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Annexure IV (All Forms).pdf
FORM NL-1-B-RA ( Revenue Account)
FORM NL-2-B-PL (Profit & Loss Account)
FORM NL-3-B-BS (Balance Sheet)
FORM NL-4-PREMIUM SCHEDULE
FORM NL-5-CLAIMS SCHEDULE
FORM NL-6-COMMISSION SCHEDULE
FORM NL-7-OPERATING EXPENSES SCHEDULE
FORM NL-8-SHARE CAPITAL SCHEDULE
FORM NL-9-PATTERN OF SHAREHOLDING SCHEDULE
FORM NL-10-RESERVE AND SURPLUS SCHEDULE
FORM NL-11-BORROWINGS SCHEDULE
FORM NL-12-INVESTMENT SCHEDULE
FORM NL-13-LOANS SCHEDULE
FORM NL-14-FIXED ASSETS SCHEDULE
FORM NL-15-CASH AND BANK BALANCE SCHEDULE
FORM NL-16-ADVANCES AND OTHER ASSETS SCHEDULE
FORM NL-17-CURRENT LIABILITIES SCHEDULE
FORM NL-18-PROVISIONS SCHEDULE
FORM NL-19-MISC EXPENDITURE SCHEDULE
FORM NL-20-ANALYTICAL RATIOS SCHEDULE
FORM NL-21-RELATED PARTY TRANSACTIONS SCHEDULE
FORM NL-23-SOLVENCY MARGIN - GI-TA
FORM NL-24-SOLVENCY MARGIN - GI-TR
FORM NL-25-SOLVENCY MARGIN - GI-SM-TABLE IA
FORM NL-26-SOLVENCY MARGIN - GI-SM-TABLE IB
FORM NL-27-PRODUCT INFORMATION
FORM NL-28-STATEMENT OF INVESTMENT ASSETS AND STATEMENT OF ACCRETION OF ASSETS
FORM NL-29-DEBT SECURITIES
FORM NL-30-NON PERFORMING ASSETS
FORM NL-31-STATEMENT OF INVESTMENT AND INCOME ON INVESTMENT
FORM NL-32-STATEMENT OF DOWN GRADED INVESTMENTS
FORM NL-33-REINSURANCE/RETROCESSION RISK CONCENTRATION
FORM NL-34-GEOGRAPHICAL DISTN OF BSNS
FORM NL-35-BSNS RETURNS ACROSS LOB
FORM NL-36-CHANNEL WISE PREMIUM
FORM NL-37-CLAIMS DATA
FORM NL-39-AGEING OF CLAIMS
FORM NL-41-OFFICE INFORMATION
FORM NL-42-KEY MANAGEMENT PERSONS
FORM NL-43-RURAL AND SOCIAL SECTOR OBLIGATIONS
FORM NL-44-MOTOR THIRD PARTY OBLIGATION
FORM NL-45-GRIEVANCE DISPOSAL
FORM NL-46-VOTING ACTIVITY DISCLOSURE UNDER STEWARDSHIP CODE
NL-1-B-RA ( Revenue Account)
NL-2-B-PL (Profit & Loss Account)
NL-3-B-BS (Balance Sheet)
NL-4-PREMIUM SCHEDULE
NL-5-CLAIMS SCHEDULE
NL-6-COMMISSION SCHEDULE
NL-7-OPERATING EXPENSES SCHEDULE
NL-8-SHARE CAPITAL SCHEDULE
NL-9-PATTERN OF SHAREHOLDING SCHEDULE
NL-10-RESERVE AND SURPLUS SCHEDULE
NL-11-BORROWINGS SCHEDULE
NL-12-INVESTMENT SCHEDULE
NL-13-LOANS SCHEDULE
NL-14-FIXED ASSETS SCHEDULE
NL-15-CASH AND BANK BALANCE SCHEDULE
NL-16-ADVANCES AND OTHER ASSETS SCHEDULE
NL-17-CURRENT LIABILITIES SCHEDULE
NL-18-PROVISIONS SCHEDULE
NL-19-MISC EXPENDITURE SCHEDULE
NL-20-ANALYTICAL RATIOS SCHEDULE
NL-21-RELATED PARTY TRANSACTIONS SCHEDULE
NL-23-SOLVENCY MARGIN - GI-TA
NL-24-SOLVENCY MARGIN - GI-TR
NL-25-SOLVENCY MARGIN - GI-SM-TABLE IA
NL-26-SOLVENCY MARGIN - GI-SM-TABLE IB
NL-27-PRODUCT INFORMATION
NL-28-STATEMENT OF INVESTMENT ASSETS AND STATEMENT OF ACCRETION OF ASSETS
NL-29-DEBT SECURITIES
NL-30-NON PERFORMING ASSETS
NL-31-STATEMENT OF INVESTMENT AND INCOME ON INVESTMENT
NL-32-STATEMENT OF DOWN GRADED INVESTMENTS
NL-33-REINSURANCE/RETROCESSION RISK CONCENTRATION
NL-34-GEOGRAPHICAL DISTN OF BSNS
NL-35-BSNS RETURNS ACROSS LOB
NL-36-CHANNEL WISE PREMIUM
NL-37-CLAIMS DATA
NL-39-AGEING OF CLAIMS
NL-41-OFFICE INFORMATION
NL-42-KEY MANAGEMENT PERSONS
NL-43-RURAL AND SOCIAL SECTOR OBLIGATIONS
NL-44-MOTOR THIRD PARTY OBLIGATION
NL-45-GRIEVANCE DISPOSAL
NL-46-VOTING ACTIVITY DISCLOSURE UNDER STEWARDSHIP CODE
Stewardship Activity - Q1
Stewardship Activity - Q2
Stewardship Activity - Q3
FORM NL-22-RECEIPTS AND PAYMENT SCHEDULE
FORM NL-38-DEVELOPMENT OF LOSSES (ANNUAL SUBMISSION)
FORM NL-40-UNDERWRITING PERFORMANCE
FORM NL-47-PROFILE & PERFORMANCE OF HEALTH INSURANCE, PERSONAL ACCIDENT AND TRAVEL INSURANCE PRODUCTS (ANNUAL SUBMISSION)
FORM NL-48-DISCLOSURES ON QUANTITATIVE AND QUALITATIVE PARAMETERS OF HEALTH SERVICES RENDERED (ANNUAL DISCLOSURE)
Annexure IV (All Forms)
FORM NL-1-B-RA (Revenue Account)
FORM NL-47 PROFILE & PERFORMANCE OF HEALTH INSURANCE, PERSONAL ACCIDENT AND TRAVEL INSURANCE PRODUCTS (ANNUAL SUBMISSION)
FORM NL-48 - DISCLOSURES ON QUANTITATIVE AND QUALITATIVE PARAMETERS OF HEALTH SERVICES RENDERED (ANNUAL DISCLOSURE)
Stewardship Activity - Q4
NL-48 - DISCLOSURES ON QUANTITATIVE AND QUALITATIVE PARAMETERS OF HEALTH SERVICES RENDERED (ANNUAL DISCLOSURE)
FORM NL-21-STATEMENT OF LIABILITIES
FORM NL-22-GEOGRAPHICAL DISTRIBUTION OF BUSINESS
FORM NL-23-REINSURANCE RISK CONCENTRATION
FORM NL-24-AGEING OF CLAIMS
FORM NL-25-CLAIMS DATA
FORM NL-26-CLAIMS INFORMATION
FORM NL-27-OFFICE OPENING
FORM NL-28-STATEMENT OF ASSETS
FORM NL-30-ANALYTICAL RATIOS
FORM NL-31-RELATED PARTY TRANSACTIONS
FORM NL-32-PRODUCTS INFORMATION
FORM NL-33-SOLVENCY MARGIN
FORM NL-34-BOD (Board of Directors & Management)
FORM NL-35-NPAs
FORM NL-36-YIELD ON INVESTMENT
FORM NL-37-DOWN GRADING OF INVESTMENTS
FORM NL-38-BSNS RETURNS ACROSS LOB (Quarterly Business Returns for different line of business (Premum amount and number of policies))
FORM NL-39-RURAL & SOCIAL OBLIGATIONS
FORM NL-40-CHANNEL WISE PREMIUM (Business Acquisition through different channels)
FORM NL-41-GRIEVANCE DISPOSAL
FORM NL-23 - SOLVENCY MARGIN - GI-TA
FORM NL-24 - SOLVENCY MARGIN - GI-TR
FORM NL-25 - SOLVENCY MARGIN - GI-SM-TABLE IA
FORM NL-26 - SOLVENCY MARGIN - GI-SM-TABLE IB
FORM NL-44 MOTOR THIRD PARTY OBLIGATION
FORM NL-47- PROFILE & PERFORMANCE OF HEALTH INSURANCE, PERSONAL ACCIDENT AND TRAVEL INSURANCE PRODUCTS (ANNUAL SUBMISSION)
FY 2021-22
Inhouse Health Claims Management
Health India Insurance TPA Services Private Limited
Vidal Health Insurance TPA Private Limited
Paramount Health Services & Insurance TPA Private Limited
Ericson Insurance TPA Private Limited
Family Health Plan Insurance TPA Limited
FORM NL-20-RECEIPTS AND PAYMENTS SCHEDULE (Applicable on Annual basis only)
FY 2020-21
Stewardship Activity
FORM NL-25-QUARTERLY CLAIMS DATA FOR NON-LIFE
Unclaimed Amount of Policyholder for Claims
Unclaimed Amount of Policyholder for Excess refund/deposit premium
Client wise details of unclaimed premium refund more than 6 Months.
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