New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 4 - ACTUARIAL SERVICES
Subchapter 35 - VIATICAL SETTLEMENTS
Appendix - APPENDIX
Universal Citation: NJ Admin Code
Current through Register Vol. 56, No. 6, March
18, 2024
| Mortality Experience Table |
| By Number of | ||||
| Contracts | ||||
| ................. | ||||
| Life Expectancy | In Force | Contracts added | Expected | Actual |
| at Issue | 01/01/---- | during year | Deaths | Deaths |
| ................. | ||||
| < 6 months | ||||
| ................. | ||||
| 6 to 12 months | ||||
| ................. | ||||
| 12 to 18 months | ||||
| ................. | ||||
| 18 to 24 months | ||||
| ................. | ||||
| 24 months or more | ||||
| ................. | ||||
| By Amount of | ||||
| Insurance | ||||
| ................. | ||||
| Life Expectancy | In Force | Contracts added | Expected | Actual |
| at Issue | 01/01/---- | during year | Deaths | Deaths |
| ................. | ||||
| < 6 months | ||||
| ................. | ||||
| 6 to 12 months | ||||
| ................. | ||||
| 12 to 18 months | ||||
| ................. | ||||
| 18 to 24 months | ||||
| ................. | ||||
| 24 months or more | ||||
| ................. |
| In column 1, enter the number of contracts in force or amount of insurance in |
| force under viatical settlements as of the beginning of the year, broken down |
| by the life expectancy on which the original consideration was based. |
| In column 2, enter the number of contracts added during the year. |
| In column 3, enter expected deaths (number or amount) from columns 1 and 2, |
| as estimated by the provider's actuary and based on life expectancy |
| assumptions. |
| In column 4, enter the actual deaths (number or amount) from columns 1 and 2. |
| ........................................... | ................................. |
| Signature of Member of the American Academy | Date |
| of Actuaries | |
| ........................................... | |
| Print Name |
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
