Company Name
Confidential when Completed
NAIC Company Code
SCHEDULE BA MORTGAGES (1)
Annual Statement Value (1) Insured or Guaranteed in Good Standing (2) All Other in Good Standing (3) Restructured (4) Insured or Guaranteed 90 Days Overdue (5) All Other 90 Days Overdue (6) Insured or Guaranteed in Process of Foreclosure (7) All Other in Process of Foreclosure
Statement Value
(2) Involuntary Reserve Adjustment †
(3) Adjusted Statement Value
(4)
(5)
(6)
Cumulative Writedowns ‡
Average Factor
RBC Requirement
Schedule BA Part 1 Column 10 Line 0599999, in part
XXX
X
0.0010
=
Schedule BA Part 1 Column 10 Line 0599999, in part AVR Equity Component Column 1 Line 43 Schedule BA Part 1 Column 10 Line 0599999, in part
XXX XXX
X X X
§ * £
= = =
Schedule BA Part 1 Column 10 Line 0599999, in part Schedule BA Part 1 Column 10 Line 0599999, in part
X X
£ £
= =
Schedule BA Part 1 Column 10 Line 0599999, in part
X
£
=
(8) Total Schedule BA Mortgages Sum of Lines (1) through (7) (pre-MODCO/Funds Withheld) (9) Reduction in RBC for MODCO/Funds Withheld Reinsurance Ceded Agreements Company Records (10) Increase in RBC for MODCO/Funds Withheld Reinsurance Assumed Agreements Company Records (11) Total Schedule BA Mortgages (including MODCO/Funds Withheld.) Lines (8) - (9) + (10)
† ‡ § * £
Involuntary reserves are reserves that are held as an offset to a particular asset that is clearly a troubled asset and are included on Page 3 Line 25 of the Annual Statement. Cumulative writedowns include the total amount of writedowns, non-admissions, and involuntary reserves that have been taken or established with respect to a particular mortgage. For Line (2), Column (5) is equal to 0.0260 multiplied times the experience adjustment factor on LR003 Mortgage Experience Adjustment Factor Line (13). For Line (3), Column (5) is the greater of 0f 0.086 or 0.026 times [the experience adjustment factor on LR003 Mortgage Experience Adjustment Factor Line (13) 13]. For Lines (4) through (7), Column (5) is calculated as Column (6) divided by Column (3). Denotes items that must be manually entered on the filing software.
© 2000 National Association of Insurance Commissioners
LR009
6/30/2000