LIABILITIES, SURPLUS AND OTHER FUNDS...sp s m n ql x t m otu m qlr x 5. Separate Accounts net gain...

ANNUAL STATEMENT FOR THE YEAR 2010 OF THE Security Life of Denver Insurance Company

ASSETSCurrent Year Prior Year

1

Assets

2

Nonadmitted Assets

3Net Admitted Assets

(Cols. 1 - 2)

4Net Admitted

Assets

1. Bonds (Schedule D) ��

� ��

2. Stocks (Schedule D):

2.1 Preferred stocks ��

2.2 Common stocks

��

3. Mortgage loans on real estate (Schedule B):

3.1 First liens ��

3.2 Other than first liens� � � �

4. Real estate (Schedule A):

4.1 Properties occupied by the company (less $ �

encumbrances) � � � �

4.2 Properties held for the production of income (less

$ �


4.3 Properties held for sale (less $�


5. Cash ($ ��

, Schedule E - Part 1), cash equivalents

($�

, Schedule E - Part 2) and short-term

investments ($��

, Schedule DA) ��

6. Contract loans (including $�

premium notes) ��

� ��

7. Derivatives ��

8. Other invested assets (Schedule BA) ��

9. Receivables for securities ��

10. Securities lending reinvested collateral assets ��

11. Aggregate write-ins for invested assets � � � �

12. Subtotals, cash and invested assets (Lines 1 to 11) ��

� ��

13. Title plants less $�

charged off (for Title insurers

only) � � � �

14. Investment income due and accrued ��

� ��

� ��

15. Premiums and considerations:

15.1 Uncollected premiums and agents' balances in the course of collection � �� 15.2 Deferred premiums and agents' balances and installments booked but

deferred and not yet due (including $ �

earned but unbilled premiums) ��

15.3 Accrued retrospective premiums � � � �

16. Reinsurance:

16.1 Amounts recoverable from reinsurers ��

16.2 Funds held by or deposited with reinsured companies ��

� ��

� ��

16.3 Other amounts receivable under reinsurance contracts ��

17. Amounts receivable relating to uninsured plans � � � �

18.1 Current federal and foreign income tax recoverable and interest thereon � � � ��

18.2 Net deferred tax asset ��

� ��

� ��

19. Guaranty funds receivable or on deposit ��

20. Electronic data processing equipment and software � � � �

21. Furniture and equipment, including health care delivery assets

($ �

) � � � �

22. Net adjustment in assets and liabilities due to foreign exchange rates ��

23. Receivables from parent, subsidiaries and affiliates

��

24. Health care ($�

) and other amounts receivable ��

25. Aggregate write-ins for other than invested assets

��

26. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25)

�� 27. From Separate Accounts, Segregated Accounts and Protected Cell

Accounts ��

28. Total (Lines 26 and 27)��

DETAILS OF WRITE-INS

1101.

1102.

1103.

1198. Summary of remaining write-ins for Line 11 from overflow page � � � �

1199. Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above)� � � �

2501. �� !�"# $&%�'�")(+*�$# $�,��-)*�$�.�' �� 2502. /�0�$1��*2� �3� '�4&5�'�$�,6 0�$7*�,�,�'�!�, �� 2503. 8�*�-�96 $7.�*62�2:.�062�2 *�!�';-)*62 �� 2598. Summary of remaining write-ins for Line 25 from overflow page

�� 2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above)

��

2


LIABILITIES, SURPLUS AND OTHER FUNDS1

Current Year2

Prior Year1. Aggregate reserve for life contracts $ ?�@�A> =�A�@> B�C�C (Exh. 5, Line 9999999) less $ =

included in Line 6.3 (including $ ?�C�A> =�B�A> A�@�@ Modco Reserve) ?�@�A> =�A�@> B�C�C D�@�C> ?�=�A>� C�?�@> =� =�C�<3. Liability for deposit-type contracts (Exhibit 7, Line 14, Col. 1) (including $ = Modco Reserve) F> A�A�C> C�C�E> =�B�? @> A� E� C�B�@4. Contract claims:

4.1 Life (Exhibit 8, Part 1, Line 4.4, Col. 1 less sum of Cols. 9, 10 and 11) ?�=> D�E�E> @�B�E E�@> =�D�?> C�@�?4.2 Accident and health (Exhibit 8, Part 1, Line 4.4, sum of Cols. 9, 10 and 11) D�A>� E�D�? =�E�D> C� =�C�=>� =�D�?> C�=�D6.2 Dividends not yet apportioned (including $ = Modco) ?> =�=�= ?> =�=�=6.3 Coupons and similar benefits (including $ = Modco) = =

7. Amount provisionally held for deferred dividend policies not included in Line 6 = =8. Premiums and annuity considerations for life and accident and health contracts received in advance less

$ = discount; including $ = accident and health premiums (Exhibit 1,Part 1, Col. 1, sum of lines 4 and 14) =� F�D�=

9. Contract liabilities not included elsewhere: 9.1 Surrender values on canceled contracts = =9.2 Provision for experience rating refunds, including $ = accident and health experience rating

refunds = ?�> B�E� B� F�E�E> ?�=�B

ceded B�> F�E�E> ?�=�B E�?�B> B�D�@9.4 Interest maintenance reserve (IMR, Line 6) = =

10. Commissions to agents due or accrued-life and annuity contracts $ @> @� A�E�A accident and health$ = and deposit-type contract funds $ = @> @� A�E�A @�=�A> E�@�C

11. Commissions and expense allowances payable on reinsurance assumed F�C�?> B�B�? F�E�@12. General expenses due or accrued (Exhibit 2, Line 12, Col. 6) F�A�E> @�D�? @�E�B> E�D�B13. Transfers to Separate Accounts due or accrued (net) (including $ G�E�D> @�F�F> ?�A�=�H accrued for expense

allowances recognized in reserves, net of reinsured allowances) G�E�D> @�F�F> ?�A�=�H GI?�C> C�=�?> C�?�?�H14. Taxes, licenses and fees due or accrued, excluding federal income taxes (Exhibit 3, Line 9, Col. 5) D> D�F�D> A�� B�?�E15.1 Current federal and foreign income taxes including $ F> A�?�=> B�@�@ on realized capital gains (losses) B�A� ?� A�C�F>� C�D�=> C�F�<17. Amounts withheld or retained by company as agent or trustee � =�F�A F�F> =�A�A> C� F�B�?> ?�C�C @> B�E�F>� A�E�=> ?�A�B @� A� D�D�F20. Net adjustment in assets and liabilities due to foreign exchange rates = =21. Liability for benefits for employees and agents if not included above = =22. Borrowed money $ F� D�F�C> =�=�= and interest thereon $ E�F�D> B�A�< F� F�D� ?�D�B23. Dividends to stockholders declared and unpaid = =24. Miscellaneous liabilities:

24.01 Asset valuation reserve (AVR, Line 16, Col. 7) D� E� =� D�@�B> @�?�B24.03 Funds held under reinsurance treaties with unauthorized reinsurers D�E�C>� =� F�@�C24.04 Payable to parent, subsidiaries and affiliates @�A> C�@�A> A�@�B @�C> @�A�F>� @�F�E> E�E�F E�D> =�B�B> ?�C�<24.08 Derivatives C�B�> E�A� B�A�A F�@�?�> =�C�E> @�@�?24.09 Payable for securities F> E�F�B> A�?�B @�C�B> D�F�B24.10 Payable for securities lending � @�E�C> =�F�A =24.11 Capital notes $ = and interest thereon $ = = =

25. Aggregate write-ins for liabilities @�@> @�?�A> E�?�F F�@> =�A�A> C�?�C26. Total Liabilities excluding Separate Accounts business (Lines 1 to 25) C� D�?�D> A�C�D D�D� B�E�C> F�F�E27. From Separate Accounts Statement @�D�D> E�=�D> E�=�E @�=�=> B�E� F�?�A28. Total Liabilities (Lines 26 and 27) D�B�C> F�D�E> @�E�F =�D�F> B�=�E> C�B�@29. Common capital stock F> A�A�=> =�=�= F> A�A�=> =�=�=30. Preferred capital stock = =31. Aggregate write-ins for other than special surplus funds =�A�C> E�C�D F�=�F>� E�A�C> @�D�E D�=�@> E�A�C> @�D�E34. Aggregate write-ins for special surplus funds D�F> E�B�C> B�E�< D�C>� B�=�?35. Unassigned funds (surplus) G�?�F�B�>� C� C�F�=> D�E�A�H36. Less treasury stock, at cost:

36.1 = shares common (value included in Line 29 $ = ) = =36.2 = shares preferred (value included in Line 30 $ = ) = =

37. Surplus (Total Lines 31+32+33+34+35-36) (including $ = in Separate Accounts Statement) C�E�C>� @�F�D ?�B�C> E�B�F> C�B�C38. Totals of Lines 29, 30 and 37 (Page 4, Line 55) C�E�D> =�@�B> @�F�D ?�B�D> C�D�F> C�B�C39. Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3) F�E� @� ?�D�B F�=> D�D�=> @�D�D> B�A�D

DETAILS OF WRITE-INS2501. JK L6K M+NOMQP�R�L�SK T�L#U�K V�WK�U�K�X�Y C�F�?> E�D�= =�E�F> D�A�B2502. Z X�[�R;\]U�K V�WK�U�K�X�K R�S A> B�D�@> D�=�= F� =�@�?2503. ^�L�_6U VK M;R�`7P;\)T�P�R�\�X�Y E> ?�?�D> =�?�C E> @�E�@> C� @�=� F�F�A E> ?�?� F�F�A2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) @�@> @�?�A> E�?�F F�@> =�A�A> C�?�C3101. a�R�b�R;\�\�R�`&c�V6K L&T�Ld\�R6K L�S�N�\�V�L�_�R&T�beR�f6K S�X�K L�c7W�N�S6K L�R�S�S =�A�C> E�C�D F�=�F>� E�C�D F�=�F>� B�E�< D�C>� B�=�?3402.3403.3498. Summary of remaining write-ins for Line 34 from overflow page = =3499. Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above) D�F> E�B�C> B�E�< D�C>� B�=�?

3


SUMMARY OF OPERATIONS1

Current Year2

Prior Year1. Premiums and annuity considerations for life and accident and health contracts (Exhibit 1, Part 1, Line 20.4, Col. 1, less

Col. 11) lm�n�o�pm�n�n�qm r�s�n t�r�pm r�s�n�m u�r�v2. Considerations for supplementary contracts with life contingencies p p3. Net investment income (Exhibit of Net Investment Income, Line 17) q�v�qm o�o�om o�r�q o�s�n�m o�v�qm�n�n�o4. Amortization of interest maintenance reserve (IMR, Line 5) w s�qm s�p�sm�n�q�l�x w t�m o�t�um q�l�r�x5. Separate Accounts net gain from operations excluding unrealized gains or losses p p6. Commissions and expense allowances on reinsurance ceded (Exhibit 1, Part 2, Line 26.1, Col. 1) l�l�qm t�p�n�m t�s�s l�p�rm s�o�um r�s�u7. Reserve adjustments on reinsurance ceded w n�l�rm s�l�rm q�q�l�x l�lm p�l�pm u�s�p8. Miscellaneous Income:

8.1 Income from fees associated with investment management, administration and contract guarantees from Separate Accounts o�sm q�n�tm o�t�q o�sm t�p�tm�n�t�o

8.2 Charges and fees for deposit-type contracts p p8.3 Aggregate write-ins for miscellaneous income um r�o�qm t�u�l q�rm l�o�rm t�n�r

9. Total (Lines 1 to 8.3) um p�t�n�m u�o�vm l�l�q lm�n�q�pm l�n�um q�s�r10. Death benefits l�n�qm�n�l�tm l�u�s l�p�rm l�u�rm s�v�t11. Matured endowments (excluding guaranteed annual pure endowments) u�q�lm v�t�o n�r�vm u�l�p12. Annuity benefits (Exhibit 8, Part 2, Line 6.4, Cols. 4 + 8) r�um u�t�um q�u�n v�um v�v�lm o�n�v13. Disability benefits and benefits under accident and health contracts o�n�m t�p�pm o�q�l l�q�qm l�n�lm p�n�r14. Coupons, guaranteed annual pure endowments and similar benefits sm�n�s�s rm l�n�l15. Surrender benefits and withdrawals for life contracts lm l�r�v�m s�t�sm o�v�r n�m q�p�v�m p�p�tm q�v�l16. Group conversions p p17. Interest and adjustments on contract or deposit-type contract funds q�v�m o�r�rm v�s�q w q�um v�v�sm q�o�u�x18. Payments on supplementary contracts with life contingencies r�l�lm o�r�s r�q�qm v�q�n19. Increase in aggregate reserves for life and accident and health contracts w n�n�pm u�r�sm p�r�u�x w q�t�t�m s�l�rm u�v�n�x20. Totals (Lines 10 to 19) lm r�q�v�m u�n�tm t�t�l n�m u�q�t�m q�v�tm�n�l�n21. Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) (Exhibit 1, Part

2, Line 31, Col. 1) n�l�pm r�o�n�m o�q�n n�l�pm t�u�rm t�s�o22. Commissions and expense allowances on reinsurance assumed (Exhibit 1, Part 2, Line 26.2, Col. 1) l�s�rm u�l�lm�n�s�v l�r�t�m t�r�vm q�t�s23. General insurance expenses (Exhibit 2, Line 10, Cols. 1, 2, 3 and 4) o�t�m s�t�qm p�u�o t�rm u�n�sm t�v�v24. Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit 3, Line 7, Cols. 1 + 2 + 3) n�v�m u�r�lm o�v�v n�qm v�p�um v�v�v25. Increase in loading on deferred and uncollected premiums w l�q�rm o�p�s�x s�o�om v�u�v26. Net transfers to or (from) Separate Accounts net of reinsurance rm o�v�qm o�p�u w n�rm l�p�um q�t�s�x27. Aggregate write-ins for deductions r�um r�v�qm o�v�u s�qm l�t�sm t�r�s28. Totals (Lines 20 to 27) um�n�p�qm l�u�um q�q�r n�m t�p�v�m�n�v�pm l�t�n29. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28) w n�rm o�s�qm r�s�o�x l�v�sm p�r�um s�r�s30. Dividends to policyholders lm l�o�om l�p�r lm�n�t�rm v�r�n31. Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30) w n�om�n�u�rm q�r�u�x l�v�n�m o�r�qm o�p�u32. Federal and foreign income taxes incurred (excluding tax on capital gains) w n�om�n�l�pm q�s�t�x s�pm�n�p�tm s�v�o33. Net gain from operations after dividends to policyholders and federal income taxes and before realized capital gains or

(losses) (Line 31 minus Line 32) w n�rm p�p�s�x l�l�n�m q�s�om u�u�r34. Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of

$ n�l�rm s�o�um q�n�n (excluding taxes of $ w n�l�lm v�l�lm q�q�o�x transferred to the IMR) w u�u�t�m t�l�n�m s�t�q�x w n�t�om p�n�um p�s�o�x35. Net income (Line 33 plus Line 34) w u�u�t�m t�u�vm r�p�n�x l�um q�u�rm l�o�q

CAPITAL AND SURPLUS ACCOUNT36. Capital and surplus, December 31, prior year (Page 3, Line 38, Col. 2) n�m v�t�qm s�q�lm s�t�s n�m s�u�om t�r�um q�v�t37. Net income (Line 35) w u�u�t�m t�u�vm r�p�n�x l�um q�u�rm l�o�q38. Change in net unrealized capital gains (losses) less capital gains tax of $ n�s�lm o�s�n�m o�s�n l�o�um r�o�um�n�l�p w q�rm r�v�pm�n�s�l�x39. Change in net unrealized foreign exchange capital gain (loss) w l�rm o�s�s�x n�m s�l�qm r�u�o40. Change in net deferred income tax n�o�t�m v�u�vm o�r�n w u�t�m r�r�tm�n�u�q�x41. Change in nonadmitted assets w l�p�lm�n�n�n�m q�o�n�x w u�n�m s�n�rm u�u�p�x42. Change in liability for reinsurance in unauthorized companies q�l�qm s�v�q v�m t�v�tm v�q�q43. Change in reserve on account of change in valuation basis, (increase) or decrease (Exh. 5A, Line 9999999, Col. 4) p l�qm o�v�vm q�u�s44. Change in asset valuation reserve w n�r�rm l�t�rm v�p�q�x l�t�m p�o�n�m l�t�u45. Change in treasury stock (Page 3, Lines 36.1 and 36.2, Col. 2 minus Col. 1) p p46. Surplus (contributed to) withdrawn from Separate Accounts during period p p47. Other changes in surplus in Separate Accounts Statement p lm l�n�lm v�p�o48. Change in surplus notes p p49. Cumulative effect of changes in accounting principles p w v�m p�o�pm o�r�p�x50. Capital changes:

50.1 Paid in p p50.2 Transferred from surplus (Stock Dividend) p p50.3 Transferred to surplus p p

51. Surplus adjustment:51.1 Paid in p l�v�pm p�p�pm p�p�p51.2 Transferred to capital (Stock Dividend) p p51.3 Transferred from capital p p51.4 Change in surplus as a result of reinsurance w n�um�n�n�qm r�r�q�x w n�um l�s�tm q�n�s�x

52. Dividends to stockholders p p53. Aggregate write-ins for gains and losses in surplus w um o�t�um u�n�r�x q�um p�t�pm q�v�n54. Net change in capital and surplus for the year (Lines 37 through 53) w l�s�pm s�u�um�n�v�q�x l�r�om r�n�om q�l�r55. Capital and surplus, December 31, current year (Lines 36 + 54) (Page 3, Line 38) n�m s�r�qm p�u�tm u�l�q n�m v�t�qm s�q�lm s�t�s

DETAILS OF WRITE-INS08.301. yz {�|�}6~�~ ��}��{#z �|�O+} um r�o�qm t�u�l q�rm l�o�rm t�n�r08.302.08.303.08.398. Summary of remaining write-ins for Line 8.3 from overflow page p p08.399. Totals (Lines 08.301 thru 08.303 plus 08.398)(Line 8.3 above) um r�o�qm t�u�l q�rm l�o�rm t�n�r2701. yz {�|�}6~�~ ��}��{7}��}��{�} s�t�m o�v�tm p�n�o s�rm�n�l�sm o�p�q2702. �}��6~�}�{�};)�} um v�t�om o�s�r lm�n�q�pm�n�s�q2703.2798. Summary of remaining write-ins for Line 27 from overflow page p p2799. Totals (Lines 2701 thru 2703 plus 2798)(Line 27 above) r�um r�v�qm o�v�u s�qm l�t�sm t�r�s5301. ��}#z &�)z��}�7�}��}��}�h��7�};e�� n�p� w n�m r�t�tm t�r�r�x q�sm�n�t�sm t�p�v5302. }�|��z��z �7��z��z ��6~�z 6z +OQ�}��{z �#~�z �z�~�z�� w lm l�t�um u�v�p�x w n�m�n�p�sm�n�s�r�x5303.5398. Summary of remaining write-ins for Line 53 from overflow page p p5399. Totals (Lines 5301 thru 5303 plus 5398)(Line 53 above) w um o�t�um u�n�r�x q�um p�t�pm q�v�n

4


CASH FLOW1

Current Year

2

Prior Year

Cash from Operations

1. Premiums collected net of reinsurance �� ¡2. Net investment income �� ¡�� ¢�� ¢�¢ ��3. Miscellaneous income �� ¡ �� ¢�¢�4. Total (Lines 1 through 3) ��¢�¢ �� ¢�¡�� 5. Benefit and loss related payments � � ¡�� ¡�¢ ��6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts £�� ¢�¡ ��¤ £� �� ¤7. Commissions, expenses paid and aggregate write-ins for deductions �� ¢� � �¡�� ¡� �8. Dividends paid to policyholders ��¢ �¢� �� 9. Federal and foreign income taxes paid (recovered) net of $ ¢ tax on capital gains (losses) £�� ¤ £��¡ �� ¢��¤

10. Total (Lines 5 through 9) ¢�� ¡�¡� ¡��11. Net cash from operations (Line 4 minus Line 10) �¢ �� ¡ £�� ¡�¢��¤

Cash from Investments

12. Proceeds from investments sold, matured or repaid:

12.1 Bonds �� ¡ �� ¡� ��¢12.2 Stocks �¡ ¢�¡� ¡�� ¡�¢ ��¡ �¡�12.3 Mortgage loans �� ¡�� ¡� ��12.4 Real estate ¢ ¢12.5 Other invested assets �� ¢� �� ¡��12.6 Net gains or (losses) on cash, cash equivalents and short-term investments �� ¡�12.7 Miscellaneous proceeds � �� ¡�� ¢�12.8 Total investment proceeds (Lines 12.1 to 12.7) �� ¢�� ¡�¢�� ¡�� ¡��

13. Cost of investments acquired (long-term only):

13.1 Bonds �� ¢ ��¢ ��13.2 Stocks ¡ �� ¢� � �� ¡�13.3 Mortgage loans � �¢�¢ ¢�¢�¢ �� ¢�¢13.4 Real estate ¢ ¢13.5 Other invested assets �¡ �¡� �� ¡��13.6 Miscellaneous applications �� ¢ �� ¢��13.7 Total investments acquired (Lines 13.1 to 13.6) ��¢ �� ¡� �� ¢

14. Net increase (decrease) in contract loans and premium notes £�� ¡�� ¤ £��¢� �¢� ��¤15. Net cash from investments (Line 12.8 minus Line 13.7 minus Line 14) � � �¢� �� ¡ ��¡ ��

Cash from Financing and Miscellaneous Sources

16. Cash provided (applied):

16.1 Surplus notes, capital notes ¢ ¢16.2 Capital and paid in surplus, less treasury stock ��¢ ¢�¢�¢ ¢�¢�¢ ��¢ ¢�¢�¢ ¢�¢�¢16.3 Borrowed funds � �� ¢�¢�¢ ��¡ �¢�¡ �¡�¡16.4 Net deposits on deposit-type contracts and other insurance liabilities £I��¡ ¢�� ¤ £� �¢� �� ¡��¤16.5 Dividends to stockholders ¢ ¢16.6 Other cash provided (applied) £��¢�� ¡�¢ ¢��¤ ��

17. Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6) £I�� ¡�¢ ��¢�¤ £� ��¢ ¢��¢ �� ¤

RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

18. Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17) ¡�� ¢ �� 19. Cash, cash equivalents and short-term investments:

19.1 Beginning of year � �� ¡�� ¢�� ¢ ��19.2 End of year (Line 18 plus Line 19.1) � � �¡ �¡� �� ¡��

Note: Supplemental disclosures of cash flow information for non-cash transactions:

5


ANALYSIS OF OPERATIONS BY LINES OF BUSINESS1 2 Ordinary 6 Group Accident and Health 12

Total Industrial Life

3

Life Insurance

4

Individual Annuities

5Supplementary

ContractsCredit Life (Group

and Individual)

7Life Insurance

(a)

8

Annuities

9

Group

10Credit (Group and

Individual)

11

Other

Aggregate of All Other Lines of

Business1. Premiums and annuity considerations for life and accident and health

contracts

¥¦ §¨© ¦ § §ª ¦ «¬ § © ¬ «¬ ¦ « ¥¦ ¬® ¨ ¯¦ ¥ § ¦ § ¬ § © © ® ® ¯¦ ¬ ª ® § ¦® § «¦ ¥ ¯¬ ¦ «© © §© «¦ ª «¦ «® © © ©

2. Considerations for supplementary contracts with life contingencies

© © © © © © © © © © © ©

3. Net investment income

ª ® ª ¦ ¨ ¨ ¨ ¦ ¨ «ª © «¬ ¨ ¦ ¯¬ ¯¦ ª § § ª § ¦ ¨ ¨© ¦ ¨ ¯ «© «¦ « ¥ © ¬© ¯¦® ¨ ª § ¬ ¥¦ ª § ¦ ® ¯¦ ª §© ¦ ¨ ¯ © ª § ¦ «¬ « ©

4. Amortization of Interest Maintenance Reserve (IMR)

° ¬ ª ¦ ¬© ¬ ¦ § ª ¥± © ° § «¦ ¬ ¯¨ ¦© ¨ § ± § ¯ § ¦ ¥ «® ° ª ¬ ¦ § ª ± © © ° ¯ § ¦ ¨ ª ¥¦ ¬ ¬ ± ° § «© ¦® ª ¬ ± © © ©

5. Separate Accounts net gain from operations excluding unrealized gains or losses

© © © © © © © © © © © ©

6. Commissions and expense allowances on reinsurance ceded

¥ ¥ª ¦ © § ¦ ¬ ¬ © §ª «¦ « ¥¬ ¦ ª© ¯ ¥¦© ¥ ¦ ¯ « ¯ © © © © «© ¦ § ¥¬ ¦ « § § © ¥ ¥ ¯¦ ¯ª ª ©

7. Reserve adjustments on reinsurance ceded

° § ¥ «¦ ¬ ¥ «¦ ª ª ¥± © ° § §© ¦ « §¨ ¦ § ¬ § ± © © © © © ° § ¬ ¦ © ª ¦® ¯ § ± © © ©

8. Miscellaneous Income:8.1 Fees associated with income from investment management,

administration and contract guarantees from Separate Accounts

¨ ¬ ¦ ª § ¦ ¨ ª © ª ¦ «¬ § ¦ ¨ ¬© «¦ § ª ¨ ¦© «ª © © © © © © © ©

8.2 Charges and fees for deposit-type contracts

© © © © © © © © © © © ©

8.3 Aggregate write-ins for miscellaneous income

¯¦ «¨ ª ¦ ¯ ¥ © «¦ ¨ «® ¦ «ª© ¯ «¨ ¦© ª© ¬ ¦ «© « © © ° ¥¦® ¯ ¯¦ ¯ ® ± ¥¦ § ¨ ¯ © © ©

9. Totals (Lines 1 to 8.3)

¯¦© § ¦ ¯¨ ® ¦ ¥ ¥ª © § ¦ § ¯¨ ¦ ¥® ¯¦© ª© ¨ ¥¦ ¨ ® ¨ ¦ ¨ ® © ¬ ¯® ¦ ¥ª ¨ © § ¦© ® ª ¦ §® ¯ § ¦ ª ¥ ¯¦ ª© © ¦® © ® § ¬ ¬ ¦ ª « «¦ ¯ ¥¨ © ¥ ¬ ¦ ¥ ¥ ©

10. Death benefits

¥ § ª ¦ § ¥ ¦ ¥ ¯¬ © ¥ § «¦ § ¯¨ ¦ ¯ § ¯ © © © § ¦ © ¦ ¥ § © © © © ©

11. Matured endowments (excluding guaranteed annual pure endowments)

¯ª ¥¦® ¨ © ¯ª ¥¦® ¨ © © © © © © © © ©

12. Annuity benefits

« ¯¦ ¯ ¯¦ ª ¯ § © © ¬ ¬ ¦ ¨ ¨© ¦ ¨ ¨ ¯ © © © ¨ ¦ « § ¥¦ ¨ ¬ ¨ © © © ©

13. Disability benefits and benefits under accident and health contracts

¨ § ¦ © © ¦ ¨ ª ¥ © ¥© ¥¦© ¯ ¥ © © © © © ¨ § ¦® ¨ ¦ ¨ ¬© © © ©

14. Coupons, guaranteed annual pure endowments and similar benefits

¬ ¦ § ¬ ¬ © ¬ ¦ § ¬ ¬ © © © © © © © © ©

15. Surrender benefits and withdrawals for life contracts

¥¦ ¥ «® ¦ ¬ ¬ ¦ ¨ ® « © « § ª ¦ ¨ « ¦ ¯ ¥ § ¬ ¨ ¦ ª ¬ «¦ § ¬® © © ¥¦ «© ¬ ¦ § ª© § ¦ «¨ ª ¦ ¯¨ «¦® § ª © © © ©

16. Group conversions

© © © © © © © © © © © ©

17. Interest and adjustments on contract or deposit-type contract funds

ª ® ¦ ¨ « «¦® ¬ ª © ¦ ¯ª ¯¦ ª § ¨ ¯¦ ª ¥ ¯¦© © § ¦ « §ª ¦© §® © § ¯ ¥¦ « § ¨ ® ¥¦ §© ¦ ¯¨ ® © © © ©

18. Payments on supplementary contracts with life contingencies

« ¥ ¥¦ ¨ «¬ © © © « ¥ ¥¦ ¨ «¬ © © © © © © ©

19. Increase in aggregate reserves for life and accident and health contracts

° § §© ¦ ¯ «¬ ¦© « ¯± © ° ¬ ¥¦ ¯ª ¦ ¬ § ª ± ° §© ¦® «® ¦ ª ¬ ª ± ° « ¯® ¦ ¬ § ¨ ± © ° ¥¦® ¥ª ¦ ª ± « ¦ § «¦ ª ¨ « ° § ¯¦ ª § ¦ ¥ª ª ± © © ©

20. Totals (Lines 10 to 19)

¥¦ «ª ® ¦ ¯ § ¦ ¥ © ª© © ¦© § ¯¦ ¬ ¥© ¨ ª ¦® ¥¦ ¥ § § ¦ «© ¯¦ ¬ « ¥ © § ¦ ¦® ¯© § ¦ ª § ª ¦ ¥© ¯¦® ¯® ® ª ¦ © ª ¦ «® ¯ © © ©

21. Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only)

§ ¥© ¦ «¨ § ¦ ¨ ª § © § ¥© ¦ ¬ ¨ ¨ ¦ ª ª© § ¥¦® § ª © © §¨ ¦ ¬ ¨ ¬ ® ¥¦© © © © © © ©

22. Commissions and expense allowances on reinsurance assumed

¥¬ «¦ ¯ ¥ ¥¦ § ¬® © § ¬ ª ¦ ¯ §® ¦ § « ¬ ¦ ¬ ¯ª ¦ ¯¬ « © © © © ¯¦ ¯¬ «¦ ¥® « © ¥ ¥ ¯¦ ¯ª ª ©

23. General insurance expenses

¨ ¦ ¬ ª ¦© ¯¨ © ª ¨ ¦® ¨ ¦ ¯ § ¨ § ¦ « « ¦ ¥® ª ¯ § ¯¦ ¥® ® © ¥ª ¬ ¨ ¦ ¨ ¯ ¦ ¥ ¥¬ «¦® ¨ © © ©

24. Insurance taxes, licenses and fees, excluding federal income taxes

§® ¦ ¯ « ¥¦ ¨ ® ® © § «¦ ¥© ¦ ¥© ¥ ® ¥¦ ¯ « ¯ ¨ ¦ ¯ ¥¨ © © ¯® © ¦ ¯ ª § ¦ «¨ ® © © ©

25. Increase in loading on deferred and uncollected premiums

° ¥ª «¦ ¨© ¬ ± © ° §® ¦® ¬ ± © © © ° §© ® ¦ § §© ± © © © © ©

26. Net transfers to or (from) Separate Accounts net of reinsurance

«¦ ¨ ® ª ¦ ¨© ¯ © ® ¦ ¨ ª «¦ ¯¬ ° § ¦© © ª ¦ «¬® ± © © © © © © © ©

27. Aggregate write-ins for deductions

« ¯¦ «® ª ¦ ¨ ® ¯ © « ¯¦© ¯© ¦ §© « §® ¯¦ ¯ ¯® § ¥¦ ¨ ª © © ¯ ¯ «¦ ª § ¥ «¦ ¨ ¥¬ © © ©


¯¦ §© ª ¦ ¥ ¯ ¯¦ ª ª « © § ¦ § ¥ ¥¦ §® ¯¦® ¥ ¥¦ § ¦® ® ¯ § ¦ ¨ ¯ª ¦ ¥ « © § ¦ § ¥¦ ¥ª ¨ § ¦ ª ¥® ¦ ¨© © ¦ ª ® §® § ¦ ¯ª «¦ ¥ª © ¥ ¥ ¯¦ ¯ª ª ©

29. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28)

° § «¦ ¨ ¬ ª ¦ «¬ ¨ ± © §® ¦© ¦ ¬ ¬ § ° §© ¦© «© ¦ ¨© ¯± ° § ¦ ¬© § ¦® ¬ ª ± © ° ¨ ¬ «¦ § § «± ° ¯¦ §© © ¦ ¯ª© ± ° §® ¦® ¥© ¦ « ± © ª § ¦ «¬ « ©

30. Dividends to policyholders

¥¦ ¥¨ ¨ ¦ ¥© « © ¥¦ § «¬ ¦ « §© © © © § ¯ ¯¦® « © © © © ©

31. Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30)

° § ¨ ¦ § ¯ «¦ ª « ¯± © § ¯¦ ¬ ¬ ¦ ¯ § ° §© ¦© «© ¦ ¨© ¯± ° § ¦ ¬© § ¦® ¬ ª ± © ° ª ¨ ¦ ¨ §© ± ° ¯¦ §© © ¦ ¯ª© ± ° §® ¦® ¥© ¦ « ± © ª § ¦ «¬ « ©

32. Federal income taxes incurred (excluding tax on capital gains)

° § ¨ ¦ § ¥© ¦ ª ¬ ± © § ¯¦ ¯ ¯¦ ¬© ¬ ° §© ¦© ¬ ¥¦ ¬ © ± ° § ¦ ¬© © ¦ ¬ ¨ ± © ° ª ª ¦ ± ° ¯¦© ª ¦ ¨© ª ± ° §® ¦® © ® ¦ ¨ «¬ ± © ª § ¦ ¬ ¨ ® ©

33. Net gain from operations after dividends to policyholders and federal income taxes and before realized capital gains or (losses) (Line 31 minus Line 32)

° § «¦© © ¬ ± © § § ¦ « ¥ª ° ¨ ¦ ¯ § ¯± ° § ¦ § «¨ ± © ° ¨ § § ± ° ¥¦ «® ¯± ° § ¯¦ ª ¬ «± © « ©

DETAILS OF WRITE-INS08.301.

²³´ µ¶ · ·¸¹ ¶º »´ ³¹ µº ¼¶ ¯¦ «¨ ª ¦ ¯ ¥ © «¦ ¨ «® ¦ «ª© ¯ «¨ ¦© ª© ¬ ¦ «© « © © ° ¥¦® ¯ ¯¦ ¯ ® ± ¥¦ § ¨ ¯ © © ©

08.302.08.303.08.398. Summary of remaining write-ins for Line 8.3 from overflow page

© © © © © © © © © © © ©

08.399. Totals (Lines 08.301 thru 08.303 plus 08.398) (Line 8.3 above)

¯¦ «¨ ª ¦ ¯ ¥ © «¦ ¨ «® ¦ «ª© ¯ «¨ ¦© ª© ¬ ¦ «© « © © ° ¥¦® ¯ ¯¦ ¯ ® ± ¥¦ § ¨ ¯ © © ©

2701.

²³´ µ¶ · ·¸¹ ¶º »´ ¶½ ¾¶¹ ´ ¶ ´ ¬ ¦ ¨ ® ¦© § ¨ © ¬ ¦ ¯ ¯ § ¦ ¥® © §® ¯¦ ¯ ¯® § ¥¦ ¨ ª © © ¯ ¯ «¦ ª § ¥ «¦ ¨ ¥¬ © © ©

2702.

¿¶À ¸ ·Á ¶ ´ ¶Á Â¶ ¯¦® ¨ ¦ ¨ ¬ « © ¯¦® ¨ ¦ ¨ ¬ « © © © © © © © © ©

2703.2798. Summary of remaining write-ins for Line 27 from overflow page

© © © © © © © © © © © ©

2799. Totals (Lines 2701 thru 2703 plus 2798) (Line 27 above)

« ¯¦ «® ª ¦ ¨ ® ¯ © « ¯¦© ¯© ¦ §© « §® ¯¦ ¯ ¯® § ¥¦ ¨ ª © © ¯ ¯ «¦ ª § ¥ «¦ ¨ ¥¬ © © ©

(a) Includes the following amounts for FEGLI/SGLI: Line 1

©

, Line 10

©

, Line 16

©

, Line 23

©

, Line 24

©

6


ANALYSIS OF INCREASE IN RESERVES DURING THE YEAR1 2 Ordinary 6 Group


3

Life Insurance

4

Individual Annuities

5Supplementary

ContractsCredit Life (Group and

Individual)

7

Life Insurance

8

Annuities

Involving Life or Disability Contingencies (Reserves)

(Net of Reinsurance Ceded)

1. Reserve December 31, prior year

Ã ÄÆÅ Ç ÈÉ Å Ê É ÊÆÅ Ç Ã Ç Ä ËÆÅ ÌÍÎ Å É Ã É Å É Ê Ä Ã Å Í ËÉ ÅÎ Î É Å É É Ç È Å Ë Ã Í Å Í Ç Í Ä È Ã Å Ê ÌÉ Å Ä Ç Ë ËÍ É Å ÇÎ ËÆÅ Ã Í Ç

2. Tabular net premiums or considerations

ÌÆÅ Ã Ç Ê Å Ä ÈÉ Å Ã É Ë Ä Í Í Ç Å Ä Ë ËÆÅ Ä Ã Ã È Å ÌÎ Ã Å Ã É Ä Ï Ã ÌÆÅ Î Ç ÃÐ Ä É È ÈÆÅ É Ê Ë Ã Å Ê Ã Í Å Ì ÈÉ Å Í Ä Ä

3. Present value of disability claims incurred

Ä Ä Ä Ä

XXX

Ä Ä Ä

4. Tabular interest

É Ç Ä Å Ç È ÈÆÅ Ã Ä Ì Ä È Ç Ã Å È Ë ÇÑÅ Ä Ì Ç ÊÎ Å È ÌÉ Å Ì Ë É Ã ÈÍ Å Í È Ë Ä Ã Å È Ã É Å Ä Ê È Ì Ë Å Í Ç ÌÆÅ ÃÎ Ä

5. Tabular less actual reserve released

Ã È Å Ì Ê ÈÆÅ Í ÇÎ Ä È Å Ä Ä ÇÑÅ Ë Ä Ì Ã Ì Å É Ê ÊÆÅ Î Í Ì Ã È ÄÆÅ ÃÎ Ä Ä Ä Ï Ì Å È É Ã Å È Ê Í Ð

6. Increase in reserve on account of change in valuation basis

Ä Ä Ä Ä Ä Ä Ä Ä

7. Other increases (net)

É Å È Ê Ã Å Í ÇÎ Ä Ï Ã Í Å Ç ÈÍ Å Î Ä É Ð Ï Ã Å Ë Ë ÇÑÅ ÃÎ ÃÐ Ä Ä Ï Ã Í Å È Ì ÇÐ Ì Ì Å Ä Ä ÄÆÅ Ä Ä Ã


Ã ÈÆÅ ÈÎ Î Å Ä ÈÎ Å Ã Ì Í Ä Î Å Ã ÇÍ Å Ã Ê Ã Å ÈÎ Ê Ã Å Ê Ê Ë Å Ã ËÎ Å Ê È Ì É Å Ä Ê ËÆÅ È È Ì Ä È È Å È Í ÊÆÅ Ì Ë Ì ÌÆÅ Í Ã Ë Å Ì Ê ÈÆÅ É Ë È

9. Tabular cost

Ì Ç Ë Å Ä ÊÉ Å Ã Ì Ì Ä Ì Ç Ç Å È Ã É Å Ç Ì Í Ä XXX Ä Ç ÉÎ Å ÈÎ Ç Ä

10. Reserves released by death

Ã È È Å ËÎ Í Å Í Ì Ì Ä Ã È Ì Å Ç Í Í Å Í Ã Ã XXX XXX Ä Ã Å Ã É ÄÆÅ Ä Ã Ã XXX11. Reserves released by other terminations (net)

Ç Ë Ì Å Í Ã Ã Å Í Ç Ë Ä Í Í Ç Å Í Ê ËÆÅ Ì Ç Í Ã ËÍ Å É É ÊÆÅ É Ä Ä É Î Í Å Í É Ä Ä Ì Å É Ç ÄÆÅ Ç Ç È È Ê Å Í È ÄÆÅ ÍÎ Ä

12. Annuity, supplementary contract and disability payments involving life contingencies

Ã Å Í Ç Ë Å Í Î Í Å Ê Ä Ì Ä È Å Ã Í ÇÑÅ É Ë Í Ç Å É ÄÍ Å Í È Ã ÌÎ ÈÆÅ Ê È Í Ä Ä Ã Å Í Ê Ç Å Ç È ËÆÅ Î Í Ã

13. Net transfers to or (from) Separate Accounts

Ï Ã Ì Å Ã Ã Ã Å ÊÉ ÈÐ Ä Ï Ã Ì Å Ã Ã Ã Å ÊÉ ÈÐ Ä Ä Ä Ä Ä

14. Total Deductions (Lines 9 to 13)

ÌÆÅ Ç Ê Ä ÅÎ Í Í Å Ã Ë Ã Ä Î Í Ë Å Ê ËÉ Å ÈÍ È ÃÎ Ì Å Ë Í Ã Å Î È Ã Ç ËÎ Å Ã Ç Í Ä É Å È Ê ÄÆÅ Ã Ë Ã Ã Å Ê ÄÉ Å Ì ÊÎ Å Í É Ã

15. Reserve December 31, current year

Ã ÄÆÅ Ê È Ë Å Ä Ë ÈÆÅ Î É É Ä ËÆÅ Ì Ã Ê Å É Ç ÇÑÅ ÄÉ È Ã Å É ÇÍ Å È È ÇÑÅ Ç Ä Ã È Å Ì ÇÎ Å Ã Í Ç Ä Ì Ë ÅÎ Î ÊÆÅ Ã Ä Ã Î Ã È ÅÎ Î ÈÆÅ Î É Ì

7


EXHIBIT OF NET INVESTMENT INCOME1 2

Collected During Year Earned During Year 1. U.S. Government bonds (a) Ò�ÓÔ Õ�Ö�×Ô Ø�Ù�Ó Ò�ÖÔ Õ�Ú�ØÔ Ó�Ò�Ö1.1 Bonds exempt from U.S. tax (a) Ø Ø1.2 Other bonds (unaffiliated) (a) ×�Ó�ÛÔ Ú�Ù�Ù�Ô Õ�×�Ú ×�Ü�ÕÔ Ø�×�ÜÔ Ö�Ø�Ò1.3 Bonds of affiliates (a) Ø Ø2.1 Preferred stocks (unaffiliated) (b) Ù�Ô Û�Ù�ÕÔ Ò�Ó�Ò Ù�Ô Û�Ø�Ú�Ô Ú�Û�Ú2.11 Preferred stocks of affiliates (b) Ø Ø2.2 Common stocks (unaffiliated) ÕÔ Û�Ú�Ù�Ô Ó�Ø�Û ÕÔ Û�Ú�Ù�Ô Ó�Ø�Û2.21 Common stocks of affiliates Ø Ø3. Mortgage loans (c) Ú�ØÔ Ü�Ü�ÛÔ ×�Ø�Ø Ö�ÚÔ Û�Ù�Ù�Ô Ø�Ó�Ö4. Real estate (d) Ù�ÖÔ Õ�Ö�Ù Ù�ÖÔ Õ�Ö�Ù5 Contract loans Ó�×Ô Ú�Ù�ÛÔ Ò�Õ�Û Ó�ÖÔ Ö�×�ÛÔ Õ�Ó�Õ6 Cash, cash equivalents and short-term investments (e) Ý�ÖÔ Ó�Ú�ÖÔ Ö�Ù�Ö�Þ ÕÔ Ú�Ø�Ó�Ô Ò�Û�Ö7 Derivative instruments (f) Ý�Ù�Ö�ÓÔ Ú�Ù�ÒÔ Ó�Õ�Õ�Þ Ý�Ù�Ó�ØÔ Ü�Õ�ÖÔ Ú�Ù�×�Þ8. Other invested assets Ù�ÜÔ Ú�Ö�ÖÔ Ú�Ù�Ü Ù�ÜÔ Ó�Ú�Ú�Ô Ü�Ù�Ù9. Aggregate write-ins for investment income ÜÔ ×�Ù�×Ô Ø�Ø�Ú ÒÔ Ó�Ö�Ù�Ô ×�Ò�Ö

10. Total gross investment income ×�Ö�ÚÔ Ó�Ö�ÒÔ Ø�Ü�Ù Ö�Ù�ÛÔ Ò�Ò�ØÔ Õ�Ö�Ü11. Investment expenses (g) Õ�ÚÔ Ü�Ö�ÕÔ ×�Ò�Ù12. Investment taxes, licenses and fees, excluding federal income taxes (g) Ø13. Interest expense (h) Ù�ÓÔ Ö�Ü�ÖÔ Ó�Ú�×14. Depreciation on real estate and other invested assets (i) Ø15. Aggregate write-ins for deductions from investment income Ø16. Total deductions (Lines 11 through 15) Û�ÓÔ Û�Û�Ù�Ô Û�Õ�Ö17. Net investment income (Line 10 minus Line 16) ×�Ó�×Ô Ö�Ö�ÖÔ Ö�Ü�×

DETAILS OF WRITE-INS0901. ßà á�â�ã6ä�ä å�æ�ã�ç�è�á#à æ�â�ç)é;ã ÜÔ ×�Ù�×Ô Ø�Ø�Ú ÒÔ Ó�Ö�Ù�Ô ×�Ò�Ö0902.0903.0998. Summary of remaining write-ins for Line 9 from overflow page Ø Ø0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above) ÜÔ ×�Ù�×Ô Ø�Ø�Ú ÒÔ Ó�Ö�Ù�Ô ×�Ò�Ö1501.1502.1503.1598. Summary of remaining write-ins for Line 15 from overflow page Ø1599. Totals (Lines 1501 thru 1503 plus 1598) (Line 15, above) Ø

(a) Includes $ Ý�Õ�ÛÔ Ü�Ü�ÕÔ Ö�Õ�Ø�Þ accrual of discount less $ Ù�ÓÔ Û�Ú�ÖÔ Ó�Ó�Ò amortization of premium and less $ Ù�×Ô Û�Û�Ú�Ô Ó�Ü�Û paid for accrued interest on purchases.(b) Includes $ Ø accrual of discount less $ Ø amortization of premium and less $ Ø paid for accrued dividends on purchases.(c) Includes $ Ù�Ø�ÓÔ ×�Ö�Ù accrual of discount less $ Ó�Ù�Ú�Ô ×�Ü�× amortization of premium and less $ Ø paid for accrued interest on purchases.(d) Includes $ Ø for company’s occupancy of its own buildings; and excludes $ Ø interest on encumbrances.(e) Includes $ Ò�Û�ÓÔ ×�Ú�Õ accrual of discount less $ Ö�ÒÔ Ø�Ò�Ö amortization of premium and less $ Õ�Û�Ú�Ô Ú�Ø�Ò paid for accrued interest on purchases.(f) Includes $ Ø accrual of discount less $ ÛÔ Õ�Ø�ÖÔ Ú�×�Ö amortization of premium.(g) Includes $ Ø investment expenses and $ Ø investment taxes, licenses and fees, excluding federal income taxes, attributable to

segregated and Separate Accounts.

(h) Includes $ Ø interest on surplus notes and $ Ø interest on capital notes.(i) Includes $ Ø depreciation on real estate and $ Ø depreciation on other invested assets.

EXHIBIT OF CAPITAL GAINS (LOSSES)1

Realized Gain (Loss) On Sales or Maturity

2

Other Realized Adjustments

3

Total RealizedCapital Gain (Loss)

(Columns 1 + 2)

4

Change inUnrealized

Capital Gain (Loss)

5

Change in Unrealized Foreign Exchange Capital Gain (Loss)

1. U.S. Government bonds ÜÔ Ø�Ø�ÛÔ Õ�Ø�Ú Ø ÜÔ Ø�Ø�ÛÔ Õ�Ø�Ú Ø Ø1.1 Bonds exempt from U.S. tax Ø Ø Ø Ø Ø1.2 Other bonds (unaffiliated) Ù�Ü�ÜÔ Õ�Ú�ÖÔ Ø�Ó�Ø Ý�Û�Õ�ÒÔ Ó�Ö�×Ô Û�×�Õ�Þ Ý�Õ�Ó�ÖÔ Ò�Ö�Ú�Ô Û�Ù�Õ�Þ Ù�Û�ÛÔ Ó�Ø�ÛÔ Ó�Ó�Û Ø1.3 Bonds of affiliates Ö�ÖÔ Ú�Ü�Ø Ø Ö�ÖÔ Ú�Ü�Ø Ø Ø2.1 Preferred stocks (unaffiliated) Ý�Ù�Ô Ü�Ö�ÕÔ Ú�Ø�Û�Þ Ø Ý�Ù�Ô Ü�Ö�ÕÔ Ú�Ø�Û�Þ Ó�Ø�Ú�Ô Ò�Ø�Ø Ø2.11 Preferred stocks of affiliates Ø Ø Ø Ø Ø2.2 Common stocks (unaffiliated) ÕÔ�Ù�Õ�×Ô Ü�Ö�Û Ý�Õ�×Ô Ö�Ó�Ø�Þ ÕÔ Ø�Ú�Ú�Ô ×�Õ�Û ÒÔ Ö�Ö�ÛÔ Û�Û�Ò Ø2.21 Common stocks of affiliates Ø Ø Ø ÖÔ Õ�×�Ú�Ô Ü�×�Û Ø3. Mortgage loans Ý�×�Û�Ó�Ô Ò�Õ�Ú�Þ Ý�×�Ú�Ú�Ô�Ù�×�Ø�Þ Ý�Ù�Ô Ü�Û�ÜÔ Û�Ú�Ú�Þ Ø Ø4. Real estate Ø Ø Ø Ø Ø5. Contract loans Ø Ø Ø Ø Ø6. Cash, cash equivalents and short-term investments ÕÔ Ò�Õ�Û Ø ÕÔ Ò�Õ�Û Ø Ø7. Derivative instruments Ý�Õ�Ö�ÓÔ�Ù�Ø�ÕÔ Ü�Ú�Ú�Þ Ø Ý�Õ�Ö�ÓÔ�Ù�Ø�ÕÔ Ü�Ú�Ú�Þ Õ�Õ�ÖÔ Ú�Ø�ÖÔ Ò�Õ�Ó Ø8. Other invested assets Ü�Ù�Ô Û�Ò�× Ý�Ù�ÛÔ Û�Ù�ÛÔ Ö�Ù�Ø�Þ Ý�Ù�ÛÔ Ò�Ó�ÒÔ Ò�×�Ò�Þ Û�ØÔ�Ù�Ò�ÖÔ Ó�Ü�Û Ø9. Aggregate write-ins for capital gains (losses) Ø Ø Ø Ø Ý�Õ�ÜÔ Ö�Û�Û�Þ

10. Total capital gains (losses) Ý�Ù�Õ�ÜÔ Ö�Ü�Ú�Ô Õ�Ó�Ö�Þ Ý�Û�Ò�ÖÔ Ú�Õ�Ú�Ô Ò�Ù�Õ�Þ Ý�Ü�Ó�ÛÔ ×�Ö�ÖÔ Ü�Ö�Ø�Þ Û�Õ�ÓÔ Û�Õ�ÛÔ Ú�Ó�Ù Ý�Õ�ÜÔ Ö�Û�Û�ÞDETAILS OF WRITE-INS

0901. ê�ç�ë�ãà ì�æ7ã�í�â�î�å�æ�ì�ã7â�å�ï6à�ð�å6ä7ä ç�á�á Ø Ø Ø Ø Ý�Õ�ÜÔ Ö�Û�Û�Þ0902.0903.0998. Summary of remaining write-ins for Line 9 from

overflow page Ø Ø Ø Ø Ø0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9,

above) Ø Ø Ø Ø Ý�Õ�ÜÔ Ö�Û�Û�Þ

8


EXHIBIT - 1 PART 1 - PREMIUMS AND ANNUITY CONSIDERATIONS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS1 2 Ordinary 5 Group Accident and Health 11


3

Life Insurance

4IndividualAnnuities

Credit Life (Group and Individual)

6

Life Insurance

7

Annuities

8

Group

9Credit (Group and

Individual)

10

Other


BusinessFIRST YEAR (other than single)

1. Uncollected

ñòó ôõö ó ÷ø ñ ù ú òó û ù ùó ñö öü ù ù ù ù öý ó ÷ õö ó ô ÷ û ù ù ù

2. Deferred and accrued

ù ù ù ù ù ù ù ù ù ù ù

3. Deferred , accrued and uncollected:3.1 Direct


3.2 Reinsurance assumed

öý ó ÷ õö ó ô ÷ û ù ù ù ù ù ù öý ó ÷ õö ó ô ÷ û ù ù ù

3.3 Reinsurance ceded

òó û ù ùó ñö ö ù òó û ù ùó ñö ö ù ù ù ù ù ù ù ù

3.4 Net (Line 1 + Line 2)


4. Advance


5. Line 3.4 - Line 4


6. Collected during year:6.1 Direct

ý ø ôó ñ ø øó ò ÷ ñ ù ý ø ôó ø ô ûó ÷ ñò øö ó ôø õ ù ù ù ù ù ù ù


ñòó ñ ø õó ô ÷ ù ù ù ø ñ ôó ñö ò ù ù õ øó öý ô ñòó ù ù ûó ý ô ÷ ù ù ù


ñ ôøó ñö õó ôö ù ù ý ÷ó ñò ö ó ý ñò ù ù ù ù ñ ûòó ô ôö ó õ ùò ù ù ù

6.4 Net

ú ø ø ûó ÷ ô ûó öý ûü ù ý ý øó ôö ñó ò ù ù ø ÷ö ó ø û ñ ù ù õ øó öý ô ú ñö ùó ôõ ûó ÷ ù ôü ù ù ù

7. Line 5 + Line 6.4

úý ôý ó ûý øó û ôöü ù ý ù ûó øö ñó ý ò ÷ ø ÷ö ó ø û ñ ù ù õ øó öý ô ú ø ô ôó ñ ù øó ÷ö øü ù ù ù

8. Prior year (uncollected + deferred and accrued - advance)

ñý ó ñöý ó ý ÷ û ù ú ñó ôö ùó ÷ ù ÷ü ù ù ù ù ñòó ø õý ó û û ñ ù ù ù

9. First year premiums and considerations:9.1 Direct

ý ø ôó ñ ø øó ò ÷ ñ ù ý ø ôó ø ô ûó ÷ ñò øö ó ôø õ ù ù ù ù ù ù ù


öý ó û ñ øó ý ò ö ù ù ø ñ ôó ñö ò ù ù õ øó öý ô öý ó öý ùó ñ ô ù ù ù ù


ñ ôö óý ù õó ÷ û õ ù ý õóý ý ñó õ û ñ ù ù ù ù ñ ûòó ô ôö ó õ ùò ù ù ù

9.4 Net (Line 7 - Line 8)

ú ø ø ñó ùò ñó ô ÷ý ü ù ý ý ý óý õ ñó û ÷ ø ø ÷ö ó ø û ñ ù ù õ øó öý ô ú ñ ñö ó ò õö ó öý òü ù ù ù

SINGLE10. Single premiums and considerations:

10.1 Direct

ý ó ÷ õ øó õ ô ñó ñò ÷ ù ÷ õó ù ô ôó ý ù õ ý ûö ó øö õ ù ù ý ó ÷ý ö ó ÷ ø ùó ù ù ù ù ù ù ù


ô ñ øó ÷øý ù ù õý ÷ó ù ñ õ ù ù ý ý ÷ó ò õ ñ ù ù ù ù



10.4 Net

ý ó ÷ õ ñó õ ø òó ô û û ù ÷ õó ù ô ôó ý ù õ ô ô ùó ø õ ÷ ù ù ý ó ÷ý ö ó û ñ ÷ó ò õ ñ ù ù ù ù

RENEWAL11. Uncollected

ú ô ôó õ û ûó ò ô ùü ù úý óý ÷ õó õ ô ûü ú øó ñö øü ù ú ñý ó ø ôõü ù ú ôõó ÷ ûòó ùò ñü ù ù ù

12. Deferred and accrued

ôó ù ù øó ôøö ù ý ý ó ùö ûó ÷ø ñ ù ù ý ñó ôø û ù ú øó ùò õó ÷ø ÷ü ù ù ù

13. Deferred, accrued and uncollected:13.1 Direct

ý ý óý ù ñó ù ñ û ù ý ý óý ý õó òö ò ù ù úý ûó ñ ûý ü ù ù ù ý ó õ ÷ ñ ù


ñò ñó ÷ò ö ó ûøý ù ñò ñó ÷ ñ øó õ ÷ö ù ù ù ù ù ù øý ó õ ò û ù


ö ò òó ÷ ñ øó ö øö ù ñò ö ó õ û øó ÷õ ñ øó ñö ø ù ù ù ý ù ùó û ñ ñó ÷ û ô ù ø ñó ûø ù ù

13.4 Net (Line 11 + Line 12)

ú ô ùó õ ûö ó ÷ ÷ ÷ü ù ôó õ û õó ûø ÷ ú øó ñö øü ù úý ûó ñ ûý ü ù úý ù ùó û ñ ñó ÷ û ôü ù ù ù

14. Advance

ý ñòó ùý û ù ý ñòó ùý û ù ù ù ù ù ù ù ù

15. Line 13.4 - Line 14

ú ôý ó ù ù ôó ÷õ ñü ù ôó ûö ñó û ù ô ú øó ñö øü ù úý ûó ñ ûý ü ù úý ù ùó û ñ ñó ÷ û ôü ù ù ù

16. Collected during year:16.1 Direct

ò øö ó ñ ÷ö ó ñ ÷ ù ù ò ø øó ö ö øó ý ñ ÷ ñòó ý ûò ù ûö øó ÷ ùö ù ù ù ý óý ö ö ó ö ö ò ù


ý ó û ñö ó õ û øó ùò ö ù ý ó øö õó ùý ôó ÷ò ù øó ù ñ ùó ø õ û ù ù öý òó ö ôõ ö õ ùó ÷ õ õó ö ù ñ ù ñó ûý õó øý ÷ ù


ý ó ò ù ùó ôõ ûó ô ô û ù ý ó òý ý ó û ù ñó ò õ ñ ñý ó ù ù õ ù ù ù úý òó ÷ ù ôó ø ò òü ù ö ó õ ÷ øó ÷ ÷ý ù

16.4 Net

ûò õó øö õó öý û ù ø ò õó ûò õó ø ù ñ øó ù ñö ó ö ò ö ù ûö øó ÷ ùö öý òó ö ôõ ö ô ÷ó ø ô ûó ÷ò õ ù ù ù

17. Line 15 + Line 16.4

÷ ÷ ûó ø ñ õó û ñö ù ø ÷ õó ò ùý ó ôý ø øó ù ñ øó ý ý ø ù û ø òó ø ñ ñ öý òó ö ôõ ñ ôòó ò ÷ ñó ô û ô ù ù ù

18. Prior year (uncollected + deferred and accrued - advance)

ú ò øóý ù ÷ó û ôý ü ù ú ûóý ÷ ûó ÷õ ûü úö ó ö ÷ ôü ù ÷ý ó ûò û ù úö ö ó ô ô ÷ó ñ ôøü ù ù ù

19. Renewal premiums and considerations:19.1 Direct

òý õó ÷ý ùó ûø ô ù òý ÷ó û ÷ ôó ý ôø ñòó ý ûò ù ÷ ÷ ñó ö û ÷ ù ù ù ý óý ö øó õ õ ÷ ù


ý ó û ùòó ñ õ øó ÷ ñ ÷ ù ý ó ø ò òóý ò õó øö ô øó ù ñ ùó ø õ û ù ù öý òó ö ôõ ö ö ö ó ùý ûó ÷ û ø ù ñó û ÷ ùó ô ñ ù ù


ý ó ò ùö ó ÷ö ûó õö ù ù ý ó ö ô ÷ó ø ò ûó õö ñ ø õó õ õ ù ù ù ù ñó ö ò ûó ñ ùý ù ö ó ô ù ñó õý ÷ ù

19.4 Net (Line 17 - Line 18)

ûý ôó ñö òó ò ø ò ù ø ûòó ÷ ÷ ôó ò ôõ øó ù ñ ÷ó ò õ ø ù ÷ ÷ ñó ö û ÷ öý òó ö ôõ ö ö ùó ò ÷ ùó ñ ûý ù ù ù

TOTAL20. Total premiums and annuity considerations:

20.1 Direct

øó ñ ñ ùó õ ø ÷ó ÷ö õ ù ûý ö óý ÷òó ô ñò ø ñö ó ñòý ù ÷ ÷ ñó ö û ÷ ý ó ÷ý ö ó ÷ ø ùó ù ù ù ù ù ý óý ö øó õ õ ÷ ù


ý ó ûö õó ùö ûó öý ý ù ý ó ø ò òóý ò õó øö ô ñó ù õ òó ÷ û ù ù ù ÷ý ö ó ò ù ù ö õ òó ö ø õó ù ÷ ø ù ñó û ÷ ùó ô ñ ù ù


ý ó õ ôõó ûò ÷ó òý õ ù ý ó òý ö ó ñ ûý ó ûý ÷ ø õó õ õ ù ù ù ù ñ û ôó ö ò øó ý ù ÷ ù ö ó ô ù ñó õý ÷ ù

20.4 Net (Lines 9.4 + 10.4 + 19.4)

øó ý õ ùóý ý ûó òöý ù ö ò ö ó ôò øó ö ÷ õ ñó ø ôý ó ý öý ù ÷ ÷ ñó ö û ÷ ý ó ÷ý òó ø ñö ó ò ù ù ý ùòó ô ûòó ôò ÷ ù ù ù

9


EXHIBIT - 1 PART 2 - DIVIDENDS AND COUPONS APPLIED, REINSURANCE COMMISSIONSAND EXPENSE ALLOWANCES AND COMMISSIONS INCURRED (Direct Business Only)

1 2 Ordinary 5 Group Accident and Health 11


3

Life Insurance

4

IndividualAnnuities

Credit Life (Group and Individual)

6

Life Insurance

7

Annuities

8

Group

9

Credit (Group and Individual)

10

Other


Business

DIVIDENDS AND COUPONS APPLIED

(included in Part 1)

21. To pay renewal premiums

þÿ�� ÿ � þÿ�� ÿ � � � � � � � �

22. All other

�� þ� � þ � � �� ÿ � � � � ��

REINSURANCE COMMISSIONS AND

EXPENSE ALLOWANCES INCURRED

23. First year (other than single):


�� ÿ � þ� � � � � �� ÿ � þ� � � � � � � � � � � �


� � �� ÿ ÿ � � � � �� ÿ ÿ � � � � � � � � �

23.3 Net ceded less assumed

�� þ �� ÿ � �� þ �� ÿ � � � � � � � �

24. Single:


� � � � � � � � � � �


� � � � � � � � � � �


� � � � � � � � � � �

25. Renewal:


� � �� ÿ � �� ÿ �� ÿ � � �� ÿ��


� � �� þ �� ÿ �� þ � � � � ��


� �� þ�� ÿ �� ÿ�� þ � �� ÿ ÿ ��

26. Totals:

26.1 Reinsurance ceded (Page 6, Line 6)

� � �� ÿ � �� ÿ � � � � � �� ÿ��

26.2 Reinsurance assumed (Page 6, Line 22)

� � �� þ � � � �� þ� � �ÿ �� ÿ �� þ � � � � ��


� �� ÿ ÿ ��

COMMISSIONS INCURRED

(direct business only)

27. First year (other than single)

ÿ þ� � � þ� � � � � ÿ þ� � � þ� � � � � � � � � � � �

28. Single

� � �� ÿ �� ÿ � �� þ � � � � � � �

29. Renewal

� �� ÿ �� ÿ � � � �� ÿ ��

30. Deposit-type contract funds

� � �� þ ��

31. Totals (to agree with Page 6, Line 21)

� � �� þ � � � � �� þ ��

10


EXHIBIT 2 - GENERAL EXPENSESInsurance 5 6

1 Accident and Health 4

Life2

Cost Containment3

All OtherAll Other Lines of

Business Investment Total1. Rent

�� 2. Salaries and wages

�� 3.11 Contributions for benefit plans for employees

�� 3.12 Contributions for benefit plans for agents

�� 3.21 Payments to employees under non-funded benefit plans

� � � � � �3.22 Payments to agents under non-funded benefit plans

� � � � � �3.31 Other employee welfare

�� 3.32 Other agent welfare

� �� 4.1 Legal fees and expenses

�� 4.2 Medical examination fees

�� 4.3 Inspection report fees

�� 4.4 Fees of public accountants and consulting actuaries

�� 4.5 Expense of investigation and settlement of policy claims

�� 5.1 Traveling expenses

�� 5.2 Advertising

�� 5.3 Postage, express, telegraph and telephone

�� 5.4 Printing and stationery

�� 5.5 Cost or depreciation of furniture and equipment

�� 5.6 Rental of equipment

�� 5.7 Cost or depreciation of EDP equipment and software

�� 6.1 Books and periodicals

�� 6.2 Bureau and association fees

�� 6.3 Insurance, except on real estate

�� 6.4 Miscellaneous losses

� �� 6.5 Collection and bank service charges

�� 6.6 Sundry general expenses

�� 6.7 Group service and administration fees

�� 6.8 Reimbursements by uninsured plans

� � � � � �7.1 Agency expense allowance

�� 7.2 Agents’ balances charged off (less $

� recovered)

� � � � � �7.3 Agency conferences other than local meetings

� �� 9.1 Real estate expenses

�� 9.2 Investment expenses not included elsewhere

� � � � �� 9.3 Aggregate write-ins for expenses

�� 10. General expenses incurred

�� (a)

�� 11. General expenses unpaid December 31, prior year

� �� 12. General expenses unpaid December 31, current year

� �� 13. Amounts receivable relating to uninsured plans, prior year

� � � � � �14. Amounts receivable relating to uninsured plans, current year

� � � � � �15. General expenses paid during year (Lines 10+11-12-13+14)

�� DETAILS OF WRITE-INS

09.301. �� !�"$#%"�&('�"�)�*�"�* �� 09.302.09.303.09.398. Summary of remaining write-ins for Line 9.3 from overflow page

� � � � � �09.399. Totals (Lines 09.301 thru 09.303 plus 09.398) (Line 9.3 above)

�� (a) Includes management fees of $

�� + �� to affiliates and $

� to non-affiliates.

EXHIBIT 3 - TAXES, LICENSES AND FEES (EXCLUDING FEDERAL INCOME TAXES)Insurance 4 5

1

Life

2

Accident and Health

3All Other Lines of

Business Investment Total1. Real estate taxes

� � � � �2. State insurance department licenses and fees

�+ �� + �� 3. State taxes on premiums

�+ �� + �� 4. Other state taxes, including $

�for employee benefits

�� + �� 5. U.S. Social Security taxes

�+�� + �� 6. All other taxes

� �� + �� 7. Taxes, licenses and fees incurred

� �+ �� + �� 8. Taxes, licenses and fees unpaid December 31, prior year

�+�� 9. Taxes, licenses and fees unpaid December 31, current

year�+ ��

10. Taxes, licenses and fees paid during year (Lines 7 + 8 - 9) � �+ �� + ��

EXHIBIT 4 - DIVIDENDS OR REFUNDS1

Life2

Accident and Health1. Applied to pay renewal premiums

�� 2. Applied to shorten the endowment or premium-paying period

�� 3. Applied to provide paid-up additions

�� 4. Applied to provide paid-up annuities

� �5. Total Lines 1 through 4

�� 6. Paid in cash

�� 7. Left on deposit

�� 8. Aggregate write-ins for dividend or refund options


�� 10. Amount due and unpaid

� �11. Provision for dividends or refunds payable in the following calendar year

�� 12. Terminal dividends

� �13. Provision for deferred dividend contracts

� �14. Amount provisionally held for deferred dividend contracts not included in Line 13


�� 16. Total from prior year

�� 17. Total dividends or refunds (Lines 9 + 15 - 16)

�� DETAILS OF WRITE-INS

0801.0802.0803.0898. Summary of remaining write-ins for Line 8 from overflow page

� �0899. Totals (Lines 0801 thru 0803 plus 0898) (Line 8 above)

� �

11


EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS1

Valuation Standard

2

Total

3

Industrial

4

Ordinary

5Credit

(Group and Individual)

6

Group0100001. ,.-�/+,10�2$35476 8$9�:50$;$$>$4@?A,�,./ 9 >�>$4@?A,$,A/ 9 90100002. ,.-�B$950�2$3DC+6 8$:5E�F$G >$9@? B�,./ 9 >$9@? B+,A/ 9 90100003. ,.-�B$950�2$35H$F�ID0�E$JD-�,AKL-�BD>+6 4$8$:50�;$+,A8 9 90100005. ,.-�B$950�2$3DC+6 9$:5E�F$G N$B$B@? -�-�9 9 N�B$B@? -$-�9 9 90100006. ,.-�/+,10�2$3O,�-�/LCP476 8$9�:50$;$�, 9 90100008. ,.-�B$950�2$35H$F�ID0�E$JD-�,AK$4�9$9$95/+6 9�9$:50$;�$/$>@? /$-�N 9 ,A/`? >�/$>@? /L-�N 9 90100009. ,.-�/+,10�2$35>76 9$9�:50$;$@? N�NLC 9 B`? N�,.>@? N$N$C 9 90100010. ,.-�B$950�2$35876 8$:5E�F$G C�B@?A,A8$4 9 C�B@?A,.8�4 9 90100011. ,.-�/+,10�2$3O,�-�/LCP476 8$9�:5E$F$G C@? 9+,$,+? C�9LC 9 C@? 9�,$,+? C�9$C 9 90100012. ,.-�B$950�2$35H$F�ID0�E$JD-�4�KL-�/D/+6 8$9$:50�;$`? /L-�>@? 4$C�9 9 >`? /$-�>@? 4LC�9 9 90100013. ,.-�/+,10�2$3 /+6 8$9$:a0$;$76 9$9�:50$;$@? 4�>LC 9 C�8$>@? 4$>$C 9 90100016. ,.-�B$950�2$35H$F�ID0�E$JD-�4�KL-�/D8+6 9$9$:50�;$`? 8$C$Cb? /$/�4 9 90100018. ,.-�B$950�2$35/76 8$:5E�F$G >`? N+,$,+? 9�>+, 9 >`? N�,$,+? 9$>�, 9 90100019. ,.-�/+,10�2$3O,�-�/LCP>76 9$9�:5E$F$G 4$B+,+? 4$-�N 9 4�B+,+? 4L-�N 9 90100020. `? -�,.B@? /$C�8 9 >`? -f,.B@? /LC�8 9 90100021. ,.-�8$B50�2$35476 8$9�:50$;$`? -$C$Cb? /�B$B 9 >`? -�C$Cb? /$B�B 9 90100023. ,.-�/+,10�2$35476 8$9�:$K�/76 N$8�:DE�F$G 4`? 8$/L-b? -�-�9 9 4`? 8�/L-b? -$-�9 9 90100024. ,.-�8$B50�2$35>76 9$9�:50$;$76 8$9�:50$;$�NL- 9 ,�,7? -�NLCb? >$N$- 9 90100028. ,.-�B$950�2$3DC+6 9$:50�;$0$= /`? 8$4+,+? C�>$> 9 /`? 8�4+,+? C�>�> 9 90100029. ,.-�8$B50�g$h5H$E�ID4+6 4$8$:�K$/+6 8�9$:5E$F�G 9 9 9 9 90100030. ,.-�8$B50�2$35>76 8$9�:5i$g$;�3 ,.>@?A,�,.> 9 ,.>@?A,$,A> 9 90100031. ,.-�B$950�2$35876 8$:50�;$0$= ,A>`? 8$>$9@? >�BLC 9 ,A>`? 8�>$9@? >$B$C 9 90100032. ,.-�8$B50�g$h5H$E�ID4+6 8$9$:5E�F$G >@? -�/$4 9 >@? -�/�4 9 90100033. ,.-�8$B50�2$35/76 9$9�:50$;$+6 9$9$:5E�F$G 8$8 9 8�8 9 90100036. ,.-�8$B50�2$35/76 8$9�:50$;$@? /$C$C 9 -@? /�/$>@? /LC�C 9 90100038. ,.-�8$B50�g$h5H$E�ID>+6 8$9$:5E�F$G 4@? 9�9$B 9 4@? 9$9�B 9 90100039. ,.-�8$B50�2$35/76 8$9�:5i$g$;�3 /$>@? 8�>$N 9 /$>@? 8$>�N 9 90100040. ,.-�B$950�2$35/76 8$:50�;$0$= 8@? 4L-�C@? 8$9$4@? N�NLC 9 8`? 4L-�C@? 8�9$4@? N$N$C 9 90100041. ,.-�8$B50�g$h5H$E�ID>+6 8$9$:�K$4+6 8�9$:5E$F�G >@? C�N+, 9 >@? C�N�, 9 90100042. ,.-�B$950�2$35>76 9$9�:50$;$L-$-b? N�>LC 9 ,.9�,7? >$-$-b? N$>$C 9 90100044. ,.-�8$B50�g$h5H$E�ID>+6 8$9$:�K$>+6 9�9$:5E$F�G ,+?A,�,.N 9 ,+?A,$,AN 9 90100045. ,.-�B$950�2$35/76 8$9�:50$;$�4$9 9 C�8`? 4$C�,+? >$4�9 9 90100046. ,.-�8$B50�2$35>76 9$:50�;$0$= ,$,+? B�N$N 9 ,$,+? B$N�N 9 90100047. ,.-�8$B50�g$h5H$E�ID/+6 9$9$:�K$>+6 9�9$:5E$F�G ,.9@? C�>$/ 9 ,.9@? C�>�/ 9 90100048. ,.-�B$950�2$35/76 N$8�:50$;$$C�N 9 N`? C�-�9@? >LC�N 9 90100049. ,.-�8$B50�2$3DC+6 9$:5E�F$G 4@? /�,$, 9 4@? /+,�, 9 90100050. ,.-�8$B50�g$h5H$E�ID/+6 8$9$:5E�F$G 4�/+, 9 4$/�, 9 90100051. ,.-�B$950�2$35876 9$9�:50$;$�N$8 9 ,7? 4�,$,+? >$N�8 9 90100052. ,.-�8$B50�2$35876 8$:5E�F$G N�NL- 9 N$N$- 9 90100053. ,.-�8$B50�2$35>76 9$9�:$K�876 8$9�:DE�F$G ,A9`? C�N$>@? N�9LC 9 ,A9`? C�N$>@? N$9$C 9 90100054. ,.-�B$950�2$35876 8$9�:50$;$`? C�/LCb? 8$-�4 9 >`? C�/LCb? 8L-�4 9 90100055. ,.-�8$B�950$2$35/+6 8�:5E$F$G N$>@? /�>$9 9 N$>@? /$>�9 9 90100056. ,.-�8$B50�2$35H$F�ID4+6 4$8$:5E�F$G 4@?A,A8$9 9 4@?A,.8�9 9 90100057. ,.-�/+,10�2$35476 8$9�:5G�QS\ _Dj�k 8+,./@?A,A9L- 9 8�,./@?A,.9$- 9 90100058. ,.-�8$B50�2$35/76 9$:5E�F$G 4�NL- 9 4$N$- 9 90100059. ,.-�8$B50�2$35H$F�ID>+6 9$9$:50�;$76 9$9�:5G�QS\ _Dj�k ,.C@? 9$>$N@? C�B$/ N`?A,.C�4@? NLC�8 B`? B�N$/@? -�,.- 9 90100061. ,.-�8$B50�2$35>76 8$:5E�F$G 8$4$B@? -�4$8 9 8�4$B@? -�4�8 9 90100062. ,.-�8$B50�2$35H$F�ID>+6 9$9$:5E�F$G ,.8$9@? 8$-�, 9 ,A8$9@? 8L-f, 9 90100063. ,.-�/+,10�2$35/76 9$9�:5G�QS\ _Dj�k /$8@? N�BL- N�, /$8@? N+,AB 9 90100064. ,.-�8$B50�2$35N76 4$8�:50$;$0�= -�/@? 4�9$> 9 -�/@? 4$9�> 9 90100065. ,.-�8$B50�2$35H$F�ID>+6 8$9$:50�;$ 9 ,�,$,+? 8$4�> 9 90100066. ,.-�/+,10�2$35/76 8$9�:5G�QS\ _Dj�k N$4$8@? /$C�, 8LCb? N$>�/ C�C�B@? N$4�N 9 90100067. ,.-�8$B50�2$35N76 4$9�:50$;$0�= ,.4@? >�N+, 9 ,.4@? >$N�, 9 90100068. ,.-�8$B50�2$35H$F�ID>+6 8$9$:5E�F$G >�,7? -�>L-b? C�N$4 9 >�,7? -�>L-b? C�N�4 9 90100069. ,.-�/+,10�2$35876 4$8�:5G�QS\ _Dj�k 4$9$/@? 8�,�- 9 4�9$/@? 8+,.- 9 90100070. ,.-�8$B50�2$3DC+6 9$:50�;$0$= B$9@? 9�N$B 9 B$9@? 9$N�B 9 90100071. ,.-�8$B50�2$35H$F�ID/+6 9$9$:5E�F$G >`? 9+,$,+? /�/$N 9 >`? 9�,$,+? /$/�N 9 90100072. ,.-�/+,12@l1,$6 8$9$:5G�QS\ _Dj�k -�8@? -�B$> -�8@? -�B�> 9 9 90100073. ,.-�8$B50�2$35876 8$9�:50$;$0�= ,$,.N@? B�B$9 9 ,�,.N@? B$B�9 9 90100074. ,.-�8$B50�2$35H$F�ID/+6 8$9$:50�;$@? /�8$B 9 C�>@? /$8�B 9 90100075. ,.-�/+,12@lm>+6 9$9$:5G�QS\ _Dj�k 8�9`? >$>$>@? B�/+, 8�9`? >�>$>@? B$/�, 9 9 90100076. ,.-�8$B50�2$35876 9$:50�;$0$= ,+? 9�9LC 9 ,+? 9$9$C 9 90100077. ,.-�8$B50�2$35H$F�ID/+6 8$9$:5E�F$G B`? N$/$>@? /$C�B 9 B`? 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12



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2

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3

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4

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5Credit


6

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}�}$~5u$�$ q$q.@ t�s$ } q�q.@ t$s� } }0100120. r�r$r$rPx�D+| }$}$~5�S D� $r�@ }�s$} �r�@ }$s�} } } }0100121. q.r�s$t5u�v$w5x$y�zD+| s$}$~�$+| }�}$~5y$� Lr$rb �s$} } $r$rb $s�} } }0100122. r�r$r$rPx�D+| s$}$~5�S D� ` s$sLb �}${ {` �${@ $�t {ÀqA{$@ {L� } }0100123. q.r�s$t5u�v$w5x$y�zD+| }$}$~5u�$$ s` L�@ r�t$ } qA$@ $}�} } s` s$t$@ �t$0100124. r�r$r$rPx�D+| s$}$~5�S D� {$@ �}$} {$@ $}�} } } }0100125. q.r�s$t5u�v$w5x$y�zD+| }$}$~5�$ @ {$}$}@ fq� } } } @ {$}$}@ fq�0100126. r�r$r$rPx�Ds+| }$}$~5�S D� q$q+ $r�q } q$q+ Lrfq } }0100127. q.r�s$t5u�v$w5x$y�zD+| }$}$~5y�$ ` $+q+ {�q�r } {$@ ${$ } ` $Lb t$r�0100128. r�r$r$rPx�Ds+| {$s$~5�S D� +q+ �$ } +q+ �� } }0100129. q.r�s$t5u�v$w5x$y�zD+| }$}$~�$+| }�}$~5u$�$ $$@ fq.} } �$@ �qA} } }0100130. r�r$r$rPx�D{+| s$}$~5�S D� s$@ s�L } s$@ s$$ } }0100131. q.r�s$t5u�v$w5x$y�zD+| }$}$~�$+| }�}$~5y$� q.$@ }�s+q } qA$@ }$s�q } }0100132. r�r$r$rPx�D+| }$}$~5�S D� q7 $$t@ }$r�s } q7 �$t@ }Lr�s } }0100133. q.r�s$t5u�v$w5x$y�zD+| s$}$~5u�$$ $s�` $t$@ �t$ } $s�ÀqA{$@ Lr�r } ` {$sLrb s�t$s0100134. r�r$r$rPx�D+| s$}$~5�S D� b r�{$ } b r�{� } }0100135. q.r�s$t5u�v$w5x$y�zD+| s$}$~5y�$ {$�}` $$s@ �$ } {${�sÀq�q.}@ t$s�} } s` {$$@ �{$0100136. r�r$r$rPx�D+| s$}$~5�S D� q.t@ {�$} } q.t@ {$�} } }0100137. q.r�t$}5u�$5x$y�zD+| }$}$~5y�$ s$}$@ {�$ } s�}$@ {$� } }0100138. r�r$r$rPx�Ds+| }$}$~5�S D� $}$s@ s�$} } �}$s@ s$�} } }0100139. q.r�t$}5u�$5x$y�zD+| s$}$~5y�$ s�$} } s$�} } }0100140. r�r$r$rPv@m+| s$}$~5�S D� ` {$$@ $r�t ` {�$@ Lr�t } } }0100141. q.r�t$}5u�$5x$y�zDs+| }$}$~5y�$ r�{@ r�r� } r�{@ r$r� } }0100142. r�r$r$rPv@ms+| }$}$~5�S D� q.t@ ��q q.t@ $fq } } }0100143. q.r�t$}5u�$5x$y�zDs+| s$}$~5y�$ r$rb t�q. } r$rb t+qA } }0100144. r�r$r$rPv�v` +| }$}$~a�S D� } } } } }0100145. q.r�t$}5u�$5x$y�zp�| }$}$~5y�$ t�q.{ } t+qA{ } }0100146. r�r$r$rPv�v`%7| s$}�~5�S D� $s$@AqAsL �[email protected]$ } } }0100147. q.r�t$}5u�v$w5x$�zD{+| $s$~5y�$ q+ {�}$s } q+ {$}�s } }0100148. q.r�+q1u�v$w57| }$}�~5�S D�D$@ ${@ s$r�t } ${@ sLr�t } }0100149. q.r�t$}5u�v$w5x$�zD+| }$}$~5y�$ q7 $}$s@ s�$} } q7 �}$s@ s$�} } }0100150. q.r�+q1u�v$wLqA$}$~f{7| s$}�~D�S p�D$` @ �$ } @ $� } }0100151. q.r�t$}5u�v$w5x$�zD+| s$}$~5u�$$ r�}@ �$ } r�}@ �� } }0100152. q.r�+q1u�v$wLqA$}$~f7| }$}�~D�S p�D$` $t$s@ r�$ {�Lrb t$� {�Lb }Lfq } }0100153. q.r�t$}5u�v$w5x$�zD+| s$}$~5y�$ q.}@ s�{$ } q.}@ s${� } }0100154. q.r�+q1v@m+| }$}$~5�S D�p�` {�t$t {$t�t } } }0100155. q.r�t$}5u�v$w5x$�zDs+| }$}$~5u�$$ t$t+q+ �$ } t�t+q+ $� } }0100156. q.r�+q1v@d$q.�}$~�+| }�}$~5�` D�D�` $t@ s�}+q $t@ s$}�q } } }0100157. q.r�t$}5u�v$w5x$�zDs+| }$}$~5y�$ �` �$t@ r�$ } �` �$t@ r$� } }0100158. q.r�+q1v�v`LqA$}$~f7| }$}�~D�S p�D$` q+ s�q� q+ s+q. } } }0100159. q.r�t$}5u�v$w5x$�zDs+| s$}$~5u�$$ ` }${$t@ t$r�t } ` }�{$t@ tLr�t } }0100160. q.r�s$t5u�$5{7| s$}�~5�S D�D$@ {$sLrb s�t$ } {�sLrb s$t� } }0100161. q.r�t$}5u�v$w5x$�zp�| }$}$~5u�$$ {@ t�$ } {@ t$� } }0100162. q.r�s$t5u�$57| }$}�~5�S D�D$@ s$}+q+ $r�q } s�}+q+ Lrfq } }0100163. q.r�t$}5u�v$w5x$y�zD+| s$}$~5u�$$ �{�q7�q$q.t@ 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12.1



Valuation Standard

2

Total

3

Industrial

4

Ordinary

5Credit


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LIABILITIES, SURPLUS AND OTHER FUNDS...sp s m n ql x t m otu m qlr x 5. Separate Accounts net gain...

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Transcript of LIABILITIES, SURPLUS AND OTHER FUNDS...sp s m n ql x t m otu m qlr x 5. Separate Accounts net gain...