CDI LTC Rate History 2017 - Transamerica Life Department of Insurance Long Term Care Insurance -...

California Department of Insurance Long Term Care Insurance - Transamerica Life Ins Co (NAIC 86231)Rate Increase History

Company Contact: For existing policies only: (800) 338-0257

As of: 12/2017

Source: 2017 Long Term Care Rate Guide (LTCRG) Data Call Statistical Analysis Division of 322 Dave Jones, Insurance Commissioner

Row # Policy Form*Policy Type

**Policy Category

Date Policy Sold

Date Policy Acquired

Acquired From Company Name

Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved

Date Increase Requested

Date Increase Approved

Date Increase Issued Company Explanation

1 LI-LTCP TQ (AK) 898 I A C 05/15/01 10/2/2008 Life Investors Insurance Company of America

64130 AK 25.00% 25.00% 1/14/2008 1/15/2008 5/1/2008 Applies only to benefit periods 4 years and greater


64130 AK 15%-25% 15%-25% 6/17/2009 6/22/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


64130 AK 14.00% 14.00% 3/23/2011 4/5/2011 6/22/2011 Applies on to benefit periods 6 years and greater


64130 AK 17.00% 17.00% 8/7/2013 8/29/2013 12/1/2013

5 GP001 796 (GC001 (AK) 796)

G A B C 10/02/99 10/2/2008 Life Investors Insurance Company of America


6 GP001 796 (GC001 (AK) 796)



7 GP001 796 (GC001 (AK) 796)



8 GCPRO-III TQ 197 I A B C 02/21/97 12/31/2001 Bankers United Life Assurance Company







61387 AK 17.00% 17.00% 8/7/2013 8/29/2013 1/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




12 GCPRO 193 I D E F 07/23/96 12/31/2001 Bankers United Life Assurance Company







61387 AK 17.00% 17.00% 8/7/2013 8/29/2013 1/1/2014

16 1-820 11-191, 1-822 11-191

I D F 01/03/91 10/1/2008 Transamerica Occidental Life Insurance Company


17 1-820 11-191, 1-822 11-191



18 1-820 11-191, 1-822 11-191


67121 AK 17.00% 17.00% 8/7/2013 8/29/2013 1/1/2014

19 LTC-104-194-AK, LTC-105-194-AK, LTC-106-194-AK

I D E F 08/27/95 10/1/2008 Transamerica Occidental Life Insurance Company







67121 AK 17.00% 17.00% 8/7/2013 8/29/2013 1/1/2014

22 LTC 124-197-AK I A B C 10/29/97 10/1/2008 Transamerica Occidental Life Insurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







67121 AK 17.00% 17.00% 8/7/2013 8/29/2013 1/1/2014

25 GCC 1 387 (GCC 1 387 CERT)

G D, F 09/09/87 AL 15%-25% 15%-25% 3/3/2009 3/11/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

26 GCC 1 387 (GCC 1 387 CERT)

G D, F 09/09/87 AL 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

27 GCC 1 387 (GCC 1 387 CERT)

G D, F 09/09/87 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013

28 GCC 1 387 (GCC 1 387 CERT)

G D, F 09/09/87 AL 56.00% 0.00% 6/1/2016

29 KLTCP 1 190 and KLTCP 1 (AL) 1190

I D E F 08/27/92 10/2/2008 Life Investors Insurance Company of America

64130 AL 15%-25% 15%-25% 3/3/2009 3/25/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



64130 AL 14.00% 14.00% 5/19/2010 7/8/2010 1/4/2011 Applies only to benefit periods 6 years and greater



64130 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013



64130 AL 56.00% 0.00% 6/1/2016

33 LI-LTCP (AL) 192 I D E F 01/06/93 10/2/2008 Life Investors Insurance Company of America





64130 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 AL 56.00% 0.00% 6/1/2016

37 LI-LTCP TQ (AL) 197 I A C 01/20/97 10/2/2008 Life Investors Insurance Company of America





64130 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013


64130 AL 56.00% 0.00% 6/1/2016






64130 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013


64130 AL 56.00% 0.00% 6/1/2016

45 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494

I D, F 01/04/89 AL 15%-25% 15%-25% 3/3/2009 3/25/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

46 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494

I D, F 01/04/89 AL 14.00% 14.00% 5/19/2010 7/8/2010 1/4/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




47 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494

I D, F 01/04/89 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013

48 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494

I D, F 01/04/89 AL 56.00% 0.00% 6/1/2016

49 FLEX 2 AL 196 I D, F 03/16/93 AL 15%-25% 15%-25% 3/3/2009 3/25/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

50 FLEX 2 AL 196 I D, F 03/16/93 AL 14.00% 14.00% 5/19/2010 7/8/2010 1/4/2011 Applies only to benefit periods 6 years and greater

51 FLEX 2 AL 196 I D, F 03/16/93 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/201352 FLEX 2 AL 196 I D, F 03/16/93 AL 56.00% 0.00% 6/1/201653 FTQ (AL) 197 I A, C 01/25/91 AL 15%-25% 15%-25% 3/3/2009 3/25/2009 8/1/2009 Varies by type of inflation benefit and

applies only to benefit periods 6 years and greater

54 FTQ (AL) 197 I A, C 01/25/91 AL 14.00% 14.00% 5/19/2010 7/8/2010 1/4/2011 Applies only to benefit periods 6 years and greater

55 FTQ (AL) 197 I A, C 01/25/91 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/201356 FTQ (AL) 197 I A, C 01/25/91 AL 56.00% 0.00% 6/1/201657 LTCP 889 I D F 06/26/90 12/31/2001 Bankers United

Life Assurance Company


58 LTCP 889 I D F 06/26/90 12/31/2001 Bankers United Life Assurance Company



61387 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013


61387 AL 56.00% 0.00% 6/1/2016

61 GCPLUS 1290 (AL) and GCPLUS 2 1290 (AL)

I D F 12/04/90 12/31/2001 Bankers United Life Assurance Company







As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






61387 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013



61387 AL 56.00% 0.00% 6/1/2016

65 GLTP 2 1289 & GHHC 1 189(GLTC 2 1289, GLTC 2 1290 & GHHC 1 189 CERT)

G D, F 09/28/88 AL 15%-25% 15%-25% 3/3/2009 3/11/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


G D, F 09/28/88 AL 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater


G D, F 09/28/88 AL 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013


G D, F 09/28/88 AL 56.00% 0.00% 6/1/2016

69 LTC 3 1091 (B), LTC 3R 1091 (B)

I D E F 10/13/88 AL 15%-25% 15%-25% 3/3/2009 3/25/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

70 LTC 3 1091 (B), LTC 3R 1091 (B)

I D E F 10/13/88 AL 14.00% 14.00% 5/19/2010 7/8/2010 1/4/2011 Applies only to benefit periods 6 years and greater

71 LTC 3 1091 (B), LTC 3R 1091 (B)

I D E F 10/13/88 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013

72 LTC 3 1091 (B), LTC 3R 1091 (B)

I D E F 10/13/88 AL 56.00% 0.00% 6/1/2016

73 GLTP 3 1091 and GLTP 3R 1091(GLTC 3 1091 & GLTC 3R 1091)

G D E F 02/21/89 AL 15%-25% 15%-25% 3/3/2009 3/11/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





G D E F 02/21/89 AL 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater


G D E F 02/21/89 AL 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013


G D E F 02/21/89 AL 56.00% 0.00% 6/1/2016

77 LTC 5 (AL) 196, LTC 5 (AL) 196

I D F 02/11/92 AL 15%-25% 15%-25% 3/3/2009 3/25/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

78 LTC 5 (AL) 196, LTC 5 (AL) 196

I D F 02/11/92 AL 14.00% 14.00% 5/19/2010 7/8/2010 1/4/2011 Applies only to benefit periods 6 years and greater

79 LTC 5 (AL) 196, LTC 5 (AL) 196

I D F 02/11/92 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013

80 LTC 5 (AL) 196, LTC 5 (AL) 196

I D F 02/11/92 AL 56.00% 0.00% 6/1/2016

81 LTC 5 TQ (AL) 1096, LTC 5 TQ (AL) 1096

I A C 05/14/91 AL 15%-25% 15%-25% 3/3/2009 3/25/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

82 LTC 5 TQ (AL) 1096, LTC 5 TQ (AL) 1096

I A C 05/14/91 AL 14.00% 14.00% 5/19/2010 7/8/2010 1/4/2011 Applies only to benefit periods 6 years and greater

83 LTC 5 TQ (AL) 1096, LTC 5 TQ (AL) 1096

I A C 05/14/91 AL 17.00% 17.00% 11/20/2012 2/6/2013 7/1/2013

84 LTC 5 TQ (AL) 1096, LTC 5 TQ (AL) 1096

I A C 05/14/91 AL 56.00% 0.00% 6/1/2016

85 3132 (00) 288 G D F 09/01/88 AL 15%-25% 15%-25% 3/3/2009 3/11/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

86 3132 (00) 288 G D F 09/01/88 AL 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




87 3132 (00) 288 G D F 09/01/88 AL 17.00% 17.00% 11/20/2012 12/20/2012 7/1/201388 3132 (00) 288 G D F 09/01/88 AL 56.00% 0.00% 6/1/201689 GP001 796 (GC001 (AL)

796)G A B C 12/06/96 10/2/2008 Life Investors

Insurance Company of America


90 GP001 796 (GC001 (AL) 796)



91 GP001 796 (GC001 (AL) 796)


64130 AL 17.00% 17.00% 11/20/2012 2/8/2013 7/1/2013

92 GP001 796 (GC001 (AL) 796)


64130 AL 56.00% 0.00% 5/31/2016

93 GCPRO-II (AL) 794 I D E F 09/05/95 12/31/2001 Bankers United Life Assurance Company





61387 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013


61387 AL 56.00% 0.00% 6/1/2016






61387 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





61387 AL 56.00% 0.00% 6/1/2016

101 1-812 11-190, 1-812 01-190



102 1-812 11-190, 1-812 01-190



103 1-812 11-190, 1-812 01-190


67121 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013

104 1-812 11-190, 1-812 01-190


67121 AL 56.00% 0.00% 6/1/2016

105 1-820 01-191, 1-822 01-191



106 1-820 01-191, 1-822 01-191



107 1-820 01-191, 1-822 01-191


67121 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013

108 1-820 01-191, 1-822 01-191


67121 AL 56.00% 0.00% 6/1/2016

109 LTC-104-194-AL, LTC-105-194-AL, LTC-106-194-AL








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






67121 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013



67121 AL 56.00% 0.00% 6/1/2016

113 LTC 124-197-AL I A B C 12/28/96 10/1/2008 Transamerica Occidental Life Insurance Company





67121 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013


67121 AL 56.00% 0.00% 6/1/2016

117 LTC 304-198-AL, LTC 305-198-AL

I A B C 11/28/99 10/1/2008 Transamerica Occidental Life Insurance Company


118 LTC 304-198-AL, LTC 305-198-AL



119 LTC 304-198-AL, LTC 305-198-AL


67121 AL 17.00% 17.00% 11/20/2012 2/6/2013 9/1/2013

120 LTC 304-198-AL, LTC 305-198-AL


67121 AL 56.00% 0.00% 6/1/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




121 TLC 1-FP 1001, TLC 1-FP 402, TLC 1-FP (AL) 206, TLC 1-SC-R 0510, TOL 1-FP 1001, TOL 1-FP 402, TOL 1-FP (AL) 206, LI 1-FP 1001, LI 1-FP 402 and LI 1-FP (AL) 206

I C 7/9/2001 AL 65.00% 0.00% 7/5/2016

122 KLTCP 1 (AR) 490 I D E F 11/27/90 10/2/2008 Life Investors Insurance Company of America

64130 AR 25.00% 25.00% 7/17/2007 6/4/2008 9/1/2008 Applies only to benefit periods 4 years and greater

123 KLTCP 1 (AR) 490 I D E F 11/27/90 10/2/2008 Life Investors Insurance Company of America

64130 AR 15%-25% 10%-20% 6/1/2009 10/9/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

124 LI-GLTCP 1096 (LI-GLTCC 1096)

G D E F 02/08/91 10/2/2008 Life Investors Insurance Company of America


125 LI-GLTCP 1096 (LI-GLTCC 1096)



126 LI-LTCP (AR) 192 and LI-LTCP (AR) 797



127 LI-LTCP (AR) 192 and LI-LTCP (AR) 797



128 LI-LTCP TQ (AR) 197 I A C 09/07/94 10/2/2008 Life Investors Insurance Company of America








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






132 IP-70-AR-494, IP-71-AR-494

I D, F 10/24/95 AR 25.00% 25.00% 7/17/2007 6/4/2008 9/1/2008

133 IP-70-AR-494, IP-71-AR-494

I D, F 10/24/95 AR 15%-25% 10%-20% 6/1/2009 10/9/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

134 FLEX 2 (AR) 196, FLEX 2 (AR) 697

I D, F 10/03/96 AR 25.00% 25.00% 7/17/2007 6/4/2008 9/1/2008

135 FLEX 2 (AR) 196, FLEX 2 (AR) 697

I D, F 10/03/96 AR 15%-25% 10%-20% 6/1/2009 10/9/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

136 FTQ (AR) 197 I A, C 02/07/97 AR 25.00% 25.00% 7/17/2007 6/4/2008 9/1/2008137 FTQ (AR) 197 I A, C 02/07/97 AR 15%-25% 10%-20% 6/1/2009 10/9/2009 1/1/2010 Varies by type of inflation benefit and






140 GLTP 2 1289 & GHHC 1 189(GLTC 2 1289 and GLTC 2 (AR) 1290 & GHHC 1 189 CERT

G D, F 03/25/92 AR 25.00% 25.00% 7/17/2007 6/4/2008 9/1/2008

141 GLTP 2 1289 & GHHC 1 189(GLTC 2 1289 and GLTC 2 (AR) 1290 & GHHC 1 189 CERT

G D, F 03/25/92 AR 15%-25% 15%-25% 6/2/2009 3/12/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

142 LTC 3 (AR) 1091, LTC 3 (AR) 1091 (REV93), LTC 3 (AR) 1091 (REV394), LTC 3R (AR) 1091,LTC 3R (AR) 1091 (REV93), LTC 3R (AR) 1091 (REV394)

I D E F 02/10/93 AR 25.00% 25.00% 7/17/2007 6/4/2008 9/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




143 LTC 3 (AR) 1091, LTC 3 (AR) 1091 (REV93), LTC 3 (AR) 1091 (REV394), LTC 3R (AR) 1091,LTC 3R (AR) 1091 (REV93), LTC 3R (AR) 1091 (REV394)

I D E F 02/10/93 AR 15%-25% 10%-20% 6/1/2009 10/9/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

144 LTC 5 (AR) 196, LTC 5 (AR) 697

I D F 10/29/96 AR 25.00% 25.00% 7/17/2007 6/4/2008 9/1/2008

145 LTC 5 (AR) 196, LTC 5 (AR) 697

I D F 10/29/96 AR 15%-25% 10%-20% 6/1/2009 10/9/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

146 LTC 5 TQ (AR) 1096, LTC 5 TQ (AR) 1096

I A C 06/20/97 AR 25.00% 25.00% 7/17/2007 6/4/2008 9/1/2008

147 LTC 5 TQ (AR) 1096, LTC 5 TQ (AR) 1096

I A C 06/20/97 AR 15%-25% 10%-20% 6/1/2009 10/9/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

148 3132 (00) 288 G D F 12/24/88 AR 15%-25% 15%-25% 6/2/2009 3/12/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

149 3132 (00) 288 G D F 12/24/88 AR 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

150 3132 (00) 288 G D F 12/24/88 AR 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013151 GP001 796 (GC001 796) G A B C 05/10/95 10/2/2008 Life Investors



152 GP001 796 (GC001 796) G A B C 05/10/95 10/2/2008 Life Investors Insurance Company of America


153 GCPRO-II (AR) 794 I D E F 08/23/96 12/31/2001 Bankers United Life Assurance Company


154 GCPRO-II (AR) 794 I D E F 08/23/96 12/31/2001 Bankers United Life Assurance Company






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






157 GCPRO (AR) 193 I D E F 04/22/94 12/31/2001 Bankers United Life Assurance Company


158 GCPRO (AR) 193 I D E F 04/22/94 12/31/2001 Bankers United Life Assurance Company


159 1-812 11-190 I D F 08/06/91 10/1/2008 Transamerica Occidental Life Insurance Company


160 1-820 05-191, 1-822 05-191



161 LTC-105-194, LTC-106-194-AR



162 LTC 124-197-AR I A B C 02/05/97 10/1/2008 Transamerica Occidental Life Insurance Company


163 LTC 305-198-AR I A B C 09/06/01 10/1/2008 Transamerica Occidental Life Insurance Company


164 GCC 1 387 (GCC 1 387 CERT)

G D, F 06/02/87 AZ 29.00% 15.00% 8/6/2007 1/15/2008 5/1/2008

165 GCC 1 387 (GCC 1 387 CERT)

G D, F 06/02/87 AZ 25.00% 25.00% 4/16/2009 5/27/2009 9/1/2009

166 GCC 1 387 (GCC 1 387 CERT)

G D, F 06/02/87 AZ 14.00% 14.00% 3/17/2011 3/17/2011 6/1/2011 Applies only to benefit periods 6 years and greater

167 GCC 1 387 (GCC 1 387 CERT)

G D, F 06/02/87 AZ 117.00% 6/1/2017 `



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




168 KLTCP 1 190 I D E F 01/31/91 10/2/2008 Life Investors Insurance Company of America

64130 AZ 25.00% 10.00% 8/6/2007 1/15/2008 5/1/2008 Applies only to benefit periods 4 years and greater


64130 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009


64130 AZ 25.00% 25.00% 3/17/2011 4/13/2011 6/16/2011




64130 AZ 0.00% 117.00% 6/1/2017

173 LI-LTCP (AZ) 192, LI-LTCP (AZ) 192 (CBIO), LI-LTCP (AZ) 193, LI-LTCP (AZ) 193 (CBIO), LI-LTCP (AZ) 995, LI-LTCP (AZ) 995 (CBIO), LI-LTCP (AZ) 797 and LI-LTCP (AZ) 797 (CBIO





64130 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009



64130 AZ 25.00% 25.00% 3/17/2011 4/13/2011 6/16/2011



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 AZ 117.00% 0.00% 6/1/2017

178 LI-LTCP TQ (AZ) 898 I A C 08/30/97 10/2/2008 Life Investors Insurance Company of America



64130 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009


64130 AZ 25.00% 25.00% 3/17/2011 4/13/2011 6/16/2011




64130 AZ 117.00% 0.00% 6/1/2017

183 IP-70-AZ-494, IP-71-AZ-494, IP-72-AZ-494, IP-73-AZ-494, IP-70-AZ-995, IP-71-AZ-995, IP-72-AZ-995, IP-73-AZ-995

I D, F 01/10/96 AZ 29.00% 10.00% 8/6/2007 1/15/2008 5/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D, F 01/10/96 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009


I D, F 01/10/96 AZ 25.00% 25.00% 3/17/2011 4/13/2011 6/16/2011


I D, F 01/10/96 AZ 25.00% 25.00% 6/25/2012 9/11/2012 12/1/2012 Applies only to benefit periods 6 years and greater


I D, F 01/10/96 AZ 117.00% 0.00% 6/1/2017

188 FLEX 2 (AZ) 196, FLEX 2 (AZ) 797

I D, F 10/01/96 AZ 29.00% 10.00% 8/6/2007 1/15/2008 5/1/2008

189 FLEX 2 (AZ) 196, FLEX 2 (AZ) 797

I D, F 10/01/96 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009

190 FLEX 2 (AZ) 196, FLEX 2 (AZ) 797

I D, F 10/01/96 AZ 25.00% 25.00% 3/17/2011 4/13/2011 6/16/2011

191 FLEX 2 (AZ) 196, FLEX 2 (AZ) 797

I D, F 10/01/96 AZ 25.00% 25.00% 6/25/2012 9/11/2012 12/1/2012 Applies only to benefit periods 6 years and greater

192 FLEX 2 (AZ) 196, FLEX 2 (AZ) 797

I D, F 10/01/96 AZ 117.00% 0.00% 6/1/2017

193 FTQ (AZ) 197 I A, C 09/19/97 AZ 29.00% 10.00% 8/6/2007 1/15/2008 5/1/2008194 FTQ (AZ) 197 I A, C 09/19/97 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009195 FTQ (AZ) 197 I A, C 09/19/97 AZ 25.00% 25.00% 3/17/2011 4/13/2011 6/16/2011196 FTQ (AZ) 197 I A, C 09/19/97 AZ 25.00% 25.00% 6/25/2012 9/11/2012 12/1/2012 Applies only to benefit periods 6 years

and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




197 FTQ (AZ) 197 I A, C 09/19/97 AZ 117.00% 6/1/2017198 LTCP 889 I D F 01/31/90 12/31/2001 Bankers United




61387 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009


61387 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011




61387 AZ 117.00% 6/1/2017

203 GCPLUS 1290, GCPLUS 1290 (AZ)-N, GCPLUS 2 1290 and GCPLUS 2 1290 (AZ)-N


61387 AZ 29.00% 10.00% 8/6/2007 1/15/2008 6/1/2008



61387 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009



61387 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011






61387 AZ 117.00% 0.00% 6/1/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




208 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 02/14/89 AZ 29.00% 10.00% 8/6/2007 1/15/2008 5/1/2008

209 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 02/14/89 AZ 25.00% 25.00% 4/16/2009 5/27/2009 9/1/2009

210 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 02/14/89 AZ 14.00% 14.00% 3/17/2011 3/17/2011 6/1/2011 Applies only to benefit periods 6 years and greater

211 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 02/14/89 AZ 117.00% 0.00% 6/1/2017

212 LTC 3 1091, LTC 3 (AZ) 1091 (REV93), LTC 3 (AZ) 1091 (REV895), LTC 3R 1091, LTC3R (AZ) 1091 (REV93), LTC 3R (AZ) 1091 (REV895

I D E F 01/03/92 AZ 29.00% 10.00% 8/6/2007 1/15/2008 5/1/2008


I D E F 01/03/92 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009


I D E F 01/03/92 AZ 25.00% 25.00% 3/17/2011 4/13/2011 6/16/2011


I D E F 01/03/92 AZ 25.00% 25.00% 6/25/2012 9/11/2012 12/1/2012 Applies only to benefit periods 6 years and greater

216 LTC 3 1091, LTC 3 (AZ) 1091 (REV93), LTC 3 (AZ) 1091 (REV895), LTC 3R 1091, LTC3R (AZ) 1091 (REV93), LTC 3R (AZ) 1091 (REV895)

I D E F 01/03/92 AZ 117.00% 0.00% 6/1/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




217 GLTP 3 1091 and GLTP 3R 1091(GLTC 3 1091, GLTC 3 1091 (REV.93), GLTC 3R 1091& GLTC 3R 1091 (REV.93)

G D E F 07/09/93 AZ 29.00% 10.00% 8/6/2007 1/15/2008 5/1/2008


G D E F 07/09/93 AZ 25.00% 25.00% 4/16/2009 5/27/2009 9/1/2009


G D E F 07/09/93 AZ 14.00% 14.00% 3/17/2011 3/17/2011 6/1/2011 Applies only to benefit periods 6 years and greater


G D E F 07/09/93 AZ 117.00% 0.00% 6/1/2017

221 LTC 5 TQ (AZ) 797, LTC 5 TQ (AZ) 797 Facility Only Module

I A C 02/20/97 AZ 29.00% 10.00% 8/6/2007 1/15/2008 5/1/2008

222 LTC 5 TQ (AZ) 1096, LTC 5 TQ (AZ) 797, LTC 5 TQ (AZ) 797 Facility Only Module

I A C 02/20/97 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009

223 LTC 5 TQ (AZ) 1096, LTC 5 TQ (AZ) 797, LTC 5 TQ (AZ) 1197 (FO-1) Facility Only Module

I A C 02/20/97 AZ 25.00% 25.00% 3/17/2011 4/13/2011 6/16/2011


I A C 02/20/97 AZ 25.00% 25.00% 6/25/2012 9/11/2012 12/1/2012 Applies only to benefit periods 6 years and greater


I A C 02/20/97 AZ 117.00% 0.00% 6/1/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




226 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 AZ 29.00% 10.00% 8/6/2007 1/15/2008 5/1/2008

227 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 AZ 25.00% 25.00% 4/16/2009 5/27/2009 9/1/2009

228 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 AZ 14.00% 14.00% 3/17/2011 3/17/2011 6/1/2011 Applies only to benefit periods 6 years and greater

229 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 AZ 117.00% 0.00% 6/1/2017




64130 AZ 25.00% 12.50% 4/16/2009 6/15/2009 10/1/2009


64130 AZ 25.00% 25.00% 4/16/2009 4/13/2011 6/13/2011


64130 AZ 25.00% 25.00% 3/17/2011 7/23/2012 10/8/2012


64130 AZ 117.00% 0.00% 6/1/2017

235 GCPRO-II (AZ) 794, GCPRO-II (AZ) 296 and GCPRO-II (AZ) 797

I D E F 03/19/96 12/31/2001 Bankers United Life Assurance Company




61387 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009



61387 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






61387 AZ 117.00% 0.00% 6/1/2017

240 GCPRO-III TQ NHB (AZ) 497 and GCPRO-III TQ HHC (AZ) 497

I A B C 03/01/90 12/31/2001 Bankers United Life Assurance Company




61387 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009



61387 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011






61387 AZ 117.00% 0.00% 6/1/2017

245 GCPRO 193 (AZ), GCPRO (AZ) 296 and GCPRO (AZ) 797





61387 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009



61387 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011






61387 AZ 117.00% 0.00% 6/1/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





67121 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009


67121 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011




67121 AZ 117.00% 0.00% 6/1/2017

254 1-820 03-191, 1-822 03-191, 1-820 03-893, 1-822 03-893


67121 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009

255 1-820 03-191, 1-822 03-191, 1-820 03-893, 1-822 03-893


67121 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011

256 1-820 03-191, 1-822 03-191, 1-820 03-893, 1-822 03-893



257 1-820 03-191, 1-822 03-191, 1-820 03-893, 1-822 03-893


67121 AZ 117.00% 0.00% 6/1/2017

258 LTC-104-194-AZ, LTC-105-194-AZ, LTC-106-194-AZ


67121 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009



67121 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






67121 AZ 117.00% 0.00% 6/1/2017

262 LTC 124-197-AZ, LTC 125-197-AZ, LTC 126-197-AZ


67121 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009



67121 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011






67121 AZ 117.00% 0.00% 6/1/2017

266 LTC 304-198-AZ, LTC 305-198-AZ


67121 AZ 25.00% 12.50% 4/16/2009 6/15/2009 11/1/2009

267 LTC 304-198-AZ, LTC 305-198-AZ


67121 AZ 25.00% 25.00% 3/17/2011 4/13/2011 7/16/2011

268 LTC 304-198-AZ, LTC 305-198-AZ



269 LTC 304-198-AZ, LTC 305-198-AZ


67121 AZ 117.00% 0.00% 6/1/2017

270 LI 1-FP (AZ) 402, TLC 1-FP (AZ) 402, TOL 1-FP (AZ) 402, LI 1-FP (AZ) 705, TLC 1-FP (AZ) 705, TOL 1-FP (AZ) 705, TLC 1-FP (AZ) 307, TOL 1-P (AZ) 307, TLC 1-P (AZ) 108, TOL 1-P (AZ) 108

I C 11/27/2002 AZ 65.00% 0.00% 7/12/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




271 GCC 1 387 (GCC 1 387 CERT)

G D, F 06/19/87 CO 15%-25% 15%-25% 5/6/2009 6/15/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

272 LTC 5 BSC (CO) 1096, LTC 5 STD (CO) 1096

I F 01/15/97 CO 15%-25% 15%-25% 7/28/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

273 GCPRO-II BSC (CO) 1096, GCPRO-A II-C STD (CO) 1096

I F 01/15/97 12/31/2001 Bankers United Life Assurance Company

61387 CO 15%-25% 15%-25% 7/28/2009 6/16/2009 11/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

274 LTC 5 BSC (CO) 1096, LTC 5 STD (CO) 1096

I F 01/15/97 CO 14.00% 14.00% 6/3/2010 7/6/2010 1/4/2011 Applies only to benefit periods 6 years and greater

275 GCPRO-II BSC (CO) 1096, GCPRO-A II-C STD (CO) 1096

I F 01/15/97 12/31/2001 Bankers United Life Assurance Company

61387 CO 14.00% 14.00% 6/3/2010 7/6/2010 1/4/2011 Applies only to benefit periods 6 years and greater

276 KLTCP 1 190 and KLTCP 1 (CO) 691



277 KLTCP 1 190 and KLTCP 1 (CO) 691



278 LI-LTCP 192 and LI-LTCP (CO) 1295



279 LI-LTCP 192 and LI-LTCP (CO) 1295



280 LI-LTCP TQ 197 I A C 09/11/92 10/2/2008 Life Investors Insurance Company of America




282 LI-LTCP TQ (CO) 898, LI-LTCP TQ BSC (CO) 901 and LI-LTCP TQ STD (CO) 901

I A C 05/13/99 10/2/2008 Life Investors Insurance Company of America




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




283 LI-LTCP TQ (CO) 898, LI-LTCP TQ BSC (CO) 901 and LI-LTCP TQ STD (CO) 901



284 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494, IP-70-CO-494, IP-71-CO-494, IP-72-CO-494, IP-73-CO-494

I D, F 06/29/92 CO 15%-25% 15%-25% 7/28/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

285 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494, IP-70-CO-494, IP-71-CO-494, IP-72-CO-494, IP-73-CO-494

I D, F 06/29/92 CO 14.00% 14.00% 6/3/2010 7/6/2010 1/4/2011 Applies only to benefit periods 6 years and greater

286 FLEX 2 (CO) 196 I D, F 09/04/96 CO 15%-25% 15%-25% 7/28/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

287 FLEX 2 (CO) 196 I D, F 09/04/96 CO 14.00% 14.00% 6/3/2010 7/6/2010 1/4/2011 Applies only to benefit periods 6 years and greater

288 FTQ (CO) 197 I A, C 03/04/97 CO 15%-25% 15%-25% 7/28/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

289 FTQ (CO) 197 I A, C 03/04/97 CO 14.00% 14.00% 6/3/2010 7/6/2010 1/4/2011 Applies only to benefit periods 6 years and greater





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved








293 GCPLUS 1290 (CO) and GCPLUS 2 1290 (CO)










G D, F 02/26/91 CO 15%-25% 15%-25% 5/6/2009 6/15/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

297 GLTP 3 1091 and GLTP 3R 1091(GLTC 3 1091, GLTC 3 1091 (REV92), GLTC 3R 109 & GLTC 3R 1091 (REV92)

G D E F 10/05/91 CO 15%-25% 15%-25% 5/6/2009 6/15/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

298 LTC 3 1091 (B), LTC 3 (CO) (B) 1091 (REV1295), LTC 3R 1091 (B), LTC 3R (CO) (B) 1091 (REV1295)

I D E F 07/09/91 CO 15%-25% 15%-25% 7/28/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




299 LTC 3 1091 (B), LTC 3 (CO) (B) 1091 (REV1295), LTC 3R 1091 (B), LTC 3R (CO) (B) 1091 (REV1295)

I D E F 07/09/91 CO 14.00% 14.00% 6/3/2010 7/6/2010 1/4/2011 Applies only to benefit periods 6 years and greater

300 GLTP 3 1091 and GLTP 3R 1091(GLTC 3 1091, GLTC 3 1091 (REV92), GLTC 3R 109 & GLTC 3R 1091 (REV92)

G D E F 10/05/91 CO 15%-25% 15%-25% 5/6/2009 6/15/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

301 LTC 5 (CO) 196, LTC 5 (CO) 196

I D F 01/26/93 CO 15%-25% 15%-25% 7/28/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

302 LTC 5 (CO) 196, LTC 5 (CO) 196

I D F 01/26/93 CO 14.00% 14.00% 6/3/2010 7/6/2010 1/4/2011 Applies only to benefit periods 6 years and greater

303 LTC 5 TQ 1096, LTC 5 TQ 1096

I A C 01/08/97 CO 15%-25% 15%-25% 7/28/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

304 LTC 5 TQ 1096, LTC 5 TQ 1096

I A C 01/08/97 CO 14.00% 14.00% 6/3/2010 7/6/2010 1/4/2011 Applies only to benefit periods 6 years and greater

305 3122 (00) 288 (3132 (00) 288)

G D F 10/06/88 CO 15%-25% 15%-25% 5/6/2009 6/15/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



307 GCPRO-II 794, GCPRO-II (CO) 1295, and GCPRO-A II-C STD (CO) 1096













As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved








313 GCPRO (CO) 193 and GCPRO (CO) 1295













318 1-820 07-191, 1-822 07-191



319 1-820 07-191, 1-822 07-191



320 LTC-104-194, LTC-105-194, LTC-106-194



321 LTC-104-194, LTC-105-194, LTC-106-194





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




322 LTC 124-197 I A B C 10/27/94 10/1/2008 Transamerica Occidental Life Insurance Company




324 LTC 304-198, LTC 305-198



325 LTC 304-198, LTC 305-198



326 LI-LTCP (CT) 994 I D E F 03/19/96 10/2/2008 Life Investors Insurance Company of America

64130 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009


64130 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011


64130 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012


64130 CT 151.00% 30.00% 8/7/2015 2/10/2016 1/18/2017 To be implemented at 10.5% a year for 3 years


64130 CT 30.00% 0.00% 5/10/2017 To be implemented at 10.5% a year for 3 years

331 LI-LTCP TQ (CT) 197 I A C 09/12/95 10/2/2008 Life Investors Insurance Company of America

64130 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009


64130 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012





336 LI-LTCP NHCC TQ (CT) 898, LI-LTCP NHHC TQ (CT) 898, LI-LTCP NHALF TQ (CT) 898, and LI-LTCP TQ (CT) 898


64130 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009



64130 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011



64130 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012







341 IP-70-CT-494, IP-71-CT-494, IP-72-CT-494, IP-73-CT-494

I D, F 06/30/94 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D, F 06/30/94 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011


I D, F 06/30/94 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012


I D, F 06/30/94 CT 151.00% 30.00% 8/7/2015 2/10/2016 1/18/2017 To be implemented at 10.5% a year for 3 years


I D, F 06/30/94 CT 30.00% 0.00% 5/10/2017 To be implemented at 10.5% a year for 3 years

346 FLEX 2 (CT) 196, FLEX 2 HCC (CT) 196, FLEX 2 (CT) 398, FLEX 2 HCC (CT) 398, FLEX 2-F (CT) 398

I D, F 02/21/95 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009


I D, F 02/21/95 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011


I D, F 02/21/95 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012


I D, F 02/21/95 CT 151.00% 30.00% 8/7/2015 2/10/2016 1/18/2017 To be implemented at 10.5% a year for 3 years



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D, F 02/21/95 CT 30.00% 0.00% 5/10/2017 To be implemented at 10.5% a year for 3 years

351 FTQ (CT) 197, FPTQ (CT) 197, FPFTQ (CT) 197, FPTQ (CT-P) 197, FPFTQ (CT-P) 197

I A, C 03/08/94 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009


I A, C 03/08/94 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011


I A, C 03/08/94 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012


I A, C 03/08/94 CT 151.00% 30.00% 8/7/2015 2/10/2016 1/18/2017 To be implemented at 10.5% a year for 3 years


I A, C 03/08/94 CT 30.00% 5/10/2017 To be implemented at 10.5% a year for 3 years

356 LTC 3 (CT) 1091 (REV92), LTC 3 (CT) 1091 (REV994),LTC 3 (CT) 1091 (REV1094), LTC 3 (CT) 1091 (REV795) LTC 3R (CT)

I D E F 12/10/1992 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009


I D E F 12/10/1992 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011


I D E F 12/10/1992 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012


I D E F 12/10/1992 CT 151.00% 30.00% 8/7/2015 2/10/2016 1/18/2017 To be implemented at 10.5% a year for 3 years



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 12/10/1992 CT 30.00% 0.00% 5/10/2017 To be implemented at 10.5% a year for 3 years

361 LTC 5 (CT) 196, LTC 5 (CT) 797, LTC 5 (CT) 398, LTC 5-F (CT) 398

I D F 09/24/96 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009


I D F 09/24/96 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011


I D F 09/24/96 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012


I D F 09/24/96 CT 151.00% 30.00% 8/7/2015 2/10/2016 1/18/2017 To be implemented at 10.5% a year for 3 years


I D F 09/24/96 CT 30.00% 0.00% 5/10/2017 To be implemented at 10.5% a year for 3 years

366 LTC 5 TQ (CT) 1096, LTC 5 TQ (CT) 797, LTC 5 TQ (CT) 398, LTC 5 TQ-F (CT) 398

I A C 03/19/97 CT 25.00% 13.00% 9/28/2009 10/19/2009 12/1/2009


I A C 03/19/97 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011


I A C 03/19/97 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I A C 03/19/97 CT 151.00% 30.00% 8/7/2015 2/10/2016 1/18/2017 To be implemented at 10.5% a year for 3 years


I A C 03/19/97 CT 30.00% 0.00% 5/10/2017 To be implemented at 10.5% a year for 3 years

371 GP001 796 (GC001 (CT) 796)


64130 CT 29.00% 25.00% 5/29/2009 7/9/2009 8/1/2009

372 GP001 796 (GC001 (CT) 796)


64130 CT 25.00% 16.00% 7/19/2010 9/7/2010 1/4/2011

373 GP001 796 (GC001 (CT) 796)


64130 CT 25.00% 15.00% 3/30/2012 7/26/2012 10/8/2012

374 GCPRO -II (CT) 794 I D E F 03/26/97 12/31/2001 Bankers United Life Assurance Company

61387 CT 25.00% 13.00% 9/28/2009 10/19/2009 1/1/2009


61387 CT 25.00% 16.00% 7/19/2010 9/7/2010 2/4/2011


61387 CT 25.00% 15.00% 3/30/2012 7/26/2012 11/8/2012



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved








379 GCPRO-III TQ (CT) 197 I A B C 03/26/97 12/31/2001 Bankers United Life Assurance Company

61387 CT 25.00% 13.00% 9/28/2009 10/19/2009 1/1/2009


61387 CT 25.00% 16.00% 7/19/2010 9/7/2010 2/4/2011


61387 CT 25.00% 15.00% 3/30/2012 7/26/2012 11/8/2012





384 GCPRO (CT) 193 I D E F 06/10/97 12/31/2001 Bankers United Life Assurance Company

61387 CT 25.00% 13.00% 9/28/2009 10/19/2009 1/1/2009


61387 CT 25.00% 16.00% 7/19/2010 9/7/2010 2/4/2011


61387 CT 25.00% 15.00% 3/30/2012 7/26/2012 11/8/2012





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






389 LTC-104-194-CT, LTC-105-194-CT, LTC-106-194-CT


67121 CT 25.00% 13.00% 9/28/2009 10/19/2009 1/1/2009



67121 CT 25.00% 16.00% 7/19/2010 9/7/2010 2/4/2011



67121 CT 25.00% 15.00% 3/30/2012 7/26/2012 11/8/2012







394 LTC-124-197-CT I A B C 01/20/97 10/1/2008 Transamerica Occidental Life Insurance Company

67121 CT 25.00% 13.00% 9/28/2009 10/19/2009 1/1/2009


67121 CT 25.00% 16.00% 7/19/2010 9/7/2010 2/4/2011


64130 CT 25.00% 15.00% 3/30/2012 7/26/2012 11/8/2012







As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




399 LTC 304-198-CT, LTC 305-198-CT


67121 CT 25.00% 13.00% 9/28/2009 10/19/2009 1/1/2009

400 LTC 304-198-CT, LTC 305-198-CT


67121 CT 25.00% 16.00% 7/19/2010 9/7/2010 2/4/2011

401 LTC 304-198-CT, LTC 305-198-CT


67121 CT 25.00% 15.00% 3/30/2012 7/26/2012 11/8/2012

402 LTC 304-198-CT, LTC 305-198-CT



403 LTC 304-198-CT, LTC 305-198-CT



404 TLC 1-FP (CT) 402 I C 4/12/2009 CT 65.00% 30.00% 8/7/2015 2/10/2016 1/18/2017 To be implemented at 10.5% a year for 3 years

405 TOL 1-FP (CT) 1001 I C 1/18/2004 10/1/2008 Transamerica Occidental Life Insurance Company


406 LI 1-FP (CT) 1001 I C 9/15/2004 10/2/2008 Life Investors Insurance Company of America


407 TLC 1-FP (CT) 402 I C 4/12/2009 CT 30.00% 0.00% 5/10/2017 To be implemented at 10.5% a year for 3 years

408 TOL 1-FP (CT) 1001 I C 1/18/2004 10/1/2008 Transamerica Occidental Life Insurance Company


409 LI 1-FP (CT) 1001 I C 9/15/2004 10/2/2008 Life Investors Insurance Company of America


410 LI-LTCP 192 I D E F 02/08/94 10/2/2008 Life Investors Insurance Company of America

64130 DC 25.00% 10.00% 5/4/2011 4/25/2012 7/1/2012



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 DC 25.00% 10.00% 5/4/2011 4/25/2012 7/1/2012


64130 DC 25.00% 10.00% 5/4/2011 4/25/2012 7/1/2012

413 LTC-104-194, LTC-105-194, LTC-106-194


67121 DC 25.00% 10.00% 5/4/2011 4/25/2012 8/1/2012


67121 DC 25.00% 10.00% 5/4/2011 4/25/2012 8/1/2012

415 LTC 304-198, LTC 305-198


67121 DC 25.00% 10.00% 5/4/2011 4/25/2012 8/1/2012

416 LI-LTCP TQ (DE) 898 I A C 11/09/00 10/2/2008 Life Investors Insurance Company of America

64130 DE 29.00% 21.00% 1/21/2009 3/2/2010 6/1/2010 Applies only to benefit periods 4 years and greater

417 LI-LTCP TQ (DE) 898 I A C 11/09/00 10/2/2008 Life Investors Insurance Company of America

64130 DE 25.00% 15.00% 4/1/2011 2/27/2012 5/14/2012

418 GP001 796 (GC001 (DE) 796)


64130 DE 29.00% 21.00% 1/21/2009 3/2/2010 6/1/2010 Applies only to benefit periods 4 years and greater

419 GP001 796 (GC001 (DE) 796)


64130 DE 25.00% 25.00% 4/1/2011 3/1/2011 5/29/2011

420 1-820 09-191, 1-822 09-191


67121 DE 25.00% 12.50% 6/17/2009 12/1/2009 5/1/2010

421 1-820 09-191, 1-822 09-191


67121 DE 25.00% 15.00% 4/1/2011 2/27/2012 6/14/2012



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




422 LTC-104-194-DE, LTC 105-194-DE, LTC 106-194-DE


67121 DE 25.00% 12.50% 6/17/2009 12/1/2009 5/1/2010

423 LTC-104-194-DE, LTC 105-194-DE, LTC 106-194-DE


67121 DE 25.00% 15.00% 4/1/2011 2/27/2012 6/14/2012

424 LI-LTCP (DE) 293 and LI-LTCP (DE) 694


64130 DE 25.00% 15.00% 4/1/2011 2/27/2012 5/14/2012

425 LTC 124-197-DE I A B C 10/16/96 10/1/2008 Transamerica Occidental Life Insurance Company

67121 DE 25.00% 12.50% 6/17/2009 12/1/2009 5/1/2010

426 LTC 304-198-DE, LTC 305-198-DE


67121 DE 25.00% 12.50% 6/17/2009 12/1/2009 5/1/2010

427 LTC 304-198-DE, LTC 305-198-DE


67121 DE 25.00% 15.00% 4/1/2011 2/27/2012 6/14/2012

428 GCC 1 387 (GCC 1 387 CERT)

G D F 06/01/87 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive

429 KLTCP 1 (FL) 490, KHHCP 1 (FL) 490


64130 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive

430 LI-LTCP (FL) 192, LI-HCCP (FL) 692



431 LI-NHP (FL) 692, LI-NHP (FL) 994


64130 FL 80.00% 80.00% 7/14/2016 6/8/2017 10/14/2017 Facility Only

432 LI-NHP TQ (FL) 197 I A C 04/09/92 10/2/2008 Life Investors Insurance Company of America

64130 FL 80.00% 80.00% 7/14/2016 6/8/2017 10/14/2017 Facility Only



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




433 LI-NHP TQ (FL) 898 & LI-LTCP NHALF (FL) 898


64130 FL 80.00% 80.00% 7/14/2016 6/8/2017 10/14/2017 Facility Only

434 LI-LTCP NHCC TQ (FL) 898 & LI-LTCP NHHC TQ (FL) 898



435 IP-71-FL-494 and IP-73-FL-494

I D F 03/29/96 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive

436 IP-70-FL-494 and IP-72-FL-494

I D F 03/29/96 FL 80.00% 80.00% 7/14/2016 6/8/2017 10/14/2017 Facility Only

437 FLEX 2 (FL) 196, FLEX 2 COM HCCR (FL) 196, FLEX 2 COM HHR (FL) 196


438 FTQ COM HCCR (FL) 197 and FTQ COM HHR (FL) 197

I A C 04/23/97 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive

439 LBP (FL) 191, LBP (FL) 1091


61387 FL 80.00% 80.00% 7/14/2016 6/8/2017 11/14/2017 Facility Only

440 6122 (FL) 389 and 3122 (00) 288 (Certificate 3132 (00) 288)


441 LTC 2 (FL) 390 I D F 08/08/89 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive

442 LTC 3 (FL) 1091 (REV92) and LTC 3R (FL) 1091 (REV92)

I D E F 01/16/90 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




443 LTC 3 (FL) (NHC) (REV92) and LTC 3R (FL) (NHC) (REV92)

I D E F 01/16/90 FL 80.00% 80.00% 7/14/2016 6/8/2017 10/14/2017 Facility Only

444 LTC 5 COM (FL) 196 and LTC 5 (FL) 196,


445 LTC 5 TQ (FL) 1096 and LTC 5 TQ COM (FL) 1096

I A C 04/01/97 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive



447 GCPRO-II-NH(FL) 794 I D E F 04/17/96 12/31/2001 Bankers United Life Assurance Company

61387 FL 80.00% 80.00% 7/14/2016 6/8/2017 11/14/2017 Facility Only

448 GCPRO-II-C (FL) 794 I D E F 04/17/96 12/31/2001 Bankers United Life Assurance Company


449 GCPRO-III TQ NHB (FL) 197, GCPRO-III TQ LTC (FL) 197


61387 FL 80.00% 80.00% 7/14/2016 6/8/2017 11/14/2017 Facility Only

450 GCPRO-III TQ NHBHHC (FL) 197, GCPRO-III TQ NHBHHCC (FL) 197, GCPRO III TQ LTCHHC



451 GCPRO-NH(FL) 193 I D E F 02/21/92 12/31/2001 Bankers United Life Assurance Company

61387 FL 80.00% 80.00% 7/14/2016 6/8/2017 11/14/2017 Facility Only

452 GCPRO-C(FL)193 I D E F 02/21/92 12/31/2001 Bankers United Life Assurance Company


453 1-812 12-190 I D F 10/12/1992 10/1/2008 Transamerica Occidental Life Insurance C

67121 FL 80.00% 80.00% 7/14/2016 6/8/2017 11/14/2017 Facility Only

454 LTC-105-194-FL I D E F 2/17/1995 10/1/2008 Transamerica Occidental Life Insurance C

67121 FL 80.00% 80.00% 7/14/2016 6/8/2017 11/14/2017 Facility Only

455 LTC 125-197-FL I A B C 1/4/1997 10/1/2008 Transamerica Occidental Life Insurance C

67121 FL 80.00% 80.00% 7/14/2016 6/8/2017 11/14/2017 Facility Only

456 LTC 305-198-FL I A B C 12/8/1999 10/1/2008 Transamerica Occidental Life Insurance

67121 FL 80.00% 80.00% 7/14/2016 6/8/2017 11/14/2017 Facility Only

457 LTC-104-194-FL I D E F 2/17/1995 10/1/2008 Transamerica Occidental Life Insurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




458 LTC 124-197-FL I A B C 1/4/1997 10/1/2008 Transamerica Occidental Life Insurance Company


459 LTC 304-198-FL I A B C 12/8/1999 10/1/2008 Transamerica Occidental Life Insurance Company


460 TLC 1-FP (FL) 402, LI 1-FP (FL) 402, TOL 1-FP (FL) 402

I C 8/26/2002 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive

461 TLC 2-P FL 410 I C 10/20/2012 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive462 TLC 3-P FL 0313 I C 9/15/2014 FL 108.40% 108.40% 6/20/2016 6/8/2017 10/14/2017 Comprehensive463 GCC 1 387 G D, F 06/04/87 GA 25.00% 10.00% 1/2/2008 3/20/2008 7/1/2008

464 GCC 1 387 G D, F 06/04/87 GA 25.00% 15.00% 3/18/2009 5/11/2009 10/1/2009

465 GCC 1 387 G D, F 06/04/87 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011

466 GCC 1 387 G D, F 06/04/87 GA 10.00% 10.00% 4/11/2012 7/19/2012 10/8/2012 Applies only to benefit periods 6 years and greater

467 GCC 1 387 G D, F 06/04/87 GA 175.00% 175.00% 9/21/2016 6/21/2017468 KLTCP 1 (GA) 590 I D E F 03/25/91 10/2/2008 Life Investors


64130 GA 25.00% 10.00% 1/2/2008 3/4/2008 7/1/2008 Applies only to benefit periods 4 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




469 KLTCP 1 (GA) 590 I D E F 03/25/91 10/2/2008 Life Investors Insurance Company of America

64130 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009


64130 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011




64130 GA 175.00% 175.00% 9/21/2016 6/21/2017

473 LI-MAT-LTCP 892 and LI-MAT-LTCPR 892 (LI-MAT-LTCC 892 and LI-MAT-LTCCR 892)


64130 GA 25.00% 10.00% 1/2/2008 3/4/2008 7/1/2008






64130 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009



64130 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011






64130 GA 175.00% 175.00% 9/21/2016 6/21/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




479 LI-LTCP (GA) 793 I D E F 01/06/92 10/2/2008 Life Investors Insurance Company of America



64130 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009


64130 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011




64130 GA 175.00% 175.00% 9/21/2016 6/21/2017

484 LI-LTCP TQ (GA) 898 I A C 07/11/94 10/2/2008 Life Investors Insurance Company of America



64130 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009


64130 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011




64130 GA 175.00% 175.00% 9/21/2016 6/21/2017

489 IP-70-GA-494, IP-71-GA-494

I D, F 09/29/95 GA 25.00% 10.00% 1/2/2008 3/4/2008 7/1/2008

490 IP-70-GA-494, IP-71-GA-494

I D, F 09/29/95 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009

491 IP-70-GA-494, IP-71-GA-494

I D, F 09/29/95 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




492 IP-70-GA-494, IP-71-GA-494

I D, F 09/29/95 GA 10.00% 10.00% 4/5/2012 5/17/2012 9/1/2012 Applies only to benefit periods 6 years and greater

493 IP-70-GA-494, IP-71-GA-494

I D, F 09/29/95 GA 175.00% 175.00% 9/21/2016 6/21/2017

494 FLEX 2 (GA) 196 I D, F 09/03/97 GA 25.00% 10.00% 1/2/2008 3/4/2008 7/1/2008495 FLEX 2 (GA) 196 I D, F 09/03/97 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009496 FLEX 2 (GA) 196 I D, F 09/03/97 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011497 FLEX 2 (GA) 196 I D, F 09/03/97 GA 10.00% 10.00% 4/5/2012 5/17/2012 9/1/2012 Applies only to benefit periods 6 years

and greater498 FLEX 2 (GA) 196 I D, F 09/03/97 GA 175.00% 175.00% 9/21/2016 6/21/2017499 FTQ (GA) 197 I A, C 01/28/97 GA 25.00% 10.00% 1/2/2008 3/4/2008 7/1/2008500 FTQ (GA) 197 I A, C 01/28/97 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009501 FTQ (GA) 197 I A, C 01/28/97 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011502 FTQ (GA) 197 I A, C 01/28/97 GA 10.00% 10.00% 4/5/2012 5/17/2012 9/1/2012 Applies only to benefit periods 6 years

and greater503 FTQ (GA) 197 I A, C 01/28/97 GA 175.00% 175.00% 9/21/2016 6/21/2017504 LTCP (GA) 390 I D F 01/05/91 12/31/2001 Bankers United


61387 GA 25.00% 10.00% 1/2/2008 3/4/2008 8/1/2008

505 LTCP (GA) 390 I D F 01/05/91 12/31/2001 Bankers United Life Assurance Company

61387 GA 25.00% 10.00% 5/26/2009 5/11/2009 11/1/2009


61387 GA 25.00% 10.00% 11/9/2010 12/13/2010 3/19/2011




61387 GA 175.00% 175.00% 9/21/2016 6/21/2017

509 GCPLUS 1290 (GA) and GCPLUS 2 1290 (GA)





61387 GA 25.00% 10.00% 5/26/2009 5/11/2009 11/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






61387 GA 25.00% 10.00% 11/9/2010 12/13/2010 3/19/2011






61387 GA 175.00% 175.00% 9/21/2016 6/21/2017


G D, F 07/12/90 GA 25.00% 10.00% 1/2/2008 3/20/2008 7/1/2008


G D, F 07/12/90 GA 25.00% 15.00% 3/18/2009 5/11/2009 10/1/2009


G D, F 07/12/90 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011


G D, F 07/12/90 GA 10.00% 10.00% 4/11/2012 7/19/2012 10/8/2012 Applies only to benefit periods 6 years and greater


G D, F 07/12/90 GA 175.00% 175.00% 9/21/2016 6/21/2017

519 GLTP 3 1091 and GLTP 3R 1091

G D E F 11/17/88 GA 25.00% 10.00% 1/2/2008 3/20/2008 7/1/2008

520 GLTP 3 1091 and GLTP 3R 1091

G D E F 11/17/88 GA 25.00% 15.00% 3/18/2009 5/11/2009 10/1/2009

521 GLTP 3 1091 and GLTP 3R 1091

G D E F 11/17/88 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011

522 GLTP 3 1091 and GLTP 3R 1091

G D E F 11/17/88 GA 10.00% 10.00% 4/11/2012 7/19/2012 10/8/2012 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




523 GLTP 3 1091 and GLTP 3R 1091

G D E F 11/17/88 GA 175.00% 175.00% 9/21/2016 6/21/2017

524 LTC 3 (GA) 1091 (REV92 I D E F 04/22/89 GA 25.00% 10.00% 1/2/2008 3/4/2008 7/1/2008

525 LTC 3 (GA) 1091 (REV92 I D E F 04/22/89 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009

526 LTC 3 (GA) 1091 (REV92 I D E F 04/22/89 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011

527 LTC 3 (GA) 1091 (REV92 I D E F 04/22/89 GA 10.00% 10.00% 4/5/2012 5/17/2012 9/1/2012 Applies only to benefit periods 6 years and greater

528 LTC 3 (GA) 1091 (REV92 I D E F 04/22/89 GA 175.00% 175.00% 9/21/2016 6/21/2017

529 LTC 5 (GA) 196 I D F 12/16/97 GA 25.00% 10.00% 1/2/2008 3/4/2008 7/1/2008530 LTC 5 (GA) 196 I D F 12/16/97 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009531 LTC 5 (GA) 196 I D F 12/16/97 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011532 LTC 5 (GA) 196 I D F 12/16/97 GA 10.00% 10.00% 4/5/2012 5/17/2012 9/1/2012 Applies only to benefit periods 6 years

and greater533 LTC 5 (GA) 196 I D F 12/16/97 GA 175.00% 175.00% 9/21/2016 6/21/2017534 LTC 5 TQ (GA) 1096, LTC

5 TQ FO (GA) 1197I A C 05/15/97 GA 25.00% 10.00% 1/2/2008 3/4/2008 7/1/2008

535 LTC 5 TQ (GA) 1096, LTC 5 TQ FO (GA) 1197

I A C 05/15/97 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009


I A C 05/15/97 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011


I A C 05/15/97 GA 10.00% 10.00% 4/5/2012 5/17/2012 9/1/2012 Applies only to benefit periods 6 years and greater


I A C 05/15/97 GA 175.00% 175.00% 9/21/2016 6/21/2017

539 3132 (00) 288 G D F 09/12/88 GA 25.00% 10.00% 1/2/2008 3/20/2008 7/1/2008540 3132 (00) 288 G D F 09/12/88 GA 25.00% 15.00% 3/18/2009 5/11/2009 10/1/2009541 3132 (00) 288 G D F 09/12/88 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011542 3132 (00) 288 G D F 09/12/88 GA 10.00% 10.00% 4/11/2012 7/19/2012 10/8/2012 Applies only to benefit periods 6 years

and greater543 3132 (00) 288 G D F 09/12/88 GA 175.00% 175.00% 9/21/2016 6/21/2017544 GP001 796 (GC001 796) G A B C 08/27/96 10/2/2008 Life Investors

Insurance Company of


545 GP001 796 (GC001 796) G A B C 08/27/96 10/2/2008 Life Investors Insurance Company of

64130 GA 25.00% 10.00% 5/26/2009 5/11/2009 10/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 GA 25.00% 10.00% 11/9/2010 12/13/2010 3/11/2011




64130 GA 175.00% 175.00% 9/21/2016 6/21/2017

549 GCPRO-III TQ NHB (GA) 497 and GCPRO-III TQ HHC (GA) 497





61387 GA 25.00% 10.00% 5/26/2009 5/11/2009 11/1/2009



61387 GA 25.00% 10.00% 11/9/2010 12/13/2010 3/19/2011






61387 GA 175.00% 175.00% 9/21/2016 6/21/2017


67121 GA 25.00% 10.00% 5/26/2009 5/11/2009 11/1/2009


67121 GA 25.00% 10.00% 11/9/2010 12/13/2010 3/19/2011




67121 GA 175.00% 175.00% 9/21/2016 6/21/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




558 1-820 14-191 and 1-822 14-191


67121 GA 25.00% 10.00% 5/26/2009 5/11/2009 11/1/2009

559 1-820 14-191 and 1-822 14-191


67121 GA 25.00% 10.00% 11/9/2010 12/13/2010 2/19/2011

560 1-820 14-191 and 1-822 14-191



561 1-820 14-191 and 1-822 14-191


67121 GA 175.00% 175.00% 9/21/2016 6/21/2017

562 LTC-104-194-GA, LTC-105-194-GA and LTC-106-194-GA


67121 GA 25.00% 10.00% 5/26/2009 5/11/2009 11/1/2009



67121 GA 25.00% 10.00% 11/9/2010 12/13/2010 3/19/2011






67121 GA 175.00% 175.00% 9/21/2016 6/21/2017

566 LTC 124-197-GA, LTC 125-197-GA and LTC 126-197-GA


67121 GA 25.00% 10.00% 5/26/2009 5/11/2009 11/1/2009



67121 GA 25.00% 10.00% 11/9/2010 12/13/2010 3/19/2011






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






67121 GA 175.00% 175.00% 9/21/2016 6/21/2017

570 LTC 304-198-GA and LTC 305-198-GA


67121 GA 25.00% 10.00% 5/26/2009 5/11/2009 11/1/2009

571 LTC 304-198-GA and LTC 305-198-GA


67121 GA 25.00% 10.00% 11/9/2010 12/13/2010 3/19/2011

572 LTC 304-198-GA and LTC 305-198-GA



573 LTC 304-198-GA and LTC 305-198-GA


67121 GA 175.00% 175.00% 9/21/2016 6/21/2017

574 TLC 1-P (GA) 402, TLC 1-P (GA) 708, TLC 1-SC-R 0510

I C 5/7/2009 GA 63.00% 20.00% 6/1/2017 8/16/2017

575 TOL 1-P (GA) 402 I C 10/14/2003 10/1/2008 Transamerica Occidental Life Insurance Company

67121 GA 63.00% 20.00% 6/1/2017 8/16/2017

576 LI 1-P (GA) 402 I C 12/24/2003 10/2/2008 Life Investors Insurance Company of America

64130 GA 63.00% 20.00% 6/1/2017 8/16/2017

577 LI-LTCP TQ (HI) 197 I A C 12/13/99 10/2/2008 Life Investors Insurance Company of America

64130 HI 25.00% 25.00% 12/11/2007 3/20/2009 7/1/2009 Applies only to benefit periods 42-71 months with inflation protection


64130 HI 25.00% 25.00% 12/11/2007 3/20/2009 7/1/2009 Applies only to benefit periods 72 months or greater with or without inflation protection


64130 HI 15%-25% 15%-25% 1/11/2010 10/20/2011 1/9/2012 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

580 LI-LTCP TQ (HI) 898 and LI-LTCP TQ (HI) 400





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




581 IP-70-HI-494, IP-71-HI-494, IP-72-HI-494, IP-73-HI-494

I D, F 02/28/95 HI 25.00% 10.00% 12/11/2007 9/23/2008 1/1/2009

582 IP-70-HI-494, IP-71-HI-494, IP-72-HI-494, IP-73-HI-494

I D, F 02/28/95 HI 15%-25% 15%-25% 1/11/2010 10/20/2011 1/9/2012 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

583 FLEX 2 (HI) 196 I D, F 04/13/97 HI 25.00% 10.00% 12/11/2007 9/23/2008 1/1/2009584 FLEX 2 (HI) 196 I D, F 04/13/97 HI 15%-25% 15%-25% 1/11/2010 10/20/2011 1/9/2012 Varies by type of inflation benefit and


585 FTQ (HI) 197, FTQ (HI) 400

I A, C 04/22/97 HI 25.00% 15.00% 12/11/2007 9/23/2008 1/1/2009

586 FTQ (HI) 197, FTQ (HI) 400

I A, C 04/22/97 HI 15%-25% 15%-25% 1/11/2010 10/20/2011 1/9/2012 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater







590 GCPLUS 1290 (HI) & GCPLUS 2 1290 (HI)









593 GLTP 3 1091 and GLTP 3R 1091

G D E F 10/17/91 HI 25.00% 17.00% 12/11/2007 9/23/2008 1/1/2009

594 GLTP 3 1091 and GLTP 3R 1091

G D E F 10/17/91 HI 15%-20% 15%-20% 1/11/2010 11/18/2011 2/21/2012 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

595 LTC 3 (HI) 1091 (REV92), LTC 3R (HI) 1091 (REV92)

I D E F 03/15/93 HI 25.00% 5.00% 12/11/2007 9/23/2008 1/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




596 LTC 3 (HI) 1091 (REV92), LTC 3R (HI) 1091 (REV92)

I D E F 03/15/93 HI 15%-25% 15%-25% 1/11/2010 10/20/2011 1/9/2012 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

597 GLTP 3 1091 and GLTP 3R 1091

G D E F 07/04/92 HI 25.00% 17.00% 12/11/2007 9/23/2008 1/1/2009

598 GLTP 3 1091 and GLTP 3R 1091

G D E F 07/04/92 HI 15%-20% 15%-20% 1/11/2010 11/18/2011 2/21/2012 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

599 LTC 5 (HI) 196 I D F 09/23/97 HI 25.00% 10.00% 12/11/2007 9/23/2008 1/1/2009600 LTC 5 (HI) 196 I D F 09/23/97 HI 15%-25% 15%-25% 1/11/2010 10/20/2011 1/9/2012 Varies by type of inflation benefit and


601 LTC 5 TQ (HI) 1096, LTC 5 TQ (HI) 400

I A C 03/25/97 HI 25.00% 15.00% 12/11/2007 9/23/2008 1/1/2009

602 LTC 5 TQ (HI) 1096, LTC 5 TQ (HI) 400

I A C 03/25/97 HI 15%-25% 15%-25% 1/11/2010 10/20/2011 1/9/2012 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater






64130 HI 15%-25% 15%-25% 1/11/2010 10/20/2011 1/9/2012

606 GCPRO-II (HI) 794 I F 08/04/97 12/31/2001 Bankers United Life Assurance Company






609 GCPRO-III TQ (HI) 197, GCPRO-III TQ (HI) 400





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved










612 GCPRO 193 (HI) I D E F 11/02/90 12/31/2001 Bankers United Life Assurance Company








616 1-820 60-191, 1-822 60-191



617 LTC-104-194-HI, LTC-105-194-HI, LTC-106-194-HI



618 LTC-100-60-193 I D F 09/30/93 10/1/2008 Transamerica Occidental Life Insurance Company


619 LTC 124-197-HI, LTC 124-100-HI

I A B C 01/02/97 10/1/2008 Transamerica Occidental Life Insurance C


620 LTC 304-198-HI, LTC 304-100-HI, LTC 305-198-HI, LTC 305-100-HI



621 GCC 1 387 (GCC 1 387 CERT)

G D F 06/11/87 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and varies by type of inflation benefit



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




622 GCC 1 387 (GCC 1 387 CERT)

G D F 06/11/87 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003

623 GCC 1 387 (GCC 1 387 CERT)

G D F 06/11/87 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013

624 GCC 1 387 (GCC 1 387 CERT)

G D F 06/11/87 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases

625 KLTCP 1 (IA) 490 and KLTCP 1 (IA) 1291


64130 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003 and varies by type of inflation benefit



64130 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003



64130 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013



64130 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases

629 LI-LTCP (IA) 192, LI-LTCP (IA) 194 and LI-LTCP (IA) 794








64130 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013




633 LI-LTCP TQ (IA) 197 I A C 03/15/97 10/2/2008 Life Investors Insurance Company of America




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







64130 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013


64130 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented at 16% a year biannually for 3 years






64130 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013



641 IP-70-IA-494, IP-71-IA-494, IP-72-IA-494 and IP-73-IA-494

I D, F 08/08/89 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003 and varies by type of inflation benefit


I D, F 08/08/89 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003


I D, F 08/08/89 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013


I D, F 08/08/89 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




645 FLEX 2 (IA) 196 I D, F 04/06/89 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003 and varies by type of inflation benefit

646 FLEX 2 (IA) 196 I D, F 04/06/89 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003

647 FLEX 2 (IA) 196 I D, F 04/06/89 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013648 FLEX 2 (IA) 196 I D, F 04/06/89 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual

16% increases649 FTQ (IA) 197 and FTQ

(IA) 999I A, C 04/27/95 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years

and greater for policies with application dates prior to 2/1/2003 and varies by type of inflation benefit

650 FTQ (IA) 197 and FTQ (IA) 999

I A, C 04/27/95 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003

651 FTQ (IA) 197 and FTQ (IA) 999

I A, C 04/27/95 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013

652 FTQ (IA) 197 and FTQ (IA) 999

I A, C 04/27/95 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases

653 LTCP 1289 (IA) I D F 02/19/90 12/31/2001 Bankers United Life Assurance Company





61387 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




657 GCPLUS 1290 (IA), GCPLUS 1290 (IA) (Rev. 1/92), GCPLUS 2 1290 (IA) and GCPLUS 2 1290 (IA) (Rev. 1/92)








61387 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014




661 GLTP 2 1289 (GLTC 2 1289 & GLTC 2 1290)

G D, F 02/26/90 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and varies by type of inflation benefit

662 GLTP 2 1289 (GLTC 2 1289 & GLTC 2 1290)

G D, F 02/26/90 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003

663 GLTP 2 1289 (GLTC 2 1289 & GLTC 2 1290)

G D, F 02/26/90 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013

664 GLTP 2 1289 (GLTC 2 1289 & GLTC 2 1290)

G D, F 02/26/90 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases

665 GLTP 3 1091 and GLTP 3R 1091 (GLTC 3 1091 & GLTC 3R 1091)

G D E F 02/06/89 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and varies by type of inflation benefit


G D E F 02/06/89 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





G D E F 02/06/89 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013


G D E F 02/06/89 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases

669 LTC 3 (IA) 1091 (REV92), LTC 3 (IA) 1091 (REV194), LTC 3 (IA) 1091 (REV694), LTC 3R (IA) 1091 (REV92), LTC 3R (IA) 1091 (REV194), LTC 3R (IA) 1091 (REV394) LTC 3R (IA) 1091 (REV694)

I D E F 07/07/89 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003 and varies by type of inflation benefit


I D E F 07/07/89 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003


I D E F 07/07/89 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 07/07/89 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented at 16% a year biannually for 3 years

673 LTC 5 (IA) 196 and LTC 5 (IA) 196 Facility Only Module

I D F 03/17/89 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003 and varies by type of inflation benefit


I D F 03/17/89 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003


I D F 03/17/89 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013


I D F 03/17/89 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases

677 LTC 5 TQ (IA) 1096 and LTC 5 TQ (IA) Facility Only Module

I A C 02/20/95 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003 and varies by type of inflation benefit


I A C 02/20/95 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003


I A C 02/20/95 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013


I A C 02/20/95 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases

681 3122 (00) 288 (3132 (00) 288)

G D F 09/29/88 IA 15%-25% 15%-25% 3/3/2009 6/12/2009 10/1/2009 Applies only to benefit periods 6 years and varies by type of inflation benefit



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




682 3122 (00) 288 (3132 (00) 288)

G D F 09/29/88 IA 14.00% 14.00% 5/18/2010 1/12/2011 3/21/2011 Applies only to benefit periods 6 years and greater for policies with application dates prior to 2/1/2003

683 3122 (00) 288 (3132 (00) 288)

G D F 09/29/88 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013

684 3122 (00) 288 (3132 (00) 288)

G D F 09/29/88 IA 56.00% 56.00% 6/5/2015 1/27/2016 12/6/2016 To be implemented as three biannual 16% increases






64130 IA 17.00% 17.00% 11/16/2012 8/14/2013 12/1/2013



689 GCPRO-II (IA) 794 I D E F 05/03/95 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







61387 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014



693 GCPRO-III TQ (IA) 197 I A B C 05/15/90 12/31/2001 Bankers United Life Assurance Company





61387 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014



697 GCPRO 193 (IA), GCPRO 193 (IA) (REV 1/94) and GCPRO 193 (IA) (REV 6/94)








61387 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved












67121 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014



705 1-820 18-191, 1-822 18-191, 1-820 18-194, 1-822 18-194, 1-820 18-294, 1-822 18-294



706 1-820 18-191, 1-822 18-191, 1-820 18-194, 1-822 18-194, 1-820 18-294, 1-822 18-294



707 1-820 18-191, 1-822 18-191, 1-820 18-194, 1-822 18-194, 1-820 18-294, 1-822 18-294


67121 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014

708 1-820 18-191, 1-822 18-191, 1-820 18-194, 1-822 18-194, 1-820 18-294, 1-822 18-294



709 LTC-104-194-IA, LTC-105-194-IA, LTC-106-194-IA





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









67121 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014




713 LTC 124-197-IA I A B C 01/02/97 10/1/2008 Transamerica Occidental Life Insurance Company





67121 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014



717 LTC 304-198-IA, LTC 305-198-IA



718 LTC 304-198-IA, LTC 305-198-IA



719 LTC 304-198-IA, LTC 305-198-IA


67121 IA 17.00% 17.00% 11/16/2012 8/14/2013 1/1/2014

720 LTC 304-198-IA, LTC 305-198-IA



721 TLC 1-FP (IA) 1001, TLC 1-FP (IA) 402, TLC 1-FP (IA) 103, TLC 1-FP (IA) 0110, TLC 1-SC-R 0510

I C 10/1/2008 IA 63.30% 16.70% 8/13/2015 1/27/2016 12/6/2016 To be implemented as three biannual increases that vary by premium schedule



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




722 LI 1-FP (IA) 402 and LI 1-FP (IA) 103

I C 10/2/2002 10/2/2008 Life Investors Insurance Company of America

64130 IA 63.30% 16.70% 8/13/2015 1/27/2016 12/6/2016 To be implemented as three biannual increases that vary by premium schedule

723 TOL 1-FP (IA) 1001, TOL 1-FP (IA) 402, TOL 1-FP (IA) 103

I C 8/14/2002 10/1/2008 Transamerica Occidental Life Insurance Company

67121 IA 63.30% 16.70% 8/13/2015 1/27/2016 1/6/2017 To be implemented as three biannual increases that vary by premium schedule

724 LI-LTCP (ID) 192, LI-LTCP (ID) 894


64130 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009



64130 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater



64130 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

727 IP-71-ID-494, IP-73-ID-494

I D, F 10/27/95 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009

728 IP-71-ID-494, IP-73-ID-494

I D, F 10/27/95 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater

729 IP-71-ID-494, IP-73-ID-494

I D, F 10/27/95 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

730 FTQ (ID) 197, FTQ (ID) 100

I A, C 11/12/98 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009

731 FTQ (ID) 197, FTQ (ID) 100

I A, C 11/12/98 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater

732 FTQ (ID) 197, FTQ (ID) 100

I A, C 11/12/98 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014


61387 ID 25.00% 25.00% 5/22/2009 6/25/2009 11/1/2009




61387 ID 17.00% 17.00% 8/9/2013 1/24/2014 6/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




736 GLTC 2 1289 & GLTC 2 1290

G D, F 09/11/91 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009

737 GLTC 2 1289 & GLTC 2 1290

G D, F 09/11/91 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater

738 GLTC 2 1289 & GLTC 2 1290

G D, F 09/11/91 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

739 GLTP 3 1091 and GLTP 3R 1091

G D E F 11/19/91 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009

740 GLTP 3 1091 and GLTP 3R 1091

G D E F 11/19/91 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater

741 GLTP 3 1091 and GLTP 3R 1091

G D E F 11/19/91 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

742 LTC 3 (ID) 1091 (REV93), LTC 3R (ID) 1091 (REV93)

I D E F 01/19/96 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009


I D E F 01/19/96 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater


I D E F 01/19/96 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

745 GLTP 3 1091 and GLTP 3R 1091

G D E F 06/03/92 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




746 GLTP 3 1091 and GLTP 3R 1091

G D E F 06/03/92 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater

747 GLTP 3 1091 and GLTP 3R 1091

G D E F 06/03/92 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

748 LTC 5 COM (ID) 196, LTC 5 NH (ID) 196

I D F 02/09/98 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009


I D F 02/09/98 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater


I D F 02/09/98 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

751 LTC 5 TQ NH (ID) 1096, LTC 5 TQ FO (ID) 1197, LTC 5 TQ COM (ID) 1096, LTC 5 TQ NH (ID) 100, LTC 5 TQ COM (ID) 100, LTC 5 TQ FO (ID) 100

I A C 02/24/98 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009


I A C 02/24/98 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater


I A C 02/24/98 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

754 3122 (00) 288 (3132 (00) 288

G D F 09/28/88 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009

755 3122 (00) 288 (3132 (00) 288

G D F 09/28/88 ID 14.00% 14.00% 5/24/2010 8/26/2010 1/4/2011 Applies only to benefit periods 6 years and greater

756 3122 (00) 288 (3132 (00) 288

G D F 09/28/88 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014


64130 ID 25.00% 25.00% 5/22/2009 6/25/2009 10/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







64130 ID 17.00% 17.00% 8/9/2013 1/24/2014 5/1/2014

760 GCPRO-A II-C (ID) 794 and GCPRO-II-NH (ID) 796


61387 ID 25.00% 25.00% 5/22/2009 6/25/2009 11/1/2009






61387 ID 17.00% 17.00% 8/9/2013 1/24/2014 6/1/2014

763 GCPRO-III TQ NHB (ID) 497, GCPRO-III TQ HHC (ID) 497, GCPRO-III TQ NHB (ID) 100, and GCPRO-III TQ HHC (ID) 100


61387 ID 25.00% 25.00% 5/22/2009 6/25/2009 11/1/2009






61387 ID 17.00% 17.00% 8/9/2013 1/24/2014 6/1/2014

766 GCPRO –C 193 (ID) and GCPRO –NH (ID) 796


61387 ID 25.00% 25.00% 5/22/2009 6/25/2009 11/1/2009






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






61387 ID 17.00% 17.00% 8/9/2013 1/24/2014 6/1/2014

769 LTC-104-194-ID, LTC-106-194-ID


67121 ID 25.00% 25.00% 5/22/2009 6/25/2009 11/1/2009

770 LTC-104-194-ID, LTC-106-194-ID



771 LTC-104-194-ID, LTC-106-194-ID


67121 ID 17.00% 17.00% 8/9/2013 1/24/2014 6/1/2014

772 LTC 124-197-ID I A B C 01/16/97 10/1/2008 Transamerica Occidental Life Insurance Company

67121 ID 25.00% 25.00% 5/22/2009 6/25/2009 11/1/2009




67121 ID 17.00% 17.00% 8/9/2013 1/24/2014 6/1/2014

775 LTC 304-198-ID, LTC 305-198-ID


67121 ID 25.00% 25.00% 5/22/2009 6/25/2009 11/1/2009

776 LTC 304-198-ID, LTC 305-198-ID



777 LTC 304-198-ID, LTC 305-198-ID


67121 ID 14.00% 14.00% 5/24/2010 8/26/2010 2/4/2011

778 GCC 1 387 G D, F 07/10/87 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008

779 GCC 1 387 G D, F 07/10/87 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

780 GCC 1 387 G D, F 07/10/87 IL 14.00% 14.00% 6/9/2010 10/21/2010 2/4/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




781 GCC 1 387 G D, F 07/10/87 IL 17.00% 17.00% 9/27/2012 7/1/2013 10/1/2013

782 GCC 1 387 (GCC 1 387 CERT)

G D, F 07/10/87 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

783 KLTCP 1 (IL) 490 I D E F 09/17/90 10/2/2008 Life Investors Insurance Company of America

64130 IL 25.00% 25.00% 6/5/2007 9/20/2007 1/1/2008 Applies only to benefit periods 4 years and greater


64130 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater




64130 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013


64130 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

788 LI-LTCP (IL) 192, LI-LTCP (IL) 294 and LI-LTCP (IL) 495











64130 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




793 LI-LTCP TQ (IL) 197 and LI-LTCP TQ (IL) 1197











64130 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013




798 LI-LTCP TQ (IL) 898 I A C 07/27/00 10/2/2008 Life Investors Insurance Company of America







64130 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






803 IP-70-IL-494, IP-71-IL-494, IP-72-IL-494, IP-73-IL-494, IP-70-IL-795, IP-71-IL-795, IP-72-IL-795, IP-73-IL-795

I D, F 01/30/90 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008


I D, F 01/30/90 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D, F 01/30/90 IL 14.00% 14.00% 6/9/2010 12/7/2010 2/18/2011 Applies only to benefit periods 6 years and greater


I D, F 01/30/90 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013


I D, F 01/30/90 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

808 FLEX 2 (IL) 196, FLEX 2 (IL) 299, FLEX 2 (IL) 1197

I D, F 07/02/91 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008


I D, F 07/02/91 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D, F 07/02/91 IL 14.00% 14.00% 6/9/2010 12/7/2010 2/18/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D, F 07/02/91 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013


I D, F 07/02/91 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

813 FTQ (IL) 197 I A, C 12/06/89 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008814 FTQ (IL) 197 I A, C 12/06/89 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and


815 FTQ (IL) 197 I A, C 12/06/89 IL 14.00% 14.00% 6/9/2010 12/7/2010 2/18/2011 Applies only to benefit periods 6 years and greater

816 FTQ (IL) 197 I A, C 12/06/89 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013817 FTQ (IL) 197 I A, C 12/06/89 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual

19.8% increases818 LTCP 1289 (IL) I D F 03/29/90 12/31/2001 Bankers United



819 LTCP 1289 (IL) I D F 03/29/90 12/31/2001 Bankers United Life Assurance Company





61387 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014



823 GCPLUS 1290 (IL) and GCPLUS 2 1290 (IL)











As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






61387 IL 14.00% 14.00% 6/9/2010 12/7/2010 2/1/2014

827 GCPLUS 1290 (IL), GCPLUS 1290 (IL)-B, GCPLUS 1290 (IL)-R, GCPLUS 1290 (IL)-BR, GCPLUS 1290 (IL)-G, GCPLUS 2 1290 (IL), GCPLUS 2 1290 (IL)-B, GCPLUS 2 1290 (IL)-R, GCPLUS 2 1290 (IL)-BR, GCPLUS 2 1290 (IL)-G



828 GLTP 2 1289 & GHHC 1 189 (GLTC 2 1289, GLTC 2 1290 & GHHC 1 189 CERT)

G D, F 10/09/90 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008


G D, F 10/09/90 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


G D, F 10/09/90 IL 14.00% 14.00% 6/9/2010 10/21/2010 2/4/2011 Applies only to benefit periods 6 years and greater


G D, F 10/09/90 IL 17.00% 17.00% 9/27/2012 7/1/2013 10/1/2013


G D, F 10/09/90 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

833 GLTP 3 1091 and GLTP 3R 1091 (GLTC 3 1091 & GLTC 3R 1091

G D E F 12/02/88 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





G D E F 12/02/88 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


G D E F 12/02/88 IL 14.00% 14.00% 6/9/2010 10/21/2010 2/4/2011 Applies only to benefit periods 6 years and greater


G D E F 12/02/88 IL 17.00% 17.00% 9/27/2012 7/1/2013 10/1/2013


G D E F 12/02/88 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

838 LTC 3 (IL) 1091, LTC 3 (IL) 1091 (REV294), LTC 3 (IL) 1091 (REV794), LTC 3 (IL) 1091(REV795), LTC 3R (IL) 1091, LTC 3R (IL) 1091 (REV294), LTC 3R (IL) 1091 (REV794), LTC 3R (IL) 1091 (REV795)

I D E F 04/24/90 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008


I D E F 04/24/90 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 04/24/90 IL 14.00% 14.00% 6/9/2010 12/7/2010 2/18/2011 Applies only to benefit periods 6 years and greater


I D E F 04/24/90 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013


I D E F 04/24/90 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

843 LTC 5 (IL) 196, LTC 5 (IL) 1197, LTC 5 (IL) 299

I D F 09/04/96 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008


I D F 09/04/96 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D F 09/04/96 IL 14.00% 14.00% 6/9/2010 12/7/2010 2/18/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D F 09/04/96 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013

847 LTC 5 (IL) 196, LTC 5 (IL) 1197, LTC 5 (IL) 299, LTC 5 (IL) 299 Facility Only Module

I D F 09/04/96 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

848 LTC 5 TQ (IL) 1096, LTC 5 TQ (IL) 1197, LTC 5 TQ (IL) 299

I A C 09/26/89 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008


I A C 09/26/89 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I A C 09/26/89 IL 14.00% 14.00% 6/9/2010 12/7/2010 2/18/2011 Applies only to benefit periods 6 years and greater


I A C 09/26/89 IL 17.00% 17.00% 9/27/2012 8/23/2013 11/1/2013

852 LTC 5 TQ (IL) 1096, LTC 5 TQ (IL) 1197, LTC 5 TQ (IL) 299, LTC 5 TQ (IL) 299 Facility Only Module

I A C 09/26/89 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases

853 3122 (00) 288 (3132 (00) 288)

G D F 09/15/88 IL 25.00% 25.00% 6/5/2007 9/13/2007 1/1/2008

854 3122 (00) 288 (3132 (00) 288)

G D F 09/15/88 IL 15%-25% 15%-25% 3/20/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

855 3122 (00) 288 (3132 (00) 288)

G D F 09/15/88 IL 14.00% 14.00% 6/9/2010 10/21/2010 2/4/2011 Applies only to benefit periods 6 years and greater

856 3122 (00) 288 (3132 (00) 288)

G D F 09/15/88 IL 17.00% 17.00% 9/27/2012 7/1/2013 10/1/2013

857 3122 (00) 288 (3132 (00) 288)

G D F 09/15/88 IL 53.00% 53.00% 8/28/2015 11/4/2016 5/29/2017 To be implemented as three biannual 19.8% increases





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 IL 17.00% 17.00% 9/27/2012 7/1/2013 10/1/2013



863 GCPRO-II (IL) 794, GCPRO-II (IL) 495 and GCPRO-II (IL) 1197











61387 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014




868 GCPRO-III TQ (IL) 197 and GCPRO-III TQ (IL) 1197








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014




873 GCPRO (IL) 193, GCPRO (IL) 294, GCPRO (IL2) 294, GCPRO (IL2) 495 and GCPRO (IL2) 198











61387 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









67121 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014



882 1-820 16-191, 1-820 16-191-B, 1-820 16-191-R, 1-820 16-191-BR, 1-822 16-191, 1-82216-191-B, 1-822 16-191-R, 1-822 16-191-BR, 1-820 16-194, 1-820 16-194-B, 1-820 16-194-R, 1-820 16-194-BR, 1-822 16-194, 1-822 16-194-B, 1-822 16-194-R, 1-822 16-194-BR








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






67121 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014




886 LTC-104-194-IL, LTC-105-194-IL, LTC-106-194-IL








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






67121 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014




890 LTC-100 11-193, LTC-100 16-193



891 LTC-100 11-193, LTC-100 16-193



892 LTC-100 11-193, LTC-100 16-193


67121 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014

893 LTC-100 11-193, LTC-100 16-193



894 LTC 124-197-IL I A B C 09/02/93 10/1/2008 Transamerica Occidental Life Insurance Company





67121 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014



898 LTC 400-198-IL (Certificate(s): LTC 404-198-IL, LTC 405-198-IL)

G A B C 12/18/01 10/1/2008 Transamerica Occidental Life Insurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









67121 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014




902 LTC 304-198-IL, LTC 305-198-IL



903 LTC 304-198-IL, LTC 305-198-IL



904 LTC 304-198-IL, LTC 305-198-IL


67121 IL 17.00% 17.00% 9/27/2012 8/23/2013 2/1/2014

905 LTC 304-198-IL, LTC 305-198-IL



906 TLC 1-FP (IL) 402, TLC 1-FP (IL) 708, TLC 1-SCR (IL) 0510

I C 5/1/2003 67121 IL 63.30% 63.30% 8/31/2015 2/28/2017 To be implemented as three biannual increases that vary by premium schedule

907 LI 1-FP (IL) 402 I C 1/7/2003 10/2/2008 Life Investors Insurance Company of America

64130 IL 63.30% 63.30% 8/31/2015 2/28/2017 To be implemented as three biannual increases that vary by premium schedule

908 TOL 1-FP (IL) 402 I C 12/20/2000 10/1/2008 Transamerica Occidental Life Insurance Company

67121 IL 63.30% 63.30% 8/31/2015 2/28/2017 To be implemented as three biannual increases that vary by premium schedule

909 GCC 1 387 (GCC 1 387 CERT)

G D, F 05/26/87 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




910 GCC 1 387 (GCC 1 387 CERT)

G D, F 05/26/87 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater


64130 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


64130 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater

913 LI-LTCP (IN) 192 I D E F 03/04/93 10/2/2008 Life Investors Insurance Company of America


914 LI-LTCP (IN) 192 I D E F 03/04/93 10/2/2008 Life Investors Insurance Company of America


915 LI-LTCP TQ (IN) 197 I A C 02/11/94 10/2/2008 Life Investors Insurance Company of America










As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




919 FLEX 2 (IN) 196 I D, F 04/05/99 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

920 FLEX 2 (IN) 196 I D, F 04/05/99 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater

921 FTQ (IN) 197 I A, C 12/31/96 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

922 FTQ (IN) 197 I A, C 12/31/96 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater







926 GCPLUS 1290 (IN) and GCPLUS 2 1290 (IN)









929 GCPLUS 1290 (IN2), GCPLUS 2 1290 (IN2) and GCPLUS 2 1290 (IN2) (REV. 8/94), GCPRO-III TQ ILTCP (IN) 197, LIPS-NHP (IN) 994 and LIPS-LTCP (IN) 192

P D F 07/26/91 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




930 GCPLUS 1290 (IN2), GCPLUS 2 1290 (IN2) and GCPLUS 2 1290 (IN2) (REV. 8/94), GCPRO-III TQ ILTCP (IN) 197, LIPS-NHP (IN) 994 and LIPS-LTCP (IN) 192

P D F 07/26/91 12/31/2001 Bankers United Life Assurance Company


931 GLTP 2 1289 & GHHC 1 189(GLTC 2 1289, GLTC 2 1290 & GHHC 1 189 CERT

G D, F 01/06/89 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

932 GLTP 2 1289 & GHHC 1 189(GLTC 2 1289, GLTC 2 1290 & GHHC 1 189 CERT

G D, F 01/06/89 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater

933 LTC 3 (IN) 1091 (REV93), LTC 3R (IN) 1091 (REV93)

I D E F 10/07/88 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

934 LTC 3 (IN) 1091 (REV93), LTC 3R (IN) 1091 (REV93)

I D E F 10/07/88 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater

935 LTC 5 (IN) 196, LTC 5 (IN) 196

I D F 11/25/97 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

936 LTC 5 (IN) 196, LTC 5 (IN) 196

I D F 11/25/97 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater

937 LTC 5 TQ (IN) 1096, LTC 5 TQ (IN) 1096

I A C 11/25/94 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

938 LTC 5 TQ (IN) 1096, LTC 5 TQ (IN) 1096

I A C 11/25/94 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater

939 3122 (00) 288 (3132 (00) 288)

G D F 09/05/88 IN 15%-25% 15%-25% 3/13/2009 5/15/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

940 3122 (00) 288 (3132 (00) 288)

G D F 09/05/88 IN 14.00% 14.00% 7/13/2010 7/6/2011 9/6/2011 Applies only to benefit periods 6 years and greater

941 GP001 796 (GC001 (IN) 796)



942 GCPRO -II (IN) 794 I D E F 05/27/96 12/31/2001 Bankers United Life Assurance Company

61387 IN 25.00% 25.00% 7/2/2007 8/28/2007 1/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved








945 GCPRO-III TQ (IN) 197 I A B C 06/04/90 12/31/2001 Bankers United Life Assurance Company






948 GCPRO 193 (IN) and GCPRO (IN) 794













953 1-820 17-191, 1-822 17-191





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




954 1-820 17-191, 1-822 17-191



955 LTC-104-194-IN, LTC-105-194-IN, LTC-106-194-IN



956 LTC-104-194-IN, LTC-105-194-IN, LTC-106-194-IN



957 LTC 124-197-IN I A B C 12/13/96 10/1/2008 Transamerica Occidental Life Insurance Company


958 LTC 124-197-IN I A B C 12/13/96 10/1/2008 Transamerica Occidental Life Insurance Company


959 LTC 304-198-IN, LTC 305-198-IN



960 LTC 304-198-IN, LTC 305-198-IN



961 KLTCP 1 (KS) 790 I D E F 08/21/91 10/2/2008 Life Investors Insurance Company of America

64130 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/2008 Applies only to benefit periods 4 years and greater


64130 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


64130 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer


64130 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 KS 79.00% 0.00% 1/26/2016

966 LI-LTCP (KS) 192 and LI-LTCP (KS) 296











64130 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013



64130 KS 79.00% 0.00% 1/26/2016

971 LI-LTCP TQ (KS) 197 I A C 10/15/96 10/2/2008 Life Investors Insurance Company of America




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013


64130 KS 79.00% 0.00% 1/26/2016








64130 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013


64130 KS 79.00% 0.00% 1/26/2016

981 IP-71-KS-494, IP-71-KS-796

I D, F 01/04/90 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




982 IP-71-KS-494, IP-71-KS-796

I D, F 01/04/90 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

983 IP-71-KS-494, IP-71-KS-796

I D, F 01/04/90 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer

984 IP-71-KS-494, IP-71-KS-796

I D, F 01/04/90 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013

985 IP-71-KS-494, IP-71-KS-796

I D, F 01/04/90 KS 79.00% 0.00% 1/26/2016

986 FLEX 2 (KS) 196 I D, F 10/5/1999 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/2008987 FLEX 2 (KS) 196 I D, F 10/5/1999 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and


988 FLEX 2 (KS) 196 I D, F 10/5/1999 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer

989 FLEX 2 (KS) 196 I D, F 10/5/1999 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013990 FLEX 2 (KS) 196 I D, F 10/5/1999 KS 79.00% 0.00% 1/26/2016991 FTQ (KS) 197 I A, C 10/17/90 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/2008992 FTQ (KS) 197 I A, C 10/17/90 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and


993 FTQ (KS) 197 I A, C 10/17/90 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer

994 FTQ (KS) 197 I A, C 10/17/90 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013995 FTQ (KS) 197 I A, C 10/17/90 KS 79.00% 0.00% 1/26/2016996 LTCP (KS) 690 I D F 04/19/91 12/31/2001 Bankers United



997 LTCP (KS) 690 I D F 04/19/91 12/31/2001 Bankers United Life Assurance Company





61387 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013


61387 KS 79.00% 0.00% 1/26/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1001 GCPLUS 1290 (KS), GCPLUS 1290 (KS2), GCPLUS 2 1290 (KS) and GCPLUS 2 1290 (KS2)











61387 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013



61387 KS 79.00% 0.00% 1/26/2016

1006 6122 (KS) 189 I D F 07/12/89 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/20081007 6122 (KS) 189 I D F 07/12/89 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and


1008 6122 (KS) 189 I D F 07/12/89 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer

1009 6122 (KS) 189 I D F 07/12/89 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/20131010 6122 (KS) 189 I D F 07/12/89 KS 79.00% 0.00% 1/26/20161011 LTC 2 (KS) 390 and LTC 2

(KS) 591I D, F 08/29/89 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/2008

1012 LTC 2 (KS) 390 and LTC 2 (KS) 591

I D, F 08/29/89 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1013 LTC 2 (KS) 390 and LTC 2 (KS) 591

I D, F 08/29/89 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1014 LTC 2 (KS) 390 and LTC 2 (KS) 591

I D, F 08/29/89 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013

1015 LTC 2 (KS) 390 and LTC 2 (KS) 591

I D, F 08/29/89 KS 79.00% 0.00% 1/26/2016

1016 LTC 3 (KS) 1091, LTC 3 (KS) 1091 (REV93), LTC 3R (KS) 1091, LTC 3R (KS) 1091 (REV93)

I D E F 08/17/89 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/2008


I D E F 08/17/89 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D E F 08/17/89 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer


I D E F 08/17/89 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013


I D E F 08/17/89 KS 79.00% 0.00% 1/26/2016

1021 LTC 5 (KS) 196 I D,F 05/12/93 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/20081022 LTC 5 (KS) 196 I D,F 05/12/93 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and


1023 LTC 5 (KS) 196 I D,F 05/12/93 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer

1024 LTC 5 (KS) 196 I D,F 05/12/93 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/20131025 LTC 5 (KS) 196 I D,F 05/12/93 KS 79.00% 0.00% 1/26/20161026 LTC 5 TQ (KS) 1096 I A C 08/12/94 KS 25.00% 15.00% 6/4/2007 9/17/2007 1/1/20081027 LTC 5 TQ (KS) 1096 I A C 08/12/94 KS 15%-25% 15%-25% 3/19/2009 8/4/2009 11/1/2009 Varies by type of inflation benefit and


1028 LTC 5 TQ (KS) 1096 I A C 08/12/94 KS 14.00% 10.00% 11/5/2010 5/26/2011 8/7/2011 Applies only to benefit periods 6 years and longer

1029 LTC 5 TQ (KS) 1096 I A C 08/12/94 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/20131030 LTC 5 TQ (KS) 1096 I A C 08/12/94 KS 79.00% 0.00% 1/26/20161031 NLTCP TQ (KS) 297 I A B C 04/09/97 10/2/2008 Life Investors





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1032 NLTCP TQ (KS) 297 I A B C 04/09/97 10/2/2008 Life Investors Insurance Company of America





64130 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013


64130 KS 79.00% 0.00% 1/26/2016

1036 GCPRO-II (KS) 794, GCPRO-II (KS) 296 and GCPRO-II (KS) 896


61387 KS 25.00% 15.00% 6/4/2007 9/17/2007 2/1/2008









61387 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013



61387 KS 79.00% 0.00% 1/26/2016

1041 GCPRO-III TQ (KS) 197 and GCPRO-III TQ FO (KS) 197








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013



61387 KS 79.00% 0.00% 1/26/2016

1046 GCPRO 193 (KS), GCPRO (KS) 296 and GCPRO (KS) 896











61387 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013



61387 KS 79.00% 0.00% 1/26/2016






67121 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





67121 KS 79.00% 0.00% 1/26/2016

1055 1-820 19-191, 1-822 19-191, 1-820 19-193 and 1-822 19-193



1056 1-820 19-191, 1-822 19-191, 1-820 19-193 and 1-822 19-193



1057 1-820 19-191, 1-822 19-191, 1-820 19-193 and 1-822 19-193


67121 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013

1058 1-820 19-191, 1-822 19-191, 1-820 19-193 and 1-822 19-193


67121 KS 79.00% 0.00% 1/26/2016

1059 LTC 124-197-KS I A B C 01/06/98 10/1/2008 Transamerica Occidental Life Insurance Company





67121 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013


67121 KS 79.00% 0.00% 1/26/2016

1063 LTC 304-198-KS and LTC 305-198-KS



1064 LTC 304-198-KS and LTC 305-198-KS





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1065 LTC 304-198-KS and LTC 305-198-KS


67121 KS 17.00% 10.00% 11/26/2012 5/29/2013 10/1/2013

1066 LTC 304-198-KS and LTC 305-198-KS


67121 KS 79.00% 0.00% 1/26/2016

1067 TLC 1-FP (KS) 1001, TLC 1-FP (KS) 1102

I C 7/13/2009 KS 63.30% 0.00% 1/29/2016

1068 LI 1-FP (KS) 1001 and LI 1-FP (KS) 1102


64130 KS 63.30% 0.00% 1/29/2016

1069 TOL 1-FP (KS) 1001,TOL 1-FP (KS) 1102


67121 KS 63.30% 0.00% 1/29/2016


64130 KY 25.00% 25.00% 10/7/2008 1/28/2009 11/1/2010 Facility only: Applies only to benefit periods 4 years and greater. Comprehensive: applies only to benefit periods 6 years or greater.


64130 KY 126.00% 0.00% 6/22/2017

1072 LI-GRP-LTCP (KY) 1096 (LI-GRP-LTCC (KY) 1096)


64130 KY 25.00% 25.00% 6/26/2007 10/3/2007 2/1/2008 Applies only to benefit periods 4 years and greater






64130 KY 126.00% 0.00% 6/22/2017

1075 LI-LTCP (KY) 192 and LI-LTCP (KY) 393





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 KY 25.00% 25.00% 10/7/2008 1/28/2009 11/1/2010 Facility only: Applies only to benefit periods 4 years and greater. Comprehensive: applies only to benefit periods 6 years or greater.



64130 KY 126.00% 0.00% 6/22/2017

1078 LI-LTCP TQ (KY) 197 I A C 11/15/94 10/2/2008 Life Investors Insurance Company of America



64130 KY 126.00% 0.00% 6/22/2017




64130 KY 126.00% 0.00% 6/22/2017

1082 IP-70-KY-494, IP-71-KY-494, IP-72-KY-494, IP-73-KY-494

I D, F 02/13/95 KY 25.00% 25.00% 6/26/2007 12/3/2007 3/1/2008


I D, F 02/13/95 KY 15%-25% 15%-25% 4/2/2009 6/29/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D, F 02/13/95 KY 14.00% 14.00% 11/18/2010 2/16/2011 6/1/2011 Applies only to benefit periods 6 years and greater


I D, F 02/13/95 KY 126.00% 0.00% 6/7/2017

1086 FLEX 2 (KY) 196 I D, F 09/16/96 KY 25.00% 25.00% 6/26/2007 12/3/2007 3/1/20081087 FLEX 2 (KY) 196 I D, F 09/16/96 KY 15%-25% 15%-25% 4/2/2009 6/29/2009 10/1/2009 Varies by type of inflation benefit and


1088 FLEX 2 (KY) 196 I D, F 09/16/96 KY 14.00% 14.00% 11/18/2010 2/16/2011 6/1/2011 Applies only to benefit periods 6 years and greater

1089 FLEX 2 (KY) 196 I D, F 09/16/96 KY 126.00% 0.00% 6/7/20171090 FTQ 197 I A, C 10/18/96 KY 25.00% 25.00% 6/26/2007 12/3/2007 3/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1091 FTQ 197 I A, C 10/18/96 KY 15%-25% 15%-25% 4/2/2009 6/29/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1092 FTQ 197 I A, C 10/18/96 KY 14.00% 14.00% 11/18/2010 2/16/2011 6/1/2011 Applies only to benefit periods 6 years and greater

1093 FTQ 197 I A, C 10/18/96 KY 126.00% 0.00% 6/7/20171094 LTCP 889 I D F 11/12/90 12/31/2001 Bankers United




61387 KY 15%-25% 15%-25% 11/18/2010 2/16/2011 6/29/2011 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater




61387 KY 126.00% 0.00% 6/7/2017

1098 GCPLUS 1290, GCPLUS 2 1290



1099 GCPLUS 1290, GCPLUS 2 1290



1100 GCPLUS 1290, GCPLUS 2 1290



1101 GCPLUS 1290, GCPLUS 2 1290


61387 KY 126.00% 0.00% 6/7/2017


G D, F 08/10/90 KY 25.00% 25.00% 6/26/2007 9/21/2007 1/1/2008


G D, F 08/10/90 KY 15%-25% 15%-25% 4/2/2009 5/12/2009 11/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





G D, F 08/10/90 KY 14.00% 14.00% 11/18/2010 2/16/2011 6/1/2011 Applies only to benefit periods 6 years and greater


G D, F 08/10/90 KY 126.00% 0.00% 6/7/2017

1106 LTC 3 1091, LTC 3 1091 (REV92), LTC 3 1091 (REV93), LTC 3R 1091,LTC 3R 1091 (REV92), LTC 3R 1091 (REV93)

I D E F 12/12/91 KY 25.00% 25.00% 6/26/2007 12/3/2007 3/1/2008


I D E F 12/12/91 KY 15%-25% 15%-25% 4/2/2009 6/29/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D E F 12/12/91 KY 14.00% 14.00% 11/18/2010 2/16/2011 6/1/2011 Applies only to benefit periods 6 years and greater


I D E F 12/12/91 KY 126.00% 0.00% 6/7/2017


G D E F 07/31/90 KY 25.00% 25.00% 6/26/2007 9/21/2007 1/1/2008

1111 LTC 5 (KY) 196, LTC 5 (KY) 196

I D F 09/25/96 KY 25.00% 25.00% 6/26/2007 12/3/2007 3/1/2008

1112 LTC 5 (KY) 196, LTC 5 (KY) 196

I D F 09/25/96 KY 15%-25% 15%-25% 4/2/2009 6/29/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1113 LTC 5 (KY) 196, LTC 5 (KY) 196

I D F 09/25/96 KY 14.00% 14.00% 11/18/2010 2/16/2011 6/1/2011 Applies only to benefit periods 6 years and greater

1114 LTC 5 (KY) 196, LTC 5 (KY) 196

I D F 09/25/96 KY 126.00% 6/7/2017

1115 LTC 5 TQ (KY) 1096, LTC 5 TQ (KY) 1096

I A C 12/12/96 KY 25.00% 25.00% 6/26/2007 12/3/2007 3/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1116 LTC 5 TQ (KY) 1096, LTC 5 TQ (KY) 1096

I A C 12/12/96 KY 15%-25% 15%-25% 4/2/2009 6/29/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1117 LTC 5 TQ (KY) 1096, LTC 5 TQ (KY) 1096

I A C 12/12/96 KY 14.00% 14.00% 11/18/2010 2/16/2011 6/1/2011 Applies only to benefit periods 6 years and greater

1118 LTC 5 TQ (KY) 1096, LTC 5 TQ (KY) 1096

I A C 12/12/96 KY 156.00% 0.00% 6/7/2017

1119 3122 (00) 288 (3132 (00) 288)

G D F 10/03/88 KY 25.00% 25.00% 6/26/2007 9/21/2007 1/1/2008

1120 3122 (00) 288 (3132 (00) 288)

G D F 10/03/88 KY 15%-25% 15%-25% 4/2/2009 5/12/2009 11/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1121 3122 (00) 288 (3132 (00) 288)

G D F 10/03/88 KY 14.00% 14.00% 11/18/2010 2/16/2011 6/1/2011 Applies only to benefit periods 6 years and greater

1122 3122 (00) 288 (3132 (00) 288)

G D F 10/03/88 KY 126.00% 0.00% 6/7/2017






64130 KY 126.00% 0.00% 6/17/2017

1126 GCPRO-II (KY) 794 I D E F 05/22/95 12/31/2001 Bankers United Life Assurance Company







61387 KY 126.00% 0.00% 6/7/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved











61387 KY 126.00% 0.00% 6/7/2017








61387 KY 126.00% 0.00% 6/7/2017







As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





67121 KY 126.00% 0.00% 6/7/2017

1141 1-820 11-191, 1-822 11-191, 1-820 20-191, 1-822 20-191



1142 1-820 11-191, 1-822 11-191, 1-820 20-191, 1-822 20-191



1143 1-820 11-191, 1-822 11-191, 1-820 20-191, 1-822 20-191


67121 KY 126.00% 0.00% 6/7/2017

1144 LTC-104-194-KY, LTC-105-194-KY, LTC-106-194-KY








67121 KY 126.00% 0.00% 6/7/2017

1147 LTC-100 20-193 I D F 01/04/94 10/1/2008 Transamerica Occidental Life Insurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







67121 KY 126.00% 0.00% 6/7/2017

1150 LTC 124-197-KY I A B C 01/04/96 10/1/2008 Transamerica Occidental Life Insurance Company





67121 KY 126.00% 0.00% 6/7/2017

1153 LTC 304-198-KY, LTC 305-198-KY



1154 LTC 304-198-KY, LTC 305-198-KY



1155 LTC 304-198-KY, LTC 305-198-KY


67121 KY 126.00% 0.00% 6/7/2017

1156 TLC 1-FP (KY) 402, TLC 1-FP (KY-P) 809, TLC 1-SC-R 0510

I C 11/1/2003 KY 63.30% 63.30% 4/22/2016 6/27/2016

1157 LI 1-FP (KY) 402 I C 3/1/2003 10/2/2008 Life Investors Insurance Company of America

64130 KY 63.30% 63.30% 4/22/2016 6/27/2016

1158 TOL 1-FP (KY) 402 I C 1/14/2003 10/1/2008 Transamerica Occidental Life Insurance Company

67121 KY 63.30% 63.30% 4/22/2016 6/27/2016

1159 KLTCP 1 190 and KLTCP 1 (LA) 590


64130 LA 25.00% 25.00% 11/30/2007 3/1/2008 5/1/2008 Applies only to benefit periods 4 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 LA 15%-25% 15%-25% 11/11/2009 3/29/2010 7/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



64130 LA 101.00% 0.00% 3/27/2017

1162 LI-LTCP 192 and LI-LTCP TQ (LA) 1293








64130 LA 101.00% 0.00% 3/27/2017

1165 LI-LTCP TQ (LA) 197 I A C 03/06/95 10/2/2008 Life Investors Insurance Company of America





64130 LA 101.00% 0.00% 3/27/2017






64130 LA 101.00% 0.00% 3/27/2017

1171 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494

I D, F 02/09/95 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1172 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494

I D, F 02/09/95 LA 15%-25% 15%-25% 7/9/2009 9/21/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1173 IP-70-00-494, IP-71-00-494, IP-72-00-494, IP-73-00-494

I D, F 02/09/95 LA 101.00% 0.00% 3/27/2017

1174 FLEX 2 (LA) 196, FLEX 2 (LA) 198

I D, F 01/21/97 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/2008

1175 FLEX 2 (LA) 196, FLEX 2 (LA) 198

I D, F 01/21/97 LA 15%-25% 15%-25% 7/9/2009 9/21/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1176 FLEX 2 (LA) 196, FLEX 2 (LA) 198

I D, F 01/21/97 LA 101.00% 0.00% 3/27/2017

1177 FTQ (LA) 197 I A, C 01/21/97 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/20081178 FTQ (LA) 197 I A, C 01/21/97 LA 15%-25% 15%-25% 7/9/2009 9/21/2009 1/1/2010 Varies by type of inflation benefit and


1179 FTQ (LA) 197 I A, C 01/21/97 LA 101.00% 0.00% 3/27/20171180 LTCP 889 and LTCP (LA)

590I D F 05/14/91 12/31/2001 Bankers United



1181 GCPLUS 1290, GCPLUS 2 1290



1182 GCPLUS 1290, GCPLUS 2 1290



1183 GCPLUS 1290, GCPLUS 2 1290


61387 LA 101.00% 0.00% 3/27/2017

1184 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 03/06/91 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/2008

1185 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 03/06/91 LA 101.00% 0.00% 3/27/2017

1186 LTC 3 1091 (B), LTC 3 (LA) 1091 (REV93), LTC 3R 1091 (B), LTC 3R (LA) 1091 (REV93)

I D E F 05/04/92 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/2008


I D E F 05/04/92 LA 15%-25% 15%-25% 7/9/2009 9/21/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 05/04/92 LA 101.00% 0.00% 3/27/2017


G D E F 07/01/91 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/2008


G D E F 07/01/91 LA 101.00% 0.00% 3/27/2017

1191 LTC 5 (LA) 196, LTC 5 (LA) 198, LTC 5 (LA) 198

I D F 01/31/97 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/2008


I D F 01/31/97 LA 15%-25% 15%-25% 7/9/2009 9/21/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D F 01/31/97 LA 101.00% 0.00% 3/27/2017

1194 LTC 5 TQ (LA) 1096, LTC 5 TQ (LA) 1096

I A C 11/06/97 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/2008

1195 LTC 5 TQ (LA) 1096, LTC 5 TQ (LA) 1096

I A C 11/06/97 LA 15%-25% 15%-25% 7/9/2009 9/21/2009 1/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1196 LTC 5 TQ (LA) 1096, LTC 5 TQ (LA) 1096

I A C 11/06/97 LA 101.00% 0.00% 3/27/2017

1197 3122 (00) 288 (3132 (00) 288)

G D F 11/05/88 LA 25.00% 25.00% 8/10/2007 9/13/2007 1/1/2008

1198 3122 (00) 288 (3132 (00) 288)

G D F 11/05/88 LA 101.00% 0.00% 3/27/2017







As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1201 GCPRO-II (LA) 794 I D E F 10/30/96 12/31/2001 Bankers United Life Assurance Company





61387 LA 101.00% 0.00% 3/27/2017






61387 LA 101.00% 0.00% 3/27/2017






61387 LA 101.00% 0.00% 3/27/2017

1210 1-812-22-190 I D F 02/07/91 10/1/2008 Transamerica Occidental Life Insurance Company


1211 1-812-22-190 I D F 02/07/91 10/1/2008 Transamerica Occidental Life Insurance Company

67121 LA 150.00% 0.00% 3/27/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1212 1-820 11-191, 1-822 11-191



1213 1-820 11-191, 1-822 11-191


67121 LA 150.00% 0.00% 3/27/2017

1214 LTC-104-194, LTC-105-194, LTC-106-194



1215 LTC-104-194, LTC-105-194, LTC-106-194


67121 LA 150.00% 0.00% 3/27/2017



1217 LTC 124-197-LA I A B C 12/19/96 10/1/2008 Transamerica Occidental Life Insurance Company


1218 LTC 124-197-LA I A B C 12/19/96 10/1/2008 Transamerica Occidental Life Insurance Company

67121 LA 150.00% 0.00% 3/27/2017

1219 LTC 304-198-LA, LTC 305-198-LA



1220 LTC 304-198-LA, LTC 305-198-LA


67121 LA 150.00% 0.00% 3/27/2017

1221 LI-GLTCP 193, LI-GLTCP 194 (LI-GLTC 193, LI-GLTC 194, LI-GLTC (NS) 695)

G D,E, F 12/30/92 10/2/2008 Life Investors Insurance Company of America

64130 MA 25.00% 25.00% 9/19/2007 10/18/2007 2/1/2008 Applies only to benefit periods 4 years and greater

1222 LILTCPTQMA197 I A C 04/23/93 10/2/2008 Life Investors Insurance Company of America

64130 MA 137.00% 0.00% 2/5/2016

1223 FPTQ (MA) 197, FPTQ(MA)99, FPTQ(MA-MH)99

I A, C 04/08/97 MA 137.00% 0.00% 2/5/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1224 LTC 3 (MA) 1091 (REV92), LTC 3R (MA) 1091 (REV92)

I D E F 4/28/93 MA 137.00% 0.00% 2/5/2016

1225 GLTP 3 1091 and GLTP 3R 1091 (GLTC 3 1091 and GLTC 3R 1091)

G D E F 11/05/92 MA 15%-25% 15%-25% 3/3/2009 5/12/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


G D E F 11/05/92 MA 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater


G D E F 11/05/92 MA 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013

1228 LTC 5 MA 196 I D F 02/25/97 MA 137.00% 0.00% 2/5/2016

1229 LTC5TQMA1096, L5TQ(MA)99, L5TQ(MA-MH)99

I A C 07/18/97 MA 137.00% 0.00% 2/5/2016

1230 3122 (00) 288 (3132 (00) 288)

G D F 08/12/89 MA 15%-25% 15%-25% 3/3/2009 3/11/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1231 3122 (00) 288 (3132 (00) 288)

G D F 08/12/89 MA 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1232 3122 (00) 288 (3132 (00) 288)

G D F 08/12/89 MA 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013

1233 GCPROIICMA 794 I D E F 11/11/95 12/31/2001 Bankers United Life Assurance Company

61387 MA 20.00% 20.00% 12/18/2006 8/22/2007 2/1/2008

1234 GCPROIICMA 794 I D E F 11/11/95 12/31/2001 Bankers United Life Assurance Company

61387 MA 137.00% 0.00% 2/5/2016

1235 PR3TQNHHCMA, PR3TQHHCMA97, PR3TQLTCMA999 and PR3TQHHCMA999


61387 MA 20.00% 20.00% 12/18/2006 8/22/2007 2/1/2008 Applies only to benefit periods 4 years and greater

1236 PR3TQNHHCMA, PR3TQHHCMA97, PR3TQLTCMA999 and PR3TQHHCMA999


61387 MA 137.00% 0.00% 2/5/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1237 GCPRO-C (MA) 193 I D E F 10/13/95 12/31/2001 Bankers United Life Assurance Company

61387 MA 137.00% 0.00% 2/5/2016

1238 LTC-104-194-MA & LTC-106-194-MA


67121 MA 137.00% 0.00% 2/5/2016

1239 LTC 124-197-MA, LTC 124-199-MA, LTC-126-197-MA & LTC-126-199-MA


67121 MA 137.00% 0.00% 2/5/2016

1240 LTC 304-198-MA & LTC 304-199-MA


67121 MA 137.00% 0.00% 2/5/2016

1241 TLC 1-FP (MA) 402, TLC 1-FP (MAMH) 402, TLC 1-SC-R 0510,TOL 1-FP (MA) 402,TOL 1-FP (MAMH) 402, LI 1-FP (MA) 402and LI 1-FP (MAMH) 402

I C 5/1/2004 MA 63.30% 0.00% 7/7/2016

1242 KLTCP 1 (MD) 690 I D E F 07/10/91 10/2/2008 Life Investors Insurance Company of America

64130 MD 25.00% 20.00% 2/18/2008 8/15/2008 12/1/2008 Applies only to benefit periods 4 years and greater and with application dates prior to 10/1/2002


64130 MD 15%-25% 20.00% 8/14/2009 11/10/2009 2/1/2010 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater


64130 MD 14.00% 14.00% 1/28/2011 7/12/2011 10/1/2011 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater


64130 MD 17.00% 15.00% 2/11/2013 7/18/2013 11/1/2013 Applies only to policies with issue dates prior to 10/1/2002


64130 MD 70.00% 0.00% 6/25/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1247 LI-LTCP (MD) 192 and LI-LTCP (MD2) 192














64130 MD 70.00% 0.00% 6/25/2016

1252 LI-LTCP TQ (MD) 197 I A C 02/18/97 10/2/2008 Life Investors Insurance Company of America









64130 MD 70.00% 0.00% 6/25/2016





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved











64130 MD 70.00% 0.00% 6/25/2016

1262 FTQ (MD) 197 I A,C 04/18/00 MD 20.00% 20.00% 2/12/2008 8/15/2008 12/1/2008 RINC only policies with application dates prior to 10/1/2002

1263 FTQ (MD) 197 I A,C 04/18/00 MD 15%-25% 20.00% 8/14/2009 11/10/2009 2/1/2010 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater

1264 FTQ (MD) 197 I A,C 04/18/00 MD 14.00% 14.00% 1/28/2011 7/12/2011 10/1/2011 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater

1265 FTQ (MD) 197 I A,C 04/18/00 MD 17.00% 15.00% 2/11/2013 7/18/2013 11/1/2013 Applies only to policies with issue dates prior to 10/1/2002

1266 FTQ (MD) 197 I A,C 04/18/00 MD 70.00% 0.00% 6/25/20161267 LTCP (MD) 690 I D F 04/23/91 12/31/2001 Bankers United



1268 LTCP (MD) 690 I D F 04/23/91 12/31/2001 Bankers United Life Assurance Company








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





61387 MD 70.00% 0.00% 6/25/2016

1272 GLTP 2 1289 & GHHC 1 189(GLTC 2 1290 & GHHC 1 189 CERT)

G D, F 08/09/91 MD 20.00% 20.00% 2/12/2008 8/15/2008 12/1/2008 RINC only policies with application dates prior to 10/1/2002


G D, F 08/09/91 MD 15%-25% 20.00% 8/14/2009 11/10/2009 2/1/2010 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater


G D, F 08/09/91 MD 17.00% 15.00% 2/11/2013 7/18/2013 11/1/2013 Applies only to policies with issue dates prior to 10/1/2002


G D, F 08/09/91 MD 70.00% 0.00% 6/25/2016

1276 GLTP 3 1091 & GLTP 3R 1091(GLTC 3 1091 & GLTC 3R 1091)

G D E F 12/05/91 MD 20.00% 20.00% 2/12/2008 8/15/2008 12/1/2008 RINC only policies with application dates prior to 10/1/2002


G D E F 12/05/91 MD 15%-25% 20.00% 8/14/2009 11/10/2009 2/1/2010 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater


G D E F 12/05/91 MD 17.00% 15.00% 2/11/2013 7/18/2013 11/1/2013 Applies only to policies with issue dates prior to 10/1/2002


G D E F 12/05/91 MD 70.00% 0.00% 6/25/2016

1280 LTC 3 (MD) 1091 (REV92), LTC 3R (MD) 1091 (REV92)

I D E F 03/06/91 MD 20.00% 20.00% 2/12/2008 8/15/2008 12/1/2008 RINC only policies with application dates prior to 10/1/2002


I D E F 03/06/91 MD 15%-25% 20.00% 8/14/2009 11/10/2009 2/1/2010 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater


I D E F 03/06/91 MD 14.00% 14.00% 1/28/2011 7/12/2011 10/1/2011 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater


I D E F 03/06/91 MD 17.00% 15.00% 2/11/2013 7/18/2013 11/1/2013 Applies only to policies with issue dates prior to 10/1/2002


I D E F 03/06/91 MD 70.00% 0.00% 6/25/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1285 LTC 5 TQ (MD) 1096 I A C 09/18/99 MD 20.00% 20.00% 2/12/2008 8/15/2008 12/1/2008 RINC only policies with application dates prior to 10/1/2002

1286 LTC 5 TQ (MD) 1096 I A C 09/18/99 MD 15%-25% 20.00% 8/14/2009 11/10/2009 2/1/2010 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater

1287 LTC 5 TQ (MD) 1096 I A C 09/18/99 MD 14.00% 14.00% 1/28/2011 7/12/2011 10/1/2011 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater

1288 LTC 5 TQ (MD) 1096 I A C 09/18/99 MD 17.00% 15.00% 2/11/2013 7/18/2013 11/1/2013 Applies only to policies with issue dates prior to 10/1/2002

1289 LTC 5 TQ (MD) 1096 I A C 09/18/99 MD 70.00% 0.00% 6/25/2016

1290 3122 (00) 288 (3132 (00) 288)

G D F 12/06/88 MD 20.00% 20.00% 2/12/2008 8/15/2008 12/1/2008 RINC only policies with application dates prior to 10/1/2002

1291 3122 (00) 288 (3132 (00) 288)

G D F 12/06/88 MD 15%-25% 20.00% 8/14/2009 11/10/2009 2/1/2010 Applies only to policies with issue dates prior to 10/1/2002 and benefit periods 6 years and greater

1292 3122 (00) 288 (3132 (00) 288)

G D F 12/06/88 MD 17.00% 15.00% 2/11/2013 7/18/2013 11/1/2013 Applies only to policies with issue dates prior to 10/1/2002

1293 3122 (00) 288 (3132 (00) 288)

G D F 12/06/88 MD 70.00% 0.00% 6/25/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1294 GP001 796 (GC001-NH (MD) 796, GC001-LTC (MD) 796 and GC001-HCC (MD) 796)








64130 MD 14.00% 14.00% 10/29/2010 8/2/2011 10/2/2012 Applies only to benefit periods 6 years and greater






64130 MD 70.00% 0.00% 6/27/2016

1299 GCPRO-III TQ LTC (MD) 497 and GCPRO-III TQ HHC (MD) 497














As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






61387 MD 70.00% 0.00% 6/25/2016

1304 LTC-104-194-MD, LTC-105-194-MD and LTC-106-194-MD











67121 MD 70.00% 0.00% 6/25/2016

1308 LTC 124-197-MD, LTC 125-197-MD and LTC 126-197-MD











67121 MD 70.00% 0.00% 6/25/2016

1312 LTC 304-198-MD and LTC 305-198-MD



1313 LTC 304-198-MD and LTC 305-198-MD





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1314 LTC 304-198-MD and LTC 305-198-MD



1315 LTC 304-198-MD and LTC 305-198-MD


67121 MD 70.00% 0.00% 6/25/2016

1316 TLC 1-FP (MD) 402, TOL 1-FP (MD) 402 and LI 1-FP (MD) 402

I C 2/6/2004 MD 65.00% 0.00% 7/7/2016

1317 LI-LTCP (ME) 192 I D E F 08/22/97 10/2/2008 Life Investors Insurance Company of America

64130 ME 25.00% 25.00% 1/16/2008 1/16/2008 5/1/2008 Applies only to benefit periods 4 years and greater

1318 LI-LTCP NHCC TQ (ME) 898, LI-LTCP NHHC TQ(ME) 898, LI-LTCP NHALF TQ (ME) 898, and LI-LTCP NH TQ (ME) 898



1319 LI-LTCP NHCC TQ (ME) 898, LI-LTCP NHHC TQ(ME) 898, LI-LTCP NHALF TQ (ME) 898, and LI-LTCP NH TQ (ME) 898


64130 ME 72.00% 0.00% 4/26/2017

1320 FLEX 2 (ME) 196, FLEX 2 HCC (ME) 196, FLEX 2 HCC (ME) 1097

I D, F 03/20/98 ME 25.00% 25.00% 12/17/2007 1/16/2008 5/1/2008

1321 FLEX 2 (ME) 196, FLEX 2 HCC (ME) 196, FLEX 2 HCC (ME) 1097

I D, F 03/20/98 ME 72.00% 0.00% 4/26/2017

1322 FTQ (ME) 197, FPTQ (ME) 197

I A,C 11/09/98 ME 25.00% 25.00% 12/17/2007 1/16/2008 5/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1323 FTQ (ME) 197, FPTQ (ME) 197

I A,C 11/09/98 ME 72.00% 0.00% 4/26/2017

1324 LTC 5 TQ (ME) 1096, LTC 5 TQ (ME) 1097, LTC 5 TQ (ME) 1197, LTC 5 TQ FO (ME) 498

I A C 04/27/98 ME 25.00% 25.00% 12/17/2007 1/16/2008 5/1/2008

1325 LTC 5 TQ (ME) 1096, LTC 5 TQ (ME) 1097, LTC 5 TQ (ME) 1197, LTC 5 TQ FO (ME) 498

I A C 04/27/98 ME 72.00% 0.00% 4/26/2017

1326 GP001 796 (GC001 796, GC001 (ME) 796, GC001 (ME) 499)



1327 GP001 796 (GC001 796, GC001 (ME) 796, GC001 (ME) 499)


64130 ME 72.00% 0.00% 4/26/2017

1328 GCPRO-II-C (ME) 794 and GCPRO-II (ME) 794



1329 GCPRO-II-C (ME) 794 and GCPRO-II (ME) 794


61387 ME 72.00% 0.00% 4/26/2017

1330 GCPRO-III TQ LTC (ME) 197, GCPRO-III TQ NH (ME) 197, CPRO-III TQ HHC (ME) 197



1331 GCPRO-III TQ LTC (ME) 197, GCPRO-III TQ NH (ME) 197, CPRO-III TQ HHC (ME) 197


61387 ME 72.00% 0.00% 4/26/2017

1332 GCPRO (ME) 193 and GCPRO-C (ME) 193



1333 GCPRO (ME) 193 and GCPRO-C (ME) 193


61387 ME 72.00% 0.00% 4/26/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1334 LTC 104-194-ME, LTC 105-194-ME, LTC 106-194-ME


67121 ME 72.00% 0.00% 4/26/2017

1335 LTC 124-197-ME, FCO 125-197-ME, HCO 126-197-ME


67121 ME 72.00% 0.00% 4/26/2017

1336 LTC 304-198-ME, FCO 305-198-ME


67121 ME 72.00% 0.00% 4/26/2017


64130 MI 25.00% 25.00% 8/8/2007 4/16/2008 8/1/2008 Applies only to benefit periods 4 years and greater


64130 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater




64130 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013


64130 MI 64.00% 64.00% 7/3/2017 8/17/2017

1342 LI-LTCP (MI) 192 and LI-LTCP (MI) 693








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013



64130 MI 64.00% 64.00% 7/3/2017 8/17/2017

1347 LI-LTCP TQ (MI) 197 I A C 02/14/97 10/2/2008 Life Investors Insurance Company of America







64130 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013


64130 MI 64.00% 64.00% 7/3/2017 8/17/2017

1352 LI-LTCP TQ COM (MI) 898








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013



64130 MI 64.00% 64.00% 7/3/2017 8/17/2017

1357 IP-71-MI-494 I D, F 11/23/92 MI 25.00% 25.00% 8/9/2007 4/16/2008 8/1/20081358 IP-71-MI-494 I D, F 11/23/92 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and


1359 IP-71-MI-494 I D, F 11/23/92 MI 14.00% 14.00% 7/13/2010 8/3/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1360 IP-71-MI-494 I D, F 11/23/92 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/20131361 IP-71-MI-494 I D, F 11/23/92 MI 64.00% 64.00% 7/3/2017 8/17/20171362 FLEX 2 HCC (MI) 196,

FLEX 2 HH (MI) 196I D, F 09/24/96 MI 25.00% 25.00% 8/9/2007 4/16/2008 8/1/2008

1363 FLEX 2 HCC (MI) 196, FLEX 2 HH (MI) 196

I D, F 09/24/96 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D, F 09/24/96 MI 14.00% 14.00% 7/13/2010 8/3/2010 1/4/2011 Applies only to benefit periods 6 years and greater


I D, F 09/24/96 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013


I D, F 09/24/96 MI 64.00% 64.00% 7/3/2017 8/17/2017

1367 FTQ (MI) 197, FTQ HH (MI) 197

I A,C 11/13/95 MI 25.00% 25.00% 8/9/2007 4/16/2008 8/1/2008

1368 FTQ (MI) 197, FTQ HH (MI) 197

I A,C 11/13/95 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1369 FTQ (MI) 197, FTQ HH (MI) 197

I A,C 11/13/95 MI 14.00% 14.00% 7/13/2010 8/3/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1370 FTQ (MI) 197, FTQ HH (MI) 197

I A,C 11/13/95 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013

1371 FTQ (MI) 197, FTQ HH (MI) 197

I A,C 11/13/95 MI 64.00% 64.00% 7/3/2017 8/17/2017

1372 LTCHP MI 590 I D F 08/22/91 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 MI 17.00% 17.00% 3/28/2013 4/11/2013 9/1/2013


61387 MI 64.00% 64.00% 7/3/2017 8/17/2017

1377 GCPLUS 1290 (MI), GCPLUS 2 1290 (MI) and GCPLUS 2 1290 (MI) - N











61387 MI 17.00% 17.00% 3/28/2013 4/11/2013 9/1/2013



61387 MI 64.00% 64.00% 7/3/2017 8/17/2017

1382 GLTP 2 1289 & GHHC 1 189(GLTC 2 (MI) 990, GLTC 2 (MI) 391 & GHHC 1 189 CERT)

G D, F 08/03/89 MI 25.00% 25.00% 8/9/2007 4/16/2008 8/1/2008


G D, F 08/03/89 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





G D, F 08/03/89 MI 14.00% 14.00% 7/13/2010 8/3/2010 1/4/2011 Applies only to benefit periods 6 years and greater


G D, F 08/03/89 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013


G D, F 08/03/89 MI 64.00% 64.00% 7/3/2017 8/17/2017

1387 LTC 3 (MI) 1091, LTC 3 (MI) 1091 (2), LTC 3 (MI) 1091 (REV93), LTC 3R (MI) 1091, LTC 3R (MI) 1091 (2)

I D E F 10/06/89 MI 25.00% 25.00% 8/9/2007 4/16/2008 8/1/2008


I D E F 10/06/89 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D E F 10/06/89 MI 14.00% 14.00% 7/13/2010 8/3/2010 1/4/2011 Applies only to benefit periods 6 years and greater


I D E F 10/06/89 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013


I D E F 10/06/89 MI 64.00% 64.00% 7/3/2017 8/17/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1392 LTC 5 (MI) 196 I D F 10/28/96 MI 25.00% 25.00% 8/9/2007 4/16/2008 8/1/2008

1393 LTC 5 (MI) 196 I D F 10/28/96 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1394 LTC 5 (MI) 196 I D F 10/28/96 MI 14.00% 14.00% 7/13/2010 8/3/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1395 LTC 5 (MI) 196 I D F 10/28/96 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/20131396 LTC 5 (MI) 196 I D F 10/28/96 MI 64.00% 64.00% 7/3/2017 8/17/20171397 LTC 5 TQ (MI) 1096 I A C 03/03/97 MI 25.00% 25.00% 8/9/2007 4/16/2008 8/1/20081398 LTC 5 TQ (MI) 1096 I A C 03/03/97 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and


1399 LTC 5 TQ (MI) 1096 I A C 03/03/97 MI 14.00% 14.00% 7/13/2010 8/3/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1400 LTC 5 TQ (MI) 1096 I A C 03/03/97 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/20131401 LTC 5 TQ (MI) 1096 I A C 03/03/97 MI 64.00% 64.00% 7/3/2017 8/17/20171402 3122 (00) 288 (3132 (00)

288)G D F 10/18/88 MI 25.00% 25.00% 8/9/2007 4/16/2008 8/1/2008

1403 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 MI 15%-25% 15%-25% 4/30/2009 5/12/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

1404 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 MI 14.00% 14.00% 7/13/2010 8/3/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1405 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013

1406 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 MI 64.00% 64.00% 7/3/2017 8/17/2017

1407 GP001 796 (GC001 (MI) 796)



1408 GP001 796 (GC001 (MI) 796)



1409 GP001 796 (GC001 (MI) 796)


64130 MI 17.00% 17.00% 3/28/2013 4/11/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1410 GP001 796 (GC001 (MI) 796)


64130 MI 64.00% 64.00% 7/3/2017 8/17/2017

1411 GCPRO-III TQ (MI) 197 I A B C 06/08/92 12/31/2001 Bankers United Life Assurance Company







61387 MI 17.00% 17.00% 3/28/2013 4/11/2013 9/1/2013


61387 MI 64.00% 64.00% 7/3/2017 8/17/2017






67121 MI 17.00% 17.00% 3/28/2013 4/11/2013 9/1/2013


67121 MI 64.00% 64.00% 7/3/2017 8/17/2017

1420 1-822 26-191 (N) I D F 02/19/93 10/1/2008 Transamerica Occidental Life Insurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







67121 MI 17.00% 17.00% 3/28/2013 4/11/2013 9/1/2013


67121 MI 64.00% 64.00% 7/3/2017 8/7/2017

1424 LTC-104-194-MI, LTC-105-194-MI, LTC-106-194-MI








67121 MI 17.00% 17.00% 3/28/2013 4/11/2013 9/1/2013



67121 MI 64.00% 64.00% 7/3/2017 8/17/2017

1428 LTC 124-197-MI I A B C 10/29/96 10/1/2008 Transamerica Occidental Life Insurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







67121 MI 17.00% 17.00% 3/28/2013 4/11/2013 9/1/2013


67121 MI 64.00% 64.00% 7/3/2017 8/17/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1432 LTC 304-198-MI, LTC 305-198-MI



1433 LTC 304-198-MI, LTC 305-198-MI



1434 LTC 304-198-MI, LTC 305-198-MI


67121 MI 17.00% 17.00% 3/28/2013 4/11/2013 9/1/2013

1435 LTC 304-198-MI, LTC 305-198-MI


67121 MI 64.00% 64.00% 7/3/2017 8/17/2017

1436 TLC 1-FP (MI) 402, TLC 1-FP (MI) 307

I C 9/1/2003 MI 65.00% 65.00% 7/3/2017 8/17/2017

1437 LI 1-FP (MI) 402 I C 1/13/2003 10/2/2008 Life Investors Insurance Company of America

64130 MI 65.00% 65.00% 7/3/2017 8/17/2017

1438 TOL 1-FP (MI) 307 I C 10/3/2002 10/1/2008 Transamerica Occidental Life Insurance Company

67121 MI 65.00% 65.00% 7/3/2017 8/17/2017

1439 LI-LTCP (MN) 192-A2, LI-LTCP (MN) 192-A2C, LI-LTCP (MN) 192 A2S, LI-LTCP (MN) 192-A3, LI-LTCP (MN) 192-A3C, LI-LTCP (MN) 192-A3S, LI-LTCP (MN) 192 AA2, LI-LTCP (MN) 192-AA2C, LI-LTCP (MN) 192 AA2S, LI-LTCP (MN) 192 AA3, LI-LTCP (MN) 192-AA3C, LI-LTCP (MN) 192 AA3S, LI-LTCP (MN) 895-2, and LI-LTCP (MN) 895-3


64130 MN 25.00% 25.00% 12/4/2008 4/27/2009 8/1/2009 Applies only to benefit periods 4 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1440 LI-LTCP (MN) 192-A2, LI-LTCP (MN) 192-A2C, LI-LTCP (MN) 192 A2S, LI-LTCP (MN) 192-A3, LI-LTCP (MN) 192-A3C, LI-LTCP (MN) 192-A3S, LI-LTCP (MN) 192 AA2, LI-LTCP (MN) 192-AA2C, LI-LTCP (MN) 192 AA2S, LI-LTCP (MN) 192 AA3, LI-LTCP (MN) 192-AA3C, LI-LTCP (MN) 192 AA3S, LI-LTCP (MN) 895-2, and LI-LTCP (MN) 895-3


64130 MN 120.00% 75.00% 1/28/2015 8/9/2016 12/6/2016 To be implemented at 15% a year for 4 years

1441 LI-LTCP TQ (MN) 898 I A C 03/29/99 10/2/2008 Life Investors Insurance Company of America




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1442 LI-LTCP TQ (MN) 898 I A C 03/29/99 10/2/2008 Life Investors Insurance Company of America


1443 FTQ (MN) 197, FPTQ (MN) 197

I A, C 01/08/97 MN 25.00% 25.00% 12/4/2008 4/27/2009 8/1/2009

1444 FTQ (MN) 197, FPTQ (MN) 197

I A, C 01/08/97 MN 120.00% 75.00% 1/28/2015 8/9/2016 12/6/2016 To be implemented at 15% a year for 4 years

1445 LTC 5 TQ (MN) 1096, LTC 5 TQ FO (MN) 298

I A C 02/08/95 MN 25.00% 25.00% 12/4/2008 4/27/2009 8/1/2009


I A C 02/08/95 MN 120.00% 52.00% 1/28/2015 8/9/2016 12/6/2016 To be implemented at 15% a year for 3 years

1447 GP001 796 (GC001 LTC (MN) 796, GC001 NH (MN) 796 & GC001 HCC (MN) 796)



1448 GCPRO-III TQ (MN) 197, GCPRO-III TQ (MN) 698



1449 GCPRO-III TQ (MN) 197, GCPRO-III TQ (MN) 698



1450 FLEX 2 (MN) 196, FLEX 2 HCC (MN) 196

I D, F 04/06/94 MN 120.00% 75.00% 1/28/2015 8/9/2016 12/6/2016 To be implemented at 15% a year for 4 years



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1451 GCPLUS 2 1290 (MN)-A, GCPLUS 2 1290 (MN)-A (B), GCPLUS 2 1290 (MN)-AA, GCPLUS 2, 1290 (MN)-AA (B), GCPLUS 2 1290 (MN)-A 692, GCPLUS 2 1290 (MN)-A (B) 692, GCPLUS 2 1290 (MN)-AA 692 and GCPLUS 2 1290 (MN)-AA (B) 692



1452 LTC 3 1091(MN)-AA(BIC), LTC 3 1091(MN)-AA(BIS), LTC 3 1091(MN)-AA(G), LTC 3 1091(MN)-A(BIC), LTC 3 1091(MN)-A(BIS), LTC 3 1091(MN)-A(G), LTC 3 995(MN)-AA(BIC), LTC 3 995(MN)-AA(BIS), LTC 3 995(MN)-AA(G), LTC 3 995(MN)-A(BIC), LTC 3 995(MN)-A(BIS) and LTC 3 995(MN)-A(G)

I D E F 09/08/92 MN 120.00% 75.00% 1/28/2015 8/9/2016 12/6/2016 To be implemented at 15% a year for 4 years


I A C 02/08/95 MN 120.00% 52.00% 1/28/2015 8/9/2016 12/6/2016 To be implemented at 15% a year for 3 years

1454 GCPRO-II-C (MN) 795, GCPRO-II-C (MN) 596, GCPRO-II-NH (MN) 796



1455 GCPRO-C (MN-A) 193, GCPRO-C (MN-AA) 193, GCPRO-C (MN) 795, GCPRO-C (MN) 596 and GCPRO-NH (MN) 796



1456 1-824 27-191, 1-825 27-191, 1-826 27-191, 1-827 27-191





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1457 LTC-104-194-MN-A, LTC-104-194-MN-AA, LTC-104-195-MN, LTC-106-194-MN-A, LTC-106-194-MN-AA, LTC-106-195-MN



1458 LTC 124-197-MN I A B C 01/10/97 10/1/2008 Transamerica Occidental Life Insurance Company


1459 LTC 304-198-MN, LTC 305-198-MN



1460 TLC 1-FP (MN) 402 I C 8/25/2003 MN 65.00% varies 9/1/2015 8/9/2016 12/6/2016 Rate increase to be phased-in and varies for w/ and w/o inflation

1461 LI 1-FP (MN) 402 I C 12/26/2001 10/2/2008 Life Investors Insurance Company of America

64130 MN 65.00% varies 9/1/2015 8/9/2016 12/6/2016 Rate increase to be phased-in and varies for w/ and w/o inflation

1462 TOL 1-FP (MN) 402 I C 7/18/2003 10/1/2008 Transamerica Occidental Life Insurance Company

67121 MN 65.00% varies 9/1/2015 8/9/2016 1/6/2017 Rate increase to be phased-in and varies for w/ and w/o inflation

1463 GCC 1 387(GCC 1 387) G D, F 08/12/87 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/20081464 GCC 1 387(GCC 1 387) G D, F 08/12/87 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies

to benefit periods 6 years and greater

1465 GCC 1 387(GCC 1 387) G D, F 08/12/87 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.

1466 GCC 1 387(GCC 1 387) G D, F 08/12/87 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/20131467 GCC 1 387(GCC 1 387) G D, F 08/12/87 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two

years.1468 KLTCP 1 (MO) 490 I D E F 02/21/91 10/2/2008 Life Investors


64130 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/2008 Applies only to benefit periods 4 years and greater

1469 KLTCP 1 (MO) 490 I D E F 02/21/91 10/2/2008 Life Investors Insurance Company of America

64130 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


64130 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013


64130 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.

1473 LI-LTCP (MO) 192 I D E F 07/28/92 10/2/2008 Life Investors Insurance Company of America







64130 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013



1478 LI-LTCP TQ (MO) 197 I A C 10/17/95 10/2/2008 Life Investors Insurance Company of America




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013










64130 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1488 IP-70-MO-494, IP-71-MO-494, IP-72-MO-494, IP-73-MO-494, IP-70-MO-495, IP-71-MO-495, IP-72-MO-495, IP-73-MO-495

I D, F 11/29/90 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/2008


I D, F 11/29/90 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D, F 11/29/90 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.


I D, F 11/29/90 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013


I D, F 11/29/90 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.

1493 FLEX 2 (MO) 196 I D, F 09/19/96 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/20081494 FLEX 2 (MO) 196 I D, F 09/19/96 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies


1495 FLEX 2 (MO) 196 I D, F 09/19/96 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.

1496 FLEX 2 (MO) 196 I D, F 09/19/96 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013

1497 FLEX 2 (MO) 196 I D, F 09/19/96 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1498 FTQ (MO) 197 I A, C 01/08/97 MO 25.00% 25.00% 6/25/2007 1/11/2008 5/1/2008

1499 FTQ (MO) 197 I A, C 01/08/97 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1500 FTQ (MO) 197 I A, C 01/08/97 MO 14.00% 14.00% 5/25/2010 10/5/2010 2/4/2011 Applies only to benefit periods 6 years and greater.

1501 FTQ (MO) 197 I A, C 01/08/97 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013

1502 FTQ (MO) 197 I A, C 01/08/97 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.

1503 LTCP (MO) 191 I D F 03/06/90 12/31/2001 Bankers United Life Assurance Company







61387 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013



1508 GCPLUS 1290 (MO) and GCPLUS 2 1290 (MO)





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved












61387 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013




1513 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 05/05/89 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/2008

1514 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 05/05/89 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1515 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 05/05/89 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.

1516 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 05/05/89 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013

1517 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 05/05/89 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.

1518 LTC 3 1091 (B), LTC 3 (MO) 1091, LTC 3R 1091 (B), LTC 3R (MO) 1091

I D E F 05/27/92 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/2008


I D E F 05/27/92 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 05/27/92 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.


I D E F 05/27/92 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013


I D E F 05/27/92 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.

1523 GLTP 3 1091 and GLTP3R 1091 (GLTC 3 1091 and GLTC 3R 1091)

G D E F 12/07/88 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/2008


G D E F 12/07/88 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


G D E F 12/07/88 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.


G D E F 12/07/88 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013


G D E F 12/07/88 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.

1528 LTC 5 (MO) 196, LTC 5 FO (MO) 498

I D F 01/26/94 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/2008

1529 LTC 5 (MO) 196, LTC 5 FO (MO) 498

I D F 01/26/94 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1530 LTC 5 (MO) 196, LTC 5 FO (MO) 498

I D F 01/26/94 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.

1531 LTC 5 (MO) 196, LTC 5 FO (MO) 498

I D F 01/26/94 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013

1532 LTC 5 (MO) 196, LTC 5 FO (MO) 498

I D F 01/26/94 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.

1533 LTC 5 TQ (MO) 1096, LTC 5 TQ FO (MO) 498

I A C 01/31/97 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I A C 01/31/97 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I A C 01/31/97 MO 14.00% 14.00% 5/25/2010 10/5/2010 1/4/2011 Applies only to benefit periods 6 years and greater.


I A C 01/31/97 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013


I A C 01/31/97 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.

1538 3122 (00) 288(3132 (00) 288)

G D F 09/07/88 MO 25.00% 25.00% 6/25/2007 1/11/2008 4/1/2008

1539 3122 (00) 288(3132 (00) 288)

G D F 09/07/88 MO 15%-25% 15%-25% 3/6/2009 5/6/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1540 3122 (00) 288(3132 (00) 288)

G D F 09/07/88 MO 14.00% 14.00% 5/25/2010 10/5/2010 3/11/2011 Applies only to benefit periods 6 years and greater.

1541 3122 (00) 288(3132 (00) 288)

G D F 09/07/88 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013

1542 3122 (00) 288(3132 (00) 288)

G D F 09/07/88 MO 56.00% 56.00% 1/27/2016 11/29/2016 5/1/2017 To be implemented at 28% for two years.








64130 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013



1548 GCPRO-II (M0) 794 I D E F 07/19/93 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013



1553 GCPRO-III TQ (MO) 497 I A B C 08/15/90 12/31/2001 Bankers United Life Assurance Company







61387 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013



1558 GCPRO 193 (MO) and GCPRO (MO) 1095








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013









67121 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013



1567 1-820 31-191, 1-822 31-191



1568 1-820 31-191, 1-822 31-191



1569 1-820 31-191, 1-822 31-191


67121 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013

1570 1-820 31-191, 1-822 31-191





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1571 LTC-104-194-MO, LTC-105-194-MO, LTC-106-194-MO








67121 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013




1575 LTC-100 31-193 I D E F 03/14/94 10/1/2008 Transamerica Occidental Life Insurance Company





67121 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013



1579 LTC 124-197-MO I A B C 01/14/97 10/1/2008 Transamerica Occidental Life Insurance Company






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





67121 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013



1583 LTC 304-198-MO, LTC 305-198-MO



1584 LTC 304-198-MO, LTC 305-198-MO



1585 LTC 304-198-MO, LTC 305-198-MO


67121 MO 17.00% 17.00% 11/26/2012 4/29/2013 10/1/2013

1586 LTC 304-198-MO, LTC 305-198-MO



1587 TLC 1-FP (MO) 402, TLC 1-FP (MO) 104, TLC 1-FP (MO) 808

I C 7/1/2009 MO varies 0.00% 11/15/2016 requested 65% for Pre-RS; requested 50% for Post-RS

1588 LI 1-FP (MO) 402 and LI 1-FP (MO) 104


64130 MO varies 0.00% 11/15/2016 requested 65% for Pre-RS; requested 50% for Post-RS

1589 TOL 1-FP (MO) 402, TOL 1-FP (MO) 104


67121 MO varies 0.00% 11/15/2016 requested 65% for Pre-RS; requested 50% for Post-RS

1590 GCC 1 387(GCC 1 387 CERT)

G D, F 07/28/87 MS 25.00% 25.00% 8/2/2007 10/29/2007 2/2/2008

1591 GCC 1 387(GCC 1 387 CERT)

G D, F 07/28/87 MS 15.00% 15.00% 4/21/2009 5/18/2009 9/1/2009 Applies only to benefit periods 6 years and greater

1592 GCC 1 387(GCC 1 387 CERT)


1593 GCC 1 387(GCC 1 387 CERT)

G D, F 07/28/87 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1594 KLTCP 1 (MS) 490 I D E F 04/12/91 10/2/2008 Life Investors Insurance Company of America

64130 MS 15%-25% 15%-25% 4/21/2009 5/21/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 MS 14.00% 14.00% 7/23/2010 8/19/2010 1/4/2011 Applies only to benefit periods 6 years and greater


64130 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1597 LI-GRP-LTCP (MS) 1096 (LI-GRP-LTCC (MS) 1096)








64130 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1600 LI-LTCP (MS) 192 I D E F 10/05/92 10/2/2008 Life Investors Insurance Company of America





64130 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1603 LI-LTCP TQ (MS) 197 I A C 10/05/92 10/2/2008 Life Investors Insurance Company of America





64130 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1609 IP-70-MS-494, IP-71-MS-494, IP-72-MS-494, IP-73-MS-494

I D, F 02/19/92 MS 25.00% 25.00% 8/2/2007 10/26/2007 2/2/2008


I D, F 02/19/92 MS 15%-25% 15%-25% 4/21/2009 5/21/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D, F 02/19/92 MS 14.00% 14.00% 7/23/2010 8/19/2010 1/4/2011 Applies only to benefit periods 6 years and greater


I D, F 02/19/92 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1613 FLEX 2 (MS) 196 I D, F 07/06/95 MS 25.00% 25.00% 8/2/2007 10/26/2007 2/2/20081614 FLEX 2 (MS) 196 I D, F 07/06/95 MS 15%-25% 15%-25% 4/21/2009 5/21/2009 9/1/2009 Varies by inflation benefit and applies


1615 FLEX 2 (MS) 196 I D, F 07/06/95 MS 14.00% 14.00% 7/23/2010 8/19/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1616 FLEX 2 (MS) 196 I D, F 07/06/95 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/20131617 FTQ (MS) 197 I A, C 01/29/97 MS 25.00% 25.00% 8/2/2007 10/26/2007 2/2/20081618 FTQ (MS) 197 I A, C 01/29/97 MS 15%-25% 15%-25% 4/21/2009 5/21/2009 9/1/2009 Varies by inflation benefit and applies


1619 FTQ (MS) 197 I A, C 01/29/97 MS 14.00% 14.00% 7/23/2010 8/19/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1620 FTQ (MS) 197 I A, C 01/29/97 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/20131621 LTCP (MS) 490 I D F 11/27/90 12/31/2001 Bankers United



1622 LTCP (MS) 490 I D F 11/27/90 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







61387 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013

1625 GCPLUS 1290 (MS) and GCPLUS 2 1290 (MS)











61387 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013

1629 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 05/31/91 MS 25.00% 25.00% 8/2/2007 10/29/2007 2/2/2008

1630 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)


1631 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)


1632 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 05/31/91 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1633 LTC 3 (MS) 1091, LTC 3R (MS) 1091

I D E F 01/07/92 MS 25.00% 25.00% 8/2/2007 10/26/2007 2/2/2008

1634 LTC 3 (MS) 1091, LTC 3R (MS) 1091

I D E F 01/07/92 MS 15%-25% 15%-25% 4/21/2009 5/21/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1635 LTC 3 (MS) 1091, LTC 3R (MS) 1091

I D E F 01/07/92 MS 14.00% 14.00% 7/23/2010 8/19/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1636 LTC 3 (MS) 1091, LTC 3R (MS) 1091

I D E F 01/07/92 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013


G D E F 10/10/91 MS 25.00% 25.00% 8/2/2007 10/29/2007 2/2/2008


G D E F 10/10/91 MS 15.00% 15.00% 4/21/2009 5/18/2009 9/1/2009 Applies only to benefit periods 6 years and greater


G D E F 10/10/91 MS 14.00% 14.00% 7/23/2010 8/17/2010 1/4/2011 Applies only to benefit periods 6 years and greater


G D E F 10/10/91 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1641 LTC 5 (MS) 196, LTC 5 (MS) 196

I D F 06/19/92 MS 25.00% 25.00% 8/2/2007 10/26/2007 2/2/2008

1642 LTC 5 (MS) 196, LTC 5 (MS) 196

I D F 06/19/92 MS 15%-25% 15%-25% 4/21/2009 5/21/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1643 LTC 5 (MS) 196, LTC 5 (MS) 196

I D F 06/19/92 MS 14.00% 14.00% 7/23/2010 8/19/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1644 LTC 5 (MS) 196, LTC 5 (MS) 196

I D F 06/19/92 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1645 LTC 5 TQ (MS) 1096, LTC 5 TQ (MS) 1096

I A C 01/23/97 MS 25.00% 25.00% 8/2/2007 10/26/2007 2/2/2008

1646 LTC 5 TQ (MS) 1096, LTC 5 TQ (MS) 1096

I A C 01/23/97 MS 15%-25% 15%-25% 4/21/2009 5/21/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1647 LTC 5 TQ (MS) 1096, LTC 5 TQ (MS) 1096

I A C 01/23/97 MS 14.00% 14.00% 7/23/2010 8/19/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1648 LTC 5 TQ (MS) 1096, LTC 5 TQ (MS) 1096

I A C 01/23/97 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1649 3122 (00) 288 (3132 (00) 288)

G D F 06/05/89 MS 14.00% 14.00% 7/23/2010 8/17/2010 1/4/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1650 3122 (00) 288 (3132 (00) 288)

G D F 06/05/89 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013






64130 MS 17.00% 17.00% 2/25/2013 4/16/2013 11/1/2013

1654 GCPRO-II (MS) 794 I D E F 01/23/91 12/31/2001 Bankers United Life Assurance Company







61387 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013

1658 GCPRO-III TQ (MS) 197 I A B C 01/21/92 12/31/2001 Bankers United Life Assurance Company

61387 MS 25.00% 25.00% 8/1/2007 10/29/2007 2/1/2008






61387 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1662 GCPRO (MS) 193 I D E F 04/01/93 12/31/2001 Bankers United Life Assurance Company







61387 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013






67121 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013

1669 1-820 30-191, 1-822 30-191



1670 1-820 30-191, 1-822 30-191



1671 1-820 30-191, 1-822 30-191


67121 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013

1672 LTC-104-194-MS, LTC-105-194-MS, LTC-106-194-MS





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









67121 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013






67121 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013

1678 LTC 124-197-MS I A B C 02/06/97 10/1/2008 Transamerica Occidental Life Insurance Company





67121 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013

1681 LTC 304-198-MS, LTC 305-198-MS



1682 LTC 304-198-MS, LTC 305-198-MS



1683 LTC 304-198-MS, LTC 305-198-MS


67121 MS 17.00% 17.00% 2/25/2013 4/16/2013 12/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008 Applies only to benefit periods 4 years and greater


64130 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater




64130 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1688 LI-LTCP TQ (MT) 197 I A C 08/12/97 10/2/2008 Life Investors Insurance Company of America







64130 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013







As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







64130 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1696 IP-70-MT-494, IP-71-MT-494, IP-72-MT-494, IP-73-MT-494

I D, F 07/02/92 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008


I D, F 07/02/92 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D, F 07/02/92 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater


I D, F 07/02/92 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1700 FLEX 2 (MT) 196, Flex 2 (MT) 199

I D, F 07/02/97 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008

1701 FLEX 2 (MT) 196, Flex 2 (MT) 199

I D, F 07/02/97 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1702 FLEX 2 (MT) 196, Flex 2 (MT) 199

I D, F 07/02/97 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater

1703 FLEX 2 (MT) 196, Flex 2 (MT) 199

I D, F 07/02/97 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1704 FTQ (MT) 197 I A, C 01/07/97 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/20081705 FTQ (MT) 197 I A, C 01/07/97 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies


1706 FTQ (MT) 197 I A, C 01/07/97 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater

1707 FTQ (MT) 197 I A, C 01/07/97 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1708 LTCP 1289 (MT) I D F 03/21/90 12/31/2001 Bankers United Life Assurance Company







61387 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013

1712 GCPLUS 1290 (MT) and GCPLUS 2 1290 (MT)











61387 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013


G D, F 07/10/90 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008


G D, F 07/10/90 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


G D, F 07/10/90 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater


G D, F 07/10/90 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1720 LTC 3 (MT) 1091 (REV93), LTC 3R (MT) 1091 (REV93)

I D E F 5/28/1992 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 5/28/1992 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D E F 5/28/1992 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater


I D E F 5/28/1992 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1724 GLTP 3 1091 and GLTP 3R 1091(GLTC 3 1091, GLTC 3 1091 (REV93), GLTC 3R 1091 & GLTC 3R 1091 (REV93))

G D E F 8/4/1992 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008


G D E F 8/4/1992 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


G D E F 8/4/1992 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater


G D E F 8/4/1992 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1728 LTC 5 (MT) 196, LTC 5 (MT) 196 NH, LTC 5 FO (MT) 398, LTC 5 (MT) 199, LTC 5 NH (MT) 199, LTC 5 FO (MT)

I D F 06/02/97 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008


I D F 06/02/97 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D F 06/02/97 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D F 06/02/97 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1732 LTC 5 TQ (MT) 1096, LCT 5 TQ (MT) 1096 NH, LTC 5 TQ FO (MT) 398

I A C 09/05/95 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008


I A C 09/05/95 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I A C 09/05/95 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater


I A C 09/05/95 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1736 3122 (00) 288 (3132 (00) 288)

G D F 11/01/88 MT 25.00% 25.00% 7/25/2007 4/4/2008 7/1/2008

1737 3122 (00) 288 (3132 (00) 288)

G D F 11/01/88 MT 15%-25% 15%-25% 4/27/2009 7/10/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1738 3122 (00) 288 (3132 (00) 288)

G D F 11/01/88 MT 14.00% 14.00% 2/17/2011 3/9/2011 5/19/2011 Applies only to benefit periods 6 years and greater

1739 3122 (00) 288 (3132 (00) 288)

G D F 11/01/88 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1740 GP001 796 (GC001 796, GC001 NH (MT) 796, GC001 LTC (MT) 796, GC001 HCC (MT) 796











As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 MT 17.00% 17.00% 4/1/2013 5/20/2013 11/1/2013

1744 GCPRO-II (MT) 794 and GCPRO-II (MT) 199











61387 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013

1748 GCPRO-III TQ (MT) 197 I A B C 03/21/90 12/31/2001 Bankers United Life Assurance Company







61387 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013

1752 GCPRO (MT) 193 and GCPRO (MT) 199








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013






67121 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013

1759 1-820 32-191, 1-820 32-191-B, 1-820 32-191-R, 1-820 32-191-BR, 1-822 32-191, 1-822 32-191-B, 1-822 32-191-R, 1-822 32-191-BR



1760 1-820 32-191, 1-820 32-191-B, 1-820 32-191-R, 1-820 32-191-BR, 1-822 32-191, 1-822 32-191-B, 1-822 32-191-R, 1-822 32-191-BR



1761 1-820 32-191, 1-820 32-191-B, 1-820 32-191-R, 1-820 32-191-BR, 1-822 32-191, 1-822 32-191-B, 1-822 32-191-R, 1-822 32-191-BR


67121 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013

1762 LTC-104-194-MT, LTC-105-194-MT, LTC-106-194-MT





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









67121 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013

1765 LTC 124-197-MT I A B C 10/08/92 10/1/2008 Transamerica Occidental Life Insurance Company





67121 MT 17.00% 17.00% 4/1/2013 5/20/2013 12/1/2013

1768 KLTCP 1 (NC) 590 I D E F 03/08/91 10/2/2008 Life Investors Insurance Company of America

64130 NC 25.00% 19.00% 5/24/2007 8/10/2007 1/1/2008 Applies only to benefit periods 4 years and greater


64130 NC 15%-35% 20.00% 9/22/2009 12/9/2009 3/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater


64130 NC 14.00% 14.00% 12/9/2010 3/21/2011 6/1/2011 Applies only to benefit periods 6 years and greater and with an issue date prior to 2/1/2003


64130 NC 88.00% 0.00% 6/17/2016

1772 LI-LTCP (NC) 192, LI-LTCP (NC) 494 and LI-LTCP (NC) 396





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved












64130 NC 88.00% 0.00% 6/17/2016

1776 LI-LTCP TQ (NC) 197 and LI-LTCP TQ (NC) 499











64130 NC 88.00% 0.00% 6/17/2016

1780 LI-LTCP TQ (NC) 898, LI-LTCP TQ (NC) 100 and LI-LTCP TQ (NC-FR) 100








64130 NC 17.00% 12.30% 5/8/2012 6/26/2013 10/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 NC 88.00% 0.00% 6/17/2016

1784 IP-70-NC-494, IP-71-NC-494, IP-72-NC-494, IP-73-NC-494, IP-70-NC-295, IP-71-NC-295, IP-72-NC-295, IP-73-NC-295

I D, F 06/24/94 NC 15%-35% 15%-35% 4/17/2009 6/1/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D, F 06/24/94 NC 14.00% 14.00% 12/9/2010 3/21/2011 6/1/2011 Applies only to benefit periods 6 years and greater and with an issue date prior to 2/1/2003


I D, F 06/24/94 NC 88.00% 0.00% 6/17/2016

1787 FLEX 2 HCC (NC) 196, FLEX 2 HCC (NC) 1297, FLEX 2 HCC F (NC) 1297, FLEX 2 FO (NC) 398, Flex 2 FO F (NC) 398

I D, F 05/26/97 NC 15%-25% 15%-25% 4/17/2009 6/1/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D, F 05/26/97 NC 14.00% 14.00% 12/9/2010 3/21/2011 6/1/2011 Applies only to benefit periods 6 years and greater and with an issue date prior to 2/1/2003


I D, F 05/26/97 NC 88.00% 0.00% 6/17/2016

1790 FTQ FO (NC) 398, FTQ FO F (NC) 398, FTQ FO (NC) 499, FTQ FO F (NC) 499

I A, C 01/01/97 NC 15%-35% 15%-35% 4/17/2009 6/1/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1791 FTQ FO (NC) 398, FTQ FO F (NC) 398, FTQ FO (NC) 499, FTQ FO F (NC) 499

I A, C 01/01/97 NC 14.00% 14.00% 12/9/2010 3/21/2011 6/1/2011 Applies only to benefit periods 6 years and greater and with an issue date prior to 2/1/2003

1792 FPTQ (NC) 197, FPTQ F (NC) 197, FTQ FO (NC) 398, FTQ FO F (NC) 398, FPTQ (NC) 499,FPTQ F (NC) 499, FTQ FO (NC) 499, FTQ FO F (NC) 499

I A, C 01/01/97 NC 88.00% 0.00% 6/17/2016

1793 GCPLUS 1290 (NC) and GCPLUS 2 1290 (NC)











61387 NC 88.00% 0.00% 6/17/2016

1797 LTC 2 (NC) 390 I D F 11/11/91 NC 15%-35% 15%-35% 4/17/2009 6/1/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1798 LTC 2 (NC) 390 I D F 11/11/91 NC 14.00% 14.00% 12/9/2010 3/21/2011 6/1/2011 Applies only to benefit periods 6 years and greater and with an issue date prior to 2/1/2003

1799 LTC 2 (NC) 390 I D F 11/11/91 NC 88.00% 0.00% 6/17/20161800 LTC 3 (NC) 1091

(REV93), LTC 3 (NC) 1091 (REV494), LTC 3 (NC) 1091 (REV295), LTC 3R (NC) 1091 (REV93), LTC 3R (NC) 1091 (REV494), LTC 3R (NC) 1091 (REV295)

I D E F 6/29/1993 NC 15%-35% 15%-35% 4/17/2009 6/1/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1801 LTC 3 (NC) 1091 (REV93), LTC 3 (NC) 1091 (REV494), LTC 3 (NC) 1091 (REV295), LTC 3R (NC) 1091 (REV93), LTC 3R (NC) 1091 (REV494), LTC 3R (NC) 1091 (REV295)

I D E F 6/29/1993 NC 14.00% 14.00% 12/9/2010 3/21/2011 6/1/2011 Applies only to benefit periods 6 years and greater and with an issue date prior to 2/1/2003

1802 LTC 3 (NC) 1091 (REV93), LTC 3 (NC) 1091 (REV494), LTC 3 (NC) 1091 (REV295), LTC 3R (NC) 1091 (REV93), LTC 3R (NC) 1091 (REV494), LTC 3R (NC) 1091 (REV295)

I D E F 6/29/1993 NC 88.00% 0.00% 6/17/2016

1803 LTC 5 (NC) 196 I D F 05/18/94 NC 15%-35% 15%-35% 4/17/2009 6/1/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1804 LTC 5 (NC) 196 I D F 05/18/94 NC 14.00% 14.00% 12/9/2010 3/21/2011 6/1/2011 Applies only to benefit periods 6 years and greater and with an issue date prior to 2/1/2003

1805 LTC 5 (NC) 196, LTC 5 (NC) 1197, LTC 5 F (NC) 1197, LTC 5 (NC) 499, LTC 5 F (NC) 499

I D F 05/18/94 NC 88.00% 0.00% 6/17/2016

1806 LTC 5 TQ (NC) 499, LTC 5 TQ F (NC) 499

I A C 03/10/98 NC 15%-35% 15%-35% 4/17/2009 6/1/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1807 LTC 5 TQ (NC) 499, LTC 5 TQ F (NC) 499

I A C 03/10/98 NC 14.00% 14.00% 12/9/2010 3/21/2011 6/1/2011 Applies only to benefit periods 6 years and greater and with an issue date prior to 2/1/2003

1808 LTC 5 TQ (NC) 1096, LTC 5 TQ (NC) 1197, LTC 5 TQ F (NC) 1197, LTC 5 TQ (NC) 499, LTC5 TQ F (NC) 499

I A C 03/10/98 NC 88.00% 0.00% 6/17/2016

1809 NLTCP TQ (NC) 297 I A B C 03/07/92 10/2/2008 Life Investors Insurance Company of America




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 NC 88.00% 0.00% 6/17/2016

1813 GCPRO-II (NC) 794 I D E F 04/25/96 12/31/2001 Bankers United Life Assurance Company







61387 NC 88.00% 0.00% 6/17/2016

1817 GCPRO-III TQ (NC) 197 I A B C 06/22/94 12/31/2001 Bankers United Life Assurance Company






1820 GCPRO-III TQ (NC) 197 and GCPRO-III TQ (NC) 499


61387 NC 88.00% 0.00% 6/17/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1821 GCPRO 193 (NC) and GCPRO (NC) 295











61387 NC 88.00% 0.00% 6/17/2016


67121 NC 15%-35% 15%-25% 9/18/2009 11/17/2009 4/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater




67121 NC 17.00% 12.30% 5/8/2012 7/29/2013 12/1/2013


67121 NC 88.00% 0.00% 6/17/2016

1829 1-820 39-191, 1-822 39-191



1830 1-820 39-191, 1-822 39-191



1831 1-820 39-191, 1-822 39-191


67121 NC 17.00% 12.30% 5/8/2012 7/29/2013 12/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1832 1-820 39-191, 1-822 39-191


67121 NC 88.00% 0.00% 6/17/2016

1833 LTC-104-194-NC, LTC-105-194-NC, LTC-106-194-NC








67121 NC 17.00% 12.30% 5/8/2012 7/29/2013 12/1/2013



67121 NC 88.00% 0.00% 6/17/2016

1837 LTC 124-197-NC I A B C 12/16/96 10/1/2008 Transamerica Occidental Life Insurance Company





67121 NC 17.00% 12.30% 5/8/2012 7/29/2013 12/1/2013


67121 NC 88.00% 0.00% 6/17/2016

1841 LTC 304-198-NC, LTC 305-198-NC



1842 LTC 304-198-NC, LTC 305-198-NC





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1843 LTC 304-198-NC, LTC 305-198-NC


67121 NC 17.00% 12.30% 5/8/2012 7/29/2013 12/1/2013

1844 LTC 304-198-NC, LTC 305-198-NC


67121 NC 88.00% 0.00% 6/17/2016

1845 TLC 1-FP (NC) 1001, TLC 1-FP (NC-FR) 1001, TLC 1-FP (NC) 402, TLC 1-FP (NC-FR) 402, TLC 1-SC-R 0510

I C 11/2/2002 NC 63.30% 63.30% 7/8/2016 5/18/2017

1846 LI 1-FP (NC) 1001, LI 1-FP (NC-FR) 1001, LI 1-FP (NC) 402 and LI 1-FP (NC-FR) 402


64130 NC 63.30% 63.30% 7/8/2016 5/18/2017

1847 TOL 1-FP (NC) 1001, TOL 1-FP (NC-FR) 1001, TOL 1-FP (NC) 402, TOL 1-FP (NC-FR) 402


67121 NC 63.30% 63.30% 7/8/2016 5/18/2017

1848 KLTCP 1 (ND) 890 I D E F 06/05/91 10/2/2008 Life Investors Insurance Company of America

64130 ND 25.00% 15.00% 8/24/2007 9/27/2007 1/1/2008 Applies only to benefit periods 4 years and greater


64130 ND 15%-25% 15%-17.5% 3/18/2009 6/11/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater




64130 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013


64130 ND 64.00% 25.00% 1/25/2016 6/2/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1853 LI-LTCP (ND) 192, LI-LTCP (ND) 793, LI-LTCP (ND) 894 and LI-LTCP (ND) 396











64130 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013



64130 ND 64.00% 25.00% 1/25/2016 6/2/2016

1858 LI-LTCP TQ (ND) 898 I A C 06/09/00 10/2/2008 Life Investors Insurance Company of America







64130 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 ND 64.00% 25.00% 1/25/2016 6/2/2016

1863 IP-70-ND-494, IP-71-ND-494

I D, F 11/02/88 ND 25.00% 15.00% 8/24/2007 9/27/2007 4/1/2008

1864 IP-70-ND-494, IP-71-ND-494

I D, F 11/02/88 ND 15%-25% 15%-17.5% 3/18/2009 6/11/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1865 IP-70-ND-494, IP-71-ND-494

I D, F 11/02/88 ND 14.00% 12.00% 7/6/2010 10/11/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1866 IP-70-ND-494, IP-71-ND-494

I D, F 11/02/88 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013

1867 IP-70-ND-494, IP-71-ND-494

I D, F 11/02/88 ND 64.00% 25.00% 1/25/2016 6/2/2016

1868 FLEX 2 (ND) 196 I D, F 01/15/91 ND 25.00% 15.00% 8/24/2007 9/27/2007 4/1/20081869 FLEX 2 (ND) 196 I D, F 01/15/91 ND 15%-25% 15%-17.5% 3/18/2009 6/11/2009 9/1/2009 Varies by inflation benefit and applies


1870 FLEX 2 (ND) 196 I D, F 01/15/91 ND 14.00% 12.00% 7/6/2010 10/11/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1871 FLEX 2 (ND) 196 I D, F 01/15/91 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/20131872 FLEX 2 (ND) 196 I D, F 01/15/91 ND 64.00% 25.00% 1/25/2016 6/2/20161873 FTQ (ND) 197 I A, C 12/19/90 ND 25.00% 15.00% 8/24/2007 9/27/2007 4/1/20081874 FTQ (ND) 197 I A, C 12/19/90 ND 15%-25% 15%-17.5% 3/18/2009 6/11/2009 9/1/2009 Varies by inflation benefit and applies


1875 FTQ (ND) 197 I A, C 12/19/90 ND 14.00% 12.00% 7/6/2010 10/11/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1876 FTQ (ND) 197 I A, C 12/19/90 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/20131877 FTQ (ND) 197 I A, C 12/19/90 ND 64.00% 25.00% 1/25/2016 6/2/20161878 LTCP (ND) 1189 I D F 02/28/90 12/31/2001 Bankers United


61387 ND 25.00% 15.00% 8/24/2007 9/27/2007 2/1/2008

1879 LTCP (ND) 1189 I D F 02/28/90 12/31/2001 Bankers United Life Assurance Company





61387 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





61387 ND 64.00% 25.00% 1/25/2016 6/2/2016

1883 GCPLUS 1290 (ND) and GCPLUS 2 1290 (ND)


61387 ND 25.00% 15.00% 8/24/2007 9/27/2007 2/1/2008









61387 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013



61387 ND 64.00% 25.00% 1/25/2016 6/2/2016

1888 GLTP 2 1289 & GHHC 1 189(GLTC 2 (ND) 290 & GHHC 1 189 CERT)

G D, F 11/23/88 ND 25.00% 15.00% 8/24/2007 9/27/2007 4/1/2008


G D, F 11/23/88 ND 15%-25% 15.00% 3/18/2009 5/7/2009 8/1/2009 Applies to benefit periods 6 years and greater


G D, F 11/23/88 ND 14.00% 12.00% 7/6/2010 10/11/2010 1/4/2011 Applies only to benefit periods 6 years and greater


G D, F 11/23/88 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013


G D, F 11/23/88 ND 64.00% 25.00% 1/25/2016 6/2/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1893 LTC 3 (ND) 1091, LTC 3 (ND) 1091 (REV93), LTC 3 (ND) 1091 (REV94), LTC 3R (ND) 1091, LTC 3R (ND) 1091 (REV93), LTC 3R (ND) 1091 (REV94)

I D E F 11/23/88 ND 25.00% 15.00% 8/24/2007 9/27/2007 4/1/2008


I D E F 11/23/88 ND 15%-25% 15%-17.5% 3/18/2009 6/11/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D E F 11/23/88 ND 14.00% 12.00% 7/6/2010 10/11/2010 1/4/2011 Applies only to benefit periods 6 years and greater


I D E F 11/23/88 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013


I D E F 11/23/88 ND 64.00% 25.00% 1/25/2016 6/2/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1898 LTC 5 (ND) 196, LTC 5 (ND) 697

I D F 05/08/95 ND 25.00% 15.00% 8/24/2007 9/27/2007 4/1/2008

1899 LTC 5 (ND) 196, LTC 5 (ND) 697

I D F 05/08/95 ND 15%-25% 15%-17.5% 3/18/2009 6/11/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1900 LTC 5 (ND) 196, LTC 5 (ND) 697

I D F 05/08/95 ND 14.00% 12.00% 7/6/2010 10/11/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1901 LTC 5 (ND) 196, LTC 5 (ND) 697

I D F 05/08/95 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013

1902 LTC 5 (ND) 196, LTC 5 (ND) 697

I D F 05/08/95 ND 64.00% 25.00% 1/25/2016 6/2/2016

1903 LTC 5 TQ (ND) 697, LTC 5 TQ (ND) 1096

I A C 07/29/92 ND 25.00% 15.00% 8/24/2007 9/27/2007 4/1/2008

1904 LTC 5 TQ (ND) 697, LTC 5 TQ (ND) 1096

I A C 07/29/92 ND 15%-25% 15%-17.5% 3/18/2009 6/11/2009 9/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1905 LTC 5 TQ (ND) 697, LTC 5 TQ (ND) 1096

I A C 07/29/92 ND 14.00% 12.00% 7/6/2010 10/11/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1906 LTC 5 TQ (ND) 697, LTC 5 TQ (ND) 1096

I A C 07/29/92 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013

1907 LTC 5 TQ (ND) 697, LTC 5 TQ (ND) 1096

I A C 07/29/92 ND 64.00% 25.00% 1/25/2016 6/2/2016

1908 3122 (00) 288 (3132 (00) 288)

G D F 09/13/88 ND 25.00% 15.00% 8/24/2007 9/27/2007 4/1/2008

1909 3122 (00) 288 (3132 (00) 288)

G D F 09/13/88 ND 15%-25% 15.00% 3/18/2009 5/7/2009 8/1/2009

1910 3122 (00) 288 (3132 (00) 288)

G D F 09/13/88 ND 14.00% 12.00% 7/6/2010 10/11/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1911 3122 (00) 288 (3132 (00) 288)

G D F 09/13/88 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013

1912 3122 (00) 288 (3132 (00) 288)

G D F 09/13/88 ND 64.00% 25.00% 1/25/2016 6/2/2016

1913 GP001 796 (GC001 796, GC001 (ND) 796)

G A B C 10/21/98 10/2/2008 Life Investors Insurance Company of

64130 ND 25.00% 15.00% 8/24/2007 9/27/2007 1/1/2008 Applies to benefit periods 4 years and greater

1914 GP001 796 (GC001 796, GC001 (ND) 796)



1915 GP001 796 (GC001 796, GC001 (ND) 796)





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1916 GP001 796 (GC001 796, GC001 (ND) 796)


64130 ND 17.00% 17.00% 10/8/2012 1/19/2013 7/1/2013

1917 GP001 796 (GC001 796, GC001 (ND) 796)


64130 ND 64.00% 25.00% 1/25/2016 6/2/2016

1918 GCPRO-II (ND) 794 I D E F 09/06/90 12/31/2001 Bankers United Life Assurance Company







61387 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013


61387 ND 64.00% 25.00% 1/25/2016 6/2/2016

1923 GCPRO-III TQ (ND) 197 and GCPRO-III TQ (ND) 997











61387 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013



61387 ND 64.00% 25.00% 1/25/2016 6/2/2016

1928 GCPRO (ND) 193 and GCPRO (ND2) 193








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013



61387 ND 64.00% 25.00% 1/25/2016 6/2/2016






67121 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013


67121 ND 64.00% 25.00% 1/25/2016 6/2/2016

1937 1-820 40-191, 1-822 40-191, 1-820 40-194, 1-822 40-194



1938 1-820 40-191, 1-822 40-191, 1-820 40-194, 1-822 40-194



1939 1-820 40-191, 1-822 40-191, 1-820 40-194, 1-822 40-194


67121 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013

1940 1-820 40-191, 1-822 40-191, 1-820 40-194, 1-822 40-194


67121 ND 64.00% 25.00% 1/25/2016 6/2/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1941 LTC-104-194-ND, LTC-105-194-ND, LTC-106-194-ND








67121 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013



67121 ND 64.00% 25.00% 1/25/2016 6/2/2016

1945 LTC 124-197-ND as TransCare








67121 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013



67121 ND 64.00% 25.00% 1/25/2016 6/2/2016

1949 LTC 304-198-ND, LTC 305-198-ND


67121 ND 17.00% 17.00% 10/8/2012 1/19/2013 8/1/2013

1950 TLC 1-FP (ND) 402, TLC 1-FP (ND) 404, TOL 1-FP (ND) 402and LI 1-FP (ND) 402

I C 11/21/2002 ND 63.30% 25.00% 1/29/2016 6/2/2016

1951 KLTCP 1 (NE) 890 I D E F 05/09/91 10/2/2008 Life Investors Insurance Company of America

64130 NE 15%-25% 15%-25% 3/26/2009 7/15/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 NE 14.00% 14.00% 1/7/2011 1/7/2011 3/21/2011 Applies only to benefit periods 6 years and greater


64130 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/2013


64130 NE 56.00% Varies 9/21/2015 2/17/2017 5/29/2017 The final rate increase approved varies by product form, ranging from 0% to 75%.

1955 LI-LTCP (NE) 192 I D E F 10/05/92 10/2/2008 Life Investors Insurance Company of America





64130 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/2013








64130 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/2013





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1963 LI-LTCP TQ (NE) 898 and LI-LTCP TQ (NE) 101








64130 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/2013




1967 IP-70-NE-494, IP-71-NE-494, IP-72-NE-494, IP-73-NE-494

I D, F 10/24/94 NE 15%-25% 15%-25% 3/26/2009 7/15/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D, F 10/24/94 NE 14.00% 14.00% 1/7/2011 1/7/2011 3/21/2011 Applies only to benefit periods 6 years and greater


I D, F 10/24/94 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/2013


I D, F 10/24/94 NE 56.00% Varies 9/21/2015 2/17/2017 5/29/2017 The final rate increase approved varies by product form, ranging from 0% to 75%.

1971 FLEX 2 (NE) 196, FLEX 2 (NE) 599

I D, F 10/11/89 NE 15%-25% 15%-25% 3/26/2009 7/15/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1972 FLEX 2 (NE) 196, FLEX 2 (NE) 599

I D, F 10/11/89 NE 14.00% 14.00% 1/7/2011 1/7/2011 3/21/2011 Applies only to benefit periods 6 years and greater

1973 FLEX 2 (NE) 196, FLEX 2 (NE) 599

I D, F 10/11/89 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/2013

1974 FLEX 2 (NE) 196, FLEX 2 (NE) 599

I D, F 10/11/89 NE 56.00% Varies 9/21/2015 2/17/2017 5/29/2017 The final rate increase approved varies by product form, ranging from 0% to 75%.

1975 FTQ (NE) 197 I A, C 01/15/96 NE 15%-25% 15%-25% 3/26/2009 7/15/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1976 FTQ (NE) 197 I A, C 01/15/96 NE 14.00% 14.00% 1/7/2011 1/7/2011 3/21/2011 Applies only to benefit periods 6 years and greater

1977 FTQ (NE) 197 I A, C 01/15/96 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/20131978 FTQ (NE) 197 I A, C 01/15/96 NE 56.00% Varies 9/21/2015 2/17/2017 5/29/2017 The final rate increase approved

varies by product form, ranging from 0% to 75%.



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1979 LTCP (NE) 390 I D F 09/20/90 12/31/2001 Bankers United Life Assurance Company







61387 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013



1984 GCPLUS 1290 (NE) and GCPLUS 2 1290 (NE)











61387 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013




1989 GLTP 2 1289 G D, F 12/12/90 NE 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




1990 GLTP 2 1289 G D, F 12/12/90 NE 14.00% 14.00% 1/7/2011 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1991 GLTP 2 1289 G D, F 12/12/90 NE 17.00% 17.00% 11/20/2012 12/20/2012 8/1/2013

1992 GLTP 3 1091 G D E F 01/27/89 NE 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

1993 GLTP 3 1091 G D E F 01/27/89 NE 14.00% 14.00% 1/7/2011 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

1994 GLTP 3 1091 G D E F 01/27/89 NE 17.00% 17.00% 11/20/2012 12/20/2012 8/1/2013

1995 LTC 3 (NE) 1091 (REV93), LTC 3R (NE) 1091 (REV93)

I D E F 10/11/89 NE 15%-25% 15%-25% 3/26/2009 7/15/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D E F 10/11/89 NE 14.00% 14.00% 1/7/2011 1/7/2011 3/21/2011 Applies only to benefit periods 6 years and greater


I D E F 10/11/89 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/2013


I D E F 10/11/89 NE 56.00% Varies 9/21/2015 2/17/2017 5/29/2017 The final rate increase approved varies by product form, ranging from 0% to 75%.

1999 GLTP 3 1091, GLTP3R 1091

G D E F 01/27/89 NE 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

2000 GLTP 3 1091, GLTP3R 1091

G D E F 01/27/89 NE 14.00% 14.00% 1/7/2011 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2001 GLTP 3 1091, GLTP3R 1091

G D E F 01/27/89 NE 17.00% 17.00% 11/20/2012 12/20/2012 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2002 LTC 5 (NE) 196, LTC 5 (NE) 599, LTC 5 (NE) 196

I D F 10/18/89 NE 15%-25% 15%-25% 3/26/2009 7/15/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater


I D F 10/18/89 NE 14.00% 14.00% 1/7/2011 1/7/2011 3/21/2011 Applies only to benefit periods 6 years and greater


I D F 10/18/89 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/2013

2005 LTC 5 (NE) 196, LTC 5 (NE) 599, LTC 5 1197 (FO-1) Facility Only Module

I D F 10/18/89 NE 56.00% Varies 9/21/2015 2/17/2017 5/29/2017 The final rate increase approved varies by product form, ranging from 0% to 75%.

2006 LTC 5 TQ (NE) 1096 I A C 07/20/95 NE 15%-25% 15%-25% 3/26/2009 7/15/2009 11/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

2007 LTC 5 TQ (NE) 1096 I A C 07/20/95 NE 14.00% 14.00% 1/7/2011 1/7/2011 3/21/2011 Applies only to benefit periods 6 years and greater

2008 LTC 5 TQ (NE) 1096 I A C 07/20/95 NE 17.00% 17.00% 11/26/2012 3/21/2013 8/1/20132009 LTC 5 TQ (NE) 1096, LTC

5 TQ 1197 (FO-1) Facility Only Module

I A C 07/20/95 NE 56.00% Varies 9/21/2015 2/17/2017 5/29/2017 The final rate increase approved varies by product form, ranging from 0% to 75%.

2010 3132 (00) 288 G D F 09/23/88 NE 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

2011 3132 (00) 288 G D F 09/23/88 NE 14.00% 14.00% 1/7/2011 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2012 3132 (00) 288 G D F 09/23/88 NE 17.00% 17.00% 11/20/2012 12/20/2012 8/1/20132013 GCPRO-II (NE) 794 I D E F 05/08/95 12/31/2001 Bankers United



2014 GCPRO-II (NE) 794 I D E F 05/08/95 12/31/2001 Bankers United Life Assurance Company





61387 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






2018 GCPRO-III TQ (NE) 197, GCPRO-III TQ (NE) 201











61387 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013




2023 GCPRO (NE) 193 I D E F 10/24/90 12/31/2001 Bankers United Life Assurance Company







61387 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









67121 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013



2032 1-820 33-191, 1-822 33-191



2033 1-820 33-191, 1-822 33-191



2034 1-820 33-191, 1-822 33-191


67121 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013

2035 1-820 33-191, 1-822 33-191





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2036 LTC-104-194-NE, LTC-105-194-NE, LTC-106-194-NE








67121 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013









67121 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013



2044 LTC 124-197-NE, LTC 124-201-NE



2045 LTC 124-197-NE, LTC 124-201-NE



2046 LTC 124-197-NE, LTC 124-201-NE


67121 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2047 LTC 124-197-NE, LTC 124-201-NE


67121 NE 17.00% 17.00% 11/26/2012 3/21/2013 9/1/2013

2048 TLC 1-FP (NE) 402, TLC 1-SC-R 0510

I C 6/10/2009 NE 63.30% 63.30% 9/21/2015 4/25/2017

2049 LI 1-FP (NE) 402 I C 1/7/2003 10/2/2008 Life Investors Insurance Company of America

64130 NE 63.30% 63.30% 9/21/2015 4/25/2017

2050 TOL 1-FP (NE) 402 I C 9/11/2002 10/1/2008 Transamerica Occidental Life Insurance Company

67121 NE 63.30% 63.30% 9/21/2015 4/25/2017

2051 KLTCP 1 (NH) 690 I D E F 08/29/91 10/2/2008 Life Investors Insurance Company of America

64130 NH 15%-25% 15%-25% 6/4/2009 8/21/2009 12/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

2052 KLTCP 1 (NH) 690 I D E F 08/29/91 10/2/2008 Life Investors Insurance Company of America

64130 NH 14.00% 14.00% 3/17/2011 6/24/2011 9/6/2011 Applies only to policies with a benefit period 6 years and greater

2053 LI-LTCP (NH) 192 I D E F 05/22/97 10/2/2008 Life Investors Insurance Company of America


2054 LI-LTCP (NH) 192 I D E F 05/22/97 10/2/2008 Life Investors Insurance Company of America


2055 LI-LTCP TQ (NH) 898 I A C 08/19/98 10/2/2008 Life Investors Insurance Company of America

64130 NH 25.00% 25.00% 1/16/2008 1/30/2008 5/1/2008 Applies only to benefit periods 4 years and greater





2058 IP-70-NH-494, IP-71-NH-494

I D, F 06/24/96 NH 25.00% 25.00% 1/16/2008 1/30/2008 5/1/2008

2059 IP-70-NH-494, IP-71-NH-494

I D, F 06/24/96 NH 15%-25% 15%-25% 6/4/2009 8/21/2009 12/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2060 IP-70-NH-494, IP-71-NH-494

I D, F 06/24/96 NH 14.00% 14.00% 3/17/2011 6/24/2011 9/6/2011 Applies only to policies with a benefit period 6 years and greater

2061 FLEX 2 (NH) 196 I D, F 03/05/98 NH 25.00% 25.00% 1/16/2008 1/30/2008 5/1/20082062 FLEX 2 (NH) 196 I D, F 03/05/98 NH 15%-25% 15%-25% 6/4/2009 8/21/2009 12/1/2009 Varies by inflation benefit and applies


2063 FLEX 2 (NH) 196 I D, F 03/05/98 NH 14.00% 14.00% 3/17/2011 6/24/2011 9/6/2011 Applies only to policies with a benefit period 6 years and greater

2064 FLEX 2 (NH) 196 I A, C 01/27/97 NH 25.00% 25.00% 1/16/2008 1/30/2008 5/1/20082065 FLEX 2 (NH) 196 I A, C 01/27/97 NH 15%-25% 15%-25% 6/4/2009 8/21/2009 12/1/2009 Varies by inflation benefit and applies


2066 FLEX 2 (NH) 196 I A, C 01/27/97 NH 14.00% 14.00% 3/17/2011 6/24/2011 9/6/2011 Applies only to policies with a benefit period 6 years and greater

2067 LTC 3 (NH) 1091 (REV93 I D E F 05/25/94 NH 25.00% 25.00% 1/16/2008 1/30/2008 5/1/2008

2068 LTC 3 (NH) 1091 (REV93 I D E F 05/25/94 NH 15%-25% 15%-25% 6/4/2009 8/21/2009 12/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

2069 LTC 3 (NH) 1091 (REV93 I D E F 05/25/94 NH 14.00% 14.00% 3/17/2011 6/24/2011 9/6/2011 Applies only to policies with a benefit period 6 years and greater

2070 LTC 5 TQ (NH) 1096 I A C 10/29/97 NH 25.00% 25.00% 1/16/2008 1/30/2008 5/1/20082071 LTC 5 TQ (NH) 1096 I A C 10/29/97 NH 15%-25% 15%-25% 6/4/2009 8/21/2009 12/1/2009 Varies by inflation benefit and applies


2072 LTC 5 TQ (NH) 1096 I A C 10/29/97 NH 14.00% 14.00% 3/17/2011 6/24/2011 9/6/2011 Applies only to policies with a benefit period 6 years and greater





2075 GCPRO-II (NH) 794 I D E F 12/06/96 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2076 GCPRO-II (NH) 794 I D E F 12/06/96 12/31/2001 Bankers United Life Assurance Company


2077 GCPRO-III TQ (NH) 197 I A B C 08/20/97 12/31/2001 Bankers United Life Assurance Company






2080 GCPRO (NH) 193 I D E F 04/01/96 12/31/2001 Bankers United Life Assurance Company










2085 LTC-104-194-NH, LTC-105-194-NH, LTC-106-194



2086 LTC-104-194-NH, LTC-105-194-NH, LTC-106-194





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2087 LTC 124-197-NH I A B C 02/06/97 10/1/2008 Transamerica Occidental Life Insurance Company


2088 LTC 124-197-NH I A B C 02/06/97 10/1/2008 Transamerica Occidental Life Insurance Company


2089 LTC 304-198-NH, LTC 305-198-NH



2090 LTC 304-198-NH, LTC 305-198-NH



2091 GLTC 2 1289, GLTC 2 1290

G D, F 12/13/90 NJ 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

2092 GLTC 2 1289, GLTC 2 1290

G D, F 12/13/90 NJ 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2093 GLTC 2 1289, GLTC 2 1290

G D, F 12/13/90 NJ 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013

2094 GLTP 3 1091 G D E F 02/04/91 NJ 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

2095 GLTP 3 1091 G D E F 02/04/91 NJ 17.00% 17.00% 11/20/2012 12/20/2012 7/1/20132096 GLTP 3 1091, GLTP3R

1091 G D E F 08/04/92 NJ 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by inflation benefit and applies


2097 GLTP 3 1091, GLTP3R 1091

G D E F 08/04/92 NJ 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2098 GLTP 3 1091, GLTP3R 1091

G D E F 08/04/92 NJ 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013

2099 3132 (00) 288 G D F 09/13/88 NJ 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by inflation benefit and applies to benefit periods 6 years and greater

2100 3132 (00) 288 G D F 09/13/88 NJ 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2101 3132 (00) 288 G D F 09/13/88 NJ 17.00% 17.00% 11/20/2012 12/20/2012 7/1/20132102 KLTCP 1 (NM) 490 I D E F 11/01/90 10/2/2008 Life Investors


64130 NM 25.00% 25.00% 12/27/2007 3/1/2008 5/1/2008 Applies only to benefit periods 4 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2103 KLTCP 1 (NM) 490 I D E F 11/01/90 10/2/2008 Life Investors Insurance Company of America

64130 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater

2104 LI-LTCP (NM) 192, LI-LTCP (NM) 693 and LI-LTCP (NM) 397



2105 LI-LTCP (NM) 192, LI-LTCP (NM) 693 and LI-LTCP (NM) 397



2106 LI-LTCP TQ (NM) 197 and LI-LTCP TQ (NM) 198



2107 LI-LTCP TQ (NM) 197 and LI-LTCP TQ (NM) 198



2108 LI-LTCP TQ (NM) 898 I A C 10/03/00 10/2/2008 Life Investors Insurance Company of America


2109 LI-LTCP TQ (NM) 898 I A C 10/03/00 10/2/2008 Life Investors Insurance Company of America


2110 IP-70-NM-494, IP-71-NM-494

I D, F 03/19/95 NM 25.00% 25.00% 12/27/2007 1/17/2008 5/1/2008

2111 IP-70-NM-494, IP-71-NM-494

I D, F 03/19/95 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater

2112 FLEX 2 (NM) 196, FLEX 2 (NM) 397

I D, F 12/20/96 NM 25.00% 25.00% 12/27/2007 1/17/2008 5/1/2008

2113 FLEX 2 (NM) 196, FLEX 2 (NM) 397

I D, F 12/20/96 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater

2114 FTQ (NM) 197 I A, C 02/01/97 NM 25.00% 25.00% 12/27/2007 1/17/2008 5/1/20082115 FTQ (NM) 197 I A, C 02/01/97 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies


2116 LTCP (NM) 1289 I D F 06/21/90 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2117 LTCP (NM) 1289 I D F 06/21/90 12/31/2001 Bankers United Life Assurance Company


2118 GCPLUS 1290 (NM) and GCPLUS 2 1290 (NM)



2119 GCPLUS 1290 (NM) and GCPLUS 2 1290 (NM)



2120 GLTP 2 1289 & GHHC 1 189(GLTC 2 1289, GLTC 2 1290 & GHHC 1 189

G D, F 03/20/91 NM 25.00% 25.00% 12/27/2007 1/17/2008 5/1/2008


G D, F 03/20/91 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater


G D, F 03/20/91 NM 17.00% 15.00% 8/6/2013 11/1/2013 2/1/2014

2123 LTC 3 (NM) 1091, LTC 3 (NM) 1091 (REV92) LTC 3 (NM) 1091 (REV93)

I D E F 08/29/92 NM 25.00% 25.00% 12/27/2007 1/17/2008 5/1/2008

2124 LTC 3 (NM) 1091, LTC 3 (NM) 1091 (REV92) LTC 3 (NM) 1091 (REV93)

I D E F 08/29/92 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater

2125 LTC 5 (NM) 196, LTC 5 (NM) 397

I D F 12/27/96 NM 25.00% 25.00% 12/27/2007 1/17/2008 5/1/2008

2126 LTC 5 (NM) 196, LTC 5 (NM) 397

I D F 12/27/96 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater

2127 LTC 5 TQ (NM) 1096, LTC 5 TQ (NM) 397, LTC 5 TQ (NM) 397

I A C 09/23/97 NM 25.00% 25.00% 12/27/2007 1/17/2008 5/1/2008

2128 LTC 5 TQ (NM) 1096, LTC 5 TQ (NM) 397, LTC 5 TQ (NM) 397

I A C 09/23/97 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater

2129 3122 (00) 288 (3132 (00) 288)

G D F 10/12/88 NM 25.00% 25.00% 12/27/2007 1/17/2008 5/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2130 3122 (00) 288 (3132 (00) 288)

G D F 10/12/88 NM 15%-25% 15%-25% 6/3/2009 2/8/2010 5/1/2010 Varies by inflation benefit and applies to benefit periods 6 years and greater

2131 3122 (00) 288 (3132 (00) 288)

G D F 10/12/88 NM 17.00% 15.00% 8/6/2013 11/1/2013 2/1/2014

2132 GP001 796 (GC001 (NM) 796)



2133 GP001 796 (GC001 (NM) 796)



2134 GCPRO-II (NM) 794 I D E F 07/03/96 12/31/2001 Bankers United Life Assurance Company


2135 GCPRO-II (NM) 794 I D E F 07/03/96 12/31/2001 Bankers United Life Assurance Company


2136 GCPRO-III TQ (NM) 197 I A B C 03/03/92 12/31/2001 Bankers United Life Assurance Company


2137 GCPRO-III TQ (NM) 197 I A B C 03/03/92 12/31/2001 Bankers United Life Assurance Company


2138 GCPRO 193 (NM) I D E F 01/19/94 12/31/2001 Bankers United Life Assurance Company


2139 GCPRO 193 (NM) I D E F 01/19/94 12/31/2001 Bankers United Life Assurance Company




2141 1-820 37-191, 1-822 37-191, 1-820 37-193, 1-822 37-193





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2142 LTC-104-194-NM, LTC-105-194-NM, LTC-106-194-NM



2143 LTC 127-197-NM I A B C 02/21/97 10/1/2008 Transamerica Occidental Life Insurance Company


2144 LTC 304-198-NM, LTC 305-198-NM



2145 KLTCP 1 (NV) 690 and KLTCP 1 (NV) 691

I A B C 05/21/91 10/2/2008 Life Investors Insurance Company of America

64130 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/2012

2146 LI-LTCP 192 and LI-LTCP (NV) 192


64130 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/2012

2147 LI-LTCP TQ 197 I D E F 06/12/97 10/2/2008 Life Investors Insurance Company of America

64130 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/2012

2148 LI-LTCP TQ 898 I D E F 08/08/01 10/2/2008 Life Investors Insurance Company of America

64130 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/2012

2149 IP-70-00-494, IP-71-00-494, IP-72-00-94, IP-73-00-94

I D E F 02/11/95 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/2012

2150 FLEX 2 (NV) 196 I D E F 01/26/90 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/20122151 FTQ (NV) 197 I A B C 05/16/97 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/20122152 LTCP 889 I D F 01/25/91 10/2/2008 Bankers United


61387 NV 25.00% 19.00% 12/28/2011 7/9/2012 11/1/2012

2153 6122 (00) 588 I D F 03/22/89 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/20122154 LTC 3 (NV) 1091, LTC 3

(NV) 1091 (REV395), LTC 3R (NV) 1091

I D E F 05/17/95 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/2012

2155 LTC 5 (NV) 196, LTC 5 1197 (FO-1) Facility Only Module

I D 10/09/95 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/2012



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2156 LTC 5 TQ 1096, LTC 5 TQ 1197 (FO-1) Facility Only Module

I A 02/25/97 NV 25.00% 19.00% 12/28/2011 7/9/2012 10/1/2012


64130 NV 25.00% 25.00% 10/29/2010 3/31/2012 7/1/2012

2158 GCPRO-II 794 and GCPRO-II (NV) 794


61387 NV 25.00% 19.00% 12/28/2011 7/9/2012 11/1/2012

2159 GCPRO-III TQ 197 I D E F 03/10/97 10/2/2008 Bankers United Life Assurance Company

61387 NV 25.00% 19.00% 12/28/2011 7/9/2012 11/1/2012

2160 GCPRO (NV) 193 I A B C 07/26/95 10/2/2008 Bankers United Life Assurance Company

61387 NV 25.00% 19.00% 12/28/2011 7/9/2012 11/1/2012

2161 1-812 11-190, 1-812 34-190


67121 NV 25.00% 19.00% 12/28/2011 7/9/2012 11/1/2012

2162 LTC-104-194, LTC-105-194, LTC-106-194


67121 NV 25.00% 19.00% 12/28/2011 7/9/2012 11/1/2012


67121 NV 25.00% 19.00% 12/28/2011 7/9/2012 11/1/2012

2164 LTC 304-198, LTC 305-198


67121 NV 25.00% 19.00% 12/28/2011 7/9/2012 11/1/2012

2165 GCP 1 387(GCC 1 387) G D, F 05/08/87 OH 25.00% 25.00% 1/20/2009 2/18/2009 6/1/20092166 GCP 1 387(GCC 1 387) G D, F 05/08/87 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2167 KLTCP 1 (OH) 590 I D E F 04/25/91 10/2/2008 Life Investors Insurance Company of America

64130 OH 25.00% 25.00% 9/19/2007 10/18/2007 2/1/2008 Applies only to benefit periods 4 years and greater

2168 KLTCP 1 (OH) 590 I D E F 04/25/91 10/2/2008 Life Investors Insurance Company of America

64130 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2169 GKLTCP 1 190 GKLTCP 1 190 (GKLTCC 1 190)



2170 GKLTCP 1 190 GKLTCP 1 190 (GKLTCC 1 190)


64130 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013






64130 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2173 LI-LTCP 192, LI-LTCP (OH) 194 and LI-LTCP (OH) 695



2174 LI-LTCP 192, LI-LTCP (OH) 194 and LI-LTCP (OH) 695


64130 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2175 LI-LTCP TQ (OH) 197 I A C 02/06/97 10/2/2008 Life Investors Insurance Company of America



64130 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2179 IP-70-OH-494, IP-71-OH-494, IP-72-OH-494, IP-73-OH-494

I D, F 01/07/95 OH 25.00% 25.00% 9/19/2007 10/18/2007 2/1/2008

2180 IP-70-OH-494, IP-71-OH-494, IP-72-OH-494, IP-73-OH-494

I D, F 01/07/95 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2181 FLEX 2 (OH) 196 I D, F 07/01/92 OH 25.00% 25.00% 9/19/2007 10/18/2007 2/1/20082182 FLEX 2 (OH) 196 I D, F 07/01/92 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/20132183 FTQ (OH) 197 I A, C 01/14/97 OH 25.00% 25.00% 9/19/2007 10/18/2007 2/1/20082184 FTQ (OH) 197 I A, C 01/14/97 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/20132185 LTCP 889 I D F 05/01/90 12/31/2001 Bankers United




61387 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013

2187 GCPLUS 1290 and GCPLUS 2 1290





61387 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013


G D, F 10/04/89 OH 25.00% 25.00% 1/20/2009 2/18/2009 6/1/2009


G D, F 10/04/89 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2191 GLTP 3 1091 and GLTP 3R 1091(GLTC 3 1091, GLTC 3 (OH) 1091 (REV93),GLTC 3R 1091 & GLTC 3R (OH) 1091 (REV93))

G D E F 12/13/89 OH 25.00% 25.00% 1/20/2009 2/18/2009 6/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2192 GLTP 3 1091 and GLTP 3R 1091(GLTC 3 1091, GLTC 3 (OH) 1091 (REV93),GLTC 3R 1091 & GLTC 3R (OH) 1091 (REV93))

G D E F 12/13/89 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2193 LTC 3 (OH) 1091, LTC 3 (OH) 1091 (REV93), LTC 3R (OH) 1091, LTC 3R (OH) 1091 (REV93)

I D E F 10/01/90 OH 25.00% 25.00% 9/19/2007 10/18/2007 2/1/2008

2194 LTC 3 (OH) 1091, LTC 3 (OH) 1091 (REV93), LTC 3R (OH) 1091, LTC 3R (OH) 1091 (REV93)

I D E F 10/01/90 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2195 LTC 5 (OH) 196, LTC 5 (OH) 196

I D F 04/29/89 OH 25.00% 25.00% 9/19/2007 10/18/2007 2/1/2008

2196 LTC 5 (OH) 196, LTC 5 (OH) 196

I D F 04/29/89 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2197 LTC 5 TQ (OH) 1096, LTC 5 TQ (OH) 1096

I A C 10/01/90 OH 25.00% 25.00% 9/19/2007 10/18/2007 2/1/2008

2198 LTC 5 TQ (OH) 1096, LTC 5 TQ (OH) 1096

I A C 10/01/90 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2199 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 OH 25.00% 25.00% 1/20/2009 2/18/2009 6/1/2009

2200 3122 (00) 288 (3132 (00) 288)

G D F 10/18/88 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013






64130 OH 17.00% 17.00% 11/30/2012 1/23/2013 8/1/2013

2204 GCPRO-II (OH) 794 I D E F 03/24/95 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2205 GCPRO-II (OH) 794 I D E F 03/24/95 12/31/2001 Bankers United Life Assurance Company

61387 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013




61387 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013

2208 GCPRO 193 (OH) and GCPRO 193 (OH) (Rev1293)



2209 GCPRO 193 (OH) and GCPRO 193 (OH) (Rev1293)


61387 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013


67121 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013

2211 1-820 41-191, 1-822 41-191, 1-820 41-194, 1-822 41-194


67121 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013

2212 LTC-104-194-OH, LTC-105-194-OH, LTC-106-194-OH


67121 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013

2213 LTC-100 41-193, LTC-100 41-194


67121 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013

2214 LTC-100 41-193, LTC-100 41-194


67121 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2215 LTC 304-198-OH, LTC 305-198-OH


67121 OH 17.00% 17.00% 11/30/2012 1/23/2013 9/1/2013

2216 GCC 1 387 G D, F 07/17/87 OK 25.00% 15.00% 9/7/2007 8/19/2008 12/1/20082217 GCC 1 387 G D, F 07/17/87 OK 15%-25% 15.00% 6/5/2009 9/11/2009 12/1/2009 Varies by inflation benefit and applies


2218 GCC 1 387 G D, F 07/17/87 OK 14.00% 10.00% 6/25/2010 10/18/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001

2219 GCC 1 387 G D, F 07/17/87 OK 17.00% 17.00% 2/11/2013 5/7/2013 8/1/20132220 KLTCP 1 (OK) 790 I D E F 10/09/90 10/2/2008 Life Investors


64130 OK 25.00% 15.00% 9/7/2007 8/19/2008 12/1/2008 Applies only to benefit periods 4 years and greater for policies with application dates prior to 11/1/2001

2221 KLTCP 1 (OK) 790 I D E F 10/09/90 10/2/2008 Life Investors Insurance Company of America

64130 OK 15%-25% 15.00% 6/5/2009 6/25/2009 12/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 11/1/2001


64130 OK 14.00% 10.00% 6/25/2010 10/27/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001


64130 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013

2224 LI-GLTCP (OK) 1096 (LI-GLTCC (OK) 1096)








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 OK 17.00% 17.00% 2/11/2013 4/18/2013 8/1/2013

2228 LI-LTCP 192 and LI-LTCP (OK) 593











64130 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013

2232 LI-LTCP TQ (OK) 197 I A C 06/12/92 10/2/2008 Life Investors Insurance Company of America








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013








64130 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013

2240 IP-70-OK-494, IP-71-OK-494, IP-72-OK-494, IP-73-OK-494

I D, F 09/10/92 OK 25.00% 15.00% 9/7/2007 8/19/2008 12/1/2008 Applies only to benefit periods 4 years and greater for policies with application dates prior to 11/1/2001


I D, F 09/10/92 OK 15%-25% 15.00% 6/5/2009 6/25/2009 12/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 11/1/2001


I D, F 09/10/92 OK 14.00% 10.00% 6/25/2010 10/27/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001


I D, F 09/10/92 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013

2244 FLEX 2 (OK) 196, FLEX 2 (OK) 199

I D, F 04/05/96 OK 25.00% 15.00% 9/7/2007 8/19/2008 12/1/2008 Applies only to benefit periods 4 years and greater for policies with application dates prior to 11/1/2001

2245 FLEX 2 (OK) 196, FLEX 2 (OK) 199

I D, F 04/05/96 OK 15%-25% 15.00% 6/5/2009 6/25/2009 12/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 11/1/2001

2246 FLEX 2 (OK) 196, FLEX 2 (OK) 199

I D, F 04/05/96 OK 14.00% 10.00% 6/25/2010 10/27/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2247 FLEX 2 (OK) 196, FLEX 2 (OK) 199

I D, F 04/05/96 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013

2248 FTQ (OK) 197 I A, C 06/02/97 OK 25.00% 15.00% 9/7/2007 8/19/2008 12/1/2008 Applies only to benefit periods 4 years and greater for policies with application dates prior to 11/1/2001

2249 FTQ (OK) 197 I A, C 06/02/97 OK 15%-25% 15.00% 6/5/2009 6/25/2009 12/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 11/1/2001

2250 FTQ (OK) 197 I A, C 06/02/97 OK 14.00% 10.00% 6/25/2010 10/27/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001

2251 FTQ (OK) 197 I A, C 06/02/97 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/20132252 LTCP 1289 (OK) I D F 03/19/91 12/31/2001 Bankers United



2253 LTCP 1289 (OK) I D F 03/19/91 12/31/2001 Bankers United Life Assurance Company





61387 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013

2256 GCPLUS 1290 (OK) and GCPLUS 2 1290 (OK)











61387 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





G D, F 01/11/91 OK 25.00% 15.00% 9/7/2007 12/7/2007 4/1/2008


G D, F 01/11/91 OK 15%-25% 15.00% 6/5/2009 9/11/2009 12/1/2009 Applies only to benefit periods 6 years and greater


G D, F 01/11/91 OK 14.00% 10.00% 6/28/2010 10/18/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001


G D, F 01/11/91 OK 17.00% 17.00% 2/11/2013 5/17/2013 8/1/2013


G D E F 06/01/91 OK 25.00% 15.00% 9/7/2007 12/7/2007 4/1/2008


G D E F 06/01/91 OK 15%-25% 15.00% 6/5/2009 9/11/2009 12/1/2009 Applies only to benefit periods 6 years and greater


G D E F 06/01/91 OK 14.00% 10.00% 6/28/2010 10/18/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001


G D E F 06/01/91 OK 17.00% 17.00% 2/11/2013 5/17/2013 8/1/2013

2268 LTC 3 (OK) 1091, LTC 3 (OK) 1091 (REV93), LTC 3R (OK) 1091, LTC 3R (OK) 1091(REV93), LTC

I D E F 04/28/90 OK 25.00% 15.00% 9/7/2007 8/19/2008 12/1/2008 Applies only to policies with application dates prior to 11/1/2001


I D E F 04/28/90 OK 15%-25% 15.00% 6/5/2009 6/25/2009 12/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 11/1/2001


I D E F 04/28/90 OK 14.00% 10.00% 6/25/2010 10/27/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001


I D E F 04/28/90 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





G D E F 05/01/91 OK 25.00% 15.00% 9/7/2007 12/7/2007 4/1/2008


G D E F 05/01/91 OK 15%-25% 15.00% 6/5/2009 9/11/2009 12/1/2009 Applies to benefit periods 6 years and greater


G D E F 05/01/91 OK 14.00% 10.00% 6/28/2010 10/18/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001


G D E F 05/01/91 OK 17.00% 17.00% 2/11/2013 5/17/2013 8/1/2013

2276 LTC 5 (OK) 196, LTC 5 (OK) 199, LTC 5 (OK) 196 Facility Only Module, LTC 5 (OK) 199

I D F 03/21/96 OK 25.00% 15.00% 9/7/2007 8/19/2008 12/1/2008 Applies only to policies with application dates prior to 11/1/2001


I D F 03/21/96 OK 15%-25% 15.00% 6/5/2009 6/25/2009 12/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 11/1/2001


I D F 03/21/96 OK 14.00% 10.00% 6/25/2010 10/27/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001


I D F 03/21/96 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013

2280 LTC 5 TQ (OK) 1096, LTC 5 TQ (OK) 1096

I A C 03/05/97 OK 25.00% 15.00% 9/7/2007 8/19/2008 12/1/2008 Applies only to policies with application dates prior to 11/1/2001

2281 LTC 5 TQ (OK) 1096, LTC 5 TQ (OK) 1096

I A C 03/05/97 OK 15%-25% 15.00% 6/5/2009 6/25/2009 12/1/2009 Applies only to benefit periods 6 years and greater for policies with application dates prior to 11/1/2001



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2282 LTC 5 TQ (OK) 1096, LTC 5 TQ (OK) 1096

I A C 03/05/97 OK 14.00% 10.00% 6/25/2010 10/27/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001

2283 LTC 5 TQ (OK) 1096, LTC 5 TQ (OK) 1096

I A C 03/05/97 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013

2284 3132 (00) 288 G D F 10/26/88 OK 25.00% 15.00% 9/7/2007 12/7/2007 4/1/2008

2285 3132 (00) 288 G D F 10/26/88 OK 15%-25% 15.00% 6/5/2009 9/11/2009 12/1/2009 Applies to benefit periods 6 years and greater

2286 3132 (00) 288 G D F 10/26/88 OK 14.00% 10.00% 6/28/2010 10/18/2010 2/4/2011 Applies only to benefit periods 6 years and greater with application dates prior to 11/1/2001

2287 3132 (00) 288 G D F 10/26/88 OK 17.00% 17.00% 2/11/2013 5/17/2013 8/1/20132288 GP001 796 (GC001 (OK)

796)G A B C 07/17/92 10/2/2008 Life Investors



2289 GP001 796 (GC001 (OK) 796)



2290 GP001 796 (GC001 (OK) 796)



2291 GP001 796 (GC001 (OK) 796)


64130 OK 17.00% 17.00% 2/8/2013 4/18/2013 8/1/2013

2292 GCPRO-II (OK) 794 and GCPRO - II (OK) 199








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013

2296 GCPRO-III TQ (OK) 197 I A B C 02/28/92 12/31/2001 Bankers United Life Assurance Company







61387 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013

2300 GCPRO 193 (OK), GCPRO (OK) 296 and GCPRO (OK) 199











61387 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







67121 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013

2307 1-820 42-191, 1-822 42-191, 1-820 42-193, 1-822 42-193



2308 1-820 42-191, 1-822 42-191, 1-820 42-193, 1-822 42-193



2309 1-820 42-191, 1-822 42-191, 1-820 42-193, 1-822 42-193


67121 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013

2310 1-820 42-191, 1-822 42-191, 1-820 42-193, 1-822 42-193





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2311 1-820 42-191, 1-822 42-191, 1-820 42-193, 1-822 42-193



2312 1-820 42-191, 1-822 42-191, 1-820 42-193, 1-822 42-193


67121 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013

2313 LTC 124-197-OK I A B C 01/08/97 10/1/2008 Transamerica Occidental Life Insurance Company





67121 OK 17.00% 17.00% 2/8/2013 4/18/2013 9/1/2013

2316 KLTCP 1 (OR) 590, KLTCP 1 (OR)-2-192, KLTCP 1 (OR)-3-192


64130 OR 25.00% 25.00% 10/3/2007 11/5/2007 8/1/2008 Applies only to benefit periods 4 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 OR 15%-25% 10.00% 6/5/2009 7/23/2009 11/1/2009 Applies to benefit periods 6 years and greater



64130 OR 14.00% 14.00% 11/4/2010 1/7/2011 3/21/2011 Applies to benefit periods 6 years and greater



64130 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014












As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014

2324 LI-LTCP TQ (OR)-2-197 and LI-LTCP TQ (OR)-3-197











64130 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014

2328 LI-LTCP COM TQ (OR) 898





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved












64130 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014

2332 IP-71-OR-494 I D, F 05/29/96 OR 25.00% 25.00% 10/3/2007 11/5/2007 8/1/20082333 IP-71-OR-494 I D, F 05/29/96 OR 15%-25% 10.00% 6/5/2009 7/23/2009 11/1/2009 Applies to benefit periods 6 years and

greater2334 IP-71-OR-494 I D, F 05/29/96 OR 14.00% 14.00% 11/4/2010 1/7/2011 3/21/2011 Applies to benefit periods 6 years and

greater2335 IP-71-OR-494 I D, F 05/29/96 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/20142336 FLEX 2 HCC (OR) 898,

FLEX 2 HCC (OR) 196I D, F 06/02/99 OR 25.00% 25.00% 10/3/2007 11/5/2007 8/1/2008

2337 FLEX 2 HCC (OR) 898, FLEX 2 HCC (OR) 196

I D, F 06/02/99 OR 15%-25% 10.00% 6/5/2009 7/23/2009 11/1/2009 Applies to benefit periods 6 years and greater


I D, F 06/02/99 OR 14.00% 14.00% 11/4/2010 1/7/2011 3/21/2011 Applies to benefit periods 6 years and greater


I D, F 06/02/99 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014

2340 FTQ (OR) 197 I A, C 06/09/99 OR 25.00% 25.00% 10/3/2007 11/5/2007 8/1/20082341 FTQ (OR) 197 I A, C 06/09/99 OR 15%-25% 10.00% 6/5/2009 7/23/2009 11/1/2009 Applies to benefit periods 6 years and

greater2342 FTQ (OR) 197 I A, C 06/09/99 OR 14.00% 14.00% 11/4/2010 1/7/2011 3/21/2011 Applies to benefit periods 6 years and

greater2343 FTQ (OR) 197 I A, C 06/09/99 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/20142344 LTCP (OR) 390 I D F 06/04/90 12/31/2001 Bankers United



2345 LTCP (OR) 390 I D F 06/04/90 12/31/2001 Bankers United Life Assurance Company






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





61387 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014

2348 GCPLUS 2 1290 (OR) I D F 01/17/91 12/31/2001 Bankers United Life Assurance Company







61387 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014

2352 6132 (OR) 888, 6132 (OR) 1289

I D F 01/27/89 OR 25.00% 25.00% 10/3/2007 11/5/2007 8/1/2008

2353 6132 (OR) 888, 6132 (OR) 1289

I D F 01/27/89 OR 15%-25% 10.00% 6/5/2009 7/23/2009 11/1/2009 Applies to benefit periods 6 years and greater

2354 6132 (OR) 888, 6132 (OR) 1289

I D F 01/27/89 OR 14.00% 14.00% 11/4/2010 1/7/2011 3/21/2011 Applies to benefit periods 6 years and greater

2355 6132 (OR) 888, 6132 (OR) 1289

I D F 01/27/89 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014

2356 LTC 3 (OR) 1091 (REV92) I D E F 05/31/90 OR 25.00% 25.00% 10/3/2007 11/5/2007 8/1/2008

2357 LTC 3 (OR) 1091 (REV92) I D E F 05/31/90 OR 15%-25% 10.00% 6/5/2009 7/23/2009 11/1/2009 Applies to benefit periods 6 years and greater

2358 LTC 3 (OR) 1091 (REV92) I D E F 05/31/90 OR 14.00% 14.00% 11/4/2010 1/7/2011 3/21/2011 Applies to benefit periods 6 years and greater

2359 LTC 3 (OR) 1091 (REV92) I D E F 05/31/90 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014

2360 LTC 5 (OR) 196, LTC 5 (OR) 898

I D F 09/09/98 OR 15%-25% 10.00% 6/5/2009 7/23/2009 11/1/2009 Applies to benefit periods 6 years and greater

2361 LTC 5 (OR) 196, LTC 5 (OR) 898

I D F 09/09/98 OR 14.00% 14.00% 11/4/2010 1/7/2011 3/21/2011 Applies to benefit periods 6 years and greater

2362 LTC 5 (OR) 196, LTC 5 (OR) 898

I D F 09/09/98 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014

2363 LTC 5 TQ (OR) 1096 I A, C 07/19/00 OR 25.00% 25.00% 10/3/2007 11/5/2007 8/1/20082364 LTC 5 TQ (OR) 1096 I A, C 07/19/00 OR 15%-25% 10.00% 6/5/2009 7/23/2009 11/1/2009 Applies to benefit periods 6 years and

greater2365 LTC 5 TQ (OR) 1096 I A, C 07/19/00 OR 14.00% 14.00% 11/4/2010 1/7/2011 3/21/2011 Applies to benefit periods 6 years and

greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2366 LTC 5 TQ (OR) 1096 I A, C 07/19/00 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/20142367 GP001 796 (GC001 796) G A B C 10/30/97 10/2/2008 Life Investors








64130 OR 17.00% 17.00% 1/10/2013 3/26/2014 9/1/2014

2371 GCPRO-A II-C (OR) 794 I D E F 10/12/95 12/31/2001 Bankers United Life Assurance Company







61387 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014

2375 GCPRO-III TQ LTCPHHC (OR) 197, GCPRO-III TQ LTCHHC (OR) 197, GCPRO-III TQ NHPHHCC (OR) 197, GCPRO-III TQ NHBHHCC (OR) 197, GCPRO-III TQ HHC (OR) 197





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved












61387 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014

2379 GCPRO-C (OR) 193 I D E F 09/14/90 12/31/2001 Bankers United Life Assurance Company







61387 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







67121 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014






67121 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014

2389 LTC-104-194-OR, LTC-105-194-OR, LTC-106-194-OR








67121 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014

2392 LTC 124-197-OR, LTC 125-197-OR, LTC 126-197-OR








67121 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2395 LTC 304-198-OR, LTC 305-198-OR



2396 LTC 304-198-OR, LTC 305-198-OR



2397 LTC 304-198-OR, LTC 305-198-OR


67121 OR 17.00% 17.00% 1/10/2013 3/26/2014 10/1/2014

2398 KLTCP 1 (PA) 490 I D E F 02/13/91 10/2/2008 Life Investors Insurance Company of America

64130 PA 25.00% 25.00% 12/11/2007 3/17/2008 7/1/2008 Applies only to benefit periods 4 years and greater


64130 PA 15%-25% 15.00% 6/25/2009 6/30/2009 10/1/2009 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater


64130 PA 14.00% 11.00% 11/9/2010 1/26/2011 4/7/2011 Applies to benefit periods 6 years and greater with issue dates prior to 9/16/2002


64130 PA 17.00% 15.00% 12/11/2012 4/26/2013 8/1/2013 Applicable only to policies issued prior to 9/16/2002

2402 LI-LTCP (PA) 192, LI-LTCP (PA)195, LI-LTCP (PA-FR)195








64130 PA 14.00% 11.00% 11/9/2010 1/26/2011 4/7/2011 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2406 LI-LTCP TQ (PA) 898, LI-LTCP TQ (PA-FR) 898












2410 IP-70-PA-494, IP-71-PA-494, FP-70-PA-494 and FP-71-PA-494

I D, F 03/28/94 PA 25.00% 25.00% 12/11/2007 3/17/2008 7/1/2008


I D, F 03/28/94 PA 15%-25% 15.00% 6/25/2009 6/30/2009 11/1/2009 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater


I D, F 03/28/94 PA 14.00% 11.00% 11/9/2010 1/26/2011 4/7/2011 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater


I D, F 03/28/94 PA 17.00% 15.00% 12/11/2012 4/26/2013 8/1/2013 Applicable only to policies issued prior to 9/16/2002

2414 GCPLUS 1290 (PA) and GCPLUS 2 1290 (PA)












2418 6222 (PA) 289 I D F 02/20/90 PA 25.00% 25.00% 12/11/2007 3/17/2008 7/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2419 6222 (PA) 289 I D F 02/20/90 PA 15%-25% 15.00% 6/25/2009 6/30/2009 11/1/2009 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater

2420 6222 (PA) 289 I D F 02/20/90 PA 14.00% 11.00% 11/9/2010 1/26/2011 4/7/2011 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater

2421 6222 (PA) 289 I D F 02/20/90 PA 17.00% 15.00% 12/11/2012 4/26/2013 8/1/2013 Applicable only to policies issued prior to 9/16/2002

2422 LTC 2 (PA) 1290 I D F 08/03/91 PA 25.00% 25.00% 12/11/2007 3/17/2008 7/1/20082423 LTC 2 (PA) 1290 I D F 08/03/91 PA 15%-25% 15.00% 6/25/2009 6/30/2009 11/1/2009 Applies only to policies with issue

dates prior to 9/16/2002 and benefit periods 6 years and greater

2424 LTC 2 (PA) 1290 I D F 08/03/91 PA 14.00% 11.00% 11/9/2010 1/26/2011 4/7/2011 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater

2425 LTC 2 (PA) 1290 I D F 08/03/91 PA 17.00% 15.00% 12/11/2012 4/26/2013 8/1/2013 Applicable only to policies issued prior to 9/16/2002

2426 LTC 3 (PA) 1091, LTC 3 (PA) 1091 (GR194), LTC 3 (PA) 1091 (GR195) and LTC 3 (PA) 1091 (REV195)

I D E F 01/28/92 PA 25.00% 25.00% 12/11/2007 3/17/2008 7/1/2008


I D E F 01/28/92 PA 15%-25% 15.00% 6/25/2009 6/30/2009 11/1/2009 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater


I D E F 01/28/92 PA 14.00% 11.00% 11/9/2010 1/26/2011 4/7/2011 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 01/28/92 PA 17.00% 15.00% 12/11/2012 4/26/2013 8/1/2013 Applicable only to policies issued prior to 9/16/2002

2430 LTC 5 TQ NH (PA) 1096, LTC 5 TQ COM (PA) 1096, LTC 5 TQ NH (PA-FP) 1096 and LTC 5 TQ COM (PA-FP) 1096

I A C 05/19/97 PA 25.00% 25.00% 12/11/2007 3/17/2008 7/1/2008


I A C 05/19/97 PA 15%-25% 15.00% 6/25/2009 6/30/2009 11/1/2009 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater


I A C 05/19/97 PA 14.00% 11.00% 11/9/2010 1/26/2011 4/7/2011 Applies only to policies with issue dates prior to 9/16/2002 and benefit periods 6 years and greater


I A C 05/19/97 PA 17.00% 15.00% 12/11/2012 4/26/2013 8/1/2013 Applicable only to policies issued prior to 9/16/2002

2434 GP001 796 (GC001 NH (PA) 796, GC001 LTC (PA) 796, GC001 HHC (PA) 796)








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 PA 14.00% 14.00% 10/29/2010 11/17/2010 3/9/2011 Applies only to policies with benefit periods 6 years and greater




2438 GCPRO-II (PA) 794, GCPRO-II (PA-FR) 794, GCPRO-II (PA) 995, GCPRO-II (PA-FR) 995












2442 GCPRO (PA) 193, GCPRO (PA-FR) 193, GCPRO (PA) 995, GCPRO (PA-FR) 995
















As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved








2449 1-820 44-991 and 1-822 44-991



2450 1-820 44-991 and 1-822 44-991



2451 1-820 44-991 and 1-822 44-991



2452 LTC-104-194-PA, LTC-105-194-PA and LTC-106-194-PA











67121 PA 69.00% 70.00% 6/1/2016 4/13/2017 9/13/2017 To be implemented at 21.5% a year for 3 years.

2456 LTC 124-197-PA, LTC 224-197-PA, LTC 125-197-PA, LTC 225-197-PA, LTC 126-197-PA and LTC 226-197-PA








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved










2460 LTC 304-198-PA, LTC 305-198-PA



2461 LTC 304-198-PA, LTC 305-198-PA



2462 LTC 304-198-PA, LTC 305-198-PA



2463 LTC 304-198-PA, LTC 305-198-PA



2464 TLC 1-P TRM (PA) 407, TLC 1-P TRM (PA-F) 407, TLC 1-SC-R 0510

I C 6/11/2009 PA 63.30% 63.30% 7/8/2016 5/16/2017

2465 LI 1-P PRO 4 (PA) 402 and LI 1-P PRO 4 (PA-F) 402


64130 PA 63.30% 63.30% 7/8/2016 5/16/2017

2466 TOL 1-P TCO (PA) 402, TOL 1-P TCO (PA-F) 402


67121 PA 63.30% 63.30% 7/8/2016 5/16/2017

2467 LI-LTCP TQ (RI) 197 I A C 08/11/98 10/2/2008 Life Investors Insurance Company of America

64130 RI 15%-25% 15%-25% 9/18/2009 9/9/2011 11/22/2011 Applies only to policies with benefit periods 6 years and greater

2468 LI-LTCP TQ (RI) 197 I A C 08/11/98 10/2/2008 Life Investors Insurance Company of America

64130 RI 17.00% 17.00% 4/17/2013 8/29/2013 12/1/2013

2469 FLEX 2 HCC RI 196, FLEX 2 HH RI 196

I D, F 06/15/98 RI 25.00% 25.00% 3/3/2008 1/30/2009 5/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D, F 06/15/98 RI 15%-25% 15%-25% 6/18/2009 9/9/2011 11/22/2011 Applies only to policies with benefit periods 6 years and greater


I D, F 06/15/98 RI 17.00% 17.00% 4/17/2013 8/29/2013 12/1/2013

2472 FTQ HCC (RI) 197, FTQ HH (RI) 197,FTQ HCC (RI) 197 Pooled

I C 06/15/98 RI 25.00% 25.00% 3/3/2008 1/30/2009 5/1/2009


RI 15%-25% 15%-25% 6/18/2009 9/9/2011 11/22/2011 Applies only to policies with benefit periods 6 years and greater


I D, F 06/15/98 RI 17.00% 17.00% 4/17/2013 8/29/2013 12/1/2013

2475 LTCP (RI) 390 I D F 12/15/92 12/31/2001 Bankers United Life Assurance Company


2476 GCPLUS 2 1290 (RI) I D F 06/21/93 12/31/2001 Bankers United Life Assurance Company


2477 GCPLUS 2 1290 (RI) I D F 06/21/93 12/31/2001 Bankers United Life Assurance Company

61387 RI 17.00% 17.00% 4/17/2013 8/29/2013 1/1/2014

2478 LTC 3 (RI) 1091 (REV93), LTC 3R (RI) 1091 (REV93)

I D E F 04/16/97 RI 25.00% 25.00% 3/3/2008 1/30/2009 5/1/2009


I D E F 04/16/97 RI 15%-25% 15%-25% 6/18/2009 9/9/2011 11/22/2011 Applies only to policies with benefit periods 6 years and greater


I D E F 04/16/97 RI 17.00% 17.00% 4/17/2013 8/29/2013 12/1/2013

2481 LTC 5 TQ (RI) 1197 I A C 11/12/98 RI 25.00% 25.00% 3/3/2008 1/30/2009 5/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2482 LTC 5 TQ (RI) 1197 I A C 11/12/98 RI 15%-25% 15%-25% 6/18/2009 9/9/2011 11/22/2011 Applies only to policies with benefit periods 6 years and greater

2483 LTC 5 TQ (RI) 1197 I A C 11/12/98 RI 17.00% 17.00% 4/17/2013 8/29/2013 12/1/20132484 GP001 796 (GC001 796) G A B C 12/18/97 10/2/2008 Life Investors


64130 RI 25.00% 25.00% 3/3/2008 7/25/2008 11/1/2008 Applies only to policies with a benefit period 4 years or greater.



2486 GCPRO-III TQ (RI) 197 and GCPRO-III TQ (RI) 399








61387 RI 17.00% 17.00% 4/17/2013 8/29/2013 1/1/2014

2489 GCPRO-C (RI) 193 I D E F 08/25/94 12/31/2001 Bankers United Life Assurance Company





61387 RI 17.00% 17.00% 4/17/2013 8/29/2013 1/1/2014

2492 LTC-104-194-RI I D E F 10/28/96 10/1/2008 Transamerica Occidental Life Insurance Company


2493 LTC-104-194-RI I D E F 10/28/96 10/1/2008 Transamerica Occidental Life Insurance Company

67121 RI 17.00% 17.00% 4/17/2013 8/29/2013 1/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2494 LTC 124-197-RI, LTC 124-199-RI



2495 LTC 124-197-RI, LTC 124-199-RI


67121 RI 17.00% 17.00% 4/17/2013 8/29/2013 1/1/2014

2496 LTC 304-198-RI I A B C 10/24/00 10/1/2008 Transamerica Occidental Life Insurance Company


2497 LTC 304-198-RI I A B C 10/24/00 10/1/2008 Transamerica Occidental Life Insurance Company

67121 RI 17.00% 17.00% 4/17/2013 8/29/2013 1/1/2014

2498 LI-MAT-LTCP 892, LI-MAT-LTCPR 892, LI-MAT-ACPR (SC) 192 (LI-MAT-LTCC 892, LI-MAT-LTCCR 892, LI-MAT-LTCC (SC) 892, LI-MAT-LTCCR (SC) 892, LI-MAT-ACCR (SC) 192)


64130 SC 25.00% 25.00% 7/18/2007 10/15/2007 2/1/2008 Applies only to benefit periods 4 years and greater.



64130 SC 15%-25% 15%-25% 3/24/2009 5/5/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 SC 14.00% 14.00% 5/26/2010 4/21/2011 7/2/2011 Applies only to benefit periods 6 years and greater



64130 SC 17.00% 14.00% 12/20/2012 4/5/2013 8/1/2013



64130 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/2017

2503 LI-LTCP (SC) 496 I D E F 11/14/93 10/2/2008 Life Investors Insurance Company of America








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/2017

2507 LI-LTCP TQ (SC) 197 I A C 03/08/95 10/2/2008 Life Investors Insurance Company of America







64130 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/2017







As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







64130 SC 17.00% 17.00% 12/20/2012 4/5/2013 8/1/2013


64130 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/2017

2516 FLEX 2 HCC (SC) 196 and FLEX 2 HCC (SC) 1097

I D, F 04/03/97 SC 25.00% 25.00% 7/18/2007 10/15/2007 2/1/2008


I D, F 04/03/97 SC 15%-25% 15%-25% 3/24/2009 5/5/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D, F 04/03/97 SC 14.00% 14.00% 5/26/2010 4/21/2011 7/2/2011 Applies only to benefit periods 6 years and greater


I D, F 04/03/97 SC 89.00% 20.00% 9/30/2016 3/22/2017 2/1/2008

2520 FPTQ (SC) 197 I A, C 06/12/97 SC 25.00% 25.00% 7/18/2007 10/15/2007 2/1/20082521 FPTQ (SC) 197 I A, C 06/12/97 SC 15%-25% 15%-25% 3/24/2009 5/5/2009 8/1/2009 Varies by type of inflation benefit and


2522 FPTQ (SC) 197 I A, C 06/12/97 SC 14.00% 14.00% 5/26/2010 4/21/2011 7/2/2011 Applies only to benefit periods 6 years and greater

2523 FPTQ (SC) 197 I A, C 06/12/97 SC 17.00% 17.00% 12/20/2012 4/5/2013 8/1/20132524 FPTQ (SC) 197 I A, C 06/12/97 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/20172525 LTC 3 (SC) 1091 (REV93 I D E F 03/09/95 SC 25.00% 25.00% 7/18/2007 10/15/2007 2/1/2008

2526 LTC 3 (SC) 1091 (REV93 I D E F 03/09/95 SC 15%-25% 15%-25% 3/24/2009 5/5/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2527 LTC 3 (SC) 1091 (REV93 I D E F 03/09/95 SC 14.00% 14.00% 5/26/2010 4/21/2011 7/2/2011 Applies only to benefit periods 6 years and greater

2528 LTC 3 (SC) 1091 (REV93 I D E F 03/09/95 SC 17.00% 11.00% 12/20/2012 4/5/2013 8/1/2013

2529 LTC 3 (SC) 1091 (REV93 I D E F 03/09/95 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/2017

2530 LTC 5 (SC) 196 I D F 06/10/97 SC 25.00% 25.00% 7/18/2007 10/15/2007 2/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2531 LTC 5 (SC) 196 I D F 06/10/97 SC 15%-25% 15%-25% 3/24/2009 5/5/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2532 LTC 5 (SC) 196 I D F 06/10/97 SC 14.00% 14.00% 5/26/2010 4/21/2011 7/2/2011 Applies only to benefit periods 6 years and greater

2533 LTC 5 (SC) 196 I D F 06/10/97 SC 17.00% 10.00% 12/20/2012 4/5/2013 8/1/20132534 LTC 5 (SC) 196 I D F 06/10/97 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/20172535 LTC 5 TQ (SC) 1096 I A C 01/07/97 SC 25.00% 25.00% 7/18/2007 10/15/2007 2/1/20082536 LTC 5 TQ (SC) 1096 I A C 01/07/97 SC 15%-25% 15%-25% 3/24/2009 5/5/2009 8/1/2009 Varies by type of inflation benefit and


2537 LTC 5 TQ (SC) 1096 I A C 01/07/97 SC 14.00% 14.00% 5/26/2010 4/21/2011 7/2/2011 Applies only to benefit periods 6 years and greater

2538 LTC 5 TQ (SC) 1096 I A C 01/07/97 SC 17.00% 17.00% 12/20/2012 4/5/2013 8/1/20132539 LTC 5 TQ (SC) 1096 I A C 01/07/97 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/20172540 GP001 796 (GC001 (SC)

796) G A B C 01/27/94 10/2/2008 Life Investors



2541 GP001 796 (GC001 (SC) 796)



2542 GP001 796 (GC001 (SC) 796)



2543 GP001 796 (GC001 (SC) 796)


64130 SC 17.00% 17.00% 12/20/2012 3/26/2013 8/1/2013

2544 GP001 796 (GC001 (SC) 796)


64130 SC 89.00% 20.00% 9/30/2016 3/22/2017 7/11/2017

2545 GCPRO-III TQ (SC) 197 I A B C 03/25/95 12/31/2001 Bankers United Life Assurance Company








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





61387 SC 89.00% 20.00% 9/30/2016 3/22/2017 8/11/2017

2549 LTC-104-194-SC, LTC-105-194-SC and LTC-106-194-SC








67121 SC 89.00% 20.00% 9/30/2016 3/22/2017 8/11/2017

2552 LTC 124-197-SC I A B C 12/06/96 10/1/2008 Transamerica Occidental Life Insurance Company





67121 SC 17.00% 17.00% 12/20/2012 4/5/2013 9/1/2013


67121 SC 89.00% 20.00% 9/30/2016 3/22/2017 8/11/2017

2556 LTC 304-198-SC and LTC 305-198-SC



2557 LTC 304-198-SC and LTC 305-198-SC



2558 LTC 304-198-SC and LTC 305-198-SC


67121 SC 89.00% 20.00% 9/30/2016 3/22/2017 8/11/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2559 KLTCP 1 (SD) 1290 I D E F 07/25/91 10/2/2008 Life Investors Insurance Company of America

64130 SD 15%-25% 15%-25% 3/18/2009 4/21/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


64130 SD 14.00% 14.00% 6/24/2010 6/25/2010 1/4/2011 Applies only to benefit periods 6 years and greater


64130 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013


64130 SD 60.00% 0.00% 6/29/2017

2563 LI-LTCP (SD) 192 I D E F 08/23/94 10/2/2008 Life Investors Insurance Company of America





64130 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013


64130 SD 60.00% 0.00% 6/29/2017

2567 LI-LTCP TQ (SD) 898 I A C 07/13/00 10/2/2008 Life Investors Insurance Company of America





64130 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





64130 SD 60.00% 0.00% 6/29/2017

2571 IP-70-SD-494, IP-71-SD-494, IP-72-SD-494, IP-73-SD-494

I D, F 03/11/93 SD 15%-25% 15%-25% 3/18/2009 4/21/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D, F 03/11/93 SD 14.00% 14.00% 6/24/2010 6/25/2010 1/4/2011 Applies only to benefit periods 6 years and greater


I D, F 03/11/93 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013


I D, F 03/11/93 SD 60.00% 0.00% 6/29/2017

2575 FLEX 2 (SD), 196FLEX 2 (SD) 1096


2576 FLEX 2 (SD), 196FLEX 2 (SD) 1096


2577 FLEX 2 (SD), 196FLEX 2 (SD) 1096

I D, F 08/20/96 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013

2578 FLEX 2 (SD), 196FLEX 2 (SD) 1096

I D, F 08/20/96 SD 60.00% 0.00% 6/29/2017

2579 FTQ (SD) 197 I A, C 02/11/97 SD 15%-25% 15%-25% 3/18/2009 4/21/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2580 FTQ (SD) 197 I A, C 02/11/97 SD 14.00% 14.00% 6/24/2010 6/25/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2581 FTQ (SD) 197 I A, C 02/11/97 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/20132582 FTQ (SD) 197 I A, C 02/11/97 SD 60.00% 0.00% 6/29/20172583 LTCP 889 I D F 04/26/90 12/31/2001 Bankers United



2584 LTCP 889 I D F 04/26/90 10/2/2008 61387 SD 14.00% 14.00% 6/24/2010 6/25/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2585 LTCP 889 I D F 04/26/90 10/2/2008 61387 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/20132586 LTCP 889 I D F 04/26/90 10/2/2008 61387 SD 60.00% 0.00% 6/29/20172587 GCPLUS 1290 (SD) and

GCPLUS 2 1290 (SD) I D F 09/21/90 12/31/2001 Bankers United





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2588 GCPLUS 1290 (SD) and GCPLUS 2 1290 (SD)





61387 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013



61387 SD 60.00% 0.00% 6/29/2017

2591 6122 (SD) 289, 6122 (SD) 789

I D F 06/19/89 SD 15%-25% 15%-25% 3/18/2009 4/21/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2592 6122 (SD) 289, 6122 (SD) 789

I D F 06/19/89 SD 14.00% 14.00% 6/24/2010 6/25/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2593 6122 (SD) 289, 6122 (SD) 789

I D F 06/19/89 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013

2594 6122 (SD) 289, 6122 (SD) 789

I D F 06/19/89 SD 60.00% 0.00% 6/29/2017

2595 LTC 2 (SD) 790 and LTC 2 (SD) 291


2596 LTC 2 (SD) 790 and LTC 2 (SD) 291


2597 LTC 2 (SD) 790 and LTC 2 (SD) 291

I D, F 04/11/91 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013

2598 LTC 2 (SD) 790 and LTC 2 (SD) 291

I D, F 04/11/91 SD 60.00% 0.00% 6/29/2017

2599 LTC 3 (SD) 1091, LTC 3R (SD) 1091

I D E F 10/02/91 SD 15%-25% 15%-25% 3/18/2009 4/21/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2600 LTC 3 (SD) 1091, LTC 3R (SD) 1091

I D E F 10/02/91 SD 14.00% 14.00% 6/24/2010 6/25/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2601 LTC 3 (SD) 1091, LTC 3R (SD) 1091

I D E F 10/02/91 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013

2602 LTC 3 (SD) 1091, LTC 3R (SD) 1091

I D E F 10/02/91 SD 60.00% 0.00% 6/29/2017

2603 LTC 5 (SD) 196, LTC 5 (SD) 1096

I D F 08/17/94 SD 15%-25% 15%-25% 3/18/2009 4/21/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2604 LTC 5 (SD) 196, LTC 5 (SD) 1096

I D F 08/17/94 SD 14.00% 14.00% 6/24/2010 6/25/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2605 LTC 5 (SD) 196, LTC 5 (SD) 1096

I D F 08/17/94 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2606 LTC 5 (SD) 196, LTC 5 (SD) 1096

I D F 08/17/94 SD 60.00% 0.00% 6/29/2017

2607 LTC 5 TQ (SD) 1096 I A C 08/21/93 SD 15%-25% 15%-25% 3/18/2009 4/21/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2608 LTC 5 TQ (SD) 1096 I A C 08/21/93 SD 14.00% 14.00% 6/24/2010 6/25/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2609 LTC 5 TQ (SD) 1096 I A C 08/21/93 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/20132610 LTC 5 TQ (SD) 1096 I A C 08/21/93 SD 60.00% 0.00% 6/29/20172611 NLTCP TQ 297 I A B C 6/16/2000 10/2/2008 Life Investors



2612 NLTCP TQ 297 I A B C 02/23/99 10/2/2008 Life Investors Insurance Company of America



64130 SD 17.00% 17.00% 12/10/2012 1/28/2013 8/1/2013


64130 SD 60.00% 0.00% 6/29/2017

2615 GCPRO-II (SD) 794, GCPRO-II (SD) 496 and GCPRO-II (SD) 1196








61387 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013



61387 SD 60.00% 0.00% 6/29/2017

2619 GCPRO-III TQ (SD) 197 and GCPRO-III TQ (SD) 698





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013



61387 SD 60.00% 0.00% 6/29/2017

2623 GCPRO 193 (SD), GCPRO (SD) 496 and GCPRO (SD) 1196








61387 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013



61387 SD 60.00% 0.00% 6/29/2017






67121 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013


67121 SD 60.00% 0.00% 6/29/2017



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2631 1-820 47-191, 1-822 47-191



2632 1-820 47-191, 1-822 47-191



2633 1-820 47-191, 1-822 47-191


67121 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013

2634 1-820 47-191, 1-822 47-191


67121 SD 60.00% 0.00% 6/29/2017

2635 LTC-104-194-SD, LTC-105-194-SD, LTC-106-194-SD








67121 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013



67121 SD 60.00% 0.00% 6/29/2017







As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





67121 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013


67121 SD 60.00% 0.00% 6/29/2017

2643 LTC 124-197-SD I A B C 12/31/96 10/1/2008 Transamerica Occidental Life Insurance Company





67121 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013


67121 SD 60.00% 0.00% 6/29/2017

2647 LTC 304-198-SD, LTC 305-198-SD



2648 LTC 304-198-SD, LTC 305-198-SD



2649 LTC 304-198-SD, LTC 305-198-SD


67121 SD 17.00% 17.00% 12/10/2012 1/28/2013 9/1/2013

2650 LTC 304-198-SD, LTC 305-198-SD


67121 SD 60.00% 0.00% 6/29/2017

2651 LI 1-FP (SD) 1102, TLC 1-FP (SD) 1102, TOL 1-FP (SD) 1102, TLC 1-FP (SD) 1107, TLC 1-SC-R 0510

I C 11/1/2002 SD 63.30% 0.00% 6/29/2017

2652 GCC 1 387(GCC 1 387) G D, F 05/27/87 TN 25.00% 25.00% 6/29/2007 3/17/2009 7/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2653 GCC 1 387(GCC 1 387) G D, F 05/27/87 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2654 GCC 1 387(GCC 1 387) G D, F 05/27/87 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater

2655 GCC 1 387(GCC 1 387) G D, F 05/27/87 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/20132656 GCC 1 387(GCC 1 387) G D, F 05/27/87 TN 64.00% 0.00% 5/31/20162657 KLTCP 1 (TN) 690 and

KLTCP 1 (TN) 192I D E F 01/10/91 10/2/2008 Life Investors


64130 TN 25.00% 25.00% 6/29/2007 3/17/2009 7/1/2009 Applies only to benefit periods 6 years and greater

2658 KLTCP 1 (TN) 690 and KLTCP 1 (TN) 192


64130 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater






64130 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013



64130 TN 64.00% 0.00% 5/31/2016

2662 LI-LTCP (TN) 192 I D E F 10/21/92 10/2/2008 Life Investors Insurance Company of America







64130 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013


64130 TN 64.00% 0.00% 5/31/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2667 LI-LTCP TQ (TN) 197 I A C 10/21/92 10/2/2008 Life Investors Insurance Company of America







64130 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013


64130 TN 64.00% 0.00% 5/31/2016








64130 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013


64130 TN 64.00% 0.00% 5/31/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2677 IP-70-TN-494, IP-71-TN-494

I D, F 11/10/92 TN 25.00% 25.00% 6/29/2007 3/17/2009 7/1/2009 Applies only to benefit periods 6 years and greater

2678 IP-70-TN-494, IP-71-TN-494

I D, F 11/10/92 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2679 IP-70-TN-494, IP-71-TN-494

I D, F 11/10/92 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater

2680 IP-70-TN-494, IP-71-TN-494

I D, F 11/10/92 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013

2681 IP-70-TN-494, IP-71-TN-494

I D, F 11/10/92 TN 64.00% 0.00% 5/31/2016

2682 FLEX 2 (TN) 196 I D, F 11/21/95 TN 25.00% 25.00% 6/29/2007 3/17/2009 7/1/2009 Applies only to benefit periods 6 years and greater

2683 FLEX 2 (TN) 196 I D, F 11/21/95 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2684 FLEX 2 (TN) 196 I D, F 11/21/95 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater

2685 FLEX 2 (TN) 196 I D, F 11/21/95 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013

2686 FLEX 2 (TN) 196 I D, F 11/21/95 TN 64.00% 0.00% 5/31/20162687 FTQ (TN) 197 I A, C 01/22/97 TN 25.00% 25.00% 6/29/2007 3/17/2009 7/1/2009 Applies only to benefit periods 6 years

and greater2688 FTQ (TN) 197 I A, C 01/22/97 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and


2689 FTQ (TN) 197 I A, C 01/22/97 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater

2690 FTQ (TN) 197 I A, C 01/22/97 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/20132691 FTQ (TN) 197 I A, C 01/22/97 TN 64.00% 0.00% 5/31/20162692 LTCP (TN) 990 I D F 10/30/90 12/31/2001 Bankers United



2693 LTCP (TN) 990 I D F 10/30/90 12/31/2001 Bankers United Life Assurance Company





61387 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013


61387 TN 64.00% 0.00% 5/31/2016

2697 GCPLUS 1290 (TN) and GCPLUS 2 1290 (TN)





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved












61387 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013



61387 TN 64.00% 0.00% 5/31/2016

2702 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 11/24/90 TN 25.00% 25.00% 6/29/2007 3/17/2009 7/1/2009

2703 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 11/24/90 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2704 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 11/24/90 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater

2705 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 11/24/90 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013

2706 GLTP 2 1289(GLTC 2 1289 & GLTC 2 1290)

G D, F 11/24/90 TN 64.00% 0.00% 5/31/2016

2707 LTC 3 1091 (B), LTC 3 (TN) 1091 (REV93), LTC 3R 1091 (B) LTC 3R (TN) 1091 (REV93)

I D E F 04/15/92 TN 35.00% 25.00% 6/29/2007 3/17/2009 7/1/2009 Applies only to benefit periods 6 years and greater


I D E F 04/15/92 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D E F 04/15/92 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater


I D E F 04/15/92 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 04/15/92 TN 64.00% 0.00% 5/31/2016

2712 GLTP 3 1091 and GLTP 3R 1091(GLTC 3 1091 & GLTC 3R 1091

G D E F 07/26/89 TN 25.00% 25.00% 6/29/2007 3/10/2009 7/1/2009


G D E F 07/26/89 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


G D E F 07/26/89 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater


G D E F 07/26/89 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013


G D E F 07/26/89 TN 64.00% 0.00% 5/31/2016

2717 LTC 5 (TN) 196, LTC 5 (TN) 196

I D F 12/23/96 TN 25.00% 25.00% 6/29/2007 3/17/2009 7/1/2009 Applies only to benefit periods 6 years and greater

2718 LTC 5 (TN) 196, LTC 5 (TN) 196

I D F 12/23/96 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2719 LTC 5 (TN) 196, LTC 5 (TN) 196

I D F 12/23/96 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater

2720 LTC 5 (TN) 196, LTC 5 (TN) 196

I D F 12/23/96 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013

2721 LTC 5 (TN) 196, LTC 5 (TN) 1197 (FO-1) Facility Only Module

I D F 12/23/96 TN 64.00% 0.00% 5/31/2016

2722 LTC 5 TQ (TN) 1096, LTC 5 TQ (TN) 1096

I A C 02/10/97 TN 25.00% 25.00% 6/29/2007 3/17/2009 7/1/2009 Applies only to benefit periods 6 years and greater

2723 LTC 5 TQ (TN) 1096, LTC 5 TQ (TN) 1096

I A C 02/10/97 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2724 LTC 5 TQ (TN) 1096, LTC 5 TQ (TN) 1096

I A C 02/10/97 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2725 LTC 5 TQ (TN) 1096, LTC 5 TQ (TN) 1096

I A C 02/10/97 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013

2726 LTC 5 TQ (TN) 1096, LTC 5 TQ (TN) 1197 (FO-1) Facility Only Module

I A C 02/10/97 TN 64.00% 0.00% 5/31/2016

2727 3122 (00) 288(3132 (00) 288)

G D F 09/15/88 TN 25.00% 25.00% 6/29/2007 3/10/2009 7/1/2009

2728 3122 (00) 288(3132 (00) 288)

G D F 09/15/88 TN 15%-25% 15%-25% 11/23/2009 2/22/2010 6/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2729 3122 (00) 288(3132 (00) 288)

G D F 09/15/88 TN 14.00% 14.00% 2/18/2011 8/19/2011 10/19/2011 Applies only to benefit periods 6 years and greater

2730 3122 (00) 288(3132 (00) 288)

G D F 09/15/88 TN 17.00% 17.00% 1/31/2013 4/18/2013 8/1/2013

2731 3122 (00) 288(3132 (00) 288)

G D F 09/15/88 TN 64.00% 0.00% 5/31/2016








64130 TN 17.00% 17.00% 1/31/2013 7/23/2013 11/1/2013


64130 TN 64.00% 0.00% 5/31/2016

2737 GCPRO-II (TN) 794 I D E F 04/23/91 12/31/2001 Bankers United Life Assurance Company






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







61387 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013


61387 TN 64.00% 0.00% 5/31/2016

2742 GCPRO-III TQ (TN) 197 I A B C 02/04/91 12/31/2001 Bankers United Life Assurance Company







61387 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013


61387 TN 64.00% 0.00% 5/31/2016

2747 GCPRO 193 (TN) I D E F 12/30/90 12/31/2001 Bankers United Life Assurance Company








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





61387 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013


61387 TN 64.00% 0.00% 5/31/2016






67121 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013


67121 TN 64.00% 0.00% 5/31/2016

2756 1-820 48-191, 1-822 48-191



2757 1-820 48-191, 1-822 48-191



2758 1-820 48-191, 1-822 48-191


67121 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2759 1-820 48-191, 1-822 48-191


67121 TN 64.00% 0.00% 5/31/2016

2760 LTC 104-194-TN, LTC 105-194-TN, LTC 106-194-TN








67121 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013



67121 TN 64.00% 0.00% 5/31/2016

2764 LTC 124-197-TN I A B C 02/28/97 10/1/2008 Transamerica Occidental Life Insurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







67121 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013


67121 TN 64.00% 0.00% 5/31/2016

2768 LTC 304-198-TN, LTC 305-198-TN



2769 LTC 304-198-TN, LTC 305-198-TN



2770 LTC 304-198-TN, LTC 305-198-TN


67121 TN 17.00% 17.00% 1/31/2013 4/18/2013 9/1/2013

2771 LTC 304-198-TN, LTC 305-198-TN


67121 TN 64.00% 0.00% 5/31/2016

2772 TLC 1-FP (TN) 402, TLC 1-FP (TN) 1005, TLC 1-SCR-R 0510, TOL 1-FP (TN) 402, TOL 1-FP (TN) 1005 and LI 1-FP (TN) 402

I C 2/18/2003 TN 63.30% 0.00% 7/8/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2773 GCC 1 387 (GCC 1 387 CERT)

G D, F 01/05/88 TX 29.00% 22.00% 4/25/2007 3/14/2008 7/1/2008

2774 GCC 1 387 (GCC 1 387 CERT)

G D, F 01/05/88 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2775 GCC 1 387 (GCC 1 387 CERT)

G D, F 01/05/88 TX 14.00% 13.00% 3/16/2009 6/1/2011 8/7/2011 Applies only to benefit periods 6 years and greater

2776 KLTCP 1 (TX) 490 I D E F 08/22/90 10/2/2008 Life Investors Insurance Company of America

64130 TX 29.00% 26.00% 4/25/2007 3/14/2008 7/1/2008 Applies only to benefit periods 4 years and greater


64130 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater




64130 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013


64130 TX 60.00% 60.00% 8/28/2015 2/8/2016 12/6/2016 To be implemented as three biannual 22.1% increases

2781 LI-GLTCP (TX) 1096 (LI-GLTCC (TX) 1096)



2782 LI-GLTCP (TX) 1096 (LI-GLTCC (TX) 1096)



2783 LI-LTCP (TX) 192, LI-LTCP (TX) 193, LI-LTCP-DBT (TX) 394, LI-LTCP (TX) 897 and LI-LTCP-DBT (TX) 897








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013

2787 LI-LTCP (TX) 192, LI-LTCP (TX) 193, LI-LTCP-DBT (TX) 394, LI-LTCP (TX) 897, LI-LTCP-DBT (TX) 793 and LI-LTCP-DBT (TX) 897



2788 LI-LTCP TQ (TX) 197 I A C 06/25/91 10/2/2008 Life Investors Insurance Company of America







64130 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013









As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







64130 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013



2798 IP-70-TX-494, IP-71-TX-494

I D, F 04/09/91 TX 29.00% 20.00% 4/25/2007 3/14/2008 7/1/2008

2799 IP-70-TX-494, IP-71-TX-494

I D, F 04/09/91 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2800 IP-70-TX-494, IP-71-TX-494

I D, F 04/09/91 TX 14.00% 13.00% 2/24/2011 6/1/2011 8/7/2011 Applies only to benefit periods 6 years and greater

2801 IP-70-TX-494, IP-71-TX-494

I D, F 04/09/91 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013

2802 IP-70-TX-494, IP-71-TX-494

I D, F 04/09/91 TX 60.00% 60.00% 8/28/2015 2/8/2016 12/6/2016 To be implemented as three biannual 22.1% increases

2803 FLEX 2 (TX) 196, FLEX 2 (TX) 597

I D, F 02/11/97 TX 29.00% 20.00% 4/25/2007 3/14/2008 7/1/2008

2804 FLEX 2 (TX) 196, FLEX 2 (TX) 597

I D, F 02/11/97 TX 14.00% 13.00% 12/23/2010 6/1/2011 8/7/2011

2805 FLEX 2 (TX) 196, FLEX 2 (TX) 597

I D, F 02/11/97 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2806 FLEX 2 (TX) 196, FLEX 2 (TX) 597

I D, F 02/11/97 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013 Applies only to benefit periods 6 years and greater

2807 FLEX 2 (TX) 196, FLEX 2 (TX) 597 and FLEX 2 (TX) 1197

I D, F 02/11/97 TX 60.00% 60.00% 8/28/2015 2/8/2016 12/6/2016 To be implemented as three biannual 22.1% increases

2808 FTQ (TX) 197 I A, C 01/07/97 TX 29.00% 20.00% 4/25/2007 3/14/2008 7/1/20082809 FTQ (TX) 197 I A, C 01/07/97 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and


2810 FTQ (TX) 197 I A, C 01/07/97 TX 14.00% 13.00% 2/24/2011 6/1/2011 8/7/2011 Applies only to benefit periods 6 years and greater

2811 FTQ (TX) 197 I A, C 01/07/97 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/20132812 FTQ (TX) 197 I A, C 01/07/97 TX 60.00% 60.00% 8/28/2015 2/8/2016 12/6/2016 To be implemented as three biannual

22.1% increases



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2813 LTCP (TX) 190 I D F 04/10/91 12/31/2001 Bankers United Life Assurance Company







61387 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013



2818 GCPLUS 1290 (TX), GCPLUS 1290 (TX2), GCPLUS 2 1290 (TX) and GCPLUS 2 1290 (TX2)











61387 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2823 GLTP 2 1289 & GHHC 1 189 (GLTC 2 1289, GLTC 2 (TX) 1290 & GHHC 1 189 CERT)

G D, F 12/12/90 TX 29.00% 22.00% 4/25/2007 3/14/2008 7/1/2008


G D, F 12/12/90 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


G D, F 12/12/90 TX 14.00% 13.00% 2/24/2011 6/1/2011 8/7/2011 Applies only to benefit periods 6 years and greater

2826 LTC 3 1091, LTC 3 (TX) 1092, LTC 3 (TX) 1092 (REV93), LTC 3R 1091, LTC 3R (TX) 1092 (REV93)

I D E F 09/12/90 TX 29.00% 20.00% 4/25/2007 3/14/2008 7/1/2008


I D E F 09/12/90 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I D E F 09/12/90 TX 14.00% 13.00% 2/24/2011 6/1/2011 8/7/2011 Applies only to benefit periods 6 years and greater


I D E F 09/12/90 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013

2830 LTC 3 (TX) 1092, LTC 3 (TX) 1092 (REV93)

I D E F 09/12/90 TX 60.00% 60.00% 8/28/2015 2/8/2016 12/6/2016 To be implemented as three biannual 22.1% increases

2831 LTC 5 (TX) 196, LTC 5 (TX) 597

I D F 07/04/97 TX 29.00% 20.00% 4/25/2007 3/14/2008 7/1/2008

2832 LTC 5 (TX) 196, LTC 5 (TX) 597

I D F 07/04/97 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2833 LTC 5 (TX) 196, LTC 5 (TX) 597

I D F 07/04/97 TX 14.00% 13.00% 2/24/2011 6/1/2011 8/7/2011 Applies only to benefit periods 6 years and greater

2834 LTC 5 (TX) 196, LTC 5 (TX) 597

I D F 07/04/97 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2835 LTC 5 (TX) 196, LTC 5 (TX) 597, LTC 5 (TX) 1197 and LTC 5 (TX) 1197 Facility Only Module

I D F 07/04/97 TX 60.00% 60.00% 8/28/2015 2/8/2016 12/6/2016 To be implemented as three biannual 22.1% increases

2836 LTC 5 TQ (TX) 1096, LTC 5 TQ (TX) 1197, LTC 5 TQ (TX) 1197

I A C 01/11/94 TX 29.00% 20.00% 4/25/2007 3/14/2008 7/1/2008


I A C 01/11/94 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I A C 01/11/94 TX 14.00% 13.00% 2/24/2011 6/1/2011 8/7/2011 Applies only to benefit periods 6 years and greater


I A C 01/11/94 TX 17.00% 17.00% 9/25/2012 4/5/2013 9/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2840 LTC 5 TQ (TX) 1096, LTC 5 TQ (TX) 1197, LTC 5 TQ (TX) 1197 Facility Only Module

I A C 01/11/94 TX 60.00% 60.00% 8/28/2015 2/8/2016 12/6/2016 To be implemented as three biannual 22.1% increases

2841 3122 (00) 288 (3132 (00) 288)

G D F 10/10/88 TX 29.00% 22.00% 4/25/2007 3/14/2008 7/1/2008

2842 3122 (00) 288 (3132 (00) 288)

G D F 10/10/88 TX 15%-25% 15%-18% 3/16/2009 10/15/2009 2/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2843 3122 (00) 288 (3132 (00) 288)

G D F 10/10/88 TX 14.00% 13.00% 2/24/2011 6/1/2011 8/7/2011 Applies only to benefit periods 6 years and greater

2844 GP001 796 (GC001-NH (TX) 796, GC001-LTC (TX) 796 and GC001-HCC (TX) 796)












2848 GCPRO-II (TX) 794, GCPRO-II (TX) 797 and GCPRO-II (TX) 997











61387 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2853 GCPRO-III TQ (TX) 197 I A B C 05/04/91 12/31/2001 Bankers United Life Assurance Company







61387 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013



2858 GCPRO (TX) 193, GCPRO (TX) 797 and GCPRO (TX) 997











61387 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013




2863 1-820 49-191, 1-822 49-191





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2864 1-820 49-191, 1-822 49-191



2865 1-820 49-191, 1-822 49-191


67121 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013

2866 1-820 49-191, 1-822 49-191



2867 LTC-104-194-TX, LTC-105-194-TX, LTC-106-194-TX








67121 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013




2871 LTC 124-197-TX I A B C 12/16/96 10/1/2008 Transamerica Occidental Life Insurance Company





67121 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






2875 LTC 305-198-TXF I A B C 12/05/99 10/1/2008 Transamerica Occidental Life Insurance Company





67121 TX 17.00% 17.00% 9/25/2012 4/5/2013 10/1/2013

2878 LTC 304-198-TXF, LTC 305-198-TXF



2879 TLC 1-FP (TX) 402, TLC 1-FP-SP (TX) 402, TLC 1-FP-SP (TX) 609, TLC 1-SCR (TX) 0510

I C 7/1/2002 TX 63.30% 22.60% 11/30/2015 3/21/2016 12/6/2016 To be implemented as three aggregate average 22.6% biannual increases

2880 LI 1-FP (TX) 402 and LI 1-FP-SP (TX) 402


64130 TX 63.30% 22.60% 11/30/2015 3/21/2016 12/6/2016 To be implemented as three aggregate average 22.6% biannual increases

2881 TOL 1-FP (TX) 402, TOL 1-FP-SP (TX) 402


67121 TX 63.30% 22.60% 11/30/2015 3/21/2016 1/6/2017 To be implemented as three aggregate average 22.6% biannual increases

2882 KLTCP 1 190 and KLTCP 1 (UT) 791


64130 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2883 KLTCP 1 190 and KLTCP 1 (UT) 791


64130 UT 14.00% 14.00% 5/11/2011 10/11/2011 12/21/2012 Applies only to benefit periods 6 years and greater

2884 LI-LTCP (UT) 192 and LI-LTCP (UT) 495


64130 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2885 LI-LTCP (UT) 192 and LI-LTCP (UT) 495



2886 LI-LTCP TQ (UT) 898 I A C 09/23/00 10/2/2008 Life Investors Insurance Company of America

64130 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2887 LI-LTCP TQ (UT) 898 I A C 09/23/00 10/2/2008 Life Investors Insurance Company of America


2888 IP-70-UT-494, IP-71-UT-494, IP-72-UT-494, IP-73-UT-494, IP-70-UT-595, IP-71-UT-595, IP-72-UT-595 and IP-73-UT-595

I D, F 06/22/94 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2889 IP-70-UT-494, IP-71-UT-494, IP-72-UT-494, IP-73-UT-494, IP-70-UT-595, IP-71-UT-595, IP-72-UT-595 and IP-73-UT-595

I D, F 06/22/94 UT 14.00% 14.00% 5/11/2011 10/11/2011 12/21/2012 Applies only to benefit periods 6 years and greater

2890 FLEX 2 (UT) 196 I D, F 06/10/97 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2891 FLEX 2 (UT) 196 I D, F 06/10/97 UT 14.00% 14.00% 5/11/2011 10/11/2011 12/21/2012 Applies only to benefit periods 6 years and greater

2892 FTQ (UT) 197 I A, C 01/26/97 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2893 FTQ (UT) 197 I A, C 01/26/97 UT 14.00% 14.00% 5/11/2011 10/11/2011 12/21/2012 Applies only to benefit periods 6 years and greater

2894 LTCP (UT) 290 I D F 08/02/90 12/31/2001 Bankers United Life Assurance Company

61387 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2895 LTCP (UT) 290 I D F 08/02/90 12/31/2001 Bankers United Life Assurance Company


2896 GLTP 2 1289 (GLTC 2 1289 & GLTC 2 1290)

G D, F 02/28/91 UT 15%-25% 15%-25% 5/21/2009 3/12/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2897 GLTP 2 1289 (GLTC 2 1289 & GLTC 2 1290)

G D, F 02/28/91 UT 14.00% 14.00% 5/11/2011 5/27/2010 8/1/2009 Applies only to benefit periods 6 years and greater

2898 GLTP 2 1289 (GLTC 2 1289 & GLTC 2 1290)

G D, F 02/28/91 UT 17.00% 17.00% 11/20/2012 12/20/2012 1/4/2011

2899 GLTP 3 1091, GLTP 3 (UT) 1091, GLTP 3R 1091 and GLTP 3R (UT) 1091GLTC 3 1091, GLTC 3 (UT) 1091, GLTC 3R 1091 & GLTC 3R (UT)

G D E F 10/08/91 UT 15%-25% 15%-25% 5/21/2009 3/12/2009 7/1/2013 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





G D E F 10/08/91 UT 14.00% 14.00% 5/19/2010 5/27/2010 Applies only to benefit periods 6 years and greater


G D E F 10/08/91 UT 17.00% 17.00% 11/20/2012 12/20/2012 8/1/2009

2902 LTC 3 (UT) 1091, LTC 3 (UT) 1091 (REV594), LTC 3 (UT) 1091 (REV994), LTC 3 (UT) 1091 (REV595), LTC 3R (UT) 1091, LTC 3R (UT) 1091

I D E F 08/07/91 UT 25.00% 25.00% 5/21/2009 6/25/2010 1/4/2011

2903 LTC 3 (UT) 1091, LTC 3 (UT) 1091 (REV594), LTC 3 (UT) 1091 (REV994), LTC 3 (UT) 1091 (REV595), LTC 3R (UT) 1091, LTC 3R (UT) 1091

I D E F 08/07/91 UT 14.00% 14.00% 5/11/2011 10/11/2011 7/1/2013 Applies only to benefit periods 6 years and greater

2904 LTC 5 (UT) 196, LTC 5 (UT) 196

I D F 06/26/97 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2905 LTC 5 (UT) 196, LTC 5 (UT) 196

I D F 06/26/97 UT 14.00% 14.00% 5/11/2011 10/11/2011 12/21/2012 Applies only to benefit periods 6 years and greater

2906 LTC 5 TQ (UT) 1096 and LTC 5 TQ (UT) 1096

I A C 04/01/97 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2907 LTC 5 TQ (UT) 1096 and LTC 5 TQ (UT) 1096

I A C 04/01/97 UT 14.00% 14.00% 5/11/2011 10/11/2011 12/21/2012 Applies only to benefit periods 6 years and greater

2908 3122 (00) 288 (3132 (00) 288)

G D F 04/03/89 UT 15%-25% 15%-25% 5/21/2009 3/12/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2909 3122 (00) 288 (3132 (00) 288)

G D F 04/03/89 UT 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

2910 3122 (00) 288 (3132 (00) 288)

G D F 04/03/89 UT 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013


64130 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







64130 UT 17.00% 17.00% 2/25/2013 6/23/2013 10/1/2013

2914 GCPRO-II (UT) 794 I D E F 08/17/95 12/31/2001 Bankers United Life Assurance Company

61387 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2915 GCPRO-II (UT) 794 I D E F 08/17/95 12/31/2001 Bankers United Life Assurance Company


2916 GCPRO-III TQ (UT) 197 I A B C 08/02/90 12/31/2001 Bankers United Life Assurance Company

61387 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2917 GCPRO-III TQ (UT) 197 I A B C 08/02/90 12/31/2001 Bankers United Life Assurance Company


2918 GCPRO (UT) 193 and GCPRO (UT) 495


61387 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2919 GCPRO (UT) 193 and GCPRO (UT) 495



2920 1-812 51-190 and 1-812 51-290


67121 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2921 1-812 51-190 and 1-812 51-290



2922 LTC-104-194-UT, LTC-105-194-UT and LTC-106-194-UT


67121 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2923 LTC-104-194-UT, LTC-105-194-UT and LTC-106-194-UT



2924 LTC 124-197-UT I A B C 04/01/97 10/1/2008 Transamerica Occidental Life Insurance Company

67121 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2925 LTC 124-197-UT I A B C 04/01/97 10/1/2008 Transamerica Occidental Life Insurance Company


2926 LTC 304-198-UT and LTC 305-198-UT


67121 UT 25.00% 25.00% 5/21/2009 6/25/2010 8/1/2010

2927 LTC 304-198-UT and LTC 305-198-UT



2928 KLTCP 1 (VA) 690, KLTCP 1 (VA) 192 and KLTCP 1 (VA) 792


64130 VA 25.00% 25.00% 6/27/2007 11/6/2007 2/1/2008 Applies only to benefit periods 4 years and greater



64130 VA 15%-25% 15%-25% 3/10/2009 8/31/2009 12/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater with issue dates prior to 10/1/2003






64130 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/2013



64130 VA 56.00% 0.00% 1/15/2016

2933 LI-LTCP (VA) 192 I D E F 11/04/90 10/2/2008 Life Investors Insurance Company of America




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/2013


64130 VA 56.00% 0.00% 1/15/2016

2938 LI-LTCP TQ (VA) 197 I A C 09/08/95 10/2/2008 Life Investors Insurance Company of America







64130 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/2013


64130 VA 56.00% 0.00% 1/15/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved











64130 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/2013


64130 VA 56.00% 0.00% 1/15/2016

2948 IP-70-VA-494, IP-71-VA-494, IP-72-VA-494, IP-73-VA-494

I D, F 12/13/94 VA 15%-25% 15%-25% 3/10/2009 8/31/2009 12/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater with issue dates prior to 10/1/2003


I D, F 12/13/94 VA 14.00% 14.00% 8/30/2010 8/19/2011 11/1/2011 Applies only to benefit periods 6 years and greater


I D, F 12/13/94 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/2013


I D, F 12/13/94 VA 56.00% 0.00% 1/15/2016

2952 FLEX 2 (VA) 196 I D, F 10/01/96 VA 15%-25% 15%-25% 3/10/2009 8/31/2009 12/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater with issue dates prior to 10/1/2003

2953 FLEX 2 (VA) 196 I D, F 10/01/96 VA 14.00% 14.00% 8/30/2010 8/19/2011 11/1/2011 Applies only to benefit periods 6 years and greater

2954 FLEX 2 (VA) 196 I D, F 10/01/96 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/20132955 FLEX 2 (VA) 196 I D, F 10/01/96 VA 56.00% 0.00% 1/15/20162956 FTQ (VA) 197 I A, C 02/19/97 VA 15%-25% 15%-25% 3/10/2009 8/31/2009 12/1/2009 Varies by type of inflation benefit and

applies only to benefit periods 6 years and greater with issue dates prior to 10/1/2003

2957 FTQ (VA) 197 I A, C 02/19/97 VA 14.00% 14.00% 8/30/2010 8/19/2011 11/1/2011 Applies only to benefit periods 6 years and greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2958 FTQ (VA) 197 I A, C 02/19/97 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/20132959 FTQ (VA) 197 I A, C 02/19/97 VA 56.00% 0.00% 1/15/20162960 LTCP (VA) 890 I D F 02/05/91 12/31/2001 Bankers United



2961 LTCP (VA) 890 I D F 02/05/91 12/31/2001 Bankers United Life Assurance Company





61387 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013


61387 VA 56.00% 0.00% 1/15/2016

2965 GCPLUS 1290 (VA) and GCPLUS 2 1290 (VA)











61387 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013



61387 VA 56.00% 0.00% 1/15/2016

2970 GLTC 2 1289, GLTC 2 1290

G D, F 01/30/91 VA 15%-25% 15%-25% 3/10/2009 3/10/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2971 GLTC 2 1289, GLTC 2 1290

G D, F 01/30/91 VA 17.00% 17.00% 11/20/2012 2/1/2013 7/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




2972 GLTP 2 1289 (GLTC 2 1289, GLTC 2 1290)

G D, F 01/30/91 VA 56.00% 0.00% 10/20/2016

2973 LTC 3 (VA) 1091, LTC 3R (VA) 1091

I D E F 7/14/92 VA 15%-25% 15%-25% 3/10/2009 8/31/2009 12/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater with issue dates prior to 10/1/2003

2974 LTC 3 (VA) 1091, LTC 3R (VA) 1091

I D E F 7/14/92 VA 14.00% 14.00% 8/30/2010 8/19/2011 11/1/2011 Applies only to benefit periods 6 years and greater

2975 LTC 3 (VA) 1091, LTC 3R (VA) 1091

I D E F 7/14/92 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/2013

2976 LTC 3 (VA) 1091, LTC 3R (VA) 1091

I D E F 7/14/92 VA 56.00% 0.00% 1/15/2016

2977 GLTP 3 1091, GLTP3R 1091

G D E F 01/29/91 VA 15%-25% 15%-25% 3/10/2009 3/10/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2978 GLTP 3 1091, GLTP3R 1091

G D E F 01/29/91 VA 17.00% 17.00% 11/20/2012 2/1/2013 7/1/2013

2979 GLTP 3 1091 and GLTP3R 1091 (GLTC 3 1091 & GLTC 3R 1091)

G D E F 01/29/91 VA 56.00% 0.00% 10/21/2016

2980 LTC 5 (VA) 196 I D F 04/08/93 VA 15%-25% 15%-25% 3/10/2009 8/31/2009 12/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater with issue dates prior to 10/1/2003

2981 LTC 5 (VA) 196 I D F 04/08/93 VA 14.00% 14.00% 8/30/2010 8/19/2011 11/1/2011 Applies only to benefit periods 6 years and greater

2982 LTC 5 (VA) 196 I D F 04/08/93 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/20132983 LTC 5 (VA) 196, LTC 5

(VA) 196 (FO-1) Facility Only Module

I D F 04/08/93 VA 56.00% 0.00% 1/15/2016

2984 LTC 5 TQ (VA) 1096, LTC 5 TQ (VA) 1096

I A C 05/15/97 VA 15%-25% 15%-25% 3/10/2009 8/31/2009 12/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater with issue dates prior to 10/1/2003

2985 LTC 5 TQ (VA) 1096, LTC 5 TQ (VA) 1096

I A C 05/15/97 VA 14.00% 14.00% 8/30/2010 8/19/2011 11/1/2011 Applies only to benefit periods 6 years and greater

2986 LTC 5 TQ (VA) 1096, LTC 5 TQ (VA) 1096

I A C 05/15/97 VA 17.00% 17.00% 11/20/2012 7/20/2013 11/1/2013

2987 LTC 5 TQ (VA) 1096, LTC 5 TQ (VA) 1096 Facility Only Module

I A C 05/15/97 VA 56.00% 0.00% 1/15/2016

2988 3132 (00) 288 G D F 09/21/88 VA 15%-25% 15%-25% 3/10/2009 3/10/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

2989 3132 (00) 288 G D F 09/21/88 VA 17.00% 17.00% 11/20/2012 2/1/2013 7/1/20132990 3122 (00) 288 (3132 (00)

288)G D F 09/21/88 VA 56.00% 0.00% 10/21/2016



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved











64130 VA 17.00% 17.00% 11/20/2012 3/7/2013 8/1/2013


64130 VA 56.00% 0.00% 1/15/2016

2996 GCPRO-II (VA) 794 I D E F 10/12/95 12/31/2001 Bankers United Life Assurance Company







61387 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013


61387 VA 56.00% 0.00% 1/15/2016

3001 GCPRO-III TQ (VA) 197 I A B C 03/12/91 12/31/2001 Bankers United Life Assurance Company

61387 VA 25.00% 25.00% 6/27/2007 11/6/2007 3/1/2008 Applies only to benefit periods 4 years and greater and policies issued prior to 10/1/2003



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









61387 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013


61387 VA 56.00% 0.00% 1/15/2016

3006 GCPRO 193 (VA) I D E F 01/20/94 12/31/2001 Bankers United Life Assurance Company







61387 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013


61387 VA 56.00% 0.00% 1/15/2016







As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





67121 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013


67121 VA 56.00% 0.00% 1/15/2016

3015 1-820 53-191 and 1-822 53-191



3016 1-820 53-191 and 1-822 53-191



3017 1-820 53-191 and 1-822 53-191


67121 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013

3018 1-820 53-191 and 1-822 53-191


67121 VA 56.00% 0.00% 1/15/2016

3019 LTC-104-194-VA, LTC-105-194-VA and LTC-106-194-VA








67121 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013



67121 VA 56.00% 0.00% 1/15/2016

3023 LTC 124-197-VA, LTC 125-197-VA and LTC 126-197-VA





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









67121 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013



67121 VA 56.00% 0.00% 1/15/2016

3027 LTC 304-198-VA and LTC 305-198-VA



3028 LTC 304-198-VA and LTC 305-198-VA



3029 LTC 304-198-VA and LTC 305-198-VA


67121 VA 17.00% 17.00% 11/20/2012 7/20/2013 12/1/2013

3030 LTC 304-198-VA and LTC 305-198-VA


67121 VA 56.00% 0.00% 1/15/2016

3031 TLC 1-FP (VA) 402, TOL 1-FP (VA) 402 and LI 1-FP (VA) 402

I C 10/1/2002 VA 63.30% 0.00% 1/22/2016

3032 KLTCP 1 (WA) 590 and KLTCP 1 (WA) 1091


64130 WA 25.00% 15.00% 8/23/2007 6/20/2008 10/1/2008 Applies only to policies with benefit periods 4 years and greater



64130 WA 15%-25% 22.00% 5/22/2009 6/22/2009 10/1/2009 Applies only to policies with benefit periods 6 years and greater






64130 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 WA 79.00% 79.00% 1/14/2016 12/12/2016 5/1/2017 To be implemented at 21.4% a year for 3 years.

3037 LI-LTCP (WA) 192, LI-LTCP (WA) 493, LI-LTCP (WA) 1295, LI-LTCP (WA) 1296 and LI-LTCP (WA) 1295 DR











64130 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013




3042 LI-LTCP TQ (WA) 898 and LI-LTCP TQ (WA) 898 DR











As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013




3047 IP-70-WA-494, IP-71-WA-494

I D, F 06/06/96 WA 25.00% 25.00% 8/23/2007 6/25/2008 10/1/2008

3048 IP-70-WA-494, IP-71-WA-494

I D, F 06/06/96 WA 15%-25% 22.00% 5/22/2009 6/22/2009 10/1/2009 Applies only to policies with benefit periods 6 years and greater

3049 IP-70-WA-494, IP-71-WA-494

I D, F 06/06/96 WA 14.00% 14.00% 1/26/2011 1/31/2011 4/14/2011 Applies only to policies with benefit periods 6 years and greater

3050 IP-70-WA-494, IP-71-WA-494

I D, F 06/06/96 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013

3051 IP-70-WA-494, IP-71-WA-494

I D, F 06/06/96 WA 79.00% 79.00% 1/14/2016 12/12/2016 5/1/2017 To be implemented at 21.4% a year for 3 years.

3052 FLEX 2 (WA) 196, FLEX 2 (WA) 197

I D, F 02/10/97 WA 25.00% 25.00% 8/23/2007 6/25/2008 10/1/2008

3053 FLEX 2 (WA) 196, FLEX 2 (WA) 197

I D, F 02/10/97 WA 15%-25% 22.00% 5/22/2009 6/22/2009 10/1/2009 Applies only to policies with benefit periods 6 years and greater

3054 FLEX 2 (WA) 196, FLEX 2 (WA) 197

I D, F 02/10/97 WA 14.00% 14.00% 1/26/2011 1/31/2011 4/14/2011 Applies only to policies with benefit periods 6 years and greater

3055 FLEX 2 (WA) 196, FLEX 2 (WA) 197

I D, F 02/10/97 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013

3056 FLEX 2 (WA) 196, FLEX 2 (WA) 197

I D, F 02/10/97 WA 79.00% 79.00% 1/14/2016 12/12/2016 5/1/2017 To be implemented at 21.4% a year for 3 years.

3057 FTQ (WA) 197 I A, C 04/15/97 WA 25.00% 25.00% 8/23/2007 6/25/2008 10/1/20083058 FTQ (WA) 197 I A, C 04/15/97 WA 15%-25% 22.00% 5/22/2009 6/22/2009 10/1/2009 Applies only to policies with benefit

periods 6 years and greater

3059 FTQ (WA) 197 I A, C 04/15/97 WA 14.00% 14.00% 1/26/2011 1/31/2011 4/14/2011 Applies only to policies with benefit periods 6 years and greater

3060 FTQ (WA) 197 I A, C 04/15/97 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/20133061 FTQ (WA) 197 I A, C 04/15/97 WA 79.00% 79.00% 1/14/2016 12/12/2016 5/1/2017 To be implemented at 21.4% a year

for 3 years.3062 LTCP (WA) 1189 and

LTCP (WA) 1091I D F 07/01/90 12/31/2001 Bankers United





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3063 LTCP (WA) 1189 and LTCP (WA) 1091








61387 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013




3067 GCPLUS 1290 (WA) and GCPLUS 2 1290 (WA)












3071 6132 (WA) 888 I D F 10/13/89 WA 15%-25% 22.00% 5/22/2009 6/22/2009 10/1/2009 Applies only to policies with benefit periods 6 years and greater

3072 6132 (WA) 888 I D F 10/13/89 WA 14.00% 14.00% 1/26/2011 1/31/2011 4/14/2011 Applies only to policies with benefit periods 6 years and greater

3073 6132 (WA) 888 I D F 10/13/89 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/20133074 6132 (WA) 888 I D F 10/13/89 WA 79.00% 79.00% 1/14/2016 12/12/2016 5/1/2017 To be implemented at 21.4% a year

for 3 years.3075 LTC 3 (WA) 1091, LTC 3

(WA) 1091 (REV93), LTC 3 (WA) 1091 (REV93) DR, LTC 3 (WA) 1091 (REV1195)

I D E F 01/20/90 WA 25.00% 25.00% 8/23/2007 6/25/2008 10/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3076 LTC 3 (WA) 1091, LTC 3 (WA) 1091 (REV93), LTC 3 (WA) 1091 (REV93) DR, LTC 3 (WA) 1091 (REV1195)

I D E F 01/20/90 WA 15%-25% 22.00% 5/22/2009 6/22/2009 10/1/2009 Applies only to policies with benefit periods 6 years and greater


I D E F 01/20/90 WA 14.00% 14.00% 1/26/2011 1/31/2011 4/14/2011 Applies only to policies with benefit periods 6 years and greater


I D E F 01/20/90 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013


I D E F 01/20/90 WA 79.00% 79.00% 1/14/2016 12/12/2016 5/1/2017 To be implemented at 21.4% a year for 3 years.

3080 LTC 5 COM (WA) 197, LTC 5 NH (WA) 197

I D F 01/16/97 WA 25.00% 25.00% 8/23/2007 6/25/2008 10/1/2008


I D F 01/16/97 WA 15%-25% 22.00% 5/22/2009 6/22/2009 10/1/2009 Applies only to policies with benefit periods 6 years and greater


I D F 01/16/97 WA 14.00% 14.00% 1/26/2011 1/31/2011 4/14/2011 Applies only to policies with benefit periods 6 years and greater


I D F 01/16/97 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013

3084 LTC 5 COM (WA) 197, LTC 5 NH (WA) 197, LTC 5 (WA) 196

I D F 01/16/97 WA 79.00% 79.00% 1/14/2016 12/12/2016 5/1/2017 To be implemented at 21.4% a year for 3 years.

3085 LTC 5 TQ (WA) 1096, LTC 5 TQ (WA) 1096

I A C 02/06/98 WA 25.00% 25.00% 8/23/2007 6/25/2008 10/1/2008

3086 LTC 5 TQ (WA) 1096, LTC 5 TQ (WA) 1096

I A C 02/06/98 WA 15%-25% 22.00% 5/22/2009 6/22/2009 10/1/2009 Applies only to policies with benefit periods 6 years and greater

3087 LTC 5 TQ (WA) 1096, LTC 5 TQ (WA) 1096

I A C 02/06/98 WA 14.00% 14.00% 1/26/2011 1/31/2011 4/14/2011 Applies only to policies with benefit periods 6 years and greater

3088 LTC 5 TQ (WA) 1096, LTC 5 TQ (WA) 1096

I A C 02/06/98 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3089 LTC 5 TQ (WA) 1096, LTC 5 TQ (WA) 1096 Facility Only Module

I A C 02/06/98 WA 79.00% 79.00% 1/14/2016 12/12/2016 5/1/2017 To be implemented at 21.4% a year for 3 years.

3090 NLTCP-NH TQ (WA) 297, NLTCP-LTC TQ (WA) 297, NLTCP-HCC TQ (WA) 297


64130 WA 25.00% 15.00% 8/23/2007 6/20/2008 10/1/2008









64130 WA 17.00% 17.00% 11/4/2012 2/18/2013 7/1/2013




3095 GCPRO-II (WA) 794, GCPRO-II (WA) 1195 and GCPRO-II (WA) 1296











As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






61387 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013




3100 GCPRO-III TQ NHB (WA) 497 and GCPRO-III TQ HHC (WA) 497











61387 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013




3105 GCPRO 193 (WA), GCPRO (WA) 1195 and GCPRO (WA) 1296











61387 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved












67121 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013



3114 1-820 06-191/1-822 06-191



3115 1-820 06-191/1-822 06-191



3116 1-820 06-191/1-822 06-191


67121 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013

3117 LTC 104-194-WA, LTC 105-194-WA, LTC 106-194-WA








67121 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







3121 LTC 124-197-WA I A B C 01/13/97 10/1/2008 Transamerica Occidental Life Insurance Company





67121 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013



3125 LTC 304-198-WA, LTC 305-198-WA



3126 LTC 304-198-WA, LTC 305-198-WA



3127 LTC 304-198-WA, LTC 305-198-WA


67121 WA 17.00% 17.00% 11/4/2012 2/18/2013 8/1/2013

3128 LTC 304-198-WA, LTC 305-198-WA



3129 TLC 1-FP (WA) 402, TLC 1-FP (WA) 402 DR

I C 11/24/2009 WA 63.30% 63.30% 1/22/2016 12/12/2016 5/1/2017 To be implemented as three annual increases that vary by premium schedule

3130 LI 1-FP (WA) 402 and LI 1-FP (WA) 402 DR


64130 WA 63.30% 63.30% 1/22/2016 12/12/2016 5/1/2017 To be implemented as three annual increases that vary by premium schedule

3131 TOL 1-FP (WA) 402, TOL 1-FP (WA) 402 DR


67121 WA 63.30% 63.30% 1/22/2016 12/12/2016 6/1/2017 To be implemented as three annual increases that vary by premium schedule



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3132 LI-NHP (WI) 192, LI-HHCP (WI) 192, LI-NHP (WI) 696 and LI-LTCP (WI) 696


64130 WI 25.00% 20.00% 1/2/2007 5/23/2007 4/1/2008 Applies to policyholders less than attained 75 or in durations less than 10



64130 WI 25.00% 10.00% 1/2/2007 5/23/2007 8/1/2013 Applies to policyholders at least attained age 75 or in duration 10 or higher



64130 WI 15%-25% 15%-25% 2/1/2010 1/6/2011 6/1/2012 Applies to policyholders less than attained 75 or in durations less than 10, varies by bio and with benefit periods 6 years or greater



64130 WI 15%-25% 10.00% 2/1/2010 1/6/2011 6/1/2012 Applies to policyholders at least attained age 75 or in duration 10 or higher and with benefit periods 6 years or greater






64130 WI 10.00% 10.00% 6/3/2013 10/1/2013 4/1/2008 Applies to policyholders at least attained age 75 and in duration 10 or higher



64130 WI 90.00% 90.00% 1/31/2017 5/11/2017 The final rate increase approved varies by rate stability class, issue date, attained age, and policy duration, ranging from 10% to 122%.

3139 LI-LTCP NHCC TQ (WI) 898, LI-LTCP NHHC TQ (WI) 898, LI-LTCP NHALF TQ (WI) 898 and LI-LTCP NH TQ (WI) 898





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





















64130 WI Varies Varies 1/31/2017 5/2/2017 The final rate increase approved varies by rate stability class, issue date, attained age, and policy duration, ranging from 10% to 122%.



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3146 FLEX 2 NH (WI) 196, FLEX 2 HCC (WI) 196, FLEX 2 HH (WI) 196

I D, F 03/27/97 WI 25.00% 10.00% 1/2/2007 5/23/2007 3/18/2011 Applies to policyholders at least attained age 75 or in duration 10 or higher


I D, F 03/27/97 WI 15%-25% 15%-25% 2/1/2010 1/6/2011 3/18/2011 Applies to policyholders less than attained 75 or in durations less than 10, varies by bio and with benefit periods 6 years or greater


I D, F 03/27/97 WI 15%-25% 10.00% 2/1/2010 1/6/2011 7/1/2014 Applies to policyholders at least attained age 75 or in duration 10 or higher and with benefit periods 6 years or greater


I D, F 03/27/97 WI 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014 Applies to policyholders less than attained 75 or in durations less than 10


I D, F 03/27/97 WI 10.00% 10.00% 6/3/2013 10/1/2013 4/1/2008 Applies to policyholders at least attained age 75 and in duration 10 or higher


I D, F 03/27/97 WI 25.00% 20.00% 1/2/2007 5/23/2007 4/1/2008 Applies to policyholders less than attained 75 or in durations less than 10


I D, F 03/27/97 WI 90.00% 90.00% 1/31/2017 5/11/2017 The final rate increase approved varies by rate stability class, issue date, attained age, and policy duration, ranging from 10% to 122%.

3153 FTQ NH (WI) 197, FTQ COM (WI) 197, FTQ NH (WI) 999, FTQ COM (WI) 999

I A, C 03/27/97 WI 25.00% 10.00% 1/2/2007 5/23/2007 3/18/2011 Applies to policyholders at least attained age 75 or in duration 10 or higher


I A, C 03/27/97 WI 15%-25% 15%-25% 2/1/2010 1/6/2011 3/18/2011 Applies to policyholders less than attained 75 or in durations less than 10, varies by bio and with benefit periods 6 years or greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I A, C 03/27/97 WI 15%-25% 10.00% 2/1/2010 1/6/2011 7/1/2014 Applies to policyholders at least attained age 75 or in duration 10 or higher and with benefit periods 6 years or greater


I A, C 03/27/97 WI 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014 Applies to policyholders less than attained 75 or in durations less than 10


I A, C 03/27/97 WI 10.00% 10.00% 6/3/2013 10/1/2013 5/1/2008 Applies to policyholders at least attained age 75 and in duration 10 or higher


I A, C 03/27/97 Bankers United Life Assurance Company



I A, C 03/27/97 Bankers United Life Assurance Company


3160 GCPLUS 2 1290 (WI) I D F 01/04/93 12/31/2001 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved












3165 GCPLUS 2 1290 (WI) I D F 01/04/93 12/31/2001 WI 25.00% 20.00% 1/2/2007 5/23/2007 4/1/2008 Applies to policyholders less than attained 75 or in durations less than 10

3166 GCPLUS 2 1290 (WI) I D F 01/04/93 12/31/2001 WI 90.00% 90.00% 1/31/2017 5/11/2017 The final rate increase approved varies by rate stability class, issue date, attained age, and policy duration, ranging from 10% to 122%.



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3167 6122 (WI) 1188 I D F 11/30/89 WI 25.00% 10.00% 1/2/2007 5/23/2007 3/18/2011 Applies to policyholders at least attained age 75 or in duration 10 or higher

3168 6122 (WI) 1188 I D F 11/30/89 WI 15%-25% 15%-25% 2/1/2010 1/6/2011 3/18/2011 Applies to policyholders less than attained 75 or in durations less than 10, varies by bio and with benefit periods 6 years or greater

3169 6122 (WI) 1188 I D F 11/30/89 WI 15%-25% 10.00% 2/1/2010 1/6/2011 7/1/2014 Applies to policyholders at least attained age 75 or in duration 10 or higher and with benefit periods 6 years or greater

3170 6122 (WI) 1188 I D F 11/30/89 WI 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014 Applies to policyholders less than attained 75 or in durations less than 10

3171 6122 (WI) 1188 I D F 11/30/89 WI 10.00% 10.00% 6/3/2013 10/1/2013 4/1/2008 Applies to policyholders at least attained age 75 and in duration 10 or higher

3172 6122 (WI) 1188 I D F 11/30/89 WI 25.00% 20.00% 1/2/2007 5/23/2007 4/1/2008 Applies to policyholders less than attained 75 or in durations less than 10



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3173 6122 (WI) 1188 I D F 11/30/89 WI 90.00% 90.00% 1/31/2017 5/11/2017 The final rate increase approved varies by rate stability class, issue date, attained age, and policy duration, ranging from 10% to 122%.

3174 LTC 3 (WI) 1091, LTC 3 (WI) 594, LBP 3 (WI) 1091, LBP 3 (WI) 594, HHCP 3 (WI) 1091, HHCP 3 (WI) 594, LTC 3R (WI) 1091, LTC 3R (WI) 594, LBP 3R (WI) 1091, LBP 3R (WI) 594, HHCP 3R (WI) 1091, HHCP 3R (WI) 594

I D E F 12/07/93 WI 25.00% 10.00% 1/2/2007 5/23/2007 3/18/2011 Applies to policyholders at least attained age 75 or in duration 10 or higher


I D E F 12/07/93 WI 15%-25% 15%-25% 2/1/2010 1/6/2011 3/18/2011 Applies to policyholders less than attained 75 or in durations less than 10, varies by bio and with benefit periods 6 years or greater


I D E F 12/07/93 WI 15%-25% 10.00% 2/1/2010 1/6/2011 7/1/2014 Applies to policyholders at least attained age 75 or in duration 10 or higher and with benefit periods 6 years or greater



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D E F 12/07/93 WI 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014 Applies to policyholders less than attained 75 or in durations less than 10


I D E F 12/07/93 WI 10.00% 10.00% 6/3/2013 10/1/2013 4/1/2008 Applies to policyholders at least attained age 75 and in duration 10 or higher


I D E F 12/07/93 WI 25.00% 20.00% 1/2/2007 5/23/2007 4/1/2008 Applies to policyholders less than attained 75 or in durations less than 10


I D E F 12/07/93 WI 90.00% 90.00% 1/31/2017 5/11/2017 The final rate increase approved varies by rate stability class, issue date, attained age, and policy duration, ranging from 10% to 122%.

3181 LTC 5 COM (WI) 196, LTC 5 NH (WI) 196

I D F 03/27/90 WI 25.00% 10.00% 1/2/2007 5/23/2007 3/18/2011 Applies to policyholders at least attained age 75 or in duration 10 or higher



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D F 03/27/90 WI 15%-25% 15%-25% 2/1/2010 1/6/2011 3/18/2011 Applies to policyholders less than attained 75 or in durations less than 10, varies by bio and with benefit periods 6 years or greater


I D F 03/27/90 WI 15%-25% 10.00% 2/1/2010 1/6/2011 7/1/2014 Applies to policyholders at least attained age 75 or in duration 10 or higher and with benefit periods 6 years or greater


I D F 03/27/90 WI 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014 Applies to policyholders less than attained 75 or in durations less than 10


I D F 03/27/90 WI 10.00% 10.00% 6/3/2013 10/1/2013 4/1/2008 Applies to policyholders at least attained age 75 and in duration 10 or higher


I D F 03/27/90 WI 25.00% 20.00% 1/2/2007 5/23/2007 4/1/2008 Applies to policyholders less than attained 75 or in durations less than 10


I D F 03/27/90 WI 90.00% 90.00% 1/31/2017 5/11/2017 The final rate increase approved varies by rate stability class, issue date, attained age, and policy duration, ranging from 10% to 122%.

3188 LTC 5 TQ NH (WI) 1096, LTC 5 TQ COM (WI) 1096, LTC 5 TQ NH (WI) 1096

I A C 01/15/97 WI 25.00% 10.00% 1/2/2007 5/23/2007 3/18/2011 Applies to policyholders at least attained age 75 or in duration 10 or higher


I A C 01/15/97 WI 15%-25% 15%-25% 2/1/2010 1/6/2011 3/18/2011 Applies to policyholders less than attained 75 or in durations less than 10, varies by bio and with benefit periods 6 years or greater


I A C 01/15/97 WI 15%-25% 10.00% 2/1/2010 1/6/2011 7/1/2014 Applies to policyholders at least attained age 75 or in duration 10 or higher and with benefit periods 6 years or greater


I A C 01/15/97 WI 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014 Applies to policyholders less than attained 75 or in durations less than 10


I A C 01/15/97 WI 10.00% 10.00% 6/3/2013 10/1/2013 4/1/2008 Applies to policyholders at least attained age 75 and in duration 10 or higher



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I A C 01/15/97 Life Investors Insurance Company of America



I A C 01/15/97 Life Investors Insurance Company of America


3195 NLTCP TQ (WI) 297 I A B C 05/23/97 10/2/2008 Life Investors Insurance Company of America










As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







64130 WI 90.00% 90.00% 1/31/2017 3/10/2017

3201 GCPRO-A II-C (WI) 794, GCPRO-NH-II (WI) 794 and GCPRO-HHC-A II (WI) 794











As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved
















3208 GCPRO-III TQ NH (WI) 197, GCPRO-III TQ COM (WI) 197 and GCPRO-III TQ HHC (WI) 197





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






















3215 GCPRO-C 193 (WI), GCPRO-NH 193 (WI), GCPRO-HHCC 193 (WI), GCPRO-NH (WI) 696, GCPRO-C (WI) 696 and GCPRO-HHCC (WI) 696





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




























As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved














3229 LTC-104-194-WI, LTC-114-196-WI, LTC-105-194-WI, LTC-115-196-WI, LTC-106-194-WI , LTC-116-194 WI

















As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved










3236 LTC 124-197-WI, LTC 125-197-WI, LTC 126-197



3237 LTC 124-197-WI, LTC 125-197-WI, LTC 126-197



3238 LTC 124-197-WI, LTC 125-197-WI, LTC 126-197



3239 LTC 124-197-WI, LTC 125-197-WI, LTC 126-197



3240 LTC 124-197-WI, LTC 125-197-WI, LTC 126-197



3241 LTC 124-197-WI, LTC 125-197-WI, LTC 126-197



3242 LTC 124-197-WI, LTC 125-197-WI, LTC 126-197



3243 LTC 304-198-WI, LTC 305-198-WI





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3244 LTC 304-198-WI, LTC 305-198-WI



3245 LTC 304-198-WI, LTC 305-198-WI



3246 LTC 304-198-WI, LTC 305-198-WI



3247 LTC 304-198-WI, LTC 305-198-WI



3248 LTC 304-198-WI, LTC 305-198-WI



3249 TLC 1-FP (WI) 1001, TLC 1-FP (WI) 808, TLC 1-SC-R 0510

I C 4/18/2003 WI 63.30% 63.30% 7/8/2016 3/9/2017

3250 LI 1-FP (WI) 1001 I C 6/1/2003 10/2/2008 Life Investors Insurance Company of America

64130 WI 63.30% 63.30% 7/8/2016 3/9/2017

3251 TOL 1-FP (WI) 1001 I C 1/23/2003 10/1/2008 Transamerica Occidental Life Insurance Company

67121 WI 63.30% 63.30% 7/8/2016 3/9/2017

3252 LI-LTCP 192 and LI-LTCP (WV) 192


64130 WV 25.00% 15.00% 3/7/2008 3/22/2008 7/1/2008 Applies only to benefit periods 4 years and greater



64130 WV 15%-25% 15%-25% 12/3/2009 12/22/2009 4/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater






As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






64130 WV 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014









64130 WV 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014

3260 FTQ (WV) 197 I A, C 08/23/99 WV 25.00% 25.00% 3/7/2008 3/13/2008 7/1/2008 Applies only to benefit periods 4 years and greater

3261 FTQ (WV) 197 I A, C 08/23/99 WV 15%-25% 15%-25% 12/3/2009 12/22/2009 4/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3262 FTQ (WV) 197 I A, C 08/23/99 WV 14.00% 10.00% 4/6/2011 5/2/2011 7/24/2011 Applies only to benefit periods 6 years and greater

3263 FTQ (WV) 197 I A, C 08/23/99 WV 17.00% 17.00% 6/3/2013 10/1/2013 7/1/20143264 LTCP 889 I D F 08/23/91 Bankers United








61387 WV 17.00% 17.00% 6/3/2013 10/1/2013 8/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved














61387 WV 17.00% 17.00% 6/3/2013 10/1/2013 8/1/2014


I D F 08/12/92 12/31/2001 WV 25.00% 25.00% 3/7/2008 3/13/2008 7/1/2008


G D, F 06/06/91 WV 25.00% 25.00% 3/7/2008 3/13/2008 7/1/2008

3274 LTC 3 (WV) 1091, LTC 3R (WV) 1091

I D E F 02/07/92 WV 15%-25% 15%-25% 12/3/2009 12/22/2009 4/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3275 LTC 3 (WV) 1091, LTC 3R (WV) 1091

I D E F 02/07/92 WV 14.00% 10.00% 4/6/2011 5/2/2011 7/24/2011 Applies only to benefit periods 6 years and greater

3276 LTC 3 (WV) 1091, LTC 3R (WV) 1091

I D E F 02/07/92 WV 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014

3277 LTC 3 (WV) 1091, LTC 3R (WV) 1091

I D E F 02/07/92 WV 25.00% 25.00% 3/7/2008 3/13/2008 7/1/2008

3278 LTC 5 (WV) 196, LTC 5 (WV) 196

I D F 07/15/97 WV 15%-25% 15%-25% 12/3/2009 12/22/2009 4/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3279 LTC 5 (WV) 196, LTC 5 (WV) 196

I D F 07/15/97 WV 14.00% 10.00% 4/6/2011 5/2/2011 7/24/2011 Applies only to benefit periods 6 years and greater

3280 LTC 5 (WV) 196, LTC 5 (WV) 196

I D F 07/15/97 WV 17.00% 17.00% 6/3/2013 10/1/2013 7/1/2014

3281 LTC 5 (WV) 196, LTC 5 (WV) 196

I D F 07/15/97 WV 25.00% 25.00% 3/7/2008 3/13/2008 7/1/2008

3282 LTC 5 TQ 1096 I A C 10/15/97 WV 15%-25% 15%-25% 12/3/2009 12/22/2009 4/1/2010 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3283 LTC 5 TQ 1096 I A C 10/15/97 WV 14.00% 10.00% 4/6/2011 5/2/2011 7/24/2011 Applies only to benefit periods 6 years and greater

3284 LTC 5 TQ 1096 I A C 10/15/97 WV 17.00% 17.00% 6/3/2013 10/1/2013 7/1/20143285 LTC 5 TQ 1096 I A C 10/15/97 WV 25.00% 25.00% 3/7/2008 3/13/2008 7/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3286 3122 (00) 288(3132 (00) 288)

G D F 01/18/89 Life Investors Insurance Company of America







64130 WV 17.00% 17.00% 9/19/2013 10/22/2013 2/1/2014

3290 GP001 796 (GC001 796) G A B C 02/24/97 10/2/2008 Bankers United Life Assurance Company


3291 GCPRO-II (WV) 794 I D E F 06/05/96 12/31/2001 Bankers United Life Assurance Company





61387 WV 17.00% 17.00% 6/3/2013 10/1/2013 8/1/2014









As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





61387 WV 17.00% 17.00% 6/3/2013 10/1/2013 8/1/2014








61387 WV 17.00% 17.00% 6/3/2013 10/1/2013 8/1/2014

3302 GCPRO 193 I D E F 01/30/95 12/31/2001 Transamerica Occidental Life Insurance Company


3303 LTC-104-194, LTC-105-194, LTC-106-194



3304 LTC-104-194, LTC-105-194, LTC-106-194


67121 WV 17.00% 17.00% 6/3/2013 10/1/2013 8/1/2014

3305 LTC-104-194, LTC-105-194, LTC-106-194



3306 LTC 124-197-WV I A B C 07/10/97 10/1/2008 Transamerica Occidental Life Insurance Company



67121 WV 17.00% 17.00% 6/3/2013 10/1/2013 8/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






3309 LTC 304-198, LTC 305-198



3310 LTC 304-198, LTC 305-198


67121 WV 17.00% 17.00% 6/3/2013 10/1/2013 8/1/2014

3311 LTC 304-198, LTC 305-198


64130 WY 25.00% 25.00% 12/17/2007 12/17/2007 4/1/2008 Applies only to benefit periods 4 years and greater

3312 KLTCP 1 (WY) 890 and KLTCP 1 (WY) 691


64130 WY 15%-25% 15%-25% 6/8/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater






64130 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014




3316 LI-LTCP (WY) 192 and LI-LTCP (WY) 893








64130 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







3320 LI-LTCP TQ (WY) 197 I A B C 03/14/98 10/2/2008 Life Investors Insurance Company of America





64130 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014



3324 LI-LTCP TQ (WY) 898 I A C 06/26/01 10/2/2008 Life Investors Insurance Company of America





64130 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014

3327 LI-LTCP TQ (WY) 898 I A C 06/26/01 10/2/2008 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/20083328 IP-70-WY-494, IP-71-WY-

494, IP-72-WY-494, IP-73-WY-494

I D, F 01/04/95 WY 15%-25% 15%-25% 6/8/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3329 IP-70-WY-494, IP-71-WY-494, IP-72-WY-494, IP-73-WY-494

I D, F 01/04/95 WY 14.00% 14.00% 3/17/2011 4/25/2011 5/7/2011 Applies only to benefit periods 6 years and greater


I D, F 01/04/95 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014


I D, F 01/04/95 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3332 FLEX 2 (WY) 196 I D, F 07/16/96 WY 15%-25% 15%-25% 6/8/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3333 FLEX 2 (WY) 196 I D, F 07/16/96 WY 14.00% 14.00% 3/17/2011 4/25/2011 5/7/2011 Applies only to benefit periods 6 years and greater

3334 FLEX 2 (WY) 196 I D, F 07/16/96 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/20143335 FLEX 2 (WY) 196 I D, F 07/16/96 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/20083336 FTQ (WY) 197 I A, C 05/08/97 WY 15%-25% 15%-25% 6/8/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and


3337 FTQ (WY) 197 I A, C 05/08/97 WY 14.00% 14.00% 3/17/2011 4/25/2011 5/7/2011 Applies only to benefit periods 6 years and greater

3338 FTQ (WY) 197 I A, C 05/08/97 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/20143339 FTQ (WY) 197 I A, C 05/08/97 Bankers United








61387 WY 17.00% 17.00% 8/8/2013 10/25/2013 3/1/2014



3344 GCPLUS 1290 (WY) and GCPLUS 2 1290 (WY)








61387 WY 17.00% 17.00% 8/8/2013 10/25/2013 3/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





I D F 02/10/92 12/31/2001 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/2008

3348 GLTP 2 1289 G D, F 02/18/91 WY 15%-25% 15%-25% 6/8/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3349 GLTP 2 1289 G D, F 02/18/91 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/20143350 GLTP 2 1289 G D, F 02/18/91 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/20083351 LTC 3 1091 (B), LTC 3

1091 (REV92), LTC 3 (WY) 1091 (REV93), LTC 3R 1091 (B), LTC 3R 1091 (REV92), LTC 3R (WY) 1091 (REV93), LTC 3R (WY) 1091 (REV893)

I D E F 04/28/92 WY 15%-25% 15%-25% 6/8/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3352 LTC 3 1091 (B), LTC 3 1091 (REV92), LTC 3 (WY) 1091 (REV93), LTC 3R 1091 (B), LTC 3R 1091 (REV92), LTC 3R (WY) 1091 (REV93), LTC 3R (WY) 1091 (REV893)

I D E F 04/28/92 WY 14.00% 14.00% 3/17/2011 4/25/2011 5/7/2011 Applies only to benefit periods 6 years and greater


I D E F 04/28/92 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014


I D E F 04/28/92 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/2008

3355 GLTP 3 1091, GLTP3R 1091

G D E F 07/07/91 WY 15%-25% 15%-25% 6/9/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3356 GLTP 3 1091, GLTP3R 1091

G D E F 07/07/91 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014

3357 GLTP 3 1091, GLTP3R 1091

G D E F 07/07/91 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/2008



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3358 LTC 5 (WY) 196, LTC 5 (WY) 196

I D F 10/09/96 WY 15%-25% 15%-25% 6/8/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3359 LTC 5 (WY) 196, LTC 5 (WY) 196

I D F 10/09/96 WY 14.00% 14.00% 3/17/2011 4/25/2011 5/7/2011 Applies only to benefit periods 6 years and greater

3360 LTC 5 (WY) 196, LTC 5 (WY) 196

I D F 10/09/96 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014

3361 LTC 5 (WY) 196, LTC 5 (WY) 196

I D F 10/09/96 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/2008

3362 LTC 5 TQ (WY) 1096, LTC 5 TQ 1197 (FO-1) Facility Only Module

I A C 03/18/97 WY 15%-25% 15%-25% 6/8/2009 6/9/2009 9/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater


I A C 03/18/97 WY 14.00% 14.00% 3/17/2011 4/25/2011 5/7/2011 Applies only to benefit periods 6 years and greater


I A C 03/18/97 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/2014


I A C 03/18/97 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/2008

3366 3132 (00) 288 G D F 04/01/89 WY 15%-25% 15%-25% 6/8/2009 6/16/2009 10/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3367 3132 (00) 288 G D F 04/01/89 WY 17.00% 17.00% 8/8/2013 10/25/2013 2/1/20143368 3132 (00) 288 G D F 04/01/89 Life Investors


64130 WY 25.00% 25.00% 12/17/2007 12/18/2007 4/1/2008






64130 WY 17.00% 17.00% 8/8/2013 10/23/2013 2/1/2014

3372 GP001 796 (GC001 796) G A B C 01/16/96 10/2/2008 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3373 GCPRO-II (WY) 794 I D E F 11/27/95 12/31/2001 Bankers United Life Assurance Company





61387 WY 17.00% 17.00% 8/8/2013 10/25/2013 3/1/2014



3377 GCPRO-III TQ (WY) 197 I A B C 01/20/93 12/31/2001 Bankers United Life Assurance Company





61387 WY 17.00% 17.00% 8/8/2013 10/25/2013 3/1/2014



3381 GCPRO (WY) 193 I D E F 01/06/93 12/31/2001 Bankers United Life Assurance Company





61387 WY 17.00% 17.00% 8/8/2013 10/25/2013 3/1/2014



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3384 GCPRO (WY) 193 I D E F 01/06/93 12/31/2001 Transamerica Occidental Life Insurance Company


3385 1-820 57-191, 1-822 57-191



3386 1-820 57-191, 1-822 57-191


67121 WY 17.00% 17.00% 8/8/2013 10/25/2013 3/1/2014

3387 1-820 57-191, 1-822 57-191



3388 LTC-104-194-WY, LTC-105-194-WY, LTC-106-194-WY





67121 WY 17.00% 17.00% 8/8/2013 10/25/2013 3/1/2014




3391 LTC 124-197-WY I A B C 03/17/97 10/1/2008 Transamerica Occidental Life Insurance Company


3392 LTC 124-197-WY I A B C 03/17/97 10/1/2008 Transamerica Occidental Life Insurance Company

67121 WY 17.00% 17.00% 8/8/2013 10/25/2013 1/1/2009

3393 LTC 124-197-WY I A B C 03/17/97 10/1/2008 Life Investors Insurance Company of America

64130 CA 29.00% 29.00% 9/6/2007 9/15/2008 1/1/2009 Applies only to benefit periods 4 years and greater, and policies with application dates prior to 7/1/2002

3394 KLTCP 1 (CA) 890 I D E F 02/28/91 10/2/2008 Life Investors Insurance Company of America

64130 CA 97.00% 0.00% 6/19/2015



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3395 KLTCP 1 (CA) 890 I D E F 02/28/91 10/2/2008 Life Investors Insurance Company of America


3396 LI-NFOP (CA) 192, LI-LTCP (CA) 192


64130 CA 97.00% 0.00% 6/19/2015

3397 LI-NFOP (CA) 192, LI-LTCP (CA) 192, LI-LTCP (CA) 1293



3398 LI-LTCP NQ COMR (CA) 898, LI-LTCP NQ COM (CA) 898, LI-LTCP NQ NFRCF (CA) 898, LI-LTCP NQ NF (CA) 898, LI-LTCP NQ COMR (CA) 900, LI-LTCP NQ NFRCF (CA) 900

I D F 01/23/94 10/2/2008 Life Investors Insurance Company of America

64130 CA 29.00% 29.00% 9/6/2007 6/2/2009 12/1/2009 Applies only policies with issue dates on or after 7/1/2002



64130 CA 29.00% 14.90% 9/6/2007 6/2/2009 12/4/2011 Applies only policies with issue dates on or after 7/1/2002



64130 CA 97.00% 0.00% 6/19/2015



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3401 LI-LTCP NQ COMR (CA) 898, LI-LTCP NQ COMR (CA) 898 (REV.799), LI-LTCP NQ COM (CA) 898, LI-LTCP NQ COM (CA) 898 (REV.799), LI-LTCP NQ NFRCF (CA) 898, LI-LTCP NQ NFRCF (CA) 898 (REV.799), LI-LTCP NQ NF (CA) 898, LI-LTCP NQ NF (CA) 898 (REV 799) LI LTCP NQ



3402 LI-LTCP TQ COMR (CA) 898/ LI-LTCP TQ COM (CA) 898/ LI-LTCP TQ NFRCF (CA) 898/ LI-LTCP TQ NF (CA) 898/ LI-LTCP TQ COMR (CA) 900/ LI-LTCP TQ NFRCF (CA) 900


64130 CA 29.00% 29.00% 9/6/2007 6/2/2009 12/1/2009 Applies only to policies with issue dates on or after 7/1/2002






64130 CA 97.00% 0.00% 6/19/2015


I A C 07/20/92 10/2/2008 Bankers United Life Assurance Company




As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3406 LTCP CA 490 & LTCHP CA 490


61387 CA 97.00% 0.00% 6/19/2015

3407 LTCP CA 490, LTCP 889 (CA), LTCHP CA 490



3408 GCPLUS 1290 (CA), GCPLUS 1290 (CA2), GCPLUS 2 1290 (CA), GCPLUS 2 1290 (CA2), GCPLUS 2 1290 (CA3)


61387 CA 97.00% 0.00% 6/19/2015

3409 GCPLUS 1290 (CA), GCPLUS 1290 (CA2), GCPLUS 2 1290 (CA), GCPLUS 2 1290 (CA2), GCPLUS 2 1290 (CA3)

I D F 03/14/91 12/31/2001 CA 25.00% 25.00% 9/6/2007 9/15/2008 1/1/2009

3410 6122 (CA) 889 I D F 01/17/90 CA 97.00% 0.00% 6/19/20153411 6122 (CA) 889 I D F 01/17/90 CA 25.00% 25.00% 9/6/2007 9/15/2008 1/1/20093412 LTC 2 (CA) 291, LTCC 2

(CA) 391I D, F 09/19/91 CA 97.00% 0.00% 6/19/2015

3413 LTC 2 (CA) 590, LTCC 2 (CA) 690, LTC 2 (CA) 291, LTCC 2 (CA) 391

I D, F 09/19/91 CA 25.00% 25.00% 9/6/2007 9/15/2008 1/1/2009

3414 LTC 3 (CA) (NHC) (REV93), et al. & LTC 3R (CA) (NHC) (REV93) et al

I D E F 05/13/93 CA 97.00% 0.00% 6/19/2015

3415 LTC 3 (CA) (NHC) (REV93), et al. & LTC 3R (CA) (NHC) (REV93) et al

I D E F 05/13/93 CA 25.00% 25.00% 9/6/2007 9/15/2008 1/1/2009

3416 LTC 5 COM (CA) 196 & LTC 5 NF (CA) 196 & LTC 5 NFRCF (CA) 196

I D,F 11/04/98 CA 97.00% 0.00% 6/19/2015

3417 LTC 5 COM (CA) 196, LTC 5 COM (CA) 196 (REV.799), LTC 5 NF (CA) 196, LTC 5 NF (CA) 196 (REV.799), LTC 5 NFRCF (CA) 196, LTC 5 NFRCF (CA) 196 (REV.799)

I D,F 11/04/98 CA 25.00% 25.00% 9/6/2007 9/15/2008 1/1/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved




3418 LTC 5 TQ NF (CA) 1096, LTC 5 TQ NFRCF (CA) 1096, LTC 5 TQCOM (CA) 1096

I A C 01/28/93 CA 97.00% 0.00% 6/19/2015

3419 LTC 5 TQ NF (CA) 1096, LTC 5 TQ NF (CA) 1096 (REV.799), LTC 5 TQ NFRCF (CA) 1096, LTC 5 TQ NFRCF (CA) 1096 (REV.799), LTC 5 TQ COM (CA) 1096, LTC 5 TQ COM (CA) 1096 (REV.799)

I A C 01/28/93 CA 15%-25% 15%-25% 3/3/2009 3/12/2009 8/1/2009 Varies by type of inflation benefit and applies only to benefit periods 6 years and greater

3420 3132 (00) 288 G D F 09/13/88 CA 14.00% 14.00% 5/19/2010 5/27/2010 1/4/2011 Applies only to benefit periods 6 years and greater

3421 3132 (00) 288 G D F 09/13/88 CA 17.00% 17.00% 11/20/2012 12/20/2012 7/1/2013 Situs State approval from AL3422 3132 (00) 288 G D F 09/13/88 CA 15%-25% 15%-25% 3/3/2009 3/12/2009 1/4/2011 Varies by type of inflation benefit and


3423 GLTC 2 189, GLTC 2 1290

G D E F 04/15/89 CA 14.00% 14.00% 5/19/2010 5/27/2010 7/1/2013 Applies only to benefit periods 6 years and greater

3424 GLTC 2 189, GLTC 2 1290

G D E F 04/15/89 CA 17.00% 17.00% 11/20/2012 12/20/2012 1/1/2009 Situs State approval from AL

3425 GLTC 2 189, GLTC 2 1290

G D E F 04/15/89 Life Investors Insurance Company of America


3426 NLTCP TQ (CA) 297, NLTCP TQ (CA) 1100








64130 CA 97.00% 0.00% 6/19/2015

3429 NLTCP TQ (CA) 297, NLTCP TQ (CA) 297 (REV.799), NLTCP TQ (CA) 1100



3430 NLTCP (CA) 297 and NLTCP (CA) 1100





As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved









64130 CA 97.00% 0.00% 6/19/2015

3433 NLTCP (CA) 297, NLTCP (CA) 297 (REV.799), NLTCP (CA) 1100


67121 CA 39.20% 12.00% 4/7/2006 8/22/2008 2/1/2009

3434 LTC-102 06-194, LTC-103 06-194

P DEF 08/25/94 10/1/2008 Transamerica Occidental Life Insurance Company

67121 CA 39.20% 10.71% 4/7/2006 8/22/2008 2/1/2010

3435 LTC-102 06-194, LTC-103 06-194


67121 CA 39.20% 9.68% 4/7/2006 8/22/2008 2/1/2011

3436 LTC-102 06-194, LTC-103 06-194


67121 CA 97.00% 0.00% 6/22/2015

3437 LTC-102 06-194, LTC-103 06-194


67121 CA 39.20% 12.00% 4/7/2006 8/22/2008 2/1/2009

3438 LTC 112-197-CA, LTC 112S-197-CA, LTC 112-1200-CAP, LTC 112S-1200-CAP, LTC 113-197-CA, LTC 113S-197-CA, LTC 113-1200-CAP, LTC 113S-1200-CAP

P ABC 10/28/96 10/1/2008 Transamerica Occidental Life Insurance Company

67121 CA 39.20% 10.71% 4/7/2006 8/22/2008 2/1/2010



67121 CA 39.20% 9.68% 4/7/2006 8/22/2008 2/1/2011



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






67121 CA 97.00% 0.00% 6/22/2015


P ABC 10/28/96 10/1/2008 Bankers United Life Assurance Company


3442 GCPRO-A II-C (CA) 794 and GCPRO-II NH (CA) 794


61387 CA 97.00% 0.00% 6/19/2015

3443 GCPRO-A II-C (CA) 794 and GCPRO-II NH (CA) 794



3444 GCPRO-III LTC (CA) 197, GCPRO-III NFO (CA) 197, GCPRO-III HCO (CA) 197,GCPRO-III LTC (CA) 900 and GCPRO-III HCO (CA) 900








As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved






61387 CA 97.00% 0.00% 6/19/2015




3448 GCPRO-III TQ LTC (CA) 197, GCPRO-III TQ NFO (CA) 197, GCPRO-III TQ HCO (CA) 197, GCPRO-III TQ LTC (CA) 900, GCPRO-III TQ HCO (CA) 900








61387 CA 97.00% 0.00% 6/19/2015



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







3452 GCPRO-C (CA) 193, GCPRO-NH (CA) 193


61387 CA 97.00% 0.00% 6/19/2015

3453 GCPRO-C (CA) 193, GCPRO-NH (CA) 193


67121 CA 15%-25% 15%-25% 3/6/2009 12/11/2009 6/1/2010 Applies only to benefit periods 6 years and greater, and policies with issue dates prior to 7/1/2002; non-partnership

3454 1-812 06-190, 1-811 06-190


67121 CA 14.00% 14.00% 11/12/2010 8/21/2013 2/1/2014 Applies only to benefit periods 6 years and greater and policies with issue dates prior to 7/1/2002

3455 1-812 06-190, 1-811 06-190


67121 CA 97.00% 0.00% 6/19/2015

3456 1-812 06-190, 1-811 06-190



3457 1-820 06-191,1-822 06-191, 1-820 06-193, 1-822 06-193, 1-822 06-194



3458 1-820 06-191,1-822 06-191, 1-820 06-193, 1-822 06-193, 1-822 06-194


67121 CA 97.00% 0.00% 6/19/2015

3459 1-820 06-191,1-822 06-191, 1-820 06-193, 1-822 06-193, 1-822 06-194


67121 CA 15%-25% 15%-25% 3/6/2009 12/11/2009 6/1/2010 Applies only to benefit periods 6 years and greater, and policies with issue dates prior to 7/1/2002, non-partnership

3460 LTC-104-194-CA, LTC-105-194-CA, LTC-106-194-CA





67121 CA 97.00% 0.00% 6/19/2015



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved







3463 LTC 114-197-CA, LTC 115-197-CA, LTC 116-197-CA





67121 CA 97.00% 0.00% 6/19/2015



67121 CA 15%-25% 15%-25% 3/6/2009 12/11/2009 6/1/2010 Applies only to benefit periods 6 years and greater, and policies with issue dates prior to 7/1/2002, non-partnership

3466 LTC 124-197-CA, LTC 124-1200-CA, LTC 125-197-CA, LTC 125-1200-CA, LTC 126-197-CA





67121 CA 97.00% 0.00% 6/19/2015


I A B C 01/04/96 10/1/2008 CA 63.30% 0.00% 8/14/2015

3469 D425 LTC I F 9/18/1991 1996 J C PENNEY LIFE INSURANCE CO

65021 CA 40.00% 30.00% 7/1/2008 7/9/2009 8/1/2010


65021 CA 4.00% 4.00% 11/16/2010 3/24/2011 8/1/2011


65021 AZ 40.00% 10.00% 7/1/2008 11/12/2009 2/1/2010


65021 AZ 25.00% 25.00% 12/6/2010 12/30/2010 4/11/2011



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





65021 AZ 25.00% 25.00% 11/2/2011 3/22/2012 7/3/2012


65021 CO 40.00% 40.00% 7/1/2008 3/10/2009 5/5/2009


65021 CO 25.00% 25.00% 1/29/2010 4/8/2010 9/14/2010


65021 GA 40.00% 8.00% 7/1/2008 4/29/2009 8/19/2009


65021 GA 25.00% 10.00% 2/26/2010 7/5/2010 12/29/2010


65021 GA 25.00% 15.00% 7/26/2011 9/7/2011 4/11/2012


65021 IA 25.00% 25.00% 7/1/2008 10/15/2009 9/14/2010


65021 IL 25.00% 25.00% 7/1/2008 1/19/2009 4/30/2009


65021 IL 17.00% 17.00% 1/20/2010 3/16/2010 8/31/2010


65021 IN 40.00% 35.00% 7/1/2008 11/21/2008 3/9/2009


65021 IN 25.00% 15.00% 10/29/2009 11/9/2010 1/29/2011



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





65021 IN 10.00% 10.00% 8/30/2011 11/16/2011 1/31/2012


65021 KY 15.00% 15.00% 7/1/2008 2/20/2009 6/4/2009


65021 KY 25.00% 25.00% 1/11/2010 4/12/2010 8/31/2010


65021 MI 25.00% 25.00% 7/1/2008 10/16/2008 3/7/2009


65021 MI 17.00% 17.00% 10/29/2009 11/19/2009 3/7/2010


65021 MO 25.00% 25.00% 7/1/2008 10/15/2008 7/12/2009


65021 MO 17.00% 17.00% 8/18/2009 12/16/2009 9/8/2010


65021 MS 25.00% 25.00% 7/1/2008 1/6/2009 4/28/2009


65021 MT 25.00% 25.00% 7/1/2009 10/26/2009 9/23/2010


65021 NC 40.00% 40.00% 7/1/2008 5/4/2009 8/6/2010



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





65021 NC 25.00% 25.00% 3/18/2010 7/12/2010 8/8/2011


65021 NE 25.00% 25.00% 7/1/2008 12/16/2008 3/29/2009


65021 NE 17.00% 17.00% 11/10/2009 1/6/2010 3/29/2010


65021 NM 25.00% 25.00% 7/1/2008 1/19/2009 5/7/2009


65021 NM 25.00% 0.00% 1/5/2010 Disapproved


65021 NV 25.00% 0.00% 12/2/2010 Disapproved


65021 OH 40.00% 20.00% 7/1/2008 4/15/2009 7/12/2009


65021 OH 20.00% 20.00% 7/1/2008 4/15/2009 7/27/2010


65021 OK 15.00% 15.00% 7/1/2008 1/5/2009 5/7/2009


65021 OK 25.00% 25.00% 11/16/2010 9/28/2011 1/1/2012


65021 OK 10.00% 0.00% 5/4/2012 Withdrawn



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





65021 OK 10.00% 10.00% 6/5/2013 7/30/2013 9/30/2013


65021 PA 25.00% 25.00% 11/15/2010 11/19/2010 3/23/2011


65021 PA 25.00% 20.00% 11/16/2011 2/7/2012 5/25/2012


65021 TN 40.00% 40.00% 7/1/2008 5/26/2010 9/14/2010


65021 TX 40.00% 28.00% 7/1/2008 4/22/2009 6/25/2009


65021 TX 12.00% 12.00% 10/28/2010 1/21/2011 4/20/2011


65021 UT 40.00% 40.00% 7/1/2008 7/12/2009 9/15/2009


65021 WV 40.00% 25.00% 7/1/2008 11/12/2008 3/15/2009


65021 WV 25.00% 25.00% 10/19/2009 11/2/2009 3/23/2010

3514 D428 LTC I D 9/18/1991 1996 J C PENNEY LIFE INSURANCE CO

65021 CA 40.00% 30.00% 7/1/2008 7/9/2009 8/1/2010


65021 CA 4.00% 4.00% 11/16/2010 3/24/2011 8/1/2011



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





65021 CO 40.00% 40.00% 7/1/2008 3/10/2009 5/5/2009


65021 GA 40.00% 8.00% 7/1/2008 4/29/2009 8/19/2009


65021 IL 25.00% 25.00% 7/1/2008 1/19/2009 4/30/2009


65021 IN 40.00% 35.00% 7/1/2008 11/21/2008 3/9/2009


65021 KY 15.00% 15.00% 7/1/2008 2/20/2009 6/4/2009


65021 MI 25.00% 25.00% 7/1/2008 10/16/2008 3/7/2009


65021 MO 25.00% 25.00% 7/1/2008 10/15/2008 7/12/2009


65021 MS 25.00% 25.00% 7/1/2008 1/6/2009 4/28/2009


65021 NC 40.00% 40.00% 7/1/2008 5/4/2009 8/6/2010


65021 NE 25.00% 25.00% 7/1/2008 12/16/2008 3/29/2009


65021 NM 25.00% 25.00% 7/1/2008 1/19/2009 5/7/2009



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





65021 OH 40.00% 20.00% 7/1/2008 4/15/2009 7/12/2009


65021 OK 15.00% 15.00% 7/1/2008 1/5/2009 5/7/2009


65021 TX 40.00% 28.00% 7/1/2008 4/22/2009 6/25/2009


65021 UT 40.00% 40.00% 7/1/2008 7/12/2009 9/15/2009


65021 WV 40.00% 25.00% 7/1/2008 11/12/2008 3/15/2009

3532 D430 LTC I F 1/21/1992 1996 J C PENNEY INS CO

63703 CO 40.00% 40.00% 7/1/2008 3/10/2009 5/5/2009


63703 GA 40.00% 8.00% 7/1/2008 4/29/2009 8/19/2009


63703 IL 25.00% 25.00% 7/1/2008 1/19/2009 4/30/2009


63703 IL 17.00% 17.00% 1/20/2010 3/16/2010 8/31/2010


63703 IN 40.00% 35.00% 7/1/2008 11/21/2008 3/9/2009


63703 KY 15.00% 15.00% 7/1/2008 2/20/2009 6/4/2009


63703 KY 25.00% 25.00% 1/11/2010 4/12/2010 8/31/2010


63703 MI 25.00% 25.00% 7/1/2008 10/16/2008 3/7/2009


63703 MO 25.00% 25.00% 7/1/2008 10/15/2008 7/12/2009


63703 MS 25.00% 25.00% 7/1/2008 1/6/2009 4/28/2009


63703 NC 40.00% 40.00% 7/1/2008 5/4/2009 8/6/2010


63703 NE 25.00% 25.00% 7/1/2008 12/16/2008 3/29/2009


63703 NE 17.00% 17.00% 11/10/2009 1/6/2010 3/29/2010



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





63703 NM 25.00% 25.00% 7/1/2008 1/19/2009 5/7/2009


63703 OH 40.00% 20.00% 7/1/2008 4/15/2009 7/12/2009


63703 OH 20.00% 20.00% 7/1/2008 4/15/2009 7/27/2010


63703 OK 15.00% 15.00% 7/1/2008 1/5/2009 5/7/2009


63703 OK 25.00% 25.00% 11/16/2010 9/28/2011 1/1/2012


63703 OK 10.00% 0.00% 5/4/2012 Withdrawn


63703 TN 40.00% 40.00% 7/1/2008 5/26/2010 9/14/2010


63703 TX 40.00% 28.00% 7/1/2008 4/22/2009 6/25/2009


63703 UT 40.00% 40.00% 7/1/2008 7/12/2009 9/15/2009


63703 WV 40.00% 25.00% 7/1/2008 11/12/2008 3/15/2009

3555 D431 LTC P F 5/1/1991 1996 J C PENNEY INS CO

63703 IN 10.00% 10.00% 8/30/2011 11/16/2011 1/31/2012

3556 GC145 LTC GROUP G F 9/21/1990 1996 J C PENNEY LIFE INSURANCE CO

65021 GA 40.00% 8.00% 7/1/2008 4/29/2009 9/14/2009


65021 GA 25.00% 15.00% 2/28/2010 7/5/2010 1/2/2011


65021 IA 25.00% 25.00% 8/17/2009 10/15/2009 9/14/2010

3559 GC145 LTC GROUP G F 1996 J C PENNEY LIFE INSURANCE CO

65021 IL 25.00% 25.00% 1/15/2008 3/17/2008 6/10/2008

3560 GC145 LTC GROUP G F 1996 J C PENNEY LIFE INSURANCE CO

65021 IL 40.00% 40.00% 1/15/2009 6/3/2009 8/11/2009


65021 IN 40.00% 35.00% 7/1/2008 7/20/2009 8/1/2010



As of: 12/2017



**Policy Category

Date Policy Sold



Acquired From

Company NAIC

CA Policy

Other State Policy

Increase Requested

Increase Approved





65021 MO 25.00% 25.00% 7/1/2008 12/16/2010 3/22/2011


65021 NE 25.00% 25.00% 8/12/2009 1/25/2010 3/10/2010


65021 NJ 40.00% 40.00% 7/1/2008 3/5/2009 6/24/2009


65021 OH 40.00% 40.00% 7/1/2008 7/9/2009 9/9/2009


65021 TX 25.00% 0.00% 8/19/2009 DIsapproved


65021 VA 40.00% 40.00% 7/1/2008 4/27/2009 7/17/2009


65021 VA 25.00% 25.00% 2/28/2010 10/18/2010 2/15/2011

Policy Key Coding:*Policy Type

I IndividualG GroupP Partnership

** Policy CategoryA Nursing and Residential Care Facility/Tax QualifiedB Home Care Only/Tax QualifiedC Comprehensive/Tax QualifiedD Nursing and Residential Care Facility/Non-Tax QualifiedE Home Care Only/Non-Tax QualifiedF Comprehensive/Non-Tax Qualified

CDI LTC Rate History 2017 - Transamerica Life Department of Insurance Long Term Care Insurance -...

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