Alien Surplus Lines Exposure Bases by Jurisdiction

Data Dictionary for Terrorism Risk Insurance Program (TRIP) 2017 Data Collection (OMB Form No. 1505-____; Expiration Date: __/__/20__): Alien Surplus Lines Insurers
Section	Field Name	Comments
Insurer Group Affiliations
B4	NAIC Group Code	This reporting form is for Alien Surplus Lines Insurers that are not affiliated with group that is otherwise required to complete the reporting template for either Insurer (Non-Small) Groups or Companies, or Small Insurers. If the experience of the Alien Surplus Lines Insurer is not included on a group basis in connection with one of these two templates for Admitted Companies, it should complete this form. In addition, Federally Approved Insurers [see 31 CFR 50.4(o)(1)(i)(C)] should complete this form, subject to the specific instructions identified herein. As used for state regulatory reporting purposes. Companies that have no such number will be assigned a number by the aggregator. If not part of a group, leave blank and report for the individual company in Cell B9.
C4	Insurer Group Name	Provide name as used by reporting insurer group. If not part of a group, leave blank and report for the individual company in Cell C9.
D8	Type of Insurer	Select from drop-down list to characterize nature of operations of reporting insurer. Select the item that best describes the operations of the reporting insurer as respects the Terrorism Risk Insurance Program (Alien Surplus Lines or Federally Approved Insurer).
B8	NAIC Company Code	As used for state regulatory reporting purposes. Companies that have no such number will be assigned a number by the aggregator. Enter information for each company within an affiliated group of insurers (as reported in Cells B4 and C4), or report for individual company if not part of a group.
C8	Insurance Company Name	Provide name as used by reporting insurance company. Enter information for each company within an affiliated group of insurers (as reported in Cells B4 and C4) , or report for individual company if not part of a group.
G3	Total 2015 Net Admitted Assets	Enter figure in Cell H3 as reported by insurance group or reporting insurance company for state regulatory purposes on its Annual Statement for 2015 at Page 2, Line 28, Column 3. To the extent you do not report this figure for state regulatory purposes, report a net admitted assets figure for 2015 based upon an equivalent methodology.
G4	Total 2015 Policyholder Surplus	Enter figure in Cell H4 as reported by insurance group or reporting insurance company for state regulatory purposes on its Annual Statement for 2015 at Page 3, Line 37, Column 1. To the extent you do not report this figure for state regulatory purposes, report a policyholder surplus figure for 2015 based upon an equivalent methodology. The blacked out cells indicate that company-level information for companies that are part of an affiliated group of insurers need not be reported.
G5	Total 2015 TRIP-Eligible DEP (all lines)	Enter the figure entered in Cell C16 in the Policies and DEP (Juris.) Worksheet for 2015 TRIP-Eligible Direct Earned Premium (DEP), all lines, for all jurisdictions. The blacked out cells indicate that company-level information for companies that are part of an affiliated group of insurers need not be reported.
G6	Total 2016 TRIP-Eligible DEP (all lines)	Enter the sum of Cell D12 in the Policies and DEP (Juris.) spreadsheet for all jurisdictions to provide total 2016 TRIP-Eligible DEP.
Policies and Direct Earned Premium (DEP) (Jurisdiction)
B2	Jurisdiction	Identify jurisdiction (US State, the District of Columbia, or US Territory) for which information is provided. Make a separate copy of this worksheet for each jurisdiction in which premium is earned. Premium should be allocated in the same fashion that it is for state reporting and premium tax purposes. Accordingly, coverage written on a non-admitted, surplus lines basis may be allocated in full to the home state of the policyholder, as defined by the Nonadmitted and Reinsurance Reform Act. This allocation approach should be followed in the other worksheets as well where information is sought concerning premium and exposures by jurisdiction, except in the case of the Geographic Exposures worksheet, which seeks information based upon where the exposures identified are located, regardless of the manner in which the premium may have been allocated.
B7-B11	TRIP-Eligible Line of Coverage	Categories of TRIP-Eligible Lines of Coverage which Alien Surplus Lines Insurers presently use for annual reporting certain information in the state regulatory system concerning terrorism risk insurance, which are used here in that such insurers do not otherwise report information in a fashion consistent with state regulatory reporting as reflected on the NAIC Exhibit of Premiums and Losses (commonly known as Statutory Page 14). These categories generally correspond, however, to the state regulatory reporting lines that are identified in Column C. However, any amounts within these categories that are not otherwise with the scope of TRIP-eligible lines as defined by the Program regulations should not be reported.
C7-C11	NAIC Line (Commercial Only)	Line of Insurance number as used for state regulatory reporting purposes on the NAIC Exhibit of Premiums and Losses (commonly known as Statutory Page 14), which generally correspond to the categories in use by Alien Surplus Lines insurers identified in Column B. For purposes of the reporting, Alien Surplus Lines insurers and Federally Approved Insurers should confirm that the figures they report do not include amounts that would otherwise fall within these lines as follows: The property line Allied Lines (NAIC Line 2.1) should not include Federal crop insurance or any other type of crop insurance privately-issued or reinsured; the liability line of Other Liability (NAIC Line 17) should not include Professional Errors and Omissions Liability Insurance [see 31 CFR 50.4(t)].
D7-D11	Total 2016 TRIP-Eligible DEP (all policies)	Total direct earned premium (DEP) for 2016 charged for the lines in question. Generally, DEP figures are to be reported by Alien Surplus Lines Insurers in the same manner that they currently report such information for state regulatory purposes. In addition, DEP should be included in the calculations for all Worksheets only to the extent that commercial property and casualty coverage is issued for losses at the following locations: (1) Within the United States; (2) In the case of an air carrier (as defined in section 40102 of title 49, United States Code), or a United States flag vessel (or a vessel based principally in the United States, on which United States income tax is paid and whose insurance coverage is subject to regulation in the United States), losses occurring anywhere; and (3) At the premises of any United States mission. For Federally Approved Insurers that do not report or charge premium in the conventional sense, use any anticipated Total Call figures as issued for the year in question that represent the relative charge for the insurance provided. The figures reported in this column will be the sum of the respective figures in Columns E-G. All information in this column as well as in the following columns should be reported, by jurisdiction, on a consolidated insurer group basis, unless reporting for a single insurer. The requested figure for total 2015 TRIP-eligible DEP (all lines) to be reported in Cell C16 should be calculated in the same fashion as TRIP-eligible DEP for 2016 as requested in this Worksheet, only consolidated by all TRIP-eligible lines.
E7-E11	Total 2016 TRIP-Eligible DEP when Terrorism Risk Coverage Not Purchased	Total DEP for 2016 charged for the line in question under policies when Terrorism Risk Coverage was not purchased by the policyholder.
F7-F11	Total 2016 TRIP-Eligible DEP when Terrorism Risk Coverage Provided for Disclosed $0 Charge	Total DEP for 2016 charged for the line in question under policies when Terrorism Risk Coverage was provided by the insurer to the policyholder for a disclosed $0 charge.
G7-G11	Total 2016 TRIP-Eligible DEP when Terrorism Risk Coverage Premium Charged	Total DEP for 2016 charged for the line in question under policies when Terrorism Risk Coverage was provided by the insurer to the policyholder for a disclosed non-$0 charge.
H7-H11	Total 2016 Disclosed Terrorism Risk Coverage DEP Charged	Amount of the 2016 terrorism risk DEP charged as a component of the TRIP-Eligible DEP figure in Column G.
B14	All disclosed terrorism risk premium collected in all TRIP-eligible lines, 2003-2016	Provide the total terrorism risk DEP collected in all TRIP-eligible lines for all years from 2003 through 2016, combined. Include in the figure terrorism risk DEP for lines that were TRIP-eligible at the time of writing, but are no longer TRIP-eligible today (e.g., Commercial Automobile from 2003-2005).
B15	Years provided in C14 if not fully available for 2003-2016	If data is not available for all years (or the insurer was not writing TRIP-eligible coverage in all years), indicate the years covered by the figure that is provided (using four-digit years separated with a hyphen -- e.g., 2010-2016).
B16	Total 2015 TRIP-eligible DEP (all lines)	The requested figure for total 2015 TRIP-eligible DEP (all lines) to be reported in Cell C16 should be calculated in the same fashion as TRIP-eligible DEP for 2016 as requested in this Worksheet, only consolidated by all TRIP-eligible lines.
B17	Total 2016 Number of Policies Containing TRIP-Eligible Coverage	Provide the number of policies associated with the DEP reported in Cell C16. Report 2016 information, by jurisdiction, on a consolidated insurer group basis, unless reporting for a single insurer. Count policies containing multiple lines of TRIP-eligible coverage as separate policies for each line. However, in Cell C17, only count policies containing multiple lines of TRIP-eligible coverage as single policies for purposes of the policy count that is requested. Because of the different basis of calculation, the total in Cell L12 may not be equal to the figure in Cell C17. Otherwise, the figures entered in Column L for each line, as well as the total figure in Cell L12, should equal the sum of the respective figures in Columns I-J.
I7-I11	Total 2016 Number of Policies by Line (Terrorism Risk Coverage Not Purchased)	Provide 2016 policy count associated with the DEP reported in Cells E7-E11 when Terrorism Risk coverage was not purchased by the policyholder. Policy count should be based upon the number of policies incepting in 2016.
J7-J11	Total 2016 Number of Policies by line when Terrorism Risk Coverage Provided for Disclosed $0 Charge	Provide 2016 policy count associated with the DEP reported in Cells F7-F11 when Terrorism Risk coverage was extended by the insurer for a disclosed $0 charge. Policy count should be based upon the number of policies incepting in 2016.
K7-K11	Total 2016 Number of Policies by line when Terrorism Risk Coverage Premium Charged	Provide 2016 policy count associated with the DEP reported in Cells G7-G11 when Terrorism Risk coverage was provided by the insurer for a disclosed non-$0 premium charge. Policy count should be based upon the number of policies incepting in 2016.
L7-L11	Total 2016 Number of Policies by Line	The figures appearing in Column L for each line, as well as the total figure in Cell L12, should equal the sum of the respective figures in Columns I-K.
Standalone Terrorism (Nationwide)
3	2016 DEP for Standalone Terrorism Policies	Report 2016 information on a consolidated insurer group basis (unless reporting for a single insurer), nationwide, without reference to individual jurisdictions in which premium is earned. Enter information here if you issue "standalone" policies covering terrorism risk only, whether pursuant to TRIP, or otherwise as defined in the particular policy. Policies that cover any non-terrorism risks are not subject to this worksheet. Direct earned premium (DEP) as requested for these policies should also be otherwise included in the Policies and DEP (Juris.) Worksheet associated with the appropriate line of coverage.
4	Portion of 2016 DEP for TRIP Certified Terrorism Loss Coverage	Identify the 2016 portion, if any, of the DEP disclosed in connection with the premium figure in Line 3 as being for insurance coverage subject to TRIP.
5	Portion of 2016 DEP for Non-Certified Terrorism Loss Coverage	Identify the 2016 portion, if any, of the DEP associated with the policies encompassed by Line 3 that was charged in connection with terrorism risk insurance that is not subject to TRIP.
6	2016 Number of Standalone Terrorism Policies Issued	Provide the 2016 policy count requested.
7	2016 Number of Standalone Terrorism Policies Covering TRIP Loss Issued	Provide the 2016 policy count requested.
8	2016 Property Insurance Exposure for Standalone Terrorism Policies Covering TRIP Loss	Provide the sum of the 2016 Property Insurance Exposure for any property coverage provided in connection with the premium figure in Line 4. This should include the total amount of the reporting insurer's exposure under the policies in question for a property loss (and thus not include amounts within an insured's deductible, etc.). To the extent the value of the insured's property is not fully insured by the policy in question, use the limits of the property insurance to which the insurer is exposed.
9	2016 Total Limits of Liability for Standalone Terrorism Policies Covering TRIP Loss	Please provide the sum of the 2016 Limits of Liability for any liability coverage provided in connection with the premium figure in Line 4. Again, this figure should include the limits of the insurer's exposure, and not amounts for which the policyholder may remain responsible.
Exposure Bases by Jurisdiction
B2	Jurisdiction	Identify jurisdiction (US State, the District of Columbia, or US Territory) for which information is provided. Make a separate copy of this worksheet for each jurisdiction. As indicated above, information in connection with coverage written on a non-admitted, surplus lines basis may be allocated in full to the home state of the policyholder, as defined by the Nonadmitted and Reinsurance Reform Act, in which premium is earned.
B6-B10	TRIP-Eligible Line of Coverage	Categories of TRIP-Eligible Lines of Coverage which Alien Surplus Lines Insurers presently use for annual reporting in the state regulatory system, which are used here in that such insurers do not necessarily report in a fashion consistent with state regulatory reporting as reflected on the NAIC Exhibit of Premiums and Losses (commonly known as Statutory Page 14). These categories generally correspond, however, to the state regulatory reporting lines that are identified in Column C.
C6-C10	NAIC Line (Commercial Only)	Line of Insurance number as used for state regulatory reporting purposes on the NAIC Exhibit of Premiums and Losses (commonly known as Statutory Page 14), which generally correspond to the categories in use by Alien Surplus Lines insurers identified in Column B. For purposes of the reporting, Alien Surplus Lines insurers should confirm that the figures they report do not include amounts that would otherwise fall within these lines as follows: The property line Allied Lines (NAIC Line 2.1) should not include Federal crop insurance or any other type of crop insurance privately issued or reinsured. The liability line of Other Liability (NAIC Line 17) should not include Professional Errors and Omissions Liability Insurance [see 31 CFR 50.4(t)].
D6-D10	Total 2016 Property Insurance Exposure Subject to Terrorism Risk Coverage	Report 2016 information, by jurisdiction, on a consolidated insurer group basis, unless reporting for a single insurer. Enter the amount for each jurisdiction (based on property location) individually, even if an aggregate limit may limit exposure across multiple jurisdictions. The blacked out cells simply indicate that no data will be reportable for that particular cell, given the intersection between the NAIC line of insurance and the exposure base in question. In this column, report your total property insurance exposure by line of insurance under all policies where terrorism risk coverage is provided in connection with property coverage. This should include (in this column as well as in other columns where the information is requested) the total amount of the reporting insurer's exposure under the policies in question for a property loss (and thus not include amounts within an insured's deductible, etc.). To the extent the value of the insured's property is not fully insured by the policy in question, use the limits of the property insurance to which the insurer is exposed. If the policy has an aggregate limit, use the aggregate limit; if it is subject to a per occurrence limit and not an aggregate limit, use the single occurrence limit. To the extent the policy exposure is based upon property values or annual sales and is not otherwise subject to a policy limit, use the property values or annual sales figures.
E6-E10	Total 2016 Property Insurance Exposure Not Subject to Terrorism Risk Coverage	In this column, report total property insurance exposure by line of insurance under all policies where terrorism risk coverage is not provided in connection with property coverage.
F6-F10	Total 2016 Limits of Liability Subject to Terrorism Risk Coverage	In this column, report the sums of policy limits of liability by line of insurance under all policies where terrorism risk coverage is provided in connection with liability coverage.
G6-G10	Total 2016 Limits of Liability Not Subject to Terrorism Risk Coverage	Report the sums of Limits of Liability by line of insurance under all policies where terrorism risk coverage is not provided in connection with liability coverage.
H6-H10	Total 2016 Payroll Subject to Terrorism Risk Coverage	Report 2016 sums of Payroll for Workers Compensation or Excess Workers' Compensation under all policies.
Policyholder Industry Code (Nationwide) (NAICS or SIC)
C4-C24	NAICS Code	North American Industrial Classification System Code Number. If the NAICS Code is unavailable for a policy, enter the requested information in Row 24. Reporting insurers should use either NAICS Codes or SIC Codes -- not both -- to allocate premium as requested.
D4-D24	NAICS Code Description Applicable to Policyholder	Code description for the identified NAICS Code.
C25-C35	SIC Code	Standard Industrial Classification System Code Number. If the SIC Code is unavailable for a policy, enter the requested information in Row 35.
D25-D35	SIC Code Description Applicable to Policyholder	Code description for the identified SIC Code.
E	Total 2016 Disclosed Terrorism Risk Coverage DEP Charged for Property	Report 2016 information, by jurisdiction, on a consolidated insurer group basis, unless reporting for a single insurer. Allocate TRIP-Eligible direct earned premium (DEP) figures by industry code as indicated. Total 2016 TRIP-Eligible DEP figures should match up with the figures reported on the Policies and DEP (Juris.) Worksheet for each relevant jurisdiction. Report Disclosed DEP charged for Terrorism Risk coverage for the Property Lines, which will be a component of the figure in Column G.
F	Total 2016 TRIP-Eligible DEP Property When Terrorism Risk Coverage Not Purchased	Report 2016 information, by jurisdiction, on a consolidated insurer group basis, unless reporting for a single insurer. Allocate TRIP-Eligible direct earned premium (DEP) figures by industry code as indicated. Total 2016 TRIP-Eligible DEP figures should match up with the figures reported on the Policies and DEP (Juris.) Worksheet for each relevant jurisdiction. Report 2016 TRIP-Eligible DEP figures for the Property Lines when Terrorism Risk Coverage is not purchased.
G	Total 2016 TRIP-Eligible DEP Property When Terrorism Risk Coverage Purchased	Report 2016 information, on a nationwide, consolidated insurer group basis, unless reporting for a single insurer. Allocate TRIP-Eligible direct earned premium (DEP) figures by industry code as indicated. Include policies where terrorism risk coverage was provided at no charge. Total 2016 TRIP-Eligible DEP figures should match up with the figures reported on the Policies and DEP (Juris.) Worksheet for each relevant jurisdiction. Report 2016 TRIP-Eligible DEP figures for the TRIP Property Lines where Terrorism Risk Coverage is purchased; see the Exposure Bases by Jurisdiction Worksheet for the division between Property Lines (Columns D & E), Liability Lines (F & G), and Workers' Compensation Lines (Column H) on that Worksheet.
H	Total 2016 TRIP-Eligible DEP Property	Report 2016 TRIP-Eligible DEP figures for the TRIP Property Lines; see the Exposure Bases by Jurisdiction Worksheet for the division between Property Lines (Columns D & E) and Liability Lines (F & G) on that Worksheet. On this Worksheet, the figures in Column H should equal the sum of the respective figures in Columns F & G.
I	Total 2016 Disclosed Terrorism Risk Coverage DEP Charged for Liability	Report 2016 information, by jurisdiction, on a consolidated insurer group basis, unless reporting for a single insurer. Allocate TRIP-Eligible direct earned premium (DEP) figures by industry code as indicated. Total 2016 TRIP-Eligible DEP figures should match up with the figures reported on the Policies and DEP (Juris.) Worksheet for each relevant jurisdiction. Report 2016 Disclosed DEP charged for Terrorism Risk coverage for Liability Lines, which will be a component of the figure in Column K.
J	Total 2016 TRIP-Eligible DEP for Liability When Terrorism Risk Coverage Not Purchased	Report 2016 information, by jurisdiction, on a consolidated insurer group basis, unless reporting for a single insurer. Allocate TRIP-Eligible direct earned premium (DEP) figures by industry code as indicated. Total 2016 TRIP-Eligible DEP figures should match up with the figures reported on the Policies and DEP (Juris.) Worksheet for each relevant jurisdiction. Report 2016 TRIP-Eligible DEP figures for the Liability Lines when Terrorism Risk Coverage is not purchased.
K	Total 2016 TRIP-Eligible DEP for Liability When Terrorism Risk Coverage Purchased	Report 2016 information, by jurisdiction, on a consolidated insurer group basis, unless reporting for a single insurer. Allocate TRIP-Eligible direct earned premium (DEP) figures by industry code as indicated. Include policies where terrorism risk coverage was provided at no charge. Total 2016 TRIP-Eligible DEP figures should match up with the figures reported on the Policies and DEP (Juris.) Worksheet for each relevant jurisdiction. Report 2016 TRIP-Eligible DEP figures for the Liability Lines when Terrorism Risk Coverage is purchased.
L	Total 2016 TRIP-Eligible DEP for Liability	Report 2016 TRIP-Eligible DEP figures for the TRIP Liability Lines; see the Exposure Bases by Jurisdiction Worksheet for the division between Property Lines (Columns D & E) and Liability Lines (F & G) on that Worksheet. On this Worksheet, the figures in Column L should equal the sum of the respective figures in Columns J & K.
M	Total 2016 Disclosed Terrorism Risk Coverage DEP Charged for Workers' Compensation	Report 2016 information, on a nationwide, consolidated insurer group basis, unless reporting for a single insurer. Allocate TRIP-Eligible direct earned premium (DEP) figures by industry code as indicated. Total 2016 TRIP-Eligible DEP figures should match up with the figures reported on the Policies and DEP (Juris.) Worksheet for each relevant jurisdiction. Report 2016 Disclosed DEP charged for Terrorism Risk coverage for Primary Workers' Compensation, which will be a component of the figure in Column N.
N	Total 2016 TRIP-Eligible DEP Workers' Compensation	Report 2016 information, on a nationwide, consolidated insurer group basis, unless reporting for a single insurer. Allocate TRIP-Eligible direct earned premium (DEP) figures by industry code as indicated. Include policies where terrorism risk coverage was provided at no charge. Total 2016 TRIP-Eligible DEP figures should match up with the figures reported on the Policies and DEP (Juris.) Worksheet for each relevant jurisdiction. Report 2016 TRIP-Eligible DEP figures for the TRIP Primary Workers' Compensation.
O	Total TRIP-Eligible DEP (all categories)	The DEP figures in Column O should equal the sum of the respective figures in Columns H, L, and N.
Geographic Exposures (Nationwide)
B3-B30	Region	This Worksheet seeks exposure information by various metropolitan regions (B3-B28), then for the remainder of the US (including territories) as a whole (B29). Use a separate line (B30) to record policies for which location information is not available. Report information on a consolidated insurer group basis, unless reporting for a single insurer.
C3-C30	Description	Description of the metropolitan region (by zip code) to be used in connection with providing information. The descriptions are based upon definitions currently in use by private rating agencies. To the extent you do not track your data in this fashion, please report the information by the closest approximation of the US county and city jurisdictions involved. Although in prior sheets information is sought by where the premium is allocated for state reporting and tax purposes, the information sought in this sheet should be reported based upon where the property exposures are actually located.
D3-D30	Total 2016 Payroll Subject to TRIP Coverage under Primary WC Coverage	Provide 2016 information respecting payroll figures in each identified area under primary workers' compensation coverage.
E3-E30	Total 2016 Payroll Subject to TRIP Coverage under Excess WC Coverage	Provide 2016 information respecting payroll figures in each identified area under excess workers' compensation coverage.
F3-F30	Total 2016 Property Insurance Exposure Subject to TRIP Property Coverage	Provide 2016 information respecting property insurance exposure in each identified area that is subject to TRIP Property Coverage. This should include (in this column as well as in other columns where the information is requested) the total amount of the reporting insurer's exposure under the policies in question for a property loss (and thus not include amounts within an insured's TRIP deductible, etc.). To the extent the value of the insured's property is not fully insured by the policy in question, use the limits of the property insurance to which the insurer is exposed.
G3-G38	Total 2016 Property Insurance Exposure Not Subject to TRIP Property Coverage	Provide 2016 information respecting property insurance exposure in each identified area that is not subject to TRIP Property Coverage.
C35-C39	ZIP Code of Top 5 Largest Accumulated Exposure Locations by Payroll (Metropolitan Regions)	Provide the zip codes for the top 5 aggregations of payroll exposure from the list of 26 metropolitan regions provided in Cells B3-B28. Accordingly, zip codes entered into this field will not necessarily correspond to 5 different regions (a company could conceivably have its top 5 aggregations within the same city).
D35-D39	Amount of Top 5 Largest Accumulated Exposure Locations by Payroll (Metropolitan Regions)	Provide the amount of accumulated payroll exposure for the corresponding zip code found in Cells C35-C39.
E35-E39	ZIP Code of Top 5 Largest Accumulated Exposure Locations by Property Insurance Exposure subject to TRIP Property Coverage (Metropolitan Regions)	Provide the zip codes for the top 5 aggregations of property insurance exposure from the list of 26 metropolitan regions provided in Cells B3-B28. Accordingly, zip codes entered into this field will not necessarily correspond to 5 different regions (a company could conceivably have its top 5 aggregations within the same city).
F35-F39	Amount of Top 5 Largest Accumulated Exposure Locations by Property Insurance Exposure subject to TRIP Property Coverage (Metropolitan Regions)	Provide the amount of accumulated property insurance exposure for the corresponding zip code found in Cells C35-C39.
C43-C47	ZIP Code of Top 5 Largest Accumulated Exposure Locations by Payroll (Non-Metropolitan Areas)	Provide the zip codes for the top 5 aggregations of payroll exposure from non-metropolitan areas included in Cell C29. If non-allocated exposures from Cell C30 fall within the top 5 aggregations, enter them here using a zip code of 99999.
D43-D47	Amount of Top 5 Largest Accumulated Exposure Locations by Payroll (Non-Metropolitan Areas)	Provide the amount of accumulated payroll exposure for the corresponding zip code found in Cells C43-C47.
E43-E47	ZIP Code of Top 5 Largest Accumulated Exposure Locations by Property Insurance Exposure subject to TRIP Property Coverage (Non-Metropolitan Areas)	Provide the zip codes for the top 5 aggregations of property insurance exposure from non-metropolitan areas included in Cell C29. If non-allocated exposures from Cell C30 fall within the top 5 aggregations, enter them here using a zip code of 99999.
F43-F47	Amount of Top 5 Largest Accumulated Exposure Locations by Property Insurance Exposure subject to TRIP Property Coverage (Non-Metropolitan Areas)	Provide the amount of accumulated property insurance exposure for the corresponding zip code found in C43-C47.
49	ZIP Code Associated with Largest Probable Maximum Loss (PML)	Provide the ZIP code for the insurer group or reporting company's largest Probable Maximum Loss at a single street level address location, assuming the detonation of a 2.5-7.5 ton truck bomb at that location (with the range permitting the reporting insurer to use the blast size that it typically uses in connection with such analyses). If you do not typically perform such analyses, use the blast radius estimates found in the Reinsurance (Nationwide) Worksheet, Line 27.
50	Largest PML at a Single Location (Amount)	Provide the amount of the insurer group or reporting company's largest Probable Maximum Loss (for all lines) at the location identified in Cell D49, assuming the detonation of a 2.5-7.5 ton truck bomb at that location (with the range permitting the reporting insurer to use the blast size that it typically uses in connection with such analyses).
Reinsurance (Nationwide)
3	Size of TRIP 2016 Deductible (Cell H5 of Insurer Group Affiliations Worksheet x 20%)	The TRIP 2016 Deductible by Insurer Group is based upon the TRIP-Eligible DEP for the Group during the prior calendar year, which is reported at Cell H5 of the Insurer Group Affiliations Worksheet.
4	Total 2016 Limits Any One Loss of Purchased Reinsurance Covering TRIP Loss	This Worksheet is set up as a questionnaire, with certain amounts requested, yes or no answers sought, and associated explanation to the extent necessary. As a result, and unlike the other worksheets, the data sought may be more easily obtainable from an individual with knowledge of the reinsurance arrangements of the reporting entity, as distinguished from the mechanism of data queries to existing systems. Report information on a consolidated insurer group basis, unless reporting for a single insurer. Include only reinsurance purchased from an outside reinsurer, and exclude reinsurance provided by a parent, affiliate, or other related entity. In this field, report your reinsurance per loss limit covering loss subject to TRIP for 2016.
5	Total 2016 Aggregate Limits of Purchased Reinsurance Covering TRIP Loss	Report your 2016 maximum aggregate reinsurance limit per calendar year for loss subject to TRIP.
6	2016 Attachment Point of Purchased Treaty Reinsurance Covering TRIP Loss	Provide the 2016 attachment point at which any treaty reinsurance covering loss subject to TRIP applies.
7	2016 Co-Participation Share of Purchased Treaty Reinsurance Covering TRIP Loss	Provide the 2016 co-participation share, if any, of your purchased treaty reinsurance covering TRIP exposure.
8	Total 2016 Limits Any One Loss of Purchased Reinsurance Covering Natural Catastrophic Loss	Report your 2016 reinsurance per loss limit covering natural catastrophic loss for 2016.
9	Total 2016 Aggregate Limits of Purchased Reinsurance Covering Natural Catastrophic Loss	Report your 2016 maximum aggregate reinsurance limit per calendar year for natural catastrophic loss.
10	2016 Attachment Point of Purchased Treaty Reinsurance Covering Natural Catastrophic Loss	Provide the 2016 attachment point at which any treaty reinsurance covering natural catastrophic loss applies.
11	2016 Co-Participation Share of Purchased Treaty Reinsurance Covering Natural Catastrophic Loss	Provide the 2016 co-participation share, if any, of your purchased treaty reinsurance covering natural catastrophic loss.
12	Any reinsurance exclusions for TRIP Certified Foreign Acts of Terrorism?	Indicate whether during 2016 reinsurance that you purchased has any exclusions for TRIP certified acts of terrorism caused by foreign individuals or actors.
13	Any reinsurance exclusions for TRIP Certified Domestic Acts of Terrorism?	Indicate whether during 2016 reinsurance that you purchased has any exclusions for TRIP certified acts of terrorism caused by domestic acts of terrorism.
14	Reinsurance for NBCR WC Exposures Resulting from Certified Acts of Terrorism?	Indicate whether reinsurance that you obtained for calendar year 2016 provides any coverage for workers' compensation losses involving TRIP certified acts of terrorism resulting from nuclear, biological, chemical or radiological (NBCR) exposures.
15	If Yes, Total 2016 Limits of NBCR Reinsurance for Certified Acts of Terrorism involving WC Loss	Provide the limits of any reinsurance identified in Line 14 that you purchased for calendar year 2016.
16	If Yes, 2016 Attachment Point of NBCR Reinsurance for Certified Acts of Terrorism involving WC Loss	Provide the attachment point of any reinsurance identified in Line 14 that you purchased for calendar year 2016.
17	If Yes, 2016 Co-Participation Share (if any) of NBCR Reinsurance For Certified Acts of Terrorism involving WC Loss	Provide the co-participation share, if any, of any reinsurance identified in Line 14 that you purchased for calendar year 2016.
18	Reinsurance for NBCR Property Loss Resulting from Certified Acts of Terrorism?	Indicate whether reinsurance that you obtained for calendar year 2016 provides any coverage for property losses involving TRIP certified acts of terrorism resulting from nuclear, biological, chemical or radiological (NBCR) exposures.
19	If Yes, Total 2016 Limits of NBCR Reinsurance for Certified Acts of Terrorism involving Property Loss	Provide the limits of any reinsurance identified in Line 18 that you purchased for calendar year 2016.
20	If Yes, 2016 Attachment Point of NBCR Reinsurance for Certified Acts of Terrorism involving Property Loss	Provide the attachment point of any reinsurance identified in Line 18 that you purchased for calendar year 2016.
21	If Yes, 2016 Co-Participation Share (if any) of NBCR Reinsurance for Certified Acts of Terrorism involving Property Loss	Provide the co-participation share, if any, of any reinsurance identified in Line 18 that you purchased for calendar year 2016.
22	Reinsurance for NBCR Liability Loss Resulting from Certified Acts of Terrorism?	Indicate whether reinsurance that you obtained for calendar year 2016 provides any coverage for liability losses involving TRIP certified acts of terrorism resulting from NBCR exposures.
23	If Yes, Total 2016 Limits of NBCR Reinsurance for Certified Acts of Terrorism involving Liability Loss	Provide the limits of any reinsurance identified in Line 22 that you purchased for calendar year 2016.
24	If Yes, 2016 Attachment Point of NBCR Reinsurance for Certified Acts of Terrorism involving Liability Loss	Provide the attachment point of any reinsurance identified in Line 22 that you purchased for calendar year 2016.
25	If Yes, 2016 Co-Participation Share (if any) of NBCR Reinsurance for Certified Acts of Terrorism involving Liability Loss	Provide the co-participation share, if any, of any reinsurance identified in Line 22 that you purchased for calendar year 2016.
26	Any other reinsurance exclusions specifically applicable to Certified Acts of Terrorism under TRIP?	To the extent not identified in any of your prior responses, identify any exclusions in your 2016 reinsurance contracts that could operate to preclude coverage for losses arising from a TRIP certified act of terrorism.
28-35	Loss to Group or Company within TRIP Deductible, Private Reinsurance Recovery, Deductible/Retention of Insureds, Claim under TRIP, Co-Pay Obligation	The last series of questions seeks information as to how a particular defined loss event would likely affect the responding insurer group or reporting insurer, in terms of the total projected loss it would likely sustain (Line 29), with that amount divided into six categories: (1) deductible or retention obligation of insureds under triggered policies (Line 30); (2) net loss to group or company within TRIP deductible, net of policyholder obligations or private reinsurance (Line 31); (3) any private reinsurance recovery of amounts within the reporting insurer's deductible (Line 32); (4) projected recovery from TRIP (Line 33); (5) the net loss of the insurer group or reporting individual insurer above its deductible within the co-pay obligation (Line 34); and (6) any private reinsurance recovery of amounts above the reporting insurer's deductible within the co-pay obligation (Line 35). In terms of making these calculations, use the definitions, instructions and assumptions found in the Worksheet at Line 28. The identification of the truck bomb in question as between 2.5 and 7.5 tons is intended to permit reporting companies to use blast scenario assumptions that they would typically use in internal modeling projections. When responding to these questions, you may use the modeling assumptions that you typically use for a blast scenario modeling for a blast of this size. If you do not typically employ any such scenario, please provide estimates using the parameters identified on the worksheet. It is understood that not all reporting insurers will anticipate losses under the stated scenario.