LIFE, ACCIDENT AND HEALTH INSURERS - Alabama
LIFE, ACCIDENT AND HEALTH/FRATERNAL INSURERSCOMPANY NAME:Contact:REQUIRED FILINGS IN THE STATE OF:NAIC Company Code:Telephone:Filings Made During the Year 2021FRATERNAL COMPANIES BEGIN FILING LIFE/FRATERNAL STATEMENT EFFECTIVE WITH FIRST QUARTER, 2019.(1)(2)(3)ChecklistLine #REQUIRED FILINGS FOR THE ABOVE STATE11.123(4)NUMBER OF COPIES*DomesticForeignStateNAICStateI. NAIC FINANCIAL STATEMENTSAnnual Statement (8 ½”x14”)Printed Investment Schedule detail (Pages E01-E29)Quarterly Financial Statement (8 ½” x 14”)Separate Accounts Annual Statement (8 ½”x14”)(5)DUE xxxxxxxxxxx3/13/15/15, 8/15, NAICNAICBBBBBBBB27Risk-Based Capital ReportSchedule SISSupplemental Compensation ExhibitSupplemental Health Care Exhibit (Parts 1, 2 and 3)Supplemental Health Care Exhibit’s Allocation ReportSupplemental Investment Risk InterrogatoriesSupplemental Schedule OSupplemental Term and Universal Life ReinsuranceExhibitTrusteed Surplus Statement4/14/14/13/13/1, 5/15, 0Variable Annuities SupplementVM 20 Reserves SupplementWorkers’ Compensation Carve-Out Supplement111EOEOEOxxxxxxxxx3/1, 5/15, 2333435363738394041424344454647II. NAIC SUPPLEMENTSAccident & Health Policy Experience ExhibitCredit Insurance Experience ExhibitLife, Health & Annuity Guaranty Assessment BaseReconciliation ExhibitLife, Health & Annuity Guaranty Assessment BaseReconciliation Exhibit Adjustment FormLong-term Care Experience Reporting FormsManagement Discussion & AnalysisMedicare Supplement Insurance Experience ExhibitMedicare Part D Coverage Supplement1Actuarial Related ItemsActuarial Certification regarding use 2001 Preferred ClassTableActuarial Certification Related Annuity NonforfeitureOngoing Compliance for Equity Indexed AnnuitiesActuarial Memorandum Related to Universal Life withSecondary Guarantee Policies required by ActuarialGuideline XXXVIII 8DActuarial OpinionActuarial Opinion on Separate Accounts FundingGuaranteed Minimum BenefitActuarial Opinion on Synthetic Guaranteed InvestmentContractsActuarial Opinion on X-FactorsActuarial Opinion required by Modified GuaranteedAnnuity Model RegulationRequest for Life PBR Exemption (formerlyCompanywide Exemption)Executive Summary of the PBR Actuarial ReportLife Summary of the PBR Actuarial xxxCompanyCompanyBB1EOxxx4/13/1,5/15, 8/15,11/153/1,5/15, 8/15,11/15CompanyBEOxxx3/1,5/15, 8/15,11/15Company1B11BB3/1Commissioner 7/1NAIC 8/154/14/1/111RAAIS required by Valuation ManualReasonableness & Consistency of AssumptionsCertification required by Actuarial Guideline XXXVReasonableness of Assumptions Certification required byActuarial Guideline XXXVReasonableness & Consistency of AssumptionsCertification required by Actuarial Guideline XXXVI(Updated Average Market Value)BBB1Variable Annuities Summary of the PBR Actuarial ReportPBR Actuarial Report (provide upon request) 2020 National Association of Insurance CommissionersBBRevised 11/23/2020
48150Reasonableness & Consistency of AssumptionsCertification required by Actuarial Guideline XXXVI(Updated Market Value)Reasonableness of Assumptions Certification for ImpliedGuaranteed Rate Method required by Actuarial GuidelineXXXVIRBC Certification required under C-3 Phase I5152BEOxxx3/1,5/15, 8/15,11/15CompanyEOxxxCompany1EOxxx3/1,5/15, 8/15,11/153/1CompanyBRBC Certification required under C-3 Phase II1EOxxx3/1CompanyBStatement on non-guaranteed elements - Exhibit 5 Int. #31EOxxx3/1CompanyB53Statement on par/non-par policies – Exhibit 5 Int. 1&21EOxxx3/1CompanyB6162636465666768697071III. ELECTRONIC FILING REQUIREMENTSAnnual Statement Electronic FilingMarch .PDF FilingRisk-Based Capital Electronic FilingRisk-Based Capital .PDF FilingSeparate Accounts Electronic FilingSeparate Accounts .PDF FilingSupplemental Electronic FilingSupplemental .PDF FilingQuarterly Statement Electronic FilingQuarterly .PDF FilingJune .PDF 3/13/13/13/14/14/15/15, 8/15, 11/155/15, 8/15, 11112113IV. AUDIT/INTERNALCONTROL RELATED REPORTSAccountants Letter of QualificationsAudited Financial ReportsAudited Financial Reports Exemption AffidavitCommunication of Internal Control Related MattersNoted in AuditIndependent CPA (change)Management’s Report of Internal Control Over FinancialReportingNotification of Adverse Financial ConditionRelief from the five-year rotation requirement for leadaudit partnerRelief from the one-year cooling off period forindependent CPARelief from the Requirements for Audit CommitteesRequest for Exemption to File Management’s Report ofInternal Control Over Financial ReportingV. STATE REQUIRED FILINGS*Corporate Governance Annual Disclosure***Filings Checklist (with Column 1 completed)Form B-Holding Company Registration StatementForm F-Enterprise Risk Report ****ORSA*****Premium taxState Filing FeesSigned JuratDocumentation for Premium Tax ReturnAlabama Business PageRetaliatory Tax StatementCertificate of Advertising ComplianceFraud Unit panyStateOBBA,DC,PLQRDB, SC6/13/1,5/15,8/15, 11 /153/13/13/13/13/13/16/1* ALDOI no longer accepts paper filings of foreign insurers’ annual financial statements. All foreign insurers’ annual financial statements must be submittedelectronically to the National Association of Insurance Commissioners (NAIC) in lieu of submitting a paper copy to the Department.*If XXX appears in this column, this state does not require this filing, if hard copy is filed with the state of domicile and if the data is filed electronically with theNAIC. If N/A appears in this column, the filing is required with the domiciliary state. EO (electronic only filing).**If Form Source is NAIC, the form should be obtained from the appropriate vendor.***For those states that have adopted the NAIC Corporate Governance Annual Disclosure Model Act, an annual disclosure is required of all insurers or insurancegroups by June 1. The Corporate Governance Annual Disclosure is a state filing only and should not be submitted by the company to the NAIC. Note however that thisfiling is intended to be submitted to the lead state if filed at the insurance group level. For more information on lead states, see the following NAIC URL:http://www.naic.org/public lead state report.htm.2 2020 National Association of Insurance CommissionersRevised 11/23/2020
****For those states that have adopted the NAIC updated Holding Company Model Act, a Form F filing is required annually by holding company groups. Consistentwith the Form B filing requirements, the Form F is a state filing only and should not be submitted by the company to the NAIC. Note however that this filing isintended to be submitted to the lead state. For more information on lead states, see the following NAIC URL: http://www.naic.org/public lead state report.htm*****For those states that have adopted the NAIC updated Risk Management and Own Risk and Solvency Assessment Model Act, a summary report is requiredannually by insurers and insurance groups above a specified premium threshold. Consistent with the Form B filing requirements, the ORSA Summary Report is a statefiling only and should not be submitted by the company to the NAIC. Note however that this filing is intended to be submitted to the lead state. For more informationon lead states, see the following NAIC URL: http://www.naic.org/public lead state report.htm3 2020 National Association of Insurance CommissionersRevised 11/23/2020
ANOTES AND INSTRUCTIONS (A-K APPLY TO ALL FILINGS)Required Filings Contact Persons:Financial Filings:Sheila Travis, Chief Financial 4160Premium Tax Filings:BLaKisha Hardy, Senior 41-4114Caitlin Walker, 240-7574Mailing Address:Fees: See note CAnnual Statement hard copy filing not required for foreign insurers.All other Filings:CAL Dept. of InsuranceP.O. Box 303351Montgomery, AL 36130-3351Filing Fees:AL Dept. of Insurance201 Monroe Street, Suite 502Montgomery, AL 36104Certificate of Authority Renewal Fee: 505.00Annual Statement Filing Fee: 25.00Insurers must file their premium tax returns and pay premium tax,COA renewal fee, annual statement filing fee and the Fraud UnitAssessment Fee through the NAIC OPTins program.The 950.00 Audit & Exam Fee, which is due March 1 st must beremitted along with the premium tax filing via the NAIC OPTinsprogram.The 200 Fraud Unit Assessment, which is due June 1st now must alsobe remitted through the NAIC OPTIns program.DPremium Tax Payments:Insurers must file their premium tax returns and pay premium tax,COA renewal fee, annual statement filing fee and audit and exam feeelectronically through the NAIC OPTins program athttp://www.optins.org/EDelivery Instructions:All Filings must be received no later than the due date. If the duedate falls on a weekend or holiday, the due date is the next businessday.4 2020 National Association of Insurance CommissionersRevised 11/23/2020
FLate Filings:Annual Statements: The fine is 250.00 and the company’s Certificateof Authority can be suspended or revoked for failure to timely file.Premium Tax Returns and Premium Tax: The fine is 1,000- 10,000for late Filings and Payment.GOriginal Signatures:HOriginal signatures are required on all Filings from domesticcompanies. Foreign companies should follow the NAIC AnnualStatement IThe President or Vice President and Secretary or Actuary are requiredto sign the Annual Statement. Must be notarized.Amended Filings:JAmended Annual Statements filed by domestic companies must beproperly bound and mailed along with an explanation of theamendments to: 201 Monroe Street, Suite 502, Montgomery, AL36104.Exceptions from normal filings:Annual Statements: An extension of up to 30 days can be granted onlyif the request is made in writing and good cause is shown. Foreigncompanies must furnish a copy of home state approval, along withtheir written requests.KAudited Financial Statements: Requests for extension, exemption andto file on a consolidated basis must be made in writing at least 10 daysprior to the due date.Premium Tax Returns and Premium Tax: No Extensions.Bar Codes (State or NAIC)The NAIC Annual Statement Instructions should be followed.LSigned Jurat:MEmail along with premium tax documentation to:premiumtax@insurance.alabama.govOr attach with premium tax documentation to OPTins filings.DO NOT submit hard copy signed jurat page.NONE Filings:The NAIC Annual Statement Instructions should be followed.NRemoval of supplements due to revisions made to the ValuationManual: (2020-24BWG) Actuarial Certification Related to Hedging required byActuarial Guideline XLIII Actuarial Certification Related to Reserves required byActuarial Guideline XLIII Financial Officer Certification Related to Clearly DefinedHedging Strategy required by Actuarial Guideline XLIII Management Certification that the Valuation ReflectsManagement’s Intent required by Actuarial GuidelineXLIII5 2020 National Association of Insurance CommissionersRevised 11/23/2020
Addition of supplements due to revisions made to the ValuationManual: (2020-24BWG) Executive Summary of the PBR Actuarial Report Life Summary of the PBR Actuarial Report Variable Annuities Summary of the PBR Actuarial Report PBR Actuarial Report (provide upon request)Renamed one supplement on checklist to avoid confusion withsimilarly named document: Request for Life PBR Exemption (formerly CompanywideExemption)OPDomestic companies are required to file a Holding CompanyRegistration Statement and pay a 500.00 filing fee no later than June1. It should be mailed to the Alabama Department of Insurance at 201Monroe Street, Suite 502, Montgomery, AL 36104.State Specific forms are located on the Insurance Department websiteat http://www.aldoi.gov/Companies/Forms.aspxQDO NOT SEND HARD COPIES OF THE DOCUMENTATION.All premium tax credits/deductions taken on the annual premium taxreturn should be documented with copies of cancelled checks andprivilege tax returns (1st page only), ad valorem tax notices, guarantyfund and Alabama Health Insurance Plan assessment notices, invoices.DO NOT send prior year tax returns as supporting documentation.Premiums which are taxed at less than the maximum should bedocumented with detailed policy runs. Documentation must eitherbe emailed to: premiumtax@insurance.alabama.gov Or attached withpremium tax documentation to OPTins filings. NO secure links to thedocumentation. The subject line of the email must have the name ofthe company and the year.When paying premium tax via NAIC OPTins EFT and premium taxsupporting documentation is attached to OPTins filing. DO NOT emailit too. One submission is sufficient.RThe Alabama business page should be emailed along with premium taxdocumentation to premiumtax@insurance.alabama.gov Or attachedwith premium tax documentation to OPTins filings.SThe AL Dept. of Insurance does not furnish a form. RegulationNumber 132 (Chapter 482-1-132.10(3) located athttp://www.aldoi.gov/Legal/Regulations.aspx , states what thecompany should include in the Certificate which it prepares.6 2020 National Association of Insurance CommissionersRevised 11/23/2020
General InstructionsFor Companies to Use ChecklistPlease Note:This state’s instructions for companies to file with the NAIC are included in this Checklist. The NAIC will not besending their own checklist this year.Electronic filing is intended to be filing(s) submitted to the NAIC via the NAIC Internet Filing Site which eliminatesthe need for a company to submit diskettes or CD-ROM to the NAIC. Companies are not required to file hard copyfilings with the NAIC.Column (1)ChecklistCompanies may use the checklist to submit to a state, if the state requests it. Companies should copy the checklist and place an “x” in thiscolumn when submitting information to the state.Column (2)Line #Line # refers to a standard filing number used for easy reference. This line number may change from year to year.Column (3)Required FilingsName of item or form to be filed.The Annual Statement Electronic Filing includes the annual statement data and all supplements due March 1, per the Annual StatementInstructions. This includes all detail investment schedules and other supplements for which the Annual Statement Instructions exempt printeddetail.The March.PDF Filing is the .pdf file for annual statement data, detail for investment schedules and supplements due March 1.The Risk-Based Capital Electronic Filing includes all risk-based capital data.The Risk-Based Capital.PDF Filing is the .pdf file for risk-based capital data.The Separate Accounts Electronic Filing includes the separate accounts annual statement and investment schedule detail.The Separate Accounts.PDF Filing is the .pdf file for the separate accounts annual statement and all investment schedule detail.The Supplemental Electronic Filing includes all supplements due April 1, per the Annual Statement Instructions.The Supplement.PDF Filing is the .pdf file for all supplemental schedules and exhibits due April 1.The Quarterly Electronic Filing includes the quarterly statement data.The Quarterly.PDF Filing is the .pdf for quarterly statement data.The June.PDF Filing is the .pdf file for the Audited Financial Statements and Accountants Letter of Qualifications.Column (4)Number of CopiesIndicates the number of copies that each foreign or domestic company is required to file for each type of form. The Blanks (EX) Task Forcemodified 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 (EX)Task Force. XXX appears in the “Number of Copies” “Foreign” column for the appropriate schedules and exhibits. Some states have chosento waive printed quarterly and annual statements from their foreign insurers and to rely upon the NAIC database for these filings. Thiswaiver could include supplemental annual statement filings. The XXX in this column might signify that the state has waived the paperfiling of the annual statement and all supplements.7 2020 National Association of Insurance CommissionersRevised 11/23/2020
Column (5)Due DateIndicates the date on which the company must file the form.Column (6)Form SourceThis column contains one of three words: “NAIC,” “State,” or “Company,” If this column contains “NAIC,” the company must obtain theforms from the appropriate vendor. If this column contains “State,” the state will provide the forms with the filing instructions. If this columncontains “Company,” the company, or its representative (e.g., its CPA firm), is expected to provide the form based upon the appropriate stateinstructions or the NAIC Annual Statement Instructions.Column (7)Applicable NotesThis column contains references to the Notes to the Instructions that apply to each item listed on the checklist. The company should carefullyread these notes before submitting a filing.w:\qa\blanks\checklists\2018 filings made in 2019\3 lifecklist 2018 filingsmade2019.docx8 2020 National Association of Insurance CommissionersRevised 11/23/2020
COMPANY NAME: NAIC Company Code: Contact: Telephone: . this state does not require this filing, if hard copy is filed with the state of domicile and if the data is filed electronically with the NAIC. If N/A appears in this column, the filing is required with the domiciliary state. . 2020 Nat
a. Max Bupa Health Insurance b. Care Health Insurance c. Star Health and Allied Insurance d. Manipal Cigna Health Insurance e. Aditya Birla Health Insurance I. Public Sector General Insurers II. Large Private Sector General Insurers: IV. Standalone Health Insurers: III. Other Private Sector Insurers: The remaining private sector insurers .
I.51 Health Insurance Business of General and Health Insurers: Class of Business-wise 58 I.52 Health Insurance Premium Underwritten by Life Insurers 60 I.53 Segment-wise Health Insurance Premium Underwritten by Life Insurers 60 I.54 Net Incurred Claims under Health Insurance Business of General and Health Insurers 61
Life, Accident and Health The Life, Accident and Health (LAH) market conduct unit gathers data and statistics from licensed insurers in New Hampshire and updates these annually. It conducts an in-depth review of accident and health insurers writing seven major lines of insurance in the state, which includes health, long-term disability, short-term
iv American Council of Life Insurers The American Council of Life Insurers is a Washington, D.C.-based trade association. Its member companies offer life insurance, long-term care insurance, disability income insurance, reinsurance, . 1.4 Insurance Industry Employment in the United States 5 1.5 Foreign-Owned U.S. Life Insurers, 2016-2020 5
RBC Insurance Accident Claim351.17 RBC Insurance Accident Claim188.37 Pilot Insurance Accident Claim259.95 State Farm Accident Claim182.16 State Farm Insurance Accident Claim178.70 Pafco Accident Claim115.46 Royal & Sunnaliance Accident Claim98.19
2020 National Association of Insurance Commissioners 1 Life (Rev.1) Tennessee Department of Commerce and Insurance, Form IN-2009 (11/19/2020), RDA 2231, this public document is electronic only and was promulgated at a cost of 0.00 per copy. LIFE, ACCIDENT AND HEALTH/FRATERNAL INSURERS C
2020 National Association of Insurance Commissioners 1 Life . LIFE, ACCIDENT AND HEALTH/FRATERNAL INSURERS . COMPANY NAME: NAIC Company Code: Contact: Telephone: REQUIRED FILINGS IN THE STATE OF: South Dakota Filings Made During the Year 2021 . FRATERNAL COMPANIES
accident reporting and investigation of each accident and incident (near-miss); and periodic review of the program to keep it up to date. The direct cause of an accident usually results from one or more previous unsafe actions or conditions. A good accident investigation program discovers the events leading up to an incident or accident.
