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2016 solvency and financial condition report - disclosure ASR Aanvullende Ziektekostenverzekeringen N.V. (Monetary amounts in thousands)

S.02.01.02 - Balance sheet 2 2016 Solvency II Value Assets Intangible assets - Deferred tax assets - Pension benefit surplus - Property, plant & equipment held for own use - Investments (other than assets held for index-linked and unit-linked contracts) 47,591 --Property (other than for own use) - --Holdings in related undertakings, including participations - --Equities 4,024 --Equities - listed 4,024 --Equities - unlisted - --Bonds 43,560 --Government Bonds 24,355 --Corporate Bonds 19,205 --Structured notes - --Collateralised securities - --Collective Investments Undertakings - --Derivatives 8 --Deposits other than cash equivalents - --Other investments - Assets held for index-linked and unit-linked contracts - Loans and mortgages - --Loans on policies - --Loans and mortgages to individuals - --Other loans and mortgages - Re recoverables from: - --Non-life and health similar to non-life - --Non-life excluding health - --Health similar to non-life - --Life and health similar to life, excluding health and index-linked and unit-linked - --Health similar to life - --Life excluding health and index-linked and unit-linked - --Life index-linked and unit-linked - Deposits to cedants - Insurance and intermediaries receivables 12,728 Re receivables - Receivables (trade, not ) 328 Own shares (held directly) - Amounts due in respect of own fund items or initial fund called up but not yet paid in - Cash and cash equivalents 13,191 Any other assets, not elsewhere shown 3 Total assets 73,841

S.02.01.02 - Balance sheet (continued) 3 2016 Solvency II Value Liabilities Technical provisions - Non-life 3,631 --Technical provisions - Non-life (excluding Health) - --Technical provisions calculated as a whole - --Best Estimate - --Risk margin - --Technical provisions - Health (similar to Non-life) 3,631 --Technical provisions calculated as a whole - --Best Estimate 2,693 --Risk margin 938 Technical provisions - Life (excluding index-linked and unit-linked) - --Technical provisions - Health (similar to Life) - --Technical provisions calculated as a whole - --Best Estimate - --Risk margin - --Technical provisions - Life (excluding Health and index-linked and unit-linked) - --Technical provisions calculated as a whole - --Best Estimate - --Risk margin - Technical provisions - index-linked and unit-linked - --Technical provisions calculated as a whole - --Best Estimate - --Risk margin - Contingent liabilities - Provisions other than technical provisions - Pension benefit obligations - Deposits from reinsurers - Deferred tax liabilities 1,304 Derivatives - Debts owed to credit institutions - Financial liabilities other than debts owed to credit institutions - Insurance & intermediaries payables 5,103 Re payables - Payables (trade, not ) 803 Subordinated liabilities 4,992 --Subordinated liabilities not in Basic Own Funds - --Subordinated liabilities in Basic Own Funds 4,992 Any other liabilities, not elsewhere shown 5,347 Total liabilities 21,179 Excess of assets over liabilities 52,662

S.05.01.02 - Premiums, claims and expenses by line of business 4 Line of Business for: non-life and re obligationccepted proportional re Line of business for: accepted non-proportional re 2016 Medical expense Income protection Workers compensation Motor vehicle liability Other motor Marine, aviation and transport Fire and other damage to property Premiums written Gross - Direct Business 71,207 - - - - - - - - - - - - - - - 71,207 Gross - Proportional re accepted - - - - - - - - - - - - - - - - - Gross - Non-proportional re accepted - - - - - - - - - - - - - - - - - Reinsurers share - - - - - - - - - - - - - - - - - Net 71,207 - - - - - - - - - - - - - - - 71,207 Premiums earned - - - - - - - - - - - - - - - - - Gross - Direct Business 71,207 - - - - - - - - - - - - - - - 71,207 Gross - Proportional re accepted - - - - - - - - - - - - - - - - - Gross - Non-proportional re accepted - - - - - - - - - - - - - - - - - Reinsurers share - - - - - - - - - - - - - - - - - Net 71,207 - - - - - - - - - - - - - - - 71,207 Claims incurred - - - - - - - - - - - - - - - - - Gross - Direct Business 56,212 - - - - - - - - - - - - - - - 56,212 Gross - Proportional re accepted - - - - - - - - - - - - - - - - - Gross - Non-proportional re accepted - - - - - - - - - - - - - - - - - Reinsurers share - - - - - - - - - - - - - - - - - Net 56,212 - - - - - - - - - - - - - - - 56,212 Changes in other technical provisions - - - - - - - - - - - - - - - - - Gross - Direct Business 794 - - - - - - - - - - - - - - - 794 Gross - Proportional re accepted - - - - - - - - - - - - - - - - - Gross - Non-proportional re accepted - - - - - - - - - - - - - - - - - Reinsurers share - - - - - - - - - - - - - - - - - Net 794 - - - - - - - - - - - - - - - 794 General liability Credit and suretyship Legal expenses Assistance Miscellaneous financial loss health re casualty re marine, aviation and transport re property re Total Expenses incurred 11,570 - - - - - - - - - - - - - - - 11,570 Other expenses - - - - - - - - - - - - - - - - - Total expenses - - - - - - - - - - - - - - - - 11,570

S.17.01.02 - Non-life Technical Provisions 5 Line of Business for: non-life and re obligationccepted proportional re Line of business for: accepted non-proportional re 2016 Medical expense Income protection Workers compensation Motor vehicle liability Other motor Technical provisions calculated as a whole - - - - - - - - - - - - - - - - - Total recoverable from re/spv before the adjustment for expected losses due to counterparty default associated to TP calculated as a whole Technical provisions calculated as a sum of BE and RM Best estimate --Premium provisions --Gross - Total -4,454 - - - - - - - - - - - - - - - -4,454 --Total recoverable from re/spv after the adjustment for expected losses due to counterparty default - - - - - - - - - - - - - - - - - Claims provisions --Gross - Total 7,148 - - - - - - - - - - - - - - - 7,148 --Total recoverable from re/spv after the adjustment for expected losses due to counterparty default - - - - - - - - - - - - - - - - - --Net Best Estimate of Claims Provisions 7,148 - - - - - - - - - - - - - - - 7,148 --Total Best estimate - gross 2,693 - - - - - - - - - - - - - - - 2,693 --Total Best estimate - net 2,693 - - - - - - - - - - - - - - - 2,693 Risk margin 938 - - - - - - - - - - - - - - - 938 Amount of the transitional on Techincal Provisions --Technical Provisions calculated as a whole --Best estmate --Risk margin Technical provisions - total Technical provisions - total 3,631 - - - - - - - - - - - - - - - 3,631 Recoverable from re contract/spv and Finite Re after the adjustment for expected losses due to counterparty default - total - - - - - - - - - - - - - - - - - Technical provisions minus recoverables from re/spv and Finite Re- total 3,631 - - - - - - - - - - - - - - - 3,631 Marine, aviation and transport Fire and other damage to property General liability Credit and suretyship Legal expenses Assistance Miscellaneous financial loss health re casualty re marine, aviation and transport re property re Total

S.19.01.21 - Non-life claims 6 Total non-life Business Accident year/underwriting year Z0010 2,016 Gross Claims Paid (non-cumulative) 0 1 2 3 4 5 6 7 8 9 10 & + In Current year Sum of years (cumulative) C0010 C0020 C0030 C0040 C0050 C0060 C0070 C0080 C0090 C0100 C0110 C0170 C0180 Prior R0100 - R0100 - - N-9 R0160 33,113 10,423 432 27-93 1-10 - - R0160-43,912 N-8 R0170 45,031 11,533 407-43 2-21 - - - R0170-56,950 N-7 R0180 49,525 10,039 720 61 1 - - - - - R0180-60,346 N-6 R0190 43,566 9,457 507 61 3 - - - - - R0190-53,595 N-5 R0200 39,445 7,832 427 88 - - - - - - R0200-47,792 N-4 R0210 61,393 12,279 229 100-37 - - - - - R0210-37 73,963 N-3 R0220 55,688 9,318 442-58 - - - - - - R0220-58 65,391 N-2 R0230 49,676 7,282 427 - - - - - - - R0230 427 57,385 N-1 R0240 49,112 5,617 - - - - - - - - R0240 5,617 54,729 N R0250 50,263 - - - - - - - - - R0250 50,263 50,263 Total R0260 56,212 564,326 Gross undiscounted Best Estimate Claims Provisions 0 1 2 3 4 5 6 7 8 9 10 & + Year end (discounted data) C0200 C0210 C0220 C0230 C0240 C0250 C0260 C0270 C0280 C0290 C0300 C0360 Prior R0100 - R0100 - N-9 R0160 7,967-3,542-4,047 21 21 - - - - - R0160 - N-8 R0170 15,703 1,940 233 293 - - - - - R0170 - N-7 R0180 21,627 1,870 961 276 261 - - - R0180 - N-6 R0190 19,328 2,173 801 19 - - - R0190 - N-5 R0200 16,375 1,639 394 283 - - R0200 - N-4 R0210 23,150 1,752 1,186 157 197 R0210 - N-3 R0220 15,088 2,014 268 53 R0220 250 N-2 R0230 11,352 1,014 69 R0230 69 N-1 R0240 5,548 391 R0240 392 N R0250 6,578 R0250 6,437 Total R0260 7,148

SS.22.01.21 - Impact of long term guarantees and transitional measures 7 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 Technical provisions 3,631 - - 15 - Basic own funds 57,654 - - -11 - Eligible own funds to meet SCR 57,654 - - -11 - SCR 14,058 - - 1 - Eligible own funds to meet MCR 53,365 - - -11 - Minimum Capital Requirement 3,515 - - - -

S.23.01.01 - Own funds 8 Total Tier 1 - unrestricted Tier 1 - restricted Tier 2 Tier 3 Basic own funds before deduction for participations in other financial sector Ordinary share capital (gross of own shares) 45 45 - - - Share premium account related to ordinary share capital 30,198 30,198 - - - Initial funds, members contributions or the equivalent basic own - fund item for mutual and mutual-type undertakings - - - - - Subordinated mutual member accounts - - - - - Surplus funds - - - - - Preference shares - - - - - Share premium account related to preference shares - - - - - Reconciliation reserve 22,419 22,419 - - - Subordinated liabilities 4,992 - - 4,992 - An amount equal to the value of net deferred tax assets - - - - - Other items approved by supervisory authority as 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 criteria to be classified as Solvency II own funds - - - - - Deductions - - - - - Deductions for participations in other financial undertakings, including non-regulated undertakings carrying out financial activities - - - - - Total basic own funds after deductions 57,654 52,662-4,992 - Ancillary own funds - - - - - Unpaid and uncalled ordinary share capital callable on demand - - - - - Unpaid and uncalled initial funds, members contributions or the equivalent basic own fund item for mutual and mutual - type undertakings, callable on demand - - - - - Unpaid and uncalled preference shares callable on demand - - - - - 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 - - - - - Other ancillary own funds - - - - - Total ancillary own funds - - - - - Available and eligible own funds - - - - - Total available own funds to meet the SCR 57,654 52,662-4,992 - Total available own funds to meet the MCR 57,654 52,662-4,992 - Total Eligible own funds to meet the SCR 57,654 52,662-4,992 - Total Eligible own funds to meet the MCR 53,365 52,662-703 - SCR 14,058 - - - - MCR 3,515 - - - - Ratio of Eligible own funds to SCR 410% - - - - Ratio of Eligible own funds to MCR 1,518% - - - - Reconciliation reserve Excess of assets over liabilities 52,662 - - - - Own shares (held directly and indirectly) - - - - - Foreseeable dividends, distributions and charges - - - - - Other basic own fund items 30,243 - - - - Adjustment for restricted own fund items in respect of matching adjustment portfolios and ring fenced funds - - - - - Reconciliation reserve 22,419 - - - - Expected profits - - - - - Expected profits included in future premiums (EPIFP) - Life business - - - - - Expected profits included in future premiums (EPIFP) - Non-life business 4,454 4,454 - - - Total Expected profits included in future premiums (EPIFP) 4,454 - - - -

S.25.01.21 - Solvency Capital Requirement for undertakings on Standard Formula 9 Gross solvency capital requirement Market risk 1,755 Counterparty default risk 1,174 Life underwriting risk - Health underwriting risk 11,929 Non-life underwriting risk - Diversification -2,003 Intangible asset risk - Basic Solvency Capital Requirement 12,856 Calculation of Solvency Capital Requirement Operational risk 2,137 Loss-absorbing capacity of technical provisions - Loss-absorbing capacity of deferred taxes -935 Capital requirement for business operated in accordance with Art. 4 of Directive 2003/41/EC - Solvency capital requirement, excluding capital add-on 14,058 Capital add-ons already set - Solvency Capital Requirement 14,058 Other information on SCR Capital requirement for duration-based equity risk sub-module - Total amount of Notional Solvency Capital Requirements for remaining part - Total amount of Notional Solvency Capital Requirements for ring fenced funds - Total amount of Notional Solvency Capital Requirements for matching adjustment portfolios - Diversification effects due to RFF nscr aggregation for article 304 -

S.28.01.01 - Minimum Capital Requirement Only life or only non-life or re activity 10 Linear formula component for non-life and re obligations MCR NL Result 3,473 Net (of re/spv) best estimate and TP calculated as a whole provisions Net (of re) written premiums in the last 12 months Medical expenses and proportional re 2,693 71,207 Income protection and proportional re - - Workers compensation and proportional re - - Motor vehicle liability and proportional re - - Other motor and proportional re - - Marine, aviation and transport and proportional re - - Fire and other damage to property and proportional re - - General liability and proportional re - - Credit and suretyship and proportional re - - Legal expenses and proportional re - - Assistance and proportional re - - Miscellaneous financial loss and proportional re - - Non-proportional health re - - Non-proportional casualty re - - Non-proportional marine, aviation and transport re - - Non-proportional property re - - Linear formula component for life and re obligations MCR L Result - Net (of re/spv) best estimate and TP calculated as a whole provisions Net (of re) written premiums in the last 12 months 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 - - Linear MCR 3,473 SCR 14,058 MCR cap 6,326 MCR floor 3,515 Combined MCR 3,515 Absolute floor of the MCR 2,500 Minimum Capital Requirement 3,515 Minimum Capital Requirement 1,022,451