ANNUAL STATEMENT OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY TO THE

Similar documents
Continental American Insurance Company ASSETS

ANNUAL STATEMENT FOR THE YEAR 2016 OF THE COLONIAL PENN LIFE INSURANCE COMPANY ASSETS

ANNUAL STATEMENT FOR THE YEAR 2016 OF THE UNUM LIFE INSURANCE COMPANY OF AMERICA ASSETS

ANNUAL STATEMENT FOR THE YEAR 2017 OF THE Wilton Reassurance Life Company of New York ASSETS

ANNUAL STATEMENT OF THE

Great-West Life & Annuity Insurance Company ASSETS

First Reliance Standard Life Insurance Company ASSETS

ANNUAL STATEMENT FOR THE YEAR 2016 OF THE WASHINGTON NATIONAL INSURANCE COMPANY ASSETS

ANNUAL STATEMENT OF THE

ANNUAL STATEMENT FOR THE YEAR 2016 OF THE NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION ASSETS

ANNUAL STATEMENT. Insurance Department BETHESDA STATE OF MARYLAND STATE OF. in the TO THE OF THE OF THE LIFE AND ACCIDENT AND HEALTH 2012

ANNUAL STATEMENT FOR THE YEAR 2013 OF THE PRUDENTIAL INSURANCE COMPANY OF AMERICA ASSETS

ANNUAL STATEMENT FOR THE YEAR 2017 OF THE TEACHERS INSURANCE and ANNUITY ASSOCIATION of AMERICA ASSETS

Reliance Standard Life Insurance Company ASSETS

NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY ASSETS

Reliance Standard Life Insurance Company ASSETS

ANNUAL STATEMENT OF THE

AXA EQUITABLE LIFE INSURANCE COMPANY ASSETS

* * LIFE AND ACCIDENT AND HEALTH COMPANIES ASSOCIATION EDITION

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

* * LIFE AND ACCIDENT AND HEALTH COMPANIES - ASSOCIATION EDITION

ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2017 OF THE CONDITION AND AFFAIRS OF THE PACIFIC LIFE & ANNUITY COMPANY

* * LIFE AND ACCIDENT AND HEALTH COMPANIES - ASSOCIATION EDITION

ANNUAL STATEMENT OF THE

Urb. Ind. Tres Monjitas 297 Ave. Chardón.. San Juan... PR P

ASSETS. ANNUAL STATEMENT FOR THE YEAR 2008 OF THE MML Bay State Life Insurance Company. 4 Net Admitted Assets. 3 Net Admitted Assets (Cols.

Incorporated/Organized 09/15/2006 Commenced Business 04/24/2007. (Street and Number) Guaynabo, PR, US ,

Erie Insurance Company of New York ASSETS

Incorporated/Organized 02/24/1906 Commenced Business 04/12/1906. (Street and Number) Portland, OR, US ,

Q02. Statement for March 31, 2017 of the

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

COOPERATIVA DE SEGUROS DE VIDA DE PR, COSVI

Q02. Statement for March 31, 2017 of the

Q02. Statement for June 30, 2018 of the

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

ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2016 OF THE CONDITION AND AFFAIRS OF THE AMICA LIFE INSURANCE COMPANY

* * LIFE AND ACCIDENT AND HEALTH COMPANIES - ASSOCIATION EDITION

IIII II III II III II III II3III II III II III II III II III II III II III II III II III II III II III II III II iil II ii) I IIII

ANNUAL STATEMENT STANDARD INSURANCE COMPANY

ANNUAL STATEMENT OF THE SEPARATE ACCOUNTS OF THE. Ameritas Life Insurance Corp. LINCOLN. in the STATE OF NEBRASKA TO THE. Insurance Department OF THE

NATIONWIDE MUTUAL INSURANCE COMPANY ASSETS

Incorporated/Organized 09/15/1885 Commenced Business 09/15/1885. (Street and Number) Atlanta, GA ,

iiii ii iii ii iii ii iio ii iii ii iii ii its ii iii ii iii ii s~i ii iii ii iii ii oii ii iii ii iii ii iii ii iii ii ioi i iiii

Incorporated/Organized 12/17/2000 Commenced Business 11/07/1877. (Street and Number) Indianapolis, IN 46282,

Incorporated/Organized 07/30/2001 Commenced Business 10/10/2005. (Street and Number) San Juan, PR ,

AS OF DECEMBER 31,2009 OF THE CONDITION AND AFFAIRS OF THE

American Savings Life Insurance Company

FIDELITY & GUARANTY LIFE INSURANCE COMPANY ASSETS

Q02. Statement as of September 30, 2017 of the

Incorporated/Organized 05/15/1851 Commenced Business 08/01/1851. (Street and Number) Springfield, MA 01111,

Q02. Statement as of March 31, 2017 of the

Q02. Statement as of June 30, 2017 of the

Annual Statement for the year 2016 of the GENWORTH FINANCIAL ASSURANCE CORPORATION ASSETS

Metropolitan Property and Casualty Insurance Company ASSETS

Metropolitan Property and Casualty Insurance Company ASSETS

COMBINED ANNUAL STATEMENT For the Year Ended December 31, 2015 of the Condition and Affairs of the

ANNUAL STATEMENT OF THE SEPARATE ACCOUNTS OF THE. Ameritas Life Insurance Corp. of New York NEW YORK. in the STATE OF NEW YORK TO THE

Q02. Statement as of March 31, 2017 of the

NAIC Group Code 0008 NAIC Company Code 00086

COMBINED ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2017 OF THE CONDITION AND AFFAIRS OF THE

COMBINED ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2017 OF THE CONDITION AND AFFAIRS OF THE

COMBINED ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2016 OF THE CONDITION AND AFFAIRS OF THE

Annual Statement for the year 2016 of the GENWORTH MORTGAGE INSURANCE CORPORATION ASSETS

COOPERATIVA DE SEGUROS DE VIDA DE PR, COSVI

AmTrust Title Insurance Company ASSETS

Q02. Statement as of March 31, 2015 of the

COMBINED ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2016 OF THE CONDITION AND AFFAIRS OF THE

ASSETS. STATEMENT AS OF JUNE 30, 2017 OF THE Genworth Life and Annuity Insurance Company. Current Statement Date 4 December 31.

Puerto Rico Medical Defense Insurance Company ASSETS

COMBINED ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2017 OF THE CONDITION AND AFFAIRS OF THE

Metropolitan Group Property and Casualty Insurance Company ASSETS

ANNUAL STATEMENT OF THE AMERICAN STATES PREFERRED INSURANCE COMPANY TO THE. Insurance Department OF THE FOR THE YEAR ENDED.

Q02. Statement as of September 30, 2015 of the

OFFICERS Name Title Name Title 1. Glorimar Rivero President 2. Mary Letty Hernandez Treasurer 3. Maria S. Toledo Secretary 4.

COMBINED ANNUAL STATEMENT

COMBINED ANNUAL STATEMENT For the Year Ended December 31, 2004 of the Condition and Affairs of the. Infinity Property & Casualty Insurance Group

Statutory Statement Contact Jon Ritchie (Area Code) (Telephone Number) (Extension)

Statutory Statement Contact Joseph Edward Barnes (Area Code) (Telephone Number) (Extension)

ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2015 OF THE CONDITION AND AFFAIRS OF THE COVENTRY INSURANCE COMPANY

PROVIDENCE HEALTH PLAN ASSETS

ANNUAL STATEMENT OF THE STEWART

COMBINED ANNUAL STATEMENT

ANNUAL STATEMENT OF THE SAFECO INSURANCE COMPANY OF ILLINOIS TO THE. Insurance Department OF THE FOR THE YEAR ENDED.

COMBINED ANNUAL STATEMENT FOR THE YEAR ENDED DECEMBER 31, 2003 OF THE CONDITION AND AFFAIRS OF THE

TWIN CITY FIRE INSURANCE COMPANY ASSETS

Metropolitan Direct Property and Casualty Insurance Company ASSETS

ANNUAL STATEMENT OF THE AMERICAN ECONOMY INSURANCE COMPANY TO THE. Insurance Department OF THE FOR THE YEAR ENDED.

Health Options, Inc. ASSETS

QUARTERLY STATEMENT OF THE

NAIC Group Code 0008 NAIC Company Code Combined Statement Contact Lynn Cirrincione, (Area Code) (Telephone Number)

ASSETS. STATEMENT AS OF SEPTEMBER 30, 2017 OF THE Genworth Life and Annuity Insurance Company. Current Statement Date 4 December 31

ASSETS. ANNUAL STATEMENT FOR THE YEAR 2009 OF THE SEPARATE ACCOUNTS OF THE Symetra Life Insurance Company. 1 General Account Basis. 2 Fair Value Basis

ANNUAL STATEMENT OF THE IRONSHORE INDEMNITY INC.

Hawaii Employers' Mutual Insurance Company, Inc.

ANNUAL STATEMENT For the Year Ending December 31, 2016 OF THE CONDITION AND AFFAIRS OF THE MOUNT BEACON INSURANCE COMPANY

ANNUAL STATEMENT. Missouri Employers Mutual Insurance Company

ANNUAL STATEMENT OF THE EMPLOYERS INSURANCE COMPANY OF WAUSAU TO THE. Insurance Department OF THE FOR THE YEAR ENDED.

ANNUAL STATEMENT OF THE PEERLESS INSURANCE COMPANY

ASSETS DETAILS OF WRITE-INS

Summary Statutory Financial Statements as of December 31, 2016 of the Oregon's Health CO-OP A ASSETS Current Statement Date 1 2 3

Transcription:

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

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 2,313,191,910 2. Stocks (Schedule D): 2.1 Preferred stocks 23,081,279 23,081,279 25,727,590 2.2 Common stocks 3. Mortgage loans on real estate (Schedule B): 3.1 First liens 180,555,943 180,555,943 210,891,771 3.2 Other than first liens 4. Real estate (Schedule A): 4.1 Properties occupied by the company (less $ encumbrances) 4.2 Properties held for the production of income (less $ 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 15,299,649 6. Contract loans (including $ 0 premium notes) 8,219,705 8,831 8,210,874 8,723,133 7. Derivatives (Schedule DB) 28,000 28,000 36,000 8. Other invested assets (Schedule BA) 79,412,746 79,412,746 73,736,168 9. Receivables for securities 2,522,278 2,522,278 2,791,200 10. 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 2,650,397,421 13. Title plants less $ 0 charged off (for Title insurers only) 14. Investment income due and accrued 34,743,682 34,743,682 33,171,575 15. s and considerations: 15.1 Uncollected premiums and agents' balances in the course of collection 2,276,020 2,276,020 2,178,287 15.2 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 42,884,281 15.3 Accrued retrospective premiums ($ ) and 16. Reinsurance: contracts subject to redetermination ($ ) 16.1 Amounts recoverable from reinsurers 119,028 119,028 153,166 16.2 Funds held by or deposited with reinsured companies 16.3 Other amounts receivable under reinsurance contracts 12,262 12,262 10,599 17. Amounts receivable relating to uninsured plans 18.1 Current federal and foreign income tax recoverable and interest thereon 1,947,074 1,947,074 521,314 18.2 Net deferred tax asset 71,532,327 41,857,330 29,674,997 29,137,622 19. Guaranty funds receivable or on deposit 557,882 557,882 764,571 20. 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 1,908,939 24. Health care ($ 0 ) and other amounts receivable 4,303,892 4,035,780 268,112 520,695 25. Aggregate write-ins for other than invested assets 6,042,529 6,042,529 26. 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 2,761,648,470 27. 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 2,761,648,470 1101. 1102. 1103. DETAILS OF WRITE-INS 1198. Summary of remaining write-ins for Line 11 from overflow page 1199. Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above) 2501. Interest maintenance reserve asset 5,945,979 5,945,979 2502. Prepaid expenses 95,588 95,588 2503. Other receivables 962 962 2598. Summary of remaining write-ins for Line 25 from overflow page 2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) 6,042,529 6,042,529 2

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 9999999) less $ 0 included in Line 6.3 (including $ 668,949 Modco Reserve) 2,735,499,466 2,559,057,165 2. Aggregate reserve for accident and health contracts (including $ Modco Reserve) 141,261 149,633 3. Liability for deposit-type contracts (Exhibit 7, Line 14, Col. 1) (including $ 0 Modco Reserve) 27,508,138 27,360,678 4. 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 12,655,203 4.2 Accident and health (Exhibit 8, Part 1, Line 4.4, sum of Cols. 9, 10 and 11) 70,000 70,000 5. 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) 631,007 659,696 6.2 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 4,595,280 9. 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 14,797 9.4 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 1,743,823 11. Commissions and expense allowances payable on reinsurance assumed 22,180 23,877 12. General expenses due or accrued (Exhibit 2, Line 12, Col. 6) 3,170,829 3,710,116 13. 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 1,615,735 15.1 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 82,376 17. Amounts withheld or retained by company as agent or trustee 22,559 32,271 18. Amounts held for agents' account, including $ 0 agents' credit balances 19. Remittances and items not allocated 1,599,949 2,457,534 20. 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 $ 0 23. Dividends to stockholders declared and unpaid 24. Miscellaneous liabilities: 24.01 Asset valuation reserve (AVR, Line 16, Col. 7) 26,637,058 23,758,770 24.02 Reinsurance in unauthorized and certified ($ ) companies 24.03 Funds held under reinsurance treaties with unauthorized and certified ($ ) reinsurers 24.04 Payable to parent, subsidiaries and affiliates 828,976 677,587 24.05 Drafts outstanding 24.06 Liability for amounts held under uninsured plans 24.07 Funds held under coinsurance 24.08 Derivatives 24.09 Payable for securities 22,629,492 776,859 24.10 Payable for securities lending 24.11 Capital notes $ 0 and interest thereon $ 0 25. Aggregate write-ins for liabilities 5,959,373 6,539,214 26. Total liabilities excluding Separate Accounts business (Lines 1 to 25) 2,846,652,730 2,645,980,614 27. From Separate Accounts Statement 28. Total liabilities (Lines 26 and 27) 2,846,652,730 2,645,980,614 29. Common capital stock 2,500,000 2,500,000 30. 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 72,253,920 34. Aggregate write-ins for special surplus funds 35. Unassigned funds (surplus) 40,696,584 40,913,936 36. Less treasury stock, at cost: 36.1 0 shares common (value included in Line 29 $ 0 ) 36.2 0 shares preferred (value included in Line 30 $ 0 ) 37. Surplus (Total Lines 31+32+33+34+35-36) (including $ 0 in Separate Accounts Statement) 112,950,504 113,167,856 38. Totals of Lines 29, 30 and 37 (Page 4, Line 55) 115,450,504 115,667,856 39. Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3) 2,962,103,234 2,761,648,470 DETAILS OF WRITE-INS 2501. Unclaimed funds 4,630,514 5,042,954 2502. Deferred gain on sale of real estate 1,328,859 1,496,260 2503. 2598. Summary of remaining write-ins for Line 25 from overflow page 2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above) 5,959,373 6,539,214 3101. 3102. 3103. 3198. Summary of remaining write-ins for Line 31 from overflow page 3199. Totals (Lines 3101 thru 3103 plus 3198)(Line 31 above) 3401. 3402. 3403. 3498. Summary of remaining write-ins for Line 34 from overflow page 3499. Totals (Lines 3401 thru 3403 plus 3498)(Line 34 above) 3

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) 530,456,055 495,647,224 2. Considerations for supplementary contracts with life contingencies 3. Net investment income (Exhibit of Net Investment Income, Line 17) 144,631,127 137,744,129 4. Amortization of Interest Maintenance Reserve (IMR, Line 5) 291,504 832,296 5. 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 85,538 7. 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 593,766 928,379 9. Total (Lines 1 to 8.3) 676,047,861 635,237,566 10. Death benefits 258,667,275 246,483,711 11. Matured endowments (excluding guaranteed annual pure endowments) 3,119,917 3,315,939 12. Annuity benefits (Exhibit 8, Part 2, Line 6.4, Cols. 4 + 8) 12,308,558 15,496,311 13. Disability benefits and benefits under accident and health contracts 31,840 37,522 14. Coupons, guaranteed annual pure endowments and similar benefits 13,965 14,528 15. Surrender benefits and withdrawals for life contracts 7,359,725 8,301,485 16. Group conversions 17. Interest and adjustments on contract or deposit-type contract funds 917,619 641,229 18. Payments on supplementary contracts with life contingencies 14,773 20,483 19. Increase in aggregate reserves for life and accident and health contracts 176,433,929 157,039,655 20. Totals (Lines 10 to 19) 458,867,601 431,350,863 21. Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) (Exhibit 1, Part 2, Line 31, Col. 1) 129,239,428 123,466,204 22. Commissions and expense allowances on reinsurance assumed (Exhibit 1, Part 2, Line 26.2, Col. 1) 276,596 297,518 23. General insurance expenses (Exhibit 2, Line 10, Cols. 1, 2, 3 and 4) 22,901,045 24,078,355 24. Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit 3, Line 7, Cols. 1 + 2 + 3) 12,924,171 11,734,928 25. Increase in loading on deferred and uncollected premiums 3,391,908 4,741,294 26. 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) 627,605,915 595,667,548 29. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28) 48,441,946 39,570,018 30. Dividends to policyholders 526,709 561,035 31. Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30) 47,915,237 39,008,983 32. Federal and foreign income taxes incurred (excluding tax on capital gains) 15,227,726 12,382,211 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 26,626,772 34. 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) 115,667,856 112,433,136 37. Net income (Line 35) 34,537,667 26,539,000 38. Change in net unrealized capital gains (losses) less capital gains tax of $ 144,118 267,648 (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) 1,210,731 42. 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) 3,234,720 55. Capital and surplus, December 31, current year (Lines 36 + 54) (Page 3, Line 38) 115,450,504 115,667,856 DETAILS OF WRITE-INS 08.301. Administrative fees 579,231 827,196 08.302. Miscellaneous income 14,535 101,183 08.303. 08.398. Summary of remaining write-ins for Line 8.3 from overflow page 08.399. Totals (Lines 08.301 thru 08.303 plus 08.398)(Line 8.3 above) 593,766 928,379 2701. Fines and penalties 5,166 (1,614) 2702. 2703. 2798. Summary of remaining write-ins for Line 27 from overflow page 2799. Totals (Lines 2701 thru 2703 plus 2798)(Line 27 above) 5,166 (1,614) 5301. 5302. 5303. 5398. Summary of remaining write-ins for Line 53 from overflow page 5399. Totals (Lines 5301 thru 5303 plus 5398)(Line 53 above) 4

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 523,845,258 487,757,979 2. Net investment income 143,669,426 137,910,675 3. Miscellaneous income 920,797 1,385,115 4. Total (Lines 1 through 3) 668,435,481 627,053,769 5. Benefit and loss related payments 281,884,442 274,293,624 6. Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts 7. Commissions, expenses paid and aggregate write-ins for deductions 167,098,988 160,447,657 8. Dividends paid to policyholders 555,398 586,521 9. Federal and foreign income taxes paid (recovered) net of $ tax on capital gains (losses) 11,683,967 11,960,381 10. Total (Lines 5 through 9) 461,222,795 447,288,183 11. Net cash from operations (Line 4 minus Line 10) 207,212,686 179,765,586 Cash from Investments 12. Proceeds from investments sold, matured or repaid: 12.1 Bonds 701,092,603 333,395,296 12.2 Stocks 12,121,911 2,219,248 12.3 Mortgage loans 102,737,482 33,260,675 12.4 Real estate 12.5 Other invested assets 11,394,337 12.6 Net gains or (losses) on cash, cash equivalents and short-term investments (14,475) 12.7 Miscellaneous proceeds 22,128,398 53,826,736 12.8 Total investment proceeds (Lines 12.1 to 12.7) 849,474,731 422,687,480 13. Cost of investments acquired (long-term only): 13.1 Bonds 943,466,010 478,132,667 13.2 Stocks 9,546,470 5,262,377 13.3 Mortgage loans 69,600,000 41,490,945 13.4 Real estate 13.5 Other invested assets 17,152,677 1,245,261 13.6 Miscellaneous applications 2,791,099 13.7 Total investments acquired (Lines 13.1 to 13.6) 1,039,765,157 528,922,349 14. 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 147,460 639,974 16.5 Dividends to stockholders 25,000,000 22,000,000 16.6 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 15,917,453 19.2 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

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 12 3 4 5 7 8 9 10 11 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 3,982 168,590,246 2,212,797 357,647,365 1,999,851 1,814 2. Considerations for supplementary contracts with life contingencies 3. Net investment income 144,631,127 172,835 49,951,390 4,472,367 478,767 88,242,394 1,298,973 14,401 4. Amortization of Interest Maintenance Reserve (IMR) 291,504 350 99,374 8,629 933 179,682 2,507 29 5. Separate Accounts net gain from operations excluding unrealized gains or losses 6. Commissions and expense allowances on reinsurance ceded 75,409 75,308 101 7. 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 593,766 428,016 57,123 98,881 9,746 9. Totals (Lines 1 to 8.3) 676,047,861 177,167 219,144,334 6,750,916 479,700 446,168,322 3,311,077 16,345 10. Death benefits 258,667,275 124,422 99,592,186 158,950,667 11. Matured endowments (excluding guaranteed annual pure endowments) 3,119,917 8,267 1,406,000 1,705,650 12. Annuity benefits 12,308,558 8,500,703 3,807,855 13. Disability benefits and benefits under accident and health contracts 31,840 6,500 25,340 14. Coupons, guaranteed annual pure endowments and similar benefits 13,965 13,965 15. Surrender benefits and withdrawals for life contracts 7,359,725 7,511 2,785,239 462,860 4,038,007 66,108 16. Group conversions 17. Interest and adjustments on contract or deposit-type contract funds 917,619 92 707,059 141,562 68,906 18. Payments on supplementary contracts with life contingencies 14,773 14,773 19. 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 66,216 152,021,292 4,077,144 138,369 299,949,537 2,598,075 16,968 21. Commissions on premiums, annuity considerations and deposit-type contract funds (direct business only) 129,239,428 42,326,922 200,736 86,572,445 139,325 22. Commissions and expense allowances on reinsurance assumed 276,596 161,696 13,920 91,234 9,746 23. General insurance expenses 22,901,045 117,118 9,847,898 217,736 34,324 12,328,480 355,489 24. Insurance taxes, licenses and fees, excluding federal income taxes 12,924,171 2 4,018,452 32,410 1 8,823,444 49,862 25. Increase in loading on deferred and uncollected premiums 3,391,908 (130) 1,425,905 1,966,133 26. Net transfers to or (from) Separate Accounts net of reinsurance 27. Aggregate write-ins for deductions 5,166 1,475 14 3,656 21 28. Totals (Lines 20 to 27) 627,605,915 183,206 209,803,640 4,541,960 172,694 409,734,929 3,152,518 16,968 29. 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 2,208,956 307,006 36,433,393 158,559 (623) 30. Dividends to policyholders 526,709 526,709 31. 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 2,208,956 307,006 36,433,393 158,559 (623) 32. Federal income taxes incurred (excluding tax on capital gains) 15,227,726 (4,652) 3,172,525 605,786 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 1,603,170 210,450 25,110,578 123,643 (403) DETAILS OF WRITE-INS 08.301. Administrative fees 579,231 421,173 57,078 91,234 9,746 08.302. Miscellaneous income 14,535 6,843 45 7,647 08.303. 08.398. Summary of remaining write-ins for Line 8.3 from overflow page 08.399. Totals (Lines 08.301 thru 08.303 plus 08.398) (Line 8.3 above) 593,766 428,016 57,123 98,881 9,746 2701. Fines and penalties 5,166 1,475 14 3,656 21 2702. 2703. 2798. Summary of remaining write-ins for Line 27 from overflow page 2799. Totals (Lines 2701 thru 2703 plus 2798) (Line 27 above) 5,166 1,475 14 3,656 21 (a) Includes the following amounts for FEGLI/SGLI: Line 1, Line 10, Line 16, Line 23, Line 24

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 3 4 5 7 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 3,225,214 872,866,663 84,024,711 112,660 1,574,364,761 24,463,156 2. Tabular net premiums or considerations 350,368,759 2,261 113,562,332 1,503,649 233,441,015 1,859,503 3. Present value of disability claims incurred XXX 4. Tabular interest 105,174,639 113,877 36,024,189 2,525,392 3,062 65,782,718 725,402 5. 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 88,088,081 109,467 1,873,588,494 27,048,061 9. Tabular cost 87,888,884 70,956 32,183,972 XXX 55,633,956 10. Reserves released by death 166,623,895 102,758 64,402,419 XXX XXX 102,118,718 XXX 11. Reserves released by other terminations (net) 12,315,483 16,500 5,485,263 462,860 6,284,752 66,108 12. Annuity, supplementary contract and disability payments involving life contingencies 12,302,887 6,500 8,486,929 14,773 3,794,684 13. Net transfers to or (from) Separate Accounts 14. Total Deductions (Lines 9 to 13) 279,131,150 190,214 102,078,155 8,949,789 14,773 164,037,426 3,860,792 15. Reserve December 31, current year 2,735,499,466 3,151,137 920,377,007 79,138,292 94,694 1,709,551,067 23,187,268

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 3,293,648 1.1 Bonds exempt from U.S. tax (a) 1.2 Other bonds (unaffiliated) (a) 127,359,128 128,878,311 1.3 Bonds of affiliates (a) 2.1 Preferred stocks (unaffiliated) (b) 1,630,705 1,658,131 2.11 Preferred stocks of affiliates (b) 2.2 Common stocks (unaffiliated) 2.21 Common stocks of affiliates 3. Mortgage loans (c) 9,198,513 8,966,985 4. Real estate (d) 5 Contract loans 518,153 615,980 6 Cash, cash equivalents and short-term investments (e) 93,769 93,769 7 Derivative instruments (f) 8. Other invested assets 4,233,112 4,321,393 9. Aggregate write-ins for investment income 336 336 10. Total gross investment income 146,347,628 147,828,553 11. Investment expenses (g) 3,197,426 12. 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) 3,197,426 17. Net investment income (Line 10 minus Line 16) 144,631,127 DETAILS OF WRITE-INS 0901. Other investment income 336 336 0902. 0903. 0998. Summary of remaining write-ins for Line 9 from overflow page 0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above) 336 336 1501. 1502. 1503. 1598. Summary of remaining write-ins for Line 15 from overflow page 1599. 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) 1 2 3 4 5 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 2,834,237 4. Real estate 167,401 167,401 5. Contract loans 6. Cash, cash equivalents and short-term investments 7. Derivative instruments (8,000) 8. Other invested assets (372,393) (372,393) 419,767 9. Aggregate write-ins for capital gains (losses) 6,843 6,843 10. Total capital gains (losses) (8,293,475) (88,218) (8,381,693) 411,767 DETAILS OF WRITE-INS 0901. Litigation proceeds 6,843 6,843 0902. 0903. 0998. Summary of remaining write-ins for Line 9 from overflow page 0999. Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above) 6,843 6,843 Change in Unrealized Foreign Exchange Capital Gain (Loss) 8

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 11 3 4 6 7 8 9 10 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 1,121,265 260,177 861,088 2. Deferred and accrued 24,470,411 8,947,624 15,522,787 3. Deferred, accrued and uncollected: 3.1 Direct 25,591,677 9,207,802 16,383,875 3.2 Reinsurance assumed 3.3 Reinsurance ceded 3.4 Net (Line 1 + Line 2) 25,591,677 9,207,802 16,383,875 4. Advance 211,600 74,879 136,721 5. Line 3.4 - Line 4 25,380,077 9,132,923 16,247,154 6. Collected during year: 6.1 Direct 47,043,339 14,849,706 714,960 30,832,136 646,537 6.2 Reinsurance assumed 6.3 Reinsurance ceded 6.4 Net 47,043,339 14,849,706 714,960 30,832,136 646,537 7. Line 5 + Line 6.4 72,423,416 23,982,629 714,960 47,079,290 646,537 8. Prior year (uncollected + deferred and accrued - advance) 24,749,619 8,074,847 16,674,772 9. First year premiums and considerations: 9.1 Direct 47,673,800 15,907,783 714,960 30,404,520 646,537 9.2 Reinsurance assumed 9.3 Reinsurance ceded 9.4 Net (Line 7 - Line 8) 47,673,800 15,907,783 714,960 30,404,520 646,537 SINGLE 10. Single premiums and considerations: 10.1 Direct 336,525,791 106,536,547 258,086 229,372,522 358,636 10.2 Reinsurance assumed (24,026) 19 (24,045) 10.3 Reinsurance ceded 10.4 Net 336,501,765 106,536,547 258,105 229,348,477 358,636 RENEWAL 11. Uncollected 3,090,823 58 584,118 521,752 1,984,871 24 12. Deferred and accrued 66,961,034 1,927 21,326,793 45,632,314 13. Deferred, accrued and uncollected: 13.1 Direct 70,064,826 1,985 21,923,879 521,752 47,617,186 24 13.2 Reinsurance assumed 53 53 13.3 Reinsurance ceded 13,021 13,021 13.4 Net (Line 11 + Line 12) 70,051,858 1,985 21,910,911 521,752 47,617,186 24 14. Advance 4,165,084 257 1,428,989 2,735,794 44 15. Line 13.4 - Line 14 65,886,774 1,728 20,481,922 521,752 44,881,392 (20) 16. Collected during year: 16.1 Direct 140,512,114 4,244 44,155,270 1,272,886 94,082,690 994,678 2,346 16.2 Reinsurance assumed 448 448 16.3 Reinsurance ceded 212,407 211,902 505 16.4 Net 140,300,155 4,244 43,943,816 1,272,886 94,082,690 994,678 1,841 17. Line 15 + Line 16.4 206,186,929 5,972 64,425,738 1,794,638 138,964,082 994,678 1,821 18. Prior year (uncollected + deferred and accrued - advance) 59,906,438 1,991 18,279,822 554,906 41,069,713 6 19. Renewal premiums and considerations: 19.1 Direct 146,479,558 3,982 46,344,479 1,239,732 97,894,368 994,678 2,319 19.2 Reinsurance assumed 395 395 19.3 Reinsurance ceded 199,463 198,958 505 19.4 Net (Line 17 - Line 18) 146,280,490 3,982 46,145,916 1,239,732 97,894,368 994,678 1,814 TOTAL 20. Total premiums and annuity considerations: 20.1 Direct 530,679,149 3,982 168,788,809 2,212,778 357,671,410 1,999,851 2,319 20.2 Reinsurance assumed (23,631) 395 19 (24,045) 20.3 Reinsurance ceded 199,463 198,958 505 20.4 Net (Lines 9.4 + 10.4 + 19.4) 530,456,055 3,982 168,590,246 2,212,797 357,647,365 1,999,851 1,814

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 11 3 4 6 7 8 9 10 Total Industrial Life Life Insurance 21. To pay renewal premiums 35,266 35,266 22. All other 257,784 257,784 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 75,308 101 25.2 Reinsurance assumed 276,596 161,696 13,920 91,234 9,746 25.3 Net ceded less assumed (201,187) (86,388) (13,920) (91,234) (9,746) 101 26. Totals: 26.1 Reinsurance ceded (Page 6, Line 6) 75,409 75,308 101 26.2 Reinsurance assumed (Page 6, Line 22) 276,596 161,696 13,920 91,234 9,746 26.3 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 20,935,054 172,652 40,537,861 116,054 28. Single 65,720,733 19,658,843 4,336 46,034,283 23,271 29. Renewal 1,757,074 1,733,025 23,748 301 30. Deposit-type contract funds 31. Totals (to agree with Page 6, Line 21) 129,239,428 42,326,922 200,736 86,572,445 139,325 Other Aggregate of All Other Lines of Business

ANNUAL STATEMENT FOR THE YEAR 2016 OF THE AMERICAN MEMORIAL LIFE INSURANCE COMPANY EXHIBIT 2 - GENERAL EXPENSES Insurance 5 6 1 Accident and Health 4 Life 2 Cost Containment 3 All Other All Other Lines of Business Investment Total 1. Rent 1,528,872 1,528,872 2. Salaries and wages 13,047,872 13,047,872 3.11 Contributions for benefit plans for employees 2,940,364 2,940,364 3.12 Contributions for benefit plans for agents 3.21 Payments to employees under non-funded benefit plans 3.22 Payments to agents under non-funded benefit plans 3.31 Other employee welfare 167,564 167,564 3.32 Other agent welfare 4.1 Legal fees and expenses 35,649 35,649 4.2 Medical examination fees 4.3 Inspection report fees 645,904 645,904 4.4 Fees of public accountants and consulting actuaries 139,819 139,819 4.5 Expense of investigation and settlement of policy claims 226,911 226,911 5.1 Traveling expenses 1,272,917 1,272,917 5.2 Advertising 112,260 112,260 5.3 Postage, express, telegraph and telephone 1,241,121 1,241,121 5.4 Printing and stationery 351,270 351,270 5.5 Cost or depreciation of furniture and equipment 79,357 79,357 5.6 Rental of equipment 25,317 25,317 5.7 Cost or depreciation of EDP equipment and software 170,288 170,288 6.1 Books and periodicals 4,565 4,565 6.2 Bureau and association fees 82,102 82,102 6.3 Insurance, except on real estate 136,908 136,908 6.4 Miscellaneous losses 34,167 34,167 6.5 Collection and bank service charges 351,347 351,347 6.6 Sundry general expenses 100,053 100,053 6.7 Group service and administration fees (3,513,858) (3,513,858) 6.8 Reimbursements by uninsured plans 7.1 Agency expense allowance 8,474 8,474 7.2 Agents balances charged off (less $ 0 recovered) 5,143 5,143 7.3 Agency conferences other than local meetings 880,733 880,733 9.1 Real estate expenses 9.2 Investment expenses not included elsewhere 208,164 208,164 9.3 Aggregate write-ins for expenses 2,825,926 2,989,262 5,815,188 10. General expenses incurred 22,901,045 3,197,426 (a) 26,098,471 11. General expenses unpaid December 31, prior year 3,692,605 17,511 3,710,116 12. General expenses unpaid December 31, current year 3,156,837 13,992 3,170,829 13. Amounts receivable relating to uninsured plans, prior year 14. Amounts receivable relating to uninsured plans, current year 15. General expenses paid during year (Lines 10+11-12-13+14) 23,436,813 3,200,945 26,637,758 DETAILS OF WRITE-INS 09.301. 1. IT chargeback 2,665,761 2,665,761 09.302. 2. Management fees 646,207 2,989,262 3,635,469 09.303. 3. Outside technical services (486,042) (486,042) 09.398. Summary of remaining write-ins for Line 9.3 from overflow page 09.399. Totals (Lines 09.301 thru 09.303 plus 09.398) (Line 9.3 above) 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 4 5 1 Life 2 Accident and Health 3 All Other Lines of Business Investment Total 1. Real estate taxes 2. State insurance department licenses and fees 377,748 377,748 3. State taxes on premiums 10,797,702 10,797,702 4. Other state taxes, including $ 34,001 for employee benefits 206,286 206,286 5. U.S. Social Security taxes 920,678 920,678 6. All other taxes 621,757 621,757 7. Taxes, licenses and fees incurred 12,924,171 12,924,171 8. Taxes, licenses and fees unpaid December 31, prior year 1,615,735 1,615,735 9. Taxes, licenses and fees unpaid December 31, current year 1,864,710 1,864,710 10. Taxes, licenses and fees paid during year (Lines 7 + 8-9) 12,675,196 12,675,196 EXHIBIT 4 - DIVIDENDS OR REFUNDS 1 Life 1. Applied to pay renewal premiums 35,266 2. Applied to shorten the endowment or premium-paying period 3. Applied to provide paid-up additions 257,784 4. Applied to provide paid-up annuities 5. Total Lines 1 through 4 293,050 6. Paid in cash 28,604 7. Left on deposit 247,710 8. Aggregate write-ins for dividend or refund options 9. Total Lines 5 through 8 569,364 10. Amount due and unpaid 11. Provision for dividends or refunds payable in the following calendar year 631,007 12. Terminal dividends 13. Provision for deferred dividend contracts 14. Amount provisionally held for deferred dividend contracts not included in Line 13 15. Total Lines 10 through 14 631,007 16. Total from prior year 659,696 17. Total dividends or refunds (Lines 9 + 15-16) 540,675 DETAILS OF WRITE-INS 0801. 0802. 0803. 0898. Summary of remaining write-ins for Line 8 from overflow page 0899. Totals (Lines 0801 thru 0803 plus 0898) (Line 8 above) 2 Accident and Health 11

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 0100001. 1941 CSO 130% ANB 2.5% Net Level 2,077 2,077 0100002. 1941 CSO 130% ANB 3% Net Level 93,306 93,306 0100003. 1941 CSO ANB 2.5% CRVM 2,546,208 2,546,208 0100004. 1941 CSO ANB 2.5% Net Level 636,910 636,910 0100005. 1941 CSO ANB 2.75% Net Level 4,053 4,053 0100006. 1941 CSO ANB 3% CRVM 2,401,029 2,401,029 0100007. 1941 CSO ANB 3% Full Preliminary Term 8,802 8,802 0100008. 1941 CSO ANB 3% Net Level 6,077,444 6,077,444 0100009. 1941 CSO ANB 4% Net Level 2,118 2,118 0100010. 1958 CET ALB M/F 2.5% Net Level 49,968 49,968 0100011. 1958 CET ALB M/F 3% Net Level 312,855 312,855 0100012. 1958 CET ALB M/F 3.5% Net Level 177,248 177,248 0100013. 1958 CET ALB M/F 4% Net Level 158,490 158,490 0100014. 1958 CET ALB M/F 4.5% Net Level 97,636 97,636 0100015. 1958 CET ANB M/F 0% Net Level 39,426 39,426 0100016. 1958 CET ANB M/F 2.5% Net Level 1,037 1,037 0100017. 1958 CET ANB M/F 3% Net Level 748,404 748,404 0100018. 1958 CET ANB M/F 3.5% Net Level 395,267 42,666 352,601 0100019. 1958 CET ANB M/F 4% Net Level 25,370 25,370 0100020. 1958 CET ALB Male Joint 3.5% Net Level 399 399 0100021. 1958 CSO ALB M/F 2.5% Net Level 55,793 55,793 0100022. 1958 CSO ALB M/F 3% CRVM 11,047,042 11,046,163 879 0100023. 1958 CSO ALB M/F 3% Net Level 4,271,766 4,271,766 0100024. 1958 CSO ALB M/F 3% New Jersey Standard 3,570 3,570 0100025. 1958 CSO ALB M/F 3.5% CRVM 6,018,099 6,018,099 0100026. 1958 CSO ALB M/F 3.5% Net Level 732,222 732,222 0100027. 1958 CSO ALB M/F 3.5% Initial / 2.5% Ultimate CRVM 1,100,907 1,100,907 0100028. 1958 CSO ALB M/F 4% CRVM 2,267,267 2,267,267 0100029. 1958 CSO ALB M/F 4% Net Level 290,229 290,229 0100030. 1958 CSO ALB M/F 4.5% CRVM 3,842,547 3,842,547 0100031. 1958 CSO ALB M/F 4.5% Net Level 330,899 330,899 0100032. 1958 CSO ALB M/F 5.5% Net Level 34,455 34,455 0100033. 1958 CSO ALB Male Joint 3.5% CRVM 97,174 97,174 0100034. 1958 CSO ANB M/F 0% CRVM 1,174,363 1,174,363 0100035. 1958 CSO ANB M/F 2.5% CRVM 982,777 982,777 0100036. 1958 CSO ANB M/F 2.5% Net Level 143,725 143,725 0100037. 1958 CSO ANB M/F 3% CRVM 6,981,978 6,981,978 0100038. 1958 CSO ANB M/F 3% Full Preliminary Term 11,371 11,371 0100039. 1958 CSO ANB M/F 3% Net Level 18,716,956 18,716,956 0100040. 1958 CSO ANB M/F 3.5% CRVM 2,201,628 2,201,628 0100041. 1958 CSO ANB M/F 3.5% Full Preliminary Term 663,427 663,427 0100042. 1958 CSO ANB M/F 3.5% Net Level 10,252,108 3,111 10,248,996 0100043. 1958 CSO ANB M/F 4% CRVM 2,070,452 2,070,452 0100044. 1958 CSO ANB M/F 4% Net Level 464,434 464,434 0100045. 1958 CSO ANB M/F 4.5% Net Level 1,709 1,709 0100046. 1958 CSO ANB M/F 5% Net Level 3,355 3,355 0100047. 1961 CSI Age Next Birthday 3.5% CRVM 126,064 126,064 0100048. 1980 CET ALB Blended 50/50 4% Net Level 935,280 928,623 6,657 0100049. 1980 CET ALB Blended 50/50 4.5% Net Level 141,915 140,132 1,783 0100050. 1980 CET ALB Blended 50/50 5% Net Level 21,753 21,753 0100051. 1980 CET ALB Blended 50/50 5.5% Net Level 19,674 19,674 0100052. 1980 CET ALB Blended Joint 4.5% Net Level 494 494 0100053. 1980 CET ALB M/F 3.5% Net Level 2,965 1,630 1,335 0100054. 1980 CET ALB M/F 4% Net Level 166,982 161,489 5,493 0100055. 1980 CET ALB M/F 4.5% Net Level 313,998 313,998 0100056. 1980 CET ALB M/F 5% Net Level 59,571 59,571 0100057. 1980 CET ALB M/F 5.5% Net Level 104,824 104,824 0100058. 1980 CET ALB M/F 6% Net Level 56,146 56,146 0100059. 1980 CET ALB M/F 6% Initial / 4% Ultimate Net Level 49,147 49,147 0100060. 1980 CET ANB M/F 4.5% Net Level 784 784 0100061. 1980 CET ANB M/F 6% Net Level 751 751 0100062. 1980 CSO ALB Blended 50/50 3.5% CRVM 70,707,598 25,675,882 45,031,716 0100063. 1980 CSO ALB Blended 50/50 3.5% Net Level 324,475,729 140,690,495 183,785,234 0100064. 1980 CSO ALB Blended 50/50 4% CRVM 113,419,054 40,962,472 72,456,582 0100065. 1980 CSO ALB Blended 50/50 4% Net Level 273,388,159 115,802,719 157,585,439 0100066. 1980 CSO ALB Blended 50/50 4.5% CRVM 129,248,127 73,972,518 55,275,609 0100067. 1980 CSO ALB Blended 50/50 4.5% Net Level 172,876,206 64,983,214 107,892,992 0100068. 1980 CSO ALB Blended 50/50 5% CRVM 6,755,476 6,755,476 0100069. 1980 CSO ALB Blended 50/50 5% Net Level 313,661 313,661 0100070. 1980 CSO ALB Blended 50/50 5.5% CRVM 2,678,008 2,678,008 0100071. 1980 CSO ALB Blended 50/50 5.5% Net Level 24,840 24,840 0100072. 1980 CSO ALB Blended C Nonsmoker/Smoker 5% CRVM 95,968 95,968 0100073. 1980 CSO ALB Blended C Nonsmoker/Smoker 5% Net Level 11,280 11,280 0100074. 1980 CSO ALB Blended Joint 4% CRVM 2,837 2,837 0100075. 1980 CSO ALB Blended Joint 4% Net Level 16 16 0100076. 1980 CSO ALB Blended Joint 4.5% CRVM 134,814 134,814 0100077. 1980 CSO ALB Blended Joint 5.5% CRVM 2,701 2,701 0100078. 1980 CSO ALB M/F 3% Net Level 2,880 2,880 0100079. 1980 CSO ALB M/F 3.5% CRVM 276,148,091 75,405,650 200,742,441 0100080. 1980 CSO ALB M/F 3.5% Net Level 359,625,491 82,432,824 277,192,668 0100081. 1980 CSO ALB M/F 4% CRVM 187,718,461 42,865,406 144,853,056 0100082. 1980 CSO ALB M/F 4% Net Level 309,282,858 54,541,908 254,740,950 0100083. 1980 CSO ALB M/F 4.5% CRVM 115,208,791 52,301,471 62,907,320 0100084. 1980 CSO ALB M/F 4.5% Net Level 161,659,755 15,857,803 145,801,952 0100085. 1980 CSO ALB M/F 5% CRVM 4,408,985 4,408,985 0100086. 1980 CSO ALB M/F 5% Net Level 127,538 124,804 2,734 0100087. 1980 CSO ALB M/F 5.5% CRVM 10,066,804 10,066,804 0100088. 1980 CSO ALB M/F 5.5% Net Level 638,900 638,900 12

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 0100089. 1980 CSO ALB M/F 6% CRVM 3,694,855 3,694,855 0100090. 1980 CSO ALB M/F 6% Net Level 418,216 418,216 0100091. 1980 CSO ALB M/F 6% Initial / 4% Ultimate CRVM 3,499,050 3,499,050 0100092. 1980 CSO ALB M/F 7.5% Net Level 2,700 2,700 0100093. 1980 CSO ANB M/F 4% CRVM 404,233 404,233 0100094. 1980 CSO ANB M/F 4% Net Level 5,921 5,921 0100095. 1980 CSO ANB M/F 4.5% CRVM 16,677 16,677 0100096. 1980 CSO ANB M/F 4.5% Net Level 3,682 3,682 0100097. 1980 CSO ANB M/F 6% CRVM 42,682 42,682 0100098. 1980 CSO ANB M/F 6% Net Level 5,183 5,183 0100099. 2001 CSO ALB M/F 4% CRVM 2,685 2,685 0100100. 2001 CSO ALB M/F Nonsmoker/Smoker 3.5% CRVM 13,343,780 13,343,780 0100101. 2001 CSO ALB M/F Nonsmoker/Smoker 3.5% Net Level 83,963 83,963 0100102. 2001 CSO ALB M/F Nonsmoker/Smoker 4% CRVM 5,286,948 5,286,948 0100103. 2001 CSO ALB M/F Nonsmoker/Smoker 4% Net Level 211,395 211,395 0100104. American Experience 3% Net Level 284,014 284,014 0100105. American Experience 3.5% Full Preliminary Term 1,253,956 1,253,856 100 0100106. American Experience 3.5% Net Level 55,571 55,571 0100107. American Experience ANB Male Joint 3% Net Level 7,257 7,257 0100108. American Experience 4% Full Preliminary Term 959,089 958,589 500 0100109. American Experience 4% Net Level 8,151 8,151 0100110. American Men ANB 3% CRVM 23,175 23,175 0100111. American Men ANB 3% Net Level 52,451 52,451 0100112. Guaranteed Insurability Option 1,002 1,002 0100113. Travel Benefit 122,659 122,659 0100114. Substandard 6,544 6,544 0199997. Totals (Gross) 2,638,357,511 3,111,435 926,838,578 1,708,407,499 0199998. Reinsurance ceded 8,626,196 8,626,196 0199999. Life Insurance: Totals (Net) 2,629,731,315 3,111,435 918,212,382 1,708,407,499 0200001. 3.5% CARVM 152,010 XXX 152,010 XXX 0200002. 3.75% CARVM 11,855,242 XXX 5,345,326 XXX 6,509,916 0200003. 4% CARVM 5,494,089 XXX 2,297,423 XXX 3,196,667 0200004. 4.25% CARVM 3,146,305 XXX 1,089,616 XXX 2,056,689 0200005. 4.5% CARVM 4,601,803 XXX 1,449,344 XXX 3,152,459 0200006. 4.75% CARVM 2,362,730 XXX 796,258 XXX 1,566,472 0200007. 5% CARVM 3,211,597 XXX 2,026,399 XXX 1,185,198 0200008. 5.25% CARVM 3,746,035 XXX 3,111,321 XXX 634,714 0200009. 5.5% CARVM 31,025,213 XXX 28,053,467 XXX 2,971,746 0200010. 5.75% CARVM 2,968,792 XXX 1,055,383 XXX 1,913,409 0200011. 6% CARVM 14,839,507 XXX 14,839,507 XXX 0200012. 6.25% CARVM 1,037,770 XXX 1,037,770 XXX 0200013. 6.5% CARVM 1,819,279 XXX 1,819,279 XXX 0200014. 6.75% CARVM 625,357 XXX 625,357 XXX 0200015. 7% CARVM 417,558 XXX 417,558 XXX 0200016. 7.25% CARVM 2,097,264 XXX 2,097,264 XXX 0200017. 8.5% CARVM 4,513,507 XXX 4,513,507 XXX 0200018. 8.75% CARVM 626,288 XXX 626,288 XXX 0200019. 9% CARVM 270,612 XXX 270,612 XXX 0200020. 10% CARVM 402,006 XXX 402,006 XXX 0200021. 4% FUND VALUE 5,373,969 XXX 5,373,969 XXX 0200022. 6% DEFERRED PENSION 53,030 XXX 53,030 XXX 0200023. 7% DEFERRED PENSION 678,035 XXX 678,035 XXX 0200024. 3.5% DEFERRED 23,507 XXX 23,507 XXX 0200025. 3% Annuity 2000 Female 44,802 XXX 44,802 XXX 0200026. 4% Annuity 2000 Female 46,011 XXX 46,011 XXX 0200027. 3% Annuity 2000 Male 52,312 XXX 52,312 XXX 0200028. 4% Annuity 2000 Male 49,368 XXX 49,368 XXX 0200029. 4% INTEREST INCOME 27,331 XXX 27,331 XXX 0200030. 2.5% ANNUITY CERTAIN 7,133 XXX 7,133 XXX 0200031. 3% ANNUITY CERTAIN 203,080 XXX 203,080 XXX 0200032. 3.5% ANNUITY CERTAIN 20,756 XXX 20,756 XXX 0200033. 4% ANNUITY CERTAIN 175,108 XXX 175,108 XXX 0200034. 7% ANNUITY CERTAIN -IVA 211,321 XXX 211,321 XXX 0200035. 83 A FEMALE 4% 3,219 XXX 3,219 XXX 0200036. 83 A FEMALE 6% 68,473 XXX 68,473 XXX 0200037. 83 A FEMALE 7.5% 8,589 XXX 8,589 XXX 0200038. 83 A MALE 7% 24,029 XXX 24,029 XXX 0200039. 83 A MALE 8.75% 22,286 XXX 22,286 XXX 0200040. APOLA Assumed Annuities 20,236 XXX 20,236 XXX 0299997. Totals (Gross) 102,325,560 XXX 79,138,292 XXX 23,187,268 0299998. Reinsurance ceded XXX XXX 0299999. Annuities: Totals (Net) 102,325,560 XXX 79,138,292 XXX 23,187,268 0300001. 49 A FEMALE 3.5% 3,744 3,744 0300002. 83 A FEMALE 8% 5,053 5,053 0300003. 83 A FEMALE 8.75% 1,135 1,135 0300004. 83 A MALE 8% 2,868 2,868 0300005. 83 A MALE 8.75% 7,159 7,159 0300006. Annuity 2000 2.5% 5,199 5,199 0300007. Annuity 2000 3% 65,239 65,239 0300008. Annuity 2000 4% 3,421 3,421 0300009. Payor Death 877 877 0399997. Totals (Gross) 94,694 94,694 0399998. Reinsurance ceded 0399999. SCWLC: Totals (Net) 94,694 94,694 0400001. 59 ADB 58 CSO 3% 57,012 57,012 0499997. Totals (Gross) 57,012 57,012 0499998. Reinsurance ceded 4,786 4,786 12.1

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 0499999. Accidental Death Benefits: Totals (Net) 52,226 52,226 0500001. 52 DIS 58 CSO 3% 21,909 21,909 0599997. Totals (Gross) 21,909 21,909 0599998. Reinsurance ceded 387 387 0599999. Disability-Active Lives: Totals (Net) 21,522 21,522 0600001. 26 150% 41 CSO 2.5% 1,701 1,701 0600002. 52 DIS 58 CSO 3% 42,179 42,179 0699997. Totals (Gross) 43,880 43,880 0699998. Reinsurance ceded 12,816 12,816 0699999. Disability-Disabled Lives: Totals (Net) 31,064 31,064 0700001. For excess of valuation net premiums over corresponding gross premiums on respective policies, computed according to the standard of valuation required by this state 136,560 136,560 0700002. For non-deduction of deferred fractional premiums or return of premiums at the death of the insured 2,282,259 677 1,174,523 1,107,060 0700003. IPDC Reserve 942,450 39,026 866,914 36,510 0799997. Totals (Gross) 3,361,270 39,703 2,177,998 1,143,569 0799998. Reinsurance ceded 118,186 118,186 0799999. Miscellaneous Reserves: Totals (Net) 3,243,084 39,703 2,059,812 1,143,569 9999999. Totals (Net) - Page 3, Line 1 2,735,499,466 3,151,137 999,609,992 1,732,738,337 12.2

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 4 2 3 Increase in Actuarial Reserve Due to Description of Valuation Class NONE Changed From Changed To Change 9999999 - Total (Column 4, only) 13