Rhode Island Code of Regulations › Title 230 - Department of Business Regulation › Chapter 20 - Insurance › Subchapter 45 - Financial Standards and Corporate Operations › Part 1 - Insurance Holding Company Systems (230-RICR-20-45-1) › Section 230-RICR-20-45-1.28 - Form F: Enterprise Risk Report

Current through June 14, 2024
Filed with the Insurance Department of the State of
								Rhode Island.
____________________________________
Name of Registrant/Applicant
On Behalf of/Related to the Following Insurance
								Companies
Name Address
________________________________________________________________
________________________________________________________________
Date:____________________
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.I. Gen. Laws §
														27-35-1(f),
								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 (10%) or more of voting
								securities;
(d) Developments in various investigations,
								regulatory activities or litigation that ay 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;
(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 thebest of its knowledge and belief, it has not
								identified enterpriserisk subject to disclosure pursuant to Item 1.