HAR §16-169-6. Repealed

§16-169-7 Statement of actuarial opinion based on asset adequacy analysis. (a) General description. The statement of actuarial opinion submitted in accordance with this section shall consist of: (1) A paragraph identifying the appointed actuary and the actuary's qualifications (see subsection (b)(1)); (2) A scope paragraph identifying the subjects on which an opinion is being expressed and describing the scope of the appointed actuary's work, including a tabulation delineating the reserves and related actuarial items which have been analyzed for asset adequacy and the method of analysis, (see subsection (b)(2)) and identifying the reserves and related actuarial items covered by the opinion which have not been so analyzed; (3) A reliance paragraph describing those areas, if any, where the appointed actuary has deferred to other experts in developing data, procedures, or assumptions, (e.g., anticipated cash flows from currently owned assets, including variation in cash flows according to economic scenarios (see subsection (b)(3)), supported by a statement of each such expert in the form prescribed by subsection (e); and (4) An opinion paragraph expressing the appointed actuary's opinion with respect to the adequacy of the supporting assets to mature the liabilities (see subsection (b)(6)). (5) One or more additional paragraphs will be needed in individual company cases as follows: (A) If the appointed actuary considers it necessary to state a qualification of the opinion; (B) If the appointed actuary must disclose an inconsistency in the method of analysis or basis of asset allocation used at the prior opinion date with that used for this opinion. (C) If the appointed actuary must disclose whether additional reserves of the prior opinion date are released as of this opinion date, and the extent of the release. (D) If the appointed actuary chooses to add a paragraph briefly describing the assumptions which form the basis for the actuarial opinion. (b) Recommended language. The following paragraphs are to be included in the statement of actuarial opinion in accordance with this section. §16-169-7 169-7 Language is that which in typical circumstances should be included in a statement of actuarial opinion. The language may be modified as needed to meet the circumstances of a particular case, but the appointed actuary should use language which clearly expresses the actuary's professional judgment. However, in any event the opinion shall retain all pertinent aspects of the language provided in this section. (1) The opening paragraph should generally indicate the appointed actuary's relationship to the company and the actuary's qualifications to sign the opinion. For a company actuary, the opening paragraph of the actuarial opinion should read as follows: "I, (name), am (title) of (insurance company name) and a member of the American Academy of Actuaries. I was appointed by, or by the authority of, the Board of Directors of said insurer to render this opinion as stated in the letter to the commissioner dated (insert date). I meet the Academy qualification standards for rendering the opinion and am familiar with the valuation requirements applicable to life and health insurance companies." For a consulting actuary, the opening paragraph should contain a sentence such as: "I, (name), a member of the American Academy of Actuaries, am associated with the firm of (name of consulting firm). I have been appointed by, or by the authority of, the Board of Directors of (name of company) to render this opinion as stated in the letter to the commissioner dated (insert date). I meet the Academy qualification standards for rendering the opinion and am familiar with the valuation requirements applicable to life and health insurance companies." (2) The scope paragraph should include a statement such as the following: "I have examined the actuarial assumptions and actuarial methods used in determining reserves and related actuarial items listed in Appendix A, chapter 16-169, Hawaii Administrative Rules, as shown in the annual statement of the company, as prepared for filing with state regulatory officials, as of December 31, 20( ). Tabulated in Appendix A, chapter 16-169, Hawaii Administrative 16-169-7 169-8 Rules, are those reserves and related actuarial items which have been subjected to asset adequacy analysis." (3) If the appointed actuary has relied on other experts to develop certain portions of the analysis, the reliance paragraph should include a statement such as the following: "I have relied on (name), (title) for (e.g., anticipated cash flows from currently owned assets, including variations in cash flows according to economic scenarios or certain critical aspects of the analysis performed in conjunction with forming my opinion,) and as certified in the attached statement. I have reviewed the information relied upon for reasonableness." A statement of reliance on other experts should be accompanied by a statement by each of the experts in the form prescribed by subsection (e). (4) If the appointed actuary has examined the underlying asset and liability records, the reliance paragraph should also include a statement such as the following: "My examination included such review of the actuarial assumptions and actuarial methods and of the underlying basic asset and liability records and such tests of the actuarial calculations as I considered necessary. I also reconciled the underlying bank asset and liability records to (exhibit and schedules listed as applicable) of the company's annual statement." (5) If the appointed actuary has not examined the underlying records, but has relied on data (e.g., listings and summaries of policies in force or asset records, prepared by the company), the reliance paragraph should include a sentence such as: "In forming my opinion on (specify types of reserves) I relied upon data prepared by (name and title of company officer certifying in force records or other data) as certified in the attached statements. I evaluated that data for reasonableness and consistency. I also reconciled that data to (exhibits and schedules to be listed as applicable) of the company's current annual statement. In other respects, my examination included review of the actuarial §16-169-7 169-9 assumptions and actuarial methods used and tests of the calculations I considered necessary. The section shall be accompanied by a statement by each person relied upon of the form prescribed by subsection (e). (6) The opinion paragraph should include a statement such as: "In my opinion the reserves and related actuarial values concerning the statement items identified above: (A) Are computed in accordance with presently accepted actuarial standards consistently applied and are fairly stated, in accordance with sound actuarial principles; (B) Are based on actuarial assumptions which produce reserves at least as great as those called for in any contract provision as to reserve basis and method, and are in accordance with all other contract provisions; (C) Meet the requirements of the Insurance Law and regulation of the state of (state of domicile) and are at least as great as the minimum aggregate amounts required by the state in which this statement is filed; (D) Are computed on the basis of assumptions consistent with those used in computing the corresponding items in the annual statement of the preceding year-end (with any exceptions noted below); and (E) Include provision for all actuarial reserves and related statement items which ought to be established. The reserves and related items, when considered in light of the assets held by the company with respect to such reserves and related actuarial items including, but not limited to, the investment earnings on such assets, and the considerations anticipated to be received and retained under such policies and contracts, make adequate provision, according to presently accepted actuarial standards of practice, for the anticipated cash flows required by the contractual obligations and related expenses of the company. The actuarial methods, considerations, and analyses used in forming my opinion conform to the appropriate Standards of Practice as promulgated by the Actuarial Standards Board, which standards form the basis of this statement of opinion. §16-169-7 169-10 This opinion is updated annually as required by statute. To the best of my knowledge, there have been no material changes from the applicable date of the annual statement to the date of the rendering of this opinion which should be considered in reviewing this opinion. or The following material changes which occurred between the date of the statement for which this opinion is applicable and the date of this opinion should be considered in reviewing this opinion: (Describe the change or changes.) Note: Choose one of the above two paragraphs, whichever is applicable. The impact of unanticipated events subsequent to the date of this opinion is beyond the scope of this opinion. The analysis of asset adequacy portion of this opinion should be viewed recognizing that the company's future experience may not follow all the assumptions used in the analysis. Signature of Appointed Actuary Address of Appointed Actuary Telephone Number of Appointed Actuary Date" (c) Assumptions for new issues. The adoption for new issues or new claims or other new liabilities of an actuarial assumption which differs from a corresponding assumption used for prior new issues or new claims or other new §16-169-7 169-11 liabilities is not a change in actuarial assumptions within the meaning of this section. (d) Adverse opinions. If the appointed actuary is unable to form an opinion, then the actuary shall refuse to issue a statement of actuarial opinion. If the appointed actuary's opinion is adverse or qualified, then the actuary shall issue an adverse or qualified actuarial opinion explicitly stating the reasons for the opinion. This statement should follow the scope paragraph and precede the opinion paragraph. (e) Reliance on Information Furnished by Other Persons. If the appointed actuary relies on the certification of others on matters concerning the accuracy or completeness of any data underlying the actuarial opinion, or the appropriateness of any other information used by the appointed actuary in forming the actuarial opinion, the actuarial opinion should so indicate whom the actuary is relying upon and a precise identification of the items subject to reliance. In addition, the persons upon whom the appointed actuary relies shall provide a certification that precisely identifies the information provided by that person and a statement as to the accuracy, completeness, or reasonableness, as applicable, of the information. This certification shall include the signature, title, company, address, and telephone number of the person rendering the certification, as well as the date on which it is signed. (f) Alternate Option. The Standard Valuation Law section 431:5.307, HRS, gives the commissioner broad authority to accept the valuation of a foreign insurer when that valuation meets the requirements applicable to a company domiciled in this state in the aggregate. As an alternative to the requirements of subsection (b)(6), the commissioner may make one or more of the following additional approaches available to the opining actuary: (1) A statement that the reserves "meet the requirements of the insurance laws and regulations of the state of (state of domicile) and the formal written standards and conditions of this state for filing an opinion based on the law of the state of domicile." If the commissioner chooses to allow this alternative, a formal written list of standards and conditions shall be made available. If a company chooses to use this alternative, the standards and conditions in effect on July 1 of the applicable calendar year shall apply to statements for that calendar year, and they shall remain in effect until they are revised or revoked. If no list is available, this alternative shall not be available; (2) A statement that the reserves "meet the requirements of the insurance laws and regulations of the state of (state of domicile) and I have verified that the company's request to file an opinion based §16-169-7 169-12 on the law of the state of domicile has been approved and that any conditions required by the commissioner for approval of that request have been met." If the commissioner chooses to allow this alternative, a formal written statement of such allowance shall be issued no later than March 31 of the year it is first effective. It shall remain valid until rescinded or modified by the commissioner. The rescission or modifications shall be issued no later than March 31 of the year they are first effective. Subsequent to that statement being issued, if a company chooses to use this alternative, the company shall file a request to do so, along with justification for its use, no later than April 30 of the year of the opinion to be filed. The request shall be deemed approved on October 1 of that year if the commissioner has not denied the request by that date; or (3) A statement that the reserves "meet the requirements of the insurance laws and regulations of the state of (state of domicile) and I have submitted the required comparison as specified by this State." (A) If the commissioner chooses to allow this alternative, the company shall provide and publish a formal written list of products (to be added to the table in subparagraph (B)) for the required comparison. If a company chooses to use this alternative, the list in effect on July 1 of a calendar year shall apply to statements for that calendar year, and it shall remain in effect until it is revised or revoked. If no list is available, this alternative shall not be available; (B) If a company desires to use this alternative, the appointed actuary shall provide a comparison of the gross nationwide reserves held to the gross nationwide reserves that would be held under NAIC codification standards. Gross nationwide reserves are the total reserves calculated for the total company in force business directly sold and assumed, indifferent to the state in which the risk resides, without reduction for reinsurance ceded. The information provided shall be at least: (1) Product Type (2) Death Benefit or Account Value (3) Reserves Held (4) Codification Reserves (5) Codification Standard §16-169-8 169-13 (C) The information listed shall include all products identified by either the state of filing or any other states subscribing to this alternative; (D) If there is no codification standard for the type of product or risk in force or if the codification standard does not directly address the type of product or risk in force, the appointed actuary shall provide detailed disclosure of the specific method and assumptions used in determining the reserves held; and (E) The comparison provided by the company is to be kept confidential to the same extent and under the same conditions as the actuarial memorandum. Notwithstanding the above, the commissioner may reject an opinion based on the laws and regulations of the state of domicile and require an opinion based on the laws of this State. If a company is unable to provide the opinion within sixty (60) days of the request or such other period of time determined by the commissioner after consultation with the company, the commissioner may contract an independent actuary at the company's expense to prepare and file the opinion. [Eff 10/4/97; am and comp 9/28/09; comp 8/02/12] (Auth: HRS §§431:2-201, 431:2- 209, 431:5-307, 431:5-401. 432:1-407, 432:2-601, 432:2-602) (Imp: HRS §§431:2-201, 431:2-209, 431:5-307, 431:5-401, 432:1-303, 432:1-407, 432:2-401, 432:2-601, 432:2-602) §16-169-8 Description of actuarial memorandum including an asset adequacy analysis and regulatory asset adequacy issues summary. (a) General. (1) In accordance with section 431:5-307(j), HRS, the appointed actuary shall prepare a memorandum to the company describing the analysis done in support of the actuary's opinion regarding the reserves. The memorandum shall be made available for examination by the commissioner upon the commissioner's request but shall be returned to the company after such examination and shall not be considered a record of the insurance division or subject to automatic filing with the commissioner. (2) In preparing the memorandum, the appointed actuary may rely on, and include as a part of the actuary's own memorandum, memoranda prepared and signed by other actuaries who are qualified within the meaning of section 16-169-4(b), with respect to the areas covered in such memoranda, and so state in their memoranda. §16-169-8 169-14 (3) If the commissioner requests a memorandum and no such memorandum exists or if the commissioner finds that the analysis described in the memorandum fails to meet the standards of the Actuarial Standards Board or the standards and requirements of this chapter, the commissioner may designate a qualified actuary to review the opinion and prepare such supporting memorandum as is required for review. The reasonable and necessary expense of the independent review shall be paid by the company but shall be directed and controlled by the commissioner. (4) The reviewing actuary shall have the same status as an examiner for purposes of obtaining data from the company and the work papers and documentation of the reviewing actuary shall be retained by the commissioner; provided that any information provided by the company to the reviewing actuary and included in the work papers shall be considered as material provided by the company to the commissioner and shall be kept confidential to the same extent as is prescribed by law with respect to other material provided by the company to the commissioner pursuant to chapter 431, HRS. The reviewing actuary shall not be an employee of a consulting firm involved with the preparation of any prior memorandum or opinion for the insurer pursuant to this chapter for any one of the current year or the preceding three years. (5) In accordance with section 431:5-307, HRS, the appointed actuary shall prepare a regulatory asset adequacy issues summary, the contents of which are specified in subsection (c). Companies domiciled in Hawaii shall submit the regulatory asset adequacy issues summary shall be submitted no later than March 15 of the year following the year for which a statement of actuarial opinion based on asset adequacy is required. Foreign companies are not required to submit the regulatory asset adequacy issues summary annually, however, the summary shall be made available for examination by the commissioner upon request. The regulatory asset adequacy issues summary is to be kept confidential to the same extent and under the same conditions as the actuarial memorandum. (b) When an actuarial opinion under section 16-169-7 is provided, the memorandum shall demonstrate that the analysis has been done in accordance with the standards for asset adequacy referred to in section 16-169-4(d) and any additional standards under this subchapter. It shall specify: (1) For reserves: §16-169-8 169-15 (A) Product descriptions including market description, underwriting and other aspects of a risk profile, and the specific risks the appointed actuary deems significant; (B) Source of liability in force; (C) Reserve method and basis; (D) Investment reserves; (E) Reinsurance arrangements; (F) Identification of any explicit or implied guarantees made by the general account in support of benefits provided through a separate account or under a separate account policy or contract and the methods used by the appointed actuary to provide for the guarantees in the asset adequacy analysis; and (G) Documentation of assumptions to test reserves for the following: (i) Lapse rates (both base and excess); (ii) Interest crediting rate strategy; (iii) Mortality; (iv) Policyholder dividend strategy; (v) Competitor or market interest rate; (vi) Annuitization rates; (vii) Commissions and expenses; and (viii) Morbidity. The documentation of the assumptions shall be such that an actuary reviewing the actuarial memorandum could form a conclusion as to the reasonableness of the assumptions; (2) For assets: (A) Portfolio descriptions, including a risk profile disclosing the quality, distribution, and types of assets; (B) Investment and disinvestment assumptions; (C) Source of asset data; (D) Asset valuation bases; and (E) Documentation of assumptions made for: (i) Default costs; (ii) Bond call function; (iii) Mortgage prepayment function; (iv) Determining market value for assets sold due to disinvestment strategy; and (v) Determining yield on assets acquired through the investment strategy. §16-169-8 169-16 The documentation of the assumptions shall be such that an actuary reviewing the actuarial memorandum could form a conclusion as to the reasonableness of the assumptions; (3) For the analysis basis: (A) Methodology; (B) Rationale for inclusion or exclusion of different blocks of business and how pertinent risks were analyzed; (C) Rationale for degree of rigor in analyzing different blocks of business, including the level of "materiality" that was used in determining how rigorously to analyze different blocks of business; (D) Criteria for determining asset adequacy, including the precise basis for determining if assets are adequate to cover reserves under "moderately adverse conditions" or other conditions as specified in relevant actuarial standards of practice; and (E) Whether the impact of federal income taxes was considered and the method of treating reinsurance in the asset adequacy analysis; (4) Summary of material changes in methods, procedures, or assumptions from prior year's asset adequacy analysis; (5) Summary of results; and (6) Conclusions. (c) The regulatory asset adequacy issues summary shall include: (1) Descriptions of the scenarios tested, including whether those scenarios are stochastic or deterministic, and the sensitivity testing done relative to those scenarios. If negative ending surplus results under certain tests in the aggregate, the actuary should describe those tests and the amount of additional reserve as of the valuation date which, if held, would eliminate the negative aggregate surplus values. Ending surplus values shall be determined by either extending the projection period until the in-force and associated assets and liabilities at the end of the projection period are immaterial or by adjusting the surplus amount at the end of the projection period by an amount that appropriately estimates the value that can reasonably be expected to arise from the assets and liabilities remaining in force; (2) The extent to which the appointed actuary uses assumptions in the asset adequacy analysis that are materially different than the assumptions used in the previous asset adequacy analysis; 169-17 (3) The amount of reserves and the identity of the product lines that had been subjected to asset adequacy analysis in the prior opinion but were not subject to analysis for the current opinion; (4) Comments on any interim results that may be of significant concern to the appointed actuary; (5) The methods used by the actuary to recognize the impact of reinsurance on the company's cash flows, including both assets and liabilities, under each of the scenarios tested; and (6) Whether the actuary has been satisfied that all options whether explicit or embedded, in any asset or liability (including but not limited to those affecting cash flows embedded in fixed income securities) and equity-like features in any investments have been appropriately considered in the asset adequacy analysis. (d) The regulatory asset adequacy issues summary shall contain the name of the company for which the regulatory asset adequacy issues summary is being supplied and shall be signed and dated by the appointed actuary rendering the actuarial opinion. (e) The memorandum shall include the statement: "Actuarial methods, considerations, and analyses used in the preparation of this memorandum conform to the appropriate Standards of Practice as promulgated by the Actuarial Standards Board, which standards form the basis for this memorandum." (f) An appropriate allocation of assets in the amount of the interest maintenance reserve (IMR), whether positive or negative, shall be used in any asset adequacy analysis. Analysis of risks regarding asset default may include an appropriate allocation of assets supporting the asset valuation reserve (AVR); these AVR assets may not be applied for any other risks with respect to reserve adequacy. Analysis of these and other risks may include assets supporting other mandatory or voluntary reserves available to the extent not used for risk analysis and reserve support. The amount of the assets used for the AVR shall be disclosed in the table of reserves and liabilities of the opinion and in the memorandum. The method used for selecting particular assets or allocated portions of assets must be disclosed in the memorandum. (g) The appointed actuary shall retain on file, for at least seven years, sufficient documentation so that it will be possible to determine the procedures followed, the analyses performed, the bases for assumptions, and the results obtained. [Eff 10/4/97; am and comp 9/28/09; comp 8/02/12] (Auth: HRS §§431:2-201, 431:5-307, 431:5-401, 432:1-407, 432:2-601, 432:2-602) (Imp: HRS §§431:2-201, 431:5-307, 431:5-401, 432:1-303, 432:1-407, 432:2-401, 432:2-601, 432:2-602) 16-169-12 169-18