Blanks (E) Working Group - Adopted Modifications to Financial Statements and Instructions
Blanks (E) Working Group - Adopted Modifications to Financial Statements and Instructions
Blanks (E) Working Group
Adopted Modifications to Financial Statements and Instructions
Last Updated May 31, 2023
This listing does not include adopted proposals for annual and quarterly statements for the year 2019 and prior.
Statement Type:
H = Health; L/F = Life/Fraternal; P/C = Property/Casualty; SA = Separate Accounts; T = Title
|
Ref No. |
Effective Date |
Description |
Date Adopted |
Statement Type |
Filing Type |
|---|---|---|---|---|---|
|
Annual / Quarterly |
|||||
| 2023-01BWG Modified | 1st Quarter 2024 | Remove Pet Insurance from the Inland Marine line of business and add a new line of business to the Appendix – P/C Lines of Business. Add a Pet Insurance line within the existing P/C Blank for the Underwriting and Investment Exhibits, Exhibit of Premiums and Losses (State Page), and Insurance Expense Exhibit. Add new Schedule P Parts 1 through 4, specific to Pet Insurance. | 05/31/2023 | P/C | Annual/Quarterly |
| 2022-17BWG Modified | Annual 2023 | Add a new disclosure paragraph for Note 8 – Derivative Instruments and illustration. The new disclosure to be data captured. Add electronic-only columns related to derivatives with excluded components to Schedule DB, Part A and Part B for both Section 1 and Section 2. Add new code column instructions for Schedule DB, Part A and B (SAPWG 2021-20). | 05/31/2023 | H, L/F, P/C, T | Annual/Quarterly |
| 2023-02BWG Modified | Annual 2023 | Add an exhibit to identify premiums that are reportable for Market Conduct Annual Statement (MCAS) purposes. | 05/31/2023 | H, L/F, P/C | Annual |
| 2023-03BWG | Annual 2023 | Remove life crosschecks for columns 2, 6, and 10 on the Accident and Health Policy Experience Exhibit (AHPEE). | 05/31/2023 | H, L/F, P/C | Annual |
| 2023-04BWG Modified | Annual 2023 | Add instructions for the appointed actuary and qualified actuary contacts to the Jurat electronic-only section. | 05/31/2023 | H, L/F, P/C, T | Annual |
| 2023-08BWG | Annual 2023 | Add clarifying language for mutual insurance companies on Schedule Y, Part 3. | 05/31/2023 | H, L/F, P/C, T | Annual |
| 2023-10BWG Modified | Annual 2023 | Update the three primary issue periods on Long-Term Care Experience Reporting Form 2. | 05/31/2023 | H, L/F, P/C | Annual |
| 2023-11BWG Modified | Annual 2023 | Add additional instructions and illustration to be data captured for Note 7 – Investment Income in the Notes to the Financial Statement to disclose more information on interest. | 05/31/2023 | H, L/F, P/C, T | Annual |
| 2022-14BWG Modified | Annual 2023 | Modify Exhibit 1, Parts 1 and 2, and Exhibit 8, Parts 1 and 2, in the life and accident and health/fraternal blank, to include the line of business detail reported on the Analysis of Operations by Lines of Business pages. | 03/07/2023 | L/F | Annual/Quarterly |
| 2022-15BWG | Annual 2023 | In the life, accident and health/fraternal, and property/casualty (P/C) blanks, revise the language of Schedule H, Part 5 to remove the 5% of premiums filing exemption. | 03/07/2023 | L/F, P/C | Annual |
| 2022-16BWG | Annual 2023 | Remove Supplemental Health Care Exhibit Part 3 and Supplemental Health Care Exhibit’s Expense Allocation Report. | 03/07/2023 | H, L/F, P/C | Annual |
| 2022-18BWG | Annual 2023 | For the life and accident and health/fraternal blank, instructional corrections on the handling of Exchange Traded Funds (ETFs) and/or Securities Valuation Office (SVO) Identified Funds within the Interest Maintenance Reserve (IMR) and the Asset Valuation Reserve (AVR). | 03/07/2023 | L/F, SA | Annual |
| 2022-20BWG | Annual 2023 | Modify the instructions and blanks for various health exhibits to change the order of the Vision and Dental lines of business to be consistent with all other statement types. | 03/07/2023 | H, L/F | Annual/Quarterly |
| 2022-19BWG Modified | Annual 2023 | Modify the Life Insurance (State Page) to include the line of business detail reported on the Analysis of Operations by Lines of Business pages. Add definitions for life and annuity products to the lines of business definitions in the health appendix. | 11/17/2022 | H, L/F | Annual |
| 2022-12BWG | Annual 2023 | Combine the Health Analysis of Operations by Lines of Business Supplement page and the Health Care Receivable Supplement pages (Exhibits 3 and 3A) into one supplement filing set for Health Blank pages filed as a supplement by Life/Fraternal companies. | 11/17/2022 | L/F | Annual |
| 2022-04BWG | Annual 2023 | Add a new supplement to capture premium and loss data for Annual Statement Line 17.1, 17.2, and 17.3 of the Exhibit of Premiums and Losses (State Page) – Other Liability by more granular lines of business. | 05/25/2022 | P/C | Annual |
| 2021-20BWG | Annual 2023 | Starting at Line 72 of the Life/Fraternal Five-Year Historical, add or delete lines that do not pull in the specific lines of business reported on the Life/Fraternal Analysis of Operations by Lines of Business detail pages for life (individual and group), annuities (individual and group), and A&H for Line 33 of those pages. | 03/29/2022 | L/F | Annual |
| 2021-17BWG Modified | Annual 2023 | Modify the Analysis of Operations by Lines of Business in the Health Blank to include all of health lines of business included in the Life/Fraternal Analysis of Operations by Lines of Business – Accident and Health. Add instructions for the new columns and adjust the column references. Add the Health Blank Analysis of Operations by Lines of Business as a supplement to the Life/Fraternal Blank with the appropriate instructions and crosschecks. Add crosscheck to the Health Blank Analysis of Operations by Lines of Business to the Life/Fraternal Analysis of Operations by Lines of Business – Accident and Health instructions. | 03/29/2022 | L/F, H | Annual |
| 2022-03BWG | 1st Quarter 2023 | Split Line 5 of the Quarterly Part 1 – Loss Experience and Part 2 – Direct Premiums Written into Line 5.1 – Commercial multiple peril (non-liability portion) and Line 5.2 – Commercial multiple peril (liability portion). | 05/25/2022 | P/C | Quarterly |
| 2022-13BWG Modified | Annual 2022 | Modify Five-Year Historical Data questions 68 and 69 to reference group comprehensive and modify questions 70 and 71 to reflect inclusion of all health lines of business other than group comprehensive. Crosschecks for these questions are being modifies accordingly. |
06/08/2022 | L/F | Annual |
| 2022-11BWG Modified | Annual 2022 | Update the Life/Fraternal Blank Asset Valuation Reserve (AVR) factors to correspond with the adopted Risk-Based Capital (RBC) factors for the expanded bond designation categories. | 05/25/2022 | L/F, SA | Annual |
| 2022-10BWG | Annual 2022 | Add instructions to Schedule T, State pages and the Accident and Health (A&H) Policy Experience Exhibit to clarify guidance for reporting premium adjustments by jurisdiction. | 05/25/2022 | L/F, P/C, H | Annual/Quarterly |
| 2022-09BWG | Annual 2022 | Changes to the Life/Fraternal VM-20, Requirements for Principle-Based Reserves for Life Products, Reserves Supplement blank Part 2, and adding a Question 3, a disclosure of the year that the Life Principle-Based Reserving (PBR) Exemption was actively filed, and a confirmation of the eligibility criteria in the case of ongoing exemptions. Also, correct references to a state “granting” an exemption, since this is often not the case (e.g., the exemption may be allowed). For the VM-20 Reserves Supplement Instructions, add instructions for the new disclosure item, Question 3. Correct the references to a state “granting” an exemption. For the Supplemental Exhibits and Schedules Interrogatories (Quarterly Statement), for Question 8, add instructions on how to respond if the company is utilizing the ongoing exemption. The same instructions can also be found in the Valuation Manual, Section II, Subsection 1G(1). | 05/25/2022 | L/F | Annual/Quarterly |
| 2022-08BWG | Annual 2022 | Modify the instructions in Section 1, Section 3, and Section 8 of the P/C Actuarial Opinion Instructions to reflect the changes adopted by the Actuarial Opinion (C) Working Group. | 05/25/2022 | P/C | Annual |
| 2022-07BWG | Annual 2022 | Modify the Health Actuarial Opinion Instructions. Add definitions of “actuarial asset” and “actuarial liability.” Modify Section 4 – Identification, Section 5 – Scope, and Section 7 – Opinion to clarify that the actuary’s opinion covers actuarial assets as well as actuarial liabilities. Modify Section 9 to clarify that the guidance related to the type of opinion rendered by an appointed actuary covers both actuarial assets and actuarial liabilities. | 05/25/2022 | H | Annual |
| 2022-06BWG Modified | Annual 2022 | Revise the Health Annual Statement Test language in the annual statement instructions. | 05/25/2022 | L/F, P/C, H | Annual |
| 2022-05BWG Modified | Annual 2022 | Add line numbers to the status data points in the Life/Fraternal, Health, and Property/Casualty (P/C) Schedule T footnote. | 05/25/2022 | L/F, P/C, H, T | Annual/Quarterly |
| 2022-02BWG | Annual 2022 | Add four new electronic-only columns to Schedule D, Part 6, Section 1, for Prior Year Book/Adjusted Carrying Value (BACV) (Column 16), Prior Year Nonadmitted Amount (Column 17), Prior Year Sub-2 Verified Value (Column 18), and Prior Year VISION Filing Number (Column 19) (2021-22 SAPWG). | 05/25/2022 | L/F, P/C, H, T | Annual |
| 2022-01BWG | Annual 2022 | Add new questions to General Interrogatories Part 1 asking if the reporting entity accepts cryptocurrency for payment of premiums, which cryptocurrencies are accepted, and whether they are held for investment or immediately converted to U.S. dollars (2021-24 SAPWG). | 05/25/2022 | L/F, P/C, H, T | Annual |
| 2021-22BWG Modified | Annual 2022 | Add a new reporting requirement in the investment schedules for investment transactions with related parties. In addition to capturing direct loans in related parties, it will also capture information involving securitizations (or other similar investments) where the related party is a sponsor/originator, along with whether the underlying investment is in a related party. | 05/25/2022 | L/F, P/C, H, T, SA | Annual/Quarterly |
| 2021-23BWG Modified | Annual 2022 | Add a group of lines for Residual Tranches or Interests in the Asset Valuation Reserve Equity and Other Invested Asset Component blank and renumber lines below them. Modify instructions as appropriate for the added lines. | 03/29/2022 | L/F, SA | Annual |
| 2021-21BWG Modified | Annual 2022 | Add instruction to the Investment Schedules General Instructions to exclude non-rated residual tranches or interests from being reported as bonds on Schedule D, Part 1 and add lines to Schedule BA for the reporting of those investments (2021-15 SAPWG). | 03/29/2022 | L/F, P/C, H, T, SA | Annual/Quarterly |
| 2021-19BWG | Annual 2022 | Add columns and lines to U&I (Parts 1, 2, 2A, 2B, and 2D) and the Exhibit of Premiums, Enrollment and Utilization in the annual statement bringing the lines of business reporting in line with Life/Fraternal and Property. Add columns and lines to the Exhibit of Premiums, Enrollment and Utilization and U&I Analysis of Claims Unpaid quarterly pages. The appropriate adjustments to the instructions are also being made. | 03/29/2022 | H | Annual/Quarterly |
| 2021-16BWG | Annual 2022 | For Note 9 – Income Taxes, remove the 9C illustration instructions for the DTA and DTL components which states that “reporting entities should disclose those items included as “Other” (Lines 2a13, 2e4, 3a5 and 3b3) as additional lines for those items greater than 5% in the printed/PDF filing document,” as the illustration is not set up to accommodate variable lines. Add formulas for calculation of total and subtotal on the illustration for 9C. For Note 15 – Leases, modify the illustrations to add a “Thereafter” line and add a formula for “Total” line. | 03/29/2022 | L/F, P/C, H, T | Annual |
| 2021-15BWG | Annual 2022 | Add a footnote to Exhibit 7 in the Life/Fraternal statement and the Health statement (Life Supplement) to capture amount of Federal Home Loan Bank (FHLB) Funding Agreements reported in columns 1 through 6 of the exhibit (2021-16 SAPWG). | 03/29/2022 | L/F, H | Annual |
| 2021-14BWG | Annual 2022 | Expand the number of lines of business reported on Schedule H to match the lines of business reported on the Health statement. Modify the instructions so they will be uniform between life/fraternal and property. | 11/16/2021 | L/F, P/C | Annual |
| 2021-10BWG | 1st Quarter 2022 | Remove language in quarterly General Interrogatories Part 1, Line 4.1, that requires filing of a quarterly merger/history form. The annual form shall still be required. | 07/22/2021 | L/F, P/C, H, T | Quarterly |
| 2020-35BWG Modified | 1st Quarter 2022 | Expand the number of characters used from seven to 10 in the investment line categories for Schedules D, DA, DL and E excluding Schedule D, Part 6 (Sections 1 and 2) and Schedule E (Part 1 and 3). Add line categories for Unaffiliated Certificates of Deposit and Exchange Traded Funds. Split the line categories for Mutual Funds, Investment Unit Trusts and Closed-End Funds into lines indicating if the fund has been assigned a designation by the Securities Valuation Office (SVO). Make changes to Summary Investment Schedule, Summary by Country and Schedule D, Part 1A (Sections 1 and 2) to reflect the additional line categories. | 03/16/2021 | L/F, P/C, H, T | Annual/Quarterly |
| 2020-33BWG Modified | 1st Quarter 2022 | Modify Annual Statement Lines (ASLs) used on Underwriting and Investment (U&I) Exhibits, State Page and Insurance Expense Exhibit (IEE). Change Health ASL categories used in Property to be consistent with other statement types. Update ASL references used in crosschecks. Update definitions used in the appendix for the Health ASLs. See next page for details. | 03/16/2021 | P/C | Annual/Quarterly |
| 2021-08BWG Modified | Annual 2021 | Add a new supplement Mortgage Guaranty insurance Exhibit to capture more information from mortgage guaranty insurers. | 05/26/2021 | P/C | Annual |
| 2021-07BWG | Annual 2021 | Add additional line categories to the instruction for Column 26 – Collateral Type to capture collateral type data for all residential mortgage-backed securities (RMBS), commercial mortgage-backed securities (CMBS) and loan-backed and structured securities (LBSS) securities regardless of reporting category. | 05/26/2021 | L/F, P/C, H, T | Annual |
| 2021-06BWG | Annual 2021 | Add crosschecks between Long-term Care (LTC) Form 5 and Form 1 for Columns 2, 3, 4, 6 and 7 of Form 5. | 05/26/2021 | L/F, P/C, H | Annual |
| 2021-05BWG Modified | Annual 2021 | Modify the instructions for Note 17B(4)b1(a) – Sale, Transfer and Servicing of Financial Assets and Extinguishments of Liabilities and add a table to the illustrations to data capture the disclosure (SAPWG 2021-03). | 05/26/2021 | L/F, P/C, H, T | Annual/Quarterly |
| 2021-04BWG Modified | Annual 2021 | Add interrogatory questions 24.1 and 24.2 to the General Interrogatories, Part 1 “Financial” section asking if the insurer utilizes third parties to pay agent commissions in which the amounts advanced by the third parties are not settled in full within 90 days. Renumber the remaining questions (SAPWG 2019-24). | 05/26/2021 | L/F, P/C, H, T | Annual |
| 2021-03BWG | Annual 2021 | Modify the tables for Interrogatory Questions 1.01, 1.01A, 2.5 and 4.2 in the Separate Accounts General Interrogatories by adding category lines to reflect additional granularity in the reporting on those tables (SAPWG 2020-37 and 2020-38). | 05/26/2021 | S/A | Annual |
| 2021-02BWG Modified | Annual 2021 | Add questions to the General Interrogatories, Part 1 regarding depository institution holding companies as it pertains to the group capital calculation (GCC). Additionally, modify the terminology in the first two questions for consistency with the new questions, which has been modified to consider that many insurers that are part of a depository institution holding company are savings and loan holding companies, which is picked up with the broader terminology compared to the more specific term of bank holding company. | 05/26/2021 | L/F, P/C, H, T | Annual |
| 2021-01BWG Modified | Annual 2021 | Add reference to health care receivables to Line 24 – Health Care and Other Amounts Receivable on the Asset Page, change description of Line 0699999 to read Other Health Care Receivables on Exhibit 3, and modify column headers for Exhibit 3A. | 05/26/2021 | L/F, P/C, H, T | Annual/Quarterly |
| 2020-38BWG Modified | Annual 2021 | Make changes to the Accident and Health Policy Experience Exhibit by adding new columns, removing lines distinguishing with and without contract reserves, adding some new product lines, eliminating summary tables, changing the date that the exhibit is due and having it reported by state. | 03/16/2021 | L/F, P/C, H | Annual |
| 2020-37BWG Modified | Annual 2021 | Add a new Schedule Y, Part 3 to capture all entities with ownership greater than 10%, the ultimate controlling parties of those owners and other entities that the ultimate controlling party controls (SAPWG Ref #2019-34). | 03/16/2021 | L/F, P/C, H, T | Annual |
| 2020-36BWG | Annual 2021 | Modify the General Schedules Investment Instructions and Schedule DB General Instructions to reflect treatment of publicly traded stock warrants as being in the scope of SSAP No. 30R—Unaffiliated Common Stock or SSAP No. 32R—Preferred Stock and reporting as common and preferred stock (SAPWG Ref #2020-33). | 03/16/2021 | L/F, P/C, H, T | Annual/Quarterly |
| 2020-34BWG | Annual 2021 | Add definitions for the Occupational Accident, Fiduciary Liability, Premises and Operations (OL&T and M&C), Professional Errors and Omissions Liability, Kidnap & Ransom Liability and Tuition Reimbursement Plans products to the appropriate line of business in the appendix. | 03/16/2021 | P/C | Annual |
| 2020-32BWG | Annual 2021 | Add a new Health Care Receivables Supplement to the Life\Fraternal Annual Statement that adds Exhibits 3 and 3A from the Health Annual Statement to the to the Life\Fraternal annual filings. Add a guidance document reference to Exhibit 3A of the Health Annual Statement. | 03/16/2021 | L/F | Annual |
| 2020-31BWG Modified | Annual 2021 | Replace the Life, Health and Annuity Guaranty Association Model Act Assessment Base Reconciliation and the Adjustments to the Life, Health and Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibits with modernized exhibits as indicated below in order to promote consistent reporting of assessable premiums among industry members and to reflect changes in guaranty association laws adopted over the past two decades. | 12/16/2020 | L/F, P/C, H | Annual |
| 2020-30BWG Modified | Annual 2021 | Move the interrogatory question regarding Communication of Internal Control Related Matters Noted in Audit from the Annual Supplemental Exhibits and Schedules Interrogatories to the Quarterly Supplemental Exhibits and Schedules Interrogatories to be answered for the second quarter. For Title, a new page in the quarterly statement will be added for the Supplemental Exhibits and Schedules Interrogatories. | 12/16/2020 | L/F, P/C, H, T | Annual/Quarterly |
| 2020-29BWG Modified | Annual 2021 | Remove the line category and reference to the NAIC Bond Fund List (Bond List) from the investment schedule instructions and blank (SAPWG Ref #2020-01). | 12/16/2020 | L/F, P/C, H, T | Annual/Quarterly |
| 2020-28BWG Modified | Annual 2021 | Remove the disclosure for the federal Affordable Care Act (ACA) Section 9010 Assessment from Note 22 – Events Subsequent (SAPWG Ref #2020-05). | 12/16/2020 | L/F, P/C, H | Annual |
| 2020-24BWG Modified | Annual 2021 | Remove actuarial filing questions 29, 30, 31 and 32 from the Supplemental Exhibits and Schedules Interrogatories and remove the related instructions. | 08/27/2020 | L/F | Annual |
| 2020-22BWG Modified | Annual 2021 | Modify the instructions and illustration for Note 3A – Business Combinations and Goodwill, Statutory Purchase Method and a new Note 3E for "Subcomponents and Calculations of Adjusted Surplus and Total Admitted Goodwill" with instructions and illustrations to be data captured. Modify the blank and instructions for Schedule D, Part 6, Sections 1 and 2. (SAPWG 2020-03) | 08/27/2020 | L/F, P/C, H, T | Annual |