Fillable Form Crf (Commonwealth of Massachusetts)

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Form Crf (Commonwealth of Massachusetts)

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Form CR-F Adopted by EX-Plenary 11-06-11
© 1994-2011 National Association of Insurance Commissioners
Form CR-F – PART 1
Assumed Reinsurance as of December 31, ________
1
2
3
4
Reinsurance On
8
9
10
12
13
14
Company
Code or ID
No.
Name of Reinsured
Domiciliary
Jurisdiction
Assumed
Premium
5
Paid Losses and Loss
Adjustment Expenses
6
Known Case
Losses and LAE
7
Cols. 5 + 6
Contingent
Commissions
Payable
Assumed Premium
Receivable
Unearned
Premium
Funds Held By or
Deposited with
Reinsured
Letters of
Credit Posted
Amount of Assets
Pledged or
Compensating
Balances to Secure
Letters of Credit
Amount of Assets
Pledged or
Collateral Held in
Trust
Totals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Form CR-F Adopted by EX-Plenary 11-06-11
© 1994-2011 National Association of Insurance Commissioners
Form CR-F – PART 2
Ceded Reinsurance as of December 31, __________
1
2
3
4
5
Reinsurance Recoverable On
Reinsurance Payable
17
18
Company
Code or
ID
Number
Name
of
Reinsurer
Domiciliary
Jurisdiction
Reinsurance
Contracts
Ceding 75%
or More of
Direct
Premiums
Written
Reinsurance
Premiums
Ceded
6
Paid
Losses
7
Paid
LAE
8
Known
Case Loss
Reserves
9
Known
Case LAE
Reserves
10
IBNR
Loss
Reserves
11
IBNR
LAE
Reserves
12
Unearned
Premiums
13
Contingent
Commissions
14
Cols. 6
through 13
Totals
15
Ceded
Balances
Payable
16
Other
Amounts
Due to
Reinsurers
Net Amount
Recoverable
From
Reinsurers
Cols. 14 –
[15 + 16]
Funds Held
by
Company
Under
Reinsurance
Treaties
Totals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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Form Crf (Commonwealth of Massachusetts)

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Completed 26 July 2020

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