Code of Massachusetts Regulations › 211 CMR - DIVISION OF INSURANCE › Title 211 CMR 7.00 - Massachusetts Insurance Holding Company System › Section 7.16 - Form F Instructions

Current through Register 1525, July 5, 2024
FORM F
ENTERPRISE RISK REPORT
Filed with the Division of Insurance of the Commonwealth of
				Massachusetts
By
______________________________
Name of Registrant/Applicant
On Behalf of/Related to Following Insurance Companies
Name Address
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Date:_________________________, 20______
Name, title, address, telephone number, and email of Individual
				to Whom Notices and Correspondence Concerning This Statement Should Be
				Addressed:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
ITEM 1. ENTERPRISE RISK
The Registrant/Applicant, to the best of its knowledge and
				belief, shall furnish the following information regarding the areas that could
				produce enterprise risk, provided such information is not disclosed in the
				Insurance Holding Company System Annual Registration Statement filed on behalf
				of itself or another insurer for which it is the ultimate controlling
				person:
(a) Any material developments
			 regarding strategy, internal audit findings, compliance or risk management
			 affecting the insurance holding company system;
(b) Acquisition or disposal of insurance
			 entities and reallocating of existing financial or insurance entities within
			 the insurance holding company system;
(c) Any changes of shareholders of the
			 insurance holding company system exceeding ten percent or more of voting
			 securities;
(d) Developments in
			 ongoing investigations, regulatory activities or litigation that may have a
			 significant bearing or impact on the insurance holding company
			 system;
(e) Business plan of the
			 insurance holding company system and summarized strategies for the next 12
			 months;
(f) Identification of
			 material concerns of the insurance holding company system raised by supervisory
			 college, if any, in last year;
(g)
			 Identification of insurance holding company system capital resources and
			 material distribution patterns;
(h)
			 Identification of any negative movement, or discussions with rating agencies
			 which may have caused, or may cause, potential negative movement in the credit
			 ratings and individual insurer financial strength ratings assessment of the
			 insurance holding company system (including both the rating score and
			 outlook);
(i) Information on
			 corporate or parental guarantees throughout the holding company and the
			 expected source of liquidity should such guarantees be called upon;
			 and
(j) Identification of any
			 material activity or development of the insurance holding company system that,
			 in the opinion of senior management, could adversely affect the insurance
			 holding company system.
The Registrant/Applicant may attach the appropriate form most
				recently filed with the U.S. Securities and Exchange Commission, provided the
				Registrant/Applicant includes specific references to those areas listed in Item
				1 for which the form provides responsive information. If the
				Registrant/Applicant is not domiciled in the U.S., it may attach its most
				recent public audited financial statement filed in its country of domicile,
				provided the Registrant/Applicant includes specific references to those areas
				listed in Item 1 for which the financial statement provides responsive
				information.
ITEM 2: OBLIGATION TO REPORT
If the Registrant/Applicant has not disclosed any information
				pursuant to Item 1, the Registrant/Applicant shall include a statement
				affirming that, to the best of its knowledge and belief, it has not identified
				enterprise risk subject to disclosure pursuant to Item 1.