Form FR Q-1 FR Q-1 Capital Requirements for Board-Regulated Institutions Si

FR Q-1
OMB Number XXXX-XXXX
Approval expires Month Day, Year
Page 1 of 31

DRAFT
Board of Governors of the Federal Reserve System

Capital Requirements for Board-Regulated Institutions
Significantly Engaged in Insurance Activities—FR Q-1
Report at the close of business as of the last calendar day of the year
This Report is authorized under section 165(b) of the Dodd-Frank
Wall Street Reform and Consumer Protection Act (12 U.S.C. §
5371) and section 10 of the Home Owners' Loan Act (HOLA)1 and
section 171 of the Dodd-Frank Act.

engaged in Insurance Activities (each a “covered entity”). The
Federal Reserve may not conduct or sponsor, and an organization
(or a person) is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

The FR Q-1 report form is mandatory for any U.S. bank holding
company or savings and loan holding company that is significantly
Date of Report:
Month / Day / Year (INSQ 9999)

NOTE: Each depository institution holding company's board of
directors and senior management are responsible for establishing
and maintaining an effective system of internal control, including
controls over the Reporting Form for the Capital Requirements for
Board-regulated Institutions Significantly Engaged in Insurance
Activities (FR Q-1) if they must report this form. The FR Q-1 is to be
prepared in accordance with instructions provided by the Federal
Reserve System. The FR Q-1 attestation must be signed and
attested by the chief financial officer or an equivalent senior officer.
I, the undersigned CFO or equivalent senior officer of the named
firm, attest that the FR Q-1 report form for this report date has been
prepared in good faith using reasonable efforts of the supervised
insurance institution to conform with the instructions issued by the
Federal Reserve System.

Regarding actual data as-of the reporting period, I, the undersigned CFO or equivalent senior officer of the named firm, attest
that management is responsible for the internal controls over the
reporting of these data and that these data are materially correct
to the best of my knowledge. I attest that the internal controls for
the FR Q-1 are effective and were effective throughout the year
for the FR Q-1 and include those practices necessary to provide
reasonable assurance as to the accuracy of these data. I attest
that the controls are audited at least annually by internal audit or
compliance staff, and are assessed regularly by management of
supervised insurance institution. I agree to report material weaknesses in these internal controls and any material errors or omissions in the data submitted to the Federal Reserve promptly as
they are identified.

Printed Name of the Senior Officer (or Equivalent) (INSQ C490)

Legal Title of Covered Company (RSSD 9017)

Signature of Senior Officer (or Equivalent) (INSQ H321)

(Mailing Address of Covered Company) Street / PO Box (RSSD 9110)

Date of Signature (MM/DD/YYYY) (INSQ J196)

City (RSSD 9130)

Confidentiality

Person to whom questions about this report should be directed:

From the Overall Results tab, column (K)
Building Block Available Capital, column (L)
Building Block Required Capital, and column
(M) BBA Ratio, will be disclosed on the Board's
website. Is confidential treatment requested for
any of these items? (enter “1” for Yes; enter “0”
for No.)................................................

State (RSSD 9200)

Zip Code (RSSD 9220)

Name / Title (INSQ 8901)

0=No

INSQ

1=Yes C447

In accordance with the General Instructions for this
report, if a letter justifying this request is being provided along with the report, enter "1."
If a letter justifying this request has been
provided separately, enter "0."
Leave blank if confidential treatment is not requested ..

Area Code / Phone Number (INSQ 8902)
E-mail Address of Contact (INSQ 4086)

INSQ

KY38

1. 12 U.S.C. 1467a.
Public reporting burden for this information collection is estimated to average of 219 hours per response, including time to gather and maintain data in the required form and to review
instructions and complete the information collection. Comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing the
burden, may be sent to Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets NW, Washington, DC 20551, and to the Office of Management and Budget,
Paperwork Reduction Project (7100-0377), Washington, DC 20503.

08/2023

FR Q-1
Page 2 of 31

Schedule I—Company Inventory
Company Information

Company
ID

Company Name

Legal Entity
Identifier

Type of Business

Description

Regulatory
Capital Framework

Indicated
Capital Framework

INSQ LJ44

INSQ LJ62

INSQ 9224

INSQ LJ45

INSQ LJ46

INSQ LJ47

INSQ LJ48

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

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
30
31
32
33
08/2023

FR Q-1
Page 3 of 31

Schedule I—Continued
Company Information

Company
ID

Company Name

Accounting
Basis

Company
Assets

Company
Liabilities

Grouping

Parent Company

Equity
Ownership
Percentage

Top-Tier
Depository
Institution
Holding
Company
(0 = No, 1 = Yes)

Subsidiary
Depository
Institution
Holding
Company

CapitalRegulated
Company
Building
Block Parent

(0 = No, 1 = Yes) (0 = No, 1 = Yes)

Material Financial
Entity Building
Block Parent
(0 = No, 1 = Yes,
2 = Opt Out)

Other
Building
Block Parent
(0 = No, 1 = Yes)

INSQ LJ44

INSQ LJ62

INSQ LJ49

INSQ 2170

INSQ 2950

INSQ LJ52

INSQ LJ53

INSQ LJ54

INSQ LJ55

INSQ LJ56

INSQ LJ57

INSQ LJ58

(Column A)

(Column B)

(Column H)

(Column I)

(Column J)

(Column K)

(Column L)

(Column M)

(Column N)

(Column O)

(Column P)

(Column Q)

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
30
31
32
33
08/2023

FR Q-1
Page 4 of 31

Schedule I—Continued
Grouping

Company
ID

Is this entity a
Building Block
Parent?
Company Name

(0 = No, 1 = Yes)

Assigned Building Block

INSQ LJ44

INSQ LJ62

INSQ LJ59

INSQ LJ60

(Column A)

(Column B)

(Column R)

(Column S)

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
30
31
32
33
08/2023

FR Q-1
Page 5 of 31

Schedule II—Building Block Parents

Building Block Parent

Indicated
Capital Framework

Company
Available
Capital

Additional Tier 1
Capital
Securities

Total Tier 2
Capital
Securities

Legacy
Surplus Notes

INSQ LJ44

INSQ LJ59

INSQ LJ48

INSQ LJ65

INSQ LJ50

INSQ LJ66

INSQ LJ67

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

(Column H)

Company
ID

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
30
31
32
33

08/2023

FR Q-1
Page 6 of 31

Schedule II—Continued
Adjustments to Available Capital

Insurance
Underwriting
RBC

Permitted and
Prescribed
Accounting
Practices

Adjustments to
Certain Life
Insurance
Reserves

Deduction of
Investments in
Own Capital
Instruments

Reciprocal
Cross Holdings
Limits on
in the Capital Investments in
of Financial
Other Financial
Institutions
Institutions

Other
Adjustments
to Available
Capital

Adjusted
Company
Available
Capital

Company
Capital
Requirement

Company
ID

Building Block Parent

Non-Qualifying
Instruments

INSQ LJ44

INSQ LJ59

INSQ LJ68

INSQ LJ69

INSQ LJ70

INSQ LJ71

INSQ LJ72

INSQ LJ73

INSQ LJ74

INSQ LJ75

INSQ LJ76

INSQ LJ77

(Column B)

(Column C)

(Column I)

(Column J)

(Column K)

(Column L)

(Column M)

(Column N)

(Column O)

(Column P)

(Column Q)

(Column R)

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
30
31
32
33

08/2023

FR Q-1
Page 7 of 31

Schedule II—Continued
Adjustments to Capital Requirement
Risks of
Certain
Intermediary
Entities

Risk Charges
Relating to
Investments in
Own Capital
Securities

Risks Relating
to Title
Insurance

Other
Adjustments to
Capital
Requirement

Adjusted
Company
Capital
Requirement

Company
ID

Building Block Parent

Internal Credit
Risk Charges

Permitted and
Prescribed
Accounting
Practices

INSQ LJ44

INSQ LJ59

INSQ LJ78

INSQ LJ79

INSQ LJ81

INSQ LJ82

INSQ LJ83

INSQ LJ84

INSQ LJ85

(Column A)

(Column B)

(Column S)

(Column T)

(Column U)

(Column V)

(Column W)

(Column X)

(Column Y)

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
30
31
32
33

08/2023

FR Q-1
Page 8 of 31

Schedule III—Parent Ownership

Company
ID

Building Block Parent

Indicated
Capital Framework

Parent Company Name

Next Upstream Building Block Parent

Next Upstream Building
Block Parent's
Capital Framework

Equity
Ownership
Percentage

INSQ LJ44

INSQ LJ59

INSQ LJ48

INSQ LJ52

INSQ LJ91

INSQ LJ92

INSQ LJ61

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

(Column H)

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
30
31
32
33

08/2023

FR Q-1
Page 9 of 31

Schedule III—Parent Ownership—Continued

Company
ID

Building Block Parent

Capital
Upstream
Downstreamed Building Block
from Upstream Parent's Capital
Building Block Requirement on
Parent
Investment

INSQ LJ44

INSQ LJ59

INSQ LJ93

INSQ LJ94

(Column B)

(Column C)

(Column I)

(Column J)

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
30
31
32
33

08/2023

FR Q-1
Page 10 of 31

Schedule IV—Available Capital

Company
ID

Building Block Parent

Indicated
Capital Framework

Parent Company Name

Upstream Building Block Parent

Upstream Building Block
Parent's Capital Framework

Allocation
Share

INSQ LJ44

INSQ LJ59

INSQ LJ48

INSQ LJ52

INSQ LJ91

INSQ LJ92

INSQ LK06

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

(Column H)

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
30
31
32
33

08/2023

FR Q-1
Page 11 of 31

Schedule IV—Continued

Value of
Downstream
Building
Blocks

Scaled
Downstream
Building Block
Parent Available
Capital

Building Block
Available
Capital
(Indicated
Capital
Framework)

Building Block
Available
Capital
(Common
Framework)

Deduction for
Additional Tier 1
Capital
Limitation

Total Tier 2
Capital
Securities

Legacy
Surplus Notes

Deduction for
Tier 2 Capital
Limitation

Proportionally
Adjusted BBA
Available Capital
(Common
Framework)

Company
ID

Building Block Parent

Adjusted
Company
Available
Capital

INSQ LJ44

INSQ LJ59

INSQ LJ76

INSQ LK08

INSQ LK09

INSQ LK10

INSQ LK11

INSQ LJ51

INSQ LJ66

INSQ LJ67

INSQ LK14

INSQ LK15

(Column B)

(Column C)

(Column I)

(Column J)

(Column K)

(Column L)

(Column M)

(Column N)

(Column O)

(Column P)

(Column Q)

(Column R)

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
30
31
32
33

08/2023

FR Q-1
Page 12 of 31

Schedule V—Capital Requirement

Company
ID

Building Block Parent

Indicated
Capital Framework

Parent Company Name

Upstream Building Block Parent

Upstream Building Block
Parent's Capital Framework

INSQ LJ44

INSQ LJ59

INSQ LJ48

INSQ LJ52

INSQ LJ91

INSQ LJ92

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

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
30
31
32
33

08/2023

FR Q-1
Page 13 of 31

Schedule V—Continued
Capital
Requirement
for Downstream
Building Block
Parents

Scaled
Downstream
Building Block
Parent Capital
Requirement

Building Block
Capital
Requirement
(Indicated
Capital
Framework)

Building Block
Capital
Requirement
(Common
Framework)

Proportionally
Adjusted Building
Block Capital
Requirement
(Common Framework)

Company
ID

Building Block Parent

Allocation
Share

Adjusted
Company
Capital
Requirement

INSQ LJ44

INSQ LJ59

INSQ LK06

INSQ LJ85

INSQ LK25

INSQ LK26

INSQ LK27

INSQ LK28

INSQ LK29

(Column B)

(Column C)

(Column H)

(Column I)

(Column J)

(Column K)

(Column L)

(Column M)

(Column N)

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
30
31
32
33

08/2023

FR Q-1
Page 14 of 31

Schedule VI—Overall Results
Regulatory Capital Framework
Company
ID

Company Name

Indicated
Capital Framework

Company
Available
Capital

Company
Capital
Requirement

Capital Ratio
(Percentage)

Building Block Approach
Building Block
Available
Capital

Building Block
Capital
Requirement

BBA Ratio
(Percentage)

Publicly Reported Items
Building Block
Available
Capital

Building Block
Capital
Requirement

BBA Ratio
(Percentage)

INSQ LJ44

INSQ LJ62

INSQ LJ48

INSQ LJ65

INSQ LJ77

INSQ LK36

INSQ LK11

INSQ LK28

INSQ LK39

INST LK11

INST LK28

INST LK39

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

(Column H)

(Column I)

(Column J)

(Column K)

(Column L)

(Column M)

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
30
31
32
33

08/2023

FR Q-1
Page 15 of 31

Schedule VII—Section 171 Calculation
Full Consolidation

Deconsolidate and Deduct
Risk-Weighted
Total Capital
Assets
(Excluding
(Excluding
State-Regulated State-Regulated
Insurers)
Insurers)

Company
ID

Indicated
Capital Framework

Total Capital

Risk-Weighted
Assets

Capital Ratio

Company Name

INSQ LJ44

INSQ LJ62

INSQ LJ48

INSQ LK44

INSQ LK45

INSQ LK46

INSQ LK47

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

(Percentage)

Deconsolidate and Risk-Weight

(Percentage)

Total Capital

Risk-Weighted
Assets (StateRegulated
Insurers at
400%)

INSQ LK48

INSQ LK49

INSQ LK50

INSQ LK51

INSQ LK52

(Column H)

(Column I)

(Column J)

(Column K)

(Column L)

Capital Ratio

Capital Ratio
(Percentage)

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
30
31
32
33

08/2023

FR Q-1
Page 16 of 31

Schedule VIII—Framework Information
Scalar Specified
by Board

Material?

Scalar Compatible

Regulatory Capital Framework

(0 = No, 1 = Yes)

(0 = No, 1 = Yes)

RC Multiplier to
Common

AC Factor to
Common

INSQ PR33

INSQ PR34

INSQ PR35

INSQ PR36

INSQ PR37

INSQ PR38

Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No

1
1
1
1

1
1
1
1

US NAIC - Life and Fraternal
US NAIC - Property & Casualty
US NAIC - Health
US Federal Banking Capital Rules
Solvency II SCR
Japan SMR
Australia
Bermuda
Brazil
Canada
India
Mexico
Singapore
South Korea
Switzerland SST
Other
None

100%
100%
100%
1.06%

0%
0%
0%
-6.3%

08/2023

FR Q-1
Page 17 of 10

Schedule IX—Intercompany Transactions/Balances

Row

Intercompany
Transaction/Balance Type

Transaction
or Balance

Description

Type of Effect of
Transaction/Balance

(MM/DD/YYYY)

Amount

INSQ LJ96

INSQ LK54

INSQ LK55

INSQ LK56

INSQ LK57

INSQ LK58

INSQ LK59

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

Date

08/2023

FR Q-1
Page 18 of 31

Schedule IX—Continued
Company B's Indicated
Capital Framework

Company A's
Accounting
Basis

Company B's
Accounting
Basis

Row

Company A

Company B

Company A's Indicated
Capital Framework

INSQ LJ96

INSQ LK60

INSQ LK61

INSQ LJ63

INSQ LJ64

INSQ LJ86

INSQ LJ87

(Column A)

(Column H)

(Column I)

(Column J)

(Column K)

(Column L)

(Column M)

08/2023

FR Q-1
Page 19 of 30

Schedule IX—Continued

Row

Company A's Building Block Parent

Company B's Building Block Parent

Type of Adjustment

Adjustment to
Available Capital
(Company A)

Adjustment to Capital
Requirement
(Company A)

Adjustment to
Available Capital
(Company B)

Adjustment to Capital
Requirement
(Company B)

INSQ LJ96

INSQ LK66

INSQ LK67

INSQ LK68

INSQ LK69

INSQ LK70

INSQ LK71

INSQ LK72

(Column A)

(Column N)

(Column O)

(Column P)

(Column Q)

(Column R)

(Column S)

(Column T)

08/2023

FR Q-1
Page 20 of 30

Schedule X—Internal Reinsurance

Row

Ceding Company

Reinsurer

Business Ceded

Authorized,
Unauthorized
or Certified

INSQ LJ97

INSQ LK74

INSQ LK75

INSQ LK76

INSQ LK77

INSQ LK78

INSQ LK79

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

Reinsurance Type

Amount in Force at
End of Year

08/2023

FR Q-1
Page 21 of 30

Schedule X—Continued

Row

Reserve Credit Taken/
Reinsurance Recoverable
on Reserves

INSQ LJ97

INSQ LK80

(Column A)

(Column H)

Premiums

Cedant's Indicated
Capital Framework

Reinsurer's Indicated
Capital Framework

Cedant's
Accounting
Basis

Reinsurer's
Accounting
Basis

(MM/DD/YYYY)

INSQ LK81

INSQ LJ88

INSQ LJ89

INSQ LJ90

INSQ LJ95

INSQ LK87

(Column I)

(Column J)

(Column K)

(Column L)

(Column M)

(Column N)

Effective
Date

08/2023

FR Q-1
Page 21 of 30

Schedule X—Continued

Row

Cedant's Building Block Parent

Reinsurer's Building Block Parent

INSQ LJ97

INSQ LK88

INSQ LK89

(Column A)

(Column O)

(Column P)

08/2023

FR Q-1
Page 22 of 30

Schedule XI—Approved Variations

Row

Company Name

Country and
State/Province
of Domicile

Building Block Parent

Approved Variation or Transitional Measure

INSQ LK13

INSQ LJ98

INSQ LK93

INSQ LJ99

INSQ LK12

INSQ LK95

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

Indicated
Capital Framework

08/2023

FR Q-1
Page 23 of 30

Schedule XI—Continued

Row

Description of
Approved Variation or Transitional Measure

Adjustment to
Available Capital

Adjustment to
Capital Requirement

INSQ LK13

INSQ LK96

INSQ LK97

INSQ LK98

(Column A)

(Column G)

(Column H)

(Column I)

08/2023

FR Q-1
Page 24 of 30

Schedule XII—Capital Instruments
Legacy
Treated
Instrument
Row

Issuing Company

Building Block Parent

Security Type

ID Number (CUSIP/ISIN)

Rank

(0 = No, 1 = Yes)

Amount
Issued

Amount
Outstanding

Issue Date
(MM/DD/YYYY)

INSQ LK17

INSQ LL00

INSQ LK16

INSQ LL02

INSQ 9161

INSQ LL04

INSQ LL05

INSQ LL06

INSQ LL07

INSQ LL08

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

(Column H)

(Column I)

(Column J)

08/2023

FR Q-1
Page 25 of 30

Schedule XII—Continued

Row

Maturity Date
(MM/DD/YYYY)

Coupon Type

Coupon Rate

Coupon
Frequency

Length of
Deferral

Callable
(0 = No, 1 = Yes)

First Ordinary
Call

Does the Instrument
Permit Extra-Ordinary
Calls Prior to the First Guaranteed by
Ordinary Call Date?
an Affiliate
(0 = No, 1 = Yes)

(0 = No, 1 = Yes)

Incentives to
Redeem
(0 = No, 1 = Yes)

INSQ LK17

INSQ LL09

INSQ LL10

INSQ LL11

INSQ LL12

INSQ LL13

INSQ LL14

INSQ LL15

INSQ LL16

INSQ LL17

INSQ LL18

(Column A)

(Column K)

(Column L)

(Column M)

(Column N)

(Column O)

(Column P)

(Column Q)

(Column R)

(Column S)

(Column T)

0

08/2023

FR Q-1
Page 26 of 30

Schedule XII—Continued

Row

Date of Earliest
Incentive
(MM/DD/YYYY)

Incentive Description

Are
Distributions
Cumulative if
Deferred

Conversion
Feature

(0 = No, 1 = Yes)

(0 = No, 1 = Yes)

Specify if Feature
Results in a Conversion
to Common/Ordinary
Shares or Other

Is Insurance
Regulatory
Approval
Needed

Is Federal Reserve
Regulatory
Approval
Needed

Special
Conditions
Near Maturity

(0 = No, 1 = Yes)

(0 = No, 1 = Yes)

(0 = No, 1 = Yes)

Treated as a Liability
or Equity on the
Balance Sheet

Capital Treatment
(NA if none)

INSQ LK17

INSQ LL19

INSQ LL20

INSQ LL21

INSQ LL22

INSQ LL23

INSQ LL24

INSQ LL25

INSQ LL26

INSQ LL27

INSQ LL28

(Column A)

(Column U)

(Column V)

(Column W)

(Column X)

(Column Y)

(Column Z)

(Column AA)

(Column BB)

(Column CC)

(Column DD)

08/2023

FR Q-1
Page 27 of 30

Schedule XIII—Reinsurance Pools
Pool No. 1
Description of Pool (INSQ LL29):

Row

Participants

Premiums

% of Pool Results

Line of Business

Non-Affiliated Reinsurers

Other

INSQ LK18

INSQ LL31

INSQ LL32

INSQ LL33

INSQ LL34

INSQ LL35

INSQ LL36

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

08/2023

FR Q-1
Page 28 of 30

Schedule XIII—Continued
Pool No. 2
Description of Pool (INSQ LL37):

Row

Participants

Premiums

% of Pool Results

Line of Business

Non-Affiliated Reinsurers

Other

INSQ LK19

INSQ LL39

INSQ LL40

INSQ LL41

INSQ LL42

INSQ LL43

INSQ LL44

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

(Column F)

(Column G)

08/2023

FR Q-1
Page 29 of 30

Schedule XIV—Liquidity Pools
Pool No. 1
Description of Facility (INSQ LL45):

Row

Participants

Highest Amount Payable in
Calendar Year

Highest Amount Receivable in
Calendar Year

Other

INSQ LK20

INSQ LL47

INSQ LL48

INSQ LL49

INSQ LL50

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

08/2023

FR Q-1
Page 30 of 30

Schedule XIV—Continued
Pool No. 2
Description of Facility (INSQ LL51):

Row

Participants

Highest Amount Payable in
Calendar Year

Highest Amount Receivable in
Calendar Year

Other

INSQ LK21

INSQ LL53

INSQ LL54

INSQ LL55

INSQ LL56

(Column A)

(Column B)

(Column C)

(Column D)

(Column E)

08/2023