Regulatory Compliance and Governmental Affairs

Regulatory Compliance and Governmental Affairs

Our highly experienced team understands the trends, challenges, and solutions needed to navigate the complex property and casualty landscape. We partner with our customers to deliver the right regulatory knowledge, involvement, and strategies to best represent the interests of our clients and the industry.

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Regulatory & Compliance Resources

Enlyte achieves optimal business results through our experienced people, engagement, and consultation to represent a national voice specifically focused within the workers’ comp and auto industries. We start by working hand in hand at the state or national level to achieve what our customers desire at a regulatory and compliance level within all jurisdictions nationwide.

Our team engages and sits on various boards, are appointed committee members and chairs, and provide resources as state legislative subject matter experts. This expertise is shared and leveraged across the entire Enlyte organization to ensure compliance and refinement on a product-by-product basis.

People

Expertise

  • 40+ Years of regulatory compliance experience
  • 75+ dedicated regulatory and compliance experts experienced with 20 years of average industry experience in all jurisdictions
  • 14+ leadership roles in industry groups
  • 100% Casualty focus
  • Highly experienced in negotiating the correct language and positions in rule writing for legislation
  • Expert capabilities in translation of complex bill review and fee schedule language into automated products

Engagement

Industry Leadership Roles

  • AAPAN board members
  • IAIABC committee members and chairs
  • State level legislative subject matter experts
  • Manage and strategize with Enlyte lobbyist in key states: Michigan, New Jersey, Florida, Indiana, Missouri, Arizona and Georgia
  • Conference/CEU speakers

Consultation

Internal & External

  • Internally collaborates with all product groups to ensure compliance and education
  • Provide expert testimony with legislative bodies on behalf of our constituents
  • Litigation support services for clients
  • Strategize with customers in the implementation of new law and rules that affect our products and businesses

Data Driven Compliance 

Enlyte's comprehensive compliance heavily invests in technology in providing solutions to our customers. The Regulatory Compliance team leverages Enlyte’s data assets through Claims Performance Consulting to uncover actionable insights and intervention opportunities that drive better outcomes for our customers.

Regulatory Compliance Infographic

Enlyte Quarterly Medical Price Index

To better understand how these inflation trends are affecting first party auto casualty claims, Enlyte analyzed its medical bill review data from losses Q1 2020 through the end of Q2 2024. We’ve outlined the key trends and patterns in first party auto casualty claims for this time period.

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Regulatory & Compliance Insights

 

The Heart of the Challenge: The Role of Direction of Care in Managing Workers' Compensation Costs

DECEMBER 11, 2024

At the core of the drug pricing challenges in workers' compensation is the concept of "direction of care." This refers to the ability of employers or payers to direct injured employees to a specific network of health care providers, including pharmacies.

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Decoding Functional Restoration Programs: Ensuring Accurate Billing Practices

DECEMBER 6, 2024

Functional Restoration Programs (also known as Functional Rehabilitation Programs or FRP) are like a well-curated menu at a restaurant—designed to help workers' compensation claimants get back to work. Just as a meal is made up of various dishes, an FRP includes multiple services tailored to each individual's unique needs based on their injury.

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Business Insurance: Comp Spotlight with Michele Hibbert

November 27, 2024

Check out our latest video where Michele explores the Q3 Enlyte Medical Price Index (MPI) results. She breaks down the data, explains what it means for clients, and offers insights on overcoming key challenges.

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Compliance Connection Newsletter

Stay up to date on top federal and state regulatory and compliance issues in the workers' compensation and auto casualty industry. Subscribe now to receive our monthly Compliance Connection Newsletter directly to your inbox.