New York State seal

March 31, 1980

SUBJECT: INSURANCE

WITHDRAWN

Date: March 31, 1980

Circular Letter No. 2(1980)

TO: ALL NEW YORK LICENSED LIFE, PROPERTY, ADVANCE PREMIUM CO-OPERATIVE, TITLE AND MORTGAGE GUARANTY INSURANCE COMPANIES, FRATERNAL BENEFIT SOCIETIES AND ACCREDITED REINSURERS FOR LIFE AND PROPERTY

RE: SUPPLIES OF ANNUAL STATEMENT BLANKS

A recent review of the annual statements submitted by the above captioned companies disclosed that only 49 of the 792 companies (6.2%) returned the actual New York annual statement blanks supplied by this Department. Providing these companies with unneeded copies of the New York edition involves considerable expense to the Department, both in materials and labor.

Therefore, unless you specifically request additional copies, the New York Insurance Department will supply your company with only one annually corrected copy of the New York blank as a sample, or for use as a guide to modify the standardized NAIC edition of the Convention blank. This procedure will begin with the annual statement forms for reporting 1980 business. All supplementary forms will continue to be supplied in triplicate, as in the past.

Companies requiring more than one copy of the New York annual statement blank should submit a written request for the number needed to:

Mr. James C. Hrbek, Filing Supervisor

Statistics Unit

New York State Insurance Department

Rockefeller Plaza - Agency 1

Albany, New York 12257

These special requests should be submitted before June 1, 1980, to allow an adequate period for printing.

Very truly yours,

[SIGNATURE]

Albert B. Lewis

Superintendent of Insurance