Life Insurance Claims by aag27633

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									                                                     Order on non-life insurance
                                                     statistical returns
                                                     Annex 1

   Code                               Insurance classes and subclasses
    1       General liability insurance
   1.1.                                              Workers compensation liability insurance
   1.2.                                              Carriers and forwarders liability insurance
                  Main researchers and initiators of biomedical research compulsory liability
    1.3.                                                                               insurance
                       Compulsory liability insurance of construction planners and contractors
    1.4.
    1.5.                                                           Other compulsory insurance
    1.6.                                                           Other compulsory insurance
     2      Sickness insurance
    2.1.                                              Carried out separately from life assurance
    2.2.                                                   Carried out along with life assurance
     3      Accident insurance
    3.1.                                              Carried out separately from life assurance
    3.2.                                                   Carried out along with life assurance
     4      Financial loss insurance
     5      Railway rolling stock insurance
     6      Crdeit insurance
     7      Suretyship insurance
    7.1.                                                 Scustoms procedures liability insurance
    7.2.                                                                                   Other
     8      Ships (sea, lake, river and canal vessels) liability insurance
     9      Ships (sea, lake, river and canal) insurance
    10      Assistance insurance

    11      Motor vehicle liability insurance
   11.1.                                                                 Compulsory insurance
   11.2.                                                                  Voluntary insurance

    12      Land vehicles other than rolling stock insurance
   12.1.                                                                          Commercial
   12.2.                                                                        Non-ommercial
    13      Aircraft liability insurance
    14      Aircraft insurance
    15      Legal expenses insurance
    16      Insurance of property against fire and natural disasters
   16.1.                                                                          Commercial
   16.2.                                                                       Non-commercial
    17      Insurance of property against other damage
   17.1.                                                                          Commercial
   17.2.                                                                       Non-commercial
    18      Goods in transit insurance

      The fields of statistical returns that indicate insurance subclasses shall be filled in.
Where the insurance company is not engaged, the adequate insurance class or subclass may
not be listed. The insurance classes, such as land vehicles other than rolling stock insurance,
insurance of property against fire and natural disasters and Insurance of property against other
damage, where the data shall be split into commercial and non-commercial, shall indicate the
property used to perform commercial activities and the property used to perform non-
commercial activities accordingly. In absence of information on the purpose of use of the
covered property, the property belonging to natural persons shall be considered non-
commercial and the property belonging to legal entities shall be considered commercial
property.
                                                                                  Order on non-life insurance
                                                                                  statistical returns
                                                                                  Annex 2


It shall be considered that one insurance risk is ceded to four reinsurers under an obligatory reinsurance contract:
     Name of reinsurance         Insurance company         Reinsurance share,               Reinsurer's share,
     company (column 3)                share, %              % (column 15)                    % (column 16)
               A                                                    70                               50
               B                                                    70                               35
                                          30
               C                                                    70                               10
               D                                                    70                               5
                        Total:            30                        70                              100
                                                                                                                      1N form approved by
                                                                                                                      Board of the State Insurance Supervisory Authority
                                                                                                                      under the Ministry of Finance
                                                                                                                      Resolution No.490 of 24 September 2002



                                                  _______________________________________________________________________
                                                                      (name of insurance company in bold capital letters)
                                                  _______________________________________________________________________
                                                  (registration code, address, telephone and fax numbers, e-mail address of insurance company)


                                                                     RETURN ON DIRECT NON-LIFE INSURANCE CONTRACTS



                                                                         ___________________No.___________________
                                                                            (date of filling in)           (number)


                              Through reporting period                                                                                    Annual data
                                                                     Effective insurance                                                           Weighed sum of
                                                                                                                      Sum insured according
                                           cancelled and expired   contracts in the end of Objects under effective                               insurance contracts /     Weighed sum of the
     Code          concluded insurance                                                                                 to effective insurance
                                            insurance contracts,    the reporting period,   insurance contracts in                                covered objects or       sums insured or the
                     contracts, units                                                                                 contracts in the end of
                                                    units                    units         the end of the year, units                             number of covered           sum insured
                                                                                                                           the year, Litas
                                                                                                                                                        objects
       1                     2                       3                        4                        5                         6                         7                           8
        1
      1.1.
      1.2.
      1.3.
      1.4.
      1.5.
      1.6.
        2
      2.1.
      2.2.
        3
      3.1.
      3.2.
        4
        5
        6
        7
      7.1.
      7.2.
        8
        9
       10
       11
     11.1.
     11.2.
       12
     12.1.
     12.2.
       13
       14
       15
       16
     16.1.
     16.2.
       17
     17.1.
     17.2.
       18


__________________________________________________________                        __________________________________                             ____________________________________
(Title of the head of the company)                                                                 (signature)                                                 (first and last name)

__________________________________________________________                        __________________________________                             ____________________________________
(Title of the responsible person)                                                                  (signature)                                                 (first and last name)
                                                                                                                                                                                                                                                                  2 N form approved by
                                                                                                                                                                                                                                                                  Board of the State Insurance Supervisory Authority
                                                                                                                                                                                                                                                                  under the Ministry of Finance
                                                                                                                                                                                                                                                                  Resolution No.490 of 24 September 2002



                                                                                                                _______________________________________________________________________
                                                                                                                                     (name of insurance company in bold capital letters)
                                                                                                                _______________________________________________________________________
                                                                                                               (registration code, address, telephone and fax numbers, e-mail address of insurance company)


                                                                        _____________________________________ RETURN ON DIRECT NON-LIFE INSURANCE AND ACCEPTED REINSURANCE
                                                                                      (reporting period)

                                                                                                                                     _____________________No.___________________
                                                                                                                                         (date of filling in)     (number)
                                                                                                                                                                                                                                           Not applied to cross   With payments for reainsurance
                                                                                                                                                                                                                                                   out            Without payments for reinsurance

                             Insurance premiums, Litas                                                                                  Costs, Litas                                                                        Technical provisions, Litas
                                         Returned under cancelled        Returned insurance
                                                                                                                                                                           Reinsurance
    Code                              (re)insurance contracts and not   premiums (extra pay),                            Brought forward                                                                                                                                                  Maximum claim payment, Litas
                     Written                                                                        Acquisition                                   Administrative         commissions and         Unearned premiums   Bonuses and rebates    Loss equalisation             Other
                                           received under expired               Litas                                      acquisition
                                                                                                                                                                      reinsurers' profit share
                                           (re)insurance contracts
        1              2                              3                           4                        5                     6                       7                       8                      9                    10                     11                     12                           13
       I. DIRECT INSURANCE
        1
      1.1.
      1.2.
      1.3.
      1.4.
      1.5.
      1.6.
        2
      2.1.
      2.2.
        3
      3.1.
      3.2.
        4
        5
        6
        7
      7.1.
      7.2.
        8
        9
       10
       11
     11.1.
     11.2.
       12
     12.1.
     12.2.
       13
       14
       15
       16
     16.1.
     16.2.
       17
     17.1.
     17.2.
       18
Total I.:
                                                                                                                                                                                                                                                                  2 N form approved by
                                                                                                                                                                                                                                                                  Board of the State Insurance Supervisory Authority
                                                                                                                                                                                                                                                                  under the Ministry of Finance
                                                                                                                                                                                                                                                                  Resolution No.490 of 24 September 2002



                                                                                                                _______________________________________________________________________
                                                                                                                                     (name of insurance company in bold capital letters)
                                                                                                                _______________________________________________________________________
                                                                                                               (registration code, address, telephone and fax numbers, e-mail address of insurance company)


                                                                        _____________________________________ RETURN ON DIRECT NON-LIFE INSURANCE AND ACCEPTED REINSURANCE
                                                                                      (reporting period)

                                                                                                                                     _____________________No.___________________
                                                                                                                                         (date of filling in)     (number)
                                                                                                                                                                                                                                           Not applied to cross   With payments for reainsurance
                                                                                                                                                                                                                                                   out            Without payments for reinsurance

                             Insurance premiums, Litas                                                                                  Costs, Litas                                                                        Technical provisions, Litas
                                         Returned under cancelled        Returned insurance
                                                                                                                                                                           Reinsurance
     Code                             (re)insurance contracts and not   premiums (extra pay),                            Brought forward                                                                                                                                                  Maximum claim payment, Litas
                     Written                                                                        Acquisition                                   Administrative         commissions and         Unearned premiums   Bonuses and rebates    Loss equalisation             Other
                                           received under expired               Litas                                      acquisition
                                                                                                                                                                      reinsurers' profit share
                                           (re)insurance contracts
        1              2                              3                           4                        5                     6                       7                       8                      9                    10                     11                     12                               13
       I. DIRECT INSURANCE
II. ACCEPTED REINSURANCE
        1
      1.1.
      1.2.
      1.3.
      1.4.
      1.5.
      1.6.
        2
      2.1.
      2.2.
        3
      3.1.
      3.2.
        4
        5
        6
        7
      7.1.
      7.2.
        8
        9
       10
       11
     11.1.
     11.2.
       12
     12.1.
     12.2.
       13
       14
       15
       16
     16.1.
     16.2.
       17
     17.1.
     17.2.
       18
Total II.:
Total I. + II.:


__________________________________________________________                                                                                         _____________________________                                                                                         _________________________________
(Title of the head of the company)                                                                                                                              (signature)                                                                                                         (first and last name)

__________________________________________________________                                                                                         _____________________________                                                                                         _________________________________
(Title of the responsible person)                                                                                                                               (signature)                                                                                                         (first and last name)
                                                                                                                                                                                                                                         3 N form approved by
                                                                                                                                                                                                                                         Board of the State Insurance Supervisory Authority
                                                                                                                                                                                                                                         under the Ministry of Finance
                                                                                                                                                                                                                                         Resolution No.490 of 24 September 2002



                                                                                                _______________________________________________________________________
                                                                                                                   (name of insurance company in bold capital letters)
                                                                                                _______________________________________________________________________
                                                                                               (registration code, address, telephone and fax numbers, e-mail address of insurance company)


                                                         ___________________________________                RETURN ON NON-LIFE INSURANCE CLAIMS AND OUTSTANDING CLAIMS TECHNICAL PROVISION
                                                                      (reporting period)
                                                                                                                   ______________________No.___________________
                                                                                                                            (date of filling in)        (number)
                                                                                                                                                                                                                                         With payments for reinsurance
                                                                                                                                                                                                                 Delete as appropriate
                                                                                                                                                                                                                                         Without payments for reinsurance


                          Reported events                                                                                                                                                       Reported but not paid out events           Incurred but not
                                                                                     Claims payments
                                                                                                                                                                                                                                      reported claims share in
                                                                                                                                            Claims settlement      Recovered amounts,                                                                              Outstanding claims technical
    Code                                                                                                                                                                                                                               the outstanding claims
                number, units     claims amount, Litas                             according to events          according to events            costs, Litas               Litas               number, units      claims amount, Litas                                    provision, Litas
                                                                                                                                                                                                                                         technical provision,
                                                              units               reported through the       reported through earlier                                                                                                            Litas
                                                                                 reporting period, Litas      reporting periods, Litas
        1              2                    3                  4                           5                             6                          7                      8                       9                      10                       11                           12
       I. DIRECT INSURANCE
        1
      1.1.
      1.2.
      1.3.
      1.4.
      1.5.
      1.6.
        2
      2.1.
      2.2.
        3
      3.1.
      3.2.
        4
        5
        6
        7
      7.1.
      7.2.
        8
        9
       10
       11
     11.1.
     11.2.
       12
     12.1.
     12.2.
       13
       14
       15
       16
     16.1.
     16.2.
       17
     17.1.
     17.2.
       18
Total I.:
                                                                                                                                                                                                                                                   3 N form approved by
                                                                                                                                                                                                                                                   Board of the State Insurance Supervisory Authority
                                                                                                                                                                                                                                                   under the Ministry of Finance
                                                                                                                                                                                                                                                   Resolution No.490 of 24 September 2002



                                                                                                          _______________________________________________________________________
                                                                                                                             (name of insurance company in bold capital letters)
                                                                                                          _______________________________________________________________________
                                                                                                         (registration code, address, telephone and fax numbers, e-mail address of insurance company)


                                                                   ___________________________________                RETURN ON NON-LIFE INSURANCE CLAIMS AND OUTSTANDING CLAIMS TECHNICAL PROVISION
                                                                                (reporting period)
                                                                                                                             ______________________No.___________________
                                                                                                                                      (date of filling in)         (number)
                                                                                                                                                                                                                                                   With payments for reinsurance
                                                                                                                                                                                                                           Delete as appropriate
                                                                                                                                                                                                                                                   Without payments for reinsurance


                                    Reported events                                                                                                                                                       Reported but not paid out events           Incurred but not
                                                                                               Claims payments
                                                                                                                                                                                                                                                reported claims share in
                                                                                                                                                      Claims settlement       Recovered amounts,                                                                             Outstanding claims technical
     Code                                                                                                                                                                                                                                        the outstanding claims
                      number, units         claims amount, Litas                             according to events          according to events            costs, Litas                Litas              number, units      claims amount, Litas                                    provision, Litas
                                                                                                                                                                                                                                                   technical provision,
                                                                        units               reported through the       reported through earlier                                                                                                            Litas
                                                                                           reporting period, Litas      reporting periods, Litas
        1              2                              3                  4                           5                             6                           7                      8                      9                      10                       11                              12
       I. DIRECT REINSURANCE
  II. ACCEPTEDINSURANCE
        1
       1.1.
       1.2.
       1.3.
       1.4.
       1.5.
       1.6.
        2
       2.1.
       2.2.
        3
       3.1.
       3.2.
        4
        5
        6
        7
       7.1.
       7.2.
        8
        9
        10
        11
      11.1.
      11.2.
        12
      12.1.
      12.2.
        13
        14
        15
        16
      16.1.
      16.2.
        17
      17.1.
      17.2.
        18
Total II.:
Total I. + II.:


__________________________________________________________                                                                               _____________________________                                                                                  _____________________________________
(Title of the head of the company)                                                                                                                      (signature)                                                                                                  (first and last name)

__________________________________________________________                                                                               _____________________________                                                                                  _____________________________________
(Title of the responsible person)                                                                                                                       (signature)                                                                                                  (first and last name)
                                                                                                                                                          4N form aproved by
                                                                                                                                                          Board of the State Insurance Supervisory Authority
                                                                                                                                                          under the Ministry of Finance
                                                                                                                                                          Resolution No.490 of 24 September 2002

                                                                               _______________________________________________________________________
                                                                                               (name of insurance company in bold capital letters)
                                                                               _______________________________________________________________________
                                                                          (registration code, address, telephone and fax numbers, e-mail address of insurance company)


                                                                              RETURN ON NON-LIFE INSURANCE RUN-OFF CLAIMS
                                      ____________________________________________
                                                          (reporting period)
                                                                                                ______________________No.___________________
                                                                                                         (date of filling in)      (number)


                                                                                                               Code, insurance class or subclass:
DIRECT INSURANCE

                                    Reported events                                                                                       Reported but not paid out claims       Share of incured but not reported      Outstanding claims
    Year of                                                                       Claims payments              Recovered amounts,
                                                                                                                                                                                   claims in outstanding claims         technical provision,
   occurrence         number, units        claims amount, Litas                                                       Litas             number, units     claims amount, Litas
                                                                           units                 Litas                                                                               technical provision, Litas                Litas
        1                    2                        3                     4                      5                      6                   7                     8                            9                               10
                …
                …
              2003
         till 2002
             Total:

ACCEPTED REINSURANCE

                                    Reported claims                                                                                      Reported but not paid out claims        Share of incured but not reported      Outstanding claims
    Year of                                                                       Claims payments              Recovered amounts,
                                                                                                                                                           claims amouunt,         claims in outstanding claims         technical provision,
   occurrence         number, units        claims amount, Litas                                                       Litas             number, units
                                                                           units                 Litas                                                           Litas               technical provision, Litas                Litas
        1                    2                        3                     4                      5                      6                   7                     8                            9                               10
                …
                …
              2003
         till 2002
             Total:


__________________________________________________________                                               _____________________________                                           _____________________________________________
(Title of the head of the company)                                                                                   (signature)                                                                     (first and last name)

__________________________________________________________                                               _____________________________                                           _____________________________________________
(Title of the responsible person)                                                                                    (signature)                                                                     (first and last name)
                                                                                   5N form approved by
                                                                                   Board of the State Insurance Supervisory Authority
                                                                                   under the Ministry of Finance
                                                                                   Resolution No.490 of 24 September 2002

                   ______________________________________________________________________
                                      (name of insurance company in bold capital letters)
                   ______________________________________________________________________
                (registration code, address, telephone and fax numbers, e-mail address of insurance company)

       _________________________ RETURN ON NON-LIFE INSURANCE ACTIVITY IN FOREIGN COUNTRIES
          (reporting period)

                                     ____________________No.____________________
                                         (date of filling in)    (number)


                                                                Written direct insurance premiums in
                                                                                                          Written premiums of
                                                                         foreign states, Litas
  Code                     Name of state                                                                  accepted reinsurance
                                                                   through an          without being      in foreign states, Litas
                                                                  establsihment         established
   1                             2                                      3                    4                       5
   A
    1
  1.1.
  1.2.
  1.3.
  1.4.
  1.5.
  1.6.
    2
  2.1.
  2.2.
    3
  3.1.
  3.2.
    4
    5
    6
    7
  7.1.
  7.2.
    8
    9
   10
   11
  11.1.
  11.2.
   12
  12.1.
  12.2.
   13
   14
   15
   16
  16.1.
  16.2.
   17
  17.1.
  17.2.
   18
                                                       Total:
   B
   …



______________________________________________                         ___________________               __________________
(Title of the head of the company)                                          (signature)                   (first and last name)

____________________________________________                           ___________________               __________________
(Title of the responsible person)                                           (signature)                   (first and last name)
                                                                                                                                                                                                                                                                           6 N form approved by
                                                                                                                                                                                                                                                                           Board of the State Insurance Supervisory Authority
                                                                                                                                                                                                                                                                           under the Ministry of Finance
                                                                                                                                                                                                                                                                           Resolution No.490 of 24 September 2002



                                                                                                                _______________________________________________________________________
                                                                                                                                      (name of insurance company in bold capital letters)
                                                                                                                _______________________________________________________________________
                                                                                                               (registration code, address, telephone and fax numbers, e-mail address of insurance company)


                                                                                         ____________________________________________RETURN ON NON-LIFE CEDED REINSURANCE
                                                                                                          (reporting period)
                                                                                                                                         __________________No.___________________
                                                                                                                                              (date of filling in)     (number)

                  Reinsurance                                                                                                            1                Reisnurance contract validity term                                                            Bottom line                    Top line
                                Name of the reinsurance company or the                      Rating or date of the     Reinsurance type ,                                                            Written premiums of                                                                                        Share of all     Share of one
    Code           contract                                              Name of state                               reinsurance contract                                                                                     Claims payments, Litas
                                           insurance broker                                licence issued by SISA                                       beginning                     end          ceded reinsurance, Litas                            Litas          %             Litas             %       reinsurers, %     reinsurer, %
                    number                                                                                                        2
                                                                                                                               base
      1                2                          3                           4                      5                           6                           7                         8                      9                        10               11            12             13               14           15               16
I. DIRECT INSURANCE
      A
      1
     1.1.
     1.2.
     1.3.
     1.4.
     1.5.
     1.6.
      2
     2.1.
     2.2.
      3
     3.1.
     3.2.
      4
      5
      6
      7
     7.1.
     7.2.
      8
      9
      10
      11
    11.1.
    11.2.
      12
    12.1.
    12.2.
      13
      14
      15
      16
    16.1.
    16.2.
      17
    17.1.
    17.2.
      18
    Total:
     B
     …
      Total I.:
                                                                                                                                                                                                                                                                                                                6 N form approved by
                                                                                                                                                                                                                                                                                                                Board of the State Insurance Supervisory Authority
                                                                                                                                                                                                                                                                                                                under the Ministry of Finance
                                                                                                                                                                                                                                                                                                                Resolution No.490 of 24 September 2002



                                                                                                                                                    _______________________________________________________________________
                                                                                                                                                                          (name of insurance company in bold capital letters)
                                                                                                                                                    _______________________________________________________________________
                                                                                                                                                  (registration code, address, telephone and fax numbers, e-mail address of insurance company)


                                                                                                                        ____________________________________________RETURN ON NON-LIFE CEDED REINSURANCE
                                                                                                                                              (reporting period)
                                                                                                                                                                             __________________No.___________________
                                                                                                                                                                                  (date of filling in)      (number)

                        Reinsurance                                                                                                                                          1                 Reisnurance contract validity term                                                            Bottom line                    Top line
                                      Name of the reinsurance company or the                                                Rating or date of the         Reinsurance type ,                                                             Written premiums of                                                                                        Share of all     Share of one
       Code              contract                                                           Name of state                                                reinsurance contract                                                                                      Claims payments, Litas
                                                 insurance broker                                                          licence issued by SISA                                             beginning                    end          ceded reinsurance, Litas                            Litas          %             Litas             %       reinsurers, %     reinsurer, %
                          number                                                                                                                                      2
                                                                                                                                                                   base
         1                   2                          3                                         4                                   5                              6                            7                         8                      9                        10               11            12             13               14           15                 16
I. DIRECT INSURANCE
II. ACCEPTED REINSURANCE
         A
         1
        1.1.
        1.2.
        1.3.
        1.4.
        1.5.
        1.6.
         2
        2.1.
        2.2.
         3
        3.1.
        3.2.
         4
         5
         6
         7
        7.1.
        7.2.
         8
         9
         10
         11
       11.1.
       11.2.
         12
       12.1.
       12.2.
         13
         14
         15
         16
       16.1.
       16.2.
         17
       17.1.
       17.2.
         18
       Total:
         B
         …
          Total II.:
      Total I. + II.:
1
    QS - quota share reinsurance                                               SL - stop loss reinsurance
                                                                                                                                                                                    2
    SU - surplus treaty reinsurance                                            FS - facultative proportional and unproportional reinsurance                                             LOD - by loss-occurring date
    XL - excess of loss reinsurance                                                                                                                                                     RAD - by risk acceptance date



__________________________________________________________                                                                                                                                                  _______________________________                                                                                             _________________________________
(Title of the head of the company)                                                                                                                                                                                      (signature)                                                                                                                (first and last name)

__________________________________________________________                                                                                                                                                  _______________________________                                                                                             _________________________________
(Title of the responsible person)                                                                                                                                                                                       (signature)                                                                                                                (first and last name)
                                                                                                                             7 N form approved by
                                                                                                                             Board of the State Insurance Supervisory Authority
                                                                                                                             under the Ministry of Finance
                                                                                                                             Resolution No.490 of 24 September 2002



                                    _______________________________________________________________________
                                                        (name of insurance company in bold capital letters)
                                    _______________________________________________________________________
                                  (registration code, address, telephone and fax numbers, e-mail address of insurance company)

            __________________________________ RETURN ON NON-LIFE INSURANCE AGENT ACTIVITY
                      (reporting period)
                                                          __________________No.___________________
                                                              (date of filling in) (number)

                                                                                                                                                      Commissions of
             Name of the insurance company whose                                                     Policies distributed,     Written insurance
   Code                                                              Name of state                                                                    insurance agent
                    policies are distributed                                                                 units              premiums, Lt
                                                                                                                                                        activity, Litas
    1                         2                                             3                                  4                       5                       6
    A
     1
   1.1.
   1.2.
   1.3.
   1.4.
   1.5.
   1.6.
     2
   2.1.
   2.2.
     3
   3.1.
   3.2.
     4
     5
     6
     7
   7.1.
   7.2.
     8
     9
    10
    11
   11.1.
   11.2.
    12
   12.1.
   12.2.
    13
    14
    15
    16
   16.1.
   16.2.
    17
   17.1.
   17.2.
    18
                                                                                            Total:
    B
    …

______________________________________________                           ___________________                                 _____________________________
(Title of the head of the company)                                            (signature)                                           (first and last name)

____________________________________________                             ___________________                                 _____________________________
(Title of the responsible person)                                             (signature)                                           (first and last name)

								
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