Life Bureau Reserve Section Industry Letters & Surveys and Valuation Year-End Instructions, Questionnaires & Checklists
for Domestic Life Insurers and Domestic Fraternal Organizations
Return to 'Life Insurance Information for Insurers' index
(Documents in PDF and Word Formats)
The following is being made available by the Department for the benefit of 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.
The category Industry-Wide Letters and Inquiries is applicable to all licensed life insurers, accredited reinsurers and fraternal benefit societies. All 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 anually required to provide, according to §4217 and §4516, year-end valuation submissions to the Life Bureau Reserve Section. These forms and instructions can be downloaded below under the categories Year-End Instructions, Questionnaires and Checklists, Electronic Data Processing Forms and Instructions, and Analysis of Valuation Reserves.
Some items are in pdf Format; some files are also available in MS Word format. You will need the free Adobe Acrobat Reader to view and download the pdf files. If you do not already have the Acrobat Reader, select this link to obtain it.
Submissions should be sent to either:
Mr.
Michael D. Cebula
Deputy Chief Life Actuary
Life Bureau – Reserve
Section
New York State Department of Financial Services
One Commerce Plaza
Albany,
New York 12257
For additional information or if there are questions, please e-mail us at Albany Life Bureau or contact us at (518) 474-7929.
| Topic | Contact |
|---|---|
| Filing Requirements | Jacob Rulison |
| AOMs | Michael D. Cebula |
| Formula Reserves | Frederick J. Andersen |
| EDP | Jacob Rulison |
Industry-Wide Letters & Inquiries
Updated! Actuarial Opinions and Memoranda
- Special Considerations - 12/31/2011 Reserves PDF
- AOM & Risk Based Capital Checklist - 12/31/2011 PDF Word
- Actuarial Opinion Requirements - 12/31/2011 Reserves PDF
Formula Reserves
- Application of Regulation 128 to Variable Annuities with Guaranteed Living Benefits & Pension Products (01/07/2009) PDF
- Application of Regulation 128 to Variable Annuities with Guaranteed Living Benefits (10/31/2007) PDF
- Requirements for Group Life Waiver of Premium Reserves (06/02/2005) PDF
- Requirements for using the 2001 CSO Mortality Table (12/13/2004) PDF
Updated! Liquidity
- Liquidity and Severe Mortality Inquiry - 12/31/2011
- 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, 2012 using the Department’s Portal.
- Liquidity and Severe Mortality Inquiry - Electronic Submission
Other Inquiries
- There are no surveys at the present time
Updated! Year-End Instructions, Questionnaires and Checklists
Cover Letters
- Department Cover letter dated 12/05/2011 to the Annual Mailing for 12/31/2011 Reserves PDF
- Department letter dated 11/06/2003 regarding Accumulation-type Annuity Formatting for 12/31/2003 Reserves PDF
Instructions
General Account Questionnaires & Checklists
- Accident and Health Reserve Questionnaire PDF Word
- Accumulation-Type Annuity Questionnaire PDF Word
- Group Life Insurance Questionnaire PDF Word
- Interest Sensitive Life Questionnaire PDF Word
- Structured Settlements and Fixed Payment Annuity Questionnaire PDF Word
- Valuation Filing Check-list PDF Word
Separate Account Questionnaires & Checklists
- Annuity Questionnaire PDF Word
- Interest Sensitive Life Questionnaire PDF Word
- Valuation Filing Check-List PDF Word
Updated! EDP Formats & Instructions
Annuities – Accumulation-Type
Annuities – Structured Settlement and Immediate Annuity
Interest Sensitive Life
Traditional Life
EDP Reconciliation
- Sample EDP Reconciliation Excel
Updated! Analysis of Valuation Reserves
Domestic Life Insurance Company
Fraternal Benefit Society
Updated 02/16/2012
