Insurer Foreign Business Return (IFBR) V1 Draft

Insurer Foreign Business Return (IFBR) Insurer name Address Select the type of return: Report period in months: 12.0 Purpose of Collection Collection Authority Confidentiality Reserve Bank Contacts For help and information please contact one of the people listed below: ) : Definitions and guide notes IFBR V1 (02 July 2015 DRAFT) Guidance to aid completing the return is also published at the above webpage. None of the instructions for this return over-ride the requirements under legislation, regulation, license conditions or notices issued to insurers. Short description (optional) This return collects financial and exposure data from licensed New Zealand insurers. The objective is to provide data that supports the prudential supervision of licensed New Zealand insurers. Insurers are required to complete this return in accordance with the notice issued to under section 121 of the Insurance (Prudential Supervision) Act 2010. The confidentiality provisions in section 135 of the Insurance (Prudential Supervision) Act 2010 applies to information collected in this return. Name: Report Date: (end of period) Please submit the completed return no later than the Due Date stated in the section 121 notice. Annual End date of the previous financial year: (ended before Report Date) http://www.rbnz.govt.nz/regulation_and_supervision/insurers/regulation/ Instructions include the definitions set out in Insurer Return Definitions, which is published at the following webpage Phone: Email: Archived

1 How to fill in this questionnaire   2      3  4   5  This return must be submitted using the Reserve Bank 'Secure Upload Facility' specified below.  for Subject select "Insurer Reporting & Returns" 6   7     Please make any comments that would help us interpret the data in the comments boxes provided. Timeliness The completed return is due no later than the Due Date stated in the section 121 notice. If for any reason you cannot submit the return by the Due Date, please contact us to discuss. If you identify an error in the data supplied in this return, please contact the RBNZ contact (see cover page) as soon as practical. Where exact figures are either unavailable or difficult to obtain approximations may be justified. Any approximation must not cause the information supplied to be misleading. In general a variation of a figure of less than 5% can be considered immaterial. However, judgement of the specific information and circumstances is required to assess its materiality. Accuracy and materiality We will compare the current return with the previous return as part of our consistency checks. Please save previous returns, including any changes that have been made as a result of discussions with Reserve Bank staff. Saving and printing the form To save this form when completed, or when partially completed so you can return to it later, save the files as you would save any ordinary spreadsheet. You may want to print a copy for your records or to help prepare the form. It can be printed worksheet by worksheet or as a whole. To print the entire form, ensure that the entire workbook option is selected in the print window. Submitting the form The 'Secure Upload Facility' can be accessed here: https://sup.rbnz.govt.nz/send/ Alt + Enter New paragraph within text block Time taken Please keep a record of the time it takes you to read the instructions, collect the information and answer the questions. You will be asked to record this at the end of the questionnaire, in the Sign-off tab. Do not include the time taken to calculate and prepare any accounts, solvency calculations or financial statements. Ctrl + PageDown Next worksheet or use Excel sheet tabs Ctrl + PageUp Previous worksheet or use Excel sheet tabs Shift + F5 Find word in a particular worksheet or part Place your mouse over these cells to view hidden comments. To navigate around the form you can use normal window controls - mouse, cursor keys, etc. Specific keys can be used: Tab Next answer box If an error occurs with a calculation in this questionnaire, a green triangle will appear in the upper left corner of the cell, for example: #REF! Click on the button for more information on the error. Some cells have hidden comments. These cells have a red triangle in the upper right corner, for example: See note 1.1 Using an Excel form The questionnaire has been set up so that only cells that require an answer can be edited. These cells are coloured white, for example: Coloured cells are calculated fields and do not need to be answered. These cells are protected and cannot be edited, for example: 0 General instructions All figures should be reported: • from relevant financial statements or Alternative Financial Information • in thousands (e.g. NZ$ 1,234,567 = 1235) • in New Zealand dollars For negative numbers use "-" in front of the figure. Do not use brackets. Archived

About this return Version of this return: IFBR V1 (02 July 2015 DRAFT) This version applies to any Report Date (end of period) that is on or after: Please check the Reserve Bank website (at the webpage below) for a later version (if any) of this return. Report Dates The section 121 notice issued to each insurer specifies the Report Dates for which this return is required. The following table is given as a guide for insurers to inform the Reserve Bank of a relevant change in circumstances. Annual only: Insurers with foreign business that is significant portion of total insurance for the NZ Entity. Excludes Lloyd's and overseas insurers. Significant foreign business means 10.0% or more of total insurance. The Report Dates are based on financial year of the insurer. This return collects financial and exposure information for licensed New Zealand insurers. Reporting of information in this return is generally limited to the NZ Entity (i.e. the licensed insurer for NZ incorporated or mutuals, the NZ business of Lloyd's, or the NZ branch for overseas insurers), unless otherwise specified. Information is to be reported without any consolidation of subsidiary or associated companies, unless otherwise specified. to be determined http://www.rbnz.govt.nz/regulation_and_supervision/insurers/regulation/ Archived

Contents 1 Part 1 - Insurer 1.0 Materiality and resubmissions 1.1 Insurance types and accounting standards 1.2 Revenue - financial year to Report Date 1.3 Liabilities - as at Report Date 1.4 Commentary 2 Part 2 - Life 2.1 Life Insurance classes and methods 2.2 Life Insurance Revenue - financial year to Report Date 2.3 Life Insurance Liabilities - as at Report Date 2.4 Commentary 3 Part 3 - General 3.1 General Insurance classes and methods 3.2 General Insurance Revenue - financial year to Report Date 3.3 General Insurance Liabilities - as at Report Date 3.4 Commentary 4 Part 4 - Health 4.1 Health Insurance classes and methods 4.2 Health Insurance Revenue - financial year to Report Date 4.3 Health Insurance Liabilities - as at Report Date 4.4 Commentary Sign-off Archived

12 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 4748 A B C D E F G H I J K Part 1 - Insurer 1 1.0 Materiality and resubmissions: Financial information NZ$ 000 calculated materiality for this return 0 10.0% of max { annualised gross policy & premium revenue, absolute value of total insurance liabilities }, capped at NZ$ 1 million. If an insurer identifies an error or subsequent change in relevant data for previously submitted returns, and this exceeds the materiality thresholds above, resubmission is likely to be required. Please contact the Reserve Bank to discuss. 1.1 Insurance types and accounting standards: NZ Entity total Non-insurance Insurance total Life Insurance General Insurance Health Insurance For Insurer Use Any business for each column? Yes No Accounting standards NZ IFRS Please explain accounting standards used if they are not NZ IFRS or NZ GAAP. 1.2 Revenue financial year to Report Date: NZ Entity total Non-insurance Insurance total Life Insurance General Insurance Health Insurance For Insurer Use NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 Gross policy & premium revenue 0 NZ Entity total Non-insurance Insurance total Life Insurance General Insurance Health Insurance 1.3 Liabilities as at Report Date: NZ Entity total Non-insurance Insurance total Life Insurance General Insurance Health Insurance For Insurer Use NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 Gross policy liabilities + policyholder unvested benefit liability + gross outstanding claims liability + gross unearned premium liability + unexpired risk liability Total of specific insurance liabilities (see above) 0 NZ Entity total Non-insurance Insurance total Life Insurance General Insurance Health Insurance 1.4 1.4.1 Please provide any other relevant comments you may have about the information provided in this return. IFBR V1 (02 July 2015 DRAFT) For negative numbers use "-" in front of the figure. Do not use brackets. Commentary: All insurers that provide an insurer foreign business return are required to complete Part 1. All figures should be reported: • from relevant financial statements or Alternative Financial Information, or calculated in accordance with NZ GAAP accounting standards • in thousands (e.g. NZ$ 1,234,567 = 1235) • in New Zealand dollars • for the NZ Entity • without consolidation of subsidiary and associated companies Archived

12 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 A B C D E F G H I J K L M N O P Q R S T U Part 2 - Life Insurance 2 2.1 Life Insurance classes and methods: Participating Traditional Participating Investment Investment￾Linked Investment Account Lump Sum Individual Lump Sum Group Disability Inc. Individual Disability Inc. Group Annuity Credit Life Ins. Other Life Insurance Unallocated Life NZ Primary Life NZ Inwards Reinsurance Life Foreign Business Life Any business for each column? No Insurance methods N/A 2.2 Life Insurance Revenue financial year to Report Date: Participating Traditional Participating Investment Investment￾Linked Investment Account Lump Sum Individual Lump Sum Group Disability Inc. Individual Disability Inc. Group Annuity Credit Life Ins. Other Life Insurance Unallocated Life NZ Primary Life NZ Inwards Reinsurance Life Foreign Business Life NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 Gross policy & premium revenue Total of NZ & foreign business 0 0 NZ 0 0 Australia 0 South Pacific excl. NZ & Australia 0 USA 0 Americas excl. USA 0 UK 0 Europe excl. UK 0 Japan 0 China 0 Asia excl. Japan & China 0 Africa 0 Other foreign business 0 Participating Traditional Participating Investment Investment￾Linked Investment Account Lump Sum Individual Lump Sum Group Disability Inc. Individual Disability Inc. Group Annuity Credit Life Ins. Other Life Insurance Unallocated Life NZ Primary Life NZ Inwards Reinsurance Life Foreign Business Life 2.3 Life Insurance Liabilities as at Report Date: Participating Traditional Participating Investment Investment￾Linked Investment Account Lump Sum Individual Lump Sum Group Disability Inc. Individual Disability Inc. Group Annuity Credit Life Ins. Other Life Insurance Unallocated Life NZ Primary Life NZ Inwards Reinsurance Life Foreign Business Life NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 Gross policy liabilities + policyholder unvested benefit liability + gross outstanding claims liability + gross unearned premium liability + unexpired risk liability Total of specific insurance liabilities (see above) Total of NZ & foreign business 0 0 NZ 0 0 Australia 0 South Pacific excl. NZ & Australia 0 USA 0 Americas excl. USA 0 UK 0 Europe excl. UK 0 Japan 0 China 0 Asia excl. Japan & China 0 Africa 0 Other foreign business 0 Participating Traditional Participating Investment Investment￾Linked Investment Account Lump Sum Individual Lump Sum Group Disability Inc. Individual Disability Inc. Group Annuity Credit Life Ins. Other Life Insurance Unallocated Life NZ Primary Life NZ Inwards Reinsurance Life Foreign Business Life Life For Insurer Use Insurance total Life Primary Insurance and Inwards Reinsurance Of which Life Primary Insurance and Inwards Reinsurance Of which All insurers with life insurance are required to complete Part 2. All figures should be reported: • from relevant financial statements or Alternative Financial Information, or calculated in accordance with NZ GAAP accounting standards • in thousands (e.g. NZ$ 1,234,567 = 1235) • in New Zealand dollars • for the NZ Entity • without consolidation of subsidiary and associated companies For negative numbers use "-" in front of the figure. Do not use brackets. Life Insurance total Life Primary Insurance and Inwards Reinsurance Life Primary Insurance and Inwards Reinsurance Life Insurance total Of which Life Primary Insurance and Inwards Reinsurance Of which For Insurer Use Life Insurance total Of which For Insurer Use Life Insurance total Archived

12 A B C D E F G H I J K L M N O P Q R S T U Part 2 - Life Insurance 58 59 60 61 62 63 64 65 66 67 68 6970 2.4 2.4.1 Please describe and explain any business included in the class Other Life Insurance 2.4.2 Please describe and explain any Unallocated figures. 2.4.3 Please provide any other relevant comments you may have about the information provided in Part 2 of this return. IFBR V1 (02 July 2015 DRAFT) Commentary: Archived

12 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 A B C D E F G H I J K L M N O P Q R S T U Part 3 - General Insurance 3 3.1 General Insurance classes and methods: Commercial Property Commercial Motor Marine & Aviation Liability Other Commercial Domestic Property Domestic Motor Personal Accident Travel Credit General Ins. Oth. Personal Lines Unallocated General NZ Primary General NZ Inwards Reinsurance General Foreign Business General Any business for each column? No Insurance methods N/A 3.2 General Insurance Revenue financial year to Report Date: Commercial Property Commercial Motor Marine & Aviation Liability Other Commercial Domestic Property Domestic Motor Personal Accident Travel Credit General Ins. Oth. Personal Lines Unallocated General NZ Primary General NZ Inwards Reinsurance General Foreign Business General NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 Gross policy & premium revenue Total of NZ & foreign business 0 0 NZ 0 0 Australia 0 South Pacific excl. NZ & Australia 0 USA 0 Americas excl. USA 0 UK 0 Europe excl. UK 0 Japan 0 China 0 Asia excl. Japan & China 0 Africa 0 Other foreign business 0 Commercial Property Commercial Motor Marine & Aviation Liability Other Commercial Domestic Property Domestic Motor Personal Accident Travel Credit General Ins. Oth. Personal Lines Unallocated General NZ Primary General NZ Inwards Reinsurance General Foreign Business General 3.3 General Insurance Liabilities as at Report Date: Commercial Property Commercial Motor Marine & Aviation Liability Other Commercial Domestic Property Domestic Motor Personal Accident Travel Credit General Ins. Oth. Personal Lines Unallocated General NZ Primary General NZ Inwards Reinsurance General Foreign Business General NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 Gross policy liabilities + policyholder unvested benefit liability + gross outstanding claims liability + gross unearned premium liability + unexpired risk liability Total of specific insurance liabilities (see above) Total of NZ & foreign business 0 0 NZ 0 0 Australia 0 South Pacific excl. NZ & Australia 0 USA 0 Americas excl. USA 0 UK 0 Europe excl. UK 0 Japan 0 China 0 Asia excl. Japan & China 0 Africa 0 Other foreign business 0 Commercial Property Commercial Motor Marine & Aviation Liability Other Commercial Domestic Property Domestic Motor Personal Accident Travel Credit General Ins. Oth. Personal Lines Unallocated General NZ Primary General NZ Inwards Reinsurance General Foreign Business General • for the NZ Entity • without consolidation of subsidiary and associated companies For negative numbers use "-" in front of the figure. Do not use brackets. All insurers with general insurance are required to complete Part 3. All figures should be reported: • from relevant financial statements or Alternative Financial Information, or calculated in accordance with NZ GAAP accounting standards • in thousands (e.g. NZ$ 1,234,567 = 1235) • in New Zealand dollars General Insurance total General Primary Insurance and Inwards Reinsurance Of which For Insurer Use General Insurance total General Primary Insurance and Inwards Reinsurance Of which For Insurer Use General Insurance total General Primary Insurance and Inwards Reinsurance Of which General Insurance total General Primary Insurance and Inwards Reinsurance Of which Of which For Insurer Use General Insurance total General Primary Insurance and Inwards Reinsurance Archived

12 A B C D E F G H I J K L M N O P Q R S T U Part 3 - General Insurance 58 59 60 61 62 63 64 65 66 67 68 6970 3.4 3.4.1 Please describe and explain any business included in Other Commercial and Other Personal Lines. 3.4.2 Please describe and explain any Unallocated figures. 3.4.3 Please provide any other relevant comments you may have about the information provided in Part 3 of this return. IFBR V1 (02 July 2015 DRAFT) Commentary: Archived

123456789 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 A B C D E F G H I J K L M N O P Q R S T U Part 4 - Health Insurance 4 4.1 Health Insurance classes and methods: Health Individual Health Group Unallocated Health NZ Primary Health NZ Inwards Reinsurance Health Foreign Business Health Any business for each column? No Insurance methods N/A 4.2 Health Insurance Revenue financial year to Report Date: Health Individual Health Group Unallocated Health NZ Primary Health NZ Inwards Reinsurance Health Foreign Business Health NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 Gross policy & premium revenue Total of NZ & foreign business 0 0 NZ 0 0 Australia 0 South Pacific excl. NZ & Australia 0 USA 0 Americas excl. USA 0 UK 0 Europe excl. UK 0 Japan 0 China 0 Asia excl. Japan & China 0 Africa 0 Other foreign business 0 Health Individual Health Group Unallocated Health NZ Primary Health NZ Inwards Reinsurance Health Foreign Business Health 4.3 Health Insurance Liabilities as at Report Date: Health Individual Health Group Unallocated Health NZ Primary Health NZ Inwards Reinsurance Health Foreign Business Health NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 NZ$ 000 Gross policy liabilities + policyholder unvested benefit liability + gross outstanding claims liability + gross unearned premium liability + unexpired risk liability Total of specific insurance liabilities (see above) Total of NZ & foreign business 0 0 NZ 0 0 Australia 0 South Pacific excl. NZ & Australia 0 USA 0 Americas excl. USA 0 UK 0 Europe excl. UK 0 Japan 0 China 0 Asia excl. Japan & China 0 Africa 0 Other foreign business 0 Health Individual Health Group Unallocated Health NZ Primary Health NZ Inwards Reinsurance Health Foreign Business Health Health Primary Insurance and Inwards Reinsurance Of which • for the NZ Entity • without consolidation of subsidiary and associated companies For negative numbers use "-" in front of the figure. Do not use brackets. Health Insurance total All insurers with health insurance are required to complete Part 4. All figures should be reported: • from relevant financial statements or Alternative Financial Information, or calculated in accordance with NZ GAAP accounting standards • in thousands (e.g. NZ$ 1,234,567 = 1235) • in New Zealand dollars Of which For Insurer Use For Insurer Use Health Insurance total Health Insurance total Health Insurance total Health Primary Insurance and Inwards Reinsurance Of which For Insurer Use Health Primary Insurance and Inwards Reinsurance Health Primary Insurance and Inwards Reinsurance Of which Health Insurance total Health Primary Insurance and Inwards Reinsurance Of which Archived

12 A B C D E F G H I J K L M N O P Q R S T U Part 4 - Health Insurance 60 61 62 63 64 65 66 67 68 6970 4.4 4.4.1 Please describe and explain any Unallocated figures. 4.4.2 Please provide any other relevant comments you may have about the information provided in Part 4 of this return. IFBR V1 (02 July 2015 DRAFT) Commentary: Archived

Notes and Workings This sheet is unlocked for insurer use to provide additional notes or workings. Archived

All insurers that provide an insurer return are required to complete this page. Insurer name - 1 

Name:

2  hours minutes 3 CEO Sign-off  Name:

The sign-off of this return may alternatively be made by a person authorised by the CEO. For an overseas insurer the sign-off is by the NZ CEO, or may be delegated by the NZ CEO. 4  This return must be submitted using the Reserve Bank 'Secure Upload Facility' specified below.  for Subject select "Insurer Reporting & Returns"  IFBR V1 (02 July 2015 DRAFT) Supporting working files or other materials can also be submitted using the secure upload facility. Submitting the form The 'Secure Upload Facility' can be accessed here: https://sup.rbnz.govt.nz/send/ Please record how long it took you (and any other employees) to read the instructions, collect the information and answer this questionnaire. I confirm that, to the best of my knowledge and having made appropriate enquiries, the information in this insurer return complies with all instructions of the Reserve Bank, is complete and consistent with the records of the insurer. Date: : Email: Time taken ) Phone: Sign-off Contacts Please provide the names and details of contacts as specified below: Primary contact for Reserve Bank Secondary contact Archived