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Sarbanes-Oxley 404 – Where Do We Stand? CAS 2004 Annual Meeting November 15 & 16, 2004 Today’s Panel James C. Votta, Partner, Ernst & Young LLP Lise A. Hasegawa, AVP and Reserving Actuary, MetLife Auto & Home Kenneth T. Sipiora, Senior Manager, Deloitte & Touche LLP David T. Perine, Senior Manager, Ernst & Young LLP
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2 Sarbanes-Oxley 404 – Where Do We Stand? Remediation Documentation Testing Sign Off Company Completed Auditor Reviewed Company Completed Auditor Completed Company Completed Auditor Reviewed Auditor Management
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3 Sarbanes-Oxley 404 – Where Do We Stand? Survey of 950 SEC Registrants as of October 2004 Green = No concern with timely completion = 32% Yellow = Greater than low level concern = 60% Red = Significant concern = 8%
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4 Sarbanes-Oxley 404 – Where Do We Stand? In Scope or Out of Scope? Pricing IBNR Generating Systems Pockets of Reserves CAT Models
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5 Sarbanes-Oxley 404 – Where Do We Stand? What is Ahead? Internal Audit Focus Spitzer Investigations NAIC Model Law
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Sarbanes-Oxley 404 Where Do We Stand? Insurance Company Perspective Lise A. Hasegawa, AVP and Reserving Actuary MetLife Auto & Home
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7 The MetLife Enterprise Over $300 Billion in Assets Under Management Locations United States International – 11 Locations Business segments include ■ Individual ■ International ■ Institutional ■ Reinsurance ■ Auto & Home
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8 SOX ─ The Players Steering Committee Project Management Office Line of Business Teams Internal Auditing Outside Advisor External Auditor
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9 SOX ─ The Process Identify Processes Scope & Coverage Process Map Activities Identify Risks Identify Key Controls Testing Action Plans Review and Signoff
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10 In Scope Actuarial Processes Reserves Reinsurance
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11 Reserving Process Map Data Analysis Documentation Communication
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12 Data ─ The Risks All loss data accounted for? Loss data accurate? Loss data transferred and separated accurately?
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13 Data ─ The Controls All loss data accounted for? Balancing reports, consistency, judgment Loss data accurate? Claims edits, audits, detective reports Loss data transferred and separated accurately? More balancing reports, consistency, judgment
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14 Next Steps Testing Action Plans Review Sign Off Repeat
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15 Lessons Learned Support from the top Takes more effort, energy and people than you think ─ but it is worth it Define the scope precisely ─ expect it to change Expect guests … often … add a chair Auditable proof
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16 Lessons Learned Software versus Spreadsheets Controls are closer than you think Education for all employees Take advantage of the situation Learn how other processes work Learn how the data is created and used Improve processes Eliminate risk
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Sarbanes-Oxley 404 Where Do We Stand? Corporate Risk Management Perspective Kenneth T. Sipiora, Senior Manager Deloitte & Touche LLP
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18 Corporate Risk Management ─ Environment Risk Management (broadly defined) increasingly critical to corporations, their officers and directors COSO, ERM, etc. Investors, Regulators, Lenders and other stakeholders demanding disclosure and independent verification of financial controls Risk Management and related insurance transactions increasingly complex Many large corporations have significant self-insured/retained risk General/Product Liabilities, Auto Liability, Workers’ Compensation, D&O, etc. Third-party service providers common
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19 Corporate Risk Management ─ Environment Paid losses and reserves are material to financial reporting Significant cost drivers, financial statement disclosures common Independent actuarial analysis Variety of alternative risk financing strategies in use Qualified self insurance, Captives, Finite Risk, Capital Markets, etc. Risk Management Information Systems (RMIS) prevalent Data warehouses, Management Reporting, Actuarial Data Entity level controls (“C” level and B.O.D.) requiring greater scrutiny Retain or Transfer risk? Counterparty security
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20 Corporate Risk Management ─ SOX 404 Examples Control Objectives Process Documentation Testing
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21 Corporate Risk Management ─ Environment Reserve estimates are adequately developed, reported and monitored Appropriate data is accurately documented and retained to support management estimates of liabilities. Reserves are determined according to appropriate actuarial standards of practice, consistent with regulatory, GAAP and other required standards. Financial reporting is timely and accurate Claims activity is recorded timely and accurately in the appropriate accounting period. Disbursements for premium expenses, claims payments, captive fees and other risk management expenses are validated, calculated accurately, processed completely and recorded to general ledger.
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22 Corporate Risk Management ─ Environment Risks are identified, quantified or transferred Expected losses to be retained are quantified. Commercial insurance for risk not self-insured is secured. Insurance company counterparty security (financial strength) evaluated regularly. Claims reporting is timely and accurate Claims processing policy and procedures established by Senior Management exists and duties or claims staff and third-party administrators (TPAs) are performed accordingly. TPAs or other external providers have adequate controls in place.
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23 Corporate Risk Management ─ Environment Self-insured risks are identified and funded by captive as appropriate Captive transactions are accurately recorded in a timely manner. Captive management and other service providers have adequate controls Captive financial statements are timely and accurately consolidated with parent company statements.
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24 Corporate Risk Management ─ SOX 404 Sample Process Documentation Claims (workers’ compensation) Loss reserving Financial reporting Captive transaction
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25 LEGEND Primary Control ActivitySecondary Control Activity Primary Company LevelControls Control Gap
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26 LEGEND Primary Control ActivitySecondary Control Activity Primary Company LevelControls Control Gap
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27 LEGEND Primary Control ActivitySecondary Control Activity Primary Company LevelControls Control Gap
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28 LEGEND Primary Control ActivitySecondary Control Activity Primary Company LevelControls Control Gap
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29 Corporate Risk Management SOX 404 Sample Control Tests – Loss Reserving Control ObjectiveType of Test (Corroborative inquiry, observation, re- performance or examination) Sample Type (Biased, Unbiased or None) Sample Size (If sampling is used) Test Scenario(s)Design Gap (If Any) Design Gap Remediation Client has established written policies and procedures in governing establishment and modification of loss reserves ExaminationNoneN/AReview Actuarial Reports to verify if loss reserves approved by the CFO is within the Actuary's range. Examine documentation of loss reserves determined by the CFO that was sent to Corporate Accounting. There is no formal documentation of the reserving policy. This is a "to be" recommendation. The reserving policy should be documented in a policy manual, a sign-off process should be implemented, and the documentation of the policy and approvals should be maintained by CRM, the CFO and Corporate Accounting. Client has established written policies and procedures in governing establishment and modification of loss reserves 1) Examination 2) Observation Unbiased31) Review the last 3 reports submitted to the Actuary. Verify that loss information data (loss runs) and exposure information (estimated payroll, sales/revenues, FTE's) matches data on the report being submitted to the Actuary. 2) Run a query on HR/ERP for those periods to determine if exposure information matches the information on the reports. CRM has a consistent practice for collecting loss and exposure information; however, the process should be formally documented. Include process of gathering data in a procedure/policy/process manual. This is a "to be" recommendation.
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30 Corporate Risk Management SOX 404 Sample Control Tests – Loss Reserving Control ObjectiveType of Test (Corroborative inquiry, observation, re- performance or examination) Sample Type (Biased, Unbiased or None) Sample Size (If sampling is used) Test Scenario's)Design Gap (If Any) Design Gap Remediation Determination of reserves is consistent with applicable actuarial standards, regulatory and company standards. Examination Review the last Actuarial Reports to determine completeness and reasonableness of Actuarial assumptions. Currently, no interim actuarial analysis exists. An actuarial analysis should be completed on a interim basis to identify any necessary reserve adjustments. This is a "to be" process.
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Sarbanes-Oxley 404 Where Do We Stand? A Consultant’s Perspective David T. Perine, Senior Manager Ernst & Young LLP
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32 What Have We Done To Date? Planning Timing Structure Roles Documentation Business and financial processes Risks Controls
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33 What Have We Done To Date? Testing and Remediation Remediation of controls deemed necessary as a result of the documentation phase Testing of controls Remediation as a result of testing
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34 What Is Happening Now Through Q1 2005? Documentation of new processes or significant changes to existing processes Continued remediation 4 th quarter and annual testing As a result of remediation of controls Of 3 rd and 4 th quarter controls Of annual controls Evaluating exceptions and deficiencies
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35 What Is Happening Now Through Q1 2005? Management’s assertion on the effectiveness of internal controls Auditor’s attestation to the effectiveness of internal controls
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36 Future Steps/Commitments to SOX 404 Reinforce a compliance culture From the top (Audit Committee, CEO, CFO, CCO) SOX 404 compliance must be embedded in the company’s culture Ownership of SOX 404 must reside with the company, not outside parties Consider maintaining/establishing a Project Management Office
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37 Future Steps/Commitments to SOX 404 The changing role of internal audit More internal control focused? The role of outside consultants Coaching?Support? Updating documentation When and by whom? Peer review
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38 Future Steps/Commitments to SOX 404 Testing When and by whom? Remediation Management’s assertion Auditors attestation Responding to a negative attestation?
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