This document summarizes an organizational assessment of an insurance company's adoption of Agile and Scrum practices. The assessment found that while over half of projects used some variation of Scrum, very few teams fully practiced the core Scrum principles. Root causes identified included viewing adoption as an IT initiative rather than company-wide, accelerated use of offshore contractors, and an "Agile deficit disorder" with difficulties committing to practices. Recommendations included updating training, promoting coaching, educating leadership, and rebuilding the Agile community of practice.