Insurer Solvency Exempted Return (ISER)

Insurer Solvency Exempted Return (ISER)

Company name Address

Please select whether this is an interim or full year return: Please select the end date of the period (report date) covered by this return: Please select your latest annual balance date:

Purpose of Collection

Collection Authority

Confidentiality

Reserve Bank Contacts For help and information please contact one of the people listed below:

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Guide notes

Phone: Please select Please submit the completed return no later than the last day of the fourth month following your report date. This return collects solvency information from licensed New Zealand insurers that have been granted an exemption under section 59 of the Insurance (Prudential Supervision) Act 2010. The return supports the prudential supervision of New Zealand licensed insurers. Insurers are required to complete this return in accordance with the notice issued to each insurer under section 121 of the Insurance (Prudential Supervision) Act 2010. The confidentiality provisions in sections 135 to 137 of the Insurance (Prudential Supervision) Act 2010 applies to information collected in this return. Name: Please select 31-Dec-2014 30-Jun-2014 Email: Guidance and notes can be found throughout the return to aid completion. Please note that none of the instructions in this return over-ride the requirements under legislation, regulation, license conditions or notices issued to insurers. Archived

1 How to fill in this questionnaire � � If actual figures are not available, please provide estimates. � 2 � � � � � 3 � 4 � � For negative numbers use "-" in front of the figure. Do not use brackets. General instructions All figures should be reported: • at market value, where applicable • in millions to three decimal places (e.g. NZ$ 2,530,050 = 2.530) • in New Zealand dollars 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: 0.0 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 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 Time taken 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 Alt + Enter New paragraph within text block Please keep a record of the time it takes you (and any other employees) 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. 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. Archived

5 � � 6 � � 7 � � � Timeliness Submitting the form The Reserve Bank 'Secure Upload Facility' allows you to securely lodge this form with the Reserve Bank. You will require a username and password. If you have not received these please telephone our Reserve Bank contact. The 'Secure Upload Facility' can be accessed here: https://sup.rbnz.govt.nz/ If you identify an error in the data supplied in this return, please contact the RBNZ contact as soon as practical. The return is due no later than the last day of the fourth month following your report date. The Bank sends reminders to respondents specifying the calendar date on which the return is due. If for any reason you cannot submit the return by the due date, please contact us to discuss. Accuracy We will compare the current return with the return provided six months ago 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. Please make any comments that would help us interpret the data in the comments boxes provided. Archived

Question 1: Solvency results 1 1.1 I confirm that the following data has been supplied to our home supervisior If no, please explain 1.2 I confirm that all home jurisdiction solvency requirements have been met If no, please explain 1.3 Please report for your most significant solvency-related requirement Amount Requirement <name of requirement> Actual <name of actual> Excess <name of excess> 0.000 Please provide any relevant comments you may have about the information given above. Notes • Report for your licensed New Zealand insurer • Report in New Zealand dollars Please click and select Please click and select Type of requirement Archived

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4 � � � Submitting the form Supporting working files or other materials can also be submitted using the secure upload facility. The 'Secure Upload Facility' can be accessed here: https://sup.rbnz.govt.nz/ The Reserve Bank 'Secure Upload Facility' allows you to securely lodge this form with the Reserve Bank. You will require a username and password. If you have not received these please telephone our Reserve Bank contact. Comments and Sign-off Please provide the names and details of contacts as specified below: Contacts Primary contact for Reserve Bank Secondary contact Phone: Email: Time taken Date: 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 solvency return complies with the applicable home jurisdiction solvency standards and all instructions of the Reserve Bank. Archived