Review of Annual Statement Filing requirements. (See also CL 6 (1979) on this listing and CL 20 (1979) on the Current listing).

July 20, 1979 SUBJECT: INSURANCE Circular Letter NO. 12 (1979) WITHDRAWN TO: ALL AUTHORIZED INSURERS WRITING BUSINESS IN NEW YORK STATE SUBJECT: REVIEW OF ANNUAL STATEMENT FILING REQUIREMENTS The New York Insurance Department is engaged in a systematic review of its annual statement filing requirements, focusing on the number and content of required forms and the due dates for each. This review is especially timely as a new section or the Insurance Law provides substantial daily fines for non-compliance with filing requirements. Based on the review, the Department will consider changes designed to help insurance companies reduce paperwork, while still permitting the Department to meet its reporting and publishing responsibilities. The first step of this program was the issuance of Circular Letter No. 6(1979) on January 24, 1979, which organized the forms by filing dates and set forth general guidelines for the submission of annual statements. The next phase, a review of individual forms, is the subject of Circular Letter No. 12(1979). Each company is hereby requested to complete the attached survey concerning annual statement forms and return it to the Insurance Department by [A> AUGUST 31, 1979 <A]. The questionnaire will be used to pinpoint those forms which merit closer consideration. Many of the forms shown will not apply to your company and should be left blank; answer only for those forms with which you have had experience. Space is provided within the survey for comments, explanations, and recommendations. The Department may contact you later concerning specific ideas that you present. The completed survey should be returned no later than August 31, 1979 to Dr. Eugene Baum, Director of Research and Statistics, New York State Insurance Department, 2 World Trade Center, New York, New York 10047. All questions concerning the completion of the survey should be directed to Dr. Baum at 212-488-4176. Very truly yours, [SIGNATURE] ALBERT B. LEWIS Superintendent of Insurance NEW YORK INSURANCE DEPARTMENT - SURVEY OF ANNUAL STATEMENT FILING REQUIREMENTS Please return to: Eugene Baum; Research Bureau; New York Insurance Dept.; Two World Trade Center; New York, New York 10047. FORM NUMBER & NAME CONTENT CHANGES RETAIN SHORTEN AS IS CONTENT (FORMS DUE MARCH 1) 1 LIFE ANNUAL STATEMENT 1-6 LIFE SEPARATE ACCOUNTS 1-V LIFE VARIABLE ACCOUNTS 2 FIRE & CASUALTY ANNUAL STATEMENT 4 FRATERNAL ANNUAL STATEMENT 5 CHARITABLE ANNUITY ANNUAL STATEMENT 9 TITLE ANNUAL STATEMENT 11 RETIREMENT SYSTEMS ANNUAL STATEMENT 13 HEALTH, HOSPITAL, MEDICAL & DENTAL ANNUAL STATEMENT 3-74 ASSESSMENT CO-OP ANNUAL STATEMENT HMO REPORT 271LS SCHEDULE IS S-10 CERTIFICATE OF COMPLIANCE REGARDING A & H ADVERTISING 128 NEW YORK SCHEDULE F S-11 LIMITATION OF EXPENSES SUPP. A TO SCH. T - MEDICAL MALPRACTICE PREMIUMS BY STATE (FORMS DUE APRIL 1) 271EL CREDIT LIFE STATISTICAL REPORT 271A INSURANCE EXPENSE EXHIBIT 271AS INSURANCE EXPENSE EXHIBIT - PART II 271C NEW YORK SUPPLEMENTAL INSURANCE EXPENSE EXHIBIT (FORMS DUE MAY 1) 271D A & H POLICY EXPERIENCE EXHIBIT 271E CREDIT LIFE AND A & H EXHIBIT 271ES SUPPLEMENTAL CREDIT LIFE AND A & H EXHIBIT (FORMS DUE JUNE 30) 7 HOME OFFICE ANNUAL STATEMENT 135A SUPPLEMENT TO VALUATION REPORT (QUARTERLY FORMS) 13A HOSPITAL QUARTERLY 31A PROPERTY QUARTERLY 31B LIFE QUARTERLY FORM NUMBER & NAME CONTENT CHANGES SUMMARIZE REPLACE OR WITH NEW SUBSUME FORMAT (FORMS DUE MARCH 1) 1 LIFE ANNUAL STATEMENT 1-6 LIFE SEPARATE ACCOUNTS 1-V LIFE VARIABLE ACCOUNTS 2 FIRE & CASUALTY ANNUAL STATEMENT 4 FRATERNAL ANNUAL STATEMENT 5 CHARITABLE ANNUITY ANNUAL STATEMENT 9 TITLE ANNUAL STATEMENT 11 RETIREMENT SYSTEMS ANNUAL STATEMENT 13 HEALTH, HOSPITAL, MEDICAL & DENTAL ANNUAL STATEMENT 3-74 ASSESSMENT CO-OP ANNUAL STATEMENT HMO REPORT 271LS SCHEDULE IS S-10 CERTIFICATE OF COMPLIANCE REGARDING A & H ADVERTISING 128 NEW YORK SCHEDULE F S-11 LIMITATION OF EXPENSES SUPP. A TO SCH. T - MEDICAL MALPRACTICE PREMIUMS BY STATE (FORMS DUE APRIL 1) 271EL CREDIT LIFE STATISTICAL REPORT 271A INSURANCE EXPENSE EXHIBIT 271AS INSURANCE EXPENSE EXHIBIT - PART II 271C NEW YORK SUPPLEMENTAL INSURANCE EXPENSE EXHIBIT (FORMS DUE MAY 1) 271D A & H POLICY EXPERIENCE EXHIBIT 271E CREDIT LIFE AND A & H EXHIBIT 271ES SUPPLEMENTAL CREDIT LIFE AND A & H EXHIBIT (FORMS DUE JUNE 30) 7 HOME OFFICE ANNUAL STATEMENT 135A SUPPLEMENT TO VALUATION REPORT (QUARTERLY FORMS) 13A HOSPITAL QUARTERLY 31A PROPERTY QUARTERLY 31B LIFE QUARTERLY FORM NUMBER & NAME CONSIDER CHANGE OTHER* FOR DUE ELIMINATION* DATE (TO) (FORMS DUE MARCH 1) 1 LIFE ANNUAL STATEMENT 1-6 LIFE SEPARATE ACCOUNTS 1-V LIFE VARIABLE ACCOUNTS 2 FIRE & CASUALTY ANNUAL STATEMENT 4 FRATERNAL ANNUAL STATEMENT 5 CHARITABLE ANNUITY ANNUAL STATEMENT 9 TITLE ANNUAL STATEMENT 11 RETIREMENT SYSTEMS ANNUAL STATEMENT 13 HEALTH, HOSPITAL, MEDICAL & DENTAL ANNUAL STATEMENT 3-74 ASSESSMENT CO-OP ANNUAL STATEMENT HMO REPORT 271LS SCHEDULE IS S-10 CERTIFICATE OF COMPLIANCE REGARDING A & H ADVERTISING 128 NEW YORK SCHEDULE F S-11 LIMITATION OF EXPENSES SUPP. A TO SCH. T - MEDICAL MALPRACTICE PREMIUMS BY STATE (FORMS DUE APRIL 1) 271EL CREDIT LIFE STATISTICAL REPORT 271A INSURANCE EXPENSE EXHIBIT 271AS INSURANCE EXPENSE EXHIBIT - PART II 271C NEW YORK SUPPLEMENTAL INSURANCE EXPENSE EXHIBIT (FORMS DUE MAY 1) 271D A & H POLICY EXPERIENCE EXHIBIT 271E CREDIT LIFE AND A & H EXHIBIT 271ES SUPPLEMENTAL CREDIT LIFE AND A & H EXHIBIT (FORMS DUE JUNE 30) 7 HOME OFFICE ANNUAL STATEMENT 135A SUPPLEMENT TO VALUATION REPORT (QUARTERLY FORMS) 13A HOSPITAL QUARTERLY 31A PROPERTY QUARTERLY 31B LIFE QUARTERLY