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With
extensive experience in the public sector (NAIC and departments of insurance) as well as in the private
sector, the staff at Rector & Associates, Inc. (R&A) is skilled
at helping insurance-related companies navigate the regulatory system
in any state, develop appropriate products and prices, and increase operating
efficiency. This expertise applies to property/casualty insurance, life/health
insurance and managed care products.
Transactional
Services
When
companies are considering buying, selling, merging or entering into other
significant transactions, R&A can help:
- Structure
and evaluate transactions from both a regulatory and a business standpoint
- Obtain
regulatory approvals, including Form A and D filings
- Preserve
licenses
- Perform
due diligence.
General
Insurance Regulatory and Operational Services
R&A
can help insurance companies and other insurance-related companies
anticipate and resolve industry regulatory compliance issues in all 50
states by providing these services:
- Act
as a liaison to any department of insurance
- Apply
for certificates of authority
- Perform
operations, claims and market conduct insurance reviews
- Perform senior management functions that need to be outsourced,
e.g., provide temporary executive staffing
- Obtain approval of product form and rate filings for any type of
insurance product.
Insurance
Financial Services
R&A
can handle financial reporting, monitoring and projecting for life/health
and property/casualty insurance:
- Assist with financial reporting requirements or determining
appropriate accounting treatment.
- Perform
forensic accounting
- Assist
with reinsurance and commutation decisions
- Develop
models and projections using spreadsheets and other resources for management
decision-making.
Property/Casualty
Actuarial Services
With
property/casualty actuaries (FCAS and MAAA) on staff, R&A can meet
most any property/casualty actuarial need:
- Determine, set and test casualty loss reserves
- Develop, review and file casualty policy forms and premium rates
- Complete special projects that require innovative actuarial
methods and thinking.
Life/Health
Actuarial Services
Through an affiliation with a credentialed
health actuary, R&A's actuaries can efficiently complete these responsibilities:
- Determine,
set and test life/health reserves and other actuarial
liabilities
- Develop,
review and file life/health policy forms and premium rates
- Prepare
mortality, morbidity and persistency studies
- Profit-test
existing products.
Managed
Care Services
R&A
can assist managed care organizations with a range of regulatory compliance
issues:
- Obtain
regulatory approvals, including licenses, operations modifications,
and product expansions
- Perform compliance reviews of appeals processes
- Assess external reviews and utilization reviews
- Assist with service area expansions, including network sufficiency
and contracting requirements
- Solve provider network issues, including timing and amount of
payments and contracting issues.
Third Party
Administrator Services
R & A can help Third Party Administrators with regulatory compliance
issues in all 50 states including:
- Obtain multi-state licenses for a TPA
- Assist with ASO agreement matters
Resolve fund transfers and commingling issues
Assistance
to Troubled Companies
When
financial, administrative or compliance problems arise, R&A's experts
can help:
- Develop
appropriate solutions
- Identify
relevant issues, determine appropriate regulatory responses, and prepare
and evaluate problem-solving plans
- Advise
creditors or affiliates when a company is in conservatorship,
rehabilitation
or
liquidation.
Investment
Specialist Services
R&A’s seasoned team
of investment experts can help insurance companies review their investment
portfolios, no matter the size or complexity.
Litigation
Support Services
R&A
can assist inside or outside the courtroom:
- Serve
as expert witnesses
- Provide
litigation consultation.
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