2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Instructions for Terrorism Risk Insurance Program (TRIP) 2023 Data Call

Small Insurers

Form Overview

This reporting form is for “small insurer” groups or entities that, in 2021, had both a policyholder 

surplus and TRIP-eligible direct earned premium (DEP) of less than $1 billion (each).

• Insurance groups or entities are exempt from reporting if they had less than $10 million in TRIPeligible DEP in 2022. 

• If a Captive Insurer or an Alien Surplus Lines Insurer is affiliated with a group, the experience of 

the Captive Insurer or the Alien Surplus Lines insurer should be reported with that group on 

either this template or the Insurer (Non-Small) Groups or Companies template, depending upon 

the size category. 

• If a Captive Insurer or an Alien Surplus Lines Insurer is not affiliated with a group, it should 

complete the Alien Surplus Lines Insurers or Captive Insurers template, as appropriate, even if it 

otherwise falls within the size parameters of the “small insurer” definition. 

General Guidelines

• All information should be reported on a consolidated insurer group basis, unless reporting for a 

single insurer. 

• When providing premium on a jurisdictional basis, premium should be allocated in the same 

fashion that it is for state reporting and premium tax purposes. Accordingly, coverage written on 

a non-admitted, surplus lines basis may be allocated in full to the home state of the policyholder, 

as defined by the Nonadmitted and Reinsurance Reform Act. 

• When providing premium on a jurisdictional basis, for premium which is otherwise not allocable 

to a particular jurisdiction (e.g.: certain Ocean Marine, Inland Marine, and Aviation coverages; or 

coverages based upon foreign operations with a U.S. nexus), report this premium under 

“Other/Not Subject to Allocation in a Particular Jurisdiction.” 

• DEP should be included in this calculation to the extent that commercial property and casualty 

coverage is issued for losses occurring at the following locations: (1) Within the United States; 

(2) With respect to an air carrier (as defined in section 40102 of title 49, United States Code), or 

a United States flag vessel (or a vessel based principally in the United States, on which United 

States income tax is paid and whose insurance coverage is subject to regulation in the United 

States); and (3) At the premises of any U.S. mission.

• TRIP-eligible lines to be included in DEP calculations generally correspond to NAIC lines (as 

reported on the NAIC Exhibit of Premiums and Losses, commonly known as Statutory Page 14). 

The information reported on this worksheet should only include TRIP-eligible DEP. Any amounts 

reported on Statutory Page 14 that are not within the scope of TRIP-eligible lines as defined by 

the Program regulations should not be reported here [see 31 CFR 50.4(w)]. Specifically:

• The property line Allied Lines (NAIC Line 2.1) should not include federal crop insurance or 

any other type of crop insurance privately issued or reinsured.

• Workers’ Compensation (NAIC Line 16) data will be reported on the insurer’s behalf by 

NCCI, the California WCIRB, and/or the New York CIRB. However, you must still report 
Page 2 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

excess workers’ compensation premium (identified as sub-type of insurance 16.003 on the 

NAIC’s Uniform Property & Casualty Product Coding Matrix and otherwise reported under 

17.3 as indicated).

• The liability line of Other Liability (NAIC Line 17) should not include Professional Errors and 

Omissions Liability Insurance [see 31 CFR 50.4(t)] or Excess Workers’ Compensation 

Premium (which is entered separately as noted above).

• Information is sought concerning policies that will or would have responded to “certified acts of 

terrorism” during the reporting period. The fact that the policy did not in fact make payments for 

claims associated with any certified acts of terrorism is not relevant to the obligation to report 

information.

• For purposes of this data collection, reporting insurers do not need to make the premium 

adjustments in connection with residual market mechanisms provided for under 31 CFR 50.33.

• Policy count should be calculated based on the number of policies incepting in 2022 (or in effect 

for the entire year). For reporting other elements apart from DEP, where the reporting of 

information (e.g., exposures) under policies in effect during 2022 would result in double counting 

for the year as a whole, utilize a reporting date of December 31, 2022. 

• Information subject to reporting under the Standalone Terrorism (Nationwide) Worksheet and 

Cyber (Nationwide) Worksheet should be considered a subset of an insurer’s TRIP-eligible 

policies, and should also be reported on additional worksheets, as appropriate.

• All exposure information should be reported gross of any private reinsurance, except where 

otherwise indicated.

• Questions on the Reinsurance (Nationwide) Worksheet are limited to reinsurance purchased 

from unaffiliated third-party companies, and do not include reinsurance transactions within a 

group of affiliated insurers.

• Blacked out cells indicate that no data will be reportable for that particular cell.

• Hypothetical policy situations demonstrating proper data completion are available on the TRIP 

website (https://home.treasury.gov/policy-issues/financial-markets-financial-institutions-andfiscal-service/federal-insurance-office/terrorism-risk-insurance-program/annual-data-collection).

Summary of Changes from 2022 Templates

• Cyber (Nationwide) Worksheet:

• The 2022 Cyber (Nationwide) Worksheet now permits the report of number of 

policyholder size and cyber premium by policyholder size by using either the 

policyholder’s number of employees or revenue to determine policyholder size, as 

specified. One method or the other must be selected by a reporting insurer; it is not

permitted to use one method for some policyholders and the other method for other 

policyholders.

Summary of Changes from 2022 Instructions

• Insurer Group Affiliations Worksheet: The Instructions for Cell H4 have been augmented 

to include the existing Program rules for reporting of premium by insurers that did not 

write insurance in CY 2021 or did have a full year of operations in that year.

• Cyber (Nationwide) Worksheet: The Special Instructions for Completion of Cyber 

(Nationwide) Worksheet have been deleted. All reporting insurers that write cyber 

insurance are expected to complete all elements of the Cyber (Nationwide) Worksheet.

Further instructions have been provided concerning the reporting of number of policies 

and cyber premium by policyholder size as measured by either the policyholder’s number 
Page 3 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

of employees or the policyholder’s revenue. Other instructions have been clarified to 

confirm the intent of certain requests (e.g., total policy limits requested and not just limits 

of liability) as well as to provide further specifications on what fields should reconcile with 

other fields.

Instructions for Insurer Group Affiliations Worksheet

Insurer Group Affiliations

Section Field Name Comments

B4 NAIC Group Code

Provide the NAIC Group Code used for state regulatory 

reporting purposes.

• If the insurer is not part of a group, leave blank and report 

the individual company’s NAIC Company Code in Cell B9.

• Groups that have no such number will be assigned a 

number by the aggregator.

C4 Insurer Group Name

Provide name as used by reporting insurance group.

• If the insurer is not part of a group, leave blank and report 

the individual company’s name in Cell C9.

B9-B27 NAIC Company Code 

Provide the NAIC Company Code used for state regulatory 

reporting purposes. 

• Enter information for each company within an affiliated 

group of insurers (as reported in Cells B4 and C4) or 

enter information for individual company if not part of a 

group.

• Alien surplus lines insurers that are part of a group should 

be included, using an assigned International Insurers 

Department (IID) number in lieu of the NAIC Company 

Code.

• Companies that have no such number will be assigned a 

number by the aggregator.

C9-C27 Insurance Company 

Name

Provide name as used by reporting insurance company.

• Enter information for each company within an affiliated 

group of insurers (as reported in Cells B4 and C4), or 

report for individual company if not part of a group.

D9-D27 Type of Insurer

Select from drop-down list the item that best describes the 

operations of the reporting insurer with respect to the 

Terrorism Risk Insurance Program (Admitted, Domestic 

Surplus Lines, Alien Surplus Lines, Joint Underwriting 

Association/Pooling Arrangement, Residual Market Entity, 

State Workers’ Compensation Fund).
Page 4 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Insurer Group Affiliations

Section Field Name Comments

H3 Total 2021 

Policyholder Surplus

Enter total 2021 policyholder surplus as reported by the

insurance group or company for state regulatory purposes on 

its Annual Statement for 2021 at Page 3, Line 37, Column 1.

• To the extent the insurer does not report this figure for 

state regulatory purposes, report a policyholder surplus 

figure for 2021 based upon an equivalent methodology. 

H4 Total 2021 TRIPEligible DEP (all lines)

Provide the insurance group or company’s total 2021 TRIPEligible Direct Earned Premium (DEP), for all lines and all 

jurisdictions. 

• If the insurer reported in the 2022 TRIP Data Call, and 

believes that the information reported remains correct, 

this field may be left blank and will be populated by the 

aggregator upon receipt of the completed worksheet with 

the information that was previously provided. If 

corrections are necessary, please report the correct 

information for 2021 TRIP-eligible DEP.

• If the insurer did not report in the 2022 TRIP Data Call 

because it did not issue TRIP-Eligible Lines Insurance in 

2021, enter your 2022 TRIP-Eligible Lines DEP as 

reported in Cell D19 of the Policies and Direct Earned 

Premium (DEP) (Jurisdiction) Worksheet. If the insurer 

operated for only a portion of 2022, enter a figure 

representing the annualization of the figure reported in 

Cell D19 of the Policies and Direct Earned Premium 

(DEP) (Jurisdiction) Worksheet as if the insurer was 

providing insurance for the entire year on the same basis.

Instructions for Direct Earned Premium (DEP) (Jurisdiction) Worksheet

Direct Earned Premium (DEP) (Jurisdiction)

Section Field Name Comments

B2 Jurisdiction

Provide policy and DEP information by jurisdiction (U.S. state, 

the District of Columbia, or U.S. territory) on separate 

worksheets.

• Complete an additional worksheet to provide policy and 

DEP information for data which is otherwise not allocable 

to a particular jurisdiction.

• No additional worksheet is required to provide aggregate 

data for the United States, as the sum of all premiums 

should equal the aggregate totals. 

B6-B17 TRIP-Eligible Line of 

Coverage

Cells B6-B17 list the TRIP-eligible lines of coverage presently 

included in the Program. Cells C6-C17 list the NAIC lines (as 
Page 5 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Direct Earned Premium (DEP) (Jurisdiction)

Section Field Name Comments

C6-C17

reported on the NAIC Exhibit of Premiums and Losses, 

commonly known as Statutory Page 14) which generally 

correspond to these TRIP-eligible lines. 

D6-D17

Total 2022 TRIPEligible DEP (all 

policies)

The figures in Column D will show the total 2022 DEP 

charged for the corresponding TRIP-eligible line of insurance 

listed in Cells B6-B17. The figures reported in this column will 

equal the sum of the respective figures reported in Columns 

E-G. 

Cell D18 will show the insurance group or company’s total 

2022 TRIP-eligible DEP for all lines of insurance.

E6-E17

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Declined)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total 2022 DEP of policies, where

terrorism risk coverage was not provided to the policyholder.

• Include premium in this column only if a policy did not 

provide any coverage subject to TRIP.

• If the policyholder declined the initial mandatory offer, but 

a different amount of coverage subject to TRIP was then 

negotiated, include that premium information in Column F 

or G, as appropriate.

F6-F17

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Provided for 

Disclosed $0 Charge)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total 2021 DEP of policies, where

terrorism risk coverage was provided by the insurer to the 

policyholder for a disclosed charge of $0.

G6-G17

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Provided 

with a Premium 

Charged)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total DEP for 2022 of policies, where

terrorism risk coverage was provided by the insurer to the 

policyholder for a disclosed charge of more than $0.

H6-H17

Total 2022 DEP

Charged for Terrorism 

Risk Coverage

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide the amount of DEP charged for 

terrorism risk.

• This figure, representing premium charged for terrorism 

risk, should be a component of the amount provided in 

Column G. 
Page 6 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Instructions for Standalone Terrorism (Nationwide) Worksheet

Standalone Terrorism (Nationwide)

Section Field Name Comments

C3 

2022 DEP for 

Standalone Terrorism 

Policies

Provide 2022 DEP for standalone terrorism policies for the 

United States as a whole.

• Enter information here if the insurance group or company 

issued "standalone" policies covering only terrorism risk.

• Include all terrorism risk policies, whether or not subject to 

TRIP.

• Policies that include additional non-terrorism risks should 

not be included in this worksheet. These should be

included in the Premium (Juris.) Worksheet. 

The figure entered in Cell C3 must equal the sum of the 

figures entered in Cells C4 and C5.

C4

Portion of 2022 DEP 

Providing Coverage 

for Losses for Certified 

Acts of Terrorism 

under TRIP

Identify the portion of the 2022 standalone terrorism DEP 

provided in Cell C3 which was subject to TRIP (if any).

C5

Portion of 2022 DEP 

Providing Coverage 

for Losses Arising 

from Other (NonCertified) Acts of 

Terrorism

Identify the portion of the 2022 standalone terrorism DEP 

provided in Cell C3 which was not subject to TRIP (if any).

C6

2022 Number of 

Standalone Terrorism 

Policies Issued

Provide the 2022 policy count for the DEP provided in Cell 

C3.

C7 

2022 Number of 

Standalone Terrorism 

Policies Issued

Providing Coverage 

for Losses for Certified 

Acts of Terrorism 

Under TRIP

Provide the 2022 policy count for the DEP provided in Cell 

C4. 
Page 7 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Standalone Terrorism (Nationwide)

Section Field Name Comments

C8 

2022 Property 

Insurance Exposure 

for Standalone 

Terrorism Policies

Providing Coverage 

for Losses for Certified 

Acts of Terrorism 

Under TRIP

Provide the insurer’s total 2022 property insurance exposure 

for all property coverage provided in connection with the 

amount reported in Cell C3.

• Include the total amount of the reporting insurer's 

exposure for a property loss (and thus do not include 

amounts within a policyholder’s deductible, etc.). 

• To the extent the value of the policyholder’s property is 

not fully insured by the policy in question, use the limits of 

the property insurance to calculate the insurer’s exposure. 

C9

Total 2022 Limits of 

Liability for Standalone 

Terrorism Policies 

Providing Coverage 

for Losses for Certified 

Acts of Terrorism 

Under TRIP

Provide the insurer’s total 2022 liability exposure for all 

liability coverage provided in connection with the amount 

reported in Cell C3.

• Include the total amount of the reporting insurer's liability 

exposure (and thus do not include amounts within a 

policyholder’s deductible, etc.). 

• Use the limits of the liability insurance to calculate the 

insurer’s exposure.

• If the policy has an aggregate limit, use the aggregate 

limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

• Where a policy is not subject to a defined limit of liability, 

estimate exposure using a maximum probable loss 

model.

Instructions for Cyber (Nationwide) Worksheet
Page 8 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C3-E3

Total 2022 TRIPEligible DEP (All

Cyber Policies) 

Provide the amount of DEP charged for cyber coverage in 

TRIP-eligible lines. 

• Enter totals for the United States as a whole. 

• Enter 2022 TRIP-eligible DEP for “standalone” cyber 

policies in Cell C3. 

• Enter 2022 TRIP-eligible DEP for package policies in Cell 

D3. Only include premium associated with the cyber 

coverage in the policy. If the policy does not specify the 

cyber premium, provide an estimate of the cyber 

component of the package policy. 

• Policies that may respond to a cyber loss but do not 

explicitly provide coverage for cyber risks (sometimes 

characterized as non-affirmative cyber or “silent cyber”) 

should not be included in this worksheet. 

• Policies that provide cyber coverage outside of TRIPeligible lines should not be included.

Cell E3 must show the sum of the values entered in Cells C3 

and D3.

Cells C3-E3 must show the sum of the values respectively 

entered in Cells C4-E4 and C5-E5.

C4-E4

Total 2022 TRIPEligible DEP for 

Cyber Policies 

(Terrorism Risk 

Coverage Declined) 

Provide total 2022 DEP of cyber policies in TRIP-eligible lines,

where terrorism risk coverage was not provided to the 

policyholder.

• Include premium in this row only if a cyber policy did not

provide any coverage subject to TRIP.

• Enter 2022 TRIP-eligible DEP for “standalone” cyber 

policies in Cell C4.

• Enter 2022 TRIP-eligible DEP for package policies 

containing cyber coverage in Cell D4. Only include 

premium associated with the cyber coverage in the policy. 

If the policy does not specify the cyber premium, provide 

an estimate of the cyber component of the package policy. 

• Policies that may respond to a cyber loss but do not 

explicitly provide coverage for cyber risks (sometimes 

characterized as non-affirmative cyber or “silent cyber”) 

should not be included in this worksheet. 

• Policies that provide cyber coverage outside of TRIPeligible lines should not be included in these fields. See 

C7-E7. 

Cell E4 must show the sum of the values entered in Cells C4 

and D4. 
Page 9 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C5-E5

Total 2022 TRIPEligible DEP for 

Cyber Policies 

(Terrorism Risk 

Coverage Provided)

Provide total 2022 DEP of cyber policies in TRIP-eligible lines, 

where terrorism risk coverage was provided to the 

policyholder.

• Include premium in this row only if a cyber policy provided 

coverage subject to TRIP.

• Enter 2022 TRIP-eligible DEP for “standalone” cyber 

policies in Cell C5.

• Enter 2022 TRIP-eligible DEP for package policies 

containing cyber coverage in Cell D5. Only provide 

premium associated with the cyber coverage. If the policy 

does not specify the cyber premium, provide an estimate 

of the cyber component of the package policy.

• Policies that may respond to a cyber loss but do not 

explicitly provide coverage for cyber risks (sometimes 

characterized as non-affirmative cyber or “silent cyber”) 

should not be included in this worksheet. 

• Policies that provide cyber coverage outside of TRIPeligible lines should not be included.

Cell E5 must show the sum of the values entered in Cells C5 

and D5. 

C6-E6

Total 2022 DEP 

Charged for 

Terrorism Risk 

Coverage Under 

Cyber Policies

Provide the amount of DEP charged for terrorism risk in cyber 

policies providing terrorism risk coverage. Enter 2022 DEP 

charged for terrorism risk in “standalone” cyber policies in Cell 

C6. Enter 2022 DEP charged for terrorism risk in package 

policies containing cyber coverage in Cell D6.

• These figures, representing premium charged for terrorism 

risk, should be a component of the amounts provided in C5 

and D5, respectively.

• For purposes of cyber coverage provided as part of a 

package policy, do not provide as the terrorism risk 

coverage DEP the total amount of terrorism risk coverage 

DEP provided under the policy as a whole. Provide only 

the amount associated with the cyber portion of the 

coverage or estimate an appropriate amount from the 

amount charged under the policy as a whole.

• Policies that may respond to a cyber loss but do not 

explicitly provide coverage for cyber risks (sometimes 

characterized as non-affirmative cyber or “silent cyber”) 

should not be included in this worksheet. 

• Do not include premiums for terrorism coverage that is not 

subject to TRIP (“non-certified” coverage).

Cell E6 must show the sum of the values entered in Cells C6 

and D6. 
Page 10 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C7-E7

Total 2022 NonTRIP-Eligible DEP 

(All Cyber Policies)

Provide the amount of DEP charged for cyber coverage in the 

lines of insurance not subject to TRIP. 

• Enter totals for the United States as a whole. 

• Enter 2022 non-TRIP-eligible DEP for “standalone” cyber 

policies in Cell C7. 

• Enter 2021 non-TRIP-eligible DEP for package policies in 

Cell D7. Only include premium associated with the cyber 

coverage in the policy. If the policy does not specify the 

cyber premium, provide an estimate of the cyber 

component of the package policy. 

• Policies that may respond to a cyber loss but do not 

explicitly provide coverage for cyber risks (sometimes 

characterized as non-affirmative cyber or “silent cyber”) 

should not be included in this worksheet. 

Cell E7 must show the sum of the values entered in Cells C7 

and D7. 

C8-E8 

Total 2022 Number 

of Cyber Policies 

Issued in TRIPEligible Lines of 

Insurance

Provide the corresponding 2022 policy count for the DEP 

provided in Cells C3-D3.

Cell E8 must show the sum of the values entered in Cells C8 

and D8. 

C9-E9 

Total 2022 Number 

of Cyber Policies 

Issued (Terrorism 

Risk Coverage 

Provided)

Provide the corresponding 2022 policy count for the DEP 

provided in Cells C5-D5.

Cell E9 must show the sum of the values entered in Cells C9 

and D9. 

C10-E10

Total 2022 Number 

of Cyber Policies 

Issued in Non-TRIPEligible Lines of 

Insurance

Provide the corresponding 2022 policy count for the DEP 

provided in Cells C7-D7.

Cell E10 must show the sum of the values entered in Cells 

C10 and D10.

C11-E11

Total 2022 Number 

of all Cyber Policies 

Issued

Provide the corresponding 2022 policy count for all cyber 

policies issued in TRIP-Eligible and Non-Trip-Eligible Lines of 

insurance combined. Cell C11 must show the sum of the 

values entered in Cells C8 and C10, and Cell D11 must show 

the sum of the values entered in Cells C8 and D10. 
Page 11 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C12-E12

Total 2022 Number 

of all Cyber Policies 

Issued to Small 

Policyholders (100 

or fewer employees

or less than $10 

million in revenue) 

Taking the figures reported in Line 11, identify the number of 

policies where the policyholder reported 100 or fewer 

employees or, in the alternative, reported less than $10 million 

in annual revenue. Use the same method of allocation for all 

of your policyholders. The sum of Cells E12, E13, and E14 

must show the value entered in Cell E11. 

C13-E13

Total 2022 Number 

of all Cyber Policies 

Issued to Medium 

Policyholders (101-

500 employees or 

$10-$100 million in 

revenue) 

Taking the figures reported in Line 11, identify the number of 

policies where the policyholder reported between 101 and 500 

employees or, in the alternative, reported between $10 million 

and $100 million in annual revenue. Use the same method of 

allocation for all of your policyholders. The sum of Cells E12, 

E13, and E14 must show the value entered in Cell E11. 

C14-E14

Total 2022 Number 

of all Cyber Policies 

Issued to Large 

Policyholders (501 

or more employees

or more than $100 

million in revenue) 

Taking the figures reported in Line 11, identify the number of 

policies where the policyholder reported more than 500 

employees or, in the alternative, reported more than $100 

million in annual revenue. Use the same method of allocation 

for all of your policyholders. The sum of Cells E12, E13, and 

E14 must show the value entered in Cell E11. 

C15-E15

Total 2022 DEP of 

all Cyber Policies 

Issued to Small 

Policyholders (100 

or fewer employees

or less than $10 

million in revenue) 

Provide the DEP associated with the number of policies 

reported in Line 12. The sum of Cells E15, E16, and E17 must 

show the sum of the values entered in Cells E3 and E7. 

C16-E16

Total 2022 DEP of 

all Cyber Policies 

Issued to Medium 

Policyholders (101-

500 employees or 

$10-$100 million in 

revenue) 

Provide the DEP associated with the number of policies 

reported in Line 13. The sum of Cells E15, E16, and E17 must 

show the sum of the values entered in Cells E3 and E7. 

C17-E17

Total 2022 DEP of 

all Cyber Policies 

Issued to Large 

Policyholders (501 

or more employees

or more than $100 

million in revenue) 

Provide the DEP associated with the number of policies 

reported in Line 14. The sum of Cells E15, E16, and E17 must 

show the sum of the values entered in Cells E3 and E7. 
Page 12 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C18-E18

Total 2022 Policy 

Limits for Cyber 

Policies Issued in 

TRIP-Eligible Lines 

of Insurance

Provide the insurer’s total 2022 policy exposure for all cyber 

coverage provided in connection with the corresponding 

amounts reported in Cells C3 and D3. 

• Include the total amount of the reporting insurer's policy 

exposure (and thus do not include amounts within a 

policyholder’s deductible, etc.). 

• Use the policy limits to calculate the insurer’s exposure.

• For cyber coverage provided as part of a package policy, 

provide the policy limits associated with the cyber 

coverage provided.

• If the policy has an aggregate limit, use the aggregate limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

Where a policy is not subject to a defined policy limit, estimate 

exposure using a maximum probable loss model.

C19-E19 

Total 2022 Policy 

Limits for Cyber 

Policies Providing 

Coverage for Losses 

for Certified Acts of 

Terrorism Under 

TRIP

Provide the insurer’s total 2022 policy exposure for all cyber 

coverage provided in connection with the corresponding 

amounts reported in Cells C5 and D5.

• Include the total amount of the reporting insurer's policy 

exposure (and thus do not include amounts within a 

policyholder’s deductible, etc.). 

• Use the policy limits to calculate the insurer’s exposure.

• For cyber coverage provided as part of a package policy, 

provide the policy limits associated with the cyber 

coverage provided.

• If the policy has an aggregate limit, use the aggregate limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

• Where a policy is not subject to a defined policy limit, 

estimate exposure using a maximum probable loss model.
Page 13 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C20-E20

Total 2022 Policy 

Limits for Cyber 

Policies Issued in 

Non-TRIP-Eligible 

Lines of Insurance

Provide the insurer’s total 2022 policy exposure for all cyber 

coverage provided in connection with the corresponding 

amounts reported in Cells C7 and D7. 

• Include the total amount of the reporting insurer's policy 

exposure (and thus do not include amounts within a 

policyholder’s deductible, etc.). 

• Use the policy limits to calculate the insurer’s exposure.

• For cyber coverage provided as part of a package policy, 

provide the policy limits associated with the cyber 

coverage provided.

• If the policy has an aggregate limit, use the aggregate limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

Where a policy is not subject to a defined policy limit, estimate 

exposure using a maximum probable loss model.

C21-E21

Total 2022 Policy 

Limits for Cyber 

Extortion under 

Cyber Policies 

Issued in TRIPEligible Lines of 

Insurance

Provide the insurer’s total 2022 policy exposure for cyber 

extortion coverage only that is provided in connection with the 

corresponding amounts reported in Cells C3 and D3. 

• Include the total amount of the reporting insurer's cyber 

extortion exposure (and thus do not include amounts within 

a policyholder’s deductible, etc.). 

• Use the limits of the cyber extortion insurance to calculate 

the insurer’s exposure.

• For cyber extortion coverage provided as part of a 

package policy, provide the limits associated with the 

cyber extortion coverage provided.

• If the policy has an aggregate limit, use the aggregate limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

Where a policy is not subject to a defined policy limit, estimate 

exposure using a maximum probable loss model.
Page 14 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C22-E22

Total 2022 Policy 

Limits for Ransom 

Payments for Cyber 

Extortion under 

Cyber Policies 

Issued in TRIPEligible Lines of 

Insurance

Provide the insurer’s total 2022 policy exposure for ransom 

payments for cyber extortion that is provided in connection 

with the corresponding amounts reported in Cells C3 and D3. 

• Include the total amount of the reporting insurer's ransom 

payment exposure (and thus do not include amounts within 

a policyholder’s deductible, etc.). 

• Use the limits of the ransom payment insurance to 

calculate the insurer’s exposure.

• For ransom payment coverage provided as part of a 

package policy, provide the limits associated with the 

ransom payment coverage provided.

• If the policy has an aggregate limit, use the aggregate limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

Where a policy is not subject to a defined policy limit, estimate 

exposure using a maximum probable loss model.

C23-E23

Total 2022 Policy 

Limits for Cyber 

Extortion under 

Cyber Policies 

Issued in Non-TRIPEligible Lines of 

Insurance

Provide the insurer’s total 2022 policy exposure for cyber 

extortion coverage only that is provided in connection with the 

corresponding amounts reported in Cells C7 and D7. 

• Include the total amount of the reporting insurer's cyber 

extortion exposure (and thus do not include amounts within 

a policyholder’s deductible, etc.). 

• Use the limits of the cyber extortion insurance to calculate 

the insurer’s exposure.

• For cyber extortion coverage provided as part of a 

package policy, provide the limits associated with the 

cyber extortion coverage provided.

• If the policy has an aggregate limit, use the aggregate limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

Where a policy is not subject to a defined policy limit, estimate 

exposure using a maximum probable loss model.
Page 15 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C24-E24

Total 2022 Policy 

Limits for Ransom 

Payments for Cyber 

Extortion under 

Cyber Policies 

Issued in Non-TRIPEligible Lines of 

Insurance

Provide the insurer’s total 2022 policy exposure for ransom 

payments for cyber extortion that is provided in connection 

with the corresponding amounts reported in Cells C7 and D7. 

• Include the total amount of the reporting insurer's ransom 

payment exposure (and thus do not include amounts within 

a policyholder’s deductible, etc.). 

• Use the limits of the ransom payment insurance to 

calculate the insurer’s exposure.

• For ransom payment coverage provided as part of a 

package policy, provide the limits associated with the 

ransom payment coverage provided.

• If the policy has an aggregate limit, use the aggregate limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

Where a policy is not subject to a defined policy limit, estimate 

exposure using a maximum probable loss model.

C25-E25

Total 2022 Direct 

Losses Paid for 

Cyber Extortion 

under all Cyber 

Policies Issued

Provide the insurer’s total 2022 payments for direct losses paid 

for cyber extortion. Amounts reported should be in connection 

with the policies associated with the amounts reported in Cells 

C3 and Cy, and D3 and D7, as well as any other cyber policy 

issued if the payments were made in 2022. 

C26-E26

Total 2022 Direct 

Losses Incurred for 

Cyber Extortion 

under all Cyber 

Policies Issued

Provide the insurer’s total 2022 amounts incurred, but not paid, 

for direct losses for cyber extortion. Amounts reported should 

be in connection with the policies associated with the amounts 

reported in Cells C3 and C7, and D3 and D7, as well as any 

other cyber policy issued if the amounts were incurred in 2022. 

C27-E27

Total 2022 Direct 

Losses Paid for 

Cyber Extortion 

(Ransom Payment 

or Reimbursement 

Only) under all 

Cyber Policies 

Issued

Provide the insurer’s total 2022 payments for ransom 

payments only, as part of cyber extortion coverage. Amounts 

reported should be in connection with the policies associated 

with the amounts reported in Cells C3 and C7, and D3 and D7, 

as well as any other cyber policy issued if the ransom payment 

was made in 2022. 

C28-E28

Total 2022 Number 

of Claims Associated 

with Payments 

reported in Line 27

Provide the number of claims associated with the payments 

identified in Line 27.
Page 16 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Cyber (Nationwide)

Section Field Name Comments

C29-E29

Total 2022 Direct 

Defense and Loss 

Containment 

Amounts Paid for 

Cyber Extortion 

under all Cyber 

Policies Issued

Provide the insurer’s total 2022 payments for direct defense 

and loss containment amounts paid for cyber extortion. 

Amounts reported should be in connection with the policies 

associated with the amounts reported in Cells C3 and D7, and 

D3 and D7, as well as any other cyber policy issued if the 

payments were made in 2022. 

C30-E30

Total 2022 Direct 

Defense and Loss 

Containment 

Amounts Incurred for 

Cyber Extortion 

under all Cyber 

Policies Issued

Provide the insurer’s total 2022 amounts incurred, but not paid, 

for direct defense and loss containment for cyber extortion. 

Amounts reported should be in connection with the policies 

associated with the amounts reported in Cells C3 and C7, and 

D3 and D7, as well as any other cyber policy issued if the 

amounts were incurred in 2022. 

Instructions for Exposure Bases by Jurisdiction Worksheet

Exposure Bases by Jurisdiction

Section Field Name Comments

B2 Jurisdiction

Provide information by jurisdiction (U.S. state, the District of 

Columbia, or U.S. territory) on separate worksheets.

• Complete an additional worksheet to provide information 

for exposures which are not otherwise allocable to a 

particular jurisdiction.

• Complete an additional worksheet to provide aggregate 

exposure for the United States as a whole (all locations 

covered by TRIP). 

B6-B17

TRIP-Eligible Line of 

Coverage

Cells B6-B17 list the TRIP-eligible lines of coverage presently 

included in the Program. Cells C6-C17 list the NAIC lines (as 

reported on the NAIC Exhibit of Premiums and Losses, 

commonly known as Statutory Page 14) which generally 

correspond to these TRIP-eligible lines. C6-C17
Page 17 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Exposure Bases by Jurisdiction

Section Field Name Comments

D6-D17

Total 2022 TRIPEligible Property 

Exposure (Terrorism 

Risk Coverage

Provided)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total property exposure under all 

2020 policies where terrorism risk coverage was provided in 

connection with property coverage.

• Enter the amount for each jurisdiction (based on the 

exposure as allocated for premium purposes) individually, 

even if an aggregate limit may limit exposure across 

multiple jurisdictions.

• For exposures which are otherwise not allocable to a 

particular jurisdiction, report under “Other/Not Subject to 

Allocation in a Particular Jurisdiction.”

• In the response for the United States as a whole (all 

locations covered by TRIP), report the total aggregate 

limit exposure only.

• Include the total amount of the reporting insurer's property 

exposure (and thus do not include amounts within a 

policyholder’s deductible, etc.).

• Use the limits of the property insurance to calculate the 

insurer’s exposure.

• If the policy has an aggregate limit, use the aggregate 

limit. 

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

• To the extent the policy exposure is based upon property 

values or annual sales and is not otherwise subject to a 

policy limit, use the property values or annual sales 

figures.
Page 18 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Exposure Bases by Jurisdiction

Section Field Name Comments

E6-E17

Total 2022 TRIPEligible Property 

Exposure (Terrorism 

Risk Coverage 

Provided and NBCR 

Risks Not Excluded)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total property exposure under all 

2022 policies where terrorism risk coverage was and where 

the policy does not exclude coverage for nuclear, biological, 

chemical, and radiological (NBCR) risks. 

• Use the same instructions as identified above for 

reporting policy limits generally.

• To the extent property policies that provide coverage for 

terrorism risk do not contain exclusions for NBCR risks, 

the figures entered in E6-E17 will be the same as the 

figures reported in D6-D17.

• To the extent property policies that provide coverage for 

terrorism risk do contain exclusions for NBCR, the figures 

entered in E6-E17 will be a lesser subset of the amount 

reported in D6-D17.

• To the extent any of the insurer’s policies provide 

coverage for some, but not all, risks within the NBCR 

category, assume that policies provide full NBCR 

coverage. 

F6-F17

Total 2022 

Policyholder 

Deductibles for TRIPEligible Property 

Policies (Terrorism 

Risk Coverage

Provided)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total deductible or retention 

exposure retained by policyholders under the policies 

reported in Cells D6-D17.

• Assume a maximum loss.

• If the policy has a per occurrence deductible or per claim 

deductible, use the respective deductible. If the policy 

has an aggregate deductible limit, use the aggregate

deductible limit rather than a per occurrence or per claim 

deductible. 

• For excess policies, do not include amounts of underlying 

insurance covered by other insurance policies, or the 

deductible amounts under those underlying policies. 

G6-G17

Total 2022 TRIPEligible Property 

Exposure (Terrorism 

Risk Coverage

Declined) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total 2022 property insurance 

exposure, where terrorism risk coverage was not obtained by 

the policyholder.

• Include exposure amounts in this column only if a policy 

did not provide any coverage subject to TRIP.
Page 19 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Exposure Bases by Jurisdiction

Section Field Name Comments

H6-H17

Total 2022 

Policyholder 

Deductibles for TRIPEligible Property 

Policies (Terrorism 

Risk Coverage

Declined) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total deductible or retention 

exposure retained by policyholders under the policies 

reported in Cells G6-G17.

• Assume a maximum loss.

• If the policy has a per occurrence deductible or per claim 

deductible, use the respective deductible. If the policy 

has an aggregate deductible limit, use the aggregate

deductible limit rather than a per occurrence or per claim 

deductible.

• For excess policies, do not include amounts of underlying 

insurance covered by other insurance policies, or the 

deductible amounts under those underlying policies. 

I6-I17

Total 2022 Limits of 

Liability for TRIPEligible Policies

(Terrorism Risk 

Coverage Provided)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide the insurer’s total 2021 liability 

exposure TRIP-eligible lines, where terrorism risk coverage 

was provided to the policyholder. 

• Enter the amount for each jurisdiction (based on the 

exposure as allocated for premium purposes) individually, 

even if an aggregate limit may limit exposure across 

multiple jurisdictions.

• For exposures which are otherwise not allocable to a 

particular jurisdiction, report under “Other/Not Subject to 

Allocation in a Particular Jurisdiction.”

• In the response for the United States as a whole (all 

locations covered by TRIP), report the policy’s total 

aggregate limit exposure. 

• Include the total amount of the reporting insurer's liability 

exposure (and thus do not include amounts within a 

policyholder’s deductible, etc.).

• Use the limits of the liability insurance to calculate the 

insurer’s exposure.

• If the policy has an aggregate limit, use the aggregate 

limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

• Where a policy is not subject to a defined limit of liability, 

estimate exposure using a maximum probable loss 

model. 
Page 20 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Exposure Bases by Jurisdiction

Section Field Name Comments

J6-J17

Total 2022 TRIPEligible Limits of 

Liability (Terrorism 

Risk Coverage 

Provided and NBCR 

Risks Not Excluded) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide the insurer’s total 2022 liability 

exposure under all 2022 policies where terrorism risk 

coverage was provided in connection with liability coverage 

and where the policy does not exclude coverage for nuclear, 

biological, chemical, and radiological (NBCR) risks. 

• Use the same instructions as identified above for 

reporting policy limits generally.

• To the extent liability policies that provide coverage for 

terrorism risk do not contain exclusions for NBCR risks, 

the figures entered in J6-J17 will be the same as the 

figures reported in I6-I17.

• To the extent liability policies that provide coverage for 

terrorism risk do contain exclusions for NBCR risks, the 

figures entered in J6-J17 will be a lesser subset of the 

amount reported in I6-I17.

• To the extent any of the insurer’s policies provide 

coverage for some, but not all, risks within the NBCR 

category, assume that policies provide full NBCR 

coverage.

K6-K17

Total 2022 

Policyholder 

Deductibles for TRIPEligible Liability 

Policies (Terrorism 

Risk Coverage

Provided) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total deductible or retention 

exposure retained by policyholders under the policies 

reported in Cells I6-I17.

• Assume a maximum loss.

• If the policy has a per occurrence deductible or per claim 

deductible, use the respective deductible. If the policy 

has an aggregate deductible limit, use the aggregate

deductible limit rather than a per occurrence or per claim 

deductible. 

• For excess policies, do not include amounts of underlying 

insurance covered by other insurance policies, or the 

deductible amounts under those underlying policies. 
Page 21 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Exposure Bases by Jurisdiction

Section Field Name Comments

L6-L17

Total 2022 Limits of 

Liability for TRIPEligible Policies

(Terrorism Risk 

Coverage Declined) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide the insurer’s total 2022 liability 

exposure in TRIP-eligible lines, where terrorism risk coverage 

was not obtained by the policyholder.

• Enter the amount for each jurisdiction (based on the 

exposure as allocated for premium purposes) individually, 

even if an aggregate limit may limit exposure across 

multiple jurisdictions.

• For exposures which are otherwise not allocable to a 

particular jurisdiction, report under “Other/Not Subject to 

Allocation in a Particular Jurisdiction.”

• In the response for the United States as a whole (all 

locations covered by TRIP), report the policy’s total 

aggregate limit exposure. 

• Include the total amount of the reporting insurer's liability 

exposure (and thus do not include amounts within a 

policyholder’s deductible, etc.).

• Use the limits of the liability insurance to calculate the 

insurer’s exposure.

• If the policy has an aggregate limit, use the aggregate 

limit.

• If the policy is subject to a per occurrence limit and not an 

aggregate limit, use the single occurrence limit.

• Where a policy is not subject to defined limit of liability, 

estimate exposure using a maximum probable loss 

model.

M6-M17

Total 2022 

Policyholder 

Deductibles for TRIPEligible Liability 

Policies (Terrorism 

Risk Coverage

Declined) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B17, provide total deductible or retention 

exposure retained by policyholders under the policies 

reported in Cells L6-L17.

• Assume a maximum loss.

• If the policy has a per occurrence deductible or per claim 

deductible, use the respective deductible. If the policy 

has an aggregate deductible limit, use the aggregate

deductible limit rather than a per occurrence or per claim 

deductible. 

• For excess policies, do not include amounts of underlying 

insurance covered by other insurance policies, or the 

deductible amounts under those underlying policies. 
Page 22 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Exposure Bases by Jurisdiction

Section Field Name Comments

N6-N17

Total 2022 Payroll for 

TRIP-Eligible Policies 

(Terrorism Risk 

Coverage Provided)

Provide total 2022 payroll for excess workers’ compensation 

policies in Cell L13.

• Completion of Cell L12 (total 2098 payroll for workers’ 

compensation) is not required. This information will be 

provided on the insurer’s behalf by NCCI, the California 

WCIRB, and/or the New York CIRB. 

Instructions for Places of Worship (Nationwide) Worksheet

Places of Worship (Nationwide)

Section Field Name Comments

C4

NAICS Code 813110

Reporting insurers should categorize information under: (1) 

NAICS Codes, (2) SIC Codes, (3) ISO Class Codes, or (4) 

Other to allocate premium on this worksheet. 

• Cells C4 and D4 list the North American Industrial 

Classification System (NAICS) industry code number for 

Religious Organizations.

• Cells C5 and D5 list the Standard Industrial Classification 

System (SIC) industry code number for Religious 

Organizations.

• Cells C6 and D6 list the individual ISO class codes 

(property and liability) for Religious Organizations.

• Other permits a reporting insurer to use a different 

methodology to identify the requested premium 

information for Places of Worship, such as a manual 

sorting of individual policyholder names, or some other 

method calculated to identify the premium of the reporting 

insurer associated with Places of Worship. When using 

this methodology, do not include premium associated with 

affiliated operations, such as schools or hospitals.

D4

C5

SIC Code 8661

D5

C6 ISO Class Codes 

0900 (Property) or 

D6 41650 (Liability)

C7 Other

D7

E4

Total 2022 DEP 

Charged for 

Terrorism Risk 

Coverage (Property)

For each corresponding industry code, provide the amount of 

2022 DEP charged for terrorism risk under property policies 

issued to Places of Worship. Only utilize one of the reporting 

methods (NAICS, SIC, ISO, or Other) identified.

• To the extent your premium is coded by the specific 

identified NAICS, SIC, or ISO codes, you may report all of 

the premium associated with those specific codes.

• Follow these same instructions for reporting for the 

balance of the reporting fields in this worksheet.

• This figure, representing premium charged for terrorism 

risk, should be a component of the amount provided in 

Column G. 

E5

E6

E7
Page 23 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Places of Worship (Nationwide)

Section Field Name Comments

F4

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Declined) 

(Property)

For each corresponding industry code, or utilizing the Other 

category for some other calculation, provide the total 2022 

DEP of property policies, where terrorism risk coverage was 

not provided to the policyholder.

• Include premium in this column only if a policy did not 

provide any coverage subject to TRIP.

F5

F6

F7

G4

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Provided) 

(Property)

For each corresponding industry code, or utilizing the Other 

category for some other calculation, provide the total 2022 

DEP of property policies, where terrorism risk coverage was

provided to the policyholder.

• Include premium in this column only if a property policy 

provided coverage subject to TRIP.

• Include policies where terrorism risk coverage was 

provided at no charge.

G5

G6

G7

I4

Total 2022 DEP 

Charged for 

Terrorism Risk 

Coverage (Liability)

For each corresponding industry code, or utilizing the Other 

category for some other calculation, provide the amount of 

2022 DEP charged for terrorism risk under liability policies.

• This figure, representing premium charged for terrorism 

risk, should be a component of the amount provided in 

Column K. 

I5

I6

I7

J4

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Declined) 

(Liability)

For each corresponding industry code, or utilizing the Other 

category for some other calculation, provide the total 2022 

DEP of liability policies, where terrorism risk coverage was 

not provided to the policyholder.

• Include premium in this column only if a policy did not 

provide any coverage subject to TRIP.

J5

J6

J7

K4 Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Provided)

(Liability)

For each corresponding industry code, or utilizing the Other 

category for some other calculation, provide the total 2022 

DEP of liability policies, where terrorism risk coverage was

provided to the policyholder.

• Include premium in this column only if a liability policy 

provided coverage subject to TRIP.

• Include policies where terrorism risk coverage was 

provided at no charge.

K5

K6

K7

M4

Total 2022 DEP 

Charged for 

Terrorism Risk 

Coverage (Workers’ 

Compensation)

No entry required. This information will be reported on the 

insurer’s behalf by NCCI, the California WCIRB, and/or the 

New York CIRB.

• Do not report information in these cells, even if the insurer 

issues Excess Workers’ Compensation insurance.

M5

M6

M7
Page 24 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Places of Worship (Nationwide)

Section Field Name Comments

N4

Total 2022 TRIPEligible DEP 

(Workers’ 

Compensation)

No entry required. This information will be reported on the 

insurer’s behalf by NCCI, the California WCIRB, and/or the 

New York CIRB.

• Do not report information in these cells, even if the insurer 

issues Excess Workers’ Compensation insurance.

N5

N6

N7

Instructions for Reinsurance (Nationwide) Worksheet

Note: This Worksheet is set up as a questionnaire, with certain amounts requested, yes or no 

answers sought, and associated explanation to the extent necessary. As a result, and unlike the 

other worksheets, the data sought may be more easily obtainable from an individual with knowledge 

of the reinsurance arrangements of the reporting entity, as distinguished from the mechanism of data 

queries to existing systems. The questions are limited to reinsurance purchased from unaffiliated 

third-party companies, and do not include reinsurance transactions within a group of affiliated 

insurers. Figures should include only purchased treaty reinsurance, and not purchased facultative 

reinsurance. 

Reinsurance (Nationwide)

Section Field Name Comments

C3-D3

Size of TRIP 2022 

Deductible (Cell H4 of 

Insurer Group 

Affiliations Worksheet 

x 20%)

Provide the insurance group or company’s 2022 TRIP 

deductible. 

• This figure is calculated based upon the 2022 TRIPEligible DEP, which is reported in Cell H4 of the Insurer 

Group Affiliations Worksheet. If you did not enter a figure 

in Cell H4 based upon reliance upon your prior year 

reporting, enter 20% of the TRIP-Eligible DEP that your 

reported during the 2022 TRIP Data Call.

C4-D4

Total 2022 Limits Any 

One Loss of 

Purchased Treaty 

Reinsurance Covering 

TRIP Loss

For reinsurance purchased by the insurance group or 

company, provide the per loss limit for losses subject to TRIP.

C5-D5

Total 2022 Aggregate 

Limits of Purchased 

Treaty Reinsurance 

Covering TRIP Loss

For reinsurance purchased by the insurance group or 

company, provide the 2022 maximum aggregate reinsurance 

limit per calendar year for losses subject to TRIP.

C6-D6

2022 Attachment Point 

Any One Loss of 

Purchased Treaty 

Reinsurance Covering 

TRIP Loss

For treaty reinsurance purchased by the insurance group or 

company, provide the 2022 attachment point for losses 

subject to TRIP. 
Page 25 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Reinsurance (Nationwide)

Section Field Name Comments

C7-D7

2022 Co-Participation 

Share Any One Loss 

of Purchased Treaty 

Reinsurance Covering 

TRIP Loss

For treaty reinsurance purchased by the insurance group or 

company, provide the 2022 co-participation share for losses 

subject to TRIP exposure.

C8-D8

Total 2022 Limits Any 

One Loss of 

Purchased Treaty 

Reinsurance Covering 

Natural Catastrophe 

Loss

For reinsurance purchased by the insurance group or 

company, provide the per loss limit for losses subject to TRIP.

• Include losses in all lines of insurance, whether or not 

subject to TRIP.

C9-D9

Total 2022 Aggregate 

Limits of Purchased 

Treaty Reinsurance 

Covering Natural 

Catastrophe Loss 

For treaty reinsurance purchased by the insurance group or 

company, provide the 2022 maximum aggregate reinsurance 

limit per calendar year for natural catastrophe losses.

• Include losses in all lines of insurance, whether or not 

subject to TRIP.

C10-D10

2022 Attachment Point 

Any One Loss of 

Purchased Treaty 

Reinsurance Covering 

Natural Catastrophe 

Loss

For treaty reinsurance purchased by the insurance group or 

company, provide the 2022 attachment point for natural 

catastrophe losses. 

• Include losses in all lines of insurance, whether or not 

subject to TRIP.

C11-D11

2022 Co-Participation 

Share Any One Loss

of Purchased Treaty 

Reinsurance Covering 

Natural Catastrophe 

Loss

For treaty reinsurance purchased by the insurance group or 

company, provide the 2022 co-participation share, if any, for 

natural catastrophe losses.

C12-D12

Any Reinsurance 

Exclusions for TRIP 

Certified Foreign Acts 

of Terrorism?

Select whether during any reinsurance purchased in 2022 

had any exclusions for TRIP-certified acts of terrorism caused 

by foreign individuals or actors.

C13-D13

Any Reinsurance 

Exclusions for TRIP 

Certified Domestic 

Acts of Terrorism?

Select whether during any reinsurance purchased in 2022 

had any exclusions for TRIP-certified acts of terrorism caused 

by domestic acts of terrorism. 

C14-D14

Reinsurance for NBCR 

WC Exposures 

Resulting from 

Certified Acts of 

Terrorism?

Select whether any reinsurance purchased in 2022 provided

any coverage for workers' compensation losses involving 

TRIP-certified acts of terrorism resulting from nuclear, 

biological, chemical or radiological (NBCR) exposures.
Page 26 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Reinsurance (Nationwide)

Section Field Name Comments

C15-D15

If Yes, 2022 Limits 

Any One Loss of 

NBCR Reinsurance for 

Certified Acts of 

Terrorism involving 

WC Loss

If the response in Cell C14 was “yes”, provide the per loss 

limit for workers' compensation losses involving TRIP-certified 

acts of terrorism resulting from NBCR exposures.

• The figure in C15 should be no more than the figure 

reported in C4 and may be less than the figure reported in 

C4 if reinsurance purchased for NBCR risk was less than 

reinsurance purchased for other types of terrorism claims.

C16-D16

If Yes, 2022 

Attachment Point Any 

One Loss of NBCR 

Reinsurance for 

Certified Acts of 

Terrorism involving 

WC Loss

If the response in Cell C14 was “yes”, provide the 2022 

attachment point for workers' compensation losses involving 

TRIP-certified acts of terrorism resulting from NBCR 

exposures.

C17-D17

If Yes, 2022 CoParticipation Share (if 

any) Any One Loss of 

NBCR Reinsurance for 

Certified Acts of 

Terrorism involving 

WC Loss

If the response in Cell C14 was “yes”, provide the 2022 coparticipation share any one loss for workers' compensation 

losses involving TRIP-certified acts of terrorism resulting from 

NBCR exposures.

C18-D18

Reinsurance for NBCR 

Property Loss 

Resulting from 

Certified Acts of 

Terrorism?

Select whether any reinsurance purchased in 2022 provided

any coverage for property losses involving TRIP-certified acts 

of terrorism resulting NBCR exposures.

C19-D19

If Yes, 2022 Limits 

Any One Loss of 

NBCR Reinsurance for 

Certified Acts of 

Terrorism involving 

Property Loss

If the response in Cell C18 was “yes”, provide the per loss

limit for property losses involving TRIP-certified acts of 

terrorism resulting from NBCR exposures.

• The figure in C19 should be no more than the figure 

reported in C4 and may be less than the figure reported in 

C4 if reinsurance purchased for NBCR risk was less than 

reinsurance purchased for other types of terrorism claims.

C20-D20

If Yes, 2022 

Attachment Point Any 

One Loss of NBCR 

Reinsurance for 

Certified Acts of 

Terrorism involving 

Property Loss

If the response in Cell C18 was “yes”, provide the 2022 

attachment point for property losses involving TRIP-certified 

acts of terrorism resulting from NBCR exposures.
Page 27 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Reinsurance (Nationwide)

Section Field Name Comments

C21-D21

If Yes, 2022 CoParticipation Share (if 

any) Any One Loss of 

NBCR Reinsurance for 

Certified Acts of 

Terrorism involving 

Property Loss

If the response in Cell C18 was “yes”, provide the 2022 coparticipation share for property losses involving TRIP-certified 

acts of terrorism resulting from NBCR exposures.

C22-D22

Reinsurance for NBCR 

Liability Loss Resulting 

from Certified Acts of 

Terrorism?

Select whether any reinsurance purchased in 2022 provided

any coverage for liability losses involving TRIP-certified acts 

of terrorism resulting from NBCR exposures.

C23-D23

If Yes, 2022 Limits

Any One Loss of 

NBCR Reinsurance for 

Certified Acts of 

Terrorism involving 

Liability Loss

If the response in Cell C22 was “yes”, provide the per loss 

limit for liability losses involving TRIP-certified acts of 

terrorism resulting from NBCR exposures. The figure in C23 

should be no more than the figure reported in C4 and may be 

less than the figure reported in C4 if reinsurance purchased 

for NBCR risk was less than reinsurance purchased for other 

types of terrorism claims.

C24-D24

If Yes, 2022 

Attachment Point Any 

One Loss of NBCR 

Reinsurance for 

Certified Acts of 

Terrorism involving 

Liability Loss

If the response in Cell C22 was “yes”, provide the 2022 

attachment point for liability losses involving TRIP-certified 

acts of terrorism resulting from NBCR exposures.

C25-D25

If Yes, 2022 CoParticipation Share (if 

any) Any One Loss of 

NBCR Reinsurance for 

Certified Acts of 

Terrorism involving 

Liability Loss 

If the response in Cell C22 was “yes”, provide the 2022 coparticipation share for liability losses involving TRIP-certified 

acts of terrorism resulting from NBCR exposures.

C26-D26

Any Other 

Reinsurance 

Exclusions Specifically 

Applicable to Certified 

Acts of Terrorism 

Under TRIP?

In Cell C26, select whether the insurance group or company’s 

2021 reinsurance contracts contained any additional 

exclusions that could preclude coverage for losses involving 

TRIP-certified acts of terrorism.

In Cell D26, identify the exclusion(s).
Page 28 2023 TRIP Data Call Instructions

Small Insurers

OMB No. 1505-0257

Expiration: March 31, 2025 

Reinsurance (Nationwide)

Section Field Name Comments

C27-D27

ZIP Code Associated 

with Largest Probable 

Maximum Loss (PML)

Provide the ZIP code for the insurer group or company's 

largest Probable Maximum Loss (for all lines) at a single 

street level address location.

• Assume the detonation of a 5-6 ton truck bomb at that 

location (use the blast size within the range that the 

insurer typically uses in connection with such analyses). 

C28-D28

Largest PML at a 

Single Location 

(Amount)

Provide the amount of the insurer group or company's largest 

Probable Maximum Loss (for all lines) at the location 

identified in Cell C27.

• Assume the detonation of a 5-6 ton truck bomb at that 

location (assume a blast size resulting from such a bomb 

within the range that the insurer typically uses in 

connection with internal modeling projections). 

• Include the amount of the reporting insurer's gross loss 

(above any deductible or retention of the policyholder and 

not including private reinsurance recovery or TRIP claim).