Ariz. Admin. Code § tit. 20, ch. 06, art. 16, pt. A, exh. C

Current through Register Vol. 30, No. 40, October 4, 2024

Exhibit C - Form CR-F Instructions

Part 1 - Assumed Reinsurance as of December 31, Current Year (000 Omitted) Create a spreadsheet with the following columns (total each column 5 through 15):

1. ID Number/Company Code

2. This column is intentionally left blank

3. Name of Reinsured

4. Domiciliary Jurisdiction

5. Assumed Premium

6. Reinsurance on Paid Losses and Loss Adjustment Expenses

7. Reinsurance on Known Case Losses and LAE

8. Cols. 6 + 7

9. Contingent Commissions Payable

10. Assumed Premium Receivable

11. Unearned Premium

12. Funds Held By or Deposited With Reinsured Companies

13. Letters of Credit Posted

14. Amount of Assets Pledged or Compensating Balances to Secure Letters of Credit

15. Amount of Assets Pledged or Collateral Held in Trust Each row shall list each insurer for which reinsurance is assumed for the calendar year.

Part 2 - Ceded Reinsurance as of December 31, Current Year (000 Omitted) Create a spreadsheet with the following columns (total each column 6 through 19):

1. ID Number/Company Code

2. This column is intentionally left blank

3. Name of Reinsurer

4. Domiciliary Jurisdiction

5. Reinsurance Contracts Ceding 75% or More of Direct Premiums Written

6. Reinsurance Premiums Ceded

7. Reinsurance Recoverable on Paid Losses

8. Reinsurance Recoverable on Paid LAE

9. Reinsurance Recoverable on Known Case Loss Reserves

10. Reinsurance Recoverable on Known Case LAE Reserves

11. Reinsurance Recoverable on IBNR Loss Reserves

12. Reinsurance Recoverable on IBNR LAE Reserves

13. Reinsurance Recoverable on Unearned Premiums

14. Reinsurance Recoverable on Contingent Commissions

15. Cols. 7 through 14 Totals

16. Reinsurance Payable Ceded Balances Payable

17. Reinsurance Payable Other Amounts Due to Reinsurers

18. Net Amount Recoverable From Reinsurers, Cols. 15 - [16 + 17]

19. Funds Held by Company Under Reinsurance Treaties

Each row shall list each insurer to whom reinsurance was ceded for the calendar year.

Ariz. Admin. Code tit. 20, ch. 06, art. 16, pt. A, exh. C

New Section made by exempt rulemaking at 21 A.A.R. 2448, effective 11/30/2015. Exhibit C made by final exempt rulemaking, under Laws 2015, Ch. 119, § 3, effective November 30, 2015 (Supp. 15-4).