2021 Annual Statement

MBAI ANNUAL STATEMENT LIST OF DOCUMENTS

  1. AFS 2021_SEC RECEIVED

    TSPI MBA 2021 ITR

  1. ANNEX B – TSPI MBAI ANNUAL STATEMENT 2021

  2. TB AS OF 31 DECEMBER 2021_TSPI MBAI

  3. ANNEX C – TB, AFS & AS RECONCILIATION

  4. TSPI MBAI GIS 2021_A

  5. TSPI MBAI GIS 2021 SEC Confirmation_B

  6. Accredited Actuary’s Certification _TSPI MBAI 2021 Actuarial Reserves Valuation

  7. Certification of the Association’s comptroller_TSPI MBAI 2021

  9.a.  Seriatim List of all members _MBA Format No. 01

  9.a.  Seriatim List of all members indicating therein the minimum basic information using the attached format _first page

  9.a.  Seriatim List of all members indicating therein the minimum basic information using the attached format _last page

  9.d.  Claims Payable_MBA Format No. 02

  9.d.  Claims Payable on basic contingent benefit, optional benefit, Other benefit payable as of 31 December 2021_ (first and last page)

  9.e.  Schedule of All Claims Filed Jan-March 2022

  9.e.  All claims filed (paid or unpaid) for Basic and Optional Insurance in the first quarter of 2022 _ (first and last page)

  9.f.  Members Contributions received in Advance Premiums Received in Advance_ MBA Format No. 03

  9.f.  Members’ contributions received in advance Premiums received in advance _ BLIP (first and last page)

  9.f.  Members’ contributions received in advance Premiums received in advance _ GLIP (first and last page)

  9.f.  Members’ contributions received in advance Premiums received in advance _ LMIP (first and last page)

  9.f.  Members’ contributions received in advance Premiums received in advance _ LPIP (first and last page)

  9.g.  Members Deposits_MBA Format No. 04

  10. Claims Paid and Denied during the year_MBA Format No. 05A & 05B

  11. Summary of Inforce Certificate & Policies by plan_MBA Format No. 9

  12. Approved IRR and Membership Certificate by product

       .  BLIP Certificate with Fraud warning 23 Jan 2020_Original

       .  CLIP Certificate with Fraud warning 23 Jan 2020_Original

       .  GRR of BLIP and Borrower’s Benefit 2012_Original

       .  Scanned BLIP and Basic GLIP GRR 11 May 2017

       .  Scanned Life Max 4 Oct 2016

       .  Scanned Life Plus 4 Oct 2016

       .  Scanned MRI 4 Oct 2016

       .  Scanned Optional GLIP 11 May 2017

  14. Related IC approvals for IMA Accounts_Investments

       .  TSPI MBAI_Letter from IC_18 Feb 2013

       .  TSPI MBAI_Letter to IC_27 Feb 2013

  17. Sales Invoice and Officials Receipts to support purchases of EDP as of 31 Dec 2021

       .  APV006714

       .  APV006818

       .  APV006887

       .  APV006964

       .  APV007007

       .  APV007045

       .  APV007093

       .  APV007213

       .  CM003269

       .  CM003280

       .  CM003282

       .  JV0721-070

  18. Related Party Transaction Schedules for January 1 to 31 December 2021

  19. Actuarial Valuation Report of Pension Asset_ FS on BPIAMTC TSPI MBAI Retirement Fund 2021

  19. Actuarial Valuation Report of Pension Asset_TSPI MBA 2021 PAS19_Entries

  19. Actuarial Valuation Report of Pension Asset_TSPI MBA 2021 PAS19_Fund

  20. Official Receipts to support payment of Real Estate Tax as of 31 Dec 2021

       .  CV9043_APV6683

       .  CV9044_APV6684

       .  CV9514_APV7138

       .  CV9515_APV7143

  21. Schedule of Reinsurance Recoverable and Due to Reinsurers _MBA Format No. 07

  23. Company representative assigned to upload the regulatory submission requirements

  24. Minutes of Meeting of the Board and Executive Committees

       .  TSPI MBA Minutes of the Executive Committee Meeting dated August 27 2021

       .  TSPI MBA Minutes of the Executive Committee Meeting dated Sept 6 2021

       .  TSPI MBA Minutes of the Regular Meeting dated March 30 2021

       .  TSPI MBA Minutes of the Special Meeting_dated Nov 4 2021

  25. BIR letter_re Tax Exemption dated 24 Aug 2009

  26.a.  SEGURO_TSPI MBAI_2021

  26.b.  ACGR2020 TSPI MBAI

  26.b.  TSPI Mutual Benefit Association, Inc_2020 ACGR Rating

  26.b. ACGS TSPI MBAI 2019

       .  2019-ACGS-RESPONSE-FORM-Bonus

       .  2019-ACGS-RESPONSE-FORM-Part-A-1

        .  2019-ACGS-RESPONSE-FORM-Part-B-1

       .  2019-ACGS-RESPONSE-FORM-Part-C-1

       .  2019-ACGS-RESPONSE-FORM-Part-D-1

       .  2019-ACGS-RESPONSE-FORM-Part-E

       .  2019-ACGS-RESPONSE-FORM-Penalty-1

  26.c.1.  TSPI MBAI Production for 2021

  26.c.2.  TSPI MBAI Collection for 2021

  26.c.3.1.  Claims Paid MBA format No. 05-A_2021

  26.c.3.2.  Denied Claims MBA Format No. 05-B_2021

  26.c.3.3. Schedule of Claims Payable MBA Format No. 02

  26.c.4.  Summary of Certificates and Policies (Micro)_MBA Format No. 09

  27. Contact Details of the Company’s representative

  27. ATTESTATION CERTIFICATE YEAR 2021

  27. Sworn Statement 2021

       .  ANNEX A – CHECKLIST OF SUPPORTING DOCUMENTS FOR TSPI MBAI 2021

NOTE: Hardcopies of the following reports were submitted to IC:
1. Supporting documents of all Investments not presented during the inventory
2. ANNEX D – RECONCILIATION OF BANK RECONCILING ITEMS
3. ANNEX D_SUPPORTING DOCS