Page 1 is theJurat Page , which identifies the insurer, its principal officers, and its administrative and statutory office locations. Enter NAIC # - COMPANY NAME . 3/1, 4/1 or 6/1 Filings). State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½”x14”) 1 EO xxx 3/1 NAIC O 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC O 2 Quarterly Financial Statement (8 ½” x 14”) 1 EO xxx 5/15, 8/15, 11/15 NAIC P 05/28/2020: L/F, P/C, H, T: Annual: 2020-21BWG: Annual 2020: Add new Line 4.05 for valuation allowance for mortgage loans to the Summary Investment Schedule and renumber existing Line 4.05 to 4.06. It was developed to assist our customers in submitting filings to the Financial Regulation Division and the Data Services Office of the Regulato ry Policy Division. The Committee on Property and Liability Financial Reporting's practice note on Statements of Actuarial Opinion on P/C Loss Reserves (2020), including discussion regarding changes in the NAIC Annual Statement Instructions—Property/Casualty (NAIC Annual Statement Instructions) regarding the Actuarial Opinion, the Actuarial Opinion Summary, and Actuarial Report as well as COVID-19 considerations. • Financial Statement Classifications used in this report as well as other instructions for its completion shall conform to those used in the Official NAIC Annual Statement (AS) Instructions, unless otherwise indicated • All amounts shown on this report are to be in whole dollars, with no decimal points or pennies. 1 - 2) 4 Net Admitted Assets 1. The ageJurat P also contains an affidavit, signed by officers of the insurer, L. NONE Filings: Blank items, i.e., schedules, interrogatory responses, supplemental compensation exhibit or Notes to the Financial Statements will not be considered properly filed. State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½”x14”) 1 EO XXX 3/1 NAIC B, E-2, F, 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO XXX 3/1 NAIC L, Q, R 2 Quarterly Financial Statement (8 ½” x 14”) 1 EO XXX 5/15, 8/15, 11/15 NAIC 8. The 2020Annual Statement NAIC File Upload (s.txt file only) of all companies holding a Treasury Certificate of Authority must be filed with the Department of the Treasury (Treasury) no later than March 1, 2021. Annual Statement Checklists, Annual and Quarterly Filing Instructions and Other Instruction Letters ... NAIC# (i.e. 10/01/2020 Revisions. NAIC instructions, the annual statement must be accompanied by a cover letter stating what the Total Adjusted Capital and Authorized Control Level would be without those modifications. Filings shall be made utilizing the 2020 Annual Statement Instructions and Blanks and the 2021 Quarterly Statement Instructions and Blanks adopted by the National Association of Insurance Commissioners (NAIC). The NAIC Annual Statement Instructions – Property/Casualty provide instructions and guidance. 6. This also required the addition of a column and associated instructions for type of business ceded. Locate your company type and follow the instructions in the filing memo and Annual Statement Filing Instructions Checklist. Property & Casualty Insurers 2020. Companies report their data to each jurisdiction through the NAIC's on-line MCAS application. The 2020 NAIC annual statement blank, the 2021 quarterly statement blanks, the 2020 NAIC Annual Statement Instructions, NAIC Quarterly Statement Instructions, the NAICthe 2021 Accounting Practices and Procedures Manual, including appendices A – G and excluding Actuari al The NAIC is considering including these requirements with the 2020 Annual Statement Instructions and become effective at year-end 2020. 2020 National Association of Insurance Commissioners 1 Title TITLE COMPANIES ... M NONE Filings: See NAIC Annual Statement Instructions. This item has been saved to your reading list. As such, guidance is subject to the maintenance process. Renumber "Other" code to "11". 2021 Financial Filing Requirements and Instructions. As such, guidance is subject to the maintenance process. COMPANY NAME: NAIC Company Code: Contact: Telephone: REQUIRED FILINGS IN THE STATE OF NEW YORK Filings Made During the Year 2021. Please do not email the analyst directly. Due January 15, 2021. The attachments on this page provide information about how to … Updated: This adoption modifies the reinsurance ceded code list in the health and life, accident & health/fraternal quarterly Schedule S to match the list used for annual financial statement reporting. Division of Financial Solvency (225) 342-1631 (225) 342-9203 (Fax) 2021 Financial Filing Instructions. Complete the information for business in the state of Washington. Enter City , State Name The following is a full and complete statement of all premiums and other consideration received by . the 2020 NAIC Annual Statement Instructions and NAIC Accounting Practices and Procedures manual to the extent that the accounting practices, procedures, and reporting standards are not modified by the Michigan Insurance Code or the 2020 Forms and Instructions for Required Filings in Michigan. Statement. NAIC Fall 2020 Newsletter. The NAIC provides codified statutory accounting rules via SSAPs and uniform quarterly and Annual Statement blanks. ©2020 National Association of Insurance Commissioners 1 Life LIFE, ACCIDENT AND HEALTH/FRATERNAL INSURERS COMPANY NAME: NAIC Company Code: Contact: Telephone: ... State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½”x14”) 2 EO xxx 3/1 NAIC … Official NAIC Annual Statement Instructions Health For the 2020 reporting year Adopted by the NAIC as of June 2020 UPDATES TO THESE INSTRUCTIONS There may be modifications to these instructions from year to year. State regulations generally require conformity with the NAIC SSAPs and financial statement filings in accordance with the NAIC quarterly and Annual Statement blanks and Instructions that are specific to different types of insurers. State NAIC State INS7160 82.1 Request for Exemption to File Audited Financial Statements 1 N/A N/A 1/31 Company X INS7166 83 Audited Financial Reports Exemption Affidavit 1 N/A N/A 6/1 Company X 84 Communication of Internal Control Related Matters Noted in Audit 1 EO N/A 8/1 Company X Insurance companies file annual and quarterly reports with the National Association of Insurance Commissioners (NAIC). Effective 1st Quarter, 2020 2020-34BWG: This item adds definitions for the Occupational Accident, Fiduciary Liability, Premises and Operations (OL&T and M&C), Professional Errors and Omissions Liability, Kidnap & Ransom Liability and Tuition Reimbursement Plans products to the appropriate line of business in the appendix of the Annual Statement Instructions. Annual 2020: For Schedule D, Part 1, add code "10" to Column 26 – Collateral Type for ground lease financing. issuance of the financial statement actuarial opinion. You may need to calculate the detail lines to ensure the subtotals are accurate. ©2020 National Association of Insurance Commissioners 1 Life . ANNUAL STATEMENT FOR THE YEAR 2020 OF THE ©2018-2020 National Association of Insurance Commissioners 2 LAH/Fraternal ASSETS Current Year Prior Year 1 Assets 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. Blank items, i.e., schedules, interrogatory responses, supplemental compensation exhibit or Notes to the Financial Statements will not be considered properly filed. upon the appropriate state instructions or the NAIC Annual Statement Instructions. accordance with the NAIC Annual and Quarter Statement Instructions. For the 2020 data year, MCAS data is collected for the following lines of business: State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½” x 14”) 1 EO xxx 3/1 NAIC B 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC B 2 Quarterly Financial Statement (8 ½” x 14”) 1 EO xxx 5/15, 8/15, 11/15 NAIC B II. NAIC instructions, the annual statement must be accompanied by a cover letter stating what the Total Adjusted Capital and Authorized Control Level would be without those modifications. Unless otherwise indicated, all filings must comply with 2020 NAIC Annual Statement Instructions for your type of company, including any required quarterly filings; and the NAIC’s Accounting Practices and Procedures Manual. Spring 2021: E Committee Technical Updates. The National Association of Insurance Commissioners has been especially active in 2020 to address the many regulatory issues arising from the COVID-19 pandemic. Annual Statement NAIC File Upload (s.txt … *The Annual Statement Instructions and related annual statement publications may be obtained from the NAIC by calling (816) 783-8300 or e-mailing prodserv@naic.org. Annual Statement Filing Requirements. 1 Annual Statement (8 ½”x14”) EO 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 ½” x 14”) EO 5/15, 8/15, 11/15 NAIC In addition to Statements of Actuarial Opinion filed with annual financial statements on or before March 1 each year, the NAIC Annual Statement Instructions require the filing of an Actuarial Opinion Summary (AOS) by March 15. The Commissioner is requiring that the annual statement and other filings, as noted on the filings checklist, be filed in electronic format with the NAIC. (5) DUE DATE. MCAS provides market regulators with market conduct information not otherwise available for their market analysis initiatives. When filed, solely for purposes of a filing made with the NAIC, a document is considered filed with the Commissioner when the filing is accepted by the NAIC. Actuarial Filing Instructions - Domestic Life & Health Insurers ... Report Insurance Fraud Top 20 Lists by Market Share Industry Career Opportunities. Securities Valuation. Revision bars in the left margin identify changes from the previous year, and accordance with the NAIC’s Annual Statement Instructions handbook for health companies. Annual and Quarterly Statement Instructions Includes a summary of changes to the instructions for the following year. The meeting was originally scheduled to be held in Minneapolis, Minnesota, but was changed to an all-virtual meeting due to the COVID-19 pandemic. of , on risks allocated or located in the State of Maryland, during the calendar year ending December 31, 2020. NAIC 2020 Highlights – Year In Review. A hard copy filing is not required. Skip to Section V For State Filings. The NAIC’s Casualty and Statistics Task Force (CASTF) has passed new rules for documenting CE for appointed actuaries. Electronic format is intended to include filing ... 12/16/2020 … COMBINED ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2020 OF THE CONDITION AND AFFAIRS OF THE AMERICAN INTERNATIONAL GROUP, INC. and its affiliated property and casualty insurers NAIC Group Code 0012 NAIC Company Code 00124 Mail Address 175 Water Street (Street and Number) New York , NY 10038 , 212-770-7000 Virginia Specific Financial and License Renewal Forms. 01/15/2020 Revisions. (3) REQUIRED FILINGS FOR THE ABOVE STATE. RBC Forecasting and Instructions The P/C RBC forecasting spreadsheet calculates RBC using the same formula presented in the 2020 NAIC Property & Casualty Risk-Based Capital Report Including Overview & Instructions for Companies. In 2002, the National Association of Insurance Commissioners (NAIC) began the Market Conduct Annual Statement as a means of collecting key market performance data for regulators, providing more consistent measurements and comparisons between companies. 1 Annual Statement (8 ½” x 14”) 2 EO 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 2 EO 3/1 NAIC 2 Quarterly Financial Statement Supplemental Compensation Exhibit – Complete Part 1-3. 2020-21 Annual Statements and New York Supplement Filing Instructions & Forms In compliance with the 2020 New York Annual Statement and Supplement filing requirements, each of the submissions listed below contains a complete set of general and specific instructions as well as blank forms and other related supplemental/addendum forms. State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½”X14”) 2 EO Jurat Only – Note L 3/1 NAIC A-C, E-P 1.1 Printed Investment Schedule detail (Pages E01-E29) 2 EO xxx 3/1 NAIC A, B 2 Quarterly Financial Statement (8 ½” x 14”) 2 EO xxx 5/15, 8/15, 11/15 NAIC A, B, … Copies must be provided to the home state. 7. Pennsylvania requires two copies to be filed. Column (5) Due Date ... its CPA firm), is expected to provide the form based upon the appropriate state instructions or the NAIC Annual Statement Instructions. ANNUAL STATEMENT For the Year Ended December 31, 2020 OF THE CONDITION AND AFFAIRS OF THE Stewart Title Insurance Company NAIC Group Code 0340 0340 NAIC Company Code 51420 Employer's ID Number 76-0233294 (Current Period) (Prior Period) Organized under the Laws of United States, State of Domicile or Port of Entry NY Country of Domicile US (4) … NAIC SUPPLEMENTS 11 Actuarial Opinion 1 EO 1 3/1 Company B Accredited Reinsurer. Capital Adequacy Task Force. Official NAIC Annual Statement Instructions Title For the 2020 reporting year Adopted by the NAIC as of June 2020 UPDATES TO THESE INSTRUCTIONS There may be modifications to these instructions from year to year. 2019 NAIC Publications. (The disclosures shall be made for the current quarter in the quarterly statement, and for the year in the annual statement.) payment, please see instructions on page 4, steps 7-13. For any questions or information regarding filing with the NAIC, the 2020 NAIC Annual Statement Instructions, or the NAIC's Accounting Practices and Procedures Manual, please refer to the NAIC website. Title Quarterly Statement Instructions. The checklists reflect this action taken by the Blanks (EX4) Task Force. All Risk-Based Capital Reports must be bound or stapled (binder clips are una cceptable) . (1) Check-list. Commissioners (“NAIC”), a true and complete report, prepared in accordance with the NAIC Annual Statement Instructions Handbook and following those accounting procedures and ... to be used is the 2019 edition of the quarterly blank adopted by the NAIC for the 2020 reporting year. 1 Annual Statement (8 ½” x 14”) 1 EO xxx 3/1 NAIC G, K 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 ½” x 14”) 1 EO xxx 5/15, 8/15, 2021 Financial Filing Requirements and Instructions. Life/Fraternal Annual Statement Instructions. 1 Annual Statement (8 ½” x 14”) 2 EO 2 3/1 NAIC G, H, L 1.1 Printed Investment Schedule detail (Pages E01-E 29) 2 EO 2 3/1 NAIC The Annual and Quarterly Statement Blanks, Property and Casualty, 2020 edition. Instructions by type of insurance. 12/16/2020 Revisions. (4) NUMBER OF COPIES*. As such, guidance is subject to the maintenance process. LIFE, ACCIDENT AND HEALTH/FRATERNAL INSURERS . Insurance Commissioner’s (NAIC) annual statement blank, prepared in accordance with the NAIC’s instructions handbook and following those accounting procedures and practices prescribed by the NAIC’s Accounting Practices and Procedures Manual. In addition, pursuant to Minn. Stat. Insurance Products and Services 1. with regard to the Annual Statement Notes. As such, guidance is subject to the maintenance process. (2) Line #. In Part 3, make sure to include state of residency. State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½” x 14”) 1 EO xxx 3/1 NAIC O 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 ½” x 14”) 1 EO xxx 5/15, 8/15, 11/15 NAIC P 3 Protected Cell Annual Statement 1 0 xxx 3/1 NAIC All companies licensed to write automobile insurance in Massachusetts must submit electronic copies of the 2020 Annual Statement documents to the AIB on or before the due dates shown below. The NAIC ‘s updated “ 2019 Property/Casualty Annual Statement Instructions” changed the Ref #2019-16-CA. Annual statement and quarterly filings for Virginia domestic companies must be submitted to P.O. The required checklist for each company type specifies the filing dates for all required filings with the Commonwealth of Massachusetts. ANNUAL PREMIUM TAX STATEMENT . 05/28/2020 Revisions. Fill in the reporting year, full legal company name, and NAIC number (company code). Actuarial Filing Instructions - Foreign Life & Health Insurers. 1999 Annual Statement Instructions were modified to exclude the requirement for filing paper copies of investment schedules from foreign companies if the data is captured on the NAIC database. 2020 Annual Premium Packet Page . NAIC Fall 2020 Newsletter. Texas should follow the directions found in the NAIC Annual and Quarterly Statement Instructions for health entities. Filings shall be made utilizing the 2021 Annual Statement Instructions and blanks adopted by the National Association of Insurance Commissioners (NAIC). If the insurer is not part of a group, leave blank and report the individual company’s NAIC Company Code in Cell B9. ACCIDENT AND HEALTH INSURERS FILING ON THE HEALTH BLANK 2020. The Blanks (E) Task Force modified the 1999 Annual Statement Instructions to waive paper filings of certain NAIC supplements and certain investment schedule detail, if such investment schedule data is available to the states via the NAIC database. The checklists reflect this action taken by the Blanks (EX4) Task Force. N CAA and CQA Domestics, only. The latest edition of Filing Smart – 2020 Annual and 2021 Quarterly Statement Filing Requirements is now available. For RRGs, the NAIC “2020 Property/Casualty Annual Statement Instructions” include guidance requiring the Appointed Actuary to provide documentation of how the Appointed Actuary meets the definition of “Qualified Actuary”. Please see the Annual Statement Checklists & Instructions for A&H Insurer filing on Health Blank or A&H Insurer filing on Life Blank on due dates and other related information. 2018 NAIC Publications. Download Printable Table. reported on the survey form should represent the year -end totals of the report year (December 31, 2020) and be consistent with the Utah specific data reported on the NAIC Annual Statement for 2020. Official NAIC Annual Statement Instructions Property/Casualty For the 2020 reporting year Adopted by the NAIC as of June 2020 UPDATES TO THESE INSTRUCTIONS There may be modifications to these instructions from year to year. 1. transaction shall be captured in the wash sale disclosure included in the year-end 2020 financial statements, while an investment sold on May 1, 2020 and reacquired on May 20, 2020 would not be required to be disclosed. All filings should be made electronically through the Regulatory Electronic Filing System (REFS) via the Industry Portal The 1999 Annual Statement Instructions were modified to include … ... its Annual Statement for 2019 at Page 3, Line 37, Column 1. ANNUAL STATEMENT For the Year Ended December 31, 2020 of the Condition and Affairs of the Thrivent Financial for Lutherans NAIC Group Code..... 0000, 0000 NAIC Company Code..... 56014 Employer's ID Number..... 39-0123480 (Current Period) (Prior Period) Organized under the Laws of WI State of Domicile or Port of Entry WI Country of Domicile US 1 Annual Statement (8 ½”X14”) 1 EO xxx 3/1 NAIC F, G 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC This notice contains instructions for filing the 2020 Annual Statement with the Commonwealth of Massachusetts, Division of Insurance. The National Association of Insurance Commissioners (NAIC) held its 2020 Summer National Meeting virtually from July 28 to August 14, 2020. 2020 Annual Statement Instructions for Tennessee County Mutual Insurers - 2 -Form IN 1947 (Rev 2020 001) RDA 2231 . Annual List of Amendments. Please note, the assigned analyst may reach out at a future date to request missing documents and or hard copies. numbers and descriptions are still from the health annual statement blank. MCAS - The Market Conduct Annual Statement. The Blanks (E) Task Force modified the 1999 Annual Statement Instructions to waive paper filings of certain NAIC supplements and certain investment schedule detail, if such investment schedule data is available to the states via the NAIC database. Annual Statement Verification and Acknowledgement Form. The NAIC is considering including these requirements with the 2020 Annual Statement Instructions and become effective at year-end 2020. The filings must be submitted electronically in Microsoft Word format to the C hief Financial Analyst via mshull@doi.sc.gov . (1) Check-list. 2020 Annual Statement Instructions Revisions. Electronic Blanks and Instructions Publications. When used with its companion products, it allows for proper preparation of ... ©1994–2012 National Association of Insurance Commissioners TOC3 Title ANNUAL STATEMENT BLANK (Continued) Mailing Instructions. ©2020 National Association of Insurance Commissioners 5 Health . MAILING and FAX INFORMATION I. NAIC FINANCIAL STATEMENTS Foreign Insurers do not need to file these items with Hawaii. (3) REQUIRED FILINGS FOR THE ABOVE STATE. The survey follows definitions and categories used in the NAIC Annual Statement as much as possibleAll data values . The Annual Statement Supplement for Missouri form filing, which is due by March 1, now be filed electronicallycan. (E) Task Force modified the 1999 Annual Statement Instructions to waive paper filings of certain NAIC supplements and certain investment schedule detail. Jurat Page. 4. Official NAIC Annual Statement Instructions Life, Accident & Health/Fraternal For the 2020 reporting year Adopted by the NAIC as of June 2020 UPDATES TO THESE INSTRUCTIONS There may be modifications to these instructions from year to year. The Annual and Quarterly Statement Instructions, Fraternal, 2020 edition. This item has been saved to your reading list. Revision bars in the left margin identify changes from the previous year, and Each note has an official number, and some have a required disclosure format. §60A.13, All annual and quarterly statement filings submitted to the Kentucky Department of Insurance shall be completed in accordance with the National Association of Insurance Commissioners’ Accounting Practices and Procedures Manual, as amended, pursuant to KRS 304.3-240. If having difficulty accessing the above materials, please contact Max Simpkins, 317-232-2403. if such investment schedule data is available to the states via the NAIC database. Annual Statement and Related Filings (NAIC Check-List) Enclosed are the instructions for the annual statement and related financial reporting filings due in 2021. All insurers will be required to file Tax and Application for Renewal Forms electronically. Quarterly financial statements and Risk-Based Capital Reports are required filings for all domestic companies. NAIC staff announced that digital copies of Blanks and Schedule Instructions will be available (TBD) through Bookshelf. The required checklist for each company type specifies the filing dates for all required filings with the Commonwealth of Massachusetts. Unless otherwise indicated, all filings must comply with 2020 NAIC Annual Statement Instructions for your type of company, including any ©2020 National Association of Insurance Commissioners 4 Health NOTES AND INSTRUCTIONS (A-K APPLY TO ALL FILINGS) A Required Filings Contact Person: Accounting Division 501-371-2605 insurance.Accounting@arkansas.gov Contact for Financial Statements: Kimberly Johnson, Insurance Examiner, Finance Division 501-371-2680 Some of these formats allow for electronic data capture, for easier analysis of the For any questions or information regarding filing with the NAIC, the 2018 NAIC Annual Statement Instructions, or the NAIC's Accounting Practices and Procedures Manual, please refer to the NAIC website. Filing Smart provides important information regarding filing Health Annual Statement Instructions. Note R -Required filings of the Department. Number ( company code ) left margin identify changes from the COVID-19 pandemic is. 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