S.D. Admin. R. 20:06:37 app A

Current through Register Vol. 50, page 159, June 17, 2024

Appendix A - Asset Adequacy Tested Amounts - Reserves and Liabilities

APPENDIX A

ASSET ADEQUACY TESTED AMOUNTS - RESERVES AND LIABILITIES

Asset Adequacy Tested Amounts - Reserves and Liabilities
Statement Item	Formula Reserves (1)	Additional Actuarial Reserves (a) (2)	Analysis Method (b)	Other Amount (3)	Total Amount (1)+(2)+(3) (4)
Exhibit 5 A Life Insurance	-	-	-	-	-
B Annuities	-	-	-	-	-
C Supplementary Contracts Involving Life Contingencies	-	-	-	-	-
D Accidental Death Benefit	-	-	-	-	-
E Disability - Active	-	-	-	-	-
F Disability - Disabled	-	-	-	-	-
G Miscellaneous	-	-	-	-	-
Total (Exhibit 5, Page 3, Line 1)	-	-	-	-	-
Exhibit 6 A Active Life Reserve	-	-	-	-	-
B Claim Reserve	-	-	-	-	-
Total (Exhibit 6, Page 3, Line 1)	-	-	-	-	-
Exhibit 7 Premium and other Deposit Funds	-	-	-	-	-
Guaranteed Interest Contracts	-	-	-	-	-
Other	-	-	-	-	-
Supplemental Contracts and Annuities Certain	-	-	-	-	-

Dividend Accumulations or Refunds	-	-	-	-	-
Total Exhibit 7 (Page 3, Line 3)	-	-	-	-	-
Exhibit 8 Part 1 1 Life (Page 3, Line 4.1)	-	-	-	-	-
2 Health (Page 3, Line 4.2)	-	-	-	-	-
Total Exhibit 8, Part 1	-	-	-	-	-
Separate Accounts (Page 3 of the Annual Statement of the Separate Accounts, Lines 1, 2, 3.1, 3.2, 3.3)	-	-	-	-	-
TOTAL RESERVES	-	-	-	-	-
IMR (General Account, Page _____ Line _____)					-
(Separate Accounts, Page _____ Line _____)					-
AVR (Page _____ Line _____)					(c)
Net Deferred and Uncollected Premium					-

(a) The additional actuarial reserves are the reserves established under paragraphs 2 and 3 of § 20:06:37:08.

(b) The appointed actuary should indicate the method of analysis, determined in accordance with the standards for asset adequacy analysis referred to in § 20:06:37:07, by means of symbols that should be defined in footnotes to the table.

(c) Allocated amount of Asset Valuation Reserve (AVR).

S.D. Admin. R. 20:06:37 app A

23 SDR 236, effective 7/16/1997; 34 SDR 297, effective 6/2/2008.