Consultation - Insurer Return (IR)

Insurer Return (IR)

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:

�

��� Guide notes

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. 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. Email: Phone: Please note that none of the instructions in this return over-ride the requirements under legislation, regulation, license conditions or notices issued to insurers. Please submit the completed return no later than the last day of the fourth month following your report date. Please select The confidentiality provisions in sections 135 to 137 of the Insurance (Prudential Supervision) Act 2010 applies to information collected in this return. Name: 30-Jun-2014 31-Dec-2014 Please select Guidance and notes can be found throughout the return to aid completion. Archived

1 How to fill in this questionnaire � � If actual figures are not available, please provide estimates. � 2 � � � � � 3 � 4 � � #REF! Specific keys can be used: mouse, cursor keys, etc. Tab Next answer box Ctrl + PageDown Next worksheet or use Excel sheet tabs Ctrl + PageUp Previous worksheet or use Excel sheet tabs Time taken Shift + F5 These cells are protected and cannot be edited, for example: 0.0 General instructions All figures should be reported: • at market value, where applicable • in New Zealand dollars For negative numbers use "-" in front of the figure. Do not use brackets. 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. • in millions to three decimal places (e.g. NZ$ 2,530,050 = 2.530), unless otherwise specified 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: See note 1.1 Place your mouse over these cells to view hidden comments. To navigate around the form you can use normal window controls - 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: 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 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. 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. Archived

5 � � 6 � � 7 � � � � 8 � 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. 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. Submitting the form Timeliness 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/ Accuracy and materiality Summary validation tab If you identify an error in the data supplied in this return, please contact the RBNZ contact (see cover page) as soon as practical. This tab summarises all of the validation checks that have appeared throughout the return. Use this to check that the data provided is consistent. If any cells are highlighted red, please check the associated tables before submitting the data. 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. Archived

About this return Notes • Report based on your NZ Entity • Do not consolidate for subsidiaries and associated companies This return collects financial and exposure information for the insurance and non-insurance activities that licensed New Zealand insurers are involved in. Reporting of financial and exposure information in this return is generally limited to the NZ Entity, except where otherwise specified. NZ Entity means the NZ incorporated or mutual licensed insurer, or the NZ business of Lloyd’s of London, or the NZ branch of a licensed overseas insurer. Information is to be reported without any consolidation of subsidiary or associated companies. Insurance is defined in the Insurance (Prudential Supervision) Act 2010 (IPSA). Life insurance is defined in IPSA including how to treat composite policies. Health insurance is also defined in IPSA. For this return, non-life insurance is insurance that is not life insurance, and general insurance is defined as non-life insurance that is not health insurance. Life insurance accounting means Appendix C of NZ IFRS 4 or equivalent, and general insurance accounting means Appendix D of NZ IFRS 4 or equivalent. Archived

Contents Questions 1 Liabilities 1.1 General insurance liabilities 1.2 Life insurance liabilities 1.3 Insurance liabilities 1.4 Non-insurance liabilities 2 Assets 2.1 General insurance assets 2.2 Life insurance assets 2.3 Insurance assets 2.4 Non-insurance assets 3 Capital 3.1 Capital 3.2 Reconciliation of capital 4 Net profit 4.1 General insurance revenue and expenses 4.2 Life insurance revenue and expenses 4.3 Insurance revenue and expenses 4.4 Non-insurance revenue and expenses 5 General insurance exposure 5.1 Number of policies 5.2 Sum insured 5.3 Annual benefit 5.4 Annual premium 5.5 Single premium 5.6 Paid benefits and claims 6 Life insurance exposure 6.1 Number of policies 6.2 Sum insured 6.3 Annual benefit 6.4 Annual premium 6.5 Single premium 6.6 Paid benefits and claims 7 Health insurance exposure 7.1 Number of policies 7.2 Sum insured 7.3 Annual benefit 7.4 Annual premium 7.5 Single premium 7.6 Paid benefits and claims 8 Other exposure 8.1 Number of policies 8.2 Sum insured 8.3 Annual benefit 8.4 Annual premium 8.5 Single premium 8.6 Paid benefits and claims 9 General insurance incurred claims development (only complete for full year reporting) 9.1 Gross claims 9.2 Reinsurance and recoveries 9.3 Net claims Archived

Question 1: Liabilities 1 1.1 Provide the closing values below for general insurance liabilities: Property Motor, marine & aviation Liability Other general insurance General ins. adjustment Total (General insurance) $ million $ million $ million $ million $ million $ million Gross policy liabilities 0.000 future policy benefits 0.000 future expenses 0.000 future premiums 0.000 other best estimate liability 0.000 future profits - policy owner 0.000 future profits - shareholder 0.000 outstanding claims 0.000 investment contract liability 0.000 Policyholder unvested benefit liabilities 0.000 Gross outstanding claims 0.000 best estimate liability 0.000 claims handling expenses 0.000 risk margin 0.000 Unearned premiums 0.000 Unexpired risk 0.000 Outward reinsurance liabilities 0.000 All accounting Total insurance liabilities 0.000 1.2 Provide the closing values below for life insurance liabilities: Participating Investment linked Other life insurance Life ins. adjustment Total (Life insurance) $ million $ million $ million $ million $ million Gross policy liabilities 0.000 future policy benefits 0.000 future expenses 0.000 future premiums 0.000 other best estimate liability 0.000 future profits - policy owner 0.000 future profits - shareholder 0.000 outstanding claims 0.000 investment contract liability 0.000 Policyholder unvested benefit liabilities 0.000 Gross outstanding claims 0.000 best estimate liability 0.000 claims handling expenses 0.000 risk margin 0.000 Unearned premiums 0.000 Unexpired risk 0.000 Outward reinsurance liabilities 0.000 All accounting Total insurance liabilities 0.000 1.3 Provide the closing values below for the insurance liabilities of your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) $ million $ million $ million $ million $ million $ million $ million $ million Gross policy liabilities 0.000 future policy benefits 0.000 future expenses 0.000 future premiums 0.000 other best estimate liability 0.000 future profits - policy owner 0.000 future profits - shareholder 0.000 outstanding claims 0.000 investment contract liability 0.000 Policyholder unvested benefit liabilities 0.000 Gross outstanding claims 0.000 best estimate liability 0.000 claims handling expenses 0.000 risk margin 0.000 Unearned premiums 0.000 Unexpired risk 0.000 Outward reinsurance liabilities 0.000 All accounting Total insurance liabilities 0.000 1.4 Provide the closing values below for liabilities that are not specifically attributed to insurance: $ million Related party liabilities Deferred tax liabilities Current tax liabilities Loans Other liabilities Total non-insurance liabilities 0.000 0.000 Total liabilities 0.000 Please provide any relevant comments you may have about the information given in the tables above. Life insurance accounting General insurance accounting Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Do not consolidate for subsidiaries and associated companies • Report closing values as at report date • Adjustment columns should be used to ensure total columns are correct. • Report in New Zealand dollars to three decimal places (e.g. NZ$ 2,530,050 = 2.530) Life insurance accounting General insurance accounting Life insurance accounting General insurance accounting Insurance or reinsurance in NZ Insurance or reinsurance not in NZ Total Primary insurance in NZ (NZ Entity) Reinsurance inwards NZ Archived

Question 2: Assets 2 2.1 Provide the closing values below for general insurance assets: Property Motor, marine & aviation Liability Other general insurance General ins. adjustment Total (General insurance) $ million $ million $ million $ million $ million $ million Reinsurance of policy liabilities 0.000 future policy benefits 0.000 future expenses 0.000 future premiums 0.000 other best estimate liability 0.000 future profits - policy owner 0.000 future profits - shareholder 0.000 outstanding claims 0.000 investment contract liability 0.000 Tax on policy liabilities 0.000 Reinsurance of outstanding claims 0.000 best estimate liability 0.000 claims handling expenses 0.000 risk margin 0.000 Non-reinsurance recoveries 0.000 Reinsurance of unearned premiums 0.000 Deferred acquisition costs 0.000 All accounting Investments backing insurance liabilities 0.000 cash & deposits 0.000 fixed interest securities 0.000 short-term (residual maturity ≤ 1 year) 0.000 NZ government issued (excl local) 0.000 NZ bank issued 0.000 other NZ issued securities 0.000 overseas sovereign debt 0.000 other overseas issued securities 0.000 long-term (residual maturity > 1 year) 0.000 NZ government issued (excl local) 0.000 NZ bank issued 0.000 other NZ issued securities 0.000 overseas sovereign debt 0.000 other overseas issued securities 0.000 listed equities 0.000 NZ resident issued 0.000 overseas issued 0.000 unlisted equities 0.000 NZ resident issued 0.000 overseas issued 0.000 other financial assets (n.e.c.) 0.000 property 0.000 other investments 0.000 Premium debt 0.000 Total insurance assets 0.000 2.2 Provide the closing values below for life insurance assets: Participating Investment linked Other life insurance Life ins. adjustment Total (Life insurance) $ million $ million $ million $ million $ million Reinsurance of policy liabilities 0.000 future policy benefits 0.000 future expenses 0.000 future premiums 0.000 other best estimate liability 0.000 future profits - policy owner 0.000 future profits - shareholder 0.000 outstanding claims 0.000 investment contract liability 0.000 Tax on policy liabilities 0.000 Reinsurance of outstanding claims 0.000 best estimate liability 0.000 claims handling expenses 0.000 risk margin 0.000 Non-reinsurance recoveries 0.000 Reinsurance of unearned premiums 0.000 Deferred acquisition costs 0.000 All accounting Investments backing insurance liabilities 0.000 cash & deposits 0.000 fixed interest securities 0.000 short-term (residual maturity ≤ 1 year) 0.000 NZ government issued (excl local) 0.000 NZ bank issued 0.000 other NZ issued securities 0.000 overseas sovereign debt 0.000 other overseas issued securities 0.000 long-term (residual maturity > 1 year) 0.000 NZ government issued (excl local) 0.000 NZ bank issued 0.000 other NZ issued securities 0.000 overseas sovereign debt 0.000 other overseas issued securities 0.000 listed equities 0.000 NZ resident issued 0.000 overseas issued 0.000 unlisted equities 0.000 NZ resident issued 0.000 overseas issued 0.000 other financial assets (n.e.c.) 0.000 property 0.000 other investments 0.000 Premium debt 0.000 Total insurance assets 0.000 General insurance accounting Life insurance accounting Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Do not consolidate for subsidiaries and associated companies • Report closing values as at report date • Adjustment columns should be used to ensure total columns are correct. • Report in New Zealand dollars to three decimal places (e.g. NZ$ 2,530,050 = 2.530) Life insurance accounting General insurance accounting Archived

2.3 Provide the closing values below for the insurance assets of your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) $ million $ million $ million $ million $ million $ million $ million $ million Reinsurance of policy liabilities 0.000 future policy benefits 0.000 future expenses 0.000 future premiums 0.000 other best estimate liability 0.000 future profits - policy owner 0.000 future profits - shareholder 0.000 outstanding claims 0.000 investment contract liability 0.000 Tax on policy liabilities 0.000 Reinsurance of outstanding claims 0.000 best estimate liability 0.000 claims handling expenses 0.000 risk margin 0.000 Non-reinsurance recoveries 0.000 Reinsurance of unearned premiums 0.000 Deferred acquisition costs 0.000 All accounting Investments backing insurance liabilities 0.000 cash & deposits 0.000 fixed interest securities 0.000 short-term (residual maturity ≤ 1 year) 0.000 NZ government issued (excl local) 0.000 NZ bank issued 0.000 other NZ issued securities 0.000 overseas sovereign debt 0.000 other overseas issued securities 0.000 long-term (residual maturity > 1 year) 0.000 NZ government issued (excl local) 0.000 NZ bank issued 0.000 other NZ issued securities 0.000 overseas sovereign debt 0.000 other overseas issued securities 0.000 listed equities 0.000 NZ resident issued 0.000 overseas issued 0.000 unlisted equities 0.000 NZ resident issued 0.000 overseas issued 0.000 other financial assets (n.e.c.) 0.000 property 0.000 other investments 0.000 Premium debt 0.000 Total insurance assets 0.000 2.4 Provide the closing values below for assets that are not specifically attributed to insurance: $ million Investments not backing insurance liabilities 0.000 cash & deposits fixed interest securities 0.000 short-term (residual maturity ≤ 1 year) 0.000 NZ government issued (excl local) NZ bank issued other NZ issued securities overseas sovereign debt other overseas issued securities long-term (residual maturity > 1 year) 0.000 NZ government issued (excl local) NZ bank issued other NZ issued securities overseas sovereign debt other overseas issued securities listed equities 0.000 NZ resident issued overseas issued unlisted equities 0.000 NZ resident issued overseas issued other financial assets (n.e.c.) property other investments Related party assets Deferred tax assets Current tax assets Intangible assets Other assets Total non-insurance assets 0.000 0.000 Total assets 0.000 Please provide any relevant comments you may have about the information given in the tables above. Life insurance accounting General insurance accounting Insurance or reinsurance in NZ Insurance or reinsurance not in NZ Total (NZ Entity) Primary insurance in NZ Reinsurance inwards NZ Archived

Question 3: Capital 3 3.1 Provide the closing capital values below for your NZ Entity: $ million 0.000 3.2 Provide the reconciliation of capital values below for your NZ Entity: $ million Capital at beginning of period Net profit for period Capital issued during period Dividends, distributions & cancellation of capital during period Capital at end of period 0.000 Please provide any relevant comments you may have about the information given in the tables above. Total capital Declared but unpaid dividends / distributions Qualifying ordinary shares Qualifying preference shares Qualifying reserves Retained earnings Non-controlling interests Capital that does not qualify as capital for solvency Members' funds Head office balance Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Do not consolidate for subsidiaries and associated companies • Report closing values as at report date • Report in New Zealand dollars to three decimal places (e.g. NZ$ 2,530,050 = 2.530) Archived

Question 4: Net profit 4 4.1 Provide general insurance revenue and expenses for your NZ Entity: Property Motor, marine & aviation Liability Other general insurance General ins. adjustment Total (General insurance) $ million $ million $ million $ million $ million $ million Net policy revenue 0.000 gross policy revenue 0.000 outward reinsurance premiums 0.000 Fee revenue 0.000 Reinsurance commission revenue 0.000 Net policy expenses (gross of tax) 0.000 gross early termination benefits 0.000 gross other benefits & claims 0.000 gross other policy expenses 0.000 outward reinsurance claims 0.000 Increase in net policy liabilities (net of RI & tax) 0.000 insurance contracts 0.000 investment contracts 0.000 Increase in policyholder unvested benefit liabilities 0.000 Commission expense 0.000 initial commission 0.000 renewal commission 0.000 Net earned premium 0.000 gross earned premium 0.000 outward reinsurance premiums 0.000 Reinsurance commission revenue 0.000 Net incurred claims 0.000 gross incurred claims - current year 0.000 gross incurred claims - prior years 0.000 reinsurance recoveries - current year 0.000 reinsurance recoveries - prior years 0.000 non-reinsurance recoveries - current year 0.000 non-reinsurance recoveries - prior years 0.000 Underwriting expenses 0.000 commission expenses 0.000 increase in unexpired risk 0.000 decrease in deferred acquisition costs 0.000 other underwriting expenses 0.000 All accounting Investment revenue 0.000 interest, dividends & rent 0.000 realised gains & losses 0.000 unrealised gains & losses 0.000 Other revenue 0.000 Operating expenses 0.000 administration expense 0.000 investment management costs 0.000 Other expenses 0.000 Gross profit 0.000 Tax expense 0.000 Net profit of insurance activities 0.000 4.2 Provide life insurance revenue and expenses for your NZ Entity: Participating Investment linked Other life insurance Life ins. adjustment Total (Life insurance) $ million $ million $ million $ million $ million Net policy revenue 0.000 gross policy revenue 0.000 outward reinsurance premiums 0.000 net policy revenue 0.000 Fee revenue 0.000 Reinsurance commission revenue 0.000 Net policy expenses (gross of tax) 0.000 gross early termination benefits 0.000 gross other benefits & claims 0.000 gross other policy expenses 0.000 outward reinsurance claims 0.000 Increase in net policy liabilities (net of RI & tax) 0.000 insurance contracts 0.000 investment contracts 0.000 Increase in policyholder unvested benefit liabilities 0.000 Commission expense 0.000 initial commission 0.000 renewal commission 0.000 Net earned premium 0.000 gross earned premium 0.000 outward reinsurance premiums 0.000 Reinsurance commission revenue 0.000 Net incurred claims 0.000 gross incurred claims - current year 0.000 gross incurred claims - prior years 0.000 reinsurance recoveries - current year 0.000 reinsurance recoveries - prior years 0.000 non-reinsurance recoveries - current year 0.000 non-reinsurance recoveries - prior years 0.000 Life insurance accounting General insurance accounting Life insurance accounting General insurance accounting Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Do not consolidate for subsidiaries and associated companies • Report revenue and expenses year to date • Adjustment columns should be used to ensure total columns are correct. • Report in New Zealand dollars to three decimal places (e.g. NZ$ 2,530,050 = 2.530) Archived

Underwriting expenses 0.000 commission expenses 0.000 increase in unexpired risk 0.000 decrease in deferred acquisition costs 0.000 other underwriting expenses 0.000 All accounting Investment revenue 0.000 interest, dividends & rent 0.000 realised gains & losses 0.000 unrealised gains & losses 0.000 Other revenue 0.000 Operating expenses 0.000 administration expense 0.000 investment management costs 0.000 Other expenses 0.000 Gross profit 0.000 Tax expense 0.000 Net profit of insurance activities 0.000 4.3 Provide insurance revenue and expenses for your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) $ million $ million $ million $ million $ million $ million $ million $ million Net policy revenue 0.000 gross policy revenue 0.000 outward reinsurance premiums 0.000 net policy revenue 0.000 Fee revenue 0.000 Reinsurance commission revenue 0.000 Net policy expenses (gross of tax) 0.000 gross early termination benefits 0.000 gross other benefits & claims 0.000 gross other policy expenses 0.000 outward reinsurance claims 0.000 Increase in net policy liabilities (net of RI & tax) 0.000 insurance contracts 0.000 investment contracts 0.000 Increase in policyholder unvested benefit liabilities 0.000 Commission expense 0.000 initial commission 0.000 renewal commission 0.000 Net earned premium 0.000 gross earned premium 0.000 outward reinsurance premiums 0.000 Reinsurance commission revenue 0.000 Net incurred claims 0.000 gross incurred claims - current year 0.000 gross incurred claims - prior years 0.000 reinsurance recoveries - current year 0.000 reinsurance recoveries - prior years 0.000 non-reinsurance recoveries - current year 0.000 non-reinsurance recoveries - prior years 0.000 Underwriting expenses 0.000 commission expenses 0.000 increase in unexpired risk 0.000 decrease in deferred acquisition costs 0.000 other underwriting expenses 0.000 All accounting Investment revenue 0.000 interest, dividends & rent 0.000 realised gains & losses 0.000 unrealised gains & losses 0.000 Other revenue 0.000 Operating expenses 0.000 administration expense 0.000 investment management costs 0.000 Other expenses 0.000 Gross profit 0.000 Tax expense 0.000 Net profit of insurance activities 0.000 4.4 Provide revenue and expenses that are not attributed to insurance for your NZ Entity: All accounting Other investment revenue 0.000 interest, dividends & rent realised gains & losses unrealised gains & losses Other revenue Operating expenses 0.000 administration expense investment management costs Other expenses Gross profit 0.000 0.000 Tax expense Net profit 0.000 0.000 Gross profit 0.000 Net profit 0.000 Please provide any relevant comments you may have about the information given in the tables above. Total (NZ Entity) Reinsurance inwards NZ Life insurance accounting General insurance accounting Insurance or reinsurance in NZ Primary insurance in NZ Insurance or reinsurance not in NZ Archived

Question 5: General insurance exposure 5 5.1 Provide the number of policies including riders for your NZ Entity: Domestic property Commercial property Domestic motor Commercial motor Marine & aviation Liability Travel Personal accident Consumer cr. (Non-life) Other general insurance General ins. adjustment Total General number At start of period 0 New business 0 Cancel from inception 0 Additions 0 Voluntary early exit 0 Involuntary early exit 0 End of term exit 0 Subtractions 0 Net transfers 0 Adjustments 0 At end of period 0 5.2 Provide the sum insured for your NZ Entity: Domestic property Commercial property Domestic motor Commercial motor Marine & aviation Liability Travel Personal accident Consumer cr. (Non-life) Other general insurance General ins. adjustment Total General $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Changes in cover 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 5.3 Provide the annual benefit for your NZ Entity: Domestic property Commercial property Domestic motor Commercial motor Marine & aviation Liability Travel Personal accident Consumer cr. (Non-life) Other general insurance General ins. adjustment Total General $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Changes in cover 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 5.4 Provide the annual premium for your NZ Entity: Domestic property Commercial property Domestic motor Commercial motor Marine & aviation Liability Travel Personal accident Consumer cr. (Non-life) Other general insurance General ins. adjustment Total General $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 5.5 Provide the single premium for your NZ Entity: Domestic property Commercial property Domestic motor Commercial motor Marine & aviation Liability Travel Personal accident Consumer cr. (Non-life) Other general insurance General ins. adjustment Total General $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million New business 0.000 Cancel from inception 0.000 Net transfers 0.000 Adjustments 0.000 Total for period 0.000 5.6 Provide the paid benefits and claims for your NZ Entity: Domestic property Commercial property Domestic motor Commercial motor Marine & aviation Liability Travel Personal accident Consumer cr. (Non-life) Other general insurance General ins. adjustment Total General $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Income/annuity 0.000 Lump sum 0.000 Total 0.000 Please provide any relevant comments you may have about the information given in the tables above. Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Adjustment columns should be used to ensure total columns are correct. • Policies covering more than one class of insurance should be recorded in each applicable class. Include a negative figure in the adjustment column to ensure the summed contribution of the policy is correctly reflected in the total column. Archived

Question 6: Life insurance exposure 6 6.1 Provide the number of policies including riders for your NZ Entity: Par. traditional Par. investment Investment linked Non-par. investment Ind. lump sum death Ind. lump sum TPD Ind. lump sum trauma Grp. lump sum (all) Ind. disability income Grp. disability income Annuity Consumer cr. (Life) Other life insurance Life ins. adjustment Total Life number At start of period 0 New business 0 Cancel from inception 0 Additions 0 Voluntary early exit 0 Involuntary early exit 0 End of term exit 0 Subtractions 0 Net transfers 0 Adjustments 0 At end of period 0 6.2 Provide the sum insured for your NZ Entity: Par. traditional Par. investment Investment linked Non-par. investment Ind. lump sum death Ind. lump sum TPD Ind. lump sum trauma Grp. lump sum (all) Ind. disability income Grp. disability income Annuity Consumer cr. (Life) Other life insurance Life ins. adjustment Total Life $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Changes in cover Net transfers 0.000 Adjustments 0.000 At end of period 0.000 6.3 Provide the annual benefit for your NZ Entity: Par. traditional Par. investment Investment linked Non-par. investment Ind. lump sum death Ind. lump sum TPD Ind. lump sum trauma Grp. lump sum (all) Ind. disability income Grp. disability income Annuity Consumer cr. (Life) Other life insurance Life ins. adjustment Total Life $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Changes in cover Net transfers 0.000 Adjustments 0.000 At end of period 0.000 6.4 Provide the annual premium for your NZ Entity: Par. traditional Par. investment Investment linked Non-par. investment Ind. lump sum death Ind. lump sum TPD Ind. lump sum trauma Grp. lump sum (all) Ind. disability income Grp. disability income Annuity Consumer cr. (Life) Other life insurance Life ins. adjustment Total Life $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 6.5 Provide the single premium for your NZ Entity: Par. traditional Par. investment Investment linked Non-par. investment Ind. lump sum death Ind. lump sum TPD Ind. lump sum trauma Grp. lump sum (all) Ind. disability income Grp. disability income Annuity Consumer cr. (Life) Other life insurance Life ins. adjustment Total Life $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million New business 0.000 Cancel from inception 0.000 Net transfers 0.000 Adjustments 0.000 Total for period 0.000 6.6 Provide the paid benefits and claims for your NZ Entity: Par. traditional Par. investment Investment linked Non-par. investment Ind. lump sum death Ind. lump sum TPD Ind. lump sum trauma Grp. lump sum (all) Ind. disability income Grp. disability income Annuity Consumer cr. (Life) Other life insurance Life ins. adjustment Total Life $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million $ million Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Income/annuity 0.000 Lump sum 0.000 Total 0.000 Please provide any relevant comments you may have about the information given in the tables above. Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Adjustment columns should be used to ensure total columns are correct. • Policies covering more than one class of insurance should be recorded in each applicable class. Include a negative figure in the adjustment column to ensure the summed contribution of the policy is correctly reflected in the total column. Archived

Question 7: Health insurance exposure 7 7.1 Provide the number of policies including riders for your NZ Entity: Surgical only with gap Surgical only without gap Surgical plus medical Medical only & other Health ins. adjustment Total health number At start of period 0 New business 0 Cancel from inception 0 Additions 0 Voluntary early exit 0 Involuntary early exit 0 End of term exit 0 Subtractions 0 Net transfers 0 Adjustments 0 At end of period 0 7.2 Provide the sum insured for your NZ Entity: Surgical only with gap Surgical only without gap Surgical plus medical Medical only & other Health ins. adjustment Total health $ billion $ billion $ billion $ billion $ billion $ billion At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Changes in cover 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 7.3 Provide the annual benefit for your NZ Entity: Surgical only with gap Surgical only without gap Surgical plus medical Medical only & other Health ins. adjustment Total health $ millions $ millions $ millions $ millions $ millions $ millions At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Changes in cover 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 7.4 Provide the annual premium for your NZ Entity: Surgical only with gap Surgical only without gap Surgical plus medical Medical only & other Health ins. adjustment Total health $ million $ million $ million $ million $ million $ million At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 7.5 Provide the single premium for your NZ Entity: Surgical only with gap Surgical only without gap Surgical plus medical Medical only & other Health ins. adjustment Total health $ million $ million $ million $ million $ million $ million New business 0.000 Cancel from inception 0.000 Net transfers 0.000 Adjustments 0.000 Total for period 0.000 7.6 Provide the paid benefits and claims for your NZ Entity: Surgical only with gap Surgical only without gap Surgical plus medical Medical only & other Health ins. adjustment Total health $ million $ million $ million $ million $ million $ million Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Income/annuity 0.000 Lump sum 0.000 Total 0.000 Please provide any relevant comments you may have about the information given in the tables above. Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Adjustment columns should be used to ensure total columns are correct. • Policies covering more than one class of insurance should be recorded in each applicable class. Include a negative figure in the adjustment column to ensure the summed contribution of the policy is correctly reflected in the total column. Archived

Question 8: Other exposure 8 8.1 Provide the number of policies including riders for your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) number At start of period 0 New business 0 Cancel from inception 0 Additions 0 Voluntary early exit 0 Involuntary early exit 0 End of term exit 0 Subtractions 0 Net transfers 0 Adjustments 0 At end of period 0 8.2 Provide the sum insured for your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) $ billion $ billion $ billion $ billion $ billion $ billion $ billion $ billion At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Changes in cover 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 8.3 Provide the annual benefit for your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) $ million $ million $ million $ million $ million $ million $ million $ million At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Changes in cover 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 8.4 Provide the annual premium for your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) $ million $ million $ million $ million $ million $ million $ million $ million At start of period 0.000 New business 0.000 Cancel from inception 0.000 Additions 0.000 Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Subtractions 0.000 Net transfers 0.000 Adjustments 0.000 At end of period 0.000 8.5 Provide the single premium for your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) $ million $ million $ million $ million $ million $ million $ million $ million New business 0.000 Cancel from inception 0.000 Net transfers 0.000 Adjustments 0.000 Total for period 0.000 8.6 Provide the paid benefits and claims for your NZ Entity: General insurance Life insurance Health insurance Primary ins. adjustment Total (Primary ins. NZ) $ million $ million $ million $ million $ million $ million $ million $ million Voluntary early exit 0.000 Involuntary early exit 0.000 End of term exit 0.000 Income/annuity 0.000 Lump sum 0.000 Total 0.000 Please provide any relevant comments you may have about the information given in the tables above. Insurance or reinsurance not in NZ Total (NZ Entity) Primary insurance in NZ Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Adjustment columns should be used to ensure total columns are correct. • Policies covering more than one class of insurance should be recorded in each applicable class. Include a negative figure in the adjustment column to ensure the summed contribution of the policy is correctly reflected in the total column. Insurance or reinsurance in NZ Reinsurance inwards NZ Insurance or reinsurance in NZ Insurance or reinsurance not in NZ Total (NZ Entity) Primary insurance in NZ Reinsurance inwards NZ Insurance or reinsurance in NZ Insurance or reinsurance not in NZ Total (NZ Entity) Primary insurance in NZ Reinsurance inwards NZ Insurance or reinsurance in NZ Insurance or reinsurance not in NZ Total (NZ Entity) Primary insurance in NZ Reinsurance inwards NZ Insurance or reinsurance in NZ Insurance or reinsurance not in NZ Total (NZ Entity) Primary insurance in NZ Reinsurance inwards NZ Insurance or reinsurance in NZ Insurance or reinsurance not in NZ Total (NZ Entity) Primary insurance in NZ Reinsurance inwards NZ Archived

Question 9: General insurance incurred claims development 9 9.1 Provide gross claims cost by accident year: 3 years prior 2 years prior 1 year prior Current year 30-Jun-14 N/A 0.000 9.2 Provide reinsurance and recoveries cost by accident year: 3 years prior 2 years prior 1 year prior Current year 00-Jan-00 30-Jun-14 N/A 0.000 9.3 Provide net claims cost by accident year: 3 years prior 2 years prior 1 year prior Current year 00-Jan-00 30-Jun-14 N/A 0.000 N/A N/A 0.000 0.000 N/A 0.000 Please provide any relevant comments you may have about the information given in the tables above. Total all years older years (with outstanding claims) Total all years Accident year current year 1 year prior 2 years prior current year 1 year prior 2 years prior 3 years prior older years (with outstanding claims) Ultimate cost estimated as at balance dates General insurance Ultimate cost estimated as at balance dates General insurance Ultimate cost estimated as at balance dates General insurance 3 years prior Accident year current year 1 year prior 2 years prior 3 years prior older years (with outstanding claims) Total all years Accident year Only complete this question when reporting for a full year Notes • Report based on your NZ Entity. That is your NZ incorporated company or mutual, or NZ branch, or NZ business of Lloyd's • Do not consolidate for subsidiaries and associated companies • Report in New Zealand dollars to three decimal places (e.g. NZ$ 2,530,050 = 2.530) Archived

Summary $NZ millions 0.000 Total NZ Entity Total insurance assets Net profit (year to date) Total capital Non-reinsurance recoveries Reinsurance of unearned premiums Deferred acquisition costs Investments backing insurance liabilities Total assets Non-insurance assets Reinsurance of outstanding claims Reinsurance of policy liabilities Tax on policy liabilities Notes • These are unconsolidated totals. • Do not try to enter any information in to these tables. These are provided for information and checking purposes only The tables below provide a summary of the information that has been provided in this return This can be used to check the information provided at an aggregate level. Total liabilities Total insurance liabilities Unearned premiums Gross outstanding claims Gross policy liabilities Policyholder unvested benefit liabilities Unexpired risk Outward reinsurance liabilities Non-insurance liabilities Archived

Difference #REF! #REF! #REF! #REF! #REF! #REF! Summary validation (to be completed) The section summarises all of the validation checks that have appeared throughout the return. Use this to check that the data provided is consistent. If any cells are highlighted red below please check the associated tables before submitting the data. Archived

1 Comments � � � 2 � � 3 � � If the method of valuation of insurance provisions in the financial statements or accounts is inconsistent with both life insurance accounting methods and general insurance accounting methods then please provide an explanation of the method used. Accounting standards and methods If the information in this return is not presented using NZ IFRS (NZ version of International Financial Reporting Standards) or NZ GAAP (NZ generally accepted accounting practices) then please provide an explanation of the accounting method used. Change of business details If the legal name of this business has changed during the period please provide details of the new name below: Please provide details below concerning any changes in practice (such as accounting standards e.g. adoption of NZ IFRS, changes in types or classes of business, transfer or reissue of policies to or from another insurer, changes in non￾insurance activities): Please provide details below concerning any revisions made to data previously provided: Comments and Sign-off Please provide details below concerning any significant variances in the data provided (such as one-off business factors): If the address of this business has changed during the period please provide details of the new address below: Archived

4 �

� ��� 5 � hours minutes 6 �

7 � � � Contacts 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/ Submitting the form Supporting working files or other materials can also be submitted using the secure upload facility. Please provide the names and details of contacts as specified below: Primary contact for Reserve Bank Secondary contact Phone:

Name: Email: Time taken CEO sign-off I confirm that, to the best of my knowledge and having made appropriate enquiries, the information in this return complies with all instructions of the Reserve Bank, is complete and consistent with the records of the insurer. Name: Date: Please record how long it took you (and any other employees) to read the instructions, collect the information and answer this questionnaire. Archived