New York State seal

July 20, 1979

SUBJECT: INSURANCE

WITHDRAWN

Circular Letter NO. 12(1979)

July 20, 1979

TO: ALL AUTHORIZED INSURERS WRITING BUSINESS IN NEW YORK STATE

SUBJECT: REVIEW OF ANNUAL STATEMENT FILING REQUIREMENTS

The New York Insurance Department is engaged in a systematic review of its annual statement filing requirements, focusing on the number and content of required forms and the due dates for each. This review is especially timely as a new section or the Insurance Law provides substantial daily fines for non-compliance with filing requirements. Based on the review, the Department will consider changes designed to help insurance companies reduce paperwork, while still permitting the Department to meet its reporting and publishing responsibilities.

The first step of this program was the issuance of Circular Letter No. 6(1979) on January 24, 1979, which organized the forms by filing dates and set forth general guidelines for the submission of annual statements. The next phase, a review of individual forms, is the subject of Circular Letter No. 12(1979).

Each company is hereby requested to complete the attached survey concerning annual statement forms and return it to the Insurance Department by [A> AUGUST 31, 1979 <A]. The questionnaire will be used to pinpoint those forms which merit closer consideration.

Many of the forms shown will not apply to your company and should be left blank; answer only for those forms with which you have had experience. Space is provided within the survey for comments, explanations, and recommendations. The Department may contact you later concerning specific ideas that you present.

The completed survey should be returned no later than August 31, 1979 to Dr. Eugene Baum, Director of Research and Statistics, New York State Insurance Department, 2 World Trade Center, New York, New York 10047. All questions concerning the completion of the survey should be directed to Dr. Baum at 212-488-4176.

Very truly yours,

[SIGNATURE]

ALBERT B. LEWIS

Superintendent of Insurance

NEW YORK INSURANCE DEPARTMENT - SURVEY OF ANNUAL STATEMENT FILING REQUIREMENTS

Please return to: Eugene Baum; Research Bureau; New York Insurance Dept.; Two World Trade Center; New York, New York 10047.

FORM NUMBER & NAME

CONTENT

 
 

CHANGES

   
   

RETAIN

SHORTEN

 
   

AS IS

CONTENT

 

(FORMS DUE MARCH 1)

     

1

LIFE ANNUAL STATEMENT

     

1-6

LIFE SEPARATE ACCOUNTS

     

1-V

LIFE VARIABLE ACCOUNTS

     

2

FIRE & CASUALTY ANNUAL STATEMENT

     

4

FRATERNAL ANNUAL STATEMENT

     

5

CHARITABLE ANNUITY ANNUAL STATEMENT

     

9

TITLE ANNUAL STATEMENT

     

11

RETIREMENT SYSTEMS ANNUAL STATEMENT

     

13

HEALTH, HOSPITAL, MEDICAL & DENTAL

     
 

ANNUAL STATEMENT

     

3-74

ASSESSMENT CO-OP ANNUAL STATEMENT

     
 

HMO REPORT

     

271LS

SCHEDULE IS

     

S-10

CERTIFICATE OF COMPLIANCE REGARDING

     
 

A & H ADVERTISING

     

128

NEW YORK SCHEDULE F

     

S-11

LIMITATION OF EXPENSES

     

SUPP. A TO SCH. T - MEDICAL MALPRACTICE

     

PREMIUMS BY STATE

     

(FORMS DUE APRIL 1)

     

271EL

CREDIT LIFE STATISTICAL REPORT

     

271A

INSURANCE EXPENSE EXHIBIT

     

271AS

INSURANCE EXPENSE EXHIBIT - PART II

     

271C

NEW YORK SUPPLEMENTAL INSURANCE

     
 

EXPENSE EXHIBIT

     

(FORMS DUE MAY 1)

     

271D

A & H POLICY EXPERIENCE EXHIBIT

     

271E

CREDIT LIFE AND A & H EXHIBIT

     

271ES

SUPPLEMENTAL CREDIT LIFE AND A & H

     
 

EXHIBIT

     

(FORMS DUE JUNE 30)

     

7

HOME OFFICE ANNUAL STATEMENT

     

135A

SUPPLEMENT TO VALUATION REPORT

     

(QUARTERLY FORMS)

     

13A

HOSPITAL QUARTERLY

     

31A

PROPERTY QUARTERLY

     

31B

LIFE QUARTERLY

     

FORM NUMBER & NAME

CONTENT

 
 

CHANGES

   
   

SUMMARIZE

REPLACE

 
   

OR

WITH NEW

 
   

SUBSUME

FORMAT

 

(FORMS DUE MARCH 1)

     

1

LIFE ANNUAL STATEMENT

     

1-6

LIFE SEPARATE ACCOUNTS

     

1-V

LIFE VARIABLE ACCOUNTS

     

2

FIRE & CASUALTY ANNUAL STATEMENT

     

4

FRATERNAL ANNUAL STATEMENT

     

5

CHARITABLE ANNUITY ANNUAL STATEMENT

     

9

TITLE ANNUAL STATEMENT

     

11

RETIREMENT SYSTEMS ANNUAL STATEMENT

     

13

HEALTH, HOSPITAL, MEDICAL & DENTAL

     
 

ANNUAL STATEMENT

     

3-74

ASSESSMENT CO-OP ANNUAL STATEMENT

     
 

HMO REPORT

     

271LS

SCHEDULE IS

     

S-10

CERTIFICATE OF COMPLIANCE REGARDING

     
 

A & H ADVERTISING

     

128

NEW YORK SCHEDULE F

     

S-11

LIMITATION OF EXPENSES

     

SUPP. A TO SCH. T - MEDICAL MALPRACTICE

     

PREMIUMS BY STATE

     

(FORMS DUE APRIL 1)

     

271EL

CREDIT LIFE STATISTICAL REPORT

     

271A

INSURANCE EXPENSE EXHIBIT

     

271AS

INSURANCE EXPENSE EXHIBIT - PART II

     

271C

NEW YORK SUPPLEMENTAL INSURANCE

     
 

EXPENSE EXHIBIT

     

(FORMS DUE MAY 1)

     

271D

A & H POLICY EXPERIENCE EXHIBIT

     

271E

CREDIT LIFE AND A & H EXHIBIT

     

271ES

SUPPLEMENTAL CREDIT LIFE AND A & H

     
 

EXHIBIT

     

(FORMS DUE JUNE 30)

     

7

HOME OFFICE ANNUAL STATEMENT

     

135A

SUPPLEMENT TO VALUATION REPORT

     

(QUARTERLY FORMS)

     

13A

HOSPITAL QUARTERLY

     

31A

PROPERTY QUARTERLY

     

31B

LIFE QUARTERLY

     

FORM NUMBER & NAME

CONSIDER

CHANGE

OTHER*

 

FOR

DUE

   
 

ELIMINATION*

DATE

   
   

(TO)

   

(FORMS DUE MARCH 1)

     

1

LIFE ANNUAL STATEMENT

     

1-6

LIFE SEPARATE ACCOUNTS

     

1-V

LIFE VARIABLE ACCOUNTS

     

2

FIRE & CASUALTY ANNUAL STATEMENT

     

4

FRATERNAL ANNUAL STATEMENT

     

5

CHARITABLE ANNUITY ANNUAL STATEMENT

     

9

TITLE ANNUAL STATEMENT

     

11

RETIREMENT SYSTEMS ANNUAL STATEMENT

     

13

HEALTH, HOSPITAL, MEDICAL & DENTAL

     
 

ANNUAL STATEMENT

     

3-74

ASSESSMENT CO-OP ANNUAL STATEMENT

     
 

HMO REPORT

     

271LS

SCHEDULE IS

     

S-10

CERTIFICATE OF COMPLIANCE REGARDING

     
 

A & H ADVERTISING

     

128

NEW YORK SCHEDULE F

     

S-11

LIMITATION OF EXPENSES

     

SUPP. A TO SCH. T - MEDICAL MALPRACTICE

     

PREMIUMS BY STATE

     

(FORMS DUE APRIL 1)

     

271EL

CREDIT LIFE STATISTICAL REPORT

     

271A

INSURANCE EXPENSE EXHIBIT

     

271AS

INSURANCE EXPENSE EXHIBIT - PART II

     

271C

NEW YORK SUPPLEMENTAL INSURANCE

     
 

EXPENSE EXHIBIT

     

(FORMS DUE MAY 1)

     

271D

A & H POLICY EXPERIENCE EXHIBIT

     

271E

CREDIT LIFE AND A & H EXHIBIT

     

271ES

SUPPLEMENTAL CREDIT LIFE AND A & H

     
 

EXHIBIT

     

(FORMS DUE JUNE 30)

     

7

HOME OFFICE ANNUAL STATEMENT

     

135A

SUPPLEMENT TO VALUATION REPORT

     

(QUARTERLY FORMS)

     

13A

HOSPITAL QUARTERLY

     

31A

PROPERTY QUARTERLY

     

31B

LIFE QUARTERLY