Asset Adequacy Tested Amounts | Reserves and Liabilities |
Statement Item | Formula Reserves (1) | Additional Actuarial Reserves (a) (2) | Analysis Method (b) | Other Amount (3) | Total Amount (1) + (2) + (3) (4) |
Exhibit 5 | | | | | |
A | Life Insurance | | | | | |
B | Annuities | | | | | |
C | Supplementary Contracts With Life Contingencies | | | | | |
D | Accidental Death Benefit | | | | | |
E | Disability - Active | | | | | |
F | Disability - Disabled | | | | | |
G | Miscellaneous | | | | | |
| Total (Exhibit 5 Item 1, Page 3) | | | | | |
Exhibit 6 | | | | | |
A | Active Life Reserve | | | | | |
B | Claim Reserve | | | | | |
| Total (Exhibit 6 Item 2, Page 3) | | | | | |
Exhibit 7 | | | | | |
| Premiums and Other Deposit Funds (Column 6, Line 14) | | | | | |
| Guaranteed Interest Contracts (Column 2, Line 14) | | | | | |
| Annuities Certain (Column 3, Line 14) | | | | | |
| Supplemental Contracts (Column 4, Line 14) | | | | | |
| Dividend Accumulations or Refunds (Column 5, Line 14) | | | | | |
| Total (Exhibit 7, Item 3, Page 3) | | | | | |
Exhibit 8 Part 1 | | | | | |
1 | Life (Page 3, Line 4.1) | | | | | |
2 | Health (Page 3, Line 4.2) | | | | | |
| Total Exhibit 8, Part 1 | | | | | |
| Separate Accounts (Page 3 of the Annual Statement of the Separate Accounts, Lines 1 and 2) | | | | | |
total reserves | | | | | |
IMR (General Account, Page 3, Line 9.4 ) | |
IMR (Separate Accounts, Page 3, Line 3) | |
AVR (Page 3, Line 24.1 ) | (c) |
Net Deferred and Uncollected Premium | |
Notes to table of reserves and related actuarial items:
Page and line numbers refer to the 2005 blank. Corresponding entries from blanks from later years are to be substituted as appropriate.
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(a) | The additional actuarial reserves are the reserves established under WAC 284-07-350 (5)(b). |
(b) | The appointed actuary must state the method of analysis, determined in accordance with the standards for asset adequacy analysis referred to in WAC 284-07-350(4), by means of symbols which shall be defined in footnotes to the table. |
(c) | Allocated amount of Asset Valuation Reserve (AVR)." |
(c) If the appointed actuary has relied on other experts to develop any portion of the analysis, the reliance paragraph must include a statement substantially similar to the following:
"I have relied on [name], [title] for [e.g., anticipated cash flows from currently owned assets, including variations in cash flows according to economic scenarios, or certain critical aspects of the analysis performed in conjunction with forming my opinion] as certified in the attached statement. I have reviewed the information relied upon for reasonableness."
A statement of reliance on other experts must be accompanied by a statement by each expert in the form prescribed by subsection (5) of this section.
(d) If the appointed actuary has examined the underlying asset and liability records, the reliance paragraph must also include substantially the following statement:
"My examination included a review of the actuarial assumptions, actuarial methods, the underlying basic asset and liability records, and other tests of the actuarial calculations I considered necessary. I also reconciled the underlying basic asset and liability records to [exhibits and schedules listed as applicable] of the company's current annual statement."
(e) If the appointed actuary has not examined the underlying records, but has relied upon listings or summaries of policies in force, or asset records, or both prepared by the company, the reliance paragraph must include a statement substantially similar to the following:
"In forming my opinion on [specify types of reserves] I relied upon data prepared by [name and title of company officer certifying in-force records or other data] as certified in the attached statements. I evaluated that data for reasonableness and consistency. I also reconciled that data to [exhibits and schedules to be listed as applicable] of the company's current annual statement. In other respects my examination included review of the actuarial assumptions and actuarial methods used and tests of the actuarial calculations I considered necessary."
The paragraph must be accompanied by a signed statement by each person relied upon based on the form set forth in subsection (5) of this section.
(f) The opinion paragraph must include a statement substantially similar to the following:
"In my opinion the reserves and related actuarial values concerning the statement items identified above:
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(i) | Are computed in accordance with presently accepted actuarial standards consistently applied and are fairly stated, in accordance with sound actuarial principles; |
(ii) | Are based on actuarial assumptions which produce reserves at least as great as those called for in any contract provision as to reserve basis and method, and are in accordance with all other contract provisions; |
(iii) | Meet the requirements of the insurance laws and regulations of the state of [state of domicile] and are at least as great as the minimum aggregate amounts required by the state in which this statement is filed; |
(iv) | Are computed on the basis of assumptions consistent with those used in computing the corresponding items in the annual statement of the preceding year-end (with any exceptions noted below); |
(v) | Include provision for all actuarial reserves and related statement items which ought to be established. |
The reserves and related items, when considered in light of the assets held by the company with respect to such reserves and related actuarial items including, but not limited to, the investment earnings on the assets, and the considerations anticipated to be received and retained under the policies and contracts, make adequate provision, according to presently accepted actuarial standards of practice, for the anticipated cash flows required by the contractual obligations and related expenses of the company.
The actuarial methods, considerations, and analyses used in forming my opinion conform to the appropriate Standards of Practice as promulgated by the Actuarial Standards Board, which standards form the basis of this statement of opinion.
This opinion is updated annually as required by statute. To the best of my knowledge, there have been no material changes from the applicable date of the annual statement to the date of the rendering of this opinion which should be considered in reviewing this opinion.
or
The following material change(s) which occurred between the date of the statement for which this opinion is applicable and the date of this opinion should be considered in reviewing this opinion: (Describe the change or changes.)
The impact of unanticipated events subsequent to the date of this opinion is beyond the scope of this opinion. The analysis of asset adequacy portion of this opinion should be viewed recognizing that the company's future experience may not follow all the assumptions used in the analysis.
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Signature of Appointed Actuary |
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Address of Appointed Actuary |
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Telephone Number of Appointed Actuary |
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Date" |
(3) Assumptions for new issues: The adoption for new issues or new claims or other new liabilities of an actuarial assumption which differs from a corresponding assumption used for prior new issues or new claims or other new liabilities is not a change in actuarial assumptions within the meaning of this section.
(4) Adverse opinions: If the appointed actuary is unable to form an opinion, then he or she must refuse to issue a statement of actuarial opinion. If the appointed actuary's opinion is adverse or qualified, then he or she must issue an adverse or qualified actuarial opinion explicitly stating the reason(s) for the adverse opinion. This statement must follow the scope paragraph and precede the opinion paragraph.
(5) Reliance on data furnished by other persons: If the appointed actuary does not express an opinion as to the accuracy and completeness of the listings and summaries of policies in force or if the actuary relies on the certification of others on matters concerning the accuracy or completeness of any data underlying the actuarial opinion, or the appropriateness of any other information used by the appointed actuary in forming the actuarial opinion, the actuarial opinion must include the names of the persons the actuary is relying upon and a precise identification of the items subject to reliance. In addition, the persons on whom the appointed actuary relies must provide a certification that precisely identifies the items on which the person is providing information and a statement as to the accuracy, completeness or reasonableness of the items, as applicable. This certification must include the signature, title, company's legal name, address and telephone number of the person providing the certification, and the date on which it is signed. This certification must include the reporting date, the name of the appointed actuary, and must be attached to the opinion, in a form substantially similar to the following:
"I [name of officer], [title], of [name of company], hereby affirm that the listings and summaries of policies and contracts in force as of December 31, 20[ ], and other liabilities prepared for and submitted to [name of appointed actuary] were prepared under my direction and, to the best of my knowledge and belief, are substantially accurate and complete.
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Signature of the Officer of the Company |
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Address of the Officer of the Company |
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Telephone Number of the Officer of the Company |
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Date" |
[Statutory Authority: RCW
48.02.060,
48.74.025,
48.36A.250,
48.36A.260. WSR 08-01-077 (Matter No. R 2006-10), § 284-07-380, filed 12/17/07, effective 1/17/08. Statutory Authority: RCW
48.02.060. WSR 06-12-077 (Matter No. R 2006-04), § 284-07-380, filed 6/6/06, effective 7/7/06. Statutory Authority: RCW
48.01.030,
48.02.060,
48.74.025,
48.36A.250 and
48.36A.260. WSR 95-02-036 (Order R 94-26), § 284-07-380, filed 12/30/94, effective 1/30/95.]
Reviser's note: The brackets and enclosed material in the text of the above section occurred in the copy filed by the agency.