Certain company officers or a majority of directors must file an annual sworn statement of affairs by March 1 with the insurance commissioner or a designated depository.
The president or vice president and secretary or actuary, or a majority of the directors of each company organized under this chapter, shall annually, on or before the first day of March, prepare under oath and file in the office of the commissioner of insurance or a depository designated by the commissioner a statement of its affairs for the year terminating on the thirty-first day of December preceding, showing: 1. The name of the company and where located. 2. The names of officers. 3. The amount of capital, if a stock company. 4. The amount of capital paid in, if a stock company. 5. The value of real estate owned by the company. 6. The amount of cash on hand. 7. The amount of cash deposited in banks, giving the name of the bank or banks. 8. The amount of cash in the hands of agents, and in the course of transmission. 9. The amount of bank stock, with the name of each bank, giving par and market value of the same. 10. The amount of bonds of the United States, and all other bonds and securities, giving names and amounts, with the par and market value of each kind. 11. The amount of loans secured by first mortgage on real estate, and where such real estate is situated. 12. The amount of all other bonds, loans, how secured, and the rate of interest. 13. The amount of premium notes and their value on policies in force, if a mutual company. 14. The amount of notes given for unpaid stock, and their value in detail, if a stock company. 15. The amount of assessments unpaid on stock or premium notes. 16. The amount of interest due and unpaid. 17. The amount of all other securities. 18. The amount of losses due and unpaid. 19. The amount of losses adjusted but not due. 20. The amount of losses unadjusted. 21. The amount of claims for losses resisted. 22. The amount of money borrowed and evidences thereof. 23. The amount of dividends unpaid on stock. 24. The amount of dividends unpaid on policies. 25. The amount required to safely reinsure all outstanding risks. 26. The amount of all other claims against the company. 27. The amount of net cash premiums received. 28. The amount of notes received for premiums. 29. The amount of interest received from all sources. 30. The amount received from all other sources. 31. The amount paid for losses. 32. The amount of dividends paid to policyholders, and the amount to stockholders, if a stock company. 33. The amount of commissions and salaries paid to agents. 34. The amount paid to officers for salaries and other compensation. 35. The amount paid for taxes. 36. The amount of all other payments and expenditures. 37. The greatest amount insured on any one life. 38. The amount deposited in other states or territories as security for policyholders therein, stating the amount in each state or territory. 39. The amount of premiums received in this state during the year. 40. The amount paid for losses in this state during the year. 41. The whole number of policies issued during the year, with the amount of insurance effected thereby, and total amount of risk. 42. All other items of information necessary to enable the commissioner of insurance to correctly estimate the cash value of policies, or to judge of the correctness of the valuation thereof. 43. All other information as required by the national association of insurance commissioners’ annual statement blank. The annual statement blank shall be prepared in accordance with instructions prescribed by the commissioner. All financial information reflected in the annual report shall be kept and prepared in accordance with accounting practices and procedures prescribed by the commissioner. The commissioner may adopt by reference the annual statement handbook and the accounting practices and procedures manual of the national association of insurance commissioners. [C73, §1167; C97, §1773; C24, 27, 31, 35, 39, §8653; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §508.11] 91 Acts, ch 26, §36; 2003 Acts, ch 91, §6 Referred to in §508.14, 511.8(10)(a)