S Balance sheet Solvency II value

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Abner Hicks
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1 S (A,S) Balance sheet S Balance sheet Solvency II value C0010 Assets Goodwill R0010 Deferred acquisition costs R0020 Intangible assets R k Deferred tax assets R k Pension benefit surplus R k Property, plant & equipment held for own use R k Investments (other than assets held for index-linked and unit-linked contracts) R k Property (other than for own use) R k Holdings in related undertakings, including participations R k Equities R k Equities - listed R k Equities - unlisted R k Bonds R k Government Bonds R k Corporate Bonds R k Structured notes R k Collateralised securities R k Collective Investments Undertakings R k Derivatives R k Deposits other than cash equivalents R k Other investments R k Assets held for index-linked and unit-linked contracts R k Loans and mortgages R k Loans on policies R k Loans and mortgages to individuals R k Other loans and mortgages R k Re recoverables from: R k Non-life and health similar to non-life R k Non-life excluding health R k Health similar to non-life R k Life and health similar to life, excluding health and indexlinked and unit-linked R k Health similar to life R k Life excluding health and index-linked and unit-linked R k Life index-linked and unit-linked R k Deposits to cedants R k Insurance and intermediaries receivables R k Re receivables R k Receivables (trade, not ) R k Own shares (held directly) R k Amounts due in respect of own fund items or initial fund called up but not yet paid in R k Cash and cash equivalents R k

2 Any other assets, not elsewhere shown R k Total assets R k Liabilities Technical provisions non-life R k Technical provisions non-life (excluding health) R k Technical provisions calculated as a whole R k Best Estimate R k Risk margin R k Technical provisions - health (similar to non-life) R k Technical provisions calculated as a whole R k Best Estimate R k Risk margin R k Technical provisions - life (excluding index-linked and unitlinked) R k Technical provisions - health (similar to life) R k Technical provisions calculated as a whole R k Best Estimate R k Risk margin R k Technical provisions life (excluding health and indexlinked and unit-linked) R k Technical provisions calculated as a whole R k Best Estimate R k Risk margin R k Technical provisions index-linked and unit-linked R k Technical provisions calculated as a whole R k Best Estimate R k Risk margin R k Other technical provisions R0730 Contingent liabilities R k Provisions other than technical provisions R k Pension benefit obligations R k Deposits from reinsurers R k Deferred tax liabilities R k Derivatives R k Debts owed to credit institutions R k Financial liabilities other than debts owed to credit institutions R k Insurance & intermediaries payables R k Re payables R k Payables (trade, not ) R k Subordinated liabilities R k Subordinated liabilities not in Basic Own Funds R k Subordinated liabilities in Basic Own Funds R k Any other liabilities, not elsewhere shown R k Total liabilities R k Excess of assets over liabilities R k

3 S (A,S) Minimum Capital Requirement - Only life or only non-life or re activity S Linear formula component for non-life and re obligations MCR components C0010 MCRNL Result R k S Background information Background information Net (of re/spv) best estimate and TP calculated as a whole Net (of re) written premiums in the last 12 months C0020 C0030 Medical expense and proportional re R k k Income protection and proportional re R k 0 k Workers' compensation and proportional re R k 0 k Motor vehicle liability and proportional re R k 0 k Other motor and proportional re R k 0 k Marine, aviation and transport and proportional R0070 re 0 k 0 k Fire and other damage to property and proportional re R k 0 k General liability and proportional re R k 0 k Credit and suretyship and proportional re R k 0 k Legal expenses and proportional re R k 0 k Assistance and proportional re R k 0 k Miscellaneous financial loss and proportional re R k 0 k Non-proportional health re R k 0 k Non-proportional casualty re R k 0 k Non-proportional marine, aviation and transport re R k 0 k Non-proportional property re R k 0 k S Linear formula component for life and re obligations C0040 MCRL Result R k

4 S Total capital at risk for all life (re) obligations Net (of re/spv) best estimate and TP calculated as a whole Net (of re/spv) total capital at risk C0050 C0060 Obligations with profit participation - guaranteed benefits R k Obligations with profit participation - future discretionary R0220 benefits 0 k Index-linked and unit-linked obligations R k Other life (re) and health (re) obligations R k Total capital at risk for all life (re) obligations R k S Overall MCR calculation C0070 Linear MCR R k SCR R k MCR cap R k MCR floor R k Combined MCR R k Absolute floor of the MCR R k Minimum Capital Requirement R k

5 S (A,S) Own funds S Own funds Total Tier 1 - unrestricted Tier 1 - restricted Tier 2 Tier 3 C0010 C0020 C0030 C0040 C0050 Basic own funds before deduction for participations in other financial sector as foreseen in article 68 of Delegated Regulation 2015/35 Ordinary share capital (gross of own shares) R k 0 k 0 k Share premium account related to ordinary share capital R k 0 k 0 k Initial funds, members' contributions or the equivalent basic own - fund item for mutual and mutual-type undertakings R k k 0 k Subordinated mutual member accounts R k 0 k 0 k 0 k Surplus funds R k 0 k Preference shares R k 0 k 0 k 0 k Share premium account related to preference shares R k 0 k 0 k 0 k Reconciliation reserve R k k Subordinated liabilities R k 0 k 0 k 0 k An amount equal to the value of net deferred tax assets R k 0 k Other own fund items approved by the supervisory authority R0180 as basic own funds not specified above 0 k 0 k 0 k 0 k 0 k Own funds from the financial statements that should not be represented by the reconciliation reserve and do not meet the criteria to be classified as Solvency II own funds Own funds from the financial statements that should not be represented by the reconciliation reserve and do not meet the R k criteria to be classified as Solvency II own funds Deductions Deductions for participations in financial and credit institutions R k 0 k 0 k 0 k Total basic own funds after deductions R k k 0 k 0 k 0 k Ancillary own funds Unpaid and uncalled ordinary share capital callable on demand R k 0 k Unpaid and uncalled initial funds, members' contributions or the equivalent basic own fund item for mutual and mutual - type undertakings, callable on demand R k 0 k Unpaid and uncalled preference shares callable on demand R k 0 k 0 k A legally binding commitment to subscribe and pay for subordinated liabilities on demand Letters of credit and guarantees under Article 96(2) of the Directive 2009/138/EC Letters of credit and guarantees other than under Article 96(2) of the Directive 2009/138/EC Supplementary members calls under first subparagraph of Article 96(3) of the Directive 2009/138/EC Supplementary members calls - other than under first subparagraph of Article 96(3) of the Directive 2009/138/EC R k 0 k 0 k R k 0 k R k 0 k 0 k R k 0 k R k 0 k 0 k Other ancillary own funds R k 0 k 0 k Total ancillary own funds R k 0 k 0 k Available and eligible own funds Total available own funds to meet the SCR R k k 0 k 0 k 0 k Total available own funds to meet the MCR R k k 0 k 0 k Total eligible own funds to meet the SCR R k k 0 k 0 k 0 k Total eligible own funds to meet the MCR R k k 0 k 0 k SCR R k MCR R k Ratio of Eligible own funds to SCR R ,89% Ratio of Eligible own funds to MCR R ,56%

6 S Reconciliation reserve C0060 Reconciliation reserve Excess of assets over liabilities R k Own shares (held directly and indirectly) R k Foreseeable dividends, distributions and charges R k Other basic own fund items R k Adjustment for restricted own fund items in respect of matching adjustment portfolios and ring fenced funds R k Reconciliation reserve R k Expected profits Expected profits included in future premiums (EPIFP) - Life business R k Expected profits included in future premiums (EPIFP) - Nonlife business R k Total Expected profits included in future premiums (EPIFP) R k

7 S (A,S) Premiums, claims and expenses by line of business S Non-Life (direct business/accepted proportional re and accepted non-proportional re) Medical expense Income protection Workers' compensation Line of Business for: non-life and re obligations (direct business and accepted proportional re) Motor vehicle liability Other motor Marine, aviation and transport Fire and other damage to property C0010 C0020 C0030 C0040 C0050 C0060 C0070 C0080 C0090 C0100 C0110 C0120 C0130 C0140 C0150 C0160 C0200 Premiums written Gross - Direct Business R k k Gross - Proportional re accepted R0120 Gross - Non-proportional re accepted R0130 Reinsurers' share R0140 Net R k k Premiums earned Gross - Direct Business R0210 Gross - Proportional re accepted R0220 Gross - Non-proportional re accepted R0230 Reinsurers' share R0240 Net R0300 Claims incurred Gross - Direct Business R k k Gross - Proportional re accepted R0320 Gross - Non-proportional re accepted R0330 Reinsurers' share R0340 Net R k k Changes in other technical provisions Gross - Direct Business R0410 Gross - Proportional re accepted R0420 Gross - Non-proportional re accepted R0430 Reinsurers' share R0440 Net R0500 Expenses incurred R k k Other expenses R1200 Total expenses R k General liability Credit and suretyship Legal expenses Assistance Miscellaneous financial loss Line of Business for: accepted non-proportional re Health Casualty Marine, aviation, transport Property Total

8 S (A,S) Solvency Capital Requirement - for undertakings on Standard Formula S Basic Solvency Capital Requirement Gross solvency capital requirement C0110 Market risk R k Counterparty default risk R k Life underwriting risk R k Health underwriting risk R k Non-life underwriting risk R k Diversification R k Intangible asset risk R k Basic Solvency Capital Requirement R k Simplifications C0120 Risque CAT - Simplification par les capitaux sous risque S Calculation of Solvency Capital Requirement Value C0100 Operational risk R k Loss-absorbing capacity of technical provisions R k Loss-absorbing capacity of deferred taxes R k Capital requirement for business operated in accordance with Art. 4 of Directive 2003/41/EC R k Solvency Capital Requirement excluding capital add-on R k Capital add-on already set R k Solvency capital requirement R k Other information on SCR Capital requirement for duration-based equity risk submodule R0400 Total amount of Notional Solvency Capital Requirements for R0410 remaining part Total amount of Notional Solvency Capital Requirements for R0420 ring fenced funds Total amount of Notional Solvency Capital Requirements for R0430 matching adjustment portfolios Diversification effects due to RFF nscr aggregation for article 304 R0440 S Basic Solvency Capital Requirement (USP) Life underwriting risk Health underwriting risk Non-life underwriting risk R0030 R0040 R0050 USP C0090

9 S (A,S) Non-Life Technical Provisions S Non-Life Technical Provisions Direct business and accepted proportional re Accepted non-proportional re Total Non-Life obligation Medical expense Income protection Workers' compensation Motor vehicle liability Other motor Marine, aviation and transport Fire and other damage to property General liability Credit and suretyship Legal expenses Assistance Miscellaneous financial loss Non-proportional health re Non-proportional casualty re Non-proportional marine, aviation and transport re Non-proportional property re C0020 C0030 C0040 C0050 C0060 C0070 C0080 C0090 C0100 C0110 C0120 C0130 C0140 C0150 C0160 C0170 C0180 Technical provisions calculated as a whole R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k Total Recoverables from re/spv and Finite Re after the adjustment for expected losses due to counterparty default associated to TP calculated as a whole R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k Technical provisions calculated as a sum of BE and RM Best estimate Premium provisions Gross R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k Total recoverable from re/spv and Finite Re after the adjustment for expected losses due to counterparty default R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k Net Best Estimate of Premium Provisions R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k Claims provisions Gross R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k Total recoverable from re/spv and Finite Re after the adjustment for expected losses due to counterparty default R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k Net Best Estimate of Claims Provisions R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k Total Best estimate - gross R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k Total Best estimate - net R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k Risk margin R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k Amount of the transitional on Technical Provisions Technical Provisions calculated as a whole R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k Best estimate R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k Risk margin R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k Technical provisions - total Technical provisions - total R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k Recoverable from re contract/spv and Finite Re after the adjustment for expected losses due to counterparty R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k default - total Technical provisions minus recoverables from re/spv and Finite Re - total R k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k 0 k k

10 S (A,S) Non-life claims S Gross Claims Paid (non-cumulative) - Development year (absolute amount). Total Non-Life Business Accident year / Underwriting year Z0021 Accident year [AY] & + C0010 C0020 C0030 C0040 C0050 C0060 C0070 C0080 C0090 C0100 C0110 Prior R0100 N-9 R0160 N-8 R0170 N-7 R0180 N-6 R0190 N-5 R0200 N-4 R k k 122 k 2 k 1 k N-3 R k k 158 k 6 k N-2 R k k 131 k N-1 R k k N R k S Gross Claims Paid (non-cumulative) - Current year, sum of years (cumulative). Total Non-Life Business Accident year / Underwriting year Z0022 Accident year [AY] In Current year Sum of years (cumulative) C0170 C0180 Prior R0100 N-9 R0160 N-8 R0170 N-7 R0180 N-6 R0190 N-5 R0200 N-4 R k k N-3 R k k N-2 R k k N-1 R k k N R k k Total R k k

11 S Gross undiscounted Best Estimate Claims Provisions - Development year (absolute amount). Total Non-Life Business Accident year / Underwriting year Z0023 Accident year [AY] & + C0200 C0210 C0220 C0230 C0240 C0250 C0260 C0270 C0280 C0290 C0300 Prior R k N-9 R k N-8 R k N-7 R k N-6 R k N-5 R k N-4 R k N-3 R k N-2 R k N-1 R k N R k S Gross discounted Best Estimate Claims Provisions - Current year, sum of years (cumulative). Total Non-Life Business Accident year / Underwriting year Z0024 Accident year [AY] Year end (discounted data) C0360 Prior R k N-9 R k N-8 R k N-7 R k N-6 R k N-5 R k N-4 R k N-3 R k N-2 R k N-1 R k N R k Total R k

OHRA Ziektekostenverzekeringen N.V.

OHRA Ziektekostenverzekeringen N.V. Solvency and Financial Condition Report 2017 disclosure templates (Amount x 1.000) Content of submission s.02.01 Balance Sheet s.05.01 Premiums, claims and expenses