Wisconsin Administrative Code › Office of the Commissioner of Insurance › Chapter Ins 40 - Insurance Holding Company System Regulation › Subchapter II - Insurance Holding Company Systems-Reporting Forms › Appendix - Appendix › Form F - ENTERPRISE RISK REPORT

Current through June 24, 2024
Filed with the Office of the Commissioner of
					 Insurance,
State of Wisconsin
By
Name of Registrant/Applicant
On behalf of/related to the following insurers
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 s. Ins m 40.01(4), Wis. Adm. Code,
					 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 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.