. All annual financial statement filings must be postmarked no later than March 1st. Although the meeting was held in a hybrid in-person and . Annual Statement (8 "x14") xxx . Foreign companies: file . L. NONE Filings: . NE EO 0 EO 3/1 NAIC V 111 Annual Statement Schedule T Page (Page 49-50) EO 0 EO 3/1 NAIC V . A summary of all changes can be found in the Summary of 2022 Changes document. We use the NAIC filing date or the USPS postmark or courier pick-up date as the date filed. Annual Statement Instructions . Annual Statement Filing Requirements. Filings Made During the Year 2022 (1) Check- List (2) Line # (3) REQUIRED FILING FOR THE ABOVE STATE (4) NUMBER OF COPIES* (5) DUE DATE (6) FORM SOURCE** (7) APPLICABLE NOTES; Domestic Foreign; . you may complete the NAIC Annual Statement page entitled "Supplemental Exhibits and Schedules Interrogatories" INSTEAD OF filing reports marked . ****For those states that have adopted the NAIC Corporate Governance Annual Disclosure Model Act, an annual disclosure is required of all insurers or insurance groups by June 1. Forms & Endorsements. If the due date falls on a weekend or holiday, then the postmark deadline is extended to the . ***For those states that have adopted the NAIC Corporate Governance Annual Disclosure . This Sidley Update summarizes the highlights from this . DUE DATE (6) FORM SOURCE ** (7) APPLICABLE NOTES Domestic Foreign State NAIC State I. NAIC FINANCIAL STATEMENTS . F Late Filings: Companies will be fined $100 per day for a late filing. There is no separate regulation in PA. See 40 Pa. CS 3901, et al. 66 Supplemental .PDF Filing xxx EO xxx 4/1 NAIC 67 Quarterly Statement Electronic Filing xxx EO . Other financial filings must be postmarked no later than the indicated due date. Note M - NONE Filings See NAIC . filing due date. . Payments can be made via Check, ACH or Wire. REQUIRED FILINGS IN VIRGINIA Filings Made During the Year 2022. . . This waiver could include supplemental annual statement filings. DUE DATE (6) FORM SOURCE ** (7) APPLICABLE NOTES Domestic Foreign State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 1/2" X 14") 1 EO XXX 3/1 NAIC 1.1 Investment Schedule detail (pages E01-E29) 1 EO XXX 3/1 NAIC 2 Quarterly Financial Statement (8 1/2" X 14") 1 EO XXX 5/15, 8/15, 11/15 NAIC . filed electronically with your assigned DOI analyst. Very large files may . Due Dates . Filings for the respective quarters have deadlines of May 15, August 15, and November 15, 2022. Although the meeting was held in a hybrid in-person and . If the filing due date falls on a weekend, you must consult your state of domicile on whether filings are due the Friday before the due date or the Monday after the due date. If the due date falls on a weekend or holiday, the deadline is extended to the next business day. DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "X14") KY EO** EO KY EO* 3/1** NAIC *Jurat page for Foreign only **See Letter E and F 1.1 Printed Investment Schedule detail (Pages E01-E29) KY EO EO 0 3/1* NAIC *See Letter E 2 Quarterly Financial Statement . . Premium Tax: The penalty for non-filing is $100 per day. DUE DATE (6) FORM SOURCE ** (7) APPLICABLE ; Foreign NOTES. State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 1 EO xxx 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 . Domestic companies should apply at least 30 days prior to the due date and, for extensions, must submit a written request explaining the reason for the delay and detailed "time-line" of any expected component completion dates and contingencies. Financial Statement Filing. 1 Annual Statement (8 " x 14") EO EO N/A 3/1 NAIC A, E 1.1 Printed Investment Schedule detail (Pages E01-E29) EO EO xxx 3/1 NAIC E 2 Quarterly Financial Statement (8 " x 14") EO EO N/A 5/15, 8/15, 11/15 NAIC E 3 Protected Cell Annual Statement EO 0 xxx 3/1 NAIC E Filings shall be made utilizing the 2021 Annual Statement Instructions and Blanks and the 2022 Quarterly Statement Instructions and Blanks adopted by the National Association of Insurance Commissioners (NAIC). DUE DATE (6) FORM SOURCE** (7) APPLICABLE . NAIC Report: 2022 Spring National Meeting. Puerto Rico is now a participating MCAS jurisdiction. State NAIC State ; I. NAIC FINANCIAL STATEMENTS ; 1 Annual Statement (8 "x1 4") EO EO xx x 3/ 1 NAIC A-K, M 1.1 Printed Investment Schedule detail (Pages E01-E29) @ EO EO xxx 3/1 NAIC A-K, M . State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "x14") 1 EO xxx 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC Quarterly Statement Filing as of March 31, 20189 (Property, Life, Health, Title) Trusteed Surplus Statement - Quarter Ending March 31, 2019 (Property, Life) Supplement A to Schedule T (Medical Professional Liability Supplement . NAIC SUPPLEMENTS 1.1 Printed Investment Schedule detail (Pages E01-E29) 0 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 0 EO xxx 5/16, 8/15 , 11/15 NAIC 3 Protected Cell Annual Statement 0 0 xxx 3/1 NAIC 4 Combined Annual Statement (8 " x 14") 0 EO xxx 5/2 NAIC The Combined Statement filing fee is due May 1, 2022. . . DUE DATE (6) FORM SOURCE** (7) APPLICABLE stic Foreign NOTESDome. The National Association of Insurance Commissioners (NAIC) held its 2022 Spring National Meeting from March 4 to 8 in Kansas City, Missouri. 1 Annual Statement (8 " x 14") EO EO xxx 3/ 1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29 ) @ EO EO xxx 3/1 NAIC A-K , M . 2021-22 Annual Statements and New York Supplement Filing Instructions & Forms. To download the latest New York Statement and Supplement blank forms, use the links below.
Premium tax . Annual Statement: Per IC 27-1-20-21.2, a $500 late fee may be assessed if the Annual Statement is not received in our office on or before the indicated due date. Due January 15, 2022. 1 Annual Statement (8 " x 14") 0 EO xxx 3/1 NAIC F, G 1.1 Printed Investment Schedule detail (Pages E01-E29) 0 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") Please follow the NAIC Annual Statement Instructions for NAIC bar codes. DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 2 EO 0 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 2 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 2 EO 0 5/15, 8/15, 11/15 NAIC If this column contains "Company," the company, or its representative (e.g., its CPA firm), is expected to provide the form based upon the appropriate state instructions or the NAIC . F Late Filings: $500 and for the annual statement if after 10 days notice, failure to file penalty will accrue at $100 per day. 2021-08 License applications and filing fees. 2021 Combined Annual Statement - due May 2, 2022 . The format to be used is the 2021 edition of the quarterly blank adopted by the NAIC for the 2022 reporting year. Statements are due 45 days subsequent to the end of each quarter: Quarter Ending Due Date March 31, 2022 May 15, 2022 June 30, 2022 August 15, 2022 Electronic filings, in the form of a zip file in accordance with the NAIC Filing Instructions, should be sent to annstat@aib.org as an email attachment. L Signed Jurat The following statutes govern the individuals who are authorized to sign the Jurat. Payments are due on or before March 1, 2022. 3/1 PPD, Foreign CI, DI, LD, PC 3/31 HCSO, HMDO : 3/31 Domestic CI, DI, LD, PC . All companies licensed to write automobile insurance in Massachusetts must submit electronic copies of the 2021 Annual Statement documents to the AIB on or before the due dates shown below. ** For those states that have adopted the NAIC Corporate Governance Annual Disclosure Model Act, an annual . (State or NAIC): Please follow the instructions in the NAIC Annual Statement Instructions. DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 1 EO xxx 3/1 NAIC G, H 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC
EO : xxx . Filings Made During the Year 2022 (1) Checklist (2) Line # (3) REQUIRED FILINGS FOR THE ABOVE STATE (4) NUMBER OF COPIES* (5) DUE DATE (6) FORM SOURCE** (7) APPLICABLE NOTES. Foreign companies should follow the instructions in the NAIC's Annual . NAIC . The Annual Statement filing fee is due March 1, 2022. Up to $25.00 per day -Certificate of Disclosure Form E-178. DUE DATE (6) FORM SOURCE**Domestic (7) APPLICABLE Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 2 EO xxx 3/1 NAIC G,H,J,K,L,O, BB 1.1 Printed Investment Schedule detail (Pages E01-E29) 2 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 2 EO 5/15, 8/15, 11/15 only. K Bar Codes (State or NAIC): Follow the instructions in the NAIC . NAIC SUPPLEMENTS Annual Statement Instructions. NOTICE: THE FOLLOWING REPRESENTS, IN GENERAL, THE ANNUAL RENEWAL AND RELATED . must be physically received at the address in Note C no later than April 30th. you may complete the NAIC Annual Statement page entitled "Supplemental Exhibits and Schedules Interrogatories" INSTEAD OF filing duplicate reports . Part 4- NAIC Annual Statement and Insurance Expense Exhibit Data Submission . NAIC Annual Statement Instructions. Ending June 30, 2022 (Property) PBR Exemption due to state 7/1 and NAIC 8/15 (Life/Fraternal) (PDF file only) [Only filed with 2nd Quarter Statement] o Nov. 15, 2022 Quarterly Statement Filing as of September 30, 2022 (Property, Life/Fraternal, Health Title) Trusteed Surplus Statement - Quarter Ending September 30, Puerto Rico will begin collecting MCAS filings beginning with the 2022 data to be reported on the filing due dates in 2023. DUE DATE (6) FORM SOURCE* * (7) APPLICABLE Domestic ForeigNOTES n State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 1 EO xxx 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC II. DUE DATE (6) FORM SOURCE**Domestic (7) APPLICABLE Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "X14") 1 EO xxx 3/1 NAIC G, H 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC G, H DATE: February 9, 2022 TO: Property & Casualty Insurers - Financial Statement Contact Person . Information on Annual Report (Due: 4/15/2022) filing for Dusty Kautz Trucking, LLC (Montana (US)) Learn how to leverage transparent company data at scale. 2021 National Association of Insurance Commissioners 1 Life .
> The REFS filings must be received by the Office no later than 5:00 PM on the applicable due date. . 1 Annual Statement (8 " x 14") 2 EO xxx 3/1 NAIC A-O 1.1 Printed Investment Schedule detail (Pages E01-E29 ) 2 EO xxx 3/1 NAIC A-O 2 Quarterly Financial Statement (8 " x 14") 2 EO xxx 5/15, 8/15, 11/15 NAIC A-O 3 Protected Cell Annual Statement 2 0 xxx 3/1 NAIC A-O DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "x14") 2 EO 0 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 2 EO xxx 3/1 NAIC . Refunds are issued accordingly: Registration fees are NOT transferable to future meetings however substitutions are accepted. The interest penalty for late filing is 1% of the payment due for each month or part of a month. For 2022, North Dakota is . Other financial filings must be postmarked no later than the indicated due date. EO : xxx . submit quarterly statements to the NAIC electronically. Invoices will be available January 2022, on the Examinations Bureau webpage and the Company Licensing Bureau webpage, which can be found at Up to $25.00 per day -Annual Statement, Annual Fees, Actuarial Opinion, Management Discussion and Analysis or Audited Financial Report. Domestic. Mar. The Corporate Governance Annual Disclosure is a state filing only and should not be submitted by the company to the NAIC. Foreign. Column (7) (Applicable Notes) Check- list (2) Line# (3) REQUIRED FILINGS FOR THE ABOVE STATE (4) NUMBER OF COPIES* (5) DUE DATE (6) ** Form Source (7) Applicable Notes; Domestic. 2021 National Association of Insurance Commissioners 1 Life . 1992 - 2020 National Association of Insurance Commissioners 1 Title 2020 INSTRUCTIONS For Completing Title Annual Statement Blank FOREWORD Line titles and columnar headings of the various statement items and lines are in general self-explanatory and as such constitute instructions. License applications. Financial Statement Filings due March 31 st and beyond, please consult your domiciliary state for any information on obtaining a waiver or extension. Up to $100.00 per day - Quarterly Statements. Quarterly Financial Statement (8 " x 14") 1 . Not applicable Note L - Signed Jurat See NAIC Annual Statement Instructions. LIFE, ACCIDENT AND HEALTH/FRATERNAL INSURERS . DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "X14") 1 EO xxx 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC II. 2021-2022 New York Annual Statement and Supplement Filing Blanks. to the due date. Annual Statement Verification and Acknowledgement Form. Pet Insurance Model Act Not Yet Adopted by NAIC. waive printed quarterly and annual statements from their foreign insurers and to rely upon the NAIC database for these filings. Created Date: 02/14/2022 07:43:00 Title: LIFE, ACCIDENT AND HEALTH INSURERS Last modified by: Diep, Christine Company: ***For those states that have adopted the NAIC Corporate Governance Annual Disclosure . Signed Jurat pages are not required for foreign insurers. ***For those states that have adopted the NAIC Corporate Governance Annual Disclosure Model Act, an annual disclosure is required of all insurers or insurance groups by June 1. The National Association of Insurance Commissioners (NAIC) held its 2022 Spring National Meeting from March 4 to 8 in Kansas City, Missouri. The department will invoice approved surplus lines insurers for the $1,000 annual fee. 1 Annual Statement (8 " x 14") 2 EO xxx 3/1 NAIC A-O 1.1 Printed Investment Schedule detail (Pages E01-E29 ) 2 EO xxx 3/1 NAIC A-O 2 Quarterly Financial Statement (8 " x 14") 2 EO xxx 5/15, 8/15, 11/15 NAIC A-O 3 Protected Cell Annual Statement 2 0 xxx 3/1 NAIC A-O later than the indicated due date. HCS & HMO - 354.435 Prepaid Dental - 354.720 2021 Year-end and 2022 Quarterly Filings Page 3 of 5 The request for an exemption or extension must be submitted in writing not less than ten days prior to the due date in sufficient detail to permit the Director to make an informed . The following specifies the annual statement references for calculating the premium base. Cancellation refund checks will be processed after August 22, 2022. K Bar Codes (State or NAIC): Follow the instructions in the NAIC Annual Statement Instructions. A.
See also NAIC website. 61 Annual Statement Electronic Filing xxx EO xxx 3/1 NAIC E . I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "x14") 1 EO xxx 3/1 NAIC Note G, H & L 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC 3 Separate Accounts Annual Statement (8 "x14") 1 EO xxx 3/1 NAIC II. The Corporate Governance Annual Disclosure is a state filing only and should not be submitted by the company to Annual Calls . DUE DATE (6) FORM SOURCE ** (7) APPLICABLE NOTES Domestic Foreign State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 1/2" X 14") 1 EO XXX 3/1 NAIC 1.1 Investment Schedule detail (pages E01-E29) 1 EO XXX 3/1 NAIC 2 Quarterly Financial Statement (8 1/2" X 14") 1 EO XXX 5/15, 8/15, 11/15 NAIC . statement. Filings Made During the Year 2022: FRATERNAL COMPANIES BEGIN FILING LIFE/FRATERNAL STATEMENT EFFECTIVE WITH FIRST QUARTER, 2019 . Fax to 816-460-7666 or email, meetingsmail@naic.org. B. LIFE, ACCIDENT AND HEALTH/FRATERNAL INSURERS . May 15, 2019. Foreign NOTES . DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") EO EO XXX 3/1 NAIC B(c), G, H(a), I, L, N(a) 1.1 Printed Investment Schedule detail (Pages E01-E29) EO EO XXX 3/1 NAIC B(c), I, N(a) 1.2 Printed Investment Schedule detail (Pages E01-E29) AFF EO xxx 3/1 NAIC M,W 2 Quarterly Financial Statement (8 " x 14") AFF EO 0 5/15, 8/15, 11/15 NAIC M,W 3 Protected Cell Annual Statement 1 0 xxx 3/1 NAIC R 4 Combined Annual Statement (8 " x 14") AFF EO 0 5/1 NAIC M,W II.
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