USVI Public Records

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FORMS AR-1, CR-1, RJ-1, CR-F AND CR-S ARE TO BE USED IN ACCORDANCE WITH THE VIRGIN ISLANDS CREDIT FOR REINSURANCE ACT (22 V.I.C. §§ 1441-1447) AND THE CORRESPONDING RULES AND REGULATIONS The following forms were created by the National Association of Insurance Commissioners (“NAIC”) and they are to be used in accordance with provisions that are contained in the Virgin Islands Credit for Reinsurance Act (“Act”), codified in Chapter 55A of Title 22 of the Virgin Islands Code, and the corresponding Rules and Regulations. Both the Act and the corresponding Rules and Regulations provide guidance for completing and submitting the forms. FORM AR-1 CERTIFICATE OF ASSUMING INSURER I, _____________________________________________, ____________________________________ (name of officer) (title of officer) of _______________________________________________________________, the assuming insurer (name of assuming insurer) under a reinsurance agreement with one or more insurers domiciled in the United States Virgin Islands, hereby certify that ________________________________________________ (“Assuming Insurer”): (name of assuming insurer) 1. Submits to the jurisdiction of any court of competent jurisdiction in the United States Virgin Islands for the adjudication of any issues arising out of the reinsurance agreement(s), agrees to comply with all requirements necessary to give such court jurisdiction, and will abide by the final decision of such court or any appellate court in the event of an appeal. Nothing in this paragraph constitutes or should be understood to constitute a waiver of Assuming Insurer’s rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. This paragraph is not intended to conflict with or override the obligation of the parties to the reinsurance agreement(s) to arbitrate their disputes if such an obligation is created in the agreement(s). 2. Designates the Commissioner of Insurance of the United States Virgin Islands (“Commissioner”) as its lawful attorney upon whom may be served any lawful process in any action, suit or proceeding arising out of the reinsurance agreement(s) instituted by or on behalf of the ceding insurer. 3. Submits to the authority of the Commissioner to examine its books and records and agrees to bear the expense of any such examination. 4. Submits with this form a current list of insurers domiciled in the United States Virgin Islands reinsured by Assuming Insurer and undertakes to submit additions to or deletions from the list to the Commissioner at least once per calendar quarter. Dated: ____________________ _______________________________________________ (name of assuming insurer) BY: ____________________________________________ (name of officer) _______________________________________________ (title of officer) FORM CR-1 CERTIFICATE OF CERTIFIED REINSURER I, _________________________________________, ________________________________________ (name of officer) (title of officer) of ______________________________________________________________, the assuming insurer (name of assuming insurer) under a reinsurance agreement with one or more insurers domiciled in the United States Virgin Islands, in order to be considered for approval in this Territory, hereby certify that _____________________________________________________ (“Assuming Insurer”): (name of assuming insurer) 1. Submits to the jurisdiction of any court of competent jurisdiction in the United States Virgin Islands for the adjudication of any issues arising out of the reinsurance agreement(s), agrees to comply with all requirements necessary to give such court jurisdiction, and will abide by the final decision of such court or any appellate court in the event of an appeal. Nothing in this paragraph constitutes or should be understood to constitute a waiver of Assuming Insurer’s rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. This paragraph is not intended to conflict with or override the obligation of the parties to the reinsurance agreement(s) to arbitrate their disputes if such an obligation is created in the agreement(s). 2. Designates the Commissioner of Insurance of the United States Virgin Islands (“Commissioner”) as its lawful attorney upon whom may be served any lawful process in any action, suit or proceeding arising out of the reinsurance agreement(s) instituted by or on behalf of the ceding insurer. 3. Agrees to provide security in an amount equal to 100% of liabilities attributable to U.S. ceding insurers if it resists enforcement of a final U.S. judgment or properly enforceable arbitration award. 4. Agrees to provide notification within 10 days of any regulatory actions taken against it, any change in the provisions of its domiciliary license or any change in its rating by an approved rating agency, including a statement describing such changes and the reasons therefore. 5. Agrees to annually file information comparable to relevant provisions of the NAIC financial statement for use by insurance markets in accordance with Section 1443-5 of the Rules and Regulations for the Virgin Islands Credit for Reinsurance Act. 6. Agrees to annually file the report of the independent auditor on the financial statements of the insurance enterprise. 7. Agrees to annually file audited financial statements, regulatory filings, and actuarial opinion in accordance with Section 1443-5 of the Rules and Regulations for the Virgin Islands Credit for Reinsurance Act. 8. Agrees to annually file an updated list of all disputed and overdue reinsurance claims regarding reinsurance assumed from U.S. domestic ceding insurers. 9. Is in good standing as an insurer or reinsurer with the supervisor of its domiciliary jurisdiction. Dated: _____________________ _______________________________________________ (name of assuming insurer) BY: ____________________________________________ (name of officer) _______________________________________________ (title of officer) FORM RJ-1 CERTIFICATE OF REINSURER DOMICILED IN RECIPROCAL JURISDICTION I, _____________________________________________, ____________________________________ (name of officer) (title of officer) of ________________________________________________________________, the assuming insurer (name of assuming insurer) under a reinsurance agreement with one or more insurers domiciled in the United States Virgin Islands, in order to be considered for approval in this Territory, hereby certify that ________________________________________________ (“Assuming Insurer”): (name of assuming insurer) 1. Submits to the jurisdiction of any court of competent jurisdiction in the United States Virgin Islands for the adjudication of any issues arising out of the reinsurance agreement(s), agrees to comply with all requirements necessary to give such court jurisdiction, and will abide by the final decision of such court or any appellate court in the event of an appeal. The assuming insurer agrees that it will include such consent in each reinsurance agreement, if requested by the Commissioner of Insurance of the United States Virgin Islands (“Commissioner”). Nothing in this paragraph constitutes or should be understood to constitute a waiver of assuming insurer’s rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. This paragraph is not intended to conflict with or override the obligation of the parties to the reinsurance agreement(s) to arbitrate their disputes if such an obligation is created in the agreement(s), except to the extent such agreements are unenforceable under applicable insolvency or delinquency laws. 2. Designates the Commissioner as its lawful attorney in and for the United States Virgin Islands upon whom may be served any lawful process in any action, suit or proceeding in this state arising out of the reinsurance agreement(s) instituted by or on behalf of the ceding insurer. 3. Agrees to pay all final judgments, wherever enforcement is sought, obtained by a ceding insurer, that have been declared enforceable in the territory where the judgment was obtained. 4. Agrees to provide prompt written notice and explanation if it falls below the minimum capital and surplus or capital or surplus ratio, or if any regulatory action is taken against it for serious noncompliance with applicable law. 5. Confirms that it is not presently participating in any solvent scheme of arrangement, which involves insurers domiciled in the United States Virgin Islands. If the assuming insurer enters into such an arrangement, the assuming insurer agrees to notify the ceding insurer and the Commissioner, and to provide 100% security to the ceding insurer consistent with the terms of the scheme. 6. Agrees that in each reinsurance agreement it will provide security in an amount equal to 100% of the assuming insurer’s liabilities attributable to reinsurance ceded pursuant to that agreement if the assuming insurer resists enforcement of a final U.S. judgment, that is enforceable under the law of the territory in which it was obtained, or a properly enforceable arbitration award whether obtained by the ceding insurer or by its resolution estate, if applicable. 7. Agrees to provide the documentation in accordance with Section 1443-6(c)(5) of the Rules and Regulations for the Virgin Islands Credit for Reinsurance Act, if requested by the Commissioner. Dated: ________________________ ______________________________________________ (name of assuming insurer) BY: __________________________________________ (name of officer) _______________________________________________ (title of officer) • • Form CR-F – PART 1 Assumed Reinsurance as of December 31, Current Year (000 Omitted) 1 2 3 4 5 Reinsurance On 9 10 11 12 13 14 15 Compa ny Code or ID Numbe Name of Reinsured Domiciliary Jurisdiction Assumed Premium 6 Paid Losses and Loss Adjustment Expenses 7 Known Case Losses and LAE 8 Cols. 6 + 7 Contingent Commissions Payable Assumed Premiums Receivabl e Unearned Premium Funds Held By or Deposited With Reinsured Companies Letters of Credit Posted Amount of Assets Pledged or Compensatin g Balances to Secure Letters of Credit Amount of Assets Pledged or Collateral Held in Trust ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... ........... 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................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ ................ 9999999 Totals • P/C Form CR-F – PART 2 Ceded Reinsurance as of December 31, Current Year (000 Omitted) 2 3 4 5 6 Reinsurance Recoverable On Reinsurance Payable 18 19 Comp any Code or ID Numb er Name of Reinsurer Domici liary Jurisdi ction Reinsur ance Contract s Ceding 75% or More of Direct Premiu ms Written Reinsu rance Premiu ms Ceded 7 Paid Loss es 8 Paid LAE 9 Know n Case Loss Reserv es 10 Know n Case LAE Reserv es 11 IBNR Loss Reser ves 12 IBNR LAE Reser ves 13 Unear ned Premi ums 14 Conting ent Commi ssions 15 Cols. 7 throu gh 14 Totals 16 Cede d Balan ces Payab le 17 Other Amou nts Due to Reinsu rers Net Amount Recover able From Reinsur ers Cols. 15 – [16 + 17] Funds Held by Compa ny Under Reinsu rance Treatie s ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... ....... 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1 Reinsurance Assumed Life Insurance, Annuities, Deposit Funds and Other Liabilities Without Life or Disability Contingencies, and Related Benefits Listed by Reinsured Company as of December 31, Current Year 1 Compan y Code or ID Number 2 3 Effective Date 4 Name of Reinsured 5 Location 6 Type of Reinsurance Assumed 7 Amount of In Force at End of Year 8 Reserve 9 Premiums 10 Reinsurance Payable on Paid and Unpaid Losses 11 Modified Coinsurance Reserve 12 Funds Withheld Under Coinsurance ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. ............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. 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Reinsuring Company as of December 31, Current Year 1 Compan y Code or ID Number 2 3 Effective Date 4 Name of Company 5 Location 6 Paid Losses 7 Unpaid Losses .............. .............. .............. .............. .............. .............. .............. .............. .............. ............ ............ ............ ............ ............ ............ ............ ............ ............ ............... ............... ............... ............... ............... ............... ............... ............... ............... ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ ........................................................ 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Totals—Life, Annuity and Accident and Health • • Form CR-S – PART 3 – SECTION 1 Reinsurance Ceded Life Insurance, Annuities, Deposit Funds and Other Liabilities Without Life or Disability Contingencies, and Related Benefits Listed by Reinsuring Company as of December 31, Current Year 1 Company Code or ID Number 2 3 Effective Date 4 Name of Company 5 Location 6 Type of Reinsurance Ceded 7 Reserve Credit Taken 10 Outstanding Surplus Relief 13 Modified Coinsurance Reserve 14 Funds Withheld Under Coinsurance Amount in Force at End of Year 8 Current Year 9 Prior Year Premiums 11 Current Year 12 Prior Year ............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ............... .............. .............. .............. .............. .............. .............. .............. .............. .............. 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Totals • • Form CR-S – PART 3 – SECTION 2 Reinsurance Ceded Accident and Health Insurance Listed by Reinsuring Company as of December 31, Current Year 1 Compan y Code or ID Number 2 3 Effective Date 4 Name of Company 5 Location 6 Type 7 Premiums 8 Unearned Premiums (Estimated) 9 Reserve Credit Taken Other than for Unearned Premiums Outstanding Surplus Relief 12 Modified Coinsurance Reserve 13 Funds Withheld Under Coinsurance 10 Current Year 11 Prior Year .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. ......... .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. 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