The survey found that while insurers have made progress in implementing enterprise risk management (ERM), fully embedding ERM into decision making remains a challenge. Larger insurers have more advanced ERM programs and are better able to use economic capital (EC) in decisions. European insurers have stronger ERM capabilities than North American insurers. ERM is influencing business decisions like risk strategies, but operational risk management still lags other risk areas. Common EC approaches are moving toward a one-year timeframe and market-consistent standards.