CSA
Summary
Read the report at California State Auditor ↗
Department of Insurance:
The Management of Conserved
Insurers Has Improved, but
Problems With Liquidation and
Administration Continue
April 1996
94118
Blank page inserted for reproduction purposes only.
Table of Contents
Summary S-1
Introduction 1
Chapter 1
The CLO Has Developed Plans for Conserved
Insurers but Has Achieved Only Limited
Success in Liquidating Them 9
Recommendations 19
Chapter 2
Administrative Practices of the CLO
Continue To Need Improvement 21
Recommendations 34
Appendix A
Insurers in Conservation or Liquidation 37
Appendix B
Recommendations From Our Previous
Report and the Results of Our
Review of Corrective Action 41
Response to the Audit
Department of Insurance 47
Summary
Results in Brief
C onIPPntrlidaonincurseee cddatu r cereo nsso tfsto ra re T
he Department of Insurance (department) is responsible
impnarreowogvta uearlmdlawirenlayngy t us ai psnd da ted
for conserving and liquidating companies (insurers) that
neepmtdorea ocdnpl aoiengsr lietynh tgeah lelo cated.
Audit Highlights ... have financial or other problems, or that do not have
admceisontniasttrteraasct ttisoh nea rCoefL nOo t
authorization to transact insurance business in the State of
conamslewarnavayegsde fason;l ldo wed;
Despite improvement s California. During conservation, an insurance company is
liquaidnadt ed insurers.
placed under court-ordered control to conserve the insurer’s
in planning and
Specifically, we found:
assets until the insurer’s status is determined by the courts. If
managing conserved
the insurance commissioner (commissioner) determines that it
insurers,
Budgets are not
would be futile to rehabilitate the insurer in conservation, he may
the department’s
adequately
apply to the court for an order to liquidate the assets of the
Conservation and
monitored;
conserved company. Liquidation is a process in which the
Liquidation Office
department’s Conservation and Liquidation Office (CLO)
(CLO) has had only
converts a conserved insurer’s assets to cash and applies it to
limited success in
outstanding debt. After completing this procedure, the
closing estates.
commissioner is required by the California Insurance Code to
apply for a court order to distribute the liquidated company’s
assets to the policyholders, creditors, and other groups owed by
the insurer. After final distribution of the assets takes place and
the CLO makes a declaration of that fact to the court, the closure
of the insurer is complete.
In May 1994, the Bureau of State Audits issued a report stating
that the department’s Conservation and Liquidation Division
(division) needed corrective action of poor management
practices. We found that the division had not developed either a
strategic plan for the conservation and liquidation of conserved
insurers or management plans to close the estates of those
insurers under its control. Further, we reported that the division
had not developed adequate administrative practices to control
effectively its costs for conservation and liquidation activities. In
response to our audit, reviews by the Department of Finance,
and the department’s own internal investigations, the department
reorganized the division into the CLO and relocated the unit to
San Francisco to enhance communication with the department’s
other units and to improve the department’s oversight of CLO
activities.
The focus in this audit has been to do a follow-up review of the
CLO’s operations to determine the effectiveness of corrective
action taken or planned regarding the recommendations of our
previous audit.
We found that the CLO has developed a strategy and
management plans for the conservation and liquidation of
conserved insurers, including plans to close the estates under its
control. However, it has had only limited success in distributing
the assets of the liquidated insurers under its control and in
ultimately closing their estates. As of November 1995, the CLO
was managing 64 estates with assets available to pay claims.
Between June 1994 and November 1995, the CLO made a final
1
distribution of assets for only six liquidated insurers. Accounting
errors, incomplete claims records, and unresolved tax issues
have impaired the CLO’s ability to close estates readily. In
addition, implementation of improvements in its processes was
delayed when the department reorganized the division into the
CLO and moved the entire operation from Los Angeles to San
Francisco. Because of these conditions, we could not
determine whether the CLO’s strategy and estate management
plans have been effective in maximizing the assets of conserved
and liquidated insurers and distributing the assets at the earliest
possible time.
Although the CLO has improved its policies and procedures
for conservation and liquidation activities, we identified several
areas requiring further improvement. Specifically, we found the
following conditions:
While the CLO has obtained computer software systems
intended to add uniformity and efficiency to its accounting,
budgeting, and claims processing activities, it has not fully
implemented those systems.
We also noted that although the CLO prepares budgets for
its operations and the estates it manages, it does not
calculate and report monthly on variances between budgeted
and actual expenses even though it is required to do so by its
own procedures.
Although the CLO has twice revised its plans to close estates
as part of its annual budgeting process, it does not have
procedures to update frequently the closing plans for the
estates it manages. Current estate planning information is
important to ensure that the assets of conserved and
liquidated insurers are maximized and to provide planning
and budgeting information for the CLO’s operations.
The CLO sponsored a change in the Insurance Code,
effective January 1, 1996, which allows for an expedited
process for the closing of estates without sufficient assets to
pay administrative costs or claims. However, the CLO and
department legal staff have not yet determined timetables to
close 10 of those estates now eligible for closure as a result
of the change in the Insurance Code.
We also noted that the CLO’s efforts to identify and pay
claims continue to be impeded by claims for which the
validity or the dollar amount are not easily determined. The
CLO cannot make final distribution of an affected estate’s
assets until the validity and dollar amount of all claims have
been proven by the claimants and allowed by the courts.
Based on a study of claims payouts prepared by its
consultant, the CLO has identified 12 estates for which it
anticipates paying claims until 2011 through 2020.
2
The positions and salaries established by the CLO are not civil
service or under the guidelines set by state control agencies.
Instead, under the supervision of the department, the CLO
establishes positions and salaries with the guidance of its own
policies and procedures. In 1994, we reported that the CLO
based salaries for the division’s executive-level personnel,
managers, and other employees on wage and salary surveys
that relied heavily on salaries paid in the private sector. During
1995, the CLO commissioned a new salary study and adjusted
its salary scales to bring them up to date with new job
specifications and responsibilities. However, we question the
applicability of the 1995 salary study to the CLO, since this study
also relied almost exclusively on comparable salaries paid in the
private sector and in some cases exceed those established for
state employees.
Although the CLO has made significant strides to develop its
administrative practices, further improvement is needed.
Because the department does not believe that the CLO is
required to follow the administrative procedures practiced by
most state departments, the CLO has created its own
administrative policies and procedures for managing its activities.
However, we found that the CLO does not always follow its
policies and procedures for hiring employees and managing
outside contractors. We also noted that the CLO has not
established guidelines for borrowing from its investment pool to
fund the cost of administering no-asset estates. In addition, we
found that the CLO does not always properly allocate its indirect
administrative costs to conserved and liquidated insurers.
3
Recommendations
The CLO should continue to improve and implement its plans to
conserve and liquidate conserved insurers in a manner that
maximizes the assets of liquidated insurers and distributes the
assets at the earliest possible time.
To improve the effectiveness and efficiency of its operations, the
CLO should take the following steps:
Comply with its own procedures for monitoring the variances
between the budgeted and actual expenses for its operations
and the expenses of the estates it manages;
Prepare and implement procedures to perform quarterly
updates to closing plans for the estates it manages;
Develop timelines for the rapid closure of those remaining
no-asset estates that meet the provisions of the newly
amended Section 1021 of the Insurance Code; and
Continue to seek changes in the law that will allow the CLO
to set reserves for contingent and undetermined claims and
make distributions of the assets of liquidated insurers for
proved and allowed claims.
The CLO should continue its effort to improve its administrative
policies and procedures for the management of conserved
insurers and liquidated insurers. In addition, the CLO should
take the following specific actions:
Ensure that future surveys conducted to adjust employee
salaries include public sector comparisons;
Establish processes to disclose the number of its permanent
positions and the associated costs for each position in the
governor’s budget to the Legislature;
Create and implement guidelines to ensure that borrowing
from the investment pool complies with management’s
policies, and seek prompt reimbursement from the Insurance
Fund to minimize the cost of borrowing charged to the
Insurance Fund; and
Follow its procedures designed to ensure that its indirect costs
are allocated in an equitable manner to the estates that benefit
from those costs.
Agency Comments
The department generally concurs with the findings and
recommendations in our report.
4
Introduction
Background
T
he authority for conservation and liquidation activities
within the Department of Insurance (department) dates
back to 1935. The department’s Conservation and
Liquidation Office (CLO) is responsible for conserving and
liquidating insurance companies (insurers) that have financial or
other problems, or that are not licensed to transact insurance
business in California. Section 1011 of the Insurance Code
authorizes the insurance commissioner (commissioner) to file
with the courts to take possession of the assets of an insurer
with financial or other problems, or of an insurer without a
license. With a court order, the commissioner has authority to
conserve the insurer’s assets.
During conservation, the insurer is placed under court-ordered
regulatory control to conserve its assets until the insurer’s status
is determined. If the commissioner determines that it would be
futile to rehabilitate the insurer in conservation (conserved
insurer), he may apply to the court for an order to liquidate its
assets. Liquidation is a process by which a conserved insurer’s
assets are converted to cash and applied toward its outstanding
debt. According to the CLO’s chief executive officer, the
department conducts most rehabilitation efforts before the courts
order a failed insurer into conservation. He further stated that
most conserved insurers placed under the management of the
CLO have been liquidated.
After the CLO has liquidated the assets of a conserved insurer
(liquidated insurer), the commissioner must apply for a court
order to distribute the assets to policyholders, creditors, and
other interested parties in the order required by the Insurance
Code. The final distribution of assets and declaration to the
court of that fact serves as closure of that insurer.
As of November 1995, the CLO was managing the estates for
99 conserved or liquidated insurers with total assets of
approximately $421 million. Of these 99 estates, the CLO
identified 35 estates lacking assets sufficient to pay
administrative costs or claims. For these estates, the CLO
plans to ask the courts to allow the commissioner to abandon
insolvency proceedings and close the estates. The CLO has
identified an additional 8 estates that are holding the assets of
others in trust, including escrow deposits and 401(k) deposits. It
is managing the assets of the remaining 56 estates. These
5
totals do not include 9 estates under the control of the
department but managed by special deputy receivers appointed
by the commissioner. These conserved or liquidated insurers
are outside the responsibility of the CLO. A table of the 99
estates, their states or countries of domicile, and their dates of
conservation or liquidation appears in Appendix A.
The CLO’s responsibilities in managing conserved and liquidated
insurers consist primarily of reviewing claims not covered by
insurance guarantee funds; determining amounts owed to the
claimants; and taking action to identify, marshal, and manage the
assets of insurers in conservation to maximize the return to
policyholders and general creditors should a liquidation of assets
become necessary.
A state insurance guarantee fund covers many policyholders of
California-licensed insurers that are in conservation or
liquidation. The California Insurance Guarantee Association
(CIGA) and the California Life and Health Insurance Guarantee
Association process and pay covered claims of insolvent
property, casualty, life, and health insurers who are members of
these associations.
The activities of the CLO to manage estates are funded by the
conserved or liquidated insurers with sufficient assets to pay
administrative costs. Annual appropriations from the Insurance
Fund pay for CLO management of estates without sufficient
assets to pay administrative costs. During calendar year 1994,
CLO’s total operating expenses were approximately $15.3
million. These expenses do not include the costs of estates
under the control of the department but managed by special
deputy receivers appointed by the commissioner.
Historically, the department has interpreted the Insurance Code
and long-standing case law as exempting the CLO from
budgetary oversight by the Department of Finance; expenditure
and financial statement oversight by the State Controller’s Office;
contracting and purchasing oversight by the Department of
General Services; and personnel practices, salary
administration, and travel policy oversight by the Department of
Personnel Administration and State Personnel Board.
Results of Previous Audit by the
Bureau of State Audits
In May 1994, the Bureau of State Audits issued an audit report
entitled “Poor Management Practices at the Department of
Insurance’s Conservation and Liquidation Division Warrant the
Department’s Continued Action.” During the 1994 audit, we
found that the CLO’s predecessor, the Conservation and
Liquidation Division (division), had developed neither a strategic
plan for the conservation and liquidation of conserved insurers
nor individual management plans for the estates it supervised.
6
The report stated that the division should design such plans to
maximize the assets of liquidated insurers and distribute the
assets at the earliest possible time to prevent the drain of the
estates’ resources.
In addition, we identified poor management practices and
inadequate procedures for important aspects of the division’s
operations, including inadequate preparation of budgets for the
division and the estates it managed, questionable hiring
practices and inadequate control over payroll costs, improper
management of contracts for consulting and legal services,
incorrect allocations of the division’s operating costs to the
estates whose assets fund the operations, and improper
dispositions of the assets of liquidated insurers. We also found
that the division did not always process claims promptly.
We recommended that the department improve its oversight of
the division’s activities to ensure that new policies established by
the division operate as intended and are adhered to by the
division. In addition, we made specific recommendations that
the division prepare strategic and management plans for the
conservation and liquidation of conserved insurers and improve
its administrative practices.
The CLO’s Reorganization and Staffing
In 1994, the department reorganized the division and created the
CLO to carry out the commissioner’s conservation and
liquidation responsibilities. In April 1995, the department moved
the CLO from Los Angeles to San Francisco, California, to
improve communication with other units of the department, such
as the legal division, that frequently assist the CLO. By
relocating it to San Francisco, the commissioner also hopes to
improve the department’s oversight of CLO activities.
The CLO, which operates under the supervision of the deputy
insurance commissioner for enforcement, is divided into three
bureaus under the direction of a chief executive officer: the
Estate Trust Bureau, the Financial Bureau, and the Operations
Bureau. In the Estate Trust Bureau, an estate trust officer
oversees five estate trust managers, who in turn manage all
conserved and liquidated insurers. In the Financial Bureau, a
chief financial officer oversees the data processing, accounting,
investments, and reinsurance units. In the Operations Bureau,
a chief operations officer oversees the administration, claims,
and human resources units.
7
The CLO has established 55 permanent positions in its
organization that are not within the State’s civil service system.
According to its chief executive officer, the CLO determines its
staffing according to anticipated activity levels and a planned
increase in efficiency. (See Figure 1 on the following page.)
In addition to permanent staff positions, temporary workers, and
department legal staff, the CLO engages the services of
Department of Justice attorneys, private consultants, and private
legal counsel for assistance in the conservation and liquidation of
conserved insurers.
CLO Has Reorganized Its Conservation
and Liquidation Responsibilities
The CLO’s new organization plan outlines the tasks and
responsibilities of its units during the conservation and liquidation
of insurers. When an insurer is conserved, the CLO, along with
department legal staff, work together to develop and implement a
plan, adapted to the insurer’s assets and business activities, and
designed to secure the assets, books, and accounting records of
the conserved insurer.
After it conserves the insurer, the CLO, along with any needed
consultants, attempts to determine the causes of the conserved
insurer’s insolvency and its financial condition. The CLO then
makes recommendations to the commissioner, who determines
whether the conserved insurer can be rehabilitated or whether
he should seek a court order to liquidate the company’s assets.
8
Figure 1
CLO Organizational Structure
Deputy Insurance
General Counsel Deputy Insurance Commissioner Commissioner
(CS) Enforcem ent Financial Surveillance
(CS) (CS)
Chief Executive
Legal Department Officer Internal Audit
(CS) (CS)*
Estate Financial Operations
Trust Bureau Bureau Bureau
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Legend:
* The internal audit unit is currently CS = Civil Service
unfilled and the department does not
know when it will be filled. = Functional Reporting
= Department Employees
Who Assist CLO
9
Once the commissioner obtains an order from the courts for
liquidation, the CLO develops and implements a plan to
liquidate the assets of the insurer and identify its liabilities to
policyholders, creditors, and other stakeholders. In addition, the
CLO coordinates its efforts with its counterparts from other states
to secure and sell assets and to identify claimants and legal
issues related to the insurer’s business activities outside
California.
After the CLO completes its efforts to identify the claims against
the assets of a liquidated insurer, it forwards any covered claims
to the applicable insurance guarantee association for processing
and payment. Claims not covered by associations are
processed and paid by the CLO from the remaining assets of the
estates.
According to the chief executive officer, the CLO is seeking a
cooperative agreement with CIGA to eliminate duplicate claims
processing. Some claims exceed amounts that CIGA is
statutorily permitted to pay. For these claims, CIGA processes
the claim and pays its portion and the CLO subsequently goes
through the same process. Under the agreement, the CLO will
rely on CIGA’s determination of the portion of claims that the
CLO is responsible to pay.
After an estate’s assets have been liquidated and the claims
liabilities against those assets have been proved and allowed by
the CLO and the courts, the CLO makes a final distribution of the
estate’s assets to pay those claims in the priority sequence
detailed in Section 1033 of the Insurance Code. A declaration
to the courts that the CLO has complied with the court order for
the distribution of assets closes the estate and discharges the
responsibilities of the commissioner as liquidator.
Scope and Methodology
The purpose of this audit was to conduct a follow-up review of
the CLO’s operations to assess the effectiveness of corrective
actions taken or planned regarding the recommendations from
our previous audit. A listing of the 15 recommendations from
our previous audit and the results of our review of the CLO’s
corrective actions are presented in Appendix B.
To evaluate its strategic plan for the conservation and liquidation
of conserved insurers, we began by obtaining the CLO’s mission
statement and a listing of its goals and objectives. We noted
the objectives that the CLO had accomplished and the strategies
and progress for addressing the objectives that it had not
accomplished. We also noted the improvements that the CLO
9
has implemented and those that are planned in the procedures
and systems designed to carry out CLO’s responsibilities.
To assess the quality of the CLO’s efforts in preparing
management plans for the conserved and liquidated insurers
under its control, we evaluated its conservation and liquidation
procedures and obtained its plans for closing the estates. We
sampled the closing plans as of November 1995 for those
estates with assets and conducted reviews of documents and
interviews of CLO personnel to determine whether the closing
plans are based on actual occurrences and reasonable
timelines.
To review the CLO’s efforts in preparing budgets for the insurers
it manages, we evaluated its procedures for budgeting and
monitoring the costs of its operations and costs related to each
of the estates. In addition, we examined the budget that the
CLO prepared for calendar year 1996 to determine whether it
incorporated all costs of CLO activities, including costs for
consulting and legal services. We also performed procedures to
determine whether the CLO’s budget is based on planned
conservation and liquidation activities. Further, we evaluated
the CLO’s budget-monitoring activities during 1995 to determine
whether the CLO is using its budget to control operating costs
and the costs of managing conserved and liquidated insurers.
To review the CLO’s contracting practices, we evaluated its
procedures for acquiring and managing consulting contracts.
Because the CLO considers itself exempt from the procurement
oversight of the Department of General Services, it has
developed its own contract procedures. We evaluated the
CLO’s contract procedures against the requirements of the
Public Contract Code and the State Administrative Manual to
determine if the procedures are adequate to ensure that it
receives acceptable goods and competent services at
competitive prices. In addition, we reviewed contracts awarded
during 1995 and contractors’ billings to determine whether the
CLO complied with its procedures for awarding and managing
contracts.
Finally, we performed procedures to assess the effectiveness of
the corrective action taken or planned by the CLO for each of the
recommendations from our previous report. These procedures
included reviewing the adequacy and effectiveness of the related
internal accounting and administrative controls.
10
Chapter 1
The CLO Has Developed Plans for Conserved
Insurers but Has Achieved Only Limited
Success in Liquidating Them
Chapter Summary
S
ince May 1994, when we completed an audit of what was
then called the Conservation and Liquidation Division
(division), the Conservation and Liquidation Office (CLO)
has made progress in its efforts to manage conserved and
liquidated insurers. We found that, although it needs to refine
its plans, the CLO has developed a strategy along with goals and
objectives to fulfill its mission. In addition, it has taken steps to
develop policies, procedures, and management plans for the
estates under its control, including closing plans for all estates.
However, the CLO has had only limited success in distributing
the assets of liquidated insurers to claimants and closing the
liquidated insurers. We noted certain events that may have
hindered the CLO’s effort to close more estates than it did. As
of November 1995, the CLO was managing 64 estates with
assets available to pay claims filed against them. Between
June 1994 and November 1995, the CLO made a final
distribution of assets for only six liquidated insurers. Accounting
errors, incomplete claims records, and unresolved tax issues
have impaired the CLO’s ability to close estates readily.
Further, implementation of improvements in its processes was
delayed when the department reorganized the division into the
CLO and moved the entire operation from Los Angeles to San
Francisco. Accordingly, we could not determine the
effectiveness of CLO’s strategy and estate management plans to
maximize and distribute the assets of conserved and liquidated
insurers.
Although the CLO has developed closing plans for the conserved
and liquidated insurers under its management, it does not have
procedures to update those closing plans frequently. Because
two objectives of the closing plans are to maximize the assets of
conserved and liquidated insurers and provide planning and
budgeting information for CLO operations, the CLO cannot
ensure that the plans are effective, relevant, and meeting those
objectives unless it updates closing plans frequently.
The CLO Has Developed Written Policies
and Procedures for Its Activities
11
Since our May 1994 report, the CLO has developed and
implemented written policies and procedures for the
conservation and liquidation of insurers that outline the tasks and
responsibilities of the CLO’s bureaus. These procedures
include steps intended to secure the assets and business
records of conserved insurers and to establish timelines for the
accomplishment of critical tasks. In addition, the CLO
coordinates with guarantee funds and receivers from other states
to secure all assets and ensure consistency and reciprocity
between California and receivers from other states.
The process whereby the CLO takes possession of the assets,
books, and accounting records of a conserved insurer is called
the “takedown.” During the takedown, the estate trust
managers are responsible for coordinating the activities of the
various CLO staff and department legal staff working on the
takedown. The estate trust managers analyze the insurers to
be conserved and develop specific takedown plans using the
pertinent steps of its procedures. We reviewed the files for
three takedowns performed during 1995 and found that the CLO
followed its established steps for takedown plans.
The CLO Has Adequate Procedures
for Asset Disposition
The CLO’s written procedures for the disposition of an insurer’s
assets require that the CLO use a public sale or solicitation of
bids to dispose of all assets to be sold. Further, it prohibits its
employees from purchasing any of these assets. We found that
the CLO has followed these procedures. Specifically, we
reviewed the disposition of the assets of five liquidated insurers
during 1995 and found that the CLO conducted advertised public
auctions for two insurers and received two bids for the assets of
a third liquidated insurer. For the remaining two estates, the
assets belonged to others and were not sold.
The method of disposition of an insurer’s assets depends upon
the type of asset. Some assets may be leased, may be the
personal property of the insurer’s employees, or may lack
sufficient value to pay the cost of disposition. CLO policy is to
return leased property and personal property to the owners.
Assets without sufficient value to pay the cost of disposition are
donated to charity or abandoned, a practice that we agree is
reasonable. Under the estate trust managers’ oversight, the
CLO contracts with realtors to sell the real property of liquidated
insurers. Under the supervision of a manager in the Operations
Bureau, the furniture, fixtures, and equipment of a liquidated
insurer receive an independent appraisal and are sold at a
publicly advertised auction.
Despite Improved Procedures, Claims
Processing Continues To Impede the
CLO’s Progress in Closing Estates
12
The CLO is responsible for processing some claims against
liquidated insurers. It has developed written procedures to
identify and approve or reject claims against the estates it
manages that are not covered by an insurance guarantee
association. In addition, it also monitors those claims processed
and paid by insurance guarantee associations.
The Insurance Code requires the CLO to notify potential
claimants of a liquidated insurer and validate all claims before it
can distribute the assets and close the estate. However, the
CLO remains unable to efficiently process claims against
liquidated estates because its claims records are incomplete.
Section 1021 of the Insurance Code requires that the
commissioner notify potential claimants of a liquidated insurer
and have them submit their claims along with proof of the claims
within six months to one year, as determined by the
commissioner. For claims against liquidated insurers who are
authorized to transact insurance in the State, the CLO forwards
the claims to the California Insurance Guarantee Association
(CIGA) for processing. The CLO is responsible for paying
claims not covered by, or outside the statutory payment limits of,
CIGA. However, before it pays any claims within its
responsibilities, the CLO must determine whether the estate has
assets sufficient to cover the payments.
According to the operations officer responsible for claims
processing, the incomplete condition of the claims records
prevents the CLO from knowing the number or status of claims
filed against many of the estates under its management. Before
the reorganization, the department did not keep claims records in
Because records are
a uniform manner. According to the management information
incomplete and lack
services (MIS) unit manager, the department previously used
uniformity, claims
more than one electronic database to record and maintain claims
processing is
information. In addition, it did not use uniform codes to file data
inefficient.
critical to locating information within the databases. Further,
some employees used their own unique electronic spreadsheets
to maintain claims information. As a result, it has been
impossible for the CLO to use the existing databases to produce
comprehensive reports of claims information. Moreover,
according to the MIS manager, the claims information contained
in the existing databases is incomplete. When the MIS unit
converted the claims files for one estate, it found the information
in the databases to be only 47 percent complete when compared
to the source documents.
13
The CLO cannot rely on the existing databases for claims
information necessary to determine the final distribution of a
liquidated insurer’s assets. Therefore, a manual search of
claims documents being held in storage and on the premises
must be conducted to assess the number and status of claims
against an affected estate. If the CLO cannot be sure that it has
identified all claimants of a liquidated insurer, it must repeat the
public notice process requesting the submission of claims. As
of November 1995, the CLO had at least 43,000 boxes of claims
documents in storage for estates with assets and at least 9,800
boxes in storage for estates with little or no assets. Until the
CLO can effectively manage the data contained in storage and in
the various databases, claims processing will continue to hinder
efforts to close liquidated estates.
The CLO is installing a software system to maintain claims
The CLO is currently records. The new software uses a file format that is standard to
installing software the insurance industry and should increase the efficiency of
intended to improve efforts to identify the number and amount of claims against
claims processing; liquidated insurers. However, fully converting the claims files to
however, it will take three its new system will require that the CLO inventory all claims
years to complete the documents and enter the results into the system. The CLO
conversion. estimates it will take approximately three years during the course
of its normal business process to inventory and convert its claims
records into the new system.
The procedures for final distribution of assets and the closing of
a liquidated estate require a cooperative effort among CLO units
and department legal staff to ensure that all steps of the
liquidation and closing plans have been performed properly.
The steps leading up to final distribution include verifying that the
claims process is complete, all receivables have been collected,
reserves have been set for final and closing expenses, and a
final accounting of the estate’s assets and financial transactions
has been prepared.
The CLO Has Obtained but Not Fully
Implemented Computer Software
Systems for Accounting Operations
During 1995, the CLO acquired computer software systems for
its accounting and claims processing activities. When fully
implemented, these systems are intended to increase the
efficiency and effectiveness of its operations. The Financial
Bureau installed the accounting system to provide uniform
general ledger and reporting capabilities. Additionally, the
system provides on-line access to accounting and budget
information for CLO operations and for each estate it manages.
However, the Financial Bureau has not fully used the reporting
capabilities of its new system.
Although the system offers many management reports, including
reports on asset distributions, estate financial information, value
14
and status of property and equipment, actual and budgeted
expenses, and yearly trends of activity, the CLO is unable to use
this resource fully. According to the controller, the workload
associated with converting the records for the CLO and the
estates it manages into the new accounting system has
prevented the CLO from implementing all the reports the system
offers.
Annual Budgets for CLO and Conserved
Estates Are Not Always Monitored
To more closely monitor its operations and the estates it
manages, the CLO implemented procedures to develop and
follow annual budgets. However, we found that it does not
calculate or report monthly on the variances between budgeted
and actual expenses for its operations and the estates it
manages even though this is required by its procedures.
We found annual budgets are based on staffing requirements
for anticipated activity levels and on planned nonemployee
expenditures, such as contracts, travel, furniture, and equipment
purchases. Department managers, along with estate trust
managers, are responsible for budgeting and controlling the
Budget monitoring efforts
costs of their departments and for estimating the total direct
reveal accounting errors
expenses they expect for each estate.
and are a tool to control
spending.
However, the CLO does not calculate or report monthly on the
variances between budgeted and actual expenses even though it
is required to do so by its procedures. Up to November 1995,
the CLO controller produced only one budget variance report as
of June 30, 1995.
Additionally, the June 1995 budget variance report revealed
some accounting errors. For example, accounting entries for
approximately $29,000 in expense-related transactions recorded
directly to the estates were incorrect. This amount included a
refund of insurance costs of $1,430 that was incorrectly recorded
to an estate. Also, the accounting department had improperly
recorded as litigation expense the release of restricted assets
totaling $26,530, held pending a court decision. If it had not
compared its actual expenses to budgeted expenses, the CLO
may not have identified these errors in recording costs to the
estates it manages.
According to the controller, the accounting unit was able to
prepare only one budget variance report for the first six months
of 1995 because of the heavy workload of converting the
accounting records to the new on-line accounting system.
However,without adequate monitoring of its budgets, the CLO
cannot be certain it can properly control the costs of its
operations and the costs of the estates it manages, or quickly
detect and correct accounting errors.
15
The CLO Has Had Limited
Success in Closing Estates
During our previous audit, we criticized the division for not
establishing the management plans necessary to fully protect
the assets of liquidated insurers and distribute the assets at the
earliest possible time. Without management plans projecting
the work necessary to conserving and liquidating the conserved
insurers, the division could not effectively determine its staffing
requirements. In addition, without established milestones
toward the closure of liquidated insurers or target dates by which
key actions must occur, the division could not be sure it
effectively and efficiently managed the assets of the insurers.
Although the CLO has prepared closing plans for all the estates
under its supervision, it has had only limited success in
distributing the assets of liquidated insurers to claimants and
Accounting errors, thereby in closing the estates. As of November 1995, 99
incomplete claims records, estates were under its management. Of those 99 estates, 64
and unresolved tax issues estates had assets available for distribution to claimants.
have impaired the CLO’s However, the final distributions of assets for only 6 estates took
ability to close place between June 1994 and November 1995. The CLO’s
estates. ability to close estates readily has been impaired by accounting
errors, incomplete claims records, and unresolved tax issues.
Because its estate management plans have been implemented
only recently, and because the new claims and accounting
systems are not fully in place, we could not assess the
effectiveness of these changes in closing estates and in fully
protecting and distributing the assets of conserved and liquidated
insurers.
The CLO Has Developed Plans
To Close the Insurers It Manages
The CLO manages 65 domiciliary insurers and 34 ancillary
insurers. Domiciliary estates are created for those conserved
insurers incorporated in California. An ancillary insurer is an
insurer incorporated in another state or country. According to
Section 1064.3 of the Insurance Code, when an ancillary insurer
with operations in California is conserved, the court generally
appoints the commissioner as the ancillary receiver. As the
ancillary receiver, the commissioner has the sole right to recover
and liquidate the ancillary insurer’s assets located in California,
pay certain priority claims established and allowed by the court,
and pay necessary expenses of the proceedings. The code
requires that remaining assets of ancillary estates are to be
transferred promptly to the receiver located in the ancillary
insurer’s state of incorporation.
Fifty-six of the 99 estates under CLO’s management have assets
to pay administrative costs or claims. Of these 56 estates, 3
16
estates have less than $150,000 in liquid assets and are
classified as low-asset estates. An additional 8 estates have
assets, such as escrow deposits and 401(k) plans, that are being
held in trust by the conserved insurer. With less than $100,000
in assets, the remaining 35 estates are classified as no-asset
estates and are deemed to be without assets sufficient to pay
claims in excess of CLO administrative costs. Table 1 shows,
by category, the open estates under the supervision of the CLO
as of December 1995.
Table 1
Open Estates Under the Supervision
of the CLO as of December 1995
Estates by Category
Without With Low With With Assets
Assets Assets Assets Held in Trust Total
Domiciliary estates 18 3 39 5 65
Ancillary estates 17 0 14 3 34
Total 35 3 53 8 99
Although the CLO has prepared closing plans for all 99 estates,
it has no procedures to update the closing plans frequently or
Not frequently updating
routinely. According to the estate trust officer, his goal is to
plans for closing estates
perform quarterly updates to the closing plans. However, this
limits the CLO’s planning
goal has not yet been met, although the plans were revised in
and budgeting information.
January 1995 and November 1995 as part of the annual
budgeting process. Two of the objectives of the closing plans
are to maximize the assets of conserved and liquidated insurers
and provide planning and budgeting information for CLO
operations. However, without more frequent updates of those
closing plans, the CLO cannot be assured that it has met those
objectives.
Closing plans for each estate are prepared from a set of master
procedures identified to conserve and close insurers. The plans
identify timelines and detail specific tasks to be performed by the
various units of the CLO and the department’s legal staff. They
also provide steps for disposition of assets, claims processing
and payment, final accounting of the estate’s assets, final
distribution of assets, and closing of the estates. We reviewed
the closing plans for 5 of the 56 estates with assets and found
that the CLO appeared to have analyzed adequately any
insolvency issues needing resolution for these estates. Also,
we found that the sequence of events included in the plans
appears to be logical and the plans appear to be set to
reasonable timelines.
17
According to the chief executive officer, priority for closing
estates is established based on factors that include adhering to
court orders, meeting the needs of the claimants whenever
possible, applying resources to estates where the CLO can
produce results, and reducing the number of open estates. The
CLO plans to close 42 estates during 1996. Table 2 shows the
breakdown of domiciliary and ancillary estates to be closed in
1996.
Table 2
Planned Estate Closings for 1996
With Without
Assets Assets Total
Domiciliary estates 8 9 17
Ancillary estates 11 14 25
Total 19 23 42
1995 Legislation Makes It Easier
To Close Estates That Have No Assets
Under newly amended Section 1021(c) of the Insurance Code,
effective January 1, 1996, when the commissioner determines
that an insolvent insurer does not have sufficient assets to pay
claims or the commissioner’s administrative expenses, he may
decline to process claims made against the estate and ask the
court’s permission to abandon insolvency proceedings and
immediately close the estate. The closing plans identify 20
The commissioner may
domiciliary estates and 20 ancillary estates with no or low
abandon insolvency
assets, or assets held in trust for others. In other words, these
proceedings for estates
estates are not able to pay administrative costs and are eligible
with insufficient assets to
for closure under the new provisions of Section 1021. The
pay administrative costs.
department’s legal staff is working with the receivers in other
states for 17 of the ancillary estates to arrange the transfer of
any records that the CLO may possess for these estates.
Fourteen of these 17 ancillary estates are planned for closure
during 1996. In addition, 9 of the 20 domiciliary estates are
scheduled for closing in 1996. However, we identified closing
plans for 10 domiciliary estates that did not specify a timeline for
closing.
Plans for Closing Estates
With Assets
For those estates with assets, we found closing dates in all but
six closing plans. According to the chief operations officer,
18
closing dates for these six estates cannot be determined
because of long-tailed liabilities, Internal Revenue Service
issues, and complications from unlawful activity on the part of the
directors and officers of some of the conserved or liquidated
insurers.
Table 3 shows the timelines for closing estates with assets.
Table 3
Planned Closings for Asseted Estates
No
Closing Closing From Long-Tail Closing
in 1996 1997 to 2001 Liabilities Dates Total
Domiciliary estates 8 22 12 5 47
Ancillary estates 11 5 0 1 17
Total 19 27 12 6 64
The CLO plans to close 27 estates with assets during the period
1997 through 2001. According to the closing plans, the time
needed to close these estates is required primarily to process
claims against the estates.
Twelve estates have long-tail liabilities and projected closing
dates ranging from 2011 to 2020. These closing dates are
based on a study, prepared by the CLO’s consultants, of
expected payouts of claims related to the types of insurance
coverage that the insolvent insurers had sold. Claims may be
filed against an estate that are contingent and undetermined
Due to long-tail liabilities, (C&U). These are claims in which the validity or amount of the
some estates are not claim cannot be determined within the six-month to one-year
expected to be closed until filing requirement of the Insurance Code, Section 1021.
the year 2020. Examples of C&U claims are workers’ compensation, medical
malpractice, and product liability. Provisions of Section 1025 of
the Insurance Code specify that after these claims have been
approved, they share the same payment priority as all other
claims of the same class. Accordingly, final distribution of an
affected estate’s assets to claimants cannot be made and the
estate cannot be closed until the validity and amount of C&U
claims have been proven and allowed, or rejected.
19
In 1995, the CLO unsuccessfully sponsored legislation to amend
Section 1025 of the Insurance Code and allow the courts to set
final determination dates for claims for which claimants had not
provided proof of the amount of their claims. This proposed
amendment would have allowed the commissioner to ask the
courts to authorize the CLO to establish reserves for those
unproven claims based on the opinions of actuarial and other
experts, and to make distributions of the insurer’s assets for
proven claims in amounts that would not jeopardize the reserves.
The department believed that these code changes would not
sacrifice the security of amounts to be distributed to other
claimants and would allow conservation and liquidation
proceedings to proceed more rapidly, resulting in savings in cost
and time. Nevertheless, the measure failed to generate
sufficient legislative support for passage.
Conclusion
The CLO has made improvements in its efforts to manage
conserved and liquidated insurers. It has developed a strategy
and management plans for the conservation and liquidation of
conserved insurers, including closing plans for most of the
insurers it manages. However, it has had only limited success
in distributing the assets of the liquidated insurers and closing
their estates. We noted certain circumstances that may have
hindered its efforts to close more estates than it did.
In addition, the CLO has taken steps and has planned further
actions that will increase the effectiveness and efficiency of its
operations. It has written policies and procedures for managing
conserved and liquidated estates and for monitoring its own
administrative activities. The CLO also has acquired computer
software systems to standardize its accounting and claims
records and has sponsored changes in the legislation that should
streamline the closing of certain estates. However, we noted
that the CLO should further improve its operations by fully
implementing its policies and procedures and its computer
software systems.
Recommendations
The CLO should continue its efforts to improve and implement its
plans to conserve and liquidate conserved insurers in a manner
that maximizes the assets of liquidated insurers and distributes
the assets at the earliest possible time.
To improve the effectiveness and efficiency of its operations, the
CLO should take the following specific actions:
Fully implement and use the reporting capabilities available
from its accounting system;
20
Comply with its procedures to monitor variances between
budgeted and actual expenses for CLO operations and the
estates it manages;
Prepare and implement procedures to perform quarterly
updates to closing plans for the estates it manages;
Develop timelines for those remaining no-asset estates that
can be closed in accordance with the newly amended
Insurance Code, Section 1021;
Continue to seek changes in the law that will allow the CLO
to set reserves for contingent and unliquidated claims and
make distributions of the assets of liquidated insurers for
proven and allowed claims; and
Continue to improve the integrity of the claims files and fully
implement its new claims processing system to increase the
effectiveness and efficiency of its claims processing.
21
Blank page inserted for reproduction purposes only.
22
Chapter 2
Administrative Practices of the CLO
Continue To Need Improvement
Chapter Summary
A
lthough the Conservation and Liquidation Office (CLO)
has taken significant steps to operate in accordance with
prudent administrative policies and procedures, further
improvement is needed. Specifically, we found that the CLO
does not always follow its policies and procedures for hiring
employees and managing its consulting contracts. In addition,
we noted that it has not established guidelines for borrowing
from its investment pool to fund the costs of administering
no-asset estates and does not promptly seek reimbursement
from the Insurance Fund. In addition, the CLO does not always
properly allocate indirect administrative costs to conserved and
liquidated insurers. Finally, the surveys used to determine the
salaries and wages of its 55 permanent positions rely almost
exclusively on comparable salaries paid in the private sector.
Because the Department of Insurance (department) believes that
it is not required to practice the administrative procedures
followed by most state departments, the CLO has created its
own administrative policies and procedures for managing the
activities of conservation and liquidation for the estates in its
trust. Under the department’s interpretation of the code and
long-standing case law, the CLO is exempt from budgetary
oversight by the Department of Finance; expenditure and
financial statement oversight by the State Controller’s Office;
contracting and purchasing oversight by the Department of
General Services; and personnel practices, salary
administration, and travel policy oversight by the Department of
Personnel Administration and State Personnel Board.
The department believes that oversight of the CLO’s operations
is provided by the internal management of the department,
superior courts (where conservation and liquidation matters are
reviewed), along with audits of the financial statements of the
CLO and the estates it manages. Section 1061 of the California
Insurance Code requires the Department of Finance to conduct
these financial statement audits at least every two years and
report the results to the commissioner and to the courts.
However, for calendar years 1994, 1995, and 1996, the
Department of Finance has allowed the CLO to contract for the
audits with an independent audit firm.
21
The CLO Develops Its Own
Personnel Policies and Procedures
The CLO has established 55 permanent positions that are not
within the State’s civil service system. Because it considers
itself exempt from civil service requirements, the CLO does not
establish positions and salaries under the State Personnel Board
guidelines. Instead, the CLO, under the department’s
supervision, follows its own policies and procedures when
establishing positions and salaries.
Surveys Used To Determine Salaries
and Wages Rely Almost Exclusively
on Private Sector Data
During our previous audit, we reported our concern that salaries
for the Conservation Liquidation Division executive-level
personnel, managers, and other employees were established
based on wage and salary surveys that relied almost exclusively
on salaries paid in the private sector.
These wage and salary surveys, which a consultant prepared in
1994, used primarily competitive market data from the private
sector. The executive survey used information drawn from
various salary studies of the insurance, banking, and financial
industries representing companies with varying ranges of assets
under their management and in different geographic locations.
The consultant in charge of these surveys stated that she was
Executive salaries are
instructed to use comparative executive salaries of insurance
drawn from the insurance,
companies managing assets in the range of $200 million to
banking,
$500 million for the executive survey and to use salaries from
and financial industries
local insurance and noninsurance industries for the manager and
without considering
employee survey. Further, she stated that the then chief of
comparable government
enforcement and special deputy wanted the consultant to survey
positions.
the private sector, which was the market from which they
planned to recruit.
Although we determined that the methodology used by the
consultant in formulating the recommended salary levels shown
in the salary surveys was appropriate, we questioned whether
the surveys should have relied so heavily on private-sector data.
In comparing the salary scales for the CLO’s manager and other
employee positions to similar civil service positions with similar
levels of responsibility and expected expertise, we found the
differences in salaries ranged from 23 percent less to 26 percent
greater than salaries for the similar civil service positions.
I
22
In September 1995, the CLO commissioned a new study of its
salary scales, benefit plans, and performance benchmarks. The
study’s stated purpose was to ensure that the CLO remains
competitive in the hiring and retention of personnel. According
to the chief executive officer, the purpose of the 1995 salary
study was to bring the salary scales up to date with new job
specifications and responsibilities. We found that this study also
relied almost exclusively on private-sector data. Table 4 below
shows the increases and decreases in salary midpoints as a
result of the 1995 salary study.
Table 4
Salaries Resulting From 1994 and 1995 Surveys
1994 1995
Salary Salary Percent
Position Titles Midpoint Midpoint Difference Difference
Receptionist or File clerk $ 23,300 $ 19,395 $ (3,905) (17)%
Computer operator or Clerk 25,800 22,677 (3,123) (12)
Technician or Administrative assistant 31,700 29,249 (2,451) (8)
Reinsurance or Accounting technician 25,800 32,531 6,731 26
Executive secretary 36,700 35,812 (888) (2)
Accountant or Senior claims examiner 35,000 48,957 13,957 40
Reinsurance or Accounting supervisor 49,200 55,520 6,320 13
Estate trust manager 66,000 71,947 5,947 9
Controller 66,000 75,228 9,228 14
Estate trust officer 130,000 111,081 (18,919) (15)
Chief operations officer 115,000 137,250 22,250 19
Chief financial officer 150,000 163,419 13,419 9
Chief executive officer 195,000 314,067* 119,067 61
* Not approved by the department nor implemented by the CLO.
With the exception of the salary for the chief executive officer,
the salary scales from the 1995 study have been approved by
the department and implemented by the CLO. During 1995, the
CLO upwardly adjusted the salaries to the new scales at the time
it assessed employees’ performance and granted merit salary
increases. Pay was not lowered for those positions
experiencing a downward move in salary scale. Instead, as
current employees vacate these positions for other employment
opportunities, replacement employees would be paid at the lower
salary.
According to the chief executive officer, the 1995 study gave
some consideration to public-sector salaries. Specifically, the
23
study included salary information from the State Workers’
Compensation Insurance Fund. However, the chief executive
officer said that many of the CLO’s operations are unlike any in
the public sector and that the responsibilities and salaries from
organizations in the public sector are not always comparable.
Similar to our conclusion in 1994, we believe that in conducting
salary studies, the CLO should have, at a minimum, surveyed
organizations in other states that have similar responsibilities.
We did a telephone survey and found two other states, New York
and Illinois, that have conservation and liquidation
responsibilities that are similar to those in California and that
could have been included in the salary study. Moreover, these
two states have established pay scales for their employees using
studies which included comparisons to public-sector salaries.
The CLO Does Not Always
Follow Hiring Procedures
We reviewed the applications for 10 of 32 new hires since
October 1994 and found that, despite the CLO’s development of
procedures for hiring, one applicant did not meet the minimum
qualifications of the position into which the employee was
recruited. Specifically, the CLO hired at midpoint in the salary
range an applicant who had only three years’ experience and did
not possess a professional license to fill a position with minimum
One employee was hired requirements of seven years’ experience and a professional
who did not possess the license.
required professional
license and experience. Job class specifications ensure that applicants hired into
positions in the organization have the knowledge and
experience to perform the duties assigned to those positions.
These specifications include requirements for job skills and
minimum qualifications for experience and education,
professional license, and job knowledge. Furthermore, salary
scales are intended to compensate individuals who meet these
standards. When the CLO does not follow its hiring guidelines,
it cannot be certain that it has recruited personnel qualified to
meet the requirements of its positions and may be improperly
compensating individuals for qualifications that they do not
possess.
The CLO Could Not Support
Severance Payments
The CLO could not provide the legal opinions or accounting
records to support the severance payments it made in
September 1994 to employees who separated from its
employment as a result of the closure of its Los Angeles office.
Although nothing came to our attention that led us to believe that
the severance benefits should not have been paid to the
24
employees when they separated from employment, without the
legal opinions or the accounting records we could not determine
the appropriateness of the payments to these employees.
In 1994, we reported that the division made improper severance
payments totaling $90,000 to employees who had not severed
their employment with the division. The CLO requested that its
employees voluntarily repay the severance benefit payments.
As a result, approximately $14,300 of the improper severance
payments was collected from 20 employees. When the Los
Angeles office closed and operations relocated to San Francisco,
all Los Angeles employees separated from the CLO. Upon
advice of its legal counsel, the CLO determined it owed
severance benefits to the separated employees as a result of the
move to San Francisco. To satisfy its obligation, the CLO
returned the $14,300 in severance pay that its 20 former
employees had voluntarily repaid. According to the chief
executive officer, he authorized the repayments based on
opinions from department counsel and outside legal counsel that
severance payments were required by the employment contracts
of those separated employees. However, the CLO could not
provide to us a copy of the opinions from its legal counsel nor
detailed support that it had collected $14,300 in voluntary
repayments from its former employees before it repaid them.
The CLO has terminated its severance policy and no longer
enters into employment contracts that require severance
payments.
The CLO Did Not Always Follow Its
Procedures for Awarding and Managing
Contracts for Professional Services
We reviewed 5 of 34 contracts for consulting services entered
into since May 1994 and the related billings, totaling
approximately $1.5 million. We found that the CLO does not
always follow its procedures for awarding and managing
contracts for professional services. For example, we found that
the CLO did not always seek competing bids for consulting
contracts, made payments to contractors that were not in strict
accordance with the terms of the contract, and paid invoices that
did not contain the required detail of the contractor’s expenses.
In response to our previous audit, the CLO has developed
professional services contract procedures that are modeled, in
part, after the consulting contract requirements of the Public
Contract Code and the State Administrative Manual. Critical
elements of the procedures include proper approval for
contracts, written agreements between the CLO and each
contractor that detail the rates to be paid to contractors, detailed
descriptions of services that are being contracted for, and
timetables for the contractor’s performance. In addition, the
25
procedures require competing proposals from at least three
potential contractors.
The CLO Did Not Always
Seek Competing Bids
Despite the procedures requiring competitive bids, for three of
the five contracts we reviewed, the CLO did not seek competing
proposals as required by its contracting procedures. It awarded
one contract to a consultant who performed data-processing
services. The second contract was awarded to a consulting firm
that operated the CLO’s reinsurance unit under the oversight of
Three of the five contracts the chief financial officer. The third consulting agreement
we received were not provided expertise for claims-processing issues. According to
competitively bid. the chief executive officer, a contract was awarded for the
operation of its reinsurance unit without competing bids because
the CLO needed to fill an unexpected shortage in staff caused by
an October 1994 delay in its move to San Francisco. The CLO
further stated that it awarded the contract for claims consulting
services without acquiring competing bids because of prior
satisfactory experiences with the contractor. The manager of
the management information services unit said that he
recommended the contract award for data-processing services
based on inquiries he made of two firms that provided the
services he needed.
Because the CLO did not claim emergency or sole-source
justification for the award of these contracts, it failed to follow its
established procedures and did not allow for competition in the
award of these contracts. Without competing bids, the CLO
cannot be certain that it is allowing all contractors to participate
in a competitive process for the contracts it awards and cannot
be assured it hired the most qualified contractor at the most
appropriate cost.
CLO Spending Was Sometimes Outside
the Terms of the Contracts
The CLO did not always properly manage its professional
services contracts. Of the five contracts we reviewed, one
contractor provided services totaling approximately $13,900
before the contract was signed and approved by management.
For another contract, the contractor provided services totaling
approximately $103,400 after the contract had expired.
However, the contract was later amended to extend the period
and spending limit. Also, for those same two contracts, the CLO
made payments to the contractors that exceeded the maximums
specified in the contracts even though the original amounts were
increased by amendment. For example, we found that one
contract was overspent by $66,000 when a contractor was paid a
total of $616,000 after the maximum amount was raised to
26
$550,000. Spending limits are included in the terms of the
contractual agreements to provide some assurance that amounts
paid are reasonable given the services provided by the
contractors.
The CLO Paid Invoices Without
Detailed Receipts
In our previous audit, we reported that the division had made
questionable payments to outside consultants and law firms.
The CLO reimbursed During our current review, we also found that the CLO made
one contractor $46,400 for payments to contractors from invoices that did not contain
expenses it could sufficiently detailed descriptions of expenses or supporting
not determine were receipts. The contracts we reviewed allowed for the
reasonable or allowable. reimbursement of reasonable expenses. However, for one of
the five contractors whose billings we reviewed, the CLO paid
approximately $34,100 for expenses identified on the
contractor’s invoices simply as “travel and expenses” and
$12,300 for expenses identified simply as “ground expenses.”
The contract required detailed descriptions or actual receipts to
support that the expenses were reasonable. We assume that
the contractor defined “ground expenses” as hotel and meal
expenses as well as transportation costs. However, the
manager who approved the invoices did not know or have the
detail to support these charges. Without sufficient detail or
actual receipts for reimbursable expenses, the CLO cannot be
certain that it is reimbursing only reasonable and allowable
expenses.
Changes in Acquiring and Managing
Legal Services Contracts
In our previous audit report, we criticized the division for
contracting for legal services without seeking competing bids,
obtaining detailed written agreements, and establishing
procedures to assist the division in managing the contracts. In
response to our audit, the department transferred responsibility
for acquiring and managing legal services contracts from the
CLO to the department legal staff.
The department has developed written procedures for hiring
legal services contractors that appear to be adequate to control
the costs of outside legal counsel. The procedures require
potential legal contractors to prequalify for selected services at
approved billing rates. The procedures also require detailed
written agreements that outline the services the contractor is to
perform, the terms for performance of the services and
compensation, and spending limits
27
for the services. The procedures also require the contractor to
provide case plans and budgets and to give status reports on the
legal services it provides.
The Department Does Not Always
Adequately Monitor Contracts
With Outside Legal Counsel
We reviewed five of the agreements that the department entered
into with the 12 outside legal consultants providing services to
Inadequate monitoring of
the CLO as of November 1995. We found that for the most part,
legal contracts resulted in
the department followed its procedures for acquiring and
the payment of excessive
managing legal services contracts. However, we also found
charges for travel and
that the department authorized the CLO to reimburse one
document copying.
attorney approximately $700 twice for the same out-of-state
travel. The attorney submitted an invoice for the travel
expenses in June 1995 and submitted the same billing a second
time in August 1995. Different members of the department’s
legal staff approved the two invoices for payment.
On a second contract, the department legal staff approved an
amendment to the contract and authorized a $30,000 spending
increase on the contract one month after the contract had
expired. The amendment expanded the scope of services to
include advice on employment issues. For another contract, the
department approved invoices with copy charges of up to
25 cents per copy even though the contract rate was limited to
10 cents per copy, resulting in a $66 overcharge. Adequate
monitoring of contracts and related billings provide some
assurance that amounts paid to the contractors are reasonable
and for services procured.
The CLO Overborrowed From Its
Investment Pool, Resulting in Additional
Cost to the Insurance Fund
The CLO administers an investment pool in which it deposits any
excess cash from the conserved and liquidated insurers it
manages. As of December 1995, the investment pool had a
market value of approximately $272 million. We learned the
CLO has arranged borrowing from the investment pool to cover
the costs of administering the estates of insurers lacking
sufficient assets to pay those costs. According to the CLO, the
broad powers granted to the insurance commissioner by Section
1035 of the California Insurance Code gives the CLO the
authority to borrow from the investment pool. We are
concerned that the CLO has overborrowed from the pool and
has not repaid the pool in a timely manner.
28
The CLO incurs costs for estates without sufficient assets to pay
those costs. These costs may include legal fees associated
with closing the estates or records storage costs. Section 1035
of the California Insurance Code prohibits the CLO from using
The State’s insurance
the assets of one estate to pay the costs of another estate. To
fund incurs unnecessary
cover the costs of managing estates with no assets, the CLO is
costs to repay the
appropriated money from the Insurance Fund. In each of fiscal
investment pool when the
years 1994-95 and 1995-96, the CLO received an appropriation
CLO overborrows or is
of $623,000 from the Insurance Fund. In addition, the CLO is
late to claim
able in some instances to recover assets on behalf of an estate
reimbursements.
which were not previously available to pay the estate’s costs.
When this occurs, the CLO uses the recovered assets to pay
back the borrowing from the investment pool or to reimburse the
Insurance Fund. However, when the CLO arranges borrowing
from the investment pool to pay the costs of an estate for which it
anticipates recovering assets, it cannot be certain of the amount
or the timing of the recovery.
However, the appropriation from the Insurance Fund is not
received in advance. This situation creates a lag between the
time that the costs are incurred for no-asset estates and the time
that monies are actually received from the Insurance Fund.
Therefore, the CLO borrows from the investment pool to pay the
expenses associated with no-asset estates until it receives
reimbursement from the Insurance Fund. The chief financial
officer told us that he was comfortable with a $500,000 ceiling on
borrowing from the pool given the present $623,000 annual
appropriation from the Insurance Fund, which we agree is a
reasonable amount. However, the CLO far exceeded this
amount by borrowing nearly $900,000 during January through
October 1995. Furthermore, the borrowing also exceeded the
$623,000 that was appropriated from the Insurance Fund for
1995.
In addition, the CLO did not seek prompt reimbursement from
the Insurance Fund. In January 1996, the CLO submitted to the
department a claim requesting $900,000 in reimbursement from
the Insurance Fund for expenses from January 1995 through
October 1995.
We also found the department is not prompt in paying the CLO’s
The department is not claim for reimbursement once it is submitted. For example, for
prompt in paying CLO’s expenses from the period July 1994 through December 1994,
claim for reimbursement. the department did not provide reimbursement until
November 1995, nearly a year later.
In order to reimburse the investment pool properly, the CLO
charges the Insurance Fund for the interest accrued on the funds
borrowed. As a result, when the CLO borrows from the
investment pool in excess of its annual appropriation from the
Insurance Fund, and when the CLO is not prompt in submitting
and the department is not prompt in paying the claim for
reimbursement, the Insurance Fund bears more cost than if the
29
investment pool had been promptly reimbursed. In addition, the
CLO has not established a system for monitoring and repaying
amounts borrowed from the investment pool; therefore, the CLO
cannot determine when it has overused the investment pool as a
source of funding for the costs of managing no-asset estates.
The CLO Is Overcharging Some
Estates and Undercharging
Others for Indirect Costs
During our review, we found that the CLO is overcharging some
estates while it is undercharging others for indirect costs. This
occurred because the CLO does not always properly allocate
indirect costs to the estates it manages. Each month, the
The Insurance Code
indirect costs are accumulated in a cost pool and subsequently
prohibits the CLO from
allocated to the estates that have benefited. The CLO charges
charging one estate for
some of its indirect costs to the estates in proportion to the
the costs of another.
number of hours employees have worked on a specific estate.
For the remainder, the costs are charged in proportion to the
number of outstanding claims for a particular estate. Both these
methods are reasonable ways to allocate indirect costs.
However, we found errors in the data collected on the number of
employee hours worked. As a result, the allocation of indirect
variable costs is incorrect. For example, we found one estate
was overallocated $1,700, or 18 percent, of indirect costs. In
addition, as we discussed in Chapter 1, because the claims
records are incomplete, we found that indirect fixed costs were
inaccurately allocated, but we could not assess the extent of the
misallocation.
Moreover, we found that the CLO does not always charge
indirect costs using the related month’s data. Specifically, we
found that the CLO improperly allocated $247,000 in indirect
costs to the wrong months. Allocation rates vary from month to
month due to fluctuations in conserved insurer workloads, which
serve as the basis for distributing these costs. Because the
CLO sometimes allocated expenses in months other than those
in which they were incurred, some insurers were charged more
than their fair share of the expenses, and others were charged
less.
Basic Principles of Cost Allocation
The purpose of cost allocation is to ensure that costs incurred
that cannot be identified as directly benefiting a specific estate
are charged to all the estates benefiting from those costs in an
equitable manner. Equitably charging indirect costs to the
estates the CLO manages is important so that some estates do
not pay the administrative costs of others. Indirect costs
generally include administrative costs, such as the cost of the
30
executive office, general administration, budgeting, accounting,
personnel, and training. Indirect costs can be categorized as
variable costs or fixed costs and are distributed to estates using
different methods. Examples of indirect variable costs include
salaries and wages and professional fees, and examples of
indirect fixed costs are rent, utilities, and equipment depreciation.
Labor Hours Used To Allocate
Variable Costs Did Not Agree With
Hours Reported on Employee Time Sheets
Variable indirect costs are allocated based on the number of
hours employees spend on each conserved insurer. These
hours are determined from semimonthly time sheets. Every
month, these time sheets are summarized by each estate
managed on a cost allocation worksheet to show how many
hours the employees spent on each conserved insurer during
that month. Based on the hours recorded on the cost allocation
worksheets, the CLO then allocates its variable indirect costs to
the conserved insurers.
We reviewed the cost allocation worksheets for 12 estates during
1995 and found that, for 8 of those estates, the direct labor hours
used to allocate approximately $303,000 in indirect variable
costs did not agree with hours reported by employees on their
time sheets. For example, for one estate, the hours recorded
on the cost allocation worksheet were 37 hours, or 31 percent,
more than the time reported on the employee time sheets. For
another estate, the hours recorded on the cost allocation
worksheets were 12 hours, or 2 percent less that the hours
reported on the employee time sheets.
Because the method used to allocate costs to conserved
insurers is based on employee hours, a conserved insurer that
The accounting unit
has not been charged for the appropriate amount of time will not
does not ensure that
absorb its fair share of indirect costs. Likewise, a conserved
the number of hours
insurer that is overcharged time will absorb CLO costs for
actually worked are
services the insurer did not receive. For example, we
used to allocate indirect
determined that one estate was overallocated approximately
variable costs.
$1,700 in indirect costs. For the two months in which we found
allocation errors, the errors comprised almost 5 percent, or
$5,140 of the $105,198 that was allocated.
We discussed our concern with the controller, who told us that
the cost allocation worksheets contained incorrect hours
because the CLO does not verify that the hours entered into the
cost allocation worksheets each month agree with the
employees’ time sheets. Until the CLO establishes procedures
to ensure that the hours from the allocation worksheets agree
with the employees’ time sheets, it cannot be certain that it is
correctly charging the estates under its control for their fair share
of indirect variable costs.
31
Proof of Claims Records Used
To Allocate Fixed Costs Are
Incomplete and Inaccurate
Indirect fixed costs are allocated based on the number of
outstanding claims filed against the assets of each estate it
manages. Each month, the CLO uses the number of claims
outstanding for each estate, as reported by the claims unit, to
allocate fixed costs such as rent, utilities, and equipment
depreciation expense.
However, the CLO does not have complete records of claims
information for each estate. According to the operations officer
who is responsible for claims processing, the CLO does not
Although it is aware the know the number or status of claims filed against most of the
claims information is estates under its management due to the incomplete condition of
incomplete, the CLO its claims records. As a result, during the period January 1995
feels the number of claims through November 1995, approximately $992,000 in indirect
is the best information fixed costs were allocated to the estates using percentages
available to allocate fixed calculated with the incomplete claims information. When the
costs. CLO audited claims files for one estate, it found the claims
reports to be only 47 percent complete when compared to the
source documents. Because the extent of the incompleteness
in its claims records is not known, we could not determine the
effect of the misallocations on each of the estates.
According to the controller, although the claims information is
incomplete, it is the best information available for allocating
indirect fixed costs. The CLO is currently implementing a new
claims processing system to improve the completeness of the
claims information. However, the CLO anticipates it will take
three years to inventory and input the claims records into the
new system.
Conclusion
The CLO has made improvements in its administrative policies
and procedures related to the management of conserved and
liquidated insurers. However, we found that it does not always
follow policies and procedures for hiring employees and
managing outside contractors. In addition, the surveys that the
CLO used to determine the salaries and wages of its
55 permanent positions rely almost exclusively on comparable
salaries paid in the private sector. We also noted the CLO has
overborrowed from its investment pool to fund the costs of
administering no-asset estates and has not repaid the
investment pool in a timely manner, resulting in additional cost to
the Insurance Fund. In addition, we found that, because it does
not always properly allocate its indirect
32
administrative costs to the conserved and liquidated insurers
under its management, the CLO is overcharging some estates
and undercharging others for indirect costs.
Recommendations
The CLO should continue its effort to improve its administrative
policies and procedures for the management of conserved and
liquidated insurers. In addition, the CLO should take the
following specific actions:
Ensure that future surveys conducted to adjust employee
salaries include public-sector comparisons where
appropriate;
Disclose in the governor’s budget the number of permanent,
non-civil service positions in the CLO and the associated
costs for each position;
Adhere to its own policies for filling positions only with
qualified applicants or provide justification for hiring
applicants who do not meet the minimum qualifications;
Fully implement and follow its contract procedures to ensure
that contracts are competitively bid when appropriate, that
contractors are paid in accordance with the terms of the
contracts, and that invoices include adequate detail or
support;
Create and implement guidelines to ensure that
investment-pool borrowing complies with management’s
policies; in addition, ensure that the pool receives prompt
reimbursement from the Insurance Fund to minimize the
borrowing charges to the Insurance Fund;
Develop a system of review to ensure that indirect cost
allocation worksheets are accurate and supported by actual
hours charged by employees directly to estates each month;
and
Allocate indirect costs using the allocation percentages
computed for the month the costs were incurred.
33
We conducted this review under the authority vested in the state auditor by Section 8543 et seq.
of the California Government Code and according to generally accepted governmental auditing
standards. We limited our review to those areas specified in the audit scope section of this
report.
Respectfully submitted,
KURT R. SJOBERG
State Auditor
Date: April 3, 1996
Staff: Steven M. Hendrickson, Audit Principal
Norm Calloway, CPA
Chris Ryan
34
Appendix A
Insurers in Conservation or Liquidation
Company Name Insurance Country Date Date
1 Aegis Indemnity and Insurance Company Property British West Indies 5/20/94 6/6/94
2 AIM Insurance Company Property California 3/31/94 9/8/94
3 Allied Fidelity Insurance Company Property Indiana 5/5/86 6/2/86
4 American Mutual Insurance Company of Boston Property Massachusetts 3/9/89 5/3/89
5 American Mutual Liability Insurance Company Property Massachusetts 3/9/89 5/3/89
6 American Star Insurance Company Property Wisconsin 12/3/92 12/3/92
7 ANA Insurance Group Property Louisiana 12/11/92 7/7/94
8 Apex Placement Insurance Company Ltd. Property British West Indies 5/30/91 12/11/91
9 Bestland Insurance Agency Agency California 3/30/93 10/21/93
10 Builders Mutual Surety Company Surety California 2/13/85 10/11/85
11 Cadillac Insurance Company Property Mississippi 1/18/90 2/16/90
12 Cal-American Insurance Company Property California 5/21/93 6/30/93
13 California Benefit Life Insurance Company Life California 4/6/89 6/21/89
14 California Life Insurance Company Life California 4/25/86 7/3/86
15 California Pacific Life Life California 5/18/89 8/2/89
16 California Standard Indemnity Company Property California 9/6/85 10/1/85
17 Capitol Bond & Insurance Company Surety California 9/11/86 6/21/91
18 Carriers Insurance Company Property Iowa 1/21/86 2/20/86
19 Cal Farm Insurance Co. Property California 3/29/85 12/18/85
20 Chicago Title of Alameda County Title California 3/17/82 5/5/82
21 Citation General Insurance Company Property California 7/21/95 8/24/95
22 Coastal Insurance Company Property California 2/2/89 3/6/89
23 Comco Insurance Company Property Texas 10/31/91 12/24/91
24 Commerce Title Title California 12/20/89 1/18/90
25 Commonwealth Land Title of San Francisco Title California 11/19/84 6/18/85
26 Commonwealth United Insurance Co., Ltd. Property British West Indies 12/11/91 8/13/92
27 Consolidated Mutual Insurance Company
of New York Property New York 11/30/78 6/26/79
28 Consumers Indemnity Company Property Washington 12/5/88 1/18/89
29 Dual Plus Insurance Co., Ltd. Life Bermuda 9/23/92 12/3/92
30 Edison Insurance Company Property Illinois 3/19/91 4/16/91
Shading indicates no-asseted
estates.
31 El Dorado Insurance Company Property California 8/2/78 12/11/78
35
Company Name Insurance Country Date Date
32 Employers Casualty Company Property Texas 4/1/94 5/2/94
33 Employers National Insurance Company Property Texas 4/1/94 5/2/94
34 Enterprise Insurance Company Property California 11/26/85 2/24/87
35 Equity General Insurance Company Property Illinois 11/21/89 12/4/89
36 Expressway Insurance Agency Agency California 12/16/92 Pending
37 First California Property & Casualty Insurance
Company Property California 9/6/89 10/30/89
38 First Capital Life Insurance Company Life California 5/14/91 Rehabilitated
39 First Centennial Title Company, Inc. Title California 9/27/83 12/9/83
40 George Washington Life Insurance Company
of California Life California 10/5/90 5/28/91
41 Glacier General Assurance Company Property Montana 3/4/85 12/4/85
42 Golden West Insurance Exchange & Exchange
Management Property California 4/18/84 6/13/84
43 Greater Indemnity and Casualty Company, Ltd. Property British West Indies 6/9/94 8/8/94
44 Great Falls Insurance Company Property California 5/25/88 11/5/88
45 Great Global Assurance Company, The Property Arizona 2/4/86 4/4/86
46 Great Republic Insurance Company Life California 7/1/91 1/24/92
47 Homeland Insurance Company Property California 5/6/87 9/25/87
48 Homestead Title Corporation Title California 8/29/94 Pending
49 ICB Surety Group, Inc. Surety Nevada 8/15/95 9/28/95
50 Ideal Mutual Insurance Company of New York Property New York 1/18/85 1/25/85
51 Imperial Insurance Company Property California 9/23/75 1/10/78
52 Integrity Insurance Company Property New Jersey 1/5/87 3/9/87
53 Inter-American Insurance Company of Illinois Property Illinois 1/15/92 2/10/92
54 Interco Underwriters Corporation and Exchange Property California 1/18/83 2/24/83
55 Investment Life Insurance Company of America Life North Carolina 5/13/93 7/14/93
56 KD Excess & Surplus Insurance Services Agency California 5/27/94 8/29/94
57 Legacy Life Insurance Company Life Nebraska 9/11/90 None
58 MCA Insurance Company Property Oklahoma 12/1/92 12/16/92
59 Midland Insurance Company Property New York 4/15/86 5/9/86
60 Millers National Insurance Company Property Illinois 5/26/93 6/24/93
61 National Colonial Insurance Company Property Kansas 7/26/93 8/16/93
62 National Service Insurance Company Property California 2/16/89 5/4/89
63 Oshima Reinsurance Company Property Belgium 1/29/91 3/12/91
64 Pacific Marine Insurance Company Property Washington 6/29/87 6/26/89
65 Pacific States Casualty Company Property California 3/1/93 7/1/93
Shading indicates no-asseted
estates.
66 Penniman Title Company Title California 3/6/92 3/12/92
67 Premier Alliance Insurance Company Property California 2/18/94 8/2/94
36
Company Name Insurance Country Date Date
68 Premier Title Title California 5/5/94 6/16/94
69 Reserve Insurance Company Property Illinois 5/30/79 6/26/79
70 S & H Insurance Company Property California 1/28/85 4/16/85
71 Signal Insurance Company Property California 9/23/75 1/10/78
72 Stoddard Insurance Administration Agency California 5/13/93 12/18/93
73 Summit Title Company Title California 8/23/90 12/13/90
74 Superior California Title & Escrow Title California 8/23/90 12/18/90
75 Surety Insurance Company of California Surety California 5/23/84 8/20/84
76 Thriftco Insurance Company Property California 3/13/90 7/24/90
77 Title USA Insurance Corporation Title Texas 11/3/89 12/7/89
78 TMIC Insurance Company Mortgage California 4/14/86 4/27/88
79 Toma Surplus Lines Insurance Brokers, Inc. Agency California 6/2/93 Pending
80 Tower Indemnity Company Property California 12/11/64 6/1/65
81 Trans Cal Title Company Title California 3/25/91 5/21/91
82 Trans Continental Title Company Title California 1/7/88 7/14/88
83 Transit Casualty Company Property Missouri 12/4/85 1/8/86
84 Trico Title Company Title California 8/18/94 Pending
85 Tri-Star Insurance Company Property California 11/10/92 11/24/92
86 Underwriters Reserve Ltd. Property St. Kitts & W. 5/20/93 9/9/93
Indies
87 United Bonding Insurance Company Property Indiana 3/10/71 8/20/71
88 United Community Insurance Company Property New York 12/22/94 1/12/95
89 United Equitable Insurance Company Property Illinois 10/16/90 11/8/90
90 United Home Enterprises Home California 4/22/81 12/8/81
91 West Atlantic Insurance Company, Ltd. Property British West Indies 4/13/94 4/13/94
92 Western Carriers Insurance Exchange and
Underwriters Property California 4/27/83 5/12/83
93 Western Employers Insurance Company of
America Property California 4/25/91 5/7/91
94 Western Employers Insurance Company Property California 4/2/91 4/19/91
95 Western International Insurance Company Property California 8/10/92 9/9/92
96 Western Star Insurance Company, Ltd. Property Florida 8/29/94 8/29/94
97 Westland Title Title California 11/15/94 1/13/95
98 Winfield Title Company Title California 3/5/81 5/15/81
99 World Title Company Title California 6/15/95 6/15/95
Shading indicates no-asseted
estates.
37
Blank page inserted for reproduction purposes only.
38
Appendix B
Recommendations From Our Previous
Report and the Results of Our
Review of Corrective Action
T
he Conservation and Liquidation Office (CLO) took
specific actions to address the following recommendations
identified in our previous report:
Establish strategic management plans that include
specific goals, milestones, and timelines for all the
insurance companies under its management.
Although the plan needs refinement, the CLO has developed
a strategy along with goals and objectives to fulfill its mission.
In addition, it has taken steps to develop policies,
procedures, and management plans for the estates under its
control. However, it has had only limited success in
distributing the assets of liquidated insurers to claimants and
in closing the liquidated estates.
Develop meaningful budgets based on the level of
conservation and liquidation activities of the CLO and
that include all the CLO’s costs, including consultants’
costs, to ensure effective monitoring of the CLO’s
expenditures.
The CLO implemented procedures to develop meaningful
budgets that include the costs of CLO operations and the
costs for the estates it manages. The CLO based its budget
on planned conservation and liquidation activities, including
the costs of consultants. However, we found the CLO does
not calculate and report monthly on the variances between
budgeted and actual expenses for its operations and the
estates it manages, as required by its procedures.
Fully implement and follow the recently developed
performance management program manual to ensure
that all merit salary increases and promotions are
equitable and based on employee job performance.
The CLO implemented the performance program manual to
ensure that all merit salary increases and promotions were
equitable and based on employee job evaluations and
39
performance reports. We reviewed the merit salary
increases that the CLO awarded during 1995 and found that
the merit increases were reasonable.
Ensure that the March 1994 reinstatement of its policy
requiring the prior written authorization of overtime for
nonexempt employees is followed and that the proposed
form be amended to include the dates that overtime will
be worked and the approval date.
The CLO has reinstated the policy of requiring prior written
authorization for overtime. Moreover, the CLO has
controlled overtime costs to approximately $5,000 for 1995.
By contrast, in May 1994, we reported that the cost of
overtime worked as a result of conservation and liquidation
activities for 1993 exceeded $350,000.
Investigate the propriety and recovery of all severance
payments made by the division.
The CLO no longer has any employment agreements that
require severance payment. However, the CLO could not
provide the legal opinions or accounting records to support
the severance payments it made in September 1994 to
employees who separated from its employment as a result of
the closure of its Los Angeles office. Although nothing came
to our attention that led us to believe the CLO should not
have paid the severance benefits to the employees when
they separated from employment, we could not determine
the appropriateness of the payments to employees who
separated as a result of the CLO’s relocation to San
Francisco.
Develop policies and procedures for the hiring of
division employees that ensure that all qualified
candidates have an opportunity to compete for job
openings.
The CLO has developed recruiting policies and procedures
to ensure that all qualified candidates have an opportunity to
compete for job openings. However, we found that the CLO
did not always follow its policies and procedures when it
hired at midpoint in the salary range an applicant who had
three years’ experience and did not possess a professional
license to fill a position with minimum requirements of seven
years’ experience and a professional license. We reviewed
its hiring policies and procedures and found that the CLO has
established policies to post open positions internally and
externally. In addition, the CLO has established specific job
classifications and salary grades for those positions.
40
Ensure that future surveys conducted to adjust
employee salaries include public-sector comparisons
where appropriate.
In September 1995, the CLO commissioned a new study of
its salary scales to ensure the CLO remains competitive in
the hiring and retention of personnel. This study also relied
almost exclusively on comparisons of salaries paid in the
private sector. According to the chief executive officer, the
1995 study included salary information from the State
Workers’ Compensation Insurance Fund. However, he also
stated that the CLO’s conservation and liquidation operations
are unlike the public sector, and that public-sector
comparisons are not valid.
Require consultants and outside law firms the division
contracts with to submit detailed explanations or actual
receipts with their claims for reimbursement for
out-of-pocket expenses, or conduct audits of
consultants’ invoices to ensure that the consultants or
law firms have not been paid more than what is due.
The CLO and the department have created policies and
procedures that require consultants and outside law firms to
submit detailed invoices. However, we found that the CLO
does not always monitor the contractors’ billings to ensure
charges for services are in compliance with the terms of the
agreements.
Ensure that expenses identifiable to particular
conserved or liquidated insurers are charged to those
conserved or liquidated insurers.
In our tests of direct and indirect costs charged to the estates
the CLO manages, we did not identify any expenses
identifiable to a particular conserved or liquidated insurer that
the CLO charged incorrectly to another insurer.
Ensure that the time recorded by division employees on
the cost allocation worksheet is accurate and agrees
with the time reported by them on their time sheets for
the period of allocation.
The CLO could not support the time recorded to two of three
allocation worksheets we reviewed. Specifically, the CLO
used an incorrect number of direct labor hours from
employee time sheets to allocate indirect variable costs.
These errors affect the allocation of indirect variable costs
41
because the number of direct labor hours is the basis for
allocation of indirect costs to each of the estates. In
addition, the CLO allocates indirect fixed costs using an
incorrect number of claims for each estate. The CLO
estimates that it will take approximately three years to
identify and correctly record the number of claims for all of
the estates that it manages.
Ensure that the conserved and liquidated insurers that
have borne a disproportionate share of past division
expenses, particularly the expenses related to the cost
of conserving and liquidating insurers with few assets,
are reimbursed.
The CLO received approximately $432,000 from the
Insurance Fund to reimburse conserved and liquidated
insurers for their disproportionate share of past division
expenses.
Secure funds to cover the ongoing costs of conserving
and liquidating insurers with few or no assets.
The CLO borrows from the investment pool it administers to
fund the ongoing costs of conserving and liquidating insurers
with few or no assets and seeks reimbursement from the
Insurance Fund. We are concerned, however, because the
CLO has overborrowed from the pool and has not repaid the
pool in a timely manner. Because the CLO charges the
Insurance Fund for the interest that accrues on the funds that
it borrows from the pool, when it overborrows or does not
repay the pool promptly, the Insurance Fund bears more cost
than if the pool had been promptly reimbursed.
Ensure that qualified independent appraisers are used,
whenever it is cost-effective, in the valuation of assets of
liquidated companies before such assets are sold.
We reviewed the CLO’s policies and procedures, and a
sample of its dispositions of insurers’ assets, and found that
the CLO has implemented a reasonable plan to select and
use independent appraisers.
Ensure that division employees follow the newly
developed policies and procedures in the disposition of
assets that prohibit self-dealing and ensure that assets
are sold at fair market value.
We reviewed the CLO’s disposition of the assets of liquidated
insurers in 1995 and found the CLO solicited bids and used
an independent auctioneer to conduct a public sale of the
42
assets. In addition, the CLO prohibited any party from
purchasing assets who would give the appearance of
self-dealing.
Ensure that there is proper segregation of duties in
inventorying the assets of liquidated insurers,
conducting the sales, and accounting for the receipts
from the sales of liquidated insurers’ assets.
Under the supervision of the CLO administrative manager, a
private auctioneer inventories the assets of liquidated insurers
and conducts public sales.
43