Annual Certifications (Illustration Actuaries and Insurer Officers)
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Sets annual certification requirements for illustration actuaries and responsible insurer officers regarding illustration scales, disclosures (including expense allocation and changes to non-guaranteed elements), filing duties, and notifications to the Louisiana Department of Insurance and insurer boards.
No material clinical or coverage changes in this revision.
Coverage, Credit & Reinsurance Criteria
Illustration actuary and insurer certification and disclosure requirements
Requirements and disclosures the illustration actuary and insurer must make annually and upon certain events:
Certified Reinsurer Certification and Security Criteria
Certification eligibility and requirements for assuming insurers seeking recognition as certified reinsurers:
Security and contract rules
- Credit allowed is based on security held consistent with assigned rating and forms specified in regulation (§3517, §3519, §3521).
- Credit applies only to reinsurance contracts entered into or renewed on or after the effective date of the reinsurer's certification; amended or new contracts apply from amendment/new effective date.
- Reinsurance contracts must include a mandatory funding clause requiring the certified reinsurer to maintain security sufficient to avoid a financial statement penalty on the ceding insurer.
Conditions for credit and qualified trust security
Requirements and conditions under which credit for reinsurance is allowed and trust agreements qualify as security.
Permitted trust uses
- For non-life reinsurance where customary, trust may be used to reimburse ceding insurer for assuming insurer's share of losses and allocated loss expenses or for unearned premiums.
- Trust may permit payment of amounts in excess of 102% of required funding to the assuming insurer.
- If termination is imminent and obligations remain unliquidated 10 days prior, ceding insurer may withdraw amounts equal to obligations and deposit them in a separate account in a qualified U.S. financial institution.
Acceptability and procedural criteria for trust/LC/reinsurance
Conditions that must be met or may be included for trust agreements, letters of credit, and reinsurance agreements to be acceptable for credit:
Permitted trust provisions for use of funds
- For non-life risks where customary, trust may permit ceding insurer to use amounts to pay or reimburse the ceding insurer for the assuming insurer's share of losses and allocated loss expenses or unearned premiums.
- For life, annuity, and accident & health reinsurance, trust may specify uses including payment of surrenders, benefits, premiums returned, and similar obligations; may permit payment of amounts in excess of required funding or segregation when termination imminent.
- When termination is imminent and obligations remain unliquidated 10 days prior, amounts equal to obligations may be withdrawn and deposited in a separate account in the name of the ceding insurer in a qualified U.S. financial institution.
Trustee resignation/removal
- Trustee may resign or be removed effective not less than 90 days after notice to beneficiary and grantor, provided a successor trustee is appointed and assets transferred.
Assuming insurer certification commitments
Key certification commitments an assuming insurer must make on the provided forms:
Reinsurance / Ceded life reporting sections
Form CR-S Part 2 identifies sections for listing reinsurance recoverables and ceded life/annuity items as of year-end.
Accounting-based coverage criteria for reinsurance ceded
Accounting requirements prohibit reducing liabilities or establishing assets for reinsurance ceded when the substance/effect of the agreement meets any of the listed problematic conditions.
Codes, Tables & Thresholds
| Secure-1..Secure-6 | Rating categories mapped to major rating agencies (S&P, Moody's, Fitch, A.M. Best) as used to determine required security level. |
| Reinsurance agreement must include a proper insolvency clause payable to the liquidator or successor; submission to U.S. jurisdiction or alternative dispute resolution with designated agent for service of process and agreement to abide by final decision; and a proper reinsurance intermediary clause, if applicable. |
| Form CR-S parts and CR-F/CR-S templates for listing reinsurance ceded (Part 3 Section 2 present; fields illegible in extract). |
Filing, Notices, & Provider Obligations
Filing and notification duties
Illustration actuary must file an annual certification with the insurer's board and with the Department of Insurance for all policy forms for which illustrations are used, and before a new policy form is illustrated; notify the board and the department promptly if an error in a prior certification is discovered or if unable to certify a scale. A responsible officer (other than the illustration actuary) must annually certify that illustration formats meet the regulation and that scales used are those certified by the illustration actuary, and that agents have been provided information about the company's expense allocation method. Annual certifications must be provided to the department each year by a date determined by the insurer; if the insurer changes the illustration actuary it must promptly notify the department and disclose the reason for the change.
- File certification annually for all policy forms and before illustrating new forms (CR §3319.D.1.a-b).
- Promptly notify board and department of discovered errors or inability to certify (CR §3319.D.2, §3319.E).
- Responsible officer must certify formats, use of certified scales, and agent disclosure of expense allocation method (CR §3319.F.1-2).
- Provide annual certifications to the department each year by insurer-determined date; notify department promptly when changing the illustration actuary (CR §3319.G-H).
Letters of Credit — trustee drawing obligations and liability
For a letter of credit to qualify as a trust asset, the trustee must have the right and obligation under the deed of trust or other binding agreement to immediately draw the full amount of the letter of credit and hold the proceeds in trust if the letter of credit will otherwise expire; the trust agreement must make the trustee liable for negligence, willful misconduct or lack of good faith, and failure to draw when required is deemed negligence or willful misconduct.
- Trustee must be authorized to draw full LC amount if LC would otherwise expire (Letters of Credit §9.a).
- Trust agreement must make trustee liable for negligence, willful misconduct or lack of good faith; failure to draw when required is negligence/willful misconduct (§9.b).
Security posting and credit eligibility for certified reinsurers
A certified reinsurer must post security in an amount corresponding to the rating assigned by the commissioner; credit under the certified reinsurer rules applies only to reinsurance contracts entered into or renewed on or after the effective date of the reinsurer's certification (or amendment/new contract effective date), and parties may agree to provide greater security than required.
- Security amount for full credit is tied to commissioner-assigned rating and must be in forms consistent with statute and §§3517, 3519, or 3521 (§3510.A).
- Certified reinsurer required to post 100% security upon entry of rehabilitation, liquidation or conservation against the ceding insurer (§3510.1.3).
- Credit applies only to contracts entered into or renewed on or after the certification effective date; amendments/new contracts apply from their effective date (certified reinsurer contract applicability).
Assuming insurer assurances, jurisdiction and notice
An assuming insurer must execute Form RJ-1 and provide written consent to the jurisdiction of Louisiana courts and to appointment of the Commissioner as agent for service of process, and must provide prompt written notice to the commissioner if it falls below minimum capital/surplus or is subject to regulatory action.
- Consent in writing to Louisiana jurisdiction and appointment of the Commissioner as agent for service of process (Form RJ-1/CR-1 requirements, §3511/Forms).
- Agree to provide prompt notice and explanation to the commissioner if falling below minimum requirements or subject to regulatory action (§3511.C.4.a).
- Submit RJ-1/CR-1 as required to provide adequate assurances for credit eligibility (Form CR-1/Certificate language).
Acceptable security forms and conditions for admitted asset recognition
Security held for reinsurance obligations may be cash, securities listed by the NAIC Securities Valuation Office (admitted assets), clean irrevocable unconditional evergreen letters of credit issued/confirmed by a qualified U.S. financial institution, or any other form acceptable to the commissioner; an admitted asset or liability reduction for reinsurance to an unauthorized assuming insurer is allowed only when the requirements of §3523 and the applicable portions of §§3517, 3519 or 3521 are satisfied.
- Permitted forms of security include: cash; NAIC SVO-listed securities qualifying as admitted assets; clean, irrevocable, unconditional, evergreen LCs issued/confirmed by qualified U.S. financial institutions; or other forms acceptable to the commissioner (§3515.A.1-4).
- Admitted asset or liability reduction for reinsurance ceded to an unauthorized assuming insurer is allowed only when §§3523 and applicable portions of §§3517, 3519 or 3521 requirements are satisfied (§3515.B).
Certification forms: AR-1 / CR-1 execution and required commitments
Assuming insurers must submit the required certification forms (e.g., Form AR-1 and CR-1) that include submission to Louisiana jurisdiction, designation of the Commissioner as agent for service of process, consent to examination, and quarterly lists of ceded Louisiana insurers; these forms must be properly executed and accompany required filings.
- Form CR-1/Certificate and related AR-1 require submission to Louisiana jurisdiction, designation of the Commissioner as agent for service, and submission of a current list of Louisiana domiciled insurers reinsured with quarterly updates (Form CR-1/CR variants).
- Forms must also include consent to examination by the Commissioner and related commitments as specified on the certificates (Form language §72-73).
Service of process designation (Form CR-1)
By executing Form CR-1, the assuming insurer designates the Commissioner of Insurance of Louisiana as its lawful attorney upon whom may be served any lawful process in any action, suit or proceeding arising out of the reinsurance agreement instituted by or on behalf of the ceding insurer, and submits to the Commissioner's authority to examine books and records.
- Designation of Commissioner as lawful attorney for service of process is explicit on Form CR-1 (Form CR-1 §2).
- Form CR-1 also includes submission to the authority of the Commissioner to examine books and records and an agreement to bear examination expenses (Form CR-1 §3).
Service of process designation (Form RJ-1)
By executing the RJ-1 certificate, the assuming insurer domiciled in a reciprocal jurisdiction designates the Insurance Commissioner of Louisiana as its lawful attorney upon whom may be served any lawful process in this state arising out of the reinsurance agreement and agrees to include such consent in each reinsurance agreement if requested by the commissioner.
- Designation of the Insurance Commissioner as lawful attorney for service of process appears in the RJ-1 certificate language (§1-2 of the certificate).
- The insurer agrees to include the consent to jurisdiction in each reinsurance agreement if requested by the commissioner (RJ-1 certificate text).
Form CR-S — Part 2 year‑end headings and reporting sections
Form CR-S Part 2 identifies year-end reporting headings for reinsurance recoverables on paid and unpaid losses and related life/annuity ceded items to be listed by reinsuring company as of December 31 of the current year; the form provides sections for reinsurance recoverable and ceded life insurance, annuities, deposit funds and other liabilities.
- CR-S Part 2 heading: 'Reinsurance Recoverable on Paid and Unpaid Losses Listed by Reinsuring Company as of December 31, Current Year' (Form CR-S Part 2).
- CR-S includes parts referencing ceded life insurance, annuities, deposit funds and other liabilities for year-end reporting (Form CR-S Part 2/Part 3 references).
Annual certification forms (CR-S Part 2/3) and scope of applicability
Forms CR-S Part 2 and Part 3 are referenced for annual certifications and must be used to list reinsurance recoverables and ceded life/annuity items; the regulation applies to domestic life and accident & health insurers and to other insurers with a certificate of authority not subject to a substantially similar domiciliary regulation.
- CR-S Part 2 and Part 3 are the forms referenced for reporting reinsurance recoverables and ceded life/annuity items (Form CR-S Part 2/Part 3 headings).
- Scope: regulation applies to domestic life and accident & health insurers and other insurers with a certificate of authority not subject to a substantially similar domiciliary regulation (§3703).
Defined Terms
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