6762-1907-Ordinance-passed-and-assented-to--Life-Insurance-Companies-No-11 — Page 11

THE HONGKONG GOVERNMENT GAZETTE, AUGUST 2, 1907.

FIFTH SCHEDULE.

STATEMENT RESPECTING THE VALUATION OF THE LIABILITIES UNDER LIFE

POLICIES AND ANNUITIES OF THE

, TO BE MADE BY THE ACTUARY,

(The answers should be numbered to accord with the numbers of the correspond- ing questions.)

1. The date up to which the valuation is male.

2. The principles upon which the valuation and distribution of profits among the policy holders are made, and whether these principles were determined by the instrument constituting the Company, or by its regulations or by-laws, or otherwise.

3. The table or tables of mortality used in the valuation.

1. The rate or rates of interest assumed in the calculations.

5. The proportion of the annual premium income (if any) reserved as a pro- vision for future expenses and profits. (If none. state how this provision is made.)

6. The consolidated revenue account since the last valuation, or, in case of a Company which has made no valuation, since the commencement of the business. (This return should be made in the form annexed.)

7. The liabilities of the Company under life policies and annuities at the date of the valuation, showing the number of policies, the amount assured, and the amount of premiums payable annually under each class of policies, both with and without participation in profits, and also the net liabilities and assets of the Com- pany, with the amount of surplus or deficiency. (These returns should be made in the forms annexed.)

8. The time during which a policy umust be in forec in order to entitle it to share in the profits.

9. The results of the valuation, showing-

(!.) The total amount of profit made by the Company.

(2.) The amount of profit divided among the policy holders, and the num

ber and amount of the policies which participated.

(3) Specimens of bonuses allotted to policies for one thousand dollars effected at the respective ages of twenty, thirty, forty, and fifty, and having been respectively in force for five years, ten years, and upwards, at intervals of five years respectively, together with the amounts ap- portioned under the various modes in which the bonus might be received.

(Form referred to under heading No. 6 in the Fifth Schedule.)

Consolidated Rerenue Account of the

for

and ending

V.

years, commencing

Amounts of funds ou

19 , the beginning of..... Premiums received on

policies, assuring $

now

after deduction of reassur- ance premiums

Renewal premiums received

$

on policies. assuring after deduction of reassurance premiums Consideration received for an-

nuities granted

All other premiums received, after deduction of reassur- ance premium- Interest and dividends.

Other receipts (accounts to be

specified).

Claims under policies, and ad- ditions thereto, after dedne- tion of sums reassured... Surrenders

Annuities

Dividends to policy holders... Other payments to policy holders (items to be given). Commission on first premiums Commission on renewal pre-

miums

Agents travelling expenses

and salaries...

Medical fees and salaries Salaries of other officers and

employés

Advertising..

Other expenses of manage- ment (accounts to be speci- fied)

Dividends and

bonuses to

shareholders (if any)

Other payments (accounts to

be specified).

Amount of funds on

19

, the end of the period

as per First (or Third) Schedule

981