FRATERNAL SOCIETIES

 

REQUIRED FILINGS IN VIRGINIA                                                                                                Filings Made During the Year 2008

 

NOTICE:  THE FOLLOWING REPRESENTS, IN GENERAL, THE ANNUAL RENEWAL AND RELATED FILINGS  REQUIRED IN VIRGINIA.  EACH LICENSED COMPANY IS SENT SPECIFIC FILING INSTRUCTIONS BY LETTER IN DECEMBER.

 

(1)

 

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

Foreign

 

 

 

State

NAIC

State

 

 

 

 

 
I.  NAIC FINANCIAL STATEMENTS

 

 

 

 

 

 

 

1

Annual Statement (8 ½”x14”)

1

EO

1

3/1

NAIC

A,B,E,F,G,H,I,J,K,M

 

1.1

Printed Investment Schedule detail (Pages E01 - E25)

1

EO

See Note O

3/1

NAIC

A,B,E,F,J,K,M,O

 

2

Quarterly Financial Statement (8 ½” x 14”)

1

EO

1

5/15, 8/15, 11/15

NAIC

A,B,E,F,G,H,I,J,K,O

 

3

Separate Accounts Annual Statement (8 ½”x 14”)

1

EO

1

3/1

NAIC

A,B,E,F,G,H,I,J,K,M

 

 

II.  NAIC SUPPLEMENTS

 

 

 

 

 

 

 

10

Accident & Health Policy Experience Exhibit

1

EO

1

4/1

NAIC

A,B,E,F,J,K,M,O

 

11

Interest Sensitive Life Insurance Products Report

1

EO

N/A

4/1

NAIC

A,B,E,F,J,K,M

 

12

Investment Risks Interrogatories

1

EO

1

4/1

NAIC

A,B,E,F,J,K,M

 

13

Long-Term Care Experience Reporting Forms

1

EO

N/A

4/1

NAIC

A,B,E,F,J,K,M

 

14

Management Discussion & Analysis

1

EO

1

4/1

Company

A,B,E,F,J,K,O

 

15

Medicare Supplement Insurance Experience Exhibit

1

EO

N/A

3/1

NAIC

A,B,E,F,J,K,M

 

16

Medicare Part D Coverage Supplement

1

EO

N/A

3/1, 5/15, 8/15, 11/15

NAIC

A,B,E,F,J, K,M

 

17

Reasonableness of Assumptions Certificate

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

18

Reasonableness & Consistency of Assumptions Certificate

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

19

Reasonableness of Assumptions Certificate for Implied Guaranteed Rate Method

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

20

Reasonableness & Consistency of Assumptions Certificate (Updated Average Market Value)

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

21

Reasonableness & Consistency of Assumptions Certificate (Updated Market Value)

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

22

Risk-Based Capital Report

1

EO

N/A

3/1

NAIC

A,B,E,F,G,J,K

 

23

Statement of Actuarial Opinion

1

EO

1

3/1

Company

A,B,E,F,G,I,J,K,O

 

24

Statement on non-guaranteed elements – Exhibit 5 Interr. #3

1

EO

1

3/1

Company

A,B,E,F,J,K,M,O

 

25

Statement on participating/non-participating policies—Exhibit 5, Interr. # 1.

1

EO

1

3/1

Company

A,B,E,F,J,K,M,O

 

26

Supplemental Compensation Exhibit

1

N/A

N/A

3/1

NAIC

A,B,E,F,J,K

 

27

Trusteed Surplus Statement

N/A

EO

1

3/1, 5/15, 8/15, 11/15

NAIC

A,B,E,F,I,J,K,M,O

 

 

III  ELECTRONIC FILING REQUIREMENTS

 

 

 

 

 

 

 

40

Annual Statement Electronic Filing

N/A

1

N/A

3/1

NAIC

 

 

41

March .PDF Filing

N/A

1

N/A

3/1

NAIC

 

 

42

Separate Accounts Electronic Filing

N/A

1

N/A

3/1

NAIC

 

 

43

Separate Accounts .PDF Filing

N./A

1

N/A

3/1

NAIC

 

 

44

Supplemental Electronic Filing

N/A

1

N/A

4/1

NAIC

 

 

45

Supplemental .PDF Filing

N/A

1

N/A

4/1

NAIC

 

 

46

Quarterly Statement Electronic Filing

N/A

1

N/A

5/15, 8/15, 11/15

NAIC

 

 

47

Quarterly .PDF Filing

N/A

1

N/A

5/15, 8/15, 11/15

NAIC

 

 

48

June .PDF Filing

N/A

1

N/A

6/1

NAIC

 

 

 

IV.  AUDITED FINANCIAL STATEMENTS

 

 

 

 

 

 

 

51

Accountants Letter of Qualifications

1

N/A

1

6/1 or 6/30

Company

A,B,E,F,J,O,

 

52

Audited Financial Statements

1

EO

1

6/1 or 6/30

Company

A,B,E,F,J,K,O

 

53

Audited Financial Statements Exemption Affidavit

1

N/A

1

3/1

Company

A,B,E,F,J,O

 

54

Independent CPA Designation

1

N/A

1

Within 5 business days of change

Company

A,B,E,F,J,O

 

55

Notification of Adverse Financial Condition

1

N/A

1

Within 5 business days of receipt

Company

A,B,E,F,O

 

56

Report of Significant Deficiencies in Internal Controls

1

N/A

1

Within 60 days after the filing of audited statements

Company

A,B,E,F,O

 

57

Request for Exemption to File

1

N/A

1

3/1

Company

A,B,E,J,O

 

 

V.  STATE REQUIRED FILINGS

 

 

 

 

 

 

 

101

Certificate of Compliance

N/A

N/A

1

3/1

Dom.

State

A,B,E,J,O

 

102

Certificate of Deposit

N/A