3 Alaska Admin. Code § 21.830
(a) A statement of actuarial opinion must contain the following:
(1) an opening paragraph, in substantially the following form, that identifies the appointed actuary, lists the actuary's qualifications, and indicates the relationship between the actuary and the company for whom the opinion is written:
[FOR A COMPANY ACTUARY]
________________________
[FOR A CONSULTING ACTUARY]
________________________
(2) a scope paragraph, in substantially the following form, that identifies the subjects on which an opinion is expressed and describes the scope of the appointed actuary's work, including a tabulation that delineates the reserves and related actuarial items that have been analyzed for asset adequacy, states the method of analysis, and identifies the reserves and related actuarial items covered by the opinion that have not been analyzed for asset adequacy:
"I have examined the actuarial assumptions and actuarial methods used in determining the reserves and related actuarial items listed below, as shown in the annual statement of the company, as prepared for filing with state regulatory officials, as of December 31, _________ . Tabulated below are the reserves and related actuarial items that have been subjected to asset adequacy analysis":
RESERVES AND RELATED ACTUARIAL ITEMS
Asset Adequacy Tested Amounts - Reserves and Liabilities Statement Item Formula
Reserves Additional
Actuarial
Reserves (a) Analysis
Method (b) Other
Amount Total
Amount
(1) + (2) + (3) (1) (2) (3) (4) Exhibit 8 A Life Insurance B Annuities C Supplementary
Contract
Involving Life
Contingencies D Accidental Death
Benefit E Disability - Active F Disability - Disabled G Miscellaneous Total (Exhibit 8
Item 1, Page 3) Exhibit 9 A Active Life
Reserve B Claim Reserve Total (Exhibit 9
Item 2, Page 3) Exhibit 10
Premiums and
Other Deposit
Funds (Column
5, Line 14 Guaranteed
Interest
Contracts
(Column 2, Line 14) Other
(Column 6, Line 4) Supplemental
Contracts and
Annuities Certain
(Column 3, Line 14) Dividend
Accumulations
(Column 4, Line 14) Total Exhibit 10
(Column 1, Line 14) Exhibit 11 Part 1
1 Life (Page 3,
Line 4.1) 2 Health (Page 3,
Line 4.2) Total Exhibit 11,
3 AAC 21.830
Authority:AS 21.06.090
AS 21.09.200
AS 21.18.110
AS 21.18.160