ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2017 OF THE CONDITION AND AFFAIRS OF THE. Wilcac Life Insurance Company

Transcription

1 LIFE AND ACCIDENT AND HEALTH COMPANIES - ASSOCIATION EDITION ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER, 07 OF THE CONDITION AND AFFAIRS OF THE Wilcac Life Insurance Company * * NAIC Group Code 4 4 NAIC Company Code 64 Employer's ID Number (Current) (Prior) Organized under the Laws of Illinois, State of Domicile or Port of Entry IL Country of Domicile United States of America Incorporated/Organized 04/6/9 Commenced Business 08/5/9 Statutory Home Office 75A Sandusky Road, Jacksonville, IL, US 6650 (Street and Number) (City or Town, State, Country and Zip Code) Main Administrative Office 0 Glover Avenue 4th Floor (Street and Number) Norwalk, CT, US 06850, (City or Town, State, Country and Zip Code) (Area Code) (Telephone Number) Mail Address 0 Glover Avenue 4th Floor, Norwalk, CT, US (Street and Number or P.O. Box) (City or Town, State, Country and Zip Code) Primary Location of Books and Records 0 Glover Avenue 4th Floor (Street and Number) Norwalk, CT, US 06850, (City or Town, State, Country and Zip Code) (Area Code) (Telephone Number) Internet Website Address Statutory Statement Contact Evan Gewitz, (Name) (Area Code) (Telephone Number) egewitz@wiltonre.com, ( Address) (FAX Number) Chief Executive Officer SVP, General Cousel & Secretary Michael Elliott Fleitz Mark Raymond Sarlitto OFFICERS SVP, Chief Financial Officer Steven Daniel Lash OTHER Enrico John Treglia, SVP, Chief Operating Officer Michael Leonard Greer, Senior Vice President Robert Charles Fahr, VP, Controller DIRECTORS OR TRUSTEES Chris Conrad Stroup Michael Elliott Fleitz Mark Raymond Sarlitto Enrico John Treglia James Dwyer Diane L. Rouston Perry Howard Braun # Steven Daniel Lash # Mary Elizabeth Sarlitto State of County of Connecticut Fairfield SS: The officers of this reporting entity being duly sworn, each depose and say that they are the described officers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: () state law may differ; or, () that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed statement. The electronic filing may be requested by various regulators in lieu of or in addition to the enclosed statement. Michael Elliott Fleitz Mark Raymond Sarlitto Steven Daniel Lash Chief Executive Officer SVP, General Counsel & Secretary SVP, Chief Financial Officer a. Is this an original filing? Yes [ X ] No [ ] Subscribed and sworn to before me this b. If no, day of February 08. State the amendment number. Date filed. Number of pages attached Donna Evans Notary Public May,00

2 ASSETS Assets Current Year Nonadmitted Assets Net Admitted Assets (Cols. - ) Prior Year 4 Net Admitted Assets. Bonds (Schedule D),78,6,8 0,78,6,8,7,8,606. Stocks (Schedule D):. Preferred stocks 5,47, ,47,809 50,95,56. Common stocks ,7. Mortgage loans on real estate (Schedule B):. First liens Other than first liens Real estate (Schedule A): 4. Properties occupied by the company (less $ 0 encumbrances) Properties held for the production of income (less $ 0 encumbrances) Properties held for sale (less $ 0 encumbrances) Cash ($ 7,457,5, Schedule E - Part ), cash equivalents ($ 68,7,009, Schedule E - Part ) and short-term investments ($ 0, Schedule DA) 75,80,4 0 75,80,4 9,6, Contract loans (including $ 0 premium notes) Derivatives (Schedule DB) Other invested assets (Schedule BA) 9,674,97 0 9,674,97 4,6,87 9. Receivables for securities,05,960 0,05,960,5,75 0. Securities lending reinvested collateral assets (Schedule DL) Aggregate write-ins for invested assets Subtotals, cash and invested assets (Lines to ),90,59,59 0,90,59,59,807,80,44. Title plants less $ 0 charged off (for Title insurers only) Investment income due and accrued,9,58 0,9,58,6, Premiums and considerations: 5. Uncollected premiums and agents' balances in the course of collection (8,6) 0 (8,6) 0 5. Deferred premiums and agents' balances and installments booked but deferred and not yet due (including $ 0 earned but unbilled premiums) Accrued retrospective premiums ($ 0 ) and 6. Reinsurance: contracts subject to redetermination ($ 0 ) Amounts recoverable from reinsurers 5,566 5,7 86, Funds held by or deposited with reinsured companies,089,476 0,089,476,089, Other amounts receivable under reinsurance contracts 57,56, ,56,68 6, 7. Amounts receivable relating to uninsured plans Current federal and foreign income tax recoverable and interest thereon Net deferred tax asset 5,,0,904,69,46,60 4,574,68 9. Guaranty funds receivable or on deposit Electronic data processing equipment and software Furniture and equipment, including health care delivery assets ($ 0 ) Net adjustment in assets and liabilities due to foreign exchange rates Receivables from parent, subsidiaries and affiliates 0 0 0,57 4. Health care ($ 0 ) and other amounts receivable Aggregate write-ins for other than invested assets 79,508 79, ,7 6. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines to 5),08,774,4,8,7,05,94,74,85,845,95 7. From Separate Accounts, Segregated Accounts and Protected Cell Accounts 6,5, ,5, ,59,08 8. Total (Lines 6 and 7),8,00,099,8,7,78,68,76,5,05, DETAILS OF WRITE-INS 98. Summary of remaining write-ins for Line from overflow page Totals (Lines 0 thru 0 plus 98)(Line above) Expenses Paid in Advance 79,508 79, Accrued investment advisory and administrative service fee , Summary of remaining write-ins for Line 5 from overflow page Totals (Lines 50 thru 50 plus 598)(Line 5 above) 79,508 79, ,7

3 LIABILITIES, SURPLUS AND OTHER FUNDS Prior Year Current Year. Aggregate reserve for life contracts $ 59,089,498 (Exh. 5, Line ) less $ 0 included in Line 6. (including $ 0 Modco Reserve) 59,089,498,44,7,97. Aggregate reserve for accident and health contracts (including $ 0 Modco Reserve) 6,769,79 7,598,. Liability for deposit-type contracts (Exhibit 7, Line 4, Col. ) (including $ 0 Modco Reserve) 4,8,56 00,0, Contract claims: 4. Life (Exhibit 8, Part, Line 4.4, Col. less sum of Cols. 9, 0 and ) 57,9 44,08 4. Accident and health (Exhibit 8, Part, Line 4.4, sum of Cols. 9, 0 and ),80,959,506, Policyholders dividends $ 0 and coupons $ 0 due and unpaid (Exhibit 4, Line 0) Provision for policyholders dividends and coupons payable in following calendar year - estimated amounts: 6. Dividends apportioned for payment (including $ 0 Modco) 0,87 4,6 6. Dividends not yet apportioned (including $ 0 Modco) Coupons and similar benefits (including $ 0 Modco) Amount provisionally held for deferred dividend policies not included in Line Premiums and annuity considerations for life and accident and health contracts received in advance less $ 0 discount; including $ 0 accident and health premiums (Exhibit, Part, Col., sum of lines 4 and 4) Contract liabilities not included elsewhere: 9. Surrender values on canceled contracts Provision for experience rating refunds, including the liability of $ 0 accident and health experience rating refunds of which $ 0 is for medical loss ratio rebate per the Public Health Service Act Other amounts payable on reinsurance, including $ 0 assumed and $ 0 ceded Interest maintenance reserve (IMR, Line 6) 4,468,5 95,9,60 0. Commissions to agents due or accrued-life and annuity contracts $ 0 accident and health $ 0 and deposit-type contract funds $ 0 50, Commissions and expense allowances payable on reinsurance assumed 0 0. General expenses due or accrued (Exhibit, Line, Col. 6) 5,466,048,4,956. Transfers to Separate Accounts due or accrued (net) (including $ 0 accrued for expense allowances recognized in reserves, net of reinsured allowances) (,675,9) (,447,08) 4. Taxes, licenses and fees due or accrued, excluding federal income taxes (Exhibit, Line 9, Col. 5) 9,84 457,44 5. Current federal and foreign income taxes, including $,5,06 on realized capital gains (losses) 4,060,76 6,485, Net deferred tax liability Unearned investment income Amounts withheld or retained by company as agent or trustee (4,0) (,067,664) 8. Amounts held for agents' account, including $ 0 agents' credit balances Remittances and items not allocated (4,707,78) (5,97,77) 0. Net adjustment in assets and liabilities due to foreign exchange rates 0 0. Liability for benefits for employees and agents if not included above 0 0. Borrowed money $ 0 and interest thereon $ Dividends to stockholders declared and unpaid Miscellaneous liabilities: 4.0 Asset valuation reserve (AVR, Line 6, Col. 7) 4,48,086,0, Reinsurance in unauthorized and certified ($ 0 ) companies,4 4, Funds held under reinsurance treaties with unauthorized and certified ($ 0 ) reinsurers,6,75,877 9, Payable to parent, subsidiaries and affiliates 777,65 54, Drafts outstanding Liability for amounts held under uninsured plans Funds held under coinsurance,54,000,54, Derivatives Payable for securities,46,50,04,0 4.0 Payable for securities lending Capital notes $ 0 and interest thereon $ Aggregate write-ins for liabilities 5,69,9 6,94,50 6. Total liabilities excluding Separate Accounts business (Lines to 5),87,766,989,776,98,77 7. From Separate Accounts Statement 6,5,985 9,97, Total liabilities (Lines 6 and 7),5,09,974,69,5,68 9. Common capital stock,80,865,80, Preferred capital stock 0 0. Aggregate write-ins for other than special surplus funds 0 0. Surplus notes 0 0. Gross paid in and contributed surplus (Page, Line, Col. plus Page 4, Line 5., Col. ) 40,846,88 40,846,88 4. Aggregate write-ins for special surplus funds 69,56,96 74,0,9 5. Unassigned funds (surplus) 0,96,04 9,6,60 6. Less treasury stock, at cost: 6. 0 shares common (value included in Line 9 $ 0 ) shares preferred (value included in Line 0 $ 0 ) Surplus (Total Lines ) (including $ 0 in Separate Accounts Statement),44,887 4,8, Totals of Lines 9, 0 and 7 (Page 4, Line 55) 4,75,75 45,969,54 9. Totals of Lines 8 and 8 (Page, Line 8, Col. ),78,68,76,5,05, DETAILS OF WRITE-INS 50. Abandoned property 4,85,89 5,899, Contingency Reserve 5,500 70, Accounts Payable 0,000 5, Summary of remaining write-ins for Line 5 from overflow page Totals (Lines 50 thru 50 plus 598)(Line 5 above) 5,69,9 6,94, Summary of remaining write-ins for Line from overflow page Totals (Lines 0 thru 0 plus 98)(Line above) Restricted surplus - participating 59,,78 66,04, Special surplus fund - Swiss Re 7,57,4 8,05, Special surplus fund - deferred gain on Intergroup reinsurance,956, Summary of remaining write-ins for Line 4 from overflow page Totals (Lines 40 thru 40 plus 498)(Line 4 above) 69,56,96 74,0,9

4 SUMMARY OF OPERATIONS Prior Year Current Year. Premiums and annuity considerations for life and accident and health contracts (Exhibit, Part, Line 0.4, Col., less Col. ) (,56,94,0),758. Considerations for supplementary contracts with life contingencies 576,64 0. Net investment income (Exhibit of Net Investment Income, Line 7) 0,054,68 06,70,99 4. Amortization of Interest Maintenance Reserve (IMR, Line 5) 4,845,8,4,0 5. Separate Accounts net gain from operations excluding unrealized gains or losses,68,748 6,7,60 6. Commissions and expense allowances on reinsurance ceded (Exhibit, Part, Line 6., Col. ) (6,584,06) 65, Reserve adjustments on reinsurance ceded Miscellaneous Income: 8. Income from fees associated with investment management, administration and contract guarantees from Separate Accounts 5,85 (6,40) 8. Charges and fees for deposit-type contracts 74,46 04,4 8. Aggregate write-ins for miscellaneous income 80,944, Total (Lines to 8.) (,4,79,78) 46,57, Death benefits 0,686 57,466. Matured endowments (excluding guaranteed annual pure endowments) 0 0. Annuity benefits (Exhibit 8, Part, Line 6.4, Cols ) 69,,99 5,789,59. Disability benefits and benefits under accident and health contracts 64,9,480, Coupons, guaranteed annual pure endowments and similar benefits Surrender benefits and withdrawals for life contracts,554 9, Group conversions Interest and adjustments on contract or deposit-type contract funds (46,5,08) 9,9,44 8. Payments on supplementary contracts with life contingencies,878,00 9. Increase in aggregate reserves for life and accident and health contracts (,8,0,00) (49,9,859) 0. Totals (Lines 0 to 9) (,59,40,0) 70,489,76. Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) (Exhibit, Part, Line, Col. ) 0,84 8,47. Commissions and expense allowances on reinsurance assumed (Exhibit, Part, Line 6., Col. ) (668,88) (668,88). General insurance expenses (Exhibit, Line 0, Cols.,, and 4) 5,58,55 5,4,9 4. Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit, Line 7, Cols. + + ) 674,867 84, Increase in loading on deferred and uncollected premiums Net transfers to or (from) Separate Accounts net of reinsurance (40,9,) (8,769,5) 7. Aggregate write-ins for deductions 67,959,94 98,8 8. Totals (Lines 0 to 7) (,6,66,507) 6,967, Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 8) (97,09,77) 9,60,56 0. Dividends to policyholders,55,667,4,45. Net gain from operations after dividends to policyholders and before federal income taxes (Line 9 minus Line 0) (98,646,48) 8,468,9. Federal and foreign income taxes incurred (excluding tax on capital gains) (,4,4) (,04,549). Net gain from operations after dividends to policyholders and federal income taxes and before realized capital gains or (losses) (Line minus Line ),594,984,77, Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of $,0,68 (excluding taxes of $,60,79 transferred to the IMR) (,54,7) (7,0,56) 5. Net income (Line plus Line 4) 0,40,6 4,56,94 CAPITAL AND SURPLUS ACCOUNT 6. Capital and surplus, December, prior year (Page, Line 8, Col. ) 45,969,540 9,80,45 7. Net income (Line 5) 0,40,6 4,56,94 8. Change in net unrealized capital gains (losses) less capital gains tax of $ (77,57) 8,6 4,49 9. Change in net unrealized foreign exchange capital gain (loss) Change in net deferred income tax (8,9,96),80,6 4. Change in nonadmitted assets 6,98,96 (,67,05) 4. Change in liability for reinsurance in unauthorized and certified companies,60 9,9 4. Change in reserve on account of change in valuation basis, (increase) or decrease Change in asset valuation reserve (,044,67),6, Change in treasury stock (Page, Lines 6. and 6., Col. minus Col. ) Surplus (contributed to) withdrawn from Separate Accounts during period 98,, Other changes in surplus in Separate Accounts Statement (98,,5) Change in surplus notes Cumulative effect of changes in accounting principles Capital changes: 50. Paid in Transferred from surplus (Stock Dividend) Transferred to surplus Surplus adjustment: 5. Paid in Transferred to capital (Stock Dividend) Transferred from capital Change in surplus as a result of reinsurance,87,8 (668,88) 5. Dividends to stockholders (,4,868) 0 5. Aggregate write-ins for gains and losses in surplus Net change in capital and surplus for the year (Lines 7 through 5) (,79,788) 6,589,6 55. Capital and surplus, December, current year (Lines ) (Page, Line 8) 4,75,75 45,969,540 DETAILS OF WRITE-INS IMR released as a result of new cession to WR Bermuda. 80,94, Miscellaneous profit (loss) Summary of remaining write-ins for Line 8. from overflow page Totals (Lines 08.0 thru 08.0 plus 08.98)(Line 8. above) 80,944, Funds withheld interest ceded 67,6, Contingency Reserve 8,500 0, Fines and Penalties 4,945 68, Summary of remaining write-ins for Line 7 from overflow page Totals (Lines 70 thru 70 plus 798)(Line 7 above) 67,959,94 98, Summary of remaining write-ins for Line 5 from overflow page Totals (Lines 50 thru 50 plus 598)(Line 5 above) 0 0 4

5 CASH FLOW Current Year Prior Year Cash from Operations. Premiums collected net of reinsurance 750,00 50,008. Net investment income 0,0,06 04,09,8. Miscellaneous income (9,7,0),64 4. Total (Lines through ) (7,66,967) 04,68, Benefit and loss related payments 77,09,796 5,6,75 6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts (54,4,785) (9,068,7) 7. Commissions, expenses paid and aggregate write-ins for deductions 7,59,698,56, Dividends paid to policyholders,586,55,4,45 9. Federal and foreign income taxes paid (recovered) net of $ (,8,997) tax on capital gains (losses) (0,885,655) 5,75,7 0. Total (Lines 5 through 9) (7,70,79) 5,69,70. Net cash from operations (Line 4 minus Line 0) (0,9,76) (47,97,84) Cash from Investments. Proceeds from investments sold, matured or repaid:. Bonds 88,580,9 79,64,54. Stocks 44,5 (,89,470). Mortgage loans Real estate Other invested assets Net gains or (losses) on cash, cash equivalents and short-term investments Miscellaneous proceeds,,0 57,870.8 Total investment proceeds (Lines. to.7) 90,47,79 77,869,94. Cost of investments acquired (long-term only):. Bonds 65,877,8 05,44,447. Stocks,089,4 (97,7). Mortgage loans Real estate Other invested assets,6,798 0,49,906.6 Miscellaneous applications 5,785 40,654.7 Total investments acquired (Lines. to.6) 7,84,6 5,807,76 4. Net increase (decrease) in contract loans and premium notes Net cash from investments (Line.8 minus Line.7 minus Line 4) 8,96,7 6,06,05 Cash from Financing and Miscellaneous Sources 6. Cash provided (applied): 6. Surplus notes, capital notes Capital and paid in surplus, less treasury stock 0 (6,68,) 6. Borrowed funds Net deposits on deposit-type contracts and other insurance liabilities (5,85,0) (,650,78) 6.5 Dividends to stockholders,4,868,95, Other cash provided (applied) 55,7,96 (,,447) 7. Net cash from financing and miscellaneous sources (Lines 6. to 6.4 minus Line 6.5 plus Line 6.6) 8,0,784 (5,748,6) RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS 8. Net change in cash, cash equivalents and short-term investments (Line, plus Lines 5 and 7) 46,59,85 (,6,95) 9. Cash, cash equivalents and short-term investments: 9. Beginning of year 9,6,496 50,860, End of year (Line 8 plus Line 9.) 75,80, 9,6,496 Note: Supplemental disclosures of cash flow information for non-cash transactions: Annuity contracts reclassed from life contingency risk to deposit-type liabilities. 0 69,000, Cession to WR Bermuda - ceded IMR (net of taxes) 80,94, Cession to WR Bermuda - ceded life contingent reserves,8,95, Cession to WR Bermuda - ceded non-life contingent reserves 5,65, Cession to WR Bermuda - non-cash Premium and change in Funds Withheld,56,079, Exchange of invested assets reported as purchases and sales. 78,66,4, Securities disposed in an intercompany dividend. 0 00,0, Separate Account assets transferred to the General Account 84,888,

6 6 ANALYSIS OF OPERATIONS BY LINES OF BUSINESS Ordinary 6 Group Accident and Health Aggregate of All Total Industrial Life Life Insurance Individual Annuities Supplementary Contracts Credit Life (Group and Individual) Life Insurance (a) Annuities Group Credit (Group and Individual) Other Other Lines of Business. Premiums and annuity considerations for life and accident and health contracts (,56,94,0) 0 94,687 (,56,079,806) 0 0 (5,000) 0 49,57 0 6,5 0. Considerations for supplementary contracts with life contingencies 576, , Net investment income 0,054,69 0,8,00 7,8,868 9,805,9 0 06,85 7,56,80 9, , Amortization of Interest Maintenance Reserve (IMR) 4,845,8 0 79,779,5,856 46,06 0 9,75 8, , Separate Accounts net gain from operations excluding unrealized gains or losses,68, ,68, Commissions and expense allowances on reinsurance ceded (6,584,06) 0 4,0 (6,78,47) 0 0 (,558) 0, Reserve adjustments on reinsurance ceded Miscellaneous Income: 8. Fees associated with income from investment management, administration and contract guarantees from Separate Accounts 5, , Charges and fees for deposit-type contracts 74, , , Aggregate write-ins for miscellaneous income 80,944, ,944, () Totals (Lines to 8.) (,4,79,77) 0 4,40,869 (,469,7,76) 0,84, ,98 9,66,776 7, , Death benefits 0, , Matured endowments (excluding guaranteed annual pure endowments) Annuity benefits 69,,99 0 0,40, ,70, Disability benefits and benefits under accident and health contracts 64, ,88 0 (40,849) 0 4. Coupons, guaranteed annual pure endowments and similar benefits Surrender benefits and withdrawals for life contracts,554 0,77 (0) 0 0 9, Group conversions Interest and adjustments on contract or deposit-type contract funds (46,5,08) 0 (,67,0) (44,56,747) (98,70) Payments on supplementary contracts with life contingencies, , Increase in aggregate reserves for life and accident and health contracts (,8,0,00) 0 (6,5) (,79,4,64) 0 0 (95,87) (,846,84) (769,7) 0 (58,68) 0 0. Totals (Lines 0 to 9) (,59,40,0) 0 (,69,590) (,9,97,694) (65,9) 0 5,94 4,856,45 (86,54) 0 (99,467) 0. Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only) 0,84 0 7,776 69,8 0 0,9 0, Commissions and expense allowances on reinsurance assumed (668,88) 0 (668,88) General insurance expenses 5,58, ,9,85,694 56,4 0,00 940, 4,49 0 5, Insurance taxes, licenses and fees, excluding federal income taxes 674, ,00 466,6 64, 0,5 4, , Increase in loading on deferred and uncollected premiums Net transfers to or (from) Separate Accounts net of reinsurance (40,9,) (40,9,) Aggregate write-ins for deductions 67,959,94 0,67 67,946,57 4, , Totals (Lines 0 to 7) (,6,66,50) 0 (,578,809) (,9,664,09) 59,7 0,694 (5,004,504) (79,459) 0 (70,556) 0 9. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 8) (97,09,775) 0 6,89,678 (49,509,74) 0,,47 0 (5,7) 4,668,80 5, , Dividends to policyholders,55,667 0,488, , Net gain from operations after dividends to policyholders and before federal income taxes (Line 9 minus Line 0) (98,646,44) 0 5,0,98 (49,509,74) 0,,47 0 (7,684) 4,668,80 5, ,90 0. Federal income taxes incurred (excluding tax on capital gains) (,4,4) 0 4,680 (,60,74) 76,09 0 (,50) 97,87 4,097 0,79 0. Net gain from operations after dividends to policyholders and federal income taxes and before realized capital gains or (losses) (Line minus Line ),594, ,88,0 (6,906,98) 0,07,8 0 (4,54),740,408 48, ,499 0 DETAILS OF WRITE-INS IMR released as a result of new cession to WR Bermuda. 80,94, ,94, Miscellaneous profit (loss) () Summary of remaining write-ins for Line 8. from overflow page Totals (Lines 08.0 thru 08.0 plus 08.98) (Line 8. above) 80,944, ,944, () Funds withheld interest ceded 67,6, ,6, Contingency Reserve 8, , Fines and Penalties 4,945 0,67 0,5 4, , Summary of remaining write-ins for Line 7 from overflow page Totals (Lines 70 thru 70 plus 798) (Line 7 above) 67,959,94 0,67 67,946,57 4, , (a) Includes the following amounts for FEGLI/SGLI: Line 0, Line 0 0, Line 6 0, Line 0, Line 4 0

7 ANALYSIS OF INCREASE IN RESERVES DURING THE YEAR Ordinary 6 Group Total Industrial Life Life Insurance Individual Annuities Supplementary Contracts Credit Life (Group and Individual) Life Insurance 8 Annuities Involving Life or Disability Contingencies (Reserves) (Net of Reinsurance Ceded). Reserve December, prior year,44,7,98 0,460,88,79,9,78 0 0,90,847 58,65,8. Tabular net premiums or considerations 47, , Present value of disability claims incurred XXX Tabular interest 9,65, ,975 8,77, ,577 0,758, Tabular less actual reserve released,698, ,9, (,60,60) 6. Increase in reserve on account of change in valuation basis Change in excess of VM-0 deterministic/stochastic reserve over net premium reserve 0 XXX 0 XXX XXX XXX XXX XXX 7. Other increases (net) (,8,95,74) 0 0 (,8,95,74) Totals (Lines to 7) 90,89,85 0,50,6,479,54 0 0,0,868 55,74, Tabular cost 87, 0 46,6 0 XXX 0 40, Reserves released by death 4, XXX XXX 0 4,866 XXX. Reserves released by other terminations (net), 0, , 0. Annuity, supplementary contract and disability payments involving life contingencies 69,,99 0 0,40, ,70,9. Net transfers to or (from) Separate Accounts (7,78,9) (7,78,9) 4. Total Deductions (Lines 9 to ),740,9 0 49,7,40, ,895 (4,900) 5. Reserve December, current year 59,089,496 0,45,96 59,47 0 0,807,97 55,768,440

8 EXHIBIT OF NET INVESTMENT INCOME Collected During Year Earned During Year. U.S. Government bonds (a) 98,069 54,6. Bonds exempt from U.S. tax (a) 0 0. Other bonds (unaffiliated) (a) 00,40,885 0,8,70. Bonds of affiliates (a) 0 0. Preferred stocks (unaffiliated) (b),708,7,708,7. Preferred stocks of affiliates (b) 0 0. Common stocks (unaffiliated) 0 0. Common stocks of affiliates 0 0. Mortgage loans (c) Real estate (d) Contract loans Cash, cash equivalents and short-term investments (e) 4,0 48,99 7 Derivative instruments (f) Other invested assets 494, , Aggregate write-ins for investment income 0 9,59 0. Total gross investment income 05,45,9 06,086,87. Investment expenses (g),0,504. Investment taxes, licenses and fees, excluding federal income taxes (g) 0. Interest expense (h) 0 4. Depreciation on real estate and other invested assets (i) 0 5. Aggregate write-ins for deductions from investment income 0 6. Total deductions (Lines through 5),0, Net investment income (Line 0 minus Line 6) 0,054,68 DETAILS OF WRITE-INS 090. MISC INCOME 0 9, Summary of remaining write-ins for Line 9 from overflow page Totals (Lines 090 thru 090 plus 0998) (Line 9, above) 0 9, Summary of remaining write-ins for Line 5 from overflow page Totals (Lines 50 thru 50 plus 598) (Line 5, above) 0 (a) Includes $ 4,069,86 accrual of discount less $,498,905 amortization of premium and less $,46,48 paid for accrued interest on purchases. (b) Includes $ 0 accrual of discount less $ 0,898 amortization of premium and less $ 0 paid for accrued dividends on purchases. (c) Includes $ 0 accrual of discount less $ 0 amortization of premium and less $ 0 paid for accrued interest on purchases. (d) Includes $ 0 for company s occupancy of its own buildings; and excludes $ 0 interest on encumbrances. (e) Includes $ 8,497 accrual of discount less $ 0 amortization of premium and less $ 0 paid for accrued interest on purchases. (f) Includes $ 0 accrual of discount less $ 0 amortization of premium. (g) Includes $ 0 investment expenses and $ 0 investment taxes, licenses and fees, excluding federal income taxes, attributable to segregated and Separate Accounts. (h) Includes $ 0 interest on surplus notes and $ 0 interest on capital notes. (i) Includes $ 0 depreciation on real estate and $ 0 depreciation on other invested assets. EXHIBIT OF CAPITAL GAINS (LOSSES) 4 5 Total Realized Capital Gain (Loss) (Columns + ) Change in Unrealized Capital Gain (Loss) Change in Unrealized Foreign Exchange Capital Gain (Loss) Realized Gain (Loss) On Sales or Maturity Other Realized Adjustments. U.S. Government bonds 4,5 0 4, Bonds exempt from U.S. tax Other bonds (unaffiliated) 8,57,8 (807,) 7,549, Bonds of affiliates Preferred stocks (unaffiliated) Preferred stocks of affiliates Common stocks (unaffiliated) (,4) 0 (,4) (58,59) 0. Common stocks of affiliates Mortgage loans Real estate Contract loans Cash, cash equivalents and short-term investments (464) 0 (464) Derivative instruments Other invested assets Aggregate write-ins for capital gains (losses) Total capital gains (losses) 8,49,57 (807,) 7,54,4 (58,59) 0 DETAILS OF WRITE-INS Summary of remaining write-ins for Line 9 from overflow page Totals (Lines 090 thru 090 plus 0998) (Line 9, above)

9 9 EXHIBIT - PART - PREMIUMS AND ANNUITY CONSIDERATIONS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS Ordinary 5 Group Accident and Health Aggregate of All Total Industrial Life Life Insurance Individual Annuities Credit Life (Group and Individual) Life Insurance Annuities Group Credit (Group and Individual) Other Other Lines of Business FIRST YEAR (other than single). Uncollected Deferred and accrued Deferred, accrued and uncollected:. Direct Reinsurance assumed Reinsurance ceded Net (Line + Line ) Advance Line.4 - Line Collected during year: 6. Direct Reinsurance assumed Reinsurance ceded Net Line 5 + Line Prior year (uncollected + deferred and accrued - advance) First year premiums and considerations: 9. Direct Reinsurance assumed Reinsurance ceded Net (Line 7 - Line 8) SINGLE 0. Single premiums and considerations: 0. Direct Reinsurance assumed Reinsurance ceded Net RENEWAL. Uncollected (8,500) 0 (8,500) Deferred and accrued Deferred, accrued and uncollected:. Direct 7,47, ,8,468, , Reinsurance assumed Reinsurance ceded 7,499, ,849,968, , Net (Line + Line ) (8,500) 0 (8,500) Advance Line.4 - Line 4 (8,500) 0 (8,500) Collected during year: 6. Direct 0,784,9 0 8,78,675 5,59 0 (,00),,954 49, , Reinsurance assumed Reinsurance ceded,59,690, ,605,488,56,,5 0,997,, , Net (,56,905,80) 0,87 (,56,079,806) 0 (5,000) 0 49,57 0 6, Line 5 + Line 6.4 (,56,94,0) 0 94,687 (,56,079,806) 0 (5,000) 0 49,57 0 6, Prior year (uncollected + deferred and accrued - advance) Renewal premiums and considerations: 9. Direct 40,584, ,880,968 5,56 0 (,465),76,776 49, , Reinsurance assumed Reinsurance ceded,60,59,9 0 7,786,8,56,,4 0,55,76, , Net (Line 7 - Line 8) (,56,94,0) 0 94,687 (,56,079,806) 0 (5,000) 0 49,57 0 6,5 0 TOTAL 0. Total premiums and annuity considerations: 0. Direct 40,584, ,880,968 5,56 0 (,465),76,776 49, , Reinsurance assumed Reinsurance ceded,60,59,9 0 7,786,8,56,,4 0,55,76, , Net (Lines ) (,56,94,0) 0 94,687 (,56,079,806) 0 (5,000) 0 49,57 0 6,5 0

10 0 DIVIDENDS AND COUPONS APPLIED (included in Part ) EXHIBIT - PART - DIVIDENDS AND COUPONS APPLIED, REINSURANCE COMMISSIONS AND EXPENSE ALLOWANCES AND COMMISSIONS INCURRED (Direct Business Only) Ordinary 5 Group Accident and Health Total Industrial Life Life Insurance Individual Annuities Credit Life (Group and Individual) Life Insurance Annuities Group Credit (Group and Individual) Other Aggregate of All Other Lines of Business. To pay renewal premiums 849, , All other 6,6,95 0 6,6, REINSURANCE COMMISSIONS AND EXPENSE ALLOWANCES INCURRED. First year (other than single):. Reinsurance ceded Reinsurance assumed Net ceded less assumed Single: 4. Reinsurance ceded Reinsurance assumed Net ceded less assumed Renewal: 5. Reinsurance ceded (6,584,787) 0 4,0 (6,78,908) 0 (,558) 0, Reinsurance assumed (668,88) 0 (668,88) Net ceded less assumed (6,95,959) 0 8,9 (6,78,908) 0 (,558) 0, Totals: 6. Reinsurance ceded (Page 6, Line 6) (6,584,06) 0 4,0 (6,78,47) 0 (,558) 0, Reinsurance assumed (Page 6, Line ) (668,88) 0 (668,88) Net ceded less assumed (6,95,98) 0 8,9 (6,78,47) 0 (,558) 0, COMMISSIONS INCURRED (direct business only) 7. First year (other than single) Single Renewal 0,6 0 7,776 68,5 0,9 0, Deposit-type contract funds Totals (to agree with Page 6, Line ) 0,84 0 7,776 69,8 0,9 0,

11 EXHIBIT - GENERAL EXPENSES Insurance 5 6 Accident and Health 4 Life Cost Containment All Other All Other Lines of Business Investment Total. Rent 7, ,87. Salaries and wages,5,67 0 7, ,5,49. Contributions for benefit plans for employees 5,40 0, ,60. Contributions for benefit plans for agents Payments to employees under non-funded benefit plans Payments to agents under non-funded benefit plans Other employee welfare Other agent welfare Legal fees and expenses 689,484 0, ,66 4. Medical examination fees Inspection report fees Fees of public accountants and consulting actuaries 5,47 0, ,6 4.5 Expense of investigation and settlement of policy claims 9, , Traveling expenses 7, ,75 5. Advertising Postage, express, telegraph and telephone, , Printing and stationery 7, , Cost or depreciation of furniture and equipment Rental of equipment 6, , Cost or depreciation of EDP equipment and software 40,9 0, ,79 6. Books and periodicals Bureau and association fees 05, , Insurance, except on real estate, ,9 6.4 Miscellaneous losses Collection and bank service charges 0, ,9 6.6 Sundry general expenses 54, , Group service and administration fees Reimbursements by uninsured plans Agency expense allowance Agents balances charged off (less $ 0 recovered) Agency conferences other than local meetings Real estate expenses Investment expenses not included elsewhere ,0,504,0, Aggregate write-ins for expenses General expenses incurred 5,508,9 0 0, 0,0,504 (a) 8,57,056. General expenses unpaid December, prior year,54, 0 4, ,500,4,956. General expenses unpaid December, current year 4,54,50 0,786 0,88,759 5,466,048. Amounts receivable relating to uninsured plans, prior year Amounts receivable relating to uninsured plans, current year General expenses paid during year (Lines ),896,68 0,55 0,5,45 6,448,964 DETAILS OF WRITE-INS Summary of remaining write-ins for Line 9. from overflow page Totals (Lines 09.0 thru 09.0 plus 09.98) (Line 9. above) (a) Includes management fees of $ 0 to affiliates and $ 0 to non-affiliates. EXHIBIT - TAXES, LICENSES AND FEES (EXCLUDING FEDERAL INCOME TAXES) Insurance 4 5 Life Accident and Health All Other Lines of Business Investment Total. Real estate taxes State insurance department licenses and fees 68, ,464. State taxes on premiums 8,96, ,99 4. Other state taxes, including $ 0 for employee benefits 9,67,75 0 0,08 5. U.S. Social Security taxes All other taxes Taxes, licenses and fees incurred 67,89, , Taxes, licenses and fees unpaid December, prior year 454,96, ,44 9. Taxes, licenses and fees unpaid December, current year 8,570, ,84 0. Taxes, licenses and fees paid during year (Lines ) 897,55 4, ,486 EXHIBIT 4 - DIVIDENDS OR REFUNDS Life Accident and Health. Applied to pay renewal premiums 849,8 0. Applied to shorten the endowment or premium-paying period 0 0. Applied to provide paid-up additions 6,6, Applied to provide paid-up annuities Total Lines through 4 7,66, Paid in cash,84, Left on deposit 48, Aggregate write-ins for dividend or refund options (7,45,47) 0 9. Total Lines 5 through 8,586, Amount due and unpaid 0 0. Provision for dividends or refunds payable in the following calendar year 0,87 0. Terminal dividends 0 0. Provision for deferred dividend contracts Amount provisionally held for deferred dividend contracts not included in Line Total Lines 0 through 4 0, Total from prior year 4, Total dividends or refunds (Lines ),55,666 0 DETAILS OF WRITE-INS 080. Reinsurer reimbursemet of Par Profit (7,45,47) Summary of remaining write-ins for Line 8 from overflow page Totals (Lines 080 thru 080 plus 0898) (Line 8 above) (7,45,47) 0

12 EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS Valuation Standard Total Industrial 4 Ordinary 5 Credit (Group and Individual) 6 Group CSO 6.00% CRVM ,054,98 0 5,054, CSO 5.50% CRVM ,44,4 0 85,44, CSO 5.00% CRVM ,86,7 0,86, CSO 5.00% NLP ,88, ,88, CET 5.00% NLP , , INTERCO.4.50% NLP ,555, ,555, CSO 4.50% CRVM ,768, ,767, CET 4.50% NLP , 0 58, CSO 4.50% CRVM ,90,5 0,90, CSO 4.50% NLP ,48, ,48, CSO 4.50% NJ ,448,4 0 44,07, , CET 4.50% NLP ,66,48 0,66, CSO 4.00% CRVM , , CSO 4.00% CRVM , , CSO 4.00% CRVM ,4,694 0,4, CSO 4.00% NJ ,450,86 0 5,450, CET 4.00% NLP , , AE.50% NJ ,48 0 0, AE.50% NLP 9-94,040 0, CSG.50% CRVM ,065 0,0 0 76, CSG.50% NLP ,75,5 0 87, 0 50, CSO.50% CRVM ,66,45 0 9,0, , CSO.50% NJ ,9, 0 0,66, , CSO.50% NLP ,09, ,40 0,60, CET.50% NLP , , CSO.50%-.00% NJ ,96,6 0 4,96, CSO.50%-.00% NLP ,85 0, CET.50%-.00% NLP ,0 0 77, CSO.50%-.50% NJ ,569, ,998 0,470, CET.50%-.5% NLP , , CSO.50%-.5% NJ , , CSO.5%-.5% NJ ,09,04 0 8,09, CSO.5%-.5% NLP ,86,97 0 4,86, CET.5%-.5% NLP ,0 0 76, AM.00% NJ ,6 0 5, AM.00% NLP ,59 0 7, AE.00% NJ , , AE.00% NLP 9-957,598,6 0,598, CSG.00% NLP 97, , CSO.00% CRVM , , CSO.00% NJ ,45,56 0,945, , CSO.00% NLP ,895,08 0,97,74 0,597, CET.00% NLP ,0 0 76, CSO.00% NLP , , CET.75% NLP , , CSO.75% CRVM ,50,95 0,50, CSO.75% NJ , , CSO.75% NLP , , AM.50% NLP , , , CSO.50% NJ 966,870,88 0,870, CSO.50% NLP , ,54 0 4, CET.50% NLP 966 4,9 0 4, CSO.50% CRVM ,57,875 0,57, CSO.50% NLP ,6 0 7, CSO.5% NJ ,96, ,96, CSO.5% NLP 96-98,79, ,965, 0 774, CET.5% NLP , , CSO.5% NJ 965 8,85, ,85, CSO.5% NLP ,7, ,7,05 0, Unearned Premium Reserve,56,96 0 0,85 0,54, Totals (Gross) 58,448, ,,67 0,5, Reinsurance ceded 55,86, ,858,75 0 9,7, Life Insurance: Totals (Net),6,90 0,45,96 0,807, GAM.5% immediate 984 7, XXX 0 XXX 7, a.5% immediate 984 9,58 XXX 9,58 XXX GAM 9.50% immed. & def ,98,0 XXX 0 XXX,98, a 9.50% immediate 985 7,858 XXX 7,858 XXX GAM 9.00% immed. & def. 985,54,577 XXX 0 XXX,54, GAM 8.75% immed. & def ,75,98 XXX 0 XXX,75, a 8.75% immed. & def ,7 XXX 84,7 XXX GAM 8.50% immed. & def ,87 XXX 0 XXX 07, a 8.50% immediate ,698 XXX 59,698 XXX GAM 8.5% immed. & def ,60,864 XXX 0 XXX 5,60, a 8.5% immed. & def ,55,059 XXX 7,55,059 XXX GAM 8.00% immed. & def ,07,07 XXX 0 XXX 6,07, a 8.00% immed. & def ,4,84 XXX 7,4,84 XXX GAM 7.75% immed. & def ,056 XXX 0 XXX 7, a 7.75% immed. & def. 99 5,765,675 XXX 5,765,675 XXX GAM 7.50% immed. & def ,09,09 XXX 0 XXX,09, a 7.50% immed. & def. 99,49, XXX,49, XXX IAM 7.50% immediate ,0 XXX 9,0 XXX GAM 7.50% immed. & def ,94,6 XXX 0 XXX 9,94, GAM 7.5% immed. & def ,49,506 XXX 0 XXX,49, a 7.5% immed. & def ,4, XXX 64,4, XXX a % immed. & def ,48 XXX 499,48 XXX GAR 7.00% immed. & def ,96 XXX 0 XXX 54, GAM 7.00% immed. & def ,584,558 XXX 0 XXX 5,584, a 7.00% immed. & def ,94,4 XXX 98,94,4 XXX a % immed. & def ,066 XXX 988,066 XXX GAR 6.75% immed. & def. 00 7,0 XXX 0 XXX 7, GAM 6.75% immed. & def ,497,50 XXX 0 XXX,497, a 6.75% deferred ,909,69 XXX,909,69 XXX 0

13 EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS Valuation Standard Total Industrial 4 Ordinary 5 Credit (Group and Individual) 6 Group a % immed. & def ,6 XXX 744,6 XXX GAR 6.50% immed. & def. 00 9,90 XXX 0 XXX 9, GAM 6.50% immed. & def ,479,68 XXX 0 XXX,479, a 6.50% immed. & def ,767,7 XXX 8,767,7 XXX CSG 6.50% immediate 986 4,69 XXX 0 XXX 4, a % immed. & def ,744 XXX 59,744 XXX GAR 6.5% immed. & def ,067,04 XXX 0 XXX 4,067, GAM 6.5% immed. & def ,795,945 XXX 0 XXX,795, a 6.5% immed. & def ,7,057 XXX 8,7,057 XXX CSG 6.5% immediate ,670 XXX 0 XXX 564, a % immed. & def ,570 XXX 86,570 XXX GAR 6.00% immed. & def ,06,06 XXX 0 XXX,06, GAM 6.00% immed. & def ,795,9 XXX 0 XXX,795, a 6.00% immed. & def ,080,070 XXX 67,080,070 XXX GAM 6.00% immed. & def , XXX 0 XXX 0, IAM 6.00% immediate ,486 XXX 496,486 XXX CSG 6.00% immediate ,594,5 XXX 0 XXX,594, GAM 5.75% immed. & def. 99 8,866,884 XXX 0 XXX 8,866, a 5.75% immed. & def ,698,94 XXX 5,698,94 XXX CSG 5.75% immediate 99 66,046 XXX 0 XXX 66, a % immed. & def ,48 XXX 74,48 XXX GAR 5.50% immed. & def ,586,67 XXX 0 XXX 4,586, a 5.50% immed. & def ,7,46 XXX 4,7,46 XXX CSG 5.50% immediate ,85 XXX 0 XXX 78, a % immed. & def , XXX 78, XXX GAR 5.5% immed. & def ,98 XXX 0 XXX 467, GAM 5.5% immed. & def ,497,079 XXX 0 XXX,497, a 5.5% immed. & def ,86,9 XXX 9,86,9 XXX CSG 5.5% immediate 99 5,670,40 XXX 0 XXX 5,670, a % immed. & def ,776 XXX 8,776 XXX GAR 5.00% immed. & def ,8,458 XXX 0 XXX,8, a 5.00% immed. & def ,95,0 XXX 48,95,0 XXX CSG 5.00% immediate 996,778,46 XXX 0 XXX,778, GAR 4.75% immed. & def ,950,96 XXX 0 XXX,950, a 4.75% immed. & def ,7,54 XXX 0,7,54 XXX CSG 4.75% immediate ,850,960 XXX 0 XXX,850, a 4.50% immed. & def ,85 XXX 5,85 XXX GAM 4.50% immed. & def ,4 XXX 0 XXX 4, CSG 4.50% immediate ,47,960 XXX 0 XXX,47, GAR 4.00% immed. & def. 0 46,869 XXX 0 XXX 46, CSG 4.00% immediate ,9,676 XXX 0 XXX,9, GAM.50% immed. & def ,867,447 XXX 0 XXX,867, IAM.50% immediate ,4 XXX 5,4 XXX GAM Mod..50% immed. & def , XXX 0 XXX 808, GAM.50% immediate 96-98,79 XXX 0 XXX, a-949 Ann. Mod..50% immed. & def ,59 XXX 9,59 XXX a-949 Annuity.50% immed. & def ,905 XXX 69,905 XXX SA Mod..00% immed. & def ,8 XXX 7,8 XXX GAM.75% immed. & def XXX 0 XXX GAM.50% immed. & def ,046 XXX 0 XXX, GAM.5% immed. & def. 980,7 XXX 0 XXX, SA Mod..50% immed. & def ,8 XXX 5,806 XXX 89, SA Mod..00% immed. & def XXX 488 XXX Totals (Gross),56,084,94 XXX,08,0,48 XXX 7,88, Reinsurance ceded,70,57,54 XXX,08,44,00 XXX 6,, Annuities: Totals (Net) 55,87,588 XXX 59,48 XXX 55,768, GAM.5% 7, , a.5% 4, 0 4, a 9.50% 6, , , GAM 9.50%, , a 8.75% 76, ,94 0, GAM 8.75% 4, , a 8.50% 5, , a 8.5% 0,98 0 9, 0 64, GAM 8.5% 4, , a 8.00%,70 0 8,89 0 0, GAM 8.00%, , a 7.75% 88,569 0, , GAM 7.75%, , GAM 7.50% 6, , IAM 7.50% 59, , , a 7.5% 4,87 0 4, a % Immed. 4,59 0 4, a 7.00% 58,506 0,87 0 5, a % Immed. 6,04 0 6, a 6.75% 5,45 0 5, a 6.50%,7 0, a % Immed. 4, , a 6.5% 7,79 0 7, a % Immed.,54 0, IAM 6.00% 6, , a % Immed. 80, , a % Immed. 70, , a % Immed. 7,8 0 7, a % Immed. 4,75 0 4, a % Immed. 86, , GAM Mod..50% 0, , GAM.50% 65, , a-949 Annuity.50%,9 0, SA Mod..00% 7,99 0 5, ,457.

14 EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS Valuation Standard Total Industrial 4 Ordinary 5 Credit (Group and Individual) 6 Group SA Mod..50%, ,66 0 5, Totals (Gross),485,7 0,49,060 0,056, Reinsurance ceded,485,7 0,49,060 0,056, SCWLC: Totals (Net) ADB with 980 CSO 4.50% 9,77 0 9, ADB with 958 CSO.00% 0, , IE with 94 CSO.50%,006 0, Totals (Gross) 4,48 0 4, Reinsurance ceded 4,48 0 4, Accidental Death Benefits: Totals (Net) DS with 980 CSO 4.50% 78,8 0 78, DS with 958 CSO.00% 9,95 0 9, DS with 958 CSO.5% 76, , Totals (Gross) 64, , Reinsurance ceded 64, , Disability-Active Lives: Totals (Net) Disability Study with 980 CSO 4.50% 6,499,56 0 6,499, Disability Study (Benefits 4 & 5).00%,087,80 0,087, Disability Study (Benefits 4 & 5).5% 90, , Group Life Disability Val. Table.00% 4,894, ,894, Totals (Gross),77,66 0 8,878,04 0 4,894, Reinsurance ceded,77,66 0 8,878,04 0 4,894, Disability-Disabled Lives: Totals (Net) Deficiency Reserves 4,7, ,5,86 0, Group Conversion Reserves 6, 0 6, Nondeduction of Deferred Fractional Premiums,6 0, Asset Adequacy Reserves 7,000, ,000, Totals (Gross) 76,56, ,44,799 0, Reinsurance ceded 76,56, ,44,799 0, Miscellaneous Reserves: Totals (Net) Totals (Net) - Page, Line 59,089,498 0,5, ,576,44.