The format to be used is the 2021 edition of the quarterly blank adopted by the NAIC for the 2022 reporting year. . A. K Bar Codes (State or NAIC): Bar codes are not required by Missouri. A summary of all changes can be found in the Summary of 2022 Changes document. for Supplemental Interrogatories should be . Very large files may . DUE DATE (6) FORM SOURCE ** (7) APPLICABLE NOTES Domestic Foreign State NAIC State I. NAIC FINANCIAL STATEMENTS . DUE DATE (6) FORM SOURCE** (7) APPLICABLE Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 1 EO xxx 3/1 NAIC Note G, H & L 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 1 Annual Statement (8 " x 14") EO EO N/A 3/1 NAIC A, E 1.1 Printed Investment Schedule detail (Pages E01-E29) EO EO xxx 3/1 NAIC E 2 Quarterly Financial Statement (8 " x 14") EO EO N/A 5/15, 8/15, 11/15 NAIC E 3 Protected Cell Annual Statement EO 0 xxx 3/1 NAIC E This Sidley Update summarizes the highlights from this . Filings Made During the Year 2022: FRATERNAL COMPANIES BEGIN FILING LIFE/FRATERNAL STATEMENT EFFECTIVE WITH FIRST QUARTER, 2019 . Quarterly Statement Filing as of March 31, 20189 (Property, Life, Health, Title) Trusteed Surplus Statement - Quarter Ending March 31, 2019 (Property, Life) Supplement A to Schedule T (Medical Professional Liability Supplement . DUE DATE (6) APPLICABLE : Domestic. State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 1 EO xxx 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 . submit their NAIC Annual Statement, Installment Premium charges, and Automobile and Property Expens e Experience data. 1 Annual Statement (8 " x 14") 2 EO xxx 3/1 NAIC A-O 1.1 Printed Investment Schedule detail (Pages E01-E29 ) 2 EO xxx 3/1 NAIC A-O 2 Quarterly Financial Statement (8 " x 14") 2 EO xxx 5/15, 8/15, 11/15 NAIC A-O 3 Protected Cell Annual Statement 2 0 xxx 3/1 NAIC A-O Although the meeting was held in a hybrid in-person and . DUE DATE (6) FORM SOURCE ** (7) APPLICABLE NOTES Domestic Foreign State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 1/2" X 14") 1 EO XXX 3/1 NAIC 1.1 Investment Schedule detail (pages E01-E29) 1 EO XXX 3/1 NAIC 2 Quarterly Financial Statement (8 1/2" X 14") 1 EO XXX 5/15, 8/15, 11/15 NAIC DUE DATE (6) FORM SOURCE ** (7) APPLICABLE ; Foreign NOTES. The NAIC filing deadlines and requirements for the 2019 quarterly electronic filings are as follows. L Signed Jurat The following statutes govern the individuals who are authorized to sign the Jurat. . Annual Statement: Per IC 27-1-20-21.2, a $500 late fee may be assessed if the Annual Statement is not received in our office on or before the indicated due date. . Date, Sunday Due Date requires next day receipt. . DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") EO EO XXX 3/1 NAIC B(c), G, H(a), I, L, N(a) 1.1 Printed Investment Schedule detail (Pages E01-E29) EO EO XXX 3/1 NAIC B(c), I, N(a) Filings shall be made utilizing the 2021 Annual Statement Instructions and Blanks and the 2022 Quarterly Statement Instructions and Blanks adopted by the National Association of Insurance Commissioners (NAIC). Up to $100.00 per day - Quarterly Statements. These are available in PDF format unless otherwise specified. Company's license may be suspended if the annual statement is received more than 30 days late G Original Signatures: 2021 Combined Annual Statement - due May 2, 2022 . Note M - NONE Filings See NAIC . State NAIC State ; I. NAIC FINANCIAL STATEMENTS ; 1 Annual Statement (8 "x1 4") EO EO xx x 3/ 1 NAIC A-K, M 1.1 Printed Investment Schedule detail (Pages E01-E29) @ EO EO xxx 3/1 NAIC A-K, M . Not applicable Note L - Signed Jurat See NAIC Annual Statement Instructions. you may complete the NAIC Annual Statement page entitled "Supplemental Exhibits and Schedules Interrogatories" INSTEAD OF filing reports marked . NAIC SUPPLEMENTS you may complete the NAIC Annual Statement page entitled . ***For those states that have adopted the NAIC Corporate Governance Annual Disclosure Model Act, an annual disclosure is required of all insurers or insurance groups by June 1. DUE DATE (6) FORM SOURCE ** (7) APPLICABLE NOTES Domestic Foreign State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 1/2" X 14") 1 EO XXX 3/1 NAIC 1.1 Investment Schedule detail (pages E01-E29) 1 EO XXX 3/1 NAIC 2 Quarterly Financial Statement (8 1/2" X 14") 1 EO XXX 5/15, 8/15, 11/15 NAIC . The Corporate Governance Annual Disclosure is a state filing only and should not be submitted by the company to the NAIC. DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "X14") KY EO** EO KY EO* 3/1** NAIC *Jurat page for Foreign only **See Letter E and F 1.1 Printed Investment Schedule detail (Pages E01-E29) KY EO EO 0 3/1* NAIC *See Letter E 2 Quarterly Financial Statement . State NAIC State ; I. NAIC FINANCIAL STATEMENTS ; 1 Annual Statement (8 "x1 4") EO EO xx x 3/ 1 NAIC A-K, M 1.1 Printed Investment Schedule detail (Pages E01-E29) @ EO EO xxx 3/1 NAIC A-K, M . Due date of Filing, Full Company Name, NAIC# (i.e., 3/1 Filing, . Pet Insurance Model Act Not Yet Adopted by NAIC. 18. Quarterly Financial Statement (8 " x 14") 1 . The interest penalty for late filing is 1% of the payment due for each month or part of a month. The Combined Statement filing fee is due May 1, 2022. . NOTICE: THE FOLLOWING REPRESENTS, IN GENERAL, THE ANNUAL RENEWAL AND RELATED . 1 Annual Statement (8 " x 14") 0 EO xxx 3/1 NAIC F, G 1.1 Printed Investment Schedule detail (Pages E01-E29) 0 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") . This waiver could include supplemental annual statement filings. 3/1 PPD, Foreign CI, DI, LD, PC 3/31 HCSO, HMDO : 3/31 Domestic CI, DI, LD, PC . Annual Calls and Due Dates . The NAIC is using a streamlined formulaic approach for the calculation of the 2021 annual financial filing . Financial Statement Filings due March 31 st and beyond, please consult your domiciliary state for any information on obtaining a waiver or extension. Up to $25.00 per day -Certificate of Disclosure Form E-178. Column (7) (Applicable Notes) Puerto Rico will begin collecting MCAS filings beginning with the 2022 data to be reported on the filing due dates in 2023. 2022 NAIC Quarter 2 Filings/New York Quarter 2 Supplemental filings : Site Availability: Monday, Thursday and Friday: 6:00am to 12:00am and 1:30am to 6:00am CT. . ****For those states that have adopted the NAIC Corporate Governance Annual Disclosure Model Act, an annual disclosure is required of all insurers or insurance groups by June 1. Other financial filings must be postmarked no later than the indicated due date. only. Payments can be made via Check, ACH or Wire. must be physically received at the address in Note C no later than April 30th. 1.1 Printed Investment Schedule detail (Pages E01-E29) 0 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 0 EO xxx 5/16, 8/15 , 11/15 NAIC 3 Protected Cell Annual Statement 0 0 xxx 3/1 NAIC 4 Combined Annual Statement (8 " x 14") 0 EO xxx 5/2 NAIC Foreign companies should follow the instructions in the NAIC's Annual . (State or NAIC): Please follow the instructions in the NAIC Annual Statement Instructions. The Annual Statement filing fee is due March 1, 2022. ***** Effective July 1, 2017, North Carolina adopted the NAIC updated Risk Management and Own Risk and Solvency Assessment Model Act, a summary report is required annually by insurers and insurance groups above a specified premium threshold. Please follow the NAIC Annual Statement Instructions for NAIC bar codes. Invoices will be available January 2022, on the Examinations Bureau webpage and the Company Licensing Bureau webpage, which can be found at 2021 National Association of Insurance Commissioners 1 Life . supplements due March 1, per the Annual Statement Instructions. > The REFS filings must be received by the Office no later than 5:00 PM on the applicable due date. K Bar Codes (State or NAIC): Follow the instructions in the NAIC Annual Statement Instructions. Annual Statement Filing Requirements. to the due date. Although the meeting was held in a hybrid in-person and . submit quarterly statements to the NAIC electronically. Filings Made During the Year 2022 (1) Checklist (2) Line # (3) REQUIRED FILINGS FOR THE ABOVE STATE (4) NUMBER OF COPIES* (5) DUE DATE (6) FORM SOURCE** (7) APPLICABLE NOTES; Domestic Foreign; . Foreign NOTES . If the due date falls on a weekend or holiday, the deadline is extended to the next business day. DUE DATE (6) FORM SOURCE* * (7) APPLICABLE Domestic ForeigNOTES n State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 1 EO xxx 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC II. Foreign NOTES . . Forms & Endorsements. Other financial filings must be postmarked no later than the indicated due date. later than the indicated due date. DUE DATE (6) FORM SOURCE** (7) APPLICABLE ; Domestic Foreign NOTES . 61 Annual Statement Electronic Filing xxx EO xxx 3/1 NAIC E . Up to $25.00 per day -Annual Statement, Annual Fees, Actuarial Opinion, Management Discussion and Analysis or Audited Financial Report. G Original Signatures: Original Signatures required on all filings from domestic companies. Domestic companies should apply at least 30 days prior to the due date and, for extensions, must submit a written request explaining the reason for the delay and detailed "time-line" of any expected component completion dates and contingencies. L . If your company is granted a waiver or extension, please provide that documentation to FDRadmin@naic.org . DUE DATE (6) FORM SOURCE** (7) APPLICABLE . 66 Supplemental .PDF Filing xxx EO xxx 4/1 NAIC 67 Quarterly Statement Electronic Filing xxx EO . All annual financial statement filings must be postmarked no later than March 1st. State NAIC State . DUE DATE (6) FORM SOURCE**Domestic (7) APPLICABLE Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 2 EO xxx 3/1 NAIC G,H,J,K,L,O, BB 1.1 Printed Investment Schedule detail (Pages E01-E29) 2 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 2 EO 5/15, 8/15, 11/15 The first annual PA CGAD filing due date was June 1, 2020. 2021-22 Annual Statements and New York Supplement Filing Instructions & Forms. 1, 2022 Annual Statement Filing (Property, Life, Health, Title) Merger/history form, if applicable (Property, Life, Health, Title) (electronic txt file only) Bail Bond Supplement (Property) filing due date. must be physically received at the address in Note C no later than April 30th. The following specifies the annual statement references for calculating the premium base. statement.
Financial Statement Filing. DUE DATE (6) FORM SOURCE** (7) APPLICABLE . The National Association of Insurance Commissioners (NAIC) held its 2022 Spring National Meeting from March 4 to 8 in Kansas City, Missouri. indicated due date. I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "X14") 1 EO xxx 3/1 NAIC B . Members of the North Carolina Insurance . DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") 1 EO xxx 3/1 NAIC G, H 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC Due January 15, 2022. you may complete the NAIC Annual Statement page entitled "Supplemental Exhibits and Schedules Interrogatories" INSTEAD OF filing reports marked "None". returns and payments must be received no later than March 1st and Installment Reporting Statement due on or before June 1. REQUIRED FILINGS IN VIRGINIA Filings Made During the Year 2022. The Pet Insurance Model Act, which provides a comprehensive legal framework in which pet . 5/15, 8/15, 11/15 NAIC Annual Statement Instructions. . DUE DATE (6) FORM SOURCE ** (7) APPLICABLE ; Foreign NOTES. LIFE, ACCIDENT AND HEALTH/FRATERNAL INSURERS . Statements are due 45 days subsequent to the end of each quarter: Quarter Ending Due Date March 31, 2022 May 15, 2022 June 30, 2022 August 15, 2022 The department will invoice approved surplus lines insurers for the $1,000 annual fee. Payments are due on or before March 1, 2022. Electronic filings, in the form of a zip file in accordance with the NAIC Filing Instructions, should be sent to annstat@aib.org as an email attachment. 1 Annual Statement (8 " x 14") 2 EO xxx 3/1 NAIC A-O 1.1 Printed Investment Schedule detail (Pages E01-E29 ) 2 EO xxx 3/1 NAIC A-O 2 Quarterly Financial Statement (8 " x 14") 2 EO xxx 5/15, 8/15, 11/15 NAIC A-O 3 Protected Cell Annual Statement 2 0 xxx 3/1 NAIC A-O Filings for the respective quarters have deadlines of May 15, August 15, and November 15, 2022. DUE DATE (6) FORM SOURCE**Domestic (7) APPLICABLE Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "X14") 1 EO xxx 3/1 NAIC G, H 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC G, H
Fax to 816-460-7666 or email, meetingsmail@naic.org. Information on Annual Report (Due: 4/15/2022) filing for Dusty Kautz Trucking, LLC (Montana (US)) Learn how to leverage transparent company data at scale. If this column contains "Company," the company, or its representative (e.g., its CPA firm), is expected to provide the form based upon the appropriate state instructions or the NAIC . Internet Filing will be available starting February 4, 2022 for submission of the 2021 Annual Financial Statement Filings and conclude on January 31, 2023. . 1992 - 2020 National Association of Insurance Commissioners 1 Title 2020 INSTRUCTIONS For Completing Title Annual Statement Blank FOREWORD Line titles and columnar headings of the various statement items and lines are in general self-explanatory and as such constitute instructions. the due dates listed above for the following companies licensed to write automobile insurance in Massachusetts in 2021. DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 " x 14") KY EO EO KY EO* 3/1** NAIC *Jurat page for Foreign only **See Letter E and F 1.1 Printed Investment Schedule detail (Pages E01-E29) KY EO EO 0 3/1* NAIC *See Letter E Signed Jurat pages are not required for foreign insurers. Premium Tax: The penalty for non-filing is $100 per day. F Late Filings: $500 and for the annual statement if after 10 days notice, failure to file penalty will accrue at $100 per day. This package has been designed to conform to the format adopted by the National Association of Insurance Commissioners (NAIC). I. NAIC FINANCIAL STATEMENTS . Since the NAIC's electronic . 2020 National Association of Insurance Commissioners 5 Health . Filings Made During the Year 2022 (1) Checklist (2) Line # (3) REQUIRED FILINGS FOR THE ABOVE STATE (4) NUMBER OF COPIES* (5) DUE DATE (6) FORM SOURCE** (7) APPLICABLE NOTES. If your company writes business in Puerto Rico for any of the MCAS lines of business, you .
All companies licensed to write automobile insurance in Massachusetts must submit electronic copies of the 2021 Annual Statement documents to the AIB on or before the due dates shown below. P & C Annual Statement March 1, 2022 Insurance Expense Exhibit April 4, 2022 Automobile Expense Experience April 21, 2022 . K Bar Codes (State or NAIC): Follow the instructions in the NAIC . waive printed quarterly and annual statements from their foreign insurers and to rely upon the NAIC database for these filings. Foreign companies: follow NAIC Annual Statement Instructions. EO : xxx . 2021 Year-end and 2022 Quarterly Filings Page 3 of 5 The request for an exemption or extension must be submitted in writing not less than ten days prior to the due date in sufficient detail to permit the Director to make an informed . DUE DATE (6) FORM SOURCE** (7) APPLICABLE Domestic Foreign NOTES State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "X14") 1 EO xxx 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC II. Annual Calls . License applications. B. Puerto Rico is now a participating MCAS jurisdiction. Due Dates . . . State NAIC State I. NAIC FINANCIAL STATEMENTS 1 Annual Statement (8 "x14") 1 EO xxx 3/1 NAIC 1.1 Printed Investment Schedule detail (Pages E01-E29) 1 EO xxx 3/1 NAIC 2 Quarterly Financial Statement (8 " x 14") 1 EO xxx 5/15, 8/15, 11/15 NAIC