Official NAIC Annual Statement Instructions Not for ...

1 Official naic . Annual Statement Instructions n Property/Casualty t io bu For the 2020 reporting year tri Adopted by the naic as of June 2020. is rD. fo UPDATES TO THESE Instructions . ot There may be modifications to these Instructions from year to year. As such, guidance is subject to the maintenance process. Revision bars in the left margin identify changes from the previous year, and modifications that may occur during the current year are made available on the naic website at N. CONTENT QUESTIONS. Questions regarding the content of these Instructions should be directed to Calvin Ferguson, Senior Insurance Reporting Analyst, at ORDER INQUIRIES. Order inquiries may be addressed by an naic customer service representative at The naic is the authoritative source for insurance industry information.

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4 Fo requirements, producer licensing and market analysis. naic Activities ot naic member directories, in-depth reporting of For more information about naic . state regulatory activities and Official historical publications, visit us at: records of naic national meetings and other N. activities. 1984-2020 National Association of Insurance Commissioners. All rights reserved. ISBN: 978-1-64179-081-9. Printed in the United States of America No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any storage or retrieval system, without written permission from the naic . naic Executive Office naic Central Office naic Capital Markets 444 North Capitol Street, NW 1100 Walnut Street & Investment Analysis Office Suite 700 Suite 1500 One New York Plaza, Suite 4210.

5 Washington, DC 20001 Kansas City, MO 64106 New York, NY 10004. TABLE OF CONTENTS. Page #. Annual Statement General Foreword .. 1. 3. Actuarial Opinion .. 9. Annual Audited Financial 21. Management's Discussion and 23. Financial Statement Jurat 29. Assets .. 34. n Liabilities, Surplus and Other Funds .. 43. Statement of Income and Capital and Surplus 50. io Cash Flow .. 55. Underwriting and Investment Exhibit t Parts 1, 1A, 1B, 2, 2A General Information .. 69. bu Part 1 Premiums Earned .. 69. Part 1A Recapitulation of All Premiums .. 70. Part 1B Premiums Written .. 72. tri Part 2 Losses Paid and Incurred .. 73. Part 2A Unpaid Losses and Loss Adjustment Expenses .. 75. Part 3 Expenses .. 77. is Exhibit of Net Investment Income.

6 79. Exhibit of Capital Gains (Losses) .. 83. rD. Exhibit of Nonadmitted Assets .. 86. Notes to Financial 87. General Interrogatories .. 261. Five-Year Historical Data .. 271. fo Exhibit of Premiums and Losses State Page .. 279. Schedule F. General Instructions .. 283. ot Part 1 Assumed Reinsurance as of December 31, Current Year .. 288. Part 2 Premium Portfolio Reinsurance Effected or (Canceled) during Current Year .. 290. N. Part 3 Ceded Reinsurance as of December 31, Current Year .. 291. Part 4 Issuing or Confirming Banks for Letters of Credit from Schedule F, Part 3 .. 306. Part 6 Restatement of Balance Sheet to Identify Net Credit for Reinsurance .. 307. 1984 2020 National Association of Insurance Commissioners i P/C 2020.

7 Page #. Schedule H. Accident and Health Exhibit .. 309. Part 1 Analysis of Underwriting Operations .. 310. Part 2 Reserves and Liabilities .. 312. Part 3 Test of Prior Year's Claim Reserves and Liabilities .. 313. Part 4 314. Part 5 Health Claims .. 314. Schedule P. General Instructions .. 317. Part 1 Summary .. 323. Parts 2, 3 & 4 .. 328. Part 5 .. 329. n Part 6 .. 329. Part 7 .. 330. io Schedule T. Exhibit of Premiums Written .. 339. t Part 2 Interstate Compact .. 343. bu Schedule Y Information Concerning Activities of Insurer Members of a Holding Company Group Part 1 Organizational Chart .. 345. Part 1A Detail of Insurance Holding Company System .. 346. tri Part 2 Summary of Insurer's Transactions with Any Affiliates .. 350.

8 Risk Retention Groups .. 353. is Investment Schedules Investment Schedules General Instructions .. 355. rD. Summary Investment Schedules and Verifications (SI Pages). Summary Investment Schedule .. 363. Schedule A Verification Between Years Real Estate .. 371. Schedule B Verification Between Years Mortgage 373. fo Schedule BA Verification Between Years Long-Term Invested Assets .. 375. Schedule D. Verification Between Years Bonds and Stocks .. 377. ot Summary By Country Long-Term Bonds and Stocks Owned December 31 of Current Year .. 379. Part 1A. N. Section 1 Quality and Maturity Distribution of All Bonds Owned December 31 by Major Type and naic Designation .. 380. Section 2 Maturity Distribution of All Bonds Owned December 31 by Major Type and Sub-Type.

9 383. Schedule DA Verification Between Years Short-Term Investments .. 386. 1984 2020 National Association of Insurance Commissioners ii P/C 2020. Page #. Schedule DB. Part A Verification Between Years Options, Caps, Floors, Collars, Swaps and Forwards .. 388. Part B Verification Between Years Futures Contracts .. 389. Part C. Section 1 Replication (Synthetic Asset) Transactions (RSAT). Open on December 31 of Current Year .. 391. Section 2 Reconciliation of Replication (Synthetic Asset). Transactions Open .. 393. Verification .. 394. Schedule E. Part 2 Verification Between Years Cash Equivalents .. 395. Detail Investment Schedules (E Pages). n Schedule A. io Part 1 Real Estate Owned December 31 of Current Year .. 397. Part 2 Real Estate Acquired and Additions Made during the Year.

10 402. t Part 3 Real Estate Disposed during the Year .. 405. bu Schedule B. General Instructions .. 409. Part 1 Mortgage Loans Owned December 31 of Current Year .. 412. Part 2 Mortgage Loans Acquired during the Year .. 415. tri Part 3 Mortgage Loans Disposed, Transferred or Repaid in during the Year .. 417. Schedule BA. is General Instructions .. 421. Part 1 Other Long-Term Invested Assets Owned December 31 of Current rD. Year .. 427. Part 2 Other Long-Term Invested Assets Acquired during the Year .. 435. Part 3 Other Long-Term Invested Assets Disposed, Transferred or Paid in Full during the Year .. 439. fo Schedule D. Part 1 Long-Term Bonds Owned December 31 of Current 445. Part 2. Section 1 Preferred Stocks Owned December 31 of Current 461.