Domestic Life Insurers and Domestic Fraternal Organizations

For all life insurance companies and fraternal benefit societies doing business in New York and all insurers holding a certificate from the Superintendent as being accredited for the reinsurance of life insurance, annuities, or accident and health insurance.

  • Industry-Wide Letters and Inquiries is applicable to all licensed life insurers, accredited reinsurers and fraternal benefit societies.
  • Remaining categories are applicable only to Domestic Life Insurance Companies and Domestic Fraternal Benefit Organizations.

Domestic Life Insurance Companies and Domestic Fraternal Benefit Organizations are annually required to provide, according to §4217 and §4516, year-end valuation submissions to the Life Bureau Reserve Section. Those forms and instructions can be found below under the categories Year-End Instructions, Questionnaires and Checklists, Electronic Data Processing Forms and Instructions, and Analysis of Valuation Reserves.

Submissions should be sent via email to [email protected]

or by mail to:

Ms. Amanda Fenwick
Assistant Chief Life Actuary
Life Bureau
New York State Department of Financial Services
One Commerce Plaza
Albany, New York 12257

Industry-Wide Letters and Inquiries

Actuarial Opinions and Memoranda

Documents Release Date Additional Formats
Special Considerations - Reserves 10/15/21  
AOM & Risk Based Capital Checklist - 12/31/2020 11/18/2020

Word

Actuarial Opinion Requirements - Reserves - 12/31/2020 11/18/2020  

Liquidity

Documents Release Date Link(s)
Liquidity and Severe Mortality Inquiry - 12/31/2020 03/10/2021 Word
Tables and Top Ten   Excel
  • This Inquiry must be completed by the Insurer's Chief Financial Officer (or highest ranking financial officer), the “Trusted Source, ”and submitted no later than May 1, 2021 using the Department’s Portal.
  • Liquidity and Severe Mortality Inquiry - Electronic Submission - Visit the DFS Portal

Year-End Instructions, Questionnaires and Checklists

Document (PDF Version) Release Date Additional Formats

Department Cover letter dated 11/18/2020 to the Annual Mailing for 12/31/2020 Reserves

11/18/2020

 

Notice regarding Accumulation-type Annuity Formatting for 12/31/2003 Reserves

11/06/2003

 

Instructions for Filing Valuations: 2020 Year-End Statutory Valuation

11/25/2020

Word

General Account Questionnaires & Checklists

Documents (PDF Format) Additional Formats

Accident and Health Reserve Questionnaire

Word

Accumulation-Type Annuity Questionnaire

Word

Group Life Insurance Questionnaire

Word

Interest Sensitive Life Questionnaire

Word

Structured Settlements and Fixed Payment Annuity Questionnaire

Word

Valuation Filing Checklist

Word

Separate Account Questionnaires & Checklists

Documents (PDF Format) Additional Formats

Annuity Questionnaire

Word

Interest Sensitive Life Questionnaire

Word

Valuation Filing Checklist

Word

EDP Formats & Instructions

Categories Instructions External Labels Excel Links
Annuities – Accumulation-Type PDF Word PDF Word n/a
Annuities – Structured Settlement and Immediate Annuity PDF Word PDF Word Aggregate Test Worksheet
Interest Sensitive Life PDF Word PDF Word n/a
Traditional Life PDF Word PDF Word n/a
EDP Reconciliation n/a n/a n/a n/a Sample EDP Reconciliation

Analysis of Valuation Reserves

Categories General Account AoVR Separate Account AoVR
Domestic Life Insurance Company PDF Word PDF Word
Fraternal Benefit Society PDF Word n/a n/a

Questions?

For additional information or questions, email [email protected] or call (518) 474-7929. 

Topic Contact
Filing Requirements Matthew Ryan
AOMs Dwight Hazzard
Appointed Actuaries Dwight Hazzard
Formula Reserves Jacob Rulison
Liquidity Dwight Hazzard