Notice on Filing Annual Returns and Documents for Québec Life and Health Insurers – Fiscal Year Ending December 31, 2021

[Translation]
Notice relating to the filing of the annual return and other documents for the fiscal year ending December 31, 2021 – Insurers of persons (life and health insurers) authorized to carry on activities in Québec Under the Insurers Act, CQLR, c. A-32.1 (the « Act »), every authorized insurer must prepare and send the Autorité des marchés financiers (the « AMF»), according to the form, content and date the AMF determines, the documents and information provided under the Act or requested by the AMF (the « required documents and information »). All required documents and information must be filed electronically via AMF E-Services. See the Appendices attached to this Notice detailing specific requirements for the documents to be filed for the fiscal year ending December 31, 2021. A complete set of the signed documents must be kept at the insurer’s premises so that they are available for examination by the AMF, if necessary. Monetary administrative penalties We remind you that each insurer is responsible for ensuring that the AMF receives, on the dates it determines, all required documents and information. Pursuant to sections 491 and following of the Act, monetary administrative penalties may be imposed if an authorized insurer fails to send the required documents and information to the AMF or if they are incomplete or filed late or if it refuses to communicate or provide access to the documents. Electronic submission of financial returns and other documents The E-Services Disclosure Guide (Insurers) explains the procedure for submitting files via AMF E-Services and provides instructions for, among other things, naming files. The guide is available on the AMF website at:
https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ Please note that the E-Services Disclosure Guide (Insurers) does not list all the required documents and information or the dates by which they are to be filed. Further information :
For further information, send an e-mail to Info-Divulgations@lautorite.qc.ca. December 16, 2021

INSURERS AND REINSURERS OF PERSONS
AUTHORIZED TO CARRY ON ACTIVITIES IN QUÉBEC
DOCUMENTS REQUIRED FOR FISCAL YEAR ENDING DECEMBER 31, 2021
APPENDIX 1
Return
Code File Format
Deadline
Number of days following the fiscal year end / Due date

1. LIFE Annual Return.

• Excel 60 days

2. LIFE Annual Return, duly signed.

• Duly signed Affidavit verifying Annual Return - Directors (page 10.005)
• Annual corporate information (pages 10.010 to 10.014)
• Corporate organization chart (page 10.040)
• Statement of cash flows (page 20.050)
• Notes to the audited financial statements (page 20.060)
• Duly signed independent auditor's report to AMF covering pages 20.010 through 20.060
  and 60.010 (page 20.070)
• Duly signed appointed actuary's Certificate (page 20.085)

3. Attestation of Compliance of Versions - Annual Return, duly signed.
   https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ (Forms and instructions)
4. Business Plan for the year 2022, including a forecast of the Balance Sheet and the Income Statement.
   190 PDF 60 days
5. Audited financial statements presented to shareholders or members, duly signed.
   (« Official » version) 200 Searchable
   PDF file 60 days
6. Annual report prepared for shareholders or members as soon as possible.
   (if applicable) 200 PDF
7. Non-consolidated financial statement of the insurer, subsidiaries, associates and joint ventures in which
   the insurer holds an interest. (if applicable) 300 PDF 60 days
8. Appointed actuary’s report on policy liabilities, including certificate, duly signed.
   (The actuary’s guide is available on the AMF website) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/
9. Excel file - Report on policy liabilities.
   (The file is available on the AMF website) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/
10. Peer review - Appointed actuary's report. (if applicable)
    440 PDF Note 1
11. Financial Condition Testing report - FCT, duly signed.
    (The actuary’s guide will be available on the AMF website by March 2022.) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/
12. Excel File - Financial Condition Testing report - FCT.
    (The file will be available on the AMF website by March, 2022.) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/
13. Peer review - FCT (if applicable).
    520 PDF Note 1
14. Capital Adequacy Requirements - Life and Health Insurance (CARLI)

• Excel 60 days

15. Capital Adequacy Requirements - Life and Health Insurance (CARLI), duly signed.
    It must include the independent auditor's report.*
16. Attestation of Compliance of Versions - CARLI, duly signed.
    (The Attestation must be dated and signed further to the issue of the auditor's report.) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ (Forms and instructions)
17. Appointed actuary’s report on Capital Adequacy Requirements Guideline, duly signed.
    720 PDF 60 days
18. Peer review - CARLI. (if applicable)
    735 PDF Note 1
19. Ethics committee report, duly signed.
    760 PDF 60 days

• PDF
  710 PDF
• PDF 90 days
  510 Excel December 31, 2022
  Note 1 : 30 days after transmission to the Audit Committee.
  Business Corporation, Mutual company and Mutual benefit association QUÉBEC CHARTER 500 60 days Searchable PDF file 110 PDF 60 days 420 Excel 60 days December 31, 2022 400 Searchable PDF file 60 days 90 days The CARLI ratios should be audited annually by the auditor charged with the functions provided for in Chapter VII of Title II of the Insurers Act, CQLR,
  c. A-32.1. The audit report on the CARLI ratios should be separate from the auditor’s report accompanying the Life annual return filed with the AMF. The
  audit should be conducted in accordance with the standards for audit engagements established by the Canadian Auditing and Assurance Standards Board. The auditor’s opinion should address compliance with the CARLI guideline as at the time the CARLI ratios presented on page 10.100 of the CARLI return are determined.

INSURERS AND REINSURERS OF PERSONS
AUTHORIZED TO CARRY ON ACTIVITIES IN QUÉBEC
DOCUMENTS REQUIRED FOR FISCAL YEAR ENDING DECEMBER 31, 2021
APPENDIX 1
Return
Code File Format
Deadline
Number of days following the fiscal year end / Due date

1. S-20 Annual Return.
   Hyperlink to instructions and updated form:
   https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ (Forms and instructions)
2. S-20 Annual Return, duly signed.

• Annual corporate information (pages 0100 to 0140)
• Duly signed independent auditor's report to AMF (page 0600)
• Duly signed appointed actuary's report (page 0900)
• Duly signed Certification by directors (page 1000)

3. Attestation of Compliance of Versions - S-20 Form, duly signed.
   https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ (Forms and instructions)
4. Annual report or Audited financial statements presented to members, duly signed.
   (« Official » version) 200 Searchable
   PDF file 60 days
5. Appointed actuary’s report on policy liabilities, including certificate, duly signed.
   400 Searchable
   PDF file 60 days
6. Amended or new reinsurance agreements.
   580 PDF 60 days

• PDF 60 days
  Funeral Insurance Companies
• Excel 60 days
  110 PDF 60 days
  QUÉBEC CHARTER

INSURERS AND REINSURERS OF PERSONS
AUTHORIZED TO CARRY ON ACTIVITIES IN QUÉBEC
DOCUMENTS REQUIRED FOR FISCAL YEAR ENDING DECEMBER 31, 2021
APPENDIX 2
Return
Code
File
Format
Deadline
Number of days following the fiscal year end / Due date

1. LIFE Annual Return.

• Excel 60 days

2. LIFE Annual Return, duly signed.

• Duly signed Affidavit verifying Annual Return - Officers (page 10.000)
• Duly signed Affidavit verifying Annual Return - Directors (page 10.005)
• Annual corporate information (pages 10.010 to 10.014)
• Corporate organization chart (page 10.040)
• Statement of cash flows (page 20.050)
• Notes to the audited financial statements (page 20.060)
• Duly signed independent auditor's report to primary regulator covering pages 20.010 through
  20.060 and 60.010 (page 20.070)
• Duly signed appointed actuary's Report (page 20.080)

3. Attestation of Compliance of Versions - Annual Return, duly signed.
   https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ (Forms and instructions)
4. Business Plan for the year 2022, including a forecast of the Balance Sheet and the Income Statement.
   190 PDF 60 days
5. Audited financial statements presented to shareholders or members, duly signed.
   (« Official » version) 200 Searchable
   PDF file 60 days
6. Annual report prepared for shareholders or members as soon as possible. (if applicable)
   200 PDF
7. Appointed actuary’s report on policy liabilities, including certificate, duly signed.
   400 Searchable
   PDF file 60 days
8. Excel file - Report on policy liabilities. (Non-Quebec chartered insurers)
   (The file is available on the AMF website) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/
9. Excel file containing certain data in appointed actuary’s report on policy liabilities.
   (The file that you will submit to your primary regulator.) 420 Excel 60 days
10. Peer review - Appointed actuary's report.
    440 PDF Note 1
11. Financial Condition Testing report - FCT, duly signed.
    500 Searchable
    PDF file December 31, 2022
12. Excel File - Financial Condition Testing report - FCT.
    (The file will be available on the AMF website by March, 2022.) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/
13. Peer review - FCT.
    520 PDF Note 1
14. Life Insurance Capital Adequacy Test (LICAT)

• Excel 60 days

15. Life Insurance Capital Adequacy Test (LICAT), duly signed.
    It must include the independent auditor's report.
16. Attestation of Compliance of Versions - LICAT, duly signed.
    (The Attestation must be dated and signed further to the issue of the auditor's report.) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ (Forms and instructions)
17. Appointed actuary's report on Capital Adequacy Requirements Guideline, duly signed.
    720 PDF 60 days
18. Peer Review - LICAT.
    735 PDF Note 1
    710 PDF 90 days
    CANADIAN CHARTER
    EXTRA-PROVINCIAL CHARTER

• PDF 90 days
  Note 1 : 30 days after transmission to the Audit Committee.
  Excel
• PDF
  410 Excel
  510
  60 days
  December 31, 2022
  Business Corporation, Mutual company and Mutual benefit association 60 days 110 PDF 60 days

INSURERS AND REINSURERS OF PERSONS
AUTHORIZED TO CARRY ON ACTIVITIES IN QUÉBEC
DOCUMENTS REQUIRED FOR THE FISCAL YEAR ENDING DECEMBER 31, 2021
APPENDIX 3
Return
Code File Format
Deadline
Number of days following the fiscal year end / Due date

1. LIFE Annual Return.
   The Excel file must contain the duly signed certification by the Chief Agent in Canada (page 10.002) and the notes to the financial statements, draft version (if available).
2. LIFE Annual Return, duly signed.

• Duly signed Affidavit verifying Annual Return - Chief Agent in Canada (page 10.002)
• Duly signed Affidavit - President/Chief Executive Officer (page 10.004)
• Annual corporate information (pages 10.010 to 10.012)
• Corporate organization chart (page 10.040)
• Statement of cash flows (page 20.050)
• Notes to the audited financial statements (page 20.060)
• Duly signed independent auditor's report to primary regulator covering pages 20.010 through
  20.060 and 60.010 (page 20.070)
• Duly signed appointed actuary's Report (page 20.080)

3. Attestation of Compliance of Versions - Annual Return, duly signed.
   (The Attestation must be dated and signed further to the issue of the auditor's report.) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ (Forms and instructions)
4. Business Plan for the year 2022, including a forecast of the Balance Sheet and the Income Statement.
   190 PDF 60 days
5. Audited financial statements on the activities carried on in Québec and/or across Canada, duly signed.
   (« Official » version) 200 PDF May 31, 2022
6. Annual report of the insurer incorporated abroad prepared for shareholders or members as soon as
   possible. (if applicable) 200 PDF
7. Appointed actuary’s report on policy liabilities, including certificate, duly signed.
   400 Searchable
   PDF file 60 days
8. Excel file - Report on policy liabilities. (Non-Quebec chartered insurers)
   (The file is available on the AMF website) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/
9. Excel file containing certain data in appointed actuary’s report on policy liabilities.
   (The file that you will submit to your primary regulator.) 420 Excel 60 days
10. Peer review - Appointed actuary's report.
    440 PDF Note 1
11. Financial Condition Testing report - FCT, duly signed.
    500 Searchable
    PDF file December 31, 2022
12. Excel File - Financial Condition Testing report - FCT.
    (The file will be available on the AMF website by March, 2022.) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/
13. Peer review - FCT.
    520 PDF Note 1
14. Life Insurance Capital Adequacy Test (LICAT)

• Excel 60 days

15. Life Insurance Capital Adequacy Test (LICAT), duly signed.
    It must include the independent auditor's report.
16. Attestation of Compliance of Versions - LICAT, duly signed.
    (The Attestation must be dated and signed further to the issue of the auditor's report.) https://lautorite.qc.ca/en/professionals/insurers/disclosures/insurance-of-persons-life-and-health/ (Forms and instructions)
17. Appointed actuary's report on Capital Adequacy Requirements Guideline, duly signed.
    720 PDF 60 days
18. Peer Review - LICAT.
    735 PDF Note 1
    110 PDF May 31, 2022
    Excel 60 days

• PDF May 31, 2022
  710 PDF May 31, 2022
  Note 1 : 30 days after transmission to the Audit Committee or the Chief Agent in Canada. FOREIGN CHARTER 510 Excel December 31, 2022
• PDF May 31, 2022
  410 Excel 60 days
  Business Corporation, Mutual company and Mutual benefit association -