Draft Decision on Models of Statements of Activities for Banks Licensed to Conduct Bancassurance Activities

In the name of Allah, the Most Gracious, the Most Merciful

Central Bank of Jordan

No.: 114 / 1 / 8609
Date: 19 / 9 / 1444 AH
Corresponding to: 9 / 4 / 2023 AD

To the Licensed Banks Practicing Bancassurance Activities,

Subject: Draft Decision on Models of Statements of Activities for Banks Licensed to Conduct Bancassurance Activities

Greetings,

Attached is the draft decision on models of statements of activities for banks licensed to conduct bancassurance activities, 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 respect.

Governor
Dr. Adel Al-Sharkas

Enclosure/
Copy/ To the Esteemed Insurance Companies

Form (12/12-14)
P.O. Box 37 • Amman 11118 Jordan • Phone 4630301 • Fax 4638889 • Website: www.cbj.gov.jo • Email: info@cbj.gov.jo

*

Form No. (1) - Statement of Activities Conducted by the Bank on Behalf of the Insurance Company General Insurance Activities

Bank Name: ........
Registration No.: ........
Insurance Company Name: ........
Quarter: ........ for the year ........

Branches	Insurance Amount	Basic Premium	Current Period (Total Premium)	Current Period (Total Commissions)	Comparative Period from Previous Year (Total Premium)	Comparative Period from Previous Year (Total Commissions)
Accident Insurance
Motor Vehicle Insurance
Railway Rolling Stock and Buses Insurance
Aircraft Insurance
Marine Insurance
Cargo in Transit Insurance
Fire and Natural Perils Insurance
Other Property Damage Insurance
Motor Vehicle Liability Insurance
Aircraft Liability Insurance
Marine Liability Insurance
General Liability Insurance
Credit Insurance
Various Financial Loss Insurance
Legal Expenses Insurance
Assistance Insurance
Total

Bank Signature and Stamp
Date:

CBJ/Banassurance/F1/V1

*

Form No. (2) - Statement of Activities Conducted by the Bank on Behalf of the Insurance Company Life Insurance Activities

Bank Name: ........
Registration No.: ........
Insurance Company Name: ........
Quarter: ........ for the year ........

Branches	Insurance Amount	Basic Premium	Current Period (Total Premium)	Current Period (Total Commissions)	Comparative Period from Previous Year (Total Premium)	Comparative Period from Previous Year (Total Commissions)
Life Insurance
Life Payouts Insurance
Investment-Linked Insurance
Permanent Health Insurance
Management of Collective Pension Funds
Supplementary Insurance (Personal Accident Insurance)
Medical Insurance
Total

Bank Signature and Stamp
Date:

3J/Banassurance/F2/V1