Company name filing number naic code line of business. Life insurer general filing instructions important filing reminder. Claim complaints national association of insurance. Annual statement instructions and purposes and procedures manual of the. Insdata national association of insurance commissioners. If your company is granted a waiver or extension, please provide that. Read on for some common claim complaints and tips from the national association of insurance commissioners naic. Pdf filing xxx eo na 31 naic 64 supplemental electronic filing xxx eo xxx 41 naic 65 supplemental. The checklists reflect this action taken by the blanks ex4 task force. Note m none filings see naic annual statement instructions. Companies licensed or accredited to write business in the state of new york are encouraged to file their ny supplemental filings with the naic via this internet filing site. Main street america protection insurance company naic group code 0311 0311 naic company code 26 employers id number 260436940 current prior organized under the laws of florida, state. Illinois filings made during the year 2018 not applicable note l jurat page see naics annual statement instructions. Electronic filing guidelines texas department of insurance.
For those states that have adopted the naic updated holding company model act, a form f filing is required annually by holding company groups. Charter amendments will require the texas department of insurance to issue an amended license. The national association of insurance commissioners naic is the statebased standardsetting organization governed by the chief insurance regulators from the 50 states, the district of columbia. The premium volume from the naic financial filing database is direct written premium derived from insurer annual financial statement filings provided to the naic. Auditinternal control related reports 81 accountants letter of qualifications 1 eo na 61 company 82 audited financial reports 1 eo 61. The blanks e task force modified the 1999 annual statement instructions to waive paper filings of certain naic supplements and certain investment schedule detail, if such investment schedule data is available to the states via the naic database. Youve purchased your policy, paid your premiums and unfortunately, suffered a loss.
At this time, companies are still required to make all required electronic filings e. Consistent with the form b filing requirements, the form f is a state filing only and should not be submitted by the company. We strive to make your online ordering experience hasslefree. Pdf filing xxx eo xxx 515, 815, 1115 naic s 71 june. If your company believes that it will not be able to. Fraternal beneficial societies filing checklist pdf.
Pdf filing xxx eo xxx 51 naic p 67 supplemental electronic filing xxx eo xxx 41 naic p 68 supplemental. Filings should also continue to be filed electronically with your company s assigned analyst. This states instructions for companies to file with the naic are included in this checklist. Making sense of the financial statement zip file name codes page 1 of 2 the filenaming rules and phrases are set by the national association of insurance commissioners naic. Developing your naic corporate governance annual disclosure cgad overview in 2012, the national association of insurance commissioners naic kickedoff an ambitious process to require extensive disclosure of regulated insurance. Companies with an naic company code less than 0 are a combined property and casualty statement filer. The purpose of the form f filing is to report on material risks within the insurance holding company system that could pose enterprise risk to the insurer. Pdf filing xxxeo 41 naic 69 quarterly statement electronic filing xxxeo 515, 815, 1115 naic 70 quarterly. For insurers who write accident and health coverage in texas, submit tdi form lah302 form filing. The act means the insurance holding company system regulatory act insert applicable sections of the insurance code.
The naic will accept only filings submitted via the internet filing website. Ngm insurance company naic group code 0311 0311 naic company code 14788 employers id number 020170490 current prior organized under the laws of florida, state of domicile or port. In order to search for pdf files, you must first sign up or log in to the system. When a new individual takes on the role of current financial statement contact for a company, heshe must contact financial data administration at 8167838600 to receive an naic user name and password, if needed, and to be established as the company. Annual statement notice and foreign license renewal. Insurance and the national association of insurance commissioners. Insurance holding company system model reg ulation with reporting forms. Electronic filing is intended to be filings submitted to the naic via the naic internet filing site which eliminates the need for a company to submit diskettes or cdrom to the naic. The company licensing and registration office is requesting that all filings be submitted electronically, either via the naic ucaa process or in a pdf format via email, whichever method is applicable. This section will assist you when you know the company code and need to know the name of the corresponding entity.
Note however that this filing is intended to be submitted to the lead state if filed at the insurance group level. The national association of insurance commissioners naic requires insurance companies and health carriers to submit checklists and related filings. Companies are not required to file hard copy filings. Insurance holding company system regulatory act table of. Pdf pipeline for serff tracking number dent127302198 generated 07142011 03.
If this column contains state, the state will provide the forms with the filing instructions generally on its web site. Data administrators naic database 1100 walnut street, suite 1500 kansas city, mo 641062197 816 7838600. Submit naic ucaa corporate amendments application section ix. Cis consumer information national association of insurance. These components should not be filed with the naic in any format. Company name filing number naic code line of business rate or form action date ace american insurance company a85025001. The company shall attach a statement to its audited annual financial.
May 15, 2019 quarterly statement filing as of march 31, 20189property, life, health, title trusteed surplus statement quarter ending march 31, 2019 property, life. Pdf filing xxx eo xxx 31 naic o, z 63 riskbased capital electronic filing xxx eo na 31 naic o, z 64 riskbased capital. For those states that have adopted the naic updated holding company model act, a form f iling is required annually by holding company f groups. The required checklist for each company type specifies the filing dates for all required filings. Pdf filing xxx eo xxx 515, 815, 1115 naic e 68 june. Pdf filing 0 eo xxx 51 naic 67 supplemental electronic filing 0 eo xxx 41 naic 68 supplemental.
Insdata makes it easy to find what you are looking forjust search by either the company name or the naic company. Our expert solutions support the efforts of regulators, insurers and researchers by providing detailed and comprehensive insurance information. Welcome to the naics professional designation program. If you are a financial institution verifying flood insurance companies, please e mail. Electronic filing is intended to be filing s submitted to the naic via the naic internet filing site which eliminates the need for a company to submit diskettes or cdrom to the naic. Financial statement filings due march 31 st and beyond, please consult your domiciliary state for any information on obtaining a waiver or extension. While the oic web site provides some identifying information about zip filings. Electronic filing requirements 60 annual statement electronic filing na eo 31 naic all filings in section iii, please refer to note o 61 march. In this approach fees are calculated using the measurement of an insurance companys premiums or assumed reinsurance multiplied by a base factor, subject to a minimum fee and individual and group caps. Designed to provide state insurance regulators at all staff levels with an opportunity for professional growth through completion of specific educational requirements, the naicsponsored professional designation will recognize your expertise in insurance. Pdf filing xxx eo xxx 41 naic 65 quarterly statement electronic filing xxx eo xxx 515, 815, 1115 naic 66 quarterly. Pdf filing xxx eo na 31 naic p 65 combined annual statement electronic filing xxx eo xxx 51 naic p 66 combined annual statement. Gcc when entities are subsidiaries of rbc filing insurance companies.
Please check with state insurance departments in which you are doing business to ensure you are meeting their filing requirements. Listing of companies summary national association of. Pdf filing xxx eo xxx 515, 815, 1115 naic e 70 june. Filings should also continue to be filed electronically with your companys assigned analyst. Prod serv national association of insurance commissioners. For any questions or information regarding filing with the naic, the 2019 naic annual statement instructions, or the naics accounting practices and procedures manual, please refer to the naic website.
Naic, state, or company, if this column contains naic, the company must obtain the forms from the appropriate vendor. The naic filing deadlines and requirements for the 2019 quarterly electronic filings are as follows. Hard copies are still required to be sent to new york. Pdf filing xxx eo xxx 41 naic 66 quarterly statement electronic filing xxx eo xzx 515, 815, 1115 naic 67 quarterly.
Making sense of the financial statement zip file name codes. Consistent with the form b filing requirements, the form f is a state filing only and should not be submitted by the company to the naic. State required filings note e 101 electronic claims payment report prompt pay form 1 0 1 315 state note q 102 filings checklist with column 1 completed 1 0 0 various dates state note a 103 holding company system registration statement form b 1 0 0 430 company note a, f, i, j, u 104 holding company. The corporate governance annual disclosure is a state filing only and should not be submitted by the company to the naic. Consistent with the form b filing requirements, the form f is a state filing only and should be submitted by the company to the naic. Pdf filing xxx eo na 31 naic o, z 65 combined annual statement electronic filing xxx eo xxx 51 naic o, z 66 combined annual statement. Your supplemental filings will be sent directly to new york for processing. Auditinternal control related reports 71 accountants awareness letter 1 na na see note company. Filings should also continue to be filed electronically with your company. Electronic filing guidelines the company licensing and registration office is requesting that all filings be submitted electronically, either via the naic ucaa process or in a pdf format via email, whichever method is applicable. Extensions for regulatory filing deadlines at this time, companies are still required to make all required electronic filings e. The naic is the authoritative source for insurance industry information.
Schedule g is to be submitted in its own pdf file, separate from the new york supplement pdf file. Industry financial filing national association of insurance. The national association of insurance commissioners naic is the statebased standardsetting organization governed by the chief insurance regulators from the 50 states, the district of columbia and five u. If disasters or other contingencies prevent timely online filing, authorization to submit a company s filing other than via the internet filing website should come from the company s domiciliary state. If you are a financial institution verifying flood insurance companies, please e mail us at. Pdf filing xxx eo xxx 41 naic e 66 quarterly statement electronic filing xxx eo xxx 515, 815, 1115 naic e 67 quarterly.
Financial statement filings due march 31st and beyond, please consult your domiciliary state for any. An insurance holding company system consists of two 2 or more affiliated persons, one or more of which is an insurer. Pdf filing xxx eo xxx 41 naic 69 quarterly statement electronic filing xxx eo xxx 515, 815, 1115 naic 70 quarterly. Pdf filing xxx eo xxx 41 naic s 69 quarterly statement electronic filing xxx eo xxx 515, 815, 1115 naic s 70 quarterly.
If schedule g is included in the new york supplement pdf, the filing. Berkshire hathaway homestate insurance company naic. For more refined company specific reports, please use the click for report options link associated with the company result. If you are looking for key annual and quarterly statement data, click on insdata for immediate access to pdf information filed with the naic for thousands of insurance companies. Approval from the company s domiciliary state must be submitted to the naic along with the filing submitted via alternative media cd rom only. Feb 26, 2020 pursuant to california code of regulation ccr 2308. Ohio has adopted the naic corporate governance annual disclosure model act, an annual disclosure is required of all insurers or insurance groups by june 1. Pdf filing xxx eo xxx 41 naic e 68 quarterly statement electronic filing xxx eo xxx 515, 815, 1115 naic e 69 quarterly. Pdf filing xxx eo xxx 31 naic 63 supplemental electronic filing xxx eo xxx 41 naic 64 supplemental. Pdf filing xxx eo xxx 41 naic 58 quarterly statement electronic filing xxx eo xxx 515, 815, 1115 naic 59 quarterly. Foreign companies pursuant to section 307a1 of the insurance law, a hard copy filing of the signed property and casualty annual statement jurat page is not required if an electronic filing of the annual. Column 6 form source this column contains one of three words.
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