MD Insurance Bulletin 04-06
Deposits for Workers' Compensation Liabilities in Maryland
STATE OF MARYLAND
MARYLAND INSURANCE ADMINISTRATION
525 ST. PAUL PLACE, BALTIMORE, MARYLAND 21202-2272
WRITER’S DIRECT DIAL: 410-468-2119
Facsimile Number: 410-468-2101
e-mail : lschott@mdinsurance.state.md.us
BULLETIN 04-6
To:
Presidents, Insurers Domiciled in California and Massachusetts that Write Workers'
Compensation Business in Maryland
Re:
Deposits for Workers' Compensation Liabilities in Maryland
Date:
April 7, 2004
Section 6-303 of the Insurance Article of the Annotated Code of Maryland provides the
following:
When by or pursuant to the laws of any other state or foreign country any taxes,
licenses and other fees other than fees similar to the assessment fee established
under Title 2, Subtitle 5 of this article, in the aggregate, and any fines, penalties,
deposit requirements or other material obligations, prohibitions or restrictions are
or would be imposed upon Maryland insurers, or upon the insurance producers or
representatives of such insurers, which are in excess of such taxes, licenses and
other fees, in the aggregate, or which are in excess of the fines, penalties, deposit
requirements or other obligations, prohibitions, or restrictions directly imposed
upon similar insurers, or upon the insurance producers or representatives of such
insurers, of such other state or country under the statutes of this State, so long as
such laws of such other state or country continue in force or are so applied, the
same taxes, licenses and other fees, in the aggregate, or fines, penalties or deposit
requirements or other material obligations, prohibitions, or restrictions of whatever
kind shall be imposed by the Commissioner upon the insurers, or upon the
insurance producers or representatives of such insurers, of such other state or
country doing business or seeking to do business in Maryland.
The insurance statutes of California and Massachusetts require that insurers writing
workers' compensation business in their states, including foreign insurers, to deposit funds with
those states to secure their workers' compensation obligations in those states. While similar
deposit requirements are not imposed on insurers under Maryland’s insurance laws, pursuant to
Section 6-303, the Administration must impose the same deposit requirements on insurers
domiciled in California and Massachusetts that are authorized to write workers’ compensation
business in Maryland.
ROBERT L. EHRLICH, JR.
GOVERNOR
MICHAEL S. STEELE
LIEUTENANT GOVERNOR
ALFRED W. REDMER, JR.
COMMISSIONER
JAMES V. MCMAHAN, III
DEPUTY COMMISSIONER
LESTER C. SCHOTT
ASSOCIATE COMMISSIONER
EXAMINATION & AUDITING
The Administration has developed a Maryland Retaliatory Deposit Schedule for use by
insurers domiciled in California and Massachusetts and authorized to write worker's
compensation business in Maryland. The purpose of this Schedule is to determine the amount of
the deposit required to be provided to the Administration pursuant to Section 6-303. These
insurers are required to perform the following:
1. File a completed Maryland Retaliatory Deposit Schedule with the Administration annually
on or before April 1 of each year.
2. On or before May 15 of each year, ensure that the amount of cash and the current market
value amount of the securities deposited with the Administration is at least equal to the
amount determined on the Maryland Retaliatory Deposit Schedule.
For 2004 only, insurers will be required to file a completed Maryland Retaliatory Deposit
Schedule with the Administration annually on or before June 1, 2004. In addition, insurers will
be required to ensure that the amount of cash and the current market value amount of the
securities deposited with the Administration is at least equal to the amount determined on the
Maryland Retaliatory Deposit Schedule on or before July 15, 2004.
Section 5-701 of the Insurance Article provides that deposits made to satisfy the
requirement of Section 6-303 of the Insurance Article shall be in any combination of cash or
government securities described in Section 5-510(b) or Section 5-607(b)(1)(i), (ii) or (iii) of the
Insurance article. Permitted government securities include: (1) bonds or other evidences of
indebtedness of the United States or an agency of the United States if the obligation is
guaranteed as to principal and interest by the United States; (2) bonds or other evidences of
indebtedness that are the direct obligations of the State or of a county, district, or municipal
corporation of the State; or (3) bonds or other evidences of indebtedness that are direct
obligations of another state.
Insurers subject to this Bulletin must deposit the cash and securities with a custodian
approved by the Maryland State Treasurer’s Office. Custodial agreement forms and instructions
may be obtained from the State Treasurer’s Office, Room 109, Goldstein Building, 80 Calvert
Street, Annapolis, Maryland 21401, telephone (410) 260-7164
A copy of the Maryland Retaliatory Deposit Schedule is attached to this Bulletin. In
addition, the Schedule will be posted in Excel format on the Administration’s website,
www.mdinsurance.state.md.us.
If you have any questions regarding this matter, please contact Neil Miller, Chief
Financial Analyst, at (410) 468-2122.
Signature on file with original document
Lester C. Schott
Associate Commissioner
For the Year Ended December 31, 2003
NAIC NUMBER
NAME OF INSURER
ENTER 1 IF MA COMPANY
NET
Direct
Direct
WORKERS'
(To Agree
(To Agree
COMPENSATION
with MD
TOTAL x 70%
with MD
TOTAL
RESERVES
State Page)
Assumed
(COL 1+2-3)
State Page)
Assumed
(COL 5+6-7)
(COLS. 4 + 8)
(1)
(2)
(4)
(5)
(6)
(8)
(9)
-
$
0
-
0
-
$
-
0
2001
2002
2003
Total
(6) Unpaid compensation losses and loss expense, first period (Part VI, Col. 22, first period)
(7) Unpaid compensation losses and loss expense, second period (Part II, Col. 5)
(8) Total Deposit Required (Minimum Deposit $100,000)
In the schedule below, list all of the ceding insurers and the amounts assumed on Maryland workers' compensation unearned premium reserve (Massachusetts companies only)
and unpaid losses (California companies include loss adjustment expenses) from each. No segregation by policy year is required.
STATE
NAIC
OF
NUMBER
DOMICILE
XXX
STATE
NAIC
OF
NUMBER
DOMICILE
XXX
XXX
State of
Date
County of
Name of Officer (Print or Type)
Title
Under the penalty of perjury, the above designated officer declares that the foregoing statement is true and correct
statement for the period specified, based upon information and belief.
-
$
-
-
-
-
-
$
-
-
$
PREMIUM RESERVES (MA Companies only)
WORKERS' COMPENSATION UNEARNED
and unpaid losses (California companies include loss adjustment expenses) from each. No segregation by policy year is required. List all reinsurers not authorized
NAME OF REINSURER
REINSURANCE RECOVERABLE
ON UNPAID LOSSES (Total to Agree with
Part 1, Col 7 or Part VI, Col 21)
(Total to Agree with Part 1, Col 3)
Multiply Subtotal by 112.5%
Total Bond or Deposit Required (Round up to the nearest $5,000) (Minimum Deposit $50,000
TOTAL
-
$
(5)
CARRY OUT FOR EACH
100,000.00
-
-
$
PART IV SCHEDULE OF REINSURANCE CEDED (Massachusetts and California Companies)
-
$
-
$
PART I MASSACHUSETTS DEPOSIT SCHEDULE
(7)
-
PART II CALIFORNIA DEPOSIT SCHEDULE (from Part VI)
To Transact Business
TOTAL
-
-
-
-
-
$
-
$
-
$
IN COL. 3 OR 4
YEAR AMOUNT STATED
RESERVES
WORKERS' COMPENSATION LOSS
In Maryland
To Reinsurers Licensed
To Transact Business
In Maryland
PREMIUM RESERVES
Reinsurance Ceded
(2)
(3)
Subtotal
Reinsurance Ceded
To Reinsurers Licensed
Credit Taken on
-
$
-
$
0
0
-
$
-
$
-
-
0
PREMIUMS WERE
UNPAID COMPENSATION
65% OF EARNED
DEDUCT LOSS PAYMENT
(4)
(1)
YEAR IN WHICH
REMAINDER (COL. 1
EARNED AND LOSSES
LOSSES AND LOSS
PREMIUM STATED
AND EXPENSES STATED
LESS COL. 2) IF
WERE INCURRED
EXPENSES (PART VI, COL. 22)
WHICHEVER IS GREATER
IN PART VI, COLUMN 5
IN PART VI COLUMN 15
NEGATIVE ENTER "0"
Grand Total
Section (A)
Section (B)
Total
-
-
TOTAL
-
-
Signature
(Name of Insurer)
PART V CERTIFICATION (Massachusetts and California Companies)
-
$
-
$
-
$
-
$
-
MARYLAND RETALIATORY DEPOSIT SCHEDULE
(3)
for Unpaid Workers' Compensation Losses (Maryland Business).
(for the determination of the deposit or bond required under Section 6-303 of the Maryland Insurance Code)
(Nearest Dollar)
Credit Taken on
TOTAL
WORKERS' COMPENSATION UNEARNED
PART III SCHEDULE OF REINSURANCE ASSUMED (Massachusetts and California Companies)
NAME OF REINSURER
-
In the schedule below list all of the reinsurers and the amounts recoverable on Maryland workers' compensation unearned premiums (Massachusetts companies only)
-
$
REINSURANCE PAYABLE
ON UNPAID LOSSES (Total to Agree with
Part 1, Col 6 or Part VI, Cols 17 + 19)
WORKERS' COMPENSATION UNEARNED
PREMIUM RESERVES (MA Companies only)
-
-
-
-
PRINCIPAL OFFICE
-
$
-
$
-
$
-
-
-
to assume compensation insurance in Maryland in Section B. The data entered in this section cannot be taken as Workers' Compensation credit for depos
(Total to Agree with Part 1, Col 2)
-
$
Page 1 of 3
For the Year Ended December 31, 2003
0
NAIC NUMBER
NAME OF INSURER
OF
PRINCIPAL OFFICE
0.00
0.00
$
0.00
DURING 2003
PRIOR TO 2001
PRIOR TO 2001
2001
2002
2003
UNPAID COMPENSATION
Direct
Assumed
Direct
Assumed
(16)
(17)
(18)
(19)
PRIOR TO 2001
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2001
0.00
0.00
0.00
0.00
2002
0.00
0.00
0.00
0.00
2003
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NET LOSSES PAID
CALENDAR YEAR 2003
IN CURRENT
PERCENTAGE
TOTAL
2003
PRIOR TO 2003
TOTAL TO
ACCIDENT
REPORTING YEAR
DISTRIBUTION
PERCENTAGE
CALENDAR
DATE FOR
YEAR
(COL 7 PLUS COL. 8
OF COLUMN (1)
DISTRIBUTION
YEAR EXPENSES
COL. 13
LESS COL. 9)
COL. (25)+(26)
x COLUMN (27)
(COL 28
PLUS COL. 29)
(23)
(24)
(27)
(28)
(30)
PRIOR TO 2001
0.00
0
0.00%
-
$
-
$
2001
0.00
0
0.00%
0.00
0.00
2002
0.00
0
0.00%
0.00
0.00
2003
0.00
0
0.00%
0.00
0.00
Total
-
$
0%
0%
-
$
-
$
NOTE: For companies which have been issuing polices for one year or less, disregard columns (23) through (27) and assign all unallocated claim expenses paid to the latest accident year.
NOTE: Column 25 total should equal 50%. Column 26 total should equal 50%. Column 27 total should equal 100%
-
$
0.00%
UNALLOCATED CLAIM EXPENSES PAID PERCENTAGES FOR
0.00%
ASSOCIATED
WITH
YEAR LOSS
-
$
OCCURRED
0
0%
0.00%
(25)
(26)
0%
LOSS EXPENSE
ASSOCIATED WITH
COMPENSATION LOSSES
0.00
0.00
0.00
COMPENSATION LOSS EXPENSE PAYMENTS
0.00
0.00
0.00
0.00
0.00
0.00
Total second period
0.00
2001
2002
2003
0.00
xxx
Total first period
LOSSES WERE INCURRED
0.00
(6)
0.00
(8)
(7)
-
$
-
$
CURR. REPORTING YEAR
(COL. 6, PLUS COLS.
7 AND 8, LESS COL. 9)
LOSS PAYMENTS PRIOR TO
CURRENT REPORTING YEAR
MD STATE PAGE, ANN. STAT.)
COMPENSATION INSURANCE
REINSURERS LICENSED
LOSSES PAID DURING
WERE ISSUED AND
TO TRANSACT
COMPENSATION POLICIES
CURRENT REPORTING YEAR
ON REINSURANCE ASSUMED
DIRECT LOSSES PAID
CURRENT REPORTING YEAR
NET COMPENSATION
0.00
0.00
0.00
-
$
$ xxx
xxx
Total
(10)
Compensation Loss Payments (Net as to Reinsurance)
REINSURANCE RECOVERED
YEAR IN WHICH
ON LOSSES PAID FROM
CUMULATIVE TO
0.00
2001
2002
2003
(3)
0.00
0.00
IN MARYLAND
3, LESS COL. 4)
(4)
(5)
-
$
xxx
xxx
CURRENT REPORTING YEAR
MD STATE PAGE, ANN. STAT.)
PREMIUMS ON
REINSURANCE ASSUMED
(1)
0.00
0.00
(2)
xxx
xxx
(Nearest Dollar)
PART VI CALIFORNIA COMPANIES ONLY
NET EARNED COMPENSATION
PREMIUMS PRIOR TO
AMOUNT OF EARNED
COMPENSATION
REINSURANCE CEDED
COMPENSATION
YEARS IN WHICH
TO REINSURANCE LICENSED
MARYLAND RETALIATORY DEPOSIT SCHEDULE
for Unpaid Workers' Compensation Losses (Maryland Business).
(for the determination of the deposit or bond required under Section 6-303 of the Maryland Insurance Code)
0.00%
0.00%
0.00%
0.00%
0.00%
EARNED
COMPENSATION INSURANCE
PLUS COLS. 2 AND
CURRENT REPORTING YEAR
PREMIUMS WERE
TO TRANSACT
Workers' Compensation Premiums Earned (Maryland Business)
EARNED PREMIUMS ON
NET EARNED
DIRECT PREMIUMS EARNED
PREMIUMS (AS
0.00
0.00
-
$
0.00
0.00
$ xxx
ADJUSTED) (COL.1
IN MARYLAND
(9)
-
$
-
$
(22)
LESS COL. 21)
(21)
COMPENSATION
INSURANCE IN MARYLAND
COMPENSATION POLICIES
LOSSES AND LOSS EXPENSES
TOTAL ESTIMATED
FROM REINSURERS
RESERVE FOR
(NET AS TO REINSURANCE RECOVERED FROM REINSURERS AUTHORIZED
Grand Total
RESERVE FOR COMPENSATION LOSSES AND LOSS EXPENSES
REINSURANCE
-
$
YEAR IN WHICH
COMPENSATION
0.00
0.00
-
$
TOTAL
EXPENSE PAYMENTS
(COL. 11 PLUS COL. 14)
(15)
COMPENSATION
LOSS AND LOSS
COMPENSATION POLICIES
LOSS PAYMENTS
LOSSES AND LOSS
Total first period
xxx
WERE ISSUED AND
PLUS COL. 13)
LOSSES WERE INCURRED
UNALLOCATED
(COL. 10)
TOTAL (COL. 12
0.00
(FROM COL. 30)
(13)
(14)
0.00
(11)
$ xxx
0.00
0.00
RECOVERABLE ON UNPAID
TO TRANSACT COMPENSATION INSURANCE IN MARYLAND)
(12)
-
$
WITHOUT DEDUCTION FOR REINSURANCE RECOVERABLE
0.00
0.00
0.00
ALLOCATED
0.00
TOTAL ESTIMATED
RESERVE FOR COMPENSATION
TOTAL
PLUS COL. 18 PLUS COL 19)
0.00
(COL. 16 PLUS COL. 17
0
0
0
Compensation Reserve for Losses and Loss Expenses
0.00
EXPENSES ( AS
LICENSED TO TRANSACT
0.00
PAID (ONE HALF OF
COLUMN (23)
Grand Total
Total second period
0.00
$ xxx
Total first period
Total second period
Grand Total
WERE INCURRED
0.00
$ xxx
0
-
$
0.00 $ xxx
0.00
WERE ISSUED AND LOSSES
$ xxx
0.00
0.00
0.00
0.00
-
$
(20)
ADJUSTED) (COL. 20
YEAR IN WHICH
0.00
-
$
CALENDAR
DISTRIBUTION OF UNALLOCATED
Distribution of Unallocated Compensation Claim Expenses (Maryland Business)
Net as to reinsurance ceded to reinsurers authorized to transact compensation insurance in Maryland
CLAIM EXPENSES PAID
YEAR LOSSES WERE
-
$
0.00
xxx
-
$
(29)
0.00
0.00
0
0
0.00
YEAR
0.00
0.00
0.00
0.00
-
$
-
$
xxx
$ xxx
xxx
-
$
0.00
xxx
xxx
-
$
0.00
$ xxx
0.00
0.00
0.00
-
$
0.00
0.00
0.00
-
$
0.00
Page 2 of 3
INSTRUCTIONS:
1. Report Maryland business only
2. Due Date for this schedule is on or before April 1 of each year.
3. Massachusetts Companies complete Parts I, III, IV and V only.
4. California companies complete Parts II thorough VI.
5. Enter data in fields that are highlighted. All other fields will automatically calculate.
6. Return one copy of this form to the Maryland Insurance Administration, Chief Financial Analyst
Examination and Auditing, 525 St. Paul Place, Baltimore, MD 21202-2272
Page 3 of 3