FCIC Operations Report

RO XX
FCIC OPERATIONS REPORT
PAGE:
1
RO TAX ID: 999999999
REINSURANCE YEAR - 2008
RCP001-C
Reinsured Company Name
MONTHLY
C/O MGA
Street Address,
City, ST 99999-9999
CURRENT DATE : 10/12/2007 07.26.16
CUTOFF DATE : 10/12/2007
===================================================================================================================================
PREMIUM
PAID
LOSS-CR
SUBSIDY
LOSSES
ADDT SUBSIDY
GRP/GRIP
0
.00
0
0
0
0
REVENUE HARV. OPT.
0
.00
0
0
0
0
OTHER
0
.00
0
0
0
0
TOTAL NON CAT
0
.00
0
0
0
0
===================================================================================================================================
CAT
0
0
0
===================================================================================================================================
(L/R =
.0000 )
DUE COMPANY
DUE FCIC
a.NET EXPENSE REIMBURSEMENT ADJUSTMENT
.00
b.NET CONTINGENCY FUND
.00
c.PREMIUM COLLECTED
.00
.00
d.ESCROW AND DRAFTS
.00
.00
.00
e.LOSS DEDUCTIONS (F,R,O)
.00
.00
.00
.00
f.STATE SUBSIDY
.00
g.COMPANY PREVIOUS PAYMENT
.00
h.FCIC INTEREST PAID
.00
i.LITIGATION EXPENSE
.00
j.NET ADMINISTRATIVE FEE ADJUSTMENT
.00
k.REDUCTIONS DUE TO RECON REPORT DIFFERENCES
.00
l.FCIC INTEREST/PENALTY
.00
m.FCIC DET OVERPAID
.00
n.FCIC PREVIOUS PAYMENT
.00
o.ESCROW FUNDED
.00
p.PAID PREVIOUS WORKSHEETS
.00
.00
q.UNDERWRITING LOSS
.00
.00
r.AQUACULTURE UNDERWRITING LOSS
.00
.00
s.SUBTOTAL
.00
.00
t.TOTAL FROM CURRENT WORKSHEET
.00
.00
u.BALANCE DUE COMPANY/FCIC
.00
===================================================================================================================================
ESCROW REIMBURSEMENT
===================================================================================================================================
v.PREVIOUS ESCROW FUNDED
.00
w.LESS DRAFTS ISSUED (ESCROW)
.00
x.ESCROW BALANCE
.00
===================================================================================================================================
CERTIFIED CORRECT
______________________________
_______________________________
______________________________
NAME
TITLE
DATE
NOTE: ANY FALSE CERTIFICATION MADE TO THE CORPORATION MAY SUBJECT THE MAKER TO CRIMINAL AND CIVIL PENALTIES AS PROVIDED
IN 18 U.S.C. 287,1001; 31 U.S.C. 3729 AND 3730

1-1

RO XX
FCIC INSTALLMENT REPORT
PAGE:
1
RO TAX ID: 999999999
REINSURANCE YEAR - 2008
INS001
Reinsured Company Name
C/O MGA
Street Address,
City, ST 99999-9999
CURRENT DATE : 10/12/2007 07.01.14
CUTOFF DATE : 10/12/2007
===================================================================================================================================
PREMIUM
PAID
LOSS-CR
SUBSIDY
LOSSES
ADDT SUBSIDY
GRP/GRIP
0
.00
0
0
0
0
REVENUE HARV. OPT.
0
.00
0
0
0
0
OTHER
0
.00
0
0
0
0
TOTAL NON CAT
0
.00
0
0
0
0
===================================================================================================================================
CAT
0
0
0
===================================================================================================================================
DUE COMPANY
ADMINISTRATIVE AND OPERATING SUBSIDY
GRP/GRIP
(22.4%) - 75% COVERAGE LEVEL
(20.1%) - 80% COVERAGE LEVEL
(19.4%) - 85% COVERAGE LEVEL
TOTAL GRP/GRIP
REVENUE HARV. OPT.
(20.8%) - 75% COVERAGE LEVEL
(18.7%) - 80% COVERAGE LEVEL
(18.1%) - 85% COVERAGE LEVEL
TOTAL REVENUE
OTHER
(24.2%) - 75% COVERAGE LEVEL
(21.7%) - 80% COVERAGE LEVEL
(21.0%) - 85% COVERAGE LEVEL
TOTAL OTHER

999,999
999,999
999,999

.00
.00
.00
.00

9,999,999
9,999,999
9,999,999

.00
.00
.00
.00

9,999,999
9,999,999
9,999,999

.00
.00
.00
.00

TOTAL ADMINISTRATIVE AND OPERATING SUBSIDY

CAT LOSS ADJUSTMENT

(07%)

.00

9,999,999

.00

NET EXPENSE REIMBURSEMENT ADJUSTMENT
.00
===================================================================================================================================

1-2

RO XX
FCIC OPERATIONS REPORT
PAGE:
1
RO TAX ID: 999999999
REINSURANCE YEAR - 2008
RCP002-C
Reinsured Company Name
ANNUAL
C/O MGA
Street Address,
City, ST 99999-9999
CURRENT DATE : 10/12/2007 07.26.16
CUTOFF DATE : 10/12/2007
===================================================================================================================================
PREMIUM
PAID
LOSS-CR
SUBSIDY
LOSSES
ADDT SUBSIDY
GRP/GRIP
0
.00
0
0
0
0
REVENUE HARV. OPT.
0
.00
0
0
0
0
OTHER
0
.00
0
0
0
0
TOTAL NON CAT
0
.00
0
0
0
0
===================================================================================================================================
CAT
0
0
0
===================================================================================================================================
(L/R =
.0000 )
DUE COMPANY
DUE FCIC
a.NET EXPENSE REIMBURSEMENT ADJUSTMENT
.00
b.NET CONTINGENCY FUND
.00
c.PREMIUM COLLECTED
.00
.00
d.LOSS-CR, ESCROW AND DRAFTS
.00
.00
.00
.00
e.LOSS DEDUCTIONS (F,R,O)
.00
.00
.00
.00
f.STATE SUBSIDY
.00
g.SUBSIDY
.00
h.ADDITIONAL SUBSIDY
.00
i.COMPANY PREVIOUS PAYMENT
.00
j.FCIC INTEREST PAID
.00
k.LITIGATION EXPENSE
.00
l.NET ADMINISTRATIVE FEE ADJUSTMENT
.00
m.REDUCTIONS DUE TO RECON REPORT DIFFERENCES
.00
n.FCIC INTEREST/PENALTY
.00
o.FCIC DET OVERPAID
.00
p.FCIC PREVIOUS PAYMENT
.00
q.ESCROW FUNDED
.00
r.PAID PREVIOUS WORKSHEETS
.00
.00
s.UNDERWRITING GAIN/LOSS
.00
.00
t.AQUACULTURE UNDERWRITING GAIN/LOSS
.00
.00
u.SUBTOTAL
.00
.00
v.TOTAL FROM CURRENT WORKSHEET
.00
.00
w.BALANCE DUE COMPANY/FCIC
.00
===================================================================================================================================
ESCROW REIMBURSEMENT
===================================================================================================================================
x.PREVIOUS ESCROW FUNDED
.00
y.LESS DRAFTS ISSUED (ESCROW)
.00
z.ESCROW BALANCE
.00
===================================================================================================================================
CERTIFIED CORRECT
______________________________
_______________________________
______________________________
NAME
TITLE
DATE
NOTE: ANY FALSE CERTIFICATION MADE TO THE CORPORATION MAY SUBJECT THE MAKER TO CRIMINAL AND CIVIL PENALTIES AS PROVIDED
IN 18 U.S.C. 287,1001; 31 U.S.C. 3729 AND 3730

1-3

RO XX
FCIC ADMINISTRATIVE FEE REPORT
XXXXXX INSURANCE COMPANY
REINSURANCE YEAR 2008
P.O. BOX 999
(MONTHLY)
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12 CUTOFF DATE 2007/10/12

CAT FEES DUE FCIC
ADDT=L COVERAGE FEES DUE FCIC
LESS COMPANY CAT FEES REDUCTION
ADMINISTATIVE FEES DUE FCIC

9,900.00
.00
1,000.00
8,900.00

1-4

FEE001
(ARS2100)

RO XX
FCIC ACCOUNTING DETAIL REPORT (EXCLUDING CAT)
XXXXXX INSURANCE COMPANY
REINSURANCE YEAR 2008
C/0 XXXXX INSURANCE COMPANY
MONTHLY
P.O. BOX 999
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12
CUTOFF DATE: 2007/10/12

ST

CO

POL

#

XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX

999
999
999
999
999
999
999
999
999
999
999
999

999999
999999
999999
999999
999999
999999
999999
999999
999999
999999
999999
999999

YR

NAME

YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY

DOE,
DOE,
DOE,
DOE,
DOE,
DOE,
DOE,
DOE,
DOE,
DOE,
DOE,
DOE,

(NOTES) PREMIUM
JOHN
JOHN
JOHN
JOHN
JOHN
JOHN
JANE
JANE
JANE
JANE
JANE
JANE

TOTAL

*L
*
*#
*
*L
*
*L
*
*
*L
*
*#

PAID

ADR001
(ARS1800)

LOSS-CR SUBSIDY

CLEARED
LOSSES

COST
SHARE

9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999

9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999

999
999
999
999
999
999
999
999
999
999
999
999

9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999
9,999

999
999
999
999
999
999
999
999
999
999
999
999

99
99
99
99
99
99
99
99
99
99
99
99

9,999

9,999

999

9,999

9,999

99

*** NOTES ***
(*) - ASSIGNED RISK
(V) - OVERPAID
(P) - PAYMENT CR MEMO
(E) - ESCROW
(L) - POLICY EITHER INCLUDES OR IS LIMITED COVERAGE

1-5

RO XX
XXXXXX INSURANCE COMPANY
C/0 XXXXX INSURANCE COMPANY
P.O. BOX 999
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12

FCIC ACCOUNTING DETAIL REPORT (EXCLUDING CAT
REINSURANCE YEAR 2008
STATE TOTALS
CUTOFF DATE:

ADR002
(ARS1800)

2007/10/12

CLEARED
COST
ST
PREMIUM
PAID
LOSS-CR
SUBSIDY
LOSSES
SHARE
--------------------------------------------------------------------------------------------------------------CO
KS
NE
TX

77,078
69,303
247,612
2,894

0.00
0.00
0.00
0.00

0
0
0
0

25,608
22,345
81,640
1,207

0
0
0
0

0
0
0
0

TOTAL

396,887

0.00

0

130,800

0

0

1-6

RO XX
XXXXXX INSURANCE COMPANY
C/0 XXXXX INSURANCE COMPANY
P.O. BOX 999
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12

FCIC DETAIL REPORT (EXCLUDING CAT)
REINSURANCE YEAR 2008
GRAND TOTALS
CUTOFF DATE:

ADR003
ARS4130-3

2007/10/12

CLEARED

COST

CROP YR
PREMIUM
PAID
LOSS-CR
SUBSIDY
LOSSES
SHARE
--------------------------------------------------------------------------------------------------------------------2007
2008
2009

4,771,780
33,965,205
25,900

TOTALS

38,762,885

OVERPAIDS
GRAND TOTALS LESS OVERPAIDS 38,762,885

1,849,846
13,395,937
45,121
167,779.38

15,290,904

167.00

0

167,612.38

0

15,290,904

PMEMO
MMEMO
PLCR

1-7

0

0

FCIC DETAIL OVERPAIDS REPORT (EXCLUDING CAT)
REINSURANCE YEAR - 2008
MONTHLY
CURRENT DATE/TIME:

ST

CO

POLICY

00

000

0000000

10/12/2007
CROP
YR
0000

05:36:27

CUTOFF DATE:

PREMIUM

PAID

0,000

0,000

ADR004

10/12/2007

LOSS CR

SUBSIDY

0.00

0

1-8

CLEARED
LOSSES
0

COST
SHARE
0

RAS SUMMARY LOAD
P/CR MEMO REJECT REPORT
RO XX
XXXXXX REINSURED COMPANY
C/O XXXXX INSURANCE COMPANY
P.O. BOX 999
CITY, STATE 999999999 ID#99-999999
CUTOFF DATE: 2007/10/12

CURRENT DATE:
PCR001
(ARS4110)

P/CR
MEMO
RO

P/CR
P/CR
MEMO
MEMO
LOC ST CNO

P/CR
MEMO
POLICY NO

P/CR
MEMO
CROP YR

XX

NE
PA

003010
000666
001313
001314
001941
002713
002829
002893
002992
003100
003114
003119
003120
003123
003305
003390
003447
003448
003450
003525
003526
003668
003673
003692
003693
003696
003699
003700
003701

YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY

TOTAL RO: XX

900
900

PAID
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

STATE
SUBSIDY
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

PMEMO
817.00
1757.00
1084.00
84.00
3336.00
6.00
171.00
55.00
2708.00
3691.00
2679.00
769.00
3877.00
7369.00
75.00
316.00
84.00
1030.00
85.00
671.00
299.00
179.00
282.00
174.00
94.00
159.00
94.00
19.00
94.00
32058.00

SOURCE SOURCE
RO
LOC ST

SOURCE
CNO

SOURCE
SOURCE
POLICY NO CROP YR

XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX
XX

900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900
900

013010
010666
011313
011314
011941
012713
012829
012893
012992
013100
013114
013119
013120
013123
013305
013390
013447
013448
013450
013525
013526
013668
013673
013692
013693
013698
013699
013700
013701

1-9

31
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42
42

YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY

2007/10/12

EXAMPLE 1:
LATE PAYMENTS
REPORT
DATE

REPORT
DUE

AMOUNT
RECEIVED

DAYS
LATE

RATE

INTEREST
AMOUNT

NOTE
REF.

8

05/08/YYYY

05/29/YYYY

$100,000

31

15%

$1,273.97

1

6

11/06/YYYY

11/30/YYYY

$1,000,000

7

15%

$2,876.71

2

1.

Payment of the $100,000 balance due FCIC on the 05/08/YYYY report, due on
05/29/YYYY, the last banking day of the month, is received on 06/02/YYYY.

2.

Payment of the $1,000,000 balance due FCIC on the 11/06/YYYY report, due on
11/30/YYYY, the last banking day in the month, is received on 12/07/YYYY.

1 - 10

E

0
0
0

EXAMPLE 2:
INTEREST ON OVERPAID INDEMNITIES/UNDERSTATED PREMIUM CASES IDENTIFIED THROUGH REVIEW

DETERMINATION
LETTER

OVERPAYMENT
AMOUNT

DATE OF
APPEAL

1/20//YYYY
1/20/YYYY
1/20/YYYY

$10,000
$15,000
$20,000

N/A
N/A
02/15/YYYY

DETERMINATION
LETTER
N/A
N/A
11/15/YYYY

INDEMNITY
OVERPAYMENT
02/12/YYYY
04/09/YYYY
12/15/YYYY

DAYS

INTEREST
RATE

26
100
345

15%
15%
15%

INTEREST
DUE
0.00
$616.44
$2,835.62

NOTE
REF
1
2
3

1. The Company is notified of an overpayment in a Final findings by the Regional Compliance Offices letter dated January 20, YYYY. The February 9, YYYY report
containing the correction was filed timely. Since the report was corrected within 30 days, interest does not attach.
2. The Company is notified of an overpayment amount in a final findings by the Regional Compliance Offices letter dated January 20, YYYY. The amount is to be
corrected on the February 9, YYYY report. No appeal is filed. No corrections are made until the April 9, YYYY report. Interest is calculated starting with the day after
the final findings by the Regional Compliance Offices letter which is January 21, YYYY through the due date of the certified report containing the corrections is
submitted, which is April 30, YYYY.
3. Interest begins accruing based on the date of the Final findings by the Regional Compliance Offices letter. Appeals have no affect on delaying the interest computation
date. In this example, the company is notified of an overpayment in a Final findings by the Regional Compliance Offices letter dated January 20, YYYY. The
company files an appeal on February 15, YYYY. The appeal is heard and FCIC receives a favorable decision. Had the company received a favorable decision, no interest
is due. The Company is notified by an Appeal Determination letter on December 15, YYYY of the amount due FCIC. Interest is calculated starting with the day after the
Final findings by the Regional Compliance Offices letter, which is January 21, YYYY through the due date of the certified report containing the correction is submitted,
which is December 31, YYYY.

1 - 11

RO XX
XXXXXX INSURANCE COMPANY
C/0 XXXXX INSURANCE COMPANY
P.O. BOX 999
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12

CAT COVERAGE FEES (EXCLUDING BUY-UPS)
REINSURED COMPANY DETAIL REPORT
REINSURANCE YEAR 2008
MONTHLY
CUTOFF DATE:

2007/10/12

ID-NUMBER

ST

CO

POL#

YR

LOC
CTY

CROP
CODE

CROP
TYPE

A
R

999999999

XX

999

999999

XX

999

999999

001
001
001
001
001
001
001
001
001
001
001
001
001
001
001
001
001
001

011
021
041
051
081
091
011
041
051
081
091
011
041
011
041
081
011
041

001
001
001
001
001
001
001
001
001
001
001
001
001
001
001
001
001
001

*

999999999

YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY

999999999

XX

999

999999

999999999

XX

999

999999

999999999

XX

999

999999

2007
2008
2009
GRAND TOTAL XX

*

*

-0-

CFE001
(ARS4160)

PREMIUM

250
250
250
250
250
250
100
100
100
100
100
227
227
500
500
500
100
100

LOSSES

-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-0-

-04,154
-0-

-0-0-

4,154

-0-

***NOTES****
(*)- ASSIGNED RISK/(E) – ESCROW

2-1

FEE
AMOUNT

FEES
COLLECTED

FEES
WAIVED

50
50
-0-0-0-050
50
-0-0-050
50
-0-0-0-0-0-

-0-050
50
-0-0-0-050
50
-0-0-0-0-0-0-0-0-

-0-0-0-0-0-0-0-0-0-0-0-0-050
50
-050
50

300

200

200

RO XX
XXXXXX INSURANCE COMPANY
P.O. BOX 999
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12
ST
AL
AR
AZ
CA
CO
CT
DE
FL
GA
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NJ
NM
NY
OH
OK
OR
PA
SC

2006
2007
2008

TOTAL

PREMIUM
97,973
766,621
6,278
1,417,706
1,042,657
4,040
9,732
2,787,990
99,288
506
22,714
106,843
19,288
1,115,889
81,832
57,674
107,293
131,040
0
16,012
1,893
466,378
47,328
144,275
600,089
3,110
160,350
19,557
235,521
57,754
20,716
227,635
118,883
47,171
159,652

CAT COVERAGE FEES
REINSURED COMPANY DETAIL REPORT
REINSURANCE YEAR 2008
CUTOFF DATE:
LOSSES

FEE AMOUNT
6,350
35,700
1,150
42,900
68,950
50
300
30,250
13,500
300
4,800
34,050
9,800
180,100
9,600
3,700
2,800
17,750
50
5,700
900
81,450
4,000
21,350
32,600
1,350
27,300
50
9,900
5,700
12,900
29,900
6,450
6,900
8,000

CFE002
(ARS4160)

2007/10/12
FEES COLLECTED
50
600
0
2,700
0
0
0
1,300
600
0
150
200
50
0
0
100
0
0
0
200
0
300
200
0
0
0
0
0
0
200
300
50
0
0
1,250

FEES WAIVED
800
750
0
100
350
0
0
0
50
0
0
800
100
2,100
1,000
0
0
100
0
450
0
1,650
0
100
200
0
1,150
0
0
100
450
100
150
100
0

305,204
11,666,278
343,566

12,315,048

0

842,350

9,500

2-2

13,600

CFE003
RO XX
XXXXXX INSURANCE COMPANY
c/o XXXXX INSURANCE COMPANY
P.O. Box 999
CITY, ST 999999
TAX ID#
CURRENT DATE/TIME:

ID_NUMBER

ST

CO

000000000

00

000

CAT COVERAGE FEES
RECEIVABLE REPORT
REINSURANCE YEAR – 2008
999999999

10/12/2007

POLICY
0000000

06:25:11

CUTOFF DATE:

10/12/2007

CROP
YEAR

LOC
CNTY

CROP
CODE

CROP
TYPE

COLLECT
PT ID

FEE
AMOUNT

ADJ
AMOUNT

0000

000

0000

000

0

100.00

00.00

2-3

INTEREST/
PENALTY
00.00

COLLECT
AMOUNT
00.00

BALANCE
DUE
100.00

RO XX
RO NAME

ADDITIONAL COVERAGE ADMINISTRATIVE FEE SUMMARY REPORT
REINSURANCE YEAR - 2008
MONTHLY

STREET ADDRESS
CITY, ST 99999-9999

TAX

CURRENT DATE/TIME: 10/12/2007

PAGE

1
ACA001
(ARS4150)

ID# 999999999

01:01:01

CUTOFF DATE: 10/12/2007

2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2009
2009
FEES
STATE
JAN
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
JAN
MAR PREPAID
TOTAL
------------------------------------------------------------------------------------------------------------------------------AR
GA
IA
ID
IL
IN
KS
MI
MN
MO
ND
NM
OH
SD
TX

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
------------------------------------------------------------------------------------------------------------------------------TOTAL
0
WAIVED
0
GRAND
0

2-4

RO XX
XXXXXX INSURANCE COMPANY
C/O XXXXX INSURANCE COMPANY
P.O. BOX 999
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12

FCIC REINSURANCE RUN
REINSURANCE YEAR 2008

CUTOFF DATE:

FR7YY40M

2007/10/12

------------------------------------------------------------------------------------------------------------------------STATE/RECAP
POOL
%
LIABILITY
PREMIUMS
LOSSES
LOSS RATIO
AL

OTHER COMMERCIAL
OTHER DEVELOPMENTAL
OTHER ASSIGNED RISK
CAT COMMERCIAL
CAT DEVELOPOMENTAL
CAT ASSIGNED RISK
REVENUE COMMERCIAL
REVENUE DEVELOPMENTAL
REVENUE ASSIGNED RISK
SUBTOTAL 1

.9
.9
.9
.9
.9
.9
9.9
9.9
.9

9,999,999
9,999,999
9,999,999
9,999,999
9,999,999
9,999,999
9,999,999
999,999,999
9,999,999
999,999,999

99,999
99,999
99,999
99,999
99,999
99,999
99,999
999,999
99,999
999,999

9,999
9,999
9,999
9,999
9,999
9,999
9,999
99,999
9,999
99,999

.9
.9
.9
.9
.9
.9
.9
9.9
.9
9.9

-------------------------------------------------------------------------------------------------------------------------

(CONTINUED)

3-1

(CONTINUED)
FR7YY40M
RO XX
FCIC REINSURANCE RUN
XXXXXX INSURANCE COMPANY
REINSURANCE YEAR 2008
C/0 XXXXX INSURANCE COMPANY
P.O. BOX 999
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12
CUTOFF DATE: 2007/10/12
--------------------------------------------------------------------------------------------------------------------STATE/RECAP
POOL
%
LIABILITY
PREMIUMS
LOSSES
LOSS RATIO
RO RECAP

OTHER COMMERCIAL
OTHER DEVELOPMENTAL
OTHER ASSIGN RISK
CAT COMMERCIAL
CAT DEVELOPOMENTAL
CAT ASSIGN RISK
REVENUE COMMERCIAL
REVENUE DEVELOPMENTAL
REVENUE ASSIGN RISK
SUBTOTAL 1

99.9
.9
.9
.9
.9
9.9
.9
9.9
9.9

99,999,999
9,999,999
9,999,999
9,999,999
9,999,999
999,999,999
9,999,999
9,999,999
9,999,999
999,999,999

999,999
99,999
99,999
99,999
99,999
999,999
99,999
99,999
99,999
999,999

99,999
9,999
9,999
9,999
9,999
99,999
9,999
9,999
9,999
99,999

9.9
.9
.9
.9
.9
9.9
.9
.9
.9
9.9

OTHER COMMERCIAL
OTHER DEVELOPMENTAL
CAT COMMERCIAL
CAT DEVELOPMENTAL
REVENUE COMMERCIAL
REVENUE DEVELOPMENTAL
ASSIGN RISK
REVISED SUBTOTAL 1

.9
.9
.9
.9
.9
.9
9.9

9,999,999
9,999,999
9,999,999
9,999,999
999,999,999
9,999,999
9,999,999
999,999,999

99,999
99,999
99,999
99,999
999,999
99,999
99,999
99,999

9,999
9,999
9,999
9,999
99,999
9,999
9,999
99,999

.9
.9
.9
.9
9.9
.9
.9
9.9

OTHER COMMERCIAL
OTHER DEVELOPMENTAL
CAT COMMERCIAL
CAT DEVELOPMENTAL
REVENUE COMMERCIAL
REVENUE DEVELOPMENTAL
ASSIGN RISK
RETAINED SUBTOTAL 2

.9
.9
.9
.9
9.9
.9
9.9

9,999,999
9,999,999
9,999,999
9,999,999
999,999,999
9,999,999
9,999,999
999,999,999

99,999
99,999
99,999
99,999
999,999
99,999
99,999
999,999

9,999
9,999
9,999
9,999
99,999
9,999
9,999
99,999

.9
.9
.9
.9
9.9
.9
.9
9.9

(CONTINUED)

3-2

RO XX
XXXXXX INSURANCE COMPANY
C/0 XXXXX INSURANCE COMPANY
P.O. BOX 999
CITY, STATE 999999999 ID# 99-999999
CURRENT DATE: 2007/10/12

(CONTINUED)
FCIC REINSURANCE RUN
REINSURANCE YEAR 2008

FR7YY40M

CUTOFF DATE:

2007/10/12

--------------------------------------------------------------------------------------------------------------------STATE/COUNTY/CROP
POOL
%
LIABILITY
PREMIUMS
LOSSES
LOSS RATIO
RO RECAP

OTHER COMMERICAL
OTHER DEVELOPMENTAL
CAT COMMERCIAL
CAT DEVELOPMENTAL
REVENUE COMMERCIAL
REVENUE DEVELOPMENTAL
ASSIGN RISK
RETAINED SUBTOTAL 3

9.9
.9
9.9
9.9
9.9
9.9
9.9

999,999,999
9,999,999
9,999,999
9,999,999
9,999,999
9,999,999
9,999,999
999,999,999

999,999
99,999
99,999
99,999
99,999
99,999
99,999
999,999

99,999
9,999
9,999
9,999
9,999
9,999
9,999
99,999

OTHER COMMERCIAL
OTHER DEVELOPMENTAL
CAT COMMERCIAL
CAT DEVELOPMENTAL
REVENUE COMMERCIAL
REVENUE DEVELOPMENTAL
ASSIGN RISK
SUBTOTAL 4

999,999,999
9,999,999
9,999,999
9,999,999
9,999,999
9,999,999
9,999,999
999,999,999

999,999
99,999
99,999
99,999
99,999
99,999
99,999
999,999

OTHER COMMERCIAL GAIN/LOSS
CAT COMMERCIAL GAIN/LOSS
REVENUE COMMERCIAL GAIN/LOSS
OTHER DEVELOPMENTAL GAIN/LOSS
CAT DEVELOPMENTAL GAIN/LOSS
REVENUE DEVELOPMENTAL GAIN/LOSS
ASSIGN RISK GAIN/LOSS
STATE GAIN/LOSS

999,999,999
9,999,999
999,999
999,999,999
9,999,999
999,999
9,999
999,999

RESERVE FOR LOSSES
RESERVE FOR LOSSES APPLIED
RESERVE FOR LOSSES BALANCE

999,999
9
999,999

3-3

9.9
.9
.9
.9
.9
.9
.9
9.9

RO XX

RECONCILIATION REDUCTION WORKSHEET
REINSURANCE YEAR 2008
MONTHLY SETTLEMENT

2007/10/12
PREMIUM:

CUTOFF DATE: 2007/10/12
PREMIUM DISCREPANCIES

(GRP/GRIP)

.00

PREMIUM DISCREPANCIES

(REVENUE HARV. OPT.)

29,568.32

PREMIUM DISCREPANCIES

(OTHER)

65,979.41

TOTAL PREMIUM REDUCTION

PAIDS:

95,547.73

PAID DISCREPANCIES

.00

TOTAL PAID REDUCTION

LOSSES:

Page: 1
REC5100YB-5

.00

LOSS DISCREPANCIES

.00

TOTAL LOSS REDUCTION

.00

TOTAL RECONCILIATION REDUCTION

95,547.73

NON-CAT SUBSIDY FACTOR

.56848578

4-1

RO XX

RECONCILIATION REDUCTION WORKSHEET
REINSURANCE YEAR 2008
ANNUAL SETTLEMENT

2007/10/12
PREMIUM:

LOSSES:

Page: 1
REC5100YB-5

CUTOFF DATE: 2007/10/12
PREMIUM DISCREPANCIES

(GRP/GRIP)

6,666.00

PREMIUM DISCREPANCIES

(REVENUE HARV. OPT.)

.00

PREMIUM DISCREPANCIES

(OTHER)

.00

TOTAL PREMIUM REDUCTION

6,666.00

LOSS DISCREPANCIES

5,555.55

TOTAL LOSS REDUCTION

5,555.55

TOTAL RECONCILIATION REDUCTION

12,221.55

NON-CAT SUBSIDY FACTOR

.38110441

4-2

RO XX

RECONCILIATION WORKSHEET
DISCREPANCIES BY POLICY - PREMIUM
MONTHLY REPORT
REINSURANCE YEAR 2008

2007/10/12 MONTHLY PROCESSING DATE: 2007/10/12
CROP
COV
ST
CO
POLICY
YR
CODE
RO
XX

XX
XX
XX

999
999
999

XX

999
999
999

XX

999999
999999
999999
999999
999999
999999
999999
999999

*TOTAL RPT_ORGAN XX

YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY

011
051
041
075
081
011
041
011

PREMIUM
FLAG
N
N
N
N
N
N
N
C
37,817

PREMIUM
DATABASE
949
13,949
781
482
797
10,931
7,828
2,100
37,252

4-3

PREMIUM
COMPANY
950
13,950
636
356
488
10,659
7,791
2,422
565

PAGE: 1
REC5100YB-1

PREMIUM
DIFFERENCE
-1
-1
145
126
309
272
37
-322
889

PREMIUM
COMPARE(+)COMPARE(-)
-1
-1
145
126
309
272
37
-322
-324

RO XX

RECONCILIATION WORKSHEET
DISCREPANCIES BY POLICY – LOSS
MONTHLY REPORT
REINSURANCE YEAR 2008

2007/10/12

MONTHLY PROCESSING DATE:

RO

ST

CO

POLICY

LOSSES
YR

XX

XX
XX
XX

999
999
999

999999
999999
999999

YYYY
YYYY
YYYY

*TOTAL RPT_ORGAN XX

PAGE: 1
REC5100YB –3

2007/10/12

LOSSES
DATABASE

LOSSES
COMPANY

LOSSES
DIFFERENCE

78
4,395
2,325

122
4,922
1,200

-44
-527
1,125

6,798

6,244

554

4-4

LOSSES
COMPARE (+)

COMPARE (-)
-44
-527

1,125
1,125

-571

RO XX

RECONCILIATION WORKSHEET
DISCREPANCIES BY POLICY – PAID
MONTHLY REPORT
REINSURANCE YEAR 2008

2007/10/12

MONTHLY PROCESSING DATE:

PAID
DATABASE

2007/10/12

PAID
COMPANY

PAID
DIFFERENCE

RO

ST

CO

POLICY

YR

XX

XX

999

999999
999999
999999
999999
999999
999999
999999

YYYY
YYYY
YYYY
YYYY
YYYY
YYYY
YYYY

4,658
9,484
24,732
5,668
757
1,279
11,916

4,798
9,485
24,733
5,879
758
1,280
11,913

-140
-1
-1
-211
-1
-1

999999
999999

YYYY
YYYY

2,306
3,496

2,307
3,497

-1
-1

64,296

64,650

-354

*TOTAL RPT_ORGAN XX

PAGE: 1
REC5100YB –2

4-5

PAID
COMPARE (+)

PAID
COMPARE (-)
-140
-1
-1
-211
-1
-1

3
-1
-1
3

-357

RO XX

RECONCILIATION WORKSHEET
DISCREPANCIES BY POLICY – LOSS-CREDITS
MONTHLY REPORT
REINSURANCE YEAR 2008

2007/10/12

RO

ST

XX XX
XX

MONTHLY PROCESSING DATE:

CO

POLICY

YR

999
999
999

999999
999999
999999

YYYY
YYYY
YYYY

*TOTAL RPT_ORGAN XX

PAGE: 1
REC5100YB -4

2007/10/12

LOSS CREDITS
DATABASE

LOSS CREDITS
COMPANY

LOSS CREDITS
DIFFERENCE

LOSS CREDITS
COMPARE (+)

1,964
1,750
1,520

982
1,555
3,040

982
195
-1,520

982
195

5,234

5,577

343

1,177

4-6

LOSS CREDITS
COMPARE (-)

-1,520
-1,520

RO
XXXXXXXX
XXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
CURRENT DATE: 10/12/2007

11:11:30

FCIC ADMINISTRATIVE REDUCTION REPORT
FOR LATE FILED SALES DATA
REINSURANCE YEAR 2008

PAGE:
PGM NAME

CUTOFF DATE: 10/12/2007
REDUCED AMOUNT
==============

LOC
CROP
CROP
NET BOOK
TOTAL
RO ST
CO
POLICY
CTY
CODE
TYPE
PREMIUM
1.0%
3.0%
6.0%
REDUCED AMOUNT
===============================================================================================================================
XX OK
999 9999999
000
0011
998
100
3.00
3.00
-----------------------------------------------------------------------------------------------------------------------------STATE TOTALS OK
0.00
0.00
3.00
3.00
-----------------------------------------------------------------------------------------------------------------------------TX

999

9999999

000

0011

998

10,000

100.00

100.00

-----------------------------------------------------------------------------------------------------------------------------STATE TOTALS TX
100.00
0.00
0.00
100.00
-----------------------------------------------------------------------------------------------------------------------------==================================================================================================================================
GRAND TOTALS
100.00
0.00
3.00
103.00
=================================================================================================================================

TOTAL
TOTAL
TOTAL

GRAND

1.0%
3.0%
6.0%

TOTAL

TOTALS
------------100.00
0.00
3.00
------------103.00

5-1

FCIC SUMMARY REPORT (MONTHLY)
(PREMIUM DUE WITHOUT PAYMENTS WORK SHEET)
REINSURANCE YEAR 2008
RO XX
SOME REINSURANCE COMPANY
C/O INSURANCE COMPANY
P.O. BOX 999
YOUR CITY, ST 999999999 ID#
CURRENT DATE: 2007/10/12

99-9999999
CUTOFF DATE:

2008

MARCH

2008

MAY

2008

JULY

2008

OCTOBER

2008

JANUARY

2009

2007/10/12

(A)

(B)

(C)

(D)

(E)

(F)

(H)

CURRENT
REPORT

PREVIOUS
PEAK

RPT DATE
OF PEAK

INC OF PREM
DUE WO PAYM

NBR DAYS
INTEREST

INTEREST
DUE
(%)(D)(E)

TOTAL OF
INTEREST
(-F)

MONTH
JANUARY

PDW
(ARS4230)

0

0

TOTAL

6- 1

EXAMPLE 3:
PREMIUM DUE WITHOUT (W/O) PAYMENTS

PREMIUM
PAYMENT
DUE
DATE

REPORT
DATE

11/01/YYYY
11/01/YYYY
11/01/YYYY
11/01/YYYY
11/01/YYYY

11/06/YYYY
12/11/YYYY
01/09/YYYY
02/12/YYYY
03/12/YYYY

1.

TOTAL PREMIUM
DUE W/O PMT.
$1,000,000
$1,200,000
$1,300,000
$1,100,000
$1,400,000

AMOUNT OF
INCREASES IN
PREMIUM FROM
PREVIOUS PEAK
$0
$200,000
$100,000
$0
$100,000

DAYS
(365 DAY YR.)
(EXACT DAYS)
0
61
92
0
151

INTEREST
RATE
0
15%
15%
15%
15%

INTEREST
AMOUNT
$0.00
$5,013.70
$3,780.82
$0.00
$6,205.48

NOTE
REF.
1
2
3
4
5

Total premium with an October billing date is due to FCIC on October 31.

2. Total premium with an October billing date due to FCIC October 31 has increased by $200,000.
The premium should have been reported on the November report.
The company is charged for two full month's interest on the December report.
3. Total premium with an October billing date due to FCIC October 31 has increased by $100,000
during January. The premium should have been reported on the November report.
The company is charged three full month's interest on the January report.
4. The total premium reported did not increase during the month.
5. Total premium with an October billing date due to FCIC October 31 has further increased during
the month by another $100,000. The premium should have been reported on the November report.
The company is charged five month's interest.

6- 2

FCIC SUMMARY REPORT (MONTHLY)
(PREMIUM DUE WORK SHEET)
REINSURANCE YEAR 2008
RO XX
SOME REINSURANCE COMPANY
C/O INSURANCE COMPANY
P.O. BOX 999
YOUR CITY, ST 999999999 ID#
CURRENT DATE: 2007/10/12

99-9999999
CUTOFF DATE:

2007/10/12

(A)

(B)

(C)

(D)

(E)

(F)

(H)

INS'DS
PREM DUE

PREM PAID
BY CO.

PREM
UNPAID
(A-B)

PREV
MONTH
UNPAID

NBR DAYS
INTEREST

INTEREST
DUE
(%)(D)(E)

TOTAL OF
WORKSHEET
(-B-F)

0

0

MONTH
JANUARY

2008

MARCH

2008

MAY

2008

JULY

2008

OCTOBER

2008

JANUARY

2009

PDW
(ARS4230)

TOTAL
INTEREST DUE FCIC
FCIC DETERMINED OVER PAID

6- 3

EXAMPLE:
PREMIUM DUE WORKSHEET - OCTOBER PREMIUM DEFERRED
(A)
INS'DS
PREMIUM
DUE

(B)
PREM
PAID
BY CO.

(EXAMPLE SHOWING FLOW THROUGH 4 OPERATIONS REPORTS)

REPORT
DATE

PREMIUM
PAYMENT
DUE
DATE

(C)
PREMIUM
UNPAID
(A-B)

(D)
PREVIOUS
MONTH
UNPAID

(E)
DAYS
(365 DAY
YEAR)

11/DD/YYYY

OCTOBER/YYYY

$3,000,000

$0

$3,000,000

$0

12/DD/YYYY

OCTOBER/YYYY $2,2000,000

$0

$2,200,000

$3,000,000

61

$75,205.48 $75,205.48

2

01/DD/YYYY

OCTOBER/YYYY

$1,500,000

$0

$1,500,000

$2,200,000

31

$28,027.40 $28,027.40

3

02/DD/YYYY

OCTOBER/YYYY

$750,000

$0

$750,000

$1,500,000

28

$17,260.27 $17,260.27

4

0

(F)
INTEREST
DUE
(%*D*E)

(H)
TOTAL OF
WORKSHEET
(-B-F)

$000

$0.00

1

NOTE
REF

1.

Premium with an October billing date is deferred.

No interest is due on this report.

2.

Interest is charged on the $3,000,000 of premium deferred the previous month (Column D at an
annual rate of 15% for the period 11/01/YYYY through 12/31/YYYY.

3.

Interest is charged on the $2,200,000 of premium deferred the previous month (Column D) at an
annual rate of 15% for the period 01/01/YYYY through 01/31/YYYY.

4.

Interest is charged on the $1,500,000 of premium deferred the previous month (Column D) at
an annual rate of 15% for the period 02/01/YYYY through 02/28/YYYY. Since this is
the annual settlement report, all premium is due FCIC on this report even if it remains uncollected.

6- 4

EXAMPLE:
PREMIUM DUE WORKSHEET - OCTOBER PREMIUM PAID BY COMPANY

REPORT
DATE

PREMIUM
PAYMENT
DUE
DATE

(A)
INS'DS
PREMIUM
DUE

(B)
PREM
PAID
BY CO.

(C)
PREMIUM
UNPAID
(A-B)

(D)
PREVIOUS
MONTH
UNPAID

(E)
DAYS
(365 DAY
YEAR)

(F)
INTEREST
DUE
(%*D*E)

(H)
TOTAL OF
WORKSHEET
(-B-F)

NOTE
REF

11/DD/YYYY

OCTOBER/YYYY

3,000,000

3,000,000

0

0

0

0

-3,000,000

1

12/DD/YYYY

OCTOBER/YYYY

-2,000,000

-2,000,000

0

0

0

0

+2,000,000

2

01/DD/YYYY

OCTOBER/YYYY

-500,000

-500,000

0

0

0

0

+500,000

3

02/DD/YYYY

OCTOBER/YYYY

4

1.

PREMIUM WITH OCTOBER BILLING IS PAID BY COMPANY ON THE 11/DD/YYYY OPERATIONS REPORT.

2.

COMPANY HAS MADE COLLECTIONS OF OCTOBER PREMIUM WHICH ARE REFLECTED IN THE APAIDS@ ON THE OPERATIONS
REPORT. THIS RESULTS IN A NEGATIVE PREMIUM DUE (COLUMN A).

3.

COMPANY HAS MADE ADDITIONAL COLLECTIONS OF OCTOBER PREMIUM.

4.

FIRST ANNUAL OPERATIONS REPORT. All PREMIUM DUE EVEN IF NOT COLLECTED BY THE COMPANY.
NO PREMIUM DUE WORKSHEET NECESSARY.

6- 5

INSTRUCTION GUIDE FOR FUNDS TRANSFER
DEPOSIT MESSAGES TO TREASURY
All Government agencies must provide specific information to their depositors so
that a funds transfer deposit message can be transmitted to the Department of
the Treasury (Treasury).
Likewise, the depositors must communicate this
information to the bank sending the funds transfer. The funds transfer deposit
message format is included within this appendix.
A narrative description of
each field on the funds transfer deposit message follows:
Field

Content

1

RECEIVER-DFI# - The Treasury Department's ABA number for depositmessages is 021030004.
This number should be entered by the sending
bank for all deposit messages sent to the Treasury.

2

TYPE-SUBTYPE-CD - The type and subtype code will be provided by the
sending bank.

3

SENDER-DFI# - This number will be provided by the sending bank.

4

SENDER-REF# - The sixteen character reference number is inserted by the
sending bank at its option.

5

AMOUNT - The transfer amount must be punctuated with commas and decimal
point; use of the "$" is optional. This item will be provided by the
depositor.

6

SENDER-DFI-NAME - This information
Federal Reserve Bank.

is automatically inserted

by

the

7

RECEIVER-DFI-NAME - The Treasury Department's name for deposit messages
is "TREAS NYC." This name should be entered by the sending bank.

8

PRODUCT CODE - A product code of "CTR" for customer transfer should
be the first data in the RECEIVER-TEXT field.
Other values may be
entered, if appropriate, using the ABA's options.
A slash must be
entered after the product code.

9

AGENCY LOCATION CODE - THIS ITEM IS OF CRITICAL IMPORTANCE. IT MUST
APPEAR ON THE FUNDS TRANSFER DEPOSIT MESSAGE IN THE PRECISE MANNER AS
STATED TO ALLOW FOR THE AUTOMATED PROCESSING AND CLASSIFICATION OF
THE FUNDS TRANSFER MESSAGE TO THE AGENCY LOCATION CODE OF THE
APPROPRIATE AGENCY. The agency location code (ALC) refers to three-,
four-, or eight-digit numeric symbols used to identify Government
departments and agencies (e.g., accounting stations, disbursing and
collecting offices). The agency's unique code must be specified in
the funds transfer message in order for the funds to be correctly
classified to the respective agency. The ALC identification sequence
includes the beneficiary code field tag, BNF-, and identifier code,
/AC-, followed by the appropriate ALC number. These three components
must be in the following format:
BNF-/AC-nnn

3-digit ALC
-OR-

BNF-/AC-nnnn

4-digit ALC
-ORBNF-/AC-nnnnnnnn
8-digit ALC
The ALC identification sequence can, if necessary, begin on one line and end on the next
line; however, the field tag "BNF-" must be one line and cannot contain any spaces.

7-1

10

THIRD PARTY INFORMATION - The appropriate information to identify the
reason for the funds transfer should be provided by the agency to the
depositor. The originator to Beneficiary Information field tag "OBI" is used to signify the beginning of the free-form third party text.
The field tag "OBI-" must be on the same line and cannot contain any
spaces. The field tag is placed following the ALC identification
sequence and preceded by a space. An example of this data line using
the 8-digit ALC would be as follows:
BNF-/AC-nnnnnnnn OBI
It is important to note that the length of the third party text
depends on how close you can place the ALC identification sequence
(Field 9) to the PRODUCT CODE (Field 8). Under the Federal Reserve
System's Structured Third Party Format, financial institutions have
the ability to place additional information fields for their own use
between field 8 and field 9.
Agencies should instruct their
depositors and financial institutions to limit the use of these
additional fields, and attempt to adhere to the optimum format for
fields 7, 8, 9, and 10.
This format using an 8-digit ALC is as
follows:
TREAS NYC/CTR/BNF-/AC-nnnnnnnn OBIThe optimum format, shown above will allow 219 character positions of
information following the "OBI-" indicator. The information that is
constant for all agencies is shown in the Funds Transfer Deposit
Message Format within this appendix. This includes the RECEIVER-DFI#
(FIELD 1), the RECEIVER-DFI-NAME (FIELD 7) and the PRODUCT CODE
(FIELD 8).
In addition to these constant fields, the agency must
provide fields 9 and 10 to their depositors and the depositor must
provide field 5 to the sending financial institution.
The depositor should inform the financial institution that sends the
funds transfers to Treasury to use due care and ensure that all
information is provided in the prescribed format. Failure to provide
the information in the prescribed format may cause a delay in the
notification of the funds transfer to the agency.
A sample of a funds transfer deposit message to Treasury is included
within this appendix.

021030004
(3)

(2)
(4)

(5)

(6)
/
(7)
TREAS
NYC/CTR/

(8)

(9)
BNF-/AC-nnnnnnnn
OBI(10)

7-2

ESCROW REGISTER
REINSURED COMPANY NAME
ESCROW ACCOUNT #99999
01/01/XXXX 08:00

Total Requested Amount
Previous Requested Amount
Receivable Amount
Payment Amount
Policy
Issuing
State Company
02
500
02
500
02
500
02
500
02
500

Policy
Number
123456
234567
345678
456789
678901

Name
Producer
Producer
Producer
Producer
Producer

1
2
3
4
5

Claim
Number
1111
2222
3333
4444
5555

Requested
Amount
1,000.00
2,000.00
3,000.00
4,000.00
5,000.00

Previous
Amount
0.00
0.00
0.00
0.00
0.00

Previous Y-T-D 1999 Total
Reinsurance Year 1999 Total
Cumulative Y-T-D Total
02

500

456789

Producer 6

6666

6,000.00

0.00

Previous Y-T-D 2000 Total
Reinsurance Year 2000 Total
Cumulative Y-T-D Total

8-1

21,000.00
.00
.00
21,000.00

Payable
Amount
1,000.00
2,000.00
3,000.00
4,000.00
5,000.00
74,000.00
15,000.00
89,000.00
6,000.00
10,000.00
6,000.00
16,000.00

ESCROW REGISTER
REINSURED COMPANY NAME
ESCROW ACCOUNT #99999
01/01/XXXX 08:00

Total Requested Amount
Previous Requested Amount
Receivable Amount
Payment Amount

21,000.00
.00
.00
21,000.00

Previous Y-T-D Total
74,000.00
Reinsurance Year 1999 Total 15,000.00
Cumulative Y-T-D Total
89,000.00

Previous Y-T-D Total
10,000.00
Reinsurance Year 2000 Total 6,000.00
Cumulative Y-T-D Total
16,000.00

8-2

RO

FCIC LIVESTOCK DETAIL REPORT
REINSURANCE YEAR - 2008
MONTHLY

PAGE
1
LADR001

TAX ID#
CURRENT DATE/TIME:

MM/DD/YYYY

HH:MM:SS

CUTOFF DATE:

MM/DD/YYYY

CROP
ST
CO
POLICY
YR
NAME
PREMIUM
SUBSIDY
INDEMNITY
--------------------------------------------------------------------------------------------------------------------------------------XX
999
999999
YYYY
DOE, J
6,613
3,637
0
XX
999
999999
YYYY
DOE, JO
13,092
7,725
0
XX
999
999999
YYYY
DOE, JON
3,394
2,002
0
XX
999
999999
YYYY
DOE, JOHN
8,626
5,089
0
XX
999
999999
YYYY
DOE, JESS
1,008
554
0
XX
999
999999
YYYY
DOE, SALLY
4,270
2,518
0
XX
999
999999
YYYY
DOE, JAN
1,762
1,040
0
XX
999
999999
YYYY
DOE, JANE
3,304
1,949
0
XX
999
999999
YYYY
DOE, JODY
2,664
1,572
0
XX
999
999999
YYYY
DOE, RICH
2,121
1,251
0
XX
999
999999
YYYY
DOE, JACK
707
417
0
XX
999
999999
YYYY
DOE, BOB
8,354
4,930
0
TOTAL

55,915

9-1

32,684

0

RO

FCIC LIVESTOCK OPERATIONS REPORT
REINSURANCE YEAR - 2008
MONTHLY

PAGE
1
LRCP001

TAX ID#
CURRENT DATE/TIME: MM/DD/YYYY HH:MM:SS
CUTOFF DATE: MM/DD/YYYY
***********************************************************************************************************************************************

LIVESTOCK

PREMIUM

SUBSIDY

LOSSES

XXX,XXX

XXX,XXX

XXX,XXX

***********************************************************************************************************************************************
DUE COMPANY
NET A & O SUBSIDY (24.5%)

XXX,XXX.XX

COMPANY PREVIOUS PAYMENT

XXX,XXX.XX

FCIC INTEREST PAID

XXX,XXX.XX

LITIGATION EXPENSE

XXX,XXX.XX

DUE FCIC

FCIC PREVIOUS PAYMENT

XXX,XXX.XX

FCIC INTEREST /PENALTY

XXX,XXX.XX

FCIC DET OVERPAID

XXX,XXX.XX

LIVESTOCK SETTLEMENT

XXX,XXX.XX

XXX,XXX.XX

BALANCE DUE COMPANY/FCIC

XXX,XXX.XX

XXX,XXX.XX

***********************************************************************************************************************************************

CERTIFIED CORRECT

____________________________ _____________________________ ______________________________
NAME
TITLE
DATE
NOTE: ANY FALSE CERTIFICIATION MADE TO THE CORPORATION MAY SUBJECT THE MAKER TO CRIMINAL AND CIVIL PENALTIES AS PROVIDED
IN 18 U.S.C. 287, 1001; 31 U.S.C 3729 AND 3730

9-2

RO

LIVESTOCK SETTLEMENT REPORT

REINSURANCE YEAR 2008
TAX ID#
CURRENT DATE/TIME:

MM/DD/YYYY

MM/DD/YYYY

Total Premium
64,410
64,410
28,250
28,250
185,320

Prod Prem
56,037
64,410
24,577
28,250
173,274

Subsidy
8,373
0
3,673
0
12,046

Loss
200,000
400,000
122,000
50,000
772,000

Loss
Ratio
310.5%
621.0%
431.9%
177.0%
416.6%

90%
90%
80%
80%

57,969
57,969
22,600
22,600
161,138

50,433
57,969
19,662
22,600
150,664

7,536
0
2,938
0
10,474

180,000
360,000
97,600
40,000
677,600

310.5%
621.0%
431.9%
177.0%
420.5%

Commercial LRP
Commercial LGM
Private Market LRP
Private Market LGM
Company Share After Stop Loss

57,969
57,969
22,600
22,600
161,138

50,433
57,969
19,662
22,600
150,664

7,536
0
2,938
0
10,474

96,258
107,243
97,600
40,000
341,101

166.1%
185.0%
431.9%
177.0%
211.7%

(179,963)

6,441
6,441
5,650
5,650
24,182

5,604
6,441
4,915
5,650
22,610

837
0
735
0
1,572

103,742
292,757
24,400
10,000
430,899

1610.7%
4545.2%
431.9%
177.0%
1781.9%

(406,717)

Fund
Commercial LRP
Commercial LGM
Private Market LRP
Private Market LGM
Net Book Totals
Commercial LRP
Commercial LGM
Private Market LRP
Private Market LGM
Retained Totals

Retention
%

CUTOFF DATE:

Commercial LRP
Commercial LGM
Private Market LRP
Private Market LGM
Total 4 (FCIC Share)

Subsidy
Losses Due From FCIC
Prem Due FCIC
Reinsurance Prem Due FCIC
Subtotal
Livestock Adjustment

Due Company
10,474
430,899

441,373
413,546

Due FCIC

22,610
5,217
27,827
0

9-3

Gain/(Loss)

Table No. 1: CY 2008 Pilot Crops
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29

CROPS
Name
Forage Seed (alfalfa)
All Other Citrus Trees
Avocado
Avocado
Avocado Trees
Barley
Cabbage
Carambola Trees
Cherry
Chili Pepper
Clams
Corn
Corn
Cotton
Cultivated Wild Rice
Grain Sorghum
Grapefruit Trees
GRP Rangeland
Lemon Trees
Lime Trees
Mango Trees
Multiple Crops
Mustard
Navel Oranges
Orange Trees
Pasture, Rangeland & Forage (PRF)
Pasture, Rangeland & Forage (PRF)
Silage Sorghum
Soybean

actex1_10.doc

Code
0107
0211
0019
0019
0212
0091
0072
0213
0057
0045
0116
0041
0041
0021
0055
0051
0208
0048
0209
0210
0214
---0069
0215
0207
0088
0088
0059
0081

PLAN
Name
APH
TDO
ARC
APH
TDO
IP
GYC
TDO
FD
FD
AQ-DOL
IP
IIP
IP
APH
IP
TDO
GRP
TDO
TDO
TDO
AGR
APH
FD
TDO
Rainfall Index (PRF-RI)
Vegetative Index (PRF-VI)
I-APH
IP

Code
90
40
46
90
40
42
90
40
51
51
43
42
45
42
90
42
40
12
40
40
40
63
90
51
40
13
14
96
42

Comment
Approved for graduation
Florida (new FFT pilot)
California – approved for new plan design
Florida – approved for graduation
Florida (new FFT pilot)
Approved for graduation
Florida (new FFT pilot)
Under contract for new plan of insurance
Approved for graduation based on APH plan
Board action, April 2007

Approved for graduation
Florida (new FFT pilot)
Florida (new FFT pilot)
Florida (new FFT pilot)
Florida (new FFT pilot)
Approved for graduation
California
Florida (new FFT pilot)

CROPS
Name
30
31
32
33
34
35
36
37
38
39

Soybean
Strawberries
Sweetpotatoes
Wheat
Coffee Trees
Banana Trees (plants)
Papaya Trees
Coffee Fruit (berry)
Banana Fruit
Papaya Fruit

Code
0081
0110
0085
0011
0266
0265
0267
0256
0255
0257

PLAN
Name
IIP
FD
APH-AR
IP
TDO
TDO
TDO
APH
APH
APH

Code
45
51
92
42
40
40
40
90
90
90

Comment
Under contract for new plan of insurance

Authorized beginning CY07
Authorized beginning CY07
Authorized beginning CY07
Authorized beginning CY07
Authorized beginning CY07
Authorized beginning CY07

Notes: 1. Crop policies approved via the 508(h) mechanism are not considered pilots. Thus, CRC, RA, GRIP, and AGR-Lite are not
considered pilots even though they are now administered by RMA.
2. Crop policies that are not themselves pilots do not become pilots by the attachment of a pilot option. (See Table No.2 for a
list of pilot options.)

Table No. 2: CY 2008 Pilot Options
1
2
3
4
5

Crops
Onions
Sugar Beets
Nursery
TX Citrus Trees
Multiple

actex1_10.doc

Option
Name
Stage Removal
Stage Removal
Grower’s Price Endorsement
Coverage Enhance Option
ND Personal T-Yield

Code
NS
NS
PO
CEO
PTY

Comments

Authorized through CY08
Authorized beginning CY07

Table No. 3: Pilot Programs Planned For CY 2008
CROPS
Name

PLAN
Name

Code

Comment

Code

1
2

Table No. 4: Discontinued Pilots
CROPS
Name
Fresh Market Beans
Crambe
Winter Squash
Raspberry/Blackberry
Cucumber
Mint
All crops terminated
except TX Cit Trees
Apple
Apple

actex1_10.doc

Code
0105
0068
0065
0108
0106
0074

(partial list)

PLAN
Name
DO
APH
DO
DO
DO
APH

Code
50
90
50
51
51
90

CEO
0054
0054

Quality, Fancy
Quality, Other

Comment
Terminated for CY07
Terminated for CY05
Terminated for CY06
Terminated for CY07
Terminated for CY06
Approved for graduation in CY08
Coverage Enhancement Option

QF
QP

Terminated for CY07
Terminated for CY07