TITLE COMPANIES

(1)
Check-List

(2)
Line #

(3)
REQUIRED FILING FOR THE ABOVE  STATE

(4)
NUMBER OF COPIES*

(5)
DUE DATE

(6)
FORM SOURCE**

(7)
APPLICABLE NOTES

Domestic

Foreign

State

NAIC

State

I.  NAIC FINANCIAL STATEMENTS

1

Annual Statement (8 ½” x 14”)

xxx

EO

xxx

3/1

NAIC

1.1

Printed Investment Schedule detail (Pages E01-E27)

xxx

EO

xxx

3/1

NAIC

2

Quarterly Financial Statement (8 ½” x 14”)

xxx

EO

xxx

5/15, 8/15, 11/15

NAIC

II.  NAIC SUPPLEMENTS

11

Actuarial Opinion

xxx

EO

xxx

3/1

Company

12

Investment Risk Interrogatories

xxx

EO

xxx

4/1

NAIC

13

Management Discussion & Analysis

xxx

EO

xxx

4/1

Company

14

Schedule SIS

xxx

N/A

N/A

3/1

NAIC

15

Supplemental Compensation Exhibit

xxx

N/A

N/A

3/1

NAIC

16

Supplemental Schedule of Business Written By Agency

xxx

EO

xxx

4/1

NAIC

III. ELECTRONIC FILING REQUIREMENTS

50

Annual Statement Electronic Filing

xxx

1

xxx

3/1

NAIC

51

March .PDF Filing

xxx

1

xxx

3/1

NAIC

52

Supplemental Electronic Filing

xxx

1

xxx

4/1

NAIC

53

Supplemental .PDF Filing

xxx

1

xxx

4/1

NAIC

54

Quarterly Statement Electronic Filing

xxx

1

xxx

5/15, 8/15, 11/15

NAIC

55

Quarterly .PDF Filing

xxx

1

xxx

5/15, 8/15, 11/15

NAIC

56

June .PDF Filing

xxx

1

xxx

6/1

NAIC

IV.  AUDIT/INTERNAL CONTROL RELATED REPORTS

71

Accountants Letter of Qualifications

xxx

EO

N/A

6/1

Company

72

Audited Financial Reports

xxx

EO

6/1

Company

73

Audited Financial Reports Exemption Affidavit

xxx

N/A

N/A

Company

74

Communication of Internal Control Related Matters Noted in Audit

xxx

N/A

N/A

8/1

Company

75

Independent CPA (change)

xxx

N/A

N/A

Company

76

Management’s Report of Internal Control Over Financial Reporting

xxx

N/A

N/A

8/1

Company

77

Notification of Adverse Financial Condition

xxx

N/A

N/A

Company

78

Request for Exemption to File

xxx

N/A

N/A

Company

79

Relief from the five-year rotation requirement for lead audit partner

xxx

EO

N/A

3/1

Company

80

Relief from the one-year cooling off period for independent CPA

xxx

EO

N/A

3/1

Company

81

Relief from the Requirements for Audit Committees

xxx

EO

N/A

3/1

Company

V.  STATE REQUIRED FILINGS***

101

Filings Checklist (with Column 1 completed)

xxx

0

xxx

3/1

State

102

Maine Fraud and Abuse Annual Report

xxx

0

1

3/1

State

P

103

Premium Tax

xxx

0

1

3/15

State

E

104

Signed Jurat Page

xxx

xxx

xxx

3/1, 5/15, 8/15, 11/15

NAIC

105

State Filing Fees

xxx

0

1

8/10

State

C, P