RegAlertConsultation · CBJ · 9 Feb 2023
Draft Decision on Insurance Broker Business Statement Forms
The Central Bank of Jordan has issued a draft decision on insurance broker business statement forms, dated February 9, 2023, for review by esteemed insurance brokers. The draft includes three forms: Form 1-1 for general insurance business, Form 1-2 for life insurance business, and Form 1-3 for a consolidated summary of brokerage business per insurance company. These forms require details such as the number of contracts, sum insured, basic premium, gross premium, commission rate, and total commissions for various insurance branches. Insurance brokers are invited to provide comments on the draft within two weeks from the letter's date.
In the name of Allah, the Most Gracious, the Most Merciful
CENTRAL BANK OF JORDAN
Number: 1614 / 3 / 1
Date: 19 / 7 / 1444 AH
Corresponding to: 9 / 2 / 2023 AD
Dear Esteemed Insurance Brokers,
Subject: Draft Decision on Insurance Broker Business Statement Forms
Greetings,
Attached herewith is the draft decision on insurance broker business statement forms, for your kind review and to provide us with your comments - if any - within two weeks from the date of this letter.
Please accept our highest regards
Governor
Dr. Adel Al-Sharkas
Attachment/
Copy to/ Esteemed Insurance Companies
P.O. Box 37 • Amman 11118 Jordan • Tel 4630301 • Fax 4638889 • Website: www.cbj.gov.jo • Email: info@cbj.gov.jo
*
CENTRAL BANK OF JORDAN
Form No. (1-1) Statement of Insurance Brokerage Business for Each Insurance Branch - General Insurance
Insurance Broker's Name: ....................................
Insurance Company's Name: ....................................
During the period from .................... to ....................
| General Insurance Branches | Number of Insurance Contracts | Sum Insured | Basic Premium | Gross Premium | Commission Rate | Total Commissions |
|---|---|---|---|---|---|---|
| Accident Insurance | ||||||
| Medical Insurance | ||||||
| Railway and Bus Insurance | ||||||
| Land Motor Vehicle Insurance | ||||||
| Aircraft Insurance | ||||||
| Ship Insurance | ||||||
| Goods in Transit Insurance | ||||||
| Fire and Natural Hazards Insurance | ||||||
| Other Property Damage Insurance | ||||||
| Land Motor Vehicle Liability Insurance | ||||||
| Aircraft Liability Insurance | ||||||
| Ship Liability Insurance | ||||||
| General Liability Insurance | ||||||
| Credit Insurance | ||||||
| Guarantee Insurance | ||||||
| Miscellaneous Financial Loss Insurance | ||||||
| Legal Expenses Insurance | ||||||
| Assistance Insurance | ||||||
| Total |
Note:
1- Gross premium refers to the value of the basic premium plus any additional fees such as (issuance fees, stamps, tax.. etc.). 2- The statement is to be submitted for each insurance company dealt with and in total for all brokerage business with all insurance companies.
Broker's Name: ....................................
Signature: ....................................
Registration Number: ....................................
Date: ....................................
3J/broker/F1-1/V1
*
CENTRAL BANK OF JORDAN
Form No. (1-2) Statement of Insurance Brokerage Business for Each Insurance Branch - Life Insurance
Insurance Broker's Name: ....................................
Insurance Company's Name: ....................................
During the period from .................... to ....................
| Life Insurance Branches | Number of Insurance Contracts | Sum Insured | Basic Premium | Gross Premium | Commission Rate | Total Commissions |
|---|---|---|---|---|---|---|
| Life Insurance | ||||||
| Marriage and Birth Insurance | ||||||
| Life Annuity Insurance | ||||||
| Investment-Linked Insurance | ||||||
| Permanent Health Insurance | ||||||
| Collective Pension Fund Management Branch | ||||||
| Supplementary Insurance (Personal Accident Insurance) | ||||||
| Medical Insurance | ||||||
| Total |
Note:
1- Gross premium refers to the value of the basic premium plus any additional fees such as (issuance fees, stamps, tax.. etc.). 2- The statement is to be submitted for each insurance company dealt with and in total for all brokerage business with all insurance companies.
Broker's Name: ....................................
Signature: ....................................
Registration Number: ....................................
Date: ....................................
IJ/broker/F1-2/V1
*
CENTRAL BANK OF JORDAN
Form No. (1-3) Statement of Brokerage Business Conducted by the Insurance Broker (Total for Each Insurance Company Dealt With, Classified by General Insurance and Life Insurance)
Insurance Broker's Name: ....................................
During the period from .................... to ....................
| Insurance Company | All General Insurance Business Branches | All Life Insurance Business Branches | Total Premiums | Commission Rate | Commission Value | Notes | |
|---|---|---|---|---|---|---|---|
| 1 | |||||||
| 2 | |||||||
| 3 | |||||||
| 4 | |||||||
| 5 | |||||||
| Total | |||||||
| Grand Total | All General Insurance Business Branches | All Life Insurance Business Branches |
Note:
Gross premium refers to the value of the basic premium plus any additional fees such as (issuance fees, stamps, tax .... etc.).
Number of Pages: ....................
Broker: ....................................
Signature: ....................................
Registration Number: ....................................
Date: 2023/03/21
CBJ/broker/F1-3/V1
Note from RegAlert. AI assistants can read this document in full, and search 70,000+ more, through the RegAlert MCP connector (https://mcp.regalert.today/mcp). Free with an account. How to connect ChatGPT, Claude or Cursor.
More like this from CBJ
CBJ published 3 documents in the last 30 days. We email you each new one the day it's published.
Source: Central Bank of Jordan — original document · Summary generated with machine assistance and reviewed before publication; the authoritative text is the regulator's original document. How RegAlert works
In RegAlert: added · updated