Domestic Life Insurers and Domestic Fraternal Organizations

For 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 is 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 annually required to provide, according to §4217 and §4516, year-end valuation submissions to the Life Bureau Reserve Section. Those 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
Life Bureau
New York State Department of Financial Services
One Commerce Plaza
Albany, New York 12257

Industry-Wide Letters and Inquiries

Actuarial Opinions and Memoranda

Documents Release Date Additional Formats
Special Considerations - Reserves


AOM & Risk Based Capital Checklist - 12/31/2022



Actuarial Opinion Requirements - Reserves - 12/31/2022




Documents Release Date Link(s)

Liquidity and Severe Mortality Inquiry - 12/31/2022



Tables and Top Ten



  • This Inquiry must be completed by the Insurer's Chief Financial Officer (or highest ranking financial officer), the “Trusted Source, ”and submitted no later than May 1, 2023 using the Department’s Portal.
  • Liquidity and Severe Mortality Inquiry - Electronic Submission - Visit the DFS Portal

Year-End Instructions, Questionnaires and Checklists

General Account Questionnaires & Checklists

Separate Account Questionnaires & Checklists

EDP Formats & Instructions

Categories Instructions Excel Links
Annuities – Accumulation-Type PDF Word n/a
Annuities – Structured Settlement and Immediate Annuity PDF Word Aggregate Test Worksheet
Interest Sensitive Life PDF Word n/a
Traditional Life PDF Word n/a
EDP Reconciliation n/a n/a Sample EDP Reconciliation

Analysis of Valuation Reserves

Categories General Account AoVR Separate Account AoVR
Domestic Life Insurance Company PDF Word PDF Word
Fraternal Benefit Society PDF Word n/a n/a


For additional information or questions, email [email protected] or call (518) 474-7929. 

Topic Contact
Filing Requirements Matthew Ryan
AOMs Dwight Hazzard
Appointed Actuaries Dwight Hazzard
Formula Reserves Jacob Rulison
Liquidity Xiaokai Dong