Document ID: chunk:federal_register_of_legislation:F2023L00735:body:0:p17
Version: federal_register_of_legislation:F2023L00735
Segment Type: other
Provision Reference: 
Character Range: 42395–45331

Position title

    Phone

    Email address

5.             Address for correspondence
Please provide the address to which correspondence relating to this application should be mailed.

6.             Signatures
This form must be signed by:
(a)          the principal executive officer of the life company; or
(b)          an officer of the life company who has been authorised for that purpose by the principal executive officer, if the principal executive officer has notified APRA in writing of the authorisation.

    Name                        Position title

    Signature                Date

Please send completed form and accompanying documents to your responsible supervisor.

Schedule 1 to Form 1

Specified documents required to be lodged with Form 1
     1. A statement of the nature of the receiving fund and the terms and conditions on which the restructure is to take place. The statement must include the following information:
(a)          the identity of a transferring fund and a receiving fund;
(b)          the classes of life insurance business to be carried on by the company within the receiving fund;
(c)          the categories of life insurance business to be carried on by the company within each of those classes;
(d)          the sub-categories of life insurance business to be carried on by the company within each of those categories;
(e)          the kinds of policies within those categories and sub-categories and, where the policies are referable to more than one fund, the benefits to be written by the company within those categories and sub-categories;
(f)           the value of the policy liabilities to be transferred to the receiving fund, by kinds of policies;
(g)          the value of the policy liabilities to remain in the transferring fund, by kinds of policies;
(h)          the value of other liabilities (not being policy liabilities) to be transferred to the receiving fund;
(i)            the value of other liabilities (not being policy liabilities) to remain in the transferring fund;
(j)            the value of the assets to be transferred to the receiving fund, by asset class;
(k)          the value of the assets to remain in the transferring fund, by asset class;
(l)            the value of the amounts determined for the purposes of allocation and distribution of profits and losses under Divisions 5 and 6 of Part 4 of the Act to be transferred to the receiving fund; and
(m)        the value of the amounts determined for the purposes of allocation and distribution of profits and losses under Divisions 5 and 6 of Part 4 of the Act to remain in the transferring fund.
2.             A report by the Appointed Actuary on the proposed restructure, including:
(a)          statement setting out the basis on which the nature and value of the assets to be transferred is to be determined;
(b)          statement as to whether the assets to be transferred are