Naic Blanks (E) Working Group

NAIC BLANKS (E) WORKING GROUP

Blanks Agenda Item Submission Form

DATE: 10/22/2012
CONTACT PERSON:
TELEPHONE:
EMAIL ADDRESS:
ON BEHALF OF:
NAME: Steve Johnson
TITLE: Deputy Insurance Commissioner
AFFILIATION: Pennsylvania Insurance Department
ADDRESS: 1345 Strawberry Sq.
Harrisburg, PA 17120 / FOR NAIC USE ONLY
Agenda Item # 2012-40BWG
Year 2014
Changes to Existing Reporting [ X ]
New Reporting Requirement [ ]
REVIEWED FOR ACCOUNTING PRACTICES AND PROCEDURES IMPACT
No Impact [ X ]
Modifies Required Disclosure [ ]
DISPOSITION
[ ] Rejected For Public Comment
[ ] Referred To Another NAIC Group
[ ] Received For Public Comment
[ X ] Adopted Date 04/06/2013
[ ] Rejected Date
[ ] Deferred Date
[ ] Other (Specify)

BLANK(S) TO WHICH PROPOSAL APPLIES

[ ] ANNUAL STATEMENT [ X ] QUARTERLY STATEMENT

[ X ] INSTRUCTIONS [ ] CROSSCHECKS [ X ] BLANK

[ X ] Life and Accident & Health [ X ] Property/Casualty [ X ] Health

[ ] Separate Accounts [ X ] Fraternal [ X ] Title

[ ] Other Specify

Anticipated Effective Date: 1st Quarter 2014

IDENTIFICATION OF ITEM(S) TO CHANGE

See next page for details.

REASON, JUSTIFICATION FOR AND/OR BENEFIT OF CHANGE**

The purpose of this proposal is to modify the quarterly Schedule F and S to reflect certified as a type reinsurer. The schedules will indicate the type of reinsurer and for certified reinsurers a regulator will be able to look at the certified reinsurer rating and the effective date of that rating without waiting for the annual filing. In addition information about the Certified Reinsurer Identification Number (CRIN) was added for Column 2, Federal ID Number to be consistent with the information provided in the general instructions for Schedule F and S in the annual statement instructions.

NAIC STAFF COMMENTS

Comment on Effective Reporting Date:

Other Comments:

** This section must be completed on all forms. Revised 6/13/2009

IDENTIFICATION OF ITEM(S) TO CHANGE

Federal ID Number (Column 2)

Add information about Certified Reinsurer Identification Number (CRIN) to be consistent with the information provided in the general instructions for Schedule F and S in the annual statement instructions.

Is Insurer Authorized? (Yes or No) (Column 5, Schedule F and Column 7, Schedule S)

Change the column description to read “Type of Reinsurer”

Add instruction for the column on how to indicate the type of reinsurer

Add two new columns to the end of Schedule F & S

Add new column with description “Certified Reinsurer Rating (1 through 6)” as Column 6 (Schedule F) and Column 8 (Schedule S) to blank and use the same instructions for this column used in the annual statement instructions.

Add new column with description “Effective Date of Certified Reinsurer Rating” as Column 7 (Schedule F) and Column 9 (Schedule S) to blank and use the same instructions for this column used in the annual statement instructions with modification appropriate for the quarterly filing.

QUARTERLY STATEMENT BLANK – PROPERTY AND TITLE

SCHEDULE F – CEDED REINSURANCE

Showing All New Reinsurers—Current Year to Date

1
NAIC
Company Code / 2
Federal
ID Number / 3
Name of Reinsurer / 4
Domiciliary Jurisdiction / 5
Is Insurer
Authorized?
(Yes or No)
Type of Reinsurer / 6
Certified
Reinsurer
Rating
(1 through 6) / 7
Effective
Date of
Certified
Reinsurer
Rating

QUARTERLY STATEMENT BLANK – LIFE, HEALTH AND FRATERNAL

SCHEDULE S – CEDED REINSURANCE

Showing All New Reinsurance Treaties – Current Year to Date

1
NAIC
Company
Code / 2
Federal
ID
Number / 3
Effective
Date / 4
Name of
Reinsurer / 5
Domiciliary
Jurisdiction / 6
Type of
Reinsurance Ceded / 7
Is Insurer
Authorized?
(Yes or No)
Type of Reinsurer / 8
Certified
Reinsurer
Rating
(1 through 6) / 9
Effective
Date of
Certified
Reinsurer Rating

QUARTERLY STATEMENT INSTRUCTIONS – PROPERTY AND TITLE

SCHEDULE F – CEDED REINSURANCE
SHOWING ALL NEW REINSURERS – CURRENT YEAR TO DATE

Detail Eliminated To Conserve Space

Column 2 – Federal ID Number

Federal ID Number (FEIN) –

The Federal Employer Identification Number (FEIN) must be reported for each U.S. domiciled insurer and U.S. branch of an alien insurer. The FEIN should not be reported as the “Federal ID Number” for other alien insurers even if the federal government has issued such a number.

Alien Insurer Identification Number (AIIN) –

In order to report transactions involving alien companies correctly, the appropriate Alien Insurer Identification Number (AIIN) must be included on Schedule F instead of the FEIN. The AIINnumber is assigned by the NAIC and is listed in the Listing of Companies. If an alien company does not appear in that publication, an application for a number should be filed with the NAIC Financial Systems and Services Department, Company Demographics Analyst. The application must be submitted along with a copy of the license or other document issued by the company’s domiciliary regulator authorizing it to transact insurance or reinsurance business. Documents submitted in a language other than English must be accompanied by an English translation.

Once a number has been assigned, the applying company will be advised so that its Schedule F may be completed or corrected. Newly assigned numbers are incorporated in revised editions of the NAIC Listing of Companies, which are available semiannually. The NAIC provides this information to annual statement software vendors for incorporation into the software.

Pool and Association Numbers –

In order to report transactions involving pools or associations consisting of non-affiliated companies correctly, the company must include on Schedule F the appropriate Pool/Association Identification Number. These numbers are listed in the NAIC Listing of Companies. The Pool/Association Identification Number should be used instead of any FEIN that may have been assigned. If a pool or association does not appear in that publication, an application for a number should be filed with the NAIC Financial Systems and Services Department, Company Demographics Analyst. The application must be submitted along with a copy of a letter from the pool or association administrator listing the pool or association members and their participation in percentages, the type of business the organization writes and when it was formed.

Certified Reinsurer Identification Number (CRIN) –

In order to report transactions involving certified reinsurers correctly, the appropriate Certified Reinsurer Identification Number (CRIN) must be included on Schedule F instead of the FEIN or Alien Insurer Identification Number (AIIN). The CRIN is assigned by the NAIC and is listed in the NAIC Listing of Companies. If a certified reinsurer does not appear in that publication, an application for a number should be filed with the NAIC Financial Systems and Services Department, Company Demographics Analyst. The application must be submitted, along with a copy of the license or other document issued by the company’s domiciliary regulator authorizing it to transact insurance or reinsurance business, and a copy of the certification issued by the reporting entity’s domiciliary state. Documents submitted in a language other than English must be accompanied by an English translation.

Once a number has been assigned, the applying company will be advised so that its Schedule F may be completed or corrected. Newly assigned numbers are incorporated in revised editions of the NAIC Listing of Companies, which are available semi-annually. The NAIC also provides this information to annual statement software vendors for incorporation into the software.

Detail Eliminated To Conserve Space

Column 5 – Type of ReinsurerIs Insurer Authorized? (Yes or No)

The determination of the authorized, certified or unauthorized status of an insurer or reinsurer shall be based on the status of that insurer or reinsurer in the reporting company’s state of domicile.

Enter “Authorized,” “Certified” or “Unauthorized” to indicate the type of reinsurer.

Column 6 Certified Reinsurer Rating (1 through 6)

Report the certified reinsurer’s rating as assigned by the ceding insurer’s domiciliary state.

Column 7 Effective Date of Certified Reinsurer Rating

Report the effective date of the certified reinsurer’s rating that is applicable as of the current reporting period.

QUARTERLY STATEMENT INSTRUCTIONS – LIFE, HEALTH AND FRATERNAL

SCHEDULE S – CEDED REINSURANCE
SHOWING ALL NEW REINSURANCE TREATIES – CURRENT YEAR TO DATE

Detail Eliminated To Conserve Space

Column 2 – Federal ID Number

Federal ID Number (FEIN) –

Alien Insurer Identification Number (AIIN) –

In order to report transactions involving alien companies correctly, the appropriate Alien Insurer Identification Number (AIIN) must be included on Schedule S instead of the FEIN. The AIINnumber is assigned by the NAIC and is listed in the NAIC Listing of Companies. If an alien company does not appear in that publication, an application for a number should be filed with the NAIC Financial Systems and Services Department, Company Demographics Analyst. The application must be submitted along with a copy of the license or other document issued by the company’s domiciliary regulator authorizing it to transact insurance or reinsurance business. Documents submitted in a language other than English must be accompanied by an English translation.

Once a number has been assigned, the applying company will be advised so that its Schedule S may be completed or corrected. Newly assigned numbers are incorporated in revised editions of the NAIC Listing of Companies, which are available semiannually. The NAIC provides this information to annual statement software vendors for incorporation into the software.

Pool and Association Numbers –

In order to report transactions involving pools or associations consisting of non-affiliated companies correctly, the company must include on Schedule S the appropriate Pool/Association Identification Number. These numbers are listed in the NAIC Listing of Companies. The Pool/Association Identification Number should be used instead of any FEIN that may have been assigned. If a pool or association does not appear in that publication, an application for a number should be filed with the NAIC Financial Systems and Services Department, Company Demographics Analyst. The application must be submitted along with a copy of a letter from the pool or association administrator listing the pool or association members and their participation in percentages, the type of business the organization writes and when it was formed.

Certified Reinsurer Identification Number (CRIN) –

In order to report transactions involving certified reinsurers correctly, the appropriate Certified Reinsurer Identification Number (CRIN) must be included on Schedule S instead of the FEIN or Alien Insurer Identification Number (AIIN). The CRIN is assigned by the NAIC and is listed in the NAIC Listing of Companies. If a certified reinsurer does not appear in that publication, an application for a number should be filed with the NAIC Financial Systems and Services Department, Company Demographics Analyst. The application must be submitted, along with a copy of the license or other document issued by the company’s domiciliary regulator authorizing it to transact insurance or reinsurance business, and a copy of the certification issued by the reporting entity’s domiciliary state. Documents submitted in a language other than English must be accompanied by an English translation.

Once a number has been assigned, the applying company will be advised so that its Schedule S may be completed or corrected. Newly assigned numbers are incorporated in revised editions of the NAIC Listing of Companies, which are available semi-annually. The NAIC also provides this information to annual statement software vendors for incorporation into the software.

Detail Eliminated To Conserve Space

Column 7 – Type of ReinsurerIs Insurer Authorized? (Yes or No)

Enter “Authorized,” “Certified” or “Unauthorized” to indicate the type of reinsurer.

Column 8 Certified Reinsurer Rating (1 through 6)

Report the certified reinsurer’s rating as assigned by the ceding insurer’s domiciliary state.

Column 9 Effective Date of Certified Reinsurer Rating

Report the effective date of the certified reinsurer’s rating that is applicable as of the current reporting period.

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