HEALTH ORGANIZATIONS

 

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.  COMPANIES FILING THE HEALTH BLANK MAY HAVE ADDITIONAL VIRGINIA SUPPLEMENTAL FILING REQUIREMENTS AS DETAILED ON THE LH OR PC CHECKLISTS.

 

(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

 

 

II.  NAIC SUPPLEMENTS

 

 

 

 

 

 

 

10

Accident & Health Policy Experience Exhibit

1

EO

1

4/1

NAIC

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

 

11

Actuarial Opinion

1

EO

1

3/1

Company

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

 

12

Investment Risks Interrogatories

1

EO

1

4/1

NAIC

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

 

13

Life Supplemental Data due March 1

1

EO

N/A

3/1

NAIC

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

 

14

Life Supplemental Data due April 1

1

EO

1

4/1

NAIC

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

 

15

Long-Term Care Experience Reporting Forms

1

EO

N/A

4/1

NAIC

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

 

16

Management Discussion & Analysis

1

EO

1

4/1

Company

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

 

17

Medicare Supplement Insurance Experience Exhibit

1

EO

N/A

3/1

NAIC

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

 

18

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

 

19

Property/Casualty Supplement due March 1

1

EO

1

3/1

NAIC

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

 

20

Property/Casualty Supplement due April 1

1

EO

N/A

4/1

NAIC

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

 

21

Risk-Based Capital Report

1

EO

N/A

3/1

NAIC

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

 

22

Schedule SIS

1

N/A

N/A

3/1

NAIC

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

 

23

Supplemental Compensation Exhibit

1

N/A

N/A

3/1

NAIC

A,B,E,F,J,K

 

 

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

Risk-Based Capital Electronic Filing

N/A

1

N/A

3/1

NAIC

 

 

43

Supplemental Electronic Filing

N/A

1

N/A

4/1

NAIC

 

 

44

Supplemental .PDF Filing

N/A

1

N/A

4/1

NAIC

 

 

45

June .PDF Filing

N/A

1

N/A

6/1

NAIC

 

 

46

Quarterly 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

 

 

 

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

State

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 financial 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

Filings Checklist (with Column 1 completed)

N/A

N/A

N/A

3/1

State

 

 XXXX

102

State Filing Fees

N/A

N/A

N/A

 

 

 

 XXXX

103

Signed Jurat

N/A

N/A

N/A

 

 

L

 

104

Actuarial Opinion Summary

1

N/A

N/A

3/15

Company

A,B,E,F,J

 

105

Analysis of Excess Capital & Surplus Investments Report

1

N/A

N/A

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

State

A,B,E,F,J

 

106

Application for Renewal of License

1

N/A

1

3/1

State

A,B,E,F,J

 

107

Certificate of Advertising Compliance

1

N/A

1

3/1

State

A,B,E,F,J

 

108

Certificate of Compliance

N/A