The president or vice president and secretary or actuary, or a majority of the directors of each company organized under this chapter, shall annually, on or before the firstday of March, prepare under oath and filein the office of the commissioner of insurance or a depository designated by the commissioner a statement of itsaffairs for the year terminating on the thirty-firstday of December preceding, showing: 1. The name of the company and where located. 2. The names of officers. 3. The amount of capital, if a stock company. 4. The amount of capital paid in, ifa stock company. 5. The value of real estate owned by the company. 6. The amount of cash on hand. 7. The amount of cash deposited in banks, giving the name of the bank or banks. 8. The amount of cash in the hands of agents, and in the course of transmission. 9. The amount of bank stock, with the name of each bank, giving par and market value of the same. 10. The amount of bonds of the United States, and allother bonds and securities, giving names and amounts, with the par and market value of each kind. 11. The amount of loans secured by firstmortgage on real estate, and where such real estate is situated. 12. The amount of all other bonds, loans, how secured, and the rate of interest. 13. Theamount ofpremiumnotes and their value onpolicies in force, ifa mutual company. 14. The amount of notes given for unpaid stock, and their value in detail, if a stock company. 15. The amount of assessments unpaid on stock or premium notes. 16. The amount of interest due and unpaid. 17. The amount of all other securities. 18. The amount of losses due and unpaid. 19. The amount of losses adjusted but not due. 20. The amount of losses unadjusted. 21. The amount of claims for losses resisted. 22. The amount of money borrowed and evidences thereof. 23. The amount of dividends unpaid on stock. 24. The amount of dividends unpaid on policies. 25. The amount required to safely reinsure alloutstanding risks. 26. The amount of allother claims against the company. 27. The amount of net cash premiums received. 28. The amount of notes received for premiums. 29. The amount of interest received from allsources. 30. The amount received from all other sources. 31. The amount paid for losses. 32. The amount of dividends paid to policyholders, and the amount to stockholders, if a stock company. 33. The amount of commissions and salaries paid to agents. 34. The amount paid to officers for salaries and other compensation. 35. The amount paid for taxes. 36. The amount of allother payments and expenditures. 37. The greatest amount insured on any one life. 38. The amount deposited in other states or territories as security for policyholders therein, stating the amount in each state or territory. 39. The amount of premiums received in this state during the year. 40. The amount paid for losses in this state during the year. 41. The whole number of policies issued during the year, with the amount of insurance effected thereby, and total amount of risk. 42. All other items of information necessary to enable the commissioner of insurance to correctly estimate the cash value of policies, or to judge of the correctness of the valuation thereof. 43. All other information as required by the national association of insurance commissioners’ annual statement blank. The annual statement blank shall be prepared in accordance with instructions prescribed by the commissioner. All financial information reflected in the annual report shall be kept and prepared in accordance with accounting practices and procedures prescribed by the commissioner. The commissioner may adopt by reference the annual statement handbook and the accounting practices and procedures manual of the national association of insurance commissioners.
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