Draft Decision on Reinsurance Broker Activity Statement Forms

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

[Logo of the Central Bank of Jordan]

Number: 10 / 2 / 1614
Date: 19 / 10 / 1444
Corresponding to: 9 / 5 / 2023

Dear Esteemed Reinsurance Brokers,

Subject: Draft Decision on Reinsurance Broker Activity Statement Forms

Greetings,

We enclose for your kind review the draft decision on Reinsurance Broker Activity Statement Forms, and request that you provide us with your comments, if any, within two weeks from the date of this letter.

Please accept our highest respect.

The Governor
Dr. Adel Al-Sharqas

Enclosure/
Copy to: Esteemed Insurance Companies

Form (1-1) 17/10/2022
P.O. Box 37 • Amman 11118 Jordan • Phone 4630301 Fax 4638889 • Website: www.cbj.gov.jo • Email: info@cbj.gov.jo

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[Logo of the Central Bank of Jordan]

Central Bank of Jordan
Form No. (1-1) Statement of Reinsurance Brokerage Activities for Each General Insurance Branch

Name of Reinsurance Broker: ....................................
Name of Insurance Company: ....................................
For the period from .................... / .................... to .................... / ....................

General Insurance Branches	Number of Contracts	Sum Insured	Basic Premium	Total Premium	% of Premium Reinsured via Reinsurance Broker	Premium Reinsured via Reinsurance Broker	Commission Rate	Reinsurance Broker Commission
Accident Insurance
Medical 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
Surety Bonds Insurance
Various Financial Loss Insurance
Legal Expenses Insurance
Assistance Insurance
Total

Note:
1- The term "Total Premium" refers to the value of the Basic Premium plus any additional fees such as (issuance fees, stamps, taxes, etc.). 2- The statement is submitted for each insurance company dealt with, and is aggregated for reinsurance brokerage activities with all insurance companies.

Date: ....................
Name of Reinsurance Broker: ....................
Signature: ....................
Registration Number: ....................

CBJ/Reinsurance broker/F1-1/V1

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[Logo of the Central Bank of Jordan]

Central Bank of Jordan
Form No. (1-2) Statement of Reinsurance Brokerage Activities for Each Life Insurance Branch

Name of Reinsurance Broker: ....................................
Name of Insurance Company: ....................................
For the period from .................... / .................... to .................... / ....................

Life Insurance Branches	Number of Contracts	Sum Insured	Basic Premium	Total Premium	% of Premium Reinsured via Reinsurance Broker	Premium Reinsured via Reinsurance Broker	Commission Rate	Reinsurance Broker Commission
Life Insurance
Marriage and Birth Insurance
Life Annuities Insurance
Investment-Linked Insurance
Permanent Health Insurance
Group Pension Funds Management Branch
Supplementary Insurance (Personal Accident Insurance)
Medical Insurance
Total

Note:
1- The term "Total Premium" refers to the value of the Basic Premium plus any additional fees such as (issuance fees, stamps, taxes, etc.). 2- The statement is submitted for each insurance company dealt with, and is aggregated for reinsurance brokerage activities with all insurance companies.

Date: ....................
Name of Reinsurance Broker: ....................
Signature: ....................
Registration Number: ....................

CBJ/Reinsurance broker/F1-2/V1