Form 1120-Pc - U.s. Property And Casualty Insurance Company Income Tax Return - 2017 Page 7
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87
Form 1120-PC (2017)
Page
Schedule I
Other Information (see instructions)
Yes No
Yes No
8 a
Enter the total unpaid losses shown on the
1
Check method of accounting:
corporation’s annual statement:
a
Cash
$
b
Accrual
(1) for the current tax year:
$
c
Other (specify)
(2) for the previous tax year:
▶
b
Enter the total unpaid loss adjustment expenses
shown on the corporation’s annual statement:
2
Check box for kind of company:
$
a
Mutual
(1) for the current tax year:
$
b
Stock
(2) for the previous tax year:
9
Does the corporation discount any of the loss
3
At the end of the tax year, did the corporation own,
reserves shown on its annual statement? .
.
.
directly or indirectly, 50% or more of the voting
stock of a domestic corporation? (For rules of
attribution, see section 267(c).) .
.
.
.
.
.
10
Enter the amount of tax-exempt interest received or
accrued during the tax year
$
▶
If “Yes,” attach a statement showing:
(a) name and employer identification number (EIN);
11
If the corporation has an NOL for the tax year
(b) percentage owned; and (c) taxable income or
and is electing to forgo the carryback period,
(loss) before NOL and special deductions of such
check here .
.
.
.
.
.
.
.
.
.
corporation for the tax year ending with or within
▶
your tax year.
If the corporation is filing a consolidated return, the
statement
required
by
Regulations
section
4
Is the corporation a subsidiary in an affiliated group
1.1502-21(b)(3) must be attached or the election
or a parent-subsidiary controlled group? .
.
.
won’t be valid.
If “Yes,” enter name and EIN of the parent
corporation
▶
12
Enter the available NOL carryover from prior tax
years. (Don’t reduce it by any deduction on line 36b,
Schedule A.)
.
.
.
.
$
▶
5
At the end of the tax year, did any individual,
13
Is the corporation required to file Schedule UTP
partnership, corporation, estate, or trust own, directly
(Form 1120), Uncertain Tax Position Statement (see
or indirectly, 50% or more of the corporation’s voting
instructions)?
If
“Yes,”
complete
and
attach
stock? (For rules of attribution, see section 267(c).)
Schedule UTP .
.
.
.
.
.
.
.
.
.
.
If “Yes,” attach a statement showing name and
identifying number. (Don’t include any information
14
If the corporation is a Blue Cross or Blue Shield
already entered in 4 above.)
organization described in section 833(c)(2), or other
Enter percentage owned
▶
organization described in section 833(c)(3), did it
meet the medical loss ratio (MLR) requirements of
section 833(c)(5)? .
.
.
.
.
.
.
.
.
.
6
At any time during the tax year, did one foreign
person own, directly or indirectly, at least 25% of:
Enter:
(a) the total voting power of all classes of stock of
(a) Section 833(c)(5)
$
the corporation entitled to vote, or (b) the total value
MLR numerator:
of all classes of stock of the corporation? If “Yes,”
(b) Section 833(c)(5)
$
enter:
MLR denominator:
(a) Percentage owned
and (b) Owner’s
▶
%
(c) Section 833(c)(5) MLR:
country
▶
15
If the corporation is a small company as defined in
(c) The corporation may have to file Form 5472,
section 831(b)(2) and elects under section 831(b)(2)
Information Return of a 25% Foreign-Owned U.S.
(A)(iii) to be taxed on taxable investment income:
Corporation or a Foreign Corporation Engaged in a
U.S. Trade or Business. Enter number of Forms
(a) Does the corporation satisfy the diversification
5472 attached
▶
requirements of section 831(b)(2)(B)(i)(l) because no
more than 20 percent of the net written premiums
7
Has the corporation elected to use its own payout
(or, if greater, direct written premiums) of the
pattern for discounting unpaid losses and unpaid
corporation for the taxable year is attributable to
loss adjustment expenses? .
.
.
.
.
.
.
any one policyholder? .
.
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.
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.
(b) If the answer to (a) is no, does the corporation
satisfy the diversification requirements of section
831(b)(2)(B)(i)(II)?
.
.
.
.
.
.
.
.
.
.
1120-PC
Form
(2017)
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