Washington Administrative Code › Title 284 - Insurance Commissioner, Office of the › Chapter 284-18 - Washington insurance holding company regulation › Section 284-18-960 - Form F

Current through Register Vol. 24-14, July 15, 2024
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ITEM 1. ENTERPRISE RISK
The registrant/applicant to the best of its knowledge and
				belief, must provide information regarding the following areas that could
				produce enterprise risk as defined in
				RCW
				 48.31B.005(4), provided the
				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 this
			 insurance holding company system and summarized for next twelve
			 months;
(f) Identification of
			 insurance holding company system capital resources and material distribution
			 patterns;
(g) 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);
(h) Information on corporate or parental
			 guarantees throughout the holding company and the expected source of liquidity
			 should the guarantees be called upon; and
(i) 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 United States 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 United States, 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 in Item 1 for which the financial statement provides responsive
				information.
ITEM 2. OBLIGATION REPORT
If the registrant/applicant has not disclosed any information
				under Item 1, the registrant/applicant must include a statement affirming that,
				to the best of its knowledge and belief, it has not identified enterprise risk
				subject to disclosure under Item 1.