ANNUAL RETURN: FORM 1 - FUND BALANCE SHEET/media/MAS/Statistics/Insurance Returns... · 2016. 6....
72
ETIQA INSURANCE BERHAD I865G ANNUAL RETURN: FORM 1 - FUND BALANCE SHEET Reporting Cycle: General: Singapore Insurance Fund 12 2011 Description ASSETS Equity securities Debt securities Land and buildings Loans Cash and deposits Other invested assets Investment income due or accrued Outstanding premiums and agents' balances Deposits withheld by cedants Reinsurance recoverables (on paid claims) Income tax recoverables Fixed assets Inter-fund balances and intra group balances (due from) Other assets Total Assets (1 to 14) LIABILITIES Policy liabilities Other liabilities: Outstanding claims Annuities due and unpaid Reinsurance deposits Amounts owing to insurers Bank loans and overdrafts Inter-fund balances and intra-group balances (due to) Others Total Liabilities (16 to 23) SURPLUS (15 - 24) Annex 1A 1B 1C 1D 1E 1F 1G 1H 1I 1J 1K 1L 1M 1N Row No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Amount 2,765,104 50,724,783 6,300,000 0 55,850,886 0 20,668 4,658,576 1,256 475,348 23,840 263,792 24,851 1,683,619 122,792,723 71,745,525 0 0 0 1,857,243 0 103,145 5,796,816 79,502,729 43,289,994 17/08/2012 11:23 AM
Transcript of ANNUAL RETURN: FORM 1 - FUND BALANCE SHEET/media/MAS/Statistics/Insurance Returns... · 2016. 6....
ETIQA INSURANCE BERHADI865G
ANNUAL RETURN: FORM 1 - FUND BALANCE SHEET
Reporting Cycle:
General: Singapore Insurance Fund
122011
Description
ASSETS
Equity securities
Debt securities
Land and buildings
Loans
Cash and deposits
Other invested assets
Investment income due or accrued
Outstanding premiums and agents' balances
Deposits withheld by cedants
Reinsurance recoverables (on paid claims)
Income tax recoverables
Fixed assets
Inter-fund balances and intra group balances (due from)
Other assets
Total Assets (1 to 14)
LIABILITIES
Policy liabilities
Other liabilities:
Outstanding claims
Annuities due and unpaid
Reinsurance deposits
Amounts owing to insurers
Bank loans and overdrafts
Inter-fund balances and intra-group balances (due to)
Others
Total Liabilities (16 to 23)
SURPLUS (15 - 24)
Annex
1A
1B
1C
1D
1E
1F
1G
1H
1I
1J
1K
1L
1M
1N
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Amount
2,765,104
50,724,783
6,300,000
0
55,850,886
0
20,668
4,658,576
1,256
475,348
23,840
263,792
24,851
1,683,619
122,792,723
71,745,525
0
0
0
1,857,243
0
103,145
5,796,816
79,502,729
43,289,994
17/08/2012 11:23 AM
ETIQA INSURANCE BERHADI865G
ANNUAL RETURN: FORM 1 - FUND BALANCE SHEET
Reporting Cycle:
General: Offshore Insurance Fund
122011
Description
ASSETS
Equity securities
Debt securities
Land and buildings
Loans
Cash and deposits
Other invested assets
Investment income due or accrued
Outstanding premiums and agents' balances
Deposits withheld by cedants
Reinsurance recoverables (on paid claims)
Income tax recoverables
Fixed assets
Inter-fund balances and intra group balances (due from)
Other assets
Total Assets (1 to 14)
LIABILITIES
Policy liabilities
Other liabilities:
Outstanding claims
Annuities due and unpaid
Reinsurance deposits
Amounts owing to insurers
Bank loans and overdrafts
Inter-fund balances and intra-group balances (due to)
Others
Total Liabilities (16 to 23)
SURPLUS (15 - 24)
Annex
1A
1B
1C
1D
1E
1F
1G
1H
1I
1J
1K
1L
1M
1N
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Amount
0
0
0
0
6,103,940
0
3,440
123,807
246,138
0
0
0
0
0
6,477,325
217,140
0
0
46,654
125,814
0
24,861
2,053,602
2,468,071
4,009,254
17/08/2012 11:23 AM
General: Singapore Insurance Fund
Description
Equity securities other than collective investment schemes
Collective investment schemes
Total (1 to 2) = Row 1 of Form 1
Row No.
1
2
3
Listed
959,250
0
Unlisted
0
1,805,854
Amount
959,250
1,805,854
2,765,104
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1A - INVESTMENT IN EQUITY SECURITIES
17/08/2012 11:23:44 AM
General: Offshore Insurance Fund
Description
Equity securities other than collective investment schemes
Collective investment schemes
Total (1 to 2) = Row 1 of Form 1
Row No.
1
2
3
Listed
0
0
Unlisted
0
0
Amount
0
0
0
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1A - INVESTMENT IN EQUITY SECURITIES
17/08/2012 11:23:44 AM
General: Singapore Insurance Fund
Description
Government debt securities
Qualifying debt securities
Other debt securities
Total (1 to 3) = Row 2 of Form 1
Row No.
1
2
3
4
Amount
25,919,593
20,655,179
4,150,011
50,724,783
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1B - INVESTMENT IN DEBT SECURITIES
17/08/2012 11:23:44 AM
General: Offshore Insurance Fund
Description
Government debt securities
Qualifying debt securities
Other debt securities
Total (1 to 3) = Row 2 of Form 1
Row No.
1
2
3
4
Amount
0
0
0
0
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1B - INVESTMENT IN DEBT SECURITIES
17/08/2012 11:23:44 AM
General: Singapore Insurance Fund
122011
I865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1C - INVESTMENT IN LAND AND BUILDINGS
ETIQA INSURANCE BERHAD
Location and Descriptionof Land and Buildings Row No. Cost
LastRevaluation
Date
Last ReportedAmount
Changes fromLast Reported
AmountAmount
1 North Bridge Road #08-01to #08-10High Street Centre
1 1,234,800 01/06/2009 6,300,000 0 6,300,000
Total = Row 3 of Form 1 21 6,300,000
17/08/2012 11:23:55 AM
General: Offshore Insurance Fund
122011
I865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1C - INVESTMENT IN LAND AND BUILDINGS
ETIQA INSURANCE BERHAD
Location and Descriptionof Land and Buildings Row No. Cost
LastRevaluation
Date
Last ReportedAmount
Changes fromLast Reported
AmountAmount
Total = Row 3 of Form 1 21 0
17/08/2012 11:23:55 AM
General: Singapore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1D - INVESTMENT IN LOANS
Description
Policy loans
Mortgage loans
Other secured loans
Unsecured loans
Total (1 to 4) = Row 4 of Form 1
Row No.
1
2
3
4
5
Amount Outstanding
0
0
0
0
Provision for DoubtfulLoans
0
0
0
0
Amount
0
0
0
0
0
17/08/2012 11:23:44 AM
General: Offshore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1D - INVESTMENT IN LOANS
Description
Policy loans
Mortgage loans
Other secured loans
Unsecured loans
Total (1 to 4) = Row 4 of Form 1
Row No.
1
2
3
4
5
Amount Outstanding
0
0
0
0
Provision for DoubtfulLoans
0
0
0
0
Amount
0
0
0
0
0
17/08/2012 11:23:44 AM
General: Singapore Insurance Fund 2011 12Reporting Cycle:
I865G
ANNUAL RETURN: ANNEX 1E - BREAKDOWN OF OTHER INVESTED ASSETS
ETIQA INSURANCE BERHAD
Description
Derivatives
Options:
(a) Call options
(b) Put options
(c) Swaptions
(d) Other options
Total investments in options (1 to 4)
Futures contracts:
(a) Currency futures contracts
(b) Interest rate futures contracts
(c) Other futures contracts
Total investments in futures contracts (6 to 8)
Forward contracts:
(a) Currency forward contracts
(b) Interest rate forward contracts
(c) Other forward contracts
Total investments in forward contracts (10 to 12)
Swaps:
(a) Interest rate swaps
(b) Currency swaps
(c) Other swaps
Total investments in swaps (14 to 16)
Other derivatives
Total investments in derivatives (5 + 9 + 13 + 17 + 18)
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
NotionalPrincipalAmount
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Amount
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other invested assets excluding derivatives
17/08/2012 11:23 AM
Total investments in other invested assets excludingderivatives 40 0
Total = Row 6 of Form 1 41 0
17/08/2012 11:23 AM
General: Offshore Insurance Fund 2011 12Reporting Cycle:
I865G
ANNUAL RETURN: ANNEX 1E - BREAKDOWN OF OTHER INVESTED ASSETS
ETIQA INSURANCE BERHAD
Description
Derivatives
Options:
(a) Call options
(b) Put options
(c) Swaptions
(d) Other options
Total investments in options (1 to 4)
Futures contracts:
(a) Currency futures contracts
(b) Interest rate futures contracts
(c) Other futures contracts
Total investments in futures contracts (6 to 8)
Forward contracts:
(a) Currency forward contracts
(b) Interest rate forward contracts
(c) Other forward contracts
Total investments in forward contracts (10 to 12)
Swaps:
(a) Interest rate swaps
(b) Currency swaps
(c) Other swaps
Total investments in swaps (14 to 16)
Other derivatives
Total investments in derivatives (5 + 9 + 13 + 17 + 18)
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
NotionalPrincipalAmount
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Amount
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Other invested assets excluding derivatives
17/08/2012 11:23 AM
Total investments in other invested assets excludingderivatives 40 0
Total = Row 6 of Form 1 41 0
17/08/2012 11:23 AM
2011 12Reporting Cycle:General: Singapore Insurance Fund
ETIQA INSURANCE BERHADI865G
ANNUAL RETURN: ANNEX 1F(b) - AGEING OF OUTSTANDING PREMIUMS AND AGENTS' BALANCES OF DIRECTGENERAL INSURER
Description
In respect of direct business
Bad debts written off during the year
Ageing of outstanding premiums and agents' balances:
Outstanding period
Up to 3 months
Above 3 months but not exceeding 6 months
Above 6 months but not exceeding 12 months
Above 12 months
Gross total (2 to 5)
Provision for doubtful debts
Total outstanding premiums and agents' balances in respect of directbusiness (6 - 7)
In respect of reinsurance business
Bad debts written off during the year
Ageing of outstanding premiums and agents' balances:
Outstanding period
RowNo.
1
2
3
4
5
6
7
8
9
Direct Business- Agents
0
2,544,944
118,355
11,556
0
2,674,855
22,275
2,652,580
Direct Business- Brokers
0
685,583
211,702
43,029
9,364
949,678
13,104
936,574
Direct Business- Others
0
601,589
81,158
61,064
36,106
779,917
5,708
774,209
Amount
0
3,832,116
411,215
115,649
45,470
4,404,450
41,087
4,363,363
0
17/08/2012 11:23 AM
Up to 6 months
Above 6 months but not exceeding 12 months
Above 12 months but not exceeding 24 months
Above 24 months
Gross total (10 to 13)
Provision for doubtful debts
Total outstanding premiums and agents' balances in respect ofreinsurance business (14 - 15)
Total (8 + 16) = Row 8 of Form 1
10
11
12
13
14
15
16
17
140,158
149,375
17,639
0
307,172
11,959
295,213
4,658,576
Note: For direct insurance business, outstanding period starts from date of commencement of the cover.
In respect of reinsurance business, outstanding period commences from the date of premiums are accrued in the books of the registered insurer.
17/08/2012 11:23 AM
2011 12Reporting Cycle:General: Offshore Insurance Fund
ETIQA INSURANCE BERHADI865G
ANNUAL RETURN: ANNEX 1F(b) - AGEING OF OUTSTANDING PREMIUMS AND AGENTS' BALANCES OF DIRECTGENERAL INSURER
Description
In respect of direct business
Bad debts written off during the year
Ageing of outstanding premiums and agents' balances:
Outstanding period
Up to 3 months
Above 3 months but not exceeding 6 months
Above 6 months but not exceeding 12 months
Above 12 months
Gross total (2 to 5)
Provision for doubtful debts
Total outstanding premiums and agents' balances in respect of directbusiness (6 - 7)
In respect of reinsurance business
Bad debts written off during the year
Ageing of outstanding premiums and agents' balances:
Outstanding period
Up to 6 months
RowNo.
1
2
3
4
5
6
7
8
9
10
Direct Business- Agents
0
31,096
979
363
102
32,540
5,370
27,170
Direct Business- Brokers
0
34,299
25,759
8,538
0
68,596
3,662
64,934
Direct Business- Others
0
3,873
0
4,307
5,303
13,483
2,047
11,436
Amount
0
69,268
26,738
13,208
5,405
114,619
11,079
103,540
0
11,833
17/08/2012 11:23 AM
Above 6 months but not exceeding 12 months
Above 12 months but not exceeding 24 months
Above 24 months
Gross total (10 to 13)
Provision for doubtful debts
Total outstanding premiums and agents' balances in respect ofreinsurance business (14 - 15)
Total (8 + 16) = Row 8 of Form 1
11
12
13
14
15
16
17
12,448
56
0
24,337
4,070
20,267
123,807
Note: For direct insurance business, outstanding period starts from date of commencement of the cover.
In respect of reinsurance business, outstanding period commences from the date of premiums are accrued in the books of the registered insurer.
17/08/2012 11:23 AM
General: Singapore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1G - STATEMENT OF REINSURANCE RECOVERABLES
Description
Reinsurance recoveries on unpaid claims
Reinsurance recoverables written off during the year
Ageing of reinsurance recoverables (on paid claims):
Outstanding period
Up to 1 year
Above 1 year but not exceeding 2 years
Above 2 years
Total (3 to 5)
Provision for doubtful reinsurance recoverables
Total (6 - 7) = Row 10 of Form 1
Row No.
1
2
3
4
5
6
7
8
Amount
6,004,447
0
308,872
218,098
0
526,970
51,622
475,348
17/08/2012 11:23 AM
General: Offshore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1G - STATEMENT OF REINSURANCE RECOVERABLES
Description
Reinsurance recoveries on unpaid claims
Reinsurance recoverables written off during the year
Ageing of reinsurance recoverables (on paid claims):
Outstanding period
Up to 1 year
Above 1 year but not exceeding 2 years
Above 2 years
Total (3 to 5)
Provision for doubtful reinsurance recoverables
Total (6 - 7) = Row 10 of Form 1
Row No.
1
2
3
4
5
6
7
8
Amount
15,099
0
0
0
0
0
0
0
17/08/2012 11:23 AM
General: Singapore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1H - FIXED ASSETS
Description
Motor vehicles
Computer equipment
Other fixed assets
Total (1 to 3) = Row 12 of Form 1
Row No.
1
2
3
4
Amount
88,701
152,376
22,715
263,792
17/08/2012 11:23 AM
General: Offshore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1H - FIXED ASSETS
Description
Motor vehicles
Computer equipment
Other fixed assets
Total (1 to 3) = Row 12 of Form 1
Row No.
1
2
3
4
Amount
0
0
0
0
17/08/2012 11:23 AM
General: Singapore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1I - INTER-FUND BALANCES AND
Description
Balances due from head office / shareholders fund
Balances due from overseas branches / related corporations
Balances due from other insurance funds established andmaintained under the Act
Total (1 to 3) = Row 13 of Form 1
Row No.
1
2
3
4
Amount
0
0
24,851
24,851
INTRA-GROUP BALANCES (DUE FROM)
17/08/2012 11:23 AM
General: Offshore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1I - INTER-FUND BALANCES AND
Description
Balances due from head office / shareholders fund
Balances due from overseas branches / related corporations
Balances due from other insurance funds established andmaintained under the Act
Total (1 to 3) = Row 13 of Form 1
Row No.
1
2
3
4
Amount
0
0
0
0
INTRA-GROUP BALANCES (DUE FROM)
17/08/2012 11:23 AM
General: Singapore Insurance Fund
Description Row No. Amount
Sundry Deposits 1 7,630
Rental Deposits 2 22,442
Club Membership 3 84,250
Prepayment 4 26,266
Sundry Debtors - GST Deductible (Specific) 5 36,705
Sundry Debtors - GST Deductible (General) 6 38,567
Sundry Debtors - GST Deductible (Claims) 7 73,262
Sundry Debtors - GST Deductible (Deemed) 8 102,497
Impressed Stamps 9 4,227
Staff Advance 10 34,252
Other Debtors - STATE ST BANK& TRUST 11 1,167,141
Sundry Debtors 12 2,977
Net Intangible Asset 13 83,403
Deferred Tax Recoverable 14 0
Total = Row 14 of Form 1 26 1,683,619
I865G ETIQA INSURANCE BERHAD
2011 12
ANNUAL RETURN: ANNEX 1J - BREAKDOWN OF OTHER ASSETS
Reporting Cycle:
17/08/2012 11:23 AM
General: Offshore Insurance Fund
Description Row No. Amount
Sundry Deposits 1 0
Rental Deposits 2 0
Club Membership 3 0
Prepayment 4 0
Sundry Debtors - GST Deductible (Specific) 5 0
Sundry Debtors - GST Deductible (General) 6 0
Sundry Debtors - GST Deductible (Claims) 7 0
Sundry Debtors - GST Deductible (Deemed) 8 0
Impressed Stamps 9 0
Staff Advance 10 0
Other Debtors - STATE ST BANK& TRUST 11 0
Sundry Debtors 12 0
Net Intangible Asset 13 0
Deferred Tax Recoverable 14 0
Total = Row 14 of Form 1 26 0
I865G ETIQA INSURANCE BERHAD
2011 12
ANNUAL RETURN: ANNEX 1J - BREAKDOWN OF OTHER ASSETS
Reporting Cycle:
17/08/2012 11:23 AM
General: Singapore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1L - INTER-FUND BALANCES AND
Description
Balances due to head office / shareholders fund
Balances due to overseas branches / related corporations
Balances due to other insurance funds established andmaintained under the Act
Total (1 to 3) = Row 22 of Form 1
Row No.
1
2
3
4
Amount
103,145
0
0
103,145
INTRA-GROUP BALANCES (DUE TO)
17/08/2012 11:23 AM
General: Offshore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1L - INTER-FUND BALANCES AND
Description
Balances due to head office / shareholders fund
Balances due to overseas branches / related corporations
Balances due to other insurance funds established andmaintained under the Act
Total (1 to 3) = Row 22 of Form 1
Row No.
1
2
3
4
Amount
10
0
24,851
24,861
INTRA-GROUP BALANCES (DUE TO)
17/08/2012 11:23 AM
General: Singapore Insurance Fund
Description Row No. Amount
Provision for Income Tax 1 41,790
Deferred Tax 2 0
Sundry Creditors 3 247,395
Provision for Accrued Management Expenses 4 373,708
Cash Collateral 5 3,738,903
Provision for Audit Fees 6 57,180
Staff Salary Control 7 223,291
Provision for Staff Bonus 8 509,549
GST Payable 9 605,000
Withholding Tax 10 0
Alpha Re Special Reserve 11 0
Total = Row 23 of Form 1 26 5,796,816
Reporting Cycle: 122011
I865G ETIQA INSURANCE BERHAD
ANNUAL RETURN: ANNEX 1M - BREAKDOWN OF OTHERS
17/08/2012 11:23 AM
General: Offshore Insurance Fund
Description Row No. Amount
Provision for Income Tax 1 0
Deferred Tax 2 0
Sundry Creditors 3 0
Provision for Accrued Management Expenses 4 0
Cash Collateral 5 0
Provision for Audit Fees 6 0
Staff Salary Control 7 0
Provision for Staff Bonus 8 0
GST Payable 9 0
Withholding Tax 10 0
Alpha Re Special Reserve 11 2,053,602
Total = Row 23 of Form 1 26 2,053,602
Reporting Cycle: 122011
I865G ETIQA INSURANCE BERHAD
ANNUAL RETURN: ANNEX 1M - BREAKDOWN OF OTHERS
17/08/2012 11:23 AM
General: Singapore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1N - SURPLUS
Description
Surplus at beginning of period
Net income
Transfer (to) from head office / shareholders fund
Surplus at End of Period (1 to 3) = Row 25 of Form 1
Row No.
1
2
3
4
Amount
40,684,160
-7,394,166
10,000,000
43,289,994
17/08/2012 11:23 AM
General: Offshore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1N - SURPLUS
Description
Surplus at beginning of period
Net income
Transfer (to) from head office / shareholders fund
Surplus at End of Period (1 to 3) = Row 25 of Form 1
Row No.
1
2
3
4
Amount
3,730,599
278,655
0
4,009,254
17/08/2012 11:23 AM
General: Singapore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1(ii) - INFORMATION IN RESPECT OF REDUCTION IN UNEARNED PREMIUM RESERVES
DUE TO REINSURANCE CEDED TO REINSURERS IN RESPECT OF GENERAL BUSINESS
Description
Registered insurer / foreign insurer under the foreign insurer scheme
Authorised reinsurer / related corporation / head office / branch of head office of theregistered insurer
Unregistered reinsurer
Total (1 to 3)
Row No.
1
2
3
4
Amount
1,538,527
0
589,330
2,127,857
17/08/2012 11:23:44 AM
General: Offshore Insurance Fund
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 1(ii) - INFORMATION IN RESPECT OF REDUCTION IN UNEARNED PREMIUM RESERVES
DUE TO REINSURANCE CEDED TO REINSURERS IN RESPECT OF GENERAL BUSINESS
Description
Registered insurer / foreign insurer under the foreign insurer scheme
Authorised reinsurer / related corporation / head office / branch of head office of theregistered insurer
Unregistered reinsurer
Total (1 to 3)
Row No.
1
2
3
4
Amount
36,597
0
13,032
49,629
17/08/2012 11:23:44 AM
Description of Assets and Name of Investee Company
Name of company: -
Equity securities
Debt securities
Secured loans
Unsecured loans
Other invested assets
Row No.
1
2
3
4
5
No. of Units
0
0
0
0
0
Cost
0
0
0
0
0
Amount
0
0
0
0
0
ETIQA INSURANCE BERHAD
A RELATED CORPORATION OF REGISTERED INSURER
ANNUAL RETURN: ANNEX 1(iii) - INFORMATION IN RESPECT OF INVESTMENTS IN
Reporting Cycle:
I865G
2011 12
General: Singapore Insurance Fund
17/08/2012 11:23:57 AM
Description of Assets and Name of Investee Company
Name of company: -
Equity securities
Debt securities
Secured loans
Unsecured loans
Other invested assets
Row No.
1
2
3
4
5
No. of Units
0
0
0
0
0
Cost
0
0
0
0
0
Amount
0
0
0
0
0
ETIQA INSURANCE BERHAD
A RELATED CORPORATION OF REGISTERED INSURER
ANNUAL RETURN: ANNEX 1(iii) - INFORMATION IN RESPECT OF INVESTMENTS IN
Reporting Cycle:
I865G
2011 12
General: Offshore Insurance Fund
17/08/2012 11:23:57 AM
General: Singapore Insurance Fund
I865G
ANNUAL RETURN: NOTES TO FORM 1
Reporting Cycle: 122011
ETIQA INSURANCE BERHAD
Note 1 The aggregate amounts of loans to and amounts due from - Amount
(a) Directors 0
(b) Employees of the registered insurer 34252
DescriptionRowNo. Amount
Note 2(a) Intangible assets - Computer Software 1 83,403
Note 3 - Description of any change in accounting policies and methodologies in the valuation ofassets and liabilities and the quantification of their effects.
NIL
Note 4 - Description of any prior adjustment and correction for errors and reasons for theadjustments and corrections.
NIL
Note 5 In respect of financial guarantee business - Amount
(a) where premiums are payable in instalments, the present value of futureinstalment premiums payable by the insured in a future accounting period 0
and discount rate used 0
17/08/2012 11:24 AM
(b) where the premiums are payable in full at the commencement of the policy ofinsurance, the full amount of the premiums payable by the insured in the accountingperiod in which the policy commences.
0
17/08/2012 11:24 AM
General: Offshore Insurance Fund
I865G
ANNUAL RETURN: NOTES TO FORM 1
Reporting Cycle: 122011
ETIQA INSURANCE BERHAD
Note 1 The aggregate amounts of loans to and amounts due from - Amount
(a) Directors 0
(b) Employees of the registered insurer 0
Note 3 - Description of any change in accounting policies and methodologies in the valuation ofassets and liabilities and the quantification of their effects.
NIL
Note 4 - Description of any prior adjustment and correction for errors and reasons for theadjustments and corrections.
NIL
Note 5 In respect of financial guarantee business - Amount
(a) where premiums are payable in instalments, the present value of futureinstalment premiums payable by the insured in a future accounting period 0
and discount rate used 0
(b) where the premiums are payable in full at the commencement of the policy ofinsurance, the full amount of the premiums payable by the insured in the accountingperiod in which the policy commences.
0
17/08/2012 11:24 AM
I865G ETIQA INSURANCE BERHAD
Reporting Cycle: 122011
ANNUAL RETURN: FORM 1 - ADDITIONAL INFORMATION
NIL
17/08/2012 11:23 AM
ETIQA INSURANCE BERHADI865G
ANNUAL RETURN: FORM 2 - FUND PROFIT AND LOSS ACCOUNT
Reporting Cycle: 12
General: Singapore Insurance Fund
Description
Gross premiums
Less: Outward reinsurance premiums
Investment revenue
Less: Investment expenses
Other income
Total Income (1 to 5)
Gross claims settled
Less: Reinsurance recoveries
Management expenses
Distribution expenses
Increase (decrease) in net policy liabilities
Provision for doubtful debts/ bad debts written off on receivables
Taxation expenses
Other expenses
Total Outgo (7 to 14)
Net Income (6 - 15)
Annex
2A
2B
2C
2D
2E
2F
2G
2H
2I
2J
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Amount
37,052,942
4,176,842
3,559,458
116,262
28,207
36,347,503
26,844,023
1,787,448
6,346,568
5,734,316
6,420,228
77,414
0
106,568
43,741,669
(7,394,166)
2011
17/08/2012 11:23 AM
ETIQA INSURANCE BERHADI865G
ANNUAL RETURN: FORM 2 - FUND PROFIT AND LOSS ACCOUNT
Reporting Cycle: 12
General: Offshore Insurance Fund
Description
Gross premiums
Less: Outward reinsurance premiums
Investment revenue
Less: Investment expenses
Other income
Total Income (1 to 5)
Gross claims settled
Less: Reinsurance recoveries
Management expenses
Distribution expenses
Increase (decrease) in net policy liabilities
Provision for doubtful debts/ bad debts written off on receivables
Taxation expenses
Other expenses
Total Outgo (7 to 14)
Net Income (6 - 15)
Annex
2A
2B
2C
2D
2E
2F
2G
2H
2I
2J
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Amount
749,753
195,884
22,034
0
2
575,905
25,874
5,098
118,308
107,721
35,296
15,149
0
0
297,250
278,655
2011
17/08/2012 11:23 AM
General: Singapore Insurance Fund
122011Reporting Cycle:
ANNUAL RETURN: ANNEX 2B - OUTWARD REINSURANCE PREMIUMS
ETIQA INSURANCE BERHADI865G
Description
Registered insurer / foreign insurer under the foreing insurerscheme
Authorised reinsurer / related corporation / head office / branch ofhead office of the registered insurer
Unregistered reinsurer
Total (1 to 3) = Row 2 of Form 2
Row No.
1
2
3
4
Amount
2,783,153
0
1,393,689
4,176,842
17/08/2012 11:23:59 AM
General: Offshore Insurance Fund
122011Reporting Cycle:
ANNUAL RETURN: ANNEX 2B - OUTWARD REINSURANCE PREMIUMS
ETIQA INSURANCE BERHADI865G
Description
Registered insurer / foreign insurer under the foreing insurerscheme
Authorised reinsurer / related corporation / head office / branch ofhead office of the registered insurer
Unregistered reinsurer
Total (1 to 3) = Row 2 of Form 2
Row No.
1
2
3
4
Amount
144,048
0
51,836
195,884
17/08/2012 11:23:59 AM
General: Singapore Insurance Fund
Description
Equity securities
Debt securities
Land and Buildings
Loans
Cash and deposits
Other invested assets
Total (1 to 6) = Row 3 of Form 2
Row No.
1
2
3
4
5
6
7
Interest / Dividend /Rental Income
64,104
1,478,803
411,893
0
153,429
0
Realised Gains(Losses) From Last
Reported Value /Write-backs(Write-offs)
0
65,747
0
0
0
0
Unrealised ChangesFrom Last Reported
Value
-383,620
1,769,102
0
0
0
0
Amount
-319,516
3,313,652
411,893
0
153,429
0
3,559,458
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 2C - INVESTMENT REVENUE
17/08/2012 11:23:47 AM
General: Offshore Insurance Fund
Description
Equity securities
Debt securities
Land and Buildings
Loans
Cash and deposits
Other invested assets
Total (1 to 6) = Row 3 of Form 2
Row No.
1
2
3
4
5
6
7
Interest / Dividend /Rental Income
0
0
0
0
22,034
0
Realised Gains(Losses) From Last
Reported Value /Write-backs(Write-offs)
0
0
0
0
0
0
Unrealised ChangesFrom Last Reported
Value
0
0
0
0
0
0
Amount
0
0
0
0
22,034
0
22,034
122011
ETIQA INSURANCE BERHADI865G
Reporting Cycle:
ANNUAL RETURN: ANNEX 2C - INVESTMENT REVENUE
17/08/2012 11:23:47 AM
General: Singapore Insurance Fund
122011Reporting Cycle:
ANNUAL RETURN: ANNEX 2D - BREAKDOWN OF OTHER INCOME
I865G ETIQA INSURANCE BERHAD
Description Row No. Amount
Sundry Receipt 1 22,332
Admin Charges - Fixed Deposits Collateral 2 5,020
Sundry Income 3 855
Total = Row 5 of Form 2 26 28,207
17/08/2012 11:24:01 AM
General: Offshore Insurance Fund
122011Reporting Cycle:
ANNUAL RETURN: ANNEX 2D - BREAKDOWN OF OTHER INCOME
I865G ETIQA INSURANCE BERHAD
Description Row No. Amount
SundryReceipt 1 2
Total = Row 5 of Form 2 26 2
17/08/2012 11:24:01 AM
General: Singapore Insurance Fund
122011Reporting Cycle:
ANNUAL RETURN: ANNEX 2F - MANAGEMENT EXPENSES
I865G ETIQA INSURANCE BERHAD
Description
Staff salaries & expenses
Office rent
Head office / parent company expenses
Directors' fees
Audit fees
Managing agent's fees
Repairs and maintenance
Public utilities
Printing, stationery and periodicals
Postage, telephone and telex charges
Computer charges
Hire of office equipment
Licence and association fees
Advertising and subscriptions
Entertainment
Travelling expenses
Row No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Amount
4,150,361
62,901
0
0
117,837
0
117,307
23,326
199,781
158,742
139,998
0
60,000
171,880
47,390
54,758
Imputed Rental 1 411,893
Agency Training 2 0
Office Cleaning 3 9,450
Company Vehicle Expenses 4 11,406
Consultancy& Professional Fees 5 168,831
Transport Expenses 6 10,741
Merimen Charges 7 19,155
Other Expenses 8 410,811
Total = Row 9 of Form 2 27 6,346,568
17/08/2012 11:24:03 AM
General: Offshore Insurance Fund
122011Reporting Cycle:
ANNUAL RETURN: ANNEX 2F - MANAGEMENT EXPENSES
I865G ETIQA INSURANCE BERHAD
Description
Staff salaries & expenses
Office rent
Head office / parent company expenses
Directors' fees
Audit fees
Managing agent's fees
Repairs and maintenance
Public utilities
Printing, stationery and periodicals
Postage, telephone and telex charges
Computer charges
Hire of office equipment
Licence and association fees
Advertising and subscriptions
Entertainment
Travelling expenses
Row No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Amount
0
0
0
0
0
0
0
0
0
131
0
0
0
0
0
0
Imputed Rental 1 0
Agency Training 2 0
Office Cleaning 3 0
Company Vehicle Expenses 4 0
Consultancy& Professional Fees 5 0
Transport Expenses 6 0
Merimen Charges 7 0
Other Expenses 8 118,177
Total = Row 9 of Form 2 27 118,308
17/08/2012 11:24:03 AM
General: Singapore Insurance Fund
ANNUAL RETURN: ANNEX 2I - BREAKDOWN OF OTHER EXPENSES
Reporting Cycle:
I865G
122011
ETIQA INSURANCE BERHAD
Description Row No. Amount
Depreciation - Office Equipment 1 10,516
Depreciation - Computer Hardware 2 36,636
Loss on Disposal of Fixed Assets 3 1
Depreciation - Furniture and Fittings 4 4,600
Depreciation - Motor Vehicles 5 37,925
Amortisation - Software 6 16,890
Total = Row 14 of Form 2 26 106,568
17/08/2012 11:24:05 AM
I865G ETIQA INSURANCE BERHAD
Reporting Cycle: 2011 12
ANNUAL RETURN: FORM 2 - ADDITIONAL INFORMATION
NIL
17/08/2012 11:23 AM
General: Singapore Insurance Fund
ETIQA INSURANCE BERHADI865G
122011Reporting Cycle:
ANNUAL RETURN: FORM 6 - STATEMENT OF PREMIUMS, CLAIMS AND UNDERWRITING RESULTS IN RESPECT OF GENERAL BUSINESS
Description
A. PREMIUMS
Gross premiums
Direct business
Reinsurance business accepted -
In Singapore
From other ASEAN countries
From other countries
Total (2 to 4)
Reinsurance business ceded -
In Singapore
To other ASEAN countries
To other countries
Total (6 to 8)
Net premiums written (1 + 5 - 9)
Premium liabilities at beginning of period
Premium liabilities at end of period
Premiums earned during the period (10 + 11 - 12)
B. CLAIMS
Gross claims settled
Direct business
Reinsurance business accepted -
In Singapore
From other ASEAN countries
From other countries
Total (15 to 17)
Recoveries from reinsurance business ceded -
In Singapore
To other ASEAN countries
To other countries
Total (19 to 21)
Net claims settled (14 + 18 - 22)
Claims liabilities at end of period
Claims liabilities at beginning of period
Net claims incurred (23 + 24 - 25)
C. MANAGEMENT EXPENSES
Management Expenses
D. DISTRIBUTION EXPENSES
Commissions
Reinsurance commissions
Net commissions incurred (28 - 29)
Other distribution expenses
E. UNDERWRITING RESULTS
Underwriting gain / (loss) (13 - 26 - 27 - 30 - 31)
F. NET INVESTMENT INCOME
G. OPERATING RESULT (32 + 33)
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Marine andAviation - Cargo
758,842
100,985
0
0
100,985
169,619
71,537
0
241,156
618,671
109,590
83,586
644,675
(61,371)
4,446
0
0
4,446
2,406
(803)
0
1,603
(58,528)
70,871
52,396
(40,053)
147,274
177,447
47,087
130,360
85,142
321,952
79,901
401,853
Marine andAviation - Hulland Liability
8,889
0
0
0
0
3,022
533
0
3,555
5,334
0
2,220
3,114
0
0
0
0
0
0
0
0
0
0
0
745
(745)
1,523
1,333
684
649
0
1,687
826
2,513
Fire
6,341,700
701,801
0
0
701,801
875,210
639,079
0
1,514,289
5,529,212
1,314,715
3,176,133
3,667,794
1,246,316
304,085
0
0
304,085
477,015
338,129
0
815,144
735,257
1,574,753
414,709
1,895,301
1,206,437
803,018
415,086
387,932
134,996
43,128
654,527
697,655
Motor
12,554,013
535
0
0
535
322,484
107,495
0
429,979
12,124,569
7,672,978
6,781,478
13,016,069
14,869,634
0
0
0
0
78,525
18,298
0
96,823
14,772,811
32,460,613
28,812,827
18,420,597
2,150,390
1,802,787
0
1,802,787
(24,070)
(9,333,635)
1,166,649
(8,166,986)
Work InjuryCompensation
7,135,205
59,329
0
0
59,329
152,496
48,142
0
200,638
6,993,896
4,345,440
4,042,631
7,296,705
7,562,168
592,232
0
0
592,232
418,075
0
0
418,075
7,736,325
16,343,124
17,607,476
6,471,973
1,232,307
729,842
1,170
728,672
359,196
(1,495,443)
668,562
(826,881)
PersonalAccident
1,658,586
1,735
0
0
1,735
547
163,139
0
163,686
1,496,635
210,940
467,032
1,240,543
92,809
0
0
0
0
0
0
0
0
92,809
13,340
17,370
88,779
284,386
435,825
49
435,776
3,521
428,081
154,288
582,369
Health
573,177
0
0
0
0
0
0
0
0
573,177
119,634
135,315
557,496
189,189
0
0
0
0
0
0
0
0
189,189
22,414
30,078
181,525
98,176
111,945
0
111,945
4,618
161,232
53,263
214,495
Misc - PublicLiability
1,541,010
51,095
0
0
51,095
95,826
13,847
0
109,673
1,482,432
616,704
465,342
1,633,794
534,243
32,001
0
0
32,001
19,817
0
0
19,817
546,427
3,384,697
1,700,918
2,230,206
272,702
289,436
10,488
278,948
108,568
(1,256,630)
147,949
(1,108,681)
Misc - Bonds
2,601,224
1,722
0
0
1,722
510,772
198,503
445
709,720
1,893,226
381,698
695,676
1,579,248
169,387
(9,201)
0
0
(9,201)
88,937
26,770
4,818
120,525
39,661
56,610
11,445
84,826
445,842
890,496
183,426
707,070
12,506
329,004
241,882
570,886
Misc -Engineering /
CAR / EAR
547,269
68,735
0
0
68,735
154,702
112,274
0
266,976
349,028
231,674
115,704
464,998
717,443
84,070
0
0
84,070
247,052
37,962
0
285,014
516,499
574,835
737,233
354,101
105,511
98,346
52,732
45,614
43,572
(83,800)
57,243
(26,557)
Misc -Professional
Indemnity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Misc - Credit /Political Risk
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Misc - Others
2,273,561
73,529
0
0
73,529
498,475
38,695
0
537,170
1,809,920
586,875
576,862
1,819,933
505,097
11,475
0
0
11,475
30,438
9
0
30,447
486,125
702,289
349,852
838,562
402,020
459,891
140,290
319,601
56,913
202,837
218,106
420,943
Misc - Sub-Total
6,963,064
195,081
0
0
195,081
1,259,775
363,319
445
1,623,539
5,534,606
1,816,951
1,853,584
5,497,973
1,926,170
118,345
0
0
118,345
386,244
64,741
4,818
455,803
1,588,712
4,718,431
2,799,448
3,507,695
1,226,075
1,738,169
386,936
1,351,233
221,559
(808,589)
665,180
(143,409)
Total
35,993,476
1,059,466
0
0
1,059,466
2,783,153
1,393,244
445
4,176,842
32,876,100
15,590,248
16,541,979
31,924,369
25,824,915
1,019,108
0
0
1,019,108
1,362,265
420,365
4,818
1,787,448
25,056,575
55,203,546
49,735,049
30,525,072
6,346,568
5,800,366
851,012
4,949,354
784,962
(10,681,587)
3,443,196
(7,238,391)
17/08/2012 11:23 AM
General: Offshore Insurance Fund
ETIQA INSURANCE BERHADI865G
122011Reporting Cycle:
ANNUAL RETURN: FORM 6 - STATEMENT OF PREMIUMS, CLAIMS AND UNDERWRITING RESULTS IN RESPECT OFGENERAL BUSINESS
Description
A. PREMIUMS
Gross premiums
Direct business
Reinsurance business accepted -
In Singapore
From other ASEAN countries
From other countries
Total (2 to 4)
Reinsurance business ceded -
In Singapore
To other ASEAN countries
To other countries
Total (6 to 8)
Net premiums written (1 + 5 - 9)
Premium liabilities at beginning of period
Premium liabilities at end of period
Premiums earned during the period (10 + 11 - 12)
B. CLAIMS
Gross claims settled
Direct business
Reinsurance business accepted -
In Singapore
From other ASEAN countries
From other countries
Total (15 to 17)
Recoveries from reinsurance business ceded -
In Singapore
To other ASEAN countries
To other countries
Total (19 to 21)
Net claims settled (14 + 18 - 22)
Claims liabilities at end of period
Claims liabilities at beginning of period
Net claims incurred (23 + 24 - 25)
C. MANAGEMENT EXPENSES
Management Expenses
D. DISTRIBUTION EXPENSES
Commissions
Reinsurance commissions
Net commissions incurred (28 - 29)
Other distribution expenses
E. UNDERWRITING RESULTS
Underwriting gain / (loss) (13 - 26 - 27 - 30 - 31)
F. NET INVESTMENT INCOME
G. OPERATING RESULT (32 + 33)
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
Marine andAviation - Cargo
642,807
0
94,269
(1)
94,268
140,148
51,349
0
191,497
545,578
129,396
135,441
539,533
17,598
0
7,895
(46)
7,849
4,353
745
0
5,098
20,349
72,780
40,513
52,616
116,307
143,444
37,646
105,798
0
264,812
21,661
286,473
Marine andAviation - Hulland Liability
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
356
306
50
0
0
0
0
0
(50)
0
(50)
Property
780
0
0
2
2
0
0
0
0
782
8,921
312
9,391
0
0
0
72
72
0
0
0
0
72
34
38
68
123
254
0
254
0
8,946
23
8,969
Casualty andOthers
11,881
0
0
15
15
3,900
487
0
4,387
7,509
8
3,959
3,558
0
0
0
355
355
0
0
0
0
355
4,258
2,662
1,951
1,878
2,919
1,250
1,669
0
(1,940)
350
(1,590)
Total
655,468
0
94,269
16
94,285
144,048
51,836
0
195,884
553,869
138,325
139,712
552,482
17,598
0
7,895
381
8,276
4,353
745
0
5,098
20,776
77,428
43,519
54,685
118,308
146,617
38,896
107,721
0
271,768
22,034
293,802
17/08/2012 11:23 AM
General: Singapore Insurance Fund
Note 2 - Particulars on reinsurances of special risks other than reinsurances of liabilitiesunder a marine and aviation policy.
NIL
Note 1 - Items in this Form may be allocated according to a reasonable basis used by theregistered insurer which is acceptable to its external auditor. The bases used shall be statedas a Note to this Form.
Management Expenses:These expenses are apportioned to the different classes of business based on the gross premiumwritten for each class of business. Net Investment Income:Net investment income is apportioned to the different classes of business based on the grosspremium written for each class of business.
I865G
Reporting Cycle: 2011 12
ANNUAL RETURN: NOTES TO FORM 6
ETIQA INSURANCE BERHAD
17/08/2012 11:24 AM
General: Offshore Insurance Fund
Note 2 - Particulars on reinsurances of special risks other than reinsurances of liabilitiesunder a marine and aviation policy.
NIL
Note 1 - Items in this Form may be allocated according to a reasonable basis used by theregistered insurer which is acceptable to its external auditor. The bases used shall be statedas a Note to this Form.
Management Expenses:These expenses are apportioned to the different classes of business based on the gross premiumwritten for each class of business. Net Investment Income:Net investment income is apportioned to the different classes of business based on the grosspremium written for each class of business.
I865G
Reporting Cycle: 2011 12
ANNUAL RETURN: NOTES TO FORM 6
ETIQA INSURANCE BERHAD
17/08/2012 11:24 AM
ANNUAL RETURN: FORM 6 - ADDITIONAL INFORMATION
122011Reporting Cycle:
ETIQA INSURANCE BERHADI865G
NIL
17/08/2012 11:23 AM
ANNUAL RETURN: FORM 7 - STATEMENT IN RESPECT OF ACCIDENT AND HEALTH BENEFITS
Reporting Cycle: 2011 12ETIQA INSURANCE BERHADI865G
Description
A. PREMIUMS
Gross premiums
Reinsurance ceded
Net premiums written (1 - 2)
Premium liabilities at beginning of period
Premium liabilities at end of period
Premium earned during the period (3 + 4 - 5)
B. CLAIMS
Gross claims settled
Reinsurance recoveries
Net claims settled (7 - 8)
Claim liabilities at end of period
Claim liabilities at beginning of period
Net claims incurred (9 + 10 - 11)
C. MANAGEMENT EXPENSES
Management expenses
D. DISTRIBUTION EXPENSES
Commissions
Reinsurance commissions
Net commissions incurred (14 - 15)
Other distribution expenses
E. UNDERWRITING RESULTS (6 - 12 - 13 - 16 - 17)
F. NET INVESTMENT INCOME
G. OPERATING RESULTS (18 + 19)
H. OTHERS
Number of policies in force
Number of lives covered under policies in force
Number of claims registered
RowNo.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Medical Expense
Individual
1,028
0
1,028
322
243
1,107
0
0
0
0
0
0
176
145
0
145
0
786
96
882
5
10
0
Medical Expense
Group
572,149
0
572,149
119,312
135,072
556,389
189,189
0
189,189
22,414
30,078
181,525
98,000
111,800
0
111,800
4,618
160,446
53,167
213,613
559
6,819
42
Critical Illness
Individual
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Critical Illness
Group
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Disability
Individual
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Disability
Group
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Personal Accident
Individual
1,171,559
115,500
1,056,059
157,754
329,548
884,265
72,728
0
72,728
8,211
16,023
64,916
200,669
398,274
0
398,274
0
220,406
108,869
329,275
5,228
5,593
244
Personal Accident
Group
488,762
48,186
440,576
53,186
137,484
356,278
20,081
0
20,081
5,129
1,347
23,863
83,717
37,551
49
37,502
3,521
207,675
45,419
253,094
205
771
15
Hospital Cash
Individual
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Hospital Cash
Group
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
Individual
1,172,587
115,500
1,057,087
158,076
329,791
885,372
72,728
0
72,728
8,211
16,023
64,916
200,845
398,419
0
398,419
0
221,192
108,965
330,157
5,233
5,603
244
Total
Group
1,060,911
48,186
1,012,725
172,498
272,556
912,667
209,270
0
209,270
27,543
31,425
205,388
181,717
149,351
49
149,302
8,139
368,121
98,586
466,707
764
7,590
57
Form 7 (b) - Accident and Health Insurance (Short-term)
17/08/2012 11:24 AM
ANNUAL RETURN: NOTES TO FORM 7(b)
122011Reporting Cycle:
ETIQA INSURANCE BERHADI865G
Note 1 - Items in this Form may be allocated according to a reasonable basis used by theregistered insurer. The bases used shall be stated as a Note to this Form.
Nil
17/08/2012 11:24 AM
ANNUAL RETURN: FORM 7(b) - ADDITIONAL INFORMATION
122011Reporting Cycle:
ETIQA INSURANCE BERHADI865G
NIL
17/08/2012 11:24 AM
ANNUAL RETURN: FORM 10 - STATEMENT OF FINANCIAL POSITION IN RESPECT OF GLOBALBUSINESS OPERATIONS AS AT 31/12/2011
12Reporting Cycle: 2011
ETIQA INSURANCE BERHADI865G
Description
Life Business
1. Policy liabilities
General Business
1. Net premiums written
2. Premium liabilities
3. Claim liabilities
Shareholders fund
1. Paid-up capital
2. Unappropriated profits (losses)
3. Reserves - Capital
General
Others*
Total (5 to 9)
Row No.
1
2
3
4
5
6
7
8
9
10
Amount
'000 (in foreign currency)
MALAYSIAN RINGGIT
11,138,161
282,130
319,476
489,698
152,151
1,275,555
17,728
0
64,162
1,509,596
17/08/2012 11:24 AM
ANNUAL RETURN: NOTES TO FORM 10
12Reporting Cycle: 2011
Note 1 - Breakdown of "Others" Row No. Amount
AFS reserves Form10 Note1 - Breakdown of "Others"1 51,578
Currency translation reserves Form10 Note1 - Breakdown of "Others"3 937
Revaluation reserves Form10 Note1 - Breakdown of "Others"2 11,647
ETIQA INSURANCE BERHADI865G
17/08/2012 11:24 AM
ANNUAL RETURN: FORM 10 - ADDITIONAL INFORMATION
122011Reporting Cycle:
NIL
ETIQA INSURANCE BERHADI865G
17/08/2012 11:24 AM
ETIQA INSURANCE BERHADI865G
122011Reporting Cycle:
ANNUAL RETURN: FORM 20 - ACTUARY'S CERTIFICATE ON POLICY LIABILITIES INRESPECT OF GENERAL BUSINESS
ACTUARIAL INVESTIGATION OF POLICY LIABILITIES
Description
Premium Liabilities
Claim Liabilities
Policy Liabilities
Singapore Insurance Fund
16,541,979
55,203,546
71,745,525
Offshore Insurance Fund
139,712
77,428
217,140
I have conducted an investigation into the valuation of policy liabilities relating to general businessas required under section 37 of the Insurance Act and confirm that the valuation is in accordance withall applicable requirements stipulated under the Act and directions issued under the Act, subject tothe qualifications stated below*. I certify these amounts, net of reinsurance, as follows:
*Qualifications (if none, state "none"):
None
17/08/2012 11:24:15 AM
ETIQA INSURANCE BERHAD
ANNUAL RETURN: FORM 20 - ADDITIONAL INFORMATION
122011Reporting Cycle:
NIL
I865G
17/08/2012 11:24 AM
General: Singapore Insurance Fund
ANNUAL RETURN: FORM 21 - STATEMENT IN RELATION TO FUND SOLVENCY REQUIREMENT OFINSURANCE FUND
Reporting Cycle:
Description
(i) Financial Resources of Insurance Fund
Balance in the surplus account (of participating fund)
Add:
Allowance for provision for non-guaranteed benefits
(of participating fund): (lower of 3 or 4)
Policy liabilities - minimum condition liability
50% of aggregate of provisions for non-guaranteed benefits and PAD
Surplus of insurance fund (of any other insurance fund)
Less:
Reinsurance adjustment
Financial resource adjustment: (8 to 12)
(a) loans to, guarantees granted for, and other
unsecured amounts owed to the registered insurer
(b) charged assets
(c) deferred tax assets
(d) intangible assets
(e) other financial resource adjustments
Financial Resources of Insurance Fund
(1 + 2 + 5 - 6 - 7)
(ii) Total Risk Requirement of Insurance Fund
A. Component 1 Requirement - Insurance Risks
Life Insurance Risk Requirement
(for participating fund): (15 + 18)
(a) Policy Liability Risk Requirement:
(zero or 16 - 17, whichever is higher)
Modified minimum condition liability
Minimum condition liability
(b) Surrender Value Condition Risk Requirement:
(zero or 19 - 20, whichever is higher)
Aggregate of surrender values of policies of the insurance fund
Higher of 21 or 22:
Sum of total risk requirement and minimum condition
liability of the insurance fund
Policy liabilities of the insurance fund
Life Insurance Risk Requirement
(other than participating fund) (24 + 27)
(a) Policy Liability Risk Requirement:
(zero or 25 - 26, whichever is higher)
Modified policy liabilities
Policy Liabilities
(b) Surrender Value Condition Risk Requirement:
(zero or 28 - 29, whichever is higher)
Aggregate of surrender values of policies of the insurance fund
Sum of total risk requirement and policy liabilities of the insurance fund
General Insurance Risk Requirement
(for general business): (31 to 32)
(a) Premium liability risk requirement
(b) Claim liability risk requirement
Total C1 Requirement (14 + 23 + 30)
B. Component 2 Requirement - Investment Risks and Risks arising
from Interest Rate Sensitivity and Foreign Currency Mismatch
between Asset and Liabilities
Equity Investment Risk Requirement (35 to 36)
(a) Specific Risk Requirement
Row No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Amount
0
0
0
30,072
0
83,403
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,247,232
13,889,596
221,208
0
0
43,289,994
589,330
113,475
42,587,189
0
0
17,136,828
17,136,828
442,416
2011 12
I865G ETIQA INSURANCE BERHAD
17/08/2012 11:23:39 AM
(b) General Risk Requirement
Debt Investment and Duration Mismatch Risk Requirement:
(38 or 43, whichever is higher)
(a) Sum of: (39 + 42)
Debt investment risk requirement in an increasing interest rate
environment (40 to 41)
Debt specific risk requirement
Debt general risk requirement
Liability adjustment requirement in an increasing interest rate environment
(b) Sum of: (44 + 47)
Debt investment risk requirement in a decreasing interest rate
environment (45 to 46)
Debt specific risk requirement
Negative of debt general risk requirement
Liability adjustment requirement in a decreasing interest rate environment
Loan Investment Risk Requirement
Property Risk Requirement
Foreign Currency Mismatch Risk Requirement (for Singapore Insurance Fund)
Derivative Counterparty Risk Requirement
Miscellaneous Risk Requirement
Total C2 Requirement (34 + 37 + 48 + 49 + 50 + 51 + 52)
C. Component 3 Requirement - Concentration Risks Counterparty Exposure Equity Securities Exposure Unsecured Loans Exposure Property Exposure Foreign Currency Risk Exposure Exposure to assets in miscellaneous risk requirements
Exposure to non-liquid assets with Singapore Insurance Fund
(for general business)
Total C3 Requirement (54 to 60)
Total Risk Requirement of Insurance Fund (33 + 53 +61)
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
545556575859
60
61
62
221,208
2,569,033
2,569,033
656,294
1,912,739
0
-1,256,445
-1,256,445
656,294
-1,912,739
0
2,569,033
0
1,008,000
0
0
877,556
4,897,005
000000
0
0
22,033,833
17/08/2012 11:23:39 AM
General: Offshore Insurance Fund
ANNUAL RETURN: FORM 21 - STATEMENT IN RELATION TO FUND SOLVENCY REQUIREMENT OFINSURANCE FUND
Reporting Cycle:
Description
(i) Financial Resources of Insurance Fund
Balance in the surplus account (of participating fund)
Add:
Allowance for provision for non-guaranteed benefits
(of participating fund): (lower of 3 or 4)
Policy liabilities - minimum condition liability
50% of aggregate of provisions for non-guaranteed benefits and PAD
Surplus of insurance fund (of any other insurance fund)
Less:
Reinsurance adjustment
Financial resource adjustment: (8 to 12)
(a) loans to, guarantees granted for, and other
unsecured amounts owed to the registered insurer
(b) charged assets
(c) deferred tax assets
(d) intangible assets
(e) other financial resource adjustments
Financial Resources of Insurance Fund
(1 + 2 + 5 - 6 - 7)
(ii) Total Risk Requirement of Insurance Fund
A. Component 1 Requirement - Insurance Risks
Life Insurance Risk Requirement
(for participating fund): (15 + 18)
(a) Policy Liability Risk Requirement:
(zero or 16 - 17, whichever is higher)
Modified minimum condition liability
Minimum condition liability
(b) Surrender Value Condition Risk Requirement:
(zero or 19 - 20, whichever is higher)
Aggregate of surrender values of policies of the insurance fund
Higher of 21 or 22:
Sum of total risk requirement and minimum condition
liability of the insurance fund
Policy liabilities of the insurance fund
Life Insurance Risk Requirement
(other than participating fund) (24 + 27)
(a) Policy Liability Risk Requirement:
(zero or 25 - 26, whichever is higher)
Modified policy liabilities
Policy Liabilities
(b) Surrender Value Condition Risk Requirement:
(zero or 28 - 29, whichever is higher)
Aggregate of surrender values of policies of the insurance fund
Sum of total risk requirement and policy liabilities of the insurance fund
General Insurance Risk Requirement
(for general business): (31 to 32)
(a) Premium liability risk requirement
(b) Claim liability risk requirement
Total C1 Requirement (14 + 23 + 30)
B. Component 2 Requirement - Investment Risks and Risks arising
from Interest Rate Sensitivity and Foreign Currency Mismatch
between Asset and Liabilities
Equity Investment Risk Requirement (35 to 36)
(a) Specific Risk Requirement
(b) General Risk Requirement
Debt Investment and Duration Mismatch Risk Requirement:
Row No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Amount
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19,588
0
0
0
0
4,009,254
13,032
0
3,996,222
0
0
19,588
19,588
0
2011 12
I865G ETIQA INSURANCE BERHAD
17/08/2012 11:23:39 AM
(38 or 43, whichever is higher)
(a) Sum of: (39 + 42)
Debt investment risk requirement in an increasing interest rate
environment (40 to 41)
Debt specific risk requirement
Debt general risk requirement
Liability adjustment requirement in an increasing interest rate environment
(b) Sum of: (44 + 47)
Debt investment risk requirement in a decreasing interest rate
environment (45 to 46)
Debt specific risk requirement
Negative of debt general risk requirement
Liability adjustment requirement in a decreasing interest rate environment
Loan Investment Risk Requirement
Property Risk Requirement
Foreign Currency Mismatch Risk Requirement (for Singapore Insurance Fund)
Derivative Counterparty Risk Requirement
Miscellaneous Risk Requirement
Total C2 Requirement (34 + 37 + 48 + 49 + 50 + 51 + 52)
C. Component 3 Requirement - Concentration Risks Counterparty Exposure Equity Securities Exposure Unsecured Loans Exposure Property Exposure Foreign Currency Risk Exposure Exposure to assets in miscellaneous risk requirements
Exposure to non-liquid assets with Singapore Insurance Fund
(for general business)
Total C3 Requirement (54 to 60)
Total Risk Requirement of Insurance Fund (33 + 53 +61)
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
545556575859
60
61
62
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
52,858
52,858
000000
0
0
72,446
17/08/2012 11:23:39 AM
ETIQA INSURANCE BERHADI865G
122011Reporting Cycle:
ANNUAL RETURN: FORM 21 - ADDITIONAL INFORMATION
NIL
17/08/2012 11:23:39 AM
FORM 23 - STATEMENT IN RELATION TO CAPITAL ADEQUACY REQUIREMENT OF REGISTERED INSURER
ANNUAL RETURN
Reporting Cycle: 122011
ETIQA INSURANCE BERHAD
Description
(i) Financial Resources of Registered Insurer
A. Tier 1 Resource
Aggregate of surpluses of all insurance funds other than a participating fund
Balances in the surplus account of each participating fund
Paid-up ordinary share capital
Unappropriated profits (losses)
Surpluses of Overseas Branch Operations
Irredeemable and non-cumulative preference shares
Any other capital instrument approved by the Authority as a Tier 1 resource
Less:
Reinsurance adjustment
Financial resource adjustment: (10 to 14)
(a) loans to, guarantees granted for and other unsecured amounts owed to
the registered insurer
(b) charged assets
(c) deferred tax assets
(d) intangible assets
(e) other financial resource adjustments
Total Tier 1 Resource (1 to 7 less 8 to 9)
B. Tier 2 Resource
Irredeemable and non-cumulative preference shares not recognised
as Tier 1 resource
Irredeemable and non-cumulative preference shares
Other Tier 2 resource
Total Tier 2 Resource (16 to 18)
C. Aggregate of allowance for provisions for non-guaranteed benefits
of participating funds
Financial Resources of Registered Insurer (higher of $5m or 15 + 19 +20)
(ii) Total Risk Requirement of Registered Insurer
(a) Total risk requirements of insurance funds established or maintained
under the Act
(b) Total risk requirements of assets and liabilities that do not belong to any
insurance fund established and maintained under the Act
Total Risk Requirement of Registered Insurer (22 to 23)
CAPITAL ADEQUACY RATIO (21/24)
Row No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Amount
0
30,072
0
83,403
0
22,106,279
0
47,299,248
0
0
0
0
0
0
602,362
113,475
46,583,411
0
0
0
0
0
46,583,411
22,106,279
210.72 %
I865G
17/08/2012 11:23:41 AM
2011 12Reporting Cycle:
NIL
ANNUAL RETURN: FORM 23 - ADDITIONAL INFORMATION
I865G ETIQA INSURANCE BERHAD
17/08/2012 11:23:41 AM
