LIFE, ACCIDENT AND HEALTH INSURERS

 

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 ˝”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 ˝” 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 ˝”x14”)

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

Credit Insurance Experience Exhibit

2

EO

1

4/1

NAIC

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

 

12

Interest Sensitive Life Insurance Products Report

1

EO

N/A

4/1

NAIC

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

 

13

Investment Risks Interrogatories

1

EO

1

4/1

NAIC

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

 

14

Life, Health & Annuity Guaranty Assessment Base

Reconciliation Exhibit

N/A

EO

N/A

4/1

NAIC

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

 

15

Life, Health & Annuity Guaranty Assessment Base Reconciliation Exhibit Adjustment Form

N/A

EO

N/A

4/1

NAIC

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

 

16

Long Term Care Experience Reporting Forms

1

EO

N/A

4/1

NAIC

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

 

17

Management Discussion & Analysis

1

EO

1

4/1

Company

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

 

18

Medicare Supplement Insurance Experience Exhibit

1

EO

N/A

3/1

NAIC

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

 

19

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

 

20

Reasonableness of Assumptions Certificate

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

21

Reasonableness and Consistency of Assumptions Certificate

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

22

Reasonableness of Assumptions Certificate for Implied Guaranteed Rate Method

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

23

Reasonableness and Consistency of Assumptions Certificate. (Updated Average Market Value)

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

24

Reasonableness and Consistency of Assumptions Certificate(Updated Market Value)

N/A

EO

N/A

5/15, 8/15, 11/15

Company

N

 

25

Risk-Based Capital Report

1

EO

N/A

3/1

NAIC

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

 

26

Schedule SIS

1

N/A

N/A

3/1

NAIC

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

 

27

Statement of Actuarial Opinion

1

EO

1

3/1

Company

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

 

28

Statement on non-guaranteed elements - Exhibit 5 Int. #3

1

EO

1

3/1

Company

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

 

29

Statement on par/non-par policies – Exhibit 5 Int. 1.1

1

EO

1

3/1

Company

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

 

30

Supplemental Compensation Exhibit

1

N/A

N/A

3/1

NAIC

A,B,E,F,J,K

 

31

Supplemental Schedule O

1

EO

N/A

3/1

NAIC

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

 

32

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

 

33

Workers’ Compensation Carve Out Supplement

1

EO

N/A

3/1

NAIC

A,B,E,F,I,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

Separate Accounts Electronic Filing

N/A

1

N/A

3/1

NAIC

 

 

44

Separate Accounts .PDF Filing

N/A

1

N/A

3/1

NAIC

 

 

45

Supplemental Electronic Filing

N/A

1

N/A

4/1

NAIC

 

 

46

Supplemental .PDF Filing

N/A

1

N/A

4/1

NAIC

 

 

47

Quarterly Electronic Filing

N/A

1

N/A

5/15, 8/15, 11/15

NAIC

 

 

48

Quarterly .PDF Filing

N/A

1

N/A

5/15, 8/15, 11/15

NAIC

 

 

49

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

State

A,B,E,F,J,O

 

54