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Redbook LBO Analysis of Executive Budget Proposal — Ohio Department of Insurance (February 2025)

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A Redbook LBO Analysis of Executive Budget Proposal for the Ohio Department of Insurance, by Ruhaiza Ridzwan, Senior Economist, dated February 2025. The quick look says the Department regulates and licenses 1,751 insurance companies operating in Ohio, employs a staff of 274, and receives no GRF funding. It says the executive recommended total funding for FY 2026 is $51.2 million, or about $1.6 million more than FY 2025 estimated expenditures, a 3.2% increase. The Department also administers the domestic and foreign insurance taxes.

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“Redbook LBO Analysis of Executive Budget Proposal — Ohio Department of Insurance (February 2025).” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2025-02-19-development-submission-insredbook-92f7da6f84/, SHA-256 e6ef31342d9477171ebc191a4181f06acebf436a4ede60fe651f08ab60e1fe0c.

Full text

                                                      Redbook
LBO Analysis of Executive Budget Proposal

             Ohio Department of Insurance

                               Ruhaiza Ridzwan, Senior Economist
                                         February 2025


                                              TABLE OF CONTENTS
Quick look... .......................................................................................................................... 1
Overview............................................................................................................................... 1
Agency overview ............................................................................................................................. 1
Overview............................................................................................................................... 2
Agency overview ............................................................................................................................. 2
Appropriation summary.................................................................................................................. 2
Analysis of FY 2026-FY 2027 budget proposal ......................................................................... 3
Operating Expenses (ALI 820606) ................................................................................................... 3
Operating Expenses – OSHIIP (ALI 820601) and OSHIIP Operating Grant (ALI 820602) ................ 5
Examination (ALI 820401) ............................................................................................................... 6
Domestic and foreign insurance taxes .................................................................................... 7


Attachment:
           Appropriation Spreadsheet
                                    LBO Redbook
          Ohio Department of Insurance
Quick look...
  The Department of Insurance regulates and licenses 1,751 insurance companies operating in
   Ohio, conducts financial examinations and audits, and annually licenses and regulates over
   333,000 agents and over 23,000 agencies.
    • The Department also administers the domestic and foreign insurance taxes.
  The Department employs a staff of 274.
  The Department receives no GRF funding. Funding for the Department’s operations is derived
   primarily from fees that accompany appointments of insurance agents by insurance companies.
  The executive budget recommended funding for FY 2026 that is about $1.6 million higher than
   total FY 2025 estimated expenditures, and recommended funding for FY 2027 is about
   $1.6 million higher than the total recommended for FY 2026.
      •   Increases in the executive budget in FY 2026 are due to funding increases in three state-
          funded ALIs: 820401, Examination (Fund 5540); and 820601, Operating Expenses – OSHIIP
          (Fund 5540); 820606, Operating Expenses (Fund 5540).
                                       FY 2024          FY 2025              FY 2026           FY 2027
           Fund Group
                                        Actual          Estimate           Introduced        Introduced
 Dedicated Purpose (DPF)              $41,570,579       $46,537,703         $48,122,453      $49,700,313
 Federal (FED)                         $2,584,225           $3,050,000       $3,050,000        $3,050,000
                            Total     $44,154,803       $49,587,703         $51,172,453      $52,750,313
                        % change                 --             12.3%              3.2%               3.1%


Overview
    Chart 1: INS Budget by Fund Group
       FY 2026-FY 2027 Biennium
                                                            Chart 2: INS Budget by Expense Category
                                                                   FY 2026-FY 2027 Biennium
Agency overview                                                                 Purchased
       The Ohio Department of Insurance (INS) regulates the business of insurance   in Ohio. Its
                                                                                 Personal
                                                                                 Services
mission is to serve and protect Ohio consumers through fair and efficient regulations,
                                                                                  3.1% provide
assistance and education to consumers, and promote        a competitive marketplace for insurers. To
                                                     Personal
                                                                                          Supplies and
carry out this mission, it licenses insurance agents and agencies, investigates allegations
                                                      Services
                                                                                          Maintenanceof
     DPF                                               83.5%
misconduct by insurance agents or agencies, examines claims of consumer and provider fraud,
    94.1%
                                        FED                                                  12.7%
                                       5.9%
investigates consumer complaints, and monitors the financial solvency and market conduct   Equipmentof
insurance companies. The Department reviews insurance policies and forms used by insurance  and Other
                                                                                              0.6%
companies and the premiums they charge customers in the life, accident, health, managed care,
and property and casualty insurance lines. INS also administers the domestic and foreign insurance
taxes, which in FY 2024 raised about $752Biennial
                                           milliontotal:
                                                   (combined) for the General Revenue Fund.
                                           $103.9 million



Legislative Budget Office of the Legislative Service Commission                                       Page 1
Redbook                                                                  Ohio Department of Insurance



Overview
Agency overview
       The Department of Insurance is a cabinet-level agency with 274 permanent full-time
employees as of February 2025. 1 Its activities are organized into the following key areas: Office
of Captive Insurance; consumer services; Ohio Senior Health Insurance Information Program
(OSHIIP); fraud and enforcement; licensing; market conduct; risk assessment; and program
management (executive, legal services, information technology, human resources, and fiscal
services).
        The Department of Insurance receives no GRF funding. Funding for Department
operations is derived primarily from the fees that accompany appointments of insurance agents
by insurance companies. The Department receives up to $15 of this $20 fee with the remaining
revenue deposited into the GRF. This primary revenue source is supplemented by company filing
fees, various smaller fees, and federal grants. In FY 2025, the agency’s estimated expenditures
are $49.6 million.
        In FY 2024, the Department licensed and regulated 1,751 insurance companies operating
in the state, of which approximately 275 are “domestic” insurance companies, i.e., companies
based and licensed to do business in Ohio. The other 1,476 are based outside the state but
licensed to do business in Ohio, and are referred to as “foreign” insurance companies. The
Department also licensed and regulated over 333,000 insurance agents and over 23,000
agencies.
        The Department is aided in monitoring the financial solvency and market conduct of
foreign insurance companies by the departments of insurance for the states in which those
companies are based. The 50 state departments of insurance receive support and coordination
assistance through the National Association of Insurance Commissioners (NAIC).

Appropriation summary
        The executive recommendation provides the funding necessary to maintain Department
of Insurance operations at current levels and to work toward the Department’s mission of
protecting and educating Ohio consumers and regulating insurance markets in the state. The
executive’s recommended total funding for FY 2026 is $51.2 million, or about $1.6 million more
than FY 2025 estimated expenditures, a 3.2% increase. Recommended total funding for FY 2027
is $52.8 million, or about $1.6 million more than FY 2026 recommended total funding, a 3.1%
increase. Increases in the executive budget in FY 2026 and FY 2027 are largely due to anticipated
personnel costs for filling vacancies and cost-of-living increases.
       Revenue to the Department of Insurance Operating Fund (Fund 5540), combined with the
estimated FY 2025 year-end cash balance of the fund, is expected to be sufficient to support the
recommended appropriations for the upcoming biennium. The cash balance of Fund 5540 at the
end of FY 2024 was $65.1 million, and the Department projects a cash balance of $59.3 million



1
    Source: State of Ohio Employee Headcount Trends (visited February 12, 2024).
Legislative Budget Office of the Legislative Service Commission                                Page 2
Redbook                                                                Ohio Department of Insurance



at the end of FY 2025. Revenue to Fund 5540, primarily fees from insurance agent appointments,
continued to increase in recent years due to a growing insurance industry in the state.
        The executive budget also proposes an appropriation of $3.1 million in each year of the
biennium from federal Fund 3U50. This amount is the same as the estimated expenditures from
the line item in FY 2025.

Analysis of FY 2026-FY 2027 budget proposal
Operating Expenses (ALI 820606)
    FY 2022          FY 2023           FY 2024         FY 2025          FY 2026          FY 2027
     Actual           Actual            Actual         Estimate       Introduced       Introduced
 5540 ALI 820606, Operating Expenses
   $29,748,899      $29,496,225      $31,273,496      $35,363,978      $36,479,179      $37,595,513
      % change             -0.8%             6.0%           13.1%              3.2%             3.1%

        The executive recommends an increase in the FY 2026 appropriation of about
$1.1 million, or 3.2%, from the estimated expenditures for FY 2025. The recommended amount
in FY 2027 is about $1.1 million, or 3.1% higher than the recommended amount in FY 2026. The
increase in FY 2026 is largely due to anticipated personnel costs for filling vacancies and cost-of-
living expenses. About 80% of the proposed funding for this line item is for personal services, and
about 15% is for supplies and maintenance; most of the remainder is for purchased personal
services. This appropriation item provides funding for the general operating expenses for the
Department of Insurance, excluding the Ohio Senior Health Insurance Information Program
(OSHIIP) and the agency’s Risk Assessment programs.
       The Department of Insurance’s regulatory and licensing responsibilities can be broken
down into the following key areas: (1) captive insurance, (2) consumer services, (3) fraud and
enforcement, (4) licensing, (5) market conduct, (6) risk assessment, and (7) program
management.
        Department personnel that serve in the Office of Captive Insurance establishes standards
for business and professional support organizations that work with captive entities in Ohio,
providing regulatory process, licensing, reporting, and examining captive insurance companies
based and licensed to do business in the state. Currently, eight captive insurance companies are
licensed in Ohio. Staff in this area also ensure captive insurers meet their contractual and financial
obligations.
        Department personnel that serve in the consumer services area respond to inquiries,
investigate and resolve complaints from Ohio consumers, and provide information and
publications related to insurance. Staff in this area provide extra support to elderly consumers
under OSHIIP, which is described separately in the following section. Consumer services staff
coordinate community outreach activities, guide victims at disaster assistance sites, and
participate in insurance fairs throughout the state. The consumer services staff recovered about
$13.1 million in restitution for Ohio consumers in FY 2024. They also received over 26,000
inquiries and complaints.
Legislative Budget Office of the Legislative Service Commission                                Page 3
Redbook                                                               Ohio Department of Insurance



        The Department’s fraud and enforcement area investigates insurance fraud, agent
misconduct, and allegations of unlicensed insurance activity. The Department also investigates
consumers, medical providers, and third parties suspected of defrauding insurance companies in
the state. The Department assists in the prosecution of consumer and provider insurance fraud.
The Department promotes the detection and prevention of insurance fraud through public
awareness campaigns, educational programs, and cooperation among insurers, governmental
agencies, and insurance industry groups. The Department receives thousands of allegations of
insurance fraud and agent misconduct annually.
        The Department issues licenses to insurance agents and agencies and is responsible for
ensuring that only qualified and competent individuals or entities are licensed to provide
insurance service in Ohio. The Department also monitors agents’ continuing education
requirements and processes insurance company appointments of authorized agents. Annually,
the Department processes millions of service requests, including appointments, terminations,
address or name changes, telephone calls, and emails from individuals and business entities who
are licensed to provide insurance service in the state.
        Personnel in the market conduct area examine records of insurance companies doing
business in Ohio on a routine basis or as needed to ensure that these companies comply with the
state’s insurance laws and regulations. They are also responsible for gathering industry
information from a variety of sources, including consumer complaints, company filings, the NAIC
databases, and research tools. The Department is also required to conduct additional market
conduct examinations to ensure compliance with certain uniform contract provisions between
health care providers and contracting entities (i.e., health insurers), and insurers pay for the cost
of examinations. The Department administers a health care provider complaint program,
including complaints related to contracts, credentials, and claims.
        Personnel in the risk assessment area monitor the financial solvency of every domestic
and foreign insurance company that is licensed to do business in Ohio, including surplus lines and
captive insurers to ensure that they are capable of meeting their contractual agreements to
policyholders and claimants. They also oversee complex transactions such as mergers,
acquisitions, redomestications, reinsurance agreements, and inter-company agreements to
ensure that insurance companies have enough money to pay claims filed by consumers. Staff in
this area also calculate and certify the domestic and foreign insurance premium tax owed to the
state.
        Personnel involved in program management include legal services staff who provide legal
advice on regulatory transactions including changes of control, mergers, redomestications,
demutualizations and the investment activities of domestic insurance companies, and
enforcement issues. They also administer public hearings involving insurance agent and company
licenses, provide legal assistance on a variety of issues to other offices in the Department of
Insurance, and supervise litigation. Other personnel in this area include information technology
staff who are responsible for the overall technology infrastructure and administer the
Department’s telecommunications system and website. Other personnel who manage and
support the overall operations of the Department include staff in the executive, fiscal operations,
and human resources offices.


Legislative Budget Office of the Legislative Service Commission                               Page 4
Redbook                                                             Ohio Department of Insurance



       In addition, the Department of Insurance is required under Ohio law to oversee and
administer the liquidation process of an Ohio domiciled insurance company that becomes
insolvent and requires liquidation. Personnel costs for the Ohio Liquidation Office, which is
responsible for the administration of the liquidation, are reimbursed to the Department from the
insolvent insurance companies being liquidated.

Operating Expenses – OSHIIP (ALI 820601) and
OSHIIP Operating Grant (ALI 820602)
    FY 2022          FY 2023          FY 2024         FY 2025         FY 2026          FY 2027
     Actual           Actual           Actual         Estimate      Introduced       Introduced
 Fund 5540 ALI 820601, Operating Expenses – OSHIIP
         $177,396      $253,843         $206,250         $389,000       $400,670        $414,002
         % change         43.1%           -18.7%            88.6%           3.0%             3.3%
 Fund 3U50 ALI 820602, OSHIIP Operating Grant
    $2,773,438       $2,948,953       $2,584,225       $3,050,000     $3,050,000       $3,050,000
         % change          6.3%           -12.4%            18.0%           0.0%             0.0%
 Total
    $2,950,834       $3,202,796       $2,790,474       $3,439,000     $3,450,670       $3,464,002
         % change          8.5%           -12.9%            23.2%           0.3%             0.4%

         The appropriation line items, Operating Expenses – OSHIIP (820601) and OSHIIP Operating
Grant (820602), provide funding for the administration of the Consumer Services Program. OSHIIP
assists and educates Ohioans on insurance issues, including health insurance for seniors. Annually,
OSHIIP assists hundreds of thousands of consumers. In FY 2024 OSHIIP helped save approximately
$42.5 million for Medicare recipients who switched plans based on their health care and
prescription needs. In FY 2024, about 93% of the funding for the program came from federal grant
receipts, with the remainder derived from the Department of Insurance Operating Fund
(Fund 5540).
       Recommended funding for item 820601 in FY 2026 is $400,670, an increase of $11,670
from the estimated expenditures for FY 2025. The recommended state funding for FY 2027 is
$414,002, $13,332 higher than the recommended funding in FY 2026. Total recommended state
funding for the biennium is $814,672. State funding for the FY 2024-FY 2025 biennium is
estimated to be $595,250. The recommended state funding for FY 2026 and FY 2027 is $219,422,
or 36.9%, higher than the estimated state funding for the current biennium.
       The federal grant that provides most of the funding for this program was about
$2.6 million in FY 2024. In FY 2025, the estimated total federal grant is about $3.1 million.
Department officials expect the grant amount to be about $3.1 million for each year of the
upcoming biennium.
        The recommended level of total funding for the program for FY 2026 is about $3.5 million,
0.3% more than the estimated total for FY 2025. The increase is primarily related to personnel
costs. The recommended total funding for FY 2027 is also about $3.5 million.

Legislative Budget Office of the Legislative Service Commission                             Page 5
Redbook                                                             Ohio Department of Insurance



Examination (ALI 820401)
    FY 2022          FY 2023          FY 2024         FY 2025         FY 2026        FY 2027
     Actual           Actual           Actual         Estimate      Introduced     Introduced
 Fund 5540 ALI 820401, Examination
              $0               $0    $10,090,533     $10,784,725    $11,242,604     $11,690,798
      % change              N/A              N/A             6.9%          4.2%            4.0%

       The table above shows historical funding in ALI 820401, Examination. Previously, funding
was provided in two defunct ALIs – 820605, Examination and 820613, Captive Insurance
Regulation and Supervision. The executive proposal recommends $11.2 million funding in ALI
820401 in FY 2026 and $11.7 million in FY 2027. ALI 820401 is used to pay for departmental
oversight of licensed insurance companies, including the Department’s regulatory and
enforcement responsibilities related to captive insurers.
        The recommended FY 2026 funding in ALI 820401 is $457,879 higher than the total
anticipated FY 2025 expenditures, a 4.2% increase. The recommended FY 2027 funding in the
new ALI is $448,194 higher than the recommended FY 2026 funding, or about a 4.0% increase.
       Ohio law requires a financial examination be conducted at least once every five years. The
Department monitors the financial solvency of insurance companies by reviewing financial
statements and other records, and by conducting regular onsite examinations. The revenue
source for this oversight is Fund 5540. The Department’s expenses from conducting an
examination of a company and paid by the company to the Superintendent of Insurance are also
deposited into Fund 5540.
       A captive insurance company that wants to operate in Ohio must apply to the
Superintendent and pay a fee. The fee is deposited into Fund 5540 beginning in FY 2024, instead
of Fund 5PT0. In FY 2024 the Department licensed a total of eight captive insurance companies
to do business in Ohio.




Legislative Budget Office of the Legislative Service Commission                           Page 6
Redbook                                                                                                                                         Ohio Department of Insurance



Domestic and foreign insurance taxes
       The Department of Insurance administers the domestic and foreign insurance taxes. The
chart below presents the amount of revenues credited to the GRF for FY 1992 through FY 2024
from the taxes. 2


                                                  Chart 3: Domestic and Foreign Insurance Tax Revenues

                      $800
                      $700
                      $600
                      $500

         $ millions
                      $400
                      $300
                      $200
                      $100
                       $0

                             FY 1992   FY 1994   FY 1996   FY 1998   FY 2000   FY 2002   FY 2004   FY 2006   FY 2008   FY 2010   FY 2012   FY 2014   FY 2016   FY 2018   FY 2020   FY 2022   FY 2024


                                                                 Foreign Insurance                           Domestic Insurance




INS/lb




2
  The revenue decrease from the foreign insurance tax between FY 1999 and FY 2003 was due to changes
in the tax rates which were made by Am. Sub. H.B. 215 of the 122nd General Assembly; in the case of the
domestic insurance tax, the revenue increase was due to changes in tax rates and the tax base made by
the same act.
Legislative Budget Office of the Legislative Service Commission                                                                                                                                    Page 7
FY 2026 - FY 2027 Appropriations - As Introduced
                                                                                                                           Main Operating Appropriations Bill
All Fund Groups - Detail
                                                                                        Estimate        Introduced      Introduced      FY 2025 to FY 2026 FY 2026 to FY 2027
Detail by Agency                                                          FY 2024       FY 2025           FY 2026         FY 2027           % Change           % Change

INS    Ohio Department of Insurance                             AIId-75




5540   820401 Examination     IId-4416                                    $10,090,533    $10,784,725      $11,242,604     $11,690,798               4.25%              3.99%

5540   820601 Operating Expenses - OSHIIP                     IId-2306       $206,250      $389,000         $400,670        $414,002                3.00%              3.33%

5540   820606 Operating Expenses         IId-477                          $31,273,496    $35,363,978      $36,479,179     $37,595,513               3.15%              3.06%

5550   820605 Examination     IId-478                                           $299               $0             $0              $0                  N/A                N/A

Dedicated Purpose Fund Group Subtotal                                     $41,570,579    $46,537,703      $48,122,453     $49,700,313               3.41%              3.28%

3U50   820602 OSHIIP Operating Grant               IId-2518                $2,584,225     $3,050,000       $3,050,000      $3,050,000               0.00%              0.00%

Federal Fund Group Subtotal                                                $2,584,225     $3,050,000       $3,050,000      $3,050,000               0.00%              0.00%

Ohio Department of Insurance Total                                        $44,154,803    $49,587,703      $51,172,453     $52,750,313               3.20%              3.08%

Main Operating Appropriations Bill Total                                  $44,154,803    $49,587,703      $51,172,453     $52,750,313               3.20%              3.08%




Legislative Budget Office of the Legislative Service Commission                                                                                                             1


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