Entire section

Annex. 1.19. Statement of Premium Information

STATEMENT OF PREMIUM INFORMATION

INS500

Name:

 

Period Ending:

 

(All amounts rounded to nearest [USD]’000)

 


Number of policies sold during the period

Line no.

Current quarter

Current year to date

A

B

Commercial

1

 

 

  of which:

 

 

 

    New policies

2

 

 

    Renewals

3

 

 

 

 

 

 

Retail

4

 

 

  of which:

 

 

 

    New policies

5

 

 

    Renewals

6

 

 

 

 

 

 

Number of policies cancelled or not renewed during the period

 

 

 

 

 

Current quarter

Current year to date

Commercial

7

 

 

Retail

8

 

 

 

 

 

 

Premium value of policies cancelled or not renewed during the period

 

 

 

 

 

Current quarter

Current year to date

Commercial

9

 

 

Retail

10

 

 


Gross Premium receivable

Line no.

Not yet due to 90 days overdue

91-180

days

180+

days

A

B

C

from direct customers

11

 

 

 

from brokers and other intermediaries

12

 

 

 



Premium Breakdown Amount ('000)


































Line of business

Line no.

Risk located in

Kazakhstan

Risk located in the rest of the Eurasian Economic Union

Risk located in North America

Risk located in Europe

Risk located in the rest of the world

 

Retail Business

Commercial Business

 

Renewed policies

New Business


Unrelated business

Related Business


Direct writing

Facultative Reinsurance: Proportional

Facultative Reinsurance: Non-Proportional

Treaty Reinsurance: Proportional

Treaty Reinsurance: Non-Proportional

 

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

 

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

 

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written


Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written


Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

Gross Premium Written

Net Premium Written

 

A

B

C

D

E

F

G

H

I

J

 

K

L

M

N

 

O

P

Q

R

 

S

T

U

V


W

X

Y

Z

AA

BB

CC

DD

EE

FF

Accident

13





































Sickness

14





































Land veAccidenthicles

15





































Railway rolling stock

16





































Aircraft

17





































Ships

18





































Goods in transit

19





































Fire and natural forces

20





































Damage to property

21





































Motor vehicle liability

22





































Aircraft liability

23





































Liability of ships

24





































General liability

25





































Credit

26





































Suretyship

27





































Miscellaneous financial loss

28




















 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Legal expenses

29




















 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assistance

30

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Space

31

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Space liabilities

32

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Life and annuity

33

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Marriage and birth

34

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Linked long-term

35

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent health

36

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL:

37






































 

 

 

Name/ Position

Signature

Date

 

 

 

Name/ Position

Signature

Date

Instructions on Annex 1.19. template on Statement of Premium Information to the Manual is aimed at reporting on premiums.

Statement of Premium Information must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Number of policies sold during the period:

Line 1. Number of commercial policies sold during the period – is the number of commercial policies sold during current period (column A) and current year to date (column B) with specifications in line 2. New policies and line 3. Renewals.

Line 4. Number of retail policies sold during the period – is the number of retail policies sold during current period (column A) and current year to date (column B) with specifications in line 5. New policies and line 6. Renewals.

Number of policies cancelled or not renewed during the period must be specified in line 7. Commercial and line 8. Retail for current period (column A) and current year to date (column B).

Premium value of policies cancelled or not renewed during the period must be specified in line 9. Commercial and line 10. Retail for current period (column A) and current year to date (column B).

Gross Premium receivables specified in line 11. From direct customers and line 12. From broker and other intermediaries for current period (column A) and current year to date (column B).

Premium Breakdown – information on Premium must be provided by information on Risk located in Kazakhstan, Risk located in the rest of the Eurasian Economic Union, Risk located in North America, Risk located in Europe, Risk located in the rest of the world, Retail Business, Commercial Business, Renewed policies, New Business, Unrelated business, Related Business, Direct writing, Facultative Reinsurance: Proportional, Facultative Reinsurance: Non-Proportional, Treaty Reinsurance: Proportional, Treaty Reinsurance: Non-Proportional segregated by Gross and Net Premium written by line of business (categories).