NAIC BLANKS (E) WORKING GROUP
Blanks Agenda Item Submission Form
DATE:
CONTACT PERSON:
02/15/2012
David Vacca, NAIC Staff
TELEPHONE:
FOR NAIC USE ONLY
Agenda Item # 2012-25BWG
Year
2012
Changes to Existing Reporting
[X ]
New Reporting Requirement
[ ]
EMAIL ADDRESS:
REVIEWED FOR ACCOUNTING
PRACTICES AND PROCEDURES IMPACT
ON BEHALF OF:
No Impact [ X ]
Modifies Required Disclosure [
DISPOSITION
NAME:
Jim Mumford, Chair of RSAWG with the
support of the Chairs of the E Committee,
Financial Analysis Handbook Working Group,
Financial Analysis Working Group, Life
Actuarial Task Force, and the Separate
Accounts Risk Working Group.
TITLE:
AFFILIATION:
[
]
[
]
[ X ]
[
]
[
]
[
]
[
]
]
Rejected For Public Comment
Referred To Another NAIC Group
Received For Public Comment
Adopted Date
Rejected Date
Deferred Date
Other (Specify)
Iowa Insurance Division
ADDRESS:
BLANK(S) TO WHICH PROPOSAL APPLIES
[X ]
[X ]
ANNUAL STATEMENT
INSTRUCTIONS
[
]
[X ]
QUARTERLY STATEMENT
CROSSCHECKS
[ X ] Life and Accident & Health
[ X ] Separate Accounts
[
] Other Specify
[X ]
[X ]
Property/Casualty
Fraternal
[X ]
[X ]
[X ]
BLANK
Health
Title
Anticipated Effective Date: Annual 2012
IDENTIFICATION OF ITEM(S) TO CHANGE
See comments on page 2
REASON, JUSTIFICATION FOR AND/OR BENEFIT OF CHANGE**
See comments on page 2
NAIC STAFF COMMENTS
Comment on Effective Reporting Date: Annual 2012 should not be a problem
Other Comments:
___________________________________________________________________________________________________
** This section must be completed on all forms.
Revised 6/13/2009
© 2012 National Association of Insurance Commissioners
283
IDENTIFICATION OF ITEM(S) TO CHANGE
Require insurers filing separate account statements to file separate statements for “Insulated Separate Accounts” and
“Non-Insulated Separate Accounts”. The change results in multiple filings by insurers with both insulated and non-insulated
separate account products and the creation of a new filing ID to differentiate the filings.
Modify the separate accounts Jurat page by adding indicator of whether the separate accounts reported in the filing are
insulated or non-insulated. Also modify the first question of the separate accounts general interrogatories to indicate reporting
of “Product Mix”, deleting Question 1.1, renumbering Question 1.2 to 1, replace column 3 of the table with a column to
indicate whether the product is guaranteed.
Modify the separate account instructions in the Life and Fraternal Annual Statement instructions by adding paragraph to
Separate Account General instruction regarding distinct filing for insulated and non-insulated separate accounts and add
instructions for indicating which type of separate accounts are being reported in the filing to the Jurat Page instructions.
Add a new code indicator to the Code column in investment Schedules A, Part 1; B, Part 1; BA, Part 1; D, Part, 1; D,
Part 2, Section 1; D Part 2, Section 2; DA, Part 1; DL, Part 1; and E, Part 2 to identify assets that are comingled between an
insulated product and a non-insulated product.
NOTE:
Property, Health and Title are included as part of the proposal due to the Investment Schedules
being uniform schedules.
REASON, JUSTIFICATION FOR AND/OR BENEFIT OF CHANGE**
The Receivership and Insolvency Task Force has considered the reporting needs for the current separate accounts mix of
products and assets, and determined that due to considerations with insulated and non-insulated products/assets in a troubled
company situation as well as for active solvency monitoring purposes, information filed on the separate account should be
clearly differentiated between insulated and non-insulated.
The proposal will allow regulators to:

Accurately assess whether insurers are in compliance with state investment laws as “non-insulated” assets are
technically subject to general account investment limitations;

Distinguish which assets belong to “insulated” and “non-insulated” products within S/A to help receivers in the
event of a liquidation;

Provides regulators more transparency that policyholders that hold non-insulated products within the S/A are
appropriately informed that their product and related assets are not insulated from the general account;

Provides regulators more transparency that investment returns (gains/losses) from specific assets are being
appropriately allocated to the appropriate product holders (e.g. hedging losses across all S/A assets may be allocated
at the discretion of the company among insulated and non-insulated products);

Having separate books requires the issue of disclosure of expenses (transfers) of non-insulated S/As so they are not
commingled with the true insulated accounts;

By adding a new code to the Code column of the investment schedules, regulators will be able to identify those
assets that are comingled between the insulated and non-insulated products, which might require more regulatory
awareness.

Separate account management has similarities to mutual fund management. Mutual funds are required to have
certain assurance services performed by independent accountants. This proposal would provide efficiency in
facilitating insurance regulators review of insulated and non-insulated asset activities.
© 2012 National Association of Insurance Commissioners
284
ANNUAL STATEMENT INSTRUCTIONS – LIFE AND FRATERNAL
INSTRUCTIONS
FOR COMPLETING SEPARATE ACCOUNTS ANNUAL STATEMENT BLANK
INDEX
The annual statement shall contain an alphabetized index on the last page of the hard copy statement which references the
title and page number of all of the pages that are required to be included in that filing. The NAIC shall maintain, and place on
its Web Site at www.naic.org/committees_e_app_blanks.htm, the alphabetized index for all statement types that is required
to be included in the hard copy of the statement. The above is only required on the March 1 filing, and specifically excludes
any supplements.
GENERAL
The instructions for completing the general account are to be followed to the extent applicable. This supplement provides
additional instructions that are unique to the Separate Accounts Blank as well as some that differ from those for the Life and
Accident and Health Blank. Where there is a conflict with the Life Blank’s instructions, use these instructions. The reporting
date must be plainly written or stamped at the top of all pages, exhibits and schedules (and duplicate schedules) and also upon
all inserted schedules and loose sheets.
Reinsurance of separate accounts business is subject to the same Transfer of Risk requirements for reinsurance accounting
treatment as general account business. All reinsurance transactions involving separate accounts business, if any, must be
reported as reinsurance transactions in the general account annual statement, including reinsurance premiums, deposits,
benefits, withdrawals, Schedule S (for separate accounts modified coinsurance reserves), Schedule T and where applicable,
the Notes to Financial Statements and Schedule Y, Part 2.
If the assuming company does not receive funds to be invested, such as with modified coinsurance or coinsurance with funds
withheld, the assuming company must account for such reinsurance in its general account statement. If the assuming
company receives funds to be invested in support of the reinsured variable benefit reserves, the assuming company must use
its separate accounts statement for such reinsurance assumed.
The separate accounts statement reports only the operations of the separate accounts themselves. It assumes that the
administration of the contracts is reflected in the general account statement – hence, administrative expense does not appear
in the Separate Accounts Statement, premiums and considerations are net of loading, and the expenses and taxes are those
associated with the separate account investment operations.
A separate distinct filing should be made for separate account products that are insulated from the general creditors of the
general account and for separate account products that are not insulated (i.e. an insurance company with both insulated and
non-insulated products in the separate account would submit two complete and different filings).When completing the
insulated blank, a reporting entity should only include those assets that are legally insulated by state law or statute. Legally
insulated assets shall be equal to the reserves and supporting contract liabilities of the separate account. Such assets provide
legal protection to the separate account contract holder from the general account liabilities. All other assets within the
separate account that are not legally insulated by state law or statute shall be included in the non-insulated blank.
© 2012 National Association of Insurance Commissioners
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Examples:
Scenario
Scenario 1:
Separate Account Insulated Assets =
Separate Account Liabilities
Insulated S/A Blank
The $4,000 issue is associated with an
insulated product, the entire $4,000
would be reported in the insulated
blank.
Non-insulated S/A Blank
No amount
$3,990 of the issue is associated with an
insulated product, thus this amount
would be included in the insulated
blank.
The remaining $10 is a due to the
General Account, the $10 would then
be reported under the non-insulated
blank.
No amount
The $1,500 issue would be reported
non-insulated blank.
(For example, 100% of investment
proceeds, net fees is attributed to the
contract holder)
40 bonds at $100 par value = $4,000
Scenario 2: Separate Account Assets >
Separate Account Liabilities resulting
in a “due to” the General Account
(For example, Contract specifies a
ceiling on the investment return to
contractholder, excess investment
returns are retained by the reporting
entity, the portion then retained by the
general account is considered noninsulated)
40 bonds at $100 par value = $4,000
Max to contract holders is $3,990
Scenario 3: Separate Account Noninsulated Assets = Separate Account
Liabilities
(For example, the asset supporting the
contract was not approved by the state
as a legally insulated product.)
The reporting entity owns 15 bonds at
$100 par value that do not support an
insulated product
Receipts other than income from investments are handled as a transfer from the general account. Similarly, amounts
providing for the payment of benefits, including surrender benefits and various other payments, appear as transfers from the
separate account to the general account. When eventually paid, these items are reported in the general account statement. The
assets and liabilities are strictly those which arise from the operations of the separate accounts themselves, i.e., policy and
contract reserves and items related to the making of investments, including investment expenses and taxes due or accrued.
Unpaid transfers due the general account, such as surplus, contractual benefits, or contractual charges, would also appear on
the liability page.
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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JURAT PAGE
Enter all information completely as indicated by the format of the page.
NAIC Group Code
Current Period
Enter the NAIC Group Code for the filing being processed.
Prior Period
Enter the NAIC Group Code for the prior quarter.
State of Domicile or Port of Entry
Alien companies doing business in the United States through a port of entry should complete this line with the
appropriate state. U.S. insurance entities should enter the state of domicile.
Country of Domicile
U.S. Branches of alien insurers should enter the two-letter identifier for the reporting company’s country of domicile
from the Appendix of Abbreviations. Domestic insurers should enter US in this field.
Type of Separate Accounts
Indicate the type of separate accounts reported in the filing by choosing insulated or non-insulated, but not both
Commenced Business
Enter the date when the reporting entity first became obligated for any insurance risk via the issuance of policies
and/or entering into a reinsurance agreement.
Statutory Home Office
As identified with the Certificate of Authority in domiciled state.
Main Administrative Office
Location of the reporting entity’s main administrative office.
Mail Address
Reporting entity’s mailing address, if other than the main administrative office address. May be a P.O. Box and
the associated ZIP code.
Primary Location of Books and Records
Location where examiners may review records during an examination.
Internet Web Site Address
Include the Internet Web site address of the reporting entity. If none, and information relating to the reporting entity
is contained in a related entity’s Web site, include that Web site.
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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ANNUAL STATEMENT INSTRUCTIONS – SEPARATE ACCOUNTS
LIFE AND ACCIDENT AND HEALTH COMPANIES – ASSOCIATION EDITION – SEPARATE ACCOUNTS
.............................................
Affix Bar Code Above
ANNUAL STATEMENT
For the Year Ended December 31, 2012
OF THE CONDITION AND AFFAIRS OF THE
SEPARATE ACCOUNTS OF THE
____________________________________________________________________________________________________________________________________________________________
NAIC Group Code ______________, ______________ NAIC Company Code _________________________Employer's ID Number _______________________________________________
(Current Period)
(Prior Period)
Organized under the Laws of ____________________________________________________________, State of Domicile or Port of Entry ___________________________________________
Country of Domicile ___________________________________________________________________
Type of Separate Accounts
Insulated [ ]
Non-insulated
[ ]
Incorporated/Organized ________________________________________________________________ Commenced Business ____________________________________________________
Statutory Home Office ________________________________________________________________ , ______________________________________________________________________
(Street and Number)
(City or Town, State and Zip Code)
Main Administrative Office _____________________________________________________________________________________________________________________________________
(Street and Number)
____________________________________________________________________________________
______________________________________________________________________
(City or Town, State and Zip Code)
(Area Code)
Mail Address ________________________________________________________________________ ,
(Telephone Number)
______________________________________________________________________
(Street and Number or P.O. Box)
(City or Town, State and Zip Code)
Primary Location of Books and Records ___________________________________________________________________________________________________________________________
(Street and Number)
____________________________________________________________________________________
______________________________________________________________________
(City or Town, State and Zip Code)
(Area Code)
(Telephone Number)
Internet Web Site Address ______________________________________________________________
Statutory Statement Contact _____________________________________________________________________________________________________________________________________
(Name)
(Area Code)
(Telephone Number)
(Extension)
_____________________________________________________________________________________________
(E-Mail Address)
(Fax Number)
OFFICERS
1.
2.
3.
4.
Name
________________________________ ,
________________________________ ,
________________________________ ,
________________________________ ,
Title
______________________________
______________________________
______________________________
______________________________
Other
Name
________________________________
________________________________
________________________________
________________________________
,
,
,
,
Title
_________________________________
_________________________________
_________________________________
_________________________________
DIRECTORS OR TRUSTEES
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
State of ...............................................................................
County of ...........................................................................
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
ss
The officers of this reporting entity being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the
herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related
exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity
as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions
and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting
practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the
related corresponding electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed statement. The electronic
filing may be requested by various regulators in lieu of or in addition to the enclosed statement.
____________________________________
(Signature)
____________________________________
(Printed Name)
1.
____________________________________
____________________________________
(Signature)
(Signature)
____________________________________
____________________________________
(Printed Name)
2.
(Printed Name)
3.
____________________________________
____________________________________
____________________________________
(Title)
(Title)
(Title)
Subscribed and sworn to before me
this ............... day of. ..................., 2013
a. Is this an original filing?
b. If no:
1.
State the amendment number
2.
Date filed
3.
Number of pages attached
..................................................................
© 2012 National Association of Insurance Commissioners
288
Yes [ ]
No [ ]
.............................
.............................
.............................
GENERAL INTERROGATORIES
Product Mix
1.
Identify the product types in the separate account, quantify the assets associated with those products and indicate if there are any
guarantees associated with those products:
1
Product Identifier
2
Separate Account Assets
3
Guarantees Associated with the
Product
Yes/No
$
Totals
$
XXX
Separate Account Products with General Account Guarantees
2.1
Does the reporting entity have products with guarantees provided by the general account?
Yes
2.2
If yes, what is the current total maximum guarantee the general account would provide to the separate account?
$______________________
2.3
Has the separate account collected amounts from the general account within the past five years related to separate account
guarantees?
Yes
[ ]
No [ ]
2.4
If yes, provide detail on these guarantees paid by the general account:
Yes
[ ]
No [ ]
1
2
Year
Amount
2.401
As of December 31, 2012
$ ________________
2.402
As of December 31, 2011
$ ________________
2.403
As of December 31, 2010
$ ________________
2.404
As of December 31, 2009
$ ________________
2.405
As of December 31, 2008
$ ________________
2.5
To compensate the general account for the risk taken, for any separate account products with general account guarantees, does the
separate account remit risk charges to the general account related to separate account guarantees?
2.6
If yes, identify the separate account products with risk charges that are remitted to the general account and whether the risk charge
for that product is reviewed and opined upon:
1
Product Identifier
with Risk Charges
2.7
2
Risk Charge Reviewed
and Opined Upon
3
Name and Title of Individual Who
Provided Opinion on Risk Charges
Provide detail on the risk charges paid to the general account related to separate account guarantees for the past five years:
1
2
Year
Amount
2.701
As of December 31, 2012
$ ________________
2.702
As of December 31, 2011
$ ________________
2.703
As of December 31, 2010
$ ________________
2.704
As of December 31, 2009
$ ______XXX______
2.705
As of December 31, 2008
$ ______XXX______
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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[ ]
No [ ]
ANNUAL STATEMENT INSTRUCTIONS – LIFE, HEALTH, PROPERTY, FRATERNAL AND TITLE
SCHEDULE A – PART 1
REAL ESTATE OWNED DECEMBER 31 OF CURRENT YEAR
Detail Eliminated To Conserve Space
Column 2
–
Code
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing
and the non-insulated separate account filing.
If real estate is not under the exclusive control of the company as shown in the General Interrogatories,
it is to be identified by placing one of the symbols identified in the Investment Schedules General
Instructions located at the beginning of this section in this column.
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions).
Detail Eliminated To Conserve Space
SCHEDULE B – PART 1
MORTGAGE LOANS OWNED DECEMBER 31 OF CURRENT YEAR
Detail Eliminated To Conserve Space
Column 2
–
Code
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing
and the non-insulated separate account filing.
If mortgage loans are not under the exclusive control of the company as shown in the General
Interrogatories, it is to be identified by placing one of the symbols identified in the Investment
Schedules General Instructions located at the beginning of this section in this column.
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions).
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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SCHEDULE BA  PART 1
OTHER LONG-TERM INVESTED ASSETS OWNED DECEMBER 31 OF CURRENT YEAR
Detail Eliminated To Conserve Space
Column 3
–
Code
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing
and the non-insulated separate account filing.
If long-term invested assets are not under the exclusive control of the company as shown in the
General Interrogatories, it is to be identified by placing one of the symbols identified in the
Investment Schedules General Instructions located at the beginning of this section in this column.
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions).
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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SCHEDULE D – PART 1
LONG-TERM BONDS OWNED DECEMBER 31 OF CURRENT YEAR
Detail Eliminated To Conserve Space
Column 3
–
Code
Enter “*” in this column for all Class One Bond Mutual Funds.
Enter “#” in this column for all Exchange Traded Funds.
Enter “@” in this column for all Principal STRIP Bonds or other zero coupon bonds.
Enter “$” in this column for Certificates of Deposit under the FDIC limit.
Enter “&” in this column for TBA (To Be Announced) securities.
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing
and the non-insulated separate account filing.
If bonds are not under the exclusive control of the company as shown in the General Interrogatories,
they are to be identified by placing one of the codes (identified in the Investment Schedules General
Instructions located at the beginning of this section) in this column.
If the security is a Class One Bond Mutual Fund, an Exchange Traded Fund, a Principal STRIP bond
or other zero coupon bond, Certificates of Deposit under the FDIC limit or a TBA (To Be Announced)
security and is not under the exclusive control of the company, the “*”, “#”, “@”, “$” or “&” should
appear first, immediately followed by the appropriate code (identified in the Investment Schedules
General Instructions).
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions) and may be used simultaneously with
the “*”, “#”, “@”, “$” or “&” with the “^” preceding the other characters (“*”, “#”, “@”, “$” or “&”)
depending on the asset being reported.
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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SCHEDULE D – PART 2 – SECTION 1
PREFERRED STOCKS OWNED DECEMBER 31 OF CURRENT YEAR
Detail Eliminated To Conserve Space
Column 3
–
Code
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing
and the non-insulated separate account filing.
If preferred stocks are not under the exclusive control of the company as shown in the
General Interrogatories, they are to be identified by placing one of the codes (identified in the
Investment Schedules General Instructions located at the beginning of this section) in this column.
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions).
Detail Eliminated To Conserve Space
SCHEDULE D – PART 2 – SECTION 2
COMMON STOCKS OWNED DECEMBER 31 OF CURRENT YEAR
Detail Eliminated To Conserve Space
Column 3
–
Code
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing and the non-insulated
separate account filing.
If common stocks are not under the exclusive control of the company as shown in the General
Interrogatories, they are to be identified by placing one of the codes (identified in the Investment
Schedules General Instructions located at the beginning of this section) in this column.
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions).
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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SCHEDULE DA – PART 1
SHORT-TERM INVESTMENTS OWNED DECEMBER 31 OF CURRENT YEAR
Detail Eliminated To Conserve Space
Column 3
–
Code
Enter “@” in this column for all Principal STRIP Bonds or other zero coupon bonds.
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing
and the non-insulated separate account filing.
If short-term investments are not under the exclusive control of the company as shown in the General
Interrogatories, they are to be identified by placing one of the codes (identified in the Investment
Schedules General Instructions located at the beginning of this section) in this column.
If the security is a Principal STRIP bond or other zero coupon bond and is not under the exclusive
control of the company, the “@” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions).
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions) and may be used simultaneously with
the “*”, “#”, “@”, “$” or “&” with the “^” preceding the “@”depending on the asset being reported.
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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SCHEDULE DL – PART 1
SECURITIES LENDING COLLATERAL ASSETS
Reinvested Collateral Assets Owned December 31 Current Year
Detail Eliminated To Conserve Space
Column 3
–
Code
Enter “*” in this column for all Class One Bond Mutual Funds.
Enter “#” in this column for all Exchange Traded Funds.
Enter “@” in this column for all Principal STRIP Bonds or other zero coupon bonds.
Enter “$” in this column for Certificates of Deposit under the FDIC limit.
Enter “&” in this column for TBA (To Be Announced) securities.
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing
and the non-insulated separate account filing.
If assets are not under the exclusive control of the company as shown in the General Interrogatories,
they are to be identified by placing one of the codes (identified in the Investment Schedules General
Instructions located at the beginning of this section) in this column.
If the security is a Class One Bond Mutual Fund, an Exchange Traded Fund, a Principal STRIP bond
or other zero coupon bond, certificates of deposit under the FDIC limit or a TBA (To Be Announced)
security and is not under the exclusive control of the company, the “*”, “#”, “@”, “$” or “&” should
appear first, immediately followed by the appropriate code (identified in the Investment Schedules
General Instructions).
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions) and may be used simultaneously with
the “*”, “#”, “@”, “$” or “&” with the “^” preceding the other characters (“*”, “#”, “@”, “$” or “&”)
depending on the asset being reported.
Detail Eliminated To Conserve Space
© 2012 National Association of Insurance Commissioners
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SCHEDULE E – PART 2 – CASH EQUIVALENTS
Detail Eliminated To Conserve Space
Column 2
–
Code
Enter “^” in this column for all assets that are bifurcated between the insulated separate account filing
and the non-insulated separate account filing.
If a cash equivalent is not under the exclusive control of the company as shown in the General
Interrogatories, it is to be identified by placing one of the codes identified in the Investment
Schedules General Instructions located at the beginning of this section in this column.
If the asset is a bifurcated asset between the insulated separate account filing and the non-insulated
separate account filing, the “^” should appear first, immediately followed by the appropriate code
(identified in the Investment Schedules General Instructions).
Detail Eliminated To Conserve Space
W:\QA\BlanksProposals\2012-25BWG.doc
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