"I, (name of actuary), am (title) of (name of company) and a member of the American Academy of Actuaries. I was appointed by, or by the authority of, the Board of Directors of said insurer to render this opinion as stated in the letter to the commissioner dated (insert date). I meet the Academy qualification standards for rendering the opinion and am familiar with the valuation requirements applicable to life and health companies."
For a consulting actuary, the opening paragraph of the actuarial opinion shall contain a sentence such as:
"I, (name and title of actuary), a member of the American Academy of Actuaries, am associated with the firm of (insert name of consulting firm). I have been appointed by, or by the authority of, the Board of Directors of (name of company) to render this opinion as stated in the letter to the commissioner dated (insert date). I meet the Academy qualification standards for rendering the opinion and am familiar with the valuation requirements applicable to life and health insurance companies."
Tabulated below are those reserves and related actuarial items that shall be subjected to asset adequacy analysis.
Asset Adequacy Tested Amounts - Reserves and Liabilities | |||||
Statement Item | Formula Reserves (1) | Additional Actuarial Reserves (a) (2) | Analysis Methods (b) | Other Amount (3) | Total Amount (1)+(2)+(3) (4) |
Exhibit 5 Life Insurance | |||||
Annuities | |||||
Supplementary Contracts with Line Contingencies | |||||
Accidental Death Benefits | |||||
Disability - Active Lives | |||||
Disability - Disabled Lives | |||||
Miscellaneous Reserves | |||||
Total Exhibit 5 (Line 1, Page 3) | |||||
Exhibit 6 Active Life Reserve | |||||
Claim Reserve | |||||
Total Exhibit 6 (Line 2, Page 3) | |||||
Exhibit 7 Premium and Other Deposit Funds (Column 6, Line 14) | |||||
Guaranteed Interest Contracts (Column 2, Line 14) | |||||
Annuities Certain (Column 3, Line 14) | |||||
Supplemental Contracts (Column 4, Line 14) | |||||
Dividend Accumulations or Refunds (Column 5, Line 14) | |||||
Total Exhibit 7 (Line 3, Page 3) | |||||
Exhibit 8 Part 1 1 Life (Line 4.1, Page 3) | |||||
2 Health (Line 4.2, Page 3) | |||||
Total Exhibit 8 Part 1 | |||||
Separate Accounts (Page 3 of the Annual Statement of the Separate Accounts, Lines 1 and 2) | |||||
TOTAL RESERVES |
IMR (General Account, Page _________ Line _________ ) | |
(Separate Accounts, Page _________ Line _________) | |
AVR (Page _________ Line _________) | (c) |
Net Deferred and Uncollected Premium |
Notes:
"I have relied on (name), (title) for (e.g., "anticipated cash flows from currently owned assets, including variations in cash flows according to economic scenarios" or "certain critical aspects of the analysis performed in conjunction with forming my own opinion"), as certified in the attached statement. I have reviewed the information relied upon for reasonableness."
A statement of reliance on other experts shall be accompanied by a statement by each of the experts in the form prescribed by subsection (e) of this section.
"My examination included such review of the actuarial assumptions and actuarial methods and of the underlying basic asset and liability records and such tests of the actuarial calculations as I considered necessary. I also reconciled the underlying basic asset and liability records to (exhibits and schedules listed as applicable) of the company's current annual statement."
"In forming my opinion on (specify types of reserves) I relied upon data prepared by (name and title of company officer certifying in force records or other data) as certified in the attached statements. I evaluated that data for reasonableness and consistency. I also reconciled that data to (exhibits and schedules to be listed as applicable) of the company's current annual statement. In other respects, my examination included review of the actuarial assumptions and actuarial methods used and tests of the calculations I considered necessary."
The section shall be accompanied by a statement by each person relied upon in the form prescribed by subsection (e) of this section.
"In my opinion the reserves and related actuarial values concerning the statement items identified above:
The reserves and related items, when considered in light of the assets held by the company with respect to such reserves and related actuarial items including, but not limited to, the investment earnings on the assets, and the considerations anticipated to be received and retained under the policies and contracts, make adequate provisions, according to presently accepted actuarial standards of practice, for the anticipated cash flows required by the contractual obligations and related expenses of the company.
The actuarial methods, considerations and analyses used in forming my opinion conform to the appropriate Standards of Practice as promulgated by the Actuarial Standards Board, which standards form the basis of this statement of opinion.
(This opinion is updated annually as required by statute. To the best of my knowledge, there have been no material changes from the applicable date of the annual statement to the date of the rendering of this opinion which should be considered in reviewing this opinion.) or (The following material changes which occurred between the date of the statement for which this opinion is applicable and the date of this opinion should be considered in reviewing this opinion: (insert description of the change or changes).
Note: Choose one of the above two paragraphs, whichever is applicable.
The impact of unanticipated events subsequent to the date of this opinion is beyond the scope of this opinion. The analysis of asset adequacy portion of this opinion should be viewed recognizing that the company's future experience may not follow all the assumptions used in the analysis.
________________________________________________ Signature of Appointed Actuary |
________________________________________________ Address of Appointed Actuary |
________________________________________________ Telephone Number of Appointed Actuary |
________________________________________________ Date" |
(1) Product Type | (2) Death Benefit or Account Value | (3) Reserves Held | (4) Codification Reserves | (5) Codification Standard |
Conn. Agencies Regs. § 38a-78-7