Louisiana Administrative Code › Title 37 - INSURANCE › Part XIII - Regulations › Chapter 1 - Regulation Number 31-Holding Company › Section XIII-143 - Form F-Enterprise Risk Report

Current through Register Vol. 50, No. 6, June 20, 2024
Filed with the Insurance Department of the
State of _________________
By
_______________________________
(Name of Registrant/Applicant)
On Behalf of/Related to Following Insurance Companies
Name Address
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Date: _____________________, 20 _________
Name, Title, Address, and Telephone Number 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 provide information regarding the following areas that could
				  produce enterprise risk as defined in
				  R.S.
				  22:691.2(4), 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
				various 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 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.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  22:691.6 and
				  22:691.11.