Section 3.21.188. Enterprise risk report.

    The ultimate controlling person of an insurer required to file an enterprise risk report under AS 21.22.060(n) shall furnish the required information on Form F, made a part of this section in substantially the following form: 
 FORM F 
 ENTERPRISE RISK REPORT 
Filed with the Insurance Division/Department of the State of ____________ 
 By  
 __________________ 
			(Name of Registrant) 
 On behalf of the Following Insurance Companies 
Name                                                                 Address  
________________________
________________________
________________________
________________________
Date: _____________, 20____ 
Name, Title, Address, Electronic Mail Address, and telephone number of Individual to Whom Notices and Correspondence Concerning This Statement Should Be Addressed: 
________________________
________________________
________________________
________________________
ITEM 1. ENTERPRISE RISK 
    The Registrant, to the best of its knowledge and belief, shall provide information regarding the following areas that could produce enterprise risk as defined in AS 21.22.200 provided the information is not disclosed in the Insurance Holding Company System Annual Registration Statement filed on behalf of itself or another insurer for which it is the ultimate controlling person: 
  (a)  any material developments regarding strategy, internal audit findings, compliance, or risk management affecting the insurance holding company system; 
  (b)  acquisition or disposal of insurance entities and reallocating of existing financial or insurance entities within the insurance holding company system; 
  (c)  any changes of shareholders of the insurance holding company system exceeding 10 percent or more of voting securities; 
  (d)  developments in various investigations, regulatory activities, or litigation that may have a significant bearing or impact on the insurance holding company system; 
  (e)  the business plan of the insurance holding company system and summarized strategies for the next 12 months; 
  (f)  identification of material concerns of the insurance holding company system raised by a supervisory college, if any, in the last year; 
  (g)  identification of insurance holding company system capital resources and material distribution patterns; 
  (h)  identification of any negative movement, or discussions with rating agencies which may have caused, or may cause, potential negative movement in the credit ratings and individual insurer financial strength ratings assessment of the insurance holding company system (including both the rating score and outlook); 
  (i)  information on corporate or parental guarantees throughout the holding company and the expected source of liquidity should the guarantees be called upon; and 
  (j)  identification of any material activity or development of the insurance holding company system that, in the opinion of senior management, could adversely affect the insurance holding company system. 
    The Registrant may attach the appropriate form most recently filed with the United States Securities and Exchange Commission, provided the Registrant includes specific references to those areas listed in Item 1 for which the form provides responsive information. If the Registrant is not domiciled in the United States, it may attach its most recent public audited financial statement filed in its country of domicile, provided the Registrant includes specific references to those areas listed in Item 1 for which the financial statement provides responsive information. 
ITEM 2. OBLIGATION TO REPORT 
    If the Registrant has not disclosed any information under Item 1, the Registrant shall include a statement affirming that, to the best of its knowledge and belief, it has not identified enterprise risk subject to disclosure under Item 1. 
ITEM 3. SIGNATURE AND CERTIFICATION 
    Signature and certification are required as follows: 
 SIGNATURE 
________________________
                    (SEAL) 
________________________
                    (Name of Applicant) 
________________________
                    (Name)                                            (Title) 
Attest: 
________________________
(Signature of Officer) 
________________________
     (Title)                                                                  
 CERTIFICATION 
________________________
                 (Signature)                                                  
________________________
                 (Type or print name below)                                   
________________________

Authorities

21.06.090;21.22.060;21.22.130

Notes

Authority

AS 21.06.090 AS 21.22.060 AS 21.22.130

History

Eff. 11/26/2015, Register 216