W. Va. Code R. § 114-35-3

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 114-35-3 - Forms - General Requirements

3.1. Forms A, B, C, D, E and F are intended to be guides in the preparation of the statements required by W. Va. Code §§ 33-27-3, -3a, -4 and -5. They are not intended to be blank forms to be filled in. The statements filed shall contain the numbers and captions of all items, but the text of the items may be omitted provided the answers thereto are prepared in such a manner as to indicate clearly the scope and coverage of the items. All instructions, whether appearing under the items of the form or elsewhere therein, are to be omitted. Unless expressly provided otherwise, if any item is inapplicable or the answer thereto is in the negative, an appropriate statement to that effect shall be made.

3.2. Three (3) complete copies of each statement including exhibits and all other papers and documents filed as a part thereof, shall be filed with the Commissioner by personal delivery or mail addressed to: West Virginia Offices of the Insurance Commissioner, 1124 Smith Street, Post Office Box 50540, Charleston, WV 25305-0540, Attention: Financial Conditions Division. At least one of the copies shall be signed in the manner prescribed on the form. Unsigned copies shall be conformed. If the signature of any person is affixed pursuant to a power of attorney or other similar authority, a copy of the power of attorney or other authority shall also be filed with the statement.

3.3. If an applicant requests a hearing on a consolidated basis under W. Va. Code § 33-27-3(f)(3), in addition to filing Form A with the Commissioner, the applicant shall file a copy of Form A with the NAIC in electronic form within five days of making such request.

3.4. Statements should be prepared electronically. Statements shall be easily readable and suitable for review and reproduction. Debits in credit categories and credits in debit categories shall be designated so as to be clearly distinguishable as such on photocopies. Statements shall be in the English language and monetary values shall be stated in United States currency. If any exhibit or other paper or document filed with the statement is in a foreign language, it shall be accompanied by a translation into the English language, and any monetary value shown in a foreign currency normally shall be converted into United States currency.

W. Va. Code R. § 114-35-3