Domestic Life Insurers and Domestic Fraternal Organizations
The following resources are available to 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.
- Industry-Wide Letters and Inquiries are applicable to all licensed life insurers, accredited reinsurers and fraternal benefit societies.
- 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 required to provide, according to §4217 and §4516, annual year-end valuation submissions to the Department. Forms and instructions can be found below under the categories Year-End Instructions, Questionnaires and Checklists, Electronic Data Processing Forms and Instructions, and Analysis of Valuation Reserves.
Submissions should be sent via email to [email protected]
or by mail to:
Ms. Amanda Fenwick
Assistant Chief Life Actuary
New York State Department of Financial Services
One Commerce Plaza
Albany, New York 12257
Industry-Wide Letters and Inquiries
Actuarial Opinions and Memoranda
|Special Considerations - Reserves
|AOM & Risk Based Capital Checklist - 12/31/2023
|Actuarial Opinion Requirements - Reserves - 12/31/2023
Liquidity and Severe Mortality Reporting
This submission must be completed by the Insurer's Chief Financial Officer (or highest ranking financial officer) and submitted no later than May 1, 2024 via the Department's Portal.
|Liquidity and Severe Mortality Inquiry - 12/31/2023
|Tables and Top Ten
Only a "Trusted Source" or "Submitter" can submit the completed form. Only one individual per insurer is designated as a Trusted Source by the Department - generally the insurer's Chief Financial Officer (or highest-ranking financial officer). Once the Department approves the Trusted Source, the Trusted Source can then designate others as Submitters or Reviewers for the insurer.
To access the Liquidity and Severe Mortality Inquiry Reporting application you must have a Portal account.
After logging in, use the Ask for Apps tab to request access to the Liquidity and Severe Mortality Inquiry Reporting application, for the company(ies) you will be filing for. Once approved, you will see the application in the My Apps menu.
To get started, visit the DFS Portal:
Insurers must notify the Department of a change in Trusted Source via email to the Department's Liquidity contact shown below.
Year-End Instructions, Questionnaires and Checklists
|Document (PDF Version)
|Department Cover letter dated 11/21/2023 to the Annual Mailing for 12/31/2023 Reserves
|Notice regarding Accumulation-type Annuity Formatting for 12/31/2003 Reserves
|Instructions for Filing Valuations: 2023 Year-End Statutory Valuation
General Account Questionnaires and Checklists
Separate Account Questionnaires and Checklists
|Documents (PDF Format)
|Interest Sensitive Life Questionnaire
|Valuation Filing Checklist
EDP Formats and Instructions
|Annuities – Accumulation-Type
|Annuities – Structured Settlement and Immediate Annuity
|Aggregate Test Worksheet
|Interest Sensitive Life
|Sample EDP Reconciliation
Analysis of Valuation Reserves
|General Account AoVR
|Separate Account AoVR
|Domestic Life Insurance Company
|Fraternal Benefit Society
For additional information or questions, email [email protected] or call (518) 474-7929.