*Statistical Tables (annual) 11.50 *One copy free to a New York State resident. PRICES FOR ADDITIONAL COPIES OF ANNUAL STATEMENT FORMS AND SCHEDULES 5 | Annual Statement—Charitable Annuity | $ 4.75 | 11 | Annual Statement—Retirement Systems | 5.15 | | Exhibit of Loss Portfolio Transfer | .25 | | Supplement to Article 43 Corporation's Annual Statement | 15.00 | | HMO Data Requirements (Annual) | 13.75 | | New York Business Page (Life) | .25 | | Supplement to Article 43 Corporation's Quarterly Statement | 4.50 | | HMO Data Requirements (Quarterly) | 7.50 | SR | Quarterly Statement—Schedule SR-Life | 1.50 | C-1 | Quarterly Statement—Special Risk | .25 | | Supplement—Property and Casualty | 6.50 | | | 3.50 | | | 5.00 | | NAIC Property Annual Statement—Statutory Page 14 | .25 | FORMS FROM THE PROPERTY SUPPLEMENT | 271A | Insurance Expense Exhibit | 1.75 | 271AS | Insurance Expense Exhibit II | .60 | | NY Supplemental Insurance Expense Exhibit | .80 | | NY Property & Casualty Supplement Exhibit of Premiums and Losses—Business in New York During Year | .25 |
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