Captive Insurers Reinsurance (Nationwide)

Instructions for Places of Worship (Nationwide) Worksheet

Places of Worship (Nationwide)
Section	Field Name	Comments
C4	NAICS Code 813110	Reporting insurers should categorize information under: (1) NAICS Codes, (2) SIC Codes, (3) ISO Class Codes, or (4) Other to allocate premium on this worksheet. Cells C4 and D4 list the North American Industrial Classification System (NAICS) industry code number for Religious Organizations. Cells C5 and D5 list the Standard Industrial Classification System (SIC) industry code number for Religious Organizations. Cells C6 and D6 list the individual ISO class codes (property and liability) for Religious Organizations. Other permits a reporting insurer to use a different methodology to identify the requested premium information for Places of Worship, such as a manual sorting of individual policyholder names, or some other method calculated to identify the premium of the reporting insurer associated with Places of Worship. When using this methodology, do not include premium associated with affiliated operations, such as schools or hospitals.
D4
C5	SIC Code 8661
D5
C6	ISO Class Codes 0900 (Property) or 41650 (Liability)
D6
C7	Other
D7
E4	Total 2019 DEP Charged for Terrorism Risk Coverage (Property)	For each corresponding industry code, provide the amount of 2019 DEP charged for terrorism risk under property policies issued to Places of Worship. Only utilize one of the reporting methods (NAICS, SIC, ISO, or Other) identified. To the extent your premium is coded by the specific identified NAICS, SIC, or ISO codes, you may report all of the premium associated with those specific codes. Follow these same instructions for reporting for the balance of the reporting fields in this worksheet. This figure, representing premium charged for terrorism risk, should be a component of the amount provided in Column G.
E5
E6
E7
F4	Total 2019 TRIP-Eligible DEP (Terrorism Risk Coverage Declined) (Property)	For each corresponding industry code, or utilizing the Other category for some other calculation, provide the total 2019 DEP of property policies, where terrorism risk coverage was not provided to the policyholder. Include premium in this column only if a policy did not provide any coverage subject to TRIP.
F5
F6
F7
G4	Total 2019 TRIP-Eligible DEP (Terrorism Risk Coverage Provided) (Property)	For each corresponding industry code, or utilizing the Other category for some other calculation, provide the total 2019 DEP of property policies, where terrorism risk coverage was provided to the policyholder. Include premium in this column only if a property policy provided coverage subject to TRIP. Include policies where terrorism risk coverage was provided at no charge.
G5
G6
G7
I4	Total 2019 DEP Charged for Terrorism Risk Coverage (Liability)	For each corresponding industry code, or utilizing the Other category for some other calculation, provide the amount of 2019 DEP charged for terrorism risk under liability policies. This figure, representing premium charged for terrorism risk, should be a component of the amount provided in Column K.
I5
I6
I7
J4	Total 2019 TRIP-Eligible DEP (Terrorism Risk Coverage Declined) (Liability)	For each corresponding industry code, or utilizing the Other category for some other calculation, provide the total 2019 DEP of liability policies, where terrorism risk coverage was not provided to the policyholder. Include premium in this column only if a policy did not provide any coverage subject to TRIP.
J5
J6
J7
K4	Total 2019 TRIP-Eligible DEP (Terrorism Risk Coverage Provided)(Liability)	For each corresponding industry code, or utilizing the Other category for some other calculation, provide the total 2019 DEP of liability policies, where terrorism risk coverage was provided to the policyholder. Include premium in this column only if a liability policy provided coverage subject to TRIP. Include policies where terrorism risk coverage was provided at no charge.
K5
K6
K7
M4	Total 2019 DEP Charged for Terrorism Risk Coverage (Workers’ Compensation)	No entry required. This information will be reported on the insurer’s behalf by NCCI, the California WCIRB, and/or the New York CIRB. Do not report information in these cells, even if the insurer issues Excess Workers’ Compensation insurance.
M5
M6
M7
N4	Total 2019 TRIP-Eligible DEP (Workers’ Compensation)	No entry required. This information will be reported on the insurer’s behalf by NCCI, the California WCIRB, and/or the New York CIRB. Do not report information in these cells, even if the insurer issues Excess Workers’ Compensation insurance.
N5
N6
N7