N.M. Code R. § 13.18.3.24
Current through Register Vol. 35, No. 11, June 11, 2024
RECONCILIATION REPORT
Name of Insurer: ___________________________________________ Calendar Year ________________
NEW MEXICO CREDITOR-PLACED INSURANCE
| Type of Data | (1) New Mexico Form A Column (5) Total | (2) New Mexico Form C Column(3) Total | (3) Total (1)+(2) | (4) New Mexico Supplement of the Annual Statement Total Property | 56) Difference (3)-(4) |
| A. Written Premium Net of | |||||
| Terminations | |||||
| B. Direct Earned Premium | |||||
| C. Direct Incurred Losses | |||||
| D. Commissions and | |||||
| Service Fees Incurred | |||||
| E. Other Incurred | |||||
| Compensation |
Instructions:
Explain any non-zero differences.
COUNTRYWIDE CREDITOR-PLACED INSURANCE
| Type of Data | (1) Countrywide Form A Total | (2 ) Countrywide All Other Credit Property Insurance | (3) Total (1) + (2) | (4) Countrywide Credit Property Supplement of the Annual Statement Total | (5) Difference (3) - (4) |
| A. Written Premium Net of Terminations | |||||
| B. Direct Earned Premium | |||||
| C. Direct Incurred Losses | |||||
| D. Commissions and Service Fees Incurred | |||||
| E. Other Incurred Compensation |
Instructions:
N.M. Code R. § 13.18.3.24