Jackson National Life Insurance Co. of New York 2021 annual statutory statement

ANNUAL STATEMENT

OF THE

JACKSON NATIONAL LIFE INSURANCE CO. OF NEW YORK

TO THE

Insurance Department

OF THE

STATE OF

NEW YORK

FOR THE YEAR ENDED

DECEMBER 31, 2021

[ X ] LIFE, ACCIDENT AND HEALTH

[ ] FRATERNAL BENEFIT SOCIETIES

2021

ANNUAL STATEMENT FOR THE YEAR 2021 OF THE JACKSON NATIONAL LIFE INSURANCE CO. OF NEW YORK

ASSETS

		Current Year		Prior Year
	1	2	3	4
			Net Admitted Assets	Net Admitted
	Assets	Nonadmitted Assets	(Cols. 1 - 2)	Assets
1. Bonds (Schedule D)	1,281,189,038	0	1,281,189,038	1,267,367,784

2. Stocks (Schedule D):

2.1 Preferred stocks	0	0	0	0
2.2 Common stocks	0	0	0	0

3. Mortgage loans on real estate (Schedule B):

3.1	First liens	0	0	0	0
3.2	Other than first liens	0	0	0	0

4. Real estate (Schedule A):

	4.1 Properties occupied by the company (less $		0
	encumbrances)				0	0	0	0
	4.2 Properties held for the production of income (less
	$		0 encumbrances)			0	0	0	0
	4.3 Properties held for sale (less $	0
	encumbrances)				0	0	0	0
5.	Cash ($	(20,213,355) , Schedule E - Part 1), cash equivalents
	($	66,132,168	, Schedule E - Part 2) and short-term
	investments ($	0 , Schedule DA)		45,918,813	0	45,918,813	97,282,611
6.	Contract loans (including $	0	premium notes)		348,272	0	348,272	398,774
7.	Derivatives (Schedule DB)				0	0	0	0
8.	Other invested assets (Schedule BA)			0	0	0	0
9.	Receivables for securities				141,220	0	141,220	0
10.	Securities lending reinvested collateral assets (Schedule DL)		763,250	0	763,250	1,190
11.	Aggregate write-ins for invested assets			0	0	0	0
12.	Subtotals, cash and invested assets (Lines 1 to 11)			1,328,360,593	0	1,328,360,593	1,365,050,359
13.	Title plants less $	0 charged off (for Title insurers
	only)				0	0	0	0
14.	Investment income due and accrued		9,076,069	0	9,076,069	9,457,518

15. Premiums and considerations:

15.1	Uncollected premiums and agents' balances in the course of collection	(335,525,255)	13,931	(335,539,186)	(347,150,099)
15.2	Deferred premiums and agents' balances and installments booked but
	deferred and not yet due (including $	0
	earned but unbilled premiums)		99,674	0	99,674	13,438
15.3	Accrued retrospective premiums ($	0 ) and
	contracts subject to redetermination ($	0 )	0	0	0	0

16. Reinsurance:


	16.1	Amounts recoverable from reinsurers	42,544,556	0	42,544,556	35,399,424
	16.2	Funds held by or deposited with reinsured companies	0	0	0	0
	16.3	Other amounts receivable under reinsurance contracts	270,644,919	0	270,644,919	230,266,438
17.	Amounts receivable relating to uninsured plans	0	0	0	0
18.1	Current federal and foreign income tax recoverable and interest thereon	282,685	0	282,685	6,189,947
18.2	Net deferred tax asset		0	0	0	0
19.	Guaranty funds receivable or on deposit	0	0	0	0
20.	Electronic data processing equipment and software	0	0	0	0
21.	Furniture and equipment, including health care delivery assets
	($	0 )	0	0	0	0
22.	Net adjustment in assets and liabilities due to foreign exchange rates	0	0	0	0
23.	Receivables from parent, subsidiaries and affiliates	1,809,540	0	1,809,540	0
24.	Health care ($	0 ) and other amounts receivable	0	0	0	0
25.	Aggregate write-ins for other than invested assets	4,546,182	4,546,182	0	180,000

26. Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines 12 to 25)

1,321,838,963

4,560,113

1,317,278,850

1,299,407,025

27. From Separate Accounts, Segregated Accounts and Protected Cell

	Accounts	17,730,900,324	0	17,730,900,324	15,306,543,839
28.	Total (Lines 26 and 27)	19,052,739,287	4,560,113	19,048,179,174	16,605,950,864
	DETAILS OF WRITE-INS
1101.
1102.
1103.
1198.	Summary of remaining write-ins for Line 11 from overflow page	0	0	0	0
1199.	Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above)	0	0	0	0
2501.	Amounts due from agents	294,917	294,917	0	0
2502.	Disallowed interest maintenance reserve	4,206,711	4,206,711	0	0
2503.	Insurance department assessment on deposit	0	0	0	180,000
2598.	Summary of remaining write-ins for Line 25 from overflow page	44,554	44,554	0	0
2599.	Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above)	4,546,182	4,546,182	0	180,000

ANNUAL STATEMENT FOR THE YEAR 2021 OF THE JACKSON NATIONAL LIFE INSURANCE CO. OF NEW YORK

LIABILITIES, SURPLUS AND OTHER FUNDS

					1	2
					Current Year	Prior Year
1.	Aggregate reserve for life contracts $	638,255,565 (Exh. 5, Line 9999999) less $	0
	included in Line 6.3 (including $	0 Modco Reserve)			638,255,565	674,724,554
2.	Aggregate reserve for accident and health contracts (including $	0 Modco Reserve)	0	0
3.	Liability for deposit-type contracts (Exhibit 7, Line 14, Col. 1) (including $	0	Modco Reserve)	9,467,638	13,650,650

4. Contract claims:


4.1	Life (Exhibit 8, Part 1, Line 4.4, Col. 1 less sum of Cols. 9, 10 and 11)	18,713,265	17,920,394
4.2	Accident and health (Exhibit 8, Part 1, Line 4.4, sum of Cols. 9, 10 and 11)		0	0
5. Policyholders' dividends/refunds to members $	0 and coupons $	0 due
and unpaid (Exhibit 4, Line 10)		0	0

6. Provision for policyholders' dividends, refunds to members and coupons payable in following calendar year - estimated amounts:

6.1	Policyholders' dividends and refunds to members apportioned for payment (including $	0
	Modco)			0	0
6.2	Policyholders' dividends and refunds to members not yet apportioned (including $	0 Modco)	0	0
6.3	Coupons and similar benefits (including $	0 Modco)		0	0
7. Amount provisionally held for deferred dividend policies not included in Line 6		0	0

8. Premiums and annuity considerations for life and accident and health contracts received in advance less

$	0 discount; including $	0 accident and health premiums (Exhibit 1,
Part 1, Col. 1, sum of lines 4 and 14)	8,918	4,455

9. Contract liabilities not included elsewhere:

	9.1	Surrender values on canceled contracts						0	0
	9.2	Provision for experience rating refunds, including the liability of $		0	accident and health
		experience rating refunds of which $	0	is for medical loss ratio rebate per the Public Health
		Service Act							0	0
	9.3 Other amounts payable on reinsurance, including $		0 assumed and $	0
		ceded							0	0
	9.4 Interest maintenance reserve (IMR, Line 6)					0	0
10.	Commissions to agents due or accrued-life and annuity contracts $		6,362,570	accident and health
	$	0 and deposit-type contract funds $		0			6,362,570	6,159,027
11.	Commissions and expense allowances payable on reinsurance assumed				0	0
12.	General expenses due or accrued (Exhibit 2, Line 12, Col. 7)					2,953,271	2,875,115
13.	Transfers to Separate Accounts due or accrued (net) (including $		(36,811,413)	accrued for expense
	allowances recognized in reserves, net of reinsured allowances)					(36,437,770)	(39,023,789)
14.	Taxes, licenses and fees due or accrued, excluding federal income taxes (Exhibit 3, Line 9, Col. 6)		1,444,081	1,945,888
15.1 Current federal and foreign income taxes, including $		0 on realized capital gains (losses)		0	0
15.2	Net deferred tax liability							0	0
16.	Unearned investment income							0	0
17.	Amounts withheld or retained by reporting entity as agent or trustee					1,010,178	1,027,037
18.	Amounts held for agents' account, including $	0	agents' credit balances		0	0
19.	Remittances and items not allocated							1,676,896	1,902,593
20.	Net adjustment in assets and liabilities due to foreign exchange rates					0	0
21.	Liability for benefits for employees and agents if not included above					0	0
22.	Borrowed money $	0	and interest thereon $		0			0	0
23.	Dividends to stockholders declared and unpaid					0	0

24. Miscellaneous liabilities:

	24.01	Asset valuation reserve (AVR, Line 16, Col. 7)			9,973,523	8,766,251
	24.02 Reinsurance in unauthorized and certified ($	0 ) companies		0	0
	24.03 Funds held under reinsurance treaties with unauthorized and certified ($	0 ) reinsurers	0	0
	24.04	Payable to parent, subsidiaries and affiliates			0	869,347
	24.05	Drafts outstanding				0	0
	24.06	Liability for amounts held under uninsured plans			0	0
	24.07	Funds held under coinsurance				0	0
	24.08	Derivatives				0	0
	24.09	Payable for securities				0	0
	24.10	Payable for securities lending				763,250	1,190
	24.11 Capital notes $	0 and interest thereon $		0	0	0
25.	Aggregate write-ins for liabilities				1,220,049	821,935
26.	Total liabilities excluding Separate Accounts business (Lines 1 to 25)			655,411,434	691,644,647
27.	From Separate Accounts Statement				17,730,900,324	15,306,543,839
28.	Total liabilities (Lines 26 and 27)				18,386,311,758	15,998,188,486
29.	Common capital stock				2,000,000	2,000,000
30.	Preferred capital stock				0	0
31.	Aggregate write-ins for other than special surplus funds			0	0
32.	Surplus notes				0	0
33.	Gross paid in and contributed surplus (Page 3, Line 33, Col. 2 plus Page 4, Line 51.1, Col. 1)		503,858,735	494,696,783
34.	Aggregate write-ins for special surplus funds			0	0
35.	Unassigned funds (surplus)				156,008,681	111,065,595

36. Less treasury stock, at cost:

	36.1	0 shares common (value included in Line 29	$	0	)	0	0
	36.2	0 shares preferred (value included in Line 30	$	0	)	0	0
37.	Surplus (Total Lines 31+32+33+34+35-36) (including $		0 in Separate Accounts Statement)	659,867,416	605,762,378
38.	Totals of Lines 29, 30 and 37 (Page 4, Line 55)				661,867,416	607,762,378
39.	Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3)				19,048,179,174	16,605,950,864
	DETAILS OF WRITE-INS
2501.	Escheat escrow liability - outstanding checks				339,360
			86,460
2502.	Interest payable on contract claims				880,689	735,475
2503.
2598.	Summary of remaining write-ins for Line 25 from overflow page				0	0
2599.	Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above)				1,220,049	821,935
3101.
3102.

3103.
3198.	Summary of remaining write-ins for Line 31 from overflow page				0	0
3199.	Totals (Lines 3101 thru 3103 plus 3198)(Line 31 above)				0	0
3401.
3402.
3403.
3498.	Summary of remaining write-ins for Line 34 from overflow page				0	0
3499.	Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above)				0	0

ANNUAL STATEMENT FOR THE YEAR 2021 OF THE JACKSON NATIONAL LIFE INSURANCE CO. OF NEW YORK

SUMMARY OF OPERATIONS

		1	2
		Current Year	Prior Year
1.	Premiums and annuity considerations for life and accident and health contracts (Exhibit 1, Part 1, Line 20.4, Col. 1, less
	Col. 11)	148,746,239	141,735,749
2.	Considerations for supplementary contracts with life contingencies	0	0
3.	Net investment income (Exhibit of Net Investment Income, Line 17)	44,178,589	43,810,504
4.	Amortization of Interest Maintenance Reserve (IMR, Line 5)	569,926	463,410
5.	Separate Accounts net gain from operations excluding unrealized gains or losses	0	0
6.	Commissions and expense allowances on reinsurance ceded (Exhibit 1, Part 2, Line 26.1, Col. 1)	148,285,147	154,461,591
7.	Reserve adjustments on reinsurance ceded	0	0

8. Miscellaneous Income:

	8.1 Income from fees associated with investment management, administration and contract guarantees from Separate
	Accounts	39,105,505	32,458,554
	8.2 Charges and fees for deposit-type contracts	0	0
	8.3 Aggregate write-ins for miscellaneous income	7,857	9,367
9.	Total (Lines 1 to 8.3)	380,893,263	372,939,175
10.	Death benefits	125,000	1,198,052
11.	Matured endowments (excluding guaranteed annual pure endowments)	0	0
12.	Annuity benefits (Exhibit 8, Part 2, Line 6.4, Cols. 4 + 8)	36,157,323	38,122,751
13.	Disability benefits and benefits under accident and health contracts	6,960	10,495
14.	Coupons, guaranteed annual pure endowments and similar benefits	0	0
15.	Surrender benefits and withdrawals for life contracts	161,297,976	120,271,818
16.	Group conversions	0	0
17.	Interest and adjustments on contract or deposit-type contract funds	147,006	(1,815,769)
18.	Payments on supplementary contracts with life contingencies	0	0
19.	Increase in aggregate reserves for life and accident and health contracts	(36,468,987)	47,191,617
20.	Totals (Lines 10 to 19)	161,265,278	204,978,964

21. Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) (Exhibit 1, Part

	2, Line 31, Col. 1)				147,847,194	132,599,363
22.	Commissions and expense allowances on reinsurance assumed (Exhibit 1, Part 2, Line 26.2, Col. 1)	0	0
23.	General insurance expenses and fraternal expenses (Exhibit 2, Line 10, Cols. 1, 2, 3, 4 and 6)	16,227,636	41,052,545
24.	Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit 3, Line 7, Cols. 1 + 2 + 3 + 5)	1,215,635	1,360,781
25.	Increase in loading on deferred and uncollected premiums			(47,480)	(71,529)
26.	Net transfers to or (from) Separate Accounts net of reinsurance		4,330,353	(9,438,418)
27.	Aggregate write-ins for deductions			(2,753,846)	(4,184,034)
28.	Totals (Lines 20 to 27)			328,084,770	366,297,672
29.	Net gain from operations before dividends to policyholders, refunds to members and federal income taxes (Line 9 minus
	Line 28)				52,808,493	6,641,503
30.	Dividends to policyholders and refunds to members			0	0
31.	Net gain from operations after dividends to policyholders, refunds to members and before federal income taxes (Line 29
	minus Line 30)				52,808,493	6,641,503
32.	Federal and foreign income taxes incurred (excluding tax on capital gains)		4,426,629	(14,275,775)
33.	Net gain from operations after dividends to policyholders, refunds to members and federal income taxes and before
	realized capital gains or (losses) (Line 31 minus Line 32)			48,381,864	20,917,278
34.	Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of
	$	4,516 (excluding taxes of $	1,289,919	transferred to the IMR)	15,834	(978,565)
35.	Net income (Line 33 plus Line 34)			48,397,698	19,938,713
		CAPITAL AND SURPLUS ACCOUNT
36.	Capital and surplus, December 31, prior year (Page 3, Line 38, Col. 2)		607,762,378	612,694,053
37.	Net income (Line 35)			48,397,698	19,938,713
38.	Change in net unrealized capital gains (losses) less capital gains tax of $	0	(167,792)	(100)
39.	Change in net unrealized foreign exchange capital gain (loss)			0	0
40.	Change in net deferred income tax			0	(21,097,517)
41.	Change in nonadmitted assets			674,298	4,332,007
42.	Change in liability for reinsurance in unauthorized and certified companies		0	0
43.	Change in reserve on account of change in valuation basis, (increase) or decrease	0	(10,110,549)
44.	Change in asset valuation reserve			(1,207,272)	(481,481)
45.	Change in treasury stock (Page 3, Lines 36.1 and 36.2, Col. 2 minus Col. 1)	0	0
46.	Surplus (contributed to) withdrawn from Separate Accounts during period		0	0
47.	Other changes in surplus in Separate Accounts Statement			0	0
48.	Change in surplus notes			0	0
49.	Cumulative effect of changes in accounting principles			0	0

50. Capital changes:

50.1	Paid in	0	0
50.2	Transferred from surplus (Stock Dividend)	0	0
50.3	Transferred to surplus	0	0

51. Surplus adjustment:

	51.1 Paid in	9,161,952	2,534,399
	51.2 Transferred to capital (Stock Dividend)	0	0
	51.3 Transferred from capital	0	0
	51.4 Change in surplus as a result of reinsurance	(2,753,846)	(4,184,034)
52.	Dividends to stockholders	0	0
53.	Aggregate write-ins for gains and losses in surplus	0	4,136,887
54.	Net change in capital and surplus for the year (Lines 37 through 53)	54,105,038	(4,931,675)
55.	Capital and surplus, December 31, current year (Lines 36 + 54) (Page 3, Line 38)	661,867,416	607,762,378
	DETAILS OF WRITE-INS
08.301. General account policy fees	7,857	9,367
08.302.
08.303.
08.398. Summary of remaining write-ins for Line 8.3 from overflow page	0	0
08.399. Totals (Lines 08.301 thru 08.303 plus 08.398)(Line 8.3 above)	7,857	9,367
2701.	Reinsurance on in-force business	(2,753,846)	(4,184,034)
2702.
2703.
2798.	Summary of remaining write-ins for Line 27 from overflow page	0	0
2799.	Totals (Lines 2701 thru 2703 plus 2798)(Line 27 above)	(2,753,846)	(4,184,034)
5301.	Change in CARVM allowance on account of change in valuation basis	0	4,136,887
5302.
5303.
5398.	Summary of remaining write-ins for Line 53 from overflow page	0	0
5399.	Totals (Lines 5301 thru 5303 plus 5398)(Line 53 above)	0	4,136,887

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Jackson Financial Inc. published this content on 28 February 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 28 February 2022 15:56:13 UTC.

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