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In compliance with the 2009 New York Annual Statement and Supplement filing requirements, each of the following Licensee submissions listed below contains a complete set of general and specific instructions as well as blank forms and other related supplemental/addendum forms. Download and print capabilities as well as appropriate links are now available on our Web site for your convenience. 

• Accident and Health:
  • A&H Insurer Filing on the Health Blank
  • A&H Insurer Filing on the Life Blank
• Article 43 Corporation
• Charitable Annuity Society
• Fraternal Benefit Society
• Health Maintenance Organization (HMO)
• Life Insurer
• Property
• Retirement System & Pension Fund
• Title Insurer
• Viatical Settlement Company

To download the latest New York Statement and Supplement blank forms, use the link below:

• 2009 NYS Statement & Supplement Blanks Downloads