Manual for Preparation of Returns for Insurance and Reinsurance Firms

Chapter 1. Introduction

1. The purpose of this Manual for Preparation of Returns for Insurance and Reinsurance Firms (hereinafter – Manual) is to outline templates for reporting on financial, prudential and financial conduct performance and provide guidance on their completion. The Manual is applicable to all Firms authorised by the Astana Financial Services Authority (hereinafter – AFSA) to conduct Insurance Business (hereinafter – Insurer). This Manual is updated at the situation may require.

2. The Manual complies with the AIFC General Rules (AIFC Rules No. FR0001 of 2017, hereinafter – GEN), AIFC Conduct of Business Rules (AIFC Rules No. FR0005 of 2017, hereinafter – COB), AIFC Insurance and Reinsurance Prudential Rules (AIFC Rules No. FR0030 of 2018, hereinafter - PINS) except where otherwise provided.

Chapter 3. Reporting rules

8. An Insurer must prepare and submit to the AFSA returns outlined in para.5, 6 and 7 made in thousand of USD with explanatory note disclosing key points of reports to be submitted, for following reports within submission periods outlined below:

8.1) annual returns within 4 months after reporting year ends;
8.2) biannual returns within 1 month after reporting period ends;
8.3) quarter returns within 1 month after reporting quarter ends;

9. If an AIFC Insurer breaches or expects to breach a prudential requirement set by the AFSA or Financial Services Regulator in its jurisdiction of incorporation, it must immediately notify the AFSA and must give the AFSA copies of any relevant documents (including all relevant documents submitted to that Financial Services Regulator).

10. Reports outlined in para 5,6 and 7 of this Manual must be submitted to the AFSA by way of official e-communication channels. The transmission should include scanned copies of signed reports and supporting documentation in Ms Excel.

Annex. 1.1. Balance Sheet of Insurer

BALANCE SHEET OF INSURER	INS100
Name:
Period Ending:
(All amounts rounded to nearest [USD]'000)


ASSETS	LINE NO.	INSURANCE Ltd or PLC
		Reporting period	Reporting period -1


		A	B
Cash and balances	1
Cash in hand	2
Call Deposits	3
Term deposits < 3 months	4
Term deposits > 3 months	5
Premium Receivable	6
From unrelated entities	7
From associates and related parties	8
Less: Allowance for doubtful accounts	9
Reinsurance Receivable	10
Unrelated reinsurers - share of paid claims and other receivables/recoverable	10A
Unrelated reinsurers - share of outstanding claims and IBNR	11
Unrelated reinsurers - share of unearned premiums	12
Related reinsurers - share of paid claims and other receivables / recoverables	12A
Related or associated reinsurers - share of outstanding claims and IBNR	13
Related or associated reinsurers - share of unearned premium reserve	14
Less: Allowance for doubtful accounts	15
Deferred sales receivables (murabaha, salam, istisna'a)	16
Other Receivables	17
From unrelated parties	18
From associates and related parties	19
From directors, officers and/or employees	20
Less: Allowance for doubtful accounts	21
Short term negotiable securities	22
Negotiable Certificates of Deposit	23
Short-term government securities	24
Sukuk	25
Other	26
Less: Credit impairments	27
Investment and trading securities	28
Listed equities	29
Unlisted equities	30
Commodities	31
Sukuk	32
Other government and government-guaranteed securities	33
Other securities, loans or islamic investments	34
Other debt securities	35
Less: Impairment	36
Derivative financial instruments	37
Deferred acquisition costs	38
Other loans or Islamic investments	39
Mudaraba and Musharaka financing	40
Pledged Assets	41
Funds Withheld	42
Investment property	43
Investment in subsidiaries, associates or joint arrangements	44
Investment in subsidiary companies	45
Investment in associate companies	46
Investment in joint arrangements	47
Non-current assets held for sale	48
Intangible assets	49
Goodwill	50
Software and capitalised development costs	51
Other	52
Property, plant and equipment	53
Current income tax receivables	55
Deferred tax assets	56
Investments for account of holders of funds	57
Post-employment assets	60
Other assets	61

TOTAL ASSETS	63


LIABILITIES	LINE NO.	INSURANCE Ltd or PLC
		Reporting period	Reporting period -1


		A	B
Technical reserves - general insurance	64
Gross outstanding claims	65
Claims incurred but not reported	66
Premium deficiency reserve	67
Other technical reserves	68
Technical reserves - long-term insurance	69
Unearned premium reserve	70
Reinsurance balances payable	71
To unrelated reinsurers	72
To related or associated reinsurers	73
Accounts payable	73A
Bank loans and mortgages	74
Derivative financial instruments	75
Term debt instruments	76
Qualifying as capital	77
Sukuk	78
Other	79
Dividends payable	80
Retirement benefit obligations	83
Current income tax liabilities	85
Deferred tax liabilities	86
Other intra-group liabilities	87
Investment contracts for holders of funds	90
Other liabilities	91
TOTAL LIABILITIES	93
Total equity attributable to equity holders	95
Share capital	96
Retained earnings	97
Accumulated foreign exchange reserves	98
Unrealized gains/losses on investments	99
Other reserves	100
Other distributable reserves	101
Other non-distributable reserves	102
Preferential shareholders	103
Non-controlling Interests	104
TOTAL SHAREHOLDER EQUITY	105
TOTAL EQUITY AND LIABILITIES	106


Analysis of Cash and Balances	LINE NO.	INSURANCE Ltd or PLC
		Reporting period	Reporting period -1


		A	B
Domestic Bank	107
of which: Inside AIFC	108
Foreign Bank	109


OFF-BALANCE SHEET ACTIVITIES
COMMITMENTS AND CONTINGENCIES	LINE NO.	INSURANCE Ltd or PLC
		Reporting period	Reporting period -1


		A	B
Lending of securities or posting of securities as collateral	111
Committed capital expenditure	112
Operating lease commitments	113
Other contingencies and commitments	114
TOTAL	115

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.1. template on Balance Sheet of Insurers to the Manual is aimed at reporting on assets, liabilities, shareholders’ equity with disclosure of each line.

The Balance Sheet Report must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for reporting quarter and quarter prior to reporting quarter.

Line 63. Total Assets – is total of the line 1. Cash and balances, line 6. Premium receivables, line 10. Reinsurance receivables, line 17. Other receivables, line 22. Short term negotiable securities, line 28. Investment and trading securities, line 37. Derivative financial instruments, line 38. Deferred acquisition costs, line 39. Other loans or Islamic investments, line 41. Pledged assets, line 42. Funds withheld, line 43. Investment property, line 44. Investment in subsidiaries, associates or joint arrangements, line 48. Non-current assets held for sale, line 49. Intangible assets, line 53. Property, plant and equipment, line 55. Current income tax receivables, line 56. Deferred tax assets, line 57. Investments for account of holders of funds, line 60. Post-employment assets and line 61. Other assets.

Line 1 Cash and balances – is the total of line 2. Cash in hand, line 3. Call Deposits, line 4. Term deposits with yield-to-maturity less than 3 months and line 5. Term deposits with yield-to-maturity over 3 months;

Line 6. Premium receivables – is the total of line 7. From unrelated entities, line 8. From associates and related parties and subtract line 9. Less: Allowance for doubtful accounts.

Line 10. Reinsurance receivables – is the total of line 10A. Unrelated reinsurers - share of paid claims and other receivables/recoverable, line 11. Unrelated reinsurers - share of outstanding claims and IBNR, line 12. Unrelated reinsurers - share of unearned premiums, line 12A. Related reinsurers - share of paid claims and other receivables / recoverables, line 13. Related or associated reinsurers - share of outstanding claims and IBNR, line 14. Related or associated reinsurers - share of unearned premium reserve and subtract line 15. Less: Allowance for doubtful accounts.

Line 17. Other receivables – is the total of line 18. From unrelated parties, line 19. From associates and related parties, line 20. From directors, officers and/or employees and subtract line 21. Less: Allowance for doubtful accounts.

Line 22. Short term negotiable securities – is the total of line 23. Negotiable Certificates of Deposit, line 24. Short-term government securities, line 25. Sukuks, line 26. Other Short term negotiable securities and subtract the line 27. Less: Credit impairments.

Line 28. Investment and trading securities – is the total of line 29. Listed equities, line 30. Unlisted equities, line 31. Commodities, line 32. Sukuks, Line 33. Other government and government-guaranteed securities, line 35. Other debt securities and subtract the line 36. Less: Impairment.

Line 44. Investment in subsidiaries, associates or joint arrangements – is the total of line 45. Investment in subsidiary companies, line 46. Investment in associate companies and line 47. Investment in joint arrangements.

Line 49. Intangible assets – is the total of the line 50. Goodwill, line 51. Software and capitalised development costs and line 52. Other Intangible assets.

Line 106. Total Equity and Liabilities – is the total of line 93. Total Liabilities and line 105. Total Shareholder Equity.

Line 93. Total Liabilities – is the total of line 64. Technical reserves - general insurance, line 69. Technical reserves - long-term insurance, line 70. Unearned premium reserve, line 71. Reinsurance balances payable, line 73A. Accounts payable, line 74. Bank loans and mortgages, line 75. Derivative financial instruments, line 76. Term debt instruments, line 80. Dividends payable, line 83. Retirement benefit obligations, line 85. Current income tax liabilities, line 86. Deferred tax liabilities, line 87. Other intra-group liabilities, line 90. Investment contracts for holders of funds and line 91. Other liabilities

Line 64. Technical reserves - general insurance – is the total of line 65. Gross outstanding claims, line 66. Claims incurred but not reported, line 67. Premium deficiency reserve and 68. Other technical reserves.

Line 71. Reinsurance balances payable – is the total of line 72. Reinsurance balances payable to unrelated reinsurers and line 73. Reinsurance balances payable to related or associated reinsurers.

Line 76. Term debt instruments - is the total of line 77. Qualifying as capital, line 78. Sukuk and line 79. Other term debt instruments

Line 105. Total shareholder equity – is the total of line 95. Total equity attributable to equity holders, line 103. Preferential shareholders and line 104. Non-controlling Interests.

Line 95. Total equity attributable to equity holders – is the total of line 96. Share capital, line 97. Retained earnings, line 98. Accumulated foreign exchange reserves, line 99. Unrealized gains/losses on investments and line 100. Other reserves (includes line 101. Other distributable reserves and line 102. Other non-distributable reserves).

The total of line 107. Cash and Balances placed in Domestic Bank (incl. line 108. Cash and Balances placed in Banks inside AIFC) and line 109. Cash and Balances placed in Foreign Bank of Analysis of Cash and Balances is equal to the line 1. Cash and balances of Assets.

Line 115. Total off-balance sheet activities – is the total of the line 111. Lending of securities or posting of securities as collateral, line 112. Committed capital expenditure, line 113. Operating lease commitments and line 114. Other contingencies and commitments.

Annex. 1.2. Balance Sheet of Branch of Insurer incorporated outside of AIFC

BALANCE SHEET OF BRANCH OF INSURER INCORPORATED OUTSIDE OF AIFC	INS100
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


ASSETS	LINE NO.	INSURANCE -Branch (Company level)
		Reporting period	Reporting period -1


		C	D
Cash and balances	1
Premium Receivable	6
Reinsurance Receivable	10
Other Receivables	17
Short term negotiable securities	22
Investment and trading securities	28
Deferred acquisition costs	38
Other loans or Islamic investments	39
Pledged Assets	41
Funds Withheld	42
Investment property	43
Investment in subsidiaries, associates or joint arrangements	44
Intangible assets	49
Property, plant and equipment	53
Current and deferred tax asset	54
Investments for account of holders of funds	57
Other assets	61

TOTAL ASSETS	63


LIABILITIES	LINE NO.	INSURANCE -Branch (Company level)
		Reporting period	Reporting period -1


		C	D
Technical reserves - general insurance	64
Technical reserves - long-term insurance	69
Unearned premium reserve	70
Reinsurance balances payable	71
Accounts payable	73A
Term debt instruments	76
Current and deferred tax liabilities	84
Investment contracts for holders of funds	90
Other liabilities	91
Head Office Accounts	92
TOTAL LIABILITIES	93

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.2. template on Balance Sheet of Branch of Insurer incorporated outside of AIFC to the Manual is aimed at reporting on assets and liabilities with disclosure of each line.

The Balance Sheet of Branch of Insurer incorporated outside of AIFC must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for reporting quarter and quarter prior to reporting quarter.

Line 63. Total Assets – is the total of the line 1. Cash and balances, line 6. Premium Receivable, line 10. Reinsurance Receivable, line 17. Other Receivables, line 22. Short term negotiable securities, line 28. Investment and trading securities, line 38. Deferred acquisition costs, line 39. Other loans or Islamic investments, line 41. Pledged Assets, line 42. Funds Withheld, line 43. Investment property, line 44. Investment in subsidiaries, associates or joint arrangements, line 49. Intangible assets, line 53. Property, plant and equipment, line 54. Current and deferred tax asset, line 57. Investments for account of holders of funds and line 61. Other Assets.

Line 93. Total Liabilities – is the total of line 64. Technical reserves - general insurance, line 69. Technical reserves - long-term insurance, line 70. Unearned premium reserve, line 71. Reinsurance balances payable, line 73A. Accounts payable, line 76. Term debt instruments, line 84. Current and deferred tax liabilities, line 90. Investment contracts for holders of funds, line 91. Other Liabilities and line 92. Head Office Accounts.

Line 92. Head Office Accounts – is the total of liabilities of Branch of Insurer incorporated outside of AIFC which has characteristics of Equity Share Capital (e.g. working capital) and adjuster due to the financial results of a branch.

Annex. 1.3. Income Statement of Insurer

INCOME STATEMENT OF INSURER	INS200
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


DESCRIPTION	Line no.	INSURANCE Ltd or PLC
		Reporting period since the beginning of the year	Reporting period -1 since the beginning of the year
		Total
		A	B
Gross premiums written	1
Less: Reinsurance premiums ceded	2
Net premiums written	3
Change in Net unearned premiums	4
Net premiums earned	5
Fee income	6
Commission income	7
Other operating income	9
Total Insurance Income	10

Loss and loss adjustment expenses	14
Gross claims paid	15
Less: reinsurance share of gross claims paid	16
Outstanding claims adjustment - gross	17
Less: Outstanding claims adjustment – reinsurance share	18
Policyholder benefits and claims (long-term insurance)	19
Commission, brokerage expenses, and acquisition costs	20
Staff costs	22
Computer processing	23
Communication and travel	24
Occupation and accommodation	25
Marketing	26
Professional fees	27
Office equipment and consumables	28
Auditors' remuneration	29
Other operating expenses	31
Total Insurance Expenses	36

Underwriting profit/(loss)	37

Investment income
Interest income	38
Dividend income - from subsidiary and associate companies	40
Dividend income - other	41
Fair value gains and losses through profit and loss	42
Profit / (loss) on sale of available-for-sale assets	43
Other realized gain/(loss) on sale of investments	44
Rental Income	46
Other investment income	47
Less: investment expenses	48

Net Investment Income	51
Operating profit from ordinary activities	56

Intangibles (impairment/realisation)	59
Impairment of investments	60
Impairment of other capital items	61
Share of profit / (loss) of associates and joint ventures	62

Profit (loss) before taxation	64
Tax on profit / (recoverable)	65
Profit / (loss) for the period	66

*Attributable to:*
Equity holders of the company	69
Preference shareholders and minority shareholders	70

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.3. template on Income Statement of Insurers to the Manual is aimed at reporting on profits and losses.

The Income Statement of Insurers must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for reporting quarter since the beginning of the year and quarter prior to reporting quarter since the beginning of the year.

Line 66. Profit / (loss) for the period – is line 65. Tax on profit / (recoverable) subtracted out of line 64. Profit (loss) before taxation.

Line 65. Tax on profit / (recoverable) – is the taxes on profits recorded in compliance with the International Financial Reporting standards and requirements of the AIFC on taxation.
Line 64. Profit (loss) before taxation – is the total of line 56. Operating profit from ordinary activities, line 59. Intangibles ((impairment)/realisation), line 60. (Impairment) of investments, line 61. Impairment of other capital items and line 62. Share of profit / (loss) of associates and joint ventures.

Line 56. Operating profit from ordinary activities – is the total of line 37. Underwriting profit/(loss) and line 51. Net Investment Income.

Line 37. Underwriting profit/(loss) – is the line 36. Total Insurance Expenses subtracted from line 10. Total Insurance Income.

Line 10. Total Insurance Income – is the total of line 5. Net premiums earned, line 6. Fee income, line 7. Commission income and line 9. Other operating income.

Line 5. Net premiums earned – is the line 4. Change in unearned premiums subtracted from line 3. Net premium written.

Line 4. Change in Net unearned premiums – Net unearned premiums on the beginning of reporting period subtracted from Net unearned premiums for the end of reporting period

Line 3. Net premiums written – is the line 1. Gross premiums written with subtracted line 2. Less: Reinsurance premiums ceded.

Line 36. Total Insurance Expenses – is the total of line 14. Loss and loss adjustment expenses, line 19. Policyholder benefits and claims (long-term insurance), line 20. Commission, brokerage expenses, and acquisition costs, line 22. Staff costs, line 23. Computer processing, line 24. Communication and travel, line 25. Occupation and accommodation, line 26. Marketing, line 27. Professional fees, line 28. Office equipment and consumables, line 29. Auditors' remuneration and line 31. Other operating expenses.

Line 51. Net Investment Income – is the total of line 38. Interest income, line 40. Dividend income - from subsidiary and associate companies, line 41. Dividend income – other, line 42. Fair value gains and losses through profit and loss, line 43. Profit / (loss) on sale of available-for-sale assets, line 44. Other realized gain/(loss) on sale of investments, line 46. Rental Income, line 47. Other investment income with subtracted line 48. Less: investment expenses.

Annex. 1.4. Income Statement of Branch of Insurer incorporated outside of AIFC

INCOME STATEMENT OF BRANCH OF INSURER INCORPORATED OUTSIED OF AIFC			INS200
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


DESCRIPTION	Line no.	INSURANCE-Branch (Company level)		INSURANCE-Branch level
		Reporting period since the beginning of the year	Reporting period -1 since the beginning of the year	Reporting period since the beginning of the year	Reporting period -1 since the beginning of the year



		C	D	E	F
Gross premiums written	1
Less: Reinsurance premiums ceded	2
Net premiums written	3
Change in unearned premiums	4
Net premiums earned	5
Fee income	6
Commission income	7
Other operating income	9
Total Insurance Income	10

Loss and loss adjustment expenses	14
Gross claims paid	15
Less: reinsurance share of gross claims paid	16
Outstanding claims adjustment - gross	17
Less: Outstanding claims adjustment – reinsurance share	18
Policyholder benefits and claims (long-term insurance)	19
Commission, brokerage expenses, and acquisition costs	20
General and administration expenses	21
Staff costs	22
Computer processing	23
Communication and travel	24
Occupation and accommodation	25
Marketing	26
Professional fees	27
Office equipment and consumables	28
Auditors' remuneration	29
Allocation of expenses from head office	30
Other operating expenses	31
Total Insurance Expenses	36

Underwriting profit/(loss)	37

Investment income
Interest income	38
Other investment income	47
Less: investment expenses	48

Net Investment Income	51

Operating profit from ordinary activities	56

Other income / (expenses)	57
Reimbursement of expenses from head office	58
Profit (loss) before taxation	64
Tax on profit / (recoverable)	65
Profit / (loss) for the period	66


Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.4. template on Income Statement of Branch of Insurers incorporated outside of AIFC to the Manual is aimed at reporting on profits and losses.

The Income Statement of Branch of Insurers incorporated outside of AIFC must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for reporting quarter since the beginning of the year and quarter prior to reporting quarter since the beginning of the year for the branch level and company level.

Line 66. Profit / (loss) for the period – is line 65. Tax on profit / (recoverable) subtracted of line 64. Profit (loss) before taxation

Line 65. Tax on profit / (recoverable) - is the taxes on profits recorded in compliance with the International Financial Reporting standards and requirements of the AIFC on taxation.

The line 64. Profit (loss) before taxation – is the total of line 56. Operating profit from ordinary activities and 57. Other income / (expenses).

Line 56. Operating profit from ordinary activities – is the total of line 37. Underwriting profit/(loss) and line 51. Net Investment Income.

Line 37. Underwriting profit/(loss) – is line 36. Total Insurance Expenses subtracted of line 10. Total Insurance Income

Line 10. Total Insurance Income – is the total of line 5. Net premiums earned, line 6. Fee income, line 7. Commission income and line 9. Other operating income.

Line 5. Net premiums earned – is the total of line 3. Net premiums written and line 4. Change in unearned premiums

Line 3. Net premiums written – is line 2. Less: Reinsurance premiums ceded subtracted of line 1. Gross premiums written

Line 51. Net Investment Income – is line 48. Less: investment expenses subtracted of the total of line 38. Investment Interest income and line 47. Other investment income.

Annex. 1.5. Analysis of Derivative Activities

ANALYSIS OF DERIVATIVE ACTIVITIES

INS111

Name:

Period Ending:

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

DERIVATIVES

Line no.

Interest Rate Contracts

Equity Contracts

Other Derivative Contracts

Foreign Exchange Contracts (incl. Gold)

Commodity Contracts (excl. Gold)

Turn-over

Notional Principal Amount

Fair Value (Asset)

Fair Value (Liab.)

Turn-over

Notional Principal Amount

Fair Value (Asset)

Fair Value (Liab.)

Turn-over

Notional Principal Amount

Fair Value (Asset)

Fair Value (Liab.)

Turn-over

Notional Principal Amount

Fair Value (Asset)

Fair Value (Liab.)

Turn-over

Notional Principal Amount

Fair Value (Asset)

Fair Value (Liab.)

Totals

Exchange-traded derivatives

Over-The-Counter Derivatives

Forwards

Swaps

Bought options

- Puts

- Calls

Written options

- Puts

- Calls

Credit derivatives - bought protection

Credit derivatives - sold protection

Other

of which: OTC derivatives with

- Parent entity

- Controlled entities

- Associates / joint arrangements

- Other related parties

Name/ Position

Signature

Date

Name/ Position

Signature

Date

Instructions on Annex 1.5. template on Analysis of Derivative Activities of Insurers to the Manual is aimed at reporting on derivative activities.

The Analysis of Derivative Activities of Insurers must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for the Actual balances at period-end.

The Analysis of Derivative Activities must be reported on contracts on Interest Rate, Equity, Other Derivative not mentioned in a line, Foreign Exchange (including Gold) and Commodity (excluding Gold) with an information on Turnover, Notional Principal Amount, Fair Value (Assets) and Fair Value (Liabilities).

Line 1. Totals – is the total of line 2. Exchange-traded derivatives and line 3. Over-The-Counter Derivatives.

Line 3. Over-The-Counter Derivatives – is the total of line 4. Forwards, line 5. Swaps, line 6. Bought options, line 9. Written options, line 12. Credit derivatives- bought protection, line 13. Credit derivatives - sold protection and line 14. Other Over-the-counter derivatives.

Line 6. Bought options – is the total of line 7. Bought Put Options and line 8. Bought Call Options

Line 9. Written options – is the total of line 10. Written Put Options and line 11. Bought Call Options.

Line 14. Other Over-The-Counter Derivatives – is Over-The-Counter Derivatives other than derivatives mentioned in the line 1-13 of the template on Analysis of Derivative Activities with clarification in line 15.

Annex. 1.6. Analysis of Investment Concentrations in Foreign Currency

ANALYSIS OF INVESTMENT CONCENTRATIONS IN FOREIGN CURRENCY

INS113

Name:

Period Ending:

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

NET OPEN POSITION IN FOREIGN CURRENCY

Items denominated in foreign currencies

Line no.

USD

KZT

USD-pegged

EUR

GBP

CHF

JPY

INR

RUB

RMB

Add Currency

Total

Foreign Currency Assets¹

Cash and balances

Short term negotiable securities

Premiums receivable

Reinsurance receivable

Debt securities

Commodities

Equity investments

Other assets

Foreign Currency Liabilities

Technical provisions / Policyholder liabilities

Reinsurance payable

Bank loans and mortgages

Term debt instruments

Other liabilities

Total equity attributable to equity holders

Preference shareholders

Total Equity and Liabilities

Net position on foreign currency instruments

Principal of financial derivative contracts in a bought position

Of which: options in a bought position

Principal of financial derivative contracts in a sold position

Of which: options in a sold position

Net open position on foreign exchange for on-balance sheet items (excluding own equity)

Net receipts not yet accrued but fully hedged

Net payments not yet accrued but fully hedged

Guarantees (and similar instruments) that are certain to be called and likely to irrevocable

Other exposures

Total net open position in foreign exchange (excluding own equity)

Total net open position in foreign exchange

¹ Include pledged assets in applicable categories

Name/ Position

Signature

Date

Name/ Position

Signature

Date

Instructions on Annex 1.6. template on Analysis of Investment Concentrations in Foreign Currency to the Manual is aimed at reporting on investment net open position.

The Analysis of Investment Concentration in Foreign Currency must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC for the Actual balances at period-end segregated in different types of foreign currencies.

Line 30. Total net open position in foreign exchange – is line 16. Total equity attributable to equity holders and line 17. Preference shareholders subtracted of line 29. Total net open position in foreign exchange (excluding own equity)

Line 29. Total net open position in foreign exchange (excluding own equity) – is the total of line 24. Net open position on foreign exchange for on-balance sheet items (excluding own equity), line 25. Net receipts not yet accrued but fully hedged, line 26. Net payments not yet accrued but fully hedged, line 27. Guarantees (and similar instruments) that are certain to be called and likely to irrevocable and line 28. Other exposures.

Annex. 1.7. Analysis of Investment Concentrations Risk

ANALYSIS OF INVESTMENT CONCENTRATIONS RISK	INS114
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


Investment Concentration Risk - 5 largest exposures to unrelated parties	Line no.	On-balance sheet exposure	Off-balance sheet exposure	Total (Col A + B)
Counterparty	Line no.	A	B	C
	1				1
	2				2
	3				3
	4				4
	5				5
Total	6


Add Country
Investment concentration risk - Geographical distribution	Line no.	On-balance sheet exposure	Off-balance sheet exposure	Total (Col A + B)	Total impairment
	Line no.	A	B	C	D
Total	7
Country 1	8
Country N	…

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.7. template on Analysis of Investment Concentrations Risk to the Manual is aimed at reporting on investments concentrations risk.

The Analysis of Investment Concentrations Risk must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Line 6. Total Investment Concentration Risk - 5 largest exposures to unrelated parties – is total of Investment Concentration Risk – 5 largest exposures to unrelated parties recorded in On-Balance (column A) in line 1-5 and Off-Balance (column B) Sheet Exposures in lines 1-5. resulted in column C Total.

Line 1 – 5. – counterparties with the top 5 largest exposures to unrelated parties On-Balance (column A) and Off-Balance (Column B) Sheet Exposures and resulted column A and column B in total in column C Total.

Annex. 1.8. Supplementary Information

SUPPLEMENTARY INFORMATION	INS210
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)

	Line no.	Current quarter
	Line no.	A
The current cash balance held in Kazakhstan bank accounts for use by the branch	1
Value of any other liquid assets held and for use by the branch	2

The company's current capital requirement in their home jurisdiction (if more than one test is used to determine the minimum capital requirement list the highest amount)	3
The amount by which the company exceeds the home jurisdiction's capital requirement, net of any deductions required by the home jurisdiction	4

Amount of any Dividends, and other distributions, declared or paid during the period	5

Staffing
Number of staff resident in Kazakhstan	6
Number of agents in Kazakhstan	7
Number of staff that do significant work for AIFC entity that are not resident in Kazakhstan	8

Complaints - to be completed if the firm does business with commercial or retail customers		Current quarter	Current year to date
		A	B
Number of complaints from commercial or retail customers received over the reporting period	9
Number of complaints from retail customers referred to the [XXX]	9A

Number of complaints by category:		A	B
Advising, selling and arranging	10
General admin or customer service, including delays	11
Price, terms, coverage or disputed sums or charges	12
Arrears-related	13
Denial of claim	14
Complaints about third-party providers (for example, third party administrators)	15
Unauthorised transaction	16
Other	17

Number of complaints by line of business:		A	B
Accident	18
Sickness	19
Land vehicles	20
Railway rolling stock	21
Aircraft	22
Ships	23
Goods in transit	24
Fire and natural forces	25
Damage to property	26
Motor vehicle liability	27
Aircraft liability	28
Liability of ships	29
General liability	30
Credit	31
Suretyship	32
Miscellaneous financial loss	33
Legal expenses	34
Assistance	35
Space	36
Space liabilities	37

Life and annuity	35
Marriage and birth	36
Linked long-term	37
Permanent health	38


Name/ Position	Signature	Date

Name/ Position	Signature	Date

Instructions on Annex 1.8. template on Supplementary Information to the Manual is aimed at reporting on Insurers’ business.

Supplementary Information Report contains short overview on Capital Requirements and Liquid Assets, Staffing and Analysis of Complaints received.

Short overview of Analysis of Complaints received includes analysis by related categories of complaints and line of business of Insurers.

Annex. 1.9. Calculation of Eligible Capital

CALCULATION OF ELIGIBLE CAPITAL	INS300
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


DESCRIPTION	Line no.	A	B	C	D
Tier One Capital
Permanent Share Capital	1
Share Premium Account	2
Capital redemption reserves	3
Accumulated unrealised profits net of accumulated unrealised losses	4
Any other item(s) or reserve(s) approved by the AFSA	5

Total Tier One Capital	6

Tier Two Capital

Item(s) or reserve(s) approved by the AFSA	7

Total Tier Two Capital	8

Total Tier One Capital plus Tier Two Capital	9

Deductions from Tier One and Tier Two Capital:
Investments in own shares	10
Investments in subsidiaries and associates	11
Connected lending of a capital nature	12
Any interim losses incurred in the financial year	13
Intangible assets	14
Tangible fixed assets	15
Deferred acquisition costs	16
Deferred tax assets that rely on future profitability	17
Deficiencies of net assets in subsidiaries	18
Any investment by a subsidiary in the firm's own shares	19
Investments in other insurers or financial institutions	20
Any other deductible amount(s) as directed by the AFSA	21

Total deductions from Tier One and Tier Two Capital	22

Total Eligible Capital	23

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.9. template on Calculation of Eligible Capital to the Manual is aimed at reporting on calculation of capital requirements and eligible capital.

The Analysis of Investment Concentrations Risk must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Line 23. Total Eligible Capital – is line 9. Total Tier One Capital plus Tier Two Capital subtracted of line 22. Total deductions from Tier One and Tier Two Capital and resulted in column D.

Line 9. Total Tier One Capital plus Tier Two Capital – is the total of line 6. Total Tier One Capital resulted in column B. and line 8. Total Tier Two Capital resulted in column C.

Line 6. Total Tier One Capital – is the total of line 1. Permanent Share Capital, line 2. Share Premium Account, line 3. Capital redemption reserves, line 4. Accumulated unrealised profits net of accumulated unrealised losses.

Line 22. Total deductions from Tier One and Tier Two Capital – is the total of line 10. Investments in own shares, line 11. Investments in subsidiaries and associates, line 12. Connected lending of a capital nature, line 13. Any interim losses incurred in the financial year, line 14. Intangible assets, line 15. Tangible fixed assets, line 16. Deferred acquisition costs, line 17. Deferred tax assets that rely on future profitability, line 18. Deficiencies of net assets in subsidiaries, line 19. Any investment by a subsidiary in the firm's own shares, line 20. Investments in other insurers or financial institutions.

Annex. 1.10. Calculation of Prescribed Capital Requirements (PCR)

CALCULATION OF PRESCRIBED CAPITAL REQUIREMENT (PCR)	INS310
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


Type of Insurance Firm	1

Capital Floor
Paid up share capital
Amount Paid up share capital is > Capital Floor

Capital Floor x 75%
Shareholders’ funds
Amount Shareholders’ funds is > Capital Floor x 75%

MINIMUM CAPITAL REQUIREMENT	2

Amount Eligible Capital is > Minimum Capital Requirement


PRESCRIBED CAPITAL REQUIREMENT		A	B	C	D
Investment Risk Requirement

Asset Risk Component	3		(Form INS 320)
Off-balance Sheet Asset Risk Component	4		(Form INS 330)
Off-balance Sheet Liability Risk Component	5		(Form INS 340)

Total Investment Risk Requirement	6

Insurance Risk Requirement

Premium Risk Component	7		(Form INS 350)
Technical Provisions Risk Component	8		(Form INS 360)
Long-Term Insurance Risk Component	9		(Form INS 370)
Insurance Concentration Risk Component	10		(Form INS 380)

Total Insurance Risk Requirement	11

Operational Risk Requirement
greater of:
GWP in the last 12 months	12		2,00%
Gross technical provisions	13		2,00%
but maximum ORR is capped at:	14

Total Operational Risk Requirement	15

TOTAL RISK BASED CAPITAL REQUIREMENT	16

Capital Requirement Using an Approved Internal Model (if applicable)	17

MINIMUM CAPITAL REQUIREMENT x 150%	18

ELIGIBLE CAPITAL (from form INS300)	19

PRESCRIBED CAPITAL REQUIREMENT

Amount Eligible Capital is > Prescribed Capital Requirement	20

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.10. template on Calculation of Prescribed Capital Requirement (PCR) to the Manual is aimed at reporting on capital requirements.

The Calculation of Prescribed Capital Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Line 2. Minimum Capital Requirement – depends on the type of insurance or reinsurance firms by the requirements of PINS.

Line 3. Asset Risk Component – is linked with the column C. Capital Charge of line 41. Total Asset Risk Component at the template on Calculation of Asset Risk Component (annex 1.11.).

Line 4. Off-balance Sheet Asset Risk Component – is linked with the column D. Asset equivalent value multiplied by asset risk component of line 21. Total Off-Balance Sheet Asset Risk Component at the template on Calculation of Off-Balance Sheet Asset Risk Component (Annex 1.12.).

Line 5. Off-balance Sheet Liability Risk Component – is linked with the column H. Total Risk of line Total Off-Balance Sheet Liability Risk Component at the template on Calculation of Off-Balance Sheet Liability Risk Component (Annex 1.13.).

Line 6. Total Investment Risk Requirement – is the total of line 3. Asset Risk Component, line 4. Off-balance Sheet Asset Risk Component and line 5. Off-balance Sheet Liability Risk Component.

Line 7. Premium Risk Component – is linked with the column D. of line 50. Total Premium Risk Component at the template on Calculation of Premium Risk Component (Annex 1.14.)

Line 8. Technical Provisions Risk Component – is linked with the column D. of the line 49. Total Technical Provisions Risk Component at the template on Calculation of Technical Provisions Risk Component (Annex 1.15.).

Line 9. Long-Term Insurance Risk Component – is linked with the column F. Capital at Risk of the line 7. Total Long Term Insurance Risk Component at the template on Calculation of Long Term Insurance Risk Component (Annex 1.16.).

Line 10. Insurance Concentration Risk Component – is linked with the column C. of the line 6. Total Insurance Concentration Risk Component at the template on Calculation of Insurance Concentration Risk Component (Annex 1.17.).

Line 11. Total Insurance Risk Requirement – is the total of the line 7. Premium Risk Component, line 8. Technical Provisions Risk Component, line 9. Long-Term Insurance Risk Component and line 10. Insurance Concentration Risk Component.

Line 12. GWP in the last 12 months – the amount of an AIFC- Incorporated Insurer’s Operational Risk Requirements is 2% of whichever is the higher of the AIFC-Incorporated Insurer’s gross written premiums in the 12 months ending on the Solvency Reference Date. Column B. 2% times column A. resulted in column C. ((a) (1) 2.4. Operational Risk Requirement of the PINS).

Line 13. Gross technical provisions - the amount of an AIFC- Incorporated Insurer’s Operational Risk Requirements is 2% of whichever is the higher of its technical provisions (without deduction for reinsurance) as at the Solvency Reference Date. Column B. 2% times column A. and resulted in column C. ((b) (1) 2.4. Operational Risk Requirement of the PINS)

Line 14. but maximum ORR is capped at: - if the amount calculated under subrule (1) 2.4. Operational Risk Requirements of the PINS is more than a ceiling, calculated as ((2) 2.4. Operational Risk Requirement of the PINS):

((Line 6. Total Investment Risk Requirement) + (line 11. Total Insurance Risk Requirement)) X (0,15/0,85)

Line 15. Total Operational Risk Requirements – is the maximum of line 12. GWP in the last 12 months and line 13. Gross technical provisions and maximum is caped at line 14. but maximum ORR is capped at.

Line 16. Total Risk Based Capital Requirement – is total of line 6. Total Investment Risk Requirement, line 11. Total Insurance Risk Requirement and line 15. Total Operational Risk Requirement.

Line 18. Minimum Capital Requirement x 150% - is maximum of line 2. Minimum Capital Requirement, line 16. Total Risk Based Capital Requirement and line 17. Capital Requirement Using an Approved Internal Model (if applicable).

Line 19. Eligible Capital (from form INS300) – is linked with column D. of line 23. Total Eligible Capital at reporting template on Calculation of Eligible Capital (Annex 1.9.).

Line 20. Amount Eligible Capital is > Minimum Capital Requirement – is line 18. Minimum Capital Requirement subtracted of line 19. Eligible Capital (from form INS300) .

Annex. 1.11. Calculation of asset Risk Component

CALCULATION OF ASSET RISK COMPONENT	INS320
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)

Non-Reinsurance Assets
Asset	Line no.	('000)	Risk Factor	Capital Charge
Asset	Line no.	A	B	C
Cash	1		0,50%
grade 1 sovereign debt	2		0,50%
bonds that mature, or are redeemable, in less than 1 year with a counterparty rating of grade 1 or 2 (excluding subordinated debt and government debt obligations dealt with anywhere else in this table)	3		1,00%
Cash management trusts with a counterparty rating of Grade 1 or 2	4		1,00%
Unpaid premiums due 6 months or less previously from a counterparty with a rating of grade 1, 2 or 3. Bonds that mature, or are redeemable, in 1 year or more with a counterparty rating of grade 1 or 2 (excluding subordinated debt and government debt obligations dealt with anywhere else in this table)	5		2,00%
Unpaid premiums due 6 months or less previously from an unrated counterparty or a counterparty with a rating of grade 4 or 5	6		4,00%
bonds with a counterparty rating of grade 3 (excluding subordinated debt)	7		4,00%
Cash management trusts with a counterparty rating of Grade 3	8		4,00%
secured loans	9		4,00%
bonds with a counterparty rating of grade 4 (excluding subordinated debt)	10		6,00%
Unpaid premiums due more than 6 months previously from a counterparty with a rating of grade 1, 2 or 3 Cash management trusts with a counterparty rating of Grade 4	11		6,00%
bonds with a counterparty rating of grade 5 (excluding subordinated debt)	12		8,00%
Unpaid premiums due more than 6 months previously from an unrated counterparty or a counterparty with a rating of grade 4 or 5	13		8,00%
Cash management trusts with a counterparty rating of Grade 5	14		8,00%
Listed subordinated debt	15		8,00%
Unlisted subordinated debt	16		10,00%
preference shares	17		10,00%
Listed equity instruments	18		16,00%
Listed trusts	19		16,00%
Direct holdings of real estate	20		20,00%
Unlisted equity instruments	21		20,00%
Unlisted trusts	22		20,00%
other non-reinsurance assets not mentioned in this table	23		20,00%
Loans to directors of the insurer or directors of related corporate bodies or dependent relatives of such directors	24		100,00%
unsecured loans to employees (except loans of less than 3600)	25		100,00%
assets subject to a fixed or floating charge	26		100,00%
Asset Risk Component of Non-reinsurance Assets	27


Reinsurance assets—reinsurer supervised by subrule (2) regulator
Asset	Line no.	('000)	Risk Factor	Capital Charge
Asset	Line no.	A	B	C
reinsurance assets due from reinsurers with a counterparty rating of grade 1	28		1,00%
reinsurance assets due from reinsurers with a counterparty rating of grade 2	29		2,00%
reinsurance assets due from reinsurers with a counterparty rating of grade 3	30		4,00%
reinsurance assets due from reinsurers with a counterparty rating of grade 4	31		6,00%
reinsurance assets due from reinsurers with a counterparty rating of grade 5	32		8,00%
Asset Risk Component of Reinsurance Assets - reinsurers supervised by subrule (2) regulator	33


Reinsurance assets—reinsurer not supervised by subrule (2) regulator
Asset	Line no.	('000)	Risk Factor	Capital Charge
Asset	Line no.	A	B	C
reinsurance assets due from reinsurers with a counterparty rating of grade 1	34		1,20%
reinsurance assets due from reinsurers with a counterparty rating of grade 2	35		2,40%
reinsurance assets due from reinsurers with a counterparty rating of grade 3	36		4,80%
reinsurance assets due from reinsurers with a counterparty rating of grade 4	37		7,20%
reinsurance assets due from reinsurers with a counterparty rating of grade 5	38		9,60%
Asset Risk Component of Reinsurance Asssets - reinsurers not supervised by subrule (2) regulator	39

Total Asset Risk Component of Reinsurance Assets	40

TOTAL ASSET RISK COMPONENT	41


Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.11. template on Calculation of Asset Risk Component to the Manual is aimed at reporting on calculation of asset risk component of Investment Risk Requirement.

The Calculation of Asset Risk Component of Investment Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Lines 1 – 27. are related with Non-Reinsurance Assets.

Line 1 – 26. Capital Charge of risk weighted assets. Capital Charge (column C.) is calculated by assets exposure types (Column A.) multiplied by it risk factor (Column B.) given in the template.

Line 27. Total Capital Charge – is the total of column D. Assets Capital Charge of lines 1 – 26.

Lines 28 – 33. Are related with Reinsurance assets—reinsurer supervised by subrule (2) PINS regulator.

Line 28 – 32. Capital Charge or risk weighted assets. Capital Charge (Column C.) is calculated by assets exposure types (Column A.) multiplied by it risk factors (Column B.) given in the template.

Line 33. Total Capital Charge – is the total of column D. Assets Capital Charge of lines 28 – 32.

Lines 34 - 39. are related with Asset Risk Component of Reinsurance Assets - reinsurers not supervised by subrule (2) PINS regulator.

Lines 34-38. Capital Charge or risk weighted assets. Capital Charge (Column C.) is calculated by assets exposure types (Column A.) multiplied by it risk factors (Column B.) given in the template.

Line 39. Total Capital Charge – is the total of column D. Assets Capital Charge of lines 34 - 38.

Line 40. Total Asset Risk Component of Reinsurance Assets – is total of capital charges at line 33. Asset Risk Component of Reinsurance Assets - reinsurers supervised by subrule (2) regulator and line 39. Asset Risk Component of Reinsurance Assets - reinsurers not supervised by subrule (2) regulator.

Line 41. Total Asset Risk Component – is the total of capital charges at line Asset Risk Component of Non-reinsurance Assets and line 40. Total Asset Risk Component of Reinsurance Assets.

Annex. 1.12. Calculation of Off Balance Sheet Asset Risk Component

CALCULATION OF OFF BALANCE SHEET ASSET RISK COMPONENT	INS330
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


	Line no.		Risk Weight %		Asset equivalent value multiplied by asset risk component
	Line no.	A	B	C	D
Interest Rate Contracts

Residual maturity < 1 year	1		0,00%
Residual maturity 1-5 years	2		0,50%
Residual maturity > 5 years	3		1,50%
Risk Component for Interest Rate Contracts	4

Foreign Exchange & Gold Contracts

Residual maturity < 1 year	5		1,00%
Residual maturity 1-5 years	6		5,00%
Residual maturity > 5 years	7		7,50%
Risk Component for Foreign Exchange & Gold Contracts	8

Equity Contracts

Residual maturity < 1 year	9		6,00%
Residual maturity 1-5 years	10		8,00%
Residual maturity > 5 years	11		10,00%
Risk Component for Equity Contracts	12

Precious Metal Contracts (except gold)

Residual maturity < 1 year	13		7,00%
Residual maturity 1-5 years	14		7,00%
Residual maturity > 5 years	15		8,00%
Risk Component for Precious Metal Contracts	16

Other Contracts

Residual maturity < 1 year	17		10,00%
Residual maturity 1-5 years	18		12,00%
Residual maturity > 5 years	19		15,00%
Risk Component for Other Contracts	20

TOTAL OFF BALANCE SHEET ASSET RISK COMPONENT	21

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.12. template on Calculation of Off-Balance Sheet Asset Risk Component to the Manual is aimed at reporting on calculation of off-balance sheet asset risk component of Investment Risk Requirement.

The Calculation of Off-Balance Sheet Asset Risk Component of Investment Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Line 21. Total Off-Balance Sheet Asset Risk Component – is the total Asset equivalent values multiplied by asset risk components of line 4. Risk Component for Interest Rate Contracts, line 8. Risk Component for Foreign Exchange & Gold Contracts, line 12. Risk Component for Equity Contracts, line 16. Risk Component for Precious Metal Contracts and line 20. Risk Component for Other Contracts.

Asset equivalent values multiplied by asset risk components of:

Line 4. Risk Component for Interest Rate Contracts – is the total of multiplication results of column A. Assets equivalent values of Interest rate contracts and multiplicators given at column B. Risk weights of Interest Rate Contracts divided by residual maturities in line 1. Residual maturity < 1 year, line 2. Residual maturity 1-5 years, line 3. Residual maturity > 5 years.

Line 8. Risk Component for Foreign Exchange & Gold Contracts – is the total of multiplication results of column A. Assets equivalent values of Foreign Exchange & Gold Contracts and multiplicators given at column B. Risk weights of Foreign Exchange & Gold Contracts divided by residual maturities in line 5. Residual maturity < 1 year, line 6. Residual maturity 1-5 years, line 7. Residual maturity > 5 years.

Line 12. Risk Component for Equity Contracts – is the total of multiplications results of column A. Assets equivalent values of Equity contracts and multiplicators given at column B. Risk Weights of Equity Contracts divided by residual maturities in line 9. Residual maturity < 1 year, line 10. Residual maturity 1-5 years and line 11. Residual maturity > 5 years.

Line 16. Risk Component for Precious Metal Contracts – is the total of multiplications results of column A. Assets equivalent values of Precious Metal contracts and multiplicators given at column B. Risk Weights of Precious Metal Contracts divided by residual maturities in line 13. Residual maturity < 1 year, line 14. Residual maturity 1-5 years and line 15. Residual maturity > 5 years.

Line 20. Risk Component for Other Contracts – is the total of multiplications results of column A. Assets equivalent values of Other contracts (other than contracts mentioned in lines 4., 8., 12., 16.) and multiplicators given at column B. Risk Weights of Other Contracts divided by residual maturities in line 17. Residual maturity < 1 year, line 18. Residual maturity 1-5 years and line 19. Residual maturity > 5 years.

Annex. 1.13. Calculation of Off Balance Sheet Liability Risk Component

CALCULATION OF OFF BALANCE SHEET LIABILITY RISK COMPONENT	INS340
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


List all credit substitutes issued by the firm			Asset Risk	Total
Name of liability		Value ('000)	Component	Risk
		A	B	C

TOTAL OFF BALANCE SHEET LIABILITY RISK COMPONENT

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.12. template on Calculation of Off-Balance Sheet Liability Risk Component to the Manual is aimed at reporting on calculation of off-balance sheet liabilities risk component of Investment Risk Requirement.

The Calculation of Off-Balance Liability Risk Component of Investment Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Total Off Balance Sheet Liability Risk Component – is the total of column C. Total Risks of each credit substitutes issued by the firm.

Total Risk – is calculates as the value of credit substitutes issued by the firms multiplied by Asset Risk component.

Annex. 1.14. Calculation of Premium Risk Component

CALCULATION OF PREMIUM RISK COMPONENT	INS350
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)

Category	Line No	Net Premium Liability ('000)
		Direct	Reinsurance:	Reinsurance:
		insurance	proportional	non-proportional
		A	B	C	D
Accident	1
Sickness	2
Land vehicles	3
Railway rolling stock	4
Aircraft	5
Ships	6
Goods in transit	7
Fire and natural forces	8
Damage to property	9
Motor vehicle liability	10
Aircraft liability	11
Liability of ships	12
General liability	13
Credit	14
Suretyship	15
Miscellaneous financial loss	16
Legal expenses	17
Assistance	18
Space	19
Space liabilities	20
Life and annuity	21
Marriage and birth	22
Linked long-term	23
Permanent health	24

Category	Line No	Amount of Premium Risk Components
		Direct	Reinsurance:	Reinsurance:
		insurance	proportional	non-proportional
		A	B	C	D
Accident	25
Sickness	26
Land vehicles	27
Railway rolling stock	28
Aircraft	29
Ships	30
Goods in transit	31
Fire and natural forces	32
Damage to property	33
Motor vehicle liability	34
Aircraft liability	35
Liability of ships	36
General liability	37
Credit	38
Suretyship	39
Miscellaneous financial loss	40
Legal expenses	41
Assistance	42
Space	43
Space liabilities	44
Life and annuity	45
Marriage and birth	46
Linked long-term	47
Permanent health	48

premium risk	49
	Line no.	A	B	C	D
TOTAL PREMIUM RISK COMPONENT	50


Name/ Position	Signature	Date

Name/ Position	Signature	Date

Instructions on Annex 1.14. template on Calculation of Premium Risk Component to the Manual is aimed at reporting on calculation of premium risk component of Insurance Risk Requirement.

The Calculation of Premium Risk Component of Insurance Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Line 50. Total Premium Risk Component – is the total of columns A., B., C. at line 49. Premium risk.

Line 49. Premium risk – is the total of lines 25 – 48. that are calculated by multiplication of its Net Premium Liabilities and Premium Risk Factors (see para. 7.2 Premium Risk Component of Schedule 5. Calculation of Prescribed Capital Requirements (PCR) of PINS) by Categories for column A. Direct Insurance, column B. Re-Insurance Proportional and column C. Re-Insurance Non-Proportional.

Annex. 1.15. Calculation of Technical Provisions Risk Component

CALCULATION OF TECHNICAL PROVISIONS RISK COMPONENT	INS360
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


PINS Category	Line No	Amount of net outstanding claims liability('000)
		Direct	Reinsurance:	Reinsurance:
		insurance	proportional	non-proportional
		A	B	C	D
Accident	1
Sickness	2
Land vehicles	3
Railway rolling stock	4
Aircraft	5
Ships	6
Goods in transit	7
Fire and natural forces	8
Damage to property	9
Motor vehicle liability	10
Aircraft liability	11
Liability of ships	12
General liability	13
Credit	14
Suretyship	15
Miscellaneous financial loss	16
Legal expenses	17
Assistance	18
Space	19
Space liabilities	20
Life and annuity	21
Marriage and birth	22
Linked long-term	23
Permanent health	24


PINS Category	Line No	Amount of Technical Provision Risk Components
		Direct	Reinsurance:	Reinsurance:
		insurance	proportional	non-proportional
		A	B	C	D
Accident	25	0	0	0
Sickness	26
Land vehicles	27
Railway rolling stock	28
Aircraft	29
Ships	30
Goods in transit	31
Fire and natural forces	32
Damage to property	33
Motor vehicle liability	34
Aircraft liability	35
Liability of ships	36
General liability	37
Credit	38
Suretyship	39
Miscellaneous financial loss	40
Legal expenses	41
Assistance	42
Space	43
Space liabilities	44
Life and annuity	45
Marriage and birth	46
Linked long-term	47
Permanent health	48


	Line no.	A	B	C	D
TOTAL TECHNICAL PROVISIONS RISK COMPONENT	49

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.15. template on Calculation of Technical Provisions Risk Component to the Manual is aimed at reporting on calculation of technical provisions risk component of Insurance Risk Requirement.

The Calculation of Technical Provisions Risk Component of Insurance Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Line 49. Total Technical Provisions Risk Component – is the total of all Amount of Technical Provision Risk Components in columns A, B and C at the lines 25-48.

Amount of Technical Provision Risk Component – is the multiplication of Amount of Net Outstanding Claims Liability at lines 1 – 24. by Risk Component of PINS Categories (see para. 8.2. Outstanding Claims Risk Component at Schedule 5. Calculation of Prescribed Capital Requirement of PINS) and resulted in lines 25-48.

Annex. 1.16. Calculation of Long Term Insurance Risk Component

CALCULATION OF LONG TERM INSURANCE RISK COMPONENT

INS370

Name:

Period Ending:

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

Line No.

Value

('000)

Risk

weight

Risk

component

Provisions

Capital at risk

Provisions

Capital at risk

Provisions

Capital at risk

Annuity and pensions

3,00%

0,10%

Investment-linked business subject to a capital guarantee

1,25%

0,10%

Investment-linked business not subject to a capital guarantee

0,50%

0,10%

Other long-term business

3,00%

0,10%

Total

Method of calculated anticipated claims cost:

('000)

risk weight

risk component

Capital at risk for policies that are contingent on mortality

0,05%

Line no.

TOTAL LONG TERM INSURANCE RISK COMPONENT

Name/ Position

Signature

Date

Name/ Position

Signature

Date

Instructions on Annex 1.16. template on Calculation of Long Term Insurance Risk Component to the Manual is aimed at reporting on calculation of risks related with long term insurance contracts as a component of Insurance Risk Requirements.

The Calculation of Long Term Insurance Risk Requirement must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Line 7. Total Long Term Insurance Risk Component – is the total of line 5. Total Risk components Provisions (column E.) and Capital at Risk (column F.) and line 6. Capital at risk for policies that are contingent on mortality risk component (column C.) resulted in column F.

Line 5. Total – is the total of line 1. Annuity and pensions, line 2. Investment-linked business subject to a capital guarantee, line 3. Investment-linked business not subject to a capital guarantee and line 4. Other long-term business (other than at lines 1-3.)

Column E. Risk Component Provisions – is the multiplication of provisions’ value by the long-term business types (column A.) in lines 1-3. and Risk weights of Provisions (column C.) in lines 1-3. given at the template.

Column F. Risk Component Capital at Risk – is the multiplication of Capital at Risk value by the long-term business types (column A.) in lines 1-3. and Risk weights of Capita at Risk (column D.) in lines 1-3. given at the template.

Method of calculated anticipated claims cost:

Line 6. Capital at risk for policies that are contingent on mortality – is the multiplication of column A. Value of Capital at risk and column B. Risk weight that is resulted in column C. Risk component.

Annex. 1.17. Calculation of Insurance Concentration Risk Component

CALCULATION OF INSURANCE CONCENTRATION RISK COMPONENT	INS380
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)


	Item No.	A	B	C
Is the firm protected by catastrophe risk reinsurance?	1

Firms protected by catastrophe risk reinsurance
		Value ('000)
Maximum event retention (MER)	2

Cost of reinstatement	3

Reinstatement premiums	4

Firms NOT protected by catastrophe risk reinsurance
		Value ('000)
Largest per risk retention	5

TOTAL INSURANCE CONCENTRATION RISK COMPONENT	6

Name/ Position	Signature	Date


Name/ Position	Signature	Date

Instructions on Annex 1.17. template on Calculation of Insurance Concentration Risk Component to the Manual is aimed at reporting on calculation of risks related with long term insurance contracts as a component of Insurance Risk Requirements.

The Calculation of Insurance Concentration Risk Component must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Line 1. Is the firm protected by catastrophe risk reinsurance –is the firm protected by catastrophe risk reinsurance by choosing “Yes” or “No”.

“Yes” – the firm is protected by catastrophe risk reinsurance;

“No” – the firm is not protected by catastrophe risk reinsurance.

Line 6. Total Insurance Concentration Risk Component – if the firm is:

a) protected by catastrophe risk reinsurance – Total Insurance Concentration Risk Component is the total of values (column A.) at line 2. Maximum event retention (MER), line 3. Cost of reinstatement and line 4. Reinstatement premiums;

b) not protected by catastrophe risk reinsurance – Total Insurance Concentration Risk Component is twice (X2) value (column A.) of line 5. Largest per risk retention;

and resulted in column C. of the line 6.

Annex. 1.18. Statement of Reinsurance

STATEMENT OF REINSURANCE	INS400
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)

10 largest reinsurers by size of receivable	Line no.	Country of Domicile	Rating	Premium ceded	Value of collateral or security held	Value of collateral or security held	Aged receivable from reinsurer			Amounts doubtful or written off during the year
10 largest reinsurers by size of receivable		Country of Domicile	Grades	Premium ceded	Value of collateral or security held	Value of collateral or security held	1-90 days	91-180 days	180+ days	Amounts doubtful or written off during the year
A		B	C	D	E	1E	F	G	H	I
	1
	2
	3
	4
	5
	6
	7
	8
	9
	10
all other related or associated reinsurers	11	N/A	N/A
all other reinsurers	12	N/A	N/A
TOTAL	13

Line of business	Line no.	Policy Limits	Net Retention	Name of largest reinsurer	Name of 2nd largest reinsurer
A	Line no.	B	C	D	E

Accident	14
Sickness	15
Land vehicles	16
Railway rolling stock	17
Aircraft	18
Ships	19
Goods in transit	20
Fire and natural forces	21
Damage to property	22
Motor vehicle liability	23
Aircraft liability	24
Liability of ships	25
General liability	26
Credit	27
Suretyship	28
Miscellaneous financial loss	29
Legal expenses	30
Assistance	31
Space	32
Space liabilities	33
Life and annuity	34
Marriage and birth	35
Linked long-term	36
Permanent health	37

Whole account protections (such as stop loss or XOL)	38


Name/ Position	Signature	Date

Name/ Position	Signature	Date

Instructions on Annex 1.18. template on Statement of Reinsurance to the Manual is aimed at reporting on reinsurance contracts.

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

The Statement of Reinsurance is reported on 10 largest reinsurers by size of receivables and a breakdown of outward treaty reinsurance by line of business.

10 largest reinsurers by size of receivables:

Line 13. Total of 10 largest reinsurers by size of receivables – is the total of lines 1-10. 10 largest reinsurers by size of receivables, line 11. All other related or associated reinsurers and line 12. All other reinsurers with specified information on column A. Name of reinsurer, column B. Country of Domicile, column C. Rating Grades, column D. Premium Ceded, column E. Value of collateral or security held, column 1E. Value of collateral or security held, column F. 1-90 days Aged receivable from reinsurer, column G. 91-180 days Aged receivable from reinsurer, column H. 180+ days Aged receivable from reinsurer and column I. Amounts doubtful or written off during the year.

Breakdown of outward treaty reinsurance by line of business:

Lines 14 – 38. Lines of business – information must be provided on column B. Policy limits, column C. Net retention, column D. Name of largest reinsurer and column E. Name of 2nd largest reinsurer by lines of business.

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
Number of policies sold during the period	Line no.	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
Gross Premium receivable	Line no.	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

Accident

Sickness

Land veAccidenthicles

Railway rolling stock

Aircraft

Ships

Goods in transit

Fire and natural forces

Damage to property

Motor vehicle liability

Aircraft liability

Liability of ships

General liability

Credit

Suretyship

Miscellaneous financial loss

Legal expenses

Assistance

Space

Space liabilities

Life and annuity

Marriage and birth

Linked long-term

Permanent health

TOTAL:


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).

Annex. 1.20. Statement of Technical Provisions and Claims

STATEMENT OF TECHNICAL PROVISIONS AND CLAIMS	INS600
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)

Current period

General insurance business

Line no.

Paid claims

Outstanding claims

Claim Incurred But Not Reported

Unearned premium reserve

Premium Deficiency Reserves

Other technical reserves

Loss ratio

Combined

Ratio

(annually only)

Number of reported claims

Gross

Net

Gross

Net

Gross

Net

Gross

Net

Gross

Net

Gross

Net

Accident

Sickness

Land vehicles

Railway rolling stock

Aircraft

Ships

Goods in transit

Fire and natural forces

Damage to property

Motor vehicle liability

Aircraft liability

Liability of ships

General liability

Credit

Suretyship

Miscellaneous financial loss

Legal expenses

Assistance

Space

Space liabilities

Total

Same period of prior year

Line no.

Paid claims

Outstanding claims

Claim Incurred But Not Reported

Unearned premium reserve

Premium Deficiency Reserves

Other reserves

Loss ratio

Combined Ratio (annually only)

Number of reported claims

Gross

Net

Gross

Net

Gross

Net

Gross

Net

Gross

Net

Gross

Net

Accident

Sickness

Land vehicles

Railway rolling stock

Aircraft

Ships

Goods in transit

Fire and natural forces

Damage to property

Motor vehicle liability

Aircraft liability

Liability of ships

General liability

Credit

Suretyship

Miscellaneous financial loss

Legal expenses

Assistance

Space

Space liabilities

Total

Long Term insurance business	Line no.	Gross liabilities	Net liabilities	Gross payments on life insurance policies by cause of payment
Long Term insurance business		Gross liabilities	Net liabilities	Death	Disability	Surrender	Maturity	Conversions	Other	Total
Conventional Long Term		A	B	C	D	E	F	G	H	I
Life and annuity	43
Marriage and birth	44
Linked long term	45
Permanent health	46
Total	47

For Long Term and General Insurance Business
List the details of the five largest claims incurred during the period or claims outstanding at the end of the period (on a gross basis)
Details		Amount


Name/ Position	Signature	Date

Name/ Position	Signature	Date

Instructions on Annex 1.20. template on Statement of Technical Provisions and Claims to the Manual is aimed at reporting on provisions and claims.

The Statement of Technical Provisions and Claims must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Information on technical provisions and claims must be specified by Gross and Net Paid claims, Outstanding claims, Claim Incurred But Not Reported, Unearned Premium Reserve, Premium Deficiency Reserves, Other Technical Reserves and Loss Ratio, Combined Ratio (annually only), Number Of Reported Claims for current period and same period of prior year and Long Term insurance business information.

The Statement of Technical Provisions and Claims for General Business and Long Term insurance business.

The Statement of Technical Provisions and Claims for General Business for current period (lines 1-21) and same period of prior year (line 22-42) by categories provided in PINS and Template.

Long Term insurance business information must be specified by Conventional Long-Term insurance business in column A. Gross Liabilities, column B. Net Liabilities and Gross Payments on Life Insurance Policies by Cause of Payments at column I. Total, including: column C. Death, column D. Disability, column E. Surrender, column G. Maturity , column H. Other.

Lines 21, 42, and 47 Total – are the totals of the column by categories above.

For Long Term and General Insurance Business, list the details of the five largest claims incurred during the period or claims outstanding at the end of the period (on a gross basis) specifying information on Details and Amount.

Annex. 1.21. Statement of Changes in Long-Term Business

STATEMENT OF CHANGES IN LONG-TERM BUSINESS (complete annually only)	INS610
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)

Line no.

Term Insurance

Endowment

Whole Life

Investment Linked

Annuity

Other Long -Term Business

No of contracts

No of lives

Annual premiums

No of contracts

No of lives

Annual premiums

No of contracts

No of lives

Annual premiums

No of contracts

No of lives

Annual premiums

No of contracts

No of lives

Annual premiums

No of contracts

No of lives

Annual premiums

In force at beginning of year

New business and increases

Net additions through transfers and other alterations

Total

Deaths

Other insured events

Maturities

Surrenders

Forfeitures

Conversions to paid-up policies for reduced benefits

Net reductions through transfers, expiries and other alterations

Total reductions

In force at end of year


Name/ Position	Signature	Date

Name/ Position	Signature	Date

Instructions on Annex 1.21. template on Statement of Changes in Long-Term Business (complete annually only) to the Manual is aimed at reporting on premiums.

The Statement of Changes in Long-Term Business must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

The reporting on Changes in Long-Term Business must be submitted annually.

The Statement of Changes in Long-Term business includes information on business lines in Term Insurance, Endowment, Whole Life, Investment Linked, Annuity and Other Long-Term Business with specification in Number of Contracts, Number of Lives and Annual Premiums.

Line 13. In force at end of year – is the total of line 1. In force at beginning of year and line 4. Total and subtracted line 12. Total reductions.

Line 4. Total – is the total of line 2. New business and increases and line 3. Net additions through transfers and other alterations.

Line 12. Total reductions – is the total of line 5. Deaths, line 6. Other insured events, line 7. Maturities, line 8. Surrenders, line 9. Forfeitures, line 10. Conversions to paid-up policies for reduced benefits and line 11. Net reductions through transfers, expiries and other alterations.

Annex. 1.22. Statement of Intra-Group Transactions

STATEMENT OF INTRA-GROUP TRANSACTIONS	INS700
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000) This form is to be completed only by an LTD company or PLC established in the AIFC

ASSETS	Line no.	Actual balances at period-end	Same period of prior year
		LTD or PLC
		A	D
Assets held by or invested in associates and related parties
Cash and balances	1
Short term negotiable securities	2
Premiums Receivable	3
Reinsurance Receivable - share of paid claims & other receivables, outstanding claims & IBNR and unearned premium reserve	4
Other Receivables	5
Investment and trading securities	6
Investment in subsidiary companies	7
Investment in associate companies	8
Investment in joint arrangements	9
Non-current assets held for sale	10
Other assets	11
TOTAL ASSETS	12

Liabilities connected to associates and related parties
Technical reserves - general insurance	13
Gross outstanding claims	14
Claims incurred but not reported	15
Premium deficiency reserve	16
Other technical reserves	17
Technical reserves - long-term insurance	18
Unearned premium reserves	19
Reinsurance balances payable	20
Term debt instruments	21
Other intra-group liabilities	22
TOTAL LIABILITIES	23

Equity connected to associates and related parties
Share capital	24
All other equity items	25

	Line no.	1-90 days	91-180 days	180+ days	Amounts doubtful or written off during the year
	Line no.	A	B	C	D
Aged receivables from associates and related parties	25A

Revenue and expenses connected to associates and related parties	Line no.	Current period	Same period of prior year
		LTD or PLC
		A	D
Gross premiums written	26
Less: Reinsurance premiums ceded	27
Fee and commission income	28
Other operating income	29

Total Insurance Income	30

Investment income
Interest income	31
Dividend income	32
Rental Income	33
Other investment income	34
Total Investment Income	35

TOTAL INCOME	36

Loss and loss adjustment expenses	37
Policyholder benefits and claims (long-term insurance)	38
Commission, brokerage expenses, and acquisition costs	39
Staff costs	40
Occupation and accommodation	41
Other expenses	42

TOTAL OPERATING EXPENSES	43

Impairment of investments and capital items	44
Share of profit / (loss) of associates and joint ventures	45

List all guarantees, agreements, or off-balance sheet items with associated or related parties


Name/ Position	Signature	Date

Name/ Position	Signature	Date

Instructions on Annex 1.22. template on Statement of Intra-Group Transactions to the Manual is aimed at reporting on transactions made between intra-group stakeholders.

The Statement of Intra-Group Transactions must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

Assets held by or invested in associates and related parties for Actual balances at period-end and Same period of prior year:

Line 12. Total Assets – is the total of line 1. Cash and balances, line 2. Short term negotiable securities, line 3. Premiums Receivable, line 4. Reinsurance Receivable - share of paid claims & other receivables, outstanding claims & IBNR and unearned premium reserve, line 5. Other Receivables, line 6. Investment and trading securities, line 7. Investment in subsidiary companies, line 8. Investment in associate companies, line 9. Investment in joint arrangements, line 10. Non-current assets held for sale and line 11. Other assets.

Liabilities connected to associates and related parties for Actual balances at period-end and Same period of prior year:

Line 23. Total Liabilities – is the total of line 13. Technical reserves - general insurance, line 18. Technical reserves - long-term insurance, line 19. Unearned premium reserves, line 20. Reinsurance balances payable, line 21. Term debt instruments and line 22. Other intra-group liabilities.

Line 13. Technical reserves - general insurance – is the total of line 14. Gross outstanding claims, line 15. Claims incurred but not reported, line 16. Premium deficiency reserve and line 17. Other technical reserves.

Equity connected to associates and related parties for Actual balances at period-end and Same period of prior year:

Equity connected to associate and related parties is represented with line 24. Share capital and line 25. All other equity items.

Line 25A. Aged receivables from associates and related parties:

Information of Aged receivables from associates and related parties are specified by maturities column A. 1-90 days, column B. 91-180 days, column C. 180+ days and column D. Amounts doubtful or written off during the year.

Revenue and expenses connected to associates and related parties for Current period and Same period of prior year:

Line 36. Total Income – is the total of line 30. Total Insurance Income and line 35.Total Investment Income.

Line 30. Total Insurance Income – is the total of line 26. Gross premiums written, line 28. Fee and commission income, line 29. Other operating income and subtract line 27. Less: Reinsurance premiums ceded.

Line 35. Total Investment Income – is the total of line 31. Interest income, line 32. Dividend income, line 33. Rental Income and line 34. Other investment income.

Line 43. Total Operating Expenses – is the total of line 37. Loss and loss adjustment expenses, line 38. Policyholder benefits and claims (long-term insurance), line 39. Commission, brokerage expenses, and acquisition costs, line 40. Staff costs, line 41. Occupation and accommodation and line 42. Other expenses.

Please, provide an information in line 44. Impairment of investments and capital items, line 45. Share of profit / (loss) of associates and joint ventures and List all guarantees, agreements, or off-balance sheet items with associated or related parties.

Annex. 1.23. Statement of Largest Clients

STATEMENT OF LARGEST CLIENTS	INS800
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000)

List your seven largest customers by gross premium written
Name	Line no.	Location (city)	Line of Business	Gross Premium Written	Retained Premium	Net Sum Insured	Premiums Receivable
A	Line no.	B	C	D	E	F	G
	1
	2
	3
	4
	5
	6
	7

List your seven largest customers by net premium written
Name	Line no.	Location (city)	Line of Business	Net Premium Written	Net Sum Insured
A	Line no.	B	C	D	E
	8
	9
	10
	11
	12
	13
	14


Name/ Position	Signature	Date

Name/ Position	Signature	Date

Instructions on Annex 1.23. template on Statement of Largest Clients to the Manual is aimed at reporting on operations with largest clients.

The Statement of Largest Clients must be recorded and reported in compliance with the International Financial Reporting Standards and requirements of the AIFC.

The Statement of Largest Clients include two templates on the largest customers by gross and net premium written.

The Largest Customers by Gross Premium Written:

List Insurance Firm’s seven largest customers by gross premium written must include following information:

column A. Name of Customer;

column B. Location (city);

column C. Line of Business;

column D. Gross Premium Written;

column E. Retained Premium;

column F. Net Sum Insured;

column G. Premiums Receivable

The Largest Customers by Net Premium Written:

List Insurance Firm’s seven largest customers by net premium written must include following information:

column A. Name of Customer;

column B. Location (city);

column C. Line of Business;

column D. Net Premium Written;

column E. Net Sum Insured;

Annex. 1.24. Information on Controllers

Information on Controllers	INS800
Name:
Period Ending:
(All amounts rounded to nearest [USD]’000) This form is to be completed only by an LTD company or PLC established in the AIFC

Controllers	Share, in %	Share, in thousands of USD	Information on Controllers
Controllers	Share, in %	Share, in thousands of USD	Individual/ Business	Country of residency
1	2	3	4	5


Total	100%

Instructions on Annex 1.24. to the Manual are for reporting template for Information on Controllers of an AIFC Incorporated Insurer, requested in consistent with the requirements of 3.4.2. GEN.

Template for collecting information on Controllers is not applicable for the AIFC Insurers incorporated outside of the AIFC (Branches).

The purpose of this Template is to provide the AFSA with information on Authorised Firm’s controllers structure (column 1), share in percentage (column 2) and share in thousands of USD (column 3), type of Controller (column 4) and residency status (column 5).

Annex. 1.25. Calculation of Minimum Capital Requirements

CALCULATION OF MINIMUM CAPITAL REQUIREMENT (MCR)		INS301
Name:
Period Ending:
(All amounts rounded to nearest [KZT/USD]'000)

Type of Insurance Firm	1			{Please select}
Type of business	2			{Please select}
Class of Captive Insurer	3			{Please select}
				{Control line}

MINIMUM CAPITAL REQUIREMENT	4

MINIMUM CAPITAL REQUIREMENT			A	B	C	D

Captive Insurers

Base Capital Requirement	5
Premium Risk Component	6
a) Net written premium	7
net written premium up to US$ 5 million	8			18%
net written premium in excess of US$ 5 million	9			16%

Technical Provision Risk Component	10
For General Insurance Business	11
Net claims reserve under general Contracts of Insurance	12			5%
Reinsurance and other recoveries expected to be received in respect of those claims	13			15%
For Long-Term Insurance Business	14
Policyholder liabilities calculated using actuarial methods for long-term insurance	15			2,5%

MINIMUM CAPITAL REQUIREMENT OF CAPTIVE INSURER	16

AIFC-Incorporated Insurer	17

Capital Floor	18
Capital Floor (Section 1.1 (3) of Schedule 4 PINS)	19
An amount specified in writing by the AFSA (if any)	20

For General Insurance Business
Gross written premiums during the previous financial year with reductions	21			12%
Gross written premiums during the previous financial year	22
Amount of any premium taxes, rebates, refunds, and commissions accrued by the Insurer	23
Gross amount of any reinsurance premiums (after deduction of any rebates or commissions receivable by the Insurer) ceded by the Insurer in respect of General Insurance Business during that preceding financial year	24

Net claims reserves and premium reserves	25			12%
Claims reserves net of reinsurance and amounts reserved to maximum	26
Premium reserves net of reinsurance and amounts reserved to maximum	27

For Long-Term Insurance Business	28
Total Reserves, Net of Reinsurance	29			2,5%

MINIMUM CAPITAL REQUIREMENT OF AIFC - INCORPORATED INSURER	30

Instructions on Annex 1.25. to the Manual are for reporting template for Calculation of Minimum Capital Requirements and applicable for AIFC Incorporated insurers and Captive Insurers.

Requirements and instructions to calculate Minimum Capital Requirements (MCR) are outlined but not limited in sections 5.2.2., 14.4. and Schedule 4 of PINS.

To use the template, Insurer should select from drop down menu following options related with the business of Insurer:

Line 1. Type of Insurance Firm – select is the firm Captive Insurer of AIFC-Incorporated Insurer
Line 2. Type of Business – select is Insurer conducting General Insurance Business or Long-term Insurance Business
Line 3. Class of Captive Insurer – if Insurer selected in line 1. Captive type of Insurance Firm please select the Class of Captive Insurer from Class 1, Class 2, Class 3. Descriptions of Classes are outlined in PINS.

Depending on the selected options in lines 1-3 and the nature of Insurer’s business application of lines 5 – 30 will vary for Captive Insurers and AIFC-Incorporated Non-Captive Insurers:

Lines 5-16 – are applicable for calculation of Captive Insurers’ MCR;

Lines 17-30 – are applicable for calculation of AIFC – Incorporated Non-Captive Insurers.

Line 4. Minimum Capital Requirement – is the resulting parameter of MCR depending on the nature of Insurer’s business and filled lines

Annex 2.1 Staffing and Conduct

Investment firm’s name:
Reporting date:
	DD/MM/YYYY
Staffing and Conduct

FORM FC140: Staffing and Conduct
	-	Insurance	-	-	-	-	-	Total

Staffing
FC140_10100 - Senior Management (e.g. CEO / SEO, Directors / Senior Mgmt. etc)
FC140_10200 - Advisory (e.g. Client Relationship Manager etc.)
FC140_10300 - Discretionary Account Manager (e.g. Front Office Personnel)
FC140_10400 - Discretionary Fund Manager (e.g. Front Office Personnel)
FC140_10500 - Accountants (Fund / segregated vehicle accountants etc)
FC140_10600 - Front Office Trading Desk
FC140_10700 - Back Office
FC140_10800 - Compliance, AML Risk Management (e.g. CO / MLRO, Risk Managers etc.
FC140_10900 - Other(e.g. Finance, HR, IT, Admin/Support)
FC140_1000T - Total Relevant Staffing
FC140_10000 - AIFC Located Staff

Clients
FC140_20100 - Assessed Professional
FC140_20200 - Deemed Professional
FC140_20300 - Market Counterparty
FC140_20400 - Retail
FC140_2000T - Total Number of Clients

Complaints - High Level Stats
FC140_30100 - Status: Upheld
FC140_30200 - Status: Rejected
FC140_30300 - Status: Pending
FC140_3000T - Total Complaints - High Level Stats

Complaints - Breakdown of Type
FC140_40100 - Suitability
FC140_40200 - Service
FC140_40300 - Performance
FC140_4000T - Total Complaints - Breakdown of Type

Regulatory Breaches
FC140_50100 - Open
FC140_50200 - Closed
FC140_5000T - Total Regulatory Breaches

Number of Suspicious Activity Reports
FC140_60100 - Internal
FC140_60200 - External
FC140_6000T - Total Number of Suspicious Activity Reports

Instructions on the Annex 2.1 to the Manual for Preparation of Returns for Insurance and Reinsurance Firms to collect on Staffing and Conduct.

Purpose

Form FC140 is designed to capture high level statistics in relation to the firm’s staff, its clients, as well as the firm’s complaints, regulatory breach and suspicious transaction experience.

Applicability

The Form applies to all Authorised Firms in the AIFC.

Content

The information sought is factual numbers and current status (where applicable). Complaints are further broken down into high level types.

Structure of the Form

The Form is split into 6 sections:

• Staffing (Total of all staff at reporting period end, with breakdown between the functions);

• Clients (Total of all the firm’s clients as at reporting date broken down by client type Categories);

• Complaints (Outcome of complaints raised during the reporting period. If recorded as pending, then the decision of whether it is upheld or rejected is to be reported in the relevant subsequent reporting periods);

• Complaints (Received during the period reported only);

• Breaches (Open and Closed during the reporting period); and

• Suspicious Activities Reports (Recorded during the reporting period only).

o Internal - SARs submitted to the Firm's CO/MLRO.

o External - SARs submitted to the Committee on financial monitoring of the Ministry of finance of the Republic of Kazakhstan

It is further split into five business sectors with firms expected to complete the column that best represents their activities.

Instructional Guidelines

• Figures are to be entered in actuals and not in thousands

•The Form requests the total of “All Relevant Staff” and the total “AIFC Located Staff.”

o “All Relevant Staff” – This includes all staff who physically reside within the AIFC entity in addition to staff who reside elsewhere within the group but who provide services to the AIFC entity. Where an individual in another part of the group provides ad hoc support to the AIFC entity, the AIFC entity must determine the materiality and regularity of the service when determining whether it is necessary to count the individual in the AIFC entity’s “All Relevant Staffing” total.

o “AIFC Located Staff” – This includes only the number of staff physically present in the AIFC. Where a staff person divides his or her physical presence between the AIFC entity and another group entity, the person should be counted one time and included in the “AIFC Located Staff” total.

For example:

The AIFC entity employs an SEO, CO/MLRO, FO, 1 front office manager, 3 advisory staff, and utilizes the back-office services of another group entity. The other group entity employs 30 staff in its back office. The AIFC entity determines that the equivalent of 2 of the 30 staff are dedicated to performing services to the AIFC entity. The AIFC entity will report as follows:

“All Relevant Staff” – 9 total staff

“AIFC Located Staff” – 7 total staff

• Staff shared between different businesses lines are to be recorded in the “Other” column.

• Do not count any single individual more than one time.

Chapter 2. Reporting templates for Insurers

3. The purpose of this Chapter is to set out reporting templates and provide Insurer with information on applicability of reporting templates.

4. Reporting templates are divided into 2 main areas of supervision:

4.1) Financial statement reporting templates;
4.2) Prudential supervision reporting templates;

5. Financial statement reporting templates include:

Template	Annex No.	Applicability
INS100 - Balance Sheet	Annex 1.1.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS100 - Balance Sheet for Branch	Annex 1.2.	*Applicable only* for Branches of Insurers incorporated outside AIFC
INS200 - Statement of Comprehensive Income / Income Statement	Annex 1.3.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS200 - Statement of Comprehensive Income / Income Statement for Branch	Annex 1.4.	*Applicable only* for Branches of Insurers incorporated outside AIFC

6. Prudential supervision reporting templates include:

Template	Annex No.	Applicability
INS111 - Analysis of Derivative Activities	Annex 1.5.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS113 - Analysis of Investment Concentrations in Foreign Currency	Annex 1.6.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS114 - Analysis of Investment Concentrations Risk	Annex 1.7.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS210 - Supplementary Information	Annex 1.8.	*Applicable both* for AIFC- Incorporated Insurer and Branches of Insurers incorporated outside AIFC
INS300 - Calculation of Eligible Capital	Annex 1.9.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS310 - Calculation of Prescribed Capital Requirement (PCR)	Annex 1.10.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS320 - Calculation of Asset Risk Component	Annex 1.11.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS330 - Calculation of Off-Balance Sheet Asset Risk Component	Annex 1.12.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS340 - Calculation of Off-Balance Sheet Liability Risk Component	Annex 1.13.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS350 - Calculation of Premium Risk Component	Annex 1.14.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS360 - Calculation of Technical Provisions Risk Component	Annex 1.15.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS370 - Calculation of Long-Term Insurance Risk Component	Annex 1.16.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS380 - Calculation of Insurance Concentration Risk Component	Annex 1.17.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS400 - Statement of Reinsurance	Annex 1.18.	*Applicable both* for AIFC- Incorporated Insurer and Branches of Insurers incorporated outside AIFC
INS500 - Statement of Premium Information	Annex 1.19.	*Applicable both* for AIFC- Incorporated Insurer and Branches of Insurers incorporated outside AIFC
INS600 - Statement of Technical Provisions and Claims	Annex 1.20.	*Applicable both* for AIFC- Incorporated Insurer and Branches of Insurers incorporated outside AIFC
INS610 - Statement of Changes in Long-Term Business (Complete Annually Only)	Annex 1.21.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS700 - Statement of Intra-Group Transactions	Annex 1.22.	*Not applicable* for Branches of Insurers incorporated outside AIFC
INS800 - Statement of Largest Clients	Annex 1.23.	*Applicable both* for AIFC- Incorporated Insurer and Branches of Insurers incorporated outside AIFC

Chapter 4. Conclusion

11. AIFC - Incorporated Insurers within a month period after approval of reports listed in 11.1) and 11.2), must submit reports of significant shareholders prepared in English language, if such reports are required to be created:

11.1)audited annual financial reports of significant shareholders;
11.2)annual report of significant shareholders, that includes information on business performance, implementation of strategic goals and other information about significant shareholders;

12. Branches of Insurers incorporated outside of AIFC within a month period after approval of reports listed in 12.1), 12.2) and 12.3) must submit copies of reports Head Office Insurance Firm prepared in English language:

12.1)annual reports of its Head Office Insurance Firm;
12.2)audited annual financial reports of its Head Office Insurance Firm;
12.3)Quarterly Financial Statements and Prudential reports required to be submitted to home financial services authority.

13. Information and reports outlined in para 11 and 12 of this Manual must be submitted to AFSA by way of official e-communication channels.

14. AFSA by written Notice may extend the submission periods of returns.

15. AIFC - Incorporated Insurers and Branches of Insurers incorporated outside of AIFC should be informed on amendments to this Manual within 10 working days after publication on the AFSA official website.

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