S Balance sheet. in thousand EUR. Solvency II value

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1 Index S.02.01_Balance Sheet S.05.01_Premiums, claims and expenses by line of business S.05.02_Premiums, claims and expenses by country S.17.01_Non - life Technical Provisions S.19.01_Non-life Insurance Claims Information S.22.01_Impact of long term guarantees measures and transitionals S.23.01_Own funds S.25.01_Solvency Capital Requirement - for undertakings on Standard Formula S.28.01_Minimum Capital Requirement - Only life or only non-life or re activity

2 S Balance sheet in thousand EUR Solvency II value Assets C0010 Intangible assets R Deferred tax assets R Pension benefit surplus R Property, plant & equipment held for own use R Investments (other than assets held for index-linked and unit-linked contracts) R0070 6,262 Property (other than for own use) R Holdings in related undertakings, including participations R Equities R Equities - listed R Equities - unlisted R Bonds R0130 6,248 Government Bonds R0140 3,841 Corporate Bonds R0150 2,407 Structured notes R Collateralised securities R Collective Investments Undertakings R Derivatives R Deposits other than cash equivalents R Other investments R Assets held for index-linked and unit-linked contracts R Loans and mortgages R Loans on policies R Loans and mortgages to individuals R Other loans and mortgages R Re recoverables from: R Non-life and health similar to non-life R Non-life excluding health R Health similar to non-life R Life and health similar to life, excluding health and index-linked and unit-linked R Health similar to life R Life excluding health and index-linked and unit-linked R Life index-linked and unit-linked R Deposits to cedants R Insurance and intermediaries receivables R Re receivables R Receivables (trade, not ) R0380 2,776 Own shares (held directly) R Amounts due in respect of own fund items or initial fund called up but not yet paid in R Cash and cash equivalents R0410 1,733 Any other assets, not elsewhere shown R Total assets R ,760 Solvency II value Liabilities C0010 Technical provisions non-life R0510 2,332 Technical provisions non-life (excluding health) R0520 1,064 TP calculated as a whole R Best Estimate R Risk margin R Technical provisions - health (similar to non-life) R0560 1,268 TP calculated as a whole R Best Estimate R0580 1,139 Risk margin R Technical provisions - life (excluding index-linked and unit-linked) R Technical provisions - health (similar to life) R TP calculated as a whole R Best Estimate R Risk margin R Technical provisions life (excluding health and index-linked and unit-linked) R TP calculated as a whole R Best Estimate R Risk margin R Technical provisions index-linked and unit-linked R TP calculated as a whole R Best Estimate R Risk margin R Contingent liabilities R Provisions other than technical provisions R Pension benefit obligations R Deposits from reinsurers R Deferred tax liabilities R Derivatives R Debts owed to credit institutions R Financial liabilities other than debts owed to credit institutions R Insurance & intermediaries payables R Re payables R Payables (trade, not ) R0840 1,561 Subordinated liabilities R Subordinated liabilities not in BOF R Subordinated liabilities in BOF R Any other liabilities, not elsewhere shown R0880 1,601 Total liabilities R0900 6,081 Excess of assets over liabilities R1000 5,679

3 Annex I S Premiums, claims and expenses by line of business Line of business for: Line of Business for: non-life and re obligations (direct business and accepted proportional re) accepted non-proportional re Total Income protection Workers' compensation Motor vehicle liability Marine, aviation and transport Fire and other damage to General liability Credit and suretyship Legal expenses Miscellaneous Marine, aviation, in thousand EUR Medical expense Other motor Assistance Health Casualty Property property financial loss transport C0010 C0020 C0030 C0040 C0050 C0060 C0070 C0080 C0090 C0100 C0110 C0120 C0130 C0140 C0150 C0160 C0200 Premiums written Gross - Direct Business R , ,889 Gross - Proportional re accepted R Gross - Non-proportional re accepted R Reinsurers' share R Net R , ,657 Premiums earned Gross - Direct Business R , ,601 Gross - Proportional re accepted R Gross - Non-proportional re accepted R Reinsurers' share R Net R , ,379 Claims incurred Gross - Direct Business R ,305 Gross - Proportional re accepted R Gross - Non-proportional re accepted R Reinsurers' share R Net R ,301 Changes in other technical provisions Gross - Direct Business R Gross - Proportional re accepted R Gross - Non- proportional re accepted R Reinsurers'share R Net R Expenses incurred R , , ,865 Other expenses R Total expenses R1300 4,842 Line of Business for: life obligations Life re obligations Total in thousand EUR Health Insurance with profit participation Index-linked and unitlinked Other life Annuities stemming from non-life Annuities stemming from non-life contracts and relating to contracts and relating to obligations other than health obligations health obligations Health re Life re C0210 C0220 C0230 C0240 C0250 C0260 C0270 C0280 C0300 Premiums written Gross R Reinsurers' share R Net R Premiums earned Gross R Reinsurers' share R Net R Claims incurred Gross R Reinsurers' share R Net R Changes in other technical provisions Gross R Reinsurers' share R Net R Expenses incurred R Other expenses R Total expenses R `

4 S Premiums, claims and expenses by country in thousand EUR Home Country Top 5 countries (by amount of gross premiums written) - non-life obligations Total Top 5 and home country C0010 C0020 C0030 C0040 C0050 C0060 C0070 R0010 C0080 C0090 C0100 C0110 C0120 C0130 C0140 Premiums written Gross - Direct Business R0110 3, ,889 Gross - Proportional re accepted R Gross - Non-proportional re accepted R Reinsurers' share R Net R0200 3, ,656 Premiums earned Gross - Direct Business R0210 3, ,601 Gross - Proportional re accepted R Gross - Non-proportional re accepted R Reinsurers' share R Net R0300 3, ,378 Claims incurred Gross - Direct Business R0310 1, ,305 Gross - Proportional re accepted R Gross - Non-proportional re accepted R Reinsurers' share R Net R0400 1, ,301 Changes in other technical provisions Gross - Direct Business R Gross - Proportional re accepted R Gross - Non- proportional re accepted R Reinsurers'share R Net R Expenses incurred R0550 4, ,865 Other expenses R Total expenses R1300 4,841 Home Country Top 5 countries (by amount of gross premiums written) - life obligations Total Top 5 and home country C0150 C0160 C0170 C0180 C0190 C0200 C0210 R1400 C0220 C0230 C0240 C0250 C0260 C0270 C0280 Premiums written Gross R Reinsurers' share R Net R Premiums earned Gross R Reinsurers' share R Net R Claims incurred Gross R Reinsurers' share R Net R Changes in other technical provisions Gross R Reinsurers' share R Net R Expenses incurred R Other expenses R Total expenses R2600 -

5 S Non-life Technical Provisions Direct business and accepted proportional re Accepted non-proportional re Non-proportional marine, Total Non-Life obligation Income protection Workers' compensation Marine, aviation and transport Fire and other damage to property Credit and suretyship Non-proportional health Non-proportional casualty Non-proportional in thousand EUR Medical expense Motor vehicle liability Other motor General liability Legal expenses Assistance Miscellaneous financial loss aviation and transport re re property re 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 Total Recoverables from re/spv and Finite Re after the adjustment for expected losses due to R counterparty default associated to TP as a whole Technical provisions calculated as a sum of BE and RM Best estimate Premium provisions Gross R Total recoverable from re/spv and Finite Re after the adjustment for expected losses due to R counterparty default Net Best Estimate of Premium Provisions R Claims provisions Gross R , ,780 Total recoverable from re/spv and Finite Re after the adjustment for expected losses due to R0240 counterparty default Net Best Estimate of Claims Provisions R , ,779 Total Best estimate - gross R , ,117 Total Best estimate - net R , ,091 Risk margin R Amount of the transitional on Technical Provisions Technical Provisions calculated as a whole R Best estimate R Risk margin R Technical provisions - total Technical provisions - total R , ,332 Recoverable from re contract/spv and Finite Re after the adjustment for expected losses due to R counterparty default - total Technical provisions minus recoverables from re/spv and Finite Re - total R , ,306

6 in thousand EUR S Non-life Insurance Claims Information Total Non-Life Business Accident year / Underwriting year Z0020 AY Gross Claims Paid (non-cumulative) (absolute amount) Development year In Current year Sum of years (cumulative) Year & + C0010 C0020 C0030 C0040 C0050 C0060 C0070 C0080 C0090 C0100 C0110 C0170 C0180 Prior R R N-9 R R N-8 R R N-7 R R N-6 R R N-5 R R N-4 R R N-3 R R N-2 R R N-1 R R N R R Total R Gross undiscounted Best Estimate Claims Provisions (absolute amount) Development year Year end (discounted data) Year & + C0200 C0210 C0220 C0230 C0240 C0250 C0260 C0270 C0280 C0290 C0300 C0360 Prior R R N-9 R R N-8 R R N-7 R R N-6 R R N-5 R R N-4 R R N-3 R R N-2 R R N-1 R R N R R Total R In thousand EUR S Non-life Insurance Claims Information Total Non-Life Business Accident year / Underwriting year Z0020 UWY Gross Claims Paid (non-cumulative) (absolute amount) Development year In Current year Sum of years (cumulative) Year & + C0010 C0020 C0030 C0040 C0050 C0060 C0070 C0080 C0090 C0100 C0110 C0170 C0180 Prior R R R N-9 R N-8 R R N-7 R R N-6 R R N-5 R R N-4 R R N-3 R R N-2 R R N-1 R R N R R R Total Gross undiscounted Best Estimate Claims Provisions (absolute amount) Development year Year end (discounted data) Year & + C0200 C0210 C0220 C0230 C0240 C0250 C0260 C0270 C0280 C0290 C0300 C0360 Prior R R R N-9 R N-8 R R N-7 R R N-6 R R N-5 R R N-4 R R N-3 R R N-2 R R N-1 R R N R R R Total

7 in thousand EUR S Impact of long term guarantees and transitional measures Amount with Long Term Guarantee measures and transitionals Impact of transitional on technical provisions Impact of transitional on interest rate Impact of volatility adjustment set to zero Impact of matching adjustment set to zero C0010 C0030 C0050 C0070 C0090 Technical provisions R0010 2, Basic own funds R0020 5, Eligible own funds to meet Solvency Capital Requirement R0050 5, Solvency Capital Requirement R0090 2, Eligible own funds to meet Minimum Capital Requirement R0100 5, Minimum Capital Requirement R0110 3,

8 in thousand EUR 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) R0010 5,013 5, Share premium account related to ordinary share capital R Initial funds, members' contributions or the equivalent basic own - R fund item for mutual and mutual-type undertakings Subordinated mutual member accounts R Surplus funds R Preference shares R Share premium account related to preference shares R Reconciliation reserve R Subordinated liabilities R An amount equal to the value of net deferred tax assets R Other own fund items approved by the supervisory authority as R basic own funds not specified above 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 criteria to be classified as Solvency II own funds Deductions Deductions for participations in financial and credit institutions R Total basic own funds after deductions R0290 5,679 5, Ancillary own funds Unpaid and uncalled ordinary share capital callable on demand R Unpaid and uncalled initial funds, members' contributions or the equivalent basic own fund item for mutual and mutual - type R undertakings, callable on demand Unpaid and uncalled preference shares callable on demand R A legally binding commitment to subscribe and pay for R subordinated liabilities on demand Letters of credit and guarantees under Article 96(2) of the R Directive 2009/138/EC Letters of credit and guarantees other than under Article 96(2) of R the Directive 2009/138/EC Supplementary members calls under first subparagraph of R Article 96(3) of the Directive 2009/138/EC Supplementary members calls - other than under first R subparagraph of Article 96(3) of the Directive 2009/138/EC Other ancillary own funds R Total ancillary own funds R Available and eligible own funds Total available own funds to meet the SCR R0500 5,679 5, Total available own funds to meet the MCR R0510 5,124 5, Total eligible own funds to meet the SCR R0540 5,679 5, Total eligible own funds to meet the MCR R0550 5,124 5, SCR R0580 2,733 MCR R0600 3,700 Ratio of Eligible own funds to SCR R % Ratio of Eligible own funds to MCR R % Reconciliation reserve C0060 Reconciliation reserve C0060 Excess of assets over liabilities R0700 5,679 Own shares (held directly and indirectly) R Foreseeable dividends, distributions and charges R Other basic own fund items R0730 5,649 Adjustment for restricted own fund items in respect of matching R adjustment portfolios and ring fenced funds Reconciliation reserve R Expected profits 0 Expected profits included in future premiums (EPIFP) - Life R business Expected profits included in future premiums (EPIFP) - Non-life R business Total Expected profits included in future premiums R (EPIFP)

9 in thousand EUR S Solvency Capital Requirement - for undertakings on Standard Formula (*) Closed list : 1 : Article 112(7) reporting 2 : Regular reporting Article 112 (*) Z Basic Solvency Capital Requirement Net solvency capital requirement Gross solvency capital requirement Allocation from adjustments due to RFF and Matching adjustments portfolios C0030 C0040 C0050 Market risk R Counterparty default risk R Life underwriting risk R Health underwriting risk R0040 1,854 1,854 0 Non-life underwriting risk R0050 1,191 1,191 0 Diversification R0060-1,177-1,177 0 Intangible asset risk R Basic Solvency Capital Requirement R0100 2,528 2,528 0 Calculation of Solvency Capital Requirement Value C0100 Adjustment due to RFF/MAP nscr aggregation R Operational risk R Loss-absorbing capacity of technical provisions R Loss-absorbing capacity of deferred taxes R Capital requirement for business operated in accordance with Art. 4 of Directive 2003/41/EC R Solvency Capital Requirement excluding capital add-on R0200 2,733 Capital add-on already set R Solvency capital requirement R0220 2,733 Other information on SCR Capital requirement for duration-based equity risk sub-module R Total amount of Notional Solvency Capital Requirements for remaining part R Total amount of Notional Solvency Capital Requirements for ring fenced funds R Total amount of Notional Solvency Capital Requirements for matching adjustment portfolios R Diversification effects due to RFF nscr aggregation for article 304 R (*) Closed list of values : Method used to calculate the adjustment due to RFF/MAP nscr aggregation (*) R (Full recalculation), 4 (No adjustment) Net future discretionary benefits R (Simplification at risk sub-module level) 3 (Simplification at risk module level)

10 in thousand EUR S Minimum Capital Requirement - Only life or only non-life or re activity Linear formula component for non-life and re obligations MCR components MCRNL Result R C0010 Background information Background information Net (of re/spv) best Net (of re) written estimate and TP calculated as premiums in the last 12 a whole months C0020 C0030 Medical expense and proportional re R Income protection and proportional re R0030 1,046 2,349 Workers' compensation and proportional re R Motor vehicle liability and proportional re R Other motor and proportional re R Marine, aviation and transport and proportional re R Fire and other damage to property and proportional re R General liability and proportional re R Credit and suretyship and proportional re R Legal expenses and proportional re R Assistance and proportional re R Miscellaneous financial loss and proportional re R Non-proportional health re R Non-proportional casualty re R Non-proportional marine, aviation and transport re R Non-proportional property re R Linear formula component for life and re obligations C0040 MCRL Result R0200 Total capital at risk for all life (re) obligations Net (of re/spv) best estimate and TP calculated as a whole C0050 Net (of re/spv) total capital at risk C0060 Obligations with profit participation - guaranteed benefits Obligations with profit participation - future discretionary benefits Index-linked and unit-linked obligations Other life (re) and health (re) obligations Total capital at risk for all life (re) obligations R0210 R0220 R0230 R0240 R0250 Overall MCR calculation C0070 Linear MCR R SCR R0310 2,733 MCR cap R0320 1,230 MCR floor R Combined MCR R Absolute floor of the MCR R0350 3,700 Minimum Capital Requirement R0400 3,700

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