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Appendix 1 Financial Statement Forms

IA-BOD-RES 25/2014 Effective from 28/12/2014

Appendix (1)

Insurance Company Financial Statement Forms (with Disclosures)

Consolidated Financial Position for Insurance Company as of (Day/Month/Year)
 Notes20XX20YY
  AEDAED

Assets

Property, machinery, and equipment
Investments in associates
Intangible assets
Investments at amortized cost
Investments carried at fair value through other comprehensive
income
Derivative financial instruments
Investments carried at fair value through profit and loss
Investment in Properties
Insurance balances receivable
Statutory deposits
Loans guaranteed by life insurance policies
Premiums and insurance balances receivable
Reinsurers' share of outstanding claims
Other receivables and prepayments Deposits
Cash and cash equivalents

Total Assets

Shareholders' Equity and Liabilities
Shareholder Equity attributable to shareholders of the Parent

Treasury shares
Additional paid-in capital
Retained earnings/loss
Minority Interest
Foreign currency translation reserve
Total Shareholders' Equity
Issued and paid up share capital
Share premium
Treasury reserve
Employees Share option reserve
Revaluation reserves
Statutory reserve
General reserve
Cumulative change in Fair Value through other comprehensive income
Total Reserves
Total Shareholders' Equity
Liabilities

Borrowings
Retirement benefit obligation
Derivative financial instruments
Accounts Payable
 

Insurance Liabilities
Insurance contract liabilities
Premium collected in advance
Technical Provisions
Unearned premium reserve
Unexpired Risk Reserve
Claims under settlement reserve
Incurred but not reported reserve
Allocated loss adjustment expense reserve
Unallocated loss adjustment expense reserve
Mathematical reserve
Total technical provisions
Total Liabilities
Total Shareholders' Equity and Liabilities


Consolidated refers to a group of companies running Insurance of Persons and Fund Accumulation Operations on one hand, and Property and Liability Insurance on another.
The cash flow and change in shareholders' equity format under consolidated financial statements is applicable to individual financial statements to be prepared for Insurance of Persons, Fund Accumulation Operations, Property and Liability Insurance.


 

Consolidated Income Statement for Insurance Company for the period ended (Day/Month/Year)
 Notes20XX20YY
  AEDAED

Gross Premiums
Reinsurance Share of Gross Premiums
Reinsurance Share of Ceded Business Premiums
Net Premium
Net Transfer to Unearned Premium Reserve
Net Premium Earned
Commissions Earned
Commissions Paid
Others
Gross Underwriting Income
Gross Claims Paid
Commissions and deductions
Reinsurance Share of Insurance Claims and loss adjustment expenses recovered from reinsurers
Reinsurance Share of Ceded Business Claims
Net Claims Paid
Provisions for Outstanding Claims
Reinsurance Share of Outstanding Claims
Increase/ (Decrease) in Unearned Premium Reserves & URR
Increase/ (Decrease) in Incurred but Not Reported Claims Reserves
Increase/ (Decrease) in Allocated & Unallocated Loss Adjustment Expense Reserve
Increase/ (Decrease) in Mathematical Reserves
Net Claims
Incurred Net Underwriting Income

Income from Investments
Income from Investment Properties
Foreign Currency Exchange Fluctuation (Gain/Loss)
Other Gain/Loss
Total Income
General and Administrative Expenses
Bonuses and Rebates (Net of Reinsurance)
Other Operating Expenses
Net Profit/Loss for the Year
Net loss on revaluation of available-for-sale investments
Reclassification adjustment relating to available-for-sale investment impaired during the year
Transfer to profit or loss on investments for sale/ amortization/ provision/ impairment loss on financial assets carried at amortized cost
Board of Directors' remuneration
Total Comprehensive Profit/Loss for the Year
 

Earnings per share:
Basic
Diluted

 


 

Comprehensive Income Statement for Insurance Company for the period ended (Day/Month/Year)
 Notes20XX20YY
  AEDAED

Net Profit for the Year

Other Comprehensive Income
Other comprehensive income reclassified to profit and loss at later stages:

Share of other comprehensive income of associates
Net unrealized gain/(loss) from investments through other comprehensive income
Net realized (gain)/loss transferred to profit and loss from the sale of investments through other comprehensive income
Transferred to profit and loss from impairment of investments through other comprehensive income

Foreign currency adjustments from translation of foreign operations

Other Comprehensive Income for the Year
 

Total Comprehensive Income for the Year
 

Attributable to:

Shareholders of the parent company

Non-controlling interests

 

 

Consolidated Cash Flow for Insurance Company for the period ended (Day/Month/Year)
 20XX20YY
 AEDAED

Income (Profit/Loss) for the Year
Adjustments:
Depreciation
Unrealized Gain /Loss on Investment Properties
Unrealized Gain /Loss on Derivative Financial Instruments
Unrealized Gain /Loss Foreign Currency Exchange Fluctuation
Unrealized Gain /Loss on Investment
Other Gain/Loss
Cash Flows from Operating Activities
Increase /(Decrease) in Insurance Receivables
(Increase) /Decrease in Other Receivables and Prepayments
(Decrease) /Increase in Accounts Payable
(Decrease) /Increase in Insurance Contract Liabilities
Retirement Benefit Obligations
Net Cash from Operating Activities
Cash Flows from Investing Activities

Purchase of Property, machinery, and equipment
Proceeds from Sale of Property, machinery, and equipment
Investments
Net Cash from Investing Activities
Cash flows from Financing Activities

Purchase of Treasury Shares
Dividends Paid to Company's Shareholders
Proceeds from Borrowings
Proceeds from Issuance of shares
Net Cash from Financing Activities
(Decrease) /Increase in cash and cash equivalents
Cash and Cash Equivalents at the End of the Year

Consolidated Statement of Change in Equity for Insurance Company as of (Day/Month/Year)

Attributable to Equity Holders of the Parent

Other Reserves (AED)
NotesTreasury shareAdditional paid-in capitalRetained earningsForeign currency translation
reserve
Issued and paid up share capitalShare premiumTreasury shares reserveEmployees share option reserveRevaluation reserveStatutory reserveGeneral reserveCumulative changes in reserve on
investments through other
comprehensive income
Total ordinary shareholders' equityOther equity instrumentsMinority interestsTotal equity

Balance at December 31,20XX
Profit/Loss for the year
Other comprehensive income/loss for the year
Total comprehensive loss for the year
Dividends
Issue of bonus shares
Balance at December 31,20YY
Profit/Loss for the year
Other comprehensive income/loss for the year
Total comprehensive loss for the year Dividends
Issue of bonus shares
Balance at December 31, 20ZZ

 

 

Financial Position for Insurance of Persons and Fund Accumulation Operations for Insurance Company as of (Day/Month/Year)
 Notes20XX20YY
  AEDAED

Assets

Property, machinery, and equipment
Investments in associates
Goodwill
Financial Instruments
Investment in Properties
Investments in financial securities
Investments at amortized cost
Investments through other comprehensive income
Derivative financial instruments
Investments carried at fair value through other comprehensive income
Available for sale Real Estate investments
Insurance balances receivable
Statutory deposits
Loans guaranteed by life insurance policies
Premiums and insurance balances receivable
Reinsurers share of outstanding claims
Other receivables and prepayments
Deposits
Cash and cash equivalents
Total Assets

 

Shareholders' Equity and Liabilities
Shareholder Equity attributable to shareholders of the Parent

Treasury shares
Additional paid-in capital
Retained earnings/loss
Minority Interest
Foreign currency translation adjustments

Shareholders' Equity
Issued and paid up share capital
Treasury reserve
Employees share option reserve
Revaluation reserves
Statutory reserve
General reserve
Cumulative change in available for sale investments
Total Reserves
Total Shareholders' Equity
Liabilities

Borrowings
Retirement benefit obligation
Derivative financial instruments

Payables
Insurance Liabilities
Insurance contract liabilities
Premiums received in advance
Technical provisions
Unearned Premium Reserve
Claims under settlement reserve
Claims Incurred but Not Reported
Allocated loss adjustment expenses
Unallocated loss adjustment expenses
Mathematical Reserve
Total Technical provisions
Total Liabilities
Total Shareholders' Equity and Liabilities

 

 

 

Income Statement for Insurance of Persons and Fund Accumulation Operations for Insurance Company as of Month, 20XX
 Notes20XX20YY
  AEDAED

Gross Premium
Reinsurance Share of Gross Premiums
Reinsurance Share of Ceded Business Premiums

Net Premium
Net Transfer to Unearned Premium Reserve
Net Transfer to Mathematical Reserve for Life Insurance
Operations

Net Premium Earned
Commissions Earned
Commissions Paid
Net earnings from Life Insurance Investments
Others

Gross Underwriting Income

Gross Claims Paid
Reinsurance Share of Insurance Claims and loss adjustment
expenses recovered from reinsurers
Reinsurance Share of Ceded Business Claims

 

Net Claims Paid
Provisions for Outstanding Claims
Reinsurance Share of Outstanding Claims
Earnings and Cancellations of Life Insurance Policies
Increase/ (Decrease) in Incurred But Not Reported Reserves (short-term products only)
Increase/ (Decrease) in Allocated Adjustment Expense Reserve
Increase/ (Decrease) Unallocated Loss Adjustment Expense Reserve
Increase/ (Decrease) in Mathematical Reserves

 

Net Claims Incurred

Net Underwriting Income
Income from Investments
Income from Investments in Properties
Foreign Currency Exchange Fluctuation (Gain/Loss)
Other Gain/Loss

Total Income

General and Administrative Expenses
Bonuses and Rebates (Net of Reinsurance)

Other Operating Expenses

 

Net Profit/Loss for the Year

Net loss on revaluation of investments through other comprehensive income
Reclassification adjustment relating to investment through other comprehensive income impaired during the year
Transfer to profit or loss on investments for sale/ amortization/ provision/ impairment loss on financial assets carried at amortized cost
Board of Directors' remuneration
 

Total Comprehensive Profit/Loss for the Year
 

Earnings per share:
Basic
Diluted

Financial Position for Property and Liability Insurance Company as of (Day/Month/Year)
 Notes20XX20YY
  AEDAED

Assets
Property, machinery, and equipment
Investments in associates
Goodwill
Financial Instruments
Investments in Properties
Investments in financial securities
Investments at amortized cost
Investments designated at fair value through the other comprehensive income
Derivative financial instruments
Investments classified as fair value through income statement
Investments in properties
Insurance receivables
Statutory deposits
Premiums and insurance balances receivable
Reinsurers' share of outstanding claims
Other receivables and prepayments
Deposits
Cash and cash equivalents
Total Assets

Shareholders' Equity and Liabilities
Shareholders' Equity attributable to Shareholders of the Parent:

Treasury shares
Additional paid-in capital
Retained earnings/loss
Minority Interest
Foreign currency translation adjustments
Issued share capital
Share premium
Treasury reserve
Employees share option reserve
Revaluation reserves
Statutory reserve
General reserve
Cumulative Fair Value through other comprehensive income
Total Reserves
Total Shareholders' Equity
Liabilities

Borrowings
Retirement benefit obligation
Derivative financial instruments
Accounts Payables

Insurance Liabilities
Insurance contract liabilities
Premiums received in advance
Technical provisions

Unearned Premium Reserve
Claims under settlement reserve
Incurred but Not Reported reserve
Allocated loss adjustment expense reserve
Unallocated loss adjustment expense reserve
Total Technical Reserves
Total Liabilities
Total Shareholders' Equity and Liabilities

 

 

 

Income Statement for Property and Liability Insurance Company for the period ended (Day/Month/Year)
 Notes20XX20YY
  AEDAED

Gross Premium
Reinsurance Share of Gross Premiums
Reinsurance Share of Ceded Business Premiums

Net Premium
Net Transfer to Unearned Premium Reserve

Net Premium Earned
Commissions Earned
Commissions Paid Others

Gross Underwriting Income

Gross Claims Paid
Reinsurance Share of Insurance Claims and loss adjustment
expenses recovered from reinsurers
Reinsurance Share of Ceded Business Claims

Net Claims Paid
Provisions for Outstanding Claims
Reinsurance Share of Outstanding Claims
Increase/ (Decrease) in Incurred but Not Reported Claims Reserves
Increase/ (Decrease) in Allocated & Unallocated Loss Adjustment
Expense Reserves

Net Claims Incurred

Net Underwriting Income
Income from Investments
Income from Investments in Properties
Foreign Currency Exchange Fluctuation (Gain/Loss)
Other Gain/Loss

Total Income

General and Administrative Expenses
Bonuses and Rebates (Net of Reinsurance)
Other Operating Expenses

Net Profit/Loss for the Year

Net loss on revaluation of investments through other comprehensive income
Reclassification adjustment relating to investment through other
comprehensive income impaired during the year
Transfer to profit or loss on investments for sale/ amortization/
provision/ impairment loss on financial assets carried at amortized cost
Board of Directors' remuneration

Total Comprehensive Profit/Loss for the Year

Earnings per share:
Basic
Diluted

 

 

Notes to the Financial Statements

  1. Disclosure over the financial statements is made in accordance with International Financial Reporting Standards (IFRS) issued by the International Accounting Standards Board (IASB) and its interpretations issued by the International Financial Reporting Interpretations Committee (IFRIC), and according to the templates identified by the Authority.
     
  2. Notes to financial statements include the following:
    •  
    • 2.1 General information.
    •  
    • 2.2 Adoption of new and revised International Financial Reporting Standards (IFRSs).
    •  
    • 2.3 Summary of significant Accounting Policies which include:
       
      1. Statement of compliance.
         
      2. Basis of preparation.
         
      3. Basis of consolidation.
         
      4. Business combinations.
         
      5. Goodwill.
         
      6. Insurance contracts.
         
      7. Revenue recognition.
         
      8. General and administrative expenses.
         
      9. Foreign currencies.
         
      10. Property, machinery and equipment.
         
      11. Investment properties.
         
      12. Impairment of non-financial assets.
         
      13. Provisions.
         
      14. Financial instruments.
         
      15. Financial assets.
         
      16. Financial liabilities.
         
      17. Dividend distribution.
         
      18. Others.
         
    2.4 Accounting assumptions and key sources of estimation of uncertainty.

    2.5 Property, machinery and equipment.

    2.6 Investment properties.

    2.7 Financial investments.

    2.8 Statutory deposits.

    2.9 Insurance contract liabilities and reinsurance contract assets.

    2.10 Insurance receivables.

    2.11 Bank balances and cash.

    2.12 Share Capital.

    2.13 Reserves.

    2.14 Bank borrowings.

    2.15 Insurance payables and others.

    2.16 Net investment income / loss.

    2.17 Related party transactions.

    2.18 Segment information.

    2.19 Contingent liabilities.

    2.20 Commitments.

    2.21 Insurance risk.

    2.22 Capital risk management.

    2.23 Financial instruments.

    2.24 Dividends.

    2.25 Approval of financial statements.

    2.26 Others.
     
  3. In addition to the above, the Company should disclose the following:
     
    • 3.1 Gross Premium

      This item is to comprise all amounts due during the financial year in respect of insurance contracts entered into regardless of the fact that such amounts may relate in whole or in part to a later financial year, and must include the following:

      1. Premiums yet to be determined, where the premium calculation can be done only at the end of the year;
         
      2. Single premiums, including annuity premiums, and, in long-term business, single premiums resulting from bonus and rebate provisions in so far as they must be considered as premiums under the terms of the contract;
         
      3. Additional premiums in the case of half-yearly, quarterly or monthly payments and additional payments from policyholders for expenses borne by the Company;
         
      4. In the case of co-insurance, the Company's portion of total premiums;
         
      5. Reinsurance premiums due from ceding and retroceding insurance undertakings, including portfolio entries, after deduction of cancellations and portfolio withdrawals credited to ceding and retroceding insurance undertakings.
         
  1. 3.2 Statutory Deposit

    In accordance with Federal Law No. (6) of 2007, the Company shall place a deposit at a Bank in the State as guarantee of fulfilling its liabilities and amounting to AED 4 million for Insurance of Persons and Fund Accumulation Operations, and AED 2 million per line of business for Property and Liability Insurance, not to exceed AED 6 million.

  2. 3.3 Insurance Receivables

    This item consists of the following:

     December 31,
     20XX20YY
     AEDAED

    Due from Policyholders

    Less: Allowance for Doubtful Debts

    Due from insurance/ reinsurance companies

    Due from brokers/ agents

    Less: Allowance for Doubtful Debts

    Insurance Receivable - Net

    Inside UAE:

     December 31,
     20XX20YY
     AEDAED

    Due from Policyholders

    Less: Allowance for Doubtful Debts

    Due from insurance/ reinsurance companies

    Due from brokers/ agents

    Less: Allowance for Doubtful Debts

    Insurance Receivable - Net

    Note: The receivables ageing details to be disclosed separately for policyholders, reinsurance inward, reinsurance outward, brokers and agents in the below format:

    Inside UAE

    Less than 30 days

    30 - 90 days

    91 - 180 days

    181 - 270 days

    271 - 360 days

    More than 360 days

    Total

    Outside UAE

    Less than 30 days

    30 - 90 days

    91 - 180 days

    181 - 270 days

    271 - 360 days

    More than 360 days

    Total

    Movement on the provision for doubtful debts during the year was as follows:

     20XX20YY
     AEDAED

    Balance at the beginning of the year

    Additions

    Balance at year end


     
  3. 3.4 Other Receivables and Prepayments

     December 31,
     20XX20YY
     AEDAED

    Receivable from Employees

    Refundable Deposits

    Prepayments

    Others

    Other Receivables and Prepayments


     
  4. 3.5 Issued Share Capital

    Subscribed and paid - up capital amounted to AED XX distributed over XX shares, the par value of each is AED 1 as of December 31, 20XX (against AED XX million shares of AED 1 each as of December 31,20YY).

  5. 3.6 Payables

    This item consists of the following:

     December 31,
     20XX20YY
     AEDAED

    Payables - Inside UAE

    Payables - Outside UAE

    Other payables

    Total

    Inside UAE:

     December 31,
     20XX20YY
     AEDAED

    Accounts Payable -

    Insurance Companies Receivable

    Reinsurance Companies Receivable

    Accounts Payable -

    Receivable from Agents

    Receivable from Brokers

    Receivable from Employees

    Other payables

    Total

    Outside UAE:

     December 31,
     20XX20YY
     AEDAED

    Accounts Payable - Article (1):

    Insurance Companies Receivable

    Reinsurance Companies Receivable

    Accounts Payable - Article (2):

    Receivable from Agents

    Receivable from Brokers

    Receivable from Employees

    Other payables

    Total


     
  6. 3.7 Technical Provisions

    This item consists of the following:

     December 31,
     20XX20YY
     AEDAED

    Insurance of Persons and Fund Accumulation:

    Unearned Premium Reserve

    Incurred but Not Reported Reserve (Short-term life and Fund Accumulation products of one year)

    Mathematical Reserve

    Allocated Loss Adjustment Expense Reserve

    Unallocated Loss Adjustment Expense Reserve

    Total Insurance of Person and Fund Accumulation Operations

    Note: Technical provisions details in the above format to be provided for each class of insurance as defined by the Authority.

    Property and Liability Insurance:

    Unearned Premium Reserve

    Incurred but Not Reported Reserve

    Unallocated Loss Adjustment Expense Reserve

    Total Property and Liability insurance Technical Provisions

    Total Technical Provisions

    Note: Technical provisions details in the above format to be provided for each class of insurance as defined by the Authority.

    Adequate explanation for the method adopted should be given and the method should be consistent from year to year for technical provisions. In case the Actuary decides to change the method being used from previous years, sufficient explanation to the same needs should be provided.


     
  7. 3.8 Summary of the Actuary's report on the Technical Provisions

  8. 3.9 Net Premium

     
    1. Gross premiums

       December 31,
       20XX20YY
       AEDAED

      Insurance of Persons and Funds Accumulation Operations

      Total Gross Premiums Insurance of Persons and Fund Accumulation operations

      Property and Liability insurance

      Total Gross Premiums for Property and Liability insurance Change in unearned premiums reserves Total Gross Premiums

      Note: Gross Premium details in the above format to be provided for each class of insurance as defined by the Authority.


       
    2. Premiums ceded to reinsurers

       December 31,
       20XX20YY
       AEDAED

      Insurance of Persons and Funds Accumulation Operations:

      Total Insurance of Persons and Fund Accumulation operations Insurance

      Premiums Ceded to Reinsurers:

      Property and Liability insurance:

      Total Property and Liability insurance Premiums Ceded to Reinsurers Change in unearned premiums reserves
      Total Premiums Ceded to Reinsurers

      Note: Premium ceded to reinsurers details in the above format to be provided for each class of insurance as defined by the Authority.


       
    3. Reinsurance share of accepted business premiums

       20XX20YY
       AEDAED

      Insurance of Persons and Funds Accumulation Operations

      Total Insurance of Persons and Fund Accumulation operations Insurance

      Premiums for accepted share of reinsurance business

      Property and Liability insurance

      Total Property and Liability insurance Premiums for accepted share of reinsurance business

      Change in unearned premiums reserves

      Total Premiums for accepted share of reinsurance business

      Note: Reinsurance share of accepted business premium details in the above format to be provided for each class of insurance as defined by the Authority.

      Total Net Premium (a-b+c)20XX20YY
       AEDAED

     
  9. 3.10 Net Claims Paid

     
    1. Gross claims paid

       20XX20YY
       AEDAED

      Total Gross Claims Insurance of Persons and Fund Accumulation operations

      Total Gross Claims for Property and Liability insurance

      Total Gross Claims

      Note: Gross Claims Paid details in the above format to be provided for each class of insurance as defined by the Authority.


       
    2. Reinsurance share of claims

       December 31,
       20XX20YY
       AEDAED

      Total Insurance of Persons and Fund Accumulation operations Insurance

      Claims Ceded to Reinsurers

      Total Property and Liability insurance Claims Ceded to Reinsurers

      Total Claims Ceded to Reinsurers

      Note: Claims ceded to reinsurers details in the above format to be provided for each class of insurance as defined by the Authority.


       
    3. Reinsurance share of accepted business claims

       20XX20YY
       AEDAED

      Insurance of Persons and Funds Accumulation Operations

      Total Insurance of Persons and Fund Accumulation operations Insurance

      Claims for accepted share of reinsurance business

      Property and Liability insurance

      Total Property and Liability insurance Claims for accepted share of reinsurance business

      Total Claims for accepted share of reinsurance business

      Note: Reinsurance share of accepted business claims details in the above format to be provided for each class of insurance as defined by the Authority.

      Total Net Claims (a - b + c)20XX20YY
       AEDAED

     
  10. 3.11 Capital risk management

    The solvency regulations identify the required Solvency Margin to be held in addition to insurance liabilities. The Solvency Margin (presented in the table below) must be maintained at all times throughout the year. The Company is subject to solvency regulations which it has complied with during the year. The Company has incorporated in its policies and procedures the necessary tests to ensure continuous and full compliance with such regulations.

    The table below summarizes the Minimum Capital Requirement, Minimum Guarantee Fund and Solvency Capital Requirement of the Company and the total capital held to meet these required Solvency Margins.

     December 31,
     20XX20YY
     AEDAED

    Minimum Capital Requirement (MCR)

    Solvency Capital Requirement (SCR)

    Minimum Guarantee Fund (MGF)

    Own Funds

    Basic Own Funds

    Ancillary Own Funds

    MCR Solvency Margin - Minimum Capital Requirement (Surplus/Deficit)

    MCR Solvency Margin Solvency Capital Requirement (Surplus/Deficit)

    MCR Solvency Margin Minimum Guarantee Fund (Surplus/Deficit)


     
  11. 3.12 Risk management

    The listed risks should be disclosed in detailed, as a minimum:

     
    1. Underwriting Risk.
       
    2. Market and Liquidity (Investment) Risk.
       
    3. Credit Risk.
       
    4. Operational Risk.

     
  12. 3.13 Claims development schedule