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Maine.gov > PFR Home > Insurance Regulation > Company Services > Annual Statement Filing Notes & Instructions

Annual Statement Filing Notes & Instructions

NOTES AND INSTRUCTIONS (A-K APPLY TO ALL FILINGS)
A Required Filings Contact Person:

Annual and Quarterly Statements: Tracy Cunningham (207) 624-8436 Tracy.A.Cunningham@maine.gov
B Mailing Address: Regular Mail:
Maine Bureau of Insurance
Financial Analysis Division
#34 State House Station
Augusta, ME 04333-0034		 Courier:
Maine Bureau of Insurance
Financial Analysis Division
124 Northern Avenue
Gardiner, ME 04345
C Mailing Address for Filing Fees: Annual Statement filing fees will be billed on or before July 1 of each year. DO NOT send fees at this time.
If the domestic company has elected to pay examination assessment fees based on Title 24-A, M.R.S.A., § 228 (3), please include your payment with the filing of your annual statement. If you have any questions with regards to the exam fees, please contact Stuart Turney (207) 624-8468 or Email stuart.e.turney@maine.gov
D Mailing Address & Contact for Premium Tax Payments, Questions & Forms: Maine Revenue Services, PO Box 9120, Augusta, ME 04333-9120, Phone: Carlotta Larrabee (207) 624-9753.
http://www.maine.gov/revenue/forms/insurance/2007.htm
E Delivery Instructions: All filings must be postmarked no later than the indicated due date. If the due date falls on a weekend or holiday, then the deadline is extended to the next business day.
F Late Filings: Foreign companies must supply a written copy of any exemption or extension received by its state of domicile at least 10 days prior to the filing due date to receive such from Maine. Domestic companies should apply at least 30 days prior to the due date.
G Original Signatures: Original signatures required on all filings from Domestic Companies. Foreign companies should follow the instructions in the NAIC Annual Statement instructions.
H Signature/Notarization/Certification: The following officers are required to sign the annual statement: CEO, President, & Treasurer for domestic companies.
I Amended Filings:

The following items must be filed within 10 days of their amendment, along with an explanation of the amendments.
*Bylaws (certified) $25.00 filing fee, *Articles $25.00 filing fee, *Biographical affidavits(domestics only)
Domestic Form B Statements are Due 5/1. Form B Holding Company Registration Statement amendments are due on the 15th of the month following the change.

CHECK PAYABLE TO TREASURER STATE OF MAINE

*As changes occur.
J Exceptions from normal filings:
  • Foreign companies must supply a written copy of any exemption or extension received by its state of domicile at least 10 days prior to the filing due date to receive such from Maine. Domestic companies should apply at least 30 days prior to the due date.
  • Foreign or alien insurers are only required to file an Annual Statement at the request of the Superintendent of Insurance.
K Bar Codes (State or NAIC) Not Used
L Signed Jurat Signed Jurat pages are NOT required for foreign or alien insurers. They are required for domestic insurers.
M NONE Filings: Supplemental exhibits & schedules as listed in the annual statement interrogatories are not required to be filed if your response in the supplemental exhibits & schedules interrogatories is a "NONE" report.
N Filings new, discontinued, modified since last year:

Consumer Complaint Contact Update – New Filing

For Life/Accident/Health/Annuity/Credit Insurance, contact Lisa Lewis at (207)624-8417 or by email at lisa.a.lewis@maine.gov
For Property/Casualty Insurer, contact Cynthia Willey at (207)624-8423 or by email at cynthia.l.willey@maine.gov
Applies to all Property/Casualty, Life, Accident, Health, Annuity and Credit Insurers.

http://www.maine.gov/pfr/insurance/forms/word/CompanyComplaintContact.doc (Word)

http://www.maine.gov/pfr/insurance/forms/pdf/CompanyComplaintContact.pdf (PDF)

Reasonableness of Assumptions Certification
Reasonableness & Consistency of Assumptions Certification
For the above, contact Kendra Godbout at (207)-624-8495 or electronically to kendra.l.godbout@maine.gov
Actuarial certifications required for equity indexed annuities as found in Actuarial Guideline XXXV, Appendix C of the Accounting Practices and Procedures Manual

Reasonableness of Assumptions Certifications for Implied Guaranteed Rate Method
Reasonableness & Consistency of Assumptions Certification (Updated Average Market Value)
Reasonableness & Consistency of Assumptions Certification (Updated Market Value)
For all of the above, contact Kendra Godbout at (207)-624-8495 or electronically to kendra.l.godbout@maine.gov
Actuarial certifications required for equity indexed life insurance policies as found in Actuarial Guideline XXXVI, Appendix C of the Accounting Practices and Procedures Manual.

O Required by the State of Maine
Should be filed separately from the annual statement
 

Last Updated: July 16, 2008