4
Form 1120-L (2015)
Page
Schedule G
Policy Acquisition Expenses (section 848) (see instructions)
(b) Group life
(a) Annuity
(c) Other
insurance
1
Gross premiums and other consideration .
.
.
.
.
.
.
.
.
.
1
2
Return premiums and premiums and other consideration incurred for
reinsurance
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
2
3
Net premiums. Subtract line 2 from line 1 .
.
.
.
.
.
.
.
.
.
3
4
4
Net premium percentage
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1.75%
2.05%
7.7%
5
Multiply line 3 by line 4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
5
6
Combine line 5, columns (a), (b), and (c), and enter here. If zero or less, enter -0- on lines 7 and 8
.
.
.
.
.
6
(
)
7
7
Unused balance of negative capitalization amount from prior years
.
.
.
.
.
.
.
.
.
.
.
.
.
.
8
Combine lines 6 and 7. If zero or less, enter -0- .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
8
9
9
General deductions (attach statement) .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
10
Enter the lesser of line 8 or line 9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
10
11
Deductible general deductions. Subtract line 10 from line 9. Enter here and include on page 1, line 18 .
.
.
.
11
12
12
If the amount on line 6 is negative, enter it as a positive amount. If the amount on line 6 is positive, enter -0- .
.
13
Unamortized specified policy acquisition expenses from prior years .
.
.
.
.
.
.
.
.
.
.
.
.
.
13
14
Deductible negative capitalization amount. Enter the lesser of line 12 or line 13 .
.
.
.
.
.
.
.
.
.
.
14
15 a
Tentative 60-month specified policy acquisition expenses. Enter amount from line 10, but not
15a
more than $5 million .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
b
Limitation .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
15b
$10,000,000
16
Phase-out amount. Subtract line 15b from line 10. If zero or less, enter -0- .
.
.
.
.
.
16
17 a
Current year 60-month specified policy acquisition expenses. Subtract line 16 from line 15a. If
zero or less, enter -0- .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
17a
b
17b
Enter 10% of line 17a
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
18 a
Current year 120-month specified policy acquisition expenses. Subtract line 17a from
line 10 .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
18a
b
18b
Enter 5% of line 18a .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
19
Enter the applicable amount of amortization from specified policy acquisition expenses capitalized in prior years
and deductible this year. Attach statement
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
19
20
Deductible policy acquisition expenses. Add lines 14, 17b, 18b, and 19. Enter here and on page 1, line 16 .
.
20
1120-L
Form
(2015)