05 SRA Exhibit 18b

MPCI Expense Exhibit

Exhibit 18B

Name of Reinsured Company: __________________________
Period covered: Year ending December 31, _______
Allocation to Expense Groups
($000 omitted)
Operating Expense Classifications

Other Underwriting Expenses
2
3
4
Acquisition, Field
General
Taxes,
Supervision and
Expenses
Licenses
Collection Expense
and Fees

1
Loss
Adjustment
Expense

5
Investment
Expenses

6
Total
Expenses

1. Claims adjustment services

0

1.1. Direct
1.2. Reinsurance Assumed
1.3. Reinsurance ceded
1.4. Net claim adjustment services

0

0

0

0

0

0

(Lines 1.1+1.2-1.3)
2. Commission and brokerage

0

2.1. Direct excluding contingent
2.2. Reinsurance assumed excluding contingent
2.3. Reinsurance ceded excluding contingent
2.4. Contingent - direct
2.5. Contingent - reinsurance assumed
2.6. Contingent - reinsurance ceded
2.7. Policy and membership fees
2.8. Net commission and brokerage

0

0

0

0

0

0
0

(Lines 2.1+2.2-2.3+2.4+2.5-2.6+2.7)

0
0
0
0
0

3. Allowances to managers and agents
4. Advertising
5. Boards, bureaus and associations
6. Surveys and underwriting reports
7. Audit of assureds' records
8. Salary related items:

0
0
0
0
0
0
0
0
0
0
0

8.1. Salaries
8.2. Payroll taxes
9. Employee relations and welfare
10. Insurance
11. Directors' fees
12. Travel and travel items
13. Rent and rent items
14. Equipment
15. Cost or depreciation of EDP equipment and software
16. Printing and stationery
17. Postage, telephone and telegraph, exchange
and express
18. Legal and auditing
19. Total (Lines 3 to 18)

0

0

0

0

0

0
0

20. Taxes, licenses and fees:
20.1. State and local insurance taxes deducting
guaranty association credits of $

0

20.2. Insurance department licenses and fees
20.3. Gross guaranty association assessments

0

20.4. All other (excluding Federal & Foreign
income and real estate)
20.5. Total taxes, licenses and fees

0

0

0

0

0

0

(Lines 20.1+20.2+20.3+20.4)

0
0
0
0

21. Real estate expenses
22. Real estate taxes
23. Reimbursement by uninsured accident and health plans
24. Aggregate write-ins for Miscellaneous
Operating Expenses

25. TOTAL EXPENSES INCURRED
26. A&O Subsidy Received
27. Total Net Book Premium
28. Uncollectable Net Book Premium

0

0

0

0

0

0