ACCOUNTING SUMMARY Sample Clauses

ACCOUNTING SUMMARY. 44 EXHIBIT G - APPLICATION FOR FACULTATIVE REINSURANCE...........................45 EXHIBIT H - ALLOCATION RULES FOR PLACEMENT OF FACULTATIVE CASES...............46

ACCOUNTING SUMMARY. =================================================================================== Premiums Commissions ----------------------------------------------------- Net Due Category First Year Renewal Year First Year Renewal Year Other* MARC ----------------------------------------------------------------------------------- Life ----------------------------------------------------------------------------------- WP ----------------------------------------------------------------------------------- ADB ----------------------------------------------------------------------------------- ----------------------------------------------------------------------------------- Total =================================================================================== * If more than one category is included (e.g., surrender benefits, dividends), please show details on the reverse side of this form. RADF61 NOVATION AGREEMENT This Novation Agreement is made effective as of January 1, 2002 among Munich American Reassurance Company of Atlanta, Georgia (hereafter referred to as "MARC"), GE Capital Life Assurance Company of New York (hereafter referred to as the "Ceding Company") and Continental Assurance Company of Chicago, Illinois (hereafter referred to as "Continental").

ACCOUNTING SUMMARY. The Reinsurer requires the Ceding Company to send summary accounting information similar to the following example with each statement: Total Base $ 2,300.00 0.00 $ 2,300.00 Cash Value 0.00 ADB 100.00 0.00 100.00 Benefits/Claims 0.00 Waiver 100.00 0.00 100.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $ 2,500.00 0.00 $ 2,500.00 Net Premium $ 2,500.00 $ 2,500.00 Total Base $ 25,000.00 0.00 $ 25,000.00 Cash Value 0.00 ADB 1,000.00 0.00 1,000.00 Benefits/Claims 0.00 Waiver 1,500.00 0.00 1,500.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $ 27,500.00 0.00 $ 27,500.00 Net Premium $ 27,500.00 $ 27,500.00 First Year & Renewal Base $ 27,300.00 0.00 $ 27,300.00 Cash Value 0.00 ADB 1,100.00 0.00 1,100.00 Benefits/Claims 0.00 Waiver 1,600.00 0.00 1,600.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $ 30,000.00 0.00 $ 30,000.00 Net Premium $ 30,000.00 $ 30,000.00 (460, C01) 1▇▇▇▇-▇▇-▇▇ 52 12/14/2017 CEDING COMPANY FACSIMILE NUMBER UNDERWRITER E-MAIL TELEPHONE NUMBER BY DATE PROPOSED INSURED (LAST NAME) (FIRST) (MIDDLE) DATE OF BIRTH AGE SEX STATE OF BIRTH STATE OF RESIDENCE OCCUPATION ☐ M ☐ F BASIS ☐ AUTOMATIC NUMBER OF PAGES ☐ NEAREST BIRTHDAY ☐ YRT ☐ FACULTATIVE ☐ LAST BIRTHDAY ☐ CO-INS LIFE WAIVER ADB REQUIREMENTS PREVIOUS IN FORCE ATTACHED OUTSTANDING RETENTION APP ☐ ☐ CURRENT APPLICATION EXAM ☐ ☐ PROPOSED RETENTION ECG ☐ ☐ REPLACEMENT? XRAY ☐ ☐ REINSURANCE APPLIED FOR BLOOD ☐ ☐ RATING PROF HIV ☐ ☐ YES NO HOS ☐ ☐ DOES APPLICATION REPRESENT EXERCISE OF A GUARANTEED INSURABILITY OPTION OR ANY OTHER SPECIAL BENEFIT? ORAL FLUID ☐ ☐ WILL POLICY CONTAIN AN AVIATION EXCLUSION PROVISION? APS ☐ ☐ IS REINSURANCE BEING SUBMITTED ELSEWHERE? DR: IF YES, WHERE: IN EXCESS OF JUMBO? SMOKING/TOBACCO STATUS APS ☐ ☐ ☐ NO TOBACCO ☐ NONSMOKER DR: ☐ TOBACCO ☐ SMOKER APS ☐ ☐ REMARKS DR: REFER TO INSP/PHI ☐ ☐ KEEP TOGETHER WITH ☐JOINT LIFE ☐ GROUP/BUSINESS/FAMILY NAME DATE OF BIRTH RELATIONSHIP BBIR FINANCIAL ☐ ☐ ☐ ☐ PLEASE INDICATE REASON SUBMITTED AND CODES YOUR COMPANY IS REPORTING TO MIB (460, C01) 1▇▇▇▇-▇▇-▇▇ 53 12/14/2017 The Ceding Company will place the case with the reinsurer having the first in best offer. (460, C01) 1▇▇▇▇-▇▇-▇▇ 54 12/14/2017 The Ceding Company’s High Net Worth Foreign National Program is a formal program under which business is solicited from non-U.S. citizens and non-permanent residents (i.e., non-Green Card holders) with temporary visas associated with residency in the Standard...

ACCOUNTING SUMMARY. The Reinsurer requires the Ceding Company to send summary accounting information similar to the following example with each statement: Net Premium Premiums Allowance Totals Total Due ----------------------------------------------------------------------------------------------------------------- First Year Base $2,300.00 0.00 $2,300.00 Cash Value 0.00 Total ADB 100.00 0.00 100.00 Benefits/Claims 0.00 Waiver 100.00 0.00 100.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $2,500.00 0.00 $2,500.00 Net Premium $2,500.00 $2,500.00 Renewal Total Base $25,000.00 0.00 $25,000.00 Cash Value 0.00 ADB 1,000.00 0.00 1,000.00 Benefits/Claims 0.00 Waiver 1,500.00 0.00 1,500.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $27,500.00 0.00 $27,500.00 Net Premium $27,500.00 $27,500.00 First Year & Renewal Base $27,300.00 0.00 $27,300.00 Cash Value 0.00 ADB 1,100.00 0.00 1,100.00 Benefits/Claims 0.00 Waiver 1,600.00 0.00 1,600.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $30,000.00 0.00 $30,000.00 Net Premium $30,000.00 $30,000.00 ----------------------------------------------------------------------------------------------------------------- EXHIBIT G - APPLICATION FOR FACULTATIVE REINSURANCE ________________________________________________________________________________ CEDING COMPANY FACSIMILE NUMBER ________________________________________________________________________________ UNDERWRITER E-MAIL TELEPHONE NUMBER ________________________________________________________________________________ BY DATE ________________________________________________________________________________ PROPOSED INSURED (LAST NAME) (FIRST) (MIDDLE) DATE OF BIRTH AGE ________________________________________________________________________________ SEX STATE OF BIRTH STATE OF RESIDENCE OCCUPATION |_| M |_| F ________________________________________________________________________________ BASIS |_| AUTOMATIC NUMBER OF PAGES |_| NEAREST BIRTHDAY |_| YRT |_| FACULTATIVE |_| LAST BIRTHDAY |_| CO-INS ________________________________________________________________________________ __________________________________________________ LIFE WAIVER ADB ________________________________________________________________________________ PREVIOUS IN FORCE ________________________________________________________________________________ RETENTION ________________________________________________________________________________ CURRENT A...

ACCOUNTING SUMMARY. A summary of all financial transactions during the reporting period. Distinctions shall be made for first year and renewal activities, basic life versus supplemental benefits and any adjustments affecting the billing. Policy Exhibit Summary. A policy exhibit substantially similar to the attached form providing in force reinsurance totals at the beginning and ending of the reporting period and a summary of all Policy movements during the period. The Reinsurer reserves the right to request additional information or change the reporting requirements in order to properly administer the business under this Agreement or support the preparation of its financial statements, at any time. Such a request from the Reinsurer for additional information or a change in the requirements shall be reasonable and in a manner that allows the Company reasonable time to comply or the parties may mutually agree upon alternate reporting to satisfy the preparation of the Reinsurer’s financial statements.

ACCOUNTING SUMMARY. A summary of all financial transactions during the reporting period. Distinctions shall be made for first year and renewal activities, basic life versus supplemental benefits and any adjustments affecting the billing. Policy Exhibit Summary. A policy exhibit substantially similar to the attached form providing in force reinsurance totals at the beginning and ending of the reporting period and a summary of all Policy movements during the period. The Reinsurer reserves the right to request additional information or change the reporting requirements in order to properly administer the business under this Agreement or support the preparation of its financial statements, at any time. Such a request from the Reinsurer for additional information or a change in the requirements shall be reasonable and in a manner that allows the Company reasonable time to comply or the parties may mutually agree upon alternate reporting to satisfy the preparation of the Reinsurer’s financial statements Quarterly Accounting Reports All reports and settlements described herein shall be calculated on a quarterly accounting period, except for the Special Termination Settlement as described in Exhibit C, “Special Termination Settlement”. Accounting reports shall be submitted to the Reinsurer by the Company not later than forty-five (45) calendar days after the end of each calendar quarter. Such reports shall include seriatim Policy information as specified in the Quarterly Cash Flow Settlement section below for the then current calendar quarter. For purposes of this Agreement, the following terms shall apply: • Whenever the term “the then current accounting period” is used herein it shall mean the calendar quarter for which the reports described herein are being prepared and not the calendar quarter in which the actual preparation of the report occurs. • Whenever the term “beginning or opening” accounting period is used herein it shall be the first day of such then current accounting period or, for the first accounting period, the effective date of this Agreement. • Opening or beginning reserves shall mean the reserve as of the end of the immediately preceding calendar quarter. • Whenever, the term “ending or closing” accounting period is used herein it shall mean the last day of the then current calendar quarter or, in the event of the final quarter, the date of expiration or termination of this Agreement. Quarterly Cash Flow Settlements Quarterly cash flow settlements shall be determ...

ACCOUNTING SUMMARY. Premiums Commissions Net Due First Year Renewal Year First Year Renewal Year MARC Category Other* Life WP ADB Total * If more than one category is included (e.g., surrender benefits, dividends), please show details on the reverse side of this form. RADF61

ACCOUNTING SUMMARY. The Reinsurer requires the Ceding Company to send summary accounting information similar to the following example with each statement: First Year Total Base $ 2,300.00 0.00 $ 2,300.00 Cash Value 0.00 ADB 100.00 0.00 100.00 Benefits/Claims 0.00 waiver 100.00 0.00 100.00 Policy Fee 0.00 other 100.00 0.00 100.00 Dividend 0.00 Prem Tax 0.00 Total $ 2,500 00 0.00 $ 2,500 00 Net Premium $ 2,500 00 $ 2,500 00 Renewal Base $ 25,000 00 0.00 $ 25,000 00 Cash Value 0.00 ADB 1,000.00 0.00 1,000.00 Benefits/Clalms 0.00 Waiver 1,500.00 0.00 1,500.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $ 27,500.00 0.00 $ 27,500.00 Net Premium $ 27,500.00 $ 27,500.00 First Year & Renewal Base $ 27,300.00 0.00 $ 27,300.00 Cash Value 0.00 ADB 1,100.00 0.00 1,100.00 Benefits/Clalms 0.00 Waiver 1,600.00 0.00 1,600.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $ 30,000.00 0.00 $ 30,000.00 Net Premium $ 30,000.00 $ 30,000.00 NOTICE: If you receive payment of accelerated benefits under this rider, you may lose your right to receive certain public funds, such as Medicare, Social Security, Supplemental Security, Supplemental Security Income (SSI) and possibly others. Also, receiving accelerated benefits under this rider may have tax consequences for you. We cannot give you advice about this. You may wish to obtain advice from a qualified tax advisor, accountant, or attorney before adding this benefit and before receiving accelerated benefits under this rider. Benefits paid under this rider will reduce benefits payable under the Policy.

ACCOUNTING SUMMARY. The Reinsurer requires the Ceding Company to send summary accounting information similar to the following example with each statement: First Year Total Base $ 2,300.00 0.00 $ 2,300.00 Cash Value 0.00 ADB 100.00 0.00 100.00 Benefits/Claims 0.00 Waiver 100.00 0.00 100.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $ 2,500.00 0.00 $ 2,500.00 Net Premium $ 2,500.00 $ 2,500.00 Renewal Total Base $ 25,000.00 0.00 $ 25,000.00 Cash Value 0.00 ADB 1,000.00 0.00 1,000.00 Benefits/Claims 0.00 Waiver 1,500.00 0.00 1,500.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $ 27,500.00 0.00 $ 27,500.00 Net Premium $ 27,500.00 $ 27,500.00 First Year & Renewal Base $ 27,300.00 0.00 $ 27,300.00 Cash Value 0.00 ADB 1,100.00 0.00 1,100.00 Benefits/Claims 0.00 Waiver 1,600.00 0.00 1,600.00 Policy Fee 0.00 Other 0.00 0.00 0.00 Dividend 0.00 Prem Tax 0.00 Total $ 30,000.00 0.00 $ 30,000.00 Net Premium $ 30,000.00 $ 30,000.00 To: (Reinsurance Company) Date: Name of Proposed Insured o Male o Female First Middle Last Birth date Birthplace State of Residence Height Weight B.P. / Pulse / / / Plan Description Beneficiary Relationship Nicotine o Yes o No Adverse data on avocation, occupation, travel, habits, finances? o Yes o No Previous in force other companies Previous in force FNWL Previous retained by FNWL Previous rating, if substandard Insurance now applied for Amount / % FNWL will retain Rating, if substandard Application Medical