2025-01-02

Added · Updated

Appendix 1 - Supervisory Forms in Accordance with IFRS 4 for 2024

The Central Bank mandates the use of specific supervisory reporting templates for insurance companies to ensure compliance with IFRS 4 for the 2024 reporting period. The document prescribes standardized formats for consolidated and unconsolidated financial statements, including the statement of financial position, income statement, and comprehensive income. It further requires detailed underwriting revenue, claims cost, and profit accounts segmented by life insurance and general insurance business lines. These forms must be completed with current and previous year data to facilitate regulatory oversight of insurers' financial positions and operational performance.

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Appendix No. (1)

Company: ..................................

As of 31/12/20xx


Form No. (1-A)

Company xxx
Consolidated Statement of Financial Position as of
AssetsCurrent YearPrevious Year
Deposits with banks
Financial assets at fair value through profit or loss
Financial assets at fair value through other comprehensive income
Financial assets at amortized cost
Investments in associates
Investments in subsidiaries and associates (in unconsolidated statements only)
Investment property
Right-of-use assets
Loans to life policyholders and others
Total investments
Cash in hand and at banks
Receivables and cheques for collection
Debtors - net
Reinsurers' share - receivable
Deferred tax assets
Property and equipment - net
Intangible assets
Other assets
Total Assets
Liabilities and Equity
Liabilities
Unearned premium reserve - net
Unexpired risk reserve - net
Claims reserve - net
Actuarial reserve - net
Total insurance contract liabilities
Creditors banks
Creditors
Accrued expenses
Reinsurers' share - payable
Various provisions
Income tax provision
Loans
Deferred tax liabilities
Other liabilities
Subordinated loans
Total Liabilities
Equity
Authorized and paid-up capital
Less: Treasury shares
Share premium (discount)
Mandatory reserve
Voluntary reserve
Special reserve
Foreign currency translation differences
Fair value reserve
Profit (loss) for the year after tax
Retained earnings (accumulated losses)
Total Shareholders' Equity
Non-controlling interests
Total Equity
Total Liabilities and Equity

Form No. (1-B)

Company xxx
Statement of Financial Position for Life Insurance Business as of
AssetsCurrent YearPrevious Year
Deposits with banks
Financial assets at fair value through profit or loss
Financial assets at fair value through other comprehensive income
Financial assets at amortized cost
Investments in associates
Investments in subsidiaries and associates (in unconsolidated statements only)
Investment property
Loans to life policyholders and others
Total investments
Cash in hand and at banks
Receivables and cheques for collection
Debtors - net
Reinsurers' share - receivable
Deferred tax assets
Property and equipment - net
Intangible assets
Other assets
Total Assets
Liabilities and Equity
Liabilities
Unearned premium reserve - net
Unexpired risk reserve - net
Claims reserve - net
Actuarial reserve - net
Total insurance contract liabilities
Creditors banks
Creditors
Accrued expenses
Reinsurers' share - payable
Various provisions
Income tax provision
Loans
Deferred tax liabilities
Other liabilities
Subordinated loans
Total Liabilities
Shareholders' Equity
Authorized and paid-up capital
Less: Treasury shares
Share premium (discount)
Mandatory reserve
Voluntary reserve
Special reserve
Foreign currency translation differences
Fair value reserve
Profit (loss) for the year after tax
Retained earnings (accumulated losses)
Total Shareholders' Equity
Non-controlling interests
Total Equity
Total Liabilities and Equity

Form No. (2)

Income Statement for the Year Ended
ItemCurrent YearPrevious Year
Revenues
Gross premiums written
Less: Reinsurers' share
Net premiums written
Net change in unearned premium reserve
Net change in unexpired risk reserve
Net change in actuarial reserve
Net earned premiums
Commission income
Insurance contract issuance fees
Interest income
Net gains (losses) on financial assets and investments
Other income
Total Revenues
Claims, Losses, and Expenses
Claims paid
Policy claims and settlements
Less: Recoveries
Less: Reinsurers' share
Net claims paid
Net change in claims reserve
Allocated employee expenses
Allocated administrative and general expenses
Loss ratio adjustments
Policy acquisition costs
Other underwriting-specific expenses
Net claims burden
Unallocated employee expenses
Depreciation and amortization
Unallocated administrative and general expenses
Provision for bad debts
Amortization/provision/impairment loss on financial assets at amortized cost
Impairment loss on investment property
Impairment loss on property and equipment
Other expenses
Total Expenses
Dividends from subsidiaries and associates (subsidiaries shown in unconsolidated financial statements)
Profit (Loss) before Tax
Income tax
Net Profit (Loss) for the Year
Attributable to:
Shareholders of the Company
Non-controlling interests
Earnings (Loss) per Share

Form No. (3)

Statement of Comprehensive Income for the Period Ended
Current YearPrevious Year
Profit / Loss for the Year
Add: Other Comprehensive Income items:
Foreign currency translation differences
Change in fair value
Gain (loss) on sale of financial assets at fair value through other comprehensive income
Total Other Comprehensive Income Items
Total Comprehensive Income for the Year
Attributable to:
Shareholders of the Company
Non-controlling interests

Form No. (4)

Statement of Changes in Equity for the Period Ended
Paid-up CapitalTreasury SharesShare Premium (Discount)Mandatory ReserveVoluntary ReserveSpecial ReserveFair Value ReserveForeign Currency Translation DifferencesRetained Earnings (Losses)TotalNon-controlling Interests
Opening Balance
Effect of applying new and amended standards
Adjusted Opening Balance
Profit (Loss) for the Year
Foreign currency translation differences
Change in fair value
Gain (loss) on sale of financial assets at fair value through other comprehensive income
Total Comprehensive Income
Increase in Capital
Transfers from Reserves
Dividends Distributed
Treasury Shares (at cost)
Closing Balance
Year ............
Opening Balance
Effect of applying new and amended standards
Adjusted Opening Balance
Profit (Loss) for the Year
Foreign currency translation differences
Change in fair value
Gain (loss) on sale of financial assets at fair value through other comprehensive income
Total Comprehensive Income
Increase in Capital
Transfers from Reserves
Dividends Distributed
Treasury Shares (at cost)
Closing Balance
  • This item includes unrealized profits amounting to ..... JD, the disposal of which is prohibited in accordance with Central Bank instructions. ** Of the retained earnings, an amount of ..... JD as of ..... is restricted in disposal in accordance with Central Bank instructions.

Form No. (5)

| Underwriting Revenue Account for Life Insurance Business for the Year Ended | | | | | | | | | | | | | | | | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | Life | | Marriage & Birth | | Life Pensions | | Investment-Linked | | General Health | | Social Pension Fund Management | | Additional Insurance | | Total | | | | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | | Premiums Written | | | | | | | | | | | | | | | | | | Incoming Voluntary Reinsurance | | | | | | | | | | | | | | | | | | Total Premiums | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | External Reinsurance Premiums | | | | | | | | | | | | | | | | | | Net Premiums | | | | | | | | | | | | | | | | | | Add | | | | | | | | | | | | | | | | | | Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | Net Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Actuarial Reserve | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | Net Actuarial Reserve | | | | | | | | | | | | | | | | | | Net change in unexpired risk reserve | | | | | | | | | | | | | | | | | | Net Earned Premiums from Written Premiums | | | | | | | | | | | | | | | | |


Form No. (6)

| Claims Cost Account for Life Insurance Business for the Period Ended | | | | | | | | | | | | | | | | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | Life | | Marriage & Birth | | Life Pensions | | Investment-Linked | | General Health | | Social Pension Fund Management | | Additional Insurance | | Total | | | | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | | Claims Paid | | | | | | | | | | | | | | | | | | Policy Claims and Settlements | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Recoveries | | | | | | | | | | | | | | | | | | Local Reinsurers' Share | | | | | | | | | | | | | | | | | | External Reinsurers' Share | | | | | | | | | | | | | | | | | | Net Claims Paid | | | | | | | | | | | | | | | | | | Add | | | | | | | | | | | | | | | | | | End-of-Period Claims Reserve | | | | | | | | | | | | | | | | | | Reported | | | | | | | | | | | | | | | | | | Unreported | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | Reported | | | | | | | | | | | | | | | | | | Unreported | | | | | | | | | | | | | | | | | | Net End-of-Period Claims Reserve | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Beginning-of-Period Claims Reserve | | | | | | | | | | | | | | | | | | Reported | | | | | | | | | | | | | | | | | | Unreported | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | Reported | | | | | | | | | | | | | | | | | | Unreported | | | | | | | | | | | | | | | | | | Net Beginning-of-Period Claims Reserve | | | | | | | | | | | | | | | | | | Net Claims Cost | | | | | | | | | | | | | | | | |

Note: Only the portion retained by the company in its books is reported for co-insurance.


Form No. (7)

| Underwriting Profit (Loss) Account for Life Insurance Business for the Year Ended | | | | | | | | | | | | | | | | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | Life | | Marriage & Birth | | Life Pensions | | Investment-Linked | | General Health | | Social Pension Fund Management | | Additional Insurance | | Total | | | | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | | Net Earned Premiums from Written Premiums | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Net Claims Cost | | | | | | | | | | | | | | | | | | Add | | | | | | | | | | | | | | | | | | Authorized Commissions | | | | | | | | | | | | | | | | | | Insurance Contract Issuance Fees | | | | | | | | | | | | | | | | | | Investment Income Attributable to Underwriting Accounts | | | | | | | | | | | | | | | | | | Other Income | | | | | | | | | | | | | | | | | | Total Revenues | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Policy Acquisition Costs | | | | | | | | | | | | | | | | | | Loss Ratio Adjustments | | | | | | | | | | | | | | | | | | Administrative Expenses Specific to Underwriting Accounts | | | | | | | | | | | | | | | | | | Other Expenses | | | | | | | | | | | | | | | | | | Total Expenses | | | | | | | | | | | | | | | | | | Underwriting Profit (Loss) | | | | | | | | | | | | | | | | |


Form No. (8)

| Underwriting Revenue Account for General Insurance Business for the Year Ended | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | Vehicles | | Fire & Other Damages | | Aviation | | Accidents & Other Liabilities | | Liability | | Credit & Surety | | Medical | | Other Branches | | Total | | | | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | | Premiums Written | | | | | | | | | | | | | | | | | | Direct Business | | | | | | | | | | | | | | | | | | Incoming Voluntary Reinsurance | | | | | | | | | | | | | | | | | | Total Premiums | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Local Reinsurance Premiums | | | | | | | | | | | | | | | | | | External Reinsurance Premiums | | | | | | | | | | | | | | | | | | Net Premiums | | | | | | | | | | | | | | | | | | Add | | | | | | | | | | | | | | | | | | Opening Balance | | | | | | | | | | | | | | | | | | Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | Net Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Closing Balance | | | | | | | | | | | | | | | | | | Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | Net Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Net Unexpired Risk Reserve | | | | | | | | | | | | | | | | | | Change in Unexpired Risk Reserve | | | | | | | | | | | | | | | | | | Net Earned Premiums from Written Premiums | | | | | | | | | | | | | | | | |

Note: Only the portion retained by the company in its books is reported for co-insurance.


Form No. (9)

| Claims Cost Account for General Insurance Business for the Period Ended | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | Vehicles | | Fire & Other Damages | | Aviation | | Accidents & Other Liabilities | | Liability | | Credit & Surety | | Medical | | Other Branches | | Total | | | | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | | Claims Paid | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Recoveries | | | | | | | | | | | | | | | | | | Local Reinsurers' Share | | | | | | | | | | | | | | | | | | External Reinsurers' Share | | | | | | | | | | | | | | | | | | Net Claims Paid | | | | | | | | | | | | | | | | | | Add | | | | | | | | | | | | | | | | | | End-of-Period Claims Reserve | | | | | | | | | | | | | | | | | | Reported | | | | | | | | | | | | | | | | | | Unreported | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Reinsurers' Share | | | | | | | | | | | | | | | | | | Reported | | | | | | | | | | | | | | | | | | Unreported | | | | | | | | | | | | | | | | | | Net End-of-Period Claims Reserve | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Beginning-of-Period Claims Reserve | | | | | | | | | | | | | | | | | | Reported | | | | | | | | | | | | | | | | | | Unreported | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Reinsurers' Share | | | | | | | | | | | | | | | | | | Reported | | | | | | | | | | | | | | | | | | Unreported | | | | | | | | | | | | | | | | | | Net Beginning-of-Period Claims Reserve | | | | | | | | | | | | | | | | | | Net Claims Cost | | | | | | | | | | | | | | | | |

Note: Only the portion retained by the company in its books is reported for co-insurance.


Form No. (10)

| Underwriting Profit (Loss) Account for General Insurance Business for the Period Ended | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | Vehicles | | Fire & Other Damages | | Aviation | | Accidents & Other Liabilities | | Liability | | Credit & Surety | | Medical | | Other Branches | | Total | | | | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | | Net Earned Premiums from Written Premiums | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Net Claims Cost | | | | | | | | | | | | | | | | | | Add | | | | | | | | | | | | | | | | | | Authorized Commissions | | | | | | | | | | | | | | | | | | Insurance Contract Issuance Fees | | | | | | | | | | | | | | | | | | Investment Income Attributable to Underwriting Accounts | | | | | | | | | | | | | | | | | | Other Income | | | | | | | | | | | | | | | | | | Total Revenues | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Policy Acquisition Costs | | | | | | | | | | | | | | | | | | Loss Ratio Adjustments | | | | | | | | | | | | | | | | | | Administrative Expenses Specific to Underwriting Accounts | | | | | | | | | | | | | | | | | | Other Expenses | | | | | | | | | | | | | | | | | | Total Expenses | | | | | | | | | | | | | | | | | | Underwriting Profit (Loss) | | | | | | | | | | | | | | | | |


Form No. (8)

| Underwriting Revenue Account for Life Insurance Business for the Year Ended | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | Vehicles | | Fire & Other Damages | | Aviation | | Accidents & Other Liabilities | | Liability | | Credit & Surety | | Medical | | Other Branches | | Total | | | | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | | Premiums Written | | | | | | | | | | | | | | | | | | Direct Business | | | | | | | | | | | | | | | | | | Incoming Voluntary Reinsurance | | | | | | | | | | | | | | | | | | Total Premiums | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Local Reinsurance Premiums | | | | | | | | | | | | | | | | | | External Reinsurance Premiums | | | | | | | | | | | | | | | | | | Net Premiums | | | | | | | | | | | | | | | | | | Add | | | | | | | | | | | | | | | | | | Opening Balance | | | | | | | | | | | | | | | | | | Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | Net Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | Closing Balance | | | | | | | | | | | | | | | | | | Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | Net Unearned Premium Reserve | | | | | | | | | | | | | | | | | | Net Unexpired Risk Reserve | | | | | | | | | | | | | | | | | | Change in Unexpired Risk Reserve | | | | | | | | | | | | | | | | | | Net Earned Premiums from Written Premiums | | | | | | | | | | | | | | | | |

Note: Only the portion retained by the company in its books is reported for co-insurance.


Form No. (11)

| Underwriting Revenue Details for Vehicle Insurance Business for the Year Ended | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | Local | | | | | | | | Border Centers | | | | | | | | | Total | | | | Third Party | | Comprehensive | | Supplementary | | Total | | Third Party | | Comprehensive | | Supplementary | | Total | | Current Year | Previous Year | | | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | Current Year | Previous Year | | | | Premiums Written | | | | | | | | | | | | | | | | | | | | Direct Business | | | | | | | | | | | | | | | | | | | | Incoming Voluntary Reinsurance | | | | | | | | | | | | | | | | | | | | Total Premiums | | | | | | | | | | | | | | | | | | | | Less | | | | | | | | | | | | | | | | | | | | Local Reinsurance Premiums | | | | | | | | | | | | | | | | | | | | External Reinsurance Premiums | | | | | | | | | | | | | | | | | | | | Net Premiums | | | | | | | | | | | | | | | | | | | | Add | | | | | | | | | | | | | | | | | | | | Opening Balance | | | | | | | | | | | | | | | | | | | | Unearned Premium Reserve | | | | | | | | | | | | | | | | | | | | Less: Reinsurers' share | | | | | | | | | | | | | | | | | | |