July 20, 1979
SUBJECT: INSURANCE
Circular Letter NO. 12 (1979)
WITHDRAWN
TO: ALL AUTHORIZED INSURERS WRITING BUSINESS IN NEW YORK STATE
SUBJECT: REVIEW OF ANNUAL STATEMENT FILING REQUIREMENTS
The New York Insurance Department is engaged in a systematic review of its annual statement filing requirements, focusing on the number and content of required forms and the due dates for each. This review is especially timely as a new section or the Insurance Law provides substantial daily fines for non-compliance with filing requirements. Based on the review, the Department will consider changes designed to help insurance companies reduce paperwork, while still permitting the Department to meet its reporting and publishing responsibilities.
The first step of this program was the issuance of Circular Letter No. 6(1979) on January 24, 1979, which organized the forms by filing dates and set forth general guidelines for the submission of annual statements. The next phase, a review of individual forms, is the subject of Circular Letter No. 12(1979).
Each company is hereby requested to complete the attached survey concerning annual statement forms and return it to the Insurance Department by [A> AUGUST 31, 1979 <A]. The questionnaire will be used to pinpoint those forms which merit closer consideration.
Many of the forms shown will not apply to your company and should be left blank; answer only for those forms with which you have had experience. Space is provided within the survey for comments, explanations, and recommendations. The Department may contact you later concerning specific ideas that you present.
The completed survey should be returned no later than August 31, 1979 to Dr. Eugene Baum, Director of Research and Statistics, New York State Insurance Department, 2 World Trade Center, New York, New York 10047. All questions concerning the completion of the survey should be directed to Dr. Baum at 212-488-4176.
Very truly yours,
[SIGNATURE]
ALBERT B. LEWIS
Superintendent of Insurance
NEW YORK INSURANCE DEPARTMENT - SURVEY OF ANNUAL STATEMENT FILING REQUIREMENTS
Please return to: Eugene Baum; Research Bureau; New York Insurance Dept.; Two World Trade Center; New York, New York 10047.
FORM NUMBER & NAME |
CONTENT |
|||||||
CHANGES |
||||||||
RETAIN |
SHORTEN |
|||||||
AS IS |
CONTENT |
|||||||
(FORMS DUE MARCH 1) |
||||||||
1 |
LIFE ANNUAL STATEMENT |
|||||||
1-6 |
LIFE SEPARATE ACCOUNTS |
|||||||
1-V |
LIFE VARIABLE ACCOUNTS |
|||||||
2 |
FIRE & CASUALTY ANNUAL STATEMENT |
|||||||
4 |
FRATERNAL ANNUAL STATEMENT |
|||||||
5 |
CHARITABLE ANNUITY ANNUAL STATEMENT |
|||||||
9 |
TITLE ANNUAL STATEMENT |
|||||||
11 |
RETIREMENT SYSTEMS ANNUAL STATEMENT |
|||||||
13 |
HEALTH, HOSPITAL, MEDICAL & DENTAL |
|||||||
ANNUAL STATEMENT |
||||||||
3-74 |
ASSESSMENT CO-OP ANNUAL STATEMENT |
|||||||
HMO REPORT |
||||||||
271LS |
SCHEDULE IS |
|||||||
S-10 |
CERTIFICATE OF COMPLIANCE REGARDING |
|||||||
A & H ADVERTISING |
||||||||
128 |
NEW YORK SCHEDULE F |
|||||||
S-11 |
LIMITATION OF EXPENSES |
|||||||
SUPP. A TO SCH. T - MEDICAL MALPRACTICE |
||||||||
PREMIUMS BY STATE |
||||||||
(FORMS DUE APRIL 1) |
||||||||
271EL |
CREDIT LIFE STATISTICAL REPORT |
|||||||
271A |
INSURANCE EXPENSE EXHIBIT |
|||||||
271AS |
INSURANCE EXPENSE EXHIBIT - PART II |
|||||||
271C |
NEW YORK SUPPLEMENTAL INSURANCE |
|||||||
EXPENSE EXHIBIT |
||||||||
(FORMS DUE MAY 1) |
||||||||
271D |
A & H POLICY EXPERIENCE EXHIBIT |
|||||||
271E |
CREDIT LIFE AND A & H EXHIBIT |
|||||||
271ES |
SUPPLEMENTAL CREDIT LIFE AND A & H |
|||||||
EXHIBIT |
||||||||
(FORMS DUE JUNE 30) |
||||||||
7 |
HOME OFFICE ANNUAL STATEMENT |
|||||||
135A |
SUPPLEMENT TO VALUATION REPORT |
|||||||
(QUARTERLY FORMS) |
||||||||
13A |
HOSPITAL QUARTERLY |
|||||||
31A |
PROPERTY QUARTERLY |
|||||||
31B |
LIFE QUARTERLY |
|||||||
FORM NUMBER & NAME |
CONTENT |
|||||||
CHANGES |
||||||||
SUMMARIZE |
REPLACE |
|||||||
OR |
WITH NEW |
|||||||
SUBSUME |
FORMAT |
|||||||
(FORMS DUE MARCH 1) |
||||||||
1 |
LIFE ANNUAL STATEMENT |
|||||||
1-6 |
LIFE SEPARATE ACCOUNTS |
|||||||
1-V |
LIFE VARIABLE ACCOUNTS |
|||||||
2 |
FIRE & CASUALTY ANNUAL STATEMENT |
|||||||
4 |
FRATERNAL ANNUAL STATEMENT |
|||||||
5 |
CHARITABLE ANNUITY ANNUAL STATEMENT |
|||||||
9 |
TITLE ANNUAL STATEMENT |
|||||||
11 |
RETIREMENT SYSTEMS ANNUAL STATEMENT |
|||||||
13 |
HEALTH, HOSPITAL, MEDICAL & DENTAL |
|||||||
ANNUAL STATEMENT |
||||||||
3-74 |
ASSESSMENT CO-OP ANNUAL STATEMENT |
|||||||
HMO REPORT |
||||||||
271LS |
SCHEDULE IS |
|||||||
S-10 |
CERTIFICATE OF COMPLIANCE REGARDING |
|||||||
A & H ADVERTISING |
||||||||
128 |
NEW YORK SCHEDULE F |
|||||||
S-11 |
LIMITATION OF EXPENSES |
|||||||
SUPP. A TO SCH. T - MEDICAL MALPRACTICE |
||||||||
PREMIUMS BY STATE |
||||||||
(FORMS DUE APRIL 1) |
||||||||
271EL |
CREDIT LIFE STATISTICAL REPORT |
|||||||
271A |
INSURANCE EXPENSE EXHIBIT |
|||||||
271AS |
INSURANCE EXPENSE EXHIBIT - PART II |
|||||||
271C |
NEW YORK SUPPLEMENTAL INSURANCE |
|||||||
EXPENSE EXHIBIT |
||||||||
(FORMS DUE MAY 1) |
||||||||
271D |
A & H POLICY EXPERIENCE EXHIBIT |
|||||||
271E |
CREDIT LIFE AND A & H EXHIBIT |
|||||||
271ES |
SUPPLEMENTAL CREDIT LIFE AND A & H |
|||||||
EXHIBIT |
||||||||
(FORMS DUE JUNE 30) |
||||||||
7 |
HOME OFFICE ANNUAL STATEMENT |
|||||||
135A |
SUPPLEMENT TO VALUATION REPORT |
|||||||
(QUARTERLY FORMS) |
||||||||
13A |
HOSPITAL QUARTERLY |
|||||||
31A |
PROPERTY QUARTERLY |
|||||||
31B |
LIFE QUARTERLY |
|||||||
FORM NUMBER & NAME |
CONSIDER |
CHANGE |
OTHER* |
|||||
FOR |
DUE |
|||||||
ELIMINATION* |
DATE |
|||||||
(TO) |
||||||||
(FORMS DUE MARCH 1) |
||||||||
1 |
LIFE ANNUAL STATEMENT |
|||||||
1-6 |
LIFE SEPARATE ACCOUNTS |
|||||||
1-V |
LIFE VARIABLE ACCOUNTS |
|||||||
2 |
FIRE & CASUALTY ANNUAL STATEMENT |
|||||||
4 |
FRATERNAL ANNUAL STATEMENT |
|||||||
5 |
CHARITABLE ANNUITY ANNUAL STATEMENT |
|||||||
9 |
TITLE ANNUAL STATEMENT |
|||||||
11 |
RETIREMENT SYSTEMS ANNUAL STATEMENT |
|||||||
13 |
HEALTH, HOSPITAL, MEDICAL & DENTAL |
|||||||
ANNUAL STATEMENT |
||||||||
3-74 |
ASSESSMENT CO-OP ANNUAL STATEMENT |
|||||||
HMO REPORT |
||||||||
271LS |
SCHEDULE IS |
|||||||
S-10 |
CERTIFICATE OF COMPLIANCE REGARDING |
|||||||
A & H ADVERTISING |
||||||||
128 |
NEW YORK SCHEDULE F |
|||||||
S-11 |
LIMITATION OF EXPENSES |
|||||||
SUPP. A TO SCH. T - MEDICAL MALPRACTICE |
||||||||
PREMIUMS BY STATE |
||||||||
(FORMS DUE APRIL 1) |
||||||||
271EL |
CREDIT LIFE STATISTICAL REPORT |
|||||||
271A |
INSURANCE EXPENSE EXHIBIT |
|||||||
271AS |
INSURANCE EXPENSE EXHIBIT - PART II |
|||||||
271C |
NEW YORK SUPPLEMENTAL INSURANCE |
|||||||
EXPENSE EXHIBIT |
||||||||
(FORMS DUE MAY 1) |
||||||||
271D |
A & H POLICY EXPERIENCE EXHIBIT |
|||||||
271E |
CREDIT LIFE AND A & H EXHIBIT |
|||||||
271ES |
SUPPLEMENTAL CREDIT LIFE AND A & H |
|||||||
EXHIBIT |
||||||||
(FORMS DUE JUNE 30) |
||||||||
7 |
HOME OFFICE ANNUAL STATEMENT |
|||||||
135A |
SUPPLEMENT TO VALUATION REPORT |
|||||||
(QUARTERLY FORMS) |
||||||||
13A |
HOSPITAL QUARTERLY |
|||||||
31A |
PROPERTY QUARTERLY |
|||||||
31B |
LIFE QUARTERLY |