Life Bureau Reserve Section Industry Letters & Surveys and Valuation Year-End Instructions, Questionnaires & Checklists
for Domestic Life Insurers and Domestic Fraternal Organizations
Life Insurance Information for Insurers
The following is being made available by the Department for the benefit of all life insurance companies and fraternal benefit societies doing business in New York and all insurers holding a certificate from the Superintendent as being accredited for the reinsurance of life insurance, annuities, or accident and health insurance.
The category Industry-Wide Letters and Inquiries is applicable to all licensed life insurers, accredited reinsurers and fraternal benefit societies. All remaining categories are applicable only to Domestic Life Insurance Companies and Domestic Fraternal Benefit Organizations.
Domestic Life Insurance Companies and Domestic Fraternal Benefit Organizations are anually required to provide, according to §4217 and §4516, year-end valuation submissions to the Life Bureau Reserve Section. These forms and instructions can be downloaded below under the categories Year-End Instructions, Questionnaires and Checklists, Electronic Data Processing Forms and Instructions, and Analysis of Valuation Reserves.
Some items are in pdf Format; some files are also available in MS Word format. You will need the free Adobe Acrobat Reader to view and download the pdf files. If you do not already have the Acrobat Reader, select this link to obtain it.
Submissions should be sent to either:
Mr.
Michael D. Cebula
Deputy Chief Life Actuary
Life Bureau – Reserve
Section
New York State Department of Financial Services
One Commerce Plaza
Albany,
New York 12257
For additional information or if there are questions, please e-mail us at or contact us at (518) 474-7929.
| Topic | Contact |
|---|---|
| Filing Requirements | Jacob Rulison |
| AOMs | Mark J. Greene |
| Formula Reserves | Frederick J. Andersen |
| EDP | Jacob Rulison |
Industry-Wide Letters & Inquiries
Actuarial Opinions and Memoranda
| Documents | Release Date | Link(s) |
|---|---|---|
| Special Considerations - Reserves | 12/31/2012 | |
| AOM & Risk Based Capital Checklist | 12/31/2012 | |
| Actuarial Opinion Requirements -Reserves | 12/31/2012 |
Formula Reserves
| Documents | Release Date | Link(s) |
|---|---|---|
| Important Notice regarding Filing Guidance for Universal Life Insurance with Secondary Guarantees | 03/08/2013 | HTML |
| Application of Regulation 128 to Variable Annuities with Guaranteed Living Benefits & Pension Products | 01/07/2009 | |
| Application of Regulation 128 to Variable Annuities with Guaranteed Living Benefits | 10/31/2007 | |
| Requirements for Group Life Waiver of Premium Reserves | 06/02/2005 | |
| Requirements for using the 2001 CSO Mortality Table | 12/13/2004 |
Liquidity
| Documents | Release Date | Link(s) |
|---|---|---|
| Liquidity and Severe Mortality Inquiry - 12/31/2012 | 02/21/2013 | Word |
| Tables and Top Ten | Excel | |
|
||
Other Inquiries
- There are no surveys at the present time
Year-End Instructions, Questionnaires and Checklists
| Document | Release Date | Link(s) |
|---|---|---|
| Cover letter to the Annual Mailing for 12/31/2012 Reserves | 12/21/2012 | |
| Notice regarding Accumulation-type Annuity Formatting for 12/31/2003 Reserves | 11/06/2003 | |
| Instructions for Filing Valuations: 2012 Year-End Statutory Valuation | 12/21/2012 |
General Account Questionnaires & Checklists
| Documents | PDF links | Word links |
|---|---|---|
| Accident and Health Reserve Questionnaire | Word | |
| Accumulation-Type Annuity Questionnaire | Word | |
| Group Life Insurance Questionnaire | Word | |
| Interest Sensitive Life Questionnaire | Word | |
| Structured Settlements and Fixed Payment Annuity Questionnaire | Word | |
| Valuation Filing Check-list | Word |
Separate Account Questionnaires & Checklists
| Documents | PDF Links | Word Links |
|---|---|---|
| Annuity Questionnaire | Word | |
| Interest Sensitive Life Questionnaire | Word | |
| Valuation Filing Check-List | Word |
EDP Formats & Instructions
| Categories | Instructions | External Labels | Excel Links | ||
|---|---|---|---|---|---|
| Annuities – Accumulation-Type | Word | Word | n/a | ||
| Annuities – Structured Settlement and Immediate Annuity | Word | Word | Aggregate Test Worksheet | ||
| Interest Sensitive Life | Word | Word | n/a | ||
| Traditional Life | Word | Word | n/a | ||
| EDP Reconciliation | n/a | n/a | n/a | n/a | Sample EDP Reconciliation |
Analysis of Valuation Reserves
| Categories | General Account AoVR | Separate Account AoVR | ||
|---|---|---|---|---|
| Domestic Life Insurance Company | Word | Word | ||
| Fraternal Benefit Society | Word | n/a | n/a | |
Updated 03/12/2013
