N.H. Admin. Code Ins, ch. Ins 600, pt. Ins 601, form Form CR-S - PART 1 - SECTION 2

Current through Register No. 50, December 12, 2024
Form - Form CR-S - PART 1 - SECTION 2

Reinsurance Assumed Accident and Health Insurance Listed by Reinsured Company as of December 31, Current Year

1

Company Code or ID Number

2

3

Effective Date

4

Name of Reinsured

5

Domiciliary Jurisdiction

6

Type of Reinsurance Assumed

7

Premiums

8

Unearned Premiums

9

Reserve Liability Other Than for Unearned Premiums

10 Reinsurance Payable on Paid and Unpaid Losses

11 Modified Coinsurance Reserve

12 Funds Withheld Under Coinsurance

Totals

N.H. Admin. Code Ins, ch. Ins 600, pt. Ins 601, form Form CR-S - PART 1 - SECTION 2