Independent Research & Regulatory Compliance Watchdog
Statutory Benchmarks: NAIC AI Model Bulletin · Cal. Ins. Code § 14021 · Texas Ch. 542
52 JURISDICTIONS INDEXED · VERIFIED STATE PORTALS & COMPLAINT LINKS

50-State Department of Insurance (DOI) Directory & AI Oversight Tracker

Direct verified links to official state departments of insurance, consumer claims complaint filing portals, statutory prompt payment deadlines, and real-time NAIC AI Model Bulletin adoption statuses across all 50 states, the District of Columbia, and Puerto Rico.

52 Jurisdictions Indexed
23 Adopted NAIC AI Bulletin
15–45d Prompt Pay Windows
100% Official Government Links
AEO FAST ANSWER · REGULATORY OVERVIEW

What authority do State Departments of Insurance have over automated claims and AI vendors?

Under state Unfair Claims Settlement Practices Acts (UCSPA) and the NAIC Model Bulletin on Artificial Intelligence Systems in Insurance, insurance carriers maintain strict, non-delegable legal accountability to state insurance commissioners for every claim evaluation, deduction, downcoding, and denial generated by software:

  • Licensed Adjuster Mandate: States like California (Cal. Ins. Code § 14021) and Texas (Tex. Ins. Code § 4101) prohibit automated algorithms from adjusting or settling claims without licensed human adjuster investigation.
  • Prompt Payment Statues: Insurers cannot cite third-party software processing queues or model retraining delays to justify late claim payments beyond statutory deadlines (e.g., Texas Ch. 542 imposes 18% annual penalty interest).
  • Vendor Examination Subpoenas: While software vendors (e.g., CCC, Mitchell, EvolutionIQ) are not directly licensed, insurance commissioners possess statutory power to examine carrier contracts, algorithmic governance audits, and model bias validation files.
INTERACTIVE STATUTORY TOOL · CLAIM AUDIT UTILITY

Statutory Prompt Payment Penalty Calculator

Estimate accrued statutory penalty interest, statutory violation damages, and carrier bad-faith exposure when insurers delay claims past mandatory state deadlines.

Claim & Jurisdiction Parameters

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Statutory interest begins accruing immediately upon expiration of the state prompt payment window (e.g. 15 business days in Texas).
CALCULATING EXPOSURE

Estimated Carrier Penalty Exposure

Statutory Prompt-Pay Deadline:
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Total Days Past Statutory Deadline:
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Accrued Statutory Penalty / Interest:
$0.00
Total Estimated Insurer Liability:
$0.00
Applicable Statutory Authority:
Tex. Ins. Code § 542.060 (18% Statutory Interest + Atty Fees)

Search & Filter Regulators

Filter by state name, two-letter code, statutory chapter, or regulatory adoption status.

Showing 52 of 52 Jurisdictions
State Official Department of Insurance Consumer Portal Governing Statute Prompt Pay NAIC AI Status Regulatory & Claims Focus
AL Alabama
Alabama Department of Insurance
www.aldoi.gov
File Claim Complaint Ala. Code § 27-12-24 & Ala. Code § 27-1-17 45 days Reviewing

Focuses on catastrophic storm claims handling, monitoring third-party aerial roof imagery in property underwriting, and enforcing timely claim dispute resolution.

AK Alaska
Alaska Division of Insurance
www.commerce.alaska.gov/web/ins
File Claim Complaint Alaska Stat. § 21.36.125 & Alaska Admin. Code tit. 3, § 26.040 30 days Adopted

Enforces Artificial Intelligence Systems governance programs under Bulletin B 24-01 while maintaining oversight of claim adjustment delays across remote territories.

AZ Arizona
Arizona Department of Insurance and Financial Institutions
difi.az.gov
File Claim Complaint Ariz. Rev. Stat. § 20-461 & Ariz. Admin. Code R20-6-801 30 days Reviewing

Mandates licensed physician director review for automated health claims denials under HB 2175 and enforces prompt investigation standards under unfair claims rules.

AR Arkansas
Arkansas Insurance Department
insurance.arkansas.gov
File Claim Complaint Ark. Code Ann. § 23-66-206 & Ark. Ins. Dept. Rule 43 45 days Adopted

Requires written insurer AI programs under Bulletin 13-2024 to prevent algorithmic bias while actively monitoring prompt settlement of storm-related property claims.

CA California
California Department of Insurance
www.insurance.ca.gov
File Claim Complaint Cal. Ins. Code § 790.03 & Cal. Ins. Code § 14021 40 days Notice Issued

Enforces Bulletin 2022-5 and Cal. Ins. Code § 14021 against touchless auto adjusting, biometric claim surveillance, and unlicensed algorithmic claims processing.

CO Colorado
Colorado Division of Insurance
doi.colorado.gov
File Claim Complaint Colo. Rev. Stat. § 10-3-1104 & SB 21-169 60 days Notice Issued

Pioneered nation-leading algorithmic fairness mandates under SB 21-169 and Regulation 10-1-1, requiring carriers to conduct statistical testing to prevent algorithmic bias.

CT Connecticut
Connecticut Insurance Department
portal.ct.gov/cid
File Claim Complaint Conn. Gen. Stat. § 38a-816 & Conn. Agencies Regs. § 38a-816-1 30 days Adopted

Requires annual AI compliance certifications under Bulletin MC-25 to ensure carriers proactively test and audit third-party algorithms for unfair discrimination.

DE Delaware
Delaware Department of Insurance
insurance.delaware.gov
File Claim Complaint Del. Code Ann. tit. 18, § 2304(16) & 18 Del. Admin. Code § 902 30 days Adopted

Enforces Bulletin No. 148 holding carriers accountable for AI systems and ensuring algorithmic claim assessment tools do not evade unfair claims settlement standards.

FL Florida
Florida Office of Insurance Regulation
floir.com
File Claim Complaint Fla. Stat. § 626.9541 & Fla. Stat. § 627.70131 60 days Reviewing

Strictly enforces shortened post-catastrophe claims deadlines and scrutinizes automated desk-adjusting tools to curb unjustified property loss reductions.

GA Georgia
Office of the Commissioner of Insurance and Safety Fire
oci.georgia.gov
File Claim Complaint Ga. Code Ann. § 33-6-34 & Ga. Comp. R. & Regs. 120-2-52 60 days Reviewing

Monitors insurer compliance with statutory claims response times and investigates consumer complaints regarding automated vehicle total-loss calculations.

HI Hawaii
Hawaii Insurance Division
cca.hawaii.gov/ins
File Claim Complaint Haw. Rev. Stat. § 431:13-103 & Haw. Rev. Stat. § 431:13-108 30 days Adopted

Oversees catastrophe claim settlements following wildfire disasters while requiring verifiable audit trails for automated claim handling systems.

ID Idaho
Idaho Department of Insurance
doi.idaho.gov
File Claim Complaint Idaho Code § 41-1329 & IDAPA 18.01.21 30 days Reviewing

Protects consumer transparency in personal lines adjustments and examines insurer reliance on automated estimating software during market conduct reviews.

IL Illinois
Illinois Department of Insurance
idoi.illinois.gov
File Claim Complaint 215 Ill. Comp. Stat. 5/154.6 & Ill. Admin. Code tit. 50, § 919 30 days Adopted

Audits algorithmic claims and underwriting models under Bulletin 2024-08 to eliminate systemic disparate impact and ensure strict prompt payment adherence.

IN Indiana
Indiana Department of Insurance
www.in.gov/idoi
File Claim Complaint Ind. Code § 27-4-1-4.5 & Ind. Code § 27-8-5.7-6 30 to 45 days Reviewing

Regulates insurer use of aerial imagery in property evaluations and enforces statutory clean-claim payment timeframes.

IA Iowa
Iowa Insurance Division
iid.iowa.gov
File Claim Complaint Iowa Code § 507B.4 & Iowa Admin. Code r. 191-15.41 30 days Adopted

Enforces Bulletin 24-01 requiring documented insurer governance over predictive modeling and validation of third-party algorithmic claims adjusting tools.

KS Kansas
Kansas Insurance Department
insurance.kansas.gov
File Claim Complaint Kan. Stat. Ann. § 40-2404 & Kan. Admin. Regs. § 40-1-34 30 days Reviewing

Protects policyholders against arbitrary automated claim depreciations and upholds statutory prompt payment standards in property and casualty losses.

KY Kentucky
Kentucky Department of Insurance
insurance.ky.gov
File Claim Complaint Ky. Rev. Stat. Ann. § 304.12-230 & 806 Ky. Admin. Regs. 12:095 30 days Adopted

Implements Bulletin 2024-02 ensuring artificial intelligence systems comply with Kentucky's Unfair Claims Settlement Practices Act and avoid discriminatory outcomes.

LA Louisiana
Louisiana Department of Insurance
www.ldi.la.gov
File Claim Complaint La. Rev. Stat. Ann. § 22:1892 & La. Rev. Stat. Ann. § 22:1973 30 days Reviewing

Imposes strict statutory penalties for bad-faith delays in catastrophe claims and regulates insurer use of aerial imaging and algorithmic roof inspections.

ME Maine
Maine Bureau of Insurance
www.maine.gov/pfr/insurance
File Claim Complaint Me. Rev. Stat. Ann. tit. 24-A, § 2164-D & Me. Rev. Stat. Ann. tit. 24-A, § 2436 30 days Notice Issued

Issued Bulletin 483 governing external consumer data and aerial imagery to ensure transparent notice and consumer challenge procedures in underwriting and claims.

MD Maryland
Maryland Insurance Administration
insurance.maryland.gov
File Claim Complaint Md. Code Ann., Ins. § 27-303 & Md. Code Regs. 31.15.07 30 days Adopted

Requires comprehensive AI governance and third-party vendor oversight under Bulletin 24-11 to prevent algorithmic proxy discrimination across claims operations.

MA Massachusetts
Massachusetts Division of Insurance
www.mass.gov/orgs/division-of-insurance
File Claim Complaint Mass. Gen. Laws ch. 176D, § 3 & 211 Code Mass. Regs. 123.00 30 to 45 days Adopted

Applies Bulletin 2024-09 to scrutinize predictive algorithms for demographic bias while strictly enforcing consumer protections under Chapter 176D.

MI Michigan
Michigan Department of Insurance and Financial Services
www.michigan.gov/difs
File Claim Complaint Mich. Comp. Laws § 500.2026 & Mich. Comp. Laws § 500.2006 30 to 60 days Adopted

Mandates written AI risk management protocols under Bulletin 2024-20-INS to prevent unfair discrimination in auto no-fault and property damage claims.

MN Minnesota
Minnesota Department of Commerce
mn.gov/commerce/insurance
File Claim Complaint Minn. Stat. § 72A.201 & Minn. Stat. § 60A.0811 30 to 60 days Reviewing

Monitors algorithmic decision systems during market conduct examinations and rigorously enforces statutory prompt settlement deadlines.

MS Mississippi
Mississippi Insurance Department
www.mid.ms.gov
File Claim Complaint Miss. Code Ann. § 83-5-29 & Miss. Code Ann. § 83-9-5(1)(h) 25 to 35 days Adopted

Scrutinizes automated adjusting tools during catastrophic storm recovery and enforces statutory prompt pay guidelines to prevent delayed claim payouts.

MO Missouri
Missouri Department of Commerce and Insurance
insurance.mo.gov
File Claim Complaint Mo. Rev. Stat. § 375.1007 & Mo. Code Regs. tit. 20, § 100-1.010 - 1.060 30 days Reviewing

Actively participates in NAIC AI working groups while auditing carrier automated claims systems for compliance with Missouri prompt pay and vexatious refusal laws.

MT Montana
Montana Commissioner of Securities and Insurance
csimt.gov
File Claim Complaint Mont. Code Ann. § 33-18-201, § 33-18-232 30 days Reviewing

Enforces statutory unfair trade practices and bad-faith claim settlement rules while evaluating carrier algorithmic tools and consumer data privacy.

NE Nebraska
Nebraska Department of Insurance
doi.nebraska.gov
File Claim Complaint Neb. Rev. Stat. § 44-1540; 210 Neb. Admin. Code § 60-008 15 days Adopted

Enforces Unfair Claims Settlement standards and requires insurers to maintain written Artificial Intelligence Systems governance programs under Notice CB-142.

NV Nevada
Nevada Division of Insurance
doi.nv.gov
File Claim Complaint Nev. Rev. Stat. § 686A.310; Nev. Admin. Code § 686A.675 30 days Adopted

Protects consumers against deceptive claims practices and requires insurers deploying AI to implement comprehensive governance per Bulletin 24-001.

NH New Hampshire
New Hampshire Insurance Department
www.insurance.nh.gov
File Claim Complaint N.H. Rev. Stat. Ann. § 417:4; N.H. Code Admin. R. Ins 1002.05 30 days Adopted

Enforces prompt claims investigation mandates and holds carriers strictly accountable for algorithmic decisions under Docket INS 24-009-AB.

NJ New Jersey
New Jersey Department of Banking and Insurance
www.nj.gov/dobi
File Claim Complaint N.J. Stat. Ann. § 17:29B-4; N.J. Admin. Code § 11:22-1.5 30 days Adopted

Mandates prompt claim settlement compliance and requires formal AI risk management and anti-bias controls under Bulletin 25-01.

NM New Mexico
New Mexico Office of Superintendent of Insurance
www.osi.state.nm.us
File Claim Complaint N.M. Stat. Ann. § 59A-16-20, § 59A-16-21.1 30 days Reviewing

Investigates unfair claims settlement practices and monitors automated claims triage tools to ensure fair and timely adjudication.

NY New York
New York State Department of Financial Services
www.dfs.ny.gov
File Claim Complaint N.Y. Ins. Law § 2601; 11 NYCRR Part 216 30 days Notice Issued

Enforces nation's strictest AI claims and underwriting governance under Circular Letter No. 7 (2024), requiring empirical bias testing and external consumer data audits.

NC North Carolina
North Carolina Department of Insurance
www.ncdoi.gov
File Claim Complaint N.C. Gen. Stat. § 58-63-15, § 58-3-225 30 days Adopted

Applies unfair trade practices enforcement and Bulletin 24-B-12 to ensure transparency and accountability in insurer artificial intelligence systems.

ND North Dakota
North Dakota Insurance Department
www.insurance.nd.gov
File Claim Complaint N.D. Cent. Code § 26.1-04-03, § 26.1-36-37.1 15 business days Reviewing

Enforces statutory claim payment deadlines while developing tailored regulatory guidance based on the NAIC AI Model Bulletin.

OH Ohio
Ohio Department of Insurance
insurance.ohio.gov
File Claim Complaint Ohio Rev. Code Ann. § 3901.381; Ohio Admin. Code § 3901-1-54 21 days Reviewing

Monitors unfair property and casualty claims settlement practices while assessing AI guardrails to protect policyholders from algorithmic errors.

OK Oklahoma
Oklahoma Insurance Department
www.oid.ok.gov
File Claim Complaint Okla. Stat. tit. 36, § 1250.7, § 1219 45 days Adopted

Enforces the Unfair Claims Settlement Practices Act and Bulletin LH/PC 2024-02 to prevent automated claims settlement bias and improper denials.

OR Oregon
Oregon Division of Financial Regulation
dfr.oregon.gov
File Claim Complaint Or. Rev. Stat. § 746.230, § 743B.450 30 days Notice Issued

Targets unfair claims settlement practices and issues regulatory guidance on artificial intelligence and consumer data protection.

PA Pennsylvania
Pennsylvania Insurance Department
www.insurance.pa.gov
File Claim Complaint 40 Pa. Stat. Ann. § 1171.5; 31 Pa. Code § 146.6 45 days Adopted

Enforces Unfair Insurance Practices standards and Notice 2024-04 requiring insurers to maintain documented AI governance and testing frameworks.

RI Rhode Island
Rhode Island Department of Business Regulation, Insurance Division
dbr.ri.gov/insurance
File Claim Complaint R.I. Gen. Laws § 27-9.1-4, § 27-18-61 30 days Adopted

Regulates unfair claim settlement practices and enforces Insurance Bulletin 2024-02 to oversee insurer AI systems and third-party vendor models.

SC South Carolina
South Carolina Department of Insurance
www.doi.sc.gov
File Claim Complaint S.C. Code Ann. § 38-59-20, § 38-59-230 21 business days Reviewing

Investigates improper claim settlement practices while actively formulating administrative guidance on insurer AI adoption and licensee accountability.

SD South Dakota
South Dakota Division of Insurance
dlr.sd.gov/insurance
File Claim Complaint S.D. Codified Laws § 58-33-67, § 58-12-20 30 days Reviewing

Enforces unfair claim settlement prohibitions and prompt pay deadlines while reviewing insurer utilization of automated claims processing.

TN Tennessee
Tennessee Department of Commerce and Insurance
www.tn.gov/commerce/insurance-division.html
File Claim Complaint Tenn. Code Ann. § 56-8-105, § 56-7-109 21 calendar days Reviewing

Enforces statutory claims payment timeliness and monitors the integration of machine learning algorithms in claims handling.

TX Texas
Texas Department of Insurance
www.tdi.texas.gov
File Claim Complaint Tex. Ins. Code Ch. 542 (Prompt Payment Act) & Ch. 4101 15 business days Notice Issued

Aggressively enforces Chapter 542 18% statutory penalty interest and Bulletin B-0003-26 requiring human-in-the-loop oversight and licensed adjuster accountability.

UT Utah
Utah Insurance Department
insurance.utah.gov
File Claim Complaint Utah Code Ann. § 31A-26-301, § 31A-26-301.6; Utah Admin. Code R590-190 30 days Reviewing

Enforces unfair claims settlement rules under R590-190 while monitoring insurer adoption of AI underwriting and claims automation systems.

VT Vermont
Vermont Department of Financial Regulation, Insurance Division
dfr.vermont.gov
File Claim Complaint 8 V.S.A. § 4724, § 3665; 18 V.S.A. § 9418 30 days Adopted

Enforces fair claim settlement standards and requires insurers to implement comprehensive AIS governance programs under Bulletin 226.

VA Virginia
Virginia State Corporation Commission, Bureau of Insurance
scc.virginia.gov/pages/Bureau-of-Insurance
File Claim Complaint Va. Code Ann. § 38.2-510, § 38.2-3407.15 40 days Adopted

Enforces market conduct standards and Administrative Letter 2024-04 requiring insurers to manage AI bias, governance, and vendor oversight.

WA Washington
Washington State Office of the Insurance Commissioner
www.insurance.wa.gov
File Claim Complaint Wash. Rev. Code § 48.30.010; Wash. Admin. Code § 284-30-330 30 days Adopted

Enforces unfair claims settlement rules under WAC 284-30-330 and requires insurers to maintain AI governance frameworks per TAA 2024-01.

WV West Virginia
West Virginia Offices of the Insurance Commissioner
www.wvinsurance.gov
File Claim Complaint W. Va. Code § 33-11-4(9), § 33-45-2 30 days Adopted

Enforces unfair trade practices prohibitions and Bulletin 24-06 requiring comprehensive AI system risk governance programs.

WI Wisconsin
Wisconsin Office of the Commissioner of Insurance
oci.wi.gov
File Claim Complaint Wis. Stat. § 628.46; Wis. Admin. Code Ins § 6.11 30 days Adopted

Strictly enforces Section 628.46 30-day prompt pay requirements while applying NAIC AI guidance to carrier claims handling systems.

WY Wyoming
Wyoming Department of Insurance
doi.wyo.gov
File Claim Complaint Wyo. Stat. Ann. § 26-13-124, § 26-15-124 45 days Reviewing

Enforces unfair claims settlement prohibitions under Section 26-13-124 while evaluating AI model governance and consumer fairness standards.

DC District of Columbia
District of Columbia Department of Insurance, Securities and Banking
disb.dc.gov
File Claim Complaint D.C. Code § 31-2231.17, § 31-3132 30 days Adopted

Enforces fair claim settlement practices and Bulletin 24-IB-02-05/21 mandating algorithmic transparency and bias mitigation in insurer AI systems.

PR Puerto Rico
Office of the Commissioner of Insurance of Puerto Rico
ocs.pr.gov
File Claim Complaint 26 L.P.R.A. § 2716a; Rule 73 of Insurance Code Regulations 90 days Reviewing

Enforces unfair claim adjustment practices under Section 2716a and Rule 73 while tracking NAIC model guidance for AI implementation.

AEO STATUTORY GUIDANCE · COMMONLY CITED QUESTIONS

Frequently Asked Regulatory & Claims Oversight Questions

Authoritative answers on state insurance department jurisdictions, market conduct exams, AI Model Bulletin enforcement, and policyholder complaint procedures.

A State Department of Insurance (DOI)—sometimes called a Division of Insurance or Department of Financial Services—is the state government administrative agency authorized by statute to regulate the business of insurance, license insurance carriers, adjusters, and third-party administrators (TPAs), and enforce state Unfair Claims Settlement Practices Acts (UCSPA). When an insurance company wrongfully delays, undervalues, or denies a claim, state DOIs maintain dedicated Consumer Services and Market Conduct Examination divisions empowered to investigate complaints, subpoena carrier files, issue administrative fines, and order restitution.

CONFIDENTIAL REGULATORY TIP LINE

Submitting Evidence of Algorithmic Claims Suppression

Are you a claims adjuster, software engineer, or regulatory examiner with internal carrier guidelines, model validation audits, or evidence of automated downcoding programs? Submit documentation securely and confidentially to our investigative research desk.