DRF_100_0 Insurance and Sundry Information (DMF)

Australian Business Number

Institution Name

Reporting Period

Scale Factor

Thousands of dollars no decimal places

Reporting Consolidation

Domestic

Discretionary Business only

1. Insurance taken by the DMF

1.1. How do you establish Maximum Event Retention (MER)?.......................................

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(A-D)

Enter only the corresponding letter for the method used

A - Proprietary Risk Modelling software

C - Other consulting services

B - Actuarial consultation

D - Other

1.2. For 'Other' and 'Other consulting services', provide brief details:

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1.3. If you use probability modelling, what is the basis of determining the Maximum Event Retention (MER)?

If you do not use probability modelling select 'Another basis'.

Round to the closest number.

Enter only the corresponding letter for the basis used..................................................

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(A-L)

A - More than 1 in 250

G - 1 in 60

B - 1 in 250

H - 1 in 40

C - 1 in 200

I - 1 in 20

D - 1 in 150

J - 1 in 1

E - 1 in 100

K - No basis

F - 1 in 80

L - Another basis

1.4. If you use the 'percentage of capital' approach, what is the percentage of capital applied to determine the

Maximum Event Retention (MER)?

If you do not use this approach, input 0.........................................................................

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Rounded to the nearest whole number percentage.

1.5. If you do not use "probability modelling" or "percentage of capital" approach please explain what basis you use.

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1.6. List the types of cover (classes/risks/maximum sum insured) offered to members which fall within the

protection wording and are not insured.

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1.7. List of insurers and counterparty grades in order of premium paid. Highest to lowest amount.

Also include the recoverable amount by claim year.

Recoverable Amount

Insurer

(1)

Counterparty Grade

(2)

Total

(3)

Current year claims

(4)

Previous year claims

(5)

Earlier years claims

(6)

1.8. Are insurance brokers used to place insurance?.....................................................

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(Y or N)

1.9. If "Yes" list the names of the insurance brokerage firms which place your insurance in order of premium paid

highest to lowest.

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1.10. Are all insurances automatically reinstated after loss for all policies?...................

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(Y or N)

1.11. If "No" detail the types of insurances (classes/risks/sums insured) which are not automatically reinstated.

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1.12. What is the maximum cost to reinstate insurance cover after the first

MER event for all policies?.............................................................................................

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(If nil input zero)

1.13. What is the maximum cost of any subsequent per event reinstatement

for the MER event for all policies?.................................................................................

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(If nil input zero)

1.14. Does the insurance contract pay out the claim, irrespective of whether the claim is within the

protection wording of the cover offered to the member for all policies?........................

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(Y or N)

1.15. Do all insurances have a feature that reduces the deductible to nil when the underlying pool of

funds (aggregate deductible) is exhausted?..................................................................

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(Y or N)

1.16. If "Yes" above, please describe the structure of your insurance programme and where this feature applies.

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2. Other

2.1. Can calls be made on members and is there a contractual

obligation to pay?...........................................................................................................

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(Y or N)

2.2. If "Yes", what is the basis for determining the maximum call amount?....................

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(A-C)

A - Specified Amount

B - % of contribution

C - Other

If "Other" please explain the methodology of calculating the maximium call amount.

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2.3. What would be the maximum amount of a call on a member

for any financial year?....................................................................................................

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Rounded to the nearest thousand dollars.

2.4. What is your confidence level that all calls will be paid in full by members?

Enter only the corresponding letter for your confidence level........................................

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(A-C)

A - High

B - Medium

C - Low

2.5. Please provide brief reasoning for concluding this confidence level.

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2.6. List the dispute resolution bodies that a member can lodge a complaint with. State if None.

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2.7. To the best of your knowledge, please list the types of cover/products sold which members are not able to

purchase from licensed Australian insurers.

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2.8. Are products sold under a Australian Financial Services License (AFSL)? ............

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(Y or N)

2.9. Is a Product Disclosure Statement (PDS) issued to all

prospective members?..................................................................................................

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(Y or N)

2.10. In the event of wind-up who would receive any excess monies that were not needed;

after satisfying liabilities?

Enter only the corresponding letter for the recipient of excess monies........................

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(A-C)

A - Charity

B - Members

C - Other

2.11. If "Other" in 2.10 please provide brief details.

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2.12. Explain who receives and what happens to profits/surpluses which arise in the normal course of business.

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2.13. If the member discontinues cover mid term, are contributions (after allowing for administration charges)

refunded to the member for the unexpired period of cover?.........................................

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(Y or N)

2.14. Are annual audited financial statements lodged with ASIC?...................................

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(Y or N)

2.15. Are annual audited financial statements distributed to all members?....................

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(Y or N)