Document ID: chunk:federal_register_of_legislation:F2017L00435:body:0:p9
Version: federal_register_of_legislation:F2017L00435
Segment Type: other
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Character Range: 22283–32716

L4Q—Quarterly Statement of Premiums and Claims for 1/1/93 to 30/6/98 Business—"Interim Fund" (to be lodged for each quarter defined in paragraph 1 of Attachment B and within 45 days of the quarter end); and

       (e)          Form L5Q—Quarterly Statement of Premiums and Claims for Aggregate Business on and from 1/7/98—"New Business Fund" (to be lodged for each quarter defined in paragraph 1 of Attachment B and within 45 days of the quarter end);

as set out in Part 2 of this Attachment.

2.             Dollar amounts are to be rounded to the nearest multiple of $1,000.  For example, $10,500 is to be rounded down to $10,000 and $10,501 is to be rounded up to $11,000.

3.             The statements are to be completed in accordance with any directions noted on the form and are to be signed by Lloyd's Agent in Australia.

Part 2 - Forms

FORM L1

Insurance Act 1973                                                                                                                                                   LLOYD'S - UNDERWRITING ACCOUNT
Form L1                                                                                                                                                              INSURANCE BUSINESS IN AUSTRALIA

Year Ended 31/12/.......

                                                                                                                                                                                                                                                                     Second year      First year       Current year
                                                                                                                                                                                                                                                                     immediately      immediately      of account
                                                                                                                                                                                                                                                                     preceding        preceding
                                                                                                                                                                                                                                                                     current year     current year
                                                                                                                                                                                                                                                                     of account       of account
                                                                                                                                                                                                                                                                     $A'000           $A'000           $A'000
1.                                                                                                                                                                   Premium income (gross) in:
                                                                                                                                                                                                                                               First year
                                                                                                                                                                                                                                               Second year
                                                                                                                                                                                                                                               Third year
2.                                                                                                                                                                   Total
3.                                                                                                                                                                   Claims paid in:
                                                                                                                                                                                                                                               First year
                                                                                                                                                                                                                                               Second year
                                                                                                                                                                                                                                               Third year
4.                                                                                                                                                                   Reserve at end of third year of account
5.                                                                                                                                                                   Total (items 3 + 4)
6.                                                                                                                                                                   Commission, Fire Brigade charges & stamp duty (not including income tax)
7.                                                                                                                                                                   Other expenses
8.                                                                                                                                                                   Total (items 5 + 6 + 7)
9.                                                                                                                                                                   Underwriting surplus or  deficit                                                             *                *
                                                                                                                                                                     (item 2 less item 8)
Notes
1.  Item 7:  Expenses may be determined as a proportion of global management expenses according to the ratio of Australian premium income to global premium income.
2.  * Interim result for open years of account.

Lloyd's Agent in Australia:

Name:                                                                                                                                                                Signature:                                                                Date:

FORM L2

Insurance Act 1973        LLOYD'S - UNDERWRITING ANALYSIS
Form L2                                                    INSURANCE BUSINESS IN AUSTRALIA

Year Ended 31/12/.......
                                                                                                                                                                                                                                                                                                    Direct Premiums  Inward Treaty  Total Premium  Commission               Income Tax   Claims Paid  Gross Premiums
Class of Business                                                                                                                                                                                                                                                                                                                                  including Inward         Reinsurance  Income       Expenses        and all   (Gross)  less Claims
                                                                                                                                                                                                                                                                                                                                                   Facultative Reinsurance  Premiums     (Gross)                      other              and Expenses
                                                                                                                                                                                                                                                                                                                                                   (Gross)                  (Gross)      (1) + (2)                    Expenses           (3) - (4) - (5) - (6)
                                                                                                                                                                                                                                                                                                                                                   (1)                      (2)          (3)          (4)             (5)       (6)      (7)
                                                                                                                                                                                                                                                                                                                                                   $A '000                  $A '000      $A '000      $A '000         $A '000   $A '000  $A '000
A.  Accident and Health
          Current Year
          First Preceding Year
          Second Preceding Year
B.   Motor Vehicle Damage and Liability
          Current Year
          First Preceding Year
          Second Preceding Year
C.   Aircraft Damage and Liability
          Current Year
          First Preceding Year
          Second Preceding Year
D.   Ships' Damage and Liability
          Current Year
          First Preceding Year
          Second Preceding Year
E.   Goods in Transit
          Current Year
          First Preceding Year
          Second Preceding Year
F.