OWM CZ groep Aanvullende verzekering Zorgverzekeraar U.A.
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1 OWM CZ groep Aanvullende verzekering Zorgverzekeraar U.A. Solvency and Financial Condition Report 2017 disclosure templates (Amount x 1.000)
2 Content of submission s Balance Sheet s Premiums, claims and expenses by line of business s Premiums, claims and expenses by country s Non - life Technical Provisions s Non-life Insurance Claims Information s Own funds s Solvency Capital Requirement - for undertakings on Standard Formula s Minimum Capital Requirement - Only life or only non-life insurance or reinsurance activity
3 s Balance Sheet Assets Intangible assets Deferred tax assets Pension benefit surplus Property, plant & equipment held for own use R0030 R0040 R0050 R0060 Solvency II value C0010 Investments (other than assets held for index-linked and unit-linked contracts) R Property (other than for own use) R Holdings in related undertakings, including participations R Equities R0100 Equities - listed R0110 Equities - unlisted R Bonds R0130 Government Bonds Corporate Bonds Structured notes Collateralised securities R0140 R0150 R0160 R0170 Collective Investments Undertakings R Derivatives R0190 Deposits other than cash equivalents R Other investments R0210 Assets held for index-linked and unit-linked contracts R0220 Loans and mortgages R Loans on policies R0240 Loans and mortgages to individuals R0250 Other loans and mortgages R Reinsurance recoverables from: R0270 Non-life and health similar to non-life Non-life excluding health Health similar to non-life Life and health similar to life, excluding health and index-linked and unit-linked Health similar to life Life excluding health and index-linked and unit-linked Life index-linked and unit-linked Deposits to cedants R0280 R0290 R0300 R0310 R0320 R0330 R0340 R0350 Insurance and intermediaries receivables R Reinsurance receivables R0370 Receivables (trade, not insurance) R Own shares (held directly) R0390 in R0400 Cash and cash equivalents R Any other assets, not elsewhere shown R Total assets R
4 s Balance Sheet Liabilities Solvency II value Technical provisions - non-life R Technical provisions - non-life (excluding health) R0520 TP calculated as a whole Best estimate Risk margin R0530 R0540 R0550 Technical provisions - health (similar to non-life) R TP calculated as a whole R Best estimate R Risk margin R TP - life (excluding index-linked and unit-linked) R0600 Technical provisions - health (similar to life) TP calculated as a whole Best estimate Risk margin R0610 R0620 R0630 R0640 TP - life (excluding health and index-linked and unit-linked) R0650 TP calculated as a whole R0660 Best estimate R0670 Risk margin R0680 TP - index-linked and unit-linked R0690 TP calculated as a whole R0700 Best estimate R0710 Risk margin R0720 Contingent liabilities R0740 Provisions other than technical provisions R Pension benefit obligations R0760 Deposits from reinsurers R0770 Deferred tax liabilities R0780 Derivatives R0790 Debts owed to credit institutions R0800 Financial liabilities other than debts owed to credit institutions R0810 Insurance & intermediaries payables R Reinsurance payables R0830 Payables (trade, not insurance) R Subordinated liabilities R0850 Subordinated liabilities not in BOF R0860 Subordinated liabilities in BOF R0870 Any other liabilities, not elsewhere shown R Total liabilities R Excess of assets over liabilities R
5 s Premiums, claims and expenses by line of business Medical expense insurance Total C0010 C0200 Premiums written Gross - Direct Business R Gross - Proportional reinsurance accepted R Gross - Non-proportional reinsurance accepted R Reinsurers' share R Net R Premiums earned Gross - Direct Business R Gross - Proportional reinsurance accepted R Gross - Non-proportional reinsurance accepted R Reinsurers' share R Net R Claims incurred Gross - Direct Business R Gross - Proportional reinsurance accepted R Gross - Non-proportional reinsurance accepted R Reinsurers' share R Net R Changes in other technical provisions Gross - Direct Business R Gross - Proportional reinsurance accepted R Gross - Non-proportional reinsurance accepted R Reinsurers' share R Net R Expenses incurred R Other expenses R1200 Total expenses R
6 s Premiums, claims and expenses by country R0010 Home Country C0010 C0080 Total Top 5 and home country C0070 C0140 Premium written Gross - Direct Business R Gross - Proportional reinsurance accepted R Gross - Non-proportional reinsurance accepted R Reinsurers' share R Net R Premium earned Gross - Direct Business R Gross - Proportional reinsurance accepted R Gross - Non-proportional reinsurance accepted R Reinsurers' share R Net R Claims incurred Gross - Direct Business R Gross - Proportional reinsurance accepted R Gross - Non-proportional reinsurance accepted R Reinsurers' share R Net R Changes in other technical provisions 0 Gross - Direct Business R Gross - Proportional reinsurance accepted R Gross - Non-proportional reinsurance accepted R Reinsurers' share R Net R Expenses incurred R Other expenses R1200 Total expenses R
7 s Non - life Technical Provisions Medical expense insurance C0020 Technical provisions calculated as a whole R Total Recoverables from reinsurance/spv and Finite Re after the adjustment for expected losses due to counterparty default associated to TP as a whole R Technical Provisions calculated as a sum of BE and RM Best estimate Premium provisions C0180 Gross - Total R Total recoverable from reinsurance/spv and Finite Re after the adjustment for expected losses due to counterparty default R Net Best Estimate of Premium Provisions R Claims provisions Gross - Total R Total recoverable from reinsurance/spv and Finite Re after the adjustment for expected losses due to counterparty default R Net Best Estimate of Claims Provisions R Total Best estimate - gross R Total Best estimate - net R Risk margin R Amount of the transitional on Technical Provisions TP as a whole R Best estimate R Risk margin R Technical provisions - total Total Non-Life obligations Technical provisions - total R Recoverable from reinsurance contract/spv and Finite Re after the adjustment for expected losses due to counterparty default - total R Technical provisions minus recoverables from reinsurance/spv and Finite Re- total R
8 s Non-life Insurance Claims Information Development year (absolute amount) & + In Current year Sum of years (cumulative) Gross Claims Paid (non-cumulative) C0010 C0020 C0030 C0040 C0050 C0060 C0070 C0080 C0090 C0100 C0110 C0170 C0180 Prior R R R0160 0,00 R R0170 0,00 R R0180 0,00 R R0190 0,00 R R ,00 R R ,00 R R ,00 R R ,00 R R ,00 R R ,00 R Total R Development year (absolute amount) & + Year end (discounted data) Gross undiscounted Best Estimate Claims Provisions C0200 C0210 C0220 C0230 C0240 C0250 C0260 C0270 C0280 C0290 C0300 C0360 Prior R0100 R R0160 R R0170 R R0180 R R0190 R R R R R R R R R R R R R Total R
9 s Own funds Tier 1 - Tier 1 - Total Tier 2 Tier 3 unrestricted restricted C0010 C0020 C0030 C0040 C0050 Basic own funds before deduction for participations in other financial sector as foreseen in article 68 of Delegated Regulation (EU) 2015/35 Ordinary share capital (gross of own shares) R0010 Share premium account related to ordinary share capital R0030 Initial funds, members' contributions or the equivalent basic own - fund item for mutual and mutual-type undertakings R0040 Subordinated mutual member accounts R0050 Surplus funds R0070 Preference shares R0090 Share premium account related to preference shares R0110 Reconciliation reserve R Subordinated liabilities R0140 An amount equal to the value of net deferred tax assets R0160 Other own fund items approved by the supervisory authority as basic own funds not specified above Own funds from the financial statements that should not be represented by the reconciliation reserve and do not meet the criteria to be classified as Solvency II own funds R0180 Own funds from the financial statements that should not be represented by the reconciliation reserve and do not meet the criteria to be classified as Solvency II own funds Deductions Deductions for participations in financial and credit institutions Total basic own funds after deductions R R0220 R0230 Ancillary own funds Unpaid and uncalled ordinary share capital callable on demand R0300 Unpaid and uncalled initial funds, members' contributions or the equivalent basic own fund item for mutual and mutual - type undertakings, callable on demand R0310 Unpaid and uncalled preference shares callable on demand R0320 A legally binding commitment to subscribe and pay for subordinated liabilities on demand R0330 Letters of credit and guarantees under Article 96(2) of the Directive 2009/138/EC R0340 Letters of credit and guarantees other than under Article 96(2) of the Directive 2009/138/EC R0350 Supplementary members calls under first subparagraph of Article 96(3) of the Directive 2009/138/EC R0360 Supplementary members calls - other than under first subparagraph of Article 96(3) of the Directive 2009/138/EC R0370 Other ancillary own funds R0390 Total ancillary own funds R0400 Available and eligible own funds Total available own funds to meet the SCR R Total available own funds to meet the MCR R Total eligible own funds to meet the SCR R Total eligible own funds to meet the MCR R SCR R MCR R Ratio of Eligible own funds to SCR R % Ratio of Eligible own funds to MCR R % Reconciliation reserve C0060 Excess of assets over liabilities R Own shares (held directly and indirectly) Foreseeable dividends, distributions and charges Other basic own fund items Adjustment for restricted own fund items in respect of matching adjustment portfolios and ring fenced funds R0710 R0720 R0730 R0740 Reconciliation reserve R Expected profits Expected profits included in future premiums (EPIFP) - Life Business Expected profits included in future premiums (EPIFP) - Non- life business R0770 R0780 Total Expected profits included in future premiums (EPIFP) R0790
10 s Solvency Capital Requirement - for undertakings on Standard Formula Gross solvency capital requirement USP Simplifications C0110 C0090 C0120 Market risk R Counterparty default risk R Life underwriting risk R0030 Health underwriting risk R Non-life underwriting risk R0050 Diversification R Intangible asset risk R0070 Basic Solvency Capital Requirement R Calculation of Solvency Capital Requirement C0100 Operational risk R Loss-absorbing capacity of technical provisions R0140 Loss-absorbing capacity of deferred taxes R0150 Capital requirement for business operated in accordance with Art. 4 of Directive 2003/41/EC R0160 Solvency capital requirement excluding capital add-on R Capital add-on already set R Solvency capital requirement R Other information on SCR Capital requirement for duration-based equity risk sub-module R0400 Total amount of Notional Solvency Capital Requirements for remaining part R0410 Total amount of Notional Solvency Capital Requirements for ring fenced funds R0420 Total amount of Notional Solvency Capital Requirements for matching adjustment portfolios R0430 Diversification effects due to RFF nscr aggregation for article 304 R0440
11 s Minimum Capital Requirement - Only life or only non-life insurance or reinsurance activity Linear formula component for non-life insurance and reinsurance obligations Non-life activities MCR calculation Non Life Net (of reinsurance/spv) best estimate and TP calculated as a whole Net (of reinsurance) written premiums in the last 12 months C0020 C0030 Medical expense insurance and proportional reinsurance R Income protection insurance and proportional reinsurance R0030 Workers' compensation insurance and proportional reinsurance R0040 Motor vehicle liability insurance and proportional reinsurance R0050 Other motor insurance and proportional reinsurance R0060 Marine, aviation and transport insurance and proportional reinsurance R0070 Fire and other damage to property insurance and proportional reinsurance R0080 General liability insurance and proportional reinsurance R0090 Credit and suretyship insurance and proportional reinsurance R0100 Legal expenses insurance and proportional reinsurance R0110 Assistance and proportional reinsurance R0120 Miscellaneous financial loss insurance and proportional reinsurance R0130 Non-proportional health reinsurance R0140 Non-proportional casualty reinsurance R0150 Non-proportional marine, aviation and transport reinsurance R0160 Non-proportional property reinsurance R0170 Linear formula component for life insurance and reinsurance obligations Life activities MCR calculation Life Net (of reinsurance/spv) best estimate and TP calculated as a whole Net (of reinsurance/spv) total capital at risk Obligations with profit participation - guaranteed benefits Obligations with profit participation - future discretionary benefits Index-linked and unit-linked insurance obligations Other life (re)insurance and health (re)insurance obligations Total capital at risk for all life (re)insurance obligations R0210 R0220 R0230 R0240 R0250 C0050 C0060 Non-life activities C0010 MCRNL Result R MCRL Result R0200 Life activities C0040 Overall MCR calculation C0070 Linear MCR R SCR R MCR cap R MCR floor R Combined MCR R Absolute floor of the MCR R C0070 Minimum Capital Requirement R
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