210.12-16—Supplementary insurance information.
| [For insurance companies] | ||||||||||
| Column A | Column B | Column C | Column D | Column E | Column F | Column G | Column H | Column I | Column J | Column K | 
|---|---|---|---|---|---|---|---|---|---|---|
| Segment 1 | Deferred policy acquisition cost (caption 7) | Future policy benefits, losses, claims and loss expenses (caption 13-a-1) | Unearned premiums (caption 13-a-2) | Other policy claims and benefits payable (caption 13-a-3) | Premium revenue (caption 1) | Net investment income (caption 2) 3 | Benefits, claims, losses, and settlement expenses (caption 5) | Amortization of deferred policy acquisition costs 4 | Other operating expenses 3,4 | Premiums written 2 | 
| Total 5 | ||||||||||
| 1 Segments shown should be the same as those presented in the footnote disclosures called for by generally accepted accounting principles. | ||||||||||
| 2 Does not apply to life insurance or title insurance. This amount should include premiums from reinsurance assumed, and be net of premiums on reinsurance ceded. | ||||||||||
| 3 State the basis for allocation of net investment income and, where applicable, other operating expenses. 
                                
                                    Code of Federal Regulations
                                
                                335
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| 4 The total of columns I and J should agree with the amount shown for income statement caption 7. | ||||||||||
| 5 Totals should agree with the indicated balance sheet and income statement caption amounts, where a caption number is shown. | ||||||||||