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. NAIC Releases 2020 Annual Report IDOI: NAIC Publications - Indiana NAIC & Department of Financial Services Annual Statement ... xxx appears in the . IDOI: NAIC Publications - Indiana 2021 Instructions for Form 800, Virginia Insurance Premiums License Tax Return. electronic payment, please see instructions on page 4, steps 7-13. For questions regarding cocodes please call us at: 816-783-8600. Steps to Completing a Financial Statement Filing. ©1999-2020 National Association of Insurance Commissioners TOC3 Health ANNUAL STATEMENT BLANK (Continued) . Consider improvements and revisions to the various annual/quarterly statement blanks to: Conform these blanks to changes made in other areas of the NAIC to promote uniformity in reporting of financial information by insurers. State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½" x 14") 1 EO xxx 3/1 NAIC 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 3 Protected Cell Annual Statement 1 0 xxx 3/1 NAIC The Blanks (E) Working Group will:. Complete the financial statements using software from an approved vendor. Complete the financial statements using software from an approved vendor. If this column contains "State," the state will provide the forms with the filing instructions (generally on its web site). 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. Please note for domestic companies, a fine may result if there is an amendment submitted without prior approval. ©2001-2021 National Association of Insurance Commissioners TOC1 P/PCell . See also NAIC website 2020-2021 New York Annual Statement and Supplement Filing Blanks. ©1999-2020 National Association of Insurance Commissioners TOC3 Health ANNUAL STATEMENT BLANK (Continued) . The theme of this year's report is resiliency. SEE NOTE REGARDING COVID 19 PANDEMIC SPECIAL INSTRUCTIONS Page 1 of 6 (1) Check-list (2) Line # (3) REQUIRED FILINGS FOR THE ABOVE STATE (4) NUMBER OF COPIES* (5) DUE DATE (6) APPLICABLE NOTES Domestic Foreign /Alien State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½"x14") 2 EO xxx 3/1 A thru O, T, V, X, Z As such, guidance is subject to the maintenance process. Annual List of Amendments. The National Association of Insurance Commissioners (NAIC) has recently issued new Actuarial Opinion instructions and regulatory guidance for Appointed Actuaries writing property-casualty actuarial opinions for 2019 NAIC Annual Statements. SAPWG AP&P Manual Update (August 2021) If having difficulty accessing the above materials, please contact Max Simpkins, 317-232-2403. 2019 NAIC Publications. ©1984 - 2020 National Association of Insurance Commissioners 1 P/C 2020 INSTRUCTIONS For Completing Property and Casualty Annual Statement Blank FOREWORD Line titles and column headings of the various statement items and lines are in general self-explanatory and as such constitute instructions. Summer 2021: E Committee Technical Updates. Line 10 - Amount should agree with the prior year's annual statement Exhibit 1, Part 1, Line 20.1 (Direct), Column 11. Title Quarterly Statement Instructions. 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. All filings should be made electronically through the Regulatory Electronic Filing System (REFS) via the Industry The checklists reflect this action taken by the Blanks (EX4) Task Force. Fair Value Measurements Instruction: A. Spring 2021: E Committee Technical Updates. Quarter Ending Due Date March 31, 2021 May 15, 2021 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, and in hard copy format. The objective of the disclosure requirements is to provide information about assets and liabilities measured at fair value in the financial statements as well as fair value amounts disclosed in the Notes to Financial xxx appears in the . If your company does not have an NAIC Company code (sometimes called "NAIC Number" or "cocode"), obtain one by completing the Company Code Application. Accident and Health Insurer - Annual 2020; Accident and Health Insurer - Quarterly 2021 The checklists reflect this action taken by the Blanks (EX4) Task Force. 12/16/2020 Revisions. 103R— Transfers and Servicing of Financial Assets and Extinguishments of Liabilities for all affiliated investment transactions (including items originally classified as cash . The following summarizes the most significant changes since the prior edition: If this column contains "Company," the company, or its representative (e.g., its CPA firm), is expected to provide the form based upon the appropriate state instructions or the NAIC Annual Statement Instructions. 2018 NAIC Publications. 2020 Annual Statement Instructions Revisions. ©2019-2020 National Association of Insurance Commissioners LAH/Fraternal 2020 vi Page # The theme of this year's report is resiliency. The checklists reflect this action taken by the Blanks (EX4) Task Force. NAIC Annual Statement Instructions. Life/Fraternal Annual Statement Instructions. RRGs should ensure the Appointed Actuary follows this guidance. Part 2 modification ONLY for Pennsylvania domestic insurers that are licensed in Pennsylvania only and had total direct written premiums of less than $2,000,000 in 2018: ©1984 - 2020 National Association of Insurance Commissioners P/C Quarterly 2021 76 20. NAIC instructions, the annual statement must be accompanied by a cover letter stating what the State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½"X14") 1 EO xxx 3/1 NAIC 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 II. 2021 Membership. State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½"x14") 1 EO xxx 3/1 NAIC 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 . Page 2 in the premium reported on Schedule T of the NAIC Annual . ©1992 - 2020 National Association of Insurance Commissioners Revised 12/2074 20 Title Quarterly 2021 C. Wash Sales A reporting entity shall disclose the following information for wash sales, as defined in SSAP No. 2018 NAIC Publications. 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. The UM Fund premium is to be shown on Line A of the Form 800 to the extent it is included in the premium reported on Schedule T of the NAIC Annual Statement. 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). It focuses on how the NAIC and its members embraced change and took action to protect consumers and ensure a stable insurance market in the U.S. REQUIRED FILINGS IN THE STATE OF: Illinois Filings Made During the Year 2021 an amendment must include an appropriately signed jurat page. ©1984 - 2020 National Association of Insurance Commissioners 1 P/C 2020 INSTRUCTIONS For Completing Property and Casualty Annual Statement Blank FOREWORD Line titles and column headings of the various statement items and lines are in general self-explanatory and as such constitute instructions. These are available in PDF format unless otherwise specified. For questions regarding cocodes please call us at: 816-783-8600. If your company does not have an NAIC Company code (sometimes called "NAIC Number" or "cocode"), obtain one by completing the Company Code Application. Date: January 1, 2021 To: Users of the NAIC's Financial Analysis Handbook From: NAIC Staff This edition of the NAIC Financial Analysis Handbook is to be used in conjunction with the 2020 Annual and 2021 Quarterly Financial Statements. The FAIR Plan premium is to be shown on Schedule 800ADJ, 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 . 10/01/2020 Revisions. Washington (April 12, 2021) - The National Association of Insurance Commissioners (NAIC) today released its 2020 Annual Report. 05/28/2020 Revisions. Fair Value Measurements Instruction: A. Statements are due 45 days subsequent to the end of each quarter: 2 . Accident and Health Insurer - Annual 2020; Accident and Health Insurer - Quarterly 2021 Summer 2021: E Committee Technical Updates. Annual List of Amendments. For RRGs, the NAIC "2021 Property/Casualty Annual Statement Instructions" includes guidance requiring the Appointed Actuary to provide documentation of how the Appointed Actuary meets the definition of "Qualified Actuary". 12/1/2021 12:07:19 PM . 2019 NAIC Publications. The objective of the disclosure requirements is to provide information about assets and liabilities measured at fair value in the financial statements as well as fair value amounts disclosed in the Notes to Financial ©2019-2020 National Association of Insurance Commissioners LAH/Fraternal 2020 vi Page # These changes include new, accepted actuarial . and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related . WASHINGTON (April 12, 2021) NAIC Releases 2020 Annual Report The National Association of Insurance Commissioners (NAIC) today released its 2020 Annual Report. SAPWG AP&P Manual Update (August 2021) If having difficulty accessing the above materials, please contact Max Simpkins, 317-232-2403. If this column contains "Company," the company, or its representative (e.g., its CPA firm), is expected to provide the form based upon the appropriate state instructions or the NAIC Annual Statement Instructions. The checklists reflect this action taken by the Blanks (EX4) Task Force. NAIC Annual Statement Instructions Handbook and following those accounting procedures and . If this column contains "State," the state will provide the forms with the filing instructions (generally on its web site). It focuses on how the NAIC and its members embraced change and took action to protect consumers and ensure a stable insurance market in the U.S. These changes only apply to P&C actuaries who sign actuarial opinions for the NAIC P&C annual statements. 2020 NAIC Publications. If this column contains "State," the state will provide the forms with the filing instructions (generally on its web site). ©2018 - 2020 National Association of Insurance Commissioners LAH/Fraternal Quarterly 2021 47 Line 9 - Amount should agree with the prior year's annual statement Exhibit 1, Part 1, Line 20.1 (Direct), Column 10. to be used is the 2020 edition of the quarterly blank adopted by the NAIC for the 2021 reporting year. Steps to Completing a Financial Statement Filing. 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 UM Fund premium is to be shown on Schedule 800ADJ on Line 1, to the extent not included 2021 Instructions for Form 800, Virginia Insurance Premiums License Tax Return Page 2 ©1984 - 2020 National Association of Insurance Commissioners P/C Quarterly 2021 76 20. In addition, pursuant . 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 . See also NAIC website 2020-2021 New York Annual Statement and Supplement Filing Blanks. 2020 NAIC Publications. and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require . It is the responsibility of the RRG to properly complete the Note 1 in accordance with the NAIC Instructions, including the Going Concern disclosures. 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). 01/15/2020 Revisions. Health Annual Statement Instructions. and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require . ©1992 - 2020 National Association of Insurance Commissioners 1 Title 2020 INSTRUCTIONS For Completing Title Annual Statement Blank FOREWORD Line titles and columnar headings of the various statement items and lines are in general self-explanatory and as such constitute instructions. Yellow highlighting identifies changes from the previous year. Spring 2021: E Committee Technical Updates. necessary to adjust the NAIC Annual Statement amount if this distribution was received after December 31st. To download the latest New York Statement and Supplement blank forms, use the links below. 2022 Proposed Charges. NAIC SUPPLEMENTS should refer to the specific instructions for N ote 1 contained in the "Official NAIC Annual Statement Instructions Property/Casualty for the 2021 reporting year". ©1992 - 2020 National Association of Insurance Commissioners 1 Title 2020 INSTRUCTIONS For Completing Title Annual Statement Blank FOREWORD Line titles and columnar headings of the various statement items and lines are in general self-explanatory and as such constitute instructions. State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 ½" x 14") 1 EO xxx 3/1 NAIC 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 5/17, 8/16, 11/15 NAIC 3 Protected Cell Annual Statement 1 + E 0 xxx 3/1 NAIC These are available in PDF format unless otherwise specified. All filings should be made electronically through the Regulatory Electronic Filing System (REFS) via the Industry Portal To download the latest New York Statement and Supplement blank forms, use the links below. If this column contains "Company," the company, or its representative (e.g., its CPA firm), is expected to provide the form based upon the appropriate state instructions or the NAIC Annual Statement Instructions. Official NAIC Annual Statement Blank Protected Cell For the 2021 reporting year UPDATES TO THESE BLANKS There may be modifications to this blank from year to year. 10/01/2020 Revisions.

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