annual return: form 1 - fund balance sheet ......2016 12 description annex row no. amount assets...

ETIQA INSURANCE PTE. LTD.I570C

ANNUAL RETURN: FORM 1 - FUND BALANCE SHEET

Reporting Cycle:

Life: SIF - Participating 2

122016

Description Annex RowNo. Amount

ASSETS

Equity securities 1A 1 0

Debt securities 1B 2 0

Land and buildings 1C 3 0

Loans 1D 4 0

Cash and deposits 5 0

Other invested assets 1E 6 0

Investment income due or accrued 7 0

Outstanding premiums and agents' balances 1F 8 0

Deposits withheld by cedants 9 0

Reinsurance recoverables (on paid claims) 1G 10 0

Income tax recoverables 11 0

Fixed assets 1H 12 0

Inter-fund balances and intra group balances (due from) 1I 13 0

Other assets 1J 14 0

Total Assets (1 to 14) 15 0

LIABILITIES

Policy liabilities 1K 16 0

Other liabilities:

Outstanding claims 17 0

Annuities due and unpaid 18 0

Reinsurance deposits 19 0

Amounts owing to insurers 20 0

Bank loans and overdrafts 21 0

Inter-fund balances and intra-group balances (due to) 1L 22 0

Others 1M 23 0

Total Liabilities (16 to 23) 24 0

SURPLUS (15 - 24) 1N 25 0

31/05/2018 10:34 AM



Reporting Cycle:

Life: SIF - Participating

122016


ASSETS

Equity securities 1A 1 35,271,561

Debt securities 1B 2 108,395,599


Loans 1D 4 92,252

Cash and deposits 5 36,208,471

Other invested assets 1E 6 -2,234,071

Investment income due or accrued 7 43,156

Outstanding premiums and agents' balances 1F 8 1,929,794




Fixed assets 1H 12 4,359,422

Inter-fund balances and intra group balances (due from) 1I 13 203,531

Other assets 1J 14 1,260,356

Total Assets (1 to 14) 15 185,530,071

LIABILITIES

Policy liabilities 1K 16 165,201,538

Other liabilities:

Outstanding claims 17 867,600



Amounts owing to insurers 20 2,730


Inter-fund balances and intra-group balances (due to) 1L 22 741,110

Others 1M 23 11,570,568

Total Liabilities (16 to 23) 24 178,383,546

SURPLUS (15 - 24) 1N 25 7,146,525

31/05/2018 10:34 AM



Reporting Cycle:

Life: SIF - Non-Participating

122016


ASSETS

Equity securities 1A 1 491,937

Debt securities 1B 2 4,082,373


Loans 1D 4 0

Cash and deposits 5 1,006,811

Other invested assets 1E 6 -132,615


Outstanding premiums and agents' balances 1F 8 10,812





Inter-fund balances and intra group balances (due from) 1I 13 252,530

Other assets 1J 14 1,977

Total Assets (1 to 14) 15 5,714,614

LIABILITIES

Policy liabilities 1K 16 1,537,446

Other liabilities:




Amounts owing to insurers 20 17,082



Others 1M 23 39,562

Total Liabilities (16 to 23) 24 1,594,090

SURPLUS (15 - 24) 1N 25 4,120,524

31/05/2018 10:34 AM



Reporting Cycle:

Life: SIF - Investment-Linked

122016


ASSETS




Loans 1D 4 0












LIABILITIES


Other liabilities:







Others 1M 23 0


SURPLUS (15 - 24) 1N 25 0

31/05/2018 10:34 AM



Reporting Cycle:

Life: OIF - Participating 2

122016


ASSETS




Loans 1D 4 0












LIABILITIES


Other liabilities:







Others 1M 23 0


SURPLUS (15 - 24) 1N 25 0

31/05/2018 10:34 AM



Reporting Cycle:

Life: OIF - Participating

122016


ASSETS




Loans 1D 4 0












LIABILITIES


Other liabilities:







Others 1M 23 0


SURPLUS (15 - 24) 1N 25 0

31/05/2018 10:34 AM



Reporting Cycle:

Life: OIF - Non-Participating

122016


ASSETS




Loans 1D 4 0












LIABILITIES


Other liabilities:







Others 1M 23 0


SURPLUS (15 - 24) 1N 25 0

31/05/2018 10:34 AM



Reporting Cycle:

Life: OIF - Investment-Linked

122016


ASSETS




Loans 1D 4 0












LIABILITIES


Other liabilities:







Others 1M 23 0


SURPLUS (15 - 24) 1N 25 0

31/05/2018 10:34 AM


Description Row No. Listed Unlisted Amount

Equity securities other than collective investmentschemes 1 0 0 0

Collective investment schemes 2 0 0 0

Total (1 to 2) = Row 1 of Form 1 3 0

122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1A - INVESTMENT IN EQUITY SECURITIES

31/05/2018 10:34:06 AM



Equity securities other than collective investmentschemes 1 33,150,958 0 33,150,958

Collective investment schemes 2 2,120,603 0 2,120,603

Total (1 to 2) = Row 1 of Form 1 3 35,271,561

122016


Reporting Cycle:


31/05/2018 10:34:06 AM



Equity securities other than collective investmentschemes 1 463,478 0 463,478

Collective investment schemes 2 28,459 0 28,459

Total (1 to 2) = Row 1 of Form 1 3 491,937

122016


Reporting Cycle:


31/05/2018 10:34:06 AM






122016


Reporting Cycle:


31/05/2018 10:34:06 AM


Description Row No. Amount

Government debt securities 1 0

Qualifying debt securities 2 0

Other debt securities 3 0


122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1B - INVESTMENT IN DEBT SECURITIES

31/05/2018 10:34:06 AM



Government debt securities 1 31,745,023

Qualifying debt securities 2 76,650,576



122016


Reporting Cycle:


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Government debt securities 1 1,608,642

Qualifying debt securities 2 2,473,731



122016


Reporting Cycle:


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122016


Reporting Cycle:


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122016

I570C

Reporting Cycle:

ANNUAL RETURN: ANNEX 1C - INVESTMENT IN LAND AND BUILDINGS

ETIQA INSURANCE PTE. LTD.

Location and Descriptionof Land and Buildings

RowNo. Cost

LastRevaluation

Date

Last ReportedAmount

Changes fromLast Reported

AmountAmount

Total = Row 3 of Form 1 21 0

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122016

I570C

Reporting Cycle:




RowNo. Cost

LastRevaluation

Date

Last ReportedAmount


AmountAmount


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122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1D - INVESTMENT IN LOANS

Description Row No. Amount Outstanding Provision for DoubtfulLoans Amount

Policy loans 1 0 0 0

Mortgage loans 2 0 0 0

Other secured loans 3 0 0 0

Unsecured loans 4 0 0 0


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122016


Reporting Cycle:



Policy loans 1 92,252 0 92,252





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122016


Reporting Cycle:








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Life: SIF - Participating 2 201612Reporting Cycle:

I570C

ANNUAL RETURN: ANNEX 1E - BREAKDOWN OF OTHER INVESTED ASSETS


DescriptionRow

No.

NotionalPrincipalAmount

Amount

Derivatives

Options:

(a) Call options 1 0 0

(b) Put options 2 0 0

(c) Swaptions 3 0 0

(d) Other options 4 0 0

Total investments in options (1 to 4) 5 0 0

Futures contracts:

(a) Currency futures contracts 6 0 0

(b) Interest rate futures contracts 7 0 0

(c) Other futures contracts 8 0 0

Total investments in futures contracts (6 to 8) 9 0 0

Forward contracts:

(a) Currency forward contracts 10 0 0

(b) Interest rate forward contracts 11 0 0

(c) Other forward contracts 12 0 0

Total investments in forward contracts (10 to 12) 13 0 0

Swaps:

(a) Interest rate swaps 14 0 0

(b) Currency swaps 15 0 0

(c) Other swaps 16 0 0

Total investments in swaps (14 to 16) 17 0 0

Other derivatives 18 0 0

Total investments in derivatives (5 + 9 + 13 + 17 + 18) 19 0 031/05/2018 10:34 AM

Total investments in derivatives (5 + 9 + 13 + 17 + 18) 19 0 0

Other invested assets excluding derivatives

Total investments in other invested assets excludingderivatives 40 0


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Life: SIF - Participating 201612Reporting Cycle:

I570C



DescriptionRow

No.


Amount

Derivatives

Options:



(c) Swaptions 3 0 0



Futures contracts:





Forward contracts:





Swaps:


(b) Currency swaps 15 58,912,395 -2,234,071


Total investments in swaps (14 to 16) 17 58,912,395 -2,234,071


Total investments in derivatives (5 + 9 + 13 + 17 + 18) 19 58,912,395 -2,234,071


31/05/2018 10:34 AM


Total = Row 6 of Form 1 41 -2,234,071

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Life: SIF - Non-Participating 201612Reporting Cycle:

I570C



DescriptionRow

No.


Amount

Derivatives

Options:



(c) Swaptions 3 0 0



Futures contracts:





Forward contracts:





Swaps:


(b) Currency swaps 15 2,076,687 -132,615


Total investments in swaps (14 to 16) 17 2,076,687 -132,615


Total investments in derivatives (5 + 9 + 13 + 17 + 18) 19 2,076,687 -132,615


31/05/2018 10:34 AM


Total = Row 6 of Form 1 41 -132,615

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Life: SIF - Investment-Linked 201612Reporting Cycle:

I570C



DescriptionRow

No.


Amount

Derivatives

Options:



(c) Swaptions 3 0 0



Futures contracts:





Forward contracts:





Swaps:








31/05/2018 10:34 AM



31/05/2018 10:34 AM

Life: OIF - Participating 2 201612Reporting Cycle:

I570C



DescriptionRow

No.


Amount

Derivatives

Options:



(c) Swaptions 3 0 0



Futures contracts:





Forward contracts:





Swaps:








31/05/2018 10:34 AM



31/05/2018 10:34 AM

Life: OIF - Participating 201612Reporting Cycle:

I570C



DescriptionRow

No.


Amount

Derivatives

Options:



(c) Swaptions 3 0 0



Futures contracts:





Forward contracts:





Swaps:








31/05/2018 10:34 AM



31/05/2018 10:34 AM

Life: OIF - Non-Participating 201612Reporting Cycle:

I570C



DescriptionRow

No.


Amount

Derivatives

Options:



(c) Swaptions 3 0 0



Futures contracts:





Forward contracts:





Swaps:








31/05/2018 10:34 AM



31/05/2018 10:34 AM

Life: OIF - Investment-Linked 201612Reporting Cycle:

I570C



DescriptionRow

No.


Amount

Derivatives

Options:



(c) Swaptions 3 0 0



Futures contracts:





Forward contracts:





Swaps:








31/05/2018 10:34 AM



31/05/2018 10:34 AM

201612Reporting Cycle:Life: SIF - Participating 2


ANNUAL RETURN: ANNEX 1F(a) - AGEING OF OUTSTANDING PREMIUMSAND AGENTS' BALANCES OF DIRECT LIFE INSURER

Description RowNo. Amount

In respect of direct business

Bad debts written off during the year 1 0

Ageing of outstanding premiums and agents' balances:

Outstanding period

Up to 3 months 2 0

Above 3 months but not exceeding 6 months 3 0


Above 12 months 5 0

Gross total (2 to 5) 6 0

Provision for doubtful debts 7 0

Total outstanding premiums and agents' balances in respect ofdirect business (6 - 7) 8 0

In respect of reinsurance business



Outstanding period

Up to 6 months 10 0



Above 24 months 13 0



Total outstanding premiums and agents' balances in respect ofreinsurance business (14 - 15) 16 0

Total (8 + 16) = Row 8 of Form 1 17 0

Note: For direct insurance business, outstanding period starts from date of commencement of the cover.

In respect of reinsurance business, outstanding period commences from the date premiumsare accrued in the books of the licensed insurer.

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201612Reporting Cycle:Life: SIF - Participating







Outstanding period

Up to 3 months 2 1,929,794



Above 12 months 5 0

Gross total (2 to 5) 6 1,929,794


Total outstanding premiums and agents' balances in respect ofdirect business (6 - 7) 8 1,929,794




Outstanding period

Up to 6 months 10 0







Total (8 + 16) = Row 8 of Form 1 17 1,929,794



31/05/2018 10:34 AM

201612Reporting Cycle:Life: SIF - Non-Participating







Outstanding period

Up to 3 months 2 10,812



Above 12 months 5 0

Gross total (2 to 5) 6 10,812


Total outstanding premiums and agents' balances in respect ofdirect business (6 - 7) 8 10,812




Outstanding period

Up to 6 months 10 0







Total (8 + 16) = Row 8 of Form 1 17 10,812



31/05/2018 10:34 AM

201612Reporting Cycle:Life: SIF - Investment-Linked







Outstanding period

Up to 3 months 2 0



Above 12 months 5 0







Outstanding period

Up to 6 months 10 0







Total (8 + 16) = Row 8 of Form 1 17 0



31/05/2018 10:34 AM

201612Reporting Cycle:Life: OIF - Participating 2







Outstanding period

Up to 3 months 2 0



Above 12 months 5 0







Outstanding period

Up to 6 months 10 0







Total (8 + 16) = Row 8 of Form 1 17 0



31/05/2018 10:34 AM

201612Reporting Cycle:Life: OIF - Participating







Outstanding period

Up to 3 months 2 0



Above 12 months 5 0







Outstanding period

Up to 6 months 10 0







Total (8 + 16) = Row 8 of Form 1 17 0



31/05/2018 10:34 AM

201612Reporting Cycle:Life: OIF - Non-Participating







Outstanding period

Up to 3 months 2 0



Above 12 months 5 0







Outstanding period

Up to 6 months 10 0







Total (8 + 16) = Row 8 of Form 1 17 0



31/05/2018 10:34 AM

201612Reporting Cycle:Life: OIF - Investment-Linked







Outstanding period

Up to 3 months 2 0



Above 12 months 5 0







Outstanding period

Up to 6 months 10 0







Total (8 + 16) = Row 8 of Form 1 17 0



31/05/2018 10:34 AM


122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1G - STATEMENT OF REINSURANCE RECOVERABLES


Reinsurance recoveries on unpaid claims 1 0

Reinsurance recoverables written off during the year 2 0

Ageing of reinsurance recoverables (on paid claims):

Outstanding period

Up to 1 year 3 0

Above 1 year but not exceeding 2 years 4 0

Above 2 years 5 0

Total (3 to 5) 6 0

Provision for doubtful reinsurance recoverables 7 0

Total (6 - 7) = Row 10 of Form 1 8 0

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122016


Reporting Cycle:






Outstanding period

Up to 1 year 3 0


Above 2 years 5 0

Total (3 to 5) 6 0


Total (6 - 7) = Row 10 of Form 1 8 0

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122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1H - FIXED ASSETS


Motor vehicles 1 0

Computer equipment 2 0

Other fixed assets 3 0


31/05/2018 10:34 AM


122016


Reporting Cycle:



Motor vehicles 1 9,285

Computer equipment 2 3,820,856

Other fixed assets 3 529,281


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122016


Reporting Cycle:



Motor vehicles 1 0




31/05/2018 10:34 AM


122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1I - INTER-FUND BALANCES AND


Balances due from head office / shareholders fund 1 0

Balances due from overseas branches / related corporations 2 0

Balances due from other insurance funds established andmaintained under the Act 3 0


INTRA-GROUP BALANCES (DUE FROM)

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122016


Reporting Cycle:




Balances due from overseas branches / related corporations 2 203,531




31/05/2018 10:34 AM


122016


Reporting Cycle:





Balances due from other insurance funds established andmaintained under the Act 3 252,530



31/05/2018 10:34 AM


122016


Reporting Cycle:








31/05/2018 10:34 AM



Sundry Prepayment Asset 1 199,059

Input GST Deductibles 2 62,679

Intangible Assets 3 96,483

Rental Deposit 4 8,680

Sundry Debtors 5 715

Work-in-progress [WIP] 6 483,034

Custodian Receivable 7 409,706

Total = Row 14 of Form 1 26 1,260,356

I570C ETIQA INSURANCE PTE. LTD.

2016 12

ANNUAL RETURN: ANNEX 1J - BREAKDOWN OF OTHER ASSETS

Reporting Cycle:

31/05/2018 10:34 AM



Custodian Receivable 1 1,512

Input GST Deductibles 2 465

Total = Row 14 of Form 1 26 1,977


2016 12

ANNUAL RETURN: ANNEX 1J - BREAKDOWN OF OTHER ASSETS

Reporting Cycle:

31/05/2018 10:34 AM



Total assets 1 0

Balance in the surplus account 2 0

Other liabilities 3 0

Policy assets (1 - 2 - 3) 4 0

Sum of liability in respect of each policy of the participating fund 5 0

Minimum condition liability 6 0

Policy Liabilities (highest of 4, 5 or 6) = Row 16 of Form 1 7 0


2016 12

ANNUAL RETURN: ANNEX 1K - POLICY LIABILITIES OF PARTICIPATING FUND

Reporting Cycle:

31/05/2018 10:34 AM



Total assets 1 185,530,071

Balance in the surplus account 2 7,146,525

Other liabilities 3 13,182,008

Policy assets (1 - 2 - 3) 4 165,201,538

Sum of liability in respect of each policy of the participating fund 5 165,079,314

Minimum condition liability 6 89,036,068

Policy Liabilities (highest of 4, 5 or 6) = Row 16 of Form 1 7 165,201,538


2016 12


Reporting Cycle:

31/05/2018 10:34 AM



Total assets 1

Balance in the surplus account 2

Other liabilities 3

Policy assets (1 - 2 - 3) 4

Sum of liability in respect of each policy of the participating fund 5

Minimum condition liability 6

Policy Liabilities (highest of 4, 5 or 6) = Row 16 of Form 1 7


2016 12


Reporting Cycle:

31/05/2018 10:34 AM



Total assets 1 0








2016 12


Reporting Cycle:

31/05/2018 10:34 AM


122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1L - INTER-FUND BALANCES AND


Balances due to head office / shareholders fund 1 0

Balances due to overseas branches / related corporations 2 0

Balances due to other insurance funds established andmaintained under the Act 3 0


INTRA-GROUP BALANCES (DUE TO)

31/05/2018 10:34 AM


122016


Reporting Cycle:



Balances due to head office / shareholders fund 1 46,608


Balances due to other insurance funds established andmaintained under the Act 3 694,502



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122016


Reporting Cycle:








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Reporting Cycle: 122016


ANNUAL RETURN: ANNEX 1M - BREAKDOWN OF OTHERS

31/05/2018 10:34 AM



Accruals for Commission 1 3,376,732

Accruals for Expenses 2 2,733,457

Sundry Creditors 3 50,927

Provision for Reinstatement Costs 4 300,000

Custodian Payable 5 4,549,145

Premium Suspense 6 528,776

Output GST 7 7,875

Other Payables 8 23,656

Total = Row 23 of Form 1 26 11,570,568




31/05/2018 10:34 AM



Accruals for Commission 1 37,401

Accrual for Expenses 2 1,845

Other Payables 3 316





31/05/2018 10:34 AM







31/05/2018 10:34 AM


122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1N - SURPLUS


Surplus at beginning of period 1 0

Net income 2 0

Transfer (to) from head office / shareholders fund 3 0

Surplus at End of Period (1 to 3) = Row 25 of Form 1 4 0

31/05/2018 10:34 AM


122016


Reporting Cycle:



Surplus at beginning of period 1 4,556,416

Net income 2 2,594,499

Transfer (to) from head office / shareholders fund 3 -4,390

Surplus at End of Period (1 to 3) = Row 25 of Form 1 4 7,146,525

31/05/2018 10:34 AM


122016


Reporting Cycle:



Surplus at beginning of period 1 4,188,572

Net income 2 -68,048


Surplus at End of Period (1 to 3) = Row 25 of Form 1 4 4,120,524

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122016


Reporting Cycle:




Net income 2 0



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122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 1(i) - INFORMATION IN RESPECT OF REDUCTION IN VALUE OF LIABILITIES

DUE TO REINSURANCE CEDED TO REINSURERS IN RESPECT OF LIFE BUSINESS

Description RowNo

Participatingpolicies

Non-participatingpolicies

Investment-linked policies Amount

Licensed insurer 1 0 0 0 0

Authorised reinsurer / related corporation / headoffice / branch of head office of the licensedinsurer

2 0 0 0 0

Unlicensed reinsurer 3 0 0 0 0

Total (1 to 3) 4 0 0 0 0

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122016


Reporting Cycle:



Description RowNo




Licensed insurer 1 578,452 0 0 578,452


2 0 0 0 0


Total (1 to 3) 4 578,452 0 0 578,452

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122016


Reporting Cycle:



Description RowNo




Licensed insurer 1 0 419,174 0 419,174


2 0 0 0 0


Total (1 to 3) 4 0 419,174 0 419,174

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122016


Reporting Cycle:



Description RowNo






2 0 0 0 0


Total (1 to 3) 4 0 0 0 0

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Description of Assets and Name of InvesteeCompany Row No. No. of Units Cost Amount

Name of company: -

Equity securities 1 0 0 0

Debt securities 2 0 0 0

Secured loans 3 0 0 0


Other invested assets 5 0 0 0


A RELATED CORPORATION OF LICENSED INSURER

ANNUAL RETURN: ANNEX 1(iii) - INFORMATION IN RESPECT OF INVESTMENTS IN

Reporting Cycle:

I570C

201612


31/05/2018 10:34:09 AM


Name of company: -









Reporting Cycle:

I570C

201612


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I570C

ANNUAL RETURN: NOTES TO FORM 1



Note 1 The aggregate amounts of loans to and amounts due from - Amount

(a) Directors 0

(b) Employees of the licensed insurer 0

Note 3 - Description of any change in accounting policies and methodologies in the valuationof assets and liabilities and the quantification of their effects.NIL

Note 4 - Description of any prior adjustment and correction for errors and reasons for theadjustments and corrections.NIL

Note 5 In respect of financial guarantee business - Amount

(a) where premiums are payable in installments, the present value of futureinstallment premiums payable by the insured in a future accounting period 0

and discount rate used 0

(b) where the premiums are payable in full at the commencement of the policy ofinsurance, the full amount of the premiums payable by the insured in theaccounting period in which the policy commences.

0

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I570C





(a) Directors 0


Description Row no Amount

Note 2(a) Intangible assets - Computer Software 1 96,483







0

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I570C





(a) Directors 0








0

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ANNUAL RETURN: FORM 1 - ADDITIONAL INFORMATION

2016 12

The negative financials of -$2,234,071 (Participating Fund) and -$132,615 (Non ParticipatingFund) presented in Form 1 - other invested assets were with respect to the out-of-money ForeignExchange Swap / Forward Contract.

31/05/2018 10:34 AM


ANNUAL RETURN: FORM 2 - FUND PROFIT AND LOSS ACCOUNT

Reporting Cycle: 12



Gross premiums 2A 1 0

Less: Outward reinsurance premiums 2B 2 0

Investment revenue 2C 3 0

Less: Investment expenses 4 0

Other income 2D 5 0

Total Income (1 to 5) 6 0

Gross claims settled 2E 7 0

Less: Reinsurance recoveries 8 0

Management expenses 2F 9 0

Distribution expenses 2G 10 0

Increase (decrease) in net policy liabilities 2H 11 0

Provision for doubtful debts/ bad debts written off on receivables 12 0

Taxation expenses 13 0

Other expenses 2I 14 0

Total Outgo (7 to 14) 15 0

Net Income (6 - 15) 2J 16 0

2016

31/05/2018 10:34 AM



Reporting Cycle: 12



Gross premiums 2A 1 142,255,769

Less: Outward reinsurance premiums 2B 2 10,965

Investment revenue 2C 3 2,954,592

Less: Investment expenses 4 284,828

Other income 2D 5 442,809

Total Income (1 to 5) 6 145,357,377

Gross claims settled 2E 7 2,021,902


Management expenses 2F 9 14,423,594

Distribution expenses 2G 10 13,584,446

Increase (decrease) in net policy liabilities 2H 11 111,628,398



Other expenses 2I 14 1,104,538

Total Outgo (7 to 14) 15 142,762,878

Net Income (6 - 15) 2J 16 2,594,499

2016

31/05/2018 10:34 AM



Reporting Cycle: 12



Gross premiums 2A 1 1,750,194

Less: Outward reinsurance premiums 2B 2 45,708

Investment revenue 2C 3 190,625

Less: Investment expenses 4 16,488

Other income 2D 5 13,821

Total Income (1 to 5) 6 1,892,444



Management expenses 2F 9 718,570

Distribution expenses 2G 10 129,018

Increase (decrease) in net policy liabilities 2H 11 1,056,256


Taxation expenses 13 6,687

Other expenses 2I 14 49,961

Total Outgo (7 to 14) 15 1,960,492

Net Income (6 - 15) 2J 16 -68,048

2016

31/05/2018 10:34 AM



Reporting Cycle: 12







Other income 2D 5 0











Net Income (6 - 15) 2J 16 0

2016

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122016Reporting Cycle:

ANNUAL RETURN: ANNEX 2A - PREMIUM REVENUE IN RESPECT



Individual business:

Single premiums 1 0

Regular premiums - new business 2 0

Regular premiums - renewal business 3 0

Group business:

Premiums 4 0

Direct insurance premiums (1 to 4) 5 0

Inward reinsurance premiums 6 0


OF LIFE BUSINESS

31/05/2018 10:34:10 AM







Single premiums 1 3,901,008

Regular premiums - new business 2 79,734,375

Regular premiums - renewal business 3 58,620,386

Group business:

Premiums 4 0

Direct insurance premiums (1 to 4) 5 142,255,769



OF LIFE BUSINESS

31/05/2018 10:34:10 AM







Single premiums 1 1,591,056

Regular premiums - new business 2 90,742

Regular premiums - renewal business 3 67,101

Group business:

Premiums 4 1,295

Direct insurance premiums (1 to 4) 5 1,750,194



OF LIFE BUSINESS

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Single premiums 1 0



Group business:

Premiums 4 0




OF LIFE BUSINESS

31/05/2018 10:34:10 AM



ANNUAL RETURN: ANNEX 2B - OUTWARD REINSURANCE PREMIUMS



Licensed insurer / foreign insurer under the foreign insurerscheme 1 0

Authorised reinsurer / related corporation / head office / branchof head office of the licensed insurer 2 0

Unlicensed reinsurer 3 0


31/05/2018 10:34:10 AM






Licensed insurer / foreign insurer under the foreign insurerscheme 1 10,965




31/05/2018 10:34:10 AM






Licensed insurer / foreign insurer under the foreign insurerscheme 1 45,708




31/05/2018 10:34:10 AM










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Description Row No.Interest /

Dividend / RentalIncome

Realised Gains(Losses) FromLast ReportedValue / Write-

backs (Write-offs)

UnrealisedChanges FromLast Reported

Value

Amount

Equity securities 1 0 0 0 0

Debt securities 2 0 0 0 0

Land and Buildings 3 0 0 0 0

Loans 4 0 0 0 0

Cash and deposits 5 0 0 0 0

Other invested assets 6 0 0 0 0


122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 2C - INVESTMENT REVENUE

31/05/2018 10:34:07 AM





backs (Write-offs)


Value

Amount

Equity securities 1 690,376 1,290,782 221,116 2,202,274

Debt securities 2 2,204,694 732,771 294,815 3,232,280


Loans 4 3,366 0 0 3,366

Cash and deposits 5 95,591 -142,317 0 -46,726

Other invested assets 6 0 -146,978 -2,289,624 -2,436,602


122016


Reporting Cycle:


31/05/2018 10:34:07 AM





backs (Write-offs)


Value

Amount

Equity securities 1 15,102 27,712 3,395 46,209

Debt securities 2 130,874 85,953 9,558 226,385


Loans 4 0 0 0 0

Cash and deposits 5 1,193 979 0 2,172

Other invested assets 6 0 56,740 -140,881 -84,141


122016


Reporting Cycle:


31/05/2018 10:34:07 AM





backs (Write-offs)


Value

Amount




Loans 4 0 0 0 0




122016


Reporting Cycle:


31/05/2018 10:34:07 AM





backs (Write-offs)


Value

Amount




Loans 4 0 0 0 0



Total (1 to 6) = Row 3 of Form 2 7 0 0 0 0

122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 2C(A) - INVESTMENT REVENUE OF ASSETS IN SURPLUS ACCOUNT OF PARTICIPATING FUND

31/05/2018 10:34:07 AM





backs (Write-offs)


Value

Amount




Loans 4 0 0 0 0

Cash and deposits 5 38,670 0 0 38,670


Total (1 to 6) = Row 3 of Form 2 7 38,670 0 0 38,670

122016


Reporting Cycle:


31/05/2018 10:34:07 AM





backs (Write-offs)


Value

Amount




Loans 4 0 0 0 0




122016


Reporting Cycle:


31/05/2018 10:34:07 AM





backs (Write-offs)


Value

Amount




Loans 4 0 0 0 0




122016


Reporting Cycle:

ANNUAL RETURN: ANNEX 2C(B) - INVESTMENT REVENUE OF ASSETS IN UNIT RESERVES OF INVESTMENT-LINKED FUND

31/05/2018 10:34:07 AM



ANNUAL RETURN: ANNEX 2D - BREAKDOWN OF OTHER INCOME



Total = Row 5 of Form 2 26

31/05/2018 10:34:10 AM






Tax Income - PIC 1 45,804

Depreciation charge - out 2 143,205

Other Income 3 73,092

Recharge from Related Company - Maybank Singapore 4 136,162

Recharge from Related Company - AsianLife& General As 5 44,546


31/05/2018 10:34:10 AM






Commission Income 1 1,988

Tax Income 2 187

Other Income 3 1,420

Recharge from Related Company - Maybank Singapore 4 8,180

Recharge from Related Company - AsianLife& General As 5 2,046


31/05/2018 10:34:10 AM







31/05/2018 10:34:10 AM



ANNUAL RETURN: ANNEX 2E - CLAIMS OF DIRECT LIFE INSURER



Death, total permanent disability, critical illness 1 0

Accident and health benefits other than total permanentdisability and critical illness

2 0

Maturity / anticipated endowment 3 0

Surrenders 4 0

Annuities 5 0

Cash bonuses 6 0

Others 7 0


31/05/2018 10:34:10 AM






Death, total permanent disability, critical illness 1 81,103


2 0


Surrenders 4 681,881

Annuities 5 0

Cash bonuses 6 1,258,918

Others 7 0


31/05/2018 10:34:10 AM








2 0


Surrenders 4 0

Annuities 5 0

Cash bonuses 6 0

Others 7 0


31/05/2018 10:34:10 AM



ANNUAL RETURN: ANNEX 2F - MANAGEMENT EXPENSES



Staff salaries & expenses 1 0

Office rent 2 0

Head office / parent company expenses 3 0

Directors' fees 4 0

Audit fees 5 0

Managing agent's fees 6 0

Repairs and maintenance 7 0

Public utilities 8 0

Printing, stationery and periodicals 9 0

Postage, telephone and telex charges 10 0

Computer charges 11 0

Hire of office equipment 12 0

Licence and association fees 13 0

Advertising and subscriptions 14 0

Entertainment 15 0

Travelling expenses 16 0


31/05/2018 10:34:10 AM






Staff salaries & expenses 1 7,516,732

Office rent 2 1,012,152


Directors' fees 4 218,488

Audit fees 5 237,874


Repairs and maintenance 7 260,052

Public utilities 8 13,230

Printing, stationery and periodicals 9 70,264

Postage, telephone and telex charges 10 31,176

Computer charges 11 322,003


Licence and association fees 13 82,670

Advertising and subscriptions 14 1,979,654

Entertainment 15 15,908

Travelling expenses 16 7,170

Outsourcing fees 1 491,883

Channel related expenses 2 694,070

GST expenses 3 972,803

Consultancy& professional fees 4 161,928

Other management expenses 5 335,537

Total = Row 9 of Form 2 27 14,423,594

31/05/2018 10:34:10 AM






Staff salaries & expenses 1 392,476

Office rent 2 49,525


Directors' fees 4 10,690

Audit fees 5 9,872


Repairs and maintenance 7 12,724


Printing, stationery and periodicals 9 2,877

Postage, telephone and telex charges 10 1,525

Computer charges 11 15,756


Licence and association fees 13 4,040

Advertising and subscriptions 14 99,855

Entertainment 15 778


Outsourcing fees 1 25,162

Channel related expenses 2 41,234

GST expenses 3 18,924

Consultancy& professional fees 4 15,684

Other management expenses 5 16,450


31/05/2018 10:34:10 AM







Office rent 2 0


Directors' fees 4 0

Audit fees 5 0










Entertainment 15 0



31/05/2018 10:34:10 AM



ANNUAL RETURN: ANNEX 2G - DISTRIBUTION EXPENSES IN RESPECT




First period commissions - single premium 1 0

First period commissions - regular premium 2 0

Renewal commissions 3 0

Group business:

Commissions 4 0

Overriding commissions 5 0

Production and other bonuses 6 0

Trailer fees 7 0

Cost of benefits and services 8 0

Other cash payments 9 0

Total distribution cost excluding reinsurance commissions (1 to 9) 10 0

Reinsurance commissions 11 0

Total (10 - 11) = Row 10 of Form 2 12 0

OF LIFE BUSINESS

31/05/2018 10:34:10 AM







First period commissions - single premium 1 284,402

First period commissions - regular premium 2 8,339,958

Renewal commissions 3 4,972,681

Group business:

Commissions 4 0

Overriding commissions 5 -8,390


Trailer fees 7 0



Total distribution cost excluding reinsurance commissions (1 to 9) 10 13,588,651

Reinsurance commissions 11 4,205

Total (10 - 11) = Row 10 of Form 2 12 13,584,446

OF LIFE BUSINESS

31/05/2018 10:34:10 AM







First period commissions - single premium 1 109,055

First period commissions - regular premium 2 25,220

Renewal commissions 3 4,951

Group business:

Commissions 4 4,156

Overriding commissions 5 -84


Trailer fees 7 0



Total distribution cost excluding reinsurance commissions (1 to 9) 10 143,298

Reinsurance commissions 11 14,280

Total (10 - 11) = Row 10 of Form 2 12 129,018

OF LIFE BUSINESS

31/05/2018 10:34:10 AM










Group business:

Commissions 4 0



Trailer fees 7 0





Total (10 - 11) = Row 10 of Form 2 12 0

OF LIFE BUSINESS

31/05/2018 10:34:10 AM



ANNUAL RETURN: ANNEX 2H - NET POLICY LIABILITIES IN RESPECT



Net policy liabilities at end of period 1 0

Net policy liabilities at beginning of period 2 0

Increase (Decrease) in Net Policy Liabilities (1 - 2) = Row 11of Form 2 3 0

OF LIFE BUSINESS

31/05/2018 10:34:10 AM






Net policy liabilities at end of period 1 165,201,538

Net policy liabilities at beginning of period 2 53,573,140

Increase (Decrease) in Net Policy Liabilities (1 - 2) = Row 11of Form 2 3 111,628,398

OF LIFE BUSINESS

31/05/2018 10:34:10 AM






Net policy liabilities at end of period 1 1,537,446

Net policy liabilities at beginning of period 2 481,190

Increase (Decrease) in Net Policy Liabilities (1 - 2) = Row 11of Form 2 3 1,056,256

OF LIFE BUSINESS

31/05/2018 10:34:10 AM









OF LIFE BUSINESS

31/05/2018 10:34:10 AM


ANNUAL RETURN: ANNEX 2I - BREAKDOWN OF OTHER EXPENSES

Reporting Cycle:

I570C

122016



Depreciation 1 1,097,773

Policyholder Medical Fee 2 4,620

Other Expenses 3 2,145

Total = Row 14 of Form 2 26 1,104,538

31/05/2018 10:34:11 AM


ANNUAL RETURN: ANNEX 2I - BREAKDOWN OF OTHER EXPENSES

Reporting Cycle:

I570C

122016



Depreciation 1 45,642

Policyholder Medical Fee 2 4,319


31/05/2018 10:34:11 AM



ANNUAL RETURN: ANNEX 2J - NET INCOME OF PARTICIPATING FUND



Allocation to surplus account 1 0

Surplus account investment revenue 2 0

Less: Surplus account investment expenses 3 0

Surplus account investment income (2 - 3) 4 0

Recovery of amount transferred out of the surplus account if ithas not been transferred back into the surplus accountpreviously

5 0

Net Income (1 + 4 + 5) = Row 16 of Form 2 6 0

31/05/2018 10:34:10 AM






Allocation to surplus account 1 180,408

Surplus account investment revenue 2 38,670


Surplus account investment income (2 - 3) 4 38,439


5 2,375,652

Net Income (1 + 4 + 5) = Row 16 of Form 2 6 2,594,499

31/05/2018 10:34:10 AM






Allocation to surplus account 1

Surplus account investment revenue 2

Less: Surplus account investment expenses 3

Surplus account investment income (2 - 3) 4


5

Net Income (1 + 4 + 5) = Row 16 of Form 2 6

31/05/2018 10:34:10 AM











5


31/05/2018 10:34:10 AM











5 0


31/05/2018 10:34:10 AM











5


31/05/2018 10:34:10 AM


Reporting Cycle: 2016 12


NIL

31/05/2018 10:34 AM


ANNUAL RETURN: FORM 3 - STATEMENT IN RESPECT OF LIFE BUSINESS OF DIRECT LIFE INSURER RELATING TOPOLICIES ISSUED TO INDIVIDUALS

Reporting Cycle:

I570C

122016


Description Row NoSingle Premium

Business - SinglePremium

Single PremiumBusiness - Number

of Policies

Single PremiumBusiness - Sum

Insured

Regular PremiumBusiness - Regular

Premium

Regular PremiumBusiness - Number

of Policies

Regular PremiumBusiness - Sum

Insured

A. New Business Policies other than annuities -

Whole life 1 0 0 0 0 0 0

Endowment 2 0 0 0 0 0 0

Term 3 0 0 0 0 0 0

Accident 4 0 0 0 0 0 0

Health 5 0 0 0 0 0 0

Others 6 0 0 0 0 0 0

Total (1 to 6) 7 0 0 0 0 0 0

Annuities only 8 0 0 0 0 0 0B. Terminations and transfers

Policies other than annuities - Death, total permanent disability,critical illness 9 0 0 0 0 0

Maturity 10 0 0 0 0 0

Expiry 11 0 0 0 0 0

Surrender 12 0 0 0 0 0

Forfeiture 13 0 0 0 0 0

Net transfers 14 0 0 0 0 0

Others 15 0 0 0 0 0

Total (9 to 15) 16 0 0 0 0 0

Annuities only 17 0 0 0 0 0

C. Business in Force

Policies other than annuities -

Whole life 18 0 0 0 0 0

Endowment 19 0 0 0 0 0

Term 20 0 0 0 0 0

31/05/2018 10:34:11 AM




of Policies


Insured


Premium


of Policies


Insured

Accident 21 0 0 0 0 0

Health 22 0 0 0 0 0

Others 23 0 0 0 0 0

Total (18 to 23) 24 0 0 0 0 0

Annuities only (last period's 25 + 8 -17) 25 0 0 0 0 0

31/05/2018 10:34:11 AM



Reporting Cycle:

I570C

122016





of Policies


Insured


Premium


of Policies


Insured


Whole life 1 3,901,009 12 7,928,600 12,865 4 430,000

Endowment 2 0 0 0 84,341,542 4,792 290,465,000

Term 3 0 0 0 0 0 0

Accident 4 0 0 0 0 0 0

Health 5 0 0 0 0 0 0

Others 6 0 0 0 0 0 0

Total (1 to 6) 7 3,901,009 12 7,928,600 84,354,407 4,796 290,895,000


Policies other than annuities - Death, total permanent disability,critical illness 9 0 0 78,722 8 531,000

Maturity 10 0 0 0 0 0

Expiry 11 0 0 0 0 0

Surrender 12 1 920,000 351,198 33 2,145,000

Forfeiture 13 0 0 2,132,541 417 19,283,200


Others 15 0 0 4,716,242 366 22,672,964

Total (9 to 15) 16 1 920,000 7,278,703 824 44,632,164




Whole life 18 22 14,418,600 14,572 5 530,000

Endowment 19 0 0 139,935,782 10,871 705,116,834

Term 20 0 0 0 0 0

Accident 21 0 0 0 0 0

31/05/2018 10:34:11 AM




of Policies


Insured


Premium


of Policies


Insured

Health 22 0 0 0 0 0

Others 23 0 0 0 0 0

Total (18 to 23) 24 22 14,418,600 139,950,354 10,876 705,646,834


31/05/2018 10:34:11 AM



Reporting Cycle:

I570C

122016





of Policies


Insured


Premium


of Policies


Insured


Whole life 1 1,529,838 0 8,121,400 0 0 0

Endowment 2 0 0 0 0 0 0

Term 3 0 0 0 74,969 77 40,583,000

Accident 4 21,725 0 2,437,500 0 0 0

Health 5 0 0 0 10,730 0 6,343,798

Others 6 0 0 0 0 0 0

Total (1 to 6) 7 1,551,563 0 10,558,900 85,699 77 46,926,798



Maturity 10 0 0 0 0 0

Expiry 11 0 87,635 29,304 27 13,126,038

Surrender 12 0 1,080,000 0 0 0



Others 15 0 0 3,753 4 2,511,171

Total (9 to 15) 16 0 1,167,635 33,057 31 15,637,209




Whole life 18 0 15,767,865 0 0 0


Term 20 0 0 150,694 135 76,738,110

Accident 21 0 2,437,500 0 0 0

31/05/2018 10:34:11 AM




of Policies


Insured


Premium


of Policies


Insured

Health 22 0 0 12,701 0 9,230,639

Others 23 0 0 0 0 0

Total (18 to 23) 24 0 18,205,365 163,395 135 85,968,749


31/05/2018 10:34:11 AM



Reporting Cycle:

I570C

122016





of Policies


Insured


Premium


of Policies


Insured


Whole life 1 0 0 0 0 0 0

Endowment 2 0 0 0 0 0 0

Term 3 0 0 0 0 0 0

Accident 4 0 0 0 0 0 0

Health 5 0 0 0 0 0 0

Others 6 0 0 0 0 0 0

Total (1 to 6) 7 0 0 0 0 0 0



Maturity 10 0 0 0 0 0

Expiry 11 0 0 0 0 0




Others 15 0 0 0 0 0

Total (9 to 15) 16 0 0 0 0 0




Whole life 18 0 0 0 0 0


Term 20 0 0 0 0 0

Accident 21 0 0 0 0 0

31/05/2018 10:34:11 AM




of Policies


Insured


Premium


of Policies


Insured

Health 22 0 0 0 0 0

Others 23 0 0 0 0 0

Total (18 to 23) 24 0 0 0 0 0


31/05/2018 10:34:11 AM