General Instructions
This form is required in order to determine and document each individual insurer’s amount to be submitted for the Federal Terrorism Policy Surcharge under the Terrorism Risk Insurance Act (TRIA). Affiliated insurers are not to be grouped together for this purpose. The form must be completed, certified by an officer of the insurer, and submitted to Treasury.
Insurers should maintain all worksheets and other documentation for the purposes of later auditing by the Terrorism Risk Insurance Program (Program). See 31 CFR Part 50 Subpart I for guidance.
The assessment period means a period established by Treasury, during which policyholders of commercial property and casualty insurance polices must pay, and insurers must collect, the Federal Terrorism Policy Surcharge for remittance to Treasury.
For policies subject to the Federal Terrorism Policy Surcharge, the surcharge shall be imposed and collected on a written premium basis for policies that incept or renew during the assessment period. All new, renewal, mid-term, and audit premium for a policy term are subject to the Surcharge in effect on the policy term effective date. (Note: A policy effective prior to a current assessment period may have no surcharge in effect on the policy term effective date.)
Each insurer shall submit a completed Form 04A Direct Written Premium and Monthly Surcharge Calculation on a monthly basis, starting with the first month within the assessment period through November of the same calendar year, and a Form TRIP 04B Direct Written Premium and End of Year Calculation on an annual basis as of the last month of the calendar year thereafter. Reports are due according to the following schedule:
For each month beginning in the first month of the assessment period through November of the same year, reports are due on the last business day of the calendar month following the month for which premium is reported, and
Thereafter, annual reports are due on March 1.
Direct Written Premium means the premium as defined for inclusion in Column 1 of the Exhibit of Premiums and Losses of the NAIC Annual Statement or in an equivalent reporting requirement. The Federal Terrorism Policy Surcharge is not included in amounts reported as Direct Written Premium.
Direct Written Premium to be reported on this form includes premium for all commercial property and casualty lines of insurance listed above in section 1.3.1 issued by any insurer for insurance against all losses. Generally, premium amounts are to be included in the reporting on this form as they would be included in amounts reported to the NAIC or through an equivalent reporting requirement for the applicable surcharge period. Such premium amounts are to be broken out by policy year in order to facilitate surcharge calculations. For months in which premium is not reported to the NAIC or through an equivalent reporting requirement, the same definitions and process for completing this form shall apply.
Some Direct Written Premium for lines of insurance listed under section 1.3.1 above and reported under Step One of the form may not be subject to the Federal Terrorism Policy Surcharge. Step Three will provide for the exclusion of such premium from the calculation of the Federal Terrorism Policy Surcharge amount due to Treasury. Specifically:
Premium for personal property and casualty insurance coverage (coverage primarily designed to cover personal, family, or household risk exposures) is not subject to the Federal Terrorism Policy Surcharge, even if reported under a line of business otherwise included in the definition of property casualty insurance under TRIA.
Premium for any other insurance coverage that does not meet the definition of commercial property and casualty insurance is subject to the Federal Terrorism Policy Surcharge. Such types of insurance are listed in 1.3.2 and are not subject to the Federal Terrorism Policy Surcharge, even if reported under a line of business otherwise included in the definition of property and casualty insurance under TRIA.
In the cases of policies providing multiple insurance coverages where an insurer cannot identify the premium amount charged specifically for property and casualty insurance under the policy:
If an insurer has estimated that the portion of the premium amount charged for coverages other than commercial property and casualty insurance is de minimis to the total premium for the policy, by Treasury regulation [31 CFR 50.94(c)(2)(i)] the insurer may impose and collect from the policyholder a surcharge amount based on the total Direct Written Premium for the policy. As such, no adjustment is necessary to the Direct Written Premium reported under Step One.
If an insurer has estimated that the portion of the premium amount charged for coverages other than commercial property and casualty insurance is not de minimis to the total premium for the policy, by Treasury regulation [31 CFR 50.94(c)(2)(ii)) the insurer shall impose and collect from the policyholder a surcharge amount based on a reasonable estimate of the premium amount for the property and casualty insurance coverage under the policy. Therefore the portion of the premium charged for coverages other than commercial property and casualty insurance should be subtracted in Step Three.
An insurer that does not report to the NAIC via Statutory Page 14 should only report Direct Written Premium in Step One or Step Two for classes or lines of business that include, at a minimum, the equivalent of one or more lines of business specified in section 1.3.1. Thus, regardless of the description of the premium on another reporting form, all premium in Step One or Step Two must include the functional equivalent of a line of business as specified in section 1.3.1. Insurers that may be required to extract Direct Written Premium information from other reporting forms for the purpose of this Program filing include alien surplus lines insurers, farm mutual insurers, county mutual insurers, captive insurers, and federally-approved insurers.
Include premium for all lines not reported via Statutory Page 14, but reported on a separate state form as discussed in section 1.5.
Include all premium reported for any State of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, American Samoa, Guam, each of the U.S. Virgin Islands, and any other territory or possession of the United States.
Include all surplus lines premium written and reported for any State of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, American Samoa, Guam, each of the U.S. Virgin Islands, and any other territory or possession of the United States.
Columns 2 through 5 are to be used to report the premium by policy year that comprise the amount reported in Column 1C. The sum of Columns 2 through 5 should equal the premium in Column 1C. However, if necessary, additional columns (and sheets) may be added to complete the breakout of premium by policy year and to account fully for the entry in Column 1C.
List premium for all lines not reported via Statutory Page 14, but reported on a separate state form as discussed in section 1.5.
Include all premium reported for any State of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, American Samoa, Guam, each of the U.S. Virgin Islands, and any other territory or possession of the United States.
Include all surplus lines premium written and reported for any State of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, American Samoa, Guam, each of the U.S. Virgin Islands, and any other territory or possession of the United States.
Enter the amount of Direct Written Premium included in Column 1C of Step One B that are for insurance coverage not to be included for the purposes of calculating the Federal Terrorism Policy Surcharge due Treasury. See section 1.4 for guidance. Columns 2 through 5 are to be used to report the premium by policy year that comprise the amount reported in Column 1C. The sum of Columns 2 through 5 should equal premium in Column 1C. However, if necessary, additional columns (and sheets) may be added to complete the breakout of premium by Policy Year and to account fully for the entry in Column 1C.
Include premium for all lines not reported via Statutory Page 14, but reported on a separate state form as discussed in section 1.5.
Include all premium reported for any State of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, American Samoa, Guam, each of the U.S. Virgin Islands, and any other territory or possession of the United States.
Include all surplus lines premium written and reported for any State of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, American Samoa, Guam, each of the U.S. Virgin Islands, and any other territory or possession of the United States.
Enter the Step One B premium totals and then subtract the Step Two premium totals to determine the insurer’s cumulative Direct Written Premium for the applicable period subject to the Federal Terrorism Policy Surcharge.
Enter the Step Three totals and multiply by the applicable individual year surcharge percentage(s) to determine the amount of Federal Terrorism Policy Surcharge for the applicable period. Note that Column 1C of Step Four is not computed, as different surcharge percentages may be applicable to the Direct Written Premium being reported for individual policy years. Add together the totals in Columns 2 through 5 to determine the amount of Federal Terrorism Policy Surcharge for the applicable period.
Enter the Federal Terrorism Policy Surcharge from Step Four and subtract any amounts which have already been remitted to Treasury. The total is the amount of surcharge to be remitted to Treasury for the applicable period.
1 Professional liability insurance means insurance coverage for liability arising out of the performance of professional or business duties related to a specific occupation, with coverage being tailored to the needs of the specific occupation. Examples include abstracters, accountants, insurance adjusters, architects, engineers, insurance agents and brokers, lawyers, real estate agents, stockbrokers and veterinarians. For purposes of this definition, professional liability insurance does not include directors and officers liability insurance.
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TRIP 04B Instructions
File Type | application/msword |
File Title | Draft October 21, 2003 |
Author | DavisHo |
Last Modified By | Baldwin, Lindsey |
File Modified | 2017-04-19 |
File Created | 2012-06-07 |