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S.I. No. 401/1977 - European Communities (Non-Life Insurance Accounts) Regulations, 1977

Type Statutory Instrument

Publication 1977-12-30

Last updated 1995-07-20

State Repealed superseded text

Text As published

Source Irish Statute Book

articles 8

This is the act as published. Later amendments are not folded into the text below: each one is a separate act in this repository and an entry in this law's history.

2 amending acts · 1995-07-20, S.I. No. 202/1995 - European Communities (Non-Life Insurance Accounts) Regulations, 1995

Reform history JSON API

S.I. No. 401 of 1977.

EUROPEAN COMMUNITIES (NON-LIFE INSURANCE ACCOUNTS) REGULATIONS, 1977.

I, DESMOND O'MALLEY, Minister for Industry, Commerce and Energy in exercise of the powers conferred on me by section 3 of the European Communities Act, 1972 (No. 27 of 1972) and for the purpose of giving effect to Council Directive 73/239/EEC*, hereby make the following Regulations:

*OJ No. L228, 16.8.1973, pages 3-19

1.

These Regulations may be cited as the European Communities (Non-Life Insurance Accounts) Regulations, 1977.

2.

In these Regulations "the Minister" means the Minister for Industry, Commerce and Energy.

3.

(1) Every insurance undertaking shall, in respect of the financial year in which these Regulations are made (or such subsequent financial year as the Minister may direct) and in each succeeding financial year, produce to the Minister an annual account covering the types of operation specified in the Schedule to these Regulations or such parts of that Schedule as the Minister may from time to time direct.

(2) In this Regulation "financial year" has the meaning assigned to it by section 2 of the Companies Act, 1963 (No. 33 of 1963).

4.

The forms set out in the Schedule to these Regulations are in substitution for the forms of accounts specified in the Insurance Acts, 1909 to 1971, insofar as those accounts relate to undertakings authorised under the European Communities (Non-Life Insurance) Regulations, 1976 ( S.I. No. 115 of 1976 ).

5.

(1) Subject to paragraph (3) of this Regulation, any document submitted to the Minister under these Regulations shall be lodged in the Companies Registration Office and shall there be open to inspection by any person, and copies of such documents may be procured by any person on payment of such fees as the Minister may from time to time fix.

(2) Subject to paragraph (3) of this Regulation, the Minister shall at least once in each year lay before each House of the Oireachtas copies of all documents submitted to him under these Regulations in the previous year and may append to such documents any explanatory statement or commentary which he thinks fit.

(3) ( a ) Paragraphs (1) and (2) of this Regulation do not apply to Forms 1, 3, 5, 7, 9 and 14 in the Schedule to these Regulations.

( b ) Paragraph (1) of this Regulation does not apply to Form 16 in the Schedule to these Regulations.

6.

(1) Amounts entered in a form in the Schedule to these Regulations shall be to the nearest £1,000 unless where the amount to be entered is less than £1,000, and in such a case the amount to be entered shall be to the nearest £1.

7.

(1) A person (within the meaning of the European Communities (Non-Life Insurance) Regulations, 1976 ( S.I. No. 115 of 1976 )), who holds an authorisation under those Regulations shall forward to the Minister each year two copies of the accounts and returns laid before its annual general meeting for that year.

(2) The accounts and returns referred to in paragraph (1) shall be forwarded not later than one month after the annual general meeting.

8.

(1) A person (within the meaning of the European Communities (Non-Life Insurance) Regulations, 1976 ( S.I. No. 115 of 1976 )) who fails to comply with any provision of these Regulations shall be guilty of an offence and shall be liable on summary prosecution to a fine not exceeding £500.

(2) Where an offence under these Regulations is committed by a body corporate and is proved to have been so committed with the consent or connivance of or to be attributable to any neglect on the part of a director, manager, secretary or other officer of the body corporate, the director, manager, secretary or other officer or any person purporting to act in such capacity shall also be deemed to have committed the offence and he, as well as the body corporate, shall be deemed to be guilty of the offence.

SCHEDULE

SUMMARY OF ACCOUNTS TO BE COMPLETED ANNUALLY

NON-LIFE INSURANCE BUSINESS


	Returns required in respect of undertakings with their Head Office in Republic of Ireland	Returns required in respect of undertakings with their Head Office in Republic of Ireland	Returns required in respect of undertakings with their Head Office in Republic of Ireland	Returns required in respect of undertakings with their Head Office in Republic of Ireland	Returns required in respect of undertakings with their Head Office located at either 1 or 2	Returns required in respect of undertakings with their Head Office located at either 1 or 2	Returns required in respect of Lloyd's Syndicates
1. In the EEC	2. Outside the EEC
	Total Business	Business in Republic of Ireland	Business in EEC (Excluding Republic of Ireland)	Business outside EEC	Business in Republic of Ireland	Business in Republic of Ireland	Business in Republic of Ireland
1. Underwriting Account—one year business—Gross and Net figures	*	*	*	*	*	*	*
2. Underwriting Account—one year business—Net figures	*	*	*	*	*	*	*
3. Underwriting Account—three year business—Gross and Net figures	*	*	*	*	*	*	*
4. Underwriting Account—three year business—Net figures.	*	*	*	*	*	*
5. Premium and Reinsurance Analysis by category	*	*			*	*
6. Premium and Reinsurance Analysis—Total Figures		*			*	*
7. Monthly Premium Analysis	*	*			*	*	*
8. Claims Settlement Analysis		*			*	*
9. Asset Analysis	*				*	*	*
10. Balance Sheet	*					*
11. Profit and Loss Account	*					*
12. Assets/Liabilities Summary					*		*
13. Employment Statistics	*	*			*	*	*
14. Calculation of Solvency Margin	*					*
15. Combined Return of all Lloyds Syndicates							*
16. Returns of Individual Lloyds Syndicates							*
17. Certificate	*				*	*	*

*Denote this Form to be completed by each undertaking.

FORM NO. 1

GROSS UNDERWRITING REVENUE ACCOUNT OF ........................

Year ended ........................


The business on this Form was written in :	The business on this Form was written in :		TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Fom No. 3)	Marine Aviation & Transit (if not included in Fom No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
Ireland			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Fom No. 3)	Marine Aviation & Transit (if not included in Fom No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Fom No. 3)	Marine Aviation & Transit (if not included in Fom No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
EEC (Excluding Ireland)			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Fom No. 3)	Marine Aviation & Transit (if not included in Fom No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Fom No. 3)	Marine Aviation & Transit (if not included in Fom No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
Total Business
			1	1
			Gross	Net
	£000	£000
1. Opening Provision—Unearned Premium Reserve—Additional Reserve for Unewpired Risks	1. Opening Provision—Unearned Premium Reserve—Additional Reserve for Unewpired Risks	1. Opening Provision—Unearned Premium Reserve—Additional Reserve for Unewpired Risks
2. Premium Income—(Direct Business and Facultative Reinsurance accepted).	2. Premium Income—(Direct Business and Facultative Reinsurance accepted).	2. Premium Income—(Direct Business and Facultative Reinsurance accepted).
less	less	less
3. Closing Provision—Unearned Premium Reserve—Additional Reserve for Unexpired Risks.	3. Closing Provision—Unearned Premium Reserve—Additional Reserve for Unexpired Risks.	3. Closing Provision—Unearned Premium Reserve—Additional Reserve for Unexpired Risks.

---	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---
The business on this Form was written in:	The business on this Form was written in:		TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.	Treaty reinsurance accepted.
Ireland			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.	Treaty reinsurance accepted.
			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.	Treaty reinsurance accepted.
EEC (Excluding Ireland)			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.	Treaty reinsurance accepted.
			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.	Treaty reinsurance accepted.
Total Business
			1	1
			Gross	Net
	£000	£000
4. EARNED PREMIUM INCOME	4. EARNED PREMIUM INCOME
5. Other Income (to be described)	5. Other Income (to be described)
6. TOTAL INCOME	6. TOTAL INCOME
7. Claims Paid	7. Claims Paid
8. Closing Provision for outstanding Claims	8. Closing Provision for outstanding Claims
—Reported	—Reported
—Not Reported	—Not Reported
less	less
9. Opening Provision for outstanding Claims	9. Opening Provision for outstanding Claims
—Reported	—Reported
—Not Reported	—Not Reported

---	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---	---
The business on this Form was written in:	The business on this Form was written in:	The business on this Form was written in:	TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
Ireland			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
EEC (Excluding Ireland)			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
			TOTAL	TOTAL	Accident & Health	Accident & Health	Motor Vehicle	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 3)	Marine Aviation & Transit (if not included in Form No. 3)	Fire and other damage to property	Fire and other damage to property	Liability	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted	Treaty reinsurance accepted
Total Business
			1	1
			Gross	Net
	£000	£000
10. COST OF CLAIMS INCURRED	10. COST OF CLAIMS INCURRED
11. COMMISSION (Direct Business and Facultative Reinsurance Accepted)	11. COMMISSION (Direct Business and Facultative Reinsurance Accepted)
12. Management Expenses:	12. Management Expenses:
Insurred in Ireland	Insurred in Ireland
Incurred outside Ireland	Incurred outside Ireland
13. TOTAL MANAGEMENT EXPENSES	13. TOTAL MANAGEMENT EXPENSES
14. Other Expenditure (to be described)	14. Other Expenditure (to be described)
15. TOTAL EXPENDITURE	15. TOTAL EXPENDITURE
16. UNDERWRITING PROFIT/LOSS	16. UNDERWRITING PROFIT/LOSS
(Transferred to Profit and Loss Account).	(Transferred to Profit and Loss Account).

FORM NO. 2

NET UNDERWRITING REVENUE ACCOUNT OF..........................

Year ended.........................


The business on this Form was written in :	The business on this Form was written in :	The business on this Form was written in :	TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
Ireland			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
EEC (Excluding Ireland)			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
Total Business
			1
			Net
			£000
1. Opening Provision—Unearned Premium Reserve—Additional Reserve for Unexpired Risks	1. Opening Provision—Unearned Premium Reserve—Additional Reserve for Unexpired Risks
2. Premium Income—(Direct Business and Facultative Reinsurance accepted).	2. Premium Income—(Direct Business and Facultative Reinsurance accepted).
less	less
3. Closing Provision—Unearned Premium Reserve—Additional Reserve for Unexpired Risks.	3. Closing Provision—Unearned Premium Reserve—Additional Reserve for Unexpired Risks.

---	---	---	---	---	---	---	---	---	---	---
The business on this Form was written in:	The business on this Form was written in:	The business on this Form was written in:	TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No.4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
Ireland			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No.4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No.4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
EEC (Excluding Ireland)			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No.4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No.4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
Total Business
			1
			Net
£000
4. EARNED PREMIUM INCOME	4. EARNED PREMIUM INCOME	4. EARNED PREMIUM INCOME
5. Other Income (to be described)	5. Other Income (to be described)	5. Other Income (to be described)
6. TOTAL INCOME	6. TOTAL INCOME	6. TOTAL INCOME
7. Claims Paid	7. Claims Paid	7. Claims Paid
8. Closing Provision for outstanding Claims	8. Closing Provision for outstanding Claims	8. Closing Provision for outstanding Claims
—Reported	—Reported	—Reported
—Not Reported	—Not Reported	—Not Reported
less	less	less
9. Opening Provision for outstanding Claims	9. Opening Provision for outstanding Claims	9. Opening Provision for outstanding Claims
—Reported	—Reported	—Reported
—Not Reported	—Not Reported	—Not Reported

---	---	---	---	---	---	---	---	---	---	---
The business on this Form was written in:	The business on this Form was written in:	The business on this Form was written in:	TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
Ireland			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
EEC (Excluding Ireland)			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
			TOTAL	Accident & Health	Motor Vehicle	Marine Aviation & Transit (if not included in Form No. 4)	Fire and other damage to property	Liability	Miscellaneous pecuniary loss (including credit and suretyship)	Treaty reinsurance accepted.
Total Business
			1
			Net
£000
10. COST OF CLAIMS INCURRED	10. COST OF CLAIMS INCURRED	10. COST OF CLAIMS INCURRED
11. COMMISSION (Direct Business and Facultative Reinsurance Accepted)	11. COMMISSION (Direct Business and Facultative Reinsurance Accepted)	11. COMMISSION (Direct Business and Facultative Reinsurance Accepted)
12. Management Expenses:	12. Management Expenses:	12. Management Expenses:
Incurred in Ireland	Incurred in Ireland	Incurred in Ireland
Incurred outside Ireland	Incurred outside Ireland	Incurred outside Ireland
13. TOTAL MANAGEMENT EXPENSES	13. TOTAL MANAGEMENT EXPENSES	13. TOTAL MANAGEMENT EXPENSES
14. Other Expenditure (to be described)	14. Other Expenditure (to be described)	14. Other Expenditure (to be described)
15. TOTAL EXPENDITURE	15. TOTAL EXPENDITURE	15. TOTAL EXPENDITURE
16. UNDERWRITING PROFIT/LOSS	16. UNDERWRITING PROFIT/LOSS	16. UNDERWRITING PROFIT/LOSS
(Transferred to Profit and Loss Account).	(Transferred to Profit and Loss Account).	(Transferred to Profit and Loss Account).

FORM NO. 3

UNDERWRITING REVENUE ACCOUNT FOR MARINE AVIATION AND TRANSIT THREE-YEAR BUSINESS

of.......................................

Year Ended....................................


The business on this Form was written in :	The business on this Form was written in :	The business on this Form was written in :	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in Current Year 19	Business Transacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.
			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in Current Year 19	Business Transacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.
Ireland			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in Current Year 19	Business Transacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.
			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in Current Year 19	Business Transacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.
EEC (Excluding Ireland)			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in Current Year 19	Business Transacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.
			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in Current Year 19	Business Transacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8.
Total Business
			Income and Expenditure in 19 (The second year preceding the Year of Account)	Income and Expenditure in 19 (The second year preceding the Year of Account)	Income and Expenditure in 19 (The year preceding the Year of Account)	Income and Expenditure in 19 (The year preceding the Year of Account)	Income and Expenditure in 19 (The year of Account)	Income and Expenditure in 19 (The year of Account)	Total of Columns 1, 2 and 3.	Total of Columns 1, 2 and 3.
			1.	1.	2.	2.	3.	3.	4.	4.
			Gross	Net	Gross	Net	Gross	Net	Gross	Net
£000	£000	£000	£000	£000	£000	£000	£000
1. Opening Fund	1. Opening Fund	1. Opening Fund
2. Premium Income—Direct Business and Reinsurance accepted.	2. Premium Income—Direct Business and Reinsurance accepted.	2. Premium Income—Direct Business and Reinsurance accepted.
3. Other Income—To be described	3. Other Income—To be described	3. Other Income—To be described
4. TOTAL	4. TOTAL	4. TOTAL
5. Claims Paid	5. Claims Paid	5. Claims Paid
6. Management Expenses:	6. Management Expenses:	6. Management Expenses:
Incurred in Ireland	Incurred in Ireland	Incurred in Ireland
Incurred outside Ireland	Incurred outside Ireland	Incurred outside Ireland
7. Other Expenditure to be desribed	7. Other Expenditure to be desribed	7. Other Expenditure to be desribed
8. Closing Fund	8. Closing Fund	8. Closing Fund
9. Profit or Loss transferred to Profit and Loss Account	9. Profit or Loss transferred to Profit and Loss Account	9. Profit or Loss transferred to Profit and Loss Account
10. TOTAL	10. TOTAL	10. TOTAL

Note: Premium is Net of Commission

FORM NO. 4

UNDERWRITING REVENUE ACCOUNT FOR MARINE AVIATION AND TRANSIT THREE-YEAR BUSINESS

of....................................

Year Ended....................................


The business on this Form was written in:	The business on this Form was written in:	The business on this Form was written in:	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Tranacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8
			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Tranacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8
Ireland			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Tranacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8
			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Tranacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8
EEC (Excluding Ireland)			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Tranacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8
			Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Transacted in the Underwriting Year 19	Business Tranacted in Current Year 19	Income and expenditure in 19 (The Year of Account) Total of Columns 3, 6 and 8
Total Business
			Income and Expenditure in 19 (The second year preceding the Year of Account)	Income and Expenditure in 19 (The year preceding the Year of Account)	Income and Expenditure in 19 (The year of Account)	Total of Columns 1, 2 and 3.
			1.	2.	3.	4.
			Net	Net	Net	Net
£000	£000	£000	£000
1. Opening Fund	1. Opening Fund	1. Opening Fund
2. Premium Income—Direct Business and Reinsurance accepted.	2. Premium Income—Direct Business and Reinsurance accepted.	2. Premium Income—Direct Business and Reinsurance accepted.
3. Other Income—To be described	3. Other Income—To be described	3. Other Income—To be described
4. TOTAL	4. TOTAL	4. TOTAL
5. Claims Paid	5. Claims Paid	5. Claims Paid
6. Management Expenses:	6. Management Expenses:	6. Management Expenses:
Incurredin Ireland	Incurredin Ireland	Incurredin Ireland
Incurred outside Ireland	Incurred outside Ireland	Incurred outside Ireland
7. Other Expenditure—to be described	7. Other Expenditure—to be described	7. Other Expenditure—to be described
8. Closing Fund	8. Closing Fund	8. Closing Fund
9. Profit or Loss Transferred to Profit and Loss	9. Profit or Loss Transferred to Profit and Loss	9. Profit or Loss Transferred to Profit and Loss
10. TOTAL	10. TOTAL	10. TOTAL

Note: Premium is Net of Commission.

FORM NO. 5

PREMIUM AND REINSURANCE ANALYSIS OF...............................

Year Ended....................................


The business on this Form was written in:	The business on this Form was written in:	The business on this Form was written in:	Total	Accident & Health	Motor Vehicle	Marine Aviation and Transit	Fire and other Damage to Property	Liability	Miscellaneous pecuniary Loss (including Credit and suretyship)	Treaty reinsurance Accepterd not included in Columns 2-7
			Total	Accident & Health	Motor Vehicle	Marine Aviation and Transit	Fire and other Damage to Property	Liability	Miscellaneous pecuniary Loss (including Credit and suretyship)	Treaty reinsurance Accepterd not included in Columns 2-7
Ireland			Total	Accident & Health	Motor Vehicle	Marine Aviation and Transit	Fire and other Damage to Property	Liability	Miscellaneous pecuniary Loss (including Credit and suretyship)	Treaty reinsurance Accepterd not included in Columns 2-7
			Total	Accident & Health	Motor Vehicle	Marine Aviation and Transit	Fire and other Damage to Property	Liability	Miscellaneous pecuniary Loss (including Credit and suretyship)	Treaty reinsurance Accepterd not included in Columns 2-7
All countries
			1.
			£000
Direct Business and facultative reinsurance accepted.	Direct Business and facultative reinsurance accepted.	Direct Business and facultative reinsurance accepted.
Treaty Reinsurance Accepted :	Treaty Reinsurance Accepted :	Treaty Reinsurance Accepted :
Gross Premiums	Gross Premiums	Gross Premiums
ANALYSIS OF REINSURANCE CEDED	ANALYSIS OF REINSURANCE CEDED	ANALYSIS OF REINSURANCE CEDED
Premiums ceded	Premiums ceded	Premiums ceded
Reinsurance Claim Recoveries incurred.	Reinsurance Claim Recoveries incurred.	Reinsurance Claim Recoveries incurred.
Commission receivable	Commission receivable	Commission receivable

Net retention as % of Gross Premium.	Net retention as % of Gross Premium.	Net retention as % of Gross Premium.

FORM NO. 6

PREMIUM AND REINSURANCE ANALYSIS OF...............................

Year ended.............................................


Analysis of Premiums Accepted	£000
Direct business and facultative reinsurance accepted.
Treaty Reinsurance Accepted:
Gross Premiums
Analysis of Reinsurance Ceded
Premiums Ceded
Reinsurance Claim Recoveries incurred
Commission Receivable
Net retention as % of Gross Premiums

FORM NO. 7

MONTHLY PREMIUM ANALYSIS OF.....................................

Year Ended..........................................


The business on this form was written in :	The business on this form was written in :	The business on this form was written in :	Total	Total	Accident and Health	Accident and Health	Motor vehicle	Motor vehicle	Marine, Aviation & Transit Insurance excluding 3 year business	Marine, Aviation & Transit Insurance excluding 3 year business	Fire and Other Damage to Property	Fire and Other Damage to Property	Liability	Liability	Miscellaneous pecuniary Loss (including credit and suretyship).	Miscellaneous pecuniary Loss (including credit and suretyship).
			Total	Total	Accident and Health	Accident and Health	Motor vehicle	Motor vehicle	Marine, Aviation & Transit Insurance excluding 3 year business	Marine, Aviation & Transit Insurance excluding 3 year business	Fire and Other Damage to Property	Fire and Other Damage to Property	Liability	Liability	Miscellaneous pecuniary Loss (including credit and suretyship).	Miscellaneous pecuniary Loss (including credit and suretyship).
Ireland			Total	Total	Accident and Health	Accident and Health	Motor vehicle	Motor vehicle	Marine, Aviation & Transit Insurance excluding 3 year business	Marine, Aviation & Transit Insurance excluding 3 year business	Fire and Other Damage to Property	Fire and Other Damage to Property	Liability	Liability	Miscellaneous pecuniary Loss (including credit and suretyship).	Miscellaneous pecuniary Loss (including credit and suretyship).
			Total	Total	Accident and Health	Accident and Health	Motor vehicle	Motor vehicle	Marine, Aviation & Transit Insurance excluding 3 year business	Marine, Aviation & Transit Insurance excluding 3 year business	Fire and Other Damage to Property	Fire and Other Damage to Property	Liability	Liability	Miscellaneous pecuniary Loss (including credit and suretyship).	Miscellaneous pecuniary Loss (including credit and suretyship).
All countries			Total	Total	Accident and Health	Accident and Health	Motor vehicle	Motor vehicle	Marine, Aviation & Transit Insurance excluding 3 year business	Marine, Aviation & Transit Insurance excluding 3 year business	Fire and Other Damage to Property	Fire and Other Damage to Property	Liability	Liability	Miscellaneous pecuniary Loss (including credit and suretyship).	Miscellaneous pecuniary Loss (including credit and suretyship).

			1	1
			Gross	Net
£000	£000
Breakdown by month in respect of direct business and facultative reinsurance accepted in respect of annual risks debited/commencing in	Breakdown by month in respect of direct business and facultative reinsurance accepted in respect of annual risks debited/commencing in	Breakdown by month in respect of direct business and facultative reinsurance accepted in respect of annual risks debited/commencing in
Month 1..................................	Month 1..................................	Month 1..................................
2..................................	2..................................	2..................................
3.................................	3.................................	3.................................
4..................................	4..................................	4..................................
5..................................	5..................................	5..................................
6..................................	6..................................	6..................................
7..................................	7..................................	7..................................
8..................................	8..................................	8..................................
9..................................	9..................................	9..................................
10..................................	10..................................	10..................................
11..................................	11..................................	11..................................
12..................................	12..................................	12..................................
(Sub-total)	(Sub-total)	(Sub-total)
Risks of less than 12 months in force at the end of the year	Risks of less than 12 months in force at the end of the year	Risks of less than 12 months in force at the end of the year
Risks of more than 12 months in force at the end of the year	Risks of more than 12 months in force at the end of the year	Risks of more than 12 months in force at the end of the year
Risks expired at the end of the year	Risks expired at the end of the year	Risks expired at the end of the year
*Risks commencing in the previous year but debited in the current year	*Risks commencing in the previous year but debited in the current year	*Risks commencing in the previous year but debited in the current year
*Risks commencing in the succeeding year but debited in the current year	*Risks commencing in the succeeding year but debited in the current year	*Risks commencing in the succeeding year but debited in the current year
TOTAL	TOTAL	TOTAL
*These items only to be completed when this Form is prepared on a "risks commencing in" basis.	*These items only to be completed when this Form is prepared on a "risks commencing in" basis.	*These items only to be completed when this Form is prepared on a "risks commencing in" basis.

FORM NO. 8

CLAIMS SETTLEMENT ANALYSIS OF..............................


Year of Origin	Insurance Class	Total No. of Claims	Total Est. Value of Claims as of year of origin.

---	---	---	---
Year of Account	Number of Claims	Number of Claims	Number of Claims
Year of Account	Reported	IBNRS	Total
At no cost	At Some cost	Total	Reported claims
1	2	3	4
19
19
19
19

Note: This form should be completed in respect of motor vehicle, employers liability and public liability insurance business.

Note: To exclude treaty reinsurance business accepted.

FORM NO. 9

ASSET ANALYSIS OF......................................

Year Ended.................................


Assets	Book Value	Value per Administrative Rules*	Assets Admissible as representing T.R.'s on Irish Business	Assets Admissible as representing T.R.'s on Irish Business	Assets in (3) localised in accordance with Rules	Assets in (3) localised in accordance with Rules	Assets in (3) not localised in Ireland
(1)	(2)	(3)	%	(4)	%	(5)
1 (A) Property-Land
(B) Ground Rents
2 Debts secured on land
3 Debts due within 12 months
4 Debts due outside 12 months
5 Quoted Equity shares
6 Other quoted shares and quoted debentures
7 Unquoted Shares
8 Debts due from Individuals
9 Computer Equipment
10 Office machinery, furniture, motor vhicles etc.
11 Securities issued by Irish Government, Municipal or Public Body.
12 Securities issued by E.E.C. Government or Public Body.
13 Securities issued by Non-EEC Government or Public Body.
14 (A) Cash with approved Banks
(B) Cash with approved Building Societies
(C) Cash with other approved Financial Institutions
15 Interests in Unit Trust Schemes
16 Debts due from Intermediaries and policyholders
17 Debts due on Reinsurance
18 Debts due—secured on a policy of insurance
19 Value of salvage rights due
20 Life and Reversionary interests in property
21 Shares in and debts due from dependent companies
22 Other assets to be described
TOTALS				100		100

(i) Assets covering Technical Reserves of Foreign Branches of Irish Head Offices .. .. .. .. .. .. .. ..	(i) Assets covering Technical Reserves of Foreign Branches of Irish Head Offices .. .. .. .. .. .. .. ..	(i) Assets covering Technical Reserves of Foreign Branches of Irish Head Offices .. .. .. .. .. .. .. ..	(i) Assets covering Technical Reserves of Foreign Branches of Irish Head Offices .. .. .. .. .. .. .. ..	(i) Assets covering Technical Reserves of Foreign Branches of Irish Head Offices .. .. .. .. .. .. .. ..	(i) Assets covering Technical Reserves of Foreign Branches of Irish Head Offices .. .. .. .. .. .. .. ..	(i) Assets covering Technical Reserves of Foreign Branches of Irish Head Offices .. .. .. .. .. .. .. ..	£
(ii) Assets in excess of total Technical Reserves, held by Irish Head Offices	(ii) Assets in excess of total Technical Reserves, held by Irish Head Offices	(ii) Assets in excess of total Technical Reserves, held by Irish Head Offices	(ii) Assets in excess of total Technical Reserves, held by Irish Head Offices	(ii) Assets in excess of total Technical Reserves, held by Irish Head Offices	(ii) Assets in excess of total Technical Reserves, held by Irish Head Offices	(ii) Assets in excess of total Technical Reserves, held by Irish Head Offices	£

(iii) Localised Assets as % of Total Admissible Assets covering Technical Reserves (total Col. (4) as % of Col. (3)	(iii) Localised Assets as % of Total Admissible Assets covering Technical Reserves (total Col. (4) as % of Col. (3)	(iii) Localised Assets as % of Total Admissible Assets covering Technical Reserves (total Col. (4) as % of Col. (3)	(iii) Localised Assets as % of Total Admissible Assets covering Technical Reserves (total Col. (4) as % of Col. (3)	(iii) Localised Assets as % of Total Admissible Assets covering Technical Reserves (total Col. (4) as % of Col. (3)	(iii) Localised Assets as % of Total Admissible Assets covering Technical Reserves (total Col. (4) as % of Col. (3)	(iii) Localised Assets as % of Total Admissible Assets covering Technical Reserves (total Col. (4) as % of Col. (3)	%
(iv) Net premium income as defined in Appendix I of Administrative Rules	(iv) Net premium income as defined in Appendix I of Administrative Rules	(iv) Net premium income as defined in Appendix I of Administrative Rules	(iv) Net premium income as defined in Appendix I of Administrative Rules	(iv) Net premium income as defined in Appendix I of Administrative Rules	(iv) Net premium income as defined in Appendix I of Administrative Rules	(iv) Net premium income as defined in Appendix I of Administrative Rules	£
(v) Localised Balances Due from Intermediaries as % of (iv) above	(v) Localised Balances Due from Intermediaries as % of (iv) above	(v) Localised Balances Due from Intermediaries as % of (iv) above	(v) Localised Balances Due from Intermediaries as % of (iv) above	(v) Localised Balances Due from Intermediaries as % of (iv) above	(v) Localised Balances Due from Intermediaries as % of (iv) above	(v) Localised Balances Due from Intermediaries as % of (iv) above	%

*Administrative Rules approved by the Minister for Industry and Commerce in December, 1976.

We hereby certify that the values of the Assets set forth in the above statement have been ascertained and reviewed at the date of this statement and are shown therein at amounts which in our belief do not exceed the true values appropriate to the headings specified.


Authorised Agent:	Chairman:	Director:
	Chief Executive:	Director:

FORM NO. 10

BALANCE SHEET OF.......................

AS AT ....................................

NON-LIFE BUSINESS


	This Year	This Year	Previous Year	Previous Year
		Total		Total
	£	£	£	£
SHARE CAPITAL
Authorised
Issued
RESERVES
General Reserve
Investment Reserve
Share Premium Account
Profit and Loss Account
LONG TERM LOANS
TECHNICAL RESERVES
Unearned Premium Reserve (Net of Reinsurance)
Unearned Premium Reserve (Gross) £
Unexpired Risk Reserve (Net of Reinsurance)
Unexpired Risk Reserve (Gross) £
Outstanding Claims Provision (Net of Reinsurance)
Outstanding Claims Provision (Gross) £
Three Year Account Fund (Gross)
OTHER LIABILITIES AND PROVISIONS
Amount Payable to Reinsurers.
Reinsurance Deposits Retained.
Due to Other Insurers (Co-Insurance)
Bank Loans and Overdrafts.
Other Loans.
Other Creditors.
Taxation
Proposed Dividend
Total Liabilities
FIXED ASSETS (at Cost or Valuation less Depreciation)
Property.
Fixtures and Fittings.
Motor Vehicles.
Other fixed assets
CURRENT ASSETS
Amount due from Brokers and Agents, Policyholders.
Amount due from Reinsurers.
Deposits retained by Reinsurers.
Amounts due from Other Insurers.
Other Debtors.
Cash on Current Account and in hand
GOODWILL
Total Assets

Stock Exchange Securities are included in the above Balance Sheet at Cost Price, and the values are in the aggregate, after taking into account the Investment Reserve Fund, below the Middle Market Price on 19 . Mortgages and Loans included in the Balance Sheet are in our belief in the aggregate adequately secured.

We hereby certify that the values of all the Assets set forth in the above Balance Sheet have been ascertained and reviewed at the date of the Balance Sheet and are shown therein at amounts which in our belief do not exceed in the aggregate the realisable or market value of the Assets after taking into account the Investment Reserve Funds. Assets and Liabilities in foreign currencies have been converted in accordance with standard accounting practice.

We further certify that no part of any Fund has been applied directly or indirectly for any purpose other than the class of business to which it is applicable.


Chairman:	Director:
Managing Director:	Director:

FORM NO. 11

PROFIT AND LOSS ACCOUNT OF.......................................

Year Ended .......................................

NON-LIFE BUSINESS


	This Year Ended 19	This Year Ended 19	Previous Year Ended 19	Previous Year Ended 19
		Total		Total
	£	£	£	£
Underwriting Profit/Loss transferred from Underwriting Accounts.
Investment Income
Profit or Loss on Sale of Investments.
Less Interest Payable
Management Expenses not charged to Underwriting Accounts.
Profit before Taxation and Extraordinary Items
Taxation
Profit after Taxation and before Extraordinary Items
Extraordinary Items Less Taxation
Profit after Taxation and Extraordinary Items
Transfer to or from Reserves
Dividends Paid and Proposed
Profits Retained.

---	---
Chairman:	Director:
Managing Director:	Director:

FORM NO. 12

ASSETS/LIABILITIES—SUMMARY IN RESPECT OF BUSINESS IN REPUBLIC OF IRELAND.

LIABILITIES


Technical Reserves—-MAT Business (See Form 1 or 2)	Technical Reserves—-MAT Business (See Form 1 or 2)	Technical Reserves—-MAT Business (See Form 1 or 2)	Technical Reserves—-MAT Business (See Form 1 or 2)
Technical Reserves—-Other Classes:	Technical Reserves—-Other Classes:	Technical Reserves—-Other Classes:
	Unearned premium reserve	Unearned premium reserve
	Additional unexpired risk reserve.	Additional unexpired risk reserve.
	Outstanding Claims	Outstanding Claims
	Other Liabilities and Provisions	Other Liabilities and Provisions
Assets:	(To be shown at current market value)	(To be shown at current market value)
	Investments	Investments
	Fixed Assets	Fixed Assets
	Current Assets	Current Assets
	Goodwill	Goodwill
	Other Assets	Other Assets
SURPLUS/DEFICIT	SURPLUS/DEFICIT	SURPLUS/DEFICIT

FORM NO. 13

EMPLOYMENT STATISTICS

Name of Company: .......................................

As at (Date) ............................................


	Undertaking with Head Office in Ireland	Undertaking with Head Office in Ireland	Undertaking with Head Office outside Ireland
	In Ireland	Outside Ireland	In Ireland
Full-time Staff Employed
Total payroll

FORM NO. 14

STATEMENT OF THE SOLVENCY MARGIN


............................................................ .......................	(Name of Undertaking)

AS AT


............................................................ ......	(Date)

ALL ASSETS AVAILABLE TO COVER THE MINIMUM SOLVENCY MARGIN

SCHEDULE 1


		£
1.1 Paid up share capital or effective initial fund		......................
1.2 One half of the unpaid share capital or effective initial fund once the paid up part reaches one-quarter of the capital or fund.		......................
1.3 Reserves not corresponding to underwriting liabilities
1.3.1 statutory reserves	.....................
1.3.2 free reserves	.....................
	Total 1.3	......................
1.4 Carry-forward of profits 1.4.1 balance carried forward from previous years	.........................
1.4.2 non-allocated profits in respect of the last financial period after appropriation of the balance on the profit and loss account	...........................
	Total 1.4	......................
1.5 One-half of the possible call for supplementary contributions within the financial year (up to a limit of one-half of the solvency margin)		......................
1.6 Other items (specify)
	Total 1.1 to 1.6	......................
1.7 Intangible items appearing in the balance sheet (to be detailed on a separate sheet)		......................
TOTAL SCHEDULE I (Sum of 1.1 to 1.6 less 1.7)		......................

SCHEDULE 2

Note The amounts under this schedule are permitted at the request of and upon proof being shown by, the undertaking and in accordance with the 2nd Protocol to the 1st E.E.C. Coordination Directive on Non-Life insurance.


2.1 Reserves resulting from underestimation of assets.	................................
2.2 Reserves resulting from overestimation of liabilities.	................................

(includes £........................ for the unexpired risks reserve—-up to a limit of 20% of the solvency margin)

TOTAL SCHEDULE 2


(Sum of 2.1 and 2.2)	.......................

---	---
	£
ALL ASSETS AVAILABLE TO COVER THE MINIMUM SOLVENCY MARGIN	......................

(Sum of Schedules 1 and 2)

Items shown under Schedule 2 represent ......................% of the margin.

AMOUNT OF THE SOLVENCY MARGIN TO BE ESTABLISHED

FIRST RESULT


Note Accounts for the latest financial year to be used.	£
1. Direct premiums or contributions before deducting premiums ceded through reinsurance and excluding all acceptances whether receded or not.	........................
Plus:
2. Reinsurance premiums accepted.	........................
Less:
3. Total of premiums or contributions cancelled and taxes and levies.	........................
Total 1 (1+2–3)=	........................
Total 1 is then divided into:
(i) that portion of Total 1 which is not greater than 10,000,000 Units of Account (a) which in Irish pounds is equal to £..... × 18% = £....................
(ii) that portion of Total 1 which is greater than 10,000,000 Units of Account which in Irish pounds is equal to £........ × 16%= £.........................
TOTAL 2 (Sum of (i) and (ii) above)	......................
4. Net incurred claims (b) as a percentage of gross incurred claims (c) = ............. %

(a) Units of Account

The value attaching to the unit of account shall as from 31 December of each year be that of the last day of the preceding October as calculated in accordance with Statutory Instrument No. 276 of 1976 .

(b) Net incurred claims to be taken as:

Claims arising on direct business plus

Claims arising on reinsurance acceptances less

Claims arising on reinsurance ceded.

Claims arising on direct business plus

Claims arising on all reinsurance acceptances.


5. Relevant percentage .............. % (Amount of % at 4 above or 50% which ever is the greater)	£
FIRST RESULT (Total 2 × Percentage entered at 5 above)	............................

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