2012 New York Annual Statement and Supplement Filing Blanks
(Blanks are in PDF Format)
Return to New York Supplement Instructions page
Listed below are the 2012 blank types currently available online, which are linked to specific New York Statement and Supplement filing blanks (in PDF format).
These are available in PDF format. Please note that you will need the Adobe Acrobat Reader to view or print PDF files. When printing these blanks, be sure to use legal size paper (8 1/2 X 14). Instructions to obtain the Adobe Acrobat Reader are below.
- Accident and Health Insurer Filing on the Health Blank
- Accident and Health Insurer Filing on the Life Blank
- Article 43 Corporation - Annual
- Article 43 Corporation - Quarterly
- Charitable Annuity Society (in Excel XLS format)
- Fraternal Benefit Society
- Health Maintenance Organization (Data Requirements) - Annual
- Health Maintenance Organization - Quarterly
- Life Insurer
- Life Settlement Provider (in Word DOC format)
- Property Insurer
- Retirement System & Pension Fund (available soon)
Addenda to New York Supplement - Schedule F and S:
- Schedule F: Property Insurance Companies authorized in New York as of Dec. 31, 2012
- Schedule S: Life Insurance Companies authorized in New York as of Dec. 31, 2012
