Mo. Code Regs. Ann. tit. 20, § 200-1.116
PURPOSE: This rule prescribes: a) requirements for statements of actuarial opinion which are to be submitted in accordance with sections 376.370 and 376.380, RSMo, and 20 CSR 200-1.115 and for memoranda in support thereof; b) guidance as to the meaning of “adequacy of reserves”; and c) rules applicable to the appointment of an appointed actuary.
(2) Definitions.
(3) General Requirements.
(A) Submission of Statement of Actuarial Opinion.
to page 1 of the annual statement for each year beginning with the year in which this rule becomes effective the statement of an appointed actuary, entitled “Statement of Actuarial Opinion,” setting forth an opinion relating to reserves and related actuarial items held in support of policies and contracts, in accordance with section (4) of this rule.
the director may grant an extension of the date for submission of the statement of actuarial opinion.
(B) Qualified actuary. A “qualified actuary” is an individual who—
Academy of Actuaries;
arial opinion for life and health insurance company annual statements in accordance with the American Academy of Actuaries qualification standards for actuaries signing those statements;
ments applicable to life and health insurance companies;
(or, if so found, has subsequently been reinstated as a qualified actuary), following appropriate notice and hearing to have:
obligation imposed by, the insurance law or other law in the course of his/her dealings as a qualified actuary;
dishonest practices;
cy, lack of cooperation, or untrustworthiness to act as a qualified actuary;
the past five (5) years, pursuant to this rule, an actuarial opinion or memorandum that the director rejected because it did not meet the provisions of this rule including standards set by the Actuarial Standards Board; or
actuary within the past five (5) years as a result of acts or omissions indicated in any adverse report on examination or as a result of failure to adhere to generally acceptable actuarial standards; and
any action taken by any director of any other state similar to that under paragraph (3)(B)4.
(D) Standards for Asset Adequacy Analysis. The asset adequacy analysis required by this rule:
Practice as promulgated from time-to-time by the Actuarial Standards Board and on any additional standards under this rule, which standards are to form the basis of the statement of actuarial opinion in accordance with this rule; and
as are deemed appropriate for such purposes by the Actuarial Standards Board.
(E) Liabilities to Be Covered.
and sections 376.370 and 376.380, RSMo, the statement of actuarial opinion shall apply to all in force business on the statement date, whether directly issued or assumed, regardless of when or where issued, for example, reserves of Exhibits 8, 9, and 10, and claim liabilities in Exhibit 11, Part 1 and equivalent items in the separate account statement(s).
the result of asset adequacy analysis that a reserve should be held in addition to the aggregate reserve held by the company and calculated in accordance with methods set forth in sections 376.370 and 376.380, RSMo, the company shall establish the additional reserve.
paragraph (3)(E)2. and deemed not necessary in subsequent years may be released. Any amounts released must be disclosed in the actuarial opinion for the applicable year. The release of these reserves would not be deemed an adoption of a lower standard of valuation.
(4) Statement of Actuarial Opinion Based On an Asset Adequacy Analysis.
(A) General Description. The statement of actuarial opinion submitted in accordance with this section shall consist of:
ed actuary and his/her qualifications (see paragraph (4)(B)1.);
subjects on which an opinion is to be expressed and describing the scope of the appointed actuary’s work, including a tabulation delineating the reserves and related actuarial items which have been analyzed for asset adequacy and the method of analysis, (see paragraph (4)(B)2.) and identifying the reserves and related actuarial items covered by the opinion which have not been so analyzed;
areas, if any, where the appointed actuary has deferred to other experts in developing data, procedures, or assumptions (for example, anticipated cash flows from currently owned assets, including variation in cash flows according to economic scenarios (see paragraph (4)(B)3.) supported by a statement of each expert in the form prescribed by subsection (4)(E);
appointed actuary’s opinion with respect to the adequacy of the supporting assets to mature the liabilities (see paragraph (4)(B)6.); and
graphs will be needed in individual company cases as follows:
it necessary to state a qualification of his/her opinion;
close an inconsistency in the method of analysis or basis of asset allocation used at the prior opinion date with that used for this opinion;
close whether additional reserves of the prior opinion date are released as of this opinion date and the extent of the release; and
add a paragraph briefly describing the assumptions which form the basis for the actuarial opinion.
(B) Recommended Language. The following paragraphs are to be included in the statement of actuarial opinion in accordance with this section. Language is that which in typical circumstances should be included in a statement of actuarial opinion. The language may be modified as needed to meet the circumstances of a particular case, but the appointed actuary should use language which clearly expresses his/her professional judgment. However, in any event the opinion shall retain all pertinent aspects of the language provided in this section.
ally indicate the appointed actuary’s relationship to the company and his/her qualifications to sign the opinion. For a company actuary, the opening paragraph of the actuarial opinion should include a statement such as: “I, (name), am (title) of (insurance company name) and a member of the American Academy of Actuaries. I was appointed by, or by the authority of, the board of directors of said insurer to render this opinion as stated in the letter to the director dated (insert date). I meet the Academy qualification standards for rendering the opinion and am familiar with the valuation requirements applicable to life and health insurance companies.” For a consulting actuary, the opening paragraph should contain a statement such as: “I, (name), a member of the American Academy of Actuaries, am associated with the firm of (name of consulting firm). I have been appointed by, or by the authority of, the board of directors of (name of company) to render this opinion as stated in the letter to the director dated (insert date). I meet the Academy qualification standards for rendering this opinion and am familiar with the valuation requirements, relating to life and health companies.”
statement such as: “I have examined the actuarial assumptions and actuarial methods used 20 CSR 200-1
in determining reserves and related actuarial items listed below, as shown in the annual statement of the company, as prepared for filing with state regulatory officials, as of December 31, 20(__). Tabulated as follows are those reserves and related actuarial items which have been subjected to asset adequacy analysis.” AND INSURANCE
Formula Reserves
Statement Item (c) (1)
TOTAL RESERVES ___________ IMR (Page _____ Line _____) ___________
AVR (Page _____ Line _____) ___________ (d) (a) The additional actuarial reserves are the reserves established under paragraph (3)(E)2. (b) The appointed actuary should indicate the method of analysis, determined in accordance with the standards for asset adequacy analysis referred to in subsection (3)(D) of this regulation, by means of symbols which should be defined in footnotes to the table. (c) Statement Items should describe lines of business subjected to asset adequacy analysis and contain appropriate references to the exhibits, pages, and lines of the insurer’s annual statement filed with the director to which the amounts listed reconcile. (d) Allocated amount of Asset Valuation Reserve (AVR).
other experts to develop certain portions of the analysis, the reliance paragraph should include a statement such as: “I have relied on (name), (title) for (for example, anticipated cash flows from currently owned assets, including variations in cash flows according to economic scenarios) and, as certified in the attached statement I have reviewed the information relied upon for reasonableness.” A statement of reliance on other experts should be accompanied by a statement by each of these experts in the form prescribed by subsection (4)(E).
the underlying asset and liability records, the reliance paragraph should include a statement such as: “My examination included a review of the actuarial assumptions and actuarial methods and of the underlying basic asset and liability records and tests of the actuarial calculations as I considered necessary. I also reconciled the underlying basic asset and liability records to (exhibits and schedules listed as applicable) of the company’s current annual statement.”
examined the underlying records, but has relied upon data (e.g., listings and summaries of policies in force or asset records), prepared by the company, the reliance paragraph should include a sentence such as: “In forming my opinion on (specify types of reserves), I relied upon data prepared by (name and title of company officer certifying in-force records or other data) as certified in the attached statements. I also reconciled that data to (exhibits and schedules to be listed as applicable) of the company’s current annual statement. In other respects, my examination included review of the actuarial assumptions Reserves And Liabilities Asset Adequacy Tested Amounts
Additional Actuarial Analysis Reserves (a) Method (b) (2)
_____________
and actuarial methods and tests of the calculations I considered necessary.” This section shall be accompanied by a statement by each person relied upon in the form prescribed by subsection (4)(E).
a statement such as: “In my opinion the reserves and related actuarial values concerning the statement items identified above:
presently accepted actuarial standards consistently applied and are fairly stated, in accordance with sound actuarial principles;
tions which produce reserves at least as great as those called for in any contract provision as to reserve basis and method, and are in accordance with all other contract provisions;
insurance law and regulation of the state of (state of domicile) and are at least as great as the minimum aggregate amounts required by the state in which this statement is filed;
assumptions consistent with those used in computing the corresponding items in the annual statement of the preceding year-end (with any exceptions noted here);
reserves and related statement items which ought to be established.
“The reserves and related items, when considered in light of the assets held by the company with respect to such reserves and related actuarial items including, but not limited to, the investment earnings on the assets, and the considerations anticipated to be received and retained under the policies and contracts, make adequate provision, according to presently accepted actuarial standards of practice, for the anticipated cash flows Total Other Amount Amount (1)+(2)+(3)
______________ ____________
required by the contractual obligations and related expenses of the company. (At the discretion of the director, this language may be omitted for an opinion filed on behalf of a company doing business only in this state and in no other state.) “The actuarial methods, considerations, and analyses used in forming my opinion conform to the appropriate Standards of Practice as promulgated by the Actuarial Standards Board, which standards form the basis of this statement of opinion. “This opinion is updated annually as required by statute. To the best of my knowledge, there have been no material changes from the applicable date of the annual statement to the date of the rendering of this opinion which should be considered in reviewing this opinion”; or “The following material change(s) which occurred between the date of the statement for which this opinion is applicable and the date of this opinion should be considered in reviewing this opinion: (Describe the change(s).)” (Note: Choose one of the preceding two (2) paragraphs, whichever is applicable.) “The impact of unanticipated events subsequent to the date of this opinion is beyond the scope of this opinion. The analysis of asset adequacy portion of this opinion should be viewed recognizing that the company’s future experience may not follow all the assumptions used in the analysis.
____________________________________ (Signature of Appointed Actuary)
____________________________________ (Address of Appointed Actuary) ____________________________________ (Telephone Number of Appointed Actuary)
____________________________________ (Date)”
(F) Alternate Option.
2000, gives the director broad authority to accept the valuation of a foreign insurer when that valuation meets the requirements applicable to a company domiciled in this state in the aggregate. As an alternative to the requirements of subparagraph (4)(B)6.C., the director may make one (1) or more of the following additional approaches available to the opining actuary:
“meet the requirements of the insurance laws and regulations of the state of (state of domicile) and the formal written standards and 20 CSR 200-1
conditions of this state for filing an opinion state in which the risk resides, without reducbased on the law of the state of domicile.” If tion for reinsurance ceded. The information the director chooses to allow this alternative, provided shall be at least: a formal written list of standards and conditions shall be made available. If a company chooses to use this alternative, the standards and conditions in effect on July 1 of a calendar year shall apply to statements for that calendar year, and they shall remain in effect until they are revised or revoked. If no list is available, this alternative is not available;
“meet the requirements of the insurance laws and regulations of the state of (state of domicile) and I have verified that the company’s request to file an opinion based on the law of the state of domicile has been approved and that any conditions required by the director for approval of that request have been met.” If the director chooses to allow this alternative, a formal written statement of such allowance shall be issued no later than March 31 of the year it is first effective. It shall remain valid until rescinded or modified by the director. The rescission or modifications shall be issued no later than March 31 of the year they are first effective. Subsequent to that statement being issued, if a company chooses to use this alternative, the company shall file a request to do so, along with justification for its use, no later than April 30 of the year of the opinion to be filed. The request shall be deemed approved on October 1 of that year if the director has not denied the request by that date; and/or
“meet the requirements of the insurance laws and regulations of the state of (state of domicile) and I have submitted the required comparison as specified by this state.”
this alternative, a formal written list of products (to be added to the table in Part (II) below) for which the required comparison shall be provided will be published. If a company chooses to use this alternative, the list in effect on July 1 of a calendar year shall apply to statements for that calendar year, and it shall remain in effect until it is revised or revoked. If no list is available, this alternative is not available.
alternative, the appointed actuary shall provide a comparison of the gross nationwide reserves held to the gross nationwide reserves that would be held under National Association of Insurance Commissioners (NAIC) codification standards. Gross nationwide reserves are the total reserves calculated for the total company in force business directly sold and assumed, indifferent to the AND INSURANCE
Product Type Death Benefit
or Account
Value
include all products identified by either the state of filing or any other states subscribing to this alternative.
dard for the type of product or risk in force or if the codification standard does not directly address the type of product or risk in force, the appointed actuary shall provide detailed disclosure of the specific method and assumptions used in determining the reserves held.
the company is to be kept confidential to the same extent and under the same conditions as the actuarial memorandum.
tor may reject an opinion based on the laws and regulations of the state of domicile and require an opinion based on the laws of this state. If a company is unable to provide the opinion within sixty (60) days of the request or such other period of time determined by the director after consultation with the company, the director may contract with an independent actuary at the company’s expense to prepare and file the opinion.
(5) Description of Actuarial Memorandum Including an Asset Adequacy Analysis and Regulator Asset Adequacy Issues Summary.
(A) General.
1.115 and sections 376.370 and 376.380, RSMo, the appointed actuary shall prepare a memorandum to the company describing the analysis done in support of his/her opinion regarding the reserves. The memorandum shall be made available for examination by the director upon his/her request but shall be returned to the company after such examination and shall not be considered a record of the insurance department or subject to automatic filing with the director.
appointed actuary may rely on, and include as a part of his/her own memorandum, memoranda prepared and signed by other actuaries who are qualified within the meaning of subsection (3)(B) of this rule, with respect to
Reserves Held Codification
Reserves
the areas covered in such memoranda, and so state in their memoranda.
dum and no memorandum exists or if the director finds that the analysis described in the memorandum fails to meet the standards of the Actuarial Standards Board or the standards and requirements of this rule, the director may designate a qualified actuary to review the opinion and prepare the supporting memorandum as is required for review. The reasonable and necessary expense of the independent review shall be paid by the company but shall be directed and controlled by the director.
same status as an examiner for purposes of obtaining data from the company and the work papers and documentation of the reviewing actuary shall be retained by the director; provided, however, that any information provided by the company to the reviewing actuary and included in the work papers shall be considered as material provided by the company to the director and shall be kept confidential to the same extent as is prescribed by law with respect to other material provided by the company to the director pursuant to the statute governing this rule. The reviewing actuary shall not be an employee of a consulting firm involved with the preparation of any prior memorandum or opinion for the insurer pursuant to this rule for any one (1) of the current year or the preceding three (3) years.
1.115 and section 376.380, RSMo, the appointed actuary shall prepare a regulatory asset adequacy issues summary, the contents of which are specified in subsection (5)(C). The regulatory asset adequacy issues summary will be submitted no later than March 15 of the year following the year for which a statement of actuarial opinion based on asset adequacy is required. The regulatory asset adequacy issues summary is to be kept confidential to the same extent and under the same conditions as the actuarial memorandum.
(B) Details of the Memorandum Section Documenting Asset Adequacy Analysis. (5)
Codification
Standard
When an actuarial opinion is provided, the memorandum shall demonstrate that the analysis has been done in accordance with the standards for asset adequacy referred to in subsection (3)(D) of this rule and any additional standards under this rule. It shall specify—
1. For reserves—
market description, underwriting, and other aspects of a risk profile and the specific risks the appointed actuary deems significant;
implied guarantees made by the general account in support of benefits provided through a separate account or under a separate account policy or contract and the methods used by the appointed actuary to provide for the guarantees in the asset adequacy analysis; and
test reserves for the following:
excess);
gy;
rate;
and (VIII) Morbidity;
2. For assets—
risk profile disclosing the quality, distribution, and types of assets;
assumptions;
made for:
tion;
assets sold due to disinvestment strategy; and
acquired through the investment strategy. The documentation of the assumptions shall be such that an actuary reviewing the actuarial memorandum could form a conclusion as to the reasonableness of the assumptions;
3. For the analysis basis—
of different blocks of business and how pertinent risks were analyzed;
analyzing different blocks of business (include in the rationale the level of materiality that was used in determining how rigorously to analyze different blocks of business);
quacy (include in the criteria the precise basis for determining if assets are adequate to cover reserves under moderately adverse conditions or other conditions as specified in relevant actuarial standards of practice); and
income taxes was considered, and the method of treating reinsurance in the asset adequacy analysis;
methods, procedures, or assumptions from prior year’s asset adequacy analysis;
(C) Details of the Regulatory Asset Adequacy Issues Summary.
summary shall include:
ed (including whether those scenarios are stochastic or deterministic) and the sensitivity testing done relative to those scenarios. If negative ending surplus results under certain tests in the aggregate, the actuary should describe those tests and the amount of additional reserve as of the valuation date which, if held, would eliminate the negative aggregate surplus values. Ending surplus values shall be determined by either extending the projection period until the in force and associated assets and liabilities at the end of the projection period are immaterial or by adjusting the surplus amount at the end of the projection period by an amount that appropriately estimates the value that can reasonably be expected to arise from the assets and liabilities remaining in force;
actuary uses assumptions in the asset adequacy analysis that are materially different than the assumptions used in the previous asset adequacy analysis;
identity of the product lines that had been subjected to asset adequacy analysis in the prior opinion but were not subject to analysis for the current opinion;
that may be of significant concern to the appointed actuary;
to recognize the impact of reinsurance on the company’s cash flows, including both assets and liabilities, under each of the scenarios tested; and
isfied that all options whether explicit or embedded, in any asset or liability (including, but not limited to, those affecting cash flows embedded in fixed income securities) and equity-like features in any investments have been appropriately considered in the asset adequacy analysis.
summary shall contain the name of the company for which the regulatory asset adequacy issues summary is being supplied and shall be signed and dated by the appointed actuary rendering the actuarial opinion.
lowed, the analyses performed, the bases for assumptions and the results obtained.
AUTHORITY: sections 376.370 and 376.380, RSMo 2000 and section 374.045, RSMo Supp. 2008.* Original rule filed Dec. 28, 1992, effective Sept. 9, 1993. Amended: Filed Oct. 30, 2008, effective May 30, 2009. Non-substantive change filed Sept. 11, 2019, published Oct. 31, 2019.
*Original authority: 374.045 RSMo 1967, amended 1993, 1995, 2008; 376.370, RSMo 1939, amended 1943, 1947, 1961, 1993; and 376.380, RSMo 1939, amended 1943, 1947, 1959, 1961, 1965, 1971, 1975, 1979, 1982, 1993.