Attachments to the Circular on Modifications in Life Insurance

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Attachments to the Circular on Modifications in Life Insurance Powered By Docstoc
					Company Name:                                                                                                                                              FORM LF
Financial Year ended 31 December ...........
Statement of Claims
                                                                                                                                       Figures in Rs 000

                                                                                              Statutory Fund                             Aggregate         Aggregate
                                                                  Ordinary life Ordinary life     Capital    Pension fund Accident &      current            prior
                                                                  (investment                  redemption                   health         year              year
Gross Claims                                                         linked)

Claims under individual policies
     by death
     by insured event other than death
     by maturity
     by surrender
     annuity payments
     bonus in cash
     experience refund

Total gross individual policy claims

Claims under group policies
     by death
     by insured event other than death
     by maturity
     by surrender
     annuity payments
     bonus in cash
     experience refund

Total gross group policy claims

Total Gross Claims


Less: Reinsurance Recoveries
     On individual life first year business claims
     On individual life second year business claims
     On individual life renewal business claims
     On Group Life claims
     On experience refund of premiums
     On annuities
     On others


Net Claims




     The annexed notes form an integral part of these accounts.




                           Chairman                                           Director                                  Director

				
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posted:7/15/2011
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