With decades of experience, Polsinelli knows the insurance industry. As a highly regulated industry, the insurance business is complex and rapidly evolving. The multifaceted nature of this business calls for specific and focused legal acumen. As attorneys who have dedicated our careers to the insurance industry, we have the knowledge, experience, and necessary relationships to provide a full range of legal services on a national basis. Our clients include all types of entities regulated under state insurance laws, including insurers, third party administrators (TPAs), captives, discount medical plan organizations (DMPOs), producers, reinsurers, utilization review (UR) entities, PBMs, HMOs, PPOs, and health care organizations. Our attorneys know how to work with regulators because a number of us were regulators, serving as general counsel or staff to state insurance commissioners. We also routinely interact and meet with insurance regulators throughout the United States.

Multiple Polsinelli attorneys have served as in-house counsel for insurance regulated entities. Knowing the regulatory business and what to expect is not just about knowing the laws, it is about knowing the industry’s unique business processes. We build lasting relationships with clients by understanding their specific businesses, inside and out. This helps us provide legal counsel that is aligned with our clients’ goals, philosophies, and values.

Polsinelli’s Insurance Business and Regulatory practice provides all-encompassing services. Our clients range from start-up companies to those which have been in business for decades. As a national law firm with offices throughout the United States, we offer a broad network of experience and counsel for alliances, joint ventures, acquisitions, mergers, redomestications, and other transaction-related projects across the country. We also possess extensive regulatory and compliance experience, including national licensing projects, insurance holding company laws, and market conduct and financial examinations. This wide range of experience and deep comprehension of our clients’ challenges allow attorneys within Polsinelli’s Insurance Business and Regulatory group to provide outstanding insight while navigating the complex world of Insurance and Regulatory law.

We understand it is critical to be actively involved in the industry to strengthen our positive relationships with regulators and recognize challenges our clients are facing. We keep our clients updated on the latest developments through our Insurance Business and Regulatory Law News, Third Party Administrator Update, Medical Discount Plan Update and other newsletters and e-mail alerts. Our lawyers are members of and represent various trade organizations, including the Federation of Regulatory Counsel, National Conference of Insurance Legislators, and the Association of Insurance Compliance Professionals.



We provide strategic advice to insurance and reinsurance companies, HMOs, producers, and third-party administrators on a full range of insurance regulatory and compliance matters, ranging from periodic regulatory filings and financial reporting requirements, to Insurance Holding Company Act compliance. We assist in developing strategies for addressing the complex web of insurance regulatory and compliance matters on a national basis for insurance entities in all stages of the company life-cycle. Our attorneys understand the unique regulatory and compliance challenges that our clients face, from initial licensure and capitalization, to financial reporting compliance, market conduct examinations, and sale and exit strategies.

Insurance has a broad range of practice areas and services, including:
Our experience covers each phase of our clients’ business, as demonstrated by these representative examples:

Market Conduct Examinations and Self-Audits
  • Assisted multiple insurance companies with respect to market conduct examinations across the United States, including a national long-term care insurer with respect to several market conduct examinations by various states. Represented a health insurer during a national multi-state examination. Engaged to conduct attorney/client privileged audits for clients, including reviewing a health insurer’s sales and marketing materials on a national basis.
Application of Insurance Laws
  • Analyzed the possible application of state insurance laws for various entities such as warranty companies, pharmacy benefit managers (PBMs), preferred provider organizations (PPOs), and health care organizations forming clinically integrated networks (CINs) or accountable care organizations (ACOs).
Entity Formation and Licensure
  • Filed formation and licensure applications for insurers and HMOs and UCAA licensure expansion applications, including the formation and licensure of a Delaware Series LLC captive insurance program and a Kansas domestic P&C insurer. Licensed numerous third party administrators (TPAs), adjusters, insurance agencies, discount medical plan organizations (DMPOs), and preferred provider organizations (PPO) on a national basis.
  • Represented many entities acquiring insurers and insurance-regulated entities, including numerous agencies; represented a United Kingdom-based company on entering the American insurance market that purchased a life and health company and a property and casualty company, involving the drafting of definitive documents, obtaining the necessary approvals through Form A filings, and electronically filing the UCAA and licensure expansions.
National Legal Analysis
  • Researched and analyzed critical compliance issues on a national basis, such as electronic transaction of insurance laws, payment of premiums by automatic credit card debits, ACA issues, and referral fee requirements. Updated a national health insurer’s database to include all state health insurance mandated benefits laws and considered extraterritorial jurisdiction.
Financial Analysis
  • Our Financial Analysis practice worked with various entities with respect to financial examinations and insolvency issues. Utilized our knowledge of statutory accounting principles to assist an HMO with weak FAST ratios under aggressive surveillance by its domestic insurance department.
Loss Portfolio Transfer; Sale of Company; Exit from Market
  • Assisted clients with exiting the insurance market through the reinsurance of all business, the sale of a regulated entity and the nonrenewal of a block of business. Drafted and filed amendatory endorsements and conducted national nonrenewal for a health insurance company.