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