ANNUAL STATEMENT OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY TO THE

Transcription

1 ANNUAL STATEMENT OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY TO THE Insurance Department OF THE STATE OF FOR THE YEAR ENDED DECEMBER 31, 2016 LIFE AND ACCIDENT AND HEALTH 2016

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3 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY ASSETS 1 Assets Current Year 2 Nonadmitted Assets 3 Net Admitted Assets (Cols. 1-2) Prior Year 4 Net Admitted Assets 1. Bonds (Schedule D) 2,544,247,002 2,544,247,002 2,313,191, Stocks (Schedule D): 2.1 Preferred stocks 23,081,279 23,081,279 25,727, Common stocks 3. Mortgage loans on real estate (Schedule B): 3.1 First liens 180,555, ,555, ,891, 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 $ encumbrances) 4.3 Properties held for sale (less $ encumbrances) 5. Cash ($ (894,867), Schedule E - Part 1), cash equivalents ($, Schedule E - Part 2) and short-term investments ($ 8,435,559, Schedule DA) 7,540,692 7,540,692 15,299, Contract loans (including $ 0 premium notes) 8,219,705 8,831 8,210,874 8,723, Derivatives (Schedule DB) 28,000 28,000 36, Other invested assets (Schedule BA) 79,412,746 79,412,746 73,736, Receivables for securities 2,522,278 2,522,278 2,791, Securities lending reinvested collateral assets (Schedule DL) 11. Aggregate write-ins for invested assets 12. Subtotals, cash and invested assets (Lines 1 to 11) 2,845,607,645 8,831 2,845,598,814 2,650,397, Title plants less $ 0 charged off (for Title insurers only) 14. Investment income due and accrued 34,743,682 34,743,682 33,171, s and considerations: 15.1 Uncollected premiums and agents' balances in the course of collection 2,276,020 2,276,020 2,178, Deferred premiums and agents' balances and installments booked but deferred and not yet due (including $ 0 earned but unbilled premiums) 45,786,839 45,786,839 42,884, Accrued retrospective premiums ($ ) and 16. Reinsurance: contracts subject to redetermination ($ ) 16.1 Amounts recoverable from reinsurers 119, , , Funds held by or deposited with reinsured companies 16.3 Other amounts receivable under reinsurance contracts 12,262 12,262 10, Amounts receivable relating to uninsured plans 18.1 Current federal and foreign income tax recoverable and interest thereon 1,947,074 1,947, , Net deferred tax asset 71,532,327 41,857,330 29,674,997 29,137, Guaranty funds receivable or on deposit 557, , , Electronic data processing equipment and software 21. Furniture and equipment, including health care delivery assets ($ 0 ) 22. Net adjustment in assets and liabilities due to foreign exchange rates 23. Receivables from parent, subsidiaries and affiliates 1,118,524 1,118,524 1,908, Health care ($ 0 ) and other amounts receivable 4,303,892 4,035, , , Aggregate write-ins for other than invested assets 6,042,529 6,042, Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) 3,014,047,704 51,944,470 2,962,103,234 2,761,648, From Separate Accounts, Segregated Accounts and Protected Cell Accounts 28. Total (Lines 26 and 27) 3,014,047,704 51,944,470 2,962,103,234 2,761,648, DETAILS OF WRITE-INS Summary of remaining write-ins for Line 11 from overflow page Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above) Interest maintenance reserve asset 5,945,979 5,945, Prepaid expenses 95,588 95, Other receivables Summary of remaining write-ins for Line 25 from overflow page Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) 6,042,529 6,042,529 2

4 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY LIABILITIES, SURPLUS AND OTHER FUNDS 1 2 Prior Year Current Year 1. Aggregate reserve for life contracts $ 2,735,499,466 (Exh. 5, Line ) less $ 0 included in Line 6.3 (including $ 668,949 Modco Reserve) 2,735,499,466 2,559,057, Aggregate reserve for accident and health contracts (including $ Modco Reserve) 141, , Liability for deposit-type contracts (Exhibit 7, Line 14, Col. 1) (including $ 0 Modco Reserve) 27,508,138 27,360, Contract claims: 4.1 Life (Exhibit 8, Part 1, Line 4.4, Col. 1 less sum of Cols. 9, 10 and 11) 13,179,180 12,655, Accident and health (Exhibit 8, Part 1, Line 4.4, sum of Cols. 9, 10 and 11) 70,000 70, Policyholders dividends $ 0 and coupons $ 0 due and unpaid (Exhibit 4, Line 10) 6. Provision for policyholders dividends and coupons payable in following calendar year - estimated amounts: 6.1 Dividends apportioned for payment (including $ 0 Modco) 631, , Dividends not yet apportioned (including $ 0 Modco) 6.3 Coupons and similar benefits (including $ 0 Modco) 7. Amount provisionally held for deferred dividend policies not included in Line 6 8. s and annuity considerations for life and accident and health contracts received in advance less $ 0 discount; including $ 44 accident and health premiums (Exhibit 1, Part 1, Col. 1, sum of lines 4 and 14) 4,376,684 4,595, Contract liabilities not included elsewhere: 9.1 Surrender values on canceled contracts 9.2 Provision for experience rating refunds, including the liability of $ 0 accident and health experience rating refunds of which $ is for medical loss ratio rebate per the Public Health Service Act 9.3 Other amounts payable on reinsurance, including $ 5,913 assumed and $ 0 ceded 5,913 14, Interest maintenance reserve (IMR, Line 6) 10. Commissions to agents due or accrued-life and annuity contracts $ 2,342,778 accident and health $ 0 and deposit-type contract funds $ 0 2,342,778 1,743, Commissions and expense allowances payable on reinsurance assumed 22,180 23, General expenses due or accrued (Exhibit 2, Line 12, Col. 6) 3,170,829 3,710, Transfers to Separate Accounts due or accrued (net) (including $ 0 accrued for expense allowances recognized in reserves, net of reinsured allowances) 14. Taxes, licenses and fees due or accrued, excluding federal income taxes (Exhibit 3, Line 9, Col. 5) 1,864,710 1,615, Current federal and foreign income taxes, including $ 0 on realized capital gains (losses) 15.2 Net deferred tax liability 16. Unearned investment income 163,178 82, Amounts withheld or retained by company as agent or trustee 22,559 32, Amounts held for agents' account, including $ 0 agents' credit balances 19. Remittances and items not allocated 1,599,949 2,457, 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 $ 0 and interest thereon $ Dividends to stockholders declared and unpaid 24. Miscellaneous liabilities: Asset valuation reserve (AVR, Line 16, Col. 7) 26,637,058 23,758, Reinsurance in unauthorized and certified ($ ) companies Funds held under reinsurance treaties with unauthorized and certified ($ ) reinsurers Payable to parent, subsidiaries and affiliates 828, , Drafts outstanding Liability for amounts held under uninsured plans Funds held under coinsurance Derivatives Payable for securities 22,629, , Payable for securities lending Capital notes $ 0 and interest thereon $ Aggregate write-ins for liabilities 5,959,373 6,539, Total liabilities excluding Separate Accounts business (Lines 1 to 25) 2,846,652,730 2,645,980, From Separate Accounts Statement 28. Total liabilities (Lines 26 and 27) 2,846,652,730 2,645,980, Common capital stock 2,500,000 2,500, Preferred capital stock 31. Aggregate write-ins for other than special surplus funds 32. Surplus notes 33. Gross paid in and contributed surplus (Page 3, Line 33, Col. 2 plus Page 4, Line 51.1, Col. 1) 72,253,920 72,253, Aggregate write-ins for special surplus funds 35. Unassigned funds (surplus) 40,696,584 40,913, Less treasury stock, at cost: shares common (value included in Line 29 $ 0 ) shares preferred (value included in Line 30 $ 0 ) 37. Surplus (Total Lines ) (including $ 0 in Separate Accounts Statement) 112,950, ,167, Totals of Lines 29, 30 and 37 (Page 4, Line 55) 115,450, ,667, Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3) 2,962,103,234 2,761,648,470 DETAILS OF WRITE-INS Unclaimed funds 4,630,514 5,042, Deferred gain on sale of real estate 1,328,859 1,496, Summary of remaining write-ins for Line 25 from overflow page Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) 5,959,373 6,539, Summary of remaining write-ins for Line 31 from overflow page Totals (Lines 3101 thru 3103 plus 3198)(Line 31 above) Summary of remaining write-ins for Line 34 from overflow page Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above) 3

5 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY SUMMARY OF OPERATIONS 1 Current Year 2 Prior Year 1. s and annuity considerations for life and accident and health contracts (Exhibit 1, Part 1, Line 20.4, Col. 1, less Col. 11) 530,456, ,647, Considerations for supplementary contracts with life contingencies 3. Net investment income (Exhibit of Net Investment Income, Line 17) 144,631, ,744, Amortization of Interest Maintenance Reserve (IMR, Line 5) 291, , Separate Accounts net gain from operations excluding unrealized gains or losses 6. Commissions and expense allowances on reinsurance ceded (Exhibit 1, Part 2, Line 26.1, Col. 1) 75,409 85, Reserve adjustments on reinsurance ceded 8. Miscellaneous Income: 8.1 Income from fees associated with investment management, administration and contract guarantees from Separate Accounts 8.2 Charges and fees for deposit-type contracts 8.3 Aggregate write-ins for miscellaneous income 593, , Total (Lines 1 to 8.3) 676,047, ,237, Death benefits 258,667, ,483, Matured endowments (excluding guaranteed annual pure endowments) 3,119,917 3,315, Annuity benefits (Exhibit 8, Part 2, Line 6.4, Cols ) 12,308,558 15,496, Disability benefits and benefits under accident and health contracts 31,840 37, Coupons, guaranteed annual pure endowments and similar benefits 13,965 14, Surrender benefits and withdrawals for life contracts 7,359,725 8,301, Group conversions 17. Interest and adjustments on contract or deposit-type contract funds 917, , Payments on supplementary contracts with life contingencies 14,773 20, Increase in aggregate reserves for life and accident and health contracts 176,433, ,039, Totals (Lines 10 to 19) 458,867, ,350, Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) (Exhibit 1, Part 2, Line 31, Col. 1) 129,239, ,466, Commissions and expense allowances on reinsurance assumed (Exhibit 1, Part 2, Line 26.2, Col. 1) 276, , General insurance expenses (Exhibit 2, Line 10, Cols. 1, 2, 3 and 4) 22,901,045 24,078, Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit 3, Line 7, Cols ) 12,924,171 11,734, Increase in loading on deferred and uncollected premiums 3,391,908 4,741, Net transfers to or (from) Separate Accounts net of reinsurance 27. Aggregate write-ins for deductions 5,166 (1,614) 28. Totals (Lines 20 to 27) 627,605, ,667, Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28) 48,441,946 39,570, Dividends to policyholders 526, , Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30) 47,915,237 39,008, Federal and foreign income taxes incurred (excluding tax on capital gains) 15,227,726 12,382, Net gain from operations after dividends to policyholders and federal income taxes and before realized capital gains or (losses) (Line 31 minus Line 32) 32,687,511 26,626, Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of $ (2,135,956) (excluding taxes of $ (2,833,563) transferred to the IMR) 1,850,156 (87,772) 35. Net income (Line 33 plus Line 34) 34,537,667 26,539,000 CAPITAL AND SURPLUS ACCOUNT 36. Capital and surplus, December 31, prior year (Page 3, Line 38, Col. 2) 115,667, ,433, Net income (Line 35) 34,537,667 26,539, Change in net unrealized capital gains (losses) less capital gains tax of $ 144, ,648 (41,455) 39. Change in net unrealized foreign exchange capital gain (loss) 40. Change in net deferred income tax (2,859,549) (1,157,574) 41. Change in nonadmitted assets (4,284,830) 1,210, Change in liability for reinsurance in unauthorized and certified companies 43. Change in reserve on account of change in valuation basis, (increase) or decrease 44. Change in asset valuation reserve (2,878,287) (1,315,983) 45. Change in treasury stock (Page 3, Lines 36.1 and 36.2, Col. 2 minus Col. 1) 46. Surplus (contributed to) withdrawn from Separate Accounts during period 47. Other changes in surplus in Separate Accounts Statement 48. Change in surplus notes 49. Cumulative effect of changes in accounting principles 50. Capital changes: 50.1 Paid in 50.2 Transferred from surplus (Stock Dividend) 50.3 Transferred to surplus 51. Surplus adjustment: 51.1 Paid in 51.2 Transferred to capital (Stock Dividend) 51.3 Transferred from capital 51.4 Change in surplus as a result of reinsurance 52. Dividends to stockholders (25,000,000) (22,000,000) 53. Aggregate write-ins for gains and losses in surplus 54. Net change in capital and surplus for the year (Lines 37 through 53) (217,352) 3,234, Capital and surplus, December 31, current year (Lines ) (Page 3, Line 38) 115,450, ,667,856 DETAILS OF WRITE-INS Administrative fees 579, , Miscellaneous income 14, , Summary of remaining write-ins for Line 8.3 from overflow page Totals (Lines thru plus )(Line 8.3 above) 593, , Fines and penalties 5,166 (1,614) Summary of remaining write-ins for Line 27 from overflow page Totals (Lines 2701 thru 2703 plus 2798)(Line 27 above) 5,166 (1,614) Summary of remaining write-ins for Line 53 from overflow page Totals (Lines 5301 thru 5303 plus 5398)(Line 53 above) 4

6 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY CASH FLOW 1 2 Current Year Prior Year Cash from Operations 1. s collected net of reinsurance 523,845, ,757, Net investment income 143,669, ,910, Miscellaneous income 920,797 1,385, Total (Lines 1 through 3) 668,435, ,053, Benefit and loss related payments 281,884, ,293, Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts 7. Commissions, expenses paid and aggregate write-ins for deductions 167,098, ,447, Dividends paid to policyholders 555, , Federal and foreign income taxes paid (recovered) net of $ tax on capital gains (losses) 11,683,967 11,960, Total (Lines 5 through 9) 461,222, ,288, Net cash from operations (Line 4 minus Line 10) 207,212, ,765,586 Cash from Investments 12. Proceeds from investments sold, matured or repaid: 12.1 Bonds 701,092, ,395, Stocks 12,121,911 2,219, Mortgage loans 102,737,482 33,260, Real estate 12.5 Other invested assets 11,394, Net gains or (losses) on cash, cash equivalents and short-term investments (14,475) 12.7 Miscellaneous proceeds 22,128,398 53,826, Total investment proceeds (Lines 12.1 to 12.7) 849,474, ,687, Cost of investments acquired (long-term only): 13.1 Bonds 943,466, ,132, Stocks 9,546,470 5,262, Mortgage loans 69,600,000 41,490, Real estate 13.5 Other invested assets 17,152,677 1,245, Miscellaneous applications 2,791, Total investments acquired (Lines 13.1 to 13.6) 1,039,765, ,922, Net increase (decrease) in contract loans and premium notes (509,256) (647,298) 15. Net cash from investments (Line 12.8 minus Line 13.7 minus Line 14) (189,781,170) (105,587,571) 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 147, , Dividends to stockholders 25,000,000 22,000, Other cash provided (applied) (337,934) (53,435,793) 17. Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6) (25,190,474) (74,795,819) 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) (7,758,958) (617,804) 19. Cash, cash equivalents and short-term investments: 19.1 Beginning of year 15,299,649 15,917, End of year (Line 18 plus Line 19.1) 7,540,692 15,299,649 Note: Supplemental disclosures of cash flow information for non-cash transactions: 5

7 6 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY ANALYSIS OF OPERATIONS BY LINES OF BUSINESS 1 2 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 1. s and annuity considerations for life and accident and health contracts 530,456,055 3, ,590,246 2,212, ,647,365 1,999,851 1, Considerations for supplementary contracts with life contingencies 3. Net investment income 144,631, ,835 49,951,390 4,472, ,767 88,242,394 1,298,973 14, Amortization of Interest Maintenance Reserve (IMR) 291, ,374 8, ,682 2, Separate Accounts net gain from operations excluding unrealized gains or losses 6. Commissions and expense allowances on reinsurance ceded 75,409 75, Reserve adjustments on reinsurance ceded 8. Miscellaneous Income: 8.1 Fees associated with income from investment management, administration and contract guarantees from Separate Accounts 8.2 Charges and fees for deposit-type contracts 8.3 Aggregate write-ins for miscellaneous income 593, ,016 57,123 98,881 9, Totals (Lines 1 to 8.3) 676,047, , ,144,334 6,750, , ,168,322 3,311,077 16, Death benefits 258,667, ,422 99,592, ,950, Matured endowments (excluding guaranteed annual pure endowments) 3,119,917 8,267 1,406,000 1,705, Annuity benefits 12,308,558 8,500,703 3,807, Disability benefits and benefits under accident and health contracts 31,840 6,500 25, Coupons, guaranteed annual pure endowments and similar benefits 13,965 13, Surrender benefits and withdrawals for life contracts 7,359,725 7,511 2,785, ,860 4,038,007 66, Group conversions 17. Interest and adjustments on contract or deposit-type contract funds 917, , ,562 68, Payments on supplementary contracts with life contingencies 14,773 14, Increase in aggregate reserves for life and accident and health contracts 176,433,929 (74,076) 47,510,343 (4,886,419) (17,966) 135,186,307 (1,275,888) (8,372) 20. Totals (Lines 10 to 19) 458,867,601 66, ,021,292 4,077, , ,949,537 2,598,075 16, Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only) 129,239,428 42,326, ,736 86,572, , Commissions and expense allowances on reinsurance assumed 276, ,696 13,920 91,234 9, General insurance expenses 22,901, ,118 9,847, ,736 34,324 12,328, , Insurance taxes, licenses and fees, excluding federal income taxes 12,924, ,018,452 32, ,823,444 49, Increase in loading on deferred and uncollected premiums 3,391,908 (130) 1,425,905 1,966, Net transfers to or (from) Separate Accounts net of reinsurance 27. Aggregate write-ins for deductions 5,166 1, , Totals (Lines 20 to 27) 627,605, , ,803,640 4,541, , ,734,929 3,152,518 16, Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28) 48,441,946 (6,039) 9,340,694 2,208, ,006 36,433, ,559 (623) 30. Dividends to policyholders 526, , Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30) 47,915,237 (6,039) 8,813,985 2,208, ,006 36,433, ,559 (623) 32. Federal income taxes incurred (excluding tax on capital gains) 15,227,726 (4,652) 3,172, ,786 96,556 11,322,815 34,916 (220) 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) 32,687,511 (1,387) 5,641,460 1,603, ,450 25,110, ,643 (403) DETAILS OF WRITE-INS Administrative fees 579, ,173 57,078 91,234 9, Miscellaneous income 14,535 6, , Summary of remaining write-ins for Line 8.3 from overflow page Totals (Lines thru plus ) (Line 8.3 above) 593, ,016 57,123 98,881 9, Fines and penalties 5,166 1, , Summary of remaining write-ins for Line 27 from overflow page Totals (Lines 2701 thru 2703 plus 2798) (Line 27 above) 5,166 1, , (a) Includes the following amounts for FEGLI/SGLI: Line 1, Line 10, Line 16, Line 23, Line 24

8 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY ANALYSIS OF INCREASE IN RESERVES DURING THE YEAR 1 2 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) 1. Reserve December 31, prior year 2,559,057,165 3,225, ,866,663 84,024, ,660 1,574,364,761 24,463, Tabular net premiums or considerations 350,368,759 2, ,562,332 1,503, ,441,015 1,859, Present value of disability claims incurred XXX 4. Tabular interest 105,174, ,877 36,024,189 2,525,392 3,062 65,782, , Tabular less actual reserve released 30,052 1,977 34,330 (6,255) 6. Increase in reserve on account of change in valuation basis 7 7. Other increases (net) 8. Totals (Lines 1 to 7) 3,014,630,616 3,341,351 1,022,455,161 88,088, ,467 1,873,588,494 27,048, Tabular cost 87,888,884 70,956 32,183,972 XXX 55,633, Reserves released by death 166,623, ,758 64,402,419 XXX XXX 102,118,718 XXX 11. Reserves released by other terminations (net) 12,315,483 16,500 5,485, ,860 6,284,752 66, Annuity, supplementary contract and disability payments involving life contingencies 12,302,887 6,500 8,486,929 14,773 3,794, Net transfers to or (from) Separate Accounts 14. Total Deductions (Lines 9 to 13) 279,131, , ,078,155 8,949,789 14, ,037,426 3,860, Reserve December 31, current year 2,735,499,466 3,151, ,377,007 79,138,292 94,694 1,709,551,067 23,187,268

9 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT OF NET INVESTMENT INCOME 1 2 Collected During Year Earned During Year 1. U.S. Government bonds (a) 3,313,912 3,293, Bonds exempt from U.S. tax (a) 1.2 Other bonds (unaffiliated) (a) 127,359, ,878, Bonds of affiliates (a) 2.1 Preferred stocks (unaffiliated) (b) 1,630,705 1,658, Preferred stocks of affiliates (b) 2.2 Common stocks (unaffiliated) 2.21 Common stocks of affiliates 3. Mortgage loans (c) 9,198,513 8,966, Real estate (d) 5 Contract loans 518, ,980 6 Cash, cash equivalents and short-term investments (e) 93,769 93,769 7 Derivative instruments (f) 8. Other invested assets 4,233,112 4,321, Aggregate write-ins for investment income Total gross investment income 146,347, ,828, Investment expenses (g) 3,197, Investment taxes, licenses and fees, excluding federal income taxes (g) 13. Interest expense (h) 14. Depreciation on real estate and other invested assets (i) 15. Aggregate write-ins for deductions from investment income 16. Total deductions (Lines 11 through 15) 3,197, Net investment income (Line 10 minus Line 16) 144,631,127 DETAILS OF WRITE-INS Other investment income Summary of remaining write-ins for Line 9 from overflow page Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above) Summary of remaining write-ins for Line 15 from overflow page Totals (Lines 1501 thru 1503 plus 1598) (Line 15, above) (a) Includes $ 3,707,198 accrual of discount less $ 4,078,602 amortization of premium and less $ 6,413,959 paid for accrued interest on purchases. (b) Includes $ accrual of discount less $ amortization of premium and less $ 110,941 paid for accrued dividends on purchases. (c) Includes $ 1,731 accrual of discount less $ 34,314 amortization of premium and less $ paid for accrued interest on purchases. (d) Includes $ for company s occupancy of its own buildings; and excludes $ interest on encumbrances. (e) Includes $ accrual of discount less $ amortization of premium and less $ paid for accrued interest on purchases. (f) Includes $ accrual of discount less $ amortization of premium. (g) Includes $ investment expenses and $ investment taxes, licenses and fees, excluding federal income taxes, attributable to segregated and Separate Accounts. (h) Includes $ interest on surplus notes and $ interest on capital notes. (i) Includes $ depreciation on real estate and $ depreciation on other invested assets. EXHIBIT OF CAPITAL GAINS (LOSSES) Realized Gain (Loss) On Sales or Maturity Other Realized Adjustments Total Realized Capital Gain (Loss) (Columns 1 + 2) Change in Unrealized Capital Gain (Loss) 1. U.S. Government bonds 1.1 Bonds exempt from U.S. tax 1.2 Other bonds (unaffiliated) (10,858,693) (88,218) (10,946,911) 1.3 Bonds of affiliates 2.1 Preferred stocks (unaffiliated) (70,870) (70,870) 2.11 Preferred stocks of affiliates 2.2 Common stocks (unaffiliated) 2.21 Common stocks of affiliates 3. Mortgage loans 2,834,237 2,834, Real estate 167, , Contract loans 6. Cash, cash equivalents and short-term investments 7. Derivative instruments (8,000) 8. Other invested assets (372,393) (372,393) 419, Aggregate write-ins for capital gains (losses) 6,843 6, Total capital gains (losses) (8,293,475) (88,218) (8,381,693) 411,767 DETAILS OF WRITE-INS Litigation proceeds 6,843 6, Summary of remaining write-ins for Line 9 from overflow page Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above) 6,843 6,843 Change in Unrealized Foreign Exchange Capital Gain (Loss) 8

10 9 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT - 1 PART 1 - PREMIUMS AND ANNUITY CONSIDERATIONS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS 1 2 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) 1. Uncollected 1,121, , , Deferred and accrued 24,470,411 8,947,624 15,522, Deferred, accrued and uncollected: 3.1 Direct 25,591,677 9,207,802 16,383, Reinsurance assumed 3.3 Reinsurance ceded 3.4 Net (Line 1 + Line 2) 25,591,677 9,207,802 16,383, Advance 211,600 74, , Line Line 4 25,380,077 9,132,923 16,247, Collected during year: 6.1 Direct 47,043,339 14,849, ,960 30,832, , Reinsurance assumed 6.3 Reinsurance ceded 6.4 Net 47,043,339 14,849, ,960 30,832, , Line 5 + Line ,423,416 23,982, ,960 47,079, , Prior year (uncollected + deferred and accrued - advance) 24,749,619 8,074,847 16,674, First year premiums and considerations: 9.1 Direct 47,673,800 15,907, ,960 30,404, , Reinsurance assumed 9.3 Reinsurance ceded 9.4 Net (Line 7 - Line 8) 47,673,800 15,907, ,960 30,404, ,537 SINGLE 10. Single premiums and considerations: 10.1 Direct 336,525, ,536, , ,372, , Reinsurance assumed (24,026) 19 (24,045) 10.3 Reinsurance ceded 10.4 Net 336,501, ,536, , ,348, ,636 RENEWAL 11. Uncollected 3,090, , ,752 1,984, Deferred and accrued 66,961,034 1,927 21,326,793 45,632, Deferred, accrued and uncollected: 13.1 Direct 70,064,826 1,985 21,923, ,752 47,617, Reinsurance assumed Reinsurance ceded 13,021 13, Net (Line 11 + Line 12) 70,051,858 1,985 21,910, ,752 47,617, Advance 4,165, ,428,989 2,735, Line Line 14 65,886,774 1,728 20,481, ,752 44,881,392 (20) 16. Collected during year: 16.1 Direct 140,512,114 4,244 44,155,270 1,272,886 94,082, ,678 2, Reinsurance assumed Reinsurance ceded 212, , Net 140,300,155 4,244 43,943,816 1,272,886 94,082, ,678 1, Line 15 + Line ,186,929 5,972 64,425,738 1,794, ,964, ,678 1, Prior year (uncollected + deferred and accrued - advance) 59,906,438 1,991 18,279, ,906 41,069, Renewal premiums and considerations: 19.1 Direct 146,479,558 3,982 46,344,479 1,239,732 97,894, ,678 2, Reinsurance assumed Reinsurance ceded 199, , Net (Line 17 - Line 18) 146,280,490 3,982 46,145,916 1,239,732 97,894, ,678 1,814 TOTAL 20. Total premiums and annuity considerations: 20.1 Direct 530,679,149 3, ,788,809 2,212, ,671,410 1,999,851 2, Reinsurance assumed (23,631) (24,045) 20.3 Reinsurance ceded 199, , Net (Lines ) 530,456,055 3, ,590,246 2,212, ,647,365 1,999,851 1,814

11 10 DIVIDENDS AND COUPONS APPLIED (included in Part 1) ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT - 1 PART 2 - DIVIDENDS AND COUPONS APPLIED, REINSURANCE COMMISSIONS AND EXPENSE ALLOWANCES AND COMMISSIONS INCURRED (Direct Business Only) 1 2 Ordinary 5 Group Accident and Health Total Industrial Life Life Insurance 21. To pay renewal premiums 35,266 35, All other 257, ,784 REINSURANCE COMMISSIONS AND EXPENSE ALLOWANCES INCURRED 23. First year (other than single): 23.1 Reinsurance ceded 23.2 Reinsurance assumed 23.3 Net ceded less assumed 24. Single: 24.1 Reinsurance ceded 24.2 Reinsurance assumed 24.3 Net ceded less assumed 25. Renewal: Individual Annuities Credit Life (Group and Individual) Life Insurance Annuities Group Credit (Group and Individual) 25.1 Reinsurance ceded 75,409 75, Reinsurance assumed 276, ,696 13,920 91,234 9, Net ceded less assumed (201,187) (86,388) (13,920) (91,234) (9,746) Totals: 26.1 Reinsurance ceded (Page 6, Line 6) 75,409 75, Reinsurance assumed (Page 6, Line 22) 276, ,696 13,920 91,234 9, Net ceded less assumed (201,187) (86,388) (13,920) (91,234) (9,746) 101 COMMISSIONS INCURRED (direct business only) 27. First year (other than single) 61,761,621 20,935, ,652 40,537, , Single 65,720,733 19,658,843 4,336 46,034,283 23, Renewal 1,757,074 1,733,025 23, Deposit-type contract funds 31. Totals (to agree with Page 6, Line 21) 129,239,428 42,326, ,736 86,572, ,325 Other Aggregate of All Other Lines of Business

12 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT 2 - GENERAL EXPENSES Insurance Accident and Health 4 Life 2 Cost Containment 3 All Other All Other Lines of Business Investment Total 1. Rent 1,528,872 1,528, Salaries and wages 13,047,872 13,047, Contributions for benefit plans for employees 2,940,364 2,940, 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 167, , Other agent welfare 4.1 Legal fees and expenses 35,649 35, Medical examination fees 4.3 Inspection report fees 645, , Fees of public accountants and consulting actuaries 139, , Expense of investigation and settlement of policy claims 226, , Traveling expenses 1,272,917 1,272, Advertising 112, , Postage, express, telegraph and telephone 1,241,121 1,241, Printing and stationery 351, , Cost or depreciation of furniture and equipment 79,357 79, Rental of equipment 25,317 25, Cost or depreciation of EDP equipment and software 170, , Books and periodicals 4,565 4, Bureau and association fees 82,102 82, Insurance, except on real estate 136, , Miscellaneous losses 34,167 34, Collection and bank service charges 351, , Sundry general expenses 100, , Group service and administration fees (3,513,858) (3,513,858) 6.8 Reimbursements by uninsured plans 7.1 Agency expense allowance 8,474 8, Agents balances charged off (less $ 0 recovered) 5,143 5, Agency conferences other than local meetings 880, , Real estate expenses 9.2 Investment expenses not included elsewhere 208, , Aggregate write-ins for expenses 2,825,926 2,989,262 5,815, General expenses incurred 22,901,045 3,197,426 (a) 26,098, General expenses unpaid December 31, prior year 3,692,605 17,511 3,710, General expenses unpaid December 31, current year 3,156,837 13,992 3,170, Amounts receivable relating to uninsured plans, prior year 14. Amounts receivable relating to uninsured plans, current year 15. General expenses paid during year (Lines ) 23,436,813 3,200,945 26,637,758 DETAILS OF WRITE-INS IT chargeback 2,665,761 2,665, Management fees 646,207 2,989,262 3,635, Outside technical services (486,042) (486,042) Summary of remaining write-ins for Line 9.3 from overflow page Totals (Lines thru plus ) (Line 9.3 above) 2,825,926 2,989,262 5,815,188 (a) Includes management fees of $ 3,635,469 to affiliates and $ to non-affiliates. EXHIBIT 3 - TAXES, LICENSES AND FEES (EXCLUDING FEDERAL INCOME TAXES) Insurance Life 2 Accident and Health 3 All Other Lines of Business Investment Total 1. Real estate taxes 2. State insurance department licenses and fees 377, , State taxes on premiums 10,797,702 10,797, Other state taxes, including $ 34,001 for employee benefits 206, , U.S. Social Security taxes 920, , All other taxes 621, , Taxes, licenses and fees incurred 12,924,171 12,924, Taxes, licenses and fees unpaid December 31, prior year 1,615,735 1,615, Taxes, licenses and fees unpaid December 31, current year 1,864,710 1,864, Taxes, licenses and fees paid during year (Lines ) 12,675,196 12,675,196 EXHIBIT 4 - DIVIDENDS OR REFUNDS 1 Life 1. Applied to pay renewal premiums 35, Applied to shorten the endowment or premium-paying period 3. Applied to provide paid-up additions 257, Applied to provide paid-up annuities 5. Total Lines 1 through 4 293, Paid in cash 28, Left on deposit 247, Aggregate write-ins for dividend or refund options 9. Total Lines 5 through 8 569, Amount due and unpaid 11. Provision for dividends or refunds payable in the following calendar year 631, Terminal dividends 13. Provision for deferred dividend contracts 14. Amount provisionally held for deferred dividend contracts not included in Line Total Lines 10 through , Total from prior year 659, Total dividends or refunds (Lines ) 540,675 DETAILS OF WRITE-INS Summary of remaining write-ins for Line 8 from overflow page Totals (Lines 0801 thru 0803 plus 0898) (Line 8 above) 2 Accident and Health 11

13 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS 1 Valuation Standard 2 Total 3 Industrial 4 Ordinary 5 Credit (Group and Individual) 6 Group CSO 130% ANB 2.5% Net Level 2,077 2, CSO 130% ANB 3% Net Level 93,306 93, CSO ANB 2.5% CRVM 2,546,208 2,546, CSO ANB 2.5% Net Level 636, , CSO ANB 2.75% Net Level 4,053 4, CSO ANB 3% CRVM 2,401,029 2,401, CSO ANB 3% Full Preliminary Term 8,802 8, CSO ANB 3% Net Level 6,077,444 6,077, CSO ANB 4% Net Level 2,118 2, CET ALB M/F 2.5% Net Level 49,968 49, CET ALB M/F 3% Net Level 312, , CET ALB M/F 3.5% Net Level 177, , CET ALB M/F 4% Net Level 158, , CET ALB M/F 4.5% Net Level 97,636 97, CET ANB M/F 0% Net Level 39,426 39, CET ANB M/F 2.5% Net Level 1,037 1, CET ANB M/F 3% Net Level 748, , CET ANB M/F 3.5% Net Level 395,267 42, , CET ANB M/F 4% Net Level 25,370 25, CET ALB Male Joint 3.5% Net Level CSO ALB M/F 2.5% Net Level 55,793 55, CSO ALB M/F 3% CRVM 11,047,042 11,046, CSO ALB M/F 3% Net Level 4,271,766 4,271, CSO ALB M/F 3% New Jersey Standard 3,570 3, CSO ALB M/F 3.5% CRVM 6,018,099 6,018, CSO ALB M/F 3.5% Net Level 732, , CSO ALB M/F 3.5% Initial / 2.5% Ultimate CRVM 1,100,907 1,100, CSO ALB M/F 4% CRVM 2,267,267 2,267, CSO ALB M/F 4% Net Level 290, , CSO ALB M/F 4.5% CRVM 3,842,547 3,842, CSO ALB M/F 4.5% Net Level 330, , CSO ALB M/F 5.5% Net Level 34,455 34, CSO ALB Male Joint 3.5% CRVM 97,174 97, CSO ANB M/F 0% CRVM 1,174,363 1,174, CSO ANB M/F 2.5% CRVM 982, , CSO ANB M/F 2.5% Net Level 143, , CSO ANB M/F 3% CRVM 6,981,978 6,981, CSO ANB M/F 3% Full Preliminary Term 11,371 11, CSO ANB M/F 3% Net Level 18,716,956 18,716, CSO ANB M/F 3.5% CRVM 2,201,628 2,201, CSO ANB M/F 3.5% Full Preliminary Term 663, , CSO ANB M/F 3.5% Net Level 10,252,108 3,111 10,248, CSO ANB M/F 4% CRVM 2,070,452 2,070, CSO ANB M/F 4% Net Level 464, , CSO ANB M/F 4.5% Net Level 1,709 1, CSO ANB M/F 5% Net Level 3,355 3, CSI Age Next Birthday 3.5% CRVM 126, , CET ALB Blended 50/50 4% Net Level 935, ,623 6, CET ALB Blended 50/50 4.5% Net Level 141, ,132 1, CET ALB Blended 50/50 5% Net Level 21,753 21, CET ALB Blended 50/50 5.5% Net Level 19,674 19, CET ALB Blended Joint 4.5% Net Level CET ALB M/F 3.5% Net Level 2,965 1,630 1, CET ALB M/F 4% Net Level 166, ,489 5, CET ALB M/F 4.5% Net Level 313, , CET ALB M/F 5% Net Level 59,571 59, CET ALB M/F 5.5% Net Level 104, , CET ALB M/F 6% Net Level 56,146 56, CET ALB M/F 6% Initial / 4% Ultimate Net Level 49,147 49, CET ANB M/F 4.5% Net Level CET ANB M/F 6% Net Level CSO ALB Blended 50/50 3.5% CRVM 70,707,598 25,675,882 45,031, CSO ALB Blended 50/50 3.5% Net Level 324,475, ,690, ,785, CSO ALB Blended 50/50 4% CRVM 113,419,054 40,962,472 72,456, CSO ALB Blended 50/50 4% Net Level 273,388, ,802, ,585, CSO ALB Blended 50/50 4.5% CRVM 129,248,127 73,972,518 55,275, CSO ALB Blended 50/50 4.5% Net Level 172,876,206 64,983, ,892, CSO ALB Blended 50/50 5% CRVM 6,755,476 6,755, CSO ALB Blended 50/50 5% Net Level 313, , CSO ALB Blended 50/50 5.5% CRVM 2,678,008 2,678, CSO ALB Blended 50/50 5.5% Net Level 24,840 24, CSO ALB Blended C Nonsmoker/Smoker 5% CRVM 95,968 95, CSO ALB Blended C Nonsmoker/Smoker 5% Net Level 11,280 11, CSO ALB Blended Joint 4% CRVM 2,837 2, CSO ALB Blended Joint 4% Net Level CSO ALB Blended Joint 4.5% CRVM 134, , CSO ALB Blended Joint 5.5% CRVM 2,701 2, CSO ALB M/F 3% Net Level 2,880 2, CSO ALB M/F 3.5% CRVM 276,148,091 75,405, ,742, CSO ALB M/F 3.5% Net Level 359,625,491 82,432, ,192, CSO ALB M/F 4% CRVM 187,718,461 42,865, ,853, CSO ALB M/F 4% Net Level 309,282,858 54,541, ,740, CSO ALB M/F 4.5% CRVM 115,208,791 52,301,471 62,907, CSO ALB M/F 4.5% Net Level 161,659,755 15,857, ,801, CSO ALB M/F 5% CRVM 4,408,985 4,408, CSO ALB M/F 5% Net Level 127, ,804 2, CSO ALB M/F 5.5% CRVM 10,066,804 10,066, CSO ALB M/F 5.5% Net Level 638, ,900 12

14 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS 1 Valuation Standard 2 Total 3 Industrial 4 Ordinary 5 Credit (Group and Individual) 6 Group CSO ALB M/F 6% CRVM 3,694,855 3,694, CSO ALB M/F 6% Net Level 418, , CSO ALB M/F 6% Initial / 4% Ultimate CRVM 3,499,050 3,499, CSO ALB M/F 7.5% Net Level 2,700 2, CSO ANB M/F 4% CRVM 404, , CSO ANB M/F 4% Net Level 5,921 5, CSO ANB M/F 4.5% CRVM 16,677 16, CSO ANB M/F 4.5% Net Level 3,682 3, CSO ANB M/F 6% CRVM 42,682 42, CSO ANB M/F 6% Net Level 5,183 5, CSO ALB M/F 4% CRVM 2,685 2, CSO ALB M/F Nonsmoker/Smoker 3.5% CRVM 13,343,780 13,343, CSO ALB M/F Nonsmoker/Smoker 3.5% Net Level 83,963 83, CSO ALB M/F Nonsmoker/Smoker 4% CRVM 5,286,948 5,286, CSO ALB M/F Nonsmoker/Smoker 4% Net Level 211, , American Experience 3% Net Level 284, , American Experience 3.5% Full Preliminary Term 1,253,956 1,253, American Experience 3.5% Net Level 55,571 55, American Experience ANB Male Joint 3% Net Level 7,257 7, American Experience 4% Full Preliminary Term 959, , American Experience 4% Net Level 8,151 8, American Men ANB 3% CRVM 23,175 23, American Men ANB 3% Net Level 52,451 52, Guaranteed Insurability Option 1,002 1, Travel Benefit 122, , Substandard 6,544 6, Totals (Gross) 2,638,357,511 3,111, ,838,578 1,708,407, Reinsurance ceded 8,626,196 8,626, Life Insurance: Totals (Net) 2,629,731,315 3,111, ,212,382 1,708,407, % CARVM 152,010 XXX 152,010 XXX % CARVM 11,855,242 XXX 5,345,326 XXX 6,509, % CARVM 5,494,089 XXX 2,297,423 XXX 3,196, % CARVM 3,146,305 XXX 1,089,616 XXX 2,056, % CARVM 4,601,803 XXX 1,449,344 XXX 3,152, % CARVM 2,362,730 XXX 796,258 XXX 1,566, % CARVM 3,211,597 XXX 2,026,399 XXX 1,185, % CARVM 3,746,035 XXX 3,111,321 XXX 634, % CARVM 31,025,213 XXX 28,053,467 XXX 2,971, % CARVM 2,968,792 XXX 1,055,383 XXX 1,913, % CARVM 14,839,507 XXX 14,839,507 XXX % CARVM 1,037,770 XXX 1,037,770 XXX % CARVM 1,819,279 XXX 1,819,279 XXX % CARVM 625,357 XXX 625,357 XXX % CARVM 417,558 XXX 417,558 XXX % CARVM 2,097,264 XXX 2,097,264 XXX % CARVM 4,513,507 XXX 4,513,507 XXX % CARVM 626,288 XXX 626,288 XXX % CARVM 270,612 XXX 270,612 XXX % CARVM 402,006 XXX 402,006 XXX % FUND VALUE 5,373,969 XXX 5,373,969 XXX % DEFERRED PENSION 53,030 XXX 53,030 XXX % DEFERRED PENSION 678,035 XXX 678,035 XXX % DEFERRED 23,507 XXX 23,507 XXX % Annuity 2000 Female 44,802 XXX 44,802 XXX % Annuity 2000 Female 46,011 XXX 46,011 XXX % Annuity 2000 Male 52,312 XXX 52,312 XXX % Annuity 2000 Male 49,368 XXX 49,368 XXX % INTEREST INCOME 27,331 XXX 27,331 XXX % ANNUITY CERTAIN 7,133 XXX 7,133 XXX % ANNUITY CERTAIN 203,080 XXX 203,080 XXX % ANNUITY CERTAIN 20,756 XXX 20,756 XXX % ANNUITY CERTAIN 175,108 XXX 175,108 XXX % ANNUITY CERTAIN -IVA 211,321 XXX 211,321 XXX A FEMALE 4% 3,219 XXX 3,219 XXX A FEMALE 6% 68,473 XXX 68,473 XXX A FEMALE 7.5% 8,589 XXX 8,589 XXX A MALE 7% 24,029 XXX 24,029 XXX A MALE 8.75% 22,286 XXX 22,286 XXX APOLA Assumed Annuities 20,236 XXX 20,236 XXX Totals (Gross) 102,325,560 XXX 79,138,292 XXX 23,187, Reinsurance ceded XXX XXX Annuities: Totals (Net) 102,325,560 XXX 79,138,292 XXX 23,187, A FEMALE 3.5% 3,744 3, A FEMALE 8% 5,053 5, A FEMALE 8.75% 1,135 1, A MALE 8% 2,868 2, A MALE 8.75% 7,159 7, Annuity % 5,199 5, Annuity % 65,239 65, Annuity % 3,421 3, Payor Death Totals (Gross) 94,694 94, Reinsurance ceded SCWLC: Totals (Net) 94,694 94, ADB 58 CSO 3% 57,012 57, Totals (Gross) 57,012 57, Reinsurance ceded 4,786 4,

15 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS 1 Valuation Standard 2 Total 3 Industrial 4 Ordinary 5 Credit (Group and Individual) 6 Group Accidental Death Benefits: Totals (Net) 52,226 52, DIS 58 CSO 3% 21,909 21, Totals (Gross) 21,909 21, Reinsurance ceded Disability-Active Lives: Totals (Net) 21,522 21, % 41 CSO 2.5% 1,701 1, DIS 58 CSO 3% 42,179 42, Totals (Gross) 43,880 43, Reinsurance ceded 12,816 12, Disability-Disabled Lives: Totals (Net) 31,064 31, For excess of valuation net premiums over corresponding gross premiums on respective policies, computed according to the standard of valuation required by this state 136, , For non-deduction of deferred fractional premiums or return of premiums at the death of the insured 2,282, ,174,523 1,107, IPDC Reserve 942,450 39, ,914 36, Totals (Gross) 3,361,270 39,703 2,177,998 1,143, Reinsurance ceded 118, , Miscellaneous Reserves: Totals (Net) 3,243,084 39,703 2,059,812 1,143, Totals (Net) - Page 3, Line 1 2,735,499,466 3,151, ,609,992 1,732,738,

16 ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT 5 - INTERROGATORIES 1.1 Has the reporting entity ever issued both participating and non-participating contracts? Yes [ X ] No [ ] 1.2 If not, state which kind is issued. 2.1 Does the reporting entity at present issue both participating and non-participating contracts? Yes [ ] No [ X ] 2.2 If not, state which kind is issued. Non-participating 3. Does the reporting entity at present issue or have in force contracts that contain non-guaranteed elements? Yes [ X ] No [ ] If so, attach a statement that contains the determination procedures, answers to the interrogatories and an actuarial opinion as described in the instructions. 4. Has the reporting entity any assessment or stipulated premium contracts in force? Yes [ ] No [ X ] If so, state: 4.1 Amount of insurance? $ 4.2 Amount of reserve? $ 4.3 Basis of reserve: 4.4 Basis of regular assessments: 4.5 Basis of special assessments: 4.6 Assessments collected during the year $ 5. If the contract loan interest rate guaranteed in any one or more of its currently issued contracts is less than 5%, not in advance, state the contract loan rate guarantees on any such contracts. 6. Does the reporting entity hold reserves for any annuity contracts that are less than the reserves that would be held on a standard basis? Yes [ ] No [ X ] 6.1 If so, state the amount of reserve on such contracts on the basis actually held: $ 6.2 That would have been held (on an exact or approximate basis) using the actual ages of the annuitants; the interest rate(s) used in 6.1; and the same mortality basis used by the reporting entity for the valuation of comparable annuity benefits issued to standard lives. If the reporting entity has no comparable annuity benefits for standard lives to be valued, the mortality basis shall be the table most recently approved by the state of domicile for valuing individual annuity benefits: $ Attach statement of methods employed in their valuation. 7. Does the reporting entity have any Synthetic GIC contracts or agreements in effect as of December 31 of the current year? Yes [ ] No [ X ] 7.1 If yes, state the total dollar amount of assets covered by these contracts or agreements $ 7.2 Specify the basis (fair value, amortized cost, etc.) for determining the amount: 7.3 State the amount of reserves established for this business: $ 7.4 Identify where the reserves are reported in the blank: 8. Does the reporting entity have any Contingent Deferred Annuity contracts or agreements in effect as of December 31 of the current year? Yes [ ] No [ X ] 8.1 If yes, state the total dollar amount of account value covered by these contracts or agreements: $ 8.2 State the amount of reserves established for this business: $ 8.3 Identify where the reserves are reported in the blank: 9. Does the reporting entity have any Guaranteed Lifetime Income Benefit contracts, agreements or riders in effect as of December 31 of the current year? Yes [ ] No [ X ] 9.1 If yes, state the total dollar amount of any account value associated with these contracts, agreements or riders: $ 9.2 State the amount of reserves established for this business: $ 9.3 Identify where the reserves are reported in the blank: EXHIBIT 5A - CHANGES IN BASES OF VALUATION DURING THE YEAR 1 Valuation Basis Increase in Actuarial Reserve Due to Description of Valuation Class NONE Changed From Changed To Change Total (Column 4, only) 13