Caic 2018 Annual Statutory Statement PDF

ANNUAL STATEMENT
OF THE
Continental American Insurance

Company
Of
Omaha
in the state of NE
to the Insurance Department

of the state of
For the Year Ended

December 31, 2018
2018
LIFE AND ACCIDENT AND HEALTH
Annual Statement for the year 2018 of the Continental American Insurance Company
ASSETS
Current Year Prior Year
1 2 3 4
Net Admitted
Nonadmitted Assets Net
Assets Assets (Cols. 1 - 2) Admitted Assets
1. Bonds (Schedule D)........................................................................................................... ..............404,290,416 .................................0 ..............404,290,416 ..............463,540,696
2. Stocks (Schedule D):
2.1 Preferred stocks....................................................................................................... .................................0 .................................0 .................................0 .................................0
2.2 Common stocks....................................................................................................... .............................907 .................................0 .............................907 ..........................1,066
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 $..........0 encumbrances).......................................... .................................0 .................................0 .................................0 .................................0
5. Cash ($.....(7,149,753), Schedule E-Part 1), cash equivalents ($.....60,367,108,
Schedule E-Part 2) and short-term investments ($..........0, Schedule DA)...................... .................53,217,355 .................................0 .................53,217,355 .................34,659,649
6. Contract loans (including $..........0 premium notes).......................................................... ...................4,383,692 .................................0 ...................4,383,692 ...................4,016,623
7. Derivatives (Schedule DB)................................................................................................. .................................0 .................................0 .................................0 .................................0
8. Other invested assets (Schedule BA)................................................................................ .................................0 .................................0 .................................0 .................................0
9. Receivables for securities.................................................................................................. ........................14,629 .................................0 ........................14,629 .................................0
10. Securities lending reinvested collateral assets (Schedule DL)......................................... .................................0 .................................0 .................................0 .................................0
11. Aggregate write-ins for invested assets............................................................................. .................................0 .................................0 .................................0 .................................0
12. Subtotals, cash and invested assets (Lines 1 to 11)......................................................... ..............461,906,999 .................................0 ..............461,906,999 ..............502,218,034
13. Title plants less $..........0 charged off (for Title insurers only)........................................... .................................0 .................................0 .................................0 .................................0
14. Investment income due and accrued................................................................................. ...................4,289,100 .................................0 ...................4,289,100 ...................5,211,058
15. Premiums and considerations:
15.1 Uncollected premiums and agents' balances in the course of collection............... ..............107,703,989 ...................4,713,001 ..............102,990,988 .................95,949,405
15.2 Deferred premiums, agents' balances and installments booked but deferred
and not yet due (including $..........0 earned but unbilled premiums)...................... ......................487,907 .................................0 ......................487,907 ......................529,762
15.3 Accrued retrospective premiums ($..........0) and contracts subject to
redetermination ($..........0)....................................................................................... .................................0 .................................0 .................................0 .................................0
16. Reinsurance:
16.1 Amounts recoverable from reinsurers..................................................................... .................25,029,857 .................................0 .................25,029,857 .................21,383,701
16.2 Funds held by or deposited with reinsured companies........................................... .................................0 .................................0 .................................0 .................................0
16.3 Other amounts receivable under reinsurance contracts......................................... .................29,062,964 .................................0 .................29,062,964 .................25,379,659
17. Amounts receivable relating to uninsured plans................................................................ .................................0 .................................0 .................................0 .................................0
18.1 Current federal and foreign income tax recoverable and interest thereon....................... .................12,543,755 .................................0 .................12,543,755 ...................5,750,578
18.2 Net deferred tax asset........................................................................................................ .................16,925,095 .................10,488,598 ...................6,436,497 ...................6,849,632
19. Guaranty funds receivable or on deposit........................................................................... ...................3,559,462 .................................0 ...................3,559,462 ...................3,888,216
20. Electronic data processing equipment and software......................................................... ...................2,562,991 .................................0 ...................2,562,991 ...................3,051,307
21. Furniture and equipment, including health care delivery assets ($..........0)..................... ...................5,122,675 ...................5,122,675 .................................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......................................................... .................16,208,052 .................................0 .................16,208,052 ...................3,059,549
24. Health care ($..........0) and other amounts receivable...................................................... .................13,477,157 .................13,477,157 .................................0 .................................0
25. Aggregate write-ins for other-than-invested assets........................................................... ...................7,739,253 ...................7,739,253 .................................0 .................................0
26. Total assets excluding Separate Accounts, Segregated Accounts and Protected
Cell Accounts (Lines 12 to 25)........................................................................................... ..............706,619,256 .................41,540,684 ..............665,078,572 ..............673,270,901
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts............... .................................0 .................................0 .................................0 .................................0
28. TOTAL (Lines 26 and 27).................................................................................................. ..............706,619,256 .................41,540,684 ..............665,078,572 ..............673,270,901
DETAILS OF WRITE-INS
1101. ............................................................................................................................................ .................................0 .................................0 .................................0 .................................0
1102. ............................................................................................................................................ .................................0 .................................0 .................................0 .................................0
1103. ............................................................................................................................................ .................................0 .................................0 .................................0 .................................0
1198. Summary of remaining write-ins for Line 11 from overflow page...................................... .................................0 .................................0 .................................0 .................................0
1199. Totals (Lines 1101 through 1103 plus 1198) (Line 11 above).......................................... .................................0 .................................0 .................................0 .................................0
2501. Leasehold Improvements................................................................................................... ...................4,796,383 ...................4,796,383 .................................0 .................................0
2502. Interest Maintenance Reserve........................................................................................... ...................1,690,035 ...................1,690,035 .................................0 .................................0
2503. Prepaid Expenses.............................................................................................................. ......................710,705 ......................710,705 .................................0 .................................0
2598. Summary of remaining write-ins for Line 25 from overflow page...................................... ......................542,130 ......................542,130 .................................0 .................................0
2599. Totals (Lines 2501 through 2503 plus 2598) (Line 25 above).......................................... ...................7,739,253 ...................7,739,253 .................................0 .................................0
2
LIABILITIES, SURPLUS AND OTHER FUNDS
1 2
1. Aggregate reserve for life contracts $.....50,179,115 (Exhibit 5, Line 9999999) less $..........0
included in Line 6.3 (including $..........0 Modco Reserve).............................................................................................................. .......................50,179,115 .......................44,059,234
2. Aggregate reserve for accident and health contracts (including $....67,604,415 Modco Reserve)............................................... .....................168,153,887 .....................199,608,172
3. Liability for deposit-type contracts (Exhibit 7, Line 14, Col. 1) (including $..........0 Modco Reserve)............................................. ............................185,326 ............................200,992
4. Contract claims:
4.1 Life (Exhibit 8, Part 1, Line 4.4, Col. 1 less sum of Cols. 9, 10 and 11).............................................................................. .........................1,952,367 .........................1,395,243
4.2 Accident and health (Exhibit 8, Part 1, Line 4.4, sum of Cols. 9, 10 and 11)..................................................................... .....................100,376,623 .....................107,785,952
5. Policyholders' dividends $..........0 and coupons $..........0 due and unpaid (Exhibit 4, Line 10).................................................... ........................................0 ........................................0
6. Provision for policyholders' dividends and coupons payable in following calendar year - estimated amounts:
6.1 Dividends apportioned for payment (including $..........0 Modco)........................................................................................ ........................................0 ........................................0
6.2 Dividends 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 $.....243,358 accident and health premiums (Exhibit 1, Part 1, Col. 1, sum of Lines 4 and 14)..................... ............................248,227 ............................249,688
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 $.....19,374,325 assumed and $.....51,119,495 ceded...................... .......................70,493,820 .......................67,266,362
9.4 Interest Maintenance Reserve (IMR, Line 6)....................................................................................................................... ........................(1,690,035) ............................304,863
10. Commissions to agents due or accrued - life and annuity contracts $.....1,420,156, accident and health $.....26,738,713
and deposit-type contract funds $..........0........................................................................................................................................ .......................28,158,869 .......................17,695,687
11. Commissions and expense allowances payable on reinsurance assumed................................................................................... ............................194,954 ............................226,955
12. General expenses due or accrued (Exhibit 2, Line 12, Col. 6)....................................................................................................... .......................36,385,426 .......................37,518,771
13. Transfers to Separate Accounts due or accrued (net) (including $..........0 accrued for expense
allowances recognized in reserves, net of reinsured allowances).................................................................................................. ........................................0 ........................................0
14. Taxes, licenses and fees due or accrued, excluding federal income taxes (Exhibit 3, Line 9, Col. 5)........................................... .......................10,350,149 .........................8,864,670
15.1 Current federal and foreign income taxes, including $.....350,898 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 company as agent or trustee...................................................................................................... ............................862,318 ............................876,602
18. Amounts held for agents' account, including $..........0 agents' credit balances............................................................................. ...............................(1,126) ........................................0
19. Remittances and items not allocated............................................................................................................................................... .......................28,356,025 .......................27,511,403
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 $..........0.............................................................................................................. ........................................0 ........................................0
23. Dividends to stockholders declared and unpaid.............................................................................................................................. ........................................0 ........................................0
24. Miscellaneous liabilities:
24.01 Asset valuation reserve (AVR Line 16, Col. 7).................................................................................................................... .........................2,739,154 .........................2,224,994
24.02 Reinsurance in unauthorized and certified ($..........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...................................................................................................................... .........................6,430,944 .........................3,467,183
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.............................................................................................................................................. ........................................0 ........................................0
24.11 Capital notes $..........0 and interest thereon $..........0......................................................................................................... ........................................0 ........................................0
25. Aggregate write-ins for liabilities...................................................................................................................................................... .........................4,359,505 ............................649,112
26. Total liabilities excluding Separate Accounts business (Lines 1 to 25).......................................................................................... .....................507,735,548 .....................519,905,883
27. From Separate Accounts Statement................................................................................................................................................ ........................................0 ........................................0
28. Total liabilities (Line 26 and 27)....................................................................................................................................................... .....................507,735,548 .....................519,905,883
29. Common capital stock...................................................................................................................................................................... .........................2,500,000 .........................2,500,000
30. Preferred capital stock...................................................................................................................................................................... ............................300,000 ............................300,000
31. Aggregate write-ins for other-than-special surplus funds................................................................................................................ ........................................0 ............................353,460
32. Surplus notes.................................................................................................................................................................................... .......................50,000,000 .......................50,000,000
33. Gross paid in and contributed surplus (Page 3, Line 33, Col. 2 plus Page 4, Line 51.1, Col. 1)................................................... .......................82,437,395 .......................82,437,395
34. Aggregate write-ins for special surplus funds.................................................................................................................................. ........................................0 ..............................19,390
35. Unassigned funds (surplus)............................................................................................................................................................. .......................22,105,629 .......................17,754,773
36. Less treasury stock, at cost:
36.1 .....0.000 shares common (value included in Line 29 $..........0).......................................................................................... ........................................0 ........................................0
36.2 .....0.000 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).................................... .....................154,543,024 .....................150,565,018
38. Totals of Lines 29, 30 and 37 (Page 4, Line 55)............................................................................................................................. .....................157,343,024 .....................153,365,018
39. Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3)........................................................................................................................ .....................665,078,572 .....................673,270,901
2501. Other liabilities.................................................................................................................................................................................. .........................2,721,372 ............................445,162
2502. Change in disallowed interest maintenance reserve....................................................................................................................... .........................1,690,035 ........................................0
2503. Unclaimed funds liability................................................................................................................................................................... ............................250,056 ............................510,495
2598. Summary of remaining write-ins for Line 25 from overflow page.................................................................................................... ...........................(301,958) ...........................(306,545)
2599. Totals (Lines 2501 through 2503 plus 2598) (Line 25 above)........................................................................................................ .........................4,359,505 ............................649,112
3101. Ceding allowance Modco reinsurance............................................................................................................................................. ........................................0 ............................353,460
3102. .......................................................................................................................................................................................................... ........................................0 ........................................0
3103. .......................................................................................................................................................................................................... ........................................0 ........................................0
3198. Summary of remaining write-ins for Line 31 from overflow page.................................................................................................... ........................................0 ........................................0
3199. Totals (Lines 3101 through 3103 plus 3198) (Line 31 above)........................................................................................................ ........................................0 ............................353,460
3401. Affordable Care Act fee special surplus........................................................................................................................................... ........................................0 ..............................19,390
3402. .......................................................................................................................................................................................................... ........................................0 ........................................0
3403. .......................................................................................................................................................................................................... ........................................0 ........................................0
3498. Summary of remaining write-ins for Line 34 from overflow page.................................................................................................... ........................................0 ........................................0
3499. Totals (Lines 3401 through 3403 plus 3498) (Line 34 above)........................................................................................................ ........................................0 ..............................19,390
3
SUMMARY OF OPERATIONS
1 2
1. Premiums and annuity considerations for life and accident and health contracts (Exhibit 1, Part 1, Line 20.4, Col. 1, less Col. 11) ..................587,577,643 ..................524,652,631
2. Considerations for supplementary contracts with life contingencies......................................................................................................... ....................................0 ....................................0
3. Net investment income (Exhibit of Net Investment Income, Line 17)........................................................................................................ ....................20,503,164 ....................17,241,303
4. Amortization of Interest Maintenance Reserve (IMR) (Line 5).................................................................................................................. ........................(256,779) ...........................92,413
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)........................................................ ..................128,602,440 ..................101,401,679
7. Reserve adjustments on reinsurance ceded............................................................................................................................................. ....................10,249,508 ....................16,223,860
8. Miscellaneous Income:
8.1 Income from fees associated with investment management, administration and contract guarantees from Separate Accounts ....................................0 ....................................0
8.2 Charges and fees for deposit-type contracts...................................................................................................................................... ....................................0 ....................................0
8.3 Aggregate write-ins for miscellaneous income................................................................................................................................... .....................(2,234,895) .....................(4,913,693)
9. Totals (Lines 1 to 8.3)................................................................................................................................................................................ ..................744,441,081 ..................654,698,193
10. Death benefits........................................................................................................................................................................................... ......................3,986,071 ......................1,881,007
11. Matured endowments (excluding guaranteed annual pure endowments)................................................................................................. ....................................0 ....................................0
12. Annuity benefits (Exhibit 8, Part 2, Line 6.4, Cols. 4 + 8).......................................................................................................................... ....................................0 ....................................0
13. Disability benefits and benefits under accident and health contracts........................................................................................................ ..................201,715,836 ..................187,815,863
14. Coupons, guaranteed annual pure endowments and similar benefits....................................................................................................... ....................................0 ....................................0
15. Surrender benefits and withdrawals for life contracts................................................................................................................................ ......................1,123,906 ......................1,025,722
16. Group conversions.................................................................................................................................................................................... ....................................0 ....................................0
17. Interest and adjustments on contract or deposit-type contract funds........................................................................................................ ..........................(15,666) ...........................20,424
18. Payments on supplementary contracts with life contingencies................................................................................................................. ....................................0 ....................................0
19. Increase in aggregate reserves for life and accident and health contracts............................................................................................... ....................71,664,972 ....................74,933,859
20. Totals (Lines 10 to 19)............................................................................................................................................................................... ..................278,475,119 ..................265,676,875
21. Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only)
(Exhibit 1, Part 2, Line 31, Col. 1).............................................................................................................................................................. ..................152,512,091 ..................122,358,650
22. Commissions and expense allowances on reinsurance assumed (Exhibit 1, Part 2, Line 26.2, Col. 1)................................................... ..................108,000,910 ..................106,414,049
23. General insurance expenses (Exhibit 2, Line 10, Columns 1, 2, 3 and 4)................................................................................................. ..................180,046,405 ..................167,222,700
24. Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit 3, Line 7, Cols. 1 + 2 + 3).................................................. ....................19,638,301 ....................18,423,625
25. Increase in loading on deferred and uncollected premiums...................................................................................................................... ....................................0 ....................................0
26. Net transfers to or (from) Separate Accounts net of reinsurance.............................................................................................................. ....................................0 ....................................0
27. Aggregate write-ins for deductions............................................................................................................................................................ ....................................0 ....................................0
28. Totals (Lines 20 to 27)............................................................................................................................................................................... ..................738,672,826 ..................680,095,899
29. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28)........................................ ......................5,768,255 ...................(25,397,706)
30. Dividends to policyholders......................................................................................................................................................................... ....................................0 ....................................0
31. Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30).............................. ......................5,768,255 ...................(25,397,706)
32. Federal and foreign income taxes incurred (excluding tax on capital gains)............................................................................................. .....................(1,394,077) .....................(3,752,515)
33. Net gain from operations after dividends to policyholders and federal income taxes and before realized
capital gains or (losses) (Line 31 minus Line 32)...................................................................................................................................... ......................7,162,332 ...................(21,645,191)
34. Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of $.....350,898
(excluding taxes of $.....(598,547) transferred to the IMR)........................................................................................................................ .....................(1,294,089) ..........................(34,120)
35. Net income (Line 33 plus Line 34)............................................................................................................................................................. ......................5,868,243 ...................(21,679,311)
CAPITAL AND SURPLUS ACCOUNT
36. Capital and surplus, December 31, prior year (Page 3, Line 38, Col. 2)................................................................................................... ..................153,365,018 ..................174,355,549
37. Net income (Line 35)................................................................................................................................................................................. ......................5,868,243 ...................(21,679,311)
38. Change in net unrealized capital gains (losses) less capital gains tax of $.....(33)................................................................................... ...............................(125) ...............................(101)
39. Change in net unrealized foreign exchange capital gain (loss) ................................................................................................................ .........................685,421 ......................3,170,194
40. Change in net deferred income tax........................................................................................................................................................... .....................(1,576,824) .....................(9,734,588)
41. Change in nonadmitted assets.................................................................................................................................................................. ........................(127,465) ....................11,154,649
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 ....................................0
44. Change in asset valuation reserve ........................................................................................................................................................... ........................(514,159) ........................(601,208)
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.............................................................................................................................................................................................. ....................................0 ....................................0
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................................................................................................................................... ........................(353,461) .....................(3,338,136)
52. Dividends to stockholders.......................................................................................................................................................................... ....................................0 ....................................0
53. Aggregate write-ins for gains and losses in surplus.................................................................................................................................. ............................(3,624) ...........................37,970
54. Net change in capital and surplus for the year (Lines 37 through 53)....................................................................................................... ......................3,978,006 ...................(20,990,531)
55. Capital and surplus, December 31, current year (Lines 36 + 54) (Page 3, Line 38)................................................................................. ..................157,343,024 ..................153,365,018
08.301. Administrative Fees on Reinsurance Assumed............................................................................................................................... .........................723,943 .........................901,199
08.302. Realized foreign exchange gain/(loss)............................................................................................................................................. .........................481,507 .....................(2,829,830)
08.303. Other Miscellaneous........................................................................................................................................................................ ...........................76,442 .........................405,732
08.398. Summary of remaining write-ins for Line 8.3 from overflow page.................................................................................................... .....................(3,516,787) .....................(3,390,794)
08.399. Totals (Lines 08.301 through 08.303 plus 08.398) (Line 8.3 above)............................................................................................... .....................(2,234,895) .....................(4,913,693)
2701. ......................................................................................................................................................................................................... ....................................0 ....................................0
2702. ......................................................................................................................................................................................................... ....................................0 ....................................0
2703. ......................................................................................................................................................................................................... ....................................0 ....................................0
2798. Summary of remaining write-ins for Line 27 from overflow page..................................................................................................... ....................................0 ....................................0
2799. Totals (Lines 2701 through 2703 plus 2798) (Line 27 above)......................................................................................................... ....................................0 ....................................0
5301. Pension adjustment......................................................................................................................................................................... ............................(3,624) ...........................37,970
5302. ......................................................................................................................................................................................................... ....................................0 ....................................0
5303. ......................................................................................................................................................................................................... ....................................0 ....................................0
5398. Summary of remaining write-ins for Line 53 from overflow page..................................................................................................... ....................................0 ....................................0
5399. Totals (Lines 5301 through 5303 plus 5398) (Line 53 above)......................................................................................................... ............................(3,624) ...........................37,970
4
CASH FLOW
1 2
CASH FROM OPERATIONS
1. Premiums collected net of reinsurance.......................................................................................................................................... .....................579,970,992 .....................537,853,816
2. Net investment income................................................................................................................................................................... .......................22,192,175 .......................17,582,415
3. Miscellaneous income.................................................................................................................................................................... .....................126,617,053 .....................112,203,542
4. Total (Lines 1 through 3)................................................................................................................................................................ .....................728,780,220 .....................667,639,773
5. Benefit and loss related payments................................................................................................................................................. .....................217,735,251 .....................176,799,312
6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts.......................................................... ........................................0 ........................................0
7. Commissions, expenses paid and aggregate write-ins for deductions......................................................................................... .....................542,697,801 .....................405,685,232
8. Dividends paid to policyholders..................................................................................................................................................... ........................................0 ........................................0
9. Federal and foreign income taxes paid (recovered) net of $.....(3,179,730) tax on capital gains (losses).................................. .........................5,151,451 .......................27,906,935
10. Total (Lines 5 through 9)................................................................................................................................................................ .....................765,584,504 .....................610,391,479
11. Net cash from operations (Line 4 minus Line 10).......................................................................................................................... ......................(36,804,284) .......................57,248,294
CASH FROM INVESTMENTS
12. Proceeds from investments sold, matured or repaid:
12.1 Bonds................................................................................................................................................................................... .....................140,571,968 .......................44,517,407
12.2 Stocks................................................................................................................................................................................... ........................................0 ........................................0
12.3 Mortgage loans.................................................................................................................................................................... ........................................0 ........................................0
12.4 Real estate........................................................................................................................................................................... ........................................0 ........................................0
12.5 Other invested assets.......................................................................................................................................................... ........................................0 ........................................0
12.6 Net gains or (losses) on cash, cash equivalents and short-term investments................................................................... ........................................0 ........................................0
12.7 Miscellaneous proceeds...................................................................................................................................................... ........................................0 ........................................0
12.8 Total investment proceeds (Lines 12.1 to 12.7).................................................................................................................. .....................140,571,968 .......................44,517,407
13. Cost of investments acquired (long-term only):
13.1 Bonds................................................................................................................................................................................... .......................85,177,769 .......................98,925,389
13.2 Stocks................................................................................................................................................................................... ........................................0 ........................................0
13.3 Mortgage loans.................................................................................................................................................................... ........................................0 ........................................0
13.4 Real estate........................................................................................................................................................................... ........................................0 ........................................0
13.5 Other invested assets.......................................................................................................................................................... ........................................0 ........................................0
13.6 Miscellaneous applications.................................................................................................................................................. ..............................14,629 ........................................0
13.7 Total investments acquired (Lines 13.1 to 13.6)................................................................................................................. .......................85,192,398 .......................98,925,389
14. Net increase (decrease) in contract loans and premium notes..................................................................................................... ............................367,069 ............................262,749
15. Net cash from investments (Line 12.8 minus Lines 13.7 minus Line 14)..................................................................................... .......................55,012,501 ......................(54,670,731)
CASH FROM FINANCING AND MISCELLANEOUS SOURCES
16. Cash provided (applied):
16.1 Surplus notes, capital notes................................................................................................................................................. ........................................0 ........................................0
16.2 Capital and paid in surplus, less treasury stock.................................................................................................................. ........................................0 ........................................0
16.3 Borrowed funds.................................................................................................................................................................... ........................................0 ........................................0
16.4 Net deposits on deposit-type contracts and other insurance liabilities............................................................................... ........................................0 .............................(52,204)
16.5 Dividends to stockholders.................................................................................................................................................... ........................................0 ........................................0
16.6 Other cash provided (applied)............................................................................................................................................. ............................349,489 ...........................(601,447)
17. Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6)................................. ............................349,489 ...........................(653,651)
RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS
18. Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17).......................................... .......................18,557,706 .........................1,923,912
19. Cash, cash equivalents and short-term investments:
19.1 Beginning of year................................................................................................................................................................. .......................34,659,649 .......................32,735,738
19.2 End of year (Line 18 plus Line 19.1)................................................................................................................................... .......................53,217,356 .......................34,659,649
Note: Supplemental disclosures of cash flow information for non-cash transactions:
20.0001 Refinance of $50,000,000 surplus note.............................................................................................................................. ........................................0 .......................50,000,000
20.0002 Pension liability.................................................................................................................................................................... ................................4,587 ..............................58,416
5
ANALYSIS OF OPERATIONS BY LINES OF BUSINESS
1 2 Ordinary 6 Group Accident and Health 12
3 4 5 Credit Life 7 8 9 10 11 Aggregate of
Industrial Life Individual Supplementary (Group and Life Credit (Group All Other Lines
Total Life Insurance Annuities Contracts Individual) Insurance(a) Annuities Group and Individual) Other of Business
1. Premiums and annuity considerations for life and accident and health contracts...................................................................... ......587,577,644 .......................0 ............126,069 ...............(1,124) .......................0 .......................0 .......17,229,108 .......................0 .....360,961,413 .......................0 .....209,262,178 ....................0
2. Considerations for supplementary contracts with life contingencies.......................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
3. Net investment income.............................................................................................................................................................. ........20,503,164 .......................0 ..............38,447 .......................0 .......................0 .......................0 ............595,241 .......................0 .......13,567,064 .......................0 .........6,302,411 ....................0
4. Amortization of Interest Maintenance Reserve (IMR)................................................................................................................ ............(256,779) .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ...........(256,779) .......................0 .......................0 ....................0
5. Separate Accounts net gain from operations excluding unrealized gains or losses.................................................................. .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
6. Commissions and expense allowances on reinsurance ceded................................................................................................. ......128,602,440 .......................0 .......................0 .......................0 .......................0 .......................0 .........3,576,119 .......................0 .....115,021,641 .......................0 .......10,004,680 ....................0
7. Reserve adjustments on reinsurance ceded............................................................................................................................. ........10,249,508 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......10,248,921 .......................0 ...................587 ....................0
8. Miscellaneous Income:
8.1 Fees associated with income from investment management, administration and contract guarantees from S/A.............. .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
8.2 Charges and fees for deposit-type contracts..................................................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
8.3 Aggregate write-ins for miscellaneous income.................................................................................................................. .........(2,234,895) .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ........(2,310,829) .......................0 ..............75,934 ....................0
9. Totals (Lines 1 to 8.3)................................................................................................................................................................ ......744,441,082 .......................0 ............164,516 ...............(1,124) .......................0 .......................0 .......21,400,468 .......................0 .....497,231,430 .......................0 .....225,645,790 ....................0
10. Death benefits........................................................................................................................................................................... ..........3,986,071 .......................0 ............150,205 .......................0 .......................0 .......................0 .........3,835,866 .......................0 .......................0 .......................0 .......................0 ....................0
11. Matured endowments (excluding guaranteed annual pure endowments)................................................................................. .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
12. Annuity benefits......................................................................................................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
13. Disability benefits and benefits under accident and health contracts........................................................................................ ......201,715,836 .......................0 .......................0 .......................0 .......................0 .......................0 ..............21,646 .......................0 .....157,676,370 .......................0 .......44,017,820 ....................0
14. Coupons, guaranteed annual pure endowments and similar benefits....................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
15. Surrender benefits and withdrawals for life contracts................................................................................................................ ..........1,123,906 .......................0 ............148,684 .......................0 .......................0 .......................0 ............975,221 .......................0 .......................0 .......................0 .......................0 ....................0
16. Group conversions.................................................................................................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
17. Interest and adjustments on contract or deposit-type contract funds........................................................................................ .............(15,666) .......................0 .......................0 .............(15,666) .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
18. Payments on supplementary contracts with life contingencies.................................................................................................. .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
19. Increase in aggregate reserves for life and accident and health contracts................................................................................ ........71,664,972 .......................0 ............770,192 .......................0 .......................0 .......................0 .........5,349,689 .......................0 .......17,843,431 .......................0 .......47,701,660 ....................0
20. Totals (Lines 10 to 19)............................................................................................................................................................... ......278,475,118 .......................0 .........1,069,081 .............(15,666) .......................0 .......................0 .......10,182,422 .......................0 .....175,519,801 .......................0 .......91,719,480 ....................0
21. Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only)............................ ......152,512,092 .......................0 ................3,340 .......................6 .......................0 .......................0 .........8,276,976 .......................0 .....144,174,790 .......................0 ..............56,980 ....................0
22. Commissions and expense allowances on reinsurance assumed............................................................................................. ......108,000,910 .......................0 .......................0 .......................0 .......................0 .......................0 ................2,880 .......................0 .........2,603,006 .......................0 .....105,395,024 ....................0
6
23. General insurance expenses..................................................................................................................................................... ......180,046,405 .......................0 ..............48,815 .......................0 .......................0 .......................0 .........7,228,865 .......................0 .....172,653,185 .......................0 ............115,540 ....................0
24. Insurance taxes, licenses and fees, excluding federal income taxes....................................................................................... ........19,638,301 .......................0 ................5,274 .......................0 .......................0 .......................0 ............780,984 .......................0 .......18,839,436 .......................0 ..............12,607 ....................0
25. Increase in loading on deferred and uncollected premiums...................................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
26. Net transfers to or (from) Separate Accounts net of reinsurance.............................................................................................. .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
27. Aggregate write-ins for deductions............................................................................................................................................ .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
28. Totals (Lines 20 to 27)............................................................................................................................................................... ......738,672,826 .......................0 .........1,126,510 .............(15,660) .......................0 .......................0 .......26,472,127 .......................0 .....513,790,218 .......................0 .....197,299,631 ....................0
29. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28)......................... ..........5,768,255 .......................0 ...........(961,993) ..............14,536 .......................0 .......................0 ........(5,071,659) .......................0 ......(16,558,787) .......................0 .......28,346,159 ....................0
30. Dividends to policyholders......................................................................................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
31. Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30)............... ..........5,768,255 .......................0 ...........(961,993) ..............14,536 .......................0 .......................0 ........(5,071,659) .......................0 ......(16,558,787) .......................0 .......28,346,159 ....................0
32. Federal income taxes incurred (excluding tax on capital gains)................................................................................................ .........(1,394,077) .......................0 ............232,496 ...............(3,513) .......................0 .......................0 .........1,225,723 .......................0 .........4,099,843 .......................0 ........(6,948,626) ....................0
33. Net gain from operations after dividends to policyholders and federal income taxes and before realized
capital gains or (losses) (Line 31 minus Line 32)....................................................................................................................... ..........7,162,332 .......................0 ........(1,194,489) ..............18,049 .......................0 .......................0 ........(6,297,382) .......................0 ......(20,658,630) .......................0 .......35,294,785 ....................0
08.301. Administrative Fees on Reinsurance Assumed................................................................................................................. .............723,943 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ............723,943 .......................0 .......................0 ....................0
08.302. Realized foreign exchange gain/(loss)............................................................................................................................... .............481,507 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ............481,507 .......................0 .......................0 ....................0
08.303. Other Miscellaneous.......................................................................................................................................................... ...............76,442 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ..............76,442 ....................0
08.398. Summary of remaining write-ins for Line 8.3 from overflow page...................................................................................... .........(3,516,787) .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ........(3,516,279) .......................0 ..................(508) ....................0
08.399. Total (Lines 08.301 through 08.303 plus 08.398) (Line 8.3 above)................................................................................... .........(2,234,895) .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ........(2,310,829) .......................0 ..............75,934 ....................0
2701. .......................................................................................................................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
2702. .......................................................................................................................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
2703. .......................................................................................................................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
2798. Summary of remaining write-ins for Line 27 from overflow page....................................................................................... .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
2799. Total (Lines 2701 through 2703 plus 2798) (Line 27 above)............................................................................................. .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ....................0
(a) Includes the following amounts for FEGLI/SGLI: Line 1..........0 Line 10..........0 Line 16..............0 Line 23..........0 Line 24..........0.
ANALYSIS OF INCREASE IN RESERVES DURING THE YEAR
1 2 Ordinary 6 Group
3 4 5 Credit Life 7 8
Industrial Supplementary (Group and
Total Life Life Insurance Individual Annuities Contracts Individual) Life Insurance Annuities
Involving Life or Disability Contingencies (Reserves)
(Net of Reinsurance Ceded)
1. Reserve December 31, prior year.......................................................................................................... ......................44,059,234 ......................................0 ........................3,095,668 ......................................0 ......................................0 ......................................0 ......................40,963,566 ......................................0
2. Tabular net premiums or considerations................................................................................................ ........................7,102,418 ......................................0 .............................51,592 ......................................0 ......................................0 ......................................0 ........................7,050,826 ......................................0
3. Present value of disability claims incurred............................................................................................. ......................................0 ......................................0 ......................................0 ......................................0 ...............XXX................... ......................................0 ......................................0 ......................................0
4. Tabular interest..................................................................................................................................... ........................1,915,757 ......................................0 ...........................139,584 ......................................0 ......................................0 ......................................0 ........................1,776,173 ......................................0
5. Tabular less actual reserve released..................................................................................................... ...............................9,791 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ...............................9,791 ......................................0
6. Increase in reserve on account of change in valuation basis.................................................................. ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0
6.1 Change in excess of VM-20 deterministic/stochastic reserve over net premium reserve........................ ......................................0 ...............XXX................... ......................................0 ...............XXX................... ...............XXX................... ...............XXX................... ...............XXX................... ...............XXX...................
7. Other increases (net)............................................................................................................................. ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0
8. Totals (Lines 1 to 7)............................................................................................................................... ......................53,087,200 ......................................0 ........................3,286,844 ......................................0 ......................................0 ......................................0 ......................49,800,356 ......................................0
7
9. Tabular cost.......................................................................................................................................... ........................2,606,009 ......................................0 .............................66,180 ......................................0 ...............XXX................... ......................................0 ........................2,539,829 ......................................0
10. Reserves released by death.................................................................................................................. ...........................232,118 ......................................0 .............................44,606 ...............XXX................... ...............XXX................... ......................................0 ...........................187,512 ...............XXX...................
11. Reserves released by other terminations (net)....................................................................................... .............................48,312 ......................................0 ..........................(689,801) ......................................0 ......................................0 ......................................0 ...........................738,113 ......................................0
12. Annuity, supplementary contract, and disability payments involving life contingencies........................... .............................21,646 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 .............................21,646 ......................................0
13. Net transfers to or (from) Separate Accounts......................................................................................... ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0 ......................................0
14. Total deductions (Lines 9 to 13)............................................................................................................ ........................2,908,085 ......................................0 ..........................(579,015) ......................................0 ......................................0 ......................................0 ........................3,487,100 ......................................0
15. Reserve December 31, current year...................................................................................................... ......................50,179,115 ......................................0 ........................3,865,859 ......................................0 ......................................0 ......................................0 ......................46,313,256 ......................................0
EXHIBIT OF NET INVESTMENT INCOME
1 2
Collected Earned
During Year During Year
1. U.S. government bonds........................................................................................................................................................ (a)...................................178,763 .......................................139,630
1.1 Bonds exempt from U.S. tax................................................................................................................................................. (a)..............................................0 ..................................................0
1.2 Other bonds (unaffiliated)...................................................................................................................................................... (a)..............................20,729,248 ..................................19,846,462
1.3 Bonds of affiliates.................................................................................................................................................................. (a)..............................................0 ..................................................0
2.1 Preferred stocks (unaffiliated)............................................................................................................................................... (b)..............................................0 ..................................................0
2.11 Preferred stocks of affiliates.................................................................................................................................................. (b)..............................................0 ..................................................0
2.2 Common stocks (unaffiliated)................................................................................................................................................ ................................................43 ................................................43
2.21 Common stocks of affiliates.................................................................................................................................................. ..................................................0 ..................................................0
3. Mortgage loans..................................................................................................................................................................... (c)..............................................0 ..................................................0
4. Real estate............................................................................................................................................................................ (d)..............................................0 ..................................................0
5. Contract loans....................................................................................................................................................................... .......................................320,982 .......................................320,982
6. Cash, cash equivalents and short-term investments............................................................................................................ (e)...................................510,069 .......................................529,690
7. Derivative instruments........................................................................................................................................................... (f)...............................................0 ..................................................0
8. Other invested assets........................................................................................................................................................... ..................................................0 ..................................................0
9. Aggregate write-ins for investment income........................................................................................................................... .........................................90,005 .........................................90,005
10. Total gross investment income............................................................................................................................................. ..................................21,829,110 ..................................20,926,812
11. Investment expenses.................................................................................................................................................................................................................... (g)...................................423,648
12. Investment taxes, licenses and fees, excluding federal income taxes.......................................................................................................................................... (g)..............................................0
13. Interest expense............................................................................................................................................................................................................................ (h)..............................................0
14. Depreciation on real estate and other invested assets................................................................................................................................................................. (i)...............................................0
15. Aggregate write-ins for deductions from investment income........................................................................................................................................................ ..................................................0
16. Total deductions (Lines 11 through 15)......................................................................................................................................................................................... .......................................423,648
17. Net investment income (Line 10 minus Line 16)........................................................................................................................................................................... ..................................20,503,164
0901. Consent Fee.......................................................................................................................................................................... .........................................90,005 .........................................90,005
0902. .............................................................................................................................................................................................. ..................................................0 ..................................................0
0903. .............................................................................................................................................................................................. ..................................................0 ..................................................0
0998. Summary of remaining write-ins for Line 9 from overflow page............................................................................................ ..................................................0 ..................................................0
0999. Totals (Lines 0901 through 0903 plus 0998) (Line 9 above)................................................................................................. .........................................90,005 .........................................90,005
1501. ...................................................................................................................................................................................................................................................... ..................................................0
1502. ...................................................................................................................................................................................................................................................... ..................................................0
1503. ...................................................................................................................................................................................................................................................... ..................................................0
1598. Summary of remaining write-ins for Line 15 from overflow page.................................................................................................................................................. ..................................................0
1599. Totals (Lines 1501 through 1503 plus 1598) (Line 15 above)....................................................................................................................................................... ..................................................0
(a) Includes $.....183,273 accrual of discount less $.....1,146,773 amortization of premium and less $.....375,208 paid for accrued interest on purchases.
(b) Includes $..........0 accrual of discount less $..........0 amortization of premium and less $..........0 paid for accrued dividends on purchases.
(c) Includes $..........0 accrual of discount less $..........0 amortization of premium and less $..........0 paid for accrued interest on purchases.
(d) Includes $..........0 for company's occupancy of its own buildings; and excludes $..........0 interest on encumbrances.
(e) Includes $..........0 accrual of discount less $..........0 amortization of premium and less $..........0 paid for accrued interest on purchases.
(f) Includes $..........0 accrual of discount less $..........0 amortization of premium.
(g) Includes $..........0 investment expenses and $..........0 investment taxes, licenses and fees, excluding federal income taxes, attributable to segregated and Separate Accounts.
(h) Includes $..........0 interest on surplus notes and $..........0 interest on capital notes.
(i) Includes $..........0 depreciation on real estate and $..........0 depreciation on other invested assets.
EXHIBIT OF CAPITAL GAINS (LOSSES)

1 2 3 4 5
Realized Change in
Gain (Loss) Other Total Realized Change in Unrealized
on Sales Realized Capital Gain (Loss) Unrealized Foreign Exchange
or Maturity Adjustments (Columns 1 + 2) Capital Gain (Loss) Capital Gain (Loss)
1. U.S. government bonds................................................................ ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
1.1 Bonds exempt from U.S. tax........................................................ ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
1.2 Other bonds (unaffiliated)............................................................. ...................(2,892,581) ..................................0 ...................(2,892,581) ..................................0 ..................................0
1.3 Bonds of affiliates......................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
2.1 Preferred stocks (unaffiliated)...................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
2.11 Preferred stocks of affiliates......................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
2.2 Common stocks (unaffiliated)....................................................... ..................................0 ..................................0 ..................................0 .............................(159) ..................................0
2.21 Common stocks of affiliates......................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
3. Mortgage loans............................................................................. ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
4. Real estate................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
5. Contract loans.............................................................................. ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
6. Cash, cash equivalents and short-term investments.................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
7. Derivative instruments.................................................................. ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
8. Other invested assets................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
9. Aggregate write-ins for capital gains (losses)............................... ..................................0 ......................(900,834) ......................(900,834) ..................................0 ..................................0
10. Total capital gains (losses)........................................................... ...................(2,892,581) ......................(900,834) ...................(3,793,415) .............................(159) ..................................0
0901. Loss on contract novation............................................................ ..................................0 ......................(900,834) ......................(900,834) ..................................0 ..................................0
0902. ..................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
0903. ..................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
0998. Summary of remaining write-ins for Line 9 from overflow page... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
0999. Totals (Lines 0901 through 0903 plus 0998) (Line 9 above)........ ..................................0 ......................(900,834) ......................(900,834) ..................................0 ..................................0
8
EXHIBIT 1 - PART 1 - PREMIUMS AND ANNUITY CONSIDERATIONS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS
3 4 Credit Life 6 7 8 9 10 Aggregate of
Industrial Individual (Group and Credit All Other Lines
Total Life Life Insurance Annuities Individual) Life Insurance Annuities Group (Group & Individual) Other of Business
FIRST YEAR (other than single)
1. Uncollected..................................................................................... ................29,467,184 ...............................0 ...............................0 ...............................0 ...............................0 .................1,505,596 ...............................0 ................27,961,488 ...............................0 ...........................100 ...............................0
2. Deferred and accrued...................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
3. Deferred, accrued and uncollected:
3.1 Direct........................................................................................ ................29,411,467 ...............................0 ...............................0 ...............................0 ...............................0 .................1,505,596 ...............................0 ................27,905,771 ...............................0 ...........................100 ...............................0
3.2 Reinsurance assumed.............................................................. ......................55,717 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ......................55,717 ...............................0 ...............................0 ...............................0
3.3 Reinsurance ceded................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
3.4 Net (Line 1 + Line 2)................................................................. ................29,467,184 ...............................0 ...............................0 ...............................0 ...............................0 .................1,505,596 ...............................0 ................27,961,488 ...............................0 ...........................100 ...............................0
4. Advance.......................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
5. Line 3.4 - Line 4............................................................................... ................29,467,184 ...............................0 ...............................0 ...............................0 ...............................0 .................1,505,596 ...............................0 ................27,961,488 ...............................0 ...........................100 ...............................0
6. Collected during year:
6.1 Direct........................................................................................ ..............225,129,959 ...............................0 .............................90 ...............................0 ...............................0 .................8,191,562 ...............................0 ..............216,936,010 ...............................0 ........................2,297 ...............................0
6.2 Reinsurance assumed.............................................................. ....................761,091 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ....................761,091 ...............................0 ...............................0 ...............................0
6.3 Reinsurance ceded................................................................... ................79,437,982 ...............................0 ...............................0 ...............................0 ...............................0 .................2,900,001 ...............................0 ................76,537,930 ...............................0 .............................51 ...............................0
6.4 Net........................................................................................... ..............146,453,068 ...............................0 .............................90 ...............................0 ...............................0 .................5,291,561 ...............................0 ..............141,159,171 ...............................0 ........................2,246 ...............................0
7. Line 5 + Line 6.4.............................................................................. ..............175,920,252 ...............................0 .............................90 ...............................0 ...............................0 .................6,797,157 ...............................0 ..............169,120,659 ...............................0 ........................2,346 ...............................0
8. Prior year (uncollected + deferred and accrued - advance).............. ................22,893,647 ...............................0 ...............................0 ...............................0 ...............................0 ....................800,963 ...............................0 ................22,092,580 ...............................0 ...........................104 ...............................0
9. First year premiums and considerations:
9.1 Direct........................................................................................ ..............231,724,162 ...............................0 .............................90 ...............................0 ...............................0 .................8,896,194 ...............................0 ..............222,825,585 ...............................0 ........................2,293 ...............................0
9.2 Reinsurance assumed.............................................................. ....................740,426 ...............................0 ...............................0 ...............................0 ...............................0 ...............................1 ...............................0 ....................740,425 ...............................0 ...............................0 ...............................0
9.3 Reinsurance ceded................................................................... ................79,437,982 ...............................0 ...............................0 ...............................0 ...............................0 .................2,900,001 ...............................0 ................76,537,930 ...............................0 .............................51 ...............................0
9.4 Net (Line 7 - Line 8).................................................................. ..............153,026,605 ...............................0 .............................90 ...............................0 ...............................0 .................5,996,194 ...............................0 ..............147,028,079 ...............................0 ........................2,242 ...............................0
SINGLE
10. Single premiums and considerations:
10.1 Direct...................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
10.2 Reinsurance assumed............................................................ ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
10.3 Reinsurance ceded................................................................. ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
10.4 Net......................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
9
RENEWAL
11. Uncollected..................................................................................... ................78,600,075 ...............................0 ........................2,625 ...............................0 ...............................0 ....................901,587 ...............................0 ................38,926,645 ...............................0 ................38,769,218 ...............................0
12. Deferred and accrued...................................................................... ....................487,904 ...............................0 ......................72,424 ...............................0 ...............................0 ....................415,480 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
13. Deferred, accrued and uncollected:
13.1 Direct...................................................................................... ................40,158,986 ...............................0 ......................75,049 ...............................0 ...............................0 .................1,318,445 ...............................0 ................38,511,261 ...............................0 ....................254,231 ...............................0
13.2 Reinsurance assumed............................................................ ................38,931,346 ...............................0 ...............................0 ...............................0 ...............................0 ...........................975 ...............................0 ....................415,384 ...............................0 ................38,514,987 ...............................0
13.3 Reinsurance ceded................................................................. ........................2,353 ...............................0 ...............................0 ...............................0 ...............................0 ........................2,353 ...............................0 ...............................0 ...............................0 - ............................. ...............................0
13.4 Net (Line 11 + Line 12)........................................................... ................79,087,979 ...............................0 ......................75,049 ...............................0 ...............................0 .................1,317,067 ...............................0 ................38,926,645 ...............................0 ................38,769,218 ...............................0
14. Advance.......................................................................................... ....................248,227 ...............................0 ...........................736 ...............................0 ...............................0 ........................4,133 ...............................0 ....................241,885 ...............................0 ........................1,473 ...............................0
15. Line 13.4 - Line 14........................................................................... ................78,839,752 ...............................0 ......................74,313 ...............................0 ...............................0 .................1,312,934 ...............................0 ................38,684,760 ...............................0 ................38,767,745 ...............................0
16. Collected during year:
16.1 Direct...................................................................................... ..............339,808,061 ...............................0 ....................136,920 .......................(1,115) ...............................0 ................11,475,267 ...............................0 ..............327,823,110 ...............................0 ....................373,879 ...............................0
16.2 Reinsurance assumed............................................................ ..............217,484,731 ...............................0 ...............................0 ...............................0 ...............................0 ......................56,551 ...............................0 .................5,290,696 ...............................0 ..............212,137,484 ...............................0
16.3 Reinsurance ceded................................................................. ..............123,774,868 ...............................0 ......................13,141 ...............................0 ...............................0 ....................541,445 ...............................0 ..............123,207,565 ...............................0 ......................12,717 ...............................0
16.4 Net......................................................................................... ..............433,517,924 ...............................0 ....................123,779 .......................(1,115) ...............................0 ................10,990,373 ...............................0 ..............209,906,241 ...............................0 ..............212,498,646 ...............................0
17. Line 15 + Line 16.4.......................................................................... ..............512,357,676 ...............................0 ....................198,092 .......................(1,115) ...............................0 ................12,303,307 ...............................0 ..............248,591,001 ...............................0 ..............251,266,391 ...............................0
18. Prior year (uncollected + deferred and accrued - advance).............. ................77,806,641 ...............................0 ......................72,117 ...............................9 ...............................0 .................1,070,393 ...............................0 ................34,657,667 ...............................0 ................42,006,455 ...............................0
19. Renewal premiums and considerations:
19.1 Direct...................................................................................... ..............344,109,601 ...............................0 ....................139,120 .......................(1,124) ...............................0 ................11,718,833 ...............................0 ..............331,883,851 ...............................0 ....................368,921 ...............................0
19.3 Reinsurance ceded................................................................. ..............123,773,939 ...............................0 ......................13,141 ...............................0 ...............................0 ....................540,516 ...............................0 ..............123,207,565 ...............................0 ......................12,717 ...............................0
19.4 Net (Line 17 - Line 18)............................................................ ..............434,551,035 ...............................0 ....................125,975 .......................(1,124) ...............................0 ................11,232,914 ...............................0 ..............213,933,334 ...............................0 ..............209,259,936 ...............................0
TOTAL
20. Total premiums and annuity considerations:
20.1 Direct...................................................................................... ..............575,833,763 ...............................0 ....................139,210 .......................(1,124) ...............................0 ................20,615,027 ...............................0 ..............554,709,436 ...............................0 ....................371,214 ...............................0
20.3 Reinsurance ceded................................................................. ..............203,211,921 ...............................0 ......................13,141 ...............................0 ...............................0 .................3,440,517 ...............................0 ..............199,745,495 ...............................0 ......................12,768 ...............................0
20.4 Net (Lines 9.4 + 10.4 + 19.4).................................................. ..............587,577,640 ...............................0 ....................126,065 .......................(1,124) ...............................0 ................17,229,108 ...............................0 ..............360,961,413 ...............................0 ..............209,262,178 ...............................0
EXHIBIT 1 - PART 2 - DIVIDENDS AND COUPONS APPLIED, REINSURANCE COMMISSIONS AND
EXPENSE ALLOWANCES AND COMMISSIONS INCURRED (direct business only)
3 4 Credit Life 6 7 8 9 10 Aggregate of
Industrial Individual (Group and Credit All Other Lines
Total Life Life Insurance Annuities Individual) Life Insurance Annuities Group (Group & Individual) Other of Business
DIVIDENDS AND COUPONS APPLIED
(included in Part 1)
21. To pay renewal premiums............................................ .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0
22. All other........................................................................ .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0
REINSURANCE COMMISSIONS AND

EXPENSE ALLOWANCES INCURRED
23. First year (other than single):
23.1 Reinsurance ceded............................................. .................76,158,692 .................................0 .................................0 .................................0 .................................0 ...................3,598,805 .................................0 .................72,559,841 .................................0 ...............................46 .................................0
23.2 Reinsurance assumed......................................... ......................740,593 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 ......................740,593 .................................0 .................................0 .................................0
23.3 Net ceded less assumed..................................... .................75,418,099 .................................0 .................................0 .................................0 .................................0 ...................3,598,805 .................................0 .................71,819,248 .................................0 ...............................46 .................................0
24. Single:
24.1 Reinsurance ceded............................................. .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0
24.2 Reinsurance assumed......................................... .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0
10
24.3 Net ceded less assumed..................................... .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0
25. Renewal:
25.1 Reinsurance ceded............................................. .................52,443,749 .................................0 .................................0 .................................0 .................................0 .......................(22,686) .................................0 .................42,461,800 .................................0 .................10,004,635 .................................0
25.2 Reinsurance assumed......................................... ...............107,260,317 .................................0 .................................0 .................................0 .................................0 ..........................2,880 .................................0 ...................1,862,413 .................................0 ...............105,395,024 .................................0
25.3 Net ceded less assumed..................................... ................(54,816,568) .................................0 .................................0 .................................0 .................................0 .......................(25,566) .................................0 .................40,599,387 .................................0 ................(95,390,389) .................................0
26. Totals:
26.1 Reinsurance ceded (Page 6, Line 6)................... ...............128,602,441 .................................0 .................................0 .................................0 .................................0 ...................3,576,119 .................................0 ...............115,021,641 .................................0 .................10,004,681 .................................0
26.2 Reinsurance assumed (Page 6, Line 22)............ ...............108,000,910 .................................0 .................................0 .................................0 .................................0 ..........................2,880 .................................0 ...................2,603,006 .................................0 ...............105,395,024 .................................0
26.3 Net ceded less assumed..................................... .................20,601,531 .................................0 .................................0 .................................0 .................................0 ...................3,573,239 .................................0 ...............112,418,635 .................................0 ................(95,390,343) .................................0
COMMISSIONS INCURRED
(direct business only)
27. First year (other than single)........................................ ...............120,710,832 .................................0 ..............................(82) .................................0 .................................0 ...................7,871,518 .................................0 ...............112,838,332 .................................0 ..........................1,064 .................................0
28. Single........................................................................... .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0
29. Renewal....................................................................... .................31,801,260 .................................0 ..........................3,422 .................................6 .................................0 ......................405,458 .................................0 .................31,336,458 .................................0 ........................55,916 .................................0
30. Deposit-type contract funds.......................................... .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0 .................................0
31. Totals (to agree with Page 6, Line 21)......................... ...............152,512,092 .................................0 ..........................3,340 .................................6 .................................0 ...................8,276,976 .................................0 ...............144,174,790 .................................0 ........................56,980 .................................0
EXHIBIT 2 - GENERAL EXPENSES
Insurance 5 6
1 Accident and Health 4
2 3 All Other Lines
Life Cost Containment All Other of Business Investment Total
1. Rent...................................................................................................... ...............216,665 ..........................0 ............5,142,612 ..........................0 .................13,081 ............5,372,358
2. Salaries and wages.............................................................................. ............3,236,109 ..........................0 ..........76,809,999 ..........................0 ...............221,622 ..........80,267,730
3.11 Contributions for benefit plans for employees...................................... ...............511,068 ..........................0 ..........12,130,372 ..........................0 .................19,253 ..........12,660,693
3.12 Contributions for benefit plans for agents............................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
3.21 Payments to employees under non-funded benefit plans.................... ..................(1,056) ..........................0 ................(25,063) ..........................0 ..........................0 ................(26,119)
3.22 Payments to agents under non-funded benefit plans........................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
3.31 Other employee welfare....................................................................... .................37,344 ..........................0 ...............886,362 ..........................0 ...................1,163 ...............924,869
3.32 Other agent welfare.............................................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
4.1 Legal fees and expenses..................................................................... .................28,678 ..........................0 ...............680,685 ..........................0 ...................6,136 ...............715,499
4.2 Medical examination fees..................................................................... ...................4,013 ..........................0 .................95,248 ..........................0 ..........................0 .................99,261
4.3 Inspection report fees........................................................................... ......................305 ..........................0 ...................7,234 ..........................0 ..........................0 ...................7,539
4.4 Fees of public accountants and consulting actuaries........................... ...................9,239 ..........................0 ...............219,291 ..........................0 ..........................0 ...............228,530
4.5 Expense of investigation and settlement of policy claims.................... .................21,028 ..........................0 ...............499,116 ..........................0 ..........................0 ...............520,144
5.1 Traveling expenses.............................................................................. ...............109,091 ..........................0 ............2,589,311 ..........................0 .................14,554 ............2,712,956
5.2 Advertising............................................................................................ ...............129,452 ..........................0 ............3,072,585 ..........................0 ........................13 ............3,202,050
5.3 Postage, express, telegraph and telephone......................................... ...............128,396 ..........................0 ............3,047,514 ..........................0 ...................2,641 ............3,178,551
5.4 Printing and stationery.......................................................................... .................12,629 ..........................0 ...............299,755 ..........................0 ......................304 ...............312,688
5.5 Cost or depreciation of furniture and equipment.................................. .................39,089 ..........................0 ...............927,781 ..........................0 ...................1,896 ...............968,766
5.6 Rental of equipment............................................................................. .................18,062 ..........................0 ...............428,700 ..........................0 ......................185 ...............446,947
5.7 Cost or depreciation of EDP equipment and software......................... ...............167,896 ..........................0 ............3,985,050 ..........................0 .................36,494 ............4,189,440
6.1 Books and periodicals.......................................................................... ...................4,080 ..........................0 .................96,846 ..........................0 ......................223 ...............101,149
6.2 Bureau and association fees................................................................ ...................3,023 ..........................0 .................71,754 ..........................0 ......................933 .................75,710
6.3 Insurance, except on real estate.......................................................... ...................5,152 ..........................0 ...............122,275 ..........................0 ..........................0 ...............127,427
6.4 Miscellaneous losses........................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
6.5 Collection and bank service charges.................................................... .................12,965 ..........................0 ...............338,632 ..........................0 ......................135 ...............351,732
6.6 Sundry general expenses..................................................................... ...............900,992 ..........................0 ..........21,385,265 ..........................0 ...............105,015 ..........22,391,272
6.7 Group service and administration fees................................................. ...............273,472 ..........................0 ............6,490,940 ..........................0 ..........................0 ............6,764,412
6.8 Reimbursements by uninsured plans................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
7.1 Agency expense allowance.................................................................. ......................159 ..........................0 ...................3,770 ..........................0 ..........................0 ...................3,929
7.2 Agents' balances charged off (less $..........0 recovered)..................... ...................7,225 ..........................0 ...............171,489 ..........................0 ..........................0 ...............178,714
7.3 Agency conferences other than local meetings.................................... .................27,246 ..........................0 ...............646,690 ..........................0 ..........................0 ...............673,936
9.1 Real estate expenses........................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
9.2 Investment expenses not included elsewhere...................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
9.3 Aggregate write-ins for expenses......................................................... ............1,375,358 ..........................0 ..........32,644,512 ..........................0 ..........................0 ..........34,019,870
10. General expenses Incurred.................................................................. ............7,277,680 ..........................0 ........172,768,725 ..........................0 ...............423,648 (a)....180,470,053
11. General expenses unpaid December 31, prior year............................. ............1,048,269 ..........................0 ..........36,188,639 ..........................0 ...............281,861 ..........37,518,769
12. General expenses unpaid December 31, current year......................... ............1,467,288 ..........................0 ..........34,832,724 ..........................0 .................85,414 ..........36,385,426
13. Amounts receivable relating to uninsured plans, prior year................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
14. Amounts receivable relating to uninsured plans, current year............. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
15. General expenses paid during year (Lines 10+11-12-13+14).............. ............6,858,661 ..........................0 ........174,124,640 ..........................0 ...............620,095 ........181,603,396
09.301. Outsourcing.......................................................................................... ............1,375,358 ..........................0 ..........32,644,512 ..........................0 ..........................0 ..........34,019,870
09.302. ............................................................................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
09.303. ............................................................................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
09.398. Summary of remaining write-ins for Line 9.3 from overflow page........ ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
09.399. Totals (Lines 09.301 through 09.303 plus 09.398)(Line 9.3 above)..... ............1,375,358 ..........................0 ..........32,644,512 ..........................0 ..........................0 ..........34,019,870
(a) Includes management fees of $..........0 to affiliates and $..........0 to non-affiliates.
EXHIBIT 3 - TAXES, LICENSES AND FEES (EXCLUDING FEDERAL INCOME TAXES)

Insurance 4 5
1 2 3
Accident All Other Lines
Life and Health of Business Investment Total
1. Real estate taxes........................................................................................ ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
2. State insurance department licenses and fees.......................................... ......................77,956 .................1,850,316 ...............................0 ...............................0 .................1,928,272
3. State taxes on premiums............................................................................ ....................430,009 ...............10,206,392 ...............................0 ...............................0 ...............10,636,401
4. Other state taxes, including $.....334,304 for employee benefits............... ......................61,413 .................1,647,645 ...............................0 ...............................0 .................1,709,058
5. U.S. Social Security taxes.......................................................................... ....................215,064 .................5,104,595 ...............................0 ...............................0 .................5,319,659
6. All other taxes............................................................................................. ........................1,816 ......................43,095 ...............................0 ...............................0 ......................44,911
7. Taxes, licenses and fees incurred.............................................................. ....................786,258 ...............18,852,043 ...............................0 ...............................0 ...............19,638,301
8. Taxes, licenses and fees unpaid December 31, prior year........................ ....................234,858 .................8,629,812 ...............................0 ...............................0 .................8,864,670
9. Taxes, licenses and fees unpaid December 31, current year.................... ....................414,388 .................9,935,761 ...............................0 ...............................0 ...............10,350,149
10. Taxes, licenses and fees paid during year (Lines 7 + 8 - 9)....................... ....................606,728 ...............17,546,094 ...............................0 ...............................0 ...............18,152,822
EXHIBIT 4 - DIVIDENDS OR REFUNDS

1 2
Life Accident and Health
1. Applied to pay renewal premiums........................................................................................................................................................ ............................................0 ............................................0
2. Applied to shorten the endowment or premium-paying period............................................................................................................ ............................................0 ............................................0
3. Applied to provide paid-up additions.................................................................................................................................................... ............................................0 ............................................0
4. Applied to provide paid-up annuities.................................................................................................................................................... ............................................0 ............................................0
5. Total Lines 1 through 4........................................................................................................................................................................ ............................................0 ............................................0
6. Paid-in cash......................................................................................................................................................................................... ............................................0 ............................................0
7. Left on deposit..................................................................................................................................................................................... ............................................0 ............................................0
8. Aggregate write-ins for dividend or refund options.............................................................................................................................. ............................................0 ............................................0
NONE
9. Total Lines 5 through 8........................................................................................................................................................................ ............................................0 ............................................0
10. Amount due and unpaid....................................................................................................................................................................... ............................................0 ............................................0
11. Provision for dividends or refunds payable in the following calendar year.......................................................................................... ............................................0 ............................................0
12. Terminal dividends............................................................................................................................................................................... ............................................0 ............................................0
13. Provision for deferred dividend contracts............................................................................................................................................. ............................................0 ............................................0
14. Amount provisionally held for deferred dividend contracts not included in Line 13............................................................................. ............................................0 ............................................0
15. Total Lines 10 through 14.................................................................................................................................................................... ............................................0 ............................................0
16. Total from prior year............................................................................................................................................................................. ............................................0 ............................................0
17. Total dividends or refunds (Lines 9 + 15 - 16)..................................................................................................................................... ............................................0 ............................................0
0801. ............................................................................................................................................................................................................. ............................................0 ............................................0
0802. ............................................................................................................................................................................................................. ............................................0 ............................................0
0803. ............................................................................................................................................................................................................. ............................................0 ............................................0
0898. Summary of remaining write-ins for Line 8 from overflow page........................................................................................................... ............................................0 ............................................0
0899. Totals (Line 0801 through 0803 plus 0898) (Line 8 above)................................................................................................................. ............................................0 ............................................0
11
EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS
1 2 3 4 5 6
Credit
(Group and
Valuation Standard Total Industrial Ordinary Individual) Group
Life Insurance:
0100001. 58 CET (ALB) 3.0% NL........................................................................................................ ................84,129 .........................0 ................84,129 .........................0 .........................0
0100002. 58 CET (ALB) 3.5% NL........................................................................................................ ................71,610 .........................0 ................71,610 .........................0 .........................0
0100003. 58 CET (ALB) 4.0% NL........................................................................................................ ................49,382 .........................0 ................49,382 .........................0 .........................0
0100004. 58 CET (ANB) 3.5% NL....................................................................................................... ..................7,420 .........................0 ..................7,420 .........................0 .........................0
0100005. 58 CSO (ALB) 3.0% CRVM................................................................................................. ..............204,339 .........................0 ..............204,339 .........................0 .........................0
0100006. 58 CSO (ALB) 3.5% CRVM................................................................................................. ..............247,118 .........................0 ..............247,118 .........................0 .........................0
0100007. 58 CSO (ALB) 4.0% CRVM................................................................................................. ..............336,158 .........................0 ..............336,158 .........................0 .........................0
0100008. 58 CSO (ANB) 3.5% CRVM................................................................................................. ................24,456 .........................0 ................24,456 .........................0 .........................0
0100009. 80 CET (ALB) 4.0% NL........................................................................................................ ..............356,740 .........................0 ..............356,740 .........................0 .........................0
0100010. 80 CET (ALB) 5.5% NL........................................................................................................ ..................4,440 .........................0 ..................4,440 .........................0 .........................0
0100011. 80 CSO (ALB) 3.0% CRVM................................................................................................. ..............146,976 .........................0 .....................225 .........................0 ..............146,751
0100012. 80 CSO (ALB) 3.5% CRVM................................................................................................. ...........4,476,172 .........................0 .........................0 .........................0 ...........4,476,172
0100013. 80 CSO (ALB) 4.0% CRVM................................................................................................. .........12,643,887 .........................0 ...........1,903,058 .........................0 .........10,740,829
0100014. 80 CSO (ALB) 4.5% CRVM................................................................................................. .........15,880,739 .........................0 ................51,202 .........................0 .........15,829,537
0100015. 80 CSO (ALB) 5.5% CRVM................................................................................................. ..............384,903 .........................0 ..............384,903 .........................0 .........................0
0100016. 2001 CSO-C (ALB) 3.5% CRVM......................................................................................... ...........8,807,159 .........................0 .........................0 .........................0 ...........8,807,159
0100017. 2001 CSO-C (ALB) 4.0% CRVM......................................................................................... ...........3,729,215 .........................0 ..................4,789 .........................0 ...........3,724,426
0100018. 2017 CSO (ALB) 3.5% CRVM............................................................................................. ................65,594 .........................0 .........................0 .........................0 ................65,594
0100019. Unearned Premium Reserve............................................................................................... ................14,486 .........................0 ..................7,243 .........................0 ..................7,243
0199997. Totals (Gross)....................................................................................................................... .........47,534,923 .........................0 ...........3,737,212 .........................0 .........43,797,711
0199998. Reinsurance ceded.............................................................................................................. ..............464,841 .........................0 .........................0 .........................0 ..............464,841
0199999. Totals (Net)........................................................................................................................... .........47,070,082 .........................0 ...........3,737,212 .........................0 .........43,332,870
Accidental Death Benefits:
0400001. 1959 ADB (ALB) W/ 2001 CSO 3.0% NL............................................................................ ..............814,070 .........................0 ................17,867 .........................0 ..............796,203
0499997. Totals (Gross)....................................................................................................................... ..............814,070 .........................0 ................17,867 .........................0 ..............796,203
0499998. Reinsurance ceded.............................................................................................................. ..................4,391 .........................0 .........................0 .........................0 ..................4,391
0499999. Totals (Net)........................................................................................................................... ..............809,679 .........................0 ................17,867 .........................0 ..............791,812
Disability - Active Lives:
0500001. 1985 CIDA (ALB) W/ 2001 CSO 3.0% NL........................................................................... ...........1,245,369 .........................0 ..................3,474 .........................0 ...........1,241,895
0599997. Totals (Gross)....................................................................................................................... ...........1,245,369 .........................0 ..................3,474 .........................0 ...........1,241,895
0599998. Reinsurance ceded.............................................................................................................. ................15,343 .........................0 .........................0 .........................0 ................15,343
0599999. Totals (Net)........................................................................................................................... ...........1,230,026 .........................0 ..................3,474 .........................0 ...........1,226,552
Disability - Disabled Lives:
0600001. 2005 GTL W Mortality & Recovery Tables 3.0%................................................................. ..............123,938 .........................0 .........................0 .........................0 ..............123,938
0699997. Totals (Gross)....................................................................................................................... ..............123,938 .........................0 .........................0 .........................0 ..............123,938
0699999. Totals (Net)........................................................................................................................... ..............123,938 .........................0 .........................0 .........................0 ..............123,938
Miscellaneous Reserves:
0700001. Deficiency Reserve............................................................................................................... ..............429,490 .........................0 ..................4,801 .........................0 ..............424,689
0700002. Immediate Payment of Claims Reserve.............................................................................. ..............337,169 .........................0 ................75,648 .........................0 ..............261,521
0700003. Non-Deduction/Refund Reserve.......................................................................................... ..............200,100 .........................0 ................26,861 .........................0 ..............173,239
0799997. Totals (Gross)....................................................................................................................... ..............966,759 .........................0 ..............107,310 .........................0 ..............859,449
0799998. Reinsurance ceded.............................................................................................................. ................21,369 .........................0 .........................0 .........................0 ................21,369
0799999. Totals (Net)........................................................................................................................... ..............945,390 .........................0 ..............107,310 .........................0 ..............838,080
9999999. Totals (Net) - Page 3, Line 1................................................................................................ .........50,179,115 .........................0 ...........3,865,863 .........................0 .........46,313,252
12
EXHIBIT 5 - INTERROGATORIES
1.1 Has the reporting entity ever issued both participating and non-participating contracts? Yes [ ] No [ X ]
1.2 If not, state which kind is issued
2.1 Does the reporting entity at present issue both participating and non-participating contracts? Yes [ ] No [ X ]
2.2 If not, state which kind is issued
3. Does the reporting entity at present issue or have in force contracts that contain non-guaranteed elements? Yes [ X ] No [ ]
If so, attach a statement that contains the determination procedures, answers to the interrogatories and an actuarial opinion as
described in the instructions.
4. Has the reporting entity any assessment or stipulated premium contracts in force? If so, state: Yes [ ] No [ X ]
4.1 Amount of insurance: $........................................0
4.2 Amount of reserve: $........................................0
4.3 Basis of reserve:
4.4 Basis of regular assessments:
4.5 Basis of special assessments:
4.6 Assessments collected during year: $........................................0

5. If the contract loan interest rate guaranteed in any one or more of its currently issued contracts is less than 5%, not in advance, state the
contract loan rate guarantees on any such contracts.
6. Does the reporting entity hold reserves for any annuity contracts that are less than the reserves that would be held on a standard basis? Yes [ ] No [ X ]
6.1 If so, state the amount of reserve on such contracts on the basis actually held: $........................................0
6.2 That would have been held (on an exact or approximate basis) using the actual ages of the annuitants; the interest rate(s) used in 6.1; and
the same mortality basis used by the reporting entity for the valuation of comparable annuity benefits issued to standard lives. If the reporting entity
has no comparable annuity benefits for standard lives to be valued, the mortality basis shall be the table most recently approved by the
state of domicile for valuing individual annuity benefits: $........................................0
Attach statement of methods employed in their valuation.
7. Does the reporting entity have any Synthetic GIC contracts or agreements in effect as of December 31 of the current year? Yes [ ] No [ X ]
7.1 If yes, state the total dollar amount of assets covered by these contracts or agreements: $........................................0
7.2 Specify the basis (fair value, amortized cost, etc.) for determining the amount:
7.3 State the amount of reserves established for this business: $........................................0
7.4 Identify where the reserves are reported in the blank.
8. Does the reporting entity have any Contingent Deferred Annuity contracts or agreements in effect as of December of the current year? Yes [ ] No [ X ]
8.1 If yes, state the total dollar amount of account value covered by these contracts or agreements: $........................................0
8.2 State the amount of reserves established for this business: $........................................0
8.3 Identify where the reserves are reported in the blank:
9. Does the reporting entity have any Guaranteed Lifetime Income Benefit contracts, agreements or riders in effect as of December 31 of the current year? Yes [ X ] No [ ]
9.1 If yes, state the total dollar amount of any account value associated with these contracts, agreements or riders: $.............................185,325
9.2 State the amount of reserves established for this business: $.............................185,325
9.3 Identify where the reserves are reported in the blank:
Exhibit 7, Column 1, Row 14
EXHIBIT 5A - CHANGES IN BASES OF VALUATION DURING THE YEAR

1 Valuation Basis 4
2 3 Increase in Actuarial
Description of Valuation Class Changed From Changed To Reserve Due To Change
NONE
13
EXHIBIT 6 - AGGREGATE RESERVES FOR ACCIDENT AND HEALTH CONTRACTS
1 2 3 4 Other Individual Contracts
Credit Accident 5 6 7 8 9
Group and Health Non-Renewable
Accident (Group and Collectively Non- Guaranteed for Stated Other Accident
Total and Health Individual) Renewable Cancelable Renewable Reasons Only Only All Other
ACTIVE LIFE RESERVE
1. Unearned premium reserves.................................................................................. ......................1,676,715 ......................1,667,623 ....................................0 ................................252 ....................................0 .............................8,840 ....................................0 ....................................0 ....................................0
2. Additional contract reserves (a).............................................................................. ..................161,502,938 ..................160,567,928 ....................................0 .............................2,421 ....................................0 .........................932,589 ....................................0 ....................................0 ....................................0
3. Additional actuarial reserves - Asset/Liability analysis........................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
4. Reserve for future contingent benefits................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
5. Reserve for rate credits.......................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
6. Aggregate write-ins for reserves............................................................................ ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
7. Totals (Gross)......................................................................................................... ..................163,179,653 ..................162,235,551 ....................................0 .............................2,673 ....................................0 .........................941,429 ....................................0 ....................................0 ....................................0
8. Reinsurance ceded................................................................................................ ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
9. Totals (Net)............................................................................................................. ..................163,179,653 ..................162,235,551 ....................................0 .............................2,673 ....................................0 .........................941,429 ....................................0 ....................................0 ....................................0
CLAIM RESERVE
10. Present value of amounts not yet due on claims.................................................... ......................7,974,659 ......................7,865,698 ....................................0 ....................................0 ....................................0 .........................108,961 ....................................0 ....................................0 ....................................0
11. Additional actuarial reserves - Asset/Liability analysis........................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
12. Reserve for future contingent benefits................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
13. Aggregate write-ins for reserves............................................................................ ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
14
14. Totals (Gross)......................................................................................................... ......................7,974,659 ......................7,865,698 ....................................0 ....................................0 ....................................0 .........................108,961 ....................................0 ....................................0 ....................................0
15. Reinsurance ceded................................................................................................ ......................3,000,425 ......................3,000,425 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
16. Totals (Net)............................................................................................................. ......................4,974,234 ......................4,865,273 ....................................0 ....................................0 ....................................0 .........................108,961 ....................................0 ....................................0 ....................................0
17. TOTALS (Net)........................................................................................................ ..................168,153,887 ..................167,100,824 ....................................0 .............................2,673 ....................................0 ......................1,050,390 ....................................0 ....................................0 ....................................0
18. TABULAR FUND INTEREST................................................................................. ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
0601. ............................................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
0602. ............................................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
0603. ............................................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
0698. Summary of remaining write-ins for Line 6 from overflow page............................. ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
0699. Totals (Lines 0601 through 0603 plus 0698) (Line 6 above).................................. ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
1301. ............................................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
1302. ............................................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
1303. ............................................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
1398. Summary of remaining write-ins for Line 13 from overflow page........................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
1399. Totals (Lines 1301 through 1303 + 1398) (Line 13 above).................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
(a) Attach statement as to valuation standard used in calculating this reserve, specifying reserve bases, interest rates and methods.
EXHIBIT 7 - DEPOSIT-TYPE CONTRACTS
1 2 3 4 5 6
Guaranteed Dividend Premium and
Interest Annuities Supplemental Accumulations Other Deposit
Total Contracts Certain Contracts or Refunds Funds
1. Balance at the beginning of the year before reinsurance.................................................................................... .......................................200,992 ..................................................0 ..................................................0 .......................................200,992 ..................................................0 ..................................................0
2. Deposits received during the year....................................................................................................................... ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
3. Investment earnings credited to the account....................................................................................................... .........................................16,357 ..................................................0 ..................................................0 .........................................16,357 ..................................................0 ..................................................0
4. Other net change in reserves............................................................................................................................... ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
5. Fees and other charges assessed....................................................................................................................... ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
6. Surrender charges............................................................................................................................................... ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
7. Net surrender or withdrawal payments................................................................................................................ .........................................32,023 ..................................................0 ..................................................0 .........................................32,023 ..................................................0 ..................................................0
8. Other net transfers to or (from) Separate Accounts............................................................................................. ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
9. Balance at the end of current year before reinsurance (Lines 1 + 2 + 3 + 4 - 5 - 6 - 7 - 8).................................. .......................................185,325 ..................................................0 ..................................................0 .......................................185,325 ..................................................0 ..................................................0
15
10. Reinsurance balance at the beginning of the year............................................................................................... ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
11. Net change in reinsurance assumed................................................................................................................... ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
12. Net change in reinsurance ceded........................................................................................................................ ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
13. Reinsurance balance at the end of the year (Lines 10 + 11 - 12)........................................................................ ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0 ..................................................0
14. Net balance at the end of the current year after reinsurance (Lines 9 + 13)....................................................... .......................................185,325 ..................................................0 ..................................................0 .......................................185,325 ..................................................0 ..................................................0
EXHIBIT 8 - CLAIMS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS
PART 1 - Liability End of Current Year
1 2 Ordinary 6 Group Accident and Health
3 4 5 7 8 9 10 11
Credit Life Credit
Industrial Life Individual Supplementary (Group and Life (Group and
Total Life Insurance Annuities Contracts Individual) Insurance Annuities Group Individual) Other
1. Due and unpaid:
1.1 Direct...................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
1.2 Reinsurance assumed............................................................ ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
1.3 Reinsurance ceded................................................................. ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
1.4 Net......................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
2. In course of settlement:
2.1 Resisted:
2.11 Direct.................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
2.12 Reinsurance assumed.......................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
2.13 Reinsurance ceded............................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0
2.14 Net........................................................................................ ...............................0 ...............................0 (b)...........................0 (b)...........................0 ...............................0 (b)...........................0 (b)...........................0 ...............................0 ...............................0 ...............................0 ...............................0
2.2 Other:
2.21 Direct.................................................................................... .................9,434,349 ...............................0 ........................1,281 ...............................0 ...............................0 ...............................0 ....................238,282 ...............................0 .................9,186,521 ...............................0 ........................8,265
2.22 Reinsurance assumed.......................................................... .................8,204,019 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...........................489 ...............................0 ....................180,304 ...............................0 .................8,023,226
16
2.23 Reinsurance ceded............................................................... ....................109,448 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ......................44,815 ...............................0 ......................64,633 ...............................0 ...............................0
2.24 Net........................................................................................ ................17,528,920 ...............................0 (b)....................1,281 (b)...........................0 ...............................0 (b)...........................0 (b)................193,956 ...............................0 (b).............9,302,192 (b)...........................0 (b).............8,031,491
3. Incurred but unreported:
3.1 Direct...................................................................................... ................84,909,137 ...............................0 ......................11,527 ...............................0 ...............................0 ...............................0 .................2,144,534 ...............................0 ................82,678,693 ...............................0 ......................74,383
3.2 Reinsurance assumed............................................................ ....................875,966 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ........................4,405 ...............................0 ....................828,995 ...............................0 ......................42,566
3.3 Reinsurance ceded................................................................. ....................985,032 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ....................403,336 ...............................0 ....................581,696 ...............................0 ...............................0
3.4 Net......................................................................................... ................84,800,071 ...............................0 (b)..................11,527 (b)...........................0 ...............................0 (b)...........................0 (b).............1,745,603 ...............................0 (b)...........82,925,992 (b)...........................0 (b)................116,949
4. Totals:
4.1 Direct...................................................................................... ................94,343,486 ...............................0 ......................12,808 ...............................0 ...............................0 ...............................0 .................2,382,816 ...............................0 ................91,865,214 ...............................0 ......................82,648
4.2 Reinsurance assumed............................................................ .................9,079,985 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ........................4,894 ...............................0 .................1,009,299 ...............................0 .................8,065,792
4.3 Reinsurance ceded................................................................. .................1,094,480 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ....................448,151 ...............................0 ....................646,329 ...............................0 ...............................0
4.4 Net......................................................................................... ..............102,328,991 (a)...........................0 (a)..................12,808 ...............................0 ...............................0 ...............................0 (a).............1,939,559 ...............................0 ................92,228,184 ...............................0 .................8,148,440
(a) Including matured endowments (but not guaranteed annual pure endowments) unpaid amounting to $..........0 in Column 2, $..........0 in Column 3 and $..........0 in Column 7.
(b) Include only portion of disability and accident and health claim liabilities applicable to assumed "accrued" benefits. Reserves (including reinsurance assumed and net of reinsurance ceded) for unaccrued benefits for
Ordinary Life Insurance $..........0, Individual Annuities $...........0, Credit Life (Group and Individual) $..........0, and Group Life $..........0,
are included in Page 3, Line 1, (See Exhibit 5, Section on Disability Disabled Lives); and for Group Accident and Health $..........0, Credit (Group and Individual) Accident and Health $..........0 and Other Accident and Health $..........0
are included in Page 3, Line 2, (See Exhibit 6, Claim Reserve).
EXHIBIT 8 - CLAIMS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS
PART 2 - Incurred During the Year
1 2 Ordinary 6 Group Accident and Health
3 4 5 7 8 9 10 11
Industrial Life Credit Life Life Credit
Life Insurance Individual Supplementary (Group and Insurance (Group and
Total (a) (b) Annuities Contracts Individual) (c) Annuities Group Individual) Other
1. Settlements during the year:
1.1 Direct...................................................................................... ..............222,808,078 ...............................0 ....................149,602 ...............................0 ...............................0 ...............................0 .................3,745,054 ...............................0 ..............218,824,451 ...............................0 ......................88,971
1.2 Reinsurance assumed............................................................ ................49,461,231 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ......................24,758 ...............................0 .................2,185,824 ...............................0 ................47,250,649
1.3 Reinsurance ceded................................................................. ................70,763,257 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ....................468,820 ...............................0 ................70,293,187 ...............................0 ........................1,250
1.4 Net......................................................................................... (d).........201,506,052 ...............................0 ....................149,602 ...............................0 ...............................0 ...............................0 .................3,300,992 ...............................0 ..............150,717,088 ...............................0 ................47,338,370
2. Liability December 31, current year from Part 1:
2.1 Direct...................................................................................... ................94,343,486 ...............................0 ......................12,808 ...............................0 ...............................0 ...............................0 .................2,382,816 ...............................0 ................91,865,214 ...............................0 ......................82,648
2.2 Reinsurance assumed............................................................ .................9,079,985 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ........................4,894 ...............................0 .................1,009,299 ...............................0 .................8,065,792
2.3 Reinsurance ceded................................................................. .................1,094,480 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ....................448,151 ...............................0 ....................646,329 ...............................0 ...............................0
2.4 Net......................................................................................... ..............102,328,991 ...............................0 ......................12,808 ...............................0 ...............................0 ...............................0 .................1,939,559 ...............................0 ................92,228,184 ...............................0 .................8,148,440
3. Amounts recoverable from reinsurers Dec. 31, current year........... ................25,029,857 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ................25,029,857 ...............................0 ...............................0
4. Liability December 31, prior year:
4.1 Direct...................................................................................... ................82,698,180 ...............................0 ......................12,203 ...............................0 ...............................0 ...............................0 .................1,577,496 ...............................0 ................81,022,198 ...............................0 ......................86,283
4.2 Reinsurance assumed............................................................ ................12,475,445 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ........................4,428 ...............................0 .................1,088,310 ...............................0 ................11,382,707
4.3 Reinsurance ceded................................................................. ....................686,646 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ....................198,884 ...............................0 ....................487,762 ...............................0 ...............................0
17
4.4 Net......................................................................................... ................94,486,979 ...............................0 ......................12,203 ...............................0 ...............................0 ...............................0 .................1,383,040 ...............................0 ................81,622,746 ...............................0 ................11,468,990
5. Amounts recoverable from reinsurers Dec. 31, prior year............... ................21,383,701 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ................21,383,701 ...............................0 ...............................0
6. Incurred benefits:
6.1 Direct...................................................................................... ..............234,453,384 ...............................0 ....................150,207 ...............................0 ...............................0 ...............................0 .................4,550,374 ...............................0 ..............229,667,467 ...............................0 ......................85,336
6.2 Reinsurance assumed............................................................ ................46,065,771 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ......................25,224 ...............................0 .................2,106,813 ...............................0 ................43,933,734
6.3 Reinsurance ceded................................................................. ................74,817,247 ...............................0 ...............................0 ...............................0 ...............................0 ...............................0 ....................718,087 ...............................0 ................74,097,910 ...............................0 ........................1,250
6.4 Net......................................................................................... ..............205,701,908 ...............................0 ....................150,207 ...............................0 ...............................0 ...............................0 .................3,857,511 ...............................0 ..............157,676,370 ...............................0 ................44,017,820
(a) Including matured endowments (but not guaranteed annual pure endowments) amounting to $..........0 in Line 1.1, $..........0 in Line 1.4, $..........0 in Line 6.1 and $..........0 in Line 6.4.
(b) Including matured endowments (but not guaranteed annual pure endowments) amounting to $..........0 in Line 1.1, $..........0 in Line 1.4, $..........0 in Line 6.1 and $..........0 in Line 6.4.
(c) Including matured endowments (but not guaranteed annual pure endowments) amounting to $..........0 in Line 1.1, $..........0 in Line 1.4, $..........0 in Line 6.1 and $..........0 in Line 6.4.
(d) Includes $..........0 premiums waived under total and permanent disability benefits.
EXHIBIT OF NONADMITTED ASSETS
1 2 3
Current Year Prior Year Change in Total
Total Total Nonadmitted Assets
Nonadmitted Assets Nonadmitted Assets (Col. 2 - Col. 1)
1. Bonds (Schedule D)....................................................................................................................... .............................................0 .............................................0 .............................................0
2. Stocks (Schedule D):
2.1 Preferred stocks................................................................................................................... .............................................0 .............................................0 .............................................0
2.2 Common stocks.................................................................................................................... .............................................0 .............................................0 .............................................0
3. Mortgage loans on real estate (Schedule B):
3.1 First liens.............................................................................................................................. .............................................0 .............................................0 .............................................0
3.2 Other than first liens............................................................................................................. .............................................0 .............................................0 .............................................0
4. Real estate (Schedule A):
4.1 Properties occupied by the company................................................................................... .............................................0 .............................................0 .............................................0
4.2 Properties held for the production of income........................................................................ .............................................0 .............................................0 .............................................0
4.3 Properties held for sale........................................................................................................ .............................................0 .............................................0 .............................................0
5. Cash (Schedule E-Part 1), cash equivalents (Schedule E-Part 2)
and short-term investments (Schedule DA)................................................................................... .............................................0 .............................................0 .............................................0
6. Contract loans................................................................................................................................ .............................................0 .............................................0 .............................................0
7. Derivatives (Schedule DB)............................................................................................................. .............................................0 .............................................0 .............................................0
8. Other invested assets (Schedule BA)............................................................................................ .............................................0 .............................................0 .............................................0
9. Receivables for securities.............................................................................................................. .............................................0 .............................................0 .............................................0
10. Securities lending reinvested collateral assets (Schedule DL)....................................................... .............................................0 .............................................0 .............................................0
11. Aggregate write-ins for invested assets......................................................................................... .............................................0 .............................................0 .............................................0
12. Subtotals, cash and invested assets (Lines 1 to 11)...................................................................... .............................................0 .............................................0 .............................................0
13. Title plants (for Title insurers only)................................................................................................. .............................................0 .............................................0 .............................................0
14. Investment income due and accrued............................................................................................. .............................................0 .............................................0 .............................................0
15. Premiums and considerations:
15.1 Uncollected premiums and agents' balances in the course of collection............................. ...............................4,713,001 ...............................4,470,808 .................................(242,193)
15.2 Deferred premiums, agents' balances and installments booked but
deferred and not yet due...................................................................................................... .............................................0 .............................................0 .............................................0
15.3 Accrued retrospective premiums and contracts subject to redetermination......................... .............................................0 .............................................0 .............................................0
16. Reinsurance:
16.1 Amounts recoverable from reinsurers.................................................................................. .............................................0 .............................................0 .............................................0
16.2 Funds held by or deposited with reinsured companies........................................................ .............................................0 .............................................0 .............................................0
16.3 Other amounts receivable under reinsurance contracts....................................................... .............................................0 .............................................0 .............................................0
17. Amounts receivable relating to uninsured plans............................................................................. .............................................0 .............................................0 .............................................0
18.1 Current federal and foreign income tax recoverable and interest thereon..................................... .............................................0 .............................................0 .............................................0
18.2 Net deferred tax asset.................................................................................................................... .............................10,488,598 .............................11,651,289 ...............................1,162,691
19. Guaranty funds receivable or on deposit........................................................................................ .............................................0 .............................................0 .............................................0
20. Electronic data processing equipment and software...................................................................... .............................................0 .............................................0 .............................................0
21. Furniture and equipment, including health care delivery assets.................................................... ...............................5,122,675 ...............................5,278,896 ..................................156,221
22. Net adjustment in assets and liabilities due to foreign exchange rates.......................................... .............................................0 .............................................0 .............................................0
23. Receivables from parent, subsidiaries and affiliates...................................................................... .............................................0 .............................................0 .............................................0
24. Health care and other amounts receivable..................................................................................... .............................13,477,157 .............................13,688,272 ..................................211,115
25. Aggregate write-ins for other-than-invested assets........................................................................ ...............................7,739,253 ...............................6,323,954 ..............................(1,415,299)
26. Total assets excluding Separate Accounts, Segregated Accounts and Protected
Cell Accounts (Lines 12 through 25).............................................................................................. .............................41,540,684 .............................41,413,219 .................................(127,465)
27. From Separate Accounts, Segregated Accounts and Protected Cell Accounts............................. .............................................0 .............................................0 .............................................0
28. TOTALS (Lines 26 and 27)............................................................................................................ .............................41,540,684 .............................41,413,219 .................................(127,465)
1101. ....................................................................................................................................................... .............................................0 .............................................0 .............................................0
1102. ....................................................................................................................................................... .............................................0 .............................................0 .............................................0
1103. ....................................................................................................................................................... .............................................0 .............................................0 .............................................0
1198. Summary of remaining write-ins for Line 11 from overflow page................................................... .............................................0 .............................................0 .............................................0
1199. Totals (Lines 1101 through 1103 plus 1198) (Line 11 above)........................................................ .............................................0 .............................................0 .............................................0
2501. Leasehold Improvements............................................................................................................... ...............................4,796,383 ...............................4,395,572 .................................(400,811)
2502. Interest Maintenance Reserve....................................................................................................... ...............................1,690,035 .............................................0 ..............................(1,690,035)
2503. Prepaid Expenses.......................................................................................................................... ..................................710,705 ...............................1,925,109 ...............................1,214,404
2598. Summary of remaining write-ins for Line 25 from overflow page................................................... ..................................542,130 ......................................3,273 .................................(538,857)
2599. Totals (Lines 2501 through 2503 plus 2598) (Line 25 above)........................................................ ...............................7,739,253 ...............................6,323,954 ..............................(1,415,299)
18
NOTES TO FINANCIAL STATEMENTS
(1) Summary of Significant Statutory Accounting Policies and Going Concern
A. Accounting Practices
The financial statements of Continental American Insurance Company (CAIC or “The Company”) are presented on the basis of accounting practices
prescribed or permitted by the Nebraska Department of Insurance (NEDOI). The NEDOI recognizes statutory accounting principles and practices
prescribed or permitted by the state of Nebraska for determining and reporting the financial condition and results of operations of an insurance company,
and for determining a company's solvency under Nebraska insurance law. The state of Nebraska adopted the National Association of Insurance
Commissioners' (NAIC) Accounting Practices and Procedures Manual containing statutory accounting principles (SAP) with few minor exceptions.
Therefore, there are no differences in the reported NAIC capital and surplus and the capital and surplus reported for Nebraska state purposes for the
years ended December 31, 2018 and 2017.
A reconciliation of the Company’s capital and surplus between NAIC (SAP) and practices permitted and prescribed by the State of Nebraska is as
follows:
F/S F/S December December

SSAP # Page Line # 2018 2017
NET INCOME
(1) Company state basis (Page 4, Line 35, Columns 1 & 2) XXX XXX XXX $ 5,868,243 $ (21,679,311)
(2) State Prescribed Practices that increase/(decrease) NAIC SAP — —
(3) State Permitted Practices that increase/(decrease) NAIC SAP — —
(4) Net Income, NAIC basis (1-2-3=4) XXX XXX XXX $ 5,868,243 $ (21,679,311)
SURPLUS
(5) Company state basis (Page 3, Line 38, Columns 1 & 2) XXX XXX XXX $ 157,343,024 $ 153,365,018
(6) State Prescribed Practices that increase/(decrease) NAIC SAP — —
(7) State Permitted Practices that increase/(decrease) NAIC SAP — —
(8) Capital and surplus, NAIC basis (5-6-7=8) XXX XXX XXX $ 157,343,024 $ 153,365,018
B. Use of Estimates in the Preparation of the Financial Statements
The preparation of financial statements in accordance with SAP requires management to make estimates when recording transactions resulting from
business operations, based on information currently available. The most significant items on the balance sheet that involve a greater degree of
accounting estimates and actuarial determinations which could be subject to changes in the future are the aggregate reserves for life and accident
and health policies and the liability for policy and contract claims. As additional information becomes available (or actual amounts are determinable),
the recorded estimates will be revised and reflected in net income. In addition, the identification of potentially impaired investments involves significant
management judgment and requires evaluation of factors including but not limited to percentage decline in value and the length of time during which
the decline has occurred, recoverability of principal and interest, general market conditions, issuer’s credit status and issuer’s economic, regulatory
or political environment. Although some variability is inherent in these estimates and actual results could differ from these estimates, the Company
believes the amounts provided are adequate.
C. Accounting Policy
The Company regularly evaluates the difference between the cost and fair value of its investments. Additionally, credit analysis and/or credit rating
issues related to specific investments may trigger increased monitoring by management. An other-than-temporary impairment is considered to have
occurred if it is probable that the Company will be unable to collect all amounts due according to the contractual terms of a debt security in effect at
the date of acquisition. A decline in fair value which is other-than-temporary includes situations where the Company has made a decision to sell a
security prior to its maturity at an amount below its carrying value. If it is determined that a decline in the fair value of a bond is other-than-temporary,
an impairment is recognized as a realized loss equal to the entire difference between the bond's carrying value and its fair value at the balance sheet
date of the reporting period for which the assessment is made. The other-than-temporary impairment loss shall be recorded entirely to either AVR or
IMR (and not bifurcated between credit and non-credit components) in accordance with annual statement instructions.
The Company uses the specific identification method to determine the gain or loss resulting from securities transactions. Realized gains and losses are
recorded in net income less amounts transferred to the IMR.
Contract loans are stated at the aggregate unpaid balance.
Policy reserves for accident and health insurance consist of pro rata unearned premium for all policies and, when required, contract reserves. The
unearned premium is based on the valuation net premium if contract reserves are required and the gross premium if contract reserves are not required.
Contract reserves are computed by interpolating terminal reserves as of the valuation date. These reserves are computed using at least the two-year
preliminary term method.
Policy reserves for life insurance contracts are computed using a methodology that produces reserves at least as strong as the Commissioners’ Reserve
Valuation Method (CRVM). The methodology used varies by type of life insurance product. For products for which a mid-terminal or interpolated-
terminal reserve valuation method is used, an unearned premium reserve based on the net valuation premium is included in the policy reserves. Policy
reserves for annuities are computed using a methodology that produces reserves at least as strong as the Commissioners’ Annuity Reserve Valuation
Method (CARVM). The policy reserves include provisions for adverse deviations.
Policy and contract claims are computed using statistical analysis of historical claim experience patterns and represent an estimate of the ultimate
19
unpaid cost of all claims incurred. The Company records provisions for possible future adverse deviations in experience for both the aggregate reserves
and policy and contract claims.
For new types of products where company experience is limited, estimates are based upon the best available information, including industry experience
or general population data.
Life insurance and accident and health insurance premiums are recognized as revenue when due from policyholders with an unearned premium reserve
provided for amounts unearned at the valuation date. Premium revenue is reduced by premiums ceded to reinsurers and increased by premiums
assumed from reinsurers. All costs of acquiring new business, including commissions and expenses of policy issuance, are expensed when incurred.
The Company is the reinsurer on treaties that are denominated in Japanese yen. The Company uses Tokyo market-based exchange rates to translate
the yen results into U.S. dollars. Management believes these rates, which result in a slight variance from the NAIC published exchange rates, are more
relevant than the New York market-based exchange rates.
The Company’s process for translating yen-denominated balances and activity into U.S. dollars is as follows. Assets and liabilities are translated at end-
of-period exchange rates. Realized gains and losses on security transactions are translated at the exchange rate on the trade dates of the transactions.
Premiums, incurred claims, and expenses are translated using an average exchange rate for the reporting period. Therefore, the change between years
of certain balance sheet items may not correspond with the amount of their respective summary of operations counterparts. The net effect of unrealized
currency translation adjustments for the year is included in unassigned surplus. Realized currency exchange gains and losses resulting from foreign
currency transactions are included in miscellaneous income.
In addition, the Company uses the following accounting policies:
(1) Short-term investments are stated at amortized cost. Cash and cash equivalents include cash on hand, money market
instruments and other debt instruments with a maturity of 90 days or less when purchased.
(2) Bonds not backed by other loans are carried at amortized cost using the effective interest method. Amortized cost of bonds is based on
the purchase price adjusted for accrual of discount or amortization of premium. Interest is recorded as income when earned and is
adjusted for amortization of any premium or discount.
(3) Common stocks are reported at fair value. Dividends are recorded as investment income on the ex-dividend dates with a corresponding
receivable to be extinguished upon receipt of cash. See item (7) below for discussion of the Company’s investments in subsidiary,
controlled and affiliated entities.
(4) The Company had no investments in preferred stocks at December 31, 2018 and 2017.
(5) The Company had no investments in mortgage loans at December 31, 2018 and 2017.
(6) Loan-backed and other structured securities are valued at amortized cost. The Company recognizes income using a constant effective
yield based on anticipated prepayments and the estimated economic life of the securities. When estimates of prepayments change, the
effective yield is recalculated to reflect actual payments to date and anticipated future payments. The amortized cost is adjusted to the
amount that would have existed had the new effective yield been applied at the time of acquisition (retrospective method). This adjustment
is reflected in net investment income. Prepayment assumptions for loan-backed and other structured securities are obtained from an
independent financial information service provider.
(7) The Company does not recognize any value in Continental American Group (CAG), a non-insurance subsidiary.
(8) The Company had no investments in joint ventures, partnerships or limited liability companies as of December 31, 2018 and 2017.
(9) The Company had no outstanding derivative financial instruments as of December 31, 2018 and 2017.
(10) The Company utilizes anticipated investment income as a factor in the premium deficiency calculation.
(11) The Company employs loss ratio, tabular, and/or completion methods to determine claim liability/reserve values for both reported and
unreported claims.
(12) The Company has not modified its capitalization policy from the prior period.
(13) The Company had no pharmaceutical rebate receivables as of December 31, 2018 and 2017.
D. Going Concern
After evaluating the entity's ability to continue as a going concern under Statement of Statutory Accounting Principles (SSAP) No. 1, Disclosure of
Accounting Policies, Risks & Uncertainties, and Other Disclosures, management was not aware of any conditions or events which raised substantial
doubts concerning the entity's ability to continue as a going concern as of the date of the filing of this statement.
(2) Accounting Changes and Corrections of Errors
There were no accounting changes or corrections of errors for the years ended December 31, 2018 and 2017.
(3) Business Combinations and Goodwill
Not applicable
19.1
(4) Discontinued Operations
Not applicable
(5) Investments
A. - C. Not applicable
D. Loan-Backed Securities
(1) Prepayment Assumptions
The Company’s prepayment assumptions for loan-backed and structured securities are determined using constant prepayment rates provided
by an independent financial information service.
(2-4) Not Applicable
(5) Information considered in reaching the conclusion that impairments are not other than temporary
The determination of whether an impairment in value is other than temporary is based largely on our evaluation of the issuer's creditworthiness.
The Company's team of experienced credit professionals must apply considerable judgment in determining the likelihood of the security
recovering in value which is owned by the Company. Factors that may influence this include the overall level of interest rates, credit spreads,
the credit quality of the underlying issuer, and other factors. This process requires consideration of risks which can be controlled to a certain
extent, such as credit risk, and risks which cannot be controlled, such as interest rate risk.
The Company believes that fluctuations in the fair values of our investment securities related to general changes in the level of credit spreads
or interest rates have little bearing on underlying credit quality of the issuer, and whether its investment is ultimately recoverable. Generally,
the Company considers such declines in fair values to be temporary even in situations where an investment remains in an unrealized loss
position for a year or more.
E. - K. Not applicable
L. Restricted Assets
(1) Restricted Assets (Including Pledged)
Gross (Admitted and Nonadmitted) Restricted Current Year
Current Year Percentage
1 2 3 4 5 6 7 8 9 10 11
Admitted
Total S/A Gross Restricted
G/A Separate Assets (Admitted and to Total
Supporting Account (S/A) Supporting Increase/ Total Total (5 minus Nonadmitted) Admitted
Total General S/A Activity Restricted G/A Activity Total Total From (Decrease) Nonadmitted 8) Admitted Restricted to Assets
Restricted Asset Category Account (G/A) (a) Assets (b) (1 plus 3) Prior Year (5 minus 6) Restricted Restricted Total Assets (d)
(c)
a. Subject to contractual obligation
for which liability is not shown $ — $ — $ — $ — $ — $ — $ — $ — $ — —% —%
b. Collateral held under security

lending arrangements — — — — — — — — — — —
c. Subject to repurchase
agreements — — — — — — — — — — —
d. Subject to reverse repurchase

agreements — — — — — — — — — — —
e. Subject to dollar repurchase

agreements — — — — — — — — — — —
f. Subject to dollar reverse

repurchase agreements — — — — — — — — — — —
g. Placed under option contracts — — — — — — — — — — —

h. Letter stock or securities
restricted as to sale - excluding — — — — — — — — — — —
FHLB capital stock
i. FHLB capital stock — — — — — — — — — — —
j. On deposit with states 6,676,345 — — — 6,676,345 6,697,216 (20,871) 6,676,345 0.95% 1.01%
k. On deposit with other regulatory
bodies — — — — — — — — — —
l. Pledged as collateral to FHLB

(including assets backing — — — — — — — — — — —
funding agreements)
m. Pledged as collateral not
captured in other categories — — — — — 140,544,394 (140,544,394) — — —% —%
n. Other restricted assets — — — — — — — — — — —

o. Total restricted assets $ 6,676,345 $ — $ — $ — $ 6,676,345 $147,241,610 $ 140,960,991 $ — $ 6,676,345 1.0% 1.0%
(a) Subset of column 1 (c) Column 5 divided by Asset Page, Column 1, Line 28
(b) Subset of column 3 (d) Column 9 divided by Asset Page, Column 3, Line 28
(2 - 4) Not applicable
M. - R. Not applicable
3
19.2
(6) Joint Ventures, Partnerships and Limited Liability Companies
Not applicable
(7) Investment Income
A. The Company does not accrue investment income on investments where collection of income is uncertain.
B. Not applicable
(8) Derivative Instruments
A. - H. Not Applicable
(9) Income Taxes
A. The components of net deferred tax assets (DTAs) and deferred tax liabilities (DTLs) at December 31 are as follows:
1. 12/31/2018 12/31/2017
(1) (2) (3) (4) (5) (6)
Ordinary Capital Total Ordinary Capital Total
(a) Gross DTAs $ 18,698,131 $ — $ 18,698,131 $ 19,893,761 $ — $ 19,893,761
(b) Statutory Valuation Allowance Adjustments — — — — — —
(c) Adjusted Gross DTAs (1a-1b) 18,698,131 — 18,698,131 19,893,761 — 19,893,761
(d) DTAs Nonadmitted 10,488,598 — 10,488,598 11,651,289 — 11,651,289
(e) Subtotal Net Admitted DTAs (1c-1d) 8,209,533 — 8,209,533 8,242,472 — 8,242,472
(f) DTLs 1,773,036 — 1,773,036 1,392,840 — 1,392,840
(g) Net Admitted DTAs/(Net DTLs) (1e-1f) $ 6,436,497 $ — $ 6,436,497 $ 6,849,632 $ — $ 6,849,632
Change
(7) (8) (9)
Ordinary Capital Total
(a) Gross DTAs $ (1,195,630) $ — $ (1,195,630)
(b) Statutory Valuation Allowance Adjustments — — —
(c) Adjusted Gross DTAs (1a-1b) (1,195,630) — (1,195,630)
(d) DTAs Nonadmitted (1,162,691) — (1,162,691)
(e) Subtotal Net Admitted DTAs (1c-1d) (32,939) — (32,939)
(f) DTLs 380,196 — 380,196
(g) Net Admitted DTAs/(Net DTLs) (1e-1f) $ (413,135) $ — $ (413,135)
2. Admission Calculation Components SSAP No. 101: 12/31/2018 12/31/2017

(1) (2) (3) (4) (5) (6)
Ordinary Capital Total Ordinary Capital Total
(a) Federal Income Taxes Paid in Prior Years Recoverable $ — $ — $— $ 2,285,689 $ — $ 2,285,689
Through Loss Carrybacks
(b) Adjusted Gross DTAs Expected to be Realized
(Excluding the amount of DTAs from 2(a) above) After
Application of the Threshold Limitation (Lesser of 2(b)1
and 2(b)2 Below) 6,436,497 — 6,436,497 4,563,943 — 4,563,943
1. Adjusted Gross DTAs Expected to be Realized
Following the Balance Sheet Date 6,436,497 — 6,436,497 4,563,943 — 4,563,943
2. Adjusted Gross DTAs Allowed per Limitation Threshold XXX XXX 22,251,530 XXX XXX 20,282,545
(c) Adjusted Gross DTAs (Excluding the Amount of DTAs
from 2(a) & 2(b) above) Offset by Gross DTLs 1,773,036 — 1,773,036 1,392,840 — 1,392,840
(d) DTAs Admitted as result of application of SSAP No. 101
Total (2(a) + 2(b) + 2(c) ) $ 8,209,533 $ — $ 8,209,533 $ 8,242,472 $ — $ 8,242,472
19.3
2. Admission Calculation Components SSAP No. 101
(con't): Change
(7) (8) (9)
Ordinary Capital Total
(a) Federal Income Taxes Paid in Prior Years Recoverable $ (2,285,689) $ — $ (2,285,689)
Through Loss Carrybacks
(b) Adjusted Gross DTAs Expected to be Realized
(Excluding the amount of DTAs from 2(a) above) After
Application of the Threshold Limitation (Lesser of 2(b)1
and 2(b)2 Below) 1,872,554 — 1,872,554
1. Adjusted Gross DTAs Expected to be Realized
Following the Balance Sheet Date 1,872,554 — 1,872,554
2. Adjusted Gross DTAs Allowed per Limitation Threshold XXX XXX 1,968,985
(c) Adjusted Gross DTAs (Excluding the Amount of DTAs
from 2(a) & 2(b) above) Offset by Gross DTLs 380,196 — 380,196
(d) DTAs Admitted as result of application of SSAP No. 101
Total (2(a) + 2(b) + 2(c) ) $ (32,939) $ — $ (32,939)
3. 2018 2017
(a) Ratio Percentage Used to Determine Recovery Period and Threshold Limitation Amount 999% 1,108%
(b) Amount of Adjusted Capital and Surplus Used to Determine Recovery
Period and Threshold Limitation in 2(b)2 Above $ 148,343,535 $ 135,216,965
4. Impact of Tax Planning Strategies 12/31/2018 12/31/2017

(1) (2) (3) (4)
Ordinary Capital Ordinary Capital
(a) Determination Of Adjusted Gross Deferred Tax Assets And Net
Admitted Deferred Tax Assets, By Tax Character As A
Percentage.
1. Adjusted Gross DTAs Amount From Note 9A1(c) $ 18,698,131 $ — $ 19,893,761 $ —
2. Percentage Of Adjusted Gross DTAs By Tax Character
Attributable To The Impact Of Tax Planning Strategies —% —% —% —%
3. Net Admitted Adjusted Gross DTAs Amount From Note 9A1(e) $ 8,209,533 $ — $ 8,242,472 $ —
4. Percentage Of Net Admitted Adjusted Gross DTAs By Tax
Character Admitted Because Of The Impact Of Tax
Planning Strategies —% —% —% —%
Change
(5) (6)
(Col 1 - 3) (Col 2 - 4)
Ordinary Capital
(a) Determination Of Adjusted Gross Deferred Tax Assets And Net
Admitted Deferred Tax Assets, By Tax Character As A
Percentage.
1. Adjusted Gross DTAs Amount From Note 9A1(c) $ (1,195,630) $ —

2. Percentage Of Adjusted Gross DTAs By Tax Character
Attributable To The Impact Of Tax Planning Strategies —% —%
3. Net Admitted Adjusted Gross DTAs Amount From Note 9A1(e) $ (32,939) $ —
4. Percentage Of Net Admitted Adjusted Gross DTAs By Tax
Character Admitted Because Of The Impact Of Tax
Planning Strategies —% —%
(b) Does the company's tax-planning strategies include the use of reinsurance? Yes _ No X
B. Unrecognized Deferred Tax Liabilities
The Company has no material unrecognized deferred tax liabilities.
19.4
C. Components of Income Taxes Incurred and Changes in Deferred Tax Assets and Deferred Tax Liabilities
(1) (2) (3)

12/31/2018 12/31/2017 (Col 1-2) Change
1. Current Income Tax
(a) Federal $ (1,391,679) $ (3,752,515) $ 2,360,836
(b) Foreign — — —
(c) Subtotal (1,391,679) (3,752,515) 2,360,836
(d) Federal income tax on net capital gains (247,649) (118,611) (129,038)
(e) Utilization of capital loss carryforwards — — —
(f) Other (2,398) — (2,398)
(g) Federal and foreign income taxes incurred $ (1,641,726) $ (3,871,126) $ 2,229,400
The tax effects of temporary differences that give rise to significant portions of the deferred tax assets and deferred tax liabilities are as follows:
(1) (2) (3)

12/31/2018 12/31/2017 (Col 1-2) Change
2. Deferred Tax Assets:
(a) Ordinary:
(1) Discounting of unpaid losses $ 187,486 $ — $ 187,486
(2) Unearned premium reserve — — —
(3) Policyholder reserves 8,181,310 7,910,155 271,155
(4) Investments 1,208,172 762,503 445,669
(5) Deferred acquisition costs 1,720,392 2,707,527 (987,135)
(6) Policyholder dividends accrual — — —
(7) Fixed assets — — —
(8) Compensation and benefits accrual 1,101,398 1,246,050 (144,652)
(9) Pension accrual 133,343 — 133,343
(10) Receivables – nonadmitted 6,166,030 6,250,005 (83,975)
(11) Net operating loss carry-forward — — —
(12) Tax credit carry-forward — — —
Other (including items <5% of total ordinary tax
(13) assets) — 1,017,521 (1,017,521)
(99) Subtotal 18,698,131 19,893,761 (1,195,630)
(b) Statutory valuation allowance adjustment — — —
(c) Nonadmitted deferred tax assets (10,488,598) (11,651,289) 1,162,691
(d) Admitted ordinary deferred tax assets (2a6-2b-2c) 8,209,533 8,242,472 (32,939)
(e) Capital:
(1) Capital loss carryforward — — —
(2) Subtotal — — —
(f) Statutory valuation allowance adjustment — — —
(g) Nonadmitted deferred tax assets — — —
(h) Admitted capital deferred tax assets (2e2-2f-2g) — — —
(i) Admitted deferred tax assets (2d+2h) 8,209,533 8,242,472 (32,939)
3. Deferred Tax Liabilities:

(a) Ordinary:
(1) Furniture, fixtures, and equipment 1,539,908 1,281,590 258,318
(2) Investments — — —
(3) Deferred and uncollected life premium 102,460 111,250 (8,790)
(4) Other deferred tax liabilities 130,668 — 130,668
(99) Subtotal 1,773,036 1,392,840 380,196
(b) Capital:
(1) Investments - market discount — — —
(2) Subtotal — — —
19.5
(c) Deferred tax liabilities (3a3+3b2) 1,773,036 1,392,840 380,196
4. Net admitted deferred tax assets (2i-3c) $ 6,436,497 $ 6,849,632 $ (413,135)
12/31/2018 12/31/2017 Change

Total gross deferred tax assets $ 18,698,131 $ 19,893,761 $ (1,195,630)
Total gross deferred tax liabilities 1,773,036 1,392,840 380,196
Deferred tax assets in excess of deferred tax liabilities $ 1,625,095 $ 18,500,921 $ (16,875,826)
Tax effect of change in unrealized capital gains (losses) (33)
Tax effect of pension equity adjustments (963)
Change in net deferred income taxes $ (16,876,822)
There were no adjustments to deferred tax assets due to changes in circumstances.
The company evaluated the need for a valuation allowance for deferred tax assets and determined that no valuation allowance was required as of
December 31, 2018 and 2017.
The Tax Cuts and Jobs Act (Tax Act) was signed into law on December 22, 2017. Effective January 1, 2018, the Tax Act imposes a broad number of
changes in tax law, including the permanent reduction of the U.S. federal statutory corporate income tax rate from 35% to 21%.
As of the enactment date, the Company determined a reasonable estimate of income tax effects of the Tax Act. The Company's estimated provisional
amounts for its deferred taxes, including related valuation allowance, resulted in a reduction of its DTA by approximately $13.2 million and its DTL by
$.9 million, for a net DTA reduction of approximately $12.3 million. The Company has now completed its accounting for the effects of the Tax Act over
the measurement period of one year from the enactment date, as permitted by Interpretation of the Statutory Accounting Principles Work Group 18-01
(INT 18-01):Updated Tax Estimates under the Tax Cuts and Jobs Act.
As of the fourth quarter of 2018, the Company has no update to the estimated benefit, and the provisional amounts can be considered final.
D. Reconciliation of the Federal Income Tax Rate to Actual Effective Tax Rate
12/31/2018 12/31/2017
Net gain from operations, Page 4, Line 31 $ 5,768,255 $ (25,397,706)

Realized capital gains, Page 8, Exhibit of capital gains, Col 3, Line 10 (3,793,414) (436,373)
Total statutory gain $ 1,974,841 $ (25,834,079)
Among the more significant book to tax adjustments were the following:
12/31/2018 12/31/2017
Effective Effective
Amount Tax Rate Amount Tax Rate
Expected U.S. Federal Income Taxes $ 414,717 21.00 % $ (9,041,928) 35.00 %
Rate change from 35% to 21% — — 12,333,947 (47.74)
Change in non-admitted assets 83,975 4.25 2,579,247 (9.98)
IMR 53,924 2.73 (32,345) 0.13
Foreign Exchange Adjustments — — — —
Non-deductible expenses 379,619 19.22 104,965 (0.41)
Quota share reinsurance adjustments (74,227) (3.76) (1,168,347) 4.52
Stock Options (341,897) (17.31) — —
QAR Adjustments (720,841) (36.50) — —
CAIC Retrocession Novation Transaction — — — —
Other 139,826 7.08 1,087,923 (4.22)
Total $ (64,904) (3.29)% $ 5,863,462 (22.70)%
Federal and Foreign Income Taxes $ (1,641,726) (83.13)% $ (3,871,126) 14.98 %

Change in Net Deferred Income Taxes 1,576,823 79.85 9,734,588 (37.68)
Total Statutory Income Taxes $ (64,903) (3.29)% $ 5,863,462 (22.70)%
19.6
E. Operating Loss and Tax Credit Carryforwards and Protective Tax Deposits
1. At December 31, 2018, the Company did not have any unused operating loss carryforwards available to offset against future taxable income.
The Company did not have any unused capital loss carryforwards available to offset against future capital gains.
2. The following income taxes were incurred in the current and prior years that would be available for recoupment in the event of future net losses.
Year Amount
2018 $ —
2017 $ —
2016 $ 21,659,361
3. The Company did not have any protective tax deposits under Section 6603 of the Internal Revenue Service (IRS) Code.
F. Consolidated Federal Income Tax Returns Disclosure:
The Company’s Federal income tax return is consolidated with the following entities:
Aflac Asset Management, LLC 82-1073641

Aflac Benefits Advisors 45-4133319
Aflac Incorporated 58-1167100
Aflac Information Technology, Inc. 58-1870664
Aflac International, Incorporated 58-1967921
Aflac Life Insurance Company Japan, Ltd. 58-0663085
American Family Life Assurance Company of Columbus 82-2723296
American Family Life Assurance Company of New York 52-0807803
Communicorp, Incorporated 58-1442547
Tier One Insurance Company 23-2850522
On January 1, 2018, the Company entered into a Tax Allocation Agreement with its parent company and other eligible members of the consolidated
federal income tax return of Aflac Incorporated (Parent Company). Under the agreement, the federal income tax liability of the consolidated group is
allocated among participating members based on the member's tax liability as if the member had filed a separate federal income tax return. The
member's tax liability is settled with the parent company at the time when the parent company is required to make estimated federal income tax
payments, payments related to the filing of the federal income tax return extension, and payments related to the filing of the federal income tax
return. The method of allocation among the companies is subject to written agreement, approved by the board of directors. Allocation is based
upon separate return calculations, and the settlement of current income taxes, payable or refundable, is completed when Aflac Incorporated
(ultimate Parent Company) makes payment to, or receives refunds from, the Internal Revenue Service.
G. Federal or Foreign Income Loss Contingencies
The Company has no tax loss contingencies for which it is reasonably possible that the total liability will significantly increase within twelve months
of the reporting date. The Company’s income tax returns that remain open to examination are for the years 2015 and subsequent.
H. - I. Not applicable
(10) Information Concerning Parent, Subsidiaries, Affiliates and Other Related Parties
A.- C. On August 14, 2017, the Board of Directors of the Company approved the issuance of a $50 million surplus note (“the 2017 Surplus Note”) in
exchange for cash of the principal balance owed on the Note. The terms of the 2017 Surplus Note call for annual simple interest payments at a
per annum of 2.75% subject to the approval of the director of insurance for the State of Nebraska. The 2017 Surplus Note is five years in
duration and is scheduled to mature on September 1, 2022.
All outstanding common and preferred shares of the Company are owned by the Parent Company. No dividends were declared to the parent
company during 2018.
D. On September 24, 2012, the Company executed a modified coinsurance (Modco) quota share treaty (“the Treaty”) with Aflac. The Treaty was
retroactive to January 1, 2012.
The terms of the Treaty called for the Company to cede 50% of new and existing sales as they relate to its accident and critical illness products
only. New sales consisted of all premiums on policies in duration for one year and considered “first year” for statutory reporting purposes while
existing in-force were premiums on policies in duration for more than one year and considered to be “renewal” for statutory reporting purposes.
The Treaty also outlined that the Company would cede 50% of all paid claims, paid commissions and changes in reserves on the above mentioned
sales. In addition, the Company received an expense allowance on these sales that was based upon the duration of the policy.
For the periods ending December 31, 2018 and 2017, the Company ceded approximately $198.5 million and $172.7 million in earned premiums
while recovering approximately $83.5 million and $81.1 million in incurred claims, $53.6 million and $44.7 million in incurred commissions and $61.1
million and $52.2 million in operating expenses, respectively.
19.7
Under the provisions of a modified coinsurance reinsurance agreement, the Company maintains a segregated portfolio of securities that support
the ceded policy liabilities. Net investment income in the amount of approximately $3.5 million and $3.4 million was credited to the reinsurer in 2018
and 2017, respectively.
Since inception, the Treaty generated statutory surplus relief in the amount of $67.9 million. A portion of the surplus relief of approximately $19.1
million was an aggregate write-in to surplus related to the initial reinsurance ceding allowance paid to the Company by Aflac on the existing in-
force business as of January 1, 2012. This write-in will be amortized into income net of tax as earnings emerge from the block of business
reinsured. During 2018, the Company recognized earnings in the amount of $311,000 in its Summary of Operations through its Commission and
Expense Allowance Ceded line item. The Company also recorded a corresponding decrease in the write-in discussed above thus having no
impact on surplus.
On December 31, 2017, the Company executed a coinsurance quota share treaty ("the Agreement") with Aflac Reinsurance Company (Aflac Re).
In 2018 Alac Re was part of a statutory merger and is now Aflac of Columbus (Aflac). The terms of the Agreement call for the Company to cede
85% of the premiums assessed and 100% of claims incurred on an existing block of whole life group business. For the periods December 31,
2018 and 2017, the Company ceded $10,686 and $68,139 in earned premium respectively.
On November 30, 2018, the Company entered into a novation agreement with Swiss Reinsurance of Switzerland to novate, assign and transfer an
existing assumed block of business to Aflac. Also on November 30, the Company entered into a novation agreement with Munich Reinsurance to
novate, assign, and transfer an existing assumed block of business to Aflac. As a result of these agreements, CAIC transferred $110.2 million in
reserves and assets to Aflac in exchange for $10.0 million of commission income.
The following is a detail of the amounts due from or due to related parties as of December 31. It is the Company’s policy to settle intercompany
accounts monthly.
2018 2017
Receivables Payables Receivables Payables
Parent $ 314,007 $ 743,457 $ 98,672 $ 368,659
Other Affiliates 15,894,045 5,687,487 2,960,877 3,098,524
$ 16,208,052 $ 6,430,944 $ 3,059,549 $ 3,467,183
The amounts above do not include the effects of the Treaty.
E. Not applicable
F. The Company pays a management fee to the Parent Company for personnel services and managerial expertise. The management fee is an expense-
based allocation that includes a small intercompany profit charge. Total management fee expense amounted to $6,241,022 and $5,718,034 for 2018
and 2017, respectively.
On January 1, 2018, the Company entered into an investment advisory service agreement with Aflac Asset Management LLC. Service fees incurred
for all of 2018 were $65,642.
G. All outstanding shares of the Company are owned by the Parent Company, an insurance holding company domiciled in the state of Georgia.
H. - K. Not applicable
L. The Company owns 100% of CAG. CAG has no value; therefore it is not recognized in the Company’s financial statements
M. - O. Not applicable
(11) Debt
Not applicable
(12) Retirement Plans, Deferred Compensation, Postemployment Benefits and Compensated Absences, and Other Postretirement Benefit
Plans
A. Defined Benefit Plan and Other Postretirement Benefits
The Company provides certain health care benefits for eligible U.S. retired employees, their beneficiaries and covered dependents ("postretirement
benefits"). The health care plan is contributory and unfunded. Effective January 1, 2014, employees eligible for benefits included the following: (1)
active employees whose age plus service, in years, equaled or exceeded 80 (rule of 80); (2) active employees who were age 55 or older and had
met the 15 years of service requirement; (3) active employees who would meet the rule of 80 in the next five years; (4) active employees who were
age 55 or older and who would meet the 15 years of service requirement within the next five years; and (5) current retirees. An eligible employee
can elect continuation of coverage until they are Medicare eligible or are covered by another plan.
A summary of assets, obligations and assumptions of the postretirement benefit plan is as follows at December 31, 2018 and 2017:
(1) Change in benefit obligation Overfunded Underfunded

2018 2017 2018 2017
a. Pension Benefits - See Section "G"
b. Postretirement Benefits
1. Benefit obligation at beginning of year $ — $ — $ 656,675 $ 716,932
19.8
2.
Service cost — — 3,636 10,456
3.
Interest cost — — 23,751 29,392
4.
Contribution by plan participants — — — —
5.
Actuarial (gain) loss — — (40,369) (95,594)
6.
Foreign currency exchange rate changes — — — —
7.
Benefits paid — — (8,728) (4,511)
8.
Plan amendments — — — —
9.
Business combinations, divestitures,
curtailments, settlements
and special termination benefits — — — —
10. Benefit obligation at end of year $ — $ — $ 634,965 $ 656,675
c. Special or Contractual Benefits per SSAP
No. 11 - not applicable
Postretirement Special or Contractual

(2) Change in plan assets Pension Benefits Benefits Benefits per SSAP No. 11
2018 2017 2018 2017 2018 2017
a. Fair value of plan assets at beginning of year $ — $ — $ — $ — $ — $ —
b. Actual return on plan assets — — — — — —
c. Foreign currency exchange rate changes — — — — — —
d. Reporting entity contribution — — 8,728 4,511 — —
e. Plan participants' contributions — — — — — —
f. Benefits paid — — (8,728) (4,511) — —
g. Business combinations, divestitures and
settlements — — — — — —
h. Fair value of plan assets at end of year $ — $ — $ — $ — $ — $ —
Postretirement
(3) Funded status Pension Benefits Benefits
2018 2017 2018 2017
a. Assets (nonadmitted)
1. Prepaid benefit costs $ — $ — $ — $ —
2. Overfunded plan assets — — — —
3. Accrued benefit costs — — 936,925 963,220
4. Total assets (nonadmitted) — — — —
b. Liabilities recognized
1. Assets (nonadmitted) $ — $ — $ — $ —
2. Liabilities recognized — — (301,960) (306,545)
3. Total liabilities recognized $ — $ — $634,965 $656,675
c. Unrecognized liabilities $ — $ — $ — $ —
Postretirement Special or Contractual

(4) Components of net periodic benefit cost Pension Benefits Benefits Benefits per SSAP No. 11
2018 2017 2018 2017 2018 2017
a. Service cost $ — $ — $ 3,636 $ 10,456 $ — $ —
b. Interest cost — — 23,751 29,392 — —
c. Expected return on plan assets — — — — — —
d. Transition asset or obligation — — — — — —
e. Gains and losses — — (104,561) (96,783) — —
f. Prior service cost or credit — — 59,605 59,605 — —
g. Gain or loss recognized due to a settlement
or curtailment — — — — — —
h. Total net periodic benefit cost $ — $ — $ (17,569) $ 2,670 $ — $ —
19.9
(5) Amounts in unassigned funds (surplus) recognized as components of net Pension Benefits Postretirement Benefits
periodic benefit cost 2018 2017 2018 2017
a. Items not yet recognized as a component of net periodic cost - prior year $ — $ — $ — $ —
b. Net transition asset or obligation recognized — — — —
c. Net prior service cost or credit arising during the period — — — —
d. Net prior service cost or credit recognized — — (59,605) (59,605)
e. Net gain and loss arising during the period — — (40,369) (95,594)
f. Net gain and loss recognized — — 104,561 96,783
g. Items not yet recognized as a component of net periodic cost -
current year $ — $ — $ 4,587 $ (58,416)
(6) Amounts in unassigned funds (surplus) expected to be recognized Pension Benefits Postretirement Benefits
in the next fiscal year as components of net periodic cost 2018 2017 2018 2017
a. Net transition asset or obligation $ — $ — $ — $ —
b. Net prior service cost or credit — — 59,605 59,605
c. Net recognized gains and losses — — (103,030) (104,561)
(7) Amounts in unassigned funds (surplus) that have not yet been recognized Pension Benefits Postretirement Benefits
as components of net periodic benefit cost 2018 2017 2018 2017
a. Net transition asset or obligation $ — $ — $ — $ —
b. Net prior service cost or credit — — 339,638 399,243
c. Net recognized gains and losses — — (641,598) (705,789)
Pension Benefits Postretirement Benefits

(8) Weighted-average assumptions used to determine net periodic benefit
cost as of December 31: 2018 2017 2018 2017
a. Weighted-average discount rate N/A N/A 3.75% 4.25%
b. Expected long-term rate of return on plan assets N/A N/A N/A N/A
c. Rate of compensation increase N/A N/A N/A N/A
Weighted-average assumptions used to determine projected benefit
obligations as of December 31:
d. Weighted-average discount rate N/A N/A 4.25% 3.75%
e. Rate of compensation increase N/A N/A N/A N/A
(9) The amount of the accumulated benefit obligation for the postretirement benefit plan was $634,965 for 2018 and $656,675 for 2017.
(10) The postretirement medical benefit‘s health care trend rate was 7.40% as of December 31, 2018, and is expected to trend down to 4.1%
in 61 years.
(11) Assumed health care cost trend rates have a significant effect on the amounts reported for the health care plan. A one-percentage point
change in assumed health care cost trend rates would have the following effects:
1 Percentage Point 1 Percentage Point

Increase Decrease
a. Effect on total of service and interest cost components $ 1,081 $ (1,030)
b. Effect on postretirement benefit obligation 25,428 (24,237)
(12) The following estimated future payments, which reflect expected future service, as appropriate, are expected to be paid in the
years indicated:
Year(s) Amount
c. 2019 $ 56,120
d. 2020 78,671
e. 2021 99,879
e. 2022 86,868
e. 2023 91,867
f. 2024 through 2028 314,281
(13) The funding policy for the company's other postretirement benefits plan is to contribute the amount of the benefit payments made during
the year.
(14) - (17) Not applicable
19.10
(18) There were no significant changes in the benefit obligation during 2018 not otherwise apparent in the disclosures above.
(19) Not applicable
(20) SSAP Transition--Accumulated Postretirement Benefit Obligation and Underfunded Status
All unrecognized transition items were fully recognized in 2013.
(21) SSAP Transition--Full Transition Surplus Impact
All liabilities were fully reported in 2013.
B.- D. Not applicable
E. Defined Contribution Plan
See Section G “Consolidated/Holding Company Plans”.
F. Not applicable
G. Consolidated/ Holding Company Plans
The Company participates in both a qualified non-contributory defined-benefit pension plan (frozen to new employees effective October 1, 2013),
as well as a qualified defined contribution plan (401(k) Plan) sponsored by Aflac Incorporated, which covers substantially all of the Company’s
U.S. employees. The Company has no legal obligation for benefits under these plans. Aflac Incorporated allocates expense amounts to its
affiliates based on the benefit obligation determined on each employee/retiree within an affiliate.
The Company's share of net expense for the qualified pension plan was $1,637,541 in 2018 and $1,053,894 in 2017.
All eligible employees of the Company may participate in the 401(k) plan sponsored by Aflac Incorporated. The Company’s share of net expense
for the qualified 401(k) plan was $3,430,692 in 2018 and $2,918,038 in 2017. Beginning January 1, 2014, the Company provided a non-elective
contribution to the 401(k) plan of 2% of annual cash compensation for employees who elected to opt out of the future benefits of the U.S. defined
benefit plan during the election period provided during the fourth quarter of 2013 and for new U.S. employees who started working for the Company
after September 30, 2013. As a result of U.S. tax reform legislation enacted in December 2017, the Company announced it would make a one-
time contribution of $500 to the 401(k) plan to all employees active on December 31, 2017. This contribution was made by January 31, 2018.
The Company also announced that it would increase its matching contributions to 100% of each employee's contributions which were not in
excess of 4% of the employee's annual cash compensation. This increase became effective on January 1, 2018.
H. Post-employment Benefits and Compensated Absences
Post-employment benefits and compensated absences for employees are recorded as accrued liabilities.
I. Not applicable.
(13) Capital and Surplus, Shareholders’ Dividend Restrictions and Quasi-Reorganizations
1. The Company has authorized 200,000 shares of $25 par value common stock. There were 100,000 voting shares issued and outstanding as of
2. The Company also has authorized 10,000 shares of $100 par value preferred stock. There were 3,000 shares issues and outstanding as of
3. For insurance companies domiciled in the state of Nebraska, the maximum amount of dividends that can be paid to shareholders without the prior
approval of the Director of Insurance is restricted to being paid from earned surplus and is limited to the greater of 10% of statutory capital and
surplus or the net gain from operations, excluding net realized investment gains and losses, as reported on the most recent annual statement. For
2018, the maximum dividend the Company can pay without prior approval is $15,734,302.
4. The Company paid no dividends during 2018 or 2017.
5. Within the limitations of (3) above, there are no restrictions placed on the portion of Company profits that may be paid as ordinary dividends to
stockholders.
6. - 8. Not applicable
9. Changes in balances of special surplus funds from the prior year are due to health insurers receiving a reprieve from accruing special surplus funds
in 2018 for payment in 2019 for fees associated with the Affordable Care Act.
10. Not applicable
11. The Company issued the following surplus debentures or similar obligations:
19.11
Interest and/or Total Interest Unapproved

Date Principal Paid and/or Principal Interest and/or Date of
Issued Interest Rate Par Value Carrying Value Current Year Paid Principal Maturity
9/1/2017 2.75% $50,000,000 $ 50,000,000 $ 1,375,000 $ 1,375,000 $ — 9/1/2022
The 2017 Surplus Note in the amount of $50 million listed in the table above was issued to Aflac for $50 million in exchange for principal cash owed
on the 2012 surplus note. The terms of the 2017 Surplus Note calls for simple interest at an annual rate of 2.75% computed on a 365 day year.
Any payment of the principal whether prior to or at maturity and any payment of interest on this debenture may be made in total or in part only after
the Company has received prior written approval from the Director of the Nebraska Department of Insurance.
Repayment of the Note’s principal and payment of any interest due shall be and is hereby subordinated to the prior payment of, or provision for, all
general liabilities of the Company, but shall rank superior to the claim, interest and equity of the shareholders of the Company, and such subordination
shall be equally applicable in the case of any merger, consolidation, liquidation, rehabilitation, reorganization, dissolution, sale or other disposal of
all or substantially all of the Company’s assets.
In the event of any default of payment of interest or principal at the time or in the manner provided, and upon full satisfaction of all the conditions
for payment provided for, and such default shall continue for more than 30 days after written notice has been delivered to the Company, Aflac, shall
have the right, at its option, to declare the entire principal balance and all accrued interest immediately due and payable.
(14) Liabilities, Contingencies and Assessments
A. Not applicable
B. Assessments
(1) Penn Treaty Network American Insurance Company and its subsidiary American Network Insurance Company (collectively referred to as Penn
Treaty) is a financially distressed long-term care insurance company, with no affiliation to the Company. Penn Treaty was placed in rehabilitation on
January 6, 2009. A final court order of liquidation was granted for Penn Treaty by a recognized judicial authority on March 1, 2017, and as a result,
Penn Treaty is in the process of liquidation. Guaranty Fund Associations (GFAs) in all states will issue assessments for the amount that claims are
expected to exceed Penn Treaty assets. Based on the cost estimate provided as of the liquidation date by National Organization of Life and Health
Guaranty Associations (NOLHGA), the Company has estimated and recognized the impact of its share of guaranty fund assessments resulting from
the liquidation. The Company has recognized an initial liability for the assessments of $4,367,301, offset by premium tax credits of $3,479,702, for
a net $887,599 impact to net income in the year ended December 31, 2017. The Company has paid a majority of these assessments during 2017
and 2018. A majority of the resulting tax credits will be realized over the next five years. See item (3) below for further details of the Guaranty Fund
liabilities and assets related to assessments from the Penn Treaty insolvency.
There were no other significant liquidations in the industry during 2018.
(2) Reconciliation of assets recognized within the previous year's Annual Statement to the assets recognized in the current year's Annual Statement
a. Assets recognized from paid and accrued premium tax offsets and policy surcharges prior year-end $ 5,253,131
b. Decreases current year: 343,887
c. Increases current year:
Premium tax offset applied —
d. Assets recognized from paid and accrued premium tax offsets and policy surcharges current quarter-end $ 4,909,244
(3) Guaranty Fund Liabilities and Assets Related to Assessments from insolvencies for Long-Term Care Contracts
a. Discount Rate Applied 3.5%

b. The undiscounted and discounted amount of the guaranty fund assessments and related assets by insolvency:
Guaranty Fund Assessment Related Assets

Name of the Insolvency Undiscounted Discounted Undiscounted Discounted
Penn Treaty $ 3,581,923 $ 1,505,942 $ 4,909,244 $ 3,287,228
c. Number of jurisdictions, ranges of years used to discount, and weighted average number of years of the discounting time period for
payables and recoverables by insolvency:
Payables Recoverables
Weighted Weighted
Name of the Insolvency Average Average
Number of Range of Number of Number of Range of Number of
Jurisdictions Years Years Jurisdictions Years Years
Penn Treaty 51 2017-2086 62.0 44 2017-2096 70.2
19.12
C. Not applicable
D. Claims related extra contractual obligation (ECO) and bad faith losses stemming from lawsuits
The Company paid the following amounts in the reporting period to settle claims related to extra contractual obligations or bad faith claims stemming
from lawsuits:
Direct
Claims related ECO and bad faith losses paid during the reporting period $ —
Number of claims where amounts were paid to settle claims related extra-contractual obligations or bad faith claims resulting from lawsuits during
the reporting period:
(a) (b) (c) (d) (e)

0-25 Claims 26-50 Claims 51-100 Claims 101-500 Claims More than 500 Claims
X
Indicate whether claim count information is disclosed per claim or per claimant.
(f) Per Claim [ ] (g) Per Claimant [ x ]
E. Not applicable
F. All Other Contingencies
From time to time, the Company is a defendant in various litigation considered to be in the normal course of business. Although the final results
of any litigation cannot be predicted with certainty, the Company believes the outcome of the pending litigation will not have a material adverse
effect on the financial position of the Company.
In the United States, each state has a guaranty association that supports insolvent insurers operating in those states. To date, state guaranty
association assessments have not been material.
The Company is not aware of any unasserted loss contingencies as being probable of assertion or having a reasonable possibility of an unfavorable
outcome.
The Company had committed no reserves to cover any contingent liabilities.
The Company did not act as an intermediary/broker in over-the-counter derivative instruments.
(15) Leases
A. Lessee Operating Lease
(1) a. The Company leases office space and equipment under various non-cancelable operating agreements that expire through December 2026.
Lease payments were $3,853,959 and $4,304,396for the years ended 2018 and 2017, respectively.
b.-e. Not applicable
(2) Leases having initial or remaining noncancelable lease terms in excess of one year
a. At December 31, 2018, the minimum aggregate rental commitments are as follows:
Year Ending Operating

December 31 Leases
1. 2019 $ 4,576,673
2. 2020 $ 4,461,505
3. 2021 $ 4,468,423
4. 2022 $ 4,510,462
5. 2023 $ 4,506,958
6. Thereafter $ 10,943,988
7. Total $ 33,468,009
b. The Company had no noncancelable subleases as of December 31, 2018.
(3) Not applicable
B. Lessor Leases
Not applicable
19.13
(16) Information About Financial Instruments With Off-Balance Sheet Risk And Financial Instruments with Concentrations of Credit Risk
The Company had no financial instruments with off-balance sheet risk as of December 31, 2018.
(17) Sale, Transfer, and Servicing of Financial Assets and Extinguishments of Liabilities
Not applicable
(18) Gain or Loss to the Reporting Entity from Uninsured A&H Plans and the Uninsured Portion of Partially Insured Plans
Not applicable
(19) Direct Premium Written/Produced by Managing General Agents/Third Party Administrators
The amount of direct premiums written through managing general agents or third party administrators was less than 5% of total surplus.
(20) Fair Value Measurement
A. Assets and Liabilities Measured and Reported at Fair Value

(1) Fair Value Measurements at December 31, 2018:
Net Asset Value

Description Level 1 Level 2 Level 3 (NAV) Total
a. Assets at fair value

Common Stocks
Industrial and Misc. $ 907 $ — $ — $ — $ 907
Total assets at fair value $ 907 $ — $ — $ — $ 907
(2) Not applicable

(3) The Company reviews the pricing sources and methodologies to determine if a transfer between levels is necessary. If securities are transferred
between levels, the Company uses the fair value of the security at the end of the period to report the transfer.
(4) Not applicable (no level 2 or 3 assets)
(5) The Company had no outstanding derivative financial instruments at December 31, 2018 and 2017.
B. Not applicable
C. Fair Value of All Financial Instruments
Aggregate Net Asset

Type of Financial Fair Admitted Assets Value Not Practicable
or Carrying
Instrument Value Value Level 1 Level 2 Level 3 (NAV) (Carrying Value)
Assets:
Bonds $391,588,326 $ 404,290,414 $ 6,736,171 $ 384,852,155 $ — $ — $ —
Common Stocks 907 907 907 — — — —
Cash, cash equivalents, and
short-term investments 53,217,355 53,217,355 53,217,355 — — — —
Contract loans — 4,383,692 — — — — 4,383,692
Liabilities:
Deposit-Type Contracts 185,326 185,326 — — 185,326 — —
The Company determines the fair values of fixed-maturity securities using the following approaches or techniques: price quotes and valuations from
third party pricing vendors (including quoted market prices readily available from public exchange markets) and non-binding price quotes obtained
from outside brokers.
The pricing data and market quotes the Company obtains from outside sources are reviewed internally for reasonableness. If a fair value appears
unreasonable, we will re-examine the inputs and assess the reasonableness of the pricing data with the vendor. Additionally, the Company may
compare the inputs to relevant market indices and other performance measurements. The output of this analysis is presented to the Company's
Valuation and Classifications Subcommittee, or VCS. Based on the analysis provided to the VCS, the valuation is confirmed or may be revised if
there is evidence of a more appropriate estimate of fair value based on available market data.
19.14
The fixed maturities classified as Level 3 consist of securities for which there are limited or no observable valuation inputs. For Level 3 securities
that are investment grade, the Company estimates the fair value of these securities by obtaining nonbinding broker quotes from a limited number
of brokers. These brokers base their quotes on a combination of their knowledge of the current pricing environment and market conditions. The
Company considers these inputs to be unobservable. The Company also considers a variety of significant valuation inputs in the valuation process,
including forward exchange rates, yen swap rates, dollar swap rates, interest rate volatilities, credit spread data on specific issuers, assumed default
and default recovery rates, and certain probability assumptions. In obtaining these valuation inputs, the Company has determined that certain pricing
assumptions and data used by its pricing sources are difficult to validate or corroborate by the market and/or appear to be internally developed
rather than observed in or corroborated by the market. The use of these unobservable valuation inputs causes more subjectivity in the valuation
process for these securities.
For the periods presented, the Company has not adjusted the quotes or prices it obtains from the brokers and pricing services it uses.
D. Not Practicable to Estimate Fair Value
Type or Class of Financial Carrying Effective Maturity

Instrument Value Interest Rate Date Explanation
Contract Loans $ 4,383,692 Various Various No readily available market data to estimate
E. Not applicable
(21) Other Items
A. - B. Not applicable
C. Other Disclosures and Unusual Items
The Company elected to use rounding in reporting the amounts in this Statement. The amounts in this Statement pertain to the entire Company
business.
D.- E. Not applicable
F. Subprime-Mortgage-Related Risk Exposure
Based upon NAIC guidance to reporting entities, the Company has determined that it has no exposure to subprime mortgage related risk through
the following sources:
• Direct investments in subprime mortgage loans;
• Direct investments in securities with underlying subprime exposure, such as residential mortgage backed securities, commercial mortgage
backed securities, collateralized debt obligations, structured securities (including principal protected notes), hedge funds, credit default swaps,
and special investment vehicles;
• Equity investments in subsidiary, controlled or affiliated entities with significant subprime related risk exposure;
• Underwriting risk on policies issued for Mortgage Guaranty or Financial Guaranty insurance coverage.
The Company has no direct subprime exposure nor are any of its holdings collateralized by any subprime assets.
G. - H. Not applicable
(22) Events Subsequent
Type I - Recognized Subsequent Events:
Subsequent events have been considered through 02/18/2019 for the statutory statements issued on 03/01/2019. The Company is not aware of
any Type I - recognized Subsequent Events that could have a material effect on its financial condition.
Type II - Nonrecognized Subsequent Events:
Subsequent events have been considered through 02/18/2019 for the statutory statements issued on 03/01/2019.
On January 1, 2018, the Company was subject to an annual fee under Section 9010 of the Federal Affordable Care Act (ACA). This annual fee was
allocated to individual health insurers based on the ratio of the amount of the entity’s net premiums written during the preceding calendar year to the
amount of health insurance for any U.S. health risk that was written during the preceding calendar year. A health insurance entity’s portion of the
annual fee becomes payable once the entity provides health insurance for any health risk for each calendar year beginning on or after January 1 of
the year the fee is due.
Health insurers were not subject to the Health Insurance Providers Fee (HIPF), as outlined below, in their 2017 financial statements. Public Law No:
115-120 was signed into law on January 22, 2018, and imposes a moratorium on the HIPF for calendar year 2019 by amending the effective date of
ACA Section 9010(j). The accounting guidance within SSAP No. 106 does not change with the 2019 ACA Section 9010 assessment moratorium;
however, NAIC staff recommends an interpretation to promote consistent application of SSAP No. 106 in the years preceding and subsequent to the
2019 moratorium and any similar future moratoriums of the ACA Section 9010 fee. In addition, a minor update to INT 16-01 is necessary due to the
new 2019 moratorium. In other words, health insurers will not be required to pay these fees in 2019. As a result, health insurance providers will not
have to accrue for the 2019 HIP fee as a write-in for special surplus through a reclassification from unassigned funds in 2018 as required under the
provisions of SSAP 106.
19.15
A. Did the reporting entity write accident and health insurance premium that is subject to Section 9010 of the Federal Affordable Care Act
(YES/NO)? Yes [ X ] NO [ ]
B. ACA fee assessment payable for the upcoming year $ — $ 19,390
C. ACA fee assessment paid 17,200 —
D. Premium written subject to ACA 9010 assessment — 857,533
E. Total Adjusted Capital before surplus adjustment (Five-Year Historical Line 30) $ 157,362,211
F. Total Adjusted Capital after surplus adjustment (Five-Year Historical Line 30 minus 22B above) $ 157,362,211
G. G. Authorized Control Level (Five-Year Historical Line 31) $ 15,355,987
H. Would reporting the ACA assessment as of December 31, 2018, have triggered an RBC action level (YES?NO)? YES [ ] NO { X }
(23) Reinsurance
A. Ceded Reinsurance Report
Section 1 - General Interrogatories
1. Are any of the reinsurers, listed in Schedule S as non-affiliated, owned in excess of 10% or controlled, either directly or indirectly, by the
Company or by any representative, officer, trustee, or director of the Company?
Yes ( ) No (X)
2. Have any policies issued by the Company been reinsured with a company chartered in a country other than the United States (excluding U.S.
Branches of such companies) that is owned in excess of 10% or controlled directly or indirectly by an insured, a beneficiary, a creditor or an
insured or any other person not primarily engaged in the insurance business?
Yes ( ) No (X)
Section 2 - Ceded Reinsurance Report - Part A
1. Does the Company have any reinsurance agreements in effect under which the reinsurer may unilaterally cancel any reinsurance for reasons
other than for nonpayment of premium or other similar credits?
Yes ( ) No (X )
a. If yes, what is the estimated amount of the aggregate reduction in surplus of a unilateral cancellation by the reinsurer as of the date of
this statement, for those agreements in which cancellation results in a net obligation of the reporting entity to the reinsurer, and for which
such obligation is not presently accrued? Where necessary, the reporting entity may consider the current or anticipated experience of
the business reinsured in making this estimate.
Not applicable
b. What is the total amount of reinsurance credits taken, whether as an asset or as a reduction of liability, for these agreements in this
statement?
Not applicable
2. Does the Company have any reinsurance agreements in effect such that the amount of losses paid or accrued through the statement date
may result in a payment to the reinsurer of amounts which, in aggregate and allowing for offset of mutual credits from other reinsurance
agreements with the same reinsurer, exceed the total direct premium collected under the reinsured policies?
Yes ( ) No (X)
Section 3 - Ceded Reinsurance Report - Part B
1. What is the estimated amount of the aggregate reduction in surplus, (for agreements, other than those under which the reinsurer may unilaterally
cancel for reasons other than for nonpayment of premium or other similar credits that are not reflected in Section 2 above) of termination of
all reinsurance agreements, by either party, as of the date of this statement? Where necessary, the Company may consider the current or
anticipated experience of the business reinsured in making this estimate.
Not applicable
2. Have any new agreements been executed or existing agreements amended, since January 1, of the year of this statement, to include policies
or contracts which were in force or which had existing reserves established by the Company as of the effective date of the agreement?
Yes ( ) No (X)
B. - G. Not applicable
19.16
(24) Retrospectively Rated Contracts and Contracts Subject to Redetermination
A.-D. Not applicable
E. Risk-sharing provisions of the Affordable Care Act (ACA)
(1) Did the reporting entity write accident and health insurance premium that is subject to the Affordable Care Act risk-sharing provisions
(YES/NO)? NO
(2) Impact of risk-sharing Provisions of the Affordable Care Act on Admitted Assets, Liabilities and Revenue for the Current Year
Not applicable
(3) Roll-forward of prior year ACA sharing provisions for the following asset (gross of any non-admission) and liability balances, along with the
reasons for adjustments to prior year balance
Not applicable
(4) Roll-Forward of Risk Corridors Asset and Liability Balances by Program Benefit Year
Not applicable
(5) ACA Risk Corridors Receivable as of Reporting Date
Not applicable
(25) Change in Incurred Losses and Loss Adjustment Expenses
A. Reserves as of December 31, 2017 were $113,504,325. As of December 31, 2018, $52,279,220 has been paid for incurred losses and loss
adjustment expenses attributable to insured events of prior years. Claims paid are net of reimbursements of $18,801,180 from the modified
coinsurance (Modco) quota share treaty with Aflac. Reserves remaining for prior years are now $17,002,284 as a result of a re-estimation of unpaid
claims and claim adjustment expenses. Therefore, there has been a $44,222,821 favorable prior year development since December 31, 2017. A
portion of this decrease is from the retrocession novation effective November 30,2018. The decrease is generally the result of ongoing analysis of
recent loss development trends. The Company does not have any retrospectively rated policies.
B. There were no significant changes in methods or assumptions.
(26) Intercompany Pooling Arrangements
Not applicable
(27) Structured Settlements
Not applicable
(28) Health Care Receivables
Not applicable
(29) Participating Policies
Not applicable
(30) Premium Deficiency Reserves
Not applicable
(31) Reserves for Life Contracts and Annuity Contracts
1. The Company waives deduction of deferred fractional premiums upon death of insured and returns any portion of the final premium beyond
the date of death. Surrender values are not promised in excess of the legally computed reserves.
4. The Tabular Interest (Page 7, Line 4), the Tabular Less Actual Reserve Released (Page 7, Line 5) and the Tabular Cost (Page 7, Line 9) have
been determined by formula as described in the instructions for Page 7.
19.17
(32) Analysis of Annuity Actuarial Reserves and Deposit Type Liabilities by Withdrawal Characteristics
Withdrawal Characteristics of Annuity

Actuarial Reserves and Deposit-Type
Contract Funds and Other Liabilities
Separate Separate
General % of
Account with Account
Account Guarantees Nonguaranteed Total Total
A. Subject to discretionary withdrawal:
(1) With market value adjustment $ — $ — $ — $ — —%
(2) At book value less current
surrender charge of 5% or more — — — — —
(3) At fair value — — — — —
(4) Total with market value adjustment or at fair value
(Total of 1 through 3) — — — — —
(5) At book value without adjustment
(minimal or no charge or adjustment) — — — — —
B. Not subject to discretionary withdrawal 185,325 — — 185,325 100.0
C. Total (gross: direct + assumed) — — — — —
D. Reinsurance ceded — — — — —
E. Total net* (C) - (D) $ 185,325 $ — $ — $ 185,325 100.0%
*Reconciliation of total annuity actuarial reserves and deposit fund liabilities.
F. Life & Accident & Health Annual Statement: Amount

(1) Exhibit 5, Annuities Section, Total (net) $ —
(2) Exhibit 5, Supplementary Contracts
with Life Contingencies Section, Total (net) —
(3) Exhibit 7, Deposit -Type Contracts,
Line 14, Column 1 185,325
(4) Subtotal 185,325
Separate Accounts Annual Statement:
(5) Exhibit 3, Line 0299999, Column 2 —
(6) Exhibit 3, Line 0399999, Column 2 —
(7) Policyholder dividend and coupon accumulations —
(8) Policyholder premiums —
(9) Guaranteed interest contracts —
(10) Other contract deposit funds —
(11) Subtotal —
(12) Combined Total $ 185,325
(33) Premium and Annuity Considerations Deferred and Uncollected
A. Deferred and uncollected life insurance premiums and annuity considerations as of December 31, 2018 were as follows:
Type Gross Net of Loading

(1) Industrial $ — $ —
(2) Ordinary New Business — —
(3) Ordinary Renewal 75,052 75,052
(4) Credit Life — —
(5) Group Life 2,822,663 2,822,663
(6) Group Annuity — —
(7) Totals $ 2,897,715 $ 2,897,715
(34) Separate Accounts
Not applicable
(35) Loss/Claim Adjustment Expenses
The balance in the liability for unpaid accident and health claim adjustment expenses as of December 31, 2018 and 2017 was $1,782,344 and $1,346,515,
respectively.
19.18
GENERAL INTERROGATORIES
PART 1 - COMMON INTERROGATORIES
GENERAL
1.1 Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of which is an insurer? Yes [ X ] No [ ]
If yes, complete Schedule Y, Parts 1, 1A and 2.
1.2 If yes, did the reporting entity register and file with its domiciliary State Insurance Commissioner, Director or Superintendent or with such regulatory
official of the state of domicile of the principal insurer in the Holding Company System, a registration statement providing disclosure substantially
similar to the standards adopted by the National Association of Insurance Commissioners (NAIC) in its Model Insurance Holding Company
System Regulatory Act and model regulations pertaining thereto, or is the reporting entity subject to standards and disclosure requirements
substantially similar to those required by such Act and regulations? Yes [ X ] No [ ] N/A [ ]
1.3 State regulating? Nebraska
1.4 Is the reporting entity publicly traded or a member of publicly traded group? Yes [ X ] No [ ]
1.5 If the response to 1.4 is yes, provide the CIK (Central Index Key) code issued by the SEC for the entity/group. 4977
2.1 Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the
reporting entity? Yes [ ] No [ X ]
2.2 If yes, date of change:
3.1 State as of what date the latest financial examination of the reporting entity was made or is being made. 12/31/2015
3.2 State the as of date that the latest financial examination report became available from either the state of domicile or the reporting entity.
This date should be the date of the examined balance sheet and not the date the report was completed or released. 12/31/2015
3.3 State as of what date the latest financial examination report became available to other states or the public from either the state of domicile or
the reporting entity. This is the release date or completion date of the examination report and not the date of the examination (balance sheet date). 01/23/2017
3.4 By what department or departments?
South Carolina
3.5 Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial
statement filed with departments? Yes [ ] No [ ] N/A [ X ]
3.6 Have all of the recommendations within the latest financial examination report been complied with? Yes [ ] No [ ] N/A [ X ]
4.1 During the period covered by this statement, did any agent, broker, sales representative, non-affiliated sales/service organization or any combination
thereof under common control (other than salaried employees of the reporting entity) receive credit or commissions for or control a substantial part
(more than 20 percent of any major line of business measured on direct premiums) of:
4.11 sales of new business? Yes [ ] No [ X ]
4.12 renewals? Yes [ ] No [ X ]
4.2 During the period covered by this statement, did any sales/service organization owned in whole or in part by the reporting entity or an affiliate,
receive credit or commissions for or control a substantial part (more than 20 percent of any major line of business measured on direct premiums) of:
4.21 sales of new business? Yes [ ] No [ X ]
4.22 renewals? Yes [ ] No [ X ]
5.1 Has the reporting entity been a party to a merger or consolidation during the period covered by this statement? Yes [ ] No [ X ]
If the answer is YES, complete and file the merger history data file with the NAIC.
5.2 If yes, provide the name of entity, NAIC company code, and state of domicile (use two letter state abbreviation) for any entity that has ceased to exist as a
result of the merger or consolidation.
1 2 3
NAIC
Company State of
Name of Entity Code Domicile
0
6.1 Has the reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspended or revoked
by any governmental entity during the reporting period? Yes [ ] No [ X ]
6.2 If yes, give full information:
7.1 Does any foreign (non-United States) person or entity directly or indirectly control 10% or more of the reporting entity? Yes [ ] No [ X ]
7.2 If yes,
7.21 State the percentage of foreign control 0.0%
7.22 State the nationality(s) of the foreign person(s) or entity(s); or if the entity is a mutual or reciprocal, the nationality of its manager or
attorney-in-fact and identify the type of entity(s) (e.g., individual, corporation, government, manager or attorney-in-fact).
1 2
Nationality Type of Entity
8.1 Is the company a subsidiary of a bank holding company regulated with the Federal Reserve Board? Yes [ ] No [ X ]
8.2 If response to 8.1 is yes, please identify the name of the bank holding company.
8.3 Is the company affiliated with one or more banks, thrifts or securities firms? Yes [ ] No [ X ]
8.4 If the response to 8.3 is yes, please provide below the names and locations (city and state of the main office) of any affiliates regulated by a federal financial
regulatory services agency [i.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), the Federal Deposit Insurance
Corporation (FDIC) and the Securities Exchange Commission (SEC)] and identify the affiliate’s primary federal regulator.
1 2 3 4 5 6
Affiliate Name Location (City, State) FRB OCC FDIC SEC
9. What is the name and address of the independent certified public accountant or accounting firm retained to conduct the annual audit?
KPMG, LLP 303 Peachtree Street, N.E., Suite 2000, Atlanta, GA 30308
10.1 Has the insurer been granted any exemptions to the prohibited non-audit services provided by the certified independent public accountant requirements
as allowed in Section 7H of the Annual Financial Reporting Model Regulation (Model Audit Rule), or substantially similar state law or regulation? Yes [ ] No [ X ]
10.2 If the response to 10.1 is yes, provide information related to this exemption:
10.3 Has the insurer been granted any exemptions related to other requirements of the Annual Financial Reporting Model Regulation as allowed
for in Section 18A of the Model Regulation, or substantially similar state law or regulation? Yes [ ] No [ X ]
10.4 If the response to 10.3 is yes, provide information related to this exemption:
10.5 Has the reporting entity established an Audit Committee in compliance with the domiciliary state insurance laws? Yes [ X ] No [ ] N/A [ ]
20
10.6 If the response to 10.5 is no or n/a, please explain:
11. What is the name, address and affiliation (officer/employee of the reporting entity or actuary/consultant associated with an actuarial consulting firm)
of the individual providing the statement of actuarial opinion/certification?
Mark Massey, FSA, MAAA Vice President & Appointed Actuary, Continental American Insurance Company, 1600 Williams St., Columbia, SC 29201
12.1 Does the reporting entity own any securities of a real estate holding company or otherwise hold real estate indirectly? Yes [ ] No [ X ]
12.11 Name of real estate holding company
12.12 Number of parcels involved 0
12.13 Total book/adjusted carrying value $ 0
12.2 If yes, provide explanation
13. FOR UNITED STATES BRANCHES OF ALIEN REPORTING ENTITIES ONLY:

13.1 What changes have been made during the year in the United States manager or the United States trustees of the reporting entity?
13.2 Does this statement contain all business transacted for the reporting entity through its United States Branch on risks wherever located? Yes [ ] No [ ]
13.3 Have there been any changes made to any of the trust indentures during the year? Yes [ ] No [ ]
13.4 If answer to (13.3) is yes, has the domiciliary or entry state approved the changes? Yes [ ] No [ ] N/A [ ]
14.1 Are the senior officers (principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar
functions) of the reporting entity subject to a code of ethics, which includes the following standards? Yes [ X ] No [ ]
(a) Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professional relationships;
(b) Full, fair, accurate, timely and understandable disclosure in the periodic reports required to be filed by the reporting entity;
(c) Compliance with applicable governmental laws, rules and regulations;
(d) The prompt internal reporting of violations to an appropriate person or persons identified in the code; and
(e) Accountability for adherence to the code.
14.11 If the response to 14.1 is no, please explain:
14.2 Has the code of ethics for senior managers been amended? Yes [ ] No [ X ]
14.21 If the response to 14.2 is yes, provide information related to amendment(s).
14.3 Have any provisions of the code of ethics been waived for any of the specified officers? Yes [ ] No [ X ]
14.31 If the response to 14.3 is yes, provide the nature of any waiver(s).
15.1 Is the reporting entity the beneficiary of a Letter of Credit that is unrelated to reinsurance where the issuing or confirming bank is not on the SVO
Bank List? Yes [ ] No [ X ]
15.2 If the response to 15.1 is yes, indicate the American Bankers Association (ABA) Routing Number and the name of the issuing or confirming bank of
the Letter of Credit and describe the circumstances in which the Letter of Credit is triggered.
1 2 3 4
American Bankers Association (ABA) Circumstances That Can Trigger
Routing Number Issuing or Confirming Bank Name the Letter of Credit Amount
0 $ 0
BOARD OF DIRECTORS
16. Is the purchase or sale of all investments of the reporting entity passed upon either by the Board of Directors or a subordinator committee thereof? Yes [ X ] No [ ]
17. Does the reporting entity keep a complete permanent record of the proceedings of its Board of Directors and all subordinate committees thereof? Yes [ X ] No [ ]
18. Has the reporting entity an established procedure for disclosure to its Board of Directors or trustees of any material interest or affiliation on the part
of any of its officers, directors, trustees or responsible employees that is in conflict or is likely to conflict with the official duties of such person? Yes [ X ] No [ ]
FINANCIAL
19. Has this statement been prepared using a basis of accounting other than Statutory Accounting Principles (e.g., Generally Accepted Accounting Principles)? Yes [ ] No [ X ]
20.1 Total amount loaned during the year (inclusive of Separate Accounts, exclusive of policy loans):
20.11 To directors or other officers $ 0
20.12 To stockholders not officers $ 0
20.13 Trustees, supreme or grand (Fraternal only) $ 0
20.2 Total amount of loans outstanding at the end of year (inclusive of Separate Accounts, exclusive of policy loans):
20.21 To directors or other officers $ 0
20.22 To stockholders not officers 0
20.23 Trustees, supreme or grand (Fraternal only) 0
21.1 Were any assets reported in this statement subject to a contractual obligation to transfer to another party without the liability for such obligation
being reporting in the statement? Yes [ ] No [ X ]
21.2 If yes, state the amount thereof at December 31 of the current year:
21.21 Rented from others $ 0
21.22 Borrowed from others $ 0
21.23 Leased from others $ 0
21.24 Other $ 0
22.1 Does this statement include payments for assessments as described in the Annual Statement Instructions other than guaranty fund or
guaranty association assessments? Yes [ ] No [ X ]
22.2 If answer is yes:
22.21 Amount paid as losses or risk adjustment $ 0
22.22 Amount paid as expenses $ 0
22.23 Other amounts paid $ 0
23.1 Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page 2 of this statement? Yes [ X ] No [ ]
23.2 If yes, indicate any amounts receivable from parent included in the Page 2 amount: $ 314,007
20.1
INVESTMENT
24.01 Were all the stocks, bonds and other securities owned December 31 of current year, over which the reporting entity has exclusive control,
in the actual possession of the reporting entity on said date (other than securities lending programs addressed in 24.03)? Yes [ X ] No [ ]
24.02 If no, give full and complete information, relating thereto:
24.03 For security lending programs, provide a description of the program including value for collateral and amount of loaned securities, and whether
collateral is carried on or off-balance sheet (an alternative is to reference Note 17 where this information is also provided).
24.04 Does the company’s security lending program meet the requirements for a conforming program as outlined in the Risk-Based Capital Instructions? Yes [ ] No [ ] N/A [ X ]
24.05 If answer to 24.04 is yes, report amount of collateral for conforming programs. $ 0
24.06 If answer to 24.04 is no, report amount of collateral for other programs $ 0
24.07 Does your securities lending program require 102% (domestic securities) and 105% (foreign securities) from the counterparty at the outset
of the contract? Yes [ ] No [ ] N/A [ X ]
24.08 Does the reporting entity non-admit when the collateral received from the counterparty falls below 100%? Yes [ ] No [ ] N/A [ X ]
24.09. Does the reporting entity or the reporting entity’s securities lending agent utilize the Master Securities Lending Agreement (MSLA) to
conduct securities lending? Yes [ ] No [ ] N/A [ X ]
24.10 For the reporting entity's security lending program, state the amount of the following as of December 31 of the current year:
24.101 Total fair value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2: $ 0
24.102 Total book adjusted/carrying value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2: $ 0
24.103 Total payable for securities lending reported on the liability page: $ 0
25.1 Were any of the stocks, bonds or other assets of the reporting entity owned at December 31 of the current year not exclusively under the control
of the reporting entity or has the reporting entity sold or transferred any assets subject to a put option contract that is current in force? (Exclude
securities subject to Interrogatory 21.1 and 24.03.) Yes [ X ] No [ ]
25.2 If yes, state the amount thereof at December 31 of the current year:
25.21 Subject to repurchase agreements $ 0
25.22 Subject to reverse repurchase agreements $ 0
25.23 Subject to dollar repurchase agreements $ 0
25.24 Subject to reverse dollar repurchase agreements $ 0
25.25 Placed under option agreements $ 0
25.26 Letter stock or securities restricted as sale – excluding FHLB Capital Stock $ 0
25.27 FHLB Capital Stock $ 0
25.28 On deposit with states $ 6,676,345
25.29 On deposit with other regulatory bodies $ 0
25.30 Pledged as collateral – excluding collateral pledged to an FHLB $ 0
25.31 Pledged as collateral to FHLB – including assets backing funding agreements $ 0
25.32 Other $ 0
25.3 For category (25.26) provide the following:
1 2 3
Nature of Restriction Description Amount
$ 0
26.1 Does the reporting entity have any hedging transactions reported on Schedule DB? Yes [ ] No [ X ]
26.2 If yes, has a comprehensive description of the hedging program been made available to the domiciliary state? Yes [ ] No [ ] N/A [ X ]
If no, attach a description with this statement.
27.1 Were any preferred stocks or bonds owned as of December 31 of the current year mandatorily convertible into equity, or, at the option of the issuer,
convertible into equity? Yes [ ] No [ X ]
27.2 If yes, state the amount thereof at December 31 of the current year: $ 0
28. Excluding items in Schedule E-Part 3-Special Deposits, real estate, mortgage loans and investments held physically in the reporting entity's
offices, vaults or safety deposit boxes, were all stocks, bonds and other securities, owned throughout the current year held pursuant to a
custodial agreement with a qualified bank or trust company in accordance with Section 1, III - General Examination Considerations, F. Outsourcing
of Critical Functions, Custodial or Safekeeping Agreements of the NAIC Financial Condition Examiners Handbook? Yes [ X ] No [ ]
28.01 For agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following:
1 2
Name of Custodian(s) Custodian's Address
Bank of New York Mellon One Wall Street, New York, NY 10286
Branch Bank & Trust Company 200 West Second Street, Winston-Salem, NC 27101
28.02 For all agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook, provide the name,
location and a complete explanation
1 2 3
Name(s) Location(s) Complete Explanation(s)
28.03 Have there been any changes, including name changes, in the custodian(s) identified in 28.01 during the current year? Yes [ ] No [ X ]
28.04 If yes, give full and complete information relating thereto:
1 2 3 4
Old Custodian New Custodian Date of Change Reason
28.05 Investment management – Identify all investment advisors, investment managers, broker/dealers, including individuals that have the authority
to make investment decisions on behalf of the reporting entity. For assets that are managed internally by employees of the reporting entity,
note as such. ["…that have access to the investment accounts", "… handle securities"].
1 2
Name of Firm or Individual Affiliation
Aflac Asset Management LLC A
20.2
28.0597 For those firms/individuals listed in the table for Question 28.05, do any firms/individuals unaffiliated with the reporting entity
(i.e. designated with a "U") manage more than 10% of the reporting entity's assets? Yes [ ] No [ X ]
28.0598 For firms/individuals unaffiliated with the reporting entity (i.e. designated with a "U") listed in the table for Question 28.05, does
the total assets under management aggregate to more than 50% of the reporting entity's assets? Yes [ ] No [ X ]
28.06 For those firms or individuals listed in the table for 28.05 with an affiliation code of "A" (affiliated) or "U" (unaffiliated), provide the information
for the table below.
1 2 3 4 5
Investment
Management
Registered Agreement
Central Registration Depository Number Name of Firm or Individual Legal Entity Identifier (LEI) With (IMA) Filed
NA Aflac Asset Management LLC 549300282HBRKF96QS61 NA DS
29.1 Does the reporting entity have any diversified mutual funds reported in Schedule D-Part 2 (diversified according to the Securities and
Exchange Commission (SEC) in the Investment Company Act of 1940 [Section 5 (b) (1)])? Yes [ ] No [ X ]
29.2 If yes, complete the following schedule:
1 2 3
CUSIP Name of Mutual Fund Book/Adjusted Carrying
Value
$ 0
29.2999 TOTAL $ 0
29.3 For each mutual fund listed in the table above, complete the following schedule:
1 2 3 4
Amount of Mutual Fund’s
Book/Adjusted Carrying
Name of Mutual Fund Name of Significant Holding Value Attributable to the
(from above table) of the Mutual Fund Holding Date of Valuation
$ 0
30. Provide the following information for all short-term and long-term bonds and all preferred stocks. Do not substitute amortized value or statement value for fair value.
1 2 3
Excess of Statement over Fair
Value (-), or Fair Value over
Statement (Admitted) Value Fair Value Statement (+)
30.1 Bonds $ 404,290,414 $ 391,588,326 $ (12,702,088)
30.2 Preferred Stocks $ 0 $ 0 $ 0
30.3 Totals $ 404,290,414 $ 391,588,326 $ (12,702,088)
30.4 Describe the sources or methods utilized in determining the fair values:
Fair Values were determined by independent pricing agencies, brokers and internal pricing models.
31.1 Was the rate used to calculate fair value determined by a broker or custodian for any of the securities in Schedule D? Yes [ X ] No [ ]
31.2 If the answer to 31.1 is yes, does the reporting entity have a copy of the broker’s or custodian’s pricing policy (hard copy or electronic
copy) for all brokers or custodians used as a pricing source? Yes [ X ] No [ ]
31.3 If the answer to 31.2 is no, describe the reporting entity’s process for determining a reliable pricing source for purposes of
disclosure of fair value for Schedule D:
32.1 Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Investment Analysis Office been followed? Yes [ X ] No [ ]
32.2 If no, list exceptions:
33. By self-designating 5GI securities, the reporting entity is certifying the following elements for each self-designation 5GI security:
a. Documentation necessary to permit a full credit analysis of the security does not exist or an NAIC CRP credit rating for an FE or PL security is not
available.
b. Issuer or obligor is current on all contracted interest and principal payments.
c. The insurer has an actual expectation of ultimate payment of all contracted interest and principal.
Has the reporting entity self-designated 5GI securities? Yes [ ] No [ X ]
34. By self-designating PLGI securities, the reporting entity is certifying the following elements of each self-designated PLGI security:
a. The security was purchased prior to January 1, 2018.
b. The reporting entity is holding capital commensurate with the NAIC Designation reported for the security.
c. The NAIC Designation was derived from the credit rating assigned by an NAIC CRP in its legal capacity as an NRSRO which is
shown on a current private letter rating held by the insurer and available for examination by state insurance regulators.
d. The reporting entity is not permitted to share this credit rating of the PL security with the SVO.
Has the reporting entity self-designated PLGI securities? Yes [ ] No [ X ]
OTHER
35.1 Amount of payments to trade associations, service organizations and statistical or rating bureaus, if any? $ 10,288
35.2 List the name of the organization and the amount paid if any such payment represented 25% or more of the total payments to
trade associations, service organizations and statistical or rating bureaus during the period covered by this statement.
1 2
Name Amount Paid
LOMA Membership Dues Invoice LD18549 $ 7,788
36.1 Amount of payments for legal expenses, if any? $ 65,964

36.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payments for legal
expenses during the period covered by this statement.
1 2
Name Amount Paid
REED SMITH LLP $ 29,440
SANCHEZ-MEDINA GONZALEZ QUESADA $ 28,294
20.3
37.1 Amount of payments for expenditures in connection with matters before legislative bodies, officers or departments of government, if any? $ 0
37.2 List the name of the firm and the amount paid if any such payment represented 25% or more of the total payment expenditures in
connection with matters before legislative bodies, officers or departments of government during the period covered by this statement.
1 2
Name Amount Paid
$ 0
20.4
PART 2 – LIFE INTERROGATORIES
1.1 Does the reporting entity have any direct Medicare Supplement Insurance in force? Yes [ ] No [ X ]
1.2 If yes, indicate premium earned on U.S. business only. $ 0
1.3 What portion of Item (1.2) is not reported on the Medicare Supplement Insurance Experience Exhibit? $ 0
1.3 Reason for excluding:
1.4 Indicate amount of earned premium attributable to Canadian and/or Other Alien not included in Item (1.2) above. $ 0
1.5 Indicate total incurred claims on all Medicare Supplement insurance. $ 0
1.6 Individual policies:
Most current three years:
1.61 Total premium earned $ 0
1.62 Total incurred claims $ 0
1.63 Number of covered lives $ 0
All years prior to most current three years:

1.7 Group policies:
Most current three years:
All years prior to most current three years:
2. Health Test:
1 2
2.1 Premium Numerator $ 1,407,657 $ 1,020,731
2.2 Premium Denominator $ 587,577,643 $ 524,652,631
2.3 Premium Ratio (2.1/2.2) 0.2% 0.2%
2.4 Reserve Numerator $ 102,053,339 $ 118,234,826
2.5 Reserve Denominator $ 319,716,602 $ 351,995,494
2.6 Reserve Ratio (2.4/2.5) 31.9% 33.6%

3.1 Does the reporting entity have Separate Accounts? Yes [ ] No [ X ]
3.2 If yes, has a Separate Accounts statement been filed with this Department Yes [ ] No [ ] N/A[ X ]
3.3 What portion of capital and surplus funds of the reporting entity covered by assets in the Separate Accounts statement, is not currently distributable
from the Separate Accounts to the general account for use by the general account? $ $ 0
3.4 State the authority under which Separate Accounts are maintained:
3.5 Was any of the reporting entity’s Separate Accounts business reinsured as of December 31? Yes [ ] No [ X ]
3.6 Has the reporting entity assumed by reinsurance any Separate Accounts business as of December 31? Yes [ ] No [ X ]
3.7 If the reporting entity has assumed Separate Accounts business, how much, if any, reinsurance assumed receivable for reinsurance of Separate
Accounts reserve expense allowances is included as a negative amount in the liability for “Transfers to Separate Accounts due or accrued (net)?” $ 0
4.1 Are personnel or facilities of this reporting entity used by another entity or entities or are personnel or facilities of another entity or entities used by
this reporting entity (except for activities such as administration of jointly underwritten group contracts and joint mortality or morbidity studies)”? Yes [ X ] No [ ]
4.2 Net reimbursement of such expenses between reporting entities:
4.21 Paid $ 18,840,028
4.22 Received $ 13,918,849
5.1 Does the reporting entity write any guaranteed interest contracts? Yes [ ] No [ X ]
5.2 If yes, what amount pertaining to these items is included in:
5.21 Page 3, Line 1 $ 0
5.22 Page 4, Line 1 $ 0
6. For stock reporting entities only:
6.1 Total amount paid in by stockholders as surplus funds since organization of the reporting entity: $ 82,437,395
7. Total dividends paid stockholders since organization of the reporting entity:
7.11 Cash $ 5,589,000
21
PART 2 – LIFE INTERROGATORIES
7.12 Stock $ 0
8.1 Does the reporting entity reinsure any Workers’ Compensation Carve-Out business defined as: Yes [ ] No [ X ]
Reinsurance (including retrocessional reinsurance) assumed by life and health insurers of medical, wage loss and death benefits of the occupational
illness and accident exposures, but not the employers liability exposures, of business originally written as workers’ compensation insurance.
8.2 If yes, has the reporting entity completed the Workers’ Compensation Carve-Out Supplement to the Annual Statement? Yes [ ] No [ ]
8.3 If 8.1 is yes, the amounts of earned premiums and claims incurred in this statement are:
1 2 3
Reinsurance Reinsurance Net
Assumed Ceded Retained
8.31 Earned premium $ 0 $ 0 $ 0
8.32 Paid claims $ 0 $ 0 $ 0
8.33 Claim liability and reserve (beginning of year) $ 0 $ 0 $ 0
8.34 Claim liability and reserve (end of year) $ 0 $ 0 $ 0
8.35 Incurred claims $ 0 $ 0 $ 0
8.4 If reinsurance assumed included amounts with attachment points below $1,000,000, the distribution of the amounts reported in Lines 8.31 and 8.34 for
Column (1) are:
1 2
Attachment Earned Claim Liability
Point Premium and Reserve
8.41 <$25,000 $ 0 $ 0
8.42 $25,000 99,999 $ 0 $ 0
8.43 $100,000 249,999 $ 0 $ 0
8.44 $250,000 999,999 $ 0 $ 0
8.45 $1,000,000 or more $ 0 $ 0
8.5 What portion of earned premium reported in 8.31, Column 1 was assumed from pools? $ 0
9. For reporting entities having sold annuities to another insurer where the insurer purchasing the annuities has obtained a release of liability from the
claimant (payee) as the result of the purchase of an annuity from the reporting entity only:
9.1 Amount of loss reserves established by these annuities during the current year: $ 0
9.2 List the name and location of the insurance company purchasing the annuities and the statement value on the purchase date of the annuities.
1 2
P&C Insurance Company Statement Value on
and Purchase Date of Annuities
Location (i.e., Present Value)
0
10.1 Do you act as a custodian for health savings accounts? Yes [ ] No [ X ]
10.2 If yes, please provide the amount of custodial funds held as of the reporting date. $ 0
10.3 Do you act as an administrator for health savings accounts? Yes [ ] No [ X ]
10.4 If yes, please provide the balance of the funds administered as of the reporting date. $ 0
11.1 Are any of the captive affiliates reported on Schedule S, Part 3, authorized reinsurers? Yes [ ] No [ ] N/A [ X ]
11.2 If the answer to 11.1 is yes, please provide the following:
1 2 3 4 Assets Supporting Reserve Credit
NAIC 5 6 7
Company Company Domiciliary Reserve Letters of Trust
Name Code Jurisdiction Credit Credit Agreements Other
0 $ 0 $ 0 $ 0 $ 0
12. Provide the following for individual ordinary life insurance* policies (U.S. business only) for the current year (prior to reinsurance assumed or ceded).
12.1 Direct premiums written $ 139,209
12.2 Total incurred claims $ 150,205
12.3 Number of covered lives 984
*Ordinary Life Insurance Includes
Term (whether full underwriting, limited underwriting, jet issue, "short form app")
Whole Life (whether full underwriting, limited underwriting, jet issue, "short form app")
Variable Life (with or without secondary guarantee)
Universal Life (with or without secondary guarantee)
Variable Universal Life (with or without secondary guarantee)
13. Is the reporting entity licensed or charted, registered, qualified, eligible or writing business in at least two states? Yes [ X ] No [ ]
13.1 If no, does the reporting entity assume reinsurance business that covers risks residing in at least one state other than the state of domicile of the
reporting entity? Yes [ ] No [ ]
21.1
FIVE-YEAR HISTORICAL DATA
Show amounts in whole dollars only, no cents; show percentages to one decimal place, i.e., 17.6.
$000 omitted for amounts of life insurance
1 2 3 4 5
2018 2017 2016 2015 2014
Life Insurance in Force (Exhibit of Life Insurance)

1. Ordinary - whole life and endowment (Line 34, Col. 4)....................................................... .................11,104 .................10,119 .................11,275 .................12,855 .................12,234
2. Ordinary - term (Line 21, Col. 4, less Line 34, Col. 4).......................................................... ...................6,929 ...................3,957 ...................4,004 ...................4,227 ...................4,401
3. Credit life (Line 21, Col. 6).................................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
4. Group, excluding FEGLI/SGLI (Line 21, Col. 9 less Lines 43 & 44, Col. 4)......................... ............2,323,987 ............1,746,053 ............1,398,256 ............1,597,761 ............1,586,353
5. Industrial (Line 21, Col. 2)................................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
6. FEGLI/SGLI (Lines 43 & 44, Col. 4).................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
7. Total (Line 21, Col. 10)........................................................................................................ ............2,342,020 ............1,760,129 ............1,413,535 ............1,614,843 ............1,602,988
7.1 Total in force for which VM-20 deterministic/stochastic reserves are calculated................. ..........................0 ..........................0 ..........XXX............ ..........XXX............ ..........XXX............
New Business Issued (Exhibit of Life Insurance)

8. Ordinary - whole life and endowment (Line 34, Col. 2)........................................................ ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
9. Ordinary - term (Line 2, Col. 4, less Line 34, Col. 2)............................................................ ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
10. Credit life (Line 2, Col. 6)...................................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
11. Group (Line 2, Col. 9)........................................................................................................... ............1,135,873 ...............721,950 ...............284,023 ...............350,651 ...............522,615
12. Industrial (Line 2, Col. 2)...................................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
13. Total (Line 2, Col. 10)........................................................................................................... ............1,135,873 ...............721,950 ...............284,023 ...............350,651 ...............522,615
Premium Income - Lines of Business (Exhibit 1-Part 1)

14. Industrial life (Line 20.4, Col. 2)............................................................................................ ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
15.1 Ordinary life insurance (Line 20.4, Col.. 3)........................................................................... ...............126,065 .................77,886 ...............155,752 ...............157,719 .................97,899
15.2 Ordinary individual annuities (Line 20.4, Col. 4)................................................................... ..................(1,124) .....................(480) ......................891 ......................959 ......................921
16. Credit life (group and individual) (Line 20.4, Col. 5)............................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
17.1 Group life insurance (Line 20.4, Col. 6)................................................................................ ..........17,229,108 ..........13,470,502 ..........14,224,122 ..........14,025,755 ..........14,114,424
17.2 Group annuities (Line 20.4, Col. 7)...................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
18.1 A&H - group (Line 20.4, Col. 8)............................................................................................ ........360,961,413 ........305,392,672 ........286,685,499 ........244,425,986 ........225,587,543
18.2 A&H - credit (group and individual) (Line 20.4, Col. 9)......................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
18.3 A&H - other (Line 20.4, Col. 10)........................................................................................... ........209,262,178 ........205,712,051 ........234,986,082 ........178,199,359 ...............765,199
19. Aggregate of all other lines of business (Line 20.4, Col. 11)................................................ ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
20. Total..................................................................................................................................... ........587,577,640 ........524,652,631 ........536,052,346 ........436,809,778 ........240,565,986
Balance Sheet (Pages 2 and 3)

21. Total admitted assets excluding Separate Accounts business (Page 2, Line 26, Col. 3).... ........665,078,572 ........673,270,901 ........607,026,336 ........512,325,330 ........396,955,753
22. Total liabilities excluding Separate Accounts business (Page 3, Line 26)........................... ........507,735,548 ........519,905,883 ........432,670,787 ........374,365,491 ........287,305,041
23. Aggregate life reserves (Page 3, Line 1).............................................................................. ..........50,179,115 ..........44,059,234 ..........40,805,909 ..........39,234,572 ..........37,087,288
23.1 Excess VM-20 deterministic/stochastic reserve over NPR related to Line 7.1..................... ..........................0 ..........................0 ..........XXX............ ..........XXX............ ..........XXX............
24. Aggregate A&H reserves (Page 3, Line 2)........................................................................... ........168,153,887 ........199,608,172 ........128,302,193 ........108,598,721 ..........87,616,050
25. Deposit-type contract funds (Page 3, Line 3)....................................................................... ...............185,326 ...............200,992 ...............232,294 ...............226,172 ...............214,567
26. Asset valuation reserve (Page 3, Line 24.01)...................................................................... ............2,739,154 ............2,224,994 ............1,623,786 ............1,038,916 ...............898,574
27. Capital (Page 3, Lines 29 & 30)........................................................................................... ............2,800,000 ............2,800,000 ............2,800,000 ............2,800,000 ............2,800,000
28. Surplus (Page 3, Line 37)..................................................................................................... ........154,543,024 ........150,565,018 ........171,555,549 ........135,159,839 ........106,850,712
Cash Flow (Page 5)

29. Net cash from operations (Line 11)...................................................................................... .........(36,804,284) ..........57,248,294 ..........88,265,190 ..........70,501,482 ..........17,505,403
Risk-Based Capital Analysis

30. Total adjusted capital........................................................................................................... ........160,082,178 ........155,590,013 ........175,979,335 ........138,998,755 ........110,549,286
31. Authorized control level risk-based capital........................................................................... ..........15,380,526 ..........13,193,071 ..........12,676,058 ..........10,586,813 ............7,043,958
Percentage Distribution of Cash, Cash Equivalents and Invested Assets

(Page 2, Col. 3) (Line No. /Page 2, Line 12, Col. 3) x 100.0
32. Bonds (Line 1)...................................................................................................................... .....................87.5 .....................92.3 .....................91.8 .....................88.0 .....................88.8
33. Stocks (Lines 2.1 and 2.2).................................................................................................... .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.0
34. Mortgage loans on real estate (Lines 3.1 and 3.2)............................................................... .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.0
35. Real estate (Line 4.1, 4.2 and 4.3)....................................................................................... .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.6
36. Cash, cash equivalents and short-term investments (Line 5).............................................. .....................11.5 .......................6.9 .......................7.3 .....................11.1 .......................9.6
37. Contract loans (Line 6)......................................................................................................... .......................0.9 .......................0.8 .......................0.8 .......................1.0 .......................1.0
38. Derivatives (Line 7).............................................................................................................. .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.0
39. Other invested assets (Line 8)............................................................................................. .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.0
40. Receivables for securities (Line 9)....................................................................................... .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.0
41. Securities lending reinvested collateral assets (Line 10)..................................................... .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.0
42. Aggregate write-ins for invested assets (Line 11)................................................................ .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.0
43. Cash, cash equivalents and invested assets (Line 12)........................................................ ...................100.0 ...................100.0 ...................100.0 ...................100.0 ...................100.0
22
FIVE-YEAR HISTORICAL DATA
(continued)
1 2 3 4 5
2018 2017 2016 2015 2014
Investments in Parent, Subsidiaries and Affiliates

44. Affiliated bonds (Sch. D Summary, Line 12, Col. 1)............................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
45. Affiliated preferred stocks (Sch. D Summary, Line 18, Col. 1)............................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
46. Affiliated common stocks (Sch. D Summary, Line 24, Col. 1).............................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
47. Affiliated short-term investments (subtotal included in Sch. DA, Verif., Col. 5, Line 10)...... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
48. Affiliated mortgage loans on real estate .............................................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
49. All other affiliated.................................................................................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
50. Total of above Lines 44 to 49............................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
51. Total investment in parent included in Lines 44 to 49 above............................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
Total Nonadmitted and Admitted Assets
52. Total nonadmitted assets (Page 2, Line 28, Col. 2)............................................................. ..........41,540,684 ..........41,413,219 ..........52,567,868 ..........47,998,447 ..........60,388,290
53. Total admitted assets (Page 2, Line 28, Col. 3)................................................................... ........665,078,572 ........673,270,901 ........607,026,336 ........512,325,330 ........396,955,753
Investment Data
54. Net investment income (Exhibit of Net Investment Income)................................................. ..........20,503,164 ..........17,241,303 ..........14,360,678 ..........11,325,253 ..........10,188,070
55. Realized capital gains (losses) (Page 4, Line 34, Column 1)............................................... ...........(1,294,089) ................(34,120) ...................6,176 ..............(495,533) ..........................0
56. Unrealized capital gains (losses) (Page 4, Line 38, Column 1)............................................ .....................(125) .....................(101) ......................222 ..................(1,050) ...................1,622
57. Total of above Lines 54, 55 and 56...................................................................................... ..........19,208,950 ..........17,207,082 ..........14,367,076 ..........10,828,670 ..........10,189,692
Benefits and Reserve Increase (Page 6)

58. Total contract benefits - life (Lines 10, 11, 12, 13, 14 and 15, Col. 1
minus Lines 10, 11, 12, 13, 14 and 15, Cols. 9, 10 & 11).................................................... ............5,131,623 ............2,926,146 ............3,416,580 ............2,026,591 ............3,418,371
59. Total contract benefits - A&H (Lines 13 & 14, Cols. 9, 10 & 11).......................................... ........201,694,190 ........187,796,446 ........170,424,642 ........143,854,415 ..........93,958,742
60. Increase in life reserves - other than group and annuities (Line 19, Cols. 2 & 3)................. ...............770,192 ..............(215,568) ................(56,940) ................(51,324) ..............(632,702)
61. Increase in A&H reserves (Line 19, Cols. 9, 10 & 11).......................................................... ..........65,545,091 ..........71,680,535 ..........19,608,200 ..........20,944,855 ..........26,274,819
62. Dividends to policyholders (Line 30, Col 1).......................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
Operating Percentages
63. Insurance expense percent (Page 6, Col. 1, Lines 21, 22, & 23 less Line (6)
/ (Page 6, Col. 1, Line 1 plus Exhibit 7, Col. 2, Line 2) x 100.00.......................................... .....................53.1 .....................56.2 .....................51.7 .....................54.4 .....................58.5
64. Lapse percent (ordinary only) [(Exhibit of Life Insurance, Col. 4, Lines 14 & 15)
/ 1/2 (Exhibit of Life Insurance, Col. 4, Lines 1 & 21)] x 100.00........................................... .......................0.5 .......................6.9 .......................7.9 .......................4.6 .....................14.0
65. A&H loss percent (Schedule H, Part 1, Lines 5 & 6, Col. 2)................................................. .....................30.9 .....................49.9 .....................36.5 .....................38.6 .....................53.1
66. A&H cost containment percent (Schedule H, Part 1, Line 4, Col. 2).................................... .......................0.0 .......................0.0 .......................0.0 .......................0.0 .......................0.0
67. A&H expense percent excluding cost containment expenses
(Schedule H, Part 1, Line 10, Col. 2).................................................................................... .....................55.1 .....................60.6 .....................55.2 .....................58.7 .....................65.7
A&H Claim Reserve Adequacy

68. Incurred losses on prior years' claims - group health (Sch. H, Part 3, Line 3.1, Col. 2)....... ..........54,393,079 ..........49,441,040 ..........41,853,703 ..........37,926,393 ..........35,597,648
69. Prior years' claim liability and reserve - group health (Sch. H, Part 3, Line 3.2, Col. 2)....... ..........87,187,159 ..........76,399,749 ..........70,291,933 ..........63,870,812 ..........55,821,742
70. Incurred losses on prior years' claims - health other than group (Sch. H, Part 3,
Line 3.1, Col. 1 less Col. 2).................................................................................................. ..........14,888,444 ..........14,902,511 ..........12,783,394 ...............196,888 ...............281,133
71. Prior years' claim liability and reserve - health other than group (Sch. H, Part 3,
Line 3.2, Col. 1 less Col. 2).................................................................................................. ..........11,622,950 ..........22,361,015 ..........20,167,564 ...............538,707 ...............351,926
Net Gains From Operations After Federal Income Taxes by Lines of Business
(Page 6, Line 33)
72. Industrial life (Col. 2)............................................................................................................ ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
73. Ordinary - life (Col. 3)........................................................................................................... ...........(1,194,489) ................(25,669) ................(19,686) ...................9,232 ...............747,164
74. Ordinary - individual annuities (Col. 4)................................................................................. .................18,049 ..................(8,215) ......................869 .....................(448) ......................950
75. Ordinary - supplementary contracts (Col. 5)........................................................................ ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
76. Credit life (Col. 6)................................................................................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
77. Group life (Col. 7)................................................................................................................. ...........(6,297,382) ............1,033,608 ............3,066,103 ............5,146,367 ............4,766,819
78. Group annuities (Col. 8)....................................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
79. A&H - group (Col. 9)............................................................................................................. .........(20,658,630) .........(27,934,849) ...........(4,769,736) .........(25,824,688) .........(23,134,739)
80. A&H - credit (Col. 10)........................................................................................................... ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
81. A&H - other (Col. 11)............................................................................................................ ..........35,294,785 ............5,289,934 ..........48,471,576 ..........47,353,729 ...............299,164
82. Aggregate of all other lines of business (Col. 12)................................................................. ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
83. Total (Col. 1)......................................................................................................................... ............7,162,332 .........(21,645,191) ..........46,749,126 ..........26,684,192 .........(17,320,642)
NOTE: If a party to a merger, have the two most recent years of this exhibit been restated due to a merger in compliance with the disclosure
requirements of SSAP No. 3, Accounting Changes and Correction of Errors? Yes [ ] No [ ]
If no, please explain:
23
*71730201843059100*
DIRECT BUSINESS IN GRAND TOTAL DURING THE YEAR
NAIC Group Code.....370 NAIC Company Code.....71730
LIFE INSURANCE
1 2 3 4 5
Credit Life
(Group and
Ordinary Individual) Group Industrial Total
DIRECT PREMIUMS AND ANNUITY CONSIDERATIONS
1. Life insurance........................................................................................... .....................137,011 ................................0 ................19,645,185 ................................0 ................19,782,196
2. Annuity considerations............................................................................. ........................(1,115) ................................0 ................................0 ................................0 ........................(1,115)
3. Deposit-type contract funds...................................................................... ................................0 ...............XXX............. ................................0 ...............XXX............. ................................0
4. Other considerations................................................................................ ................................0 ................................0 ................................0 ................................0 ................................0
5. Totals (Sum of Lines 1 to 4)..................................................................... .....................135,896 ................................0 ................19,645,185 ................................0 ................19,781,081
DIRECT DIVIDENDS TO POLICYHOLDERS
Life insurance:
6.1 Paid in cash or left on deposit.................................................................. ................................0 ................................0 ................................0 ................................0 ................................0
6.2 Applied to pay renewal premiums............................................................ ................................0 ................................0 ................................0 ................................0 ................................0
6.3 Applied to provide paid-up additions or shorten the endowment
or premium-paying period........................................................................ ................................0 ................................0 ................................0 ................................0 ................................0
6.4 Other........................................................................................................ ................................0 ................................0 ................................0 ................................0 ................................0
6.5 Totals (Sum of Lines 6.1 to 6.4)............................................................... ................................0 ................................0 ................................0 ................................0 ................................0
Annuities:
7.1 Paid in cash or left on deposit.................................................................. ................................0 ................................0 ................................0 ................................0 ................................0
7.2 Applied to provide paid-up annuities........................................................ ................................0 ................................0 ................................0 ................................0 ................................0
7.3 Other........................................................................................................ ................................0 ................................0 ................................0 ................................0 ................................0
7.4 Totals (Sum of Lines 7.1 to 7.3)............................................................... ................................0 ................................0 ................................0 ................................0 ................................0
8. Grand Totals (Lines 6.5 + 7.4)................................................................. ................................0 ................................0 ................................0 ................................0 ................................0
DIRECT CLAIMS AND BENEFITS PAID
9. Death benefits.......................................................................................... .....................149,602 ................................0 ..................3,723,407 ................................0 ..................3,873,009
10. Matured endowments............................................................................... ................................0 ................................0 ................................0 ................................0 ................................0
11. Annuity benefits........................................................................................ ................................0 ................................0 ................................0 ................................0 ................................0
12. Surrender values and withdrawals for life contracts................................. .....................148,684 ................................0 ................................0 ................................0 .....................148,684
13. Aggregate write-ins for miscellaneous direct claims and benefits paid.... ................................0 ................................0 ................................0 ................................0 ................................0
14. All other benefits, except accident and health.......................................... ................................0 ................................0 .......................21,645 ................................0 .......................21,645
15. Totals........................................................................................................ .....................298,286 ................................0 ..................3,745,052 ................................0 ..................4,043,338
1301. ................................................................................................................. ................................0 ................................0 ................................0 ................................0 ................................0
1302. ................................................................................................................. ................................0 ................................0 ................................0 ................................0 ................................0
1303. ................................................................................................................. ................................0 ................................0 ................................0 ................................0 ................................0
1398. Summary of remaining write-ins for Line 13 from overflow page............. ................................0 ................................0 ................................0 ................................0 ................................0
1399. Total (Lines 1301 through 1303 plus 1398)(Line 13 above)..................... ................................0 ................................0 ................................0 ................................0 ................................0
Credit Life
Ordinary (Group and Individual) Group Industrial Total
1 2 3 4 5 6 7 8 9 10
No. of Ind.
Pols. & Gr. No. of
No. Amount Certifs. Amount Certifs. Amount No. Amount No. Amount
DIRECT DEATH BENEFITS AND
MATURED ENDOWMENTS INCURRED
16. Unpaid December 31, prior year................. ................0 .............................0 ................0 ................................0 ................0 .............................0 ..............0 ......................0 ................0 ................................0
17. Incurred during current year....................... ..............15 ..................145,337 ................0 ................................0 ............161 ...............3,649,754 ..............0 ......................0 ............176 ..................3,795,091
Settled during current year:
18.1 By payment in full....................................... ..............15 ..................145,337 ................0 ................................0 ............161 ...............3,649,754 ..............0 ......................0 ............176 ..................3,795,091
18.2 By payment on compromised claims.......... ................0 .............................0 ................0 ................................0 ................0 .............................0 ..............0 ......................0 ................0 ................................0
18.3 Totals paid.................................................. ..............15 ..................145,337 ................0 ................................0 ............161 ...............3,649,754 ..............0 ......................0 ............176 ..................3,795,091
18.4 Reduction by compromise.......................... ................0 .............................0 ................0 ................................0 ................0 .............................0 ..............0 ......................0 ................0 ................................0
18.5 Amount rejected.......................................... ................0 .............................0 ................0 ................................0 ................0 .............................0 ..............0 ......................0 ................0 ................................0
18.6 Total settlements........................................ ..............15 ..................145,337 ................0 ................................0 ............161 ...............3,649,754 ..............0 ......................0 ............176 ..................3,795,091
19. Unpaid Dec. 31, current year
(Lines 16 + 17 - 18.6).................................. ................0 .............................0 ................0 ................................0 ................0 .............................0 ..............0 ......................0 ................0 ................................0
POLICY EXHIBIT No. of Pol.
20. In force December 31, prior year................ ............765 .............14,076,144 ................0 (a)............................0 ............512 ........1,743,106,216 ..............0 ......................0 .........1,277 ...........1,757,182,360
21. Issued during year...................................... ................0 .............................0 ................0 ................................0 ............101 ........1,134,938,708 ..............0 ......................0 ............101 ...........1,134,938,708
22. Other changes to in force (Net).................. ............219 ...............3,957,321 ................0 ................................0 ..............20 ..........(557,300,556) ..............0 ......................0 ............239 ............(553,343,235)
23. In force December 31 of current year......... ............984 .............18,033,465 ................0 (a)............................0 ............633 ........2,320,744,368 ..............0 ......................0 .........1,617 ...........2,338,777,833
(a) Includes Individual Credit Life Insurance, prior year $...............0 current year $................0.
Includes Group Credit Life Insurance Loans less than or equal to 60 months at issue, prior year $...............0 current year $...............0.
Loans greater than 60 months at issue BUT NOT GREATER THAN 120 MONTHS, prior year $...............0 current year $...............0.
ACCIDENT AND HEALTH INSURANCE

1 2 3 4 5
Dividends Paid Or Direct
Direct Direct Premiums Credited on Direct Losses Direct Losses
Premiums Earned Business Paid Incurred
24. Group policies (b)..................................................................................... ..............544,004,643 ..............553,955,006 ................................0 ..............218,824,450 ..............229,659,425
24.1 Federal Employee Health Benefits Plan premium (b).............................. ................................0 ................................0 ................................0 ................................0 ................................0
24.2 Credit (group and individual).................................................................... ................................0 ................................0 ................................0 ................................0 ................................0
24.3 Collectively renewable policies (b)........................................................... .........................3,339 .........................3,420 ................................0 .........................2,108 .........................2,213
24.4 Medicare Title XVIII exempt from state taxes or fees............................... ................................0 ................................0 ................................0 ................................0 ................................0
Other Individual Policies:
25.1 Non-cancelable (b)...................................................................................
................................0 ................................0 ................................0 ................................0 ................................0
25.2 Guaranteed renewable (b).......................................................................
.....................372,839 .....................344,937 ................................0 .......................86,863 .......................91,164
25.3 Non-renewable for stated reasons only (b)..............................................
................................0 ................................0 ................................0 ................................0 ................................0
25.4 Other accident only..................................................................................
................................0 ................................0 ................................0 ................................0 ................................0
25.5 All other (b)...............................................................................................
................................0 ................................0 ................................0 ................................0 ................................0
25.6 Totals (Sum of Lines 25.1 to 25.5)...........................................................
.....................372,839 .....................344,937 ................................0 .......................86,863 .......................91,164
26. Totals (Lines 24 + 24.1 + 24.2 + 24.3 + 24.4 + 25.6)...............................
..............544,380,821 ..............554,303,363 ................................0 ..............218,913,422 ..............229,752,802
(b) For health business on indicated lines report: Number of persons insured under PPO managed products.....0 and number of persons insured under indemnity only products.....0.
24
EXHIBIT OF LIFE INSURANCE
($000 Omitted for Amounts of Life Insurance)
Industrial Ordinary Credit Life (Group and Individual) Group 10
1 2 3 4 5 6 Number of 9 Total
Number Amount Number Amount Number of Amount 7 8 Amount Amount
of of of of Individual Policies and of of of
Policies Insurance Policies Insurance Group Certificates Insurance Policies Certificates Insurance Insurance
1. In force end of prior year.............................................................................. ..................................0 ..................................0 ..............................765 .........................14,076 ..................................0 ..................................0 ..............................520 .........................55,622 ....................1,746,053 ....................1,760,129
2. Issued during year........................................................................................ ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..............................101 .........................28,025 ....................1,135,873 ....................1,135,873
3. Reinsurance assumed.................................................................................. ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
4. Revived during year..................................................................................... ..................................0 ..................................0 ..............................245 ...........................4,055 ..................................0 ..................................0 ................................53 ...........................2,400 .........................40,512 .........................44,567
5. Increased during year (net).......................................................................... ..................................0 ..................................0 ..................................0 ..............................337 ..................................0 ..................................0 ..................................0 ..................................0 ...........................9,018 ...........................9,355
6. Subtotals, Lines 2 to 5.................................................................................. ..................................0 ..................................0 ..............................245 ...........................4,392 ..................................0 ..................................0 ..............................154 .........................30,425 ....................1,185,403 ....................1,189,795
7. Additions by dividends during year............................................................... ...............XXX............... ..................................0 ...............XXX............... ..................................0 ...............XXX............... ..................................0 ...............XXX............... ...............XXX............... ..................................0 ..................................0
8. Aggregate write-ins for increases................................................................. ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
9. Totals (Lines 1 and 6 to 8)............................................................................ ..................................0 ..................................0 ...........................1,010 .........................18,468 ..................................0 ..................................0 ..............................674 .........................86,047 ....................2,931,456 ....................2,949,924
Deductions during year:
10. Death............................................................................................................ ..................................0 ..................................0 ................................15 ..............................188 ..................................0 ..................................0 ...............XXX............... ..............................163 ...........................4,193 ...........................4,381
11. Maturity......................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ...............XXX............... ..................................0 ..................................0 ..................................0
12. Disability....................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ...............XXX............... ..................................0 ..................................0 ..................................0
13. Expiry........................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
14. Surrender..................................................................................................... ..................................0 ..................................0 ..................................5 ................................56 ..................................0 ..................................0 ..................................0 ..............................449 .........................13,139 .........................13,195
15. Lapse............................................................................................................ ..................................0 ..................................0 ..................................6 ................................23 ..................................0 ..................................0 ................................32 .........................13,260 .......................512,164 .......................512,187
25
16. Conversion................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ...............XXX............... ...............XXX............... ................XXX.............. ..................................0
17. Decreased (net)............................................................................................ ..................................0 ..................................0 ..................................0 ..............................168 ..................................0 ..................................0 ..................................0 ..................................0 .........................77,973 .........................78,141
18. Reinsurance................................................................................................. ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
19. Aggregate write-ins for decreases................................................................ ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
20. Totals (Lines 10 to 19).................................................................................. ..................................0 ..................................0 ................................26 ..............................435 ..................................0 ..................................0 ................................32 .........................13,872 .......................607,469 .......................607,904
21. In force end of year (Line 9 minus Line 20).................................................. ..................................0 ..................................0 ..............................984 .........................18,033 ..................................0 ..................................0 ..............................642 .........................72,175 ....................2,323,987 ....................2,342,020
22. Reinsurance ceded end of year................................................................... ...............XXX............... ..................................0 ...............XXX............... ..................................0 ...............XXX............... ..................................0 ...............XXX............... ...............XXX............... .......................489,202 .......................489,202
23. Line 21 minus Line 22.................................................................................. ...............XXX............... ..................................0 ...............XXX............... .........................18,033 ...............XXX............... (a)..............................0 ...............XXX............... ...............XXX............... ....................1,834,785 ....................1,852,818
0801. ..................................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
0802. ..................................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
0803. ..................................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
0898. Summary of remaining write-ins for Line 8 from overflow page ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
0899. Totals (Lines 0801 through 0803 plus 0898) (Line 8 above)........................ ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
1901. ..................................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
1902. ..................................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
1903. ..................................................................................................................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
1998. Summary of remaining write-ins for Line 19 from overflow page ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
1999. Totals (Lines 1901 through 1903 plus 1998) (Line 19 above)...................... ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0 ..................................0
(a) Group $..........0; Individual $..........0.
EXHIBIT OF LIFE INSURANCE
($000 Omitted for Amounts of Life Insurance) (Continued)
ADDITIONAL INFORMATION ON INSURANCE IN FORCE END OF YEAR
Industrial Ordinary
1 2 3 4
Number of Policies Amount of Insurance Number of Policies Amount of Insurance
24. Additions by dividends...................................................... ....................XXX........................ ................................................0 ....................XXX........................ ................................................0
25. Other paid-up insurance................................................... ................................................0 ................................................0 ................................................0 ................................................0
26. Debit ordinary insurance.................................................. ....................XXX........................ ....................XXX........................ ................................................0 ................................................0
ADDITIONAL INFORMATION ON ORDINARY INSURANCE

Issued During Year (Included in Line 2) In Force End of Year (Included in Line 21)
1 2 3 4
Term Insurance Excluding Extended Term Insurance Number of Policies Amount of Insurance Number of Policies Amount of Insurance
27. Term policies-decreasing................................................. ................................................0 ................................................0 ................................................0 ................................................0
28. Term policies-other........................................................... ................................................0 ................................................0 ..............................................60 .........................................1,645
29. Other term insurance-decreasing..................................... ....................XXX........................ ................................................0 ....................XXX........................ ................................................0
30. Other term insurance........................................................ ....................XXX........................ ................................................0 ....................XXX........................ ................................................0
31. Totals (Lines 27 to 30)...................................................... ................................................0 ................................................0 ..............................................60 .........................................1,645
Reconciliation to Lines 2 and 21:
32. Term additions.................................................................. ....................XXX........................ ................................................0 ....................XXX........................ ................................................0
33. Totals, extended term insurance...................................... ....................XXX........................ ....................XXX........................ ............................................347 .........................................5,284
34. Totals, whole life and endowment.................................... ................................................0 ................................................0 ............................................577 .......................................11,104
35. Totals (Lines 31 to 34)...................................................... ................................................0 ................................................0 ............................................984 .......................................18,033
CLASSIFICATION OF AMOUNT OF INSURANCE BY PARTICIPATING STATUS

Issued During Year (Included in Line 2) In Force End of Year (Included in Line 21)
1 2 3 4
Non-Participating Participating Non-Participating Participating
36. Industrial........................................................................... ................................................0 ................................................0 ................................................0 ................................................0
37. Ordinary............................................................................ ................................................0 ................................................0 .......................................18,033 ................................................0
38. Credit Life (Group and Individual).................................... ................................................0 ................................................0 ................................................0 ................................................0
39. Group............................................................................... ..................................1,135,873 ................................................0 ..................................2,323,987 ................................................0
40. Totals (Lines 36 to 39)...................................................... ..................................1,135,873 ................................................0 ..................................2,342,020 ................................................0
ADDITIONAL INFORMATION ON CREDIT LIFE AND GROUP INSURANCE

Credit Life Group
1 2 3 4
Number of Individual Policies Amount Number Amount
and Group Certificates of Insurance of Certificates of Insurance
41. Amount of insurance included in Line 2
ceded to other companies................................................ ....................XXX........................ ................................................0 ....................XXX........................ ................................................0
42. Number in force end of year if the number
under shared groups is counted on a pro-rata basis........ ................................................0 ....................XXX........................ ................................................0 ....................XXX........................
43. Federal Employees' Group Life Insurance
included in Line 21........................................................... ................................................0 ................................................0 ................................................0 ................................................0
44. Servicemen's Group Life Insurance included
in Line 21.......................................................................... ................................................0 ................................................0 ................................................0 ................................................0
45. Group Permanent Insurance included in Line 21............. ................................................0 ................................................0 ................................................0 ................................................0
ADDITIONAL ACCIDENTAL DEATH BENEFITS

46. Amount of additional accidental death benefits in force end of year under ordinary policies............................................................................................................. ................................................0
BASIS OF CALCULATION OF ORDINARY TERM INSURANCE

47. State basis of calculation of (47.1) decreasing term insurance contained in Family Income, Mortgage Protection, etc., policies and riders and of (47.2) term insurance on wife and
children under Family, Parent and Children, etc., policies and riders included above.
47.1 None
47.2 $1,000 per unit for spouse term riders, $2,000 per unit for dependent child term riders
POLICIES WITH DISABILITY PROVISIONS

Industrial Ordinary Credit Group
1 2 3 4 5 6 7 8
Number of Amount of Number of Amount of Number of Amount of Number of Amount of
Disability Provision Policies Insurance Policies Insurance Policies Insurance Certificates Insurance\
48. Waiver of Premium........................................................... .................0 .........................0 .................3 .......................16 .................0 .........................0 ........47,850 ...........1,669,289
49. Disability Income.............................................................. .................0 .........................0 .................0 .........................0 .................0 .........................0 .................0 .........................0
50. Extended Benefits............................................................ .................0 .........................0 .......XXX...... .............XXX........ .................0 .........................0 .................0 .........................0
51. Other................................................................................ .................0 .........................0 .................0 .........................0 .................0 .........................0 .................0 .........................0
52. Total................................................................................. .................0 (a).....................0 .................3 (a)...................16 .................0 (a).....................0 ........47,850 (a).......1,669,289
(a) See the Annual Audited Financial Reports section of the Annual Statement Instructions.
26
EXHIBIT OF NUMBER OF POLICIES, CONTRACTS, CERTIFICATES, INCOME PAYABLE

AND ACCOUNT VALUES IN FORCE FOR SUPPLEMENTARY CONTRACTS,
ANNUITIES, ACCIDENT & HEALTH AND OTHER POLICIES
SUPPLEMENTARY CONTRACTS
Ordinary Group
1 2 3 4
Involving Life Not Involving Life Involving Life Not Involving Life
Contingencies Contingencies Contingencies Contingencies
1. In force end of prior year.................. ......................................................0 ......................................................0 ......................................................0 ......................................................0
2. Issued during year............................ ......................................................0 ......................................................0 ......................................................0 ......................................................0
3. Reinsurance assumed...................... ......................................................0 ......................................................0 ......................................................0 ......................................................0
4. Increased during year (net).............. ......................................................0 ......................................................0 ......................................................0 ......................................................0
5. Total (Lines 1 to 4)........................... ......................................................0 ......................................................0 ......................................................0 ......................................................0
6. Decreased (net)................................ ......................................................0 ......................................................0 ......................................................0 ......................................................0
7. Reinsurance ceded.......................... ......................................................0 ......................................................0 ......................................................0 ......................................................0
8. Totals (Lines 6 and 7)....................... ......................................................0 ......................................................0 ......................................................0 ......................................................0
9. In force end of year.......................... ......................................................0 ......................................................0 ......................................................0 ......................................................0
10. Amount on deposit........................... ......................................................0 (a)..................................................0 ......................................................0 (a)..................................................0
11. Income now payable........................ ......................................................0 ......................................................0 ......................................................0 ......................................................0
12. Amount of income payable............... (a)..................................................0 (a)..................................................0 (a)..................................................0 (a)..................................................0
ANNUITIES
Ordinary Group
1 2 3 4
Immediate Deferred Contracts Certificates
1. In force end of prior year.................. ......................................................0 ....................................................79 ......................................................0 ......................................................0
2. Issued during year............................ ......................................................0 ......................................................0 ......................................................0 ......................................................0
3. Reinsurance assumed...................... ......................................................0 ......................................................0 ......................................................0 ......................................................0
4. Increased during year (net).............. ......................................................0 ......................................................0 ......................................................0 ......................................................0
5. Total (Lines 1 to 4)........................... ......................................................0 ....................................................79 ......................................................0 ......................................................0
6. Decreased (net)................................ ......................................................0 ....................................................23 ......................................................0 ......................................................0
7. Reinsurance ceded.......................... ......................................................0 ......................................................0 ......................................................0 ......................................................0
8. Totals (Lines 6 and 7)....................... ......................................................0 ....................................................23 ......................................................0 ......................................................0
9. In force end of year.......................... ......................................................0 ....................................................56 ......................................................0 ......................................................0
Income now payable:
10. Amount of income payable............... (a)..................................................0 .....................XXX............................. ......................XXX............................ (a)..................................................0
Deferred fully paid:
11. Account balance............................... ..........................XXX........................ (a)..................................................0 ......................XXX............................ (a)..................................................0
Deferred not fully paid:
12. Account balance............................... ..........................XXX........................ (a)..................................................0 ......................XXX............................ (a)..................................................0
ACCIDENT AND HEALTH INSURANCE

Group Credit Other
1 2 3 4 5 6
Certificates Premiums in force Policies Premiums in force Policies Premiums in force
1. In force end of prior year.................. ..............1,900,175 ........................582,710,476 ............................0 ..........................................0 ..............3,537,380 .....................1,159,034,391
2. Issued during year............................ ..............1,141,260 ........................325,838,999 ............................0 ..........................................0 ............................2 ...................................1,286
3. Reinsurance assumed...................... .....................2,333 ...............................864,313 ............................0 ..........................................0 ............................0 ..........................................0
4. Increased during year (net).............. ............................0 ................XXX...................... ............................0 ................XXX...................... ............................0 ................XXX......................
5. Total (Lines 1 to 4)........................... ..............3,043,768 ................XXX...................... ............................0 ................XXX...................... ..............3,537,382 ................XXX......................
6. Conversions..................................... ............................0 ................XXX...................... ..........XXX.............. ................XXX...................... ..........XXX.............. ................XXX......................
7. Decreased (net)................................ .................827,513 ................XXX...................... ............................0 ................XXX...................... ..............3,536,145 ................XXX......................
8. Reinsurance ceded.......................... ............................0 ................XXX...................... ............................0 ................XXX...................... ............................0 ................XXX......................
9. Totals (Lines 6 to 8).......................... .................827,513 ................XXX...................... ............................0 ................XXX...................... ..............3,536,145 ................XXX......................
10. In force end of year.......................... ..............2,216,255 (a)....................683,749,173 ............................0 (a)......................................0 .....................1,237 (a)...........................346,862
DEPOSIT FUNDS AND DIVIDEND ACCUMULATIONS

1 2
Deposit Funds Dividend Accumulations
Contracts Contracts
1. In force end of prior year.......................................................................................................................................... ......................................................0 ......................................................0
2. Issued during year.................................................................................................................................................... ......................................................0 ......................................................0
3. Reinsurance assumed.............................................................................................................................................. ......................................................0 ......................................................0
4. Increased during year (net)...................................................................................................................................... ......................................................0 ......................................................0
5. Total (Lines 1 to 4)................................................................................................................................................... ......................................................0 ......................................................0
6. Decreased (net)........................................................................................................................................................ ......................................................0 ......................................................0
7. Reinsurance ceded.................................................................................................................................................. ......................................................0 ......................................................0
8. Totals (Lines 6 and 7)............................................................................................................................................... ......................................................0 ......................................................0
9. In force end of year.................................................................................................................................................. ......................................................0 ......................................................0
10. Amount of account balance...................................................................................................................................... (a)..................................................0 (a)..................................................0
(a) See the Annual Audited Financial Reports section of the Annual Statement Instructions.
27
FORM FOR CALCULATING THE INTEREST MAINTENANCE RESERVE
Interest Maintenance Reserve
1
Amount
1. Reserve as of December 31, prior year................................................................................................................................................................................... ...........................................304,863
2. Current year's realized pre-tax capital gains/(losses) of $.....(2,850,224) transferred into the reserve net of taxes of $.....(598,547)..................................... .......................................(2,251,677)
3. Adjustment for current year's liability gains/(losses) released from the reserve....................................................................................................................... ......................................................0
4. Balance before reduction for amount transferred to Summary of Operations (Line 1 + Line 2 + Line 3)................................................................................. .......................................(1,946,814)
5. Current year's amortization released to Summary of Operations (Amortization, Line 1, Column 4)........................................................................................ ..........................................(256,779)
6. Reserve as of December 31, current year (Line 4 minus Line 5)............................................................................................................................................. .......................................(1,690,035)
Amortization
1 2 3 4
Reserve as of Current Year's Realized Capital Adjustment for Current Year's Balance Before Reduction for
Year of December 31, Gains/(Losses) Transferred into Liability Gains/(Losses) the Current Year's Amortization
Amortization Prior Year the Reserve Net of Taxes Released from the Reserve (Cols. 1 + 2 + 3)
1. 2018................................... ..............................................(122,436) ..............................................(134,343) ..........................................................0 ..............................................(256,779)
2. 2019................................... ................................................(55,800) ..............................................(275,870) ..........................................................0 ..............................................(331,670)
3. 2020................................... ...................................................3,971 ..............................................(284,183) ..........................................................0 ..............................................(280,212)
4. 2021................................... ...................................................8,235 ..............................................(285,437) ..........................................................0 ..............................................(277,202)
5. 2022................................... .................................................19,093 ..............................................(289,230) ..........................................................0 ..............................................(270,137)
6. 2023................................... .................................................29,016 ..............................................(295,283) ..........................................................0 ..............................................(266,267)
7. 2024................................... .................................................34,409 ..............................................(261,832) ..........................................................0 ..............................................(227,423)
8. 2025................................... .................................................36,221 ..............................................(199,394) ..........................................................0 ..............................................(163,173)
9. 2026................................... .................................................38,291 ..............................................(132,042) ..........................................................0 ................................................(93,751)
10. 2027................................... .................................................16,950 ................................................(61,430) ..........................................................0 ................................................(44,480)
11. 2028................................... .................................................36,508 .................................................13,406 ..........................................................0 .................................................49,914
12. 2029................................... .................................................30,867 .................................................45,243 ..........................................................0 .................................................76,110
13. 2030................................... .................................................26,607 .................................................38,084 ..........................................................0 .................................................64,691
14. 2031................................... .................................................23,306 .................................................29,166 ..........................................................0 .................................................52,472
15. 2032................................... .................................................18,482 .................................................19,866 ..........................................................0 .................................................38,348
16. 2033................................... .................................................17,149 .................................................12,019 ..........................................................0 .................................................29,168
17. 2034................................... .................................................19,409 ...................................................4,924 ..........................................................0 .................................................24,333
18. 2035................................... .................................................18,412 ...................................................2,191 ..........................................................0 .................................................20,603
19. 2036................................... .................................................18,536 ..................................................(1,069) ..........................................................0 .................................................17,467
20. 2037................................... .................................................19,258 ..................................................(4,807) ..........................................................0 .................................................14,451
21. 2038................................... .................................................19,229 ..................................................(7,747) ..........................................................0 .................................................11,482
22. 2039................................... .................................................17,363 ................................................(11,943) ..........................................................0 ...................................................5,420
23. 2040................................... .................................................13,485 ................................................(15,847) ..........................................................0 ..................................................(2,362)
24. 2041................................... ...................................................9,953 ................................................(19,975) ..........................................................0 ................................................(10,022)
25. 2042................................... ...................................................6,422 ................................................(25,014) ..........................................................0 ................................................(18,592)
26. 2043................................... ...................................................1,927 ................................................(28,870) ..........................................................0 ................................................(26,943)
27. 2044................................... ..........................................................0 ................................................(28,998) ..........................................................0 ................................................(28,998)
28. 2045................................... ..........................................................0 ................................................(23,080) ..........................................................0 ................................................(23,080)
29. 2046................................... ..........................................................0 ................................................(16,570) ..........................................................0 ................................................(16,570)
30. 2047................................... ..........................................................0 ................................................(10,061) ..........................................................0 ................................................(10,061)
31. 2048 and Later................... ..........................................................0 ..................................................(3,551) ..........................................................0 ..................................................(3,551)
32. Total (Lines 1 to 31)........... ...............................................304,863 ...........................................(2,251,677) ..........................................................0 ...........................................(1,946,814)
28
ASSET VALUATION RESERVE
Default Component Equity Component 7
1 2 3 4 5 6
Other Than Real Estate Total
Mortgage Mortgage Total Common and Other Total Amount
Loans Loans (Cols. 1 + 2) Stock Invested Assets (Cols. 4 + 5) (Cols. 3 + 6)
1. Reserve as of December 31, prior year................................................................................................................. ............................2,224,851 ..........................................0 ............................2,224,851 ......................................143 ..........................................0 ......................................143 ............................2,224,994
2. Realized capital gains/(losses) net of taxes - General Account............................................................................. ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0
3. Realized capital gains/(losses) net of taxes - Separate Accounts.......................................................................... ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0
4. Unrealized capital gains/(losses) - net of deferred taxes - General Account.......................................................... ..........................................0 ..........................................0 ..........................................0 .....................................(125) ..........................................0 .....................................(125) .....................................(125)
5. Unrealized capital gains/(losses) - net of deferred taxes - Separate Accounts....................................................... ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0
6. Capital gains credited/(losses charged) to contract benefits, payments or reserves............................................... ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0
7. Basic contribution................................................................................................................................................. ...............................669,627 ..........................................0 ...............................669,627 ..........................................0 ..........................................0 ..........................................0 ...............................669,627
8. Accumulated balances (Lines 1 through 5, minus 6 plus 7)................................................................................... ............................2,894,478 ..........................................0 ............................2,894,478 ........................................18 ..........................................0 ........................................18 ............................2,894,496
29
9. Maximum reserve................................................................................................................................................. ............................3,141,237 ..........................................0 ............................3,141,237 ......................................118 ..........................................0 ......................................118 ............................3,141,355
10. Reserve objective................................................................................................................................................. ............................2,117,670 ..........................................0 ............................2,117,670 ......................................118 ..........................................0 ......................................118 ............................2,117,788
11. 20% of (Line 10 minus Line 8).............................................................................................................................. ..............................(155,362) ..........................................0 ..............................(155,362) ........................................20 ..........................................0 ........................................20 ..............................(155,342)
12. Balance before transfers (Lines 8 + 11)................................................................................................................ ............................2,739,116 ..........................................0 ............................2,739,116 ........................................38 ..........................................0 ........................................38 ............................2,739,155
13. Transfers.............................................................................................................................................................. ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0
14. Voluntary contribution........................................................................................................................................... ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0
15. Adjustment down to maximum/up to zero............................................................................................................. ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0 ..........................................0
16. Reserve as of December 31, current year (Lines 12 + 13 + 14 + 15)..................................................................... ............................2,739,116 ..........................................0 ............................2,739,116 ........................................38 ..........................................0 ........................................38 ............................2,739,155
Basic Contribution, Reserve Objective and Maximum Reserve Calculations
Default Component
1 2 3 4 Basic Contribution Reserve Objective Maximum Reserve
Balance for 5 6 7 8 9 10
NAIC Book/Adjusted Reclassify Add AVR Reserve
Line Desig- Carrying Related Party Third Party Calculations Amount Amount Amount
Number nation Description Value Encumbrances Encumbrances (Cols. 1 + 2 + 3) Factor (Cols. 4 x 5) Factor (Cols. 4 x 7) Factor (Cols. 4 x 9)
LONG-TERM BONDS
1 Exempt obligations............................................................................................. ...................6,676,344 ............XXX................. ............XXX................. ...................6,676,344 ................0.0000 .................................0 ................0.0000 .................................0 ................0.0000 .................................0
2 1 Highest quality.................................................................................................... ...............161,050,574 ............XXX................. ............XXX................. ...............161,050,574 ................0.0004 ........................64,420 ................0.0023 ......................370,416 ................0.0030 ......................483,152
3 2 High quality......................................................................................................... ...............225,674,882 ............XXX................. ............XXX................. ...............225,674,882 ................0.0019 ......................428,782 ................0.0058 ...................1,308,914 ................0.0090 ...................2,031,074
4 3 Medium quality................................................................................................... ...................4,625,225 ............XXX................. ............XXX................. ...................4,625,225 ................0.0093 ........................43,015 ................0.0230 ......................106,380 ................0.0340 ......................157,258
5 4 Low quality.......................................................................................................... ...................6,263,389 ............XXX................. ............XXX................. ...................6,263,389 ................0.0213 ......................133,410 ................0.0530 ......................331,960 ................0.0750 ......................469,754
6 5 Lower quality...................................................................................................... .................................0 ............XXX................. ............XXX................. .................................0 ................0.0432 .................................0 ................0.1100 .................................0 ................0.1700 .................................0
7 6 In or near default................................................................................................. .................................0 ............XXX................. ............XXX................. .................................0 ................0.0000 .................................0 ................0.2000 .................................0 ................0.2000 .................................0
8 Total unrated multi-class securities acquired by conversion................................ .................................0 ............XXX................. ............XXX................. .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0
9 Total long-term bonds (sum of Lines 1 through 8)............................................... ...............404,290,414 ............XXX................. ............XXX................. ...............404,290,414 ...........XXX.......... ......................669,627 ...........XXX.......... ...................2,117,670 ...........XXX.......... ...................3,141,237
PREFERRED STOCKS
10 1 Highest quality.................................................................................................... .................................0 ............XXX................. ............XXX................. .................................0 ................0.0004 .................................0 ................0.0023 .................................0 ................0.0030 .................................0
11 2 High quality......................................................................................................... .................................0 ............XXX................. ............XXX................. .................................0 ................0.0019 .................................0 ................0.0058 .................................0 ................0.0090 .................................0
12 3 Medium quality................................................................................................... .................................0 ............XXX................. ............XXX................. .................................0 ................0.0093 .................................0 ................0.0230 .................................0 ................0.0340 .................................0
13 4 Low quality.......................................................................................................... .................................0 ............XXX................. ............XXX................. .................................0 ................0.0213 .................................0 ................0.0530 .................................0 ................0.0750 .................................0
16 Affiliated life with AVR......................................................................................... .................................0 ............XXX................. ............XXX................. .................................0 ................0.0000 .................................0 ................0.0000 .................................0 ................0.0000 .................................0
30
17 Total preferred stocks (sum of Lines 10 through 16)............................................ .................................0 ............XXX................. ............XXX................. .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0
SHORT-TERM BONDS
18 Exempt obligations............................................................................................. .................................0 ............XXX................. ............XXX................. .................................0 ................0.0000 .................................0 ................0.0000 .................................0 ................0.0000 .................................0
25 Total short-term bonds (sum of Lines 18 through 24).......................................... .................................0 ............XXX................. ............XXX................. .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0
DERIVATIVE INSTRUMENTS
26 Exchange traded................................................................................................. .................................0 ............XXX................. ............XXX................. .................................0 ................0.0004 .................................0 ................0.0023 .................................0 ................0.0030 .................................0
33 Total derivative instruments................................................................................ .................................0 ............XXX................. ............XXX................. .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0
34 Total (Lines 9 + 17 + 25 + 33)............................................................................. ...............404,290,414 ............XXX................. ............XXX................. ...............404,290,414 ...........XXX.......... ......................669,627 ...........XXX.......... ...................2,117,670 ...........XXX.......... ...................3,141,237
ASSET VALUATION RESERVE (continued)
Default Component
MORTGAGE LOANS
In good standing:
35 Farm mortgages - CM1 - highest quality......................................................... .................................0 .................................0 ............XXX................. .................................0 ................0.0010 .................................0 ................0.0050 .................................0 ................0.0065 .................................0
36 Farm mortgages - CM2 - high quality.............................................................. .................................0 .................................0 ............XXX................. .................................0 ................0.0035 .................................0 ................0.0100 .................................0 ................0.0130 .................................0
37 Farm mortgages - CM3 - medium quality........................................................ .................................0 .................................0 ............XXX................. .................................0 ................0.0060 .................................0 ................0.0175 .................................0 ................0.0225 .................................0
38 Farm mortgages - CM4 - low medium quality.................................................. .................................0 .................................0 ............XXX................. .................................0 ................0.0105 .................................0 ................0.0300 .................................0 ................0.0375 .................................0
39 Farm mortgages - CM5 - low quality............................................................... .................................0 .................................0 ............XXX................. .................................0 ................0.0160 .................................0 ................0.0425 .................................0 ................0.0550 .................................0
40 Residential mortgages-insured or guaranteed................................................. .................................0 .................................0 ............XXX................. .................................0 ................0.0003 .................................0 ................0.0006 .................................0 ................0.0010 .................................0
41 Residential mortgages-all other....................................................................... .................................0 .................................0 ............XXX................. .................................0 ................0.0013 .................................0 ................0.0030 .................................0 ................0.0040 .................................0
42 Commercial mortgages-insured or guaranteed................................................ .................................0 .................................0 ............XXX................. .................................0 ................0.0003 .................................0 ................0.0006 .................................0 ................0.0010 .................................0
NONE
43 Commercial mortgages-all other - CM1 - highest quality................................. .................................0 .................................0 ............XXX................. .................................0 ................0.0010 .................................0 ................0.0050 .................................0 ................0.0065 .................................0
44 Commercial mortgages-all other - CM2 - high quality...................................... .................................0 .................................0 ............XXX................. .................................0 ................0.0035 .................................0 ................0.0100 .................................0 ................0.0130 .................................0
45 Commercial mortgages-all other - CM3 - medium quality................................ .................................0 .................................0 ............XXX................. .................................0 ................0.0060 .................................0 ................0.0175 .................................0 ................0.0225 .................................0
46 Commercial mortgages-all other - CM4 - low medium quality.......................... .................................0 .................................0 ............XXX................. .................................0 ................0.0105 .................................0 ................0.0300 .................................0 ................0.0375 .................................0
31
47 Commercial mortgages-all other - CM5 - low quality....................................... .................................0 .................................0 ............XXX................. .................................0 ................0.0160 .................................0 ................0.0425 .................................0 ................0.0550 .................................0
Overdue, not in process:
48 Farm mortgages............................................................................................. .................................0 .................................0 ............XXX................. .................................0 ................0.0420 .................................0 ................0.0760 .................................0 ................0.1200 .................................0
52 Commercial mortgages-all other..................................................................... .................................0 .................................0 ............XXX................. .................................0 ................0.0420 .................................0 ................0.0760 .................................0 ................0.1200 .................................0
In process of foreclosure:
53 Farm mortgages............................................................................................. .................................0 .................................0 ............XXX................. .................................0 ................0.0000 .................................0 ................0.1700 .................................0 ................0.1700 .................................0
57 Commercial mortgages-all other..................................................................... .................................0 .................................0 ............XXX................. .................................0 ................0.0000 .................................0 ................0.1700 .................................0 ................0.1700 .................................0
58 Total Schedule B mortgages (sum of Lines 35 through 57)................................. .................................0 .................................0 ...........XXX.................. .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0
59 Schedule DA mortgages..................................................................................... .................................0 .................................0 ............XXX................. .................................0 ................0.0030 .................................0 ................0.0100 .................................0 ................0.0130 .................................0
60 Total mortgage loans on real estate (Lines 58 + 59)............................................ .................................0 .................................0 ............XXX................. .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0 ...........XXX.......... .................................0
Equity and Other Invested Asset Component
COMMON STOCK
1 Unaffiliated public........................................................................................................... ...........................907 .............XXX.............. ...........XXX................ ...........................907 ................0.0000 .............................0 (a)............0.0000 ...............................0 (a)............0.0000 ...............................0
2 Unaffiliated private.......................................................................................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0000 .............................0 ................0.1600 ...............................0 ................0.1600 ...............................0
3 Federal Home Loan Bank............................................................................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0000 .............................0 ................0.0050 ...............................0 ................0.0080 ...............................0
4 Affiliated life with AVR.................................................................................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0000 .............................0 ................0.0000 ...............................0 ................0.0000 ...............................0
Affiliated Investment Subsidiary:
5 Fixed income exempt obligations................................................................................ ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
6 Fixed income highest quality...................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
7 Fixed income high quality........................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
8 Fixed income medium quality..................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
9 Fixed income low quality............................................................................................ ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
10 Fixed income lower quality......................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
11 Fixed income in or near default................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
12 Unaffiliated common stock public............................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ................0.0000 .............................0 (a)............0.0000 ...............................0 (a)............0.0000 ...............................0
13 Unaffiliated common stock private.............................................................................. ...............................0 ...............................0 ...............................0 ...............................0 ................0.0000 .............................0 ................0.1600 ...............................0 ................0.1600 ...............................0
32
14 Real estate................................................................................................................. ...............................0 ...............................0 ...............................0 ...............................0 (b)............0.0000 .............................0 (b)............0.0000 ...............................0 (b)............0.0000 ...............................0
15 Affiliated - certain other (see SVO Purposes and Procedures Manual)............................ ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0000 .............................0 ................0.1300 ...............................0 ................0.1300 ...............................0
16 Affiliated - all other.......................................................................................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0000 .............................0 ................0.1600 ...............................0 ................0.1600 ...............................0
17 Total common stock (sum of Lines 1 through 16)............................................................ ...........................907 ...............................0 ...............................0 ...........................907 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
REAL ESTATE
18 Home office property (General Account only).................................................................. ...............................0 ...............................0 ...............................0 ...............................0 ................0.0000 .............................0 ................0.0750 ...............................0 ................0.0750 ...............................0
19 Investment properties..................................................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ................0.0000 .............................0 ................0.0750 ...............................0 ................0.0750 ...............................0
20 Properties acquired in satisfaction of debt...................................................................... ...............................0 ...............................0 ...............................0 ...............................0 ................0.0000 .............................0 ................0.1100 ...............................0 ................0.1100 ...............................0
21 Total real estate (sum of Lines 18 through 20)................................................................ ...............................0 ...............................0 ...............................0 ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
OTHER INVESTED ASSETS
INVESTMENTS WITH THE UNDERLYING CHARACTERISTICS OF BONDS
22 Exempt obligations......................................................................................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0000 .............................0 ................0.0000 ...............................0 ................0.0000 ...............................0
23 1 Highest quality................................................................................................................ ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0004 .............................0 ................0.0023 ...............................0 ................0.0030 ...............................0
24 2 High quality.................................................................................................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0019 .............................0 ................0.0058 ...............................0 ................0.0090 ...............................0
25 3 Medium quality............................................................................................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0093 .............................0 ................0.0230 ...............................0 ................0.0340 ...............................0
26 4 Low quality..................................................................................................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0213 .............................0 ................0.0530 ...............................0 ................0.0750 ...............................0
27 5 Lower quality.................................................................................................................. ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0432 .............................0 ................0.1100 ...............................0 ................0.1700 ...............................0
28 6 In or near default............................................................................................................ ...............................0 .............XXX.............. ...........XXX................ ...............................0 ................0.0000 .............................0 ................0.2000 ...............................0 ................0.2000 ...............................0
29 Total with bond characteristics (sum of Lines 22 through 28).......................................... ...............................0 .............XXX.............. ...........XXX................ ...............................0 ...........XXX.......... .............................0 ...........XXX.......... ...............................0 ...........XXX.......... ...............................0
Asset Valuation Reserve - Equity

NONE
Asset Valuation Reserve - Equity

NONE
Asset Valuation Reserve - Replications (Synthetic) Assets

NONE
Sch. F - Claims
NONE
33, 34, 35, 36

SCHEDULE H - ACCIDENT AND HEALTH EXHIBIT
Group Credit A&H Other Individual Contracts
Accident and (Group and Collectively Guaranteed Non-Renewable for Other Accident
Total Health Individual) Renewable Non-Cancelable Renewable Stated Reasons Only Only All Other
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Amount % Amount % Amount % Amount % Amount % Amount % Amount % Amount % Amount %
PART 1 - ANALYSIS OF UNDERWRITING OPERATIONS
1. Premiums written................................................................... ....570,222,565 ......XXX..... ....360,960,689 ....XXX.... ......................0 ....XXX.... ...............3,339 ....XXX.... ......................0 ....XXX.... ....209,258,537 ......XXX.. ......................0 ....XXX.... ......................0 ....XXX.... ......................0 ....XXX..
2. Premiums earned.................................................................. ....578,994,724 ......XXX..... ....364,688,260 ....XXX.... ......................0 ....XXX.... ...............3,401 ....XXX.... ......................0 ....XXX.... ....214,303,063 ......XXX.. ......................0 ....XXX.... ......................0 ....XXX.... ......................0 ....XXX..
3. Incurred claims...................................................................... ....200,950,049 ..........34.7 ....156,977,226 .......43.0 ......................0 .........0.0 ...............2,252 .......66.2 ......................0 .........0.0 ......43,970,571 .......20.5 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
4. Cost containment expenses.................................................. ......................0 ............0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
5. Incurred claims and cost containment expenses
(Lines 3 and 4)....................................................................... ....200,950,049 ..........34.7 ....156,977,226 .......43.0 ......................0 .........0.0 ...............2,252 .......66.2 ......................0 .........0.0 ......43,970,571 .......20.5 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
6 Increase in contract reserves................................................ .....(21,937,987) ..........(3.8) ......22,270,188 .........6.1 ......................0 .........0.0 .................(741) ......(21.8) ......................0 .........0.0 .....(44,207,434) ......(20.6) ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
7 Commissions (a).................................................................... ....127,203,478 ..........22.0 ......31,756,155 .........8.7 ......................0 .........0.0 ..................295 .........8.7 ......................0 .........0.0 ......95,447,028 .......44.5 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
8 Other general insurance expenses........................................ ....172,768,725 ..........29.8 ....172,653,185 .......47.3 ......................0 .........0.0 ...............1,045 .......30.7 ......................0 .........0.0 ...........114,495 .........0.1 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
9 Taxes, licenses and fees....................................................... ......18,852,043 ............3.3 ......18,839,436 .........5.2 ......................0 .........0.0 ..................114 .........3.4 ......................0 .........0.0 .............12,493 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
10 Total other expenses incurred............................................... ....318,824,246 ..........55.1 ....223,248,776 .......61.2 ......................0 .........0.0 ...............1,454 .......42.8 ......................0 .........0.0 ......95,574,016 .......44.6 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
11. Aggregate write-ins for deductions........................................ ......95,568,358 ..........16.5 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......95,568,358 .......44.6 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
12. Gain from underwriting before dividends or refunds.............. .....(14,409,942) ..........(2.5) .....(37,807,930) ......(10.4) ......................0 .........0.0 ..................436 .......12.8 ......................0 .........0.0 ......23,397,552 .......10.9 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
13. Dividends or refunds.............................................................. ......................0 ............0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
37
14. Gain from underwriting after dividends or refunds................. .....(14,409,942) ..........(2.5) .....(37,807,930) ......(10.4) ......................0 .........0.0 ..................436 .......12.8 ......................0 .........0.0 ......23,397,552 .......10.9 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
1101. Reserve adjustment from reinsurance assumed................... ......95,568,358 ..........16.5 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......95,568,358 .......44.6 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
1102. ............................................................................................... ......................0 ............0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
1103. ............................................................................................... ......................0 ............0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
1198. Summary of remaining write-ins for Line 11
from overflow page................................................................ ......................0 ............0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
1199. Total (Lines 1101 through 1103 plus 1198) (Line 11 above). ......95,568,358 ..........16.5 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......................0 .........0.0 ......95,568,358 .......44.6 ......................0 .........0.0 ......................0 .........0.0 ......................0 .......0.0
(a) Includes $..........0 reported as 'Contract, membership and other fees retained by agents.'
SCHEDULE H - ACCIDENT AND HEALTH EXHIBIT (continued)
1 2 3 4 Other Individual Contracts
Group Credit A&H 5 6 7 8 9
Accident and (Group and Collectively Guaranteed Non-Renewable for Other Accident
Total Health Individual) Renewable Non-Cancelable Renewable Stated Reasons Only Only All Other
PART 2 - RESERVES AND LIABILITIES
A. Premium Reserves:
1. Unearned premiums....................................................................................................... ......................1,676,715 ......................1,667,623 ....................................0 ................................252 ....................................0 .............................8,840 ....................................0 ....................................0 ....................................0
2. Advance premiums......................................................................................................... .........................243,358 .........................241,885 ....................................0 ..................................19 ....................................0 .............................1,454 ....................................0 ....................................0 ....................................0
3. Reserve for rate credits................................................................................................... ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
4. Total premium reserves, current year............................................................................. ......................1,920,073 ......................1,909,508 ....................................0 ................................271 ....................................0 ...........................10,294 ....................................0 ....................................0 ....................................0
5. Total premium reserves, prior year................................................................................. ....................10,693,258 ......................5,637,803 ....................................0 ................................370 ....................................0 ......................5,055,085 ....................................0 ....................................0 ....................................0
6. Increase in total premium reserves................................................................................. .....................(8,773,185) .....................(3,728,295) ....................................0 .................................(99) ....................................0 .....................(5,044,791) ....................................0 ....................................0 ....................................0
B. Contract Reserves:
1. Additional reserves (a).................................................................................................... ..................161,502,936 ..................160,567,926 ....................................0 .............................2,421 ....................................0 .........................932,589 ....................................0 ....................................0 ....................................0
2. Reserve for future contingent benefits............................................................................ ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0 ....................................0
3. Total contract reserves, current year.............................................................................. ..................161,502,936 ..................160,567,926 ....................................0 .............................2,421 ....................................0 .........................932,589 ....................................0 ....................................0 ....................................0
4. Total contract reserves, prior year.................................................................................. ..................183,440,923 ..................138,297,738 ....................................0 .............................3,162 ....................................0 ....................45,140,023 ....................................0 ....................................0 ....................................0
5. Increase in contract reserves.......................................................................................... ...................(21,937,987) ....................22,270,188 ....................................0 ...............................(741) ....................................0 ...................(44,207,434) ....................................0 ....................................0 ....................................0
C. Claim Reserves and Liabilities:
1. Total current year............................................................................................................ ..................105,350,856 ....................97,093,454 ....................................0 ................................522 ....................................0 ......................8,256,880 ....................................0 ....................................0 ....................................0
2. Total prior year................................................................................................................ ....................98,810,109 ....................87,187,159 ....................................0 ................................378 ....................................0 ....................11,622,572 ....................................0 ....................................0 ....................................0
3. Increase.......................................................................................................................... ......................6,540,747 ......................9,906,295 ....................................0 ................................144 ....................................0 .....................(3,365,692) ....................................0 ....................................0 ....................................0
PART 3 - TEST OF PRIOR YEAR'S CLAIM RESERVES AND LIABILITIES

38
1. Claims Paid During the Year:

1.1 On claims incurred prior to current year.................................................................... ....................52,279,220 ....................37,508,073 ....................................0 ....................................0 ....................................0 ....................14,771,147 ....................................0 ....................................0 ....................................0
1.2 On claims incurred during current year..................................................................... ..................142,130,082 ..................109,562,858 ....................................0 .............................2,108 ....................................0 ....................32,565,116 ....................................0 ....................................0 ....................................0
2. Claim Reserves and Liabilities, December 31, current year:
2.1 On claims incurred prior to current year.................................................................... ....................17,002,303 ....................16,885,006 ....................................0 ..................................14 ....................................0 .........................117,283 ....................................0 ....................................0 ....................................0
2.2 On claims incurred during current year..................................................................... ....................88,348,553 ....................80,208,448 ....................................0 ................................508 ....................................0 ......................8,139,597 ....................................0 ....................................0 ....................................0
3. Test:
3.1 Lines 1.1 and 2.1...................................................................................................... ....................69,281,523 ....................54,393,079 ....................................0 ..................................14 ....................................0 ....................14,888,430 ....................................0 ....................................0 ....................................0
3.2 Claim reserves and liabilities, December 31, prior year............................................ ....................98,810,109 ....................87,187,159 ....................................0 ................................378 ....................................0 ....................11,622,572 ....................................0 ....................................0 ....................................0
3.3 Line 3.1 minus Line 3.2............................................................................................. ...................(29,528,586) ...................(32,794,080) ....................................0 ...............................(364) ....................................0 ......................3,265,858 ....................................0 ....................................0 ....................................0
PART 4 - REINSURANCE
A. Reinsurance Assumed:
1. Premiums written........................................................................................................ ..................214,901,204 ......................5,997,471 ....................................0 ....................................0 ....................................0 ..................208,903,733 ....................................0 ....................................0 ....................................0
2. Premiums earned........................................................................................................ ..................219,947,337 ......................6,000,371 ....................................0 ....................................0 ....................................0 ..................213,946,966 ....................................0 ....................................0 ....................................0
3. Incurred claims............................................................................................................ ....................45,465,126 ......................1,547,272 ....................................0 ....................................0 ....................................0 ....................43,917,854 ....................................0 ....................................0 ....................................0
4. Commissions.............................................................................................................. ..................107,998,030 ......................2,603,006 ....................................0 ....................................0 ....................................0 ..................105,395,024 ....................................0 ....................................0 ....................................0
B. Reinsurance Ceded:
1. Premiums written........................................................................................................ ..................199,758,263 ..................199,745,495 ....................................0 ....................................0 ....................................0 ...........................12,768 ....................................0 ....................................0 ....................................0
2. Premiums earned........................................................................................................ ..................199,758,263 ..................199,745,495 ....................................0 ....................................0 ....................................0 ...........................12,768 ....................................0 ....................................0 ....................................0
3. Incurred claims............................................................................................................ ....................72,942,372 ....................72,941,122 ....................................0 ....................................0 ....................................0 .............................1,250 ....................................0 ....................................0 ....................................0
4. Commissions.............................................................................................................. ..................125,026,322 ..................115,021,641 ....................................0 ....................................0 ....................................0 ....................10,004,681 ....................................0 ....................................0 ....................................0
(a) Includes $..........0 premium deficiency reserve.
SCHEDULE H - PART 5 - HEALTH CLAIMS
1 2 3 4
Medical Dental Other Total
A. Direct:
1. Incurred claims................................................................................... ........................................0 .............................277,909 ......................228,149,389 ......................228,427,298
2. Beginning claim reserves and liabilities.............................................. ........................................0 .............................171,439 ........................90,134,157 ........................90,305,596
3. Ending claim reserves and liabilities.................................................. ........................................0 .............................184,667 ........................99,634,805 ........................99,819,472
4. Claims paid......................................................................................... ........................................0 .............................264,681 ......................218,648,741 ......................218,913,422
B. Assumed Reinsurance:
5. Incurred claims................................................................................... ........................................0 ........................................0 ........................45,465,124 ........................45,465,124
6. Beginning claim reserves and liabilities.............................................. ........................................0 ........................................0 ........................13,149,491 ........................13,149,491
7. Ending claim reserves and liabilities.................................................. ........................................0 ........................................0 ..........................9,178,142 ..........................9,178,142
8. Claims paid......................................................................................... ........................................0 ........................................0 ........................49,436,473 ........................49,436,473
C. Ceded Reinsurance:
9. Incurred claims................................................................................... ........................................0 ........................................0 ........................72,942,373 ........................72,942,373
10. Beginning claim reserves and liabilities.............................................. ........................................0 ........................................0 ........................26,028,677 ........................26,028,677
11. Ending claim reserves and liabilities.................................................. ........................................0 ........................................0 ........................28,676,612 ........................28,676,612
12. Claims paid......................................................................................... ........................................0 ........................................0 ........................70,294,438 ........................70,294,438
D. Net:
13. Incurred claims................................................................................... ........................................0 .............................277,909 ......................200,672,140 ......................200,950,049
14. Beginning claim reserves and liabilities.............................................. ........................................0 .............................171,439 ........................77,254,971 ........................77,426,410
15. Ending claim reserves and liabilities.................................................. ........................................0 .............................184,667 ........................80,136,335 ........................80,321,002
16. Claims paid......................................................................................... ........................................0 .............................264,681 ......................197,790,776 ......................198,055,457
E. Net Incurred Claims and Cost Containment Expenses:
17. Incurred claims and cost containment expenses............................... ........................................0 .............................277,909 ......................200,672,139 ......................200,950,048
18. Beginning reserves and liabilities....................................................... ........................................0 .............................171,439 ........................77,254,971 ........................77,426,410
19. Ending reserves and liabilities............................................................ ........................................0 .............................184,667 ........................80,136,332 ........................80,320,999
20. Paid claims and cost containment expenses..................................... ........................................0 .............................264,681 ......................197,790,778 ......................198,055,459
39
SCHEDULE S - PART 1 - SECTION 1
Reinsurance Assumed Life Insurance, Annuities, Deposit Funds and Other Liabilities
Without Life or Disability Contingencies, and Related Benefits Listed by Reinsured Company as of December 31, Current Year
1 2 3 4 5 6 7 8 9 10 11 12 13
Reinsurance Funds
NAIC Type of Type of Amount of Payable on Modified Withheld
Company ID Effective Domiciliary Reinsurance Business In Force at Paid and Unpaid Coinsurance Under
Code Number Date Name of Reinsured Jurisdiction Assumed Assumed End of Year Reserve Premiums Losses Reserve Coinsurance
General Account - Non-Affiliates - U.S. Non-Affiliates
93440..... 06-1041332.... 04/01/2004 Highmark Life Insurance Company................................................................................................................ PA............. CO/G............ XXXL............ ................3,242,499 ...................462,586 .....................54,597 .......................4,894 ..............................0 ..............................0
0899999. Total - General Account - Non-Affiliates - U.S. Non-Affiliates...................................................................................................................... ................................................................. ................3,242,499 ...................462,586 .....................54,597 .......................4,894 ..............................0 ..............................0
1099999. Total - General Account - Non-Affiliates....................................................................................................................................................... ................................................................. ................3,242,499 ...................462,586 .....................54,597 .......................4,894 ..............................0 ..............................0
1199999. Total - General Account............................................................................................................................................................................... ................................................................. ................3,242,499 ...................462,586 .....................54,597 .......................4,894 ..............................0 ..............................0
2399999. Total U.S...................................................................................................................................................................................................... ................................................................. ................3,242,499 ...................462,586 .....................54,597 .......................4,894 ..............................0 ..............................0
9999999. Total............................................................................................................................................................................................................. ................................................................. ................3,242,499 ...................462,586 .....................54,597 .......................4,894 ..............................0 ..............................0
40
Reinsurance Assumed Accident and Health Insurance Listed by Reinsured Company as of December 31, Current Year
1 2 3 4 5 6 7 8 9 10 11 12 13
Reserve Reinsurance Funds
NAIC Type of Type of Liability Other Than Payable on Modified Withheld
Company ID Effective Domiciliary Reinsurance Business Unearned for Unearned Paid and Unpaid Coinsurance Under
Code Number Date Name of Reinsured Jurisdiction Assumed Assumed Premiums Premiums Premiums Losses Reserve Coinsurance
Non-Affiliates - U.S. Non-Affiliates
60488..... 25-0598210.... 01/01/2000 American General Life Insurance Company........................................................................................................ TX............. QA/G............ OH................ ..............................0 ..............................0 .....................93,528 .....................52,383 ..............................0 ..............................0
70106..... 13-5459480.... 08/21/1996 United States Life Insurance Company In NYC................................................................................................... NY............ QA/I.............. OH................ ...................103,333 ..............................0 ...................352,255 ..............................0 ..............................0 ..............................0
93440..... 06-1041332.... 04/01/2004 Highmark Life Insurance Company...................................................................................................................... PA............. QA/G............ OH................ ..........................168 ..............................0 .......................7,308 .......................2,730 ..............................0 ..............................0
61476..... 04-1106240.... 05/01/2007 Boston Mutual Life Insurance Company.............................................................................................................. MA............ QA/G............ OH................ ................5,997,302 .....................66,204 ................8,767,913 ................1,001,481 ..............................0 ..............................0
0899999. Total - Non-Affiliates - U.S. Non-Affiliates.......................................................................................................................................................... ................................................................. ................6,100,803 .....................66,204 ................9,221,004 ................1,056,594 ..............................0 ..............................0
Non-Affiliates - Non-U.S. Non-Affiliates
00000..... AA-1460146... 12/31/2014 Swiss Reinsurance Co Ltd................................................................................................................................... CHE.......... QA/I.............. OH................ ..............55,151,209 ..............................0 ..............................0 ................2,664,877 ..............................0 ..............................0
00000..... AA-1340165... 04/01/2015 Munich Reinsurance Co....................................................................................................................................... DEU.......... QA/I.............. OH................ ............153,649,191 ..............................0 ..............................0 ................5,353,620 ..............................0 ..............................0
0999999. Total - Non-Affiliates - Non-U.S. Non-Affiliates.................................................................................................................................................. ................................................................. ............208,800,400 ..............................0 ..............................0 ................8,018,497 ..............................0 ..............................0
1099999. Total - Non-Affiliates........................................................................................................................................................................................... ................................................................. ............214,901,203 .....................66,204 ................9,221,004 ................9,075,091 ..............................0 ..............................0
1199999. Total - U.S.......................................................................................................................................................................................................... ................................................................. ................6,100,803 .....................66,204 ................9,221,004 ................1,056,594 ..............................0 ..............................0
1299999. Total Non-U.S..................................................................................................................................................................................................... ................................................................. ............208,800,400 ..............................0 ..............................0 ................8,018,497 ..............................0 ..............................0
9999999. Total................................................................................................................................................................................................................... ................................................................. ............214,901,203 .....................66,204 ................9,221,004 ................9,075,091 ..............................0 ..............................0
41
SCHEDULE S - PART 2
Reinsurance Recoverable on Paid and Unpaid Losses Listed by Reinsuring Company as of December 31, Current Year
1 2 3 4 5 6 7
NAIC
Company ID Effective Domiciliary
Code Number Date Name of Company Jurisdiction Paid Losses Unpaid Losses
Life and Annuity - Affiliates - U.S. - Other
60380......... 82-2723296.... 12/31/2017 American Family Life Assurance Company Of Columbus....................................................... NE.................. ...............................0 ........................1,232
0299999. Total - Life and Annuity Affiliates - U.S. - Other............................................................................................................................................... ...............................0 ........................1,232
0399999. Total - Life and Annuity Affiliates - U.S. - Total................................................................................................................................................ ...............................0 ........................1,232
0799999. Total - Life and Annuity Affiliates...................................................................................................................................................................... ...............................0 ........................1,232
Life and Annuity - Non-Affiliates - U.S. Non-Affiliates
66346......... 58-0828824.... 03/01/2002 Munich Amer Reassur Company............................................................................................. GA.................. ...........................125 ......................53,750
93572......... 43-1235868.... 09/01/2016 RGA REINS CO....................................................................................................................... MO.................. ......................86,382 ....................393,169
0899999. Total - Life and Annuity Non-Affiliates - U.S. Non-Affiliates............................................................................................................................. ......................86,507 ....................446,919
1099999. Total - Life and Annuity Non-Affiliates.............................................................................................................................................................. ......................86,507 ....................446,919
1199999. Total - Life and Annuity.................................................................................................................................................................................... ......................86,507 ....................448,151
Accident and Health - Affiliates - U.S. - Other
60380......... 82-2723296.... 01/01/2012 American Family Life Assurance Company Of Columbus....................................................... NE.................. ...............24,654,550 ...............................0
1399999. Total - Accident and Health Affiliates - U.S. - Other......................................................................................................................................... ...............24,654,550 ...............................0
1499999. Total - Accident and Health Affiliates - U.S. - Total.......................................................................................................................................... ...............24,654,550 ...............................0
1899999. Total - Accident and Health Affiliates............................................................................................................................................................... ...............24,654,550 ...............................0
Accident and Health - Non-Affiliates - U.S. Non-Affiliates
70815......... 06-0838648.... 08/01/2006 Hartford Life & Accident Insurance Company.......................................................................... CT................... ........................7,877 ....................646,329
70408......... 81-0170040.... 02/01/1995 Union Security Insurance Company......................................................................................... KS................... ......................54,005 ...............................0
1999999. Total - Accident and Health Non-Affiliates - U.S. Non-Affiliates....................................................................................................................... ......................61,882 ....................646,329
Accident and Health - Non-Affiliates - Non-U.S. Non-Affiliates
00000......... AA-1460146... 12/31/2014 Swiss Reinsurance Co Ltd....................................................................................................... CHE................ ......................82,541 ...............................0
00000......... AA-1340165... 04/01/2015 Munich Reinsurance Co........................................................................................................... DEU................ ....................144,378 ...............................0
2099999. Total - Accident and Health Non-Affiliates - Non-U.S. Non-Affiliates............................................................................................................... ....................226,918 ...............................0
2199999. Total - Accident and Health Non-Affiliates........................................................................................................................................................ ....................288,800 ....................646,329
2299999. Total - Accident and Health.............................................................................................................................................................................. ...............24,943,350 ....................646,329
2399999. Total U.S.......................................................................................................................................................................................................... ...............24,802,939 .................1,094,480
2499999. Total Non-U.S................................................................................................................................................................................................... ....................226,918 ...............................0
9999999. Total................................................................................................................................................................................................................. ...............25,029,857 .................1,094,480
42
Reinsurance Ceded Life Insurance, Annuities, Deposit Funds and Other Liabilities
Without Life or Disability Contingencies, and Related Benefits Listed by Reinsuring Company as of December 31, Current Year
1 2 3 4 5 6 7 8 Reserve Credit Taken 11 Outstanding Surplus Relief 14 15
9 10 12 13 Funds
NAIC Type of Type of Amount Modified Withheld
Company ID Effective Domiciliary Reinsurance Business In Force at Current Prior Current Prior Coinsurance Under
Code Number Date Name of Company Jurisdiction Ceded Ceded End of Year Year Year Premiums Year Year Reserve Coinsurance
General Account - Authorized - Affiliates - U.S. - Other
60380......... 82-2723296.... 12/31/2017 American Family Life Assurance Company Of Columbus....................................................... NE............ CO/G.......... ................. ............1,568,832 .................89,453 .................68,100 ................(60,239) ..........................0 ..........................0 ..........................0 ..........................0
0299999. Total - General Account - Authorized - Affiliates - U.S. - Other............................................................................................ ......................................................... ............1,568,832 .................89,453 .................68,100 ................(60,239) ..........................0 ..........................0 ..........................0 ..........................0
0399999. Total - General Account - Authorized - Affiliates - U.S. - Total............................................................................................. ......................................................... ............1,568,832 .................89,453 .................68,100 ................(60,239) ..........................0 ..........................0 ..........................0 ..........................0
0799999. Total - General Account - Authorized - Affiliates.................................................................................................................. ......................................................... ............1,568,832 .................89,453 .................68,100 ................(60,239) ..........................0 ..........................0 ..........................0 ..........................0
General Account - Authorized - Non-Affiliates - U.S. Non-Affiliates
88099......... 75-1608507.... 05/15/1983 Optimum Re Ins Co................................................................................................................ TX............ CO/I........... ................. ...............144,490 ..........................0 ..........................0 ......................670 ..........................0 ..........................0 ..........................0 ..........................0
88099......... 75-1608507.... 03/01/1981 Optimum Re Ins Co................................................................................................................ TX............ YRT/I.......... ................. ...............826,080 ..........................0 ..........................0 ...................5,705 ..........................0 ..........................0 ..........................0 ..........................0
88099......... 75-1608507.... 05/15/1983 Optimum Re Ins Co................................................................................................................ TX............ CO/I........... ................. .................96,685 ..........................0 ..........................0 ...................1,293 ..........................0 ..........................0 ..........................0 ..........................0
82627......... 06-0839705.... 09/01/1987 Swiss Re Life & Hlth Amer Inc................................................................................................ CT............ CO/I........... ................. ...............182,000 ..........................0 ..........................0 ...................1,319 ..........................0 ..........................0 ..........................0 ..........................0
82627......... 06-0839705.... 07/02/1987 Swiss Re Life & Hlth Amer Inc................................................................................................ CT............ YRT/I.......... ................. ...............157,678 ..........................0 ..........................0 ...................4,824 ..........................0 ..........................0 ..........................0 ..........................0
97071......... 13-3126819.... 01/01/2015 SCOR Global Life USA Reins Co........................................................................................... DE............ OTH/G........ ................. ..........................0 ..........................0 ..........................0 .................48,679 ..........................0 ..........................0 ..........................0 ..........................0
93572......... 43-1235868.... 09/01/2016 RGA REINS CO..................................................................................................................... MO........... CO/G.......... ................. .........308,662,563 ...............416,491 .................20,813 ............3,337,119 ..........................0 ..........................0 ..........................0 ..........................0
80802......... 38-1082080.... 10/01/2017 US BR SUN LIFE ASSUR CO OF CANADA.......................................................................... MI............. CO/G.......... ................. .........177,563,290 ..........................0 ..........................0 ...............114,288 ..........................0 ..........................0 ..........................0 ..........................0
0899999. Total - General Account - Authorized - Non-Affiliates - U.S. Non-Affiliates.......................................................................... ......................................................... .........487,632,786 ...............416,491 .................20,813 ............3,513,897 ..........................0 ..........................0 ..........................0 ..........................0
1099999. Total - General Account - Authorized - Non-Affiliates.......................................................................................................... ......................................................... .........487,632,786 ...............416,491 .................20,813 ............3,513,897 ..........................0 ..........................0 ..........................0 ..........................0
43
1199999. Total - General Account - Authorized.................................................................................................................................. ......................................................... .........489,201,618 ...............505,944 .................88,913 ............3,453,658 ..........................0 ..........................0 ..........................0 ..........................0
3499999. Total - General Account - Authorized, Unauthorized and Certified....................................................................................... ......................................................... .........489,201,618 ...............505,944 .................88,913 ............3,453,658 ..........................0 ..........................0 ..........................0 ..........................0
6999999. Total U.S........................................................................................................................................................................................................................................ .........489,201,618 ...............505,944 .................88,913 ............3,453,658 ..........................0 ..........................0 ..........................0 ..........................0
9999999. Total............................................................................................................................................................................................................................................... .........489,201,618 ...............505,944 .................88,913 ............3,453,658 ..........................0 ..........................0 ..........................0 ..........................0
Reinsurance Ceded Accident and Health Insurance Listed by Reinsuring Company as of December 31, Current Year
1 2 3 4 5 6 7 8 9 10 Outstanding Surplus Relief 13 14
Reserve Credit 11 12 Funds
NAIC Type of Type of Unearned Taken Other Than Modified Withheld
Company ID Effective Domiciliary Reinsurance Business Premiums for Unearned Current Prior Coinsurance Under
Code Number Date Name of Company Jurisdiction Ceded Ceded Premiums (Estimated) Premiums Year Year Reserve Coinsurance
General Account - Authorized - Affiliates - U.S. - Other
60380..... 82-2723296.... .01/01/2012 American Family Life Assurance Company of Columbus........................................................................ NE............ QA/I............ A............... ...................11,460 ............................0 ............................0 ............................0 ............................0 ...................13,361 ............................0
60380..... 82-2723296.... .01/01/2012 American Family Life Assurance Company of Columbus........................................................................ NE............ QA/G.......... A............... ............82,837,196 ............................0 ............................0 ............................0 ............................0 ...................70,946 ............................0
60380..... 82-2723296.... .01/01/2012 American Family Life Assurance Company of Columbus........................................................................ NE............ QA/G.......... SD............ ..........115,693,060 ............................0 ............................0 ............................0 ............................0 ............67,520,108 ............................0
0299999. Total - General Account - Authorized - Affiliates - U.S. - Other................................................................................................................ ........................................................... ..........198,541,717 ............................0 ............................0 ............................0 ............................0 ............67,604,415 ............................0
0399999. Total - General Account - Authorized - Affiliates - U.S. - Total................................................................................................................. ........................................................... ..........198,541,717 ............................0 ............................0 ............................0 ............................0 ............67,604,415 ............................0
0799999. Total - General Account - Authorized - Affiliates...................................................................................................................................... ........................................................... ..........198,541,717 ............................0 ............................0 ............................0 ............................0 ............67,604,415 ............................0
General Account - Authorized - Non-Affiliates - U.S. Non-Affiliates
61883..... 42-0884060.... .11/01/1970 Central United Life Insurance Company.................................................................................................. AR............ OTH/I.......... ................. .....................1,306 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0
37273..... 39-1338397.... .01/01/2013 Axis Insurance Company......................................................................................................................... IL.............. OTH/G........ ................. ...................57,500 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0
97071..... 13-3126819.... .01/01/2015 SCOR Global Life USA Reins Co............................................................................................................. DE............ OTH/G........ ................. .................349,933 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0
70815..... 06-0838648.... .01/01/2006 Hartford Life & Accident Insurance Company.......................................................................................... CT............. OTH/G........ ................. .................793,802 ............................0 .................337,538 ............................0 ............................0 ............................0 ............................0
80802..... 38-1082080.... .10/01/2017 US BR SUN LIFE ASSUR CO OF CANADA........................................................................................... MI............. QA/G.......... ................. ...................14,004 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0
66346..... 58-0828824.... .03/01/2002 Munich Amer Reassur Company............................................................................................................. GA............ OTH/G........ ................. ............................0 ............................0 .....................3,154 ............................0 ............................0 ............................0 ............................0
70408..... 81-0170040.... .02/01/1995 Union Security Ins Company.................................................................................................................... KS............. QA/G.......... ................. ............................0 ............................0 ..............2,659,734 ............................0 ............................0 ............................0 ............................0
0899999. Total - General Account - Authorized - Non-Affiliates - U.S. Non-Affiliates.............................................................................................. ........................................................... ..............1,216,545 ............................0 ..............3,000,426 ............................0 ............................0 ............................0 ............................0
44
1099999. Total - General Account - Authorized - Non-Affiliates.............................................................................................................................. ........................................................... ..............1,216,545 ............................0 ..............3,000,426 ............................0 ............................0 ............................0 ............................0
1199999. Total - General Account - Authorized....................................................................................................................................................... ........................................................... ..........199,758,262 ............................0 ..............3,000,426 ............................0 ............................0 ............67,604,415 ............................0
3499999. Total - General Account - Authorized, Unauthorized and Certified.......................................................................................................... ........................................................... ..........199,758,262 ............................0 ..............3,000,426 ............................0 ............................0 ............67,604,415 ............................0
6999999. Total - U.S................................................................................................................................................................................................ ........................................................... ..........199,758,262 ............................0 ..............3,000,426 ............................0 ............................0 ............67,604,415 ............................0
9999999. Total......................................................................................................................................................................................................... ........................................................... ..........199,758,262 ............................0 ..............3,000,426 ............................0 ............................0 ............67,604,415 ............................0
Sch. S - Pt. 4
NONE
Sch. S - Pt. 5
NONE
45, 46
SCHEDULE S - PART 6
Five-Year Exhibit of Reinsurance Ceded Business
($000 Omitted)
1 2 3 4 5
2018 2017 2016 2015 2014
A. OPERATIONS ITEMS
1. Premiums and annuity considerations for life and accident and health
contracts......................................................................................................... ..................203,212 ..................174,991 ..................161,818 ..................136,836 ..................130,742
2. Commissions and reinsurance expense allowances........................................ ..................128,602 ..................101,402 ....................98,837 ....................84,257 ....................74,470
3. Contract claims............................................................................................... ....................74,817 ....................66,347 ....................61,402 ....................55,868 ....................49,312
4. Surrender benefits and withdrawals for life contracts....................................... .............................0 .............................0 .............................0 .............................0 .............................0
5. Dividends to policyholders............................................................................... .............................0 .............................0 .............................0 .............................0 .............................0
6. Reserve adjustments on reinsurance ceded.................................................... ....................10,250 ....................16,224 ....................10,002 ....................11,525 ....................12,421
7. Increase in aggregate reserves for life and accident and health contracts....... ........................(740) .............................0 .............................0 .............................0 .............................0
B. BALANCE SHEET ITEMS
8. Premiums and annuity considerations for life and accident and health
contracts deferred and uncollected.................................................................. .............................2 .............................3 .............................0 .............................0 .............................0
9. Aggregate reserves for life and accident and health contracts......................... ......................3,506 .............................0 .............................0 .............................0 .............................0
10. Liability for deposit-type contracts................................................................... .............................0 .............................0 .............................0 .............................0 .............................0
11. Contract claims unpaid.................................................................................... ......................1,094 .........................687 .........................560 .........................377 .........................413
12. Amounts recoverable on reinsurance.............................................................. ....................25,030 ....................21,384 ....................18,350 ....................16,190 ....................17,590
13. Experience rating refunds due or unpaid......................................................... .............................0 .............................0 .............................0 .............................0 .............................0
14. Policyholders' dividends (not included in Line 10)............................................ .............................0 .............................0 .............................0 .............................0 .............................0
15. Commissions and reinsurance expense allowances due................................. .............................0 .............................0 .............................0 .............................0 .............................0
16. Unauthorized reinsurance offset...................................................................... .............................0 .............................0 .............................0 .............................0 .............................0
17. Offset for reinsurance with certified reinsurers................................................. .............................0 .............................0 .............................0 .............................0 .............................0
C. UNAUTHORIZED REINSURANCE
(DEPOSITS BY AND FUNDS WITHHELD FROM)
18. Funds deposited by and withheld from (F)....................................................... .............................0 .............................0 .............................0 .............................0 .............................0
19. Letters of credit (L).......................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0
20. Trust agreements (T)...................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0
21. Other (O)........................................................................................................ .............................0 .............................0 .............................0 .............................0 .............................0
D. REINSURANCE WITH CERTIFIED REINSURERS

(DEPOSITS BY AND FUNDS WITHHELD FROM)
22. Multiple beneficiary trust................................................................................. .............................0 .............................0 .............................0 .............................0 .............................0
23. Funds deposited by and withheld from (F)....................................................... .............................0 .............................0 .............................0 .............................0 .............................0
24. Letters of credit (L).......................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0
25. Trust agreements (T)...................................................................................... .............................0 .............................0 .............................0 .............................0 .............................0
26. Other (O)........................................................................................................ .............................0 .............................0 .............................0 .............................0 .............................0
47
SCHEDULE S - PART 7
Restatement of Balance Sheet to Identify Net Credit for Ceded Reinsurance
1 2 3
As Reported Restatement Restated
(Net of Ceded) Adjustments (Gross of Ceded)
ASSETS (Page 2, Col. 3)
1. Cash and invested assets (Line 12)........................................................................................... .............................461,906,997 ...............................................0 .............................461,906,997
2. Reinsurance (Line 16)................................................................................................................ ...............................54,092,821 ..............................(54,092,821) ...............................................0
3. Premiums and considerations (Line 15).................................................................................... .............................103,478,895 ........................................2,353 .............................103,481,248
4. Net credit for ceded reinsurance................................................................................................ ...................XXX........................ .................................7,571,823 .................................7,571,823
5. All other admitted assets (balance)............................................................................................ ...............................45,599,857 ...............................................0 ...............................45,599,857
6. Total assets excluding Separate Accounts (Line 26)................................................................. .............................665,078,570 ..............................(46,518,645) .............................618,559,925
7. Separate Account assets (Line 27)............................................................................................ ...............................................0 ...............................................0 ...............................................0
8. Total assets (Line 28)................................................................................................................ .............................665,078,570 ..............................(46,518,645) .............................618,559,925
LIABILITIES, CAPITAL AND SURPLUS (Page 3)
9. Contract reserves (Lines 1 and 2).............................................................................................. .............................218,333,002 .................................3,506,369 .............................221,839,371
10. Liability for deposit-type contracts (Line 3)................................................................................ ....................................185,326 ...............................................0 ....................................185,326
11. Claim reserves (Line 4).............................................................................................................. .............................102,328,990 .................................1,094,480 .............................103,423,470
12. Policyholder dividends/reserves (Lines 5 through 7)................................................................. ...............................................0 ...............................................0 ...............................................0
13. Premium & annuity considerations received in advance (Line 8).............................................. ....................................248,227 ...............................................0 ....................................248,227
14. Other contract liabilities (Line 9)................................................................................................ ...............................68,803,785 ..............................(51,119,494) ...............................17,684,291
15. Reinsurance in unauthorized companies (Line 24.02 minus inset amount).............................. ...............................................0 ...............................................0 ...............................................0
16. Funds held under reinsurance treaties with unauthorized reinsurers (Line 24.03
minus inset amount)................................................................................................................... ...............................................0 ...............................................0 ...............................................0
17. Reinsurance with certified reinsurers (Line 24.02 inset amount)............................................... ...............................................0 ...............................................0 ...............................................0
18. Funds held under reinsurance treaties with certified reinsurers (Line 24.03 inset amount)....... ...............................................0 ...............................................0 ...............................................0
19. All other liabilities (balance)....................................................................................................... .............................117,836,218 ...............................................0 .............................117,836,218
20. Total liabilities excluding Separate Accounts (Line 26).............................................................. .............................507,735,548 ..............................(46,518,645) .............................461,216,903
21. Separate Account liabilities (Line 27)......................................................................................... ...............................................0 ...............................................0 ...............................................0
22. Total liabilities (Line 28)............................................................................................................. .............................507,735,548 ..............................(46,518,645) .............................461,216,903
23. Capital & surplus (Line 38)......................................................................................................... .............................157,343,024 ...................XXX........................ .............................157,343,024
24. Total liabilities, capital & surplus (Line 39)................................................................................. .............................665,078,572 ..............................(46,518,645) .............................618,559,927
NET CREDIT FOR CEDED REINSURANCE
25. Contract reserves....................................................................................................................... .................................3,506,369
26. Claim reserves........................................................................................................................... .................................1,094,480
27. Policyholder dividends/reserves................................................................................................ ...............................................0
28. Premium & annuity considerations received in advance........................................................... ...............................................0
29. Liability for deposit-type contracts.............................................................................................. ...............................................0
30. Other contract liabilities.............................................................................................................. ..............................(51,119,494)
31. Reinsurance ceded assets......................................................................................................... ...............................54,092,821
32. Other ceded reinsurance recoverables...................................................................................... ...............................................0
33. Total ceded reinsurance recoverables....................................................................................... .................................7,574,176
34. Premiums and considerations.................................................................................................... ........................................2,353
35. Reinsurance in unauthorized companies................................................................................... ...............................................0
36. Funds held under reinsurance treaties with unauthorized reinsurers........................................ ...............................................0
37. Reinsurance with certified reinsurers......................................................................................... ...............................................0
38. Funds held under reinsurance treaties with certified reinsurers................................................ ...............................................0
39. Other ceded reinsurance payables/offsets................................................................................ ...............................................0
40. Total ceded reinsurance payables/offsets................................................................................. ........................................2,353
41. Total net credit for ceded reinsurance....................................................................................... .................................7,571,823
48
SCHEDULE T - PREMIUMS AND ANNUITY CONSIDERATIONS (b)
Allocated by States and Territories
1 Direct Business Only
Life Contracts 4 5 6 7
2 3 Accident and Health
Active Insurance Premiums, Total
Status Life Insurance Annuity Including Policy, Mem- Other Columns Deposit-Type
States, Etc. (a) Premiums Considerations bership and Other Fees Considerations 2 through 5 Contracts
1. Alabama................................................................................AL ....L....... .............173,228 ........................0 .....................8,775,221 ....................0 ............8,948,449 ....................0
2. Alaska...................................................................................AK ....L....... .................2,225 ........................0 ........................802,909 ....................0 ...............805,134 ....................0
3. Arizona.................................................................................AZ ....L....... .............210,418 ........................0 ...................12,044,655 ....................0 ..........12,255,073 ....................0
4. Arkansas..............................................................................AR ....L....... .............177,141 ........................0 .....................4,484,922 ....................0 ............4,662,063 ....................0
5. California..............................................................................CA ....L....... .............569,303 ........................0 ...................42,599,207 ....................0 ..........43,168,510 ....................0
6. Colorado..............................................................................CO ....L....... .............208,982 ........................0 ...................13,021,087 ....................0 ..........13,230,069 ....................0
7. Connecticut..........................................................................CT ....L....... .............250,530 ........................0 .....................4,036,511 ....................0 ............4,287,041 ....................0
8. Delaware..............................................................................DE ....L....... .............214,059 ........................0 .....................3,003,230 ....................0 ............3,217,289 ....................0
9. District of Columbia..............................................................DC ....L....... ...............24,805 ........................0 ........................639,350 ....................0 ...............664,155 ....................0
10. Florida...................................................................................FL ....L....... .............853,752 ........................0 ...................34,060,940 ....................0 ..........34,914,692 ....................0
11. Georgia................................................................................GA ....L....... ..........1,115,490 ........................0 ...................33,515,121 ....................0 ..........34,630,611 ....................0
12. Hawaii....................................................................................HI ....L....... .............404,327 ........................0 .....................4,396,316 ....................0 ............4,800,643 ....................0
13. Idaho......................................................................................ID ....L....... ...............20,555 ........................0 .....................1,480,372 ....................0 ............1,500,927 ....................0
14. Illinois.....................................................................................IL ....L....... .............537,209 ........................0 ...................18,005,912 ....................0 ..........18,543,121 ....................0
15. Indiana...................................................................................IN ....L....... .............288,816 ........................0 ...................14,192,572 ....................0 ..........14,481,388 ....................0
16. Iowa.......................................................................................IA ....L....... ...............95,567 ........................0 .....................4,060,393 ....................0 ............4,155,960 ....................0
17. Kansas.................................................................................KS ....L....... .............191,761 ........................0 .....................5,842,196 ....................0 ............6,033,957 ....................0
18. Kentucky...............................................................................KY ....L....... .............195,734 ........................0 .....................8,201,029 ....................0 ............8,396,763 ....................0
19. Louisiana..............................................................................LA ....L....... .............261,283 ........................0 ...................10,085,566 ....................0 ..........10,346,849 ....................0
20. Maine...................................................................................ME ....L....... .............324,436 ........................0 .....................2,144,688 ....................0 ............2,469,124 ....................0
21. Maryland..............................................................................MD ....L....... .............323,847 ........................0 .....................9,826,653 ....................0 ..........10,150,500 ....................0
22. Massachusetts.....................................................................MA ....L....... .............367,236 ........................0 .....................8,793,767 ....................0 ............9,161,003 ....................0
23. Michigan................................................................................MI ....L....... .............221,237 ........................0 ...................14,089,491 ....................0 ..........14,310,728 ....................0
24. Minnesota............................................................................MN ....L....... ...............67,240 ........................0 .....................4,789,222 ....................0 ............4,856,462 ....................0
25. Mississippi...........................................................................MS ....L....... .............159,334 ........................0 .....................9,154,335 ....................0 ............9,313,669 ....................0
26. Missouri...............................................................................MO ....L....... .............200,589 ........................0 ...................13,219,833 ....................0 ..........13,420,422 ....................0
27. Montana...............................................................................MT ....L....... ...............30,591 ........................0 .....................1,047,168 ....................0 ............1,077,759 ....................0
28. Nebraska..............................................................................NE ....L....... ...............43,490 ........................0 .....................1,866,460 ....................0 ............1,909,950 ....................0
29. Nevada.................................................................................NV ....L....... ...............85,024 ........................0 .....................5,459,917 ....................0 ............5,544,941 ....................0
30. New Hampshire...................................................................NH ....L....... .............147,526 ........................0 .....................2,025,874 ....................0 ............2,173,400 ....................0
31. New Jersey...........................................................................NJ ....L....... .............366,297 ........................0 ...................11,715,833 ....................0 ..........12,082,130 ....................0
32. New Mexico.........................................................................NM ....L....... ...............67,023 ........................0 .....................5,038,144 ....................0 ............5,105,167 ....................0
33. New York..............................................................................NY ....N....... .............618,863 ........................0 .....................9,569,452 ....................0 ..........10,188,315 ....................0
34. North Carolina......................................................................NC ....L....... ..........2,728,834 ........................0 ...................31,945,349 ....................0 ..........34,674,183 ....................0
35. North Dakota........................................................................ND ....L....... ...............11,746 ........................0 ........................821,723 ....................0 ...............833,469 ....................0
36. Ohio.....................................................................................OH ....L....... .............438,118 ........................0 ...................22,340,372 ....................0 ..........22,778,490 ....................0
37. Oklahoma.............................................................................OK ....L....... .............416,397 ........................0 .....................4,942,253 ....................0 ............5,358,650 ....................0
38. Oregon.................................................................................OR ....L....... ...............35,569 ........................0 .....................3,869,297 ....................0 ............3,904,866 ....................0
39. Pennsylvania........................................................................PA ....L....... .............519,952 ........................0 ...................25,991,038 ....................0 ..........26,510,990 ....................0
40. Rhode Island.........................................................................RI ....L....... ...............58,156 ........................0 ........................871,540 ....................0 ...............929,696 ....................0
41. South Carolina.....................................................................SC ....L....... ..........1,733,687 ................(1,115) ...................15,149,271 ....................0 ..........16,881,843 ....................0
42. South Dakota.......................................................................SD ....L....... ...............50,272 ........................0 .....................1,427,632 ....................0 ............1,477,904 ....................0
43. Tennessee............................................................................TN ....L....... .............380,754 ........................0 ...................15,169,947 ....................0 ..........15,550,701 ....................0
44. Texas....................................................................................TX ....L....... ..........2,151,180 ........................0 ...................53,067,551 ....................0 ..........55,218,731 ....................0
45. Utah......................................................................................UT ....L....... ...............43,623 ........................0 .....................5,066,448 ....................0 ............5,110,071 ....................0
46. Vermont................................................................................VT ....L....... ...............52,329 ........................0 ........................454,816 ....................0 ...............507,145 ....................0
47. Virginia.................................................................................VA ....L....... ..........1,281,846 ........................0 ...................21,867,995 ....................0 ..........23,149,841 ....................0
48. Washington.........................................................................WA ....L....... .............288,375 ........................0 .....................9,696,771 ....................0 ............9,985,146 ....................0
49. West Virginia.......................................................................WV ....L....... .............231,980 ........................0 .....................2,762,761 ....................0 ............2,994,741 ....................0
50. Wisconsin.............................................................................WI ....L....... .............117,613 ........................0 .....................5,047,425 ....................0 ............5,165,038 ....................0
51. Wyoming.............................................................................WY ....L....... ...............46,339 ........................0 .....................1,022,419 ....................0 ............1,068,758 ....................0
52. American Samoa..................................................................AS ....N....... ........................0 ........................0 ............................1,411 ....................0 ...................1,411 ....................0
53. Guam...................................................................................GU ....N....... .............380,481 ........................0 ........................591,963 ....................0 ...............972,444 ....................0
54. Puerto Rico..........................................................................PR ....N....... ................(2,974) ........................0 ........................278,976 ....................0 ...............276,002 ....................0
55. US Virgin Islands...................................................................VI ....N....... ........................0 ........................0 ............................5,516 ....................0 ...................5,516 ....................0
56. Northern Mariana Islands....................................................MP ....N....... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
57. Canada..............................................................................CAN ....N....... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
58. Aggregate Other Alien..........................................................OT ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
59. Subtotal..................................................................................... ...XXX... ........19,782,195 ................(1,115) .................544,380,820 ....................0 ........564,161,900 ....................0
90. Reporting entity contributions for employee benefit plans........ ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
91. Dividends or refunds applied to purchase paid-up
additions and annuities............................................................. ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
92. Dividends or refunds applied to shorten endowment or
premium paying period.............................................................. ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
93. Premium or annuity considerations waived under
disability or other contract provisions........................................ ...XXX... ...............21,646 ........................0 ........................754,475 ....................0 ...............776,121 ....................0
94. Aggregate other amounts not allocable by State...................... ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
95. Totals (Direct Business)............................................................ ...XXX... ........19,803,841 ................(1,115) .................545,135,295 ....................0 ........564,938,021 ....................0
96. Plus reinsurance assumed........................................................ ...XXX... ...............56,551 ........................0 .................218,189,271 ....................0 ........218,245,822 ....................0
97. Totals (All Business)................................................................. ...XXX... ........19,860,392 ................(1,115) .................763,324,566 ....................0 ........783,183,843 ....................0
98. Less reinsurance ceded............................................................ ...XXX... ..........3,454,587 ........................0 .................199,758,262 ....................0 ........203,212,849 ....................0
99. Totals (All Business) less reinsurance ceded........................... ...XXX... ........16,405,805 ................(1,115) (c)............563,566,304 ....................0 ........579,970,994 ....................0
58001. .................................................................................................. ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
58002. .................................................................................................. ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
58003. .................................................................................................. ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
58998. Summ. of remaining write-ins for line 58 from overflow page... ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
58999. Total (Lines 58001 thru 58003 plus 58998) (Line 58 above).... ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
9401. .................................................................................................. ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
9402. .................................................................................................. ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
9403. .................................................................................................. ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
9498. Summ. of remaining write-ins for line 94 from overflow page... ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
9499. Total (Lines 9401 thru 9403 plus 9498) (Line 94 above).......... ...XXX... ........................0 ........................0 ...................................0 ....................0 ..........................0 ....................0
(a) Active Status Counts:
L - Licensed or Chartered - Licensed insurance carrier or domiciled RRG.............................. 50 R - Registered - Non-domiciled RRGs.................................................. 0
E - Eligible - Reporting entities eligible or approved to write surplus lines in the state ............ 0 Q - Qualified - Qualified or accredited reinsurer................................... 0
N - None of the above - Not allowed to write business in the state...... 7
(b) Explanation of basis of allocation by states, etc., of premiums and annuity considerations.
Individual premiums are allocated by the state of
residence. For Group policies, the Rule of 500 is
applied.
(c) Column 4 should balance with Exhibit 1, Lines 6.4, 10.4 and 16.4, Cols. 8, 9, and 10, or with Schedule H, Part 1, Column 1, Line 1. Indicate which:
Exhibit 1, Lines 6.4, 10.4 and 16.4, Cols. 8, 9 and 10
49
SCHEDULE T - PART 2
INTERSTATE COMPACT - EXHIBIT OF PREMIUMS WRITTEN
Allocated by States and Territories
Direct Business Only
1 2 3 4 5 6
Life Annuities Disability Income Long-Term Care
(Group and (Group and (Group and (Group and Deposit-Type
States, Etc. Individual) Individual) Individual) Individual) Contracts Totals
1. Alabama.........................................................................................AL ...............173,228 ..........................0 ...............507,401 ..........................0 ..........................0 ...............680,629
2. Alaska.............................................................................................AK ...................2,225 ..........................0 .................58,628 ..........................0 ..........................0 .................60,853
3. Arizona...........................................................................................AZ ...............210,418 ..........................0 ............2,617,671 ..........................0 ..........................0 ............2,828,089
4. Arkansas........................................................................................AR ...............177,141 ..........................0 ...............218,947 ..........................0 ..........................0 ...............396,088
5. California........................................................................................CA ...............569,303 ..........................0 ............2,279,222 ..........................0 ..........................0 ............2,848,525
6. Colorado........................................................................................CO ...............208,982 ..........................0 ............1,137,617 ..........................0 ..........................0 ............1,346,599
7. Connecticut....................................................................................CT ...............250,530 ..........................0 ............1,077,361 ..........................0 ..........................0 ............1,327,891
8. Delaware........................................................................................DE ...............214,059 ..........................0 ...............527,395 ..........................0 ..........................0 ...............741,454
9. District of Columbia.......................................................................DC .................24,805 ..........................0 ............2,208,062 ..........................0 ..........................0 ............2,232,867
10. Florida.............................................................................................FL ...............853,752 ..........................0 ............2,115,797 ..........................0 ..........................0 ............2,969,549
11. Georgia..........................................................................................GA ............1,115,490 ..........................0 ...............900,681 ..........................0 ..........................0 ............2,016,171
12. Hawaii..............................................................................................HI ...............404,327 ..........................0 .................53,784 ..........................0 ..........................0 ...............458,111
13. Idaho................................................................................................ID .................20,555 ..........................0 ............3,159,105 ..........................0 ..........................0 ............3,179,660
14. Illinois...............................................................................................IL ...............537,209 ..........................0 ............1,086,042 ..........................0 ..........................0 ............1,623,251
15. Indiana.............................................................................................IN ...............288,816 ..........................0 ...............269,163 ..........................0 ..........................0 ...............557,979
16. Iowa.................................................................................................IA .................95,567 ..........................0 ...............457,518 ..........................0 ..........................0 ...............553,085
17. Kansas...........................................................................................KS ...............191,761 ..........................0 ...............763,114 ..........................0 ..........................0 ...............954,875
18. Kentucky.........................................................................................KY ...............195,734 ..........................0 ...............920,792 ..........................0 ..........................0 ............1,116,526
19. Louisiana........................................................................................LA ...............261,283 ..........................0 ...............428,164 ..........................0 ..........................0 ...............689,447
20. Maine.............................................................................................ME ...............324,436 ..........................0 ............1,152,788 ..........................0 ..........................0 ............1,477,224
21. Maryland........................................................................................MD ...............323,847 ..........................0 ............1,984,277 ..........................0 ..........................0 ............2,308,124
22. Massachusetts...............................................................................MA ...............367,236 ..........................0 ............1,009,581 ..........................0 ..........................0 ............1,376,817
23. Michigan..........................................................................................MI ...............221,237 ..........................0 ...............904,561 ..........................0 ..........................0 ............1,125,798
24. Minnesota......................................................................................MN .................67,240 ..........................0 ...............385,552 ..........................0 ..........................0 ...............452,792
25. Mississippi.....................................................................................MS ...............159,334 ..........................0 ............1,202,118 ..........................0 ..........................0 ............1,361,452
26. Missouri.........................................................................................MO ...............200,589 ..........................0 ...............192,779 ..........................0 ..........................0 ...............393,368
27. Montana.........................................................................................MT .................30,591 ..........................0 ...............249,788 ..........................0 ..........................0 ...............280,379
28. Nebraska........................................................................................NE .................43,490 ..........................0 ...............394,647 ..........................0 ..........................0 ...............438,137
29. Nevada...........................................................................................NV .................85,024 ..........................0 ...............408,416 ..........................0 ..........................0 ...............493,440
30. New Hampshire.............................................................................NH ...............147,526 ..........................0 ............1,777,737 ..........................0 ..........................0 ............1,925,263
31. New Jersey.....................................................................................NJ ...............366,297 ..........................0 ...............333,896 ..........................0 ..........................0 ...............700,193
32. New Mexico...................................................................................NM .................67,023 ..........................0 ...............771,242 ..........................0 ..........................0 ...............838,265
33. New York.......................................................................................NY ...............618,863 ..........................0 ............3,140,979 ..........................0 ..........................0 ............3,759,842
34. North Carolina...............................................................................NC ............2,728,834 ..........................0 .................79,255 ..........................0 ..........................0 ............2,808,089
35. North Dakota..................................................................................ND .................11,746 ..........................0 ............2,186,665 ..........................0 ..........................0 ............2,198,411
36. Ohio...............................................................................................OH ...............438,118 ..........................0 ...............355,346 ..........................0 ..........................0 ...............793,464
37. Oklahoma......................................................................................OK ...............416,397 ..........................0 ...............163,697 ..........................0 ..........................0 ...............580,094
38. Oregon...........................................................................................OR .................35,569 ..........................0 ............4,416,025 ..........................0 ..........................0 ............4,451,594
39. Pennsylvania..................................................................................PA ...............519,952 ..........................0 .................91,723 ..........................0 ..........................0 ...............611,675
40. Rhode Island...................................................................................RI .................58,156 ..........................0 ...............767,870 ..........................0 ..........................0 ...............826,026
41. South Carolina...............................................................................SC ............1,733,687 ..................(1,115) .................56,608 ..........................0 ..........................0 ............1,789,180
42. South Dakota.................................................................................SD .................50,272 ..........................0 ...............759,321 ..........................0 ..........................0 ...............809,593
43. Tennessee.....................................................................................TN ...............380,754 ..........................0 ............5,970,951 ..........................0 ..........................0 ............6,351,705
44. Texas..............................................................................................TX ............2,151,180 ..........................0 ...............199,946 ..........................0 ..........................0 ............2,351,126
45. Utah................................................................................................UT .................43,623 ..........................0 ...............105,490 ..........................0 ..........................0 ...............149,113
46. Vermont..........................................................................................VT .................52,329 ..........................0 ............2,694,193 ..........................0 ..........................0 ............2,746,522
47. Virginia...........................................................................................VA ............1,281,846 ..........................0 ...............795,252 ..........................0 ..........................0 ............2,077,098
48. Washington...................................................................................WA ...............288,375 ..........................0 ...............427,551 ..........................0 ..........................0 ...............715,926
49. West Virginia.................................................................................WV ...............231,980 ..........................0 ...............576,932 ..........................0 ..........................0 ...............808,912
50. Wisconsin.......................................................................................WI ...............117,613 ..........................0 .................99,224 ..........................0 ..........................0 ...............216,837
51. Wyoming.......................................................................................WY .................46,339 ..........................0 .................65,256 ..........................0 ..........................0 ...............111,595
52. American Samoa...........................................................................AS ..........................0 ..........................0 ...............166,259 ..........................0 ..........................0 ...............166,259
53. Guam.............................................................................................GU ...............380,481 ..........................0 ...................5,349 ..........................0 ..........................0 ...............385,830
54. Puerto Rico....................................................................................PR ..................(2,974) ..........................0 ......................751 ..........................0 ..........................0 ..................(2,223)
55. US Virgin Islands.............................................................................VI ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
56. Northern Mariana Islands..............................................................MP ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
57. Canada........................................................................................CAN ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
58. Aggregate Other Alien...................................................................OT ..........................0 ..........................0 ..........................0 ..........................0 ..........................0 ..........................0
59. Totals................................................................................................... ..........19,782,195 ..................(1,115) ..........54,678,488 ..........................0 ..........................0 ..........74,459,568
50
SCHEDULE Y - INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING
COMPANY GROUP
PART 1 - ORGANIZATIONAL CHART
AFLAC INCORPORATED 58-1167100
Aflac International, Inc. 58-1967921
Aflac Insurance Services Co., Ltd. [ Japan ]
Aflac Payment Services Co., Ltd. [ Japan ]
Aflac Heartful Services Co., Ltd. [ Japan ]**
Aflac Information Technology, Inc. 58-1870664
American Family Life Assurance Company of Columbus (Aflac) (NE)* 82-2723296

NAIC #60380
American Family Life Assurance Company of New York (NY)* 52-0807803

NAIC #60526
Aflac Asset Management LLC 82-1073641
Aflac Asset Management Japan Ltd. [ Japan ]
Aflac Corporate Ventures LLC 81-4106395
Aflac Ventures LLC 81-4116797
Empoweredbenefits, LLC 56-2221099
Aflac Benefits Advisors, Inc. 45-4133319
Communicorp, Inc. 58-1442547
Continental American Insurance Company (NE)* 57-0514130

NAIC #71730
Continental American Group, LLC 57-0753507
Aflac Holdings LLC 81-4810622
Aflac Life Insurance Japan Ltd. [ Japan ]* 58-0063085
Octagon Delaware Trust 58-0063085
Apollo AF Loan Trust 58-0063085
Global Investment Fund I 58-0063085
Tier One Insurance Company (OK)*^ 23-2850522

NAIC #92908
NIO Innovative Technologies Ltd. 98-1460336
* Denotes insurer
** 70% owned by Aflac International, Inc.
10% owned by Aflac Life Insurance Japan Ltd.
10% owned by Aflac Insurance Services Co., Ltd., and
10% owned by Aflac Payment Services Co., Ltd.
^ Formerly HealthMarkets Insurance Company
51
SCHEDULE Y
PART 1A - DETAIL OF INSURANCE HOLDING COMPANY SYSTEM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Name of Type of
Securities Control
Exchange (Ownership Is an
if Publicly Board, If Control is SCA
NAIC Traded Names of Relationship Management, Ownership Filing
Group Group Company ID Federal (U.S. or Parent, Subsidiaries Domiciliary to Reporting Directly Controlled by Attorney-in-Fact, Provide Ultimate Controlling Required?
Code Name Code Number RSSD CIK International) or Affiliates Location Entity (Name of Entity/Person) Influence, Other) Percentage Entity(ies)/Person(s) (Y/N) *
Members
000.. ............................................... 00000... 58-1167100.. ................0 ..........4977 NYSE, TKSE.... AFLAC INCORPORATED.................................. GA............. UDP.............. N/A................................................................... Board................. ........0.000 ......................................................................... ......N....... 0...........
000.. ............................................... 00000... 58-1967921.. ................0 ................0 ......................... Aflac International, Inc........................................ GA............. NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... ..................... ................0 ................0 ......................... Aflac Insurance Services Co., Ltd. (Japan)........ JPN........... NIA............... Aflac International, Inc...................................... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... ..................... ................0 ................0 ......................... Aflac Payment Services Co., Ltd. (Japan).......... JPN........... NIA............... Aflac International, Inc...................................... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... ..................... ................0 ................0 ......................... Aflac Heartful Services Co., Ltd. (Japan)........... JPN........... NIA............... Aflac International, Inc...................................... Ownership......... ......70.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 58-1870664.. ................0 ................0 ......................... Aflac Information Technology, Inc...................... GA............. NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
American Family Life American Family Life Assurance Company of
370.. Assurance Company 60380... 82-2723296.. ................0 ................0 ......................... Columbus (Aflac) NE............. IA.................. Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
American Family Life American Family Life Assurance Company of American Family Life Assurance Company of
370.. Assurance Company 60526... 52-0807803.. ................0 ................0 ......................... New York NY............. IA.................. Columbus (Aflac) Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 58-0063085.. ................0 ................0 ......................... Octagon Delaware Trust.................................... DE............. NIA............... Aflac Life Insurance Japan Ltd. (Japan)........... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 58-0063085.. ................0 ................0 ......................... Apollo AF Loan Trust.......................................... DE............. NIA............... Aflac Life Insurance Japan Ltd. (Japan)........... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 58-0063085.. ................0 ................0 ......................... Global Investment Fund I................................... DE............. NIA............... Aflac Life Insurance Japan Ltd. (Japan)........... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
52
000.. ............................................... 00000... 82-1073641.. ................0 ................0 ......................... Aflac Asset Management LLC............................ DE............. NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... ..................... ................0 ................0 ......................... Aflac Asset Management Japan Ltd. (Japan).... JPN........... NIA............... Aflac Asset Management LLC.......................... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 81-4106395.. ................0 ................0 ......................... Aflac Corporate Ventures LLC........................... DE............. NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 81-4116797.. ................0 ................0 ......................... Aflac Ventures LLC............................................ DE............. NIA............... Aflac Corporate Ventures LLC......................... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 56-2221099.. ................0 ................0 ......................... Empoweredbenefits, LLC................................... NC............. NIA............... Aflac Corporate Ventures LLC......................... Ownership......... ....100.000 Alfac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 45-4133319.. ................0 ................0 ......................... Aflac Benefits Advisors, Inc................................ GA............. NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 58-1442547.. ................0 ................0 ......................... Communicorp, Inc.............................................. GA............. NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
American Family Life
370.. Assurance Company 71730... 57-0514130.. ................0 ................0 ......................... Continental American Insurance Company........ NE............. RE................ Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 57-0753507.. ................0 ................0 ......................... Continental American Group, LLC..................... GA............. DS................ Continental American Insurance Company...... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 81-4810622.. ................0 ................0 ......................... Aflac Holdings LLC............................................. NE............. NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 58-0063085.. ................0 ................0 ......................... Aflac Life Insurance Japan Ltd. (Japan)............. JPN........... NIA............... Aflac Holdings LLC........................................... Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
American Family Life
370.. Assurance Company 92908... 23-2850522.. ................0 ................0 ......................... Tier One Insurance Company............................ OK............. NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
000.. ............................................... 00000... 98-1460336.. ................0 ................0 ......................... NIO Innovative Technologies Ltd....................... GBR.......... NIA............... Aflac Incorporated............................................ Ownership......... ....100.000 Aflac Incorporated............................................ ......N....... 0...........
SCHEDULE Y
PART 2 - SUMMARY OF INSURER'S TRANSACTIONS WITH ANY AFFILIATES
1 2 3 4 5 6 7 8 9 10 11 12 13
Income/
(Disbursements) Any Other Reinsurance
Purchases, Sales Incurred in Material Activity Recoverable/
or Exchanges of Connection with Management Income/ Not in the (Payable) on
Loans, Securities, Guarantees or Agreements (Disbursements) Ordinary Losses and/or
NAIC Names of Insurers Real Estate, Undertakings and Incurred under Course of the Reserve Credit
Company ID and Parent, Subsidiaries Shareholder Capital Mortgage Loans or for the Benefit Service Reinsurance Insurer's Taken/
Code Number or Affiliates Dividends Contributions Other Investments of any Affiliate(s) Contracts Agreements * Business Totals (Liability)
Affiliated Transactions
00000.................. 58-1167100.............. Aflac Incorporated.................................................................................... .........12,325,574,454 ....................(800,000) ................................0 ................................0 ..............441,368,997 ................................0 ....... ...............................0 ........12,766,143,451 ...............................0
60380.................. 82-2723296.............. American Family Life Assurance Company of Columbus (Aflac)............. ........(12,267,574,454) ..........(1,480,071,387) ................................0 ................................0 .............(445,470,183) .................(6,119,163) ....... ...............................0 .......(14,199,235,187) ..............(24,654,550)
60526.................. 52-0807803.............. American Family Life Assurance Company of New York......................... ...............(58,000,000) ................................0 ................................0 ................................0 ...............(31,470,885) ................................0 ....... ...............................0 ..............(89,470,885) ...............................0
71730.................. 57-0514130.............. Continental American Insurance Company ............................................. ................................0 ................................0 ................................0 ................................0 .................(8,010,280) ..................6,119,163 ....... ...............................0 ................(1,891,117) ...............24,654,550
92908.................. 23-2850522.............. Tier One Insurance Company ................................................................. ................................0 .....................800,000 ................................0 ................................0 .......................28,580 ................................0 ....... ...............................0 ....................828,580 ...............................0
00000.................. 58-1967921.............. Aflac International, Inc.............................................................................. ................................0 ................................0 ................................0 ................................0 .....................205,944 ................................0 ....... ...............................0 ....................205,944 ...............................0
00000.................. 58-1870664.............. Aflac Information Technology, Inc............................................................ ................................0 ................................0 ................................0 ................................0 ..................3,090,079 ................................0 ....... ...............................0 .................3,090,079 ...............................0
00000.................. ................................. Aflac Payment Services Co., Ltd. (Japan)................................................ ................................0 ................................0 ................................0 ................................0 ....................(627,733) ................................0 ....... ...............................0 ...................(627,733) ...............................0
00000.................. ................................. Aflac Insurance Services Co., Ltd. (Japan).............................................. ................................0 ................................0 ................................0 ................................0 ....................(502,036) ................................0 ....... ...............................0 ...................(502,036) ...............................0
00000.................. ................................. Aflac Heartful Services Co., Ltd. (Japan)................................................. ................................0 ................................0 ................................0 ................................0 ......................(58,106) ................................0 ....... ...............................0 .....................(58,106) ...............................0
00000.................. 58-1442547.............. Communicorp, Inc.................................................................................... ................................0 ................................0 ................................0 ................................0 ................14,195,600 ................................0 ....... ...............................0 ...............14,195,600 ...............................0
00000.................. 81-4810622.............. Aflac Holdings LLC................................................................................... ................................0 ................................0 ................................0 ................................0 .................(9,744,722) ................................0 ....... ...............................0 ................(9,744,722) ...............................0
00000.................. 56-2221099.............. Empoweredbenefits, LLC......................................................................... ................................0 ................................0 ................................0 ................................0 ................22,181,028 ................................0 ....... ...............................0 ...............22,181,028 ...............................0
00000.................. 82-1073641.............. Aflac Asset Management LLC.................................................................. ................................0 ................................0 ................................0 ................................0 ................14,813,717 ................................0 ....... ...............................0 ...............14,813,717 ...............................0
00000.................. 58-0063085.............. Apollo AF Loan Trust................................................................................ ................................0 .................(8,059,667) ................................0 ................................0 ................................0 ................................0 ....... ...............................0 ................(8,059,667) ...............................0
53
00000.................. 58-0063085.............. Octagon Delaware Trust.......................................................................... ................................0 .................(7,198,173) ................................0 ................................0 ................................0 ................................0 ....... ...............................0 ................(7,198,173) ...............................0
00000.................. 58-0063085.............. Global Investment Fund I......................................................................... ................................0 ...........1,495,329,227 ................................0 ................................0 ................................0 ................................0 ....... ...............................0 ..........1,495,329,227 ...............................0
9999999. Control Totals............................................................................................................................... ................................0 ................................0 ................................0 ................................0 ................................0 ................................0 XXX ...............................0 ...............................0 ...............................0
SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES
The following supplemental reports are required to be filed as part of your statement filing unless specifically waived by the domiciliary state. However, in the event that your
domiciliary state waives the filing requirement, your response of WAIVED to the specific interrogatory will be accepted in lieu of filing a "NONE" report and a bar code will be printed
below. If the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory
questions.
MARCH FILING Responses
1. Will the Supplemental Compensation Exhibit be filed with the state of domicile by March 1? YES
2. Will the confidential Risk-Based Capital Report be filed with the NAIC by March 1? YES
3. Will the confidential Risk-Based Capital Report be filed with the state of domicile, if required, by March 1? YES
4. Will an actuarial opinion be filed by March 1? YES
APRIL FILING
5. Will Management's Discussion and Analysis be filed by April 1? YES
6. Will the Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit be filed with the state
of domicile and the NAIC by April 1? YES
7. Will the Adjustments to the Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit
(if required) be filed with state of domicile and the NAIC by April 1? YES
8. Will the Supplemental Investment Risk Interrogatories be filed by April 1? YES
JUNE FILING
9. Will an audited financial report be filed by June 1? YES
10. Will Accountants Letter of Qualifications be filed with the state of domicile and electronically with the NAIC by June 1? YES
AUGUST FILING
11. Will regulator-only (non-public) Communication of Internal Control Related Matters Noted in Audit be filed with the state of domicile
and electronically with the NAIC (as a regulator-only non-public document) by August 1? YES
The following supplemental reports are required to be filed as part of your statement filing if your company is engaged in the type of business covered by
the supplement. However, in the event that your company does not transact the type of business for which the special report must be filed, your
response of NO to the specific interrogatory will be accepted in lieu of filing a "NONE" report and a bar code will be printed below.
If the supplement is required of your company but is not being filed for whatever reason, enter SEE EXPLANATION and provide an explanation
following the interrogatory questions.
MARCH FILING
12. Will Schedule SIS (Stockholder Information Supplement) be filed with the state of domicile by March 1? NO
13. Will the Medicare Supplement Insurance Experience Exhibit be filed with the state of domicile and the NAIC by March 1? NO
14. Will the Trusteed Surplus Statement be filed with the state of domicile and the NAIC by March 1? NO
15. Will the actuarial opinion on participating and non-participating policies as required in Interrogatories 1 and 2 to Exhibit 5 be filed with the state of
domicile and electronically with the NAIC by March 1? NO
16. Will the actuarial opinion on non-guaranteed elements as required in interrogatory #3 to Exhibit 5 be filed with the state of domicile and electronically
with the NAIC by March 1? YES
17. Will the actuarial opinion on X-Factors be filed with the state of domicile and electronically with the NAIC by March 1? NO
18. Will the actuarial opinion on Separate Accounts Funding Guaranteed Minimum Benefit be filed with the state of domicile and electronically with the NAIC by March 1? NO
19. Will the actuarial opinion on Synthetic Guaranteed Investment Contracts be filed with the state of domicile and electronically with the NAIC by March 1? NO
20. Will the Reasonableness of Assumptions Certification required by Actuarial Guideline XXXV be filed with the state of domicile and electronically with the NAIC
by March 1? NO
21. Will the Reasonableness and Consistency of Assumptions Certification required by Actuarial Guideline XXXV be filed with the state of domicile and
electronically with the NAIC by March 1? NO
22. Will the Reasonableness of Assumptions Certification for Implied Guaranteed Rate Method required by Actuarial Guideline XXXVI be filed with the state of
domicile and electronically with the NAIC by March 1? NO
23. Will the Reasonableness and Consistency of Assumptions Certification required by Actuarial Guideline XXXVI (Updated Average Market Value) be filed
with the state of domicile and electronically with the NAIC by March 1? NO
24. Will the Reasonableness and Consistency of Assumptions Certification required by Actuarial Guideline XXXVI (Updated Market Value) be filed with the
state of domicile and electronically with the NAIC by March 1? NO
25. Will the C-3 RBC Certifications required under C-3 Phase I be filed with the state of domicile and electronically with the NAIC by March 1? NO
26. Will the C-3 RBC Certifications required under C-3 Phase II be filed with the state of domicile and electronically with the NAIC by March 1? NO
27. Will the Actuarial Certifications Related to Annuity Nonforfeiture Ongoing Compliance for Equity Indexed Annuities be filed with the state of domicile and
28. Will the actuarial opinion required by the Modified Guaranteed Annuity Model Regulation be filed with the state of domicile and electronically
with the NAIC by March 1? NO
29. Will the Actuarial Certifications Related to Hedging required by Actuarial Guideline XLIII be filed with the state of domicile and electronically
30. Will the Financial Officer Certification Related to Clearly Defined Hedging Strategy required by Actuarial Guideline XLIII be filed with the state
of domicile and electronically with the NAIC by March 1? NO
31. Will the Management Certification That the Valuation Reflects Management's Intent required by Actuarial Guideline XLIII be filed with the state
of domicile and electronically with the NAIC by March 1? NO
32. Will the Actuarial Certification Related to the Reserves required by Actuarial Guideline XLIII be filed with the state of domicile and electronically
33. Will the Actuarial Certification regarding the use of 2001 Preferred Class Tables required by the Model Regulation Permitting the Recognition of Preferred
Mortality Tables for Use in Determining Minimum Reserve Liabilities be filed with the state of domicile and electronically with the NAIC by March 1? NO
34. Will the Workers' Compensation Carve-Out Supplement be filed by March 1? NO
35. Will Supplemental Schedule O be filed with the state of domicile and the NAIC by March 1? YES
36. Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC by March 1? NO
37. Will an approval from the reporting entity's state of domicile for relief related to the five-year rotation requirement for lead audit partner be filed
38. Will an approval from the reporting entity's state of domicile for relief related to the one-year cooling off period for independent CPA be filed
39. Will an approval from the reporting entity's state of domicile for relief related to the Requirements for Audit Committees be filed electronically
40. Will the VM-20 Reserves Supplement be filed with the state of domicile and the NAIC by March 1? YES
APRIL FILING
41. Will the confidential Regulatory Asset Adequacy Issues Summary (RAAIS) required by the Valuation Manual
be filed with the state of domicile by April 1? YES
42. Will the Long-Term Care Experience Reporting Forms be filed with the state of domicile and the NAIC by April 1? NO
43. Will the Interest-Sensitive Life Insurance Products Report Forms be filed with the state of domicile and the NAIC by April 1? YES
44. Will the Credit Insurance Experience Exhibit be filed with the state of domicile and the NAIC by April 1? NO
45. Will the Accident and Health Policy Experience Exhibit be filed by April 1? YES
46. Will the Analysis of Annuity Operations by Lines of Business be filed with the state of domicile and the NAIC by April 1? YES
47. Will the Analysis of Increase in Annuity Reserves During the Year be filed with the state of domicile and the NAIC by April 1? NO
48. Will the Supplemental Health Care Exhibit (Parts 1, 2 and 3) be filed with the state of domicile and the NAIC by April 1? NO
49. Will the regulator only (non-public) Supplemental Health Care Exhibit's Expense Allocation Report be filed with the state of domicile and the NAIC by April 1? NO
50. Will the confidential Actuarial Memorandum required by Actuarial Guideline XXXVIII 8D be filed with the state of domicile by April 30? NO
51. Will the Supplemental Term and Universal Life Insurance Reinsurance Exhibit be filed with the state of domicile and the NAIC by April 1? NO
52. Will the Variable Annuities Supplement be filed with the state of domicile and the NAIC by April 1? NO
54
questions.
AUGUST FILING
53. Will Management's Report of Internal Control Over Financial Reporting be filed with the state of domicile by August 1? YES
EXPLANATIONS: BAR CODE:

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12. The data for this supplement is not required to be filed.

*71730201842000000*
*71730201836000000*
*71730201849000000*
16.
*71730201837100000*

*71730201844200000*
*71730201844300000*
*71730201844400000*
*71730201844500000*
*71730201844600000*
*71730201844700000*
*71730201844800000*
*71730201844900000*
*71730201845000000*
*71730201845100000*
*71730201845200000*
*71730201845300000*
*71730201843600000*
*71730201843700000*
*71730201843800000*
*71730201843900000*
*71730201845400000*
*71730201849500000*
54.1
questions.
35.

*71730201836500000*
*71730201822400000*
*71730201822500000*
40.
*71730201822600000*
41.
43.
*71730201830600000*
45.
*71730201823000000*
46.

*71730201851100000*
*71730201821600000*
*71730201821700000*
*71730201843500000*
*71730201834500000*
53.
*71730201828600000*
54.2
Overflow Page for Write-Ins
Additional Write-ins for Assets:
Current Statement Date 4
1 2 3
Net Admitted December 31,
Nonadmitted Assets Prior Year Net
Assets Assets (Cols. 1 - 2) Admitted Assets
2504. Other Assets....................................................................................................................... ......................542,130 ......................542,130 .................................0 .................................0
2597. Summary of remaining write-ins for Line 25...................................................................... ......................542,130 ......................542,130 .................................0 .................................0
Additional Write-ins for Liabilities:
1 2
Current December 31
Statement Date Prior Year
2504. Pension liability................................................................................................................................................................................. ...........................(301,958) ...........................(306,545)
2597. Summary of remaining write-ins for Line 25.................................................................................................................................... ...........................(301,958) ...........................(306,545)
Additional Write-ins for Summary of Operations:
1 2
08.304 Gain/(loss) on disposal of equipment.................................................................................................................................................... .............................(5,045) ......................................0
08.305 Investment Income Modco..................................................................................................................................................................... ......................(3,511,742) ......................(3,390,794)
08.397 Summary of remaining write-ins for Line 8.3......................................................................................................................................... ......................(3,516,787) ......................(3,390,794)
Additional Write-ins for Nonadmitted Assets:
1 2 3
Change in Total
Current Year Total Prior Year Total Nonadmitted Assets
Nonadmitted Assets Nonadmitted Assets (Col. 2 - Col. 1)
2504. Other Assets................................................................................................................................... ..................................542,130 ......................................3,273 .................................(538,857)
2597. Summary of remaining write-ins for Line 25................................................................................... ..................................542,130 ......................................3,273 .................................(538,857)
55P
Overflow Page for Write-Ins
Additional Write-ins for Analysis of Operations:
3 4 5 Credit Life 7 8 9 10 11 Aggregate of
Industrial Life Individual Supplementary (Group and Life Credit (Group All Other Lines
Total Life Insurance Annuities Contracts Individual) Insurance(a) Annuities Group and Individual) Other of Business
08.304. Gain/(loss) on disposal of equipment................................................................................................................................ ...............(5,045) .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ...............(5,045) .......................0 .......................0 ....................0
08.305. Investment Income Modco................................................................................................................................................ .........(3,511,742) .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ........(3,511,234) .......................0 ..................(508) ....................0
08.397. Summary of remaining write-ins for Line 8.3..................................................................................................................... .........(3,516,787) .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 .......................0 ........(3,516,279) .......................0 ..................(508) ....................0
55L
SUMMARY INVESTMENT SCHEDULE
Gross Admitted Assets as Reported
Investment Holdings in the Annual Statement
1 2 3 4 5 6
Securities Lending Total
Reinvested (Col. 3 + 4)
Investment Categories Amount Percentage Amount Collateral Amount Amount Percentage
1. Bonds:
1.1 U.S. treasury securities....................................................................................... ............6,676,344 .............1.4 ............6,676,344 ..........................0 ................6,676,344 .............1.4
1.2 U.S. government agency obligations (excluding mortgage-backed
securities):
1.21 Issued by U.S. government agencies........................................................ ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.22 Issued by U.S. government sponsored agencies...................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.3 Non-U.S. government (including Canada, excluding mortgage-
backed securities)............................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.4 Securities issued by states, territories and possessions and political
subdivisions in the U.S.:
1.41 States, territories and possessions general obligations............................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.42 Political subdivisions of states, territories and possessions and
political subdivisions general obligations................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.43 Revenue and assessment obligations....................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.44 Industrial development and similar obligations.......................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.5 Mortgage-backed securities (includes residential and commercial MBS):
1.51 Pass-through securities:
1.511 Issued or guaranteed by GNMA..................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.512 Issued or guaranteed by FNMA and FHLMC.................................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.513 All other........................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.52 CMOs and REMICs:
1.521 Issued or guaranteed by GNMA, FNMA, FHLMC or VA................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.522 Issued by non-U.S. Government issuers and collateralized
by mortgage-based securities issued or guaranteed
by agencies shown in Line 1.521..................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
1.523 All other........................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
2. Other debt and other fixed income securities (excluding short-term):
2.1 Unaffiliated domestic securities (includes credit tenant loans and
hybrid securities)................................................................................................. ........338,399,786 ...........73.3 ........338,399,786 ..........................0 ............338,399,786 ...........73.3
2.2 Unaffiliated non-U.S. securities (including Canada)........................................... ..........59,214,284 ...........12.8 ..........59,214,284 ..........................0 ..............59,214,284 ...........12.8
2.3 Affiliated securities.............................................................................................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
3. Equity interests:
3.1 Investments in mutual funds............................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
3.2 Preferred stocks:
3.21 Affiliated..................................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
3.22 Unaffiliated................................................................................................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
3.3 Publicly traded equity securities (excluding preferred stocks):
3.31 Affiliated..................................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
3.32 Unaffiliated................................................................................................. ......................907 .............0.0 ......................907 ..........................0 ..........................907 .............0.0
3.4 Other equity securities:
3.41 Affiliated..................................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
3.42 Unaffiliated................................................................................................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
3.5 Other equity interests including tangible personal property under lease:
3.51 Affiliated..................................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
3.52 Unaffiliated................................................................................................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
4. Mortgage loans:
4.1 Construction and land development................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
4.2 Agricultural.......................................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
4.3 Single family residential properties..................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
4.4 Multifamily residential properties......................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
4.5 Commercial loans............................................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
4.6 Mezzanine real estate loans............................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
5. Real estate investments:
5.1 Property occupied by company........................................................................... ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
5.2 Property held for production of income (including $..........0 of
property acquired in satisfaction of debt)............................................................ ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
5.3 Property held for sale (including $..........0 property acquired in
satisfaction of debt)............................................................................................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
6. Contract loans............................................................................................................. ............4,383,692 .............0.9 ............4,383,692 ..........................0 ................4,383,692 .............0.9
7. Derivatives.................................................................................................................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
8. Receivables for securities........................................................................................... .................14,629 .............0.0 .................14,629 ..........................0 .....................14,629 .............0.0
9. Securities lending (Line 10, Asset Page reinvested collateral)................................... ..........................0 .............0.0 ..........................0 .........XXX............. .........XXX................. .........XXX...
10. Cash, cash equivalents and short-term investments.................................................. ..........53,217,355 ...........11.5 ..........53,217,355 ..........................0 ..............53,217,355 ...........11.5
11. Other invested assets................................................................................................. ..........................0 .............0.0 ..........................0 ..........................0 ..............................0 .............0.0
12. Total invested assets.................................................................................................. ........461,906,997 .........100.0 ........461,906,997 ..........................0 ............461,906,997 .........100.0
SI01
SCHEDULE A - VERIFICATION BETWEEN YEARS
Real Estate
1. Book/adjusted carrying value, December 31 of prior year...................................................................................................................................................................... 0
2. Cost of acquired:
2.1 Actual cost at time of acquisition (Part 2, Column 6)............................................................................................................... 0
2.2 Additional investment made after acquisition (Part 2, Column 9)........................................................................................... 0 0
3. Current year change in encumbrances:
3.1 Totals, Part 1, Column 13........................................................................................................................................................ 0
3.2 Totals, Part 3, Column 11........................................................................................................................................................ 0 0
4. Total gain (loss) on disposals, Part 3, Column 18.................................................................................................................................................................................. 0
5.
6. Total foreign exchange change in book/adjusted carrying value:
6.1
NONE
Deduct amounts received on disposals, Part 3, Column 15...................................................................................................................................................................
Totals, Part 1, Column 15........................................................................................................................................................ 0

0

7. Deduct current year's other-than-temporary impairment recognized:
8. Deduct current year's depreciation:
8.2 Totals, Part 3, Column 9........................................................................................................................................................... 0 0
9. Book/adjusted carrying value at end of current period (Lines 1+2+3+4-5+6-7-8)................................................................................................................................. 0
10. Deduct total nonadmitted amounts......................................................................................................................................................................................................... 0
11. Statement value at end of current period (Line 9 minus Line 10).......................................................................................................................................................... 0
SCHEDULE B - VERIFICATION BETWEEN YEARS

Mortgage Loans
1. Book value/recorded investment excluding accrued interest, December 31 of prior year..................................................................................................................... 0
3. Capitalized deferred interest and other:
4. Accrual of discount.................................................................................................................................................................................................................................. 0
5. Unrealized valuation increase (decrease):
5.1 Totals, Part 1, Column 9........................................................................................................................................................... 0
6.
7.
5.2
NONE
Totals, Part 3, Column 8...........................................................................................................................................................
Total gain (loss) on disposals, Part 3, Column 18..................................................................................................................................................................................
Deduct amounts received on disposals, Part 3, Column 15...................................................................................................................................................................
0 0
0
0
8. Deduct amortization of premium and mortgage interest points and commitment fees.......................................................................................................................... 0
9. Total foreign exchange change in book value/recorded investment excluding accrued interest:
11. Book value/recorded investment excluding accrued interest at end of current period (Lines 1+2+3+4+5+6-7-8+9-10)...................................................................... 0
12. Total valuation allowance........................................................................................................................................................................................................................ 0
13. Subtotal (Line 11 plus Line 12)............................................................................................................................................................................................................... 0
15. Statement value of mortgages owned at end of current period (Line 13 minus Line 14)...................................................................................................................... 0
SI02
SCHEDULE BA - VERIFICATION BETWEEN YEARS
Other Long-Term Invested Assets
1. Book/adjusted carrying value, December 31 of prior year...................................................................................................................................................................... 0
3. Capitalized deferred interest and other:
4. Accrual of discount.................................................................................................................................................................................................................................. 0
6.
NONE
5.1 Totals, Part 1, Column 13........................................................................................................................................................
5.2 Totals, Part 3, Column 9...........................................................................................................................................................
Total gain (loss) on disposals, Part 3, Column 19..................................................................................................................................................................................
0
0 0
0
7. Deduct amounts received on disposals, Part 3, Column 16................................................................................................................................................................... 0
8. Deduct amortization of premium and depreciation................................................................................................................................................................................. 0
11. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5+6-7-8+9-10)....................................................................................................................... 0
13. Statement value at end of current period (Line 11 minus Line 12)........................................................................................................................................................ 0
SCHEDULE D - VERIFICATION BETWEEN YEARS

Bonds and Stocks
1. Book/adjusted carrying value, December 31 of prior year...................................................................................................................................................................... 463,541,762
2. Cost of bonds and stocks acquired, Part 3, Column 7............................................................................................................................................................................ 85,177,769
3. Accrual of discount.................................................................................................................................................................................................................................. 183,273
4.1 Part 1, Column 12.................................................................................................................................................................... 0
4.2 Part 2, Section 1, Column 15................................................................................................................................................... 0
4.3 Part 2, Section 2, Column 13................................................................................................................................................... (159)
4.4 Part 4, Column 11.................................................................................................................................................................... 0 (159)
5. Total gain (loss) on disposals, Part 4, Column 19.................................................................................................................................................................................. (2,892,582)
6. Deduct consideration for bonds and stocks disposed of, Part 4, Column 7........................................................................................................................................... 140,571,968
7. Deduct amortization of premium............................................................................................................................................................................................................. 1,146,773
8.1 Part 1, Column 15.................................................................................................................................................................... 0
8.4 Part 4, Column 15.................................................................................................................................................................... 0 0
9.1 Part 1, Column 14.................................................................................................................................................................... 0
9.4 Part 4, Column 13.................................................................................................................................................................... 0 0
10. Total investment income recognized as a result of prepayment and/or acceleration fees, Note 5R, Line 5R(2)................................................................................. 0
11. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9+10)....................................................................................................................... 404,291,322
13. Statement value at end of current period (Line 11 minus Line 12)........................................................................................................................................................ 404,291,322
SI03
SCHEDULE D - SUMMARY BY COUNTRY
Long-Term Bonds and Stocks OWNED December 31 of Current Year
1 2 3 4
Book/Adjusted Par Value
Description Carrying Value Fair Value Actual Cost of Bonds
BONDS 1. United States.......................... ........................6,676,344 ........................6,736,171 ........................6,865,397 ........................6,650,000
Governments (Including all obligations 2. Canada................................... ......................................0 ......................................0 ......................................0 ......................................0
guaranteed by governments) 3. Other Countries...................... ......................................0 ......................................0 ......................................0 ......................................0
4. Totals...................................... ........................6,676,344 ........................6,736,171 ........................6,865,397 ........................6,650,000
U.S. States, Territories and Possessions
(Direct and guaranteed) 5. Totals...................................... ......................................0 ......................................0 ......................................0 ......................................0
U.S. Political Subdivisions of States, Territories
and Possessions (Direct and guaranteed) 6. Totals...................................... ......................................0 ......................................0 ......................................0 ......................................0
U.S. Special Revenue and Special Assessment
Obligations and All Non-Guaranteed Obligations
of Agencies and Authorities of Governments
and Their Political Subdivisions 7. Totals...................................... ......................................0 ......................................0 ......................................0 ......................................0
Industrial and Miscellaneous, 8. United States.......................... ....................338,399,786 ....................327,741,555 ....................341,861,173 ....................328,240,000
SVO Identified Funds, Bank Loans 9. Canada................................... ......................23,251,738 ......................22,257,039 ......................24,169,148 ......................21,080,000
and Hybrid Securities (Unaffiliated) 10. Other Countries...................... ......................35,962,546 ......................34,853,568 ......................36,294,736 ......................33,310,000
11. Totals...................................... ....................397,614,070 ....................384,852,162 ....................402,325,057 ....................382,630,000
Parent, Subsidiaries and Affiliates 12. Totals...................................... ......................................0 ......................................0 ......................................0 ......................................0
13. Total Bonds........................... ....................404,290,414 ....................391,588,333 ....................409,190,454 ....................389,280,000
PREFERRED STOCKS 14. United States.......................... ......................................0 ......................................0 ......................................0
Industrial and Miscellaneous (Unaffiliated) 15. Canada................................... ......................................0 ......................................0 ......................................0
16. Other Countries...................... ......................................0 ......................................0 ......................................0
17. Totals...................................... ......................................0 ......................................0 ......................................0
Parent, Subsidiaries and Affiliates 18. Totals...................................... ......................................0 ......................................0 ......................................0
19. Total Preferred Stocks......... ......................................0 ......................................0 ......................................0
COMMON STOCKS 20. United States.......................... ..................................907 ..................................907 ......................................0
Industrial and Miscellaneous (Unaffiliated) 21. Canada................................... ......................................0 ......................................0 ......................................0
22. Other Countries...................... ......................................0 ......................................0 ......................................0
23. Totals...................................... ..................................907 ..................................907 ......................................0
Parent, Subsidiaries and Affiliates 24. Totals...................................... ......................................0 ......................................0 ......................................0
25. Total Common Stocks......... ..................................907 ..................................907 ......................................0
26. Total Stocks.......................... ..................................907 ..................................907 ......................................0
27. Total Bonds and Stocks...... ....................404,291,321 ....................391,589,240 ....................409,190,454
SI04
SCHEDULE D - PART 1A - SECTION 1
Quality and Maturity Distribution of All Bonds Owned December 31, At Book/Adjusted Carrying Values By Major Types of Issues and NAIC Designations
1 2 3 4 5 6 7 8 9 10 11 12
1 Year Over 1 Year Over 5 Years Over 10 Years Over 20 No Maturity Total Column 7 as a Total from Column % from Col. 8 Total Total
NAIC Designation or Less Through 5 Years Through 10 Years Through 20 Years Years Date Current Year % of Line 11.7 7 Prior Year Prior Year Publicly Traded Privately Placed (a)
1. U.S. Governments
1.1 NAIC 1....................................................................................... ...............4,666,293 ...............1,496,991 ............................0 .................513,061 ............................0 ..........XXX.............. ...............6,676,345 .........................1.7 ...............6,697,216 .........................1.4 ...............6,676,344 ............................0
1.2 NAIC 2....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
1.3 NAIC 3....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
1.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
1.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
1.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
1.7 Totals........................................................................................ ...............4,666,293 ...............1,496,991 ............................0 .................513,061 ............................0 ..........XXX.............. ...............6,676,345 .........................1.7 ...............6,697,216 .........................1.4 ...............6,676,344 ............................0
2. All Other Governments
2.1 NAIC 1....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
2.2 NAIC 2....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
2.3 NAIC 3....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
2.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
2.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
2.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
2.7 Totals........................................................................................ ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
3. U.S. States, Territories and Possessions, etc., Guaranteed
3.1 NAIC 1....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
3.2 NAIC 2....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
3.3 NAIC 3....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
SI05
3.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
3.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
3.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
3.7 Totals........................................................................................ ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
4. U.S. Political Subdivisions of States, Territories and
Possessions, Guaranteed
4.1 NAIC 1....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
4.2 NAIC 2....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
4.3 NAIC 3....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
4.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
4.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
4.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
4.7 Totals........................................................................................ ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
5. U.S. Special Revenue & Special Assessment Obligations,
etc., Non-Guaranteed
5.1 NAIC 1....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
5.2 NAIC 2....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
5.3 NAIC 3....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
5.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
5.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
5.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
5.7 Totals........................................................................................ ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
SCHEDULE D - PART 1A - SECTION 1 (continued)
1 2 3 4 5 6 7 8 9 10 11 12
6. Industrial and Miscellaneous (unaffiliated)
6.1 NAIC 1....................................................................................... .................750,721 .............20,118,981 .............21,618,652 .............39,483,114 .............79,079,105 ..........XXX.............. ...........161,050,573 .......................39.8 ...........200,473,635 .......................43.2 ...........137,216,544 .............23,834,030
6.2 NAIC 2....................................................................................... - .......................... .............22,504,707 ...........119,296,551 .............23,372,404 .............60,501,220 ..........XXX.............. ...........225,674,882 .......................55.8 ...........247,549,000 .......................53.4 ...........197,073,353 .............28,601,529
6.3 NAIC 3....................................................................................... - .......................... - .......................... ...............4,625,225 - .......................... - .......................... ..........XXX.............. ...............4,625,225 .........................1.1 ...............8,820,845 .........................1.9 ...............3,622,315 ...............1,002,909
6.4 NAIC 4....................................................................................... - .......................... - .......................... - .......................... - .......................... ...............6,263,389 ..........XXX.............. ...............6,263,389 .........................1.5 ............................0 .........................0.0 ...............6,263,389 ............................0
6.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
6.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
6.7 Totals........................................................................................ .................750,721 .............42,623,688 ...........145,540,428 .............62,855,518 ...........145,843,714 ..........XXX.............. ...........397,614,069 .......................98.3 ...........456,843,480 .......................98.6 ...........344,175,601 .............53,438,468
7. Hybrid Securities
7.1 NAIC 1....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
7.2 NAIC 2....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
7.3 NAIC 3....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
7.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
7.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
7.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
7.7 Totals........................................................................................ ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
8. Parent, Subsidiaries and Affiliates
8.1 NAIC 1....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
SI06
8.2 NAIC 2....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
8.3 NAIC 3....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
8.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
8.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
8.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
8.7 Totals........................................................................................ ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
9. SVO Identified Funds
9.1 NAIC 1....................................................................................... ..........XXX.............. ..........XXX.............. ..........XXX.............. ..........XXX.............. ..........XXX.............. ............................0 ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
9.7 Totals........................................................................................ ..........XXX.............. ..........XXX.............. ..........XXX.............. ..........XXX.............. ..........XXX.............. ............................0 ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ............................0
10. Bank Loans
10.1 NAIC 1....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ..........XXX.............. ..........XXX.............. ............................0 ............................0
10.2 NAIC 2....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ..........XXX.............. ..........XXX.............. ............................0 ............................0
10.3 NAIC 3....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ..........XXX.............. ..........XXX.............. ............................0 ............................0
10.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ..........XXX.............. ..........XXX.............. ............................0 ............................0
10.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ..........XXX.............. ..........XXX.............. ............................0 ............................0
10.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ..........XXX.............. ..........XXX.............. ............................0 ............................0
10.7 Totals........................................................................................ ............................0 ............................0 ............................0 ............................0 ............................0 ..........XXX.............. ............................0 .........................0.0 ..........XXX.............. ..........XXX.............. ............................0 ............................0
1 2 3 4 5 6 7 8 9 10 11 12
11. Total Bonds Current Year
11.1 NAIC 1....................................................................................... (d)..........5,417,014 .............21,615,972 .............21,618,652 .............39,996,175 .............79,079,105 ............................0 ...........167,726,918 .......................41.5 ...........XXX............. ...........XXX............. ...........143,892,888 .............23,834,030
11.2 NAIC 2....................................................................................... (d)........................0 .............22,504,707 ...........119,296,551 .............23,372,404 .............60,501,220 ............................0 ...........225,674,882 .......................55.8 ...........XXX............. ...........XXX............. ...........197,073,353 .............28,601,529
11.3 NAIC 3....................................................................................... (d)........................0 ............................0 ...............4,625,225 ............................0 ............................0 ............................0 ...............4,625,225 .........................1.1 ...........XXX............. ...........XXX............. ...............3,622,315 ...............1,002,909
11.4 NAIC 4....................................................................................... (d)........................0 ............................0 ............................0 ............................0 ...............6,263,389 ............................0 ...............6,263,389 .........................1.5 ...........XXX............. ...........XXX............. ...............6,263,389 ............................0
11.5 NAIC 5....................................................................................... (d)........................0 ............................0 ............................0 ............................0 ............................0 ............................0 (c)........................0 .........................0.0 ...........XXX............. ...........XXX............. ............................0 ............................0
11.6 NAIC 6....................................................................................... (d)........................0 ............................0 ............................0 ............................0 ............................0 ............................0 (c)........................0 .........................0.0 ...........XXX............. ...........XXX............. ............................0 ............................0
11.7 Totals........................................................................................ ...............5,417,014 .............44,120,679 ...........145,540,428 .............63,368,579 ...........145,843,714 ............................0 (b)......404,290,414 .....................100.0 ...........XXX............. ...........XXX............. ...........350,851,945 .............53,438,468
11.8 Line 11.7 as a % of Col. 7......................................................... .........................1.3 .......................10.9 .......................36.0 .......................15.7 .......................36.1 .........................0.0 .....................100.0 ...........XXX............. ...........XXX............. ...........XXX............. .......................86.8 .......................13.2
12. Total Bonds Prior Year
12.1 NAIC 1....................................................................................... ............................0 .............30,502,536 .............20,316,745 .............42,849,293 ...........113,502,277 ............................0 ...........XXX............. ...........XXX............. ...........207,170,851 .......................44.7 ...........181,602,088 .............25,568,763
12.2 NAIC 2....................................................................................... ............................0 .............13,718,230 ...........137,667,470 .............38,299,081 .............57,864,219 ............................0 ...........XXX............. ...........XXX............. ...........247,549,000 .......................53.4 ...........220,878,014 .............26,670,986
12.3 NAIC 3....................................................................................... ............................0 .................891,592 ...............1,627,350 ............................0 ...............6,301,903 ............................0 ...........XXX............. ...........XXX............. ...............8,820,845 .........................1.9 ...............7,817,600 ...............1,003,245
12.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 ...........XXX............. ...........XXX............. ............................0 .........................0.0 ............................0 ............................0
12.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 ...........XXX............. ...........XXX............. (c)........................0 .........................0.0 ............................0 ............................0
12.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 ...........XXX............. ...........XXX............. (c)........................0 .........................0.0 ............................0 ............................0
12.7 Totals........................................................................................ ............................0 .............45,112,358 ...........159,611,565 .............81,148,374 ...........177,668,399 ............................0 ...........XXX............. ...........XXX............. (b)......463,540,696 .....................100.0 ...........410,297,702 .............53,242,994
12.8 Line 12.7 as a % of Col. 9......................................................... .........................0.0 .........................9.7 .......................34.4 .......................17.5 .......................38.3 .........................0.0 ...........XXX............. ...........XXX............. .....................100.0 ..............XXX.......... .......................88.5 .......................11.5
13. Total Publicly Traded Bonds
13.1 NAIC 1....................................................................................... ...............5,417,014 .............15,237,561 .............18,864,835 .............36,683,971 .............67,689,508 ............................0 ...........143,892,889 .......................35.6 ...........181,602,088 .......................39.2 ...........143,892,889 ...........XXX.............
13.2 NAIC 2....................................................................................... ............................0 .............22,504,707 ...........100,286,112 .............20,876,832 .............53,405,701 ............................0 ...........197,073,352 .......................48.7 ...........220,878,014 .......................47.7 ...........197,073,352 ...........XXX.............
SI07
13.3 NAIC 3....................................................................................... ............................0 ............................0 ...............3,622,315 ............................0 ............................0 ............................0 ...............3,622,315 .........................0.9 ...............7,817,600 .........................1.7 ...............3,622,315 ...........XXX.............
13.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ...............6,263,389 ............................0 ...............6,263,389 .........................1.5 ............................0 .........................0.0 ...............6,263,389 ...........XXX.............
13.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ...........XXX.............
13.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 .........................0.0 ............................0 .........................0.0 ............................0 ...........XXX.............
13.7 Totals........................................................................................ ...............5,417,014 .............37,742,268 ...........122,773,262 .............57,560,803 ...........127,358,598 ............................0 ...........350,851,945 .......................86.8 ...........410,297,702 .......................88.5 ...........350,851,945 ...........XXX.............
13.8 Line 13.7 as a % of Col. 7......................................................... .........................1.5 .......................10.8 .......................35.0 .......................16.4 .......................36.3 .........................0.0 .....................100.0 ...........XXX............. ...........XXX............. ...........XXX............. .....................100.0 ...........XXX.............
13.9 Line 13.7 as a % of Line 11.7, Col. 7, Section 11....................... .........................1.3 .........................9.3 .......................30.4 .......................14.2 .......................31.5 .........................0.0 .......................86.8 ...........XXX............. ...........XXX............. ...........XXX............. .......................86.8 ...........XXX.............
14. Total Privately Placed Bonds
14.1 NAIC 1....................................................................................... ...............6,378,411 ...............2,753,818 ...............3,312,204 .............11,389,598 ............................0 ............................0 .............23,834,031 .........................5.9 .............25,568,763 .........................5.5 ...........XXX............. .............23,834,031
14.2 NAIC 2....................................................................................... - .......................... .............19,010,439 ...............2,495,572 ...............7,095,519 ............................0 ............................0 .............28,601,530 .........................7.1 .............26,670,986 .........................5.8 ...........XXX............. .............28,601,530
14.3 NAIC 3....................................................................................... - .......................... ...............1,002,909 - .......................... - .......................... ............................0 ............................0 ...............1,002,909 .........................0.2 ...............1,003,245 .........................0.2 ...........XXX............. ...............1,002,909
14.4 NAIC 4....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 .........................0.0 ............................0 .........................0.0 ...........XXX............. ............................0
14.5 NAIC 5....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 .........................0.0 ............................0 .........................0.0 ...........XXX............. ............................0
14.6 NAIC 6....................................................................................... ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 ............................0 .........................0.0 ............................0 .........................0.0 ...........XXX............. ............................0
14.7 Totals........................................................................................ ...............6,378,411 .............22,767,166 ...............5,807,776 .............18,485,117 ............................0 ............................0 .............53,438,470 .......................13.2 .............53,242,994 .......................11.5 ...........XXX............. .............53,438,470
14.8 Line 14.7 as a % of Col. 7......................................................... .......................11.9 .......................42.6 .......................10.9 .......................34.6 .........................0.0 .........................0.0 .....................100.0 ...........XXX............. ...........XXX............. ...........XXX............. ...........XXX............. .....................100.0
14.9 Line 14.7 as a % of Line 11.7, Col. 7, Section 11....................... .........................1.6 .........................5.6 .........................1.4 .........................4.6 .........................0.0 .........................0.0 .......................13.2 ...........XXX............. ...........XXX............. ...........XXX............. ...........XXX............. .......................13.2
(a) Includes $..........0 freely tradable under SEC Rule 144 or qualified for resale under SEC Rule 144A.
(b) Includes $..........0 current year of bonds with Z designations, $..........0 prior year of bonds with Z designations and $..........0 prior year of bonds with Z* designations. The letter "Z" means the NAIC designation was not assigned by the Securities Valuation Office (SVO) at the date of the
statement. "Z*" means the SVO could not evaluate the obligation because valuation procedures for the security class are under regulatory review.
(c) Includes $..........0 current year of bonds with 5GI designations, $..........0 prior year of bonds with 5* or 5GI designations and $..........0 current year, $..........0 prior year of bonds with 6* designations. "5GI" means the NAIC designation was assigned by the SVO in reliance on
the insurer's certification that the issuer is current in all principal and interest payments. "6*" means the NAIC designation was assigned by the SVO due to inadequate certification of principal and interest payments.
(d) Includes the following amount of short-term and cash equivalent bonds by NAIC designation: NAIC 1 $............0; NAIC 2 $............0; NAIC 3 $............0; NAIC 4 $............0; NAIC 5 $............0; NAIC 6 $............0.
SCHEDULE D - PART 1A - SECTION 2
Maturity Distribution of All Bonds Owned December 31, At Book/Adjusted Carrying Values By Major Type and Subtype of Issues
1 2 3 4 5 6 7 8 9 10 11 12
Distribution by Type or Less Through 5 Years Through 10 Years Through 20 Years Years Date Current Year % of Line 11.7 7 Prior Year Prior Year Publicly Traded Privately Placed
1. U.S. Governments
1.1 Issuer Obligations.................................................................................. ..............4,666,293 ..............1,496,991 ...........................0 .................513,061 ...........................0 ..........XXX............. ..............6,676,345 ........................1.7 ..............6,697,216 ........................1.4 ..............6,676,344 ...........................0
1.2 Residential Mortgage-Backed Securities............................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
1.3 Commercial Mortgage-Backed Securities.............................................. ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
1.4 Other Loan-Backed and Structured Securities....................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
1.5 Totals.................................................................................................... ..............4,666,293 ..............1,496,991 ...........................0 .................513,061 ...........................0 ..........XXX............. ..............6,676,345 ........................1.7 ..............6,697,216 ........................1.4 ..............6,676,344 ...........................0
2. All Other Governments
2.1 Issuer Obligations.................................................................................. ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
2.5 Totals.................................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
3. U.S. States, Territories and Possessions, Guaranteed
3.5 Totals.................................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
4. U.S. Political Subdivisions of States, Territories and
Possessions, Guaranteed
SI08
4.5 Totals.................................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
5. U.S. Special Revenue & Special Assessment Obligations, etc.,
Non-Guaranteed
5.5 Totals.................................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
6. Industrial and Miscellaneous (unaffiliated)
6.1 Issuer Obligations.................................................................................. .................750,721 ............42,623,687 ..........145,540,428 ............62,855,518 ..........145,843,715 ..........XXX............. ..........397,614,069 ......................98.3 ..........456,843,480 ......................98.6 ..........344,175,601 ............53,438,469
6.5 Totals.................................................................................................... .................750,721 ............42,623,687 ..........145,540,428 ............62,855,518 ..........145,843,715 ..........XXX............. ..........397,614,069 ......................98.3 ..........456,843,480 ......................98.6 ..........344,175,601 ............53,438,469
7. Hybrid Securities
7.5 Totals.................................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
8. Parent, Subsidiaries and Affiliates
8.5 Totals.................................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
Maturity Distribution of All Bonds Owned December 31, At Book/Adjusted Carrying Values By Major Type and Subtype of Issues
1 2 3 4 5 6 7 8 9 10 11 12
Distribution by Type or Less Through 5 Years Through 10 Years Through 20 Years Years Date Current Year % of Line 11.7 7 Prior Year Prior Year Publicly Traded Privately Placed
9. SVO Identified Funds
9.1 Exchange Traded Funds Identified by the SVO..................................... ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ...........................0 ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
9.2 Bond Mutual Funds Identified by the SVO............................................. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ...........................0 ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
9.3 Totals.................................................................................................... ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ...........................0 ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........................0
10. Bank Loans
10.1 Bank Loans - Issued.............................................................................. ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........XXX............ ...........................0 ........................0.0 ...........XXX............ ...........XXX............ ...........................0 ...........................0
10.2 Bank Loans - Acquired.......................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........XXX............ ...........................0 ........................0.0 ...........XXX............ ...........XXX............ ...........................0 ...........................0
10.3 Totals.................................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ...........XXX............ ...........................0 ........................0.0 ...........XXX............ ...........XXX............ ...........................0 ...........................0
11. Total Bonds Current Year
11.1 Issuer Obligations.................................................................................. ..............5,417,014 ............44,120,678 ..........145,540,428 ............63,368,579 ..........145,843,715 ..........XXX............. ..........404,290,414 ....................100.0 ...........XXX............ ...........XXX............ ..........350,851,945 ............53,438,469
11.2 Residential Mortgage-Backed Securities............................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........XXX............ ...........XXX............ ...........................0 ...........................0
11.3 Commercial Mortgage-Backed Securities.............................................. ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........XXX............ ...........XXX............ ...........................0 ...........................0
11.4 Other Loan-Backed and Structured Securities....................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........XXX............ ...........XXX............ ...........................0 ...........................0
11.5 SVO Identified Funds............................................................................ ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ...........................0 ...........................0 ........................0.0 ...........XXX............ ...........XXX............ ...........................0 ...........................0
11.6 Bank Loans........................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........XXX............ ...........XXX............ ...........................0 ...........................0
11.7 Totals.................................................................................................... ..............5,417,014 ............44,120,678 ..........145,540,428 ............63,368,579 ..........145,843,715 ...........................0 ..........404,290,414 ....................100.0 ...........XXX............ ...........XXX............ ..........350,851,945 ............53,438,469
11.8 Line 11.7 as a % of Col. 7..................................................................... ........................1.3 ......................10.9 ......................36.0 ......................15.7 ......................36.1 ........................0.0 ....................100.0 ..............XXX......... ...........XXX............ ...........XXX............ ......................86.8 ......................13.2
12. Total Bonds Prior Year
12.1 Issuer Obligations.................................................................................. ...........................0 ............45,112,358 ..........159,611,565 ............81,148,374 ..........177,668,399 ..........XXX............. ...........XXX............ ...........XXX............ ..........463,540,696 ....................100.0 ..........410,297,702 ............53,242,994
12.2 Residential Mortgage-Backed Securities............................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........XXX............ ...........XXX............ ...........................0 ........................0.0 ...........................0 ...........................0
SI09
12.3 Commercial Mortgage-Backed Securities.............................................. ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........XXX............ ...........XXX............ ...........................0 ........................0.0 ...........................0 ...........................0
12.4 Other Loan-Backed and Structured Securities....................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........XXX............ ...........XXX............ ...........................0 ........................0.0 ...........................0 ...........................0
12.5 SVO Identified Funds............................................................................ ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ...........................0 ...........XXX............ ...........XXX............ ...........................0 ........................0.0 ...........................0 ...........................0
12.6 Bank Loans........................................................................................... ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ...........XXX............ ...........XXX............ ...........XXX............ ...........XXX............ ...........XXX............ ...........XXX............
12.7 Totals.................................................................................................... ...........................0 ............45,112,358 ..........159,611,565 ............81,148,374 ..........177,668,399 ...........................0 ...........XXX............ ...........XXX............ ..........463,540,696 ....................100.0 ..........410,297,702 ............53,242,994
12.8 Line 12.7 as a % of Col. 9..................................................................... ........................0.0 ........................9.7 ......................34.4 ......................17.5 ......................38.3 ........................0.0 ...........XXX............ ...........XXX............ ....................100.0 ..............XXX......... ......................88.5 ......................11.5
13. Total Publicly Traded Bonds
13.1 Issuer Obligations.................................................................................. ..............5,417,014 ............37,742,267 ..........122,773,262 ............57,560,803 ..........127,358,598 ..........XXX............. ..........350,851,944 ......................86.8 ..........410,297,702 ......................88.5 ..........350,851,944 ...........XXX............
13.2 Residential Mortgage-Backed Securities............................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........XXX............
13.3 Commercial Mortgage-Backed Securities.............................................. ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........XXX............
13.4 Other Loan-Backed and Structured Securities....................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........XXX............
13.5 SVO Identified Funds............................................................................ ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ...........................0 ...........................0 ........................0.0 ...........................0 ........................0.0 ...........................0 ...........XXX............
13.6 Bank Loans........................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ..........XXX............. ...........XXX............ ...........................0 ...........XXX............
13.7 Totals.................................................................................................... ..............5,417,014 ............37,742,267 ..........122,773,262 ............57,560,803 ..........127,358,598 ...........................0 ..........350,851,944 ......................86.8 ..........410,297,702 ......................88.5 ..........350,851,944 ...........XXX............
13.8 Line 13.7 as a % of Col. 7..................................................................... ........................1.5 ......................10.8 ......................35.0 ......................16.4 ......................36.3 ........................0.0 ....................100.0 ...........XXX............ ...........XXX............ ...........XXX............ ....................100.0 ...........XXX............
13.9 Line 13.7 as a % of Line 11.7, Col. 7, Section 11.................................. ........................1.3 ........................9.3 ......................30.4 ......................14.2 ......................31.5 ........................0.0 ......................86.8 ...........XXX............ ...........XXX............ ...........XXX............ ......................86.8 ...........XXX............
14. Total Privately Placed Bonds
14.1 Issuer Obligations.................................................................................. - ......................... ..............6,378,411 ............22,767,166 ..............5,807,775 ............18,485,116 ..........XXX............. ............53,438,468 ......................13.2 ............53,242,994 ......................11.5 ...........XXX............ ............53,438,468
14.2 Residential Mortgage-Backed Securities............................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........XXX............ ...........................0
14.3 Commercial Mortgage-Backed Securities.............................................. ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........XXX............ ...........................0
14.4 Other Loan-Backed and Structured Securities....................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ...........................0 ........................0.0 ...........XXX............ ...........................0
14.5 SVO Identified Funds............................................................................ ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ..........XXX............. ...........................0 ...........................0 ........................0.0 ...........................0 ........................0.0 ...........XXX............ ...........................0
14.6 Bank Loans........................................................................................... ...........................0 ...........................0 ...........................0 ...........................0 ...........................0 ..........XXX............. ...........................0 ........................0.0 ..........XXX............. ...........XXX............ ...........XXX............ ...........................0
14.7 Totals.................................................................................................... ...........................0 ..............6,378,411 ............22,767,166 ..............5,807,775 ............18,485,116 ...........................0 ............53,438,468 ......................13.2 ............53,242,994 ......................11.5 ...........XXX............ ............53,438,468
14.8 Line 14.7 as a % of Col. 7..................................................................... ........................0.0 ......................11.9 ......................42.6 ......................10.9 ......................34.6 ........................0.0 ....................100.0 ...........XXX............ ...........XXX............ ...........XXX............ ...........XXX............ ....................100.0
14.9 Line 14.7 as a % of Line 11.7, Col. 7, Section 11.................................. ........................0.0 ........................1.6 ........................5.6 ........................1.4 ........................4.6 ........................0.0 ......................13.2 ...........XXX............ ...........XXX............ ...........XXX............ ...........XXX............ ......................13.2
Sch. DA - Verification
NONE
Sch. DB - Pt. A - Verification

NONE
Sch. DB - Pt. B - Verification

NONE
Sch. DB - Pt. C - Sn. 1

NONE
Sch. DB - Pt. C - Sn. 2

NONE
Sch. DB - Verification
NONE
SI10, SI11, SI12, SI13, SI14

SCHEDULE E - PART 2 - VERIFICATION BETWEEN YEARS
Cash Equivalents
1 2 3 4
Total Bonds Money Market Mutual Funds Other (a)
1. Book/adjusted carrying value, December 31 of prior year....................................................................................................... ........................................................42,129,134 ........................................................................0 ........................................................42,129,134 ........................................................................0
2. Cost of cash equivalents acquired........................................................................................................................................... ......................................................550,012,555 ........................................................................0 ......................................................550,012,555 ........................................................................0
3. Accrual of discount.................................................................................................................................................................. ........................................................................0 ........................................................................0 ........................................................................0 ........................................................................0
4. Unrealized valuation increase (decrease)............................................................................................................................... ........................................................................0 ........................................................................0 ........................................................................0 ........................................................................0
5. Total gain (loss) on disposals.................................................................................................................................................. ........................................................................0 ........................................................................0 ........................................................................0 ........................................................................0
6. Deduct consideration received on disposals........................................................................................................................... ......................................................531,774,581 ........................................................................0 ......................................................531,774,581 ........................................................................0
7. Deduct amortization of premium.............................................................................................................................................. ........................................................................0 ........................................................................0 ........................................................................0 ........................................................................0

SI15
8. Total foreign exchange change in book/adjusted carrying value............................................................................................. ........................................................................0 ........................................................................0 ........................................................................0 ........................................................................0
9. Deduct current year's other-than-temporary impairment recognized...................................................................................... ........................................................................0 ........................................................................0 ........................................................................0 ........................................................................0
10. Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9)............................................................... ........................................................60,367,108 ........................................................................0 ........................................................60,367,108 ........................................................................0
11. Deduct total nonadmitted amounts.......................................................................................................................................... ........................................................................0 ........................................................................0 ........................................................................0 ........................................................................0
12. Statement value at end of current period (Line 10 minus Line 11).......................................................................................... ........................................................60,367,108 ........................................................................0 ........................................................60,367,108 ........................................................................0
(a) Indicate the category of such investments, for example, joint ventures, transportation equipment:.......................................
Sch. A - Pt. 1
NONE
Sch. A - Pt. 2
NONE
Sch. A - Pt. 3
NONE
Sch. B - Pt. 1
NONE
Sch. B - Pt. 2
NONE
Sch. B - Pt. 3
NONE
Sch. BA - Pt. 1
NONE
Sch. BA - Pt. 2
NONE
Sch. BA - Pt. 3
NONE
E01, E02, E03, E04, E05, E06, E07, E08, E09

SCHEDULE D - PART 1
Showing all Long-Term BONDS Owned December 31 of Current Year
1 2 Codes 6 7 Fair Value 10 11 Change in Book/Adjusted Carrying Value Interest Dates
3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
NAIC
F Desig-
o nation Current Year's
r and Unrealized Other-Than- Total Foreign Stated
ei Admini- Rate Used Valuation Current Year's Temporary Exchange Admitted Contractual
g Bond strative to Obtain Book/Adjusted Increase (Amortization) / Impairment Change in Effective When Amount Due & Amount Rec. Maturity
CUSIP Identification Description Code n CHAR Symbol Actual Cost Fair Value Fair Value Par Value Carrying Value (Decrease) Accretion Recognized B./A.C.V. Rate of Rate of Paid Accrued During Year Acquired Date
U.S. Government - Issuer Obligations
912810 ED 6 11717 TREASURY BOND................................................................................. SD.. .. ............ ...........1 ................662,227 ...103.277 .................516,385 .................500,000 ................509,353 .......................0 ...........(14,502) ...................0 .....................0 ......8.125 ......5.024 FA....... ..........15,345 ..........40,625 08/01/2004. 08/15/2019.
912810 PT 9 11718 TREASURY BOND................................................................................. SD.. .. ............ ...........1 ................516,662 ...127.576 .................637,880 .................500,000 ................513,061 .......................0 ................(455) ...................0 .....................0 ......4.750 ......4.537 FA....... ............8,971 ..........23,750 06/01/2009. 02/15/2037.
912828 G9 5 11719 TREASURY NOTE.................................................................................. SD.. .. ............ ...........1 .............4,191,281 .....99.004 ..............4,108,666 ..............4,150,000 .............4,156,940 .......................0 .............(6,853) ...................0 .....................0 ......1.625 ......1.401 JD....... ..........10,444 ..........90,715 11/13/2017. 12/31/2019.
912828 V7 2 13038 TREASURY NOTE.................................................................................. SD.. .. ............ ...........1 .............1,495,227 .....98.216 ..............1,473,240 ..............1,500,000 .............1,496,991 .......................0 .................938 ...................0 .....................0 ......1.875 ......1.942 JJ....... ..........16,223 ..........23,673 02/15/2017. 01/31/2022.
0199999. U.S. Government - Issuer Obligations................................................................................................................................ .............6,865,397 XXX ..............6,736,171 ..............6,650,000 .............6,676,345 .......................0 ...........(20,872) ...................0 .....................0 XXX XXX XXX ..........50,983 ........178,763 XXX XXX
0599999. Total - U.S. Government.................................................................................................................................................... .............6,865,397 XXX ..............6,736,171 ..............6,650,000 .............6,676,345 .......................0 ...........(20,872) ...................0 .....................0 XXX XXX XXX ..........50,983 ........178,763 XXX XXX
Industrial & Miscellaneous (Unaffiliated) - Issuer Obligations
00185A AH 7 13108 AON PLC................................................................................................ ....... .. ........1,2 ......2FE .............4,373,110 .....98.251 ..............3,930,040 ..............4,000,000 .............4,364,807 .......................0 .............(7,317) ...................0 .....................0 ......4.750 ......4.170 MN...... ..........24,278 ........190,000 11/01/2018. 05/15/2045.
002824 AY 6 10500 ABBOTT LABORATORIES..................................................................... ....... .. ...........1 ......2FE .............2,912,910 ...110.396 ..............3,311,880 ..............3,000,000 .............2,925,039 .......................0 ..............1,786 ...................0 .....................0 ......5.300 ......5.500 MN...... ..........15,017 ........159,000 05/28/2015. 05/27/2040.
00287Y AR 0 10503 ABBVIE INC............................................................................................ ....... .. ........1,2 ......2FE ................496,220 .....92.603 .................463,015 .................500,000 ................496,679 .......................0 .................133 ...................0 .....................0 ......4.500 ......4.558 MN...... ............2,938 ..........22,500 05/06/2015. 05/14/2035.
010392 FJ 2 10523 ALABAMA POWER COMPANY.............................................................. ....... .. ...........1 ......1FE ................942,570 .....93.221 .................932,210 ..............1,000,000 ................947,641 .......................0 ..............1,245 ...................0 .....................0 ......3.850 ......4.199 JD....... ............3,208 ..........38,500 09/10/2014. 12/01/2042.
015271 AK 5 13046 ALEXANDRIA REAL ESTATE EQUITIES IN........................................... ....... .. ........1,2 ......2FE .............3,494,925 .....96.642 ..............3,382,470 ..............3,500,000 .............3,495,521 .......................0 .................404 ...................0 .....................0 ......3.950 ......3.967 JJ....... ..........63,749 ........138,250 11/01/2018. 01/15/2028.
02079K AB 3 11027 ALPHABET INC...................................................................................... ....... .. ...........1 ......1FE ................999,830 ...101.475 ..............1,014,750 ..............1,000,000 ................999,905 .......................0 ...................17 ...................0 .....................0 ......3.375 ......3.377 FA....... ..........11,719 ..........33,750 02/20/2014. 02/25/2024.
02361D AM 2 10535 AMEREN ILLINOIS CO........................................................................... ....... .. ........1,2 ......1FE .............3,132,720 ...107.970 ..............3,239,100 ..............3,000,000 .............3,120,851 .......................0 .............(2,641) ...................0 .....................0 ......4.800 ......4.526 JD....... ............6,400 ........144,000 01/17/2014. 12/15/2043.
E10
03040W AJ 4 10548 AMERICAN WATER CAPITAL CORP..................................................... ....... .. ........1,2 ......1FE .............4,990,900 .....99.327 ..............4,966,350 ..............5,000,000 .............4,991,851 .......................0 .................191 ...................0 .....................0 ......4.300 ......4.311 JD....... ..........17,917 ........215,000 12/12/2012. 12/01/2042.
031162 AY 6 10550 AMGEN INC............................................................................................ ....... .. ...........1 ......2FE .............3,380,150 ...127.540 ..............3,188,500 ..............2,500,000 .............3,235,527 .......................0 ...........(22,896) ...................0 .....................0 ......6.900 ......4.594 JD....... ..........14,375 ........172,500 10/13/2011. 06/01/2038.
032654 AH 8 10555 ANALOG DEVICES INC.......................................................................... ....... .. ........1,2 ......2FE .............3,984,160 .....96.647 ..............3,865,880 ..............4,000,000 .............3,992,429 .......................0 ..............1,582 ...................0 .....................0 ......2.875 ......2.921 JD....... ............9,583 ........115,000 05/22/2013. 06/01/2023.
035240 AM 2 14296 ANHEUSER-BUSCH INBEV WORLDWIDE INC..................................... ....... C ........1,2 ......2FE ................985,550 .....89.318 .................893,180 ..............1,000,000 ................985,885 .......................0 .................335 ...................0 .....................0 ......4.375 ......4.484 AO...... ............9,236 ..........23,212 03/20/2018. 04/15/2038.
037833 AK 6 10565 APPLE INC............................................................................................. ....... .. ...........1 ......1FE .............1,838,100 .....96.687 ..............1,933,740 ..............2,000,000 .............1,916,579 .......................0 ............17,506 ...................0 .....................0 ......2.400 ......3.443 MN...... ............7,733 ..........48,000 03/20/2014. 05/03/2023.
040555 CT 9 10574 ARIZONA PUBLIC SERVICE CO............................................................ ....... .. ........1,2 ......1FE ................998,660 ...101.029 ..............1,010,290 ..............1,000,000 ................998,745 .......................0 ...................24 ...................0 .....................0 ......4.350 ......4.358 MN...... ............5,558 ..........43,500 11/03/2015. 11/15/2045.
042735 BF 6 13091 ARROW ELECTRONICS INC................................................................. ....... .. ........1,2 ......2FE .............1,991,500 .....91.145 ..............1,822,900 ..............2,000,000 .............1,992,571 .......................0 .................643 ...................0 .....................0 ......3.875 ......3.928 JJ....... ..........36,382 ..........83,958 11/01/2018. 01/12/2028.
046353 AD 0 10581 ASTRAZENECA PLC.............................................................................. ....... D ...........1 ......2FE .............3,392,525 ...119.374 ..............2,984,350 ..............2,500,000 .............3,231,609 .......................0 ...........(25,193) ...................0 .....................0 ......6.450 ......4.180 MS...... ..........47,479 ........161,250 10/18/2011. 09/15/2037.
052769 AE 6 13095 AUTODESK INC..................................................................................... ....... .. ........1,2 ......2FE .............1,987,440 .....93.044 ..............1,860,880 ..............2,000,000 .............1,989,124 .......................0 ..............1,078 ...................0 .....................0 ......3.500 ......3.584 JD....... ............3,111 ..........70,000 11/01/2018. 06/15/2027.
053807 AS 2 14876 AVNET INC............................................................................................. ....... .. ........1,2 ......2FE ................747,420 .....97.749 .................733,118 .................750,000 ................747,609 .......................0 .................189 ...................0 .....................0 ......4.625 ......4.675 AO...... ............7,323 ..........17,344 11/01/2018. 04/15/2026.
055451 AV 0 10604 BHP BILLITON FINANCE (USA) LTD..................................................... ....... D ...........1 ......1FE .............1,124,140 ...108.965 ..............1,089,650 ..............1,000,000 .............1,113,669 .......................0 .............(2,532) ...................0 .....................0 ......5.000 ......4.253 MS...... ..........12,639 ..........50,000 07/22/2014. 09/30/2043.
057224 AK 3 10612 BAKER HUGHES INCORPORATED....................................................... ....... .. ...........1 ......1FE .............3,373,425 ...118.256 ..............2,956,400 ..............2,500,000 .............3,082,613 .......................0 ...........(46,107) ...................0 .....................0 ......6.875 ......4.030 JJ....... ..........79,253 ........171,875 11/28/2011. 01/15/2029.
06406G AA 9 15867 BANK OF NEW YORK MELLON CORP/THE.......................................... ....... .. ...........2 ......1FE .............2,727,300 .....91.904 ..............2,757,120 ..............3,000,000 .............2,728,914 .......................0 ..............1,614 ...................0 .....................0 ......3.000 ......4.115 AO...... ..........15,250 ...................0 11/30/2018. 10/30/2028.
071813 BP 3 13064 BAXTER INTERNATIONAL INC............................................................. ....... .. ........1,2 ......1FE ................881,800 .....82.685 .................826,850 ..............1,000,000 ................885,292 .......................0 ..............2,152 ...................0 .....................0 ......3.500 ......4.226 FA....... ..........13,222 ..........35,000 11/01/2018. 08/15/2046.
07274N BE 2 15240 BAYER US FINANCE II LLC................................................................... ....... .. ........1,2 ......2FE .............7,105,130 .....91.001 ..............6,370,070 ..............7,000,000 .............7,095,519 .......................0 .............(2,170) ...................0 .....................0 ......4.650 ......4.550 MN...... ..........41,592 ........325,500 04/30/2017. 11/15/2043.
092113 AL 3 12707 BLACK HILLS CORPORATION.............................................................. ....... .. ........1,2 ......2FE .............1,997,113 .....99.662 ..............1,993,240 ..............2,000,000 .............1,997,819 .......................0 .................246 ...................0 .....................0 ......3.950 ......3.969 JJ....... ..........36,428 ..........79,000 11/01/2018. 01/15/2026.
09952A AC 0 13188 BORAL FINANCE PTY LTD.................................................................... ....... D ........1,2 ......2FE .............1,006,496 .....93.007 .................939,371 ..............1,010,000 .............1,006,825 .......................0 .................275 ...................0 .....................0 ......3.750 ......3.791 MN...... ............6,313 ..........37,938 11/01/2018. 05/01/2028.
099724 AH 9 10651 BORGWARNER INC............................................................................... ....... .. ........1,2 ......2FE .............5,049,400 .....91.845 ..............4,592,250 ..............5,000,000 .............5,048,425 .......................0 ................(975) ...................0 .....................0 ......4.375 ......4.311 MS...... ..........64,410 ........218,750 11/01/2018. 03/15/2045.
101137 AS 6 14019 BOSTON SCIENTIFIC CORPORATION................................................. ....... .. ........1,2 ......2FE ................997,770 .....97.121 .................971,210 ..............1,000,000 ................997,910 .......................0 .................140 ...................0 .....................0 ......4.000 ......4.026 MS...... ..........13,333 ..........20,555 03/27/2018. 03/01/2028.
11134L AH 2 13727 BROADCOM CORP/BROADCOM CAYMAN.......................................... ....... .. ........1,2 ......2FE .............1,991,160 .....89.769 ..............1,795,380 ..............2,000,000 .............1,992,619 .......................0 .................766 ...................0 .....................0 ......3.875 ......3.936 JJ....... ..........35,736 ..........77,500 11/01/2018. 01/15/2027.
115637 AP 5 10665 BROWN-FORMAN CORP....................................................................... ....... .. ........1,2 ......1FE .............1,965,397 ...105.286 ..............2,105,720 ..............2,000,000 .............1,967,482 .......................0 .................611 ...................0 .....................0 ......4.500 ......4.612 JJ....... ..........41,500 ..........90,000 11/01/2018. 07/15/2045.
115637 AT 7 14297 BROWN-FORMAN CORPORATION....................................................... ....... .. ........1,2 ......1FE ................395,420 .....99.916 .................399,664 .................400,000 ................395,534 .......................0 .................114 ...................0 .....................0 ......4.000 ......4.083 AO...... ............3,378 ............8,844 03/22/2018. 04/15/2038.
120568 AZ 3 13150 BUNGE LIMITED FINANCE CORPORATION......................................... ....... .. ........1,2 ......2FE .............3,985,720 .....88.980 ..............3,559,200 ..............4,000,000 .............3,987,234 .......................0 ..............1,202 ...................0 .....................0 ......3.750 ......3.796 MS...... ..........40,000 ........150,000 11/01/2018. 09/25/2027.
124857 AP 8 10678 CBS CORP............................................................................................. ....... .. ........1,2 ......2FE ................972,300 .....95.355 .................953,550 ..............1,000,000 ................981,182 .......................0 ..............2,700 ...................0 .....................0 ......3.500 ......3.854 JJ....... ..........16,042 ..........35,000 08/27/2015. 01/15/2025.
124857 AQ 6 10679 CBS CORP............................................................................................. ....... .. ........1,2 ......2FE ................488,020 .....96.928 .................484,640 .................500,000 ................491,329 .......................0 ..............1,033 ...................0 .....................0 ......4.000 ......4.288 JJ....... ............9,222 ..........20,000 08/27/2015. 01/15/2026.
124900 AB 7 12947 CCL INDUSTRIES INC........................................................................... ....... A ........1,2 ......2FE .............3,489,045 .....93.322 ..............3,266,270 ..............3,500,000 .............3,491,209 .......................0 .................971 ...................0 .....................0 ......3.250 ......3.294 AO...... ..........28,438 ........113,750 11/01/2018. 10/01/2026.
SCHEDULE D - PART 1
3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
NAIC
F Desig-
12636Y AC 6 14736 CRH AMERICA FINANCE INC............................................................... ....... C ........1,2 ......2FE ................993,710 .....95.206 .................952,060 ..............1,000,000 ................994,093 .......................0 .................383 ...................0 .....................0 ......3.950 ......4.026 AO...... ............9,546 ..........19,750 03/27/2018. 04/04/2028.
126650 CY 4 14203 CVS HEALTH CORP.............................................................................. ....... .. ........1,2 ......2FE .............1,592,728 .....95.930 ..............1,558,863 ..............1,625,000 .............1,593,506 .......................0 .................779 ...................0 .....................0 ......4.780 ......4.936 MS...... ..........20,713 ..........42,290 11/01/2018. 03/25/2038.
136375 BZ 4 10708 CANADIAN NATIONAL RAILWAY CO.................................................... ....... A ........1,2 ......1FE .............2,017,780 ...103.512 ..............2,070,240 ..............2,000,000 .............2,016,267 .......................0 ................(362) ...................0 .....................0 ......4.500 ......4.445 MN...... ..........13,500 ..........90,000 03/20/2014. 11/07/2043.
136385 AP 6 10710 CANADIAN NATURAL RESOURCES LIMITED...................................... ....... A ...........1 ......2FE .............5,509,469 ...117.024 ..............4,774,579 ..............4,080,000 .............5,311,287 .......................0 ...........(37,003) ...................0 .....................0 ......6.750 ......4.460 FA....... ........114,750 ........275,400 10/31/2016. 02/01/2039.
13645R AQ 7 10716 CANADIAN PACIFIC RAILWAY CO........................................................ ....... A ...........1 ......2FE .............2,502,660 ...114.328 ..............2,286,560 ..............2,000,000 .............2,457,587 .......................0 ...........(11,538) ...................0 .....................0 ......5.750 ......4.192 JJ....... ..........53,028 ........115,000 10/30/2014. 01/15/2042.
13645R AV 6 10718 CANADIAN PACIFIC RAILWAY CO........................................................ ....... A ........1,2 ......2FE .............1,741,968 ...103.996 ..............1,819,930 ..............1,750,000 .............1,742,834 .......................0 .................272 ...................0 .....................0 ......4.800 ......4.838 MS...... ..........24,733 ..........84,000 11/01/2018. 09/15/2035.
141781 F@ 8 10722 CARGILL INC......................................................................................... ....... .. ............ ...........1 .............3,509,250 ...114.762 ..............2,869,050 ..............2,500,000 .............2,883,471 .......................0 .........(108,468) ...................0 .....................0 ......8.890 ......3.825 MS...... ..........56,180 ........222,250 08/21/2012. 03/31/2022.
149123 CB 5 10735 CATERPILLAR INC................................................................................. ....... .. ...........1 ......1FE .............4,315,500 .....93.162 ..............4,192,290 ..............4,500,000 .............4,336,991 .......................0 ..............4,039 ...................0 .....................0 ......3.803 ......4.042 FA....... ..........64,176 ........171,135 04/29/2013. 08/15/2042.
15189X AN 8 10747 CENTERPOINT ENERGY HOUSTON ELECTRI.................................... ....... .. ........1,2 ......1FE .............2,183,060 ...105.949 ..............2,118,980 ..............2,000,000 .............2,167,768 .......................0 .............(3,902) ...................0 .....................0 ......4.500 ......3.965 AO...... ..........22,500 ..........90,000 10/30/2014. 04/01/2044.
166751 AJ 6 10751 CHEVRON CORP................................................................................... ....... .. ...........1 ......1FE ................521,115 ...100.314 .................501,570 .................500,000 ................500,469 .......................0 .............(2,608) ...................0 .....................0 ......4.950 ......4.405 MS...... ............8,113 ..........24,750 07/24/2009. 03/03/2019.
171340 AN 2 13119 CHURCH & DWIGHT CO INC................................................................ ....... .. ........1,2 ......2FE .............2,097,837 .....94.118 ..............1,976,478 ..............2,100,000 .............2,098,109 .......................0 .................184 ...................0 .....................0 ......3.150 ......3.162 FA....... ..........27,563 ..........67,253 11/01/2018. 08/01/2027.
17252M AN 0 13055 CINTAS CORPORATION NO 2.............................................................. ....... .. ........1,2 ......2FE ................597,696 .....97.720 .................586,320 .................600,000 ................598,056 .......................0 .................197 ...................0 .....................0 ......3.700 ......3.746 AO...... ............5,550 ..........22,200 03/09/2017. 04/01/2027.
191241 AF 5 10773 COCA-COLA FEMSA SAB DE CV.......................................................... ....... D ...........1 ......1FE .............4,916,200 ...108.097 ..............5,404,850 ..............5,000,000 .............4,922,852 .......................0 ..............1,438 ...................0 .....................0 ......5.250 ......5.363 MN...... ..........25,521 ........262,500 08/19/2014. 11/26/2043.
20030N BP 5 10784 COMCAST CORP................................................................................... ....... .. ........1,2 ......1FE .............2,998,170 .....96.839 ..............2,905,170 ..............3,000,000 .............2,998,257 .......................0 ...................87 ...................0 .....................0 ......4.400 ......4.404 FA....... ..........49,867 ........132,000 11/01/2018. 08/15/2035.
E10.1
207597 EG 6 10793 CONNECTICUT LIGHT AND POWER CO.............................................. ....... .. ........1,2 ......1FE .............3,792,470 ...101.782 ..............3,562,370 ..............3,500,000 .............3,783,246 .......................0 .............(6,853) ...................0 .....................0 ......4.300 ......3.798 AO...... ..........31,772 ........150,500 08/08/2017. 04/15/2044.
209111 EL 3 10799 CONSOLIDATED EDISON COMPANY OF NEW.................................... ....... .. ...........1 ......1FE .............2,481,620 ...117.930 ..............2,358,600 ..............2,000,000 .............2,387,025 .......................0 ...........(14,904) ...................0 .....................0 ......5.850 ......4.253 MS...... ..........34,450 ........117,000 07/17/2013. 03/15/2036.
224044 CG 0 12809 COX COMMUNICATIONS INC............................................................... ....... .. ........1,2 ......2FE ................751,533 .....92.308 .................692,310 .................750,000 ................751,214 .......................0 ................(143) ...................0 .....................0 ......3.350 ......3.325 MS...... ............7,398 ..........25,125 09/08/2016. 09/15/2026.
233331 AZ 0 13053 DTE ENERGY COMPANY...................................................................... ....... .. ........1,2 ......2FE ................498,680 .....97.622 .................488,110 .................500,000 ................498,881 .......................0 .................114 ...................0 .....................0 ......3.800 ......3.832 MS...... ............5,594 ..........19,000 03/08/2017. 03/15/2027.
235851 AR 3 13198 DANAHER CORPORATION................................................................... ....... .. ........1,2 ......1FE .............1,673,745 ...103.310 ..............1,549,650 ..............1,500,000 .............1,669,716 .......................0 .............(3,769) ...................0 .....................0 ......4.375 ......3.697 MS...... ..........19,323 ..........65,625 11/30/2017. 09/15/2045.
23636T AE 0 15051 DANONE SA........................................................................................... ....... D ........1,2 ......2FE ................466,475 .....91.288 .................456,440 .................500,000 ................467,775 .......................0 ..............1,299 ...................0 .....................0 ......2.947 ......3.932 MN...... ............2,415 ............7,368 11/01/2018. 11/02/2026.
239753 DL 7 10838 TARGET CORPORATION...................................................................... ....... .. ............ ......1FE ................297,505 ...119.289 .................298,223 .................250,000 ................276,400 .......................0 .............(2,065) ...................0 .....................0 ......6.650 ......5.235 FA....... ............6,927 ..........16,625 02/01/2005. 08/01/2028.
25271C AL 6 10853 DIAMOND OFFSHORE DRILLING INC.................................................. ....... .. ...........1 ......4FE .............6,475,650 .....61.000 ..............3,050,000 ..............5,000,000 .............6,263,389 .......................0 ...........(38,514) ...................0 .....................0 ......5.700 ......3.913 AO...... ..........60,167 ........285,000 08/19/2014. 10/15/2039.
25468P DB 9 10864 WALT DISNEY CO.................................................................................. ....... .. ...........1 ......1FE .............1,990,168 .....99.187 ..............1,983,740 ..............2,000,000 .............1,991,032 .......................0 .................194 ...................0 .....................0 ......4.125 ......4.154 JD....... ............6,875 ..........82,500 07/22/2014. 06/01/2044.
26138E AU 3 12807 KEURIG DR PEPPER INC...................................................................... ....... .. ........1,2 ......2FE ................747,570 .....86.047 .................645,353 .................750,000 ................748,073 .......................0 .................223 ...................0 .....................0 ......2.550 ......2.587 MS...... ............5,631 ..........19,125 09/07/2016. 09/15/2026.
26442C AB 0 10888 DUKE ENERGY CAROLINAS................................................................. ....... .. ...........1 ......1FE .............3,182,575 ...121.422 ..............3,035,550 ..............2,500,000 .............3,063,204 .......................0 ...........(18,770) ...................0 .....................0 ......6.000 ......4.261 JJ....... ..........69,167 ........150,000 10/17/2011. 01/15/2038.
26882P BE 1 10899 ERAC USA FINANCE COMPANY........................................................... ....... .. ...........1 ......2FE .............2,576,400 ...124.445 ..............2,488,900 ..............2,000,000 .............2,495,572 .......................0 ...........(15,533) ...................0 .....................0 ......7.000 ......4.958 AO...... ..........29,556 ........140,000 03/12/2013. 10/15/2037.
277432 AP 5 13100 EASTMAN CHEMICAL CO..................................................................... ....... .. ........1,2 ......2FE .............5,383,050 .....89.525 ..............4,476,250 ..............5,000,000 .............5,371,231 .......................0 .............(8,126) ...................0 .....................0 ......4.650 ......4.163 AO...... ..........49,083 ........232,500 11/01/2018. 10/15/2044.
278058 DB 5 10908 EATON CORP PLC................................................................................. ....... .. ...........1 ......2FE .............3,623,400 ...109.590 ..............3,287,700 ..............3,000,000 .............3,510,457 .......................0 ...........(17,798) ...................0 .....................0 ......5.800 ......4.429 MS...... ..........51,233 ........174,000 10/13/2011. 03/15/2037.
278865 BA 7 13194 ECOLAB INC.......................................................................................... ....... .. ........1,2 ......1FE .............2,984,310 .....93.839 ..............2,815,170 ..............3,000,000 .............2,984,616 .......................0 .................278 ...................0 .....................0 ......3.950 ......3.980 JD....... ............9,875 ........119,817 11/01/2018. 12/01/2047.
278865 BD 1 14936 ECOLAB INC.......................................................................................... ....... .. ........1,2 ......1FE ................660,996 .....96.583 .................676,081 .................700,000 ................663,099 .......................0 ..............2,103 ...................0 .....................0 ......3.250 ......3.956 JD....... ............1,896 ..........23,003 05/16/2018. 12/01/2027.
28176E AD 0 15135 EDWARDS LIFESCIENCES CORP........................................................ ....... .. ........1,2 ......2FE ................728,299 ...101.163 .................738,490 .................730,000 ................728,374 .......................0 ...................75 ...................0 .....................0 ......4.300 ......4.327 JD....... ............1,395 ..........15,695 06/06/2018. 06/15/2028.
29364W AV 0 10933 ENTERGY LOUISIANA LLC.................................................................... ....... .. ........1,2 ......1FE ................747,120 ...102.250 .................766,875 .................750,000 ................747,390 .......................0 ...................48 ...................0 .....................0 ......4.950 ......4.974 JJ....... ..........17,119 ..........37,125 11/18/2014. 01/15/2045.
29379V BT 9 15715 ENTERPRISE PRODUCTS OPERATING LLC........................................ ....... .. ........1,2 ......2FE ................249,410 .....99.558 .................248,895 .................250,000 ................249,420 .......................0 ...................10 ...................0 .....................0 ......4.150 ......4.178 AO...... ............2,306 ...................0 10/03/2018. 10/16/2028.
30161N AU 5 12751 EXELON CORPORATION...................................................................... ....... .. ........1,2 ......2FE .............2,998,200 .....95.120 ..............2,853,600 ..............3,000,000 .............2,998,647 .......................0 .................161 ...................0 .....................0 ......3.400 ......3.408 AO...... ..........21,533 ........102,000 11/01/2018. 04/15/2026.
30251B AB 4 10952 FMR LLC................................................................................................ ....... .. ...........1 ......1FE .............2,933,520 ...122.506 ..............3,675,180 ..............3,000,000 .............2,942,733 .......................0 ..............1,229 ...................0 .....................0 ......6.450 ......6.620 MN...... ..........24,725 ........193,500 01/27/2010. 11/15/2039.
31428X AU 0 10956 FEDEX CORP......................................................................................... ....... .. ...........1 ......2FE ................956,730 .....86.764 .................867,640 ..............1,000,000 ................960,264 .......................0 .................898 ...................0 .....................0 ......4.100 ......4.367 AO...... ............8,656 ..........41,000 10/31/2014. 04/15/2043.
31428X AY 2 10959 FEDEX CORP......................................................................................... ....... .. ...........1 ......2FE .............2,023,060 ...102.405 ..............2,048,100 ..............2,000,000 .............2,012,985 .......................0 .............(2,290) ...................0 .....................0 ......4.000 ......3.857 JJ....... ..........36,667 ..........80,000 03/20/2014. 01/15/2024.
31620M AK 2 10960 FIDELITY NATIONAL INFORMATION SERV.......................................... ....... .. ........1,2 ......2FE .............1,862,930 .....98.844 ..............1,976,880 ..............2,000,000 .............1,917,123 .......................0 ............17,069 ...................0 .....................0 ......3.500 ......4.575 AO...... ..........14,778 ..........70,000 08/31/2015. 04/15/2023.
31620M AY 2 15039 FIDELITY NATIONAL INFORMATION SERV.......................................... ....... .. ........1,2 ......2FE .............3,687,198 .....99.401 ..............3,677,837 ..............3,700,000 .............3,687,845 .......................0 .................647 ...................0 .....................0 ......4.250 ......4.293 MN...... ..........20,093 ..........78,188 11/01/2018. 05/15/2028.
337738 AR 9 15665 FISERV INC............................................................................................ ....... .. ........1,2 ......2FE ................588,850 .....99.862 .................589,186 .................590,000 ................588,874 .......................0 ...................25 ...................0 .....................0 ......4.200 ......4.223 AO...... ............6,608 ...................0 11/01/2018. 10/01/2028.
341081 FL 6 10972 FLORIDA POWER & LIGHT CO............................................................. ....... .. ........1,2 ......1FE ................996,700 .....99.463 .................994,630 ..............1,000,000 ................996,989 .......................0 ...................65 ...................0 .....................0 ......4.050 ......4.069 AO...... ..........10,125 ..........40,500 09/02/2014. 10/01/2044.
SCHEDULE D - PART 1
3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
NAIC
F Desig-
341099 CL 1 10975 FLORIDA POWER CORPORATION....................................................... ....... .. ...........1 ......1FE .............3,380,370 ...127.786 ..............3,833,580 ..............3,000,000 .............3,320,147 .......................0 .............(8,941) ...................0 .....................0 ......6.400 ......5.500 JD....... ............8,533 ........192,000 12/15/2010. 06/15/2038.
34959J AG 3 13157 FORTIVE CORP..................................................................................... ....... .. ........1,2 ......2FE .............3,036,540 .....94.357 ..............2,830,710 ..............3,000,000 .............3,029,032 .......................0 .............(3,558) ...................0 .....................0 ......3.150 ......2.969 JD....... ............4,200 ..........94,500 11/01/2018. 06/15/2026.
369550 AU 2 10996 GENERAL DYNAMICS CORPORATION................................................ ....... .. ........1,2 ......1FE .............2,971,200 .....97.563 ..............2,926,890 ..............3,000,000 .............2,988,062 .......................0 ..............2,907 ...................0 .....................0 ......2.250 ......2.358 MN...... ............8,625 ..........67,500 11/06/2012. 11/15/2022.
369604 BH 5 11000 GENERAL ELECTRIC CO...................................................................... ....... .. ...........1 ......2FE .............3,725,663 .....81.658 ..............3,062,175 ..............3,750,000 .............3,727,762 .......................0 .................460 ...................0 .....................0 ......4.500 ......4.540 MS...... ..........51,563 ........168,750 03/21/2014. 03/11/2044.
370334 BP 8 11004 GENERAL MILLS INC............................................................................. ....... .. ........1,2 ......2FE .............3,093,270 .....85.715 ..............2,571,450 ..............3,000,000 .............3,082,752 .......................0 .............(2,071) ...................0 .....................0 ......4.150 ......3.969 FA....... ..........46,688 ........124,500 05/09/2013. 02/15/2043.
37331N AD 3 11009 GEORGIA-PACIFIC LLC......................................................................... ....... .. ........1,2 ......1FE ................483,265 ...100.946 .................504,730 .................500,000 ................491,270 .......................0 ..............1,712 ...................0 .....................0 ......3.734 ......4.160 JJ....... ............8,557 ..........18,670 12/05/2013. 07/15/2023.
37331N AH 4 11010 GEORGIA-PACIFIC LLC......................................................................... ....... .. ........1,2 ......1FE ................499,805 .....99.808 .................499,040 .................500,000 ................499,863 .......................0 ...................19 ...................0 .....................0 ......3.600 ......3.605 MS...... ............6,000 ..........18,000 11/03/2014. 03/01/2025.
373334 JW 2 11013 GEORGIA POWER COMPANY.............................................................. ....... .. ...........1 ......2FE .............2,799,840 .....92.233 ..............2,766,990 ..............3,000,000 .............2,819,007 .......................0 ..............4,182 ...................0 .....................0 ......4.300 ......4.731 MS...... ..........37,983 ........129,000 01/17/2014. 03/15/2042.
377372 AE 7 11020 GLAXOSMITHKLINE CAPITAL INC........................................................ ....... C ...........1 ......1FE .............3,372,270 ...125.782 ..............3,773,460 ..............3,000,000 .............3,310,492 .......................0 .............(8,723) ...................0 .....................0 ......6.375 ......5.500 MN...... ..........24,438 ........191,250 11/30/2012. 05/15/2038.
38141E A2 5 11023 GOLDMAN SACHS GROUP INC............................................................ ....... .. ............ ......1FE ................264,490 ...100.482 .................251,205 .................250,000 ................250,252 .......................0 .............(1,942) ...................0 .....................0 ......7.500 ......6.674 FA....... ............7,083 ..........18,750 10/01/2009. 02/15/2019.
406216 BE 0 11039 HALLIBURTON CO................................................................................. ....... .. ........1,2 ......2FE ................997,940 .....95.479 .................954,790 ..............1,000,000 ................998,127 .......................0 ...................39 ...................0 .....................0 ......4.750 ......4.763 FA....... ..........19,792 ..........47,500 07/29/2013. 08/01/2043.
410345 AL 6 12755 HANESBRANDS INC.............................................................................. ....... .. ........1,2 ......3FE .............1,003,750 .....90.125 .................901,250 ..............1,000,000 .............1,002,909 .......................0 ................(335) ...................0 .....................0 ......4.875 ......4.827 MN...... ............6,229 ..........48,750 05/03/2016. 05/15/2026.
423012 AF 0 13058 HEINEKEN NV........................................................................................ ....... D ........1,2 ......2FE ..................99,352 .....96.488 ...................96,488 .................100,000 ..................99,438 .......................0 ...................51 ...................0 .....................0 ......3.500 ......3.573 JJ....... ............1,468 ............3,500 03/20/2017. 01/29/2028.
427866 AW 8 13212 HERSHEY COMPANY THE.................................................................... ....... .. ........1,2 ......1FE ................480,845 .....90.201 .................451,005 .................500,000 ................481,250 .......................0 .................390 ...................0 .....................0 ......3.375 ......3.590 FA....... ............6,375 ..........16,875 12/18/2017. 08/15/2046.
E10.2
428291 AN 8 13042 HEXCEL CORPORATION....................................................................... ....... .. ........1,2 ......2FE .............2,986,770 .....97.858 ..............2,935,740 ..............3,000,000 .............2,988,261 .......................0 ..............1,491 ...................0 .....................0 ......3.950 ......4.011 FA....... ..........44,767 ........118,500 11/01/2018. 02/15/2027.
437076 BD 3 11059 HOME DEPOT INC................................................................................. ....... .. ........1,2 ......1FE .............1,477,590 ...106.870 ..............1,603,050 ..............1,500,000 .............1,479,469 .......................0 .................400 ...................0 .....................0 ......4.875 ......4.971 FA....... ..........27,625 ..........73,125 09/03/2013. 02/15/2044.
437076 BM 3 12718 HOME DEPOT INC................................................................................. ....... .. ........1,2 ......1FE ................993,560 .....96.721 .................967,210 ..............1,000,000 ................995,224 .......................0 .................578 ...................0 .....................0 ......3.000 ......3.074 AO...... ............7,500 ..........30,000 02/03/2016. 04/01/2026.
438516 BB 1 11060 HONEYWELL INTERNATIONAL INC...................................................... ....... .. ...........1 ......1FE ................476,076 ...118.175 .................472,700 .................400,000 ................468,336 .......................0 .............(1,829) ...................0 .....................0 ......5.375 ......4.185 MS...... ............7,167 ..........21,500 06/13/2014. 03/01/2041.
443510 AJ 1 15146 HUBBELL INCORPORATED.................................................................. ....... .. ........1,2 ......2FE .............1,461,740 .....93.779 ..............1,430,130 ..............1,525,000 .............1,463,791 .......................0 ..............2,051 ...................0 .....................0 ......3.500 ......4.034 FA....... ..........20,164 ............1,876 11/01/2018. 02/15/2028.
448579 AG 7 15268 HYATT HOTELS CORP.......................................................................... ....... .. ........1,2 ......2FE .............1,384,945 .....97.380 ..............1,348,713 ..............1,385,000 .............1,384,946 .......................0 .....................1 ...................0 .....................0 ......4.375 ......4.373 MS...... ..........22,723 ...................0 11/01/2018. 09/15/2028.
455434 BS 8 11075 INDIANAPOLIS POWER & LIGHT CO.................................................... ....... .. ........1,2 ......1FE ................994,760 .....99.209 .................992,090 ..............1,000,000 ................995,026 .......................0 ...................91 ...................0 .....................0 ......4.700 ......4.733 MS...... ..........15,667 ..........47,000 11/01/2018. 09/01/2045.
456873 AC 2 13065 INGERSOLL-RAND LUXEMBOURG FINANCE...................................... ....... .. ........1,2 ......2FE .............4,246,500 .....97.710 ..............3,908,400 ..............4,000,000 .............4,239,022 .......................0 .............(5,169) ...................0 .....................0 ......4.650 ......4.257 MN...... ..........31,000 ........203,438 11/01/2018. 11/01/2044.
45687A AP 7 14009 INGERSOLL-RAND GLOBAL HOLDING COMP..................................... ....... .. ........1,2 ......2FE .............1,995,020 .....97.355 ..............1,947,100 ..............2,000,000 .............1,995,357 .......................0 .................337 ...................0 .....................0 ......3.750 ......3.779 FA....... ..........27,083 ..........37,500 11/01/2018. 08/21/2028.
458140 AP 5 11081 INTEL CORPORATION........................................................................... ....... .. ...........1 ......1FE .............4,924,500 .....98.004 ..............4,900,200 ..............5,000,000 .............4,932,986 .......................0 ..............1,557 ...................0 .....................0 ......4.250 ......4.341 JD....... ............9,444 ........212,500 02/29/2016. 12/15/2042.
45866F AF 1 13173 INTERCONTINENTAL EXCHANGE INC................................................. ....... .. ............ ......1FE ................622,440 .....94.915 .................619,793 .................653,000 ................624,036 .......................0 ..............1,596 ...................0 .....................0 ......3.100 ......3.710 MS...... ............5,960 ..........10,122 11/01/2018. 09/15/2027.
459200 HF 1 11085 INTERNATIONAL BUSINESS MACHINES CO....................................... ....... .. ...........1 ......1FE .............3,096,420 .....90.915 ..............2,727,450 ..............3,000,000 .............3,085,099 .......................0 .............(2,200) ...................0 .....................0 ......4.000 ......3.816 JD....... ............3,667 ........120,000 05/09/2013. 06/20/2042.
460146 CL 5 11089 INTERNATIONAL PAPER CO................................................................ ....... .. ........1,2 ......2FE .............2,945,200 .....98.574 ..............2,957,220 ..............3,000,000 .............2,960,041 .......................0 ..............4,811 ...................0 .....................0 ......3.800 ......4.054 JJ....... ..........52,250 ........114,000 11/01/2018. 01/15/2026.
460146 CS 0 13125 INTERNATIONAL PAPER CO................................................................ ....... .. ........1,2 ......2FE ................998,980 .....85.674 .................856,740 ..............1,000,000 ................999,005 .......................0 ...................12 ...................0 .....................0 ......4.350 ......4.356 FA....... ..........16,433 ..........44,225 07/31/2017. 08/15/2048.
47102X AJ 4 13209 JANUS CAPITAL GROUP INC................................................................ ....... .. ........1,2 ......2FE ................486,738 .....98.181 .................441,815 .................450,000 ................482,089 .......................0 .............(4,427) ...................0 .....................0 ......4.875 ......3.606 FA....... ............9,141 ..........21,938 12/08/2017. 08/01/2025.
478165 AB 9 11101 JOHNSON (SC) & SON.......................................................................... ....... .. ............ ......1FE .............2,404,320 ...120.538 ..............2,410,760 ..............2,000,000 .............2,253,955 .......................0 ...........(21,400) ...................0 .....................0 ......6.750 ......5.000 FA....... ..........51,000 ........135,000 04/29/2013. 02/15/2028.
482480 AE 0 11105 KLA-TENCOR CORP.............................................................................. ....... .. ........1,2 ......2FE .............2,000,610 ...102.475 ..............2,049,500 ..............2,000,000 .............2,000,330 .......................0 ..................(72) ...................0 .....................0 ......4.650 ......4.646 MN...... ..........15,500 ..........93,000 10/30/2014. 11/01/2024.
483007 AH 3 12722 KAISER ALUMINUM CORPORATION.................................................... ....... .. ........1,2 ......3FE .............1,021,875 .....97.750 .................977,500 ..............1,000,000 .............1,013,138 .......................0 .............(3,454) ...................0 .....................0 ......5.875 ......5.444 MN...... ............7,507 ..........58,750 04/28/2016. 05/15/2024.
485134 BP 4 11107 KANSAS CITY POWER & LIGHT CO..................................................... ....... .. ........1,2 ......2FE ................996,440 .....99.452 .................994,520 ..............1,000,000 ................997,496 .......................0 .................327 ...................0 .....................0 ......3.650 ......3.693 FA....... ..........13,789 ..........36,500 08/13/2015. 08/15/2025.
494368 BL 6 11119 KIMBERLY-CLARK CORP...................................................................... ....... .. ...........1 ......1FE .............2,863,200 .....93.786 ..............2,813,580 ..............3,000,000 .............2,878,184 .......................0 ..............2,902 ...................0 .....................0 ......3.700 ......3.961 JD....... ............9,250 ........111,000 05/20/2013. 06/01/2043.
494368 BY 8 15739 KIMBERLY-CLARK CORPORATION...................................................... ....... .. ........1,2 ......1FE ................619,033 ...103.515 .................641,793 .................620,000 ................619,046 .......................0 ...................13 ...................0 .....................0 ......3.950 ......3.968 MN...... ............4,218 ...................0 10/24/2018. 11/01/2028.
500255 AS 3 11126 KOHL S CORP........................................................................................ ....... .. ........1,2 ......2FE .............3,015,330 .....97.807 ..............2,934,210 ..............3,000,000 .............3,006,506 .......................0 .............(1,574) ...................0 .....................0 ......3.250 ......3.190 FA....... ..........40,354 ..........97,500 11/07/2012. 02/01/2023.
500472 AC 9 11127 KONINKLIJKE PHILIPS ELECTRONICS NV........................................... ....... D ...........1 ......2FE .............5,709,350 ...130.070 ..............6,503,500 ..............5,000,000 .............5,592,766 .......................0 ...........(16,221) ...................0 .....................0 ......6.875 ......5.840 MS...... ........105,035 ........343,750 12/31/2013. 03/11/2038.
50077L AD 8 12926 KRAFT HEINZ FOODS CO..................................................................... ....... .. ........1,2 ......2FE .............3,982,480 .....89.254 ..............3,570,160 ..............4,000,000 .............3,986,546 .......................0 ..............1,592 ...................0 .....................0 ......3.000 ......3.051 JD....... ..........10,000 ........120,000 05/10/2016. 06/01/2026.
50540R AQ 5 11136 LABORATORY CORPORATION OF AMERICA...................................... ....... .. ........1,2 ......2FE ................963,380 .....96.337 .................963,370 ..............1,000,000 ................974,790 .......................0 ..............3,578 ...................0 .....................0 ......3.600 ......4.072 FA....... ..........15,000 ..........36,000 08/31/2015. 02/01/2025.
532457 BC 1 11157 ELI LILLY AND CO.................................................................................. ....... .. ...........1 ......1FE .............4,206,150 ...123.904 ..............4,026,880 ..............3,250,000 .............4,058,767 .......................0 ...........(27,921) ...................0 .....................0 ......5.950 ......4.051 MN...... ..........24,709 ........193,375 03/19/2013. 11/15/2037.
539830 BH 1 11164 LOCKHEED MARTIN CORP................................................................... ....... .. ........1,2 ......2FE .............4,672,890 .....99.277 ..............4,467,465 ..............4,500,000 .............4,648,683 .......................0 ...........(19,659) ...................0 .....................0 ......3.550 ......2.952 JJ....... ..........73,663 ........159,750 11/01/2018. 01/15/2026.
SCHEDULE D - PART 1
3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
NAIC
F Desig-
565849 AL 0 11188 MARATHON OIL CORP.......................................................................... ....... .. ........1,2 ......2FE ................498,855 .....93.852 .................469,260 .................500,000 ................499,211 .......................0 .................106 ...................0 .....................0 ......3.850 ......3.878 JD....... ............1,604 ..........19,250 06/01/2015. 06/01/2025.
571903 AS 2 12775 MARRIOTT INTERNATIONAL INC......................................................... ....... .. ........1,2 ......2FE .............1,495,005 .....90.852 ..............1,362,780 ..............1,500,000 .............1,496,140 .......................0 .................452 ...................0 .....................0 ......3.125 ......3.164 JD....... ............2,083 ..........46,875 06/07/2016. 06/15/2026.
571903 AX 1 13742 MARRIOTT INTERNATIONAL INC......................................................... ....... .. ........1,2 ......2FE ................485,450 .....95.477 .................477,385 .................500,000 ................487,570 .......................0 .................552 ...................0 .....................0 ......4.500 ......4.726 AO...... ............5,625 ..........22,500 09/08/2014. 10/01/2034.
579780 AN 7 13130 MCCORMICK & COMPANY INCORPORATED...................................... ....... .. ........1,2 ......2FE ................260,992 .....94.521 .................259,933 .................275,000 ................261,588 .......................0 .................597 ...................0 .....................0 ......3.400 ......4.074 FA....... ............3,532 ............4,675 07/11/2018. 08/15/2027.
589331 AD 9 11221 MERCK & CO INC.................................................................................. ....... .. ...........1 ......1FE .............2,927,925 ...122.660 ..............3,066,500 ..............2,500,000 .............2,772,976 .......................0 ...........(22,971) ...................0 .....................0 ......6.400 ......4.907 MS...... ..........53,333 ........160,000 02/03/2011. 03/01/2028.
59523U AN 7 13079 MID-AMERICA APARTMENTS LP.......................................................... ....... .. ........1,2 ......2FE ................497,900 .....96.269 .................481,345 .................500,000 ................498,200 .......................0 .................176 ...................0 .....................0 ......3.600 ......3.650 JD....... ............1,500 ..........18,000 05/02/2017. 06/01/2027.
60856B AC 8 11247 MOLEX ELECTRONIC TECHNOLOGIES LLC........................................ ....... .. ........1,2 ......2FE .............2,689,552 .....99.530 ..............2,766,934 ..............2,780,000 .............2,717,024 .......................0 ..............8,518 ...................0 .....................0 ......3.900 ......4.484 AO...... ..........22,889 ........108,420 11/01/2018. 04/15/2025.
60871R AG 5 12784 MOLSON COORS BREWING CO........................................................... ....... .. ........1,2 ......2FE .............1,640,856 .....89.105 ..............1,461,322 ..............1,640,000 .............1,640,658 .......................0 ..................(87) ...................0 .....................0 ......3.000 ......2.993 JJ....... ..........22,687 ..........49,200 11/01/2018. 07/15/2026.
615369 AE 5 11256 MOODYS CORPORATION..................................................................... ....... .. ...........1 ......2FE .............2,177,700 ...107.939 ..............2,158,780 ..............2,000,000 .............2,165,108 .......................0 .............(3,270) ...................0 .....................0 ......5.250 ......4.692 JJ....... ..........48,417 ........105,000 10/30/2014. 07/15/2044.
631103 AG 3 12770 NASDAQ INC.......................................................................................... ....... .. ........1,2 ......2FE .............6,316,880 .....96.292 ..............5,777,520 ..............6,000,000 .............6,248,180 .......................0 ...........(29,951) ...................0 .....................0 ......3.850 ......3.106 JD....... ...............642 ........344,451 11/01/2018. 06/30/2026.
637071 AJ 0 11270 NATIONAL OILWELL VARCO INC......................................................... ....... .. ........1,2 ......2FE .............5,083,500 .....94.392 ..............4,719,600 ..............5,000,000 .............5,033,912 .......................0 .............(8,739) ...................0 .....................0 ......2.600 ......2.406 JD....... ..........10,833 ........130,000 05/28/2015. 12/01/2022.
637432 MS 1 11273 NATIONAL RURAL UTILITIES COOP FINA............................................ ....... .. ........1,2 ......1FE .............2,792,000 ...103.243 ..............2,882,545 ..............2,792,000 .............2,792,000 .......................0 .....................0 ...................0 .....................0 ......4.023 ......4.020 MN...... ..........18,720 ........112,322 10/16/2012. 11/01/2032.
655044 AH 8 11296 NOBLE ENERGY INC............................................................................. ....... .. ........1,2 ......2FE ................996,950 .....96.860 .................968,600 ..............1,000,000 ................998,076 .......................0 .................285 ...................0 .....................0 ......3.900 ......3.937 MN...... ............4,983 ..........39,000 11/04/2014. 11/15/2024.
655844 BN 7 11305 NORFOLK SOUTHERN CORP............................................................... ....... .. ........1,2 ......2FE .............2,024,360 .....99.775 ..............1,995,500 ..............2,000,000 .............2,022,323 .......................0 ................(485) ...................0 .....................0 ......4.800 ......4.722 FA....... ..........36,267 ..........96,000 03/20/2014. 08/15/2043.
E10.3
666807 BN 1 13183 NORTHROP GRUMMAN CORP............................................................. ....... .. ........1,2 ......2FE .............5,996,820 .....93.497 ..............5,609,820 ..............6,000,000 .............5,997,291 .......................0 .................254 ...................0 .....................0 ......3.250 ......3.255 JJ....... ..........89,917 ........147,333 11/01/2018. 01/15/2028.
668074 AU 1 11319 NORTHWESTERN CORP...................................................................... ....... .. ........1,2 ......1FE ................900,000 ...100.127 .................901,143 .................900,000 ................900,000 .......................0 .....................0 ...................0 .....................0 ......4.176 ......4.176 MN...... ............4,802 ..........37,584 11/05/2014. 11/15/2044.
67021C AJ 6 11321 NSTAR ELECTRIC CO........................................................................... ....... .. ........1,2 ......1FE ................496,545 ...103.597 .................517,985 .................500,000 ................496,839 .......................0 ...................67 ...................0 .....................0 ......4.400 ......4.442 MS...... ............7,333 ..........22,000 03/04/2014. 03/01/2044.
67077M AE 8 12987 NUTRIEN LTD........................................................................................ ....... A ........1,2 ......2FE .............2,993,520 .....97.549 ..............2,926,470 ..............3,000,000 .............2,994,366 .......................0 .................509 ...................0 .....................0 ......4.000 ......4.029 JD....... ............5,333 ........120,000 11/01/2018. 12/15/2026.
677050 AC 0 11330 OGLETHORPE POWER CORP.............................................................. ....... .. ...........1 ......1FE .............3,495,870 ...114.627 ..............3,438,810 ..............3,000,000 .............3,312,204 .......................0 ...........(29,717) ...................0 .....................0 ......6.191 ......4.676 JJ....... ..........92,865 ........185,730 09/04/2012. 01/01/2031.
678858 BN 0 11336 OKLAHOMA GAS AND ELECTRIC CO................................................... ....... .. ........1,2 ......1FE .............2,998,980 .....93.883 ..............2,816,490 ..............3,000,000 .............2,999,063 .......................0 ...................23 ...................0 .....................0 ......3.900 ......3.902 MN...... ..........19,500 ........117,000 05/08/2013. 05/01/2043.
68217F AA 0 12725 OMNICOM GROUP INC......................................................................... ....... .. ........1,2 ......2FE .............3,105,810 .....94.679 ..............2,840,370 ..............3,000,000 .............3,079,754 .......................0 .............(9,941) ...................0 .....................0 ......3.600 ......3.066 AO...... ..........22,800 ........108,000 11/01/2018. 04/15/2026.
68233D AR 8 11342 ONCOR ELECTRIC DELIVERY CO........................................................ ....... .. ...........1 ......1FE .............3,200,950 ...112.683 ..............2,817,075 ..............2,500,000 .............2,791,470 .......................0 ...........(72,922) ...................0 .....................0 ......7.000 ......3.580 MS...... ..........58,333 ........175,000 11/09/2012. 09/01/2022.
68389X AP 0 11355 ORACLE CORPORATION...................................................................... ....... .. ...........1 ......1FE .............3,051,570 .....97.320 ..............2,919,600 ..............3,000,000 .............3,021,101 .......................0 .............(5,261) ...................0 .....................0 ......2.500 ......2.305 AO...... ..........15,833 ..........75,000 11/08/2012. 10/15/2022.
69351U AN 3 11371 PPL ELECTRIC UTILITIES CORP.......................................................... ....... .. ........1,2 ......1FE .............2,217,100 ...111.735 ..............2,234,700 ..............2,000,000 .............2,194,173 .......................0 .............(5,037) ...................0 .....................0 ......5.200 ......4.501 JJ....... ..........47,956 ........104,000 01/17/2014. 07/15/2041.
69353R FJ 2 15869 PNC BANK NATIONAL ASSOCIATION.................................................. ....... .. ...........2 ......1FE .............2,141,618 .....96.681 ..............2,175,323 ..............2,250,000 .............2,142,333 .......................0 .................716 ...................0 .....................0 ......3.250 ......3.880 JJ....... ..........32,297 ...................0 11/30/2018. 01/22/2028.
695156 AT 6 13210 PACKAGING CORP OF AMERICA......................................................... ....... .. ........1,2 ......2FE .............1,196,064 .....93.147 ..............1,117,764 ..............1,200,000 .............1,196,417 .......................0 .................337 ...................0 .....................0 ......3.400 ......3.439 JD....... ............1,813 ..........41,027 11/01/2018. 12/15/2027.
701094 AL 8 14003 PARKER HANNIFIN CORP.................................................................... ....... .. ........1,2 ......1FE ................539,525 .....95.875 .................479,375 .................500,000 ................538,694 .......................0 ................(795) ...................0 .....................0 ......4.100 ......3.653 MS...... ............6,833 ..........20,500 12/08/2017. 03/01/2047.
708696 BY 4 13144 PENNSYLVANIA ELECTRIC COMPANY................................................ ....... .. ........1,2 ......2FE .............4,992,900 .....93.650 ..............4,682,500 ..............5,000,000 .............4,993,662 .......................0 .................568 ...................0 .....................0 ......3.250 ......3.266 MS...... ..........47,847 ........165,660 09/05/2017. 03/15/2028.
713448 DF 2 12726 PEPSICO INC......................................................................................... ....... .. ........1,2 ......1FE .............3,008,044 .....95.650 ..............2,869,500 ..............3,000,000 .............3,005,907 .......................0 ................(771) ...................0 .....................0 ......2.850 ......2.818 FA....... ..........30,163 ..........85,500 02/19/2016. 02/24/2026.
717081 CY 7 11413 PFIZER INC............................................................................................ ....... .. ...........1 ......1FE .............3,031,225 ...138.238 ..............3,455,950 ..............2,500,000 .............2,948,019 .......................0 ...........(11,444) ...................0 .....................0 ......7.200 ......5.696 MS...... ..........53,000 ........180,000 04/30/2017. 03/15/2039.
740189 AN 5 11439 PRECISION CASTPARTS CORP........................................................... ....... .. ........1,2 ......1FE ................397,588 .....98.766 .................395,064 .................400,000 ................397,885 .......................0 ...................87 ...................0 .....................0 ......4.200 ......4.245 JD....... ...............747 ..........16,800 06/01/2015. 06/15/2035.
744542 AC 5 11453 PUBLIC SERVICE OF NEW MEXICO CO............................................... ....... .. ........1,2 ......2FE ................498,610 .....98.724 .................493,620 .................500,000 ................499,020 .......................0 .................128 ...................0 .....................0 ......3.850 ......3.884 FA....... ............8,021 ..........19,250 08/06/2015. 08/01/2025.
747262 AU 7 11470 QVC INC................................................................................................. ....... .. ........1,2 ......2FE ................956,840 .....92.194 .................921,940 ..............1,000,000 ................968,320 .......................0 ..............4,303 ...................0 .....................0 ......4.450 ......5.058 FA....... ..........16,688 ..........44,500 03/21/2016. 02/15/2025.
747525 AF 0 11479 QUALCOMM INC.................................................................................... ....... .. ........1,2 ......1FE ................747,300 .....96.256 .................721,920 .................750,000 ................748,170 .......................0 .................251 ...................0 .....................0 ......3.450 ......3.493 MN...... ............2,947 ..........25,875 05/13/2015. 05/20/2025.
74834L AZ 3 12957 QUEST DIAGNOSTICS INCORPORATED............................................. ....... .. ........1,2 ......2FE .............2,075,680 .....96.029 ..............1,920,580 ..............2,000,000 .............2,059,909 .......................0 .............(7,385) ...................0 .....................0 ......3.450 ......2.889 JD....... ............5,750 ..........69,000 11/01/2018. 06/01/2026.
755111 BW 0 11490 RAYTHEON COMPANY......................................................................... ....... .. ...........1 ......1FE .............1,002,280 ...109.020 ..............1,090,200 ..............1,000,000 .............1,002,096 .......................0 ..................(50) ...................0 .....................0 ......4.700 ......4.685 JD....... ............2,089 ..........47,000 08/08/2013. 12/15/2041.
755111 BZ 3 11492 RAYTHEON CO...................................................................................... ....... .. ........1,2 ......1FE ................746,850 ...101.707 .................762,803 .................750,000 ................747,094 .......................0 ...................60 ...................0 .....................0 ......4.200 ......4.225 JD....... ............1,400 ..........31,500 11/24/2014. 12/15/2044.
771196 AU 6 11503 ROCHE HOLDINGS INC......................................................................... ....... C ...........1 ......1FE .............2,978,725 ...137.695 ..............3,442,375 ..............2,500,000 .............2,909,887 .......................0 ...........(10,598) ...................0 .....................0 ......7.000 ......5.630 MS...... ..........58,333 ........175,000 04/11/2011. 03/01/2039.
775109 BF 7 12963 ROGERS COMMUNICATIONS INC........................................................ ....... A ........1,2 ......2FE .............1,475,310 .....92.544 ..............1,388,160 ..............1,500,000 .............1,480,008 .......................0 ..............2,208 ...................0 .....................0 ......2.900 ......3.092 MN...... ............5,558 ..........43,500 11/01/2016. 11/15/2026.
776743 AD 8 12991 ROPER TECHNOLOGIES INC............................................................... ....... .. ........1,2 ......2FE .............2,305,357 .....97.558 ..............2,243,834 ..............2,300,000 .............2,304,365 .......................0 ................(496) ...................0 .....................0 ......3.800 ......3.771 JD....... ............3,884 ..........87,400 11/01/2018. 12/15/2026.
776743 AF 3 15300 ROPER TECHNOLOGIES INC............................................................... ....... .. ........1,2 ......2FE ................998,920 .....99.065 .................990,650 ..............1,000,000 ................998,949 .......................0 ...................29 ...................0 .....................0 ......4.200 ......4.211 MS...... ..........14,350 ...................0 11/01/2018. 09/15/2028.
SCHEDULE D - PART 1
3 4 5 8 9 12 13 14 15 16 17 18 19 20 21 22
NAIC
F Desig-
78408L AC 1 11521 S C JOHNSON & SON INC..................................................................... ....... .. ........1,2 ......1FE .............1,014,640 .....99.759 .................997,590 ..............1,000,000 .............1,013,526 .......................0 ................(291) ...................0 .....................0 ......4.350 ......4.262 MS...... ..........10,996 ..........43,500 10/30/2014. 09/30/2044.
78409V AB 0 11209 S&P GLOBAL INC................................................................................... ....... .. ...........1 ......1FE .............3,277,170 ...124.740 ..............3,742,200 ..............3,000,000 .............3,236,679 .......................0 .............(6,658) ...................0 .....................0 ......6.550 ......5.854 MN...... ..........25,108 ........196,500 10/26/2011. 11/15/2037.
78409V AD 6 11210 S&P GLOBAL INC................................................................................... ....... .. ........1,2 ......1FE .............2,781,757 ...101.868 ..............2,852,304 ..............2,800,000 .............2,787,498 .......................0 ..............1,659 ...................0 .....................0 ......4.000 ......4.109 JD....... ............4,978 ........112,000 11/01/2018. 06/15/2025.
80685Q AA 4 11540 SCHLUMBERGER OILFIELD UK PLC.................................................... ....... .. ........1,2 ......1FE .............3,016,470 ...101.234 ..............3,037,020 ..............3,000,000 .............3,003,670 .......................0 .............(1,947) ...................0 .....................0 ......4.200 ......4.130 JJ....... ..........57,750 ........126,000 09/04/2012. 01/15/2021.
808513 AU 9 13207 CHARLES SCHWAB CORPORATION (THE)......................................... ....... .. ........1,2 ......1FE ................501,460 .....95.892 .................479,460 .................500,000 ................501,327 .......................0 ................(128) ...................0 .....................0 ......3.200 ......3.165 JJ....... ............6,933 ..........10,133 12/08/2017. 01/25/2028.
82620K AT 0 13208 SIEMENS FINANCIERINGSMAATSCHAPPIJ......................................... ....... D ...........1 ......1FE ................544,715 .....98.776 .................493,880 .................500,000 ................543,809 .......................0 ................(866) ...................0 .....................0 ......4.200 ......3.697 MS...... ............6,125 ..........21,000 12/08/2017. 03/16/2047.
842400 GE 7 11570 SOUTHERN CALIFORNIA EDISON CO................................................. ....... .. ........1,2 ......1FE ................498,080 .....85.901 .................429,505 .................500,000 ................498,238 .......................0 ...................40 ...................0 .....................0 ......3.600 ......3.621 FA....... ............7,500 ..........18,000 01/13/2015. 02/01/2045.
854502 AD 3 11593 STANLEY BLACK & DECKER INC......................................................... ....... .. ...........1 ......1FE .............3,056,070 .....98.204 ..............2,946,120 ..............3,000,000 .............3,023,357 .......................0 .............(5,701) ...................0 .....................0 ......2.900 ......2.685 MN...... ..........14,500 ..........87,000 11/08/2012. 11/01/2022.
857477 BD 4 15868 STATE STREET CORP.......................................................................... ....... .. ...........2 ......1FE .............3,020,040 ...103.219 ..............3,096,570 ..............3,000,000 .............3,019,913 .......................0 ................(127) ...................0 .....................0 ......2.738 ......3.725 JD....... ............6,389 ...................0 11/30/2018. 12/03/2029.
86722T AB 8 11604 SUNCOR ENERGY INC.......................................................................... ....... A ...........1 ......1FE .............1,334,395 ...121.547 ..............1,215,470 ..............1,000,000 .............1,298,794 .......................0 .............(8,628) ...................0 .....................0 ......6.850 ......4.582 JD....... ............5,708 ..........68,500 07/21/2014. 06/01/2039.
871829 BF 3 13107 SYSCO CORPORATION........................................................................ ....... .. ........1,2 ......2FE .............3,481,205 .....93.846 ..............3,284,610 ..............3,500,000 .............3,483,696 .......................0 ..............1,597 ...................0 .....................0 ......3.250 ......3.313 JJ....... ..........52,451 ........121,017 06/19/2017. 07/15/2027.
88167A AE 1 12796 TEVA PHARMACEUTICAL FINANCE NETHER..................................... ....... D ...........1 ......3FE .............2,611,344 .....76.361 ..............1,985,386 ..............2,600,000 .............2,609,178 .......................0 .............(1,040) ...................0 .....................0 ......3.150 ......3.087 AO...... ..........20,475 ..........81,900 11/01/2018. 10/01/2026.
88579Y AZ 4 13200 3M CO.................................................................................................... ....... .. ........1,2 ......1FE ................508,705 .....93.942 .................469,710 .................500,000 ................508,527 .......................0 ................(173) ...................0 .....................0 ......3.625 ......3.529 AO...... ............3,826 ..........18,780 12/08/2017. 10/15/2047.
891906 AF 6 15011 TOTAL SYSTEM SERVICES INC........................................................... ....... .. ........1,2 ......2FE ................349,146 .....98.193 .................343,676 .................350,000 ................349,189 .......................0 ...................44 ...................0 .....................0 ......4.450 ......4.479 JD....... ............1,298 ............8,653 11/01/2018. 06/01/2028.
E10.4
893526 BY 8 11660 TRANSCANADA PIPELINES LIMITED................................................... ....... A ............ ......2FE .............3,105,000 ...111.527 ..............2,509,358 ..............2,250,000 .............2,459,387 .......................0 ...........(97,072) ...................0 .....................0 ......9.875 ......4.935 JJ....... ........110,477 ........222,187 09/04/2012. 01/01/2021.
896239 AC 4 15144 TRIMBLE INC......................................................................................... ....... .. ........1,2 ......2FE ................500,961 .....98.520 .................492,600 .................500,000 ................500,919 .......................0 ..................(42) ...................0 .....................0 ......4.900 ......4.874 JD....... ............1,089 ..........12,250 06/26/2018. 06/15/2028.
90131H AR 6 11678 21ST CENTURY FOX AMERICA INC..................................................... ....... .. ...........1 ......2FE .............3,031,440 .....98.804 ..............2,964,120 ..............3,000,000 .............3,013,521 .......................0 .............(3,404) ...................0 .....................0 ......3.000 ......2.871 MS...... ..........26,500 ..........90,000 05/09/2013. 09/15/2022.
907818 DT 2 11704 UNION PACIFIC CORP.......................................................................... ....... .. ........1,2 ......1FE .............2,050,460 ...103.750 ..............2,075,000 ..............2,000,000 .............2,046,251 .......................0 ................(982) ...................0 .....................0 ......4.821 ......4.662 FA....... ..........40,175 ..........96,420 03/20/2014. 02/01/2044.
911312 AJ 5 11710 UPS OF AMERICA INC.......................................................................... ....... .. ...........1 ......1FE .............3,236,000 ...121.939 ..............3,048,475 ..............2,500,000 .............3,109,603 .......................0 ...........(20,202) ...................0 .....................0 ......6.200 ......4.310 JJ....... ..........71,472 ........155,000 12/02/2011. 01/15/2038.
913017 BV 0 11725 UNITED TECHNOLOGIES CORP........................................................... ....... .. ...........1 ......2FE .............3,215,280 .....97.920 ..............2,937,600 ..............3,000,000 .............3,081,829 .......................0 ...........(22,754) ...................0 .....................0 ......3.100 ......2.266 JD....... ............7,750 ..........93,000 10/10/2012. 06/01/2022.
92277G AL 1 13061 VENTAS REALTY LP.............................................................................. ....... .. ........1,2 ......2FE ................247,990 .....96.465 .................241,163 .................250,000 ................248,288 .......................0 .................172 ...................0 .....................0 ......3.850 ......3.948 AO...... ............2,406 ............9,623 03/22/2017. 04/01/2027.
927804 FR 0 11764 VIRGINIA ELECTRIC AND POWER CO................................................. ....... .. ........1,2 ......1FE ................537,450 ...100.690 .................503,450 .................500,000 ................534,310 .......................0 ................(800) ...................0 .....................0 ......4.450 ......4.009 FA....... ............8,406 ..........22,250 10/20/2014. 02/15/2044.
92826C AE 2 11768 VISA INC................................................................................................ ....... .. ........1,2 ......1FE ................998,650 ...103.530 ..............1,035,300 ..............1,000,000 ................998,791 .......................0 ...................48 ...................0 .....................0 ......4.150 ......4.160 JD....... ............1,960 ..........41,500 12/09/2015. 12/14/2035.
92936M AE 7 13071 WPP FINANCE 2010.............................................................................. ....... D ...........1 ......2FE .............4,788,057 .....98.151 ..............4,024,191 ..............4,100,000 .............4,767,126 .......................0 ...........(14,225) ...................0 .....................0 ......5.625 ......4.500 MN...... ..........29,469 ........230,625 11/01/2018. 11/15/2043.
931427 AQ 1 14010 WALGREENS BOOTS ALLIANCE INC................................................... ....... .. ........1,2 ......2FE ................825,309 .....94.032 .................822,780 .................875,000 ................827,721 .......................0 ..............2,412 ...................0 .....................0 ......3.450 ......4.311 JD....... ............2,516 ..........15,094 11/01/2018. 06/01/2026.
94106L BE 8 13189 WASTE MANAGEMENT INC.................................................................. ....... .. ........1,2 ......2FE ..................70,572 .....95.530 ...................71,648 ...................75,000 ..................70,785 .......................0 .................213 ...................0 .....................0 ......3.150 ......3.931 MN...... ...............302 ............1,180 11/01/2018. 11/15/2027.
96145D AC 9 13136 WESTROCK CO..................................................................................... ....... .. ........1,2 ......2FE ................499,780 .....92.076 .................460,380 .................500,000 ................499,807 .......................0 ...................15 ...................0 .....................0 ......3.375 ......3.380 MS...... ............4,969 ..........17,858 08/21/2017. 09/15/2027.
96145D AG 0 14140 WESTROCK CO..................................................................................... ....... .. ........1,2 ......2FE .............1,996,540 .....95.018 ..............1,900,360 ..............2,000,000 .............1,996,773 .......................0 .................232 ...................0 .....................0 ......4.000 ......4.020 MS...... ..........23,556 ..........42,000 11/01/2018. 03/15/2028.
970648 AG 6 15646 WILLIS NORTH AMERICA INC............................................................... ....... .. ........1,2 ......2FE .............1,169,614 .....99.277 ..............1,161,541 ..............1,170,000 .............1,169,623 .......................0 .....................9 ...................0 .....................0 ......4.500 ......4.502 MS...... ..........16,234 ...................0 11/01/2018. 09/15/2028.
976656 CG 1 11813 WISCONSIN ELECTRIC POWER CO..................................................... ....... .. ........1,2 ......1FE ................993,760 .....98.995 .................989,950 ..............1,000,000 ................994,304 .......................0 .................121 ...................0 .....................0 ......4.250 ......4.287 JD....... ............3,542 ..........42,500 05/12/2014. 06/01/2044.
98419M AK 6 13069 XYLEM INC............................................................................................. ....... .. ........1,2 ......2FE .............2,149,620 .....96.554 ..............1,931,080 ..............2,000,000 .............2,146,829 .......................0 .............(2,791) ...................0 .....................0 ......4.375 ......3.931 MN...... ..........14,583 ..........87,500 11/01/2018. 11/01/2046.
98978V AK 9 12803 ZOETIS INC............................................................................................ ....... .. ........1,2 ......2FE .............2,020,626 ...102.680 ..............1,848,240 ..............1,800,000 .............1,968,030 .......................0 ...........(22,641) ...................0 .....................0 ......4.500 ......2.582 MN...... ..........10,800 ..........81,000 11/01/2018. 11/13/2025.
98978V AN 3 15689 ZOETIS INC............................................................................................ ....... .. ........1,2 ......2FE ................646,295 .....98.032 .................642,110 .................655,000 ................646,483 .......................0 .................187 ...................0 .....................0 ......3.900 ......4.063 FA....... ............9,296 ...................0 11/01/2018. 08/20/2028.
3299999. Industrial & Miscellaneous (Unaffiliated) - Issuer Obligations.............................................................................................. .........402,325,057 XXX ..........384,852,162 ..........382,630,000 .........397,614,069 .......................0 .........(835,518) ...................0 .....................0 XXX XXX XXX .....4,201,065 ....16,165,916 XXX XXX
3899999. Total - Industrial & Miscellaneous (Unaffiliated).................................................................................................................. .........402,325,057 XXX ..........384,852,162 ..........382,630,000 .........397,614,069 .......................0 .........(835,518) ...................0 .....................0 XXX XXX XXX .....4,201,065 ....16,165,916 XXX XXX
Totals
7799999. Total - Issuer Obligations................................................................................................................................................... .........409,190,454 XXX ..........391,588,333 ..........389,280,000 .........404,290,414 .......................0 .........(856,390) ...................0 .....................0 XXX XXX XXX .....4,252,048 ....16,344,679 XXX XXX
8399999. Grand Total - Bonds........................................................................................................................................................... .........409,190,454 XXX ..........391,588,333 ..........389,280,000 .........404,290,414 .......................0 .........(856,390) ...................0 .....................0 XXX XXX XXX .....4,252,048 ....16,344,679 XXX XXX
SCHEDULE D - PART 2 - SECTION 1
Showing all PREFERRED STOCKS Owned December 31 of Current Year
1 2 Codes 5 6 7 8 Fair Value 11 Dividends Change in Book/Adjusted Carrying Value 20 21
3 4 9 10 12 13 14 15 16 17 18 19
NAIC
Desig
nation
and
Current Year's Admini
F Rate per Unrealized Other-Than- Total Foreign strative
or Share Used Amount Nonadmitted Valuation Current Year's Temporary Total Change in Exchange Symbol /
ei Number of Par Value Rate per Book/Adjusting to Obtain Declared but Received Declared but Increase (Amortization) Impairment B./A.C.V. Change in Market Date
CUSIP Identification Description Code gn Shares per Share Share Carrying Value Fair Value Fair Value Actual Cost Unpaid During Year Unpaid (Decrease) / Accretion Recognized (15+16-17) B./A.C.V. Indicator Acquired
NONE
E11
SCHEDULE D - PART 2 - SECTION 2
Showing all COMMON STOCKS Owned December 31 of Current Year
1 2 Codes 5 6 Fair Value 9 Dividends Change in Book/Adjusted Carrying Value 17 18
3 4 7 8 10 11 12 13 14 15 16
NAIC
Market
Current Year's Indicator
F Rate per Other-Than- and
or Share Used Nonadmitted Unrealized Temporary Total Change in Total Foreign Admini
ei Book/Adjusted to Obtain Fair Amount Received Declared but Valuation Increase Impairment B./A.C.V. Exchange Change strative Date
CUSIP Identification Description Code gn Number of Shares Carrying Value Value Fair Value Actual Cost Declared but Unpaid During Year Unpaid (Decrease) Recognized (13-14) in B./A.C.V. Symbol (a) Acquired
Common Stocks - Industrial and Miscellaneous (Unaffiliated)
49456B 10 1 KINDER MORGAN INC..................................................................................... ........ ... ................59.000 .........................907 .........15.380 .........................907 .............................0 ...........................0 .........................43 ...........................0 ......................(159) ...........................0 ......................(159) ...........................0 ..............L 12/01/2014.
9099999. Total - Common Stocks - Industrial and Miscellaneous (Unaffiliated)...................................... ............................................. .........................907 XXX .........................907 .............................0 ...........................0 .........................43 ...........................0 ......................(159) ...........................0 ......................(159) ...........................0 XXX XXX
9799999. Total - Common Stock........................................................................................................... ............................................. .........................907 XXX .........................907 .............................0 ...........................0 .........................43 ...........................0 ......................(159) ...........................0 ......................(159) ...........................0 XXX XXX
9899999. Total Common and Preferred Stock....................................................................................... ............................................. .........................907 XXX .........................907 .............................0 ...........................0 .........................43 ...........................0 ......................(159) ...........................0 ......................(159) ...........................0 XXX XXX
(a) For all common stocks bearing the NAIC market indicator ''U'' provide: the number of such issues..........0, the total $ value (included in Column 8) of all such issues $..........0.
E12
SCHEDULE D - PART 3
Showing all Long-Term Bonds and Stocks ACQUIRED During Current Year
1 2 3 4 5 6 7 8 9
CUSIP Identification Description Foreign Date Acquired Name of Vendor Number of Shares of Stock Actual Cost Par Value Paid for Accrued Interest and Dividends
Bonds - Industrial and Miscellaneous
00185A AH 7 13108 AON PLC............................................................................................................................. ................ 01/22/2018........ J.P. MORGAN SECURITIES LLC......................................................................................... ....................................................... ......................................3,274,980 ......................................3,000,000 ...........................................27,312
035240 AM 2 14296 ANHEUSER-BUSCH INBEV WORLDWIDE INC.................................................................. C............. 03/20/2018........ BANC OF AMERICA SECURITIES....................................................................................... ....................................................... .........................................985,550 ......................................1,000,000 ....................................................0
053807 AS 2 14876 AVNET INC.......................................................................................................................... ................ 04/17/2018........ MARKET AXESS.................................................................................................................. ....................................................... .........................................747,420 .........................................750,000 ................................................385
06406G AA 9 15867 BANK OF NEW YORK MELLON CORP/THE....................................................................... ................ 11/30/2018........ MORGAN STANLEY & CO. LLC........................................................................................... ....................................................... ......................................2,727,300 ......................................3,000,000 .............................................8,500
101137 AS 6 14019 BOSTON SCIENTIFIC CORPORATION.............................................................................. ................ 03/27/2018........ CITIGROUP GLOBAL MARKETS INC.................................................................................. ....................................................... .........................................997,770 ......................................1,000,000 .............................................3,666
115637 AT 7 14297 BROWN-FORMAN CORPORATION.................................................................................... ................ 03/22/2018........ BARCLAYS CAPITAL INC.................................................................................................... ....................................................... .........................................395,420 .........................................400,000 ....................................................0
12636Y AC 6 14736 CRH AMERICA FINANCE INC............................................................................................ C............. 03/27/2018........ BANC OF AMERICA SECURITIES....................................................................................... ....................................................... .........................................993,710 ......................................1,000,000 ....................................................0
126650 CY 4 14203 CVS HEALTH CORP........................................................................................................... ................ 03/06/2018........ BARCLAYS CAPITAL INC.................................................................................................... ....................................................... ......................................1,592,728 ......................................1,625,000 ....................................................0
278865 BD 1 14936 ECOLAB INC....................................................................................................................... ................ 05/16/2018........ CITIGROUP GLOBAL MARKETS INC.................................................................................. ....................................................... .........................................660,996 .........................................700,000 ...........................................10,806
28176E AD 0 15135 EDWARDS LIFESCIENCES CORP..................................................................................... ................ 06/22/2018........ BANC OF AMERICA SECURITIES....................................................................................... ....................................................... .........................................728,299 .........................................730,000 ....................................................0
29379V BT 9 15715 ENTERPRISE PRODUCTS OPERATING LLC.................................................................... ................ 10/03/2018........ CITIGROUP GLOBAL MARKETS INC.................................................................................. ....................................................... .........................................249,410 .........................................250,000 ....................................................0
337738 AR 9 15665 FISERV INC......................................................................................................................... ................ 09/20/2018........ WELLS FARGO SECURITIES, LLC...................................................................................... ....................................................... .........................................588,850 .........................................590,000 ....................................................0
443510 AJ 1 15146 HUBBELL INCORPORATED............................................................................................... ................ 09/25/2018........ J.P. MORGAN SECURITIES LLC......................................................................................... ....................................................... ......................................1,461,740 ......................................1,525,000 .............................................2,025
448579 AG 7 15268 HYATT HOTELS CORP....................................................................................................... ................ 08/09/2018........ CITIGROUP GLOBAL MARKETS INC.................................................................................. ....................................................... ......................................1,384,944 ......................................1,385,000 ....................................................0
45866F AF 1 13173 INTERCONTINENTAL EXCHANGE INC............................................................................. ................ 05/31/2018........ CITIGROUP GLOBAL MARKETS INC.................................................................................. ....................................................... .........................................622,439 .........................................653,000 .............................................4,442
494368 BY 8 15739 KIMBERLY-CLARK CORPORATION................................................................................... ................ 10/24/2018........ J.P. MORGAN SECURITIES LLC......................................................................................... ....................................................... .........................................619,033 .........................................620,000 ....................................................0
579780 AN 7 13130 MCCORMICK & COMPANY INCORPORATED................................................................... ................ 07/11/2018........ BANC OF AMERICA SECURITIES....................................................................................... ....................................................... .........................................260,992 .........................................275,000 .............................................3,844
69353R FJ 2 15869 PNC BANK NATIONAL ASSOCIATION............................................................................... ................ 11/30/2018........ SUNTRUST ROBINSON HUMPHREY, INC.......................................................................... ....................................................... ......................................2,141,618 ......................................2,250,000 ...........................................26,813
857477 BD 4 15868 STATE STREET CORP....................................................................................................... ................ 11/30/2018........ BANC OF AMERICA SECURITIES....................................................................................... ....................................................... ......................................3,020,040 ......................................3,000,000 ................................................345
E13
891906 AF 6 15011 TOTAL SYSTEM SERVICES INC........................................................................................ ................ 05/09/2018........ BANC OF AMERICA SECURITIES....................................................................................... ....................................................... .........................................349,146 .........................................350,000 ....................................................0
896239 AC 4 15144 TRIMBLE INC...................................................................................................................... ................ 06/26/2018........ VARIOUS.............................................................................................................................. ....................................................... .........................................500,961 .........................................500,000 ................................................133
931427 AQ 1 14010 WALGREENS BOOTS ALLIANCE INC................................................................................ ................ 07/16/2018........ GOLDMAN SACHS............................................................................................................... ....................................................... .........................................825,309 .........................................875,000 .............................................3,941
970648 AG 6 15646 WILLIS NORTH AMERICA INC........................................................................................... ................ 09/05/2018........ BANC OF AMERICA SECURITIES....................................................................................... ....................................................... ......................................1,169,614 ......................................1,170,000 ....................................................0
98978V AN 3 15689 ZOETIS INC......................................................................................................................... ................ 09/24/2018........ GOLDMAN SACHS............................................................................................................... ....................................................... .........................................646,296 .........................................655,000 .............................................2,555
099724 AH 9 10651 BORGWARNER INC........................................................................................................... ................ 01/10/2018........ MORGAN STANLEY & CO. LLC........................................................................................... ....................................................... ......................................5,049,400 ......................................5,000,000 ...........................................71,094
23636T AE 0 15051 DANONE SA........................................................................................................................ D............. 08/14/2018........ MARKET AXESS.................................................................................................................. ....................................................... .........................................466,475 .........................................500,000 .............................................4,257
31620M AY 2 15039 FIDELITY NATIONAL INFORMATION SERV...................................................................... ................ 05/14/2018........ BANC OF AMERICA SECURITIES....................................................................................... ....................................................... ......................................3,687,198 ......................................3,700,000 ....................................................0
45687A AP 7 14009 INGERSOLL-RAND GLOBAL HOLDING COMP.................................................................. ................ 02/13/2018........ J.P. MORGAN SECURITIES LLC......................................................................................... ....................................................... ......................................1,995,020 ......................................2,000,000 ....................................................0
776743 AF 3 15300 ROPER TECHNOLOGIES INC............................................................................................ ................ 08/14/2018........ J.P. MORGAN SECURITIES LLC......................................................................................... ....................................................... .........................................998,920 ......................................1,000,000 ....................................................0
96145D AG 0 14140 WESTROCK CO.................................................................................................................. ................ 03/01/2018........ WELLS FARGO SECURITIES, LLC...................................................................................... ....................................................... ......................................1,996,540 ......................................2,000,000 ....................................................0
98419M AK 6 13069 XYLEM INC......................................................................................................................... ................ 01/16/2018........ CITIGROUP GLOBAL MARKETS INC.................................................................................. ....................................................... ......................................2,149,620 ......................................2,000,000 ...........................................18,715
94106L BE 8 13189 WASTE MANAGEMENT INC............................................................................................... ................ 06/13/2018........ CITIGROUP GLOBAL MARKETS INC.................................................................................. ....................................................... ...........................................70,572 ...........................................75,000 ................................................197
3899999. Total - Bonds - Industrial and Miscellaneous................................................................................................. ............................................................................................................................................................................................. ....................................................... ....................................43,358,310 ....................................43,578,000 .........................................189,030
8399997. Total - Bonds - Part 3.................................................................................................................................... ............................................................................................................................................................................................. ....................................................... ....................................43,358,310 ....................................43,578,000 .........................................189,030
8399998. Total - Bonds - Summary Item from Part 5.................................................................................................... ............................................................................................................................................................................................. ....................................................... ....................................41,819,459 ....................................42,360,000 .........................................186,178
8399999. Total - Bonds................................................................................................................................................. ............................................................................................................................................................................................. ....................................................... ....................................85,177,769 ....................................85,938,000 .........................................375,208
9999999. Total - Bonds, Preferred and Common Stocks............................................................................................... ............................................................................................................................................................................................. ....................................................... ....................................85,177,769 XXX .........................................375,208
SCHEDULE D - PART 4
Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21
11 12 13 14 15
F Current Bond
o Year's Interest /
r Unrealized Current Other-Than- Total Foreign Foreign Stock Stated
ei Prior Year Valuation Year's Temporary Total Change Exchange Book/Adjusted Exchange Realized Total Gain Dividends Contractual
g Disposal Number of Book/Adjusted Increase (Amortization) Impairment in B./A.C.V. Change in Carrying Value at Gain (Loss) Gain (Loss) (Loss) on Received Maturity
CUSIP Identification Description n Date
Name of Purchaser Shares of Stock
Consideration Par Value Actual Cost Carrying Value (Decrease) / Accretion Recognized (11+12-13) B./A.C.V. Disposal Date on Disposal on Disposal Disposal During Year Date
0010EP AN 8 10487 AEP TEXAS CENTRAL CO........................ .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,979,880 .......2,000,000 .......2,037,340 ...........2,030,695 .................0 ..........(3,327) ...............0 .............(3,327) .................0 ...........2,027,367 ................0 ......(47,487) ........(47,487) .......89,833 10/01/2025.
009279 AC 4 13068 AIRBUS GROUP SE................................... D 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,841,740 .......2,000,000 .......1,975,380 ...........1,975,694 .................0 ..............407 ...............0 .................407 .................0 ...........1,976,101 ................0 ....(134,361) ......(134,361) .......90,192 04/10/2047.
015271 AK 5 13046 ALEXANDRIA REAL ESTATE EQUITIES IN .. 12/01/2018. VARIOUS................................................. ........................... ..........473,230 ..........500,000 ..........499,275 ..............499,110 .................0 ................53 ...............0 ...................53 .................0 ..............499,355 ................0 ......(26,125) ........(26,125) .......27,211 01/15/2028.
032654 AJ 4 10556 ANALOG DEVICES INC............................. .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......2,924,970 .......3,000,000 .......3,010,660 ...........3,008,770 .................0 .............(926) ...............0 ...............(926) .................0 ...........3,007,843 ................0 ......(82,873) ........(82,873) .....112,450 12/15/2025.
038222 AJ 4 10569 APPLIED MATERIALS INC......................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,487,325 .......1,500,000 .......1,498,350 ...........1,498,711 .................0 ..............133 ...............0 .................133 .................0 ...........1,498,844 ................0 ......(11,519) ........(11,519) .......68,250 10/01/2025.
038222 AM 7 13062 APPLIED MATERIALS INC......................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,873,620 .......2,000,000 .......1,996,340 ...........1,996,388 .................0 ................57 ...............0 ...................57 .................0 ...........1,996,445 ................0 ....(122,825) ......(122,825) .....101,500 04/01/2047.
03835V AF 3 13059 APTIV PLC................................................. .. 07/27/2018. J.P. MORGAN SECURITIES LLC............ ........................... .......1,799,540 .......2,000,000 .......1,918,640 ...........1,919,626 .................0 ..............783 ...............0 .................783 .................0 ...........1,920,409 ................0 ....(120,869) ......(120,869) .......73,333 10/01/2046.
053332 AT 9 12705 AUTOZONE INC......................................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ..........735,976 ..........800,000 ..........799,792 ..............799,792 .................0 ................25 ...............0 ...................25 .................0 ..............799,817 ................0 ......(63,841) ........(63,841) .......27,778 04/21/2026.
05541V AF 3 10599 BG ENERGY CAPITAL PLC....................... D 12/01/2018. VARIOUS................................................. ........................... .......3,111,210 .......3,000,000 .......3,032,220 ...........3,028,867 .................0 .............(589) ...............0 ...............(589) .................0 ...........3,028,279 ................0 .......82,931 .........82,931 .....173,396 10/15/2041.
071813 BP 3 13064 BAXTER INTERNATIONAL INC................. .. 12/01/2018. VARIOUS................................................. ........................... .......1,611,460 .......2,000,000 .......1,728,493 ...........1,730,217 .................0 ...........4,444 ...............0 ..............4,444 .................0 ...........1,736,454 ................0 ....(124,994) ......(124,994) .......90,611 08/15/2046.
09062X AF 0 12706 BIOGEN INC............................................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......4,940,600 .......5,000,000 .......5,070,550 ...........5,057,989 .................0 ..........(6,278) ...............0 .............(6,278) .................0 ...........5,051,712 ................0 ....(111,112) ......(111,112) .....245,250 09/15/2025.
092113 AL 3 12707 BLACK HILLS CORPORATION.................. .. 12/01/2018. VARIOUS................................................. ........................... .......2,931,750 .......3,000,000 .......2,995,443 ...........2,996,071 .................0 ..............358 ...............0 .................358 .................0 ...........2,996,531 ................0 ......(64,781) ........(64,781) .....163,267 01/15/2026.
097023 AU 9 10649 BOEING COMPANY................................... .. 12/01/2018. VARIOUS................................................. ........................... .......3,675,840 .......3,000,000 .......3,661,230 ...........3,565,264 .................0 ........(24,642) ...............0 ...........(24,642) .................0 ...........3,540,622 ................0 .....135,218 .......135,218 .....237,854 02/15/2033.
09952A AC 0 13188 BORAL FINANCE PTY LTD........................ D 12/01/2018. VARIOUS................................................. ........................... ..........276,267 ..........300,000 ..........298,608 ..............298,581 .................0 ..............102 ...............0 .................102 .................0 ..............298,728 ................0 ......(22,461) ........(22,461) .......12,188 05/01/2028.
122014 AL 7 10675 BURLINGTON RESOURCES INC.............. .. 12/01/2018. VARIOUS................................................. ........................... .......2,978,475 .......2,500,000 .......3,255,700 ...........3,054,353 .................0 ........(35,214) ...............0 ...........(35,214) .................0 ...........3,019,139 ................0 ......(40,664) ........(40,664) .....230,469 03/01/2029.
E14
124900 AB 7 12947 CCL INDUSTRIES INC............................... A 12/01/2018. VARIOUS................................................. ........................... ..........915,720 .......1,000,000 ..........955,030 ..............958,070 .................0 ...........3,700 ...............0 ..............3,700 .................0 ..............962,579 ................0 ......(46,859) ........(46,859) .......37,917 10/01/2026.
12503M AA 6 13032 CBOE HOLDINGS INC............................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......2,158,650 .......2,250,000 .......2,256,435 ...........2,255,902 .................0 .............(526) ...............0 ...............(526) .................0 ...........2,255,376 ................0 ......(96,726) ........(96,726) .....113,834 01/12/2027.
142339 AF 7 10728 CARLISLE CO INC..................................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,982,260 .......2,000,000 .......1,992,340 ...........1,994,444 .................0 ..............970 ...............0 .................970 .................0 ...........1,995,414 ................0 ......(13,154) ........(13,154) .......78,333 11/15/2022.
151020 AS 3 10742 CELGENE CORP........................................ .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,919,300 .......2,000,000 .......1,992,420 ...........1,993,855 .................0 ..............647 ...............0 .................647 .................0 ...........1,994,502 ................0 ......(75,202) ........(75,202) .....100,319 08/15/2025.
20030N BY 6 13029 COMCAST CORPORATION....................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,405,455 .......1,500,000 .......1,497,045 ...........1,497,315 .................0 ..............236 ...............0 .................236 .................0 ...........1,497,551 ................0 ......(92,096) ........(92,096) .......66,000 02/01/2027.
224044 CG 0 12809 COX COMMUNICATIONS INC................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,144,363 .......1,250,000 .......1,252,536 ...........1,252,245 .................0 .............(217) ...............0 ...............(217) .................0 ...........1,252,027 ................0 ....(107,665) ......(107,665) .......50,715 09/15/2026.
256677 AD 7 10867 DOLLAR GENERAL CORPORATION......... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,967,320 .......2,000,000 .......2,132,380 ...........2,111,642 .................0 ........(12,079) ...............0 ...........(12,079) .................0 ...........2,099,563 ................0 ....(132,243) ......(132,243) .......89,917 11/01/2025.
263534 CJ 6 10882 EI DU PONT DE NEMOURS & CO............. .. 11/29/2018. NOMURA SECURITIES CO.,LTD............ ........................... .......3,241,110 .......3,000,000 .......3,151,350 ...........3,137,655 .................0 ..........(3,015) ...............0 .............(3,015) .................0 ...........3,134,640 ................0 .....106,470 .......106,470 .....160,467 02/15/2043.
26875P AK 7 10897 EOG RESOURCES INC............................. .. 12/21/2018. J.P. MORGAN SECURITIES LLC............ ........................... .......2,978,352 .......3,120,000 .......3,098,753 ...........3,108,708 .................0 ...........2,022 ...............0 ..............2,022 .................0 ...........3,110,731 ................0 ....(132,379) ......(132,379) .....104,878 03/15/2023.
31428X BM 7 13023 FEDEX CORP............................................. .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,866,800 .......2,000,000 .......1,991,960 ...........1,992,756 .................0 ..............627 ...............0 .................627 .................0 ...........1,993,383 ................0 ....(126,583) ......(126,583) .......79,933 03/15/2027.
31620M AR 7 10964 FIDELITY NATIONAL INFORMATION .. 12/01/2018. AFLAC COLUMBUS RETRO...................
SERV
........................... .......1,031,260 .......1,000,000 .......1,028,480 ...........1,023,494 .................0 ..........(2,444) ...............0 .............(2,444) .................0 ...........1,021,050 ................0 .......10,210 .........10,210 .......56,389 10/15/2025.
369550 AT 5 10995 GENERAL DYNAMICS CORPORATION.... .. 12/01/2018. VARIOUS................................................. ........................... .......2,756,700 .......3,000,000 .......2,561,130 ...........2,593,498 .................0 ...........8,313 ...............0 ..............8,313 .................0 ...........2,601,811 ................0 .....154,889 .......154,889 .....112,800 11/15/2042.
423012 AF 0 13058 HEINEKEN NV............................................ D 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ............94,675 ..........100,000 ............99,352 ................99,386 .................0 ................47 ...............0 ...................47 .................0 ................99,434 ................0 ........(4,759) ..........(4,759) .........4,686 01/29/2028.
456873 AC 2 13065 INGERSOLL-RAND LUXEMBOURG .. 12/01/2018. VARIOUS.................................................
FINANCE
........................... ..........951,160 .......1,000,000 .......1,045,630 ...........1,049,301 .................0 .............(856) ...............0 ...............(856) .................0 ...........1,044,138 ................0 ......(92,978) ........(92,978) .......32,938 11/01/2044.
460146 CP 6 12798 INTERNATIONAL PAPER CO.................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ..........900,110 .......1,000,000 ..........996,240 ..............996,674 .................0 ..............295 ...............0 .................295 .................0 ..............996,968 ................0 ......(96,858) ........(96,858) .......38,833 02/15/2027.
460146 CS 0 13125 INTERNATIONAL PAPER CO.................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ..........832,000 .......1,000,000 ..........998,980 ..............998,992 .................0 ................11 ...............0 ...................11 .................0 ..............999,003 ................0 ....(167,003) ......(167,003) .......57,033 08/15/2048.
548661 CL 9 11170 LOWES COMPANIES INC.......................... .. 12/01/2018. VARIOUS................................................. ........................... .......3,354,030 .......3,000,000 .......3,233,040 ...........3,196,327 .................0 ..........(5,762) ...............0 .............(5,762) .................0 ...........3,190,565 ................0 .....163,465 .......163,465 .....196,233 10/15/2036.
573284 AT 3 13205 MARTIN MARIETTA MATERIALS INC....... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ..........226,810 ..........250,000 ..........249,375 ..............249,377 .................0 ................49 ...............0 ...................49 .................0 ..............249,425 ................0 ......(22,615) ........(22,615) .........8,288 12/15/2027.
60871R AG 5 12784 MOLSON COORS BREWING CO.............. .. 12/01/2018. VARIOUS................................................. ........................... .......1,657,334 .......1,860,000 .......1,868,215 ...........1,867,099 .................0 .............(709) ...............0 ...............(709) .................0 ...........1,866,420 ................0 ....(209,086) ......(209,086) .......76,880 07/15/2026.
61166W AK 7 11251 MONSANTO COMPANY............................ .. 07/12/2018. CONSENT FEE - BASIS ADJ................... ........................... ..............7,000 .....................0 ..............7,000 ..................7,000 .................0 ..................0 ...............0 ....................0 .................0 ..................7,000 ................0 ................0 ..................0 ................0 11/15/2043.
670346 AH 8 11323 NUCOR CORP........................................... .. 12/01/2018. VARIOUS................................................. ........................... .......3,548,460 .......3,000,000 .......3,278,460 ...........3,237,673 .................0 ..........(6,031) ...............0 .............(6,031) .................0 ...........3,231,642 ................0 .....316,818 .......316,818 .....192,000 12/01/2037.
67066G AE 4 12812 NVIDIA CORPORATION............................. .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ..........934,380 .......1,000,000 .......1,012,436 ...........1,011,052 .................0 ..........(1,067) ...............0 .............(1,067) .................0 ...........1,009,985 ................0 ......(75,605) ........(75,605) .......38,667 09/16/2026.
67077M AE 8 12987 NUTRIEN LTD............................................ A 04/10/2018. CONSENT FEE - BASIS ADJ................... ........................... ..............3,000 .....................0 ..............3,000 ..................2,589 .................0 ..................0 ...............0 ....................0 .................0 ..................3,000 ................0 ................0 ..................0 ................0 12/15/2026.
695156 AT 6 13210 PACKAGING CORP OF AMERICA............. .. 12/01/2018. VARIOUS................................................. ........................... ..........457,520 ..........500,000 ..........498,360 ..............498,344 .................0 ..............128 ...............0 .................128 .................0 ..............498,495 ................0 ......(40,975) ........(40,975) .......16,433 12/15/2027.
SCHEDULE D - PART 4
Showing all Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 Change in Book/Adjusted Carrying Value 16 17 18 19 20 21
11 12 13 14 15
F Current Bond
o Year's Interest /
r Unrealized Current Other-Than- Total Foreign Foreign Stock Stated
ei Prior Year Valuation Year's Temporary Total Change Exchange Book/Adjusted Exchange Realized Total Gain Dividends Contractual
g Disposal Number of Book/Adjusted Increase (Amortization) Impairment in B./A.C.V. Change in Carrying Value at Gain (Loss) Gain (Loss) (Loss) on Received Maturity
CUSIP Identification Description n Date Name of Purchaser Shares of Stock Consideration Par Value Actual Cost Carrying Value (Decrease) / Accretion Recognized (11+12-13) B./A.C.V. Disposal Date on Disposal on Disposal Disposal During Year Date
741503 AZ 9 12763 PRICELINE GROUP INC............................ .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ..........475,120 ..........500,000 ..........499,633 ..............499,686 .................0 ................29 ...............0 ...................29 .................0 ..............499,715 ................0 ......(24,595) ........(24,595) .......18,000 06/01/2026.
74834L AX 8 11484 QUEST DIAGNOSTICS INCORPORATED. .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,914,600 .......2,000,000 .......1,936,940 ...........1,948,937 .................0 ...........5,697 ...............0 ..............5,697 .................0 ...........1,954,634 ................0 ......(40,034) ........(40,034) .......81,861 03/30/2025.
772739 AQ 1 12801 WESTROCK RKT CO................................. .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ..........620,288 ..........625,000 ..........663,869 ..............656,130 .................0 ..........(5,483) ...............0 .............(5,483) .................0 ..............650,647 ................0 ......(30,360) ........(30,360) .......31,250 03/01/2023.
775109 BB 6 11508 ROGERS COMMUNICATIONS INC........... A 12/01/2018. VARIOUS................................................. ........................... .......2,016,640 .......2,000,000 .......1,961,260 ...........1,963,609 .................0 ..............619 ...............0 .................619 .................0 ...........1,964,228 ................0 .......52,412 .........52,412 .....121,111 03/15/2044.
775109 BF 7 12963 ROGERS COMMUNICATIONS INC........... A 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,137,450 .......1,250,000 .......1,229,425 ...........1,231,500 .................0 ...........1,689 ...............0 ..............1,689 .................0 ...........1,233,189 ................0 ......(95,739) ........(95,739) .......37,861 11/15/2026.
776743 AD 8 12991 ROPER TECHNOLOGIES INC................... .. 12/01/2018. VARIOUS................................................. ........................... ..........478,740 ..........500,000 ..........502,438 ..............502,242 .................0 .............(202) ...............0 ...............(202) .................0 ..............502,016 ................0 ......(23,276) ........(23,276) .......18,261 12/15/2026.
84755T AE 7 11587 SPECTRA ENERGY CAPITAL LLC............ .. 03/27/2018. SECURITY CALLED BY ISSUER at
101.945
........................... .......1,996,552 .......2,000,000 .......1,993,540 ...........1,996,398 .................0 ..............153 ...............0 .................153 .................0 ...........1,996,552 ................0 ................0 ..................0 .......75,357 03/15/2023.
87971M BF 9 13081 TELUS CORPORATION............................. A 12/01/2018. VARIOUS................................................. ........................... .......1,554,455 .......1,620,000 .......1,627,160 ...........1,626,864 .................0 .............(569) ...............0 ...............(569) .................0 ...........1,626,295 ................0 ......(71,840) ........(71,840) .......72,594 09/15/2027.
884903 BV 6 12779 THOMSON REUTERS CORPORATION..... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......2,743,830 .......3,000,000 .......2,949,240 ...........2,953,876 .................0 ...........4,417 ...............0 ..............4,417 .................0 ...........2,958,293 ................0 ....(214,463) ......(214,463) .....104,967 05/15/2026.
891906 AC 3 12732 TOTAL SYSTEM SERVICES INC............... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......1,233,813 .......1,230,000 .......1,281,672 ...........1,274,152 .................0 ..........(4,335) ...............0 .............(4,335) .................0 ...........1,269,817 ................0 ......(36,004) ........(36,004) .......68,880 04/01/2026.
902133 AT 4 12734 TYCO ELECTRONICS GROUP SA............ D 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......2,432,275 .......2,500,000 .......2,510,393 ...........2,508,652 .................0 .............(900) ...............0 ...............(900) .................0 ...........2,507,752 ................0 ......(75,477) ........(75,477) .....119,736 02/15/2026.
91324P AR 3 11727 UNITED HEALTHCARE CORP................... .. 12/01/2018. VARIOUS................................................. ........................... .......3,470,460 .......3,000,000 .......3,450,870 ...........3,380,990 .................0 ........(12,345) ...............0 ...........(12,345) .................0 ...........3,368,644 ................0 .....101,816 .......101,816 .....210,733 03/15/2036.
92277G AL 1 13061 VENTAS REALTY LP.................................. .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... ..........475,730 ..........500,000 ..........495,980 ..............496,233 .................0 ..............315 ...............0 .................315 .................0 ..............496,549 ................0 ......(20,819) ........(20,819) .......22,458 04/01/2027.
92343V BS 2 11752 VERIZON COMMUNICATIONS INC........... .. 12/01/2018. VARIOUS................................................. ........................... .......1,726,800 .......1,500,000 .......1,498,500 ...........1,498,674 .................0 ................46 ...............0 ...................46 .................0 ...........1,498,720 ................0 .....228,080 .......228,080 .....116,267 09/15/2033.
92826C AD 4 11767 VISA INC.................................................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......2,898,210
E14.1
.......3,000,000 .......2,989,020 ...........2,990,994 .................0 ..............928 ...............0 .................928 .................0 ...........2,991,922 ................0 ......(93,712) ........(93,712) .......91,087 12/14/2025.
92826C AE 2 11768 VISA INC.................................................... .. 12/01/2018. AFLAC COLUMBUS RETRO................... ........................... .......2,013,340 .......2,000,000 .......2,069,160 ...........2,064,417 .................0 ..........(2,413) ...............0 .............(2,413) .................0 ...........2,062,004 ................0 ......(48,664) ........(48,664) .......80,002 12/14/2035.
931142 BF 9 11779 WAL-MART STORES INC.......................... .. 12/01/2018. VARIOUS................................................. ........................... .......3,337,600 .......2,500,000 .......3,270,025 ...........3,066,334 .................0 ........(31,851) ...............0 ...........(31,851) .................0 ...........3,034,483 ................0 .....303,117 .......303,117 .....244,326 02/15/2030.
94106L BE 8 13189 WASTE MANAGEMENT INC...................... .. 12/01/2018. VARIOUS................................................. ........................... ..........471,080 ..........500,000 ..........499,910 ..............499,912 .................0 ..................7 ...............0 ....................7 .................0 ..............499,919 ................0 ......(28,839) ........(28,839) .......16,756 11/15/2027.
3899999. Total - Bonds - Industrial and Miscellaneous............................................ .............................................................................................. .....99,972,635 .....99,655,000 ....102,407,003 .......101,753,126 .................0 ......(124,473) ...............0 .........(124,473) .................0 .......101,627,727 ................0 .(1,655,094) ...(1,655,094) ..4,988,583 XXX
8399997. Total - Bonds - Part 4.............................................................................. .............................................................................................. .....99,972,635 .....99,655,000 ....102,407,003 .......101,753,126 .................0 ......(124,473) ...............0 .........(124,473) .................0 .......101,627,727 ................0 .(1,655,094) ...(1,655,094) ..4,988,583 XXX
8399998. Total - Bonds - Summary Item from Part 5............................................... .............................................................................................. .....40,599,333 .....42,360,000 .....41,819,459 .........................0 .................0 .........17,362 ...............0 ............17,362 .................0 .........41,836,821 ................0 .(1,237,488) ...(1,237,488) .....913,457 XXX
8399999. Total - Bonds........................................................................................... .............................................................................................. ....140,571,968 ....142,015,000 ....144,226,462 .......101,753,126 .................0 ......(107,111) ...............0 .........(107,111) .................0 .......143,464,548 ................0 .(2,892,582) ...(2,892,582) ..5,902,040 XXX
9999999. Total - Bonds, Preferred and Common Stocks......................................... .............................................................................................. ....140,571,968 XXX ....144,226,462 .......101,753,126 .................0 ......(107,111) ...............0 .........(107,111) .................0 .......143,464,548 ................0 .(2,892,582) ...(2,892,582) ..5,902,040 XXX
SCHEDULE D - PART 5
Showing all Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 21
12 13 14 15 16
F Current Interest
o Year's Total Foreign and Paid for
r Par Value Unrealized Current Other-Than- Foreign Exchange Dividends Accrued
ei (Bonds) or Book/Adjusted Valuation Year's Temporary Total Change Exchange Gain Realized Total Gain Received Interest
g Date Disposal Number of Carrying Value at Increase (Amortization) Impairment in B./A.C.V. Change in (Loss) on Gain (Loss) (Loss) on During and
CUSIP Identification Description n Acquired Name of Vendor Date Name of Purchaser Shares (Stock) Actual Cost Consideration Disposal (Decrease) / Accretion Recognized (12+13-14) B./A.C.V. Disposal on Disposal Disposal Year Dividends
15248 AMERISOURCEBERGEN
03073E AP 0 CORPORATION .. 08/01/2018 CITIGROUP GLOBAL MARKETS INC..... 12/01/2018 AFLAC COLUMBUS RETRO................... .........2,000,000 .........1,856,380 .........1,840,960 .........1,860,475 .................0 ...........4,095 ...............0 ..............4,095 .............0 .............0 .....(19,515) .....(19,515) ......31,817 ......9,200
15253 ANHEUSER-BUSCH INBEV
03522A AE 0 FINANCE INC C 08/02/2018 BANC OF AMERICA SECURITIES.......... 12/01/2018 VARIOUS................................................. ............835,000 ............857,879 ............787,430 ............857,591 .................0 .............(288) ...............0 ...............(288) .............0 .............0 .....(70,161) .....(70,161) ......13,082 .........545
14296 ANHEUSER-BUSCH INBEV
035240 AM 2 WORLDWIDE INC C 03/20/2018 BANC OF AMERICA SECURITIES.......... 12/01/2018 AFLAC COLUMBUS RETRO................... ............250,000 ............246,388 ............225,015 ............246,462 .................0 ................74 ...............0 ...................74 .............0 .............0 .....(21,447) .....(21,447) .......7,201 .............0
053807 AS 2 14876 AVNET INC................................... .. 04/17/2018 MARKET AXESS..................................... 12/01/2018 VARIOUS................................................. .........1,800,000 .........1,793,808 .........1,744,074 .........1,794,208 .................0 ..............400 ...............0 .................400 .............0 .............0 .....(50,134) .....(50,134) ......52,263 .........925
14019 BOSTON SCIENTIFIC
101137 AS 6 CORPORATION .. 03/27/2018 CITIGROUP GLOBAL MARKETS INC..... 12/01/2018 AFLAC COLUMBUS RETRO................... .........3,000,000 .........2,993,310 .........2,859,780 .........2,993,684 .................0 ..............374 ...............0 .................374 .............0 .............0 ...(133,904) ...(133,904) ......91,667 .....11,000
14297 BROWN-FORMAN
115637 AT 7 CORPORATION .. 03/22/2018 BARCLAYS CAPITAL INC....................... 12/01/2018 AFLAC COLUMBUS RETRO................... ............300,000 ............296,565 ............288,306 ............296,641 .................0 ................76 ...............0 ...................76 .............0 .............0 .......(8,335) .......(8,335) .......8,167 .............0
12636Y AC 6 14736 CRH AMERICA FINANCE INC...... C 03/27/2018 BANC OF AMERICA SECURITIES.......... 12/01/2018 AFLAC COLUMBUS RETRO................... .........3,000,000 .........2,981,130 .........2,818,080 .........2,982,153 .................0 ...........1,023 ...............0 ..............1,023 .............0 .............0 ...(164,073) ...(164,073) ......78,013 .............0
126650 CY 4 14203 CVS HEALTH CORP..................... .. 03/06/2018 BARCLAYS CAPITAL INC....................... 12/01/2018 VARIOUS................................................. ............225,000 ............220,532 ............214,979 ............220,628 .................0 ................96 ...............0 ...................96 .............0 .............0 .......(5,650) .......(5,650) .......7,827 .............0
134429 BG 3 14208 CAMPBELL SOUP COMPANY...... .. 03/28/2018 HSBC SECURITIES................................. 12/01/2018 AFLAC COLUMBUS RETRO................... .........2,000,000 .........1,988,360 .........1,855,780 .........1,988,994 .................0 ..............634 ...............0 .................634 .............0 .............0 ...(133,214) ...(133,214) ......58,792 ......3,689
19416Q EJ 5 15252 COLGATE-PALMOLIVE CO.......... .. 08/02/2018 GOLDMAN SACHS.................................. 12/01/2018 AFLAC COLUMBUS RETRO................... ............975,000 ............966,079 ............927,644 ............966,137 .................0 ................58 ...............0 ...................58 .............0 .............0 .....(38,493) .....(38,493) ......30,983 .....18,525
E15
20030N CL 3 15708 COMCAST CORPORATION......... .. 10/02/2018 BANC OF AMERICA SECURITIES.......... 12/01/2018 AFLAC COLUMBUS RETRO................... .........3,620,000 .........3,617,611 .........3,545,573 .........3,617,622 .................0 ................11 ...............0 ...................11 .............0 .............0 .....(72,049) .....(72,049) ......25,903 .............0
278865 BD 1 14936 ECOLAB INC................................. .. 05/16/2018 CITIGROUP GLOBAL MARKETS INC..... 12/01/2018 AFLAC COLUMBUS RETRO................... ............300,000 ............283,284 ............284,169 ............284,066 .................0 ..............782 ...............0 .................782 .............0 .............0 ...........103 ...........103 .......9,858 ......4,631
28176E AD 0 15135 EDWARDS LIFESCIENCES CORP .. 06/22/2018 VARIOUS................................................. 12/01/2018 AFLAC COLUMBUS RETRO................... .........5,055,000 .........5,043,892 .........5,036,701 .........5,044,280 .................0 ..............388 ...............0 .................388 .............0 .............0 .......(7,579) .......(7,579) ....100,229 ......6,569
15715 ENTERPRISE PRODUCTS
29379V BT 9 OPERATING LLC .. 10/03/2018 CITIGROUP GLOBAL MARKETS INC..... 12/01/2018 AFLAC COLUMBUS RETRO................... .........1,750,000 .........1,745,870 .........1,708,000 .........1,745,916 .................0 ................46 ...............0 ...................46 .............0 .............0 .....(37,916) .....(37,916) ......10,087 .............0
337738 AR 9 15665 FISERV INC.................................. .. 09/20/2018 WELLS FARGO SECURITIES, LLC......... 12/01/2018 VARIOUS................................................. ............250,000 ............249,513 ............247,158 ............249,520 .................0 ..................7 ...............0 ....................7 .............0 .............0 .......(2,362) .......(2,362) .......1,925 .............0
40049J AV 9 15250 GRUPO TELEVISA SA.................. D 08/02/2018 JPMORGAN SECURITIES LONDON....... 12/01/2018 AFLAC COLUMBUS RETRO................... ..............20,000 ..............22,664 ..............21,728 ..............22,552 .................0 .............(112) ...............0 ...............(112) .............0 .............0 ..........(824) ..........(824) ..........931 .........508
443510 AJ 1 15146 HUBBELL INCORPORATED......... .. 09/25/2018 VARIOUS................................................. 12/01/2018 VARIOUS................................................. .........2,205,000 .........2,081,262 .........2,042,690 .........2,083,377 .................0 ...........2,114 ...............0 ..............2,114 .............0 .............0 .....(40,687) .....(40,687) ......26,570 .....10,897
448579 AG 7 15268 HYATT HOTELS CORP................ .. 08/09/2018 CITIGROUP GLOBAL MARKETS INC..... 12/01/2018 VARIOUS................................................. ..............85,000 ..............84,997 ..............81,402 ..............84,997 .................0 ..................1 ...............0 ....................1 .............0 .............0 .......(3,595) .......(3,595) .......1,085 .............0
15739 KIMBERLY-CLARK
494368 BY 8 CORPORATION .. 10/24/2018 J.P. MORGAN SECURITIES LLC............ 12/01/2018 AFLAC COLUMBUS RETRO................... ............380,000 ............379,407 ............384,370 ............379,412 .................0 ..................4 ...............0 ....................4 .............0 .............0 ........4,958 ........4,958 .......1,334 .............0
521865 AY 1 13132 LEAR CORPORATION.................. .. 01/09/2018 J.P. MORGAN SECURITIES LLC............ 07/27/2018 J.P. MORGAN SECURITIES LLC............ .........2,000,000 .........1,999,720 .........1,877,820 .........1,999,733 .................0 ................13 ...............0 ...................13 .............0 .............0 ...(121,913) ...(121,913) ......72,622 .....30,400
13130 MCCORMICK & COMPANY
579780 AN 7 INCORPORATED .. 07/11/2018 BANC OF AMERICA SECURITIES.......... 12/01/2018 AFLAC COLUMBUS RETRO................... ............120,000 ............113,887 ............113,258 ............114,102 .................0 ..............215 ...............0 .................215 .............0 .............0 ..........(844) ..........(844) .......3,241 ......1,677
695156 AT 6 13210 PACKAGING CORP OF AMERICA .. 06/26/2018 WELLS FARGO SECURITIES, LLC......... 12/01/2018 AFLAC COLUMBUS RETRO................... .........2,000,000 .........1,889,420 .........1,830,080 .........1,893,520 .................0 ...........4,100 ...............0 ..............4,100 .............0 .............0 .....(63,440) .....(63,440) ......31,356 ......2,456
70109H AM 7 11391 PARKER HANNIFIN CORP........... .. 09/25/2018 CITIGROUP GLOBAL MARKETS INC..... 12/01/2018 AFLAC COLUMBUS RETRO................... .........3,000,000 .........3,006,690 .........2,912,340 .........3,006,636 .................0 ...............(54) ...............0 .................(54) .............0 .............0 .....(94,296) .....(94,296) ......66,500 .....44,100
87971M BF 9 13081 TELUS CORPORATION................ A 06/26/2018 J.P. MORGAN SECURITIES LLC............ 12/01/2018 AFLAC COLUMBUS RETRO................... .........3,500,000 .........3,438,120 .........3,358,390 .........3,440,509 .................0 ...........2,389 ...............0 ..............2,389 .............0 .............0 .....(82,119) .....(82,119) ......92,089 .....37,051
891906 AF 6 15011 TOTAL SYSTEM SERVICES INC.. .. 05/09/2018 BANC OF AMERICA SECURITIES.......... 12/01/2018 VARIOUS................................................. ............230,000 ............229,439 ............224,880 ............229,464 .................0 ................25 ...............0 ...................25 .............0 .............0 .......(4,583) .......(4,583) .......5,686 .............0
896239 AC 4 15144 TRIMBLE INC................................ .. 06/26/2018 GOLDMAN SACHS.................................. 12/01/2018 AFLAC COLUMBUS RETRO................... ............400,000 ............401,236 ............393,912 ............401,193 .................0 ...............(43) ...............0 .................(43) .............0 .............0 .......(7,281) .......(7,281) .......9,038 .........708
91914J AB 8 14299 VALERO ENERGY PARTNERS LP .. 03/27/2018 CITIGROUP GLOBAL MARKETS INC..... 12/01/2018 AFLAC COLUMBUS RETRO................... .........2,000,000 .........2,005,740 .........1,959,760 .........2,005,419 .................0 .............(321) ...............0 ...............(321) .............0 .............0 .....(45,659) .....(45,659) ......60,500 .............0
14010 WALGREENS BOOTS ALLIANCE
931427 AQ 1 INC .. 07/16/2018 GOLDMAN SACHS.................................. 12/01/2018 VARIOUS................................................. ............450,000 ............424,445 ............421,349 ............425,461 .................0 ...........1,017 ...............0 ..............1,017 .............0 .............0 .......(4,113) .......(4,113) .......7,763 ......2,027
94106L BE 8 13189 WASTE MANAGEMENT INC........ .. 06/13/2018 CITIGROUP GLOBAL MARKETS INC..... 12/01/2018 VARIOUS................................................. ..............75,000 ..............70,572 ..............70,662 ..............70,753 .................0 ..............181 ...............0 .................181 .............0 .............0 ............(91) ............(91) .......1,286 .........197
970648 AG 6 15646 WILLIS NORTH AMERICA INC..... .. 09/05/2018 BANC OF AMERICA SECURITIES.......... 12/01/2018 VARIOUS................................................. ............260,000 ............259,914 ............254,940 ............259,916 .................0 ..................2 ...............0 ....................2 .............0 .............0 .......(4,975) .......(4,975) .......2,633 .............0
98978V AN 3 15689 ZOETIS INC.................................. .. 09/24/2018 GOLDMAN SACHS.................................. 12/01/2018 VARIOUS................................................. ............275,000 ............271,345 ............268,103 ............271,400 .................0 ................55 ...............0 ...................55 .............0 .............0 .......(3,297) .......(3,297) .......3,009 ......1,073
................................................................ .. .................. ................................................................ .................. ................................................................ .......................0 .......................0 .......................0 .......................0 .................0 ..................0 ...............0 ....................0 .............0 .............0 ...............0 ...............0 ..............0 .............0
................................................................ .. .................. ................................................................ .................. ................................................................ .......................0 .......................0 .......................0 .......................0 .................0 ..................0 ...............0 ....................0 .............0 .............0 ...............0 ...............0 ..............0 .............0
SCHEDULE D - PART 5
Showing all Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year
1 2 3 4 5 6 7 8 9 10 11 Change in Book/Adjusted Carrying Value 17 18 19 20 21
12 13 14 15 16
F Current Interest
o Year's Total Foreign and Paid for
r Par Value Unrealized Current Other-Than- Foreign Exchange Dividends Accrued
ei (Bonds) or Book/Adjusted Valuation Year's Temporary Total Change Exchange Gain Realized Total Gain Received Interest
g Date Disposal Number of Carrying Value at Increase (Amortization) Impairment in B./A.C.V. Change in (Loss) on Gain (Loss) (Loss) on During and
CUSIP Identification Description n Acquired Name of Vendor Date Name of Purchaser Shares (Stock) Actual Cost Consideration Disposal (Decrease) / Accretion Recognized (12+13-14) B./A.C.V. Disposal on Disposal Disposal Year Dividends
................................................................ .. .................. ................................................................ .................. ................................................................ .......................0 .......................0 .......................0 .......................0 .................0 ..................0 ...............0 ....................0 .............0 .............0 ...............0 ...............0 ..............0 .............0
................................................................ .. .................. ................................................................ .................. ................................................................ .......................0 .......................0 .......................0 .......................0 .................0 ..................0 ...............0 ....................0 .............0 .............0 ...............0 ...............0 ..............0 .............0
................................................................ .. .................. ................................................................ .................. ................................................................ .......................0 .......................0 .......................0 .......................0 .................0 ..................0 ...............0 ....................0 .............0 .............0 ...............0 ...............0 ..............0 .............0
3899999. Total - Bonds - Industrial and Miscellaneous.............................. ........................................................................................................................................................ .......42,360,000 .......41,819,459 .......40,599,333 .......41,836,821 .................0 .........17,362 ...............0 ............17,362 .............0 .............0 (1,237,488) (1,237,488) ....913,457 ...186,178
8399998. Total - Bonds............................................................................. ........................................................................................................................................................ .......42,360,000 .......41,819,459 .......40,599,333 .......41,836,821 .................0 .........17,362 ...............0 ............17,362 .............0 .............0 (1,237,488) (1,237,488) ....913,457 ...186,178
9999999. Total - Bonds, Preferred and Common Stocks........................... ..................................................................................................................................................................................... .......41,819,459 .......40,599,333 .......41,836,821 .................0 .........17,362 ...............0 ............17,362 .............0 .............0 (1,237,488) (1,237,488) ....913,457 ...186,178
E15.1
Sch. D - Pt. 6 - Sn. 1

NONE
Sch. D - Pt. 6 - Sn. 2

NONE
Sch. DA - Pt. 1
NONE
Sch. DB - Pt. A - Sn. 1

NONE
Sch. DB - Pt. A - Sn. 2

NONE
Sch. DB - Pt. B - Sn. 1

NONE
Sch. DB - Pt. B - Sn. 2

NONE
Sch. DB - Pt. D - Sn. 1

NONE
Sch. DB - Pt. D - Sn. 2

NONE
Sch. DL - Pt. 1
NONE
Sch. DL - Pt. 2
NONE
E16, E17, E18, E19, E20, E21, E22, E23, E24, E25
SCHEDULE E - PART 1 - CASH
1 2 3 4 5 6 7
Amount of Interest
Rate of Amount of Interest Accrued December 31
Depository Code Interest Received During Year of Current Year Balance *
Open Depositories
Branch Bank & Trust.......................................................................................... Columbia, South Carolina......................................................................... ......... ........0.00 ................................0 ................................0 ......................622,208 XXX
Branch Bank & Trust.......................................................................................... Columbia, South Carolina......................................................................... ......... ........0.00 ................................0 ................................0 ..................(6,414,737) XXX
Branch Bank & Trust.......................................................................................... Columbia, South Carolina......................................................................... ......... ........0.00 ................................0 ................................0 ..................(1,230,604) XXX
Branch Bank & Trust.......................................................................................... Columbia, South Carolina......................................................................... ......... ........0.00 ................................0 ................................0 ................................0 XXX
JP Morgan Chase.............................................................................................. New York, New York................................................................................ ......... ........0.00 ................................0 ................................0 ......................117,293 XXX
0199998. Deposits in.....3 depositories that do not exceed allowable
limits in any one depository (see Instructions) - Open Depositories... ................................................................................................................ XXX XXX ................................0 ................................0 .....................(243,913) XXX
0199999. Total - Open Depositories.................................................................. ................................................................................................................ XXX XXX ................................0 ................................0 ..................(7,149,753) XXX
0399999. Total Cash on Deposit....................................................................... ................................................................................................................ XXX XXX ................................0 ................................0 ..................(7,149,753) XXX
0599999. Total Cash......................................................................................... ................................................................................................................ XXX XXX ................................0 ................................0 ..................(7,149,753) XXX
TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR
1. January.............................. ................................554,879 4. April................................... .............................7,409,931 7. July.................................... ............................(6,293,990) 10. October............................ ............................(7,469,485)
2. February............................ .............................1,564,569 5. May.................................... ............................(4,033,806) 8. August............................... ............................(4,884,734) 11. November........................ ............................(3,622,499)
3. March................................ ............................(1,324,322) 6. June................................... ............................(2,611,654) 9. September......................... ............................(6,914,340) 12. December........................ ............................(7,149,753)
E26
SCHEDULE E - PART 2 - CASH EQUIVALENTS
Show Investments Owned December 31 of Current Year
1 2 3 4 5 6 7 8 9
CUSIP Description Code Date Acquired Rate of Interest Maturity Date Book/Adjusted Carrying Value Amount of Interest Due & Accrued Amount Received During Year
Exempt Money Market Mutual Funds as Identified by the SVO
261908 10 7 13730 DREYFUS TRS CASH MGMT CL INST............................................................................................................................................................ ........................................................... ................ 12/31/2018....... ................1.000 ........................ ......................................5,624,684 ...........................................28,836 ...........................................35,681
09248U 71 8 BlackRock Liquidity Funds: T-Fund.............................................................................................................................................................................. ........................................................... ................ 12/31/2018....... ................2.180 ........................ ......................................9,760,509 .............................................7,942 ...........................................79,257
261908 10 7 Dreyfus Treasury & Agency Cash Management........................................................................................................................................................... ........................................................... ................ 12/31/2018....... ................2.200 ........................ ....................................10,250,841 .............................................8,972 ...........................................61,095
40428X 20 6 HSBC Investor US Treasury Money Market Fund........................................................................................................................................................ ........................................................... ................ 12/31/2018....... ................2.170 ........................ ......................................4,161,992 .............................................8,462 ...........................................83,093
4812C2 73 4 JPMorgan U.S. Treasury Plus Money Market Fund (Institutional)................................................................................................................................. ........................................................... ................ 12/31/2018....... ................2.170 ........................ ....................................10,166,423 .............................................8,663 ...........................................79,826
857492 86 2 State Street Institutional Treasury Plus Fund............................................................................................................................................................... ........................................................... ................ 12/31/2018....... ................2.210 ........................ ....................................10,248,003 .............................................8,946 ...........................................90,588
94975H 29 6 Wells Fargo Treasury Plus Money Market Fund........................................................................................................................................................... ........................................................... ................ 12/31/2018....... ................2.190 ........................ ....................................10,154,656 .............................................8,701 ...........................................58,474
8599999. Total - Exempt Money Market Mutual Funds as Identified by the SVO............................................................................................................................................ ........................................................... ................................................................................................... ....................................60,367,108 ...........................................80,522 .........................................488,014
8899999. Total - Cash Equivalents ........................................................... ................................................................................................... ....................................60,367,108 ...........................................80,522 .........................................488,014
E27
SCHEDULE E - PART 3 - SPECIAL DEPOSITS
1 2 Deposits for the
Benefit of All Policyholders All Other Special Deposits
3 4 5 6
Type of Book/Adjusting Book/Adjusting
States, Etc. Deposit Purpose of Deposit Carrying Value Fair Value Carrying Value Fair Value
1. Alabama.......................................AL ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
2. Alaska..........................................AK ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
3. Arizona.........................................AZ ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
4. Arkansas......................................AR ......B.... REQUIRED BY STATE....................................................................................................... .....................209,283 .....................206,332 ................................0 ................................0
5. California......................................CA ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
6. Colorado......................................CO ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
7. Connecticut..................................CT ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
8. Delaware......................................DE ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
9. District of Columbia.....................DC ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
10. Florida...........................................FL ......B.... REQUIRED BY STATE....................................................................................................... .....................249,644 .....................245,540 ................................0 ................................0
11. Georgia........................................GA ......B.... REQUIRED BY STATE....................................................................................................... ................................0 ................................0 .......................35,017 .......................34,651
12. Hawaii...........................................HI ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
13. Idaho.............................................ID ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
14. Illinois.............................................IL ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
15. Indiana..........................................IN ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
16. Iowa...............................................IA ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
17. Kansas.........................................KS ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
18. Kentucky......................................KY ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
19. Louisiana......................................LA ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
20. Maine...........................................ME ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
21. Maryland.....................................MD ......B.... REQUIRED BY STATE....................................................................................................... ..................1,002,010 .....................990,040 ................................0 ................................0
22. Massachusetts............................MA ......B.... REQUIRED BY STATE....................................................................................................... .....................101,871 .....................103,277 ................................0 ................................0
23. Michigan.......................................MI ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
24. Minnesota....................................MN ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
25. Mississippi...................................MS ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
26. Missouri.......................................MO ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
27. Montana.......................................MT ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
28. Nebraska.....................................NE ......B.... REQUIRED BY STATE....................................................................................................... ..................1,532,379 ..................1,649,990 ................................0 ................................0
29. Nevada........................................NV ......B.... REQUIRED BY STATE....................................................................................................... ................................0 ................................0 .....................209,720 .....................206,332
30. New Hampshire...........................NH ......B.... REQUIRED BY STATE....................................................................................................... .....................500,244 .....................495,020 ................................0 ................................0
31. New Jersey...................................NJ ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
32. New Mexico.................................NM ......B.... REQUIRED BY STATE....................................................................................................... ................................0 ................................0 .....................210,103 .....................207,908
33. New York.....................................NY ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
34. North Carolina..............................NC ......B.... REQUIRED BY STATE....................................................................................................... .....................411,952 .....................409,091 ................................0 ................................0
35. North Dakota................................ND ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
36. Ohio.............................................OH ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
37. Oklahoma....................................OK ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
38. Oregon........................................OR ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
39. Pennsylvania...............................PA ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
40. Rhode Island.................................RI ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
41. South Carolina.............................SC ......B.... REQUIRED BY STATE....................................................................................................... ..................2,004,019 ..................1,980,080 ................................0 ................................0
42. South Dakota...............................SD ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
43. Tennessee...................................TN ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
44. Texas...........................................TX ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
45. Utah.............................................UT ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
46. Vermont........................................VT ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
47. Virginia.........................................VA ......B.... REQUIRED BY STATE....................................................................................................... .....................210,103 .....................207,908 ................................0 ................................0
48. Washington.................................WA ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
49. West Virginia...............................WV ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
50. Wisconsin.....................................WI ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
51. Wyoming.....................................WY ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
52. American Samoa.........................AS ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
53. Guam...........................................GU ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
54. Puerto Rico..................................PR ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
55. US Virgin Islands...........................VI ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
56. Northern Mariana Islands............MP ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
57. Canada......................................CAN ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
58. Aggregate Alien and Other..........OT XXX XXX ................................0 ................................0 ................................0 ................................0
59. Total.................................................. XXX XXX ..................6,221,505 ..................6,287,278 .....................454,840 .....................448,891
5801. .......................................................... ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
5802. .......................................................... ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
5803. .......................................................... ............. ............................................................................................................................................. ................................0 ................................0 ................................0 ................................0
5898. Summary of remaining write-ins for
line 58 from overflow page................ XXX XXX ................................0 ................................0 ................................0 ................................0
5899. Total (Lines 5801 thru 5803+5898)
(Line 58 above)................................. XXX XXX ................................0 ................................0 ................................0 ................................0
E28
2018 ALPHABETICAL INDEX
LIFE ANNUAL STATEMENT BLANK
Analysis of Increase in Reserves During The Year 7 Schedule D – Part 2 – Section 1 E11
Analysis of Operations By Lines of Business 6 Schedule D – Part 2 – Section 2 E12
Asset Valuation Reserve Default Component 30 Schedule D – Part 3 E13
Asset Valuation Reserve Equity 32 Schedule D – Part 4 E14
Asset Valuation Reserve Replications (Synthetic) Assets 35 Schedule D – Part 5 E15
Asset Valuation Reserve 29 Schedule D – Part 6 – Section 1 E16
Assets 2 Schedule D – Part 6 – Section 2 E16
Cash Flow 5 Schedule D – Summary By Country SI04
Exhibit 1 – Part 1 – Premiums and Annuity Considerations for Life 9 Schedule D – Verification Between Years SI03
and Accident and Health Contracts
Exhibit 1 – Part 2 – Dividends and Coupons Applied, Reinsurance 10 Schedule DA – Part 1 E17
Commissions and Expense
Exhibit 2 – General Expenses 11 Schedule DA – Verification Between Years SI10
Exhibit 3 – Taxes, Licenses and Fees (Excluding Federal Income 11 Schedule DB – Part A – Section 1 E18
Taxes)
Exhibit 4 – Dividends or Refunds 11 Schedule DB – Part A – Section 2 E19
Exhibit 5 – Aggregate Reserve for Life Contracts 12 Schedule DB – Part A – Verification Between Years SI11
Exhibit 5 – Interrogatories 13 Schedule DB – Part B – Section 1 E20
Exhibit 5A – Changes in Bases of Valuation During The Year 13 Schedule DB – Part B – Section 2 E21
Exhibit 6 – Aggregate Reserves for Accident and Health Contracts 14 Schedule DB – Part B – Verification Between Years SI11
Exhibit 7 – Deposit-Type Contracts 15 Schedule DB – Part C – Section 1 SI12
Exhibit 8 – Claims for Life and Accident and Health Contracts – 16 Schedule DB – Part C – Section 2 SI13
Part 1
Exhibit 8 – Claims for Life and Accident and Health Contracts – 17 Schedule DB – Part D – Section 1 E22
Part 2
Exhibit of Capital Gains (Losses) 8 Schedule DB – Part D – Section 2 E23
Exhibit of Life Insurance 25 Schedule DB – Verification SI14
Exhibit of Net Investment Income 8 Schedule DL – Part 1 E24
Exhibit of Nonadmitted Assets 18 Schedule DL – Part 2 E25
Exhibit of Number of Policies, Contracts, Certificates, Income 27 Schedule E – Part 1 – Cash E26
Payable and Account Values
Five-Year Historical Data 22 Schedule E – Part 2 – Cash Equivalents E27
Form for Calculating the Interest Maintenance Reserve (IMR) 28 Schedule E – Verification Between Years SI15
General Interrogatories 20 Schedule E – Part 3 – Special Deposits E28
Jurat Page 1 Schedule F 36
Liabilities, Surplus and Other Funds 3 Schedule H – Accident and Health Exhibit – Part 1 37
Life Insurance (State Page) 24 Schedule H – Part 2, Part 3 and Part 4 38
Notes To Financial Statements 19 Schedule H – Part 5 – Health Claims 39
Overflow Page For Write-ins 55 Schedule S – Part 1 – Section 1 40
Schedule A – Part 1 E01 Schedule S – Part 1 – Section 2 41
Schedule A – Part 2 E02 Schedule S – Part 2 42
Schedule A – Part 3 E03 Schedule S – Part 3 – Section 1 43
Schedule A – Verification Between Years SI02 Schedule S – Part 3 – Section 2 44
Schedule B – Part 1 E04 Schedule S – Part 4 45
Schedule B – Verification Between Years SI02 Schedule S – Part 7 48
Schedule BA – Part 1 E07 Schedule T – Part 2 Interstate Compact 50
Schedule BA – Part 2 E08 Schedule T – Premiums and Annuity Considerations 49
Schedule BA – Part 3 E09 Schedule Y – Information Concerning Activities of Insurer 51
Members of a Holding Company Group
Schedule BA – Verification Between Years SI03 Schedule Y – Part 1A – Detail of Insurance Holding Company 52
System
Schedule D – Part 1 E10 Schedule Y – Part 2 – Summary of Insurer’s Transactions With 53
Any Affiliates
Schedule D – Part 1A – Section 1 SI05 Summary Investment Schedule SI01
Schedule D – Part 1A – Section 2 SI08 Summary of Operations 4
Supplemental Exhibits and Schedules Interrogatories 54
INDEX

Caic 2018 Annual Statutory Statement PDF

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Caic 2018 Annual Statutory Statement PDF

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ANNUAL STATEMENT

Continental American Insurance

to the Insurance Department

For the Year Ended

Involving Life or Disability Contingencies (Reserves)

(Net of Reinsurance Ceded)

EXHIBIT OF CAPITAL GAINS (LOSSES)

REINSURANCE COMMISSIONS AND

EXHIBIT 3 - TAXES, LICENSES AND FEES (EXCLUDING FEDERAL INCOME TAXES)

EXHIBIT 4 - DIVIDENDS OR REFUNDS

4.4 Basis of regular assessments:

4.5 Basis of special assessments:

4.6 Assessments collected during year: $........................................0

EXHIBIT 5A - CHANGES IN BASES OF VALUATION DURING THE YEAR

(1) Summary of Significant Statutory Accounting Policies and Going Concern

F/S F/S December December

B. Use of Estimates in the Preparation of the Financial Statements

Contract loans are stated at the aggregate unpaid balance.

In addition, the Company uses the following accounting policies:

(2) Accounting Changes and Corrections of Errors

(2-4) Not Applicable

(1) Restricted Assets (Including Pledged)

Gross (Admitted and Nonadmitted) Restricted Current Year

Current Year Percentage

b. Collateral held under security

d. Subject to reverse repurchase

e. Subject to dollar repurchase

f. Subject to dollar reverse

g. Placed under option contracts — — — — — — — — — — —

l. Pledged as collateral to FHLB

n. Other restricted assets — — — — — — — — — — —

(7) Investment Income

(8) Derivative Instruments

(9) Income Taxes

2. Admission Calculation Components SSAP No. 101: 12/31/2018 12/31/2017

4. Impact of Tax Planning Strategies 12/31/2018 12/31/2017

1. Adjusted Gross DTAs Amount From Note 9A1(c) $ (1,195,630) $ —

B. Unrecognized Deferred Tax Liabilities

The Company has no material unrecognized deferred tax liabilities.

(1) (2) (3)

(1) (2) (3)

(i) Admitted deferred tax assets (2d+2h) 8,209,533 8,242,472 (32,939)

3. Deferred Tax Liabilities:

(c) Deferred tax liabilities (3a3+3b2) 1,773,036 1,392,840 380,196

4. Net admitted deferred tax assets (2i-3c) $ 6,436,497 $ 6,849,632 $ (413,135)

12/31/2018 12/31/2017 Change

There were no adjustments to deferred tax assets due to changes in circumstances.

Net gain from operations, Page 4, Line 31 $ 5,768,255 $ (25,397,706)

Federal and Foreign Income Taxes $ (1,641,726) (83.13)% $ (3,871,126) 14.98 %

F. Consolidated Federal Income Tax Returns Disclosure:

Aflac Asset Management, LLC 82-1073641

G. Federal or Foreign Income Loss Contingencies

The amounts above do not include the effects of the Treaty.

A. Defined Benefit Plan and Other Postretirement Benefits

(1) Change in benefit obligation Overfunded Underfunded

Postretirement Special or Contractual

Postretirement Special or Contractual

Pension Benefits Postretirement Benefits

1 Percentage Point 1 Percentage Point

(14) - (17) Not applicable

(19) Not applicable

(20) SSAP Transition--Accumulated Postretirement Benefit Obligation and Underfunded Status

All unrecognized transition items were fully recognized in 2013.