User’s Manual

Table of Contents

1. Getting Started .............................................................................................................3

About InsData .................................................................................................................3
Filing Due Dates .............................................................................................................3
System and Support Hours..............................................................................................4
Contact Information ........................................................................................................4
System Requirements ....................................................................................................4
Browser Settings ............................................................................................................4
Pricing Information...........................................................................................................4
Refunds ...........................................................................................................................4
Payment Information ......................................................................................................5
CSV Format ....................................................................................................................5
Unavailable PDF’s ...........................................................................................................5
2. InsData Home Page & System Overview .....................................................................6
InsData Home Page ........................................................................................................6
InsData Page...................................................................................................................7
3. Using the System ..........................................................................................................8
How to Sign Up ...............................................................................................................8
How to Log In ................................................................................................................12
How to Perform an InsData Search ..............................................................................15
How to Add, Remove and Clear Items from Cart ...........................................................17
How to Pay for Order .....................................................................................................18
How to Download Order ................................................................................................21
How to Obtain Invoice ..................................................................................................23
How to View Order History ............................................................................................25
How to Reset Password ................................................................................................26
4. Frequently Asked Questions .....................................................................................28
5. PDF Detail ...................................................................................................................29

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1 | Getting Started

About InsData
InsData is a self-service application that allows users to purchase the financial
statement(s) of more than 4,800 multi-state insurance companies in a pdf format. These
insurance companies are regulated by the state departments of insurer. Each year the
insurer files their annual and quarterly financial statements with the National
Association of Insurance Commissioner (NAIC) and with their state insurance
department.

The data available from InsData comes from the NAIC’s proprietary Financial Data
Repository (FDR). This database houses all the financial statements received from the
insurers.

The pdf’s available from InsData are provided ‘AS IS’. The truth, accuracy, availability,
adequacy or completeness of the data cannot be guaranteed. Because insurers file their
statements under specific content and security criteria, it is the responsibility of the
insurer to ensure that their filings adhere to the set guidelines and that their filing is
received on time.

The data available on InsData is subject to being updated by the insurer at any given
time. In the event that a statement is amended, the InsData user will not be notified of
the change. However, the amendment will be available to the insurer from within their
order. InsData offers up to 10 years of annual and quarterly data in a pdf format.

Filing Due Dates

Annual and quarterly data are due at specific times during the year. It is the insurer’s
responsibility to submit the filing in a timely manner. If the insurer does not submit their
filing by the due date, the InsData Administrator is not able to determine the day the
filing will be submitted or if the filing will be submitted at all.

The data is always available immediately after the insurer files their statement.
For annual data, depending on the data type, the due dates are: first day of March,
April, May and June. For quarterly data the due dates are: fifteenth day of May, August
and November. For a detailed look at specific data and their due dates, please visit
FDR’s Annual & Quarterly Financial Statement Filing Deadlines webpage at:
http://www.naic.org/industry_filing_participation_deadlines.htm

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System and Support Hours
InsData is available 24 hours a day, seven days a week. However, the official system
hours are 8:30 a.m. to 5 p.m. Central Time. The system is not available during system
maintenance. When the system is not available, a message on the InsData home page
will be posted to notify its system users of the change.

System support is provided by the NAIC Help Desk, the InsData Administrator, and other
NAIC staff as necessary. Support hours are Monday through Friday, 8:30 am to 5:00 pm
Central Time, excluding holidays and /or other periods of time when the NAIC offices
may be closed.

Contact Information
Questions about the InsData application or assistance with User ID’s or passwords
should be directed to the Help Desk (816-783-8500 or help@naic.org)

System Requirements
The NAIC does not endorse or require the use of any specific internet browser. For
InsData, Google Chrome is recommended. Other browser versions and operating system
platforms may have received some testing and are not excluded as options for viewing
the websites but have not been thoroughly evaluated for compatibility – using them
may yield unintended viewing results.

Browser Settings
Regardless of which browser or operating system is used, JavaScript and Cascading Style
Sheets (CSS) should be enabled for the best results. These features add improved
usability, and help to organize the content in an accessible manner.

Pricing Information
Key Annual Statement Pages: $12.50 (per company code, per year)
Non-Key Annual Statement Pages: $12.50 (per company code, per year)
Quarterly Statement Pages: $3.75 (per company code, per quarter, per year)

Refunds
All InsData pdf’s purchases are final; the NAIC does not provide refunds or exchanges.

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Payment Information
In order to provide users of InsData with the quickest access possible to the InsData
pdf’s a credit card is required at the time of purchase. Currently we accept Visa,
Discover, American Express and Master Card.

CSV Format
Financial Statement Data is available in a csv format from the Insurance Data Products
Department. If interested in obtaining financial statement data in a csv format please
email the IDP Department at idp@naic.org

Unavailable PDF’s
InsData users will not be able to add an ‘unavailable’ PDF to their cart if the PDF is
considered confidential or if the insurer has not filed the statement. Confidential
financial statements or data include but are not limited to the following:

o The financial statement for captive insurers

o The quarterly financial statement for non-HMO insurers who are domiciled and
only write business in the state of New Jersey
o The financial statement for certain state funds
o The Supplemental Compensation Exhibit
o The Supplemental Health Care Exhibit Allocation Report
o RBC Information

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2 | InsData Home Page & System Overview
URL for InsData home page: www.naic.org/insdata_home.htm

The InsData Home Page

InsData Login link: Link for current users to log into the system.
New User Sign Up Link: Link for new users to obtain user id and password.
InsData Users Guide: PDF of guide with InsData direction and instruction.
PDF Data Detail : PDF of key and non-key pages content.
Frequently Asked Questions: PDF of frequently asked questions.
Help Desk Email/Phone: Link for assistance with log in or system issues.
InsData Pricing: PDF of pricing, payment and refund information.
Free Company Overview Report: Link to free insurer summary report
Annual & Quarterly Financial Statement Filing Deadlines: Link that provides information
about when specific data within the financial statement is due
Consumer link: Link for consumer information.
Media link: Link for media information.
Industry link: Link for industry information.
After the InsData User has secured a user id and password (See page 8 – How to Sign Up), they
will be able to log into the InsData system.

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The following page will display once the user signs in.

The InsData Page

Company Search: Where InsData user performs the company search.
Orders: Where InsData user views and downloads their order.
Account: Where InsData user can update their user profile.
Cart: Where InsData user verifies item(s) they have added to their order.
About: Where InsData user can view information about the InsData System.
Help: Where InsData user finds help with the InsData System
InsData Name Drop Down: Where InsData user views information about their Profile and
where they can Log Out of the system.

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3 | Using the System
The url for the InsData home page is: www.naic.org/insdata_home.htm. Login with your existing
‘myNAIC’ ID and password that is used with other NAIC applications, or sign up for a new account.

How to Sign Up
From the InsData home page select ‘New Users: Sign Up’ and complete all fields on the new user
registration page:

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After inputting password, select the “I’m not a robot” box and select continue to answer the
security question.

Once you have completed the fields successfully, a user verification email is sent and the
following message displays:

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After you select continue, the following page will display:

To obtain the code, go to the inbox of the email address you entered when you created your
account. You will see a message with the subject line: New User Registration.

Open the email to obtain the code or you can select ‘click here’:

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Once you click on the link within the body of the email or enter the code, the request for a new
account will process. You will notice your new InsData User id in the upper right corner in
white. Please make note of the InsData User ID which is typically your email address.

After the new account has been created, select continue:

You have successfully created a new account. The Login page now displays.

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How to Log In

1. Go to www.naic.org/Insdata_home.htm and select “InsData Login” to access the InsData

application. Within the InsData application select the “Login” button under the Login/Signup
drop down box on the upper right section of the page.
The following page displays:

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2. Enter your user name (‘myNAIC’ ID or email address for new users) and the password.

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3. Read and agree to the terms of use in order to continue:

4. After you select agree, the following page displays:

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How to Perform an InsData Search

The Company search menu offers two ways to search:

• Company Name
• Company Code - A unique five digit number assigned to each insurance company.

1. From the Company Search page

2. Enter company code or company name in search field and select search. The search returns
10 years of company filings for both annual and quarterly data. Select the drop down for the
desired year.

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3. The Key and Non-Key Pages for the desired year are displayed:

* Please note that if you order the non-key statement pages prior to March 1st, all of the pages will not
be included in your order. The pages will be automatically added to your original order as they become
available. You can download your order again at any time to obtain new pages once they have been
added to InsData.

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How to Add, Remove and Clear Items from Cart

Clicking on the cart icon will add an item to your cart.

Clicking on the trash bin icon will remove an item from your cart.

Clicking on the clear all button will remove all items from your cart.

1. Click on the cart icon for the pages you would like to purchase. The selection is added to
the cart. The cart icon is replaced by a green checkmark.

Once you are ready to check out, select the cart icon in the menu bar. Verify the
selection(s) displayed are valid and then click on the checkout button. (If the selection(s)
are not valid, select the Clear Cart icon to start over or select the delete icon to remove
applicable statements.)

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How to Pay for Order

The InsData System accepts Visa, MasterCard Discover and American Express.
It is important to confirm your order as we do not offer refunds or exchanges. If you are not
sure if your order contains the page you want, please review the PDF Detail section prior to
placing your order.

1. After selecting the Checkout button the payment page displays:

2. Review summary of order to confirm purchase and then proceed by inputting credit
card information, expiration date and security code. Select Complete Order to complete
purchase.

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3. If you receive an error, please check the order page to confirm the order completed
successfully. If you do not see the order, please click on the help link for assistance.

4. The following screen will display if the order completed successfully:

Select continue to proceed to the order.

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5. You will also receive email notification in your inbox which also serves as a receipt:

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How to Download Order
Statement pages available from InsData come in a PDF format. The PDF’s are zipped into one
file and made available to download under the Order Tab.

1. To download the order, click on the Download Order link:

If nothing happens after you click on the link, verify your pop up block is turned off.

2. The zip file should display:

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3. Double Click on the zip file to open up the order. The PDF pages will display.

4. Double click on the PDF file to open:

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How to Obtain Invoice
The InsData Order confirmation email and the Order Details page serves as the InsData invoice.

1. To obtain a copy of the InsData receipt, from the Orders tab, select the View Detail link
of the order you would like a receipt for:

2. Right click the order details page:

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3. Right Click the page to print and use as a receipt.

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How to View Order History
The Order tab gives you a view of all your InsData Orders. The orders found on this tab never
expire and will always be available to you.

1. Click on the Orders Tab:

2. The Order number, order date, transaction number, status, order total and invoice columns
display.

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How to Reset Password

1. Go to https:/naic.org/Insdata_home.htm and select INSDATA LOGIN.

After the selection, the following page will display. Select Click Here.

2. Enter Username and select Search button.

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3. Go to inbox and open email with subject line ‘Forgotten Password Verification’:

4. Select click here (or copy provided code)

5. Enter the code on the displayed page and click ‘Check Code’ Button’

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4 | Frequently Asked Questions (FAQ’s)
Q: Why can’t I add an ‘unavailable’ item to my cart?
The company did not file or the financial statement data is considered confidential.
The following list includes but is not limited to financial statement data that is considered confidential and therefore not available for purchase:
 The financial statement for captive insurers
 The quarterly financial statement for non-HMO insurers who are domiciled in the state of New Jersey and who only write business in
the state of New Jersey.
 The financial statement for certain state funds
 The Supplemental Compensation Exhibit
 The Supplemental Health Care Exhibit Allocation Report
 RBC Information
Q: Why is my download missing data?
The data isn’t due until later in the year, the insurer did not provide us with the data or the data is considered confidential.
Q: Can I receive this data in a csv format?
Yes. Contact the Insurance Data Products Department at idp@naic.org.
Q: Can I pay using PayPal or a Check
No. We currently only accept MasterCard, Visa, Discover and American Express
Q: Where can I find a specific page or schedule in my download?
In the PDF Data Detail Section
Q: What happened to the Data Request Form that allowed me to get 5 for free?
We are excited to offer our consumers a summary of the current year Financial Reports for Insurance Companies.
This report has replaced the ‘5 for Free’ program and offers consumers an unlimited number of summary reports at no cost.
The report provides a summarized view of the companies premiums earned, assets and liabilities and can be obtained by going to
naic.org>consumers>Consumer Information Source(CIS) and entering the company information, and then selecting ‘Financial Information’
followed by ‘Get Company Overview’

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5 | PDF Data Detail – Annual Statements

Annual Life PDF Detail: KEY (Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Life Key Key Annual Statement Pages Jurat Page
March 1st Life Key Key Annual Statement Pages Assets
March 1st Life Key Key Annual Statement Pages Liabilities, Surplus and Other Funds
March 1st Life Key Key Annual Statement Pages Summary of Operations
March 1st Life Key Key Annual Statement Pages Cash Flow
March 1st Life Key Key Annual Statement Pages Analysis of Operations by Lines of Business
March 1st Life Key Key Annual Statement Pages Analysis of Increase in Reserves During The Year
March 1st Life Key Key Annual Statement Pages Exhibit of Net Investment Income
March 1st Life Key Key Annual Statement Pages Exhibit of Capital Gains (Losses)
March 1st Life Key Key Annual Statement Pages Exhibit 1 – Part 1 – Premiums and Annuity Considerations for Life and Accident and
March 1st Life Key Key Annual Statement Pages Exhibit 1 – Part 2 – Dividends and Coupons Applied, Reinsurance Commissions and
March 1st Life Key Key Annual Statement Pages Exhibit 2 – General Expenses
March 1st Life Key Key Annual Statement Pages Exhibit 3 – Taxes, Licenses and Fees (Excluding Federal Income Taxes)
March 1st Life Key Key Annual Statement Pages Exhibit 4 – Dividends or Refunds
March 1st Life Key Key Annual Statement Pages Exhibit 5 – Aggregate Reserve for Life Contracts
March 1st Life Key Key Annual Statement Pages Exhibit 5 – Interrogatories
March 1st Life Key Key Annual Statement Pages Exhibit 5A – Changes in Bases of Valuation During The Year
March 1st Life Key Key Annual Statement Pages Exhibit 6 – Aggregate Reserves for Accident and Health Contracts
March 1st Life Key Key Annual Statement Pages Exhibit 7 – Deposit-Type Contracts
March 1st Life Key Key Annual Statement Pages Exhibit 8 – Part 1 – Claims for Life and Accident and Health Contracts
March 1st Life Key Key Annual Statement Pages Exhibit 8 – Part 2 – Claims for Life and Accident and Health Contracts
March 1st Life Key Key Annual Statement Pages Exhibit of Nonadmitted Assets
March 1st Life Key Key Annual Statement Pages Notes to Financial Statements
March 1st Life Key Key Annual Statement Pages General Interrogatories
March 1st Life Key Key Annual Statement Pages Five-Year Historical Data
March 1st Life Key Key Annual Statement Pages Exhibit of Life Insurance
March 1st Life Key Key Annual Statement Pages Exhibit of Number of Policies, Contracts, Certificates, Income Payable and Account V
March 1st Life Key Key Annual Statement Pages Schedule T – Premiums and Annuity Considerations
March 1st Life Key Key Annual Statement Pages Schedule Y – Part 1 – Information Concerning Activities of Insurer Members of a Hold

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Annual Life PDF Detail: NON-KEY (Other Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Life Non-Key Other Annual Statement Pages Life Insurance (State Page)
March 1st Life Non-Key Other Annual Statement Pages Form for Calculating the Interest Maintenance Reserve (IMR)
March 1st Life Non-Key Other Annual Statement Pages Asset Valuation Reserve
March 1st Life Non-Key Other Annual Statement Pages Asset Valuation Reserve Default Component
March 1st Life Non-Key Other Annual Statement Pages Asset Valuation Reserve Equity and Other Invested Asset Component
March 1st Life Non-Key Other Annual Statement Pages Asset Valuation Reserve Replications (Synthetic) Assets
March 1st Life Non-Key Other Annual Statement Pages Schedule F
March 1st Life Non-Key Other Annual Statement Pages Schedule H – Part 1 – Accident and Health Exhibit
March 1st Life Non-Key Other Annual Statement Pages Schedule H – Part 2, Part 3 and Part 4
March 1st Life Non-Key Other Annual Statement Pages Schedule H – Part 5 – Health Claims
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 1 – Section 1
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 1 – Section 2
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 2
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 3 – Section 1
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 3 – Section 2
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 4
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 5
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 6
March 1st Life Non-Key Other Annual Statement Pages Schedule S – Part 7
March 1st Life Non-Key Other Annual Statement Pages Schedule T – Part 2 Interstate Compact
March 1st Life Non-Key Other Annual Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
March 1st Life Non-Key Other Annual Statement Pages Schedule Y – Part 2 – Summary of Insurer’s Transactions With Any Affiliates
March 1st Life Non-Key Other Annual Statement Pages Supplemental Exhibits and Schedules Interrogatories
March 1st Life Non-Key Other Annual Statement Pages Medicare Supplement Insurance Experience Exhibit
March 1st Life Non-Key Other Annual Statement Pages Trusteed Surplus Statement
March 1st Life Non-Key Other Annual Statement Pages Workers’ Compensation Carve-Out Supplement
March 1st Life Non-Key Other Annual Statement Pages Schedule O Supplement
March 1st Life Non-Key Other Annual Statement Pages Medicare Part D Coverage Supplement
March 1st Life Non-Key Other Annual Statement Pages VM-20 Reserves Supplement

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Annual Life PDF Detail: NON-KEY (Non-Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Certification Regarding the Use of 2001 Preferred Class Tables Required by
the Model Regulation Permitting the Recognition of Preferred Mortality Tables for Use
in Determining Minimum Reserve Liabilities
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Certification Related to the Reserves Required by Actuarial Guideline XLIII
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Certifications Related to Annuity Non-forfeiture Ongoing Compliance for
Equity Indexed Annuities
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Certifications Related to Hedging Required by Actuarial Guideline XLIII
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Opinion
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Opinion (Statement) on Non-Guaranteed Elements as Required in
Interrogatory 3 to Exhibit 5
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Opinion on Participating and Non-Participating Policies as Required in
Interrogatories 1 and 2 to Exhibit 5
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Opinion on Separate Accounts Funding Guaranteed Minimum Benefit
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Opinion on Synthetic Guaranteed Investment Contracts
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Opinion on X-Factors
March 1st Life Non-Key Non-Key Annual Statement Pages Actuarial Opinion Required by the Modified Guaranteed Annuity Model Regulation
March 1st Life Non-Key Non-Key Annual Statement Pages Financial Officer Certification Related to Clearly Defined Hedging Strategy Required by
Actuarial Guideline XLIII
March 1st Life Non-Key Non-Key Annual Statement Pages Management Certification That the Valuation Reflects Management's Intent Required by
Actuarial Guideline XLIII
March 1st Life Non-Key Non-Key Annual Statement Pages Reasonableness and Consistency of Assumptions Certification Required by Actuarial
Guideline XXXV
March 1st Life Non-Key Non-Key Annual Statement Pages Reasonableness and Consistency of Assumptions Certification Required by Actuarial
Guideline XXXVI (Updated Average Market Value)
March 1st Life Non-Key Non-Key Annual Statement Pages Reasonableness and Consistency of Assumptions Certification Required by Actuarial
Guideline XXXVI (Updated Market Value)
March 1st Life Non-Key Non-Key Annual Statement Pages Reasonableness of Assumptions Certification for Implied Guaranteed Rate Method
Required by Actuarial Guideline XXXVI
March 1st Life Non-Key Non-Key Annual Statement Pages Reasonableness and Consistency of Assumptions Certification Required by Actuarial
Guideline XXXV
March 1st Life Non-Key Non-Key Annual Statement Pages Relief from the Five-year Rotation Requirement for Lead Audit Partner
March 1st Life Non-Key Non-Key Annual Statement Pages Relief from the One-year Cooling Off Period for Independent CPA
March 1st Life Non-Key Non-Key Annual Statement Pages Relief from the Requirements for Audit Committees
March 1st Life Non-Key Non-Key Annual Statement Pages VM-20 Reserves Supplement
April 1st Life Non-Key Non-Key Annual Statement Pages Management's Discussion and Analysis
June 1st Life Non-Key Non-Key Annual Statement Pages Audited Financial Report
June 1st Life Non-Key Non-Key Annual Statement Pages Accountants Letter of Qualifications

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Annual Life PDF Detail: NON-KEY (Statement Pages)

Due Date Statement Type Page PDF Type Detail

April 1st Life Non-Key Statement Pages Life, Health & Annuity Guaranty Association Model Act Assessment Base
Reconciliation Exhibit
April 1st Life Non-Key Statement Pages Adjustments to the Life, Health & Annuity Guaranty Association Model Act Assessment
Base Reconciliation Exhibit
April 1st Life Non-Key Statement Pages Supplemental Investment Risks Interrogatories
April 1st Life Non-Key Statement Pages Variable Annuities Supplement
April 1st Life Non-Key Statement Pages Long-Term Care Experience Reporting Form 1
April 1st Life Non-Key Statement Pages Long-Term Care Experience Reporting Form 2
April 1st Life Non-Key Statement Pages Long-Term Care Experience Reporting Form 3
April 1st Life Non-Key Statement Pages Long-Term Care Experience Reporting Form 4
April 1st Life Non-Key Statement Pages Long-Term Care Experience Reporting Form 5
April 1st Life Non-Key Statement Pages Interest Sensitive Life Insurance Products Report
April 1st Life Non-Key Statement Pages Credit Insurance Experience Exhibit
April 1st Life Non-Key Statement Pages Accident and Health Policy Experience Exhibit for Year
April 1st Life Non-Key Statement Pages Analysis of Annuity Operations by Lines of Business
April 1st Life Non-Key Statement Pages Analysis of Increase in Annuity Reserves During the Year
April 1st Life Non-Key Statement Pages Supplemental Health Care Exhibit – Parts 1, 2, and 3
April 1st Life Non-Key Statement Pages Supplemental Term and Universal Life Insurance Reinsurance Exhibit

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Annual Health PDF Detail: KEY (Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Health Key Key Statement Pages Jurat Page
March 1st Health Key Key Statement Pages Assets
March 1st Health Key Key Statement Pages Liabilities, Capital and Surplus
March 1st Health Key Key Statement Pages Statement of Revenue and Expenses
March 1st Health Key Key Statement Pages Cash Flow
March 1st Health Key Key Statement Pages Analysis of Operations by Lines of Business
March 1st Health Key Key Statement Pages Underwriting and Investment Exhibit – Part 1
March 1st Health Key Key Statement Pages Underwriting and Investment Exhibit – Part 2
March 1st Health Key Key Statement Pages Underwriting and Investment Exhibit – Part 2A
March 1st Health Key Key Statement Pages Underwriting and Investment Exhibit – Part 2B
March 1st Health Key Key Statement Pages Underwriting and Investment Exhibit – Part 2C
March 1st Health Key Key Statement Pages Underwriting and Investment Exhibit – Part 2D
March 1st Health Key Key Statement Pages Underwriting and Investment Exhibit – Part 3
March 1st Health Key Key Statement Pages Exhibit of Net Investment Income
March 1st Health Key Key Statement Pages Exhibit of Capital Gains (Losses)
March 1st Health Key Key Statement Pages Exhibit of Nonadmitted Assets
March 1st Health Key Key Statement Pages Exhibit 1 – Enrollment by Product Type for Health Business Only
March 1st Health Key Key Statement Pages Notes to Financial Statements
March 1st Health Key Key Statement Pages General Interrogatories
March 1st Health Key Key Statement Pages Five-Year Historical Data
March 1st Health Key Key Statement Pages Schedule T – Premiums and Other Considerations
March 1st Health Key Key Statement Pages Schedule Y – Part 1 – Information Concerning Activities of Insurer Members of a Hold

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Annual Health PDF Detail: NON-KEY (Other Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Health Non-Key Other Annual Statement Pages Exhibit 2 – Accident and Health Premiums Due and Unpaid
March 1st Health Non-Key Other Annual Statement Pages Exhibit 3 – Health Care Receivables
March 1st Health Non-Key Other Annual Statement Pages Exhibit 3A – Analysis of Health Care Receivables Collected and Accrued
March 1st Health Non-Key Other Annual Statement Pages Exhibit 4 – Claims Unpaid and Incentive Pool, Withhold and Bonus
March 1st Health Non-Key Other Annual Statement Pages Exhibit 5 – Amounts Due From Parent, Subsidiaries and Affiliates
March 1st Health Non-Key Other Annual Statement Pages Exhibit 6 – Amounts Due to Parent, Subsidiaries and Affiliates
March 1st Health Non-Key Other Annual Statement Pages Exhibit 7 – Part 1 – Summary of Transactions with Providers
March 1st Health Non-Key Other Annual Statement Pages Exhibit 7 – Part 2 – Summary of Transactions with Intermediaries
March 1st Health Non-Key Other Annual Statement Pages Exhibit 8 – Furniture, Equipment and Supplies Owned
March 1st Health Non-Key Other Annual Statement Pages Exhibit of Premiums, Enrollment and Utilization (State Page)
March 1st Health Non-Key Other Annual Statement Pages Schedule S – Part 1 – Section 2
March 1st Health Non-Key Other Annual Statement Pages Schedule S – Part 2
March 1st Health Non-Key Other Annual Statement Pages Schedule S – Part 3 – Section 2
March 1st Health Non-Key Other Annual Statement Pages Schedule S – Part 4
March 1st Health Non-Key Other Annual Statement Pages Schedule S – Part 5
March 1st Health Non-Key Other Annual Statement Pages Schedule S – Part 6
March 1st Health Non-Key Other Annual Statement Pages Schedule S – Part 7
March 1st Health Non-Key Other Annual Statement Pages Schedule T – Part 2 – Interstate Compact
March 1st Health Non-Key Other Annual Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
March 1st Health Non-Key Other Annual Statement Pages Schedule Y - Part 2 – Summary of Insurer’s Transactions With Any Affiliates
March 1st Health Non-Key Other Annual Statement Pages Supplemental Exhibits and Schedules Interrogatories
March 1st Health Non-Key Other Annual Statement Pages Medicare Supplement Insurance Experience Exhibit
March 1st Health Non-Key Other Annual Statement Pages Medicare Part D Coverage Supplement

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Annual Health PDF Detail: NON-KEY (Investment Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Health Non-Key Investment Annual Statement Pages Summary Investment Schedule
March 1st Health Non-Key Investment Annual Statement Pages Schedule A – Verification Between Years
March 1st Health Non-Key Investment Annual Statement Pages Schedule B – Verification Between Years
March 1st Health Non-Key Investment Annual Statement Pages Schedule BA – Verification Between Years
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Verification Between Years
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Summary By Country
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 1A – Section 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 1A – Section 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule DA – Verification Between Years
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part A – Verification Between Years
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part B – Verification Between Years
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Verification
March 1st Health Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Verification Between Years
March 1st Health Non-Key Investment Annual Statement Pages Schedule A – Part 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule A – Part 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule A – Part 3
March 1st Health Non-Key Investment Annual Statement Pages Schedule B – Part 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule B – Part 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule B – Part 3
March 1st Health Non-Key Investment Annual Statement Pages Schedule BA – Part 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule BA – Part 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule BA – Part 3

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Annual Health PDF Detail: NON-KEY (Investment Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 3
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 4
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 5
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 6 – Section 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule D – Part 6 – Section 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule DA – Part 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule DL – Part 1
March 1st Health Non-Key Investment Annual Statement Pages Schedule DL – Part 2
March 1st Health Non-Key Investment Annual Statement Pages Schedule E – Part 1 – Cash
March 1st Health Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Cash Equivalents
March 1st Health Non-Key Investment Annual Statement Pages Schedule E – Part 3 – Special Deposits

Annual Health PDF Detail: NON-KEY (Non-Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Health Non-Key Non-Key Statement Pages Actuarial Opinion
March 1st Health Non-Key Non-Key Statement Pages Actuarial Opinion on participating and non-participating policies
March 1st Health Non-Key Non-Key Statement Pages Actuarial Opinion on non-guaranteed elements
st
March 1 Health Non-Key Non-Key Statement Pages Relief from the Five-year Rotation Requirement for Lead Audit Partner
st
March 1 Health Non-Key Non-Key Statement Pages Relief from the One-year Cooling Off Period for Independent CPA
st
March 1 Health Non-Key Non-Key Statement Pages Relief from the Requirements for Audit Committees
April 1st Health Non-Key Non-Key Statement Pages Management Discussions and Analysis
June 1st Health Non-Key Non-Key Statement Pages Audited Financial Report
June 1st Health Non-Key Non-Key Statement Pages Accountant's Letter of Qualifications

36
Annual Health PDF Detail: NON-KEY (Statement Pages)

Due Date Statement Type Page PDF Type Detail

April 1st Health Non-Key Statement Pages Supplemental Investment Risks Interrogatories
April 1st Health Non-Key Statement Pages Accident and Health Policy Experience Exhibit for Year
April 1st Health Non-Key Statement Pages Long-Term Care Experience Reporting Form 1
April 1st Health Non-Key Statement Pages Long-Term Care Experience Reporting Form 2
April 1st Health Non-Key Statement Pages Long-Term Care Experience Reporting Form 3
April 1st Health Non-Key Statement Pages Long-Term Care Experience Reporting Form 4
April 1st Health Non-Key Statement Pages Long-Term Care Experience Reporting Form 5
April 1st Health Non-Key Statement Pages Exhibit 5 – Aggregate Reserve For Life Contracts
April 1st Health Non-Key Statement Pages Exhibit 5 – Interrogatories
April 1st Health Non-Key Statement Pages Exhibit 7 – Deposit Type Contracts
April 1st Health Non-Key Statement Pages Schedule S – Part 1 – Section 1
April 1st Health Non-Key Statement Pages Schedule S – Part 3 – Section 1
April 1st Health Non-Key Statement Pages Life Insurance (State Page)
April 1st Health Non-Key Statement Pages Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconc
April 1st Health Non-Key Statement Pages Adjustments to The Life, Health & Annuity Guaranty Association Model Act
April 1st Health Non-Key Statement Pages Analysis of Annuity Operations by Lines of Business
April 1st Health Non-Key Statement Pages Analysis of Increase in Annuity Reserves During the Year
April 1st Health Non-Key Statement Pages Supplemental Health Care Exhibit

37
Annual Property & Casualty PDF Detail: KEY (Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Key Key Annual Statement Pages Jurat Page
March 1st Property & Casualty Key Key Annual Statement Pages Assets
March 1st Property & Casualty Key Key Annual Statement Pages Liabilities, Surplus and Other Funds
March 1st Property & Casualty Key Key Annual Statement Pages Statement of Income
March 1st Property & Casualty Key Key Annual Statement Pages Cash Flow
March 1st Property & Casualty Key Key Annual Statement Pages Underwriting and Investment Exhibit – Part 1
March 1st Property & Casualty Key Key Annual Statement Pages Underwriting and Investment Exhibit – Part 1A
March 1st Property & Casualty Key Key Annual Statement Pages Underwriting and Investment Exhibit – Part 1B
March 1st Property & Casualty Key Key Annual Statement Pages Underwriting and Investment Exhibit – Part 2
March 1st Property & Casualty Key Key Annual Statement Pages Underwriting and Investment Exhibit – Part 2A
March 1st Property & Casualty Key Key Annual Statement Pages Underwriting and Investment Exhibit – Part 3
March 1st Property & Casualty Key Key Annual Statement Pages Exhibit of Net Investment Income
March 1st Property & Casualty Key Key Annual Statement Pages Exhibit of Capital Gains (Losses)
March 1st Property & Casualty Key Key Annual Statement Pages Exhibit of Nonadmitted Assets
March 1st Property & Casualty Key Key Annual Statement Pages Notes to Financial Statements
March 1st Property & Casualty Key Key Annual Statement Pages General Interrogatories
March 1st Property & Casualty Key Key Annual Statement Pages Five-Year Historical Data
March 1st Property & Casualty Key Key Annual Statement Pages Schedule P – Part 1 – Summary – Analysis of Losses and Loss Expenses
March 1st Property & Casualty Key Key Annual Statement Pages Schedule P – Part 2, Part 3 and Part 4 Summary
March 1st Property & Casualty Key Key Annual Statement Pages Schedule T – Exhibit of Premiums Written
March 1st Property & Casualty Key Key Annual Statement Pages Schedule Y – Part 1 – Information Concerning Activities of Insurer Members of a
Holding Company Group

38
Annual Property & Casualty PDF Detail: NON-KEY (Other Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Other Annual Statement Pages Exhibit of Premiums and Losses (State Page)
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 1
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 2
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 3
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 4
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 5
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 6 – Section 1
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 6 – Section 2
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 7
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 8
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule F – Part 9
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule H – Accident and Health Exhibit – Part 1
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule H – Part 2, Part 3 and Part 4
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule H – Part 5 – Health Claims

39
Annual Property & Casualty PDF Detail: NON-KEY (Other Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1A – Homeowners/Farmowners
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1B – Private Passenger Auto Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1C – Commercial Auto/Truck Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1D – Workers’ Compensation (Excluding Excess Workers’ Comp
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1E – Commercial Multiple Peril
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1F – Section 1 – Medical Professional Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1F – Section 2 – Medical Professional Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1G - Special Liability (Ocean Marine, Aircraft (All Perils), Boiler
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1H – Section 1 – Other Liability–Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1H – Section 2 – Other Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1I – Special Property (Fire, Allied Lines, Inland Marine, Earthqu
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1J – Auto Physical Damage
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1K – Fidelity/Surety
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1L – Other (Including Credit, Accident a Health)
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1M – International
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1N – Reinsurance – Nonproportional Assumed Property
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1O – Reinsurance – Nonproportional Assumed Liability
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1P – Reinsurance – Nonproportional Assumed Financial Lines
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1R – Section 1 – Products Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1R – Section 2 – Products Liability – Claims – Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1S – Financial Guaranty/Mortgage Guaranty
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 1T – Warranty

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Annual Property & Casualty PDF Detail: NON-KEY (Other Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2A – Homeowners/Farmowners
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2B – Private Passenger Auto Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2C – Commercial Auto/Truck Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2D – Workers’ Compensation (Excluding Excess Workers’ Comp
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2E – Commercial Multiple Peril
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2F – Section 1 – Medical Professional Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2F – Section 2 – Medical Professional Liability – Claims – Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2G – Special Liability (Ocean Marine, Aircraft (All Perils), Boile
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2H – Section 1 – Other Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2H – Section 2 – Other Liability – Claims – Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2I – Special Property (Fire, Allied Lines, Inland Marine, Earthqu
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2J – Auto Physical Damage
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2K – Fidelity, Surety
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2L – Other (Including Credit, Accident and Health)
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2M – International
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2N – Reinsurance – Nonproportional Assumed Property
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2O – Reinsurance – Nonproportional Assumed Liability
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2P – Reinsurance – Nonproportional Assumed Financial Lines
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2R – Section 1 – Products Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2R – Section 2 – Products Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2S – Financial Guaranty/Mortgage Guaranty
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 2T – Warranty

41
Annual Property & Casualty PDF Detail: NON-KEY (Other Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3A – Homeowners/Farmowners
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3B – Private Passenger Auto Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3C – Commercial Auto/Truck Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3D – Workers’ Compensation (Excluding Excess Workers’ Com
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3E – Commercial Multiple Peril
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3F – Section 1 –Medical Professional Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3F – Section 2 – Medical Professional Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3G – Special Liability (Ocean Marine, Aircraft (All Perils), Boil
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3H – Section 1 – Other Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3H – Section 2 – Other Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3I – Special Property (Fire, Allied Lines, Inland Marine, Earthqu
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3J – Auto Physical Damage
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3K – Fidelity/Surety
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3L – Other (Including Credit, Accident and Health)
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3M – International
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3N – Reinsurance – Nonproportional Assumed Property
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3O – Reinsurance – Nonproportional Assumed Liability
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3P – Reinsurance – Nonproportional Assumed Financial Lines
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3R – Section 1 – Products Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3R – Section 2 – Products Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3S – Financial Guaranty/Mortgage Guaranty
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 3T – Warranty

42
Annual Property & Casualty PDF Detail: NON-KEY (Other Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4A – Homeowners/Farmowners
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4B – Private Passenger Auto Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4C – Commercial Auto/Truck Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4D – Workers’ Compensation (Excluding Excess Workers’ Com
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4E – Commercial Multiple Peril
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4F – Section 1 – Medical Professional Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4F – Section 2 – Medical Professional Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4G – Special Liability (Ocean Marine, Aircraft (All Perils), Boile
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4H – Section 1 – Other Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4H – Section 2 – Other Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4I – Special Property (Fire, Allied Lines, Inland Marine, Earthqu
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4J – Auto Physical Damage
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4K – Fidelity/Surety
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4L – Other (Including Credit, Accident and Health)
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4M – International
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4N – Reinsurance – Nonproportional Assumed Property
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4O – Reinsurance – Nonproportional Assumed Liability
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4P – Reinsurance – Nonproportional Assumed Financial Lines
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4R – Section 1 – Products Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4R – Section 2 – Products Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4S – Financial Guaranty/Mortgage Guaranty
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 4T – Warranty

43
Annual Property & Casualty PDF Detail: NON-KEY (Other Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5A – Homeowners/Farmowners
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5B – Private Passenger Auto Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5C – Commercial Auto/Truck Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5D – Workers’ Compensation (Excluding Excess Workers’ Com
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5E – Commercial Multiple Peril
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5F – Medical Professional Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5F – Medical Professional Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5H – Other Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5H – Other Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5R – Products Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5R – Products Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 5T – Warranty
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6C – Commercial Auto/Truck Liability/Medical
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6D – Workers’ Compensation (Excluding Excess Workers’ Comp
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6E – Commercial Multiple Peril
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6H – Other Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6H – Other Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6M – International
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6N – Reinsurance – Nonproportional Assumed Property
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6O – Reinsurance – Nonproportional Assumed Liability
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6R – Products Liability – Occurrence
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 6R – Products Liability – Claims-Made
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 7A – Primary Loss Sensitive Contracts
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P – Part 7B – Reinsurance Loss Sensitive Contracts
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule P Interrogatories
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule T – Part 2 – Interstate Compact
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
March 1st Property & Casualty Non-Key Other Annual Statement Pages Schedule Y – Part 2 – Summary of Insurer’s Transactions With Any Affiliates
March 1st Property & Casualty Non-Key Other Annual Statement Pages Supplemental Exhibits and Schedules Interrogatories

44
Annual Property & Casualty PDF Detail: NON-KEY (Other Annual Statement Pages, continued)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Other Annual Statement Pages Financial Guaranty Insurance Exhibit
March 1st Property & Casualty Non-Key Other Annual Statement Pages Medicare Supplement Insurance Experience Exhibit
March 1st Property & Casualty Non-Key Other Annual Statement Pages Supplement “A” to Schedule T
March 1st Property & Casualty Non-Key Other Annual Statement Pages Trusteed Surplus Statement
March 1st Property & Casualty Non-Key Other Annual Statement Pages Premiums Attributed to Protected Cells Exhibit
March 1st Property & Casualty Non-Key Other Annual Statement Pages Reinsurance Summary Supplemental
March 1st Property & Casualty Non-Key Other Annual Statement Pages Medicare Part D Coverage Supplement
March 1st Property & Casualty Non-Key Other Annual Statement Pages Bail Bond Supplement
March 1st Property & Casualty Non-Key Other Annual Statement Pages Director and Officer Insurance Coverage Supplement
March 1st Property & Casualty Non-Key Other Annual Statement Pages Supplemental Schedule for Reinsurance Counterparty Reporting Exception

Annual Property & Casualty PDF Detail: NON-KEY (Investment Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Investment Annual Statement Pages Summary Investment Schedule
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule A – Verification Between Years
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule B – Verification Between Years
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule BA – Verification Between Years
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Verification Between Years
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Summary By Country
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 1A – Section 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 1A – Section 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DA – Verification Between Years
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part A – Verification Between Years
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part B – Verification Between Years
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Verification
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Verification Between Years
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule A – Part 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule A – Part 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule A – Part 3
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule B – Part 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule B – Part 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule B – Part 3
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule BA – Part 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule BA – Part 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule BA – Part 3

45
Annual Property & Casualty PDF Detail: NON-KEY (Investment Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 3
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 4
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 5
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 6 – Section 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule D – Part 6 – Section 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DA – Part 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DL – Part 1
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule DL – Part 2
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule E – Part 1 – Cash
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Cash Equivalents
March 1st Property & Casualty Non-Key Investment Annual Statement Pages Schedule E – Part 3 – Special Deposits

46
Annual Property & Casualty PDF Detail: NON-KEY (Statement Pages)

Due Date Statement Type Page PDF Type Detail

April 1st Property & Casualty Non-Key Statement Pages Credit Insurance Experience Exhibit
April 1st Property & Casualty Non-Key Statement Pages Long-Term Care Experience Reporting Form 1
April 1st Property & Casualty Non-Key Statement Pages Long-Term Care Experience Reporting Form 2
April 1st Property & Casualty Non-Key Statement Pages Long-Term Care Experience Reporting Form 3
April 1st Property & Casualty Non-Key Statement Pages Long-Term Care Experience Reporting Form 4
April 1st Property & Casualty Non-Key Statement Pages Long-Term Care Experience Reporting Form 5
April 1st Property & Casualty Non-Key Statement Pages Accident and Health Policy Experience Exhibit for Year
April 1st Property & Casualty Non-Key Statement Pages Supplemental Health Care Exhibit
April 1st Property & Casualty Non-Key Statement Pages Cybersecurity and Identity Theft Insurance Coverage Supplement – Part 1 – Interr
April 1st Property & Casualty Non-Key Statement Pages Cybersecurity and Identity Theft Insurance Coverage Supplement – Part 2 – Stand-
April 1st Property & Casualty Non-Key Statement Pages Cybersecurity and Identity Theft Insurance Coverage Supplement – Part 3 – Part of
April 1st Property & Casualty Non-Key Statement Pages Insurance Expense Exhibit
April 1st Property & Casualty Non-Key Statement Pages Supplemental Investment Risks Interrogatories
April 1st Property & Casualty Non-Key Statement Pages Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconc
April 1st Property & Casualty Non-Key Statement Pages Adjustments to the Life, Health & Annuity Guaranty Association Model Act Assess
April 1st Property & Casualty Non-Key Statement Pages Analysis of Annuity Operations by Lines of Business
April 1st Property & Casualty Non-Key Statement Pages Analysis of Increase in Annuity Reserves During the Year

Annual Property & Casualty PDF Detail: NON-KEY (Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Actuarial Opinion
March 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Reinsurance Attestation Supplement
March 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Relief from the Five-year Rotation Requirement for Lead Audit Partner
March 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Relief from the One-year Cooling Off Period for Independent CPA
March 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Relief from the Requirements for Audit Committees
May 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Combined Annual Statement Filing
May 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Combined insurance Expense Exhibit
st
April 1 Property & Casualty Non-Key Non-Key Annual Statement Pages Management Discussion and Analysis
June 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Accountant's Letter of Qualifications
June 1st Property & Casualty Non-Key Non-Key Annual Statement Pages Audited Financial Report

47
Annual Title PDF Detail: NON-KEY (Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Title Key Key Statement Pages Jurat Page
March 1st Title Key Key Statement Pages Assets
March 1st Title Key Key Statement Pages Liabilities, Surplus and Other Funds
March 1st Title Key Key Statement Pages Operations and Investment Exhibit (Statement of Income)
March 1st Title Key Key Statement Pages Cash Flow
March 1st Title Key Key Statement Pages Operations and Investment Exhibit – Part 1A
March 1st Title Key Key Statement Pages Operations and Investment Exhibit – Part 1B
March 1st Title Key Key Statement Pages Operations and Investment Exhibit – Part 2A
March 1st Title Key Key Statement Pages Operations and Investment Exhibit – Part 2B
March 1st Title Key Key Statement Pages Operations and Investment Exhibit – Part 3
March 1st Title Key Key Statement Pages Operations and Investment Exhibit – Part 4
March 1st Title Key Key Statement Pages Exhibit of Net Investment Income
March 1st Title Key Key Statement Pages Exhibit of Capital Gains (Losses)
March 1st Title Key Key Statement Pages Exhibit of Nonadmitted Assets
March 1st Title Key Key Statement Pages Notes To Financial Statements
March 1st Title Key Key Statement Pages General Interrogatories
March 1st Title Key Key Statement Pages Five-Year Historical Data
March 1st Title Key Key Statement Pages Schedule P – Part 1 - Summary
March 1st Title Key Key Statement Pages Schedule T – Exhibit of Premiums Written
March 1st Title Key Key Statement Pages Schedule Y – Part 1 – Information Concerning Activities of Insurer Members of a H

48
Annual Title PDF Detail: NON-KEY (Investment Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Title Non-Key Investment Annual Statement Pages Summary Investment Schedule
March 1st Title Non-Key Investment Annual Statement Pages Schedule A – Verification Between Years
March 1st Title Non-Key Investment Annual Statement Pages Schedule B – Verification Between Years
March 1st Title Non-Key Investment Annual Statement Pages Schedule BA – Verification Between Years
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Verification Between Years
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Summary By Country
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 1A – Section 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 1A – Section 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule DA – Verification Between Years
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part A – Verification Between Years
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part B – Verification Between Years
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Verification
March 1st Title Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Verification Between Years
March 1st Title Non-Key Investment Annual Statement Pages Schedule A – Part 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule A – Part 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule A – Part 3
March 1st Title Non-Key Investment Annual Statement Pages Schedule B – Part 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule B – Part 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule B – Part 3
March 1st Title Non-Key Investment Annual Statement Pages Schedule BA – Part 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule BA – Part 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule BA – Part 3

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Annual Title PDF Detail: NON-KEY (Investment Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 3
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 4
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 5
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 6 – Section 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule D – Part 6 – Section 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule DA – Part 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule DL – Part 1
March 1st Title Non-Key Investment Annual Statement Pages Schedule DL – Part 2
March 1st Title Non-Key Investment Annual Statement Pages Schedule E – Part 1 – Cash
March 1st Title Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Cash Equivalents
March 1st Title Non-Key Investment Annual Statement Pages Schedule E – Part 3 – Special Deposits

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Annual Title PDF Detail: NON-KEY (Other Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Title Non-Key Other Annual Statement Pages Exhibit of Premiums and Losses
March 1st Title Non-Key Other Annual Statement Pages Schedule E – Part 1A – Segregated Funds Held For Others as Non-Interest Earning
March 1st Title Non-Key Other Annual Statement Pages Schedule E – Part 1B – Segregated Funds Held For Others as Interest Earning Cash
March 1st Title Non-Key Other Annual Statement Pages Schedule E – Part 1C – Reinsurance Reserve Funds
March 1st Title Non-Key Other Annual Statement Pages Schedule E – Part 1D – Summary
March 1st Title Non-Key Other Annual Statement Pages Schedule E – Part 1E – Summary of Interest Earned
March 1st Title Non-Key Other Annual Statement Pages Schedule E – Part 1F – Funds on Deposit - Interrogatories
March 1st Title Non-Key Other Annual Statement Pages Schedule F – Part 1
March 1st Title Non-Key Other Annual Statement Pages Schedule F – Part 2
March 1st Title Non-Key Other Annual Statement Pages Schedule F – Part 3
March 1st Title Non-Key Other Annual Statement Pages Schedule F – Part 4
March 1st Title Non-Key Other Annual Statement Pages Schedule H Verification
March 1st Title Non-Key Other Annual Statement Pages Schedule H – Part 1
March 1st Title Non-Key Other Annual Statement Pages Schedule H – Part 2
March 1st Title Non-Key Other Annual Statement Pages Schedule H – Part 3
March 1st Title Non-Key Other Annual Statement Pages Schedule H – Part 4

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Annual Title PDF Detail: NON-KEY (Other Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 1A – Policies Written Directly
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 1B – Policies Written Through Agents
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 2 – Policy Year Incurred Loss and ALAE
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 2A – Policy Year Paid Loss and ALAE
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 2B – Policy Year Loss and ALAE Case Basis Reserves
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 2C - Policy Year Bulk Reserves on Known Claims
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 2D – Policy Year IBNR Reserves
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 3 – Incurred Loss and ALAE by Year of First Report
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 3A – Paid Loss and ALAE by Year of First Report
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 3B – Loss and ALAE Case Basis Reserves by Year of First Rep
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 3C – Bulk Reserves on Known Claims by Year of First Report
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 4A – Policy Year Reported Claim Counts
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 4B – Policy Year Claim Closed With Loss Payment
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 4C – Policy Year Claim Closed Without Loss Payment
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 5A - Report Year Reported Claim Counts
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 5B – Report Year Claims Closed With Loss Payment
March 1st Title Non-Key Other Annual Statement Pages Schedule P – Part 5C – Report Year Claims Closed Without Loss Payment
March 1st Title Non-Key Other Annual Statement Pages Schedule P - Interrogatories
March 1st Title Non-Key Other Annual Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
March 1st Title Non-Key Other Annual Statement Pages Schedule Y - Part 2 – Summary of Insurer’s Transactions With Any Affiliates
March 1st Title Non-Key Other Annual Statement Pages Supplemental Exhibits and Schedules Interrogatories

Annual Title PDF Detail: NON-KEY (Statement Pages)

Due Date Statement Type Page PDF Type Detail

April 1st Title Non-Key Statement Pages Supplemental Investment Risks Interrogatories

Annual Title PDF Detail: NON-KEY (Non-Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Title Non-Key Non-Key Annual Statement Pages Actuarial Opinion
March 1st Title Non-Key Non-Key Annual Statement Pages Relief from the Five-year Rotation Requirement for Lead Audit Partner
March 1st Title Non-Key Non-Key Annual Statement Pages Relief from the One-year Cooling Off Period for Independent CPA
March 1st Title Non-Key Non-Key Annual Statement Pages Relief from the Requirements for Audit Committees
April 1st Title Non-Key Non-Key Annual Statement Pages Management's Discussion and Analysis
June 1st Title Non-Key Non-Key Annual Statement Pages Audited Financial Statement
June 1st Title Non-Key Non-Key Annual Statement Pages Accountants Letter of Qualifications

52
Annual Fraternal PDF Detail: NON-KEY (Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Fraternal Key Key Annual Statement Pages Jurat Page
March 1st Fraternal Key Key Annual Statement Pages Assets
March 1st Fraternal Key Key Annual Statement Pages Liabilities, Surplus and Other Funds
March 1st Fraternal Key Key Annual Statement Pages Summary of Operations
March 1st Fraternal Key Key Annual Statement Pages Cash Flow
March 1st Fraternal Key Key Annual Statement Pages Analysis of Operations by Lines of Business
March 1st Fraternal Key Key Annual Statement Pages Analysis of Increase in Reserves During the Year
March 1st Fraternal Key Key Annual Statement Pages Exhibit of Net Investment Income
March 1st Fraternal Key Key Annual Statement Pages Exhibit of Capital Gains (Losses)
March 1st Fraternal Key Key Annual Statement Pages Exhibit 1 – Part 1 – Premiums and Annuity Considerations for Life and Accident and Health Con
March 1st Fraternal Key Key Annual Statement Pages Exhibit 1 – Part 2 – Refunds Applied, Reinsurance Commissions and Expense Allowances and
March 1st Fraternal Key Key Annual Statement Pages Exhibit 2 – General Expenses
March 1st Fraternal Key Key Annual Statement Pages Exhibit 3 – Taxes, Licenses and Fees
March 1st Fraternal Key Key Annual Statement Pages Exhibit 4 – Dividends or Refunds
March 1st Fraternal Key Key Annual Statement Pages Exhibit 5 – Aggregate Reserve for Life Contracts
March 1st Fraternal Key Key Annual Statement Pages Exhibit 5 – Interrogatories
March 1st Fraternal Key Key Annual Statement Pages Exhibit 5A – Changes in Bases of Valuation During the Year
March 1st Fraternal Key Key Annual Statement Pages Exhibit 6 – Aggregate Reserves for Accident and Health Contracts
March 1st Fraternal Key Key Annual Statement Pages Exhibit 7 – Deposit-Type Contracts
March 1st Fraternal Key Key Annual Statement Pages Exhibit 8 – Claims for Life and Accident and Health Contracts - Part 1
March 1st Fraternal Key Key Annual Statement Pages Exhibit 8 – Claims for Life and Accident and Health Contracts - Part 2
March 1st Fraternal Key Key Annual Statement Pages Exhibit of Nonadmitted Assets
March 1st Fraternal Key Key Annual Statement Pages Notes to Financial Statements
March 1st Fraternal Key Key Annual Statement Pages General Interrogatories
March 1st Fraternal Key Key Annual Statement Pages Five-Year Historical Data
March 1st Fraternal Key Key Annual Statement Pages Exhibit of Life Insurance
March 1st Fraternal Key Key Annual Statement Pages Exhibit of Number of Certificates for Supplementary Contracts, Annuities and Accident and Health
March 1st Fraternal Key Key Annual Statement Pages Schedule T – Premiums and Annuity Considerations
March 1st Fraternal Key Key Annual Statement Pages Schedule Y – Part 1 – Information Concerning Activities of Insurer Members of a Holding Comp

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Annual Fraternal PDF Detail: NON-KEY (Investment Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Fraternal Non-Key Investment Annual Statement Pages Summary Investment Schedule
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule A – Verification Between Years
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule B – Verification Between Years
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule BA – Verification Between Years
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Verification Between Years
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Summary by Country
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 1A – Section 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 1A – Section 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DA – Verification Between Years
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part A – Verification Between Years
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part B – Verification Between Years
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Verification
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Verification Between Years
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule A – Part 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule A – Part 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule A – Part 3
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule B – Part 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule B – Part 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule B – Part 3
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule BA – Part 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule BA – Part 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule BA – Part 3

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Annual Fraternal PDF Detail: NON-KEY (Investment Annual Statement Pages, Continued)

Due Date Statement Type Page PDF Type Detail

March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 3
March 1st Fraternal Non-Key Investment Annual Statement Pages ANNUAL STATEMENT BLANK (Continued)
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 4
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 5
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 6 – Section 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule D – Part 6 – Section 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DA – Part 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DL – Part 1
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule DL – Part 2
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule E – Part 1 – Cash
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Cash Equivalents
March 1st Fraternal Non-Key Investment Annual Statement Pages Schedule E – Part 3 – Special Deposits

55
Annual Fraternal PDF Detail: NON-KEY (Other Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Fraternal Non-Key Other Annual Statement Pages Life Insurance (State Page)
March 1st Fraternal Non-Key Other Annual Statement Pages Form for Calculating the Interest Maintenance Reserve (IMR)
March 1st Fraternal Non-Key Other Annual Statement Pages Asset Valuation Reserve
March 1st Fraternal Non-Key Other Annual Statement Pages Asset Valuation Reserve Default Component
March 1st Fraternal Non-Key Other Annual Statement Pages Asset Valuation Reserve Equity and Other Invested Asset Component Component
March 1st Fraternal Non-Key Other Annual Statement Pages Asset Valuation Reserve Replications (Synthetic) Assets
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule F
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule H – Part 1 – Accident and Health Exhibit
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule H – Part 2, Part 3 and Part 4
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule H – Part 5 – Health Claims
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 1 – Section 1
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 1 – Section 2
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 2
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 3 – Section 1
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 3 – Section 2
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 4
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 5
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 6
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule S – Part 7
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule T – Part 2 – Interstate Compact
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
March 1st Fraternal Non-Key Other Annual Statement Pages Schedule Y - Part 2 – Summary of Insurer’s Transactions with Any Affiliates
March 1st Fraternal Non-Key Other Annual Statement Pages Supplemental Exhibits and Schedules Interrogatories
March 1st Fraternal Non-Key Other Annual Statement Pages Medicare Supplement Insurance Experience Exhibit
March 1st Fraternal Non-Key Other Annual Statement Pages Trusteed Surplus Statement
March 1st Fraternal Non-Key Other Annual Statement Pages Medicare Part D Coverage Supplement

56
Annual Fraternal PDF Detail: NON-KEY (Non-Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Certification Regarding the Use of 2001 Preferred Class Tables Required by
the Model Regulation Permitting the Recognition of Preferred Mortality Tables for Use
in Determining Minimum Reserve Liabilities
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Certification Related to the Reserves Required by Actuarial Guideline XLIII

March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Certifications Related to Annuity Non-forfeiture Ongoing Compliance for
Equity Indexed Annuities
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Certifications Related to Hedging Required by Actuarial Guideline XLIII
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Opinion
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Opinion (Statement) on Non-Guaranteed Elements as Required in
Interrogatory 3 to Exhibit 5
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Opinion on Participating and Non-Participating Policies as Required in
Interrogatories 1 and 2 to Exhibit 5
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Opinion on Separate Accounts Funding Guaranteed Minimum Benefit
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Opinion on Synthetic Guaranteed Investment Contracts
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Opinion on X-Factors
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Actuarial Opinion Required by the Modified Guaranteed Annuity Model Regulation
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Financial Officer Certification Related to Clearly Defined Hedging Strategy Required
by Actuarial Guideline XLIII
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Management Certification That the Valuation Reflects Management's Intent Required
by Actuarial Guideline XLIII
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Reasonableness and Consistency of Assumptions Certification Required by Actuarial
Guideline XXXV
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Reasonableness and Consistency of Assumptions Certification Required by Actuarial
Guideline XXXVI
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Reasonableness and Consistency of Assumptions Certification Required by Actuarial
Guideline XXXVI
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Reasonableness of Assumptions Certification for Implied Guaranteed Rate Method
Required by Actuarial Guideline XXXVI
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Reasonableness and Consistency of Assumptions Certification Required by Actuarial
Guideline XXXV
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Relief from the Five-year Rotation Requirement for Lead Audit Partner
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Relief from the One-year Cooling Off Period for Independent CPA
March 1st Fraternal Non-Key Non-Key Annual Statement Pages Relief from the Requirements for Audit Committees
March 1st Fraternal Non-Key Non-Key Annual Statement Pages VM-20 Reserves Supplement
April 1st Fraternal Non-Key Non-Key Annual Statement Pages Management Discussion and Analysis
June 1st Fraternal Non-Key Non-Key Annual Statement Pages Audited Financial Report
June 1st Fraternal Non-Key Non-Key Annual Statement Pages Accountant's Letter of Qualifications

57
Annual Fraternal PDF Detail: NON-KEY (Statement Pages)

Due Date Statement Type Page PDF Type Detail

April 1st Fraternal Non-Key Statement Pages Accident and Health Policy Experience Exhibit
April 1st Fraternal Non-Key Statement Pages Analysis of Annuity Operations by Lines of Business
April 1st Fraternal Non-Key Statement Pages Analysis of Increase in Annuity Reserves During the Year
April 1st Fraternal Non-Key Statement Pages Interest Sensitive Life Insurance Products Report
April 1st Fraternal Non-Key Statement Pages Long-Term Care Experience Reporting Form 1
April 1st Fraternal Non-Key Statement Pages Long-Term Care Experience Reporting Form 2
April 1st Fraternal Non-Key Statement Pages Long-Term Care Experience Reporting Form 3
April 1st Fraternal Non-Key Statement Pages Long-Term Care Experience Reporting Form 4
April 1st Fraternal Non-Key Statement Pages Long-Term Care Experience Reporting Form 5
April 1st Fraternal Non-Key Statement Pages Supplemental Health Care Exhibit – Parts 1, 2, and 3
April 1st Fraternal Non-Key Statement Pages Supplemental Investment Risks Interrogatories
April 1st Fraternal Non-Key Statement Pages Supplemental Term and Universal Life Insurance Reinsurance Exhibit
April 1st Fraternal Non-Key Statement Pages Management's Discussion and Analysis
April 1st Fraternal Non-Key Statement Pages Variable Annuities Supplement
April 1st Fraternal Non-Key Statement Pages Fraternal Interest Sensitive Life Insurance Products Report
April 1st Fraternal Non-Key Statement Pages Supplemental Term and Universal Life Insurance Reinsurance Exhibit

Annual Separate Accounts PDF Detail: KEY (Key Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Separate Accounts Key Key Annual Statement Pages Jurat Page
March 1st Separate Accounts Key Key Annual Statement Pages Assets
March 1st Separate Accounts Key Key Annual Statement Pages Liabilities and Surplus
March 1st Separate Accounts Key Key Annual Statement Pages Summary of Operations
March 1st Separate Accounts Key Key Annual Statement Pages Analysis of Operations By Lines of Business
March 1st Separate Accounts Key Key Annual Statement Pages Analysis of Increase in Reserves During The Year
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit of Net Investment Income
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit of Capital Gains (Losses)
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit 1 – Investment Expenses
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit 2 – Investment Taxes, Licenses and Fees (Excluding Federal Income Taxes)
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit 3 – Aggregate Reserve for Life, Annuity and Accident and Health Contracts
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit 3 – Interrogatories
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit 3A – Changes in Bases of Valuation During The Year
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit 4 – Deposit-Type Contracts
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit 5 – Reconciliation of Cash and Invested Assets
March 1st Separate Accounts Key Key Annual Statement Pages Exhibit 6 – Guaranteed Insurance and Annuity Products
March 1st Separate Accounts Key Key Annual Statement Pages General Interrogatories

58
Annual Separate Accounts PDF Detail: NON-KEY (Other Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Separate Accounts Non-Key Other Annual Statement Pages Form for Calculating the Interest Maintenance Reserve (IMR)
March 1st Separate Accounts Non-Key Other Annual Statement Pages Asset Valuation Reserve Default Component
March 1st Separate Accounts Non-Key Other Annual Statement Pages Asset Valuation Reserve Equity and Other Invested Asset Component
March 1st Separate Accounts Non-Key Other Annual Statement Pages Asset Valuation Reserve Replications (Synthetic) Assets

Annual Separate Accounts PDF Detail: NON-KEY (Investment Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Separate Accounts Non-Key Investment Annual Statement Pages Summary Investment Schedule
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule A – Verification Between Years
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule B – Verification Between Years
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule BA – Verification Between Years
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule D – Verification Between Years
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule D – Summary By Country
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DA – Verification Between Years
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part A – Verification Between Years
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part B – Verification Between Years
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part C – Section 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Verification
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Verification Between Years
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule A – Part 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule A – Part 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule A – Part 3
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule B – Part 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule B – Part 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule B – Part 3
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule BA – Part 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule BA – Part 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule BA – Part 3

59
Annual Separate Accounts PDF Detail: NON-KEY (Investment Annual Statement Pages)

Due Date Statement Type Page PDF Type Detail

March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule D – Part 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule D – Part 2 – Section 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule D – Part 3
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule D – Part 4
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule D – Part 5
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DA – Part 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part A – Section 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part B – Section 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DB – Part D – Section 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DL – Part 1
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule DL – Part 2
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule E – Part 1 – Cash
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule E – Part 2 – Cash Equivalents
March 1st Separate Accounts Non-Key Investment Annual Statement Pages Schedule E – Part 3 – Special Deposits

60
 Quarter 1 – Due May 15
Quarter 2 – Due August 15
PDF Data Detail – Quarterly Statements Quarter 3 – Due November 15

Statement Type Detail

Fraternal Quarterly Statement Pages Assets
Fraternal Quarterly Statement Pages Liabilities, Surplus and Other Funds
Fraternal Quarterly Statement Pages Summary of Operations
Fraternal Quarterly Statement Pages Cash Flow
Fraternal Quarterly Statement Pages Exhibit 1
Fraternal Quarterly Statement Pages Notes to Financial Statements
Fraternal Quarterly Statement Pages General Interrogatories
Fraternal Quarterly Statement Pages Schedule S – Ceded Reinsurance
Fraternal Quarterly Statement Pages Schedule T – Premiums and Annuity Considerations
Fraternal Quarterly Statement Pages Schedule Y - Information Concerning Activities of Insurer Members of
Fraternal Quarterly Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
Fraternal Quarterly Statement Pages Supplemental Exhibit and Schedules Interrogatories
Fraternal Quarterly Statement Pages Schedule A – Verification
Fraternal Quarterly Statement Pages Schedule B – Verification
Fraternal Quarterly Statement Pages Schedule BA – Verification
Fraternal Quarterly Statement Pages Schedule D – Verification
Fraternal Quarterly Statement Pages Schedule D – Part 1B
Fraternal Quarterly Statement Pages Schedule DA – Part 1
Fraternal Quarterly Statement Pages Schedule DA –Verification
Fraternal Quarterly Statement Pages Schedule DB – Part A – Verification
Fraternal Quarterly Statement Pages Schedule DB – Part B – Verification
Fraternal Quarterly Statement Pages Schedule DB – Part C – Section 1
Fraternal Quarterly Statement Pages Schedule DB – Part C – Section 2
Fraternal Quarterly Statement Pages Schedule DB – Verification
Fraternal Quarterly Statement Pages Schedule E – Verification
Fraternal Quarterly Statement Pages Schedule A – Part 2
Fraternal Quarterly Statement Pages Schedule A – Part 3
Fraternal Quarterly Statement Pages Schedule B – Part 2
Fraternal Quarterly Statement Pages Schedule B – Part 3
Fraternal Quarterly Statement Pages Schedule BA – Part 2
Fraternal Quarterly Statement Pages Schedule BA – Part 3
Fraternal Quarterly Statement Pages Schedule D – Part 3
Fraternal Quarterly Statement Pages Schedule D – Part 4
Fraternal Quarterly Statement Pages Schedule DB – Part A – Section 1
Fraternal Quarterly Statement Pages Schedule DB – Part B – Section 1
Fraternal Quarterly Statement Pages Schedule DB – Part D – Section 1
Fraternal Quarterly Statement Pages Schedule DB – Part D – Section 2
Fraternal Quarterly Statement Pages Schedule DL – Part 2
Fraternal Quarterly Statement Pages Schedule E – Part 1 – Cash
Fraternal Quarterly Statement Pages Schedule E – Part 2 – Cash Equivalents
Fraternal Quarterly Statement Pages Trusteed Surplus Statement
Fraternal Quarterly Statement Pages Medicare Part D Coverage Supplement

61
Statement Type Detail
Health Quarterly Statement Pages Jurat Page
Health Quarterly Statement Pages Assets
Health Quarterly Statement Pages Liabilities, Capital and Surplus
Health Quarterly Statement Pages Statement of Revenue and Expenses
Health Quarterly Statement Pages Cash Flow
Health Quarterly Statement Pages Exhibit of Premiums, Enrollment and Utilization
Health Quarterly Statement Pages Claims Unpaid and Incentive Pool, Withhold and Bonus
Health Quarterly Statement Pages Underwriting and Investment Exhibit
Health Quarterly Statement Pages Notes to Financial Statements
Health Quarterly Statement Pages General Interrogatories
Health Quarterly Statement Pages Schedule S – Ceded Reinsurance
Health Quarterly Statement Pages Schedule T –Premiums and Other Considerations
Health Quarterly Statement Pages Schedule Y - Information Concerning Activities of Insurer Members of
Health Quarterly Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
Health Quarterly Statement Pages Supplemental Exhibit and Schedules Interrogatories
Health Quarterly Statement Pages Schedule A – Verification
Health Quarterly Statement Pages Schedule B – Verification
Health Quarterly Statement Pages Schedule BA – Verification
Health Quarterly Statement Pages Schedule D – Verification
Health Quarterly Statement Pages Schedule D – Part 1B
Health Quarterly Statement Pages Schedule DA – Part 1
Health Quarterly Statement Pages Schedule DA – Verification
Health Quarterly Statement Pages Schedule DB – Part A – Verification
Health Quarterly Statement Pages Schedule DB – Part B – Verification
Health Quarterly Statement Pages Schedule DB – Part C – Section 1
Health Quarterly Statement Pages Schedule DB – Part C – Section 2
Health Quarterly Statement Pages Schedule DB – Verification
Health Quarterly Statement Pages Schedule E – Verification
Health Quarterly Statement Pages Schedule A – Part 2
Health Quarterly Statement Pages Schedule A – Part 3
Health Quarterly Statement Pages Schedule B – Part 2
Health Quarterly Statement Pages Schedule B – Part 3
Health Quarterly Statement Pages Schedule BA – Part 2
Health Quarterly Statement Pages Schedule BA – Part 3
Health Quarterly Statement Pages Schedule D – Part 3
Health Quarterly Statement Pages Schedule D – Part 4
Health Quarterly Statement Pages Schedule DB – Part A – Section 1
Health Quarterly Statement Pages Schedule DB – Part B – Section 1
Health Quarterly Statement Pages Schedule DB – Part D – Section 1
Health Quarterly Statement Pages Schedule DB – Part D – Section 2
Health Quarterly Statement Pages Schedule DL – Part 1
Health Quarterly Statement Pages Schedule DL – Part 2
Health Quarterly Statement Pages Schedule E – Part 1 – Cash
Health Quarterly Statement Pages Schedule E – Part 2 – Cash Equivalents
Health Quarterly Statement Pages Medicare Part D Coverage Supplement
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Statement Type Detail
Life Quarterly Statement Pages Jurat Page
Life Quarterly Statement Pages Assets
Life Quarterly Statement Pages Liabilities, Surplus and Other Funds
Life Quarterly Statement Pages Summary of Operations
Life Quarterly Statement Pages Cash Flow
Life Quarterly Statement Pages Exhibit 1 – Direct Premiums and Deposit–Type Contracts
Life Quarterly Statement Pages Notes to Financial Statements
Life Quarterly Statement Pages General Interrogatories
Life Quarterly Statement Pages Schedule S – Ceded Reinsurance
Life Quarterly Statement Pages Schedule T – Premiums and Annuity Considerations
Life Quarterly Statement Pages Schedule Y - Information Concerning Activities of Insurer Members of
Life Quarterly Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
Life Quarterly Statement Pages Supplemental Exhibit and Schedules Interrogatories
Life Quarterly Statement Pages Schedule A – Verification
Life Quarterly Statement Pages Schedule B – Verification
Life Quarterly Statement Pages Schedule BA – Verification
Life Quarterly Statement Pages Schedule D – Verification
Life Quarterly Statement Pages Schedule D – Part 1B
Life Quarterly Statement Pages Schedule DA – Part 1
Life Quarterly Statement Pages Schedule DA – Verification
Life Quarterly Statement Pages Schedule DB – Part A – Verification
Life Quarterly Statement Pages Schedule DB – Part B – Verification
Life Quarterly Statement Pages Schedule DB – Part C – Section 1
Life Quarterly Statement Pages Schedule DB – Part C – Section 2
Life Quarterly Statement Pages Schedule DB – Verification
Life Quarterly Statement Pages Schedule E – Verification
Life Quarterly Statement Pages Schedule A – Part 2
Life Quarterly Statement Pages Schedule A – Part 3
Life Quarterly Statement Pages Schedule B – Part 2
Life Quarterly Statement Pages Schedule B – Part 3
Life Quarterly Statement Pages Schedule BA – Part 2
Life Quarterly Statement Pages Schedule BA – Part 3
Life Quarterly Statement Pages Schedule D – Part 3
Life Quarterly Statement Pages Schedule D – Part 4
Life Quarterly Statement Pages Schedule DB – Part A – Section 1
Life Quarterly Statement Pages Schedule DB – Part B – Section 1
Life Quarterly Statement Pages Schedule DB – Part D – Section 1
Life Quarterly Statement Pages Schedule DB – Part D – Section 2
Life Quarterly Statement Pages Schedule DL – Part 1
Life Quarterly Statement Pages Schedule DL – Part 2
Life Quarterly Statement Pages Schedule E – Part 1 – Cash
Life Quarterly Statement Pages Schedule E – Part 2 – Cash Equivalents
Life Quarterly Statement Pages Trusteed Surplus Statement
Life Quarterly Statement Pages Medicare Part D Coverage Supplement
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Statement Type Detail
Property & Casualty Quarterly Statement Pages Jurat Page
Property & Casualty Quarterly Statement Pages Assets
Property & Casualty Quarterly Statement Pages Liabilities, Surplus and Other Funds
Property & Casualty Quarterly Statement Pages Statement of Income
Property & Casualty Quarterly Statement Pages Cash Flow
Property & Casualty Quarterly Statement Pages Notes to Financial Statements
Property & Casualty Quarterly Statement Pages General Interrogatories
Property & Casualty Quarterly Statement Pages Schedule F – Ceded Reinsurance
Property & Casualty Quarterly Statement Pages Schedule T – Exhibit of Premiums Written
Property & Casualty Quarterly Statement Pages Schedule Y - Information Concerning Activities of Insurer Members of
Property & Casualty Quarterly Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
Property & Casualty Quarterly Statement Pages Part 1 – Loss Experience
Property & Casualty Quarterly Statement Pages Part 2 – Direct Premiums Written
Property & Casualty Quarterly Statement Pages Part 3 – Loss and Loss Adjustment Expense Reserves Schedule
Property & Casualty Quarterly Statement Pages Supplemental Exhibit and Schedules Interrogatories
Property & Casualty Quarterly Statement Pages Schedule A – Verification
Property & Casualty Quarterly Statement Pages Schedule B – Verification
Property & Casualty Quarterly Statement Pages Schedule BA – Verification
Property & Casualty Quarterly Statement Pages Schedule D – Verification
Property & Casualty Quarterly Statement Pages Schedule D – Part 1B
Property & Casualty Quarterly Statement Pages Schedule DA – Part 1
Property & Casualty Quarterly Statement Pages Schedule DA –Verification
Property & Casualty Quarterly Statement Pages Schedule DB – Part A – Verification
Property & Casualty Quarterly Statement Pages Schedule DB – Part B – Verification
Property & Casualty Quarterly Statement Pages Schedule DB – Part C – Section 1
Property & Casualty Quarterly Statement Pages Schedule DB – Part C – Section 2
Property & Casualty Quarterly Statement Pages Schedule DB – Verification
Property & Casualty Quarterly Statement Pages Schedule E – Verification
Property & Casualty Quarterly Statement Pages Schedule A – Part 2
Property & Casualty Quarterly Statement Pages Schedule A – Part 3
Property & Casualty Quarterly Statement Pages Schedule B – Part 2
Property & Casualty Quarterly Statement Pages Schedule B – Part 3
Property & Casualty Quarterly Statement Pages Schedule BA – Part 2
Property & Casualty Quarterly Statement Pages Schedule BA – Part 3
Property & Casualty Quarterly Statement Pages Schedule D – Part 3
Property & Casualty Quarterly Statement Pages Schedule D – Part 4
Property & Casualty Quarterly Statement Pages Schedule DB – Part A – Section 1
Property & Casualty Quarterly Statement Pages Schedule DB – Part B – Section 1
Property & Casualty Quarterly Statement Pages Schedule DB – Part D – Section 1
Property & Casualty Quarterly Statement Pages Schedule DB – Part D – Section 2
Property & Casualty Quarterly Statement Pages Schedule DL – Part 1 and Part 2
Property & Casualty Quarterly Statement Pages Schedule E – Part 1 – Cash
Property & Casualty Quarterly Statement Pages Schedule E – Part 2 – Cash Equivalents
Property & Casualty Quarterly Statement Pages Trusteed Surplus Statement
Property & Casualty Quarterly Statement Pages Supplement “A” To Schedule T
Property & Casualty Quarterly Statement Pages Medicare Part D Coverage Supplement
Property & Casualty Quarterly Statement Pages Director and Officer Insurance Coverage Supplement

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Statement Type Detail
Title Quarterly Statement Pages Jurat Page
Title Quarterly Statement Pages Assets
Title Quarterly Statement Pages Liabilities, Surplus and Other Funds
Title Quarterly Statement Pages Statement of Income
Title Quarterly Statement Pages Cash Flow
Title Quarterly Statement Pages Notes to Financial Statements
Title Quarterly Statement Pages General Interrogatories
Title Quarterly Statement Pages Schedule F – Ceded Reinsurance
Title Quarterly Statement Pages Schedule T – Exhibit of Premiums Written
Title Quarterly Statement Pages Schedule Y - Information Concerning Activities of Insurer Members of
Title Quarterly Statement Pages Schedule Y – Part 1A – Detail of Insurance Holding Company System
Title Quarterly Statement Pages Part 1 – Loss Experience
Title Quarterly Statement Pages Part 2 - Direct Premiums Written
Title Quarterly Statement Pages Schedule A – Verification
Title Quarterly Statement Pages Schedule B – Verification
Title Quarterly Statement Pages Schedule BA – Verification
Title Quarterly Statement Pages Schedule D – Verification
Title Quarterly Statement Pages Schedule D – Part 1B
Title Quarterly Statement Pages Schedule DA – Part 1
Title Quarterly Statement Pages Schedule DA – Verification
Title Quarterly Statement Pages Schedule DB – Part A – Verification
Title Quarterly Statement Pages Schedule DB – Part B – Verification
Title Quarterly Statement Pages Schedule DB – Part C – Section 1
Title Quarterly Statement Pages Schedule DB – Part C – Section 2
Title Quarterly Statement Pages Schedule DB – Verification
Title Quarterly Statement Pages Schedule E – Verification
Title Quarterly Statement Pages Schedule A – Part 2
Title Quarterly Statement Pages Schedule A – Part 3
Title Quarterly Statement Pages Schedule B – Part 2
Title Quarterly Statement Pages Schedule B – Part 3
Title Quarterly Statement Pages Schedule BA – Part 2
Title Quarterly Statement Pages Schedule BA – Part 3
Title Quarterly Statement Pages Schedule D – Part 3
Title Quarterly Statement Pages Schedule D – Part 4
Title Quarterly Statement Pages Schedule DB – Part A – Section 1
Title Quarterly Statement Pages Schedule DB – Part B – Section 1
Title Quarterly Statement Pages Schedule DB – Part D – Section 1
Title Quarterly Statement Pages Schedule DB – Part D – Section 2
Title Quarterly Statement Pages Schedule DL – Part 1
Title Quarterly Statement Pages Schedule DL – Part 2
Title Quarterly Statement Pages Schedule E – Part 1 – Cash
Title Quarterly Statement Pages Schedule E – Part 2 – Cash Equivalents

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