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2012 ANNUAL STATEMENT and NEW YORK SUPPLEMENT
Article 43 Corporation - General Filing Instructions

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IMPORTANT FILING REMINDER:

Schedule G is to be submitted in its own PDF file, separate from the New York Supplement PDF file. This follows the practice of recent years. Both pdf files MUST be contained in one zip file. If Schedule G is included in the New York Supplement PDF, the filing will be rejected.

You are required to file ONLY ONE HARD COPY of the 2012 ANNUAL FILING.

Mail to:
Health Bureau
New York State Department of Financial Services
One State Street
New York, NY 10004        Do NOT mail to Albany.

We are providing for your use the Article 43 Corporation Annual Statement Checklist & Instructions. This checklist provides filing requirements for submission to the NAIC and the New York State Department of Financial Services. This Web site also provides specific instructions for filing the New York Supplement and supplemental forms with our Department. Copies of the New York Supplement and supplemental forms are available in the Download section of this Web site.

Insurers subject to these filing requirements are strongly encouraged to submit copies of all annual and quarterly statement filings electronically with the NAIC. The following electronic submissions to the NAIC will fulfill the electronic filing requirements of New York:

Any statements not filed as above will require the filing of a diskette with New York.

In all cases, hard copies must still be filed in accordance with the Article 43 Corporation Annual Statement Checklist & Instructions.

Article 43 Corporation - Specific Filing Information

The Article 43 Corporation Filing INSTRUCTIONS AND FORMS PACKET is a self-extracting zipped file; after downloading file, run EXE to obtain the following PDF (Acrobat) files. When printing the blanks, be sure to use legal size paper (8 1/2" X 14"). Each of the Blanks is bookmarked with a full table of contents for on-line viewing.

FORMS included for Download and/or Print:

To view full instructions for unzipping compressed files, please select this link.

The NEW YORK STATE ARTICLE 43 CORP SUPPLEMENT 2012 (in PDF Format) is also available from the SUPPLEMENT BLANKS PAGE.

DUE DATE & MAILING:
Please refer to the Article 43 Corporation Annual Statement Checklist & Instructions.

For NAIC Numbers and Company Names:
To view the company listing for this blank type, select Article 43 Corporation List.

PROBLEMS AND QUESTIONS:
If you need help filling out your forms, call: Mr. Robert Solomon, Health Bureau, New York City (212) 480-5246. For diskette related questions, contact Information Systems & Technology Bureau, Albany (518) 473-3775.

For NAIC forms, contact:

National Association of Insurance Commissioners
2301 McGee, Suite 800
Kansas City, MO 64108-2604
(816) 842-3600

MAILING INSTRUCTIONS:
Please see the Article 43 Corporation Annual Statement Checklist & Instructions due dates and other related information.