2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

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

Captive Insurers

Form Overview

This reporting form is for use by captive insurers. 

• Captive insurers that wrote TRIP-eligible lines of insurance in 2022 but did not provide any 

terrorism risk insurance subject to TRIP under any policy, are not required to report. This is the 

case even if the captive insurer provided terrorism risk insurance in years prior to 2022. 

• Captive Insurers that are part of a larger group that is subject to reporting on either the Small 

Insurer template or the Insurer (Non-Small) Groups or Companies template should report on the 

appropriate template and not use this reporting form.

• Offshore captive insurers that are licensed to write insurance in any U.S. jurisdiction, and which 

write terrorism risk insurance subject to TRIP are required to report and should identify 

themselves using their OLC Code.

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 by 

captive insurers may be allocated in full to their state of domicile or licensure. 

• Note: This allocation method should not be applied on the Geographic Exposures 

worksheet, which seeks information based upon the location of the exposure, regardless 

of the manner in which the premium may have been allocated.

• 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.
Page 2 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

• Workers’ Compensation (NAIC Line 16) data should only include primary workers’ 

compensation coverage written on an admitted basis. Do not include premium 

associated with workers’ compensation deductible reimbursement (reported in Row 13) 

or excess workers’ compensation (reported in Row 14 and 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).

• Deductible reimbursement policies (other than workers’ compensation) that fall within a 

TRIP-eligible line should be reported under that line on the Direct Earned Premium by 

Jurisdiction Worksheet, the Exposures by Jurisdiction Worksheet, and/or the Geographic 

Exposures (Nationwide) Worksheets 

• 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 

otherwise 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 2023 Cyber (Nationwide) Worksheet now permits the reporting of number of policies 

by 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.. 

• Reinsurance (Nationwide) Worksheet:

• Replaced modeled loss scenario.
2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

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 not 

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 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.

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.
Page 4 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Insurer Group Affiliations

Section Field Name Comments

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 (Captive, Offshore 

Licensed Captive, Risk Retention Group, or Alien Surplus 

Lines Insurer).

E9-E27 Domicile Select the jurisdiction in which the insurer is domiciled.

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.

 
Page 5 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

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

Direct Earned Premium (DEP) (Jurisdiction)

Section Field Name Comments

B2 Jurisdiction

Provide DEP information by jurisdiction (U.S. state, the 

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

worksheets.

• Complete an additional worksheet to provide 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-B28 

TRIP-Eligible Line of 

Coverage

Cells B6-B28 list the TRIP-eligible lines of coverage presently 

included in the Program, which are divided for all lines except 

Excess Workers’ Compensation between deductible 

reimbursement policies and other policies within the identified 

line of insurance. Cells C6-C28 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-C28

D6-D28 

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-B18. The figures reported in this column will 

equal the sum of the respective figures reported in Columns 

E-G.

Cell D29 will show the insurance group or company’s total 

2022 TRIP-eligible DEP for all lines of insurance.

E6-E28 

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Declined)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, 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-F28 

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Provided for 

Disclosed $0 Charge)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, provide total 2022 DEP of policies, where

terrorism risk coverage was provided by the insurer to the 

policyholder for a disclosed charge of $0.
Page 6 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Direct Earned Premium (DEP) (Jurisdiction)

Section Field Name Comments

G6-G28 

Total 2022 TRIPEligible DEP 

(Terrorism Risk 

Coverage Provided 

with a Premium 

Charged)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, 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-H28 

Total 2022 DEP

Charged for Terrorism 

Risk Coverage

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, 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. 

D30 Total Non-TRIP 

Eligible Lines DEP

Report the total 2022 non-TRIP Eligible Lines DEP of the 

Captive Insurer (that is, all DEP of the Captive Insurer for any 

other insurance that is not subject to TRIP).

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 Policies and DEP (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).
Page 7 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Standalone Terrorism (Nationwide)

Section Field Name Comments

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. 

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.
Page 8 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Instructions for Cyber (Nationwide) Worksheet

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 TRIP-eligible 

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 TRIP-eligible 

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

Captive 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 2021 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 TRIP-eligible 

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

Captive 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 2022 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

Captive 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

Captive 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 liability 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

Captive 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 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

Captive 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

Captive 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

Captive 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). 

• The amounts in question may be allocated wholly to the 

captive insurer’s domiciliary state.

B6-B28 

TRIP-Eligible Line of 

Coverage 

Cells B6-B28 list the TRIP-eligible lines of coverage presently 

included in the Program, which are divided for all lines except 

Excess Workers’ Compensation between deductible 

reimbursement policies and other policies within the identified 

line of insurance. Cells C6-C28 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-C28
Page 17 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Exposure Bases by Jurisdiction

Section Field Name Comments

D6-D28 

Total 2022 TRIPEligible Property 

Exposure (Terrorism 

Risk Coverage

Provided)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, 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

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Exposure Bases by Jurisdiction

Section Field Name Comments

E6-E28 

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-B28, provide total property exposure under all 

2021 policies where terrorism risk coverage was obtained 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-E28 will be the same as the 

figures reported in D6-D28. 

• To the extent property policies that provide coverage for 

terrorism risk do contain exclusions for NBCR, the figures 

entered in E6-E28 will be a lesser subset of the amount 

reported in D6-D28. 

• 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-F28

Total 2022 TRIPEligible Property 

Exposures (Terrorism 

Risk Coverage 

Provided Only for 

NBCR Risks)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, provide total property exposure under all 

2022 policies where terrorism risk coverage was obtained and 

where the policy only provides coverage for nuclear, 

biological, chemical, and radiological (NBCR) risks. 

• Use the same instructions as identified above for 

reporting policy limits generally.

To the extent the insurer’s policies provide coverage for 

some, but not all, risks within the NBCR category, assume 

that policies provide coverage for NBCR Risk only so long as 

that is the only coverage provided by the policy.

G6-G28 

Total 2022 

Policyholder 

Deductibles for TRIPEligible Property 

Policies (Terrorism 

Risk Coverage

Provided)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, provide total deductible or retention 

exposure retained by policyholders under the policies 

reported in Cells D6-D28.

• 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 19 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Exposure Bases by Jurisdiction

Section Field Name Comments

H6-H28 

Total 2022 TRIPEligible Property 

Exposure (Terrorism 

Risk Coverage

Declined) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, 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.

I6-I28 

Total 2022 

Policyholder 

Deductibles for TRIPEligible Property 

Policies (Terrorism 

Risk Coverage

Declined) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, provide total deductible or retention 

exposure retained by policyholders under the policies 

reported in Cells H6-H28.

• 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 20 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Exposure Bases by Jurisdiction

Section Field Name Comments

J6-J28 

Total 2022 Limits of 

Liability for TRIPEligible Policies

(Terrorism Risk 

Coverage Provided)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, provide the insurer’s total 2022 liability 

exposure in 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 21 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Exposure Bases by Jurisdiction

Section Field Name Comments

K6-K28

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-B28, 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 K6-K28 will be the same as the 

figures reported in J6-J28. 

• To the extent liability policies that provide coverage for

terrorism risk do contain exclusions for NBCR risks, the 

figures entered in K6-K28 will be a lesser subset of the 

amount reported in J6-J28. 

• 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.

L6-L28

Total 2022 TRIPEligible Limits of 

Liability (Terrorism 

Risk Coverage 

Provided Only for 

NBCR Risks)

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, provide the insurer’s total 2022 liability 

exposure under all 2022 policies where terrorism risk 

coverage was obtained and where the policy only provides 

coverage for nuclear, biological, chemical, and radiological 

(NBCR) risks. 

• Use the same instructions as identified above for 

reporting policy limits generally.

To the extent the insurer’s policies provide coverage for 

some, but not all, risks within the NBCR category, assume 

that policies provide coverage for NBCR risk only so long as 

that is the only coverage provided by the policy.
Page 22 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Exposure Bases by Jurisdiction

Section Field Name Comments

M6-M28 

Total 2022 

Policyholder 

Deductibles for TRIPEligible Liability 

Policies (Terrorism 

Risk Coverage

Provided) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, provide total deductible or retention 

exposure retained by policyholders under the policies 

reported in Cells J6-J28.

• 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. 

N6-N228 

Total 2022 Limits of 

Liability for TRIPEligible Policies

(Terrorism Risk 

Coverage Declined) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, 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.
Page 23 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Exposure Bases by Jurisdiction

Section Field Name Comments

O6-O28 

Total 2022 

Policyholder 

Deductibles for TRIPEligible Liability 

Policies (Terrorism 

Risk Coverage

Declined) 

For each corresponding TRIP-eligible line of insurance listed 

in Cells B6-B28, provide total deductible or retention 

exposure retained by policyholders under the policies 

reported in Cells N6-N28.

• 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. 

P6-P28 

Total 2022 Payroll for 

TRIP-Eligible Policies 

(Terrorism Risk 

Coverage Provided)

Provide total 2022 payroll for workers’ compensation policies, 

workers’ compensation deductible policies, and and excess 

workers’ compensation policies (Lines 18-20).

• Include all policies where exposure for terrorism risk 

coverage is assumed by the captive insurer.

• Payroll information for workers’ compensation should only 

be provided in those cases where the captive insurer is 

licensed to write such insurance.

Q6-Q28 

Total 2022 Payroll 

Not Subject to 

Terrorism Risk 

Coverage

Provide total 2022 payroll for workers’ compensation policies, 

workers’ compensation deductible policies, and excess 

workers’ compensation policies (Lines 18-20) where terrorism 

risk coverage is not assumed by the captive insurer.

Instructions for Policyholder Industry Code (Nationwide) Worksheet

Policyholder Industry Code (Nationwide)

Section Field Name Comments

B2

NAICS Code Number 

Most Applicable to the 

Business(es) Insured 

by the Captive Insurer:

From the dropdown list, select the North American Industrial 

Classification System (NAICS) industry code number which is 

most applicable to the business(es) insured by the captive 

insurer.
Page 24 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

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

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
Page 25 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Places of Worship (Nationwide)

Section Field Name Comments

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

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
Page 26 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Instructions for Geographic Exposures (Nationwide) Worksheet

Geographic Exposures (Nationwide)

Section Field Name Comments

B3-B30 Region

This field shows the specified metropolitan regions of the 

United States (Cells B3-B28) for which exposure information 

should be recorded. 

• Locations not listed in the identified metropolitan areas 

(including territories) should be listed in Row 29.

• Policies for which location information is not available 

should be recorded in Row 30.

• Although information is sought on other worksheets by 

where the premium is allocated for state reporting and 

tax purposes, the information sought in this sheet should 

be reported based upon where the exposures are 

actually located.

C3-C30 Description

This field outlines locations (by ZIP code) in the metropolitan 

regions listed in Cells B3-B28.

• The descriptions are based upon definitions currently in 

use by private rating agencies.

• To the extent the insurance group or company does not 

track its data in this fashion, report the information by the 

closest approximation of the U.S. county and city 

jurisdictions involved.

• A complete listing of ZIP codes, counties, and regions is 

available on the TRIP website 

(https://home.treasury.gov/policy-issues/financialmarkets-financial-institutions-and-fiscal-service/federalinsurance-office/terrorism-risk-insuranceprogram/annual-data-collection). 

D3-D30

Total 2022 Payroll for 

TRIP-Eligible Primary 

WC and Excess WC 

Policies (Terrorism 

Risk Coverage 

Provided) 

For each corresponding region listed in Cells B3-B30, provide 

total 2022 payroll for both primary and excess workers’ 

compensation policies, where terrorism risk insurance was 

provided.

E3-E30

Total 2022 Payroll for 

TRIP-Eligible Primary 

WC and Excess WC 

Policies (Terrorism 

Risk Coverage Not 

Provided) 

For each corresponding region listed in Cells B3-B30, provide 

total 2022 payroll for both primary and excess workers’ 

compensation policies, where terrorism risk insurance was 

not provided.
Page 27 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Geographic Exposures (Nationwide)

Section Field Name Comments

F3-F30

Total 2022 TRIPEligible Property 

Exposure (Terrorism 

Risk Coverage 

Provided)

For each corresponding region listed in Cells B3-B30, provide 

total property insurance exposure under all 2022 policies 

where terrorism risk coverage was provided in connection 

with property coverage.

• 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 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.

G3-G30

Total 2022 TRIPEligible Property 

Exposure (Terrorism 

Risk Coverage 

Declined)

For each corresponding region listed in Cells B3-B30, 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.

• To the extent a captive insurer does not provide any 

terrorism risk coverage for property policies (as reported 

in Cells F3-F30), no data needs to be reported in Cells 

G3-G30.

C35-C39

ZIP Code of Top 5 

Largest Accumulated 

Exposure Locations 

by Payroll 

(Metropolitan Areas) 

For each corresponding region, provide the ZIP codes for the 

top 5 aggregations of payroll exposure within the metropolitan 

areas included in Rows 3-28.

• ZIP codes entered into this field will not necessarily 

correspond to 5 different regions (an insurer could 

conceivably have its top 5 aggregations by ZIP code 

within the same city).

D35-D39

Amount of Top 5 

Largest Accumulated 

Exposure Locations 

by Payroll 

(Metropolitan Areas) 

For each corresponding ZIP code listed in Cells C35-C39, 

provide the total accumulated payroll exposure within that ZIP 

code.
Page 28 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Geographic Exposures (Nationwide)

Section Field Name Comments

E35-E39

ZIP Code of Top 5 

Largest Accumulated 

Exposure Locations 

by Property Insurance 

Exposure (Terrorism 

Risk Coverage 

Provided)

(Metropolitan Areas) 

For each corresponding region, provide the ZIP codes for the 

top 5 aggregations of property insurance exposure within the 

metropolitan areas included in Rows 3-28.

• ZIP codes entered into this field will not necessarily 

correspond to 5 different regions (an insurer could 

conceivably have its top 5 aggregations within the same 

city).

F35-F39 

Amount of Top 5 

Largest Accumulated 

Exposure Locations 

by Property Insurance 

Exposure (Terrorism 

Risk Coverage 

Provided)

(Metropolitan Areas) 

For each corresponding ZIP code listed in Cells C35-C39, 

provide the total accumulated property insurance exposure 

within that ZIP code.

C43-C47

ZIP Code of Top 5 

Largest Accumulated 

Exposure Locations 

by Payroll (NonMetropolitan Areas)

For non-metropolitan areas included in Row 29, provide the 

ZIP codes for the top 5 aggregations of payroll exposure.

• If total non-allocated exposures from Row 30 fall within 

the top 5 aggregations, enter them using a ZIP code of 

99999.

D43-D47

Amount of Top 5 

Largest Accumulated 

Exposure Locations 

by Payroll (NonMetropolitan Areas)

For each corresponding ZIP code listed in Cells C43-C47, 

provide the total accumulated payroll exposure within that ZIP 

code.

E43-E47

ZIP Code of Top 5 

Largest Accumulated 

Exposure Locations 

by Property Insurance 

Exposure (Terrorism 

Risk Coverage 

Provided) (NonMetropolitan Areas)

For non-metropolitan areas included in Row 29, provide the 

ZIP codes for the top 5 aggregations of property insurance 

exposure.

• If total non-allocated exposures from Row 30 fall within 

the top 5 aggregations, enter them using a ZIP code of 

99999.

F43-F47 

Amount of Top 5 

Largest Accumulated 

Exposure Locations 

by Property Insurance 

Exposure (Terrorism 

Risk Coverage 

Provided) (NonMetropolitan Areas)

For each corresponding ZIP code listed in Cells C43-C47, 

provide the total accumulated property insurance exposure 

within that ZIP code.
Page 29 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Geographic Exposures (Nationwide)

Section Field Name Comments

D49

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). 

• If you do not typically perform such analyses, use the 

blast radius estimates found in the Reinsurance 

(Nationwide) Worksheet, Line 27.

D50

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 D49.

• 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 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).

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.

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 2021 

TRIP-Eligible 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 you reported during the 

2022 TRIP Data Call.
Page 30 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Reinsurance (Nationwide)

Section Field Name Comments

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. 

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.
Page 31 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Reinsurance (Nationwide)

Section Field Name Comments

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.

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 

co-participation 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.
Page 32 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Reinsurance (Nationwide)

Section Field Name Comments

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 TRIPcertified acts of terrorism resulting from NBCR 

exposures.

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 

co-participation 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 TRIPcertified 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 

co-participation share for liability losses involving TRIPcertified 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 2020 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).

Lines 

27-36 

Loss to Group or Company 

within TRIP Deductible, 

Private Reinsurance 

The last series of questions seeks information as to how 

a particular defined loss event (Line 27) would likely 

affect the responding insurer group or reporting insurer, 
Page 33 2023 TRIP Data Call Instructions

Captive Insurers

OMB No. 1505-0257

Expiration: March 31, 2025

Reinsurance (Nationwide)

Section Field Name Comments

Recovery, 

Deductible/Retention of 

Insureds, Claim under TRIP, 

Co-Pay Obligation

in terms of the total projected loss it would likely sustain 

(Line 30), with that amount divided into six categories:

• Deductible or retention obligation of insureds 

under triggered policies (Line 31); 

• Net loss to group or company within TRIP

deductible, net of policyholder obligations or 

private reinsurance (Line 32);

• Any private reinsurance recovery of amounts 

within the reporting insurer's deductible (Line 

33);

• Projected claims under TRIP (Line 34);

• The net loss of the insurer group or reporting 

individual insurer above its deductible within the 

co-pay obligation (Line 35); and

• Any private reinsurance recovery of amounts 

above the reporting insurer's deductible within 

the co-pay obligation (Line 36). 

• Use the definitions, instructions and assumptions 

found in the Worksheet at Line 27 and these 

Instructions. 

• Use the blast size within the 5-6 ton range that the 

insurer typically uses in connection with internal 

modeling projections.

• If the insurer does not typically employ such 

scenarios, provide estimates using the parameters 

identified in Line 27. 

• If the insurer’s exposure arises from a layered 

insurance program involving multiple carriers, in 

which the reporting insurer has assumed only a 

portion of the total loss sustained by the 

policyholder pro-rate the response amounts 

(including the deductible or retention obligations of 

the policyholder as requested in Line 31) based on 

the insurer’s level of involvement in the layered 

program.

• Not all reporting insurers will anticipate losses 

under the stated scenario.

• Because the total projected loss (Line 30) is meant 

to be the sum of the various components identified 

in Lines 31-36, the figures entered in Lines 30 must

equal the sum of the figures entered in Lines 30-36.