HAR §16-169-16
HAR §16-169-16. and 16-169-17 are amended
Length: 263 wordsOfficial source
Cite as Haw. Code R. § 16-169-16
3.
Chapter 169 is compiled.
1
Appendix A
Reserves and Related Actuarial Items
Asset Adequacy Tested Amounts Reserves and Liabilities
Statement Item
Formula
Reserves
(1)
Additional
Actuarial (a)
Reserves
(2)
Analysis
Method (b)
Other Amount
(3)
Total Amount
(1)+(2)+(3) =
(4)
Exhibit 8
A
Life Insurance
B
Annuities
C
Supplementary Contracts
Involving Life Contingencies
D
Accidental Death Benefit
E
Disability - Active
F
Disability - Disabled
G
Miscellaneous
Total (Exhibit 8 Item 1, Page 3)
Exhibit 9
A
Active Life Reserve
B
Claim Reserve
Total (Exhibit 9 Item 2, Page 3)
Exhibit 10
Premiums and Other Deposit Funds
Policyholder Premiums
(Page 3, Line 10.1)
Guaranteed Interest Contracts
(Page 3, Line 10.2)
Other Contract Deposit Funds
(Page 3, Line 10.3)
Supplementary Contracts Not
Involving Life Contingencies
(Page 3, Line 3)
Dividend and Coupon
Accumulations
(Page 3, Line 5)
Total Exhibit 10
2
Exhibit 11 Part 1
1
Life (Page 3, Line 4.1)
2
Health (Page 3, Line 4.2)
Total Exhibit 11, Part 1
Separate Accounts
(Page 3, Line 27)
TOTAL RESERVES
IMR (General Account Page ___ Line ___)
(SEPARATE ACCOUNTS, PAGE
LINE
)
AVR (Page ___ Line ___)
(c)
NET DEFERRED AND UNCOLLECTED PREMIUM
Notes:
(a)
The additional actuarial reserves are the reserves established under paragraphs (2) or (3) of section 16-169-4(e), Hawaii
Administrative Rules.
(b) The appointed actuary should indicate the method of analysis, determined in accordance with the standards for asset
adequacy analysis referred to in section 16-169-4(d), Hawaii Administrative Rules, by means of symbols which should be
defined in footnotes to the table.
(c)
Allocated amount of Asset Valuation Reserve (AVR).