memo

•

STATE OF HAWAII

INSURANCE DIVISION •

DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

P. 0. Box 3614

Honolulu, HI 96811-3614

250 S. King St., 5th Floor

Honolulu, HI 96813

January 28, 2002

Memorandum 2002-1 E

TO:

ALL FOREIGN RISK RETENTION GROUPS

SUBJECT:

ANNUAL FILING REQUIREMENTS IN 2002

A. GENERAL INFORMATION

All filings must be POSTMARKED no later than the indicated date. If the due date falls on a weekend or

holiday, then the deadline is extended to the next business day.

B. DOCUMENTS AND FILING DEADLINES

DOCUMENT (FILE ONE COPY EACH UNLESS OTHERWISE STATED)

1.

2.

3.

4.

5.

ANNUAL STATEMENT (Size 8%'' x 14") for year 2001, verified by oaths

of at least two officers. Facsimile signatures or reproductions of

original signatures may be used (per the NAIC's Annual

Statement Instructions).

TAX ST A TEMENT (Annual Statement of Premiums Received for

Taxation Purposes) for year 2001, signed on insurer's behalf

by some duly authorized person and notarized.

LOSS RESERVE CERTIFICATION (Documentation of liabilities shall

be accompanied by a Statement of Actuarial Opinion and signed

by a qualified actuary or specialist.)

AUDITED FINANCIAL STATEMENT FOR year 2001.

CERTIFICATE OF COMPLIANCE issued by state of domicile.

2002

FILING

DEADLINE

March 1

March 1

March 1

June 1

As soon as

available

•

•

Memorandum 2002-1 E

Page2

DOCUMENT (FILE ONE COPY EACH UNLESS OTHERWISE STATED)

6.

7.

LATEST REPORT OF EXAMINATION (if not previously filed)

bearing an original certification by the insurance supervisory

official of the state of domicile.

AMENDMENTS TO CHARTER OR ARTICLES OF INCORPORATION,

CONSTITUTION AND BYLAWS, made during year, bearing an original

certification by the proper officer of the state of domicile. Constitution and

Bylaws should be certified by proper officer of the society and notarized

C

(if not previously filed)

bearing an original certification by the insurance supervisory

official of the state of domicile.

AMENDMENTS TO CHARTER OR ARTICLES OF INCORPORATION,

CONSTITUTION AND BYLAWS, made during year, bearing an original

certification by the proper officer of the state of domicile. Constitution and

Bylaws should be certified by proper officer of the society and notarized

C. REMARKS

2002

FILING

DEADLINE

As soon as

available

Within 90

days after

enactment

Checks should be made payable to "DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS,

STATE OF HAWAII"

Your cancelled check is your receipt; an official receipt will be issued only upon written request.

A service charge of $15.00 will be assessed for each dishonored check received.

Your Risk Retention Group Registration will be administratively withdrawn if documents are not submitted

by the filing deadline.

QUESTIONS REGARDING FILING REQUIREMENTS:

Please contact Albert Yamane@ (808) 586-3870 or via fax@ (808) 586-3873.