filings. Our services include comprehensive market conduct examinations, No Surprises Act (NSA) enforcement and network adequacy reviews. Additionally, we provide training, process improvement, and research projects tailored to meet the needs of both state and federal partners.

The IT team assists regulators with evaluating insurers’ IT systems to ensure compliance, reliability, and integrity during financial and market conduct exams. We follow industry frameworks like COBIT, NIST, and ITIL, and includes services such as risk assessments, vulnerability testing, and disaster recovery planning. Additionally, our IT team provides data analysis services during the exam, utilizing tools like Power BI, SQL, and ACL to manage the data. Our professionals hold certifications like CISA, AES, and AFE, ensuring expert delivery of IT and cybersecurity solutions.

In today’s complex and evolving insurance environment, ensuring compliance with cybersecurity standards—such as the NAIC Insurance Data Security Model Law and NYDFS Cybersecurity Regulation (Part 500)—is a regulatory imperative. We conduct Cybersecurity Assessments to identify vulnerabilities, assess adherence to statutory and regulatory requirements, and safeguard consumers’ sensitive information. Through risk-based evaluations, incident response preparedness reviews, and oversight of third-party service providers, we work to ensure that companies maintain a cybersecurity posture that meets both current legal obligations and emerging threats—promoting resilience and accountability across the sector. In today’s highly regulated insurance landscape, compliance with cybersecurity standards like the NAIC Model Law and NYDFS Part 500 is not optional—it’s essential. Our Cybersecurity Assessments are designed to help insurers, brokers, and related entities identify vulnerabilities, meet regulatory requirements, and protect sensitive customer data. From risk-based evaluations to incident response readiness and third-party oversight, we align your cybersecurity posture with evolving state and federal mandates—ensuring both compliance and resilience in a digital-first world.

As trusted consultants to insurance regulatory bodies, we specialize in enhancing oversight capabilities through advanced data analysis and regulatory reporting solutions. Our services help regulators interpret complex datasets, monitor insurer solvency, and ensure compliance with evolving standards such as NAIC accreditation requirements. From financial trend analysis to market conduct surveillance, we provide the tools and expertise regulators need to make informed, data-driven decisions. By streamlining reporting processes and strengthening analytical frameworks, we support regulators in safeguarding policyholders and maintaining a resilient insurance marketplace.

Our Market Conduct team is dedicated to helping state regulators identify potential areas of concern and ensure regulatory compliance. With specialized expertise in underwriting, rating, and claims handling, we offer comprehensive market conduct examinations to detect consumer harm and violations. We provide targeted analyses and multi-state examinations across all lines of business, including property and casualty, life and annuity, health, auto, and workers’ compensation. Our professionals, holding certifications including CIE, AIE, and MCM, bring a wealth of experience from roles at insurance companies, the NAIC, and state regulatory agencies.

ER specializes in medical loss ratio (MLR) compliance services, providing expert analysis and examination of MLR filings for state and federal regulators. Since 2017, our team has been contracted by the Center for Consumer Information and Insurance Oversight (CCIIO) to conduct federal MLR examinations. We also assist states with their MLR reviews. We offer a range of services including the development of MLR examination programs, training for state examiners, and identifying companies exhibiting a high risk for inaccurate MLR calculations and/or underpayment of MLR rebates. Additionally, we assess compliance with MLR regulations, including those related to quality improvement activities, spread pricing, and prescription drug rebates, among others.

Our MHPAEA team offers specialized audit services for regulators to ensure compliance with the parity laws, focusing on Non-Quantitative Treatment Limits (NQTL) and Quantitative Treatment Limits (QTL). We conduct thorough assessments to evaluate whether insurers and healthcare providers are providing equal coverage for mental health and substance use disorder treatments, identifying any discrepancies in plan designs. Our NQTL and QTL audits help regulators ensure that both mental health and physical health benefits are subject to equivalent restrictions and limitations. By partnering with us, regulators can uphold parity standards and promote fair and accessible care for all individuals.

ER is a leading provider of pharmacy benefit manager (PBM) compliance services, tailoring analyses and examinations to meet the unique needs of regulators. Our team helps develop PBM examination standards, leads PBM exams, and ensures compliance with transparency, fair business practices, and other related state and federal regulations. With over 12 years of experience, we offer expertise in areas such as contract review, pricing arrangements, rebate management, pharmacy audits, market reforms, and IT/Cybersecurity. Our team includes specialists with certifications such as the Certified Pharmacy Benefit Specialist (CPBS), the Certified Pharmacy Technician (CPhT), the Certified Insurance Examiner (CIE) and the Certified Information Systems Auditor (CISA), among others.

The Receivership team supports regulators in managing financially troubled insurance companies, from administrative supervision to liquidation. Our expertise is in serving as administrative supervisor and special deputy receiver, and includes resources in the areas of forensic accounting, asset recovery, litigation support, reinsurance recoveries, claims administration, and actuarial services. Staffed by former insurance regulators, attorneys, and insurance professionals, the team.

We offer a suite of specialized services designed to enhance regulatory precision and responsiveness. From premium tax audits that ensure accurate revenue reporting, to forensic accounting that uncovers financial irregularities, our team brings deep technical expertise and investigative rigor. We conduct attribute testing to assess compliance with regulatory standards, perform specific catastrophe fund audits, provide litigation support through expert analysis and testimony, and evaluate reinsurance programs for risk transfer effectiveness and statutory alignment. With a proven track record in complex regulatory environments, we help regulators uphold transparency, accountability, and market stability.