The mission of the Department of Insurance is to equitably, effectively and efficiently administer the Idaho Insurance Code and the International Fire Code.
The department fulfills its mission and duties through two divisions: the Insurance Division and the State Fire Marshal’s Office. The Insurance Division consists of three regulatory bureaus and one section overseen by a deputy director. Support services are provided by an administrative group reporting to the Director. The responsibilities can be summarized as follows:
- Administration: The Director is responsible for the overall policy direction and management of the Department of Insurance. The Director’s administration group includes the Deputy Director, the fiscal section, a public information specialist and a human resource specialist for the Department of Insurance. The administration group provides oversight and support to the Insurance Division and the State Fire Marshal.
- Insurance Division:
- Information Technology Section: This section provides computer-related support for the entire agency under the guidance of the Deputy Director.
- Company Activities Bureau: This bureau monitors the financial condition of all insurance entities domiciled in the state of Idaho to assure that each complies with Idaho law and that the financial obligations of the company to its policyholders will be met. The bureau reviews all applications of insurers and qualifying self-funded healthcare plans seeking to do business in this state to determine eligibility for a certificate of authority to transact insurance or eligibility for registration as a self-funded healthcare plan. The bureau also licenses producers and third party administrators, collects and audits insurance premium tax returns, regulates title and bail agencies and performs market conduct analyses and examinations of insurers and self-funded plans doing business in Idaho.
- Consumer Services Bureau: This bureau researches consumer and industry complaints and provides assistance to consumers and the insurance industry on matters involving insurance contracts and potential violations of the insurance code. This bureau is also responsible for investigating criminal and civil violations of insurance laws, and referring cases involving criminal violations to the Attorney General or appropriate county prosecutor. Also within this bureau is Idaho’s Senior Health Insurance Benefits Advisors (SHIBA) program which provides information, counseling and assistance on Medicare coverage issues to Idaho’s senior citizens through a network of over 100 volunteers and a call center staffed to service our toll-free telephone line.
- Product Review Bureau: This bureau reviews insurance policy and self-funded rates and forms. The bureau meets the effective rate review standards for the individual and small group health insurance markets, retaining state-level regulatory authority. The bureau supports the Idaho Health Insurance Exchange in fulfilling the plan management requirements, reviewing and certifying health plans that meet the Qualified Health Plan (QHP) standards.
- State Fire Marshal: The State Fire Marshal’s Office participates in and coordinates an integrated statewide system designed to protect human life from fire and explosions through fire prevention, investigation and public education activities. The program involves fire prevention activities, fire/arson investigations, code enforcement and the operation of the Idaho Fire Incident Reporting System. The State Fire Marshal’s Office provides assistance to local fire agencies throughout the state.