Connecticut Insurance Department: Annual and Quarterly Financial Reporting

S T A T E O F C O N N E C T I C U T I N S U R A N C E D E P A R T M E N T Decemb er 19, 2022 Bulletin Nu mber FS-4-22 TO: ANNUAL STA TEMENT C ONTACT PERSO N OF ALL INS URANCE COMP ANIES, DOMEST I C SURPLUS L INES INSURERS, FRATERNAL BEN EFIT SOCIETIE S AND HEALTH CARE CENTERS AUTHORIZED TO DO BUSINESS I N THE STATE OF CONNECTICU T. SUBJECT: 202 2 ANNUAL STATEME NT NOTICE This Bullet in has been prepa red with requirem ents for filing s in the ordinary course of business. For Com pliance with fil ings in light of COV ID-19 please ref er to the Depar t ment’ s Bulletins addressing COVID incl uding, but not lim ited to, FS-40 and FS-41 Section 3 8a-53(a) of th e C onnecticu t General Statu t es req uires that each d omestic insurance co mpany or health c are center shal l, annually, on or before th e first day of Mar ch, submit to th e commissioner, and electron ically to the National Association of I nsurance Commissione rs (“NAIC”), a tru e and complete r eport, prepar e d in a ccordance with t he NAIC Annual Statement Instructions Hand book and following those acco u nting proce d ures a nd practices prescribed by the NAIC Acc ounting Practice s and Procedures Ma nual. The securitie s owned by each such entity mus t be va lued in accor dance with those stan dards promulga ted by the NAIC’s Cap ital Markets an d Investment An al ysis Offic e. An electron ically filed rep o rt in a ccordance with section 38a-53a tha t is timely sub mitted to the N AIC does not ex e mpt a dom estic insurance co mpany or health ca r e center from timely filing a true and comple te paper copy with the commissioner. Section 3 8a-53(b) of the Connecticut Gene ral Statutes requires t hat e ach foreign insu rance company sh all, annu ally, on or before t he first day of Mar ch, submit to th e c ommissione r, by electron ically filing with th e NAIC, a true an d complete repor t, prepared in accordance with the N AIC Annu al Statement I nstructions Handbook and followin g those accounti n g proc edures and pra ctices prescribed b y the NAIC Accou nting Practices and Pro cedures Manual. An electron ically filed report in accordance w ith section 38a-53 a that is timely submitte d to the NAIC is deeme d to have been s ubmitted to the commission er in accordan ce with this section. Each o f the addressed en t ities will also be required t o repor t t heir financial cond i tion on a q uarterly basis durin g 2023, to this Depar tment in the same manner as noted above. The format t o be used is the 2 022 edition of th e quarte rly blank adopted by the NAIC for the 202 3 reporting year. Statements are due 45 days subseque nt to the end of each qu arter: March 31, 2023 May 1 5, 2023 June 3 0, 2023 Augu s t 15, 20 23 Septemb er 30, 2023 Novemb er 15, 2023 Section 3 8a-53a of the Co nnecticut Gener al Statutes requires tha t each of th e addressed corpor ations shall file an electronic cop y of its An nual Statement and Quarterly Stateme nts to the NAIC’s Su pport Ser vices Office. The ap propriate filing c hecklist to be com pleted and submitte d with each Financial Statement filed with this Depar tment and t he NAIC mu st be down lo aded from the Departm ent’s website at ww w.ct.gov/cid for y our particu lar company typ e as follows: Hea lth Insurers, ch ecklist, notes, ge neral instruction s; Life, Accident and Healt h/Fraternal Insurers, checklist, notes, general i nstructions; Property and Casualty Insurers, checklist, notes, g eneral instructions; and Title Com panies, check list, notes and gen eral instructions. www.ct.go v/cid P.O. Box 8 16 Hartford, CT 0 6142-0816 Affirm ative Action/Equal Employment O pportun ity Employer

All DOMES TIC insurers mu st attach a stateme nt with respect to the physical loc ation(s) of all in vested assets owned by the compa ny (held by the c o mpany o r under custodial or sa fekeeping agreeme nt in Connecti cut or out of state) including t hose secur ities on deposit with governmen tal agencies and b ook entry securities. Assets he ld outside o f the United States u nder custod ial or sub-custodial agre ements must b e separately identif ied. Companies with separ ate account ope rations will be requ ired to submit two Rete ntion of A s sets State ments, one for th e general accoun t and one for the s epar a te accou nt. A sample Retention of Assets Statem ent is attach ed for your re fe rence. All DOMES TIC compani es must com ply with the provisio ns of sectio ns 38a-85 through 3 8a-88 of the Connec ticut General Sta tutes, and section s 38a-88-1 through 38 a-88-12 of the Reg ulations of Conn ecticut State Agencies o utlining th e criteria which must b e met to allow a dom estic insurer to take credit either a s an asset or deduc tion from a liability for ceded rein s urance. The list of licensed companies, a ccredited reinsure rs, and certified reinsur ers in Conne cticut is located on the Department’s w e bsite. Plea se note that t his list ing is updated on a quarte rly basis. If you h ave any question s on this or any of the enclosed docum ents, you may c ontact the Financial Regulation Division at (860) 297-3814 or ctinsde pt.financial@ct.gov. Andrew N. Mais Insuranc e Commissioner

_____________________ I nsurance Company Retention of Ass ets Statement Physical Location o f All Invested Assets (Excludes Short-term I nvestments)(O ther includes ass ets used i n the ordina ry course of bus iness, such as le tters of credit or fu nds held in tr ust to allow credit for re insurance) December 31, 2022 Refer to CT Bulleti n FS-4-22 f or additional informatio n Invested Asset s Owned by Com pany Statement Value Bonds Par Value Stocks Number of Shares Indicate One: C - Custodial Agreement D - Deposit; Gov’t Agency H – Held by Company O - Other (specify) P – Pledged S – Sub-Custodial If C-Custodial Agreement or S-Sub-Custodial Agreement Provide date of approval by Connecticut Physical Loca tion Provide Custodian or Sub- Custodian Name & Address as to where held both in the US and Non US. Bonds: Total Bonds Page 2 Common Stock s: Total Common Stock s Page 2 Preferred Stocks: Total Preferred Sto cks Page 2 Other: Total Page 2