HAR §16-168-14
HAR §16-168-14. Contracts affected
Cite as Haw. Code R. § 16-168-14
All new and
renewal reinsurance transactions entered into after
December 31, 1996, shall conform to the requirements
of chapter 431, HRS, and this chapter if credit is to
be given to the ceding insurer for such reinsurance.”
[Eff 1/25/97; §16-168-13; ren and comp 11/10/16; comp
7/28/22; comp 3/8/25] (Auth: HRS §§431:2-201,
431:4A-104) (Imp: HRS §431:4A-105)
Amendments to and compilation of chapter 16-168,
Hawaii Administrative Rules, on the Summary page dated
November 4, 2024, were adopted on November 4, 2024,
following a public hearing held on November 4, 2024,
after public notice was given in the Honolulu Star-
Advertiser on October 2, 2024.
These rules shall take effect ten days after
filing with the Office of the Lieutenant Governor.
APPROVED:
/s/ Nadine Y. Ando_________
NADINE Y. ANDO
Director of Commerce and
Consumer Affairs
Date: DEC 13 2024__
/s/ Josh Green_____________
JOSH GREEN, M.D.
Governor
State of Hawaii
Date: 2/26/2025____
APPROVED AS TO FORM:
/s/ Andrew I. Kim__________
ANDREW I. KIM
Deputy Attorney General
____FEB 26 2025____
Filed
FORM AR-1
CERTIFICATE OF ASSUMING INSURER
January 2012
Page 1 of 2
I, ______________________________________, ____________________________ of
(Name of Officer)
(Title of Officer)
_____________________________________, the assuming insurer under a reinsurance
(Name of Assuming Insurer)
agreement(s) with one or more insurers domiciled in ________________, hereby certify that
(Name of State)
_______________________________________ ("Assuming Insurer"):
(Name of Assuming Insurer)
1.
Submits to the jurisdiction of any court of competent jurisdiction in _______________
(Ceding Insurer's State of Domicile)
for the adjudication of any issues arising out of the reinsurance agreement(s), agrees to
comply with all requirements necessary to give such court jurisdiction, and will abide by
the final decision of such court or any appellate court in the event of an appeal. Nothing
in this paragraph constitutes or should be understood to constitute a waiver of Assuming
Insurer's rights to commence an action in any court of competent jurisdiction in the
United States, to remove an action to a United States District Court, or to seek a transfer
of a case to another court as permitted by the laws of the United States or of any state in
the United States. This paragraph is not intended to conflict with or override the
obligation of the parties to the reinsurance agreement(s) to arbitrate their disputes if
such an obligation is created in the agreement(s).
2.
Designates the Insurance Commissioner of __________________________________
(Ceding Insurer's State of Domicile)
as its lawful attorney upon whom may be served any lawful process in any action, suit,
or proceeding arising out of the reinsurance agreement(s) instituted by or on behalf of
the ceding insurer.
3.
Submits to the authority of the Insurance Commissioner of _______________________
(Ceding Insurer's State of Domicile)
to examine its books and records and agrees to bear the expense of any such
examination.
FORM AR-1
CERTIFICATE OF ASSUMING INSURER
January 2012
Page 2 of 2
4.
Submits with this form a current list of insurers domiciled in _______________________
(Ceding Insurer's State of Domicile)
reinsured by Assuming Insurer and undertakes to submit additions to or deletions from
the list to the Insurance Commissioner at least once per calendar quarter.
Dated: ______________________________
___________________________________
(Name of Assuming Insurer)
BY: ___________________________________________
(Name of Officer)
___________________________________________
(Title of Officer)
FORM CR-1
CERTIFICATE OF CERTIFIED REINSURER
January 2012
Page 1 of 2
I, ________________________________________, _______________________________ of
(Name of Officer)
(Title of Officer)
______________________________ the assuming insurer under a reinsurance agreement(s)
(Name of Assuming Insurer)
with one or more insurers domiciled in ______________________,hereby certify that
(Name of State)
________________________________ ("Assuming Insurer"):
(Name of Assuming Insurer)
1.
Submits to the jurisdiction of any court of competent jurisdiction in _________________
(Ceding Insurer's State of Domicile)
for the adjudication of any issues arising out of the reinsurance agreement(s), agrees to
comply with all requirements necessary to give such court jurisdiction, and will abide by
the final decision of such court or any appellate court in the event of an appeal. Nothing
in this paragraph constitutes or should be understood to constitute a waiver of Assuming
Insurer's rights to commence an action in any court of competent jurisdiction in the
United States, to remove an action to a United States District Court, or to seek a transfer
of a case to another court as permitted by the laws of the United States or of any state in
the United States. This paragraph is not intended to conflict with or override the
obligation of the parties to the reinsurance agreement(s) to arbitrate their disputes if
such an obligation is created in the agreement(s).
2.
Designates the Insurance Commissioner of _____________________________ as its
(Ceding Insurer's State of Domicile)
lawful attorney upon whom may be served any lawful process in any action, suit, or
proceeding arising out of the reinsurance agreement(s) instituted by or on behalf of the
ceding insurer.
3
Agrees to provide security in an amount equal to one hundred per cent of liabilities
attributable to United States ceding insurers if it resists enforcement of a final United
States judgment or properly enforceable arbitration award.
FORM CR-1
CERTIFICATE OF CERTIFIED REINSURER
January 2012
Page 2 of 2
4.
Agrees to provide notification within ten days of any regulatory actions taken against it,
any change in the provisions of its domiciliary license or any change in its rating by an
approved rating agency, including a statement describing such changes and the reasons
therefore.
5.
Agrees to annually file information comparable to relevant provisions of the National
Association of Insurance Commissioners financial statement for use by insurance
markets in accordance with section 16-168-7, Hawaii Administrative Rules.
6.
Agrees to annually file the report of the independent auditor on the financial statements
of the insurance enterprise.
7.
Agrees to annually file audited financial statements, regulatory filings, and actuarial
opinion in accordance with section 16-168-7, Hawaii Administrative Rules.
8
Agrees to annually file an updated list of all disputed and overdue reinsurance claims
regarding reinsurance assumed from United States domestic ceding insurers.
9.
Is in good standing as an insurer or reinsurer with the supervisor of its domiciliary
jurisdiction.
Dated: ____________________
__________________________________________
(Name of Assuming Insurer)
BY: ______________________________________
(Name of Officer)
______________________________________
(Title of Officer)
FORM RJ-1
CERTIFICATE OF REINSURER DOMICILED IN RECIPROCAL JURISDICTION
January 2012
Page 1 of 2
I, _____________________________________________, ________________________of
(Name of Officer)
(Title of Officer)
_________________________________________________, under a reinsurance agreement
(Name of Assuming Insurer)
with one or more insurers domiciled in ________________________________, in order to be
(Name of State)
considered for approval in this state, hereby certify that ______________________________
(Name of Assuming Insurer)
(“Assuming Insurer”):
1.
Submits to the jurisdiction of any court of competent jurisdiction in the State of Hawaii for
the adjudication of any issues arising out of the reinsurance agreement, agrees to
comply with all requirements necessary to give such court jurisdiction, and will abide by
the final decision of such court or any appellate court in the event of an appeal. The
assuming insurer agrees that it will include such consent in each reinsurance
agreement, if requested by the commissioner. Nothing in this paragraph constitutes or
should be understood to constitute a waiver of assuming insurer’s rights to commence
an action in any court of competent jurisdiction in the United States, to remove an action
to a United States District Court, or to seek a transfer of a case to another court as
permitted by the laws of the United States or of any state in the United States. This
paragraph is not intended to conflict with or override the obligation of the parties to the
reinsurance agreement to arbitrate their disputes if such an obligation is created in the
agreement, except to the extent such agreements are unenforceable under applicable
insolvency or delinquency laws.
2.
Designates the Insurance Commissioner of the State of Hawaii as its lawful attorney in
and for the State of Hawaii upon whom may be served any lawful process in any action,
suit or proceeding in this state arising out of the reinsurance agreement instituted by or
on behalf of the ceding insurer.
3.
Agrees to pay all final judgments, wherever enforcement is sought, obtained by a ceding
insurer, that have been declared enforceable in the territory where the judgment was
obtained.
FORM RJ-1
CERTIFICATE OF REINSURER DOMICILED IN RECIPROCAL JURISDICTION
January 2012
Page 2 of 2
4.
Agrees to provide prompt written notice and explanation if it falls below the minimum
capital and surplus or capital or surplus ratio, or if any regulatory action is taken against
it for serious noncompliance with applicable law.
5.
Confirms that it is not presently participating in any solvent scheme of arrangement,
which involves insurers domiciled in the State of Hawaii. If the assuming insurer enters
into such an arrangement, the assuming insurer agrees to notify the ceding insurer and
the commissioner, and to provide 100% security to the ceding insurer consistent with the
terms of the scheme.
6.
Agrees that in each reinsurance agreement it will provide security in an amount equal to
100% of the assuming insurer’s liabilities attributable to reinsurance ceded pursuant to
that agreement if the assuming insurer resists enforcement of a final U.S. judgment, that
is enforceable under the law of the territory in which it was obtained, or a properly
enforceable arbitration award whether obtained by the ceding insurer or by its resolution
estate, if applicable.
7.
Agrees to provide the documentation in accordance with Hawaii Revised Statutes
§431:4A-101(e), if requested by the commissioner.
Dated: ______________________
_____________________________________
(Name of Assuming Insurer)
BY: __________________________________
(Name of Officer)
__________________________________
(Title of Officer)
FORM CR-F Part 1
Assumed Reinsurance as of December 31, Current Year (000 Omitted)
January 2012
1
Company
Code or
ID
Number
2
3
Name of
Reinsured
4
Domiciliary
Jurisdiction
5
Assumed
Premium
Reinsurance On
9
Contingent
Commissions
Payable
10
Assumed
Premiums
Receivable
11
Unearned
Premium
12
Funds Held
By or
Deposited
With
Reinsured
Companies
13
Letters of
Credit Posted
14
Amount of
Assets
Pledged or
Compensating
Balances to
Secure Letters
of Credit
15
Amount of
Assets
Pledged or
Collateral
Held in Trust
6
Paid Losses and
Loss Adjustment
Expenses
7
Known Case
Losses and LAE
8
Cols. 6 + 7
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9999999 Totals
FORM CR-F Part 2
Ceded Reinsurance as of December 31, Current Year (000 Omitted)
January 2012
1
Company
Code or
ID
Number
2
3
Name of
Reinsurer
4
Domiciliary
Jurisdiction
5
Reinsurance
Contracts
Ceding 75%
or More of
Direct
Premiums
Written
6
Reinsurance
Premiums
Ceded
Reinsurance Recoverable On
Reinsurance Payable
18
19
7
Paid
Losses
8
Paid
LAE
9
Known
Case Loss
Reserves
10
Known
Case LAE
Reserves
11
IBNR
Loss
Reserves
12
IBNR
LAE
Reserves
13
Unearned
Premiums
14
Contingent
Commissions
15
Cols. 7
through
14 Totals
16
Ceded
Balances
Payable
17
Other
Amounts
Due to
Reinsurers
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9999999 Totals
FORM CR-S Part 1 Section 1
Reinsurance Assumed Life Insurance, Annuities, Deposit Funds and Other Liabilities
Without Life or Disability Contingencies, and Related Benefits Listed by Reinsured Company as of December 31, Current Year
January 2012
1
Company
Code or ID
Number
2
3
Effective
Date
4
Name of
Reinsured
5
Location
6
Type of
Reinsurance
Assumed
7
Amount of In
Force at End of
Year
8
Reserve
9
Premiums
10
Reinsurance
Payable on Paid
and Unpaid
Losses
11
Modified
Coinsurance
Reserve
12
Funds Withheld
Under
Coinsurance
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Totals
FORM CR-S Part 1 Section 2
Reinsurance Assumed Accident and Health Insurance Listed by Reinsured Company as of December 31, Current Year
January 2012
1
Company
Code or ID
Number
2
3
Effective Date
4
Name of
Reinsured
5
Domiciliary
Jurisdiction
6
Type of
Reinsurance
Assumed
7
Premiums
8
Unearned
Premiums
9
Reserve Liability
Other Than For
Unearned
Premiums
10
Reinsurance
Payable on Paid
and Unpaid Losses
11
Modified
Coinsurance
Reserve
12
Funds Withheld
Under
Coinsurance
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Totals
FORM CR-S Part 2
Reinsurance Recoverable on Paid and Unpaid Losses Listed by Reinsuring Company as of December 31, Current Year
January 2012
1
Company Code
or
ID Number
2
3
Effective Date
4
Name of
Company
5
Location
6
Paid Losses
7
Unpaid Losses
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Totals—Life, Annuity and Accident and Health
FORM CR-S Part 3 Section 1
Reinsurance Ceded Life Insurance, Annuities, Deposit Funds and Other Liabilities
Without Life or Disability Contingencies, and Related Benefits Listed by Reinsuring Company as of December 31, Current Year
January 2012
1
Company
Code or ID
Number
2
3
Effective
Date
4
Name of
Company
5
Location
6
Type of
Reinsurance
Ceded
7
Amount in
Force at End of
Year
Reserve Credit
Taken
10
Premiums
Outstanding Surplus
Relief
13
Modified
Coinsurance
Reserve
14
Funds Withheld
Under
Coinsurance
8
Current
Year
9
Prior
Year
11
Current
Year
12
Prior
Year
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Totals
FORM CR-S Part 3 Section 2
Reinsurance Ceded Accident and Health Insurance Listed by Reinsuring Company as of December 31, Current Year
January 2012
1
Company
Code or ID
Number
2
3
Effective
Date
4
Name of
Company
5
Location
6
Type
7
Premiums
8
Unearned
Premiums
(Estimated)
9
Reserve Credit
Taken Other
than for
Unearned
Premiums
Outstanding Surplus Relief
12
Modified
Coinsurance
Reserve
13
Funds Withheld
Under
Coinsurance
10
Current
Year
11
Prior
Year
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Totals