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 11/02/2018  
AOM & Risk Based Capital Checklist - 12/31/2018 11/26/2018

Word

Actuarial Opinion Requirements - Reserves - 12/31/2018 11/26/2018  

Liquidity

Documents Release Date Link(s)
Liquidity and Severe Mortality Inquiry - 12/31/2018 02/28/2019 Word
Tables and Top Ten   Excel
  • 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, 2019 using the Department’s Portal.
  • Liquidity and Severe Mortality Inquiry - Electronic Submission - Visit the DFS Portal

Year-End Instructions, Questionnaires and Checklists

Document (PDF Version) Release Date Additional Formats
Department Cover letter dated 11/19/2018 to the Annual Mailing for 12/31/2018 Reserves 11/26/2018  
Notice regarding Accumulation-type Annuity Formatting for 12/31/2003 Reserves 11/06/2003  
Instructions for Filing Valuations: 2018 Year-End Statutory Valuation 11/26/2018

Word

General Account Questionnaires & Checklists

Documents (PDF Format) Additional Formats
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 Checklist Word

Separate Account Questionnaires & Checklists

Documents (PDF Format) Additional Formats
Annuity Questionnaire Word
Interest Sensitive Life Questionnaire Word
Valuation Filing Checklist Word

EDP Formats & Instructions

Categories Instructions External Labels Excel Links
Annuities – Accumulation-Type PDF Word PDF Word n/a
Annuities – Structured Settlement and Immediate Annuity PDF Word PDF Word Aggregate Test Worksheet
Interest Sensitive Life PDF Word PDF Word n/a
Traditional Life PDF Word PDF 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 PDF Word PDF Word
Fraternal Benefit Society PDF Word n/a n/a

Questions?

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 Dave Lochner
Liquidity Nick Rulison