Public Accountability Report Public Accountability Report

2021 Division of Insurance: Consumer Market Division
Mission Statement To protect consumers by providing assistance, information, efficiently regulating the insurance industry's market behavior and financial solvency, and fostering a competitive insurance marketplace.
Program Goals and Objectives
  1. Ensure that insurance-related complaints and inquiries are handled in a timely and accurate manner.
    1. To maintain the average number of days required to investigate and close a life, accident, and health (LA&H) insurance complaint at 60 days.
    2. To maintain the average number of days required to investigate and close a property and casualty (P&C) insurance complaint at 60 days.
    3. To handle external review requests within time frames required by law (i.e., one business day for standard requests and immediately for expedited requests).
  2. Ensure that regulated entities comply with applicable laws, regulations, and their policy contracts.
    1. To protect Illinois insurance consumers by conducting examinations on insurers whose complaint volume suggests possible non-compliance with laws, regulations, and their policy contracts.
    2. To schedule and complete follow-up market conduct examinations on insurers whose prior exams resulted in orders requiring corrective action to determine if the insurers have complied.
    3. To schedule and complete targeted exams to determine market practices on issues of interest to the executive or legislative branches.
  3. Enforce licensing and continuing education requirements for individuals and other licensed entities, determining, by investigation, that entities are in compliance with laws and regulations.
    1. To process 100% of all new online license requests within one working day of the date on which the National Insurance Producer Registry (NIPR) receives the information. Depending on volume, licensing needs, and other circumstances, process approximately 98% of the new paper applications received within 30 working days.
    2. To process 100% of all renewed online license requests within one working day of the date on which the National Insurance Producer Registry (NIPR) receives the information. Depending on volume, licensing needs, and other circumstances, process approximately 98% of the renewal paper applications received within 30 working days.
    3. To respond to potential licensing violations committed by applicants and licensees through investigations and examinations of selected insurance producers and other entities. Depending on complaint volume, regulatory needs, and other circumstances, approximately 200 investigations and examinations will be conducted each year.
  4. Protect consumers by providing information needed to make decisions on a broad range of insurance issues and assisting consumers with specific concerns pertaining to coverage, claims, underwriting, and other consumer financial issues.
    1. To provide specialized assistance during disasters by providing, within 24 hours of a declaration of the disaster, contact with necessary parties and, when necessary, on-site consumer education and information at all sites declared as state disaster areas in the fiscal year.
    2. To attend Department of Commerce and Economic Opportunity Rapid Response meetings when called and provide laid-off or soon- to-be unemployed consumers with information regarding the importance of understanding credit history and scoring as used in insurance, options regarding 401(k) accounts, and information regarding other financial decisions made by these consumers.
    3. To make presentations at educational seminars conducted by trade groups, associations, labor unions, and business organizations regarding the functions and duties of the Department of Insurance relating to insurance and financial issues.
    4. To act as the Department's outreach contact with communities, insurance companies, insurance trade associations, and other entities seeking educational information or assistance from the Department of Insurance.
Source of Funds Insurance Producer Administration Fund Statutory Authority 215 ILCS 5/500-135
Fiscal Year 2022 Target/Projected Fiscal Year 2021 Actual Fiscal Year 2021 Target/Projected Fiscal Year 2020 Actual Fiscal Year 2019 Actual
Input Indicators
Total expenditures - all sources (in thousands) $ 27,789.4 $ 19,203.8 $ 24,937.0 $ 15,776.0 $ 16,837.6
Total expenditures - state appropriated funds (in thousands) $ 27,789.4 $ 19,203.8 $ 24,937.0 $ 15,776.0 $ 16,837.6
Average monthly full-time equivalents 106.0 98.0 122.0 98.0 98.0
Output Indicators
Number of LA&H, P&C, and HMO consumer complaints closed 9,000 8,585 12,000 11,889 10,670
Number of written inquiries responded to (oral, written, Internet) (includes Chicago) 72,000 71,674 65,000 62,381 97,696
Number of LA&H and P&C market conduct exams completed 16.0 16.0 15.0 7.0 17.0
Number of market conduct corrective orders issued 16.0 16.0 15.0 7.0 17.0
Number of new/renewal licenses processed by the Producer Licensing Section 142,000 140,208 124,000 122,500 121,961
Number of LA&H and P&C form and rate filings processed 35,000 33,656 17,000 16,276 39,101
Cost containment: civil penalties collected (in dollars) $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
Utilization review applications processed (URO renewals are based on a two-year cycle) 115.0 110.0 115.0 113.0 121.0
PPO annual renewal applications processed 115.0 110.0 105.0 103.0 128.0
HMO policy form filings processed 240.0 232.0 160.0 153.0 270.0
Number of people reached by the Outreach Unit's radio presentations 0.0 0.0 0.0 0.0 0.0
Number of fact sheets available on the Department Internet site 85.0 85.0 55.0 55.0 53.0
Number of other and senior citizens presentations by the Outreach Unit 0.0 0.0 0.0 0.0 0.0
Number of external reviews closed 2,600 2,532 2,700 2,609 3,310
Outcome Indicators
Reduction in number of P&C companies with more than five complaints closed, whose average consumer complaint response time is greater than 21 days 40.0 45.0 75.0 84.0 65.0
Reduction in number of LA&H companies with more than five complaints closed, whose average consumer complaint response time is greater than 21 days 40.0 42.0 50.0 52.0 61.0
Percentage of auto/homeowners insurers complying with prompt payment standards 95.00% 95.00% 95.00% 95.00% 95.00%
Percentage reduction in companies not in compliance with previous market conduct examination orders 0.00% 0.00% 0.00% 0.00% 0.00%
Additional claim dollars paid to consumers (in dollars) $ 12,500,000.00 $ 12,311,303.00 $ 12,500,000.00 $ 12,076,460.00 $ 15,456,572.00
Premium overcharges returned to consumers (in dollars) $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 3,883.60
Efficiency/Cost-Effectiveness Indicators
Percentage of new license applications processed electronically within one working day 100.00% 100.00% 100.00% 100.00% 100.00%
Percentage of renewal license applications processed electronically within one working day 100.00% 100.00% 100.00% 100.00% 100.00%
Percentage of new paper license applications processed electronically within one working day 98.00% 98.00% 98.00% 98.00% 98.00%
Percentage of renewal paper license applications processed electronically within one working day 98.00% 98.00% 98.00% 98.00% 98.00%

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