Regulatory & War Exclusion Methodology
How DORA / NIS2 / SEC / NY DFS / HIPAA / GDPR / CCPA / PCI scoping works, and how the LMA 5567A/B war exclusion attribution engine applies geo-weighted loss to named state-attributed scenarios.
1. Executive Summary
Three of the highest-stakes underwriting concerns of 2025-2026 in one place: regulatory compliance scoping (with industry × jurisdiction filters), LMA 5567A/B war exclusion attribution (with geographic loss weighting), and OFAC sanctions screening with audit ledger.
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2. Regulatory Mapping
Each insured is mapped to applicable regimes based on BOTH industry sector AND jurisdiction (country code from headquarters address).
| Regime | Industries | Jurisdictions | Max Fine |
|---|---|---|---|
| EU DORA | Bank, financial, insur, fintech, asset, payment | EU only | €10M |
| EU NIS2 | Energy, transport, bank, health, water, telecom, manufactur, food, postal | EU only | €10M / 2% turnover |
| SEC Item 1.05 | Any (US-listed) | US | $25M |
| NY DFS Part 500 | Bank, insur, financial, fintech | US (NY-licensed) | $5M |
| HIPAA / HITECH | Health, hospital, pharma, biotech | US | $1.9M |
| PCI-DSS 4.0 | Retail, ecommerce, hospital, restaurant, hotel, payment | GLOBAL | $500K |
| GDPR / UK GDPR | Any | EU + GB | €20M / 4% turnover |
| CCPA / CPRA | Any | US (CA) | $7.5M |
| UK FCA Op-Res | Bank, financial, insur, fintech, asset | GB | £20M |
3. Jurisdictions
The country code is parsed from the insured's headquarters field (e.g., "Paris, FR" → FR). Insureds without a known country are flagged with a warning banner — they cannot be classified for jurisdictional regimes.
4. War Exclusion Engine (LMA 5567A/B)
Replays five named state-attributed scenarios (NotPetya, SolarWinds, Viasat, Grid Attack, hypothetical CrowdStrike-class) against the portfolio. For each insured, the engine determines if it's a target (industry match + geographic exposure), computes the gross loss (coverage × loss%), and applies the LMA 5567A exclusion if the scenario meets the "Impacted State" + essential services + attribution test.
5. Geographic Multipliers
Each scenario has a country exposure config:
Gross loss = coverage × loss_per_target_pct × geo_multiplier. Insureds outside the exposure zones contribute zero (or minimal) loss to the scenario, even if their industry matches.
6. OFAC Sanctions Screening
Strict-liability OFAC SDN screen across the portfolio with an immutable audit ledger (timestamp, checker, result, notes). The audit trail is the legal defense against OFAC enforcement actions.
7. Data Sources
| Source | Used For |
|---|---|
| Company profile | Headquarters → country code parsing |
| Lloyd's Y5381 + LMA 5567A/B | War exclusion clause logic |
| OFAC SDN list | Sanctions screening (production) |
8. Glossary
| Term | Definition |
|---|---|
| DORA | Digital Operational Resilience Act — EU financial entities |
| NIS2 | EU directive for essential and important entities |
| LMA 5567A | Lloyd's standard cyber war exclusion clause variant A |
| Impacted State test | The state-attribution + essential services threshold under LMA 5567A |