Compilation of Rules and Regulations of the State of Georgia › Department 120 - OFFICE OF COMMISSIONER OF INSURANCE, SAFETY FIRE COMMISSIONER AND INDUSTRIAL LOAN COMMISSIONER › Chapter 120-2 - RULES OF COMMISSIONER OF INSURANCE › Subject 120-2-23 - INSURANCE HOLDING COMPANY REGULATIONS › Rule 120-2-23-.03 - Forms - General Requirements

Current through Rules and Regulations filed through June 27, 2024
(1) Forms A, B, C, D, E and F are intended to
				be guides in the preparation of the statements required by O.C.G.A. Sections
				33-13-3,
				33-13-3.1,
				33-13-4, and
				33-13-5. They are not intended to
				be blank forms which are to be filled in. These statements filed shall contain
				the numbers and captions of all items, but the text of the items may be omitted
				provided the answers thereto are prepared in such a manner as to indicate
				clearly the scope and coverage of the items. All instructions, whether
				appearing under the items of the form or elsewhere therein, are to be omitted.
				Unless expressly provided otherwise, if any item is inapplicable or the answer
				thereto is in the negative, an appropriate statement to that effect shall be
				made.
(2) Three complete copies of
				each statement including exhibits and all other papers and documents filed as a
				part thereof, shall be filed with the Commissioner by personal delivery or mail
				addressed to: Insurance Commissioner of the State of Georgia, Attention:
				Division of Insurance and Financial Oversight, 6th Floor, West Tower, 2 Martin
				Luther King, Jr. Drive, Atlanta, Georgia 30334. A copy of Form C shall be filed
				in each state in which the insurer is authorized to do business, if the
				Commissioner of that state has notified the insurer of its request in writing,
				in which case the insurer has fifteen (15) days from receipt of the notice to
				file such form. At least one of the copies shall be manually signed in the
				manner prescribed on the form. Unsigned copies shall be conformed. If the
				signature of any person is affixed pursuant to a power of attorney or other
				similar authority, a copy of such power of attorney or other authority shall
				also be filed with the statement.
(3) If an applicant requests a hearing on a
				consolidated basis under O.C.G.A. Section
				33-13-3(d)(3), in
				addition to filing the Form A with the Commissioner, the applicant shall file a
				copy of Form A with the National Association of Insurance Commissioners (NAIC)
				in electronic form.
(4) Statement
				should be prepared on paper 8 1/2" × 11" in size and preferably bound at
				the top or the top left-hand corner. Exhibits and financial statements, unless
				specifically prepared for the filing, may be submitted in their original size.
				All copies of any statement, financial statements, or exhibits shall be clear,
				easily readable, and suitable for photocopying. Debits in credit categories and
				credits in debit categories shall be designated so as to be clearly
				distinguishable as such on photocopies. Statements shall be in the English
				language and monetary values shall be stated in United States currency. If any
				exhibit or other paper or document filed with the statement is in a foreign
				language, it shall be accompanied by a translation into the English language
				and any monetary value shown in a foreign currency normally shall be converted
				in to United States currency.
O.C.G.A. Secs.
				  33-2-9,
				  33-13-3,
				  33-13-4,
				  33-13-5,
				  33-13-9.