Rules and Regulations of the State of Georgia
 

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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website. </p> <p> You agree that you will not sell or license anything that you download, print, or copy from this website.</p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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charset=UTF-16"> </HEAD> <div id="infobar"><a href="javascript:;" accesskey="r" Name="Route" title="Route" class="quickkey"><em class="mnemonic">R</em>oute </a>:<div class="searchtips" style="float:right;margin-right:10px;color: rgb(47, 79, 79);"> <a style="text-decoration:none;color: rgb(47, 79, 79);" title="search tips" name="searchtip" href="../help.aspx#searching" target="_blank"><em class="mnemonic">S</em>earch tips</a></div><ul class="breadcrumb"> <li><a href="/GAC" name="GAC" title="GAC">GA R&amp;R</a></li> <li>&raquo; <a href="/GAC/120" title="120">Department 120</a></li> <li>&raquo; <a href="/GAC/120-2" title="120-2">Chapter 120-2</a></li> <li>&raquo; Subject 120-2-61</li> </ul> </div> </div><div id="doc" class="container"> <div id="doc-content" class="content"> <h1><nllsubject>Subject 120-2-61 LIFE AND HEALTH REINSURANCE AGREEMENTS</nllsubject></h1> <h2><a href="/GAC/120-2-61-.01" name="120-2-61-.01" title="120-2-61-.01">Rule 120-2-61-.01 Authority</a></h2> <P>This rule is adopted and promulgated by the Commissioner of Insurance pursuant to Sections <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-2-9&amp;title=33#" target="_newtab">33-2-9</a> and <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-7-14&amp;title=33#" target="_newtab">33-7-14</a> of the Georgia Insurance Code.</P> <h2><a href="/GAC/120-2-61-.02" name="120-2-61-.02" title="120-2-61-.02">Rule 120-2-61-.02 Preamble</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.02(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The Georgia Insurance Department recognizes that licensed insurers routinely enter into reinsurance agreements that yield legitimate relief to the ceding insurer from strain to surplus.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.02(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> However, it is improper for a licensed insurer, in the capacity of ceding insurer, to enter into reinsurance agreements for the principal purpose of producing significant surplus aid for the ceding insurer, typically on a temporary basis, while not transferring all of the significant risks inherent in the business being reinsured. In substance or effect, the expected potential liability to the ceding insurer remains basically unchanged by the reinsurance transaction, notwithstanding certain risk elements in the reinsurance agreement, such as catastrophic mortality or extraordinary survival. The terms of such agreements referred to herein and described in Section <a title="120-2-61" href="120-2-61">120-2-61</a>-.04(1) (excluding the provisions found in <a title="120-2-61-.04" href="120-2-61-.04">120-2-61-.04</a> (1)(g) 1. and <a title="120-2-61-.04" href="120-2-61-.04">120-2-61-.04</a> (1)(g) 2.) violate: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.02(2)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> O.C.G.A. Section <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-3-21&amp;title=33#" target="_newtab">33-3-21</a> relating to financial statements which do not properly reflect the financial condition of the ceding insurer;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.02(2)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> O.C.G.A. Section <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-7-14&amp;title=33#" target="_newtab">33-7-14</a> relating to reinsurance reserve credits, thus, resulting in a ceding insurer improperly reducing liabilities or establishing assets for reinsurance ceded; and</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.02(2)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> O.C.G.A. Section <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-3-17&amp;title=33#" target="_newtab">33-3-17</a>, relating to creating a situation that may be hazardous to policyholders and the people of this State.</td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/120-2-61-.03" name="120-2-61-.03" title="120-2-61-.03">Rule 120-2-61-.03 Scope</a></h2> <P>This Regulation shall apply to all domestic life and accident and health insurers and to all other licensed life and accident and health insurers which are not subject to a substantially similar regulation in their domiciliary state. This regulation shall also similarly apply to licensed property and casualty insurers with respect to their accident and health business. This regulation shall not apply to assumption reinsurance, yearly renewable term reinsurance or certain nonproportional reinsurance such as stop loss or catastrophe reinsurance.</P> <h2><a href="/GAC/120-2-61-.04" name="120-2-61-.04" title="120-2-61-.04">Rule 120-2-61-.04 Accounting Requirements</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> No insurer subject to this regulation shall, for reinsurance ceded, reduce any liability or establish any asset in any financial statement filed with the Department if, by the terms of the reinsurance agreement, in substance or effect, any of the following conditions exist: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Renewal expense allowance provided or to be provided to the ceding insurer by the reinsurer in any accounting period are not sufficient to cover anticipated allocable renewal expenses of the ceding insurer on the portion of the business reinsured, unless a liability is established for the present value of the shortfall (using assumptions equal to the applicable statutory reserve basis on the business reinsured). Those expenses include commissions, premium taxes and direct expenses including, but not limited to, billing, valuation, claims and maintenance expected by the company at the time the business is reinsured;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The ceding insurer can be deprived of surplus or assets at the reinsurer's option or automatically upon the occurrence of some event, such as the insolvency of the ceding insurer, except that termination of the reinsurance agreement by the reinsurer for nonpayment of reinsurance premiums or other amounts due, such as modified coinsurance reserve adjustments, interest and adjustments on funds withheld, and tax reimbursements, shall not be considered to be such a deprivation of surplus or assets;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The ceding insurer is required to reimburse the reinsurer for negative experience under the reinsurance agreement, except that neither offsetting experience refunds against current and prior years' losses under the agreement nor payment by the ceding insurer of an amount equal to the current and prior years' losses under the agreement upon voluntary termination of in force reinsurance by the ceding insurer shall be considered such a reimbursement to the reinsurer for negative experience. Voluntary termination does not include situations where termination occurs because of unreasonable provisions which allow the reinsurer to reduce its risk under the agreement. An example of such a provision is the right of the reinsurer to increase reinsurance premiums or risk and expense charges to excessive levels forcing the ceding company to prematurely terminate the reinsurance treaty;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The ceding insurer must, at specific points in time scheduled in the agreement, terminate or automatically recapture all or part of the reinsurance ceded;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The reinsurance agreement involves the possible payment by the ceding insurer to the reinsurer of amounts other than from income realized from the reinsured policies. For example, it is improper for a ceding company to pay reinsurance premiums or other fees or charges to a reinsurer which are greater than the direct premiums collected by the ceding company;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The treaty does not transfer all of the significant risk inherent in the business being reinsured. The table following subparagraph (vi) identifies for a representative sampling of products or type of business, the risks which are considered to be significant. For products not specifically included, the risks determined to be significant shall be consistent with this table. <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(f)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign"> Risk categories: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(f)1.(i)">(i)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Morbidity.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(f)1.(ii)">(ii)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Mortality.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(f)1.(iii)">(iii)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Lapse - This is the risk that a policy will voluntarily terminate prior to the recoupment of a statutory surplus strain experienced at issue of the policy.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(f)1.(iv)">(iv)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Credit Quality - This is the risk that invested assets supporting the reinsured business will decrease in value. The main hazards are that assets will default or that there will be a decrease in earning power. It excludes market value declines due to changes in interest rate.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(f)1.(v)">(v)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Reinvestment - This is the risk that interest rates will fall and funds reinvested (coupon payments or monies received upon asset maturity or call) will therefore earn less than expected. If asset durations are less than liability durations, the mismatch will increase.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(f)1.(vi)">(vi)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Disintermediation - This is the risk that interest rates rise and policy loans and surrenders increase or maturing contracts do not renew at anticipated rates of renewal. If assets durations are greater than the liability durations, the mismatch will increase. Policyholders will move their funds into new products offering higher rates. The company may have to sell assets at a loss to provide for these withdrawals. <P><B>TABLE</B></P> <P> <TABLE> <TBODY> <TR> <TD colspan="2" rowspan="1"> <P>+ - Significant</P> </TD> <TD colspan="5" rowspan="1"> <P>0 - Insignificant</P> </TD> </TR> <TR> <TD colspan="7" rowspan="1"> <P>RISK CATEGORY</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1">&nbsp;</TD> <TD rowspan="1" colspan="1"> <P>(i)</P> </TD> <TD rowspan="1" colspan="1"> <P>(ii)</P> </TD> <TD rowspan="1" colspan="1"> <P>(iii)</P> </TD> <TD rowspan="1" colspan="1"> <P>(iv)</P> </TD> <TD rowspan="1" colspan="1"> <P>(v)</P> </TD> <TD rowspan="1" colspan="1"> <P>(vi)</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Health Insurance - other than LTC/LTD*</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Health Insurance - LTC/LTD*</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Immediate Annuities</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Single Premium Deferred Annuities</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Flexible Premium Deferred Annuities</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Guaranteed Interest Contracts</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Other Annuity Deposit Business</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Single Premium Whole Life</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Traditional Non-Par Permanent</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Traditional Non-Par Term</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Traditional Par Permanent</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Traditional Par Term</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Adjustable Premium Permanent</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Indeterminate Premium Permanent</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Universal Life Flexible Premium</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Universal Life Fixed Premium</P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>Universal Life Fixed Premium </P> </TD> <TD rowspan="1" colspan="1"> <P>0</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> <TD rowspan="1" colspan="1"> <P>+</P> </TD> </TR> <TR> <TD rowspan="1" colspan="1"> <P>dump-in premiums allowed </P> </TD> <TD rowspan="1" colspan="1">&nbsp;</TD> <TD rowspan="1" colspan="1">&nbsp;</TD> <TD rowspan="1" colspan="1">&nbsp;</TD> <TD rowspan="1" colspan="1">&nbsp;</TD> <TD rowspan="1" colspan="1">&nbsp;</TD> <TD rowspan="1" colspan="1">&nbsp;</TD> </TR> <TR> <TD colspan="7" rowspan="1"> <P>*LTC = Long Term Care Insurance</P> </TD> </TR> <TR> <TD colspan="7" rowspan="1"> <P>*LTD = Long Term Disability Insurance</P> </TD> </TR> </TBODY> </TABLE> </P> </td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)">(g)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The credit quality, reinvestment, or disintermediation risk is significant for the business reinsured and the ceding company does not (other than for the classes of business excepted in <a title="120-2-61-.04" href="120-2-61-.04">120-2-61-.04</a> (1)(g)1.) either transfer the underlying assets to the reinsurer or legally segregate such assets in a trust or escrow account or otherwise establish a mechanism satisfactory to the Commissioner which legally segregates, by contract or contract provision, the underlying assets. <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign"> Notwithstanding the requirements of <a title="120-2-61-.04" href="120-2-61-.04">120-2-61-.04</a> (1)(g), the assets supporting the reserves for the following classes of business and any classes of business which do not have a significant credit quality, reinvestment or disintermediation risk may be held by the ceding company without segregation of such assets: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)1.(i)">(i)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Health Insurance - LTC/LTD;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)1.(ii)">(ii)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Traditional Non-Par Permanent;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)1.(iii)">(iii)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Traditional Par Permanent;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)1.(iv)">(iv)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Adjustable Premium Permanent;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)1.(v)">(v)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Indeterminate Premium Permanent;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)1.(vi)">(vi)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Universal Life Fixed Premium (no dump-in premiums allowed).</td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(g)2.">2.</a></td> <td valign="top" style="text-align:left" class="leftalign"> The associated formula for determining the reserve interest rate adjustment must use a formula which reflects the ceding company's investment earnings and incorporates all realized and unrealized gains and losses reflected in the quarterly and annual statements of the insurer. The following is an acceptable formula: <P>Rate = 2 (I + CG)</P> <P>___________</P> <P>X + Y - I - CG</P> <P>Where: I is the net investment income</P> <P>(Exhibit 2, Line 16, Column 7)</P> <P>CG is capital gains less capital losses</P> <P>(Exhibit 4, Line 10, Column 6)</P> <P>X is the current year cash and invested assets</P> <P>(Page 2, Line 104, Column 1) plus investment income due and accrued (Page 2, Line 16, Column 1) less borrowed money (Page 3, Line 22, Column 1)</P> <P>Y is the same as X but for the prior year</P> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(h)">(h)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Settlements are made less frequently than quarterly or payments due from the reinsurer are not made in cash within ninety (90) days of the settlement date;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(i)">(i)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The ceding insurer is required to make representations or warranties not reasonably related to the business being reinsured;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(j)">(j)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The ceding insurer is required to make representations or warranties about future performance of the business being reinsured;</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(1)(k)">(k)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The reinsurance agreement is entered into for the principal purpose of producing significant surplus aid for the ceding insurer, typically on a temporary basis, while not transferring all of the significant risks inherent in the business reinsured and, in substance or effect, the expected potential liability to the ceding insurer remains basically unchanged. </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Notwithstanding <a title="120-2-61-.04" href="120-2-61-.04">120-2-61-.04</a> ( 1), an insurer subject to this regulation may, with the prior approval of the Commissioner, take such reserve credit or establish such asset as the Commissioner may deem consistent with the Georgia Insurance Code and Rules and Regulations, including actuarial interpretations or standards adopted by the Department.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(3)">(3)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Agreements entered into after the effective date of this regulation which involve the reinsurance of business issued prior to the effective date of the agreements, along with any subsequent amendments thereto, shall be filed by the ceding company with the Commissioner within thirty (30) days from its date of execution. Each filing shall include data detailing the financial impact of the transaction. The ceding insurer's actuary who signs the financial statement actuarial opinion with respect to valuation of reserves shall consider this regulation and any applicable actuarial standards of practice when determining the proper credit in financial statements filed with this Department. The actuary should maintain adequate documentation and be prepared upon request to describe the actuarial work performed for inclusion in the financial statements and to demonstrate that such work conforms to this regulation; <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(3)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Any increase in surplus net of federal income tax resulting from arrangements described in <a title="120-2-61-.04" href="120-2-61-.04">120-2-61-.04</a> (3) shall be identified separately on the insurer's statutory financial statement as a surplus item (aggregate write-ins for gains and losses in surplus in the Capital and Surplus Account, page 4 of the Annual Statement) and recognition of the surplus increase as income shall be reflected on a net of tax basis in the "Reinsurance ceded" line, page 4 of the Annual Statement as earnings emerge from the business reinsured.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(3)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> For example, on the last day of calendar year N, company XYZ pays a $20 million initial commission and expense allowance to company ABC for reinsuring an existing block of business. Assuming a 34% tax rate, the net increase in surplus at inception is $13.2 million ($20 million - $6.8 million) which is reported on the "Aggregate write-ins for gains and losses in surplus" line in the Capital and Surplus account. $6.8 million (34% of $20 million) is reported as income on the "Commissions and expense allowances on reinsurance ceded" line of the Summary of Operations. <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.04(3)(b)1.">1.</a></td> <td valign="top" style="text-align:left" class="leftalign"> At the end of year N+1 the business has earned $4 million. ABC has paid $.5 million in profit and risk charges in arrears for the year and has received a $1 million experience refund. Company ABC's annual statement would report $1.65 million (66% of($ million - $1 million - $.5 million) up to a maximum of $13.2 million) on the "Commissions and expense allowance on reinsurance ceded" line of the Summary of Operations, and -$1.65 million on the "Aggregate write-ins for gains and losses in surplus" line of the Capital and Surplus account. The experience refund would be reported separately as a miscellaneous income item in the Summary of Operations.</td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/120-2-61-.05" name="120-2-61-.05" title="120-2-61-.05">Rule 120-2-61-.05 Written Agreements</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.05(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> No reinsurance agreement or amendment to any agreement may be used to reduce any liability or to establish any asset in any financial statement filed with the Department, unless the agreement, amendment or a letter of intent has been duly executed by both parties no later than the "as of date" of the financial statement.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.05(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> In the case of a letter of intent, a reinsurance agreement or an amendment to a reinsurance agreement must be executed within a reasonable period of time, not exceeding ninety (90) days from the execution date of the letter of intent, in order for credit to be granted for the reinsurance ceded.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.05(3)">(3)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The reinsurance agreement shall contain provisions which provide that: <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.05(3)(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> The agreement shall constitute the entire agreement between the parties with respect to the business being reinsured thereunder and that there are no understandings between the parties other than as expressed in the agreement; and</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-61-.05(3)(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Any change or modification to the agreement shall be null and void unless made by amendment to the agreement and signed by both parties.</td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/120-2-61-.06" name="120-2-61-.06" title="120-2-61-.06">Rule 120-2-61-.06 Existing Agreements</a></h2> <P>Insurers subject to this Regulation shall reduce to zero by December 31, 1995, any reserve credits or assets established with respect to reinsurance agreements entered into prior to the effective date of this regulation which, under the provisions of this regulation would not be entitled to recognition of the reserve credits or assets; provided, however, that the reinsurance agreements shall have been in compliance with laws or regulations in existence immediately preceding the effective date of this Regulation.</P> <h2><a href="/GAC/120-2-61-.07" name="120-2-61-.07" title="120-2-61-.07">Rule 120-2-61-.07 Penalties</a></h2> <P>Any insurer which violates or fails to comply with any provision of this regulation will be subject to fines and penalties applicable to licensed insurers generally, including revocation of its license or right to do business in this State.</P> <h2><a href="/GAC/120-2-61-.08" name="120-2-61-.08" title="120-2-61-.08">Rule 120-2-61-.08 Severability Provision</a></h2> <P>If any section or portion of a section of this rule or the applicability thereof to any person or circumstance is held invalid by a court, the remainder of the rule or the applicability of such provision to other persons or circumstances shall not be affected thereby.</P> </div> </div> </HTML> </div> <div id="toc" class="sidebar noprint"> <ul id="toc-children" class="children"><li><a href="/GAC/120-2-61-.01" name="120-2-61-.01" title="120-2-61-.01">Rule 120-2-61-.01 Authority</a></li><li><a href="/GAC/120-2-61-.02" name="120-2-61-.02" title="120-2-61-.02">Rule 120-2-61-.02 Preamble</a></li><li><a href="/GAC/120-2-61-.03" name="120-2-61-.03" title="120-2-61-.03">Rule 120-2-61-.03 Scope</a></li><li><a href="/GAC/120-2-61-.04" name="120-2-61-.04" title="120-2-61-.04">Rule 120-2-61-.04 Accounting Requirements</a></li><li><a href="/GAC/120-2-61-.05" name="120-2-61-.05" title="120-2-61-.05">Rule 120-2-61-.05 Written Agreements</a></li><li><a href="/GAC/120-2-61-.06" name="120-2-61-.06" title="120-2-61-.06">Rule 120-2-61-.06 Existing Agreements</a></li><li><a href="/GAC/120-2-61-.07" name="120-2-61-.07" title="120-2-61-.07">Rule 120-2-61-.07 Penalties</a></li><li><a href="/GAC/120-2-61-.08" name="120-2-61-.08" title="120-2-61-.08">Rule 120-2-61-.08 Severability Provision</a></li></ul> </div> </div> <!--content ends here--> <div id="footer" class="noprint"><span class="footer">Copyright &copy; 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