Blanks (E) Working Group

Adopted Modifications to Financial Statements and Instructions

 

Last Updated August 4, 2018

 

This listing does not include adopted proposals for annual and quarterly statements for the year 2016 and prior.

 

Statement Type:

F = Fraternal; H = Health; L = Life; 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

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

2017-20BWG

1st Quarter 2018

Add question to the General Interrogatories Part 1 to determine if the reporting entity is part of a publicly traded group.  Add clarifying instruction to Schedule Y, Part 1A when a Central Index Key ("CIK") is provided.  Add crosscheck between Column 6 and Column 7 of Schedule Y, Part 1A to ensure that when data is provided for one it is provided for the other.

09/14/2017

L, P/C, F, H, T

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

2017-21BWG

Annual
2018

Add language to General Interrogatory merger questions (5.1 annual and 4.1 quarterly) to require the filing of merger history with the NAIC, if the questions are answered "YES."

3/24/2018

L, P/C, F, H, T

Annual / Quarterly

2017-23BWG Modified

Annual 2018

Modify the annual statement instructions to reflect the requirement of filing the Life, Health and Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit and the Adjustments to the Life, Health and Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit by companies that are members of the life, health and annuity guaranty associations and write the respective lines of business.

3/24/2018

L, P/C, H

Annual

2017-24BWG Modified

Annual 2018

Add new category lines for bank loans to Schedules D (Parts 1, 3, 4 & 5), D, DL (Parts 1 & 2) and E (Part 2) and adjust category line number reference in the Default Component – Basic Contribution, Reserve Objective and Maximum Reserve Calculations.

3/24/2018

L, P/C, F, H, T

Annual / Quarterly

2017-26BWG Modified

Annual 2018

Modifies the category line descriptions and adds crosschecks for lines 1499999, 2899999, 4299999, 4399999, 4499999, and 9999999 to clarify the subtotal calculations for protected cells and authorization categories. Replaces old references to "Part 5" with updated "Part 3" references throughout. Revise the calculation references in the headings for Columns 60, 66, and 74. Revises the calculation references for Columns 72 and 73 to clarify certain calculations related to amounts in dispute.

3/24/2018

L, P/C

Annual

2018-01BWG

Annual 2018

Update the language for the different lines on the Schedule DB, Part D, Section 1 regarding exchange-traded derivatives and centrally cleared derivatives.

6/12/2018

L, P/C, F, H, T

Annual / Quarterly

2018-03BWG

Annual 2018

Add the definition of "supranational" to the Supplemental Investment Risks Interrogatories section of the Annual Statement Instructions.

6/12/2018

L, P/C, F, H, T

Annual

2018-04BWG Modified

Annual 2018

Remove the reference to long-term care (LTC) from the "Type of Reinsurance Assumed" and the "Type of Reinsurance Ceded" columns for Schedule S, Part 1, Section 2 and Schedule S, Part 3, Section 2. Remove codes GMDB, GMDBFW, ADB, DIS and the annuity-specific references from Schedule S, Part 1, Section 1 and Schedule S, Part 3, Section 1. Add a "Type of Business Assumed" column to Schedule S, Part 1, Sections 1 and 2. Add code to Schedule S, Part 1, Section 1 and Schedule S, Part 3, Section 1 to identify general account versus separate account.

6/12/2018

L, F, H

Annual

2018-05BWG

Annual 2018

Change the instructions for the P/C Statement of Actuarial Opinion to incorporate the Actuarial Guideline LI—The Application of Asset Adequacy Testing to Long-Term Care Insurance Reserves (AG 51) requirements and to increase disclosures for accident and health (A&H) reported on a P/C blank.

6/12/2018

P/C

Annual

2018-06BWG

Annual 2018

Add "999" to the end of all line numbers for Schedule DBs. This will increase the number of lines available from 9,996 to 9,999,996, eliminating the need to accumulate data within certain categories.

6/12/2018

L, P/C, F, H, T

Annual / Quarterly

2018-07BWG Modified

Annual 2018

Add new "PL" and "PLGI" symbols to the instructions to identify private letter rated securities. Add a "YE" and "IF" symbol as indication of a new "carry-over" administrative procedure of the NAIC Securities Valuation Office (SVO). Modify definitions of the symbol "Z" to indicate a security is in transition from one reporting status to another. Add a general interrogatory for PL securities issued prior to Jan. 1, 2018. Remove designation matrices from the instructions and replace them with a list of administrative symbols valid for use on Schedule BA and Schedule D. Eliminate the use of "P" and "RP" with the designation and add specific line categories for perpetual preferred and redeemable preferred stock. Remove the "Market Indicator" column from Schedule D, Part 2, Section 2 for common stocks.

6/12/2018

L, P/C, F, H, T

Annual / Quarterly

2018-08BWG Modified

Annual 2018

Modify the instructions and illustration for Note 3A to reflect disclosure changes being adopted by the Statutory Accounting Principles (E) Working Group.

6/12/2018

L, P/C, F, H, T

Annual

2018-09BWG

Annual 2018

Modify the instructions for Note 20A, Note 20C and Note 20D to reflect changes to SSAP No. 100R—Fair Value. Add a new disclosure Note 20E. Modify the illustrations for Note 20A and Note 20C to move the "NAV" column and data-capture it.

6/12/2018

L, P/C, F, H, T

Annual / Quarterly

2018-10BWG

Annual 2018

Modify the instructions for Line 2 of the interest maintenance reserve (IMR) and Line 2 of the asset maintenance reserve (AVR) regarding bifurcation of other-than-temporary impairment (OTTI) investments subject to SSAP No. 26R—Bonds.

6/12/2018

L, F

Annual

2018-11BWG

Annual 2018

Add additional instruction to the "Fixed or Variable Interest Rate Investments that Have the Underlying Characteristics of a Bond, Mortgage Loan or Other Fixed Income Instrument" and "Joint Ventures or Partnership Interests for Which the Primary Underlying Investments are Considered to Be Fixed Income Instruments" categories to clarify not reporting investments in those categories when there is specific category for the investment.

6/12/2018

L, P/C, F, H, T

Annual / Quarterly

2018-12BWG Modified

Annual 2018

Add illustration for Note 8H to be data-captured. Add electronic-only columns related to derivatives with financing premiums and additional instructions to the description column related to derivatives with financing premiums to Schedule DB, Part A and Part B for both Section 1 and Section 2. Add a new code to the "Code" column instructions for Schedule DB, Part A. Add a definition of "finance premiums" to the Schedule DB General Instructions. Add additional instructions to Schedule DB, Part A for Column 11 and Column 12 of Section 1 and Column 13 of Section 2.

6/12/2018

L, P/C, F, H, T

Annual / Quarterly

2018-13BWG

Annual 2018

Modify the VM-20 Reserves Supplement, Part 3 and Exhibit 5 – Aggregate Reserves for Life Contracts blanks and instructions to be consistent with the changes made to the Valuation Manual. Add a new Part 4 for the reporting of "Other Exclusions from Life PBR."

6/12/2018

L, F

Annual

2018-14BWG Modified

Annual 2018

Split the Column 2 for Question 1.01 in the Separate Accounts General Interrogatories into two new columns ("Registered with the SEC" and "Not Registered with the SEC") and renumber the remaining columns. Add a new Question 101A for private placement variable annuities and private placement life insurance.

6/12/2018

SA

Annual

2018-15BWG Modified

Annual 2018

Add a new disclosure to Note 10 to reflect changes to SSAP No. 97—Investments in Subsidiary, Controlled and Affiliated Entities being considered by the Statutory Accounting Principles (E) Working Group. New instructions and illustration will be added as Note 10O. The illustration will be data-captured.

6/12/2018

L, P/C, F, H, T

Annual

2018-16BWG

Annual 2018

Delete the instruction and illustration for Note 12C(2) and renumber Note 12C(3) to Note 12C(2).

6/12/2018

L, P/C, F, H, T

Annual

2018-17BWG

Annual 2018

Modify the instruction for Note 17C – Wash Sales.

6/12/2018

L, P/C, F, H, T

Annual / Quarterly

2017-22BWG Modified

1st Quarter 2019

Add question to the Supplemental Exhibits and Schedules Interrogatories regarding the filing of the Statement of Exemption in the 2nd Quarter.

3/24/2018

L, F

Quarterly

2018-18BWG Modified

1st Quarter 2019

Combine the annual and quarterly reporting for life and fraternal companies onto one blank. This combined blank will be based on changes to the existing life blank. Life blank pages that are not being modified but have additional lines or columns not present on the fraternal blank are provided in the proposal as a reference for fraternal companies.

6/12/2018

L, F

Annual / Quarterly

2017-25BWG Modified

Annual 2019

Add language to the instructions of the cash flow statement regarding the inclusion of restricted cash or restricted cash equivalents in the beginning and ending balance in the cash flow statement.

3/24/2018

L, P/C, F, H, T

Annual / Quarterly

2018-19BWG Modified

Annual 2019

Add Annual Statement Line (ASL) 29 for "International" to the Exhibit of Premiums and Losses (state page) and provide instruction that data should only be provided for the "Other Alien" page and the "Grand Total" page.

8/4/2018

P/C

Annual

2018-20BWG Modified

Annual 2019

Split the column for annual statement line of business (ASL) for the illustration of Note 31A(1), High Deductibles, into two columns with one to capture ASL number and the other to capture the ASL description.

8/4/2018

P/C

Annual

2018-21BWG Modified

Annual 2019

Add new line to Note 32, Analysis of Annuity Actuarial Reserves and Deposit Type Contracts by Withdrawal Characteristics that identifies surrender charges over 5% in the current year that will be less than 5% in the subsequent year. Add new Note 33, Analysis of Life Actuarial Reserves and Deposit Type Liabilities by Withdrawal Characteristics. These are to be data captured. Renumber subsequent notes.

8/4/2018

L/F

Annual