W. Va. Code R. § 114-41-4

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

Section 114-41-4 - General Requirements

4.1. Submission of Statement of Actuarial Opinion.

The annual statement shall include on or attached to page 1, the statement of an appointed actuary, entitled "Statement of Actuarial Opinion," setting forth an opinion relating to reserves and related actuarial items held in support of policies and contracts, in accordance with section 6 of this rule. Upon written request by the company, the Commissioner may grant an extension of the date for submission of the statement of actuarial opinion.

4.2. A "qualified actuary" is an individual who:

4.2.a. Is a member in good standing of the American Academy of Actuaries;

4.2.b. Is qualified to sign statements of actuarial opinion for life and health insurance company annual statements in accordance with the American Academy of Actuaries qualification standards for actuaries signing such statements;

4.2.c. Is familiar with the valuation requirements applicable to life and health insurance companies;

4.2.d. Has not been found by the Commissioner (or if so found has subsequently been reinstated as a qualified actuary), following appropriate notice and hearing to have:

4.2.d.1. Violated any provision of, or any obligation imposed by, the insurance law or other law in the course of his or her dealings as a qualified actuary;

4.2.d.2. Been found guilty of fraudulent or dishonest practices;

4.2.d.3. Demonstrated his or her incompetency, lack of cooperation, or untrustworthiness to act as a qualified actuary;

4.2.d.4. Submitted to the Commissioner during the past five (5) years, pursuant to this rule, an actuarial opinion or memorandum that the Commissioner rejected because it did not meet the provisions of this rule including standards set by the Actuarial Standards Board; or

4.2.d.5. Resigned or been removed as an actuary within the past five (5) years as a result of acts or omissions indicated in any adverse report on examination or as a result of failure to adhere to generally acceptable actuarial standards; and

4.2.e. Has not failed to notify the Commissioner of any action taken by any commissioner of any other state similar to that under subdivision (d) of this subsection.

4.3. "Appointed actuary" is a qualified actuary who is appointed or retained, either directly by or by the authority of the board of directors through an executive officer of the company other than the qualified actuary, to prepare the statement of actuarial opinion required by this rule. The company shall give the Commissioner timely written notice of the name, title (and, in the case of a consulting actuary, the name of the firm) and manner of appointment or retention of each person appointed or retained by the company as an appointed actuary and shall state in the notice that the person meets the requirements set forth in subsection 4.2 of this rule. Once the company furnishes notice, no further notice is required with respect to this appointed actuary, provided that the company gives the Commissioner timely written notice in the event the actuary ceases to be appointed or retained as an appointed actuary or to meet the requirements set for in subsection 4.2 of this rule. If any person appointed or retained as an appointed actuary replaces a previously appointed actuary, the notice shall state that fact and give the reasons for replacement.

4.4. Standards for Asset Adequacy Analysis. The asset adequacy analysis required by this rule:

4.4.a. Shall conform to the standards of practice as promulgated from time to time by the Actuarial Standards Board and on any additional standards under this rule, the standards are to form the basis of the statement of actuarial opinion in accordance with this rule; and

4.4.b. Shall be based on methods of analysis as are considered appropriate for such purposes by the Actuarial Standards Board.

4.5. Liabilities to be Covered.

4.5.a. Under authority of the Standard Valuation Law, W. Va. Code § 33-7-9(c), the statement of actuarial opinion applies to all in force business on the statement date regardless of when or where issued, e.g., reserves of Exhibits 8, 9, and 10, and claim liabilities in Exhibit 11, Part I and equivalent items in the separate account statement or statements.

4.5.b. If the appointed actuary determines as the result of asset adequacy analysis that a reserve should be held in addition to the aggregate reserve held by the company and calculated in accordance with methods set forth in the Standard Valuation Law, W. Va. Code §§ 33-7-9(g), (h), (k), (l) and (m), the company shall establish the additional reserve.

4.5.c. Additional reserves established under subdivision b of this subsection and determined not necessary in subsequent years may be released. Any amounts released shall be disclosed in the actuarial opinion for the applicable year. The release of the reserves would not be considered an adoption of a lower standard of valuation.

W. Va. Code R. § 114-41-4