Blanks (E) Working Group

Adopted Modifications to Financial Statements and Instructions

 

Last Updated August 6, 2017

 

This listing does not include adopted proposals for annual and quarterly statements for the year 2015 and prior.

 

Statement Type:

F = Fraternal; H = Health; L = Life; P/C = Property/Casualty; SA = Separate Accounts; T = Title

 

Ref No.

Effective Date

Description

Date Adopted

Statement Type

Filing Type

Annual / Quarterly

2015-23BWG

1st Quarter 2016

Add instruction to include the Affordable Care Act (ACA) Section 9010 fee as a write-in for special surplus in accordance with SSAP No. 106, Affordable Care Act Section 9010 Assessment.

8/15/2015

L, P/C, F, H

Annual / Quarterly

2015-22BWG

Annual 2016

Modify the question in the Supplemental Exhibits and Schedules Interrogatories on filing the Communication of Internal Control Related Matters Noted in Audit filing to reference being regulator only, non-public and to be filed electronically with the NAIC.

8/15/2015

L, P/C, F, H, T

Annual

2015-25BWG

Annual 2016

For Schedule D, Part 1A, Section 1and Schedule D, Part 1B, remove the reference to “non-rated” from the instructions and provide instructions for Footnote “d” of Schedule D, Part 1A, Section 1and Footnote “a” of Schedule D, Part 1B.

4/3/2016

L, P/C, F, H, T

Annual / Quarterly

2015-26BWG

Annual 2016

Add a new supplement with details of reinsurers aggregated on Schedule F, Part 3 and conforming modifications to the existing instructions (Schedule F, Parts 3 and 5) and blank (Schedule F, Part 3). A disclosure Note 23J is also being added and 23J (2) will be data captured.  The Health statement is included due to Schedule F, Part 3 being in the Health Property Supplement. The new supplement will be a public document.

4/3/2016

P/C, H,

Annual

2016-01BWG

Annual 2016

Add a column to Schedule Y, Part 1A to identify Subsidiary, Controlled and Affiliates (SCAs) where a SUB 1 (initial) or SUB 2 (annual) NAIC filing is required and add an electronic only column for LEI (Legal Entity Identifier).  Add a column to Schedule D, Part 6, Section 1 to identify the amount nonadmitted and separate Column 4 into two columns (NAIC Company Code & Id Number).

6/16/2016

L, P/C, F, H, T

Annual / Quarterly

2016-02BWG

Annual 2016

Incorporate the Schedule D, Part 1 guidance adopted in November 2015 for Annual Statement 2015 reporting into the instructions.  Combine the code for Senior Subordinated Debt and Junior Subordinated debt to just one code Subordinated Debt for the Capital Structure Column.  Modify the instructions for Schedule D, Parts 2 through 6 to reflect the changes adopted for Schedule D, Part 1 for the CUSIP and Description Column and add the electronic columns for Issuer, Issue and ISIN to these schedules for consistency across Schedule D.

6/16/2016

L, P/C, F, H, T

Annual / Quarterly

2016-03BWG

Annual 2016

In the Title Annual Statement Instructions, under Actuarial Opinion, item 6.d. Reserve Development, add a new paragraph regarding the ratio of One-Year or Two-Year Known Claims Reserve Development.

6/16/2016

T

Annual

2016-04BWG

Annual 2016

For the Operations and Investment Exhibit, Part 1A add an exclude statement to the instructions for  Line 1, Direct Premiums Written and an include statement to the instructions for Details of Write-ins Aggregated at Line 6 for Service Charges regarding the handling of fees or charges for Closing Protection Letters (CPL) or Insured Closing Letters (ICL).

6/16/2016

T

Annual

2016-05BWG
Modified

Annual 2016

Modify the definition of XXX Life on Schedule S, Part 3, Section 1 so it is worded more like the instructions for the Supplemental XXX/AXXX Reinsurance Exhibit, Part 1.  Also add a code (XXXLO – XXX Life Other) to identify the remaining XXX business that is not included on Supplemental XXX/AXXX Reinsurance Exhibit.

6/16/2016

L, F

Annual

2016-06BWG

Annual 2016

Reduce the number of codes from 12 to 4 for the foreign code column on Schedule D and to also remove the foreign code matrix.

6/16/2016

L, P/C, F, H, T

Annual / Quarterly

2016-07BWG
Modified

Annual 2016

Modify the Schedule D, Part 1 Annual Statement Instructions to provide clarification on the Bond Characteristic Column.

6/16/2016

L, P/C, F, H, T

Annual

2016-08BWG
Modified

Annual 2016

Add an electronic only column to capture the secure code for reinsurers on Schedule F, Part 3, Part 5 and Part 6 Section 1.

6/16/2016

P/C, H

Annual

2016-09BWG
Modified

Annual 2016

Clarifications and improvements to the P&C Statement of Actuarial Opinion and the Actuarial Opinion Summary instructions.

6/16/2016

P/C

Annual

2016-10BWG
Modified

Annual 2016

Add an additional line of business in the Property/Casualty Exhibit of Premiums and Losses (Statutory Page 14) and Insurance Expense Exhibit, Parts II and III of the NAIC Annual Statement Blank, and the corresponding instructions. Label the new line as “Line 2.5 - Private Flood” for writers of the private market coverage.

6/16/2016

P/C, H

Annual

2016-11BWG

Annual 2016

Modify the illustration for Note 4A to reflect the disclosure changes to SSAP No. 24—Discontinued Operations and Unusual or Infrequent Items adopted by the Statutory Accounting Principles (E) Working Group on their June 17, 2015 conference. Note 4A(1), 4A(3) and 4A(4) will be data captured.

6/16/2016

L, P/C, F, H, T

Annual

2016-12BWG
Modified

Annual 2016

Modify the instructions for Note 5H and add a column to the illustration for the disclosure.  Also a crosscheck for the calculation of the percentage columns is added.

6/16/2016

L, P/C, F, H, T

Annual

2016-13BWG
Modified

Annual 2016

The purpose of this proposal is to modify the instructions and illustration for Note 1A to reflect changes to SSAP No. 1—Accounting Policies, Risks and Other Disclosures adopted by the Statutory Accounting Principles Working Group.

6/16/2016

L, P/C, F, H, T

Annual / Quarterly

2016-14BWG
Modified

Annual 2016

Add new disclosure Note 5 for 5* securities.  The illustration in the disclosure will be data captured.

6/16/2016

L, P/C, F, H, T

Annual

2016-16BWG
Modified

Annual 2016

Add illustration for Note 10N and 10M.  These tables will be data captured.  Editorial changes to the instructions order of the presentation of the instructions and to provide additional numbering to better match the instructions to the illustrations provided.

6/16/2016

L, P/C, F, H, T

Annual

2016-17BWG
Modified

Annual 2016

Add illustration to the Insurance-Linked Securities Disclosure in Note 21 with some additional clarifying instruction.  The illustration will be data captured.

6/16/2016

L, P/C, F, H, T

Annual

2016-18BWG
Modified

Annual 2016

Add definition of SVO-Designated Securities to the Investment Schedules General Instructions and category line numbers for Schedule D (Part 1, 3, 4, & 5), Schedule DA (Part 1), Schedule E (Part 2) and Schedule DL (Part 1 & 2).

 

Remove the “*” code for Class One Bond Mutual Funds and “#” for Exchange Traded funds from the instructions for the Code Column for Schedule D, Part 1, Schedule DL, Part 1 and Schedule DL, Part 2.

 

Eliminate the Class One Money Market Mutual Funds Line from Schedule E, Part 2.

 

Change references to Class One Bond Mutual Funds to Bond Mutual Funds.

 

Add new section (SVO-Designated Securities) and a new column (No Maturity Date) to Schedule D, Part 1A with the appropriate changes to the instructions for the new section and column.

 

Add SVO-Designated Securities to the grouping (Lines 8 through 11) for the Schedule D, Summary by Country blank page.

6/16/2016

L, P/C, F, H, T

Annual / Quarterly

2016-19BWG
Modified

Annual 2016

Add illustrations for Note 23G and make the appropriate adjustment to the instructions to match the illustration.  These illustrations will be data captured.

6/16/2016

L, F

Annual

2016-20BWG
Modified

Annual 2016

Add two new disclosures to the instructions with illustrations for Note 24 related to the ACA Risk Corridor Program.  These new disclosures will be data captured with crosschecks.

6/16/2016

L, P/C, F, H

Annual / Quarterly

2016-21BWG
Modified

Annual 2016

Modify the instructions for Note 5H disclosure for collateral received and reflected as assets within the reporting entity’s financial statements.  The illustration for this disclosure will be data captured.

6/16/2016

L, P/C, F, H, T

Annual

2016-22BWG

Annual 2016

Modify the General Interrogatory, Part 1 question regarding investment manager and broker\dealers.  The table for Question 28.05 (annual) and 17.5 (quarterly) will be modified and additional table for 28.06 (annual) and 17.6 (quarterly) will be added to expand on data reported regarding investment management with the appropriate instruction modifications and additions.

6/16/2016

L, P/C, F, H, T

Annual

2016-15BWG
Modified

1st Quarter 2017

Add new disclosure to Note 5 for short sales.  The illustration in the disclosure will be data captured.  Add a new code (SS) to the code list in the Investment Schedules General Instructions for short sales.  Add additional instructions related to short sales to Schedule D (Part 1; Part 2, Section 1; Part 2, Section 2), Schedule DA, Part 1; and Schedule E, Part 2.

6/16/2016

L, P/C, F, H, T

Annual / Quarterly

2016-24BWG
Modified

1st Quarter 2017

It is requested that an additional letter code (D) and a code description be added to the “Explanation of basis of allocation of premiums by states, etc.” section for use on Schedule T-Exhibit of Premiums Written Allocated by States and Territories. The change would apply to both the Quarterly and Annual Statement Blanks and referenced in the Quarterly and Annual Statement Instructions.

8/9/2016

P/C

Annual / Quarterly

2016-25BWG
Modified

1st Quarter 2017

Insert the following phrase to the Column 1 Description instructions for Schedule DB Part A Section 1:

 

• For swaptions, include the hedge ID number, the tenor (i.e. time from effective date to maturity date), and the start and end dates of the underlying swap.

8/9/2016

L, P/C, F, H, T

Annual / Quarterly

2016-26BWG
Modified

1st Quarter 2017 (Note 5)

 

Annual 2018 (Schedule D – Verification, Part 4 and

Part 5)

Add disclosure to Note 5 for prepayment penalties and acceleration of fees for callable securities which will be data captured.  Also additional instructions being added to Columns 18 and 20 of Schedule D, Parts 4 and 5 for reporting prepayment penalties and acceleration of fees for these securities.

8/9/2016

L, P/C, F, H, T

Annual / Quarterly

2016-23BWG
Modified

Annual 2017

Add new supplement for reporting VM-20 reserves.  Add new line to Analysis of Increase in Reserves During the Year related to VM-20 deterministic/stochastic reserves. Modify the instructions for Exhibit 5 to reflect valuation under VM-20. Add lines to the Five-Year Historical related to VM-20 deterministic/stochastic reserves. Add the VM-20 Reserve Supplement to the Supplemental Exhibits and Schedules Interrogatories.

12/15/2016

L, F, SA

Annual

2016-27BWG
Modified

Annual 2017

Delete the General Interrogatory, Part 2 Questions 9.1 and 9.2 (24.1 and 24.2 if Fraternal) regarding variable annuities with guarantees and renumber the remaining interrogatory questions. Replace interrogatory with a variable annuities supplement. Add a question to the Supplemental Exhibits and Schedules Interrogatories for the supplement. Remove Line 2.2 from the Separate Accounts General Interrogatories.

12/15/2016

L, F, H, SA

Annual / Quarterly

2016-28BWG

Annual 2017

Add new interrogatory question to the annual and quarterly general interrogatories regarding self-designated 5*GI securities.

12/15/2016

L, P/C, F, H, T

Annual / Quarterly

2016-29BWG

Annual 2017

Add instructions for the life insurance policy locator contact to Jurat electronic only section. Property and Title are included because the Jurat page and instructions are uniform or all statement types.

04/08/2017

L, P/C, F, H, T

Annual / Quarterly

2016-30BWG
Modified

Annual 2017

Modify instructions for Long-Term Care Insurance Experience Reporting Form 5 to indicate a Grand Total page should be filed. Add crosschecks to Columns 1, 2 and 3 to Form 2, Part C and Form 3.

04/08/2017

L, P/C, F, H

Annual

2016-31BWG

Annual 2017

Reduce the number of collateral type categories from 21 to 10 on the Schedule D, Part 1 and to also add more explanations and examples to the categories.

04/08/2017

L, P/C, F, H, T

Annual

2016-32BWG
Modified

Annual 2017

Split the Cybersecurity and Identity Theft Insurance Coverage Supplement blank into three parts (interrogatories, stand-alone policies and packaged policies). Add interrogatory questions to better indicate if a company writes certain types of cybersecurity and identity theft business. Clarify in the instructions who should be completing the supplement. Add information on claims open, closed with payment and closed without payment.

04/08/2017

P/C

Annual

2016-33BWG
Modified

Annual 2017

Modify the appropriate instructions and blank pages to reflect the movement of money market mutual funds from being reported on Schedule DA, Part 1 to being reported on Schedule E, Part 2. Change the title for Schedule E Verification to include the reference to Part 2 and add a column to the annual verification for money market mutual funds.

04/08/2017

L, P/C, F, H, T, SA

Annual / Quarterly

2016-34BWG

Annual 2017

Modify the illustration for Note 12A(3) - Retirement Plans, Deferred Compensation, Postemployment Benefits and Compensated Absences and Other Postretirement Benefit Plans (Defined Benefit Plan).

04/08/2017

L, P/C, F, H, T

Annual

2017-01BWG

Annual 2017

Delete the Health Property Supplement instructions and blank pages. Update the Supplemental Exhibits and Schedules Interrogatories to reflect the deletion.

06/14/2017

H

Annual

2017-02BWG

Annual 2017

For Column 34, Capital Structure Code on Schedule D, Part 1, replace the description of “Other” for Code 4 with “Not Applicable”

06/14/2017

L, P/C, F, H, T

Annual

2017-03BWG

Annual 2017

Modify the CUSIP column for Schedules BA and DL and add a ISIN Column to Schedule DL for consistency with changes made to Schedule D. Add additional header for Schedule DL so it is easier to identify which schedule reflect securities included in other investment schedule and which reflects one line reporting.

06/14/2017

L, P/C, F, H, T, SA

Annual / Quarterly

2017-04BWG

Annual 2017

For 2017 P&C Statement of Actuarial Opinion and Actuarial Opinion Summary instructions, the changes include clarifications on current requirements. For 2017 Title Statement of Actuarial Opinion instructions, the changes include incorporation of the same changes made to the 2016 and proposed 2017 instructions for the P&C Statement of Actuarial Opinion.

06/14/2017

P/C, T

Annual

2017-05BWG

Annual 2017

Add clarification to the line of business definitions for property and health for determining what line of business to report riders, endorsements and floaters. Also add clarification to the Analysis of Operation by Lines of Business instructions for life, heath and fraternal.

06/14/2017

L, P/C, F, H

Annual

2017-06BWG

Annual 2017

Add additional definitions to the property line of business definitions in the appendix of the instructions for Annual Statement Lines 9, 15 17 and 34.

06/14/2017

P/C

Annual

2017-08BWG

Annual 2017

The change incorporates the Valuation Manual requirements regarding the Appointed Actuary, Qualified Actuary and the Actuarial Opinion into the Actuarial Opinion instructions. It also references the 2009 amendments to the Standard Valuation Law (#820), which authorizes the Valuation Manual.

06/14/2017

L, F

Annual

2017-09BWG

Annual 2017

Modify the instructions to reflect changes to NAIC Valuation of Life Insurance Policies Model Regulation (#830). Modify some of the column header descriptions in Part 1. Add additional columns to Part 1, 2A, and 2B and remove columns form 2A and 2B to allow room on the page for the columns added. Modify the lines used on Part 3.

06/14/2017

L, F

Annual

2017-10BWG

Annual 2017

Remove the definition for notional amount from the Schedule DB General Instructions, Schedule DB, Part A General Instructions and replace with the definition of notional amount adopted by the Statutory Accounting Principles Working Group for SSAP No. 86—Derivatives in the general instruction for Schedule DB. Modify the instruction for the Notional Amount Column for Schedule DB, Part A and Part B.

06/14/2017

L, P/C, F, H, T

Annual / Quarterly

2017-11BWG

Annual 2017

Modify the instructions and illustrations for Note 5A(4) and 5A(5) to reflect additional disclosures required by SSAP No. 37—Mortgage Loans.

06/14/2017

L, P/C, F, H, T

Annual

2017-12BWG

Annual 2017

Add a code to the Code Column to allow designation of SVO Identified Funds for valuation using systematic value and make the appropriate modifications to the instructions for the Book Adjusted/Carrying Value Column, the Unrealized Valuation Increase/(Decrease) Column and the Current Year’s (Amortization)/Accretion Column for Schedule D (Parts 1, 4 and 5) and Schedule DA (Part 1). Also add additional disclosure to Note 1C for mandatory convertible securities, and SVO-identified investments.

06/14/2017

L, P/C, F, H, T

Annual / Quarterly

2017-13BWG

Annual 2017

Remove the repurchase agreement and reverse repurchase agreement disclosures from Note 5E and add new disclosures for them as 5F through 5I and renumber the remaining Note 5 disclosures accordingly. The illustrations for 5F through 5I will be data captured. Also Note 17B(5) and 17B(7) instructions will be modified to remove references to repurchase agreements and reverse repurchase agreements.

06/14/2017

L, P/C, F, H, T

Annual / Quarterly

2017-14BWG

Annual 2017

Modify the current illustration for Note 31, High Deductibles and data capture. Add additional illustration to Note 31 also for data capture.

06/14/2017

P/C

Annual

2017-15BWG

Annual 2017

Add additional disclosure item to Note 25, Change in Incurred Losses and Loss Adjustment Expenses (life, health, property, fraternal and title) and Note 32 Discounting of Liabilities for Unpaid Losses or Unpaid Loss Adjustment Expenses (property).

06/14/2017

L, P/C, F, H, T

Annual / Quarterly

2017-16BWG

Annual 2017

Add new disclosure to Note 14, Liabilities, Contingencies and Assessments for Long-Term Care insolvencies related guaranty funds liabilities and assets. The new illustration for the disclosure will be data captured.

06/14/2017

L, P/C, F, H

Annual

2017-17BWG

1st Quarter 2018

Add a new line B10 to the bond section of the Cash from Investments Worksheet in the Cash Flow Statement instructions; renumber the remaining lines in the bond section (B10 and B11) and update the formula for the existing ling B11 to reflect the line addition.

08/06/2017

L, P/C, F, H, T

Annual / Quarterly

2017-18BWG

1st Quarter 2018

Move the total count of “L” (and “D” for property) status codes provided for Column 1 of Schedule T to footnote and provide in the footnote a count for each status provided in Column 1. Add a crosscheck to ensure a status is provided for each jurisdiction on Lines 1 through 57.

08/06/2017

L, P/C, F, H, T

Annual / Quarterly

2017-19BWG

1st Quarter 2018

Add a question to the General Interrogatories, Part 2 to help identify insurers that assume reinsurance business covering risks in at least two states.

08/06/2017

L, P/C, F, H

Annual / Quarterly

2016-35BWG
Modified

Annual 2018

Combines the current Schedule F, Parts 3, 4, 5, 6, 7 and 8 into a single new Schedule F-Part 3-Ceded Reinsurance, modify the crosscheck references for Lines 13 and 16 of the Liability Page to reflect the changes to Schedule F and make changes to Schedule F Part 1 to eliminate the under $100,000 aggregation for consistency with the changes to Schedule F, Part 3. In addition changes for consistency are being made to the Schedule F, Part 3 Supplement for property, Schedule F instruction and blank for the Health Property Supplement and Schedule F, Parts 1 and 2 of the Life Workers’ Compensation Carve-out Supplement as these schedules are based on similar schedules in Schedule F of the property statement.

04/08/2017

L, P/C, H

Annual