Insurers

Built for insurers trying to stay on top of state-specific changes

Responsiv helps teams move from awareness to action—by filtering relevant updates, routing them to the right owners, and translating them into obligations, gaps, and next steps.

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The ChallengeFragmented sources

Too many bulletins, not routed correctly.

State-specific bulletins and regulatory changes slip through the cracks: the right requirements don't reach the right owner in time.

50+

state DOIs with distinct rules and filing requirements

Dozens

Of teams that need the right input to be compliant

Responsiv platform showing regulatory alerts

Insurers

Navigate and state DOI rules

Responsiv helps health insurers and P&C carriers move from awareness to execution—by filtering what applies to each line, entity, and state, routing updates across teams, and translating them into requirements, gaps, and actions.

State departments of insurance

Bulletins, examinations, market conduct initiatives, producer licensing, and unfair trade practice standards across all jurisdictions you write.

CMS & federal health programs

Medicare Advantage, Part D, Medicaid, CHIP, and related CMS manuals, HPMS guidance, and enforcement priorities for payers and delegated vendors.

HIPAA, HHS & privacy

Privacy, security, and breach rules for PHI, business associates, and overlapping state health-privacy and consumer-protection requirements.

Privacy & AI

State privacy laws, NAIC AI model bulletin, and emerging AI governance, algorithmic accountability, and consumer data protection requirements across insurance operations.

P&C product, rating & claims

Rate-and-form rules, catastrophe and reinsurance expectations, specialty lines oversight, claims settlement standards, and antifraud program requirements.

Employer-sponsored & ancillary benefits

ERISA and DOL guidance, stop-loss, voluntary benefits, and state mandates that shape group health and complementary coverages.

Map obligationsExam-ready

Compliance coverage for insurers

From CMS manuals and HIPAA to DOI bulletins—Responsiv highlights what applies to each line, geography, and entity so policy, legal, and operations stay aligned.

Medicare, Medicaid & commercial benefits

CMS manuals, HPMS memos, coverage determinations, utilization management, Stars, and state-mandated benefit designs for fully insured and ASO arrangements.

HIPAA, PHI & breach readiness

Privacy and security safeguards, BAAs, minimum necessary use, and breach-notification obligations across federal and state health-privacy regimes.

Market conduct & DOI exams

Exam scopes, data calls, complaint handling, sales practices, network adequacy, and unfair trade practice rules that show up in health and P&C reviews.

Rate, form & product filings

SERFF and state-specific filing requirements, policy forms, rate plans, and supporting documentation for health and P&C products in every state you serve.

Licensing, appointments & producers

Producer, adjuster, and TPA licensing, appointments, renewals, and continuing-education obligations coordinated with NIPR and state rules.

Fraud, SIU & claims payment

Special investigation unit standards, antifraud plans, claim-payment timelines, and coordination with law enforcement and regulatory referrals.

Precision compliance

Regulatory change that reflects how you actually operate

Separate tracks for health insurance, government programs, and P&C—without flattening everything into a generic checklist.

P&C carriers

P&C carriers

Personal and commercial lines, specialty programs, and surplus-lines rules across DOIs nationwide

Health insurers & managed care

Health insurers & managed care

Commercial, ASO, and network rules covering UM, prior authorization, and state benefit mandates

Government health programs

Government health programs

Medicare Advantage, Part D, Medicaid, and duals programs with CMS and state contract overlays

Responsiv

Ready to get regulatory change under control?

Built around your regulatory landscape, not a generic taxonomy.

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We're always looking for talent to join our team in Chicago.

We're building a thoughtful, driven team that cares about doing meaningful work. If you're into solving real problems alongside smart, kind people, we'd love to hear from you.

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