2007 Annual Statement Forms and Instructions for Life Companies

Illinois Division of Insurance

Note: All documents on this page are in PDF format. Some may be unclear on screen, but will print correctly.

LIFE COMPANIES

• Life Annual Filing Checklist (4 pages)
• Notes for Life Annual Statements (4 pages)
• Form 141.3 - Management Contracts Supplement
• Investment Supplement - Catch-all
• Investment Supplement - Subsidiaries
• Segregation of Surplus Exhibit by Participating and Non-Participating Policies   Participating
• Segregation of Surplus Exhibit by Participating and Non-Participating Policies   Non-Participating
• Segregation of Gain and Loss Exhibit by Participating and Non-Participating
• Reserve Affidavit & 3-Year Reserve Comparison (5 pages)
• Policy In Force Instructions (PDF)
• Policy In Force Application (self-extracting Winzip file)
• Reminder Letter as a PDF file (December 4, 2007)

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