Quarterly Survey of Financial Statements ─ Life Insurers (F7)

Reporting entity

1. Indicate which type of corporation this report covers.

  1. A single corporation
  2. Part of a corporation
  3. A consolidated family of corporations
  4. Other (specify)

2. Is the reporting entity part of a Canadian consolidation?

  1. Yes
  2. No

3. Does this reporting entity have investments in partnerships or joint ventures?

  1. Yes
  2. No

4. Indicate the accounting standard used to complete this questionnaire.

  1. International Financial Reporting Standards (IFRS)
  2. Accounting Standards for Private Enterprises (ASPE)
  3. United States Generally Accepted Accounting Principles (U.S. GAAP)
  4. Other (specify)

5. Indicate the currency used to complete this survey.

  1. Canadian dollars
  2. U.S. dollars

6. What are the start and end dates of this enterprise's reporting period for the quarter ending:

  • From: YYYY-MM-DD to YYYY-MM-DD

Assets

7. Report your assets

  1. Cash and deposits – Canadian currency
  2. Cash and deposits – foreign currency
  3. Accounts receivable
  4. Allowance for credit losses on receivables
  5. Investments in and claims on parent, subsidiaries and affiliates ─ shares and equity
    1. In Canada
    2. Outside Canada
  6. Investments in and claims on parent, subsidiaries and affiliates ─ accumulated earnings
    1. In Canada
    2. Outside Canada
  7. Investments in and claims on parent, subsidiaries and affiliates ─ net assets of foreign offices
  8. Investments in and claims on parent, subsidiaries and affiliates ─ debt claims on affiliates
    1. In Canada
    2. Outside Canada
  9. Canadian investments in non-affiliates ─ debt securities issued by the Government of Canada
    1. Term-to-maturity of less than one year
    2. Term-to-maturity of one year or more
  10. Canadian investments in non-affiliates ─ debt securities issued by provincial and municipal governments
    1. Term-to-maturity of less than one year
    2. Term-to-maturity of one year or more
  11. Canadian investments in non-affiliates ─ debt securities issued by corporations, trusts or others
    1. Term-to-maturity of less than one year
    2. Term-to-maturity of one year or more
  12. Canadian investments in non-affiliates ─ corporate shares, fund or trust units and other equity
    1. Publicly traded
    2. Other equity
  13. Canadian investments in non-affiliates ─ other investments
  14. Foreign investments in non-affiliates ─ debt securities
    1. Term-to-maturity of less than one year
    2. Term-to-maturity of one year or more
  15. Foreign investments in non-affiliates ─ other investments
  16. Derivative assets
  17. Reverse repurchase agreements
  18. Mortgage loans to non-affiliates ─ secured by property in Canada
    1. Residential ─ to individuals and unincorporated businesses
    2. Residential ─ to others
    3. Non-residential ─ to individuals and unincorporated businesses
    4. Non-residential ─ to others
  19. Mortgage loans to non-affiliates ─ secured by property outside Canada
  20. Mortgage loans to non-affiliates ─ accumulated allowance for credit losses
  21. Home equity lines of credit
  22. Non-mortgage loans to non-affiliates
    1. To policyholders
    2. To others
  23. Non-mortgage loans to non-affiliates ─ accumulated allowance for credit losses
  24. Fixed assets
    1. Depreciable assets and land
    2. Investment properties ─ Canadian
    3. Investment properties ─ foreign
    4. Accumulated depreciation
  25. Reinsurance contract held assets
  26. Insurance contract assets
  27. Asset for insurance acquisition cash flows
  28. Equity accounted investees
  29. Intangible assets
    1. Goodwill
    2. Other intangible assets
    3. Accumulated amortization
  30. Accrued pension asset
  31. Deferred income tax asset
  32. Segregated funds net assets
  33. All other assets
    • Specify all major items within other assets
  34. Other allowances for credit losses

Total assets

Liabilities and equity

8. Report your liabilities.

  1. Insurance and investment contract liabilities
    1. Insurance contract liabilities
    2. Reinsurance contract held liabilities
    3. Investment contract liabilities
  2. Insurance premiums and annuity considerations received in advance
  3. Provisions for policyholder dividends and experience rating refunds
  4. Accounts payable
  5. Income taxes payable
  6. Amounts owing to affiliates
    1. In Canada
    2. Outside Canada
  7. Borrowing from non-affiliates ─ mortgage loans
    1. Residential
    2. Non-residential
  8. Borrowing from non-affiliates ─ non-mortgage loans and overdrafts
    1. From lenders in Canada ─ banks
    2. From lenders in Canada ─ credit unions
    3. From lenders in Canada ─ other lenders in Canada
    4. From lenders outside Canada
  9. Borrowing from non-affiliates ─ debt securities
    1. Term-to-maturity of less than one year
    2. Term-to-maturity of one year or more
  10. Borrowing from non-affiliates ─ other borrowings
  11. Equity securities classified as liabilities
  12. Derivative liabilities
  13. Obligations related to repurchase agreements
  14. Accrued pension liability
  15. Non-pension post retirement benefits
  16. Amounts due in respect of staff pension plan
  17. Segregated fund liabilities
  18. Deferred income taxes liability
  19. Policyholder’s liabilities
  20. All other liabilities
    • Specify all major items within other liabilities

Total liabilities

9. Report your equity.

  1. Share capital
    1. Preferred
    2. Common
  2. Contributed surplus
  3. Accumulated other comprehensive income
  4. Non-controlling interest
  5. Policyholder’s equity
  6. Retained earnings/Head office account
    1. Appropriated
    2. Unappropriated

Total equity

Total liabilities and total equity

10. Report your unappropriated retained earnings.

  1. Unappropriated retained earnings
    1. Opening balance
    2. Net income (loss) for the current period
    3. Transfers from (to) share capital
    4. All other additions (deductions)
      • Specify all major items within other additions (deductions)
  2. Dividends declared
    1. Cash ─ preferred shares
    2. Cash ─ common shares
    3. Other dividends

Closing balance

Revenues and expenses

11. What period does this income statement cover?

  • From: YYYY-MM-DD to YYYY-MM-DD

12. Report your revenue.

  1. Insurance revenue
  2. Interest revenue from Canadian sources
    1. Debt securities
    2. Debt claims on affiliates
    3. Mortgages
    4. Other interest revenue
  3. Interest revenue from foreign sources
  4. Dividends
    1. From Canadian corporations
    2. From foreign corporations
  5. Rental revenue
  6. Gains and losses ─ fair value adjustments
    1. Realized
    2. Unrealized
  7. Gains and losses ─ foreign exchange
    1. Realized
    2. Unrealized
  8. All other revenues
    • Specify all major items within other revenues

Total revenue

13. Report your expenses.

  1. Claims and benefits
  2. Commissions
  3. Increase (decrease) insurance and investment contract liabilities
    1. Net finance income (expenses) from insurance contracts
    2. Movement in investment contract liabilities
  4. Experience rating refunds
  5. Wages and salaries
  6. Employer portion of employee benefits
  7. Pension expense
    1. Current service cost
    2. Other pension expense
  8. Stock option expense
  9. Indirect taxes
  10. Depreciation and amortization
    1. Depreciation
    2. Amortization ─ intangible assets
    3. Amortization ─ other
  11. Software and research development
  12. Impairments
    1. Credit losses on receivables
    2. Other impairments
  13. Interest expense
    1. Debt securities
    2. Amounts owing to affiliates
    3. Mortgages
    4. Other interest expenses
  14. Dividends paid on equity securities classified as liabilities
  15. Charitable donations
  16. Other general operating expenses
  17. All other expenses
    • Specify all major items within other expenses

Total expenses

Income

14. Report your income.

  1. Income (loss) before income taxes
  2. Current income tax expense
  3. Deferred income tax expense
  4. Income (loss) after income taxes
  5. Equity in unconsolidated affiliates
  6. Net income (loss)
    1. Attributable to non-controlling interest
    2. Attributable to equity shareholders
    3. Attributable to others
  7. Other comprehensive income
    1. Items that will not be reclassified to net earnings
    2. Items that may be reclassified subsequently to net earnings
    3. Reclassification of realized (gains) losses to net earnings
    4. Income taxes
  8. Comprehensive income
    1. Attributable to non-controlling interest
    2. Attributable to equity shareholders
    3. Attributable to others
  9. Net income from foreign operations

Disclosure of selected accounts

15. Report premiums by line of business.

  1. Premiums ─ direct premiums
    1. Life
    2. Annuity
    3. Accident and sickness
    4. Property and casualty
    5. Other
  2. Premiums ─ premiums assumed
    1. Life
    2. Annuity
    3. Accident and sickness
    4. Property and casualty
    5. Other
  3. Premiums ─ premiums ceded
    1. Life
    2. Annuity
    3. Accident and sickness
    4. Property and casualty
    5. Other
  4. Claims and benefits ─ direct
    1. Life
    2. Annuity
    3. Accident and sickness
    4. Property and casualty
    5. Other
  5. Claims and benefits ─ assumed
    1. Life
    2. Annuity
    3. Accident and sickness
    4. Property and casualty
    5. Other
  6. Claims and benefits ─ ceded
    1. Life
    2. Annuity
    3. Accident and sickness
    4. Property and casualty
    5. Other

16. Report the number of policies in force by line of business

  1. Life
  2. Annuity
  3. Accident and sickness
  4. Property and casualty
  5. Other

17. Report other disclosures.

  1. Equity method dividends
    1. Canadian dividends
    2. Foreign dividends
  2. Securitized assets ─ recognized
    1. Credit cards
    2. Mortgages
    3. Other assets
  3. Securitized assets ─ unrecognized
    1. Credit cards
    2. Mortgages
    3. Other assets
  4. Capitalized expenses for software, research and development

18. Allocate the changes to selected assets and liabilities.

  1. Investments in and claims on parent, subsidiaries and affiliates
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  2. Canadian and foreign investments in non-affiliates ─ debt securities
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  3. Canadian and foreign investments in non-affiliates ─ corporate shares, funds or trust units and other equity
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  4. Canadian and foreign investments in non-affiliates ─ other investments in non-affiliates
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  5. Mortgage loans to non-affiliates
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  6. Home Equity lines of credit
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  7. Non-mortgage loans to non-affiliates
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  8. Fixed assets ─ depreciable assets and land
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  9. Fixed assets ─ investment properties
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  10. Intangible assets
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  11. Other assets
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  12. Debt liability securities owing
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  13. Other liabilities
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
  14. Derivatives (assets and liabilities)
    1. Initial balance
    2. Net (purchases-sales or issuances-repayments and other changes)
    3. Fair value adjustments and foreign exchange
    4. Other adjustments
      • Closing balance
    5. Realized gains and losses
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