Cigna 2009 Annual Report Download - page 48

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J. Regulation
CIGNA and its subsidiaries are subject to federal, state and international regulations and CIGNA has established policies and
procedures to comply with applicable requirements.
CIGNA»s insurance and HMO subsidiaries must be licensed by the jurisdictions in which they conduct business. These
subsidiaries are subject to numerous state and federal regulations related to their business operations, including, but not limited to:
x the form and content of customer contracts including benefit mandates (including special requirements for small groups, generally
under 50 employees);
x premium rates;
x the content of agreements with participating providers of covered services;
x producer appointment and compensation;
x claims processing and appeals;
x underwriting practices;
x reinsurance arrangements;
x unfair trade and claim practices;
x protecting the privacy and confidentiality of the information received from members;
x risk sharing arrangements with providers; and
x the operation of consumer-directed plans (including health savings accounts, health reimbursement accounts, flexible spending
accounts and debit cards).
CIGNA and its international subsidiaries comply with regulations in international jurisdictions where foreign insurers are, in some
countries, faced with greater restrictions than their domestic competitors. These restrictions may include discriminatory licensing
procedures, compulsory cessions of reinsurance, required localization of records and funds, higher premium and income taxes, and
requirements for local participation in an insurer’s ownership.
CIGNA and its subsidiaries are also subject to state and federal laws relating to business entities.
Regulatory agencies conduct routine and targeted market conduct examinations of CIGNA’s insurance and HMO subsidiaries to
assess compliance with applicable laws and regulations. Other types of regulatory oversight predominantly as to CIGNA and its
subsidiaries’ products and services are described below.
Regulation of Insurance Companies
Financial Reporting
Regulators closely monitor the financial condition of licensed insurance companies and HMOs. States regulate the form and
content of statutory financial statements and the type and concentration of permitted investments. CIGNA’s insurance and HMO
subsidiaries are required to file periodic financial reports with regulators in most of the jurisdictions in which they do business, and
their operations and accounts are subject to examination by such agencies at regular intervals.