ASOCIACION DE SUSCRIPCION CONJUNTA DEL SEGURO DE RESPONSABILIDAD OBLIGATORIO

Transcription

1 ANNUAL STATEMENT OF THE ASOCIACION DE SUSCRIPCION CONJUNTA DEL SEGURO DE RESPONSABILIDAD OBLIGATORIO of SAN JUAN in the state of TO THE Insurance Department OF THE STATE OF Puerto Rico For the Year Ended December, 0 PROPERTY AND CASUALTY 0 0 Puerto Rico

2 PROPERTY AND CASUALTY COMPANIES - ASSOCIATION EDITION ANNUAL STATEMENT Document Code: 0 For the Year Ended December, 0 OF THE CONDITION AND AFFAIRS OF THE ASOCIACION NAIC Group Code 0000, 0000 (Current Period) NAIC Company Code Organized under the Laws of Puerto Rico Country of Domicile 0899 Employer's ID Number (Prior Period), State of Domicile or Port of Entry Puerto Rico United States of America Incorporated/Organized /7/99 Statutory Home Office Commenced Business Prof Of. Park V, 997 S. Roberto St., Suite 60 0/0/998, SAN JUAN, PR 0096 (Street and Number) (City or Town, State and Zip Code) Main Administrative Office Prof. Office Park 997 San Roberto Stl, Suite 60 (Street and Number) SAN JUAN, PR 0096 (787)6-000 (City or Town, State and Zip Code) Mail Address (Area Code) (Telephone Number) PO BOX 7, San Juan, PR (Street and Number or P.O. Box) (City or Town, State and Zip Code) Primary Location of Books and Records Prof. Office Park 997 San Roberto St., Suite 60 (Street and Number) SAN JUAN, PR 0096 (787)6-000 (City or Town, State and Zip Code) (Area Code) (Telephone Number) Internet Website Address Statutory Statement Contact Ms. Michelle Giraldi (787)6-7 (Name) (Area Code)(Telephone Number)(Extension) giraldim@ascpr.biz (787)6- ( Address) (Fax Number) OFFICERS Name Jose L. Blanco Juan A. Terrassa Lcdo. Roberto Castro Title President President of the Board of Directors Secretary Lcdo. Eduardo R. Emanuelli, Assistant Secretary OTHERS Monique Miranda, Vice-President DIRECTORS OR TRUSTEES Universal Insurance Co. Eduardo R Emanuelli-Rep. of the Public Interest Angel M Cintrón-Rep. of the Public Interest State of County of Puerto Rico San Juan Triple S Propiedad Juan A Terrassa-Rep. of the Pubic Interest Cooperativa de Seguros Múltiples ss The officers of this reporting entity being duly sworn, each depose and say that they are the described officers of the said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: () state law may differ; or, () that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed statement. The electronic filing may be requested by various regulators in lieu of or in addition to the enclosed statement. (Signature) (Signature) (Signature) Jose L. Blanco Lcdo. Roberto Castro Juan A. Terrassa (Printed Name). (Printed Name). (Printed Name). President Secretary President of the Board of Directors (Title) (Title) (Title) Subscribed and sworn to before me this day of, 0 (Notary Public Signature) a. Is this an original filing? b. If no,. State the amendment number. Date filed. Number of pages attached Yes[X] No[ ]

3 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION ASSETS.. Bonds (Schedule D) Stocks (Schedule D). Preferred stocks Common Stocks Mortgage loans on real estate (Schedule B):. First liens Other than first liens Real estate (Schedule A):. Properties occupied by the company (less $0 encumbrances) Properties held for the production of income (less $0 encumbrances) Properties held for sale (less $0 encumbrances) Cash ($,8,6 Schedule E Part ), cash equivalents ($ Schedule E Part ) and short-term investments ($.,7,8 Schedule DA) Contract loans (including $0 premium notes) Derivatives (Schedule DB) Other invested assets (Schedule BA) Receivables for securities Securities Lending Reinvested Collateral Assets (Schedule DL) Aggregate write-ins for invested assets Subtotals, cash and invested assets (Lines to ) Title plants less $0 charged off (for Title insurers only) Investment income due and accrued Premiums and considerations:. Uncollected premiums and agents' balances in the course of collection Deferred premiums, agents' balances and installments booked but deferred and not yet due (Including $0 earned but unbilled premiums) Accrued retrospective premiums Reinsurance: 6. s recoverable from reinsurers Funds held by or deposited with reinsured companies Other amounts receivable under reinsurance contracts s receivable relating to uninsured plans Current federal and foreign income tax recoverable and interest thereon Net deferred tax asset Guaranty funds receivable or on deposit Electronic data processing equipment and software Furniture and equipment, including health care delivery assets ($0) Net adjustment in assets and liabilities due to foreign exchange rates Receivables from parent, subsidiaries and affiliates Health care ($0) and other amounts receivable Aggregate write-ins for other than invested assets Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines to ) From Separate Accounts, Segregated Accounts and Protected Cell Accounts Total (Lines 6 and 7) DETAILS OF WRITE-INS Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) Other Assets Remittance Account Receivable and Other A/R Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) Current Year Prior Year Assets ,9,0 Net Admitted Assets (Cols.-) ,9,0 7,6,67 8,090,8 Nonadmitted Assets 7,6,67 8,090,8 Net Admitted Assets ,08,7,09,8... 8,66,..,7,8,70,0 8,66,,7,8,0,08. 07,,6.,0, , , , , , , , , , ,7,777.,7,089. 6,7,7.,8, ,7,7.,8,76 7,8,688 9,7,8. 9,7,8.. 6,07,66 7,606,809. 7,606,809,, ,96...,,9 7,6,8 8,7,777..,7, ,8,688 7,8, ,07,66 6,07,66

4 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION LIABILITIES, SURPLUS AND OTHER FUNDS Current Year,90,07 Prior Year. Losses (Part A, Line, Column 8) Reinsurance payable on paid losses and loss adjustment expenses (Schedule F, Part, Column 6) Loss adjustment expenses (Part A, Line, Column 9) Commissions payable, contingent commissions and other similar charges Other expenses (excluding taxes, licenses and fees) Taxes, licenses and fees (excluding federal and foreign income taxes) Current federal and foreign income taxes (including $0 on realized capital gains (losses)) , Net deferred tax liability Borrowed money $0 and interest thereon $ Unearned premiums (Part A, Line 8, Column ) (after deducting unearned premiums for ceded reinsurance of,00,000,8,79,909,87.,00,000.,79,88,7,676 $0 and including warranty reserves of $0 and accrued accident and health experience rating refunds including $0 for medical loss ratio rebate per the Public Health Service Act) ,0,7 0. Advance premiums Dividends declared and unpaid:. 0,0,6. Stockholders Policyholders Ceded reinsurance premiums payable (net of ceding commissions) Funds held by company under reinsurance treaties (Schedule F, Part, Column 9) s withheld or retained by company for account of others Remittances and items not allocated Provision for reinsurance (Schedule F, Part 7) Net adjustments in assets and liabilities due to foreign exchange rates Drafts outstanding Payable to parent, subsidiaries and affiliates Derivatives Payable for securities Payable for securities lending Liability for amounts held under uninsured plans Capital notes $0 and interest thereon $ Aggregate write-ins for liabilities TOTAL Liabilities excluding protected cell liabilities (Lines through ) Protected cell liabilities TOTAL Liabilities (Lines 6 and 7) ,00,87. 7,,70 9. Aggregate write-ins for special surplus funds ,0,.,6,7 0. Common capital stock Preferred capital stock Aggregate write-ins for other than special surplus funds Surplus notes Gross paid in and contributed surplus Unassigned funds (surplus) Less treasury stock, at cost: 7. 8,0,79 6,80,6,089,8 88,00,87 9,69,88 7,08,...,9,96,07,06 7,,70. 9,60, shares common (value included in Line 0 $0) shares preferred (value included in Line $0) Surplus as regards policyholders (Lines 9 to, minus 6) (Page, Line 9) ,76,969.,07,0 8. TOTALS (Page, Line 8, Column ) DETAILS OF WRITE-INS 0. Uncollected Checks Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) Rule LXX Reserve Summary of remaining write-ins for Line 9 from overflow page TOTALS (Lines 90 through 90 plus 998) (Line 9 above) Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) ,7,8. 7,606,809.,089,8.,07,06,089,8 6,0,,07,06,6, ,0,.,6,7

5 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION STATEMENT OF INCOME UNDERWRITING INCOME. Premiums earned (Part, Line, Column ) DEDUCTIONS. Losses incurred (Part, Line, Column 7) Loss adjustment expenses incurred (Part, Line, Column ) Other underwriting expenses incurred (Part, Line, Column ) Aggregate write-ins for underwriting deductions TOTAL Underwriting Deductions (Lines through ) Net income of protected cells Net underwriting gain or (loss) (Line minus Line 6 plus Line 7) INVESTMENT INCOME 9. Net investment income earned (Exhibit of Net Investment Income, Line 7) Net realized capital gains (losses) less capital gains tax of $0 (Exhibit of Capital Gains (Losses)) Net investment gain or (loss) (Lines 9 + 0) OTHER INCOME. Net gain or (loss) from agents' or premium balances charged off (amount recovered $0 amount charged off $0) Finance and service charges not included in premiums Aggregate write-ins for miscellaneous income TOTAL Other Income (Lines through ) Net income before dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Lines ) Dividends to policyholders Net income, after dividends to policyholders, after capital gains tax and before all other federal and foreign income taxes (Line 6 minus Line 7) Federal and foreign income taxes incurred Net income (Line 8 minus Line 9) (to Line ) CAPITAL AND SURPLUS ACCOUNT. Surplus as regards policyholders, December prior year (Page, Line 9, Column ) Net income (from Line 0) Net transfers (to) from Protected Cell accounts Change in net unrealized capital gains or (losses) less capital gains tax of $ Change in net unrealized foreign exchange capital gain (loss) Change in net deferred income tax Change in nonadmitted assets (Exhibit of Nonadmitted Assets Line 8, Column ) Change in provision for reinsurance (Page, Line 6, Column minus Column ) Change in surplus notes Surplus (contributed to) withdrawn from protected cells Cumulative effect of changes in accounting principles Capital changes:. Paid in Transferred from surplus (Stock Dividend) Transferred to surplus Surplus adjustments:. Paid in Transferred to capital (Stock Dividend) Transferred from capital Net remittances from or (to) Home Office Dividends to stockholders Change in treasury stock (Page, Line 6. and 6., Column minus Column ) Aggregate write-ins for gains and losses in surplus Change in surplus as regards policyholders for the year (Lines through 7) Surplus as regards policyholders, December current year (Line plus Line 8) (Page, Line 7) DETAILS OF WRITE-INS Summary of remaining write-ins for Line from overflow page TOTALS (Lines 00 through 00 plus 098) (Line above) Net Gain or (Loss) on Sale of Equipment Other Income Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) Summary of remaining write-ins for Line 7 from overflow page TOTALS (Lines 70 through 70 plus 798) (Lines 7 above) Current Year Prior Year 9,896,760..,8,99,9, ,09,9... 7,7,66 9,8,96,076,9,7, ,7,76 9,,8. 6,7,096,69,8 6,, ,08, (0) (0),807,00,09,,6,9,0, ,76,607.. (6) (6) 7,69,,807,00,996, ,80,60.,07,0,80,60 (,,87) 7,69,,9, ,6,9,6,87,6, , (80,8),8,8 (,,8),8,8. (9,60,98). (0,8,) 9,6,86 7,76,969 6,98,78,07,0... (0). (6). (0). (6)

6 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION CASH FLOW Current Year Prior Year Cash from Operations. Premiums collected net of reinsurance ,8,. Net investment income Miscellaneous income Total (Lines through ) ,00,8. 0,77,77. Benefit and loss related payments ,,0.,68,90 6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts Commissions, expenses paid and aggregate write-ins for deductions Dividends paid to policyholders Federal and foreign income taxes paid (recovered) net of $0 tax on capital gains (losses) Total (Lines through 9) Net cash from operations (Line minus Line 0) ,68,8 (0),087,97,0,00 60,7,97,86, 90,,89.,,09. (6),6,0 0,0,68 7,70,6. 8,06,8 Cash from Investments.. Proceeds from investments sold, matured or repaid:. Bonds ,,. Stocks Mortgage loans Real estate Other invested assets Net gains or (losses) on cash, cash equivalents and short-term investments Miscellaneous proceeds Total investment proceeds (Lines. to.7) ,70,87. 00,6,6 0,9,60. 0,,06,769,9,88,679 7,08,79. 0,69,9.,8,8 Cost of investments acquired (long-term only):. Bonds Stocks Mortgage loans Real estate Other invested assets Miscellaneous applications Total investments acquired (Lines. to.6) ,6,87,6,. Net increase (decrease) in contract loans and premium notes Net cash from investments (Line.8 minus Line.7 minus Line ) (,8,9),90,7 6,,798.. (6,88,7) Cash from Financing and Miscellaneous Sources Cash provided (applied): 6. Surplus notes, capital notes Capital and paid in surplus, less treasury stock Borrowed funds Net deposits on deposit-type contracts and other insurance liabilities Dividends to stockholders ,8, 6.6 Other cash provided (applied) , ,6,8 Net cash from financing and miscellaneous sources (Lines 6. to 6. minus Line 6. plus Line 6.6) ,60,98 (8,98,6) 8,8,,99, (7,6,7) RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS 8. Net change in cash, cash equivalents and short-term investments (Line, plus Lines and 7) Cash, cash equivalents and short-term investments: 9. Beginning of year ,09,8 0,77,09 9. End of year (Line 8 plus Line 9.) ,090,8,09,8 Note: Supplemental Disclosures of Cash Flow Information for Non-Cash Transactions: 0.000

7 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION UNDERWRITING AND INVESTMENT EXHIBIT PART - PREMIUMS EARNED Net Premiums Written Per Column 6, Part B Line of Business Unearned Unearned Premiums Premiums Dec. Prior Year Dec. per Column, Current Year - per Last Year's Part Column, Part A Premiums Earned During Year (Columns + - ). Fire Allied lines Farmowners multiple peril Homeowners multiple peril Commercial multiple peril Mortgage guaranty Ocean marine Inland marine Financial guaranty Medical professional liability - occurrence Medical professional liability - claims-made Earthquake Group accident and health Credit accident and health (group and individual) Other accident and health Workers' compensation Other liability - occurrence Other liability - claims-made Excess Workers' Compensation Products liability - occurrence Products liability - claims-made Private passenger auto liability Commercial auto liability Auto physical damage Aircraft (all perils) Fidelity Surety Burglary and theft Boiler and machinery Credit International Warranty Reinsurance-Nonproportional Assumed Property Reinsurance-Nonproportional Assumed Liability Reinsurance-Nonproportional Assumed Financial Lines Aggregate write-ins for other lines of business ,8,. 0,0,6. 0,0,7. 9,896,760. TOTALS DETAILS OF WRITE-INS 0. Compulsory Vehicle Liabilty Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) ,8,. 0,0,6. 0,0,7. 9,896,760. 9,8,. 0,0,6. 0,0,7. 9,896, ,8,. 0,0,6. 0,0,7. 9,896,760

8 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION UNDERWRITING AND INVESTMENT EXHIBIT PART A - RECAPITULATION OF ALL PREMIUMS Line of Business Unearned Unearned (Running One (Running More Year or Less Than One Year From Date From Date of Policy) of Policy) (a) (a) Earned But Unbilled Premium Reserve for Rate Credits and Retrospective Adjustments Based on Experience Total Reserve For Unearned Premiums Columns +++. Fire Allied lines Farmowners multiple peril Homeowners multiple peril Commercial multiple peril Mortgage guaranty Ocean marine Inland marine Financial guaranty Medical professional liability - occurrence Medical professional liability - claims-made Earthquake Group accident and health Credit accident and health (group and individual) Other accident and health Workers' compensation Other liability - occurrence Other liability - claims-made Excess Workers' Compensation Products liability - occurrence Products liability - claims-made Private passenger auto liability Commercial auto liability Auto physical damage Aircraft (all perils) Fidelity Surety Burglary and theft Boiler and machinery Credit International Warranty Reinsurance-Nonproportional Assumed Property Reinsurance-Nonproportional Assumed Liability Reinsurance-Nonproportional Assumed Financial Lines Aggregate write-ins for other lines of business ,0, ,0,7. TOTALS ,0, ,0,7 6. Accrued retrospective premiums based on experience Earned but unbilled premiums Balance (Line through Line 7) DETAILS OF WRITE-INS 0. Compulsory Vehicle Liability ,0, Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) ,0, (a) State here basis of computation used in each case: Monthly 7. 0,0,7. 0,0, ,0,7

9 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION UNDERWRITING AND INVESTMENT EXHIBIT PART B - PREMIUMS WRITTEN Line of Business Reinsurance Assumed Reinsurance Ceded Direct Business (a) From Affiliates From Non-Affiliates To Affiliates To Non-Affiliates 6 Net Premiums Written Columns Fire Allied lines Farmowners multiple peril Homeowners multiple peril Commercial multiple peril Mortgage guaranty Ocean marine Inland marine Financial guaranty Medical professional liability claims-made Earthquake Group accident and health Credit accident and health (group and individual) Other accident and health Workers' compensation Other liability - occurrence Other liability - claims-made Excess Workers' Compensation Products liability - occurrence Products liability - claims-made Private passenger auto occurrence Medical professional liability - liability Commercial auto liability Auto physical damage Aircraft (all perils) Fidelity Surety Burglary and theft Boiler and machinery Credit International Warranty Reinsurance-Nonproportional. X X X X X X X X X ,8, ,8, Assumed Property Reinsurance-Nonproportional Assumed Liability Reinsurance-Nonproportional Assumed Financial Lines Aggregate write-ins for other lines of business TOTALS ,8, ,8, DETAILS OF WRITE-INS 0. Compulsory Vehicle Liabity ,8, ,8, Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) ,8, ,8, (a) Does the company's direct premiums written include premiums recorded on an installment basis? Yes[ ] No[X] If yes, () The amount of such installment premiums $0. () at which such installment premiums would have been reported had they been recorded on an annualized basis $0 8

10 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION UNDERWRITING AND INVESTMENT EXHIBIT PART - LOSSES PAID AND INCURRED Net Losses Unpaid Current Year (Part A, Column 8) 6 Net Losses Unpaid Prior Year 7 Losses Incurred Current Year (Columns + - 6) 8 Percentage of Losses Incurred (Column 7, Part ) to Premiums Earned (Column, Part ) Direct Business Reinsurance Assumed Reinsurance Recovered Net Payments (Columns + - ) X X X.. X X X.. X X X ,, ,, ,, ,, Line of Business Losses Paid Less Salvage Fire Allied lines Farmowners multiple peril Homeowners multiple peril Commercial multiple peril Mortgage guaranty Ocean marine Inland marine Financial guaranty Medical professional liability - occurrence Medical professional liability - claims-made Earthquake Group accident and health Credit accident and health (group and individual) Other accident and health Workers' compensation Other liability - occurrence Other liability - claims-made Excess Workers' Compensation Products liability - occurrence Products liability - claims made Private passenger auto liability Commercial auto liability Auto physical damage Aircraft (all perils) Fidelity Surety Burglary and theft Boiler and machinery Credit International Warranty Reinsurance-Nonproportional Assumed Property Reinsurance-Nonproportional Assumed Liability Reinsurance-Nonproportional Assumed Financial Lines Aggregate write-ins for other lines of business TOTALS ,, ,90,07,90, ,8, ,909,87,909, ,8, ,90,07.,909, ,8, DETAILS OF WRITE-INS Compulsory Vehicle Liability ,, ,, ,, Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above),90,07.,909, ,8,

11 ANNUAL STATEMENT FOR THE YEAR 0 OF THE ASOCIACION UNDERWRITING AND INVESTMENT EXHIBIT PART A - UNPAID LOSSES AND LOSS ADJUSTMENT EXPENSES Reported Losses 0 Fire Allied Lines Farmowners multiple peril Homeowners multiple peril Commercial multiple peril Mortgage guaranty Ocean marine Inland marine Financial guaranty Medical professional liability - occurrence Medical professional liability - claims-made Earthquake Group accident & health Credit accident & health (group & individual) Other accident & health Workers' compensation Other liability - occurrence Other liability - claims-made Excess Workers' Compensation Products liability - occurrence Products liability - claims-made Private passenger auto liability Commercial auto liability Auto physical damage Aircraft (all perils) Fidelity Surety Burglary and theft Boiler and machinery Credit International Warranty Reinsurance-Nonproportional Assumed Property Reinsurance-Nonproportional Assumed Liability Reinsurance-Nonproportional Assumed Financial Lines Aggregate write-ins for other lines of business TOTALS Deduct Reinsurance Net Losses Recoverable from Excluding Authorized and Incurred But Not Unauthorized Reported Companies (Columns + - ) Incurred But Not Reported Net Unpaid Loss Adjustment Expenses 7 Direct Reinsurance Assumed Reinsurance Ceded Net Losses Unpaid (Columns ) (a) (a) X X X.. X X X.. X X X ,60, ,60,07. X X X.. X X X.. X X X ,60, ,80, ,60, ,80,000 Direct Reinsurance Assumed Line of Business ,90,07,90,07,00,000,00,000,90,07,00,000 DETAILS OF WRITE-INS 0. Compulsory Vehicle Liability Summary of remaining write-ins for Line from overflow page TOTALS (Lines 0 through 0 plus 98) (Line above) (a) Including $0 for present value of life indemnity claims.,60,07. 9,80,000.,60,07. 9,80,000...,60,07,60,07..,90,07,00,000