Life - IRDA

Document Sample
Life - IRDA Powered By Docstoc
					                                                                                                                                                    Annexure-II
                  Disclosures - LIFE INSURANCE COMPANIES- to be displayed on web-site
           Form NO.                          Description             Annually         Halfyearly          Quarterly              Mode of Disclosure

                                                                   (within 6 months (within 2 months     (within 45 days
                                                                 from the end of the from the end of   from the end of the
                                                                        period)         the period)          period)
L-1-A-RA                       Revenue Account                           P                 P                   P                       Electronic

L-2-A-PL                       Profit & Loss Account                     P                 P                   P                       Electronic

L-3-A-BS                       Balance Sheet                             P                 P                   P                       Electronic

L-4-PREMIUM SCHEDULE           Premium                                   P                 P                   P                       Electronic
L-5-COMMISSION SCHEDULE        Commission Expenses                       P                 P                   P                       Electronic
L-6-OPERATING EXPENSES         Operating Expenses                        P                 P                   P                       Electronic
SCHEDULE
L-7-BENEFITS PAID SCHEDULE     Benefits Paid                             P                 P                   P                       Electronic
L-8-SHARE CAPITAL SCHEDULE     Share Capital                             P                 P                   P                       Electronic

L-9-PATTERN OF SHAREHOLDING Pattern of Shareholding                      P                 P                   P                       Electronic
SCHEDULE
L-10-RESERVE AND SURPLUS    Reserves and Surplus                         P                 P                   P                       Electronic
SCHEDULE
L-11-BORROWINGS SCHEDULE    Borrowings                                   P                 P                   P                       Electronic

L-12-INVESTMENT                Investment-Shareholders                   P                 P                   P                       Electronic
SHAREHOLDERS SCHEDULE
L-13-INVESTMENT                Investment-Policyholders                  P                 P                   P                       Electronic
POLICYHOLDERS SCHEDULE
L-14-INVESTMENT-ASSETS HELD    Investment-Assets Held to Cover           P                 P                   P                       Electronic
TO COVER LINKED LIABILITIES    Linked Liabilities
SCHEDULE
L-15-LOANS SCHEDULE            Loans                                     P                 P                   P                       Electronic
L-16-FIXED ASSETS SCHEDULE     Fixed Assets                              P                 P                   P                       Electronic
L-17-CASH AND BANK BALANCE     Cash and Bank Balance                     P                 P                   P                       Electronic
SCHEDULE
L-18-ADVANCES AND OTHER        Advances & Other Assets                   P                 P                   P                       Electronic
ASSETS SCHEDULE
L-19-CURRENT LIABILITIES       Current Liabilities                       P                 P                   P                       Electronic
SCHEDULE
L-20-PROVISIONS SCHEDULE       Provisions                                P                 P                   P                       Electronic
L-21-MISC EXPENDITURE          Misc Expenditure                          P                 P                   P                       Electronic
SCHEDULE
L-22-ANALYTICAL RATIOS         Analytical Ratios                         P                 P                   P             Ratios stated at Serial number 1
                                                                                                                                 to 15 to be published in
                                                                                                                             newspapers along with financial
                                                                                                                              statement and should also be
                                                                                                                              displayed in Electronic format.
L-23-RECEIPTS AND PAYMENTS        Receipts & Payment Statement            P   X   X   Electronic
SCHEDULE
L-24-VALUATION OF NET             Valuation on Net Liablities             P   P   P   Electronic
LIABILITIES
L-25-GEOGRAPHICAL DISTN OF        Geographical Distribution of Business   P   P   P   Electronic
BSNS- Group & Individuals
L-26-INVESTMENT ASSETS            Asset Class                             P   P   P   Electronic
L-27-ULIP LINKED BSNS             ULIP Fund                               P   P   P   Electronic
L-28-ULIP NAV                     ULIP NAV                                P   P   P   Electronic
L-29-DEBT SECURITIES              Debt Securities                         P   P   P   Electronic
L-30-RELATED PARTY                Related Party Transanctions             P   P   P   Electronic
TRANSACTIONS
L-31-BOD                          Board of Directors & Key Persons        P   P   P   Electronic
L-32-SOLVENCY MARGIN              Solvency                                P   P   P   Electronic
L-33-NPAs                         NPAs                                    P   P   P   Electronic
L-34-YIELD ON INVESTMENT          Investment break down by class and      P   P   P   Electronic
                                  Yield on Investment
L-35-DOWNGRADING OF               Downgrading of Investment               P   P   P   Electronic
INVESTMENT
L-36-BSNS NUMBERS                 :Premium and number of lives covered    P   P   P   Electronic
                                  by policy type
L-37-BSNS ACQUSITION (GROUP) Detail of the business procured -            P   P   P   Electronic
                                  Distribution Channel wise
L-38-BSNS ACQUSITION              Detail of the claim paid                P   P   P   Electronic
(INDIVIUDAL)
L-39-CLAIMS AGEING                Ageing of Claims                        P   P   P   Electronic
L-40-CLAIMS DATA                  Claims Data                             P   P   P   Electronic
L-41-GRIEVANCES (LIFE)            Grievance Disposal                      P   P   P   Electronic
L-42- Valuation Basis (Life)      Main Parameters of Valuation            P   P   P   Electronic
FORM L-1-A-RA

Name of the Insurer:
Registration No. and Date of Registration with the IRDA

REVENUE ACCOUNT FOR THE PERIOD ENDED --------------

Policyholders’ Account (Technical Account)***

                                 Particulars                        Schedule   FOR THE           UP TO THE       For the         up to the
                                                                               QUARTER           QUARTER ENDED   corresponding Quarter of the
                                                                               ENDED ON ---------ON -------      quarter of the  prceeding year
                                                                               ----                              preceeding year

                                                                               (Rs.’000)      (Rs.’000).         (Rs.’000)       (Rs.’000).
            Premiums earned – net
            (a)   Premium                                             L-4
            (b)   Reinsurance ceded
            (c)   Reinsurance accepted-
            Income from Investments
            (a)      Interest, Dividends & Rent – Gross
            (b)       Profit on sale/redemption of investments
            (c)      (Loss on sale/ redemption of investments)

            (d)       Transfer/Gain on revaluation/change in fair
            value*
            Transferred from Shareholders' Fund
            Other Income (to be specified)
                                  TOTAL (A)
            Commission                                                L-5
            Operating Expenses related to Insurance Business          L-6
            Provision for doubtful debts
            Bad debts written off
            Provision for Tax
            Provisions (other than taxation)
            (a) For diminution in the value of investments (Net)

            (b) Others (to be specified)
                                  TOTAL (B)
            Benefits Paid (Net)                                       L-7
             Bonuses Paid
             Change in valuation of liability in respect of life
             policies
             (a)     Gross**
             (b)     Amount ceded in Reinsurance
             (c)     Amount accepted in Reinsurance
                                  TOTAL (C)
             SURPLUS/ (DEFICIT) (D) =(A)-(B)-(C)
             APPROPRIATIONS
             Transfer to Shareholders’ Account
             Transfer to Other Reserves (to be specified)
             Balance being Funds for Future Appropriations
                                  TOTAL (D)
Notes:
*            Represents the deemed realised gain as per norms specified by the Authority.
**      represents Mathematical Reserves after allocation of bonus
The total surplus shall be disclosed separately with the following details:
                            (a)   Interim Bonuses Paid:
                            (b)    Allocation of Bonus to policyholders:
                            (c)   Surplus shown in the Revenue Account:
                            (d)    Total Surplus: [(a)+(b)+(c)].

See Notes appended at the end of Form L-1-A-PL
***please refer regulation (1) of Part V - Preparation of Financial statement of IRDA(Accounting) Regulations, 2002
FORM L-2-A-PL

Name of the Insurer:
Registration No. and Date of Registration with the IRDA


PROFIT & LOSS ACCOUNT FOR THE YEAR ENDED ______________

Shareholders’ Account (Non-technical Account)

                                Particulars                       Schedule   FOR THE           UP TO THE          For the           up to the
                                                                             QUARTER           QUARTER            corresponding     Quarter of
                                                                             ENDED ON -------- ENDED ON -------   quarter of the    the
                                                                             -----                                preceeding year   prceeding
                                                                                                                                    year
                                                                             (Rs.’000).       (Rs.’000).          (Rs.’000).        (Rs.’000).
           Amounts transferred from/to the Policyholders
           Account (Technical Account)
           Income From Investments
           (a) Interest, Dividends & Rent – Gross
           (b) Profit on sale/redemption of investments
           (c) (Loss on sale/ redemption of investments)

           Other Income (To be specified)
                              TOTAL (A)

           Expense other than those directly related to the
           insurance business
           Bad debts written off
           Transfer to Policyholders' fund
           Provisions (Other than taxation)
           (a) For diminution in the value of investments (Net)

           (b) Provision for doubtful debts
           (c) Others (to be specified)
                               TOTAL (B)

           Profit/ (Loss) before tax
           Provision for Taxation
           Profit / (Loss) after tax

           APPROPRIATIONS
            (a) Balance at the beginning of the year.
            (b) Interim dividends paid during the year
            (c) Proposed final dividend
            (d) Dividend distribution on tax
            (e) Transfer to reserves/ other accounts (to be
            specified)
            Profit carried ------------to the Balance Sheet
Notes to Form L-1-A-RA and L-2-A-PL.
a)    Premium income received from business concluded in and outside India shall be separately disclosed.
b) Reinsurance premiums whether on business ceded or accepted are to be brought into account gross (i.e. before deducting commissions) under the head reinsurance
premiums.
c)    Claims incurred shall comprise claims paid, specific claims settlement costs wherever applicable and change in the outstanding provision for claims at the year-
end,.
d) Items of expenses and income in excess of one percent of the total premiums (less reinsurance) or Rs.5,00,000 whichever is higher, shall be shown
as a separate line item.
e) Fees and expenses connected with claims shall be included in claims.
f) Under the sub-head "Others” shall be included items like foreign exchange gains or losses and other items.
g) Interest, dividends and rentals receivable in connection with an investment should be stated as gross amount, the amount of income tax deducted at
source being included under 'advance taxes paid and taxes deducted at source”.
h) Income from rent shall include only the realised rent. It shall not include any notional rent.
FORM L-3-A-BS
Name of the Insurer:
Registration No. and Date of Registration with the IRDA


BALANCE SHEET AS AT __________________

                                                     Schedule As            As at…………
                                                              at…………        for the
                                                                            corresponding
                                                                            previous year
                                                               (Rs.’000).   (Rs.’000).
           SOURCES OF FUNDS

           SHAREHOLDERS’ FUNDS:

           SHARE CAPITAL                             L-8,L-9
           RESERVES AND SURPLUS                       L-10
           CREDIT/[DEBIT] FAIR VALUE
           CHANGE ACCOUNT
           Sub-Total
           BORROWINGS                                 L-11
           POLICYHOLDERS’ FUNDS:
           CREDIT/[DEBIT] FAIR VALUE
           CHANGE ACCOUNT
           POLICY LIABILITIES
           INSURANCE RESERVES
           PROVISION FOR LINKED
           Sub-Total
           FUNDS FOR FUTURE
           APPROPRIATIONS
           TOTAL
           APPLICATION OF FUNDS
           INVESTMENTS
           Shareholders’                              L-12
           Policyholders’                             L-13

           ASSETS HELD TO COVER LINKED                L-14
           LIABILITIES
           LOANS                                      L-15
           FIXED ASSETS                               L-16
           CURRENT ASSETS
           Cash and Bank Balances                     L-17
           Advances and Other Assets                  L-18
           Sub-Total (A)
           CURRENT LIABILITIES                        L-19
           PROVISIONS                                 L-20
           Sub-Total (B)
           NET CURRENT ASSETS (C) = (A – B)
           MISCELLANEOUS EXPENDITURE (to              L-21
           the extent not written off or adjusted)
        DEBIT BALANCE IN PROFIT & LOSS
        ACCOUNT (Shareholders’ Account)
        Dbeit Balance of Revenue Account
        TOTAL



CONTINGENT LIABILITIES

        Particulars                                  FOR THE     For the
                                                     QUARTER     corresponding
                                                                 quarter of the
                                                                 preceeding year
                                                     (Rs.’000)   (Rs.’000)
1       Partly paid-up investments
2       Claims, other than against policies, not
        acknowledged as debts by the company

3       Underwriting commitments outstanding (in
        respect of shares and securities)
4       Guarantees given by or on behalf of the
        Company
5       Statutory demands/ liabilities in dispute,
        not provided for
6       Reinsurance obligations to the extent not
        provided for in accounts
7       Others (to be specified)
        TOTAL
SCHEDULES FORMING PART OF FINANCIAL STATEMENTS


FORM L-4-PREMIUM SCHEDULE
PREMIUM

                              Particulars                    FOR THE            UP TO THE       For the           up to the Quarter of
                                                             QUARTER            QUARTER ENDED   corresponding     the prceeding year
                                                             ENDED ON --------- ON -------      quarter of the
                                                             ----                               preceeding year
                                                             (Rs.’000).     (Rs.’000).          (Rs.’000).        (Rs.’000).
          1 First year premiums
          2 Renewal Premiums
          3 Single Premiums
            TOTAL PREMIUM



FORM L-5 - COMMISSION SCHEDULE
COMMISSION EXPENSES

                              Particulars                    FOR THE            UP TO THE       For the           up to the Quarter of
                                                             QUARTER            QUARTER ENDED   corresponding     the prceeding year
                                                             ENDED ON --------- ON -------      quarter of the
                                                             ----                               preceeding year
                                                             (Rs.’000)      (Rs.’000)           (Rs.’000)         (Rs.’000)
           Commission paid
           Direct – First year premiums
           - Renewal premiums
           - Single premiums

           Add: Commission on Re-insurance Accepted
           Less: Commission on Re-insurance Ceded
           Net Commission
           Break-up of the expenses (Gross) incurred to
           procure business to be furnished as per details
           indicated below:
           Agents
Brokers
Corporate Agency
Referral
Others (pl. specify)
TOTAL (B)
FORM L-6-OPERATING EXPENSES SCHEDULE
OPERATING EXPENSES RELATED TO INSURANCE BUSINESS
                       Particulars            FOR THE                                     UP TO       For the          up to the
                                                                      QUARTER             THE         corresponding    Quarter of
                                                                      ENDED ON ---------- QUARTER     quarter of the   the
                                                                      ---                 ENDED ON    preceeding       prceeding
                                                                                          -------     year             year
                                                                      (Rs.’000).         (Rs.’000). (Rs.’000).         (Rs.’000).
          1   Employees’ remuneration & welfare benefits
          2   Travel, conveyance and vehicle running expenses
          3   Training expenses
          4   Rents, rates & taxes
          5   Repairs
          6   Printing & stationery
          7   Communication expenses
          8   Legal & professional charges
          9   Medical fees
         10   Auditors' fees, expenses etc
              a) as auditor
              b) as adviser or in any other capacity, in respect of
              (i)        Taxation matters
              (ii)       Insurance matters
              (iii)      Management services; and
              c) in any other capacity
         11   Advertisement and publicity
         12   Interest & Bank Charges
         13   Others (to be specified)
         14   Depreciation

              TOTAL

Note : Items of expenses and income in excess of one percent of the total premiums (less reinsurance) or Rs.5,00,000 whichever is
higher, shall be shown as a separate line item.


FORM L-7-BENEFITS PAID SCHEDULE
BENEFITS PAID [NET]
                      Particulars                                     FOR THE           UP TO   For the                up to the
                                                                      QUARTER           THE     corresponding          Quarter of
                                                                      ENDED ON--------- QUARTER quarter of the         the
                                                                                                preceeding             prceeding
                                                                                                year                   year
                                                                      (Rs.’000).         (Rs.’000).

              1. Insurance Claims
                   (a) Claims by Death,
                   (b) Claims by Maturity,
                   (c) Annuities/Pension payment,
                   (d) Periodical Benefit
                   (e) Health
                   (f) any other (please specify)

              2. (Amount ceded in reinsurance):
               (a) Claims by Death,
               (b) Claims by Maturity,
               (c) Annuities/Pension payment,
               (d) Periodical Benefit
               (e) Health
               (f) any other (please specify)

           3. Amount accepted in reinsurance:
              (a) Claims by Death,
              (b) Claims by Maturity,
              (c) Annuities/Pension payment,
              (d) Periodical Benefit
              (e) Health
              (f) any other (please specify)

            TOTAL
      Notes: (a) Claims include specific claims settlement costs, wherever applicable.
(b) Legal and other fees and expenses shall also form part of the claims cost, wherever
applicable.
FORM L-8-SHARE CAPITAL SCHEDULE
SHARE CAPITAL

                            Particulars                     As at…………     As at…………
                                                                          for the
                                                                          corresponding
                                                                          previous year
                                                            (Rs.’000).    (Rs.’000).
         1 Authorised Capital
           Equity Shares of Rs..... each
         2 Issued Capital
           Equity Shares of Rs. .....each
         3 Subscribed Capital
           Equity Shares of Rs.......each
         4 Called-up Capital
           Equity Shares of Rs. .....each
           Less : Calls unpaid
           Add : Shares forfeited (Amount originally paid
           up)
           Less : Par value of Equity Shares bought back

           Less : Preliminary Expenses
                  Expenses including commission or
           brokerage on
                  Underwriting or subscription of shares

           TOTAL

Notes:


(a) Particulars of the different classes of capital should be separately stated.
(b) The amount capitalised on account of issue of bonus shares should be disclosed.
(c) In case any part of the capital is held by a holding company, the same should be
separately disclosed.

FORM L-9-PATTERN OF SHAREHOLDING SCHEDULE
PATTERN OF SHAREHOLDING
[As certified by the Management]

                           Shareholder                              As at…………             As at………… for the
                                                               Number of   % of Holding   Number of  % of
                                                                Shares                     Shares   Holding
           Promoters
                        Indian
                        Foreign
           Others
           TOTAL


FORM L-10-RESERVES AND SURPLUS SCHEDULE
RESERVES AND SURPLUS

                              Particulars                   As at…………          As at…………
                                                                               for the
                                                                               corresponding
                                                                               previous year
                                                            (Rs.’000)          (Rs.’000)
          1 Capital Reserve
          2 Capital Redemption Reserve
          3 Share Premium
          4 Revaluation Reserve
          5 General Reserves
            Less: Debit balance in Profit and Loss
            Account, if any
            Less: Amount utilized for Buy-back
          6 Catastrophe Reserve
          7 Other Reserves (to be specified)
          8 Balance of profit in Profit and Loss Account

              TOTAL

Note: Additions to and deductions from the reserves shall be disclosed under each of the specified heads.
FORM L-11-BORROWINGS SCHEDULE

BORROWINGS

                                 Particulars                    As at…………            As at…………
                                                                                     for the
                                                                                     corresponding
                                                                                     previous year
                                                                (Rs.’000).           (Rs.’000).
          1   Debentures/ Bonds
          2   Banks
          3   Financial Institutions
          4   Others (to be specified)
              TOTAL
Notes:
(a)        The extent to which the borrowings are secured shall be separately disclosed stating the
nature of the security under each sub-head.

(b)       Amounts due within 12 months from the date of Balance Sheet should be shown separately


FORM L-12-INVESTMENTS SHAREHOLDERS SCHEDULE

INVESTMENTS-SHAREHOLDERS

                                 Particulars                    As at…………            As at…………
                                                                                     for the
                                                                                     corresponding
                                                                                     previous year
                                                                (Rs.’000)            (Rs.’000)
              LONG TERM INVESTMENTS
          1   Government securities and Government
              guaranteed bonds including Treasury Bills
          2   Other Approved Securities
          3   Other Investments
                   (a) Shares
              (aa)      Equity
              (bb)      Preference
              (b) Mutual Funds
              (c) Derivative Instruments
              (d) Debentures/ Bonds
              (e) Other Securities (to be specified)
              (f) Subsidiaries
              Investment Properties-Real Estate
          4   Investments in Infrastructure and Social Sector

          5 Other than Approved Investments
            SHORT TERM INVESTMENTS
          1 Government securities and Government
            guaranteed bonds including Treasury Bills
          2 Other Approved Securities
          3 Other Investments
            (a) Shares
            (aa)       Equity
            (bb)       Preference
            (b)    Mutual Funds
            (c)     Derivative Instruments
            (d)    Debentures/ Bonds
            (e)     Other Securities (to be specified)
            (f)     Subsidiaries
            Investment Properties-Real Estate
          4 Investments in Infrastructure and Social Sector

          5 Other than Approved Investments
            TOTAL


Note: See Notes appended at the end of Form L-14-Assets held to cover linked liabilities schedule


FORM L-13-INVESTMENTS POLICYHOLDERS SCHEDULE
INVESTMENTS-POLICYHOLDERS

                                 Particulars                    As at…………           As at…………
                                                                                    for the
                                                                                    corresponding
                                                                                    previous year
                                                                (Rs.’000)           (Rs.’000)
              LONG TERM INVESTMENTS
          1   Government securities and Government
              guaranteed bonds including Treasury Bills
          2   Other Approved Securities
          3        (a) Shares
              (aa)      Equity
              (bb)      Preference
              (b) Mutual Funds
              (c) Derivative Instruments
              (d) Debentures/ Bonds
              (e) Other Securities (to be specified)
              (f) Subsidiaries
              (g) Investment Properties-Real Estate
          4   Investments in Infrastructure and Social Sector

          5 Other than Approved Investments
            SHORT TERM INVESTMENTS
          1 Government securities and Government
            guaranteed bonds including Treasury Bills
          2 Other Approved Securities
          3 (a) Shares
            (aa)       Equity
            (bb)       Preference
            (b)      Mutual Funds
            (c)        Derivative Instruments
          3




            (d)      Debentures/ Bonds
            (e)      Other Securities (to be specified)
            (f)      Subsidiaries
            (g)     Investment Properties-Real Estate
          4 Investments in Infrastructure and Social Sector

          5 Other than Approved Investments
            TOTAL

Note: See Notes appended at the end of Form L-14-Assets held to cover linked liabilities schedule

FORM L-14-ASSETS HELD TO COVER LINKED LIABILITIES SCHEDULE
ASSETS HELD TO COVER LINKED LIABILITIES

                                  Particulars                 As at…………             As at…………
                                                                                    for the
                                                                                    corresponding
                                                                                    previous year
                                                              (Rs.’000)             (Rs.’000)
              LONG TERM INVESTMENTS
          1 Government securities and Government guaranteed
              bonds including Treasury Bills
          2 Other Approved Securities
          3 (a) Shares
            (aa) Equity
            (bb) Preference
            (b)    Mutual Funds
            (c)    Derivative Instruments
            (d)    Debentures/ Bonds
            (e)    Other Securities (to be specified)
            (f)    Subsidiaries
            (g)    Investment Properties-Real Estate
          4 Investments in Infrastructure and Social Sector
          5 Other than Approved Investments
            SHORT TERM INVESTMENTS
          1 Government securities and Government
            guaranteed bonds including Treasury Bills
          2 Other Approved Securities
          3 (a) Shares
            (aa) Equity
            (bb) Preference
            (b) Mutual Funds
            (c ) Derivative Instruments
            (d) Debentures/ Bonds
            (e) Other Securities (to be specified)
            (f) Subsidiaries
            (g) Investment Properties-Real Estate
          4 Investments in Infrastructure and Social Sector

          5 Other than Approved Investments
            TOTAL
Notes (applicable to Form L-12 and L-13 & L-14):

(a)   Investments in subsidiary/holding companies, joint ventures and associates shall be separately disclosed, at
cost.



(i)   Holding company and subsidiary shall be construed as defined in the Companies Act, 1956:

(ii) Joint Venture is a contractual arrangement whereby two or more parties undertake an economic activity,
which is subject to joint control.

(iii) Joint control - is the contractually agreed sharing of power to govern the financial and operating policies of
an economic activity to obtain benefits from it.
(iv) Associate - is an enterprise in which the company has significant influence and which is neither a subsidiary
nor a joint venture of the company.


(v) Significant influence (for the purpose of this schedule) -means participation in the financial and operating
policy decisions of a company, but not control of those policies. Significant influence may be exercised in several
ways, for example, by representation on the board of directors, participation in the policymaking process, material
inter-company transactions, interchange of managerial personnel or dependence on technical information.
Significant influence may be gained by share ownership, statute or agreement. As regards share ownership, if an
investor holds, directly or indirectly through subsidiaries, 20 percent or more of the voting power of the investee,
it is presumed that the investor does have significant influence, unless it can be clearly demonstrated that this is
not the case. Conversely, if the investor holds, directly or indirectly through subsidiaries, less than 20 percent of
the voting power of the investee, it is presumed that the investor does not have significant influence, unless such
influence is clearly demonstrated. A substantial or majority ownership by another investor does not necessarily
preclude an investor from having significant influence.
(b)

(c) Investment made out of Catastrophe reserve should be shown separately.
(d) Debt securities will be considered as “held to maturity” securities and will be measured at historical costs
subject to amortisation

(e) Investment Property means a property [land or building or part of a building or both] held to earn rental
income or for capital appreciation or for both, rather than for use in services or for administrative purposes.


(f) Investments maturing within twelve months from balance sheet date and investments made with the specific
intention to dispose of within twelve months from balance sheet date shall be classified as short-term investments
FORM L-15-LOANS SCHEDULE
LOANS

                                Particulars                        As at…………              As at…………
                                                                                          for the
                                                                                          corresponding
                                                                                          previous year
                                                                   (Rs.’000).             (Rs.’000).
         1 SECURITY-WISE CLASSIFICATION
           Secured
           (a)        On mortgage of property
           (aa)       In India
           (bb)      Outside India
           (b) On Shares, Bonds, Govt. Securities, etc.
           (c)       Loans against policies
           (d) Others (to be specified)
           Unsecured
           TOTAL
         2 BORROWER-WISE CLASSIFICATION
           (a) Central and State Governments
           (b) Banks and Financial Institutions
           (c) Subsidiaries
           (d) Companies
           (e) Loans against policies
           (f) Others (to be specified)
           TOTAL
         3 PERFORMANCE-WISE CLASSIFICATION
           (a)        Loans classified as standard
           (aa)       In India
           (bb)      Outside India
           (b)        Non-standard loans less provisions
           (aa)       In India
           (bb)      Outside India
           TOTAL
         4 MATURITY-WISE CLASSIFICATION
           (a) Short Term
           (b) Long Term
           TOTAL


Notes:


           Short-term loans shall include those, which are repayable within 12 months from the date of balance sheet.
(a)        Long term loans shall be the loans other than short-term loans.


(b)        Provisions against non-performing loans shall be shown separately.
            The nature of the security in case of all long term secured loans shall be specified in each case. Secured
           loans for the purposes of this schedule, means loans secured wholly or partly against an asset of the
(c)        company.




(d)         Loans considered doubtful and the amount of provision created against such loans shall be disclosed.
FORM 16-FXED ASSETS SCHEDULE

FIXED ASSETS
                                                                                                                                           (Rs.’000)
         Particulars                          Cost/ Gross Block                                   Depreciation                                 Net Block
                               Opening     Additions    Deductions     Closing    Up to Last    For The     On Sales/     To Date   As at…………        As at…………
                                                                                    Year         Period    Adjustments              As at…………        As at…………
                                                                                                                                                     for the
                                                                                                                                                     corresponding
                                                                                                                                                     previous year
Goodwill
Intangibles (specify)
Land-Freehold
Leasehold Property
Buildings
Furniture & Fittings
Information Technology
Equipment
Vehicles
Office Equipment
Others (Specify nature)
TOTAL
Work in progress
Grand Total
PREVIOUS YEAR

Note:

Assets included in land, property and building above exclude Investment Properties as defined in note (e) to Form L-12.
FORM L-17-CASH AND BANK BALANCE SCHEDULE

CASH AND BANK BALANCES

                                         Particulars                                As at…………              As at…………
                                                                                                           for the
                                                                                                           corresponding
                                                                                                           previous year
                                                                                    (Rs.’000).             (Rs.’000).
          1 Cash (including cheques, drafts and stamps)
          2 Bank Balances
            (a)        Deposit Accounts
            (aa)      Short-term (due within 12 months of the date of Balance
            Sheet)
            (bb)      Others
            (b)        Current Accounts
            (c)        Others (to be specified)
          3 Money at Call and Short Notice
            (a)        With Banks
            (b)        With other Institutions
          4 Others (to be specified)
            TOTAL
            Balances with non-scheduled banks included in 2 and 3 above

            CASH & BANK BALANCES
         1 In India
         2 Outside India
            TOTAL
Note: Bank balance may include remittances in transit. If so, the nature and amount shall be separately stated.


FORM L-18-ADVANCE AND OTHER ASSETS SCHEDULE
ADVANCES AND OTHER ASSETS
                          Particulars                                               As at…………              As at…………
                                                                                                           for the
                                                                                                           corresponding
                                                                                                           previous year
                                                                                           (Rs.’000)            (Rs.’000)
              ADVANCES
          1   Reserve deposits with ceding companies
          2   Application money for investments
          3   Prepayments
          4   Advances to Directors/Officers
          5   Advance tax paid and taxes deducted at source (Net of provision for
              taxation)
          6   Others (to be specified)
              TOTAL (A)
              OTHER ASSETS
          1   Income accrued on investments
          2   Outstanding Premiums
          3   Agents’ Balances
          4   Foreign Agencies Balances
          5 Due from other entities carrying on insurance business (including
            reinsures)
          6 Due from subsidiaries/ holding company
          7 Deposit with Reserve Bank of India [Pursuant to section 7 of
            Insurance Act, 1938]
          8 Others (to be specified)
            TOTAL (B)
            TOTAL (A+B)
Notes:
(a)        The items under the above heads shall not be shown net of provisions for doubtful amounts. The amount of
provision against each head should be shown separately.
(b)        The term ‘officer’ should conform to the definition of that term as given under the Companies Act, 1956.
(c)       Sundry debtors will be shown under item 8 (Others)

FORM L-19-CURRENT LIABILITIES SCHEDULE

CURRENT LIABILITIES

                                          Particulars                           As at…………                As at…………
                                                                                                         for the
                                                                                                         corresponding
                                                                                                         previous year
                                                                                (Rs.’000).               (Rs.’000).
          1   Agents’ Balances
          2   Balances due to other insurance companies
          3   Deposits held on re-insurance ceded
          4   Premiums received in advance
          5   Unallocated premium
          6   Sundry creditors
          7   Due to subsidiaries/ holding company
          8   Claims Outstanding
          9   Annuities Due
         10   Due to Officers/ Directors
         11   Others (to be specified)
              TOTAL



FORM L-20-PROVISIONS SCHEDULE

PROVISIONS


                                          Particulars                           As at…………                As at…………
                                                                                                         for the
                                                                                                         corresponding
                                                                                                         previous year
                                                                                (Rs.’000).               (Rs.’000).
          1   For taxation (less payments and taxes deducted at source)
          2   For proposed dividends
          3   For dividend distribution tax
          4   Others (to be specified)
            TOTAL


FORM L-21-MISC EXPENDITURE SCHEDULE

MISCELLANEOUS EXPENDITURE
(To the extent not written off or adjusted)

                                       Particulars            As at…………    As at…………
                                                                           for the
                                                                           corresponding
                                                                           previous year
                                                              (Rs.’000).   (Rs.’000).
          1 Discount Allowed in issue of shares/ debentures
          2 Others (to be specified)
            TOTAL
Notes:
L-22-Ana Ratio                                                                                                                                    IRDA Periodic Disclosures



                                                       PERIODIC DISCLOSURES
FORM L-22        Analytical Ratios*

Insurer:                                                                         Date:

Analytical
Ratios for                                                                          For the      up to the   Corresponding quarter of   up to the Quarter of the
     Sl.No.                               Particular
                                                                                    quarter       Quarter       the preceding year          preceding year
                 New business premium income growth rate - segment
           1
                 wise
           2     Net Retention Ratio

           3     Expense of Management to Gross Direct Premium Ratio
                 Commission Ratio (Gross commission paid to Gross
           4
                 Premium)
           5     Ratio of policy holder's liabilities to shareholder's funds

           6     Growth rate of shareholders' fund
           7     Ratio of surplus to policyholders' liability
           8     Change in net worth
           9     Profit after tax/Total Income
       10        (Total real estate + loans)/(Cash & invested assets)
       11        Total investments/(Capital + Surplus)
       12        Total affiliated investments/(Capital+ Surplus)
       13        Investment Yield (Gross and Net)
       14        Conservation Ratio
       15        Persistency Ratio
                                                                For 13th month
                                                                For 25th month
                                                                For 37th month
                                                                For 49th Month
                                                                for 61st month
       16        NPA Ratio
                                                           Gross NPA Ratio
                                                                Net NPA Ratio
Equity Holding Pattern for Life Insurers                                         (Rs in Lakhs)


                                                                                 Page 26 of 61
L-22-Ana Ratio                                                                                   IRDA Periodic Disclosures



                                                         PERIODIC DISCLOSURES
FORM L-22         Analytical Ratios*

        1         (a) No. of shares
        2         (b) Percentage of shareholding (Indian / Foreign)
                  ( c) %of Government holding (in case of public sector
        3
                  insurance companies)
                  (a) Basic and diluted EPS before extraordinary items (net of
        4
                  tax expense) for the period (not to be annualized)
                  (b) Basic and diluted EPS after extraordinary items (net of
        5
                  tax expense) for the period (not to be annualized)
        6         (iv) Book value per share (Rs)


*the ratios must be calculated in accordance with instructions provided in the annexure




                                                                                 Page 27 of 61
FORM L-23-RECEIPT AND PAYMENTS SCHEDULE

TO BE PREPARED IN ACCORDANCE WITH Accounting Standard 3 (AS 3)- Cash Flow Statements-
Cash Flow Statement shall be prepared only under the Direct Method. However, the following minimum
information must be captured.


Format of Receipts and Payments A/c to be furnished by the insurers on direct basis
                                                                                             (Rs in '000's)
Cash Flows from the operating activities:
Premium received from policyholders, including advance receipts
Other receipts (give Break-up)
Payments to the re-insurers, net of commissions and claims/ Benefits
Payments to co-insurers, net of claims / benefit recovery
Payments of claims/benefits
Payments of commission and brokerage
Payments of other operating expenses
Preliminary and pre-operative expenses
Deposits, advances and staff loans
Income taxes paid (Net)
Service tax paid
Other payments (give break-up)
Cash flows before extraordinary items
Cash flow from extraordinary operations (give break-up)
Net cash flow from operating activities
Cash flows from investing activities:
Purchase of fixed assets
Proceeds from sale of fixed assets
Purchases of investments
Loans disbursed
Sales of investments
Repayments received
Rents/Interests/ Dividends received
Investments in money market instruments and in liquid mutual funds (Net)*
Expenses related to investments
Net cash flow from investing activities
Cash flows from financing activities:
Proceeds from issuance of share capital
Proceeds from borrowing
Repayments of borrowing
Interest/dividends paid
Net cash flow from financing activities
Effect of foreign exchange rates on cash and cash equivalents, net
Net increase in cash and cash equivalents:
Cash and cash equivalents at the beginning of the year
Cash and cash equivalents at the end of the year
____________________________________________________________________________________________
*Investments in mutual funds where these are used as parking vehicles pending investment are to be
indicated (net).
__________________
L-24-Liab                                                                                                      IRDA Periodic Disclosures



                                                     PERIODIC DISCLOSURES
FORM L-24           Valuation of net liabiltiies

         Insurer:
                                                                                   Date:
                                                                                               (Rs in Lakhs)

                                                          Valuation of net liabiltiies
                                                                                   As at…………   As at………… for the corresponding
     Sl.No.                                  Particular
                                                                                               previous year
         1          Linked
     a                 Life
     b                 General Annuity
     c                 Pension
     d                 Health
         2          Non-Linked
     a                 Life
     b                 General Annuity
     c                 Pension
     d                 Health




                                                                   Page 30 of 61
                                                                                                PERI
FORM L-25- (ii)       : Geographical Distribution Channel - GROUP

           Insurer:




                                                                                      Geographical Dis
                                                                             Rural
                                                                            (Group)
                                                   No. of    No. of Lives    Premium (Rs
      Sl.No.            State / Union Territory   Policies                      crore)
                  PERIODIC DISCLOSURES

                                                      Date:

                             (Rs in Lakhs)

       Geographical Distribution of Total Business- GROUP
ral                                                    Urban
 up)                                                  (Group)
           Sum Assured (Rs      No. of       No. of   Premium (Rs   Sum Assured (Rs    No. of
               crore)          Policies      Lives       crore)         crore)        Policies
           Total Business
              (Group)
No. of Lives   Premium (Rs   Sum Assured (Rs
                  crore)         crore)
L-25-(i)-Geog Dist-Individuals                                                                                                                                                                                    IRDA Periodic Disclosures




                                                                                                    PERIODIC DISCLOSURES
FORM L-25- (i)           : Geographical Distribution Channel - Individuals

              Insurer:                                                                                                                   Date:

                                                                                                               (Rs in Lakhs)

                                                                                             Geographical Distribution of Total Business
                                                                              Rural                                                        Urban                                                Total Business
                                                                          ( Individual)                                                 (Individual )                                            (Individual )
                                                      No. of    No. of Lives   Premium (Rs   Sum Assured (Rs      No. of       No. of     Premium (Rs   Sum Assured (Rs    No. of    No. of Lives   Premium (Rs   Sum Assured (Rs
        Sl.No.             State / Union Territory   Policies                     crore)         crore)          Policies      Lives         crore)         crore)        Policies                     crore)         crore)




                                                                                                                   Page 34 of 61
     FORM L-26-INVESTMENT ASSETS(LIFE INSURERS)-3A
     Company Name & Code:                                                                                                           PART - A
     Statement as on:

     Statement of Investment Assets (Life Insurers)

     (Business within India)

     Periodicity of Submission: Quarterly                                                                                                                        Rs. Lakhs



     Total Application as per Balance Sheet (A)                               0           Reconciliation of Investment Assets

     Add      (B)                                                                         Total Investment Assets (as per Balance Sheet)                                0

       Provisions                                           Sch-14                        Balance Sheet Value of:

       Current Liabilities                                  Sch-13                          A. Life Fund

                                                                              0             B. Pention & Gen Annuity Fund

     Less (C )                                                                              C. Unit Linked Funds

       Debit Balance in P& L A/c                                                                                                                                        0

       Loans                                                Sch-09

       Adv & Other Assets                                   Sch-12

       Cash & Bank Balance                                  Sch-11

       Fixed Assets                                         Sch-10

       Misc Exp. Not Written Off                            Sch-15

     Funds available for Investments                                          0



NON - LINKED BUSINESS
                                                                              SH                      PH
                                                                                                                       Book Value
                                                           % as per   Balance          + UL-Non      PAR
                                                                                                               NON      (SH+PH)                  FVC     Total    Market
A. LIFE FUND                                                                       FRSM  Unit Res              PAR                   Actual %
                                                             Reg                                                                                Amount   Fund     Value

                                                                                                                           F=
                                                                        (a)         (b)     (c)       (d)      (e)
                                                                                                                       [b+c+d+e]
                                                           Not Less
 1   G. Sec
                                                           than 25%
                                                           Not Less
 2   G.Sec or Other Approved Securities (incl (i) above)
                                                           than 50%
  3     Investment subject to Exposure Norms
                                                                                Not Less
         a.   Housing & Infrastructure
                                                                                than 15%
         b.   i) Approved Investments                                              Not
                                                                                exceeding
              ii) "Other Investments" not to exceed 15%                            35%

                                                              TOTAL LIFE FUND     100%


                                                                                                                             PH
                                                                                                                                                                 FVC     Total   Market
B. PENSION AND GENERAL ANNUITY FUND                                                           % as per Reg                        NON    Book Value Actual %
                                                                                                                       PAR                                      Amount   Fund    Value
                                                                                                                                  PAR
  1     G. Sec                                                                              Not Less than 20%

  2     G.Sec or Other Approved Securities (incl (i) above)                                 Not Less than 40%

  3     Balance in Approved investment                                                      Not Exceeding 60%

                                  TOTAL PENSION, GENERAL ANNUITY FUND                             100%



LINKED BUSINESS
                                                                                                                             PH
C. LINKED FUNDS                                                                               % as per Reg                        NON   Total   Fund Actual %
                                                                                                                       PAR
                                                                                                                                  PAR
  1     Approved Investment                                                                 Not Less than 75%

  2     Other Investments                                                                   Not More than 25%

                                            TOTAL LINKED INSURANCE FUND                           100%



CERTIFICATION:

Certified that the information given here in are correct and complete to the best of my knowledge and belief and nothing has been concealed or suppressed.




                                                                                                                                        Signature:

Date:                                                                                                                                   Full name:

                                                                                                                                        Designation:

Note: (+) FRMS refers to 'Funds representing Solvency Margin'

        Pattern of Investment will apply only to Shareholders (SH) funds representing FRSM ("F")

        Funds beyond Solvency Margin shall have a separate Custody Account.

        Other Investments' are as permitted under Secction 27A(2) and 27B(3) of Insurance Act, 1938
FORM L-27-UNIT LINKED BUSINESS-3A
Unit Linked Insurance Business                                                                                                                            PART - B
Company Name & Code:                                                        Link to Item 'C' of FORM 3A (Part A)

Periodicty of Submission: Quarterly                                                                                                              Par / Non-Par

Statement as on:

                                                                                                                                                          Rs. Lakhs

                       PARTICULARS                                    Fund 1                     Fund 2                    Fund 'n'            Total of All Funds

              Opening Balance (Market Value)

Add:          Inflow during the Quarter

             Increase / (Decrease) Value of Inv [Net]

Less:         Outflow during the Quarter

TOTAL INVESTIBLE FUNDS (MKT VALUE)



                                                                      Fund 1                     Fund 2                    Fund 'n'            Total of All Funds
                INVESTMENT OF UNIT FUND
                                                              Actual Inv.    % Actual    Actual Inv.   % Actual    Actual Inv.   % Actual   Actual Inv.    % Actual

Approved Investments (>=75%)

    Govt. Bonds

    Corporate Bonds

    Infrastructure Bonds

    Equity

    Money Market

    Mutual funds

    Deposit with Banks

                                    Sub Total           (A)

Current Assets:

    Accrued Interest

    Dividend Recievable
    Bank Balance

    Receivable for Sale of Investments

    Other Current Assets (for Investments)

Less: Current Liabilities

    Payable for Investments

    Fund Mgmt Charges Payable

    Other Current Liabilities (for Investments)

                                  Sub Total            (B)

Other Investments (<=25%)

    Corporate Bonds

    Infrastructure Bonds

    Equity

    Money Market

    Mutual funds

                                  Sub Total            (C)

                                         Total (A + B + C)

                    Fund Carried Forward (as per LB 2)




Date :                                                                                                                    Signature

                                                                                                                          Designation

Note:

1. The aggregate of all the above Segregated Unit-Funds should tally with item C of FORM 3A (Part A), for both Par & Non Par Business

2. Details of Item 12 of FORM LB 2 of IRDA (Acturial Report) Regulation, 2000 shall be reconciled with FORM 3A (Part B)

3. Other Investments' are as permitted under Sec 27A(2) and 27B(3)
FORM L-28-ULIP-NAV-3A
Company Name & Code:                                                                                                                             PART - C
Statement for the period:                                        Link to FORM 3A (Part B)
Periodicity of Submission: Quarterly




                                      Assets Held   NAV as on
                                                                   NAV as per     Previous Qtr   2nd Previous    3rd Previous  Annualised         3 Year
 No       Name of the Scheme         on the above   the above
                                                                     LB 2            NAV           Qtr NAV         Qtr NAV    Return/Yield     Rolling CAGR
                                         date          date
  1   Fund 1
  2   Fund 2
  3   Fund n
                             Total           -


CERTIFICATION
Certified that the information given herein are correct and complete to the best of my knowledge and belief and nothing has been concealed or suppressed.




DATE :                                                                                                                         Signature
                                                                                                                               Full Name & Designation
L-29-Debt Sec                                                                                                        IRDA Periodic Disclosures



                                           PERIODIC DISCLOSURES
FORM L-29                      Detail regarding debt securities

Insurer:                                  Date:

                                          (Rs in Lakhs)
                                             Detail Regarding debt securities
                                              MARKET VALUE                                       Book Value
                                                         as at…. Of
                                                                      as % of            as % of    as at…. Of
                                          as % of total the                                                     as % of total
                               As at ….                               total for As at …. total for the previous
                                          for this class previous                                               for this class
                                                                      this class         this class year
                                                         year

Break down by credit rating
AAA rated
AA or better
Rated below AA but above A
Rated below A but above B
Any other

BREAKDOWN BY
RESIDUALMATURITY
Up to 1 year
more than 1 yearand upto
3years
More than 3years and up to
7years
More than 7 years and up to
10 years
More than 10 years and up to
15 years
More than 15 years and up to
20 years
Above 20 years



                                                                 Page 40 of 61
L-29-Debt Sec                                                                                                                   IRDA Periodic Disclosures



                                              PERIODIC DISCLOSURES
FORM L-29                       Detail regarding debt securities


Breakdown by type of the
issurer
a. Central Government
b. State Government
c.Corporate Securities

Note
1. In case of a debt instrument is rated by more than one agency, then the lowest rating will be taken for the purpose of classification.
2. The detail of ULIP and Non-ULIP will be given separately.
3. Market value of the securities will be in accordnace with the valuation method specified by the Authority under Accounting/
Investment regulations.




                                                                      Page 41 of 61
L-30-Rel Par                                                                                                                       IRDA Periodic Disclosures



                               PERIODIC DISCLOSURES
FORM L-30 : Related Party Transactions

Insurer:                                                                  Date:
                                                (Rs in Lakhs)
                                                          Related Party Transactions

                                                                            Description of
                                                                                                               Consideration paid / received   *
                                                 Nature of Relationship
    Sl.No.         Name of the Related Party                                Transactions /                                  Correspodning             up to the
                                                   with the Company                                             up to the
                                                                              Categories     For the quarter                 quarter of the        Quarter of the
                                                                                                                 Quarter
                                                                                                                            preceeding year        prceeding year

      1
      3
      4
      5
      6
      7
      8
      9
      10
      11
      12


*including the premium flow through Assocaites/ Group companies as an agent




                                                                    Page 42 of 61
L-31-BOD                                                                                                       IRDA Periodic Disclosures



                                       PERIODIC DISCLOSURES
FORM L-31          LNL - 6 : Board of Directors & Key Person

Insurer:                               Date:
BOD and Key Person information
      Sl. No.        Name of person      Role/designation                    Details of change in the period
          1
          2
         …
          n

Key Pesons as defined in IRDA Registration of Companoies Regulations, 2000




                                                                  Page 43 of 61
FORM L-32-SOLVENCY MARGIN - KT 3
                                                                 (See Regulation 4)


                          Insurance Regulatory and Development Authority (Actuarial Report and Abstract) Regulations, 2000.

                       AVAILABLE SOLVENCY MARGIN AND SOLVENCY RATIO.
              31ST March ……..
                                                            Form Code:

Name of Insurer:                                                                       Registration Number:                   Classification Code:

Classification:


                                                                                                                                 Adjusted Value
    Item                                     Description
                                                                                                                                [Amount (in
                                                                                                                               rupees lakhs)]
     (1)                                (2)                                                                                            (4)
     01       Available Assets in Policyholders' Fund:
              Deduct:
     02       Mathematical Reserves
     03       Other Liabilities
     04       Excess in Policyholders' funds

     05       Available Assets in Shareholders Fund:
              Deduct:
     06       Other Liabilities of shareholders’ fund
     07       Excess in Shareholders' funds

     08       Total ASM (04)+(07)

     09       Total RSM

      10       Solvency Ratio (ASM/RSM)
Certification:
I,                       ,
               the Appointed Actuary, certify that the above statements have been prepared in
accordance with the section 64VA of the Insurance Act, 1938, and the amounts mentioned therein are true and fair
to the best of my knowledge.

Place:                                                                                                         Name and Signature of Appointed Actuary
Date:

Notes
1. Item No. 01 shall be the amount of the Adjusted Value of Assets as mentioned in Form IRDA-Assets- AA as
   specified under Schedule I of Insurance Regulatory and Development Authority (Assets, Liabilities, and
   Solvency Margin of Insurers) Regulations, 2000;
2. Item No. 02 shall be the amount of Mathematical Reserves as mentioned in Form H;
3. Item Nos. 03 and 06 shall be the amount of other liabilities as mentioned in the Balance Sheet;
4. Items No. 05 shall be the amount of the Total Assets as mentioned in Form IRDA-Assets- AA as specified
   under Schedule I of Insurance Regulatory and Development Authority (Assets, Liabilities, and Solvency
   Margin of Insurers) Regulations, 2000.
FORM L-33-NPAs-7A
Company Name & Code:
Statement as on:                                                                           Name of the Fund

Details of Investment Portfolio
Periodicity of Submission : Quarterly


                                                                                                                                                                                    Has there been any
                                                Interest Rate
                                                                                     Default        Default                                                                          Principal Waiver?
                             Instrument                              Total O/s                                  Principal   Interest Due   Deferred         Deferred   Rolled                                                 Provision
  COI     Company Name                               Has there                      Principal      Interest                                                                                                  Classification                  Provision (Rs)
                                Type                               (Book Value)                                 Due from        from       Principal        Interest   Over?                     Board                           (%)
                                            %          been                       (Book Value)   (Book Value)                                                                      Amount
                                                                                                                                                                                              Approval Ref
                                                     revision?




CERTIFICATION
Certified that the information given herein are correct and complete to the best of my knowledge and belief and nothing has been concealed or suppressed.
Date:                                                                                                                                                                           Signature
                                                                                                                                                                                Full Name & Designation
        Note:
        A. Category of Investmet (COI) shall be as per INV/GLN/001/2003-04
        B. FORM 7A shall be submitted in respect of each 'fund'.
        C. Classification shall be as per F&A-Circulars-169-Jan-07 Dt.24-01-07.                                                                                                                               J HARI NARAYAN, CHAIRMAN

                                                                                                                                                                                                                   [ADVT/III/IV/161/Exty.]
FORM L-34-YIELD ON INVESTMENTS-1
Company Name & Code:
Statement as on:                                                                                       Name of the Fund
Statement of Investment and Income on Investment
Periodicity of Submission: Quarterly
                                                                                  Current Quarter                                                   Year to Date

                                               Category                                Income on                                                       Income on
  No.           Category of Investment                         Investment (Rs.)                  Gross Yield   Net Yield       Investment (Rs.)
                                                 Code                                 Investment                                                      Investment
                                                                                                    (%)¹         (%)²
                                                                                          (Rs.)                                                           (Rs.)
                                                           Book Value Market Value                                         Book Value Market Value




                        TOTAL




CERTIFICATION
Certified that the information given herein are correct and complete to the best of my knowledge and belief and nothing has been concealed or suppressed.


Date:


 Note: Category of Investment (COI) shall be as per Guidelines
        1 To be calculated based on Monthly or lesser frequency 'Weighted Agerage' of Investments
        2 Yield netted for Tax
        3 FORM-1 shall be prepared in respect of each fund.
                                                                                             Rs. Lakhs
Year to Date                                                    Previous Year


                                             Investment (Rs.)       Income on
               Gross Yield   Net Yield                                        Gross Yield    Net Yield
                                                                   Investment
                  (%)¹         (%)²                                              (%)¹          (%)²
                                                                       (Rs.)
                                         Book Value Market Value




                                                                   Signature
                                                                   Full Name & Designation
FORM L-35-DOWNGRADING OF INVESTMENTS - 2
Company Name & Code:
Statement as on:                                             Name of Fund
Statement of Down Graded Investments
Periodicity of Submission: Quarterly
                                                                                                                    Rs. Lakhs

                                                     Date of     Rating       Original     Current      Date of
 No       Name of the Security      COI    Amount                                                                    Remarks
                                                    Purchase     Agency        Grade        Grade     Downgrade

  A.     During the Quarter ¹




  B.     As on Date ²




CERTIFICATION
Certified that the information given herein are correct and complete to the best of my
knowledge and belief and nothing has been concealed or suppressed.
                                                                            Signature
Date:                                                                       Full Name and Designation


Note:
       1 Provide details of Down Graded Investments during the Quarter.
       2 Investments currently upgraded, listed as Down Graded during earlier Quarter shall be deleted from the Cumulative listing.
       3 FORM-2 shall be prepared in respect of each fund.
       4 Category of Investmet (COI) shall be as per INV/GLN/001/2003-04
                                               PERIODIC DISCLOSURES
FORM L-36           :Premium and number of lives covered by policy type

Insurer:                                                                      Date:

                                                                              (Rs in Lakhs)
                                                                                                 CURRENT Quarter                               SAME QUARTER PREVIOUS YEAR                             Up to the period                            Same period of the previous year
                                                                                                                             Sum Insured,                               Sum Insured,                                     Sum Insured,                                               Sum Insured,
                                                                                                                              Wherever               No. of    No. of    Wherever                 No. of    No. of        Wherever                                                   Wherever
     Sl. No                               Particulars                                 Premium   No. of Policies No. of Lives applicable   Premium   Policies   Lives     applicable    Premium   Policies   Lives         applicable    Premium    No. of Policies   No. of Lives    applicable
        1     First year Premum
                    i Individual Single Premium- (ISP)
                                                              From 0-10000
                                                        From 10,000-25,000
                                                         From 25001-50,000
                                                       From 50,001- 75,000
                                                      From 75,000-100,000
                                                    From 1,00,001 -1,25,000
                                                         Above Rs. 1,25,000

                  ii Individual Single Premium (ISPA)- Annuity
                                                             From 0-50000
                                                       From 50,001-100,000
                                                    From 1,00,001-150,000
                                                    From 150,001- 2,00,000
                                                   From 2,00,,001-250,000
                                                   From 2,50,001 -3,00,000
                                                         Above Rs. 3,00,000

                 iii Group Single Premium (GSP)
                                                           From 0-10000
                                                     From 10,000-25,000
                                                      From 25001-50,000
                                                     From 50,001- 75,000
                                                   From 75,000-100,000
                                                From 1,00,001 -1,25,000
                                                       Above Rs. 1,25,000
                 iv Group Single Premium- Annuity- GSPA
                                                           From 0-50000
                                                    From 50,001-100,000
                                                 From 1,00,001-150,000
                                                 From 150,001- 2,00,000
                                                From 2,00,,001-250,000
                                                From 2,50,001 -3,00,000
                                                       Above Rs. 3,00,000


                  v Individual non Single Premium- INSP
                                                              From 0-10000
                                                        From 10,000-25,000
                                                         From 25001-50,000
                                                       From 50,001- 75,000
                                                      From 75,000-100,000
                                                    From 1,00,001 -1,25,000
                                                         Above Rs. 1,25,000
       vi Individual non Single Premium- Annuity- INSPA
                                                  From 0-50000
                                           From 50,001-100,000
                                         From 1,00,001-150,000
                                        From 150,001- 2,00,000
                                       From 2,00,,001-250,000
                                       From 2,50,001 -3,00,000
                                             Above Rs. 3,00,000

      vii Group Non Single Premium (GNSP)
                                                 From 0-10000
                                           From 10,000-25,000
                                            From 25001-50,000
                                          From 50,001- 75,000
                                         From 75,000-100,000
                                       From 1,00,001 -1,25,000
                                            Above Rs. 1,25,000

      viii Group Non Single Premium- Annuity- GNSPA
                                                 From 0-10000
                                           From 10,000-25,000
                                            From 25001-50,000
                                          From 50,001- 75,000
                                         From 75,000-100,000
                                       From 1,00,001 -1,25,000
                                            Above Rs. 1,25,000




2   Renewal Premium
        i Individual
                                                 From 0-10000
                                           From 10,000-25,000
                                            From 25001-50,000
                                          From 50,001- 75,000
                                         From 75,000-100,000
                                       From 1,00,001 -1,25,000
                                            Above Rs. 1,25,000

       ii Individual- Annuity
                                                 From 0-10000
                                           From 10,000-25,000
                                            From 25001-50,000
                                          From 50,001- 75,000
                                         From 75,000-100,000
                                       From 1,00,001 -1,25,000
                                            Above Rs. 1,25,000

       iii Group
                                                 From 0-10000
                                           From 10,000-25,000
                                            From 25001-50,000
                                          From 50,001- 75,000
                                         From 75,000-100,000
                                       From 1,00,001 -1,25,000
                                                              Above Rs. 1,25,000

                      iv Group- Annuity
                                                                  From 0-10000
                                                            From 10,000-25,000
                                                             From 25001-50,000
                                                           From 50,001- 75,000
                                                          From 75,000-100,000
                                                        From 1,00,001 -1,25,000
                                                             Above Rs. 1,25,000




Note:
1. Premium stands for premium amount.
2. No. of lives means no. of lives insured under the policies.
3. Premium collected for Annuity will be disclosed separately as stated above.
FORM L-37-BUSINESS ACQUISITION THROUGH DFFERENT CHANNELS (GROUP)

                                                           Business Acquisition through different channels (Group)
                                                                      Current Quarter                                Same Quarter Previous year
                                                                                                              No. of
                                                 No. of Policies/ No. of                                  Policies/ No.
  Sl.No.                Channels                        Schemes          No. of Lives Covered   Premium    of Schemes No. of Lives Covered
     1     Individual agents
     2     Corporate Agents-Banks
     3     Corporate Agents -Others
     4     Brokers
     5     Micro Agents
     6     Direct Business
                                      Total(A)
    1      Referral (B)
                          Grand Total (A+B)

Note:
1. Premium means amount of premium received from business acquired by the source
2. No of Policies stand for no. of policies sold
er Previous year                        Up to the period                         Same period of the previous year
                     No. of Policies/                                No. of Policies/ No.
           Premium   No. of Schemes No. of Lives Covered   Premium       of Schemes       No. of Lives Covered   Premium
                                           PERIODIC DISCLOSURES
FORM L-38 Business Acquisition through different channels (Individuals)

Insurer:                                             Date:

                                                                  (Rs in Lakhs)
                             Business Acquisition through different channels (Individuals)
                                                         Current Quarter          Same quarter Previous Year        Up to the period       Same period of the previous year
                                                        No. of
    Sl.No.                 Channels                    Policies    Premium        No. of Policies   Premium    No. of Policies   Premium    No. of Policies     Premium
       1      Individual agents
       2      Corporate Agents-Banks
       3      Corporate Agents -Others
       4      Brokers
       5      Micro Agents
       6      Direct Business
                                         Total (A)
      1       Referral (B)
                             Grand Total (A+B)

Note:
1. Premium means amount of premium received from business acquired by the source
2. No of Policies stand for no. of policies sold
FORM L-39-Data on Settlement of Claims


                                                            Ageing of Claims*
                                                                   No. of claims paid
                                                                                                                        Total No. of   Total amount
Sl.No.        Types of Claims      On or before
                                                  1 month    1 - 3 months 3 - 6 months 6 months - 1 year    > 1 year    claims paid    of claims paid
                                    matuirty
    1    Maturity Claims
    2    Survival Benefit
    3    for Annuities / Pension
    4    For Surrender
    5    Other benefits

    1 Death Claims

The figures for individual and group insurance business need to be shown separately
*the ageing of claims, in case of the death of the claims will be computed from the date of completion of all the documentation.
                                         PERIODIC DISCLOSURES
FOR L-40          : Quarterly claims data for Life

Insurer:                                                        Date:

                                                                 No. of claims only
                                                                                                          For Annuities/                   Other
     Sl. No.                   Claims Experience                For Death for Maturity Survival Benefit                    For Surrender
                                                                                                          Pension                          Benefits
       1         Claims O/S at the beginning of the period
       2         Claims reported during the period*
       3         Claims Settled during the period
       4         Claims Repudiated during the period
                 Less than 2years from the date of acceptance
               a
                 of risk
                 Grater than 2 year from the date of
               b
                 acceptance of risk
       5         Claims Written Back
       6         Claims O/S at End of the period
                 Less than 3months
                 3 months to 6 months
                 6months to 1 year
                 1year and above

*in case of death- the claims for which all the documentations have been completed needs to be shown here.
                                                                               PERIODIC DISCLOSURES
FORM L-41        GREIVANCE DISPOSAL

Insurer:                                                     Date:

                                                                                   (Rs in Lakhs)
                                                                                   GRIEVANCE DISPOSAL

                                                                                                                            Complaints Resolved/ settled
                                                             Opening Balance                                                                                          Complaints
     Sl No.                       Particulars                                         Additions
                                                                   *                                                                                                   Pending
                                                                                                           Fully Accepted           Partial Accepted       Rejected

           1     Complaints made by customers                                  0                       0                        0                                                  0
               a) Sales Related                                                                                                                                                    0
               b) New Busines Related                                                                                                                                              0
               c) Policy Servcing related
               d) Claim Servicing related
               e) Others
                 Total Number                                                  0                       0                        0                                                  0


                                                             Complaints made       Complaints made
           2     Duration wise Pending Status                  by customers        by intermediaries              Total
               a) Less than 15 days                                                                                             0
               b) Greater than 15 days                                                                                          0
                 Total Number                                                  0                       0                        0

* Opening balance should tally with the closing balance of the previous financial year.
2- Valuation Basis (Life Insurance)



           A chapter on Valuation basis covering the following minimum criteria should also be displayed on the web-sit

                a.    How the policy data needed for valuation is accessed.
                b.    How the valuation bases are supplied to the system
                       1)    Interest : Maximum and minimum interest rate taken for each segment
                                       i.   Individual Business
                              1.    Life- Participating policies
                              2.    Life- Non-participating Policies
                              3.    Annuities- Participating policies
                              4.    Annuities – Non-participating policies
                              5.    Annuities- Individual Pension Plan
                              6.    Unit Linked
                              7.    Health Insurance
                                      ii.   Group Business

                      2)      Mortality Rates : the mortality rates used for each segment
                       3)      Expense :
                       4)      Bonus Rates :
                       5)      Policyholders Reasonable Expectations
                       6)      Taxation and Shareholder Transfers
                       7)      Basis of provisions for Incurred But Not Reported (IBNR)
                       8)      Change in Valuation Methods or Bases
                                                    i. Individuals Assurances
                                  1. Interest
                                  2. Expenses
                                  3. Inflation

                                                      ii. Annuities
                                      1.   Interest
                                      a.   Annuity in payment
                                      b.   Annuity during deferred period
                                      c.   Pension : All Plans
                                      2.   Expenses
                                      3.   Inflation

                                                      iii. Unit Linked
                                      1. Interest
2. Expenses
3. Inflation

               iv. Health
1. Interest
2. Expenses
3. Inflation
               v. Group
1. Interest
2. Expenses
3. Inflation
also be displayed on the web-site of the Insurers.




ach segment

				
DOCUMENT INFO
Categories:
Tags:
Stats:
views:6
posted:3/4/2012
language:English
pages:61