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Get the free New York Supplement to the Annual Statement - dfs ny

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This document outlines the requirements for life and accident and health insurers licensed in New York to file their Annual Statement Supplement. It includes instructions on completing the supplement,
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How to fill out New York Supplement to the Annual Statement

01
Obtain the New York Supplement form from the New York Department of Financial Services website.
02
Review the instructions provided on the form carefully.
03
Begin with the identification section, filling in your company's name, NAIC number, and year of the statement.
04
Proceed to complete the financial sections including assets, liabilities, and surplus as required.
05
Fill in the details of any regulatory adjustments that apply to your company.
06
Provide information on investments and other relevant financial data as outlined in the form.
07
Review the guidelines for any specific disclosures that are mandated.
08
Ensure all figures are consistent with your main annual statement.
09
Double-check for accuracy and completeness, and sign the certification section.
10
Submit the form along with your Annual Statement by the due date.

Who needs New York Supplement to the Annual Statement?

01
Insurance companies licensed to operate in New York that are required to file an Annual Statement.
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The Annual and Quarterly Statement must be executed and verified as provided in Sections 903 and 903.5 of the CIC. Companies that fail to make a timely and complete filing with the California Department Insurance are subject to the assessment of late filing fees pursuant to Section 924 of the CIC.
Adrienne A. Harris was nominated to lead the New York State Department of Financial Services (DFS) by Governor Kathy Hochul in August 2021. She was confirmed by the New York State Senate on January 25, 2022.
If you have a question or need assistance, call (800) 342-3736 (M-F, 8:30 AM to 4:30 PM). Local calls can be made to (212) 480-6400 or (518) 474-6600.
Call us on 0333 9999 777.
West's New York Supplement: An unofficial reporter that includes cases argued and determined in the Court of Appeals, Appellate Division of the Supreme Court, as well as the Supreme Court and other courts. In print: New York Supplement (N.Y.S.)
Call (800) 342-3736 to get free help in your language. Email DFS if you need a form or document translated into your preferred language. State agencies are required to provide language assistance services (translation and interpretation) to people of Limited English Proficiency (LEP).

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The New York Supplement to the Annual Statement is an additional reporting document required by the New York State Department of Financial Services that provides specific financial information pertaining to insurance companies operating in the state.
All insurance companies licensed to operate in New York are required to file the New York Supplement to the Annual Statement.
The New York Supplement to the Annual Statement should be filled out by following the prescribed guidelines set forth by the New York State Department of Financial Services, ensuring that all required data and financial details are accurately reported.
The purpose of the New York Supplement to the Annual Statement is to provide comprehensive financial data specific to the insurance market in New York, ensuring transparency and regulatory compliance.
The information reported on the New York Supplement includes financial statements, premium data, loss reserves, investment income, and other relevant financial metrics necessary for regulatory review.
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