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The document ceased to be valid since April 15, 2018 according to Item 13 of the Instruction of the Central bank of the Russian Federation of December 21, 2017 No. 4656-U

It is registered 

Ministry of Justice

Russian Federation 

On October 6, 2014 No. 34251

INSTRUCTION OF CENTRAL BANK OF THE RUSSIAN FEDERATION

of July 10, 2014 No. 3316-U

About requirements to the statement, data, the documents submitted for receipt of license for activities of subjects of insurance case and also on establishment of their standard forms

(as amended of the Instruction of the Central bank of the Russian Federation of 19.10.2015 No. 3825-U)

This Instruction based on Item 7 of article 32 of the Law of the Russian Federation of November 27, 1992 No. 4015-1 "About the organization of insurance case in the Russian Federation" (Sheets of the Congress of People's Deputies of the Russian Federation and the Supreme Council of the Russian Federation, 1993, No. 2, Art. 56; Russian Federation Code, 1998, No. 1, Art. 4; 1999, No. 47, Art. 5622; 2002, No. 12, Art. 1093; No. 18, Art. 1721; 2003, No. 50, Art. 4855, Art. 4858; 2004, No. 30, Art. 3085; 2005, No. 10, Art. 760; No. 30, Art. 3101, Art. 3115; 2007, No. 22, Art. 2563; No. 46, Art. 5552; No. 49, Art. 6048; 2009, No. 44, Art. 5172; 2010, No. 17, Art. 1988; No. 31, Art. 4195; No. 49, Art. 6409; 2011, No. 30, Art. 4584; No. 49, Art. 7040; 2012, No. 53, Art. 7592; 2013, No. 26, Art. 3207; No. 30, Art. 4067; No. 52, Art. 6975; 2014, No. 23, the Art. 2934) (further - the Law No. 4015-1), the Federal Law of July 10, 2002 No. 86-FZ "About the Central bank the Russian Federation (Bank of Russia)" (The Russian Federation Code, 2002, No. 28, Art. 2790; 2003, No. 2, Art. 157; No. 52, Art. 5032; 2004, No. 27, Art. 2711; No. 31, Art. 3233; 2005, No. 25, Art. 2426; No. 30, Art. 3101; 2006, No. 19, Art. 2061; No. 25, Art. 2648; 2007, No. 1, Art. 9, Art. 10; No. 10, Art. 1151; No. 18, Art. 2117; 2008, No. 42, Art. 4696, Art. 4699; No. 44, Art. 4982; No. 52, Art. 6229, Art. 6231; 2009, No. 1, Art. 25; No. 29, Art. 3629; No. 48, Art. 5731; 2010, No. 45, Art. 5756; 2011, No. 7, Art. 907; No. 27, Art. 3873; No. 43, Art. 5973; No. 48, Art. 6728; 2012, No. 50, Art. 6954; No. 53, Art. 7591, Art. 7607; 2013, No. 11, Art. 1076; No. 14, Art. 1649; No. 19, Art. 2329; No. 27, Art. 3438, Art. 3476, Art. 3477; No. 30, Art. 4084; No. 49, Art. 6336; No. 51, Art. 6695, Art. 6699; No. 52, Art. 6975; 2014, No. 19, Art. 2311, Art. 2317; "The official Internet portal of legal information" (www.pravo.gov.ru), on July 2, 2014) establishes requirements to the statement for provision of the license, and also the data and documents specified in subitems 5, of 8, of the 9 and 11 Item 3, subitems 4 and 7 of Item 5, the subitem 4 of Item 6 of article 32 of the Law No. 4015-1 (further - documents), and also establishes their standard forms.

1. The statement for provision of the license is constituted according to appendices 1 - 4 to this Instruction.

The application form is filled in by electronic computer facilities or is by hand legible (printing letters). Error correction by deletion and by means of the adjusting means is not allowed.

2. Data on shareholding structure (participants) of the license applicant are represented according to appendix 5 to this Instruction.

3. The information about the head of collegiate executive body (the chairman of the board of society of mutual insurance), sole executive body (the director of society of mutual insurance, the head of insurance broker - the legal entity or data on insurance broker - the individual entrepreneur), the chief accountant, the head (chairman) audit committee (auditor), the internal auditor (the head of service of internal audit) is represented according to appendices 6 - 10 to this Instruction.

4. The information about the actuary is represented according to appendix 11 to this Instruction.

5. The information about the head of branch is represented according to appendix 12 to this Instruction.

6. The documents confirming length of service of the head of collegiate executive body (the chairman of the board of society of mutual insurance), sole executive body (the director of society of mutual insurance, the head of insurance broker - the legal entity) or the insurance case of the individual entrepreneur, the chief accountant, the internal auditor of the license applicant which is the subject, are provided in the form of the notarized copies or copies certified by the organization in which the specified documents are stored with indication of "works till present".

Education documents of the head of collegiate executive body (the chairman of the board of society of mutual insurance), sole executive body (the director of society of mutual insurance, the head of insurance broker - the legal entity) or the insurance case of the individual entrepreneur, the head of branch, the chief accountant, the actuary, the head (chairman) of audit committee (auditor), the internal auditor (the head of service of internal audit) which is the subject are provided in the form of the notarized copies.

7. Documents shall be signed by sole executive body (the director of society of mutual insurance) of the license applicant or person, the representative in accordance with the established procedure (with appendix of the documents confirming powers), and are certified by seal.

In the documents submitted according to this Instruction and containing more than one leaf, sheets shall be numbered, stitched and fastened the last leaf by zaveritelny text with indication of figures and the copy-book of number of the numbered sheets signed by her originator with indication of surname, name, middle name (in the presence), specifying of position and date of creation on the back. The signature of the originator of zaveritelny text shall be certified by seal.

8. Shall report about the changes made to the documents which were the basis for receipt of the license regarding subitems 5, of 8, of the 9 and 11 Item 3, of subitems 4 and 7 of Item 5, and also the subitem 4 of Item 6 of article 32 of the Law No. 4015-1 insurers and insurance brokers in writing in the Bank of Russia according to appendices 5 - 12 to this Instruction, and also to submit the documents confirming these changes.

9. This Instruction becomes effective after 10 days after day of its official publication in "the Bulletin of the Bank of Russia".

Chairman of the Central bank of the Russian Federation

E. S. Nabiullina

Appendix 1

to the Instruction of the Bank of Russia of July 10, 2014 No. 3316-U "About requirements to the statement, data, the documents submitted for receipt of license for activities of subjects of insurance case and also on establishment of their standard forms"

 

                                Statement

         about provision of the license for insurance implementation

 

1. License applicant ____________________________________________________

                          (full and abbreviated name of the job seeker

                         licenses with indication of on organization-legal

                          form, type of activity, and also designation,

                          individualizing subject of insurance case)

2. Data on state registration as the legal entity ____

___________________________________________________________________________

 (name of registering body, number and date of issue of the certificate)

3. Primary State Registration Number (PSRN) __________________

4. Identification Taxpayer Number (ITN) ________________________

5. Registration number of entry in the unified state register of subjects

insurance case (in the presence) _____________________________________________

6. Location _______________________________________________________

7. Postal address _________________________________________________________

8. Phone number _________________________________________________________

9. Number of fax connection (in the presence) _________________________________

10. E-mail address _______________________________________________

11. Domain name and (or) the network address of the official site in information

telecommunication network "Internet" ______________________________________

12. Types of activity on  which implementation  the statement is provided

  the license applicant  (to note  "V",  for   license applicants on

     to specify implementation of compulsory medical insurance subjects

The Russian  Federation,  in    which territories   the license applicant

assumes to perform activities in the sphere of obligatory medical

insurance):

                                                                       +-+

                                                                       ¦ ¦

1) voluntary insurance of life _____________________________________ +-+

2) voluntary  personal insurance,   except for voluntary +-+

life insurances _____________________________________________________ ¦ ¦

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