BLC 2014 Annual STMT - v001 - G9q7io PDF

ANNUAL STATEMENT FOR THE YEAR 2014 OF THE BANKERS LIFE AND CASUALTY COMPANY
ASSETS
1.
Bonds (Schedule D)
2.
Stocks (Schedule D):

2.1 Preferred stocks
2.2 Common stocks
3.
Mortgage loans on real estate (Schedule B):

3.1 First liens
3.2 Other than first liens
4.
Real estate (Schedule A):

4.1 Properties occupied by the company (less $
encumbrances)
4.2 Properties held for the production of income (less
$
encumbrances)
4.3 Properties held for sale (less $

encumbrances)
5.
Cash ($
, Schedule E - Part 1), cash equivalents
($
, Schedule E - Part 2) and short-term
investments ($
, Schedule DA)
6.
Contract loans (including $
7.
Derivatives (Schedule DB)
premium notes)
8.
Other invested assets (Schedule BA)
9.
Receivables for securities
10.
Securities lending reinvested collateral assets (Schedule DL)
11.
Aggregate write-ins for invested assets
12.
Subtotals, cash and invested assets (Lines 1 to 11)
13.
Title plants less $
charged off (for Title insurers
only)
14.
Investment income due and accrued
15.
Premiums and considerations:

15.1 Uncollected premiums and agents' balances in the course of collection
15.2 Deferred premiums and agents' balances and installments booked but
deferred and not yet due (including $
earned but unbilled premiums)
15.3 Accrued retrospective premiums
16.
Reinsurance:
16.1 Amounts recoverable from reinsurers
16.2 Funds held by or deposited with reinsured companies
16.3 Other amounts receivable under reinsurance contracts
17.
Amounts receivable relating to uninsured plans
18.1 Current federal and foreign income tax recoverable and interest thereon
18.2 Net deferred tax asset
19.
Guaranty funds receivable or on deposit
20.
Electronic data processing equipment and software
21.
Furniture and equipment, including health care delivery assets
22.
Net adjustment in assets and liabilities due to foreign exchange rates
23.
Receivables from parent, subsidiaries and affiliates
($
24.
Health care ($
25.
Aggregate write-ins for other than invested assets
) and other amounts receivable
26.
Total assets excluding Separate Accounts, Segregated Accounts and

Protected Cell Accounts (Lines 12 to 25)
27.
From Separate Accounts, Segregated Accounts and Protected Cell

Accounts
28.
Total (Lines 26 and 27)

DETAILS OF WRITE-INS
1101.
1102.
1103.
1198.
Summary of remaining write-ins for Line 11 from overflow page
1199.
Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above)
2501.
2502.
"
# $
&
2503.
2598.
2599.
Current Year
2
Assets
Nonadmitted Assets
3
Net Admitted Assets
(Cols. 1 - 2)
Prior Year
4
Net Admitted
Assets
LIABILITIES, SURPLUS AND OTHER FUNDS

1.
Aggregate reserve for life contracts $

(Exh. 5, Line 9999999) less $
included in Line 6.3 (including $
Modco Reserve)
2. Aggregate reserve for accident and health contracts (including $
Modco Reserve)
3. Liability for deposit-type contracts (Exhibit 7, Line 14, Col. 1) (including $
Modco Reserve)
4. Contract claims:
4.1 Life (Exhibit 8, Part 1, Line 4.4, Col. 1 less sum of Cols. 9, 10 and 11)
4.2 Accident and health (Exhibit 8, Part 1, Line 4.4, sum of Cols. 9, 10 and 11)
5. Policyholders dividends $
and coupons $
due and unpaid (Exhibit 4,
Line 10)
6. Provision for policyholders dividends and coupons payable in following calendar year - estimated amounts:
6.1 Dividends apportioned for payment (including $
Modco)
6.2 Dividends not yet apportioned (including $
Modco)
6.3 Coupons and similar benefits (including $
Modco)
7. Amount provisionally held for deferred dividend policies not included in Line 6
8. Premiums and annuity considerations for life and accident and health contracts received in advance less
$
discount; including $
accident and health premiums (Exhibit 1,
Part 1, Col. 1, sum of lines 4 and 14)
9. Contract liabilities not included elsewhere:
9.1 Surrender values on canceled contracts
9.2 Provision for experience rating refunds, including the liability of $
accident and health
experience rating refunds of which $
is for medical loss ratio rebate per the Public Health
Service Act
9.3 Other amounts payable on reinsurance, including $
assumed and $
ceded
9.4 Interest maintenance reserve (IMR, Line 6)
10. Commissions to agents due or accrued-life and annuity contracts $
accident and health
$
and deposit-type contract funds $
11. Commissions and expense allowances payable on reinsurance assumed
12. General expenses due or accrued (Exhibit 2, Line 12, Col. 6)
13. Transfers to Separate Accounts due or accrued (net) (including $
accrued for expense
allowances recognized in reserves, net of reinsured allowances)
14. Taxes, licenses and fees due or accrued, excluding federal income taxes (Exhibit 3, Line 9, Col. 5)
15.1 Current federal and foreign income taxes, including $
on realized capital gains (losses)
15.2 Net deferred tax liability
16. Unearned investment income
17. Amounts withheld or retained by company as agent or trustee
18. Amounts held for agents'account, including $
agents'credit balances
19. Remittances and items not allocated
20. Net adjustment in assets and liabilities due to foreign exchange rates
21. Liability for benefits for employees and agents if not included above
22. Borrowed money $
and interest thereon $
23. Dividends to stockholders declared and unpaid
24. Miscellaneous liabilities:
24.01 Asset valuation reserve (AVR, Line 16, Col. 7)
24.02 Reinsurance in unauthorized and certified ($
) companies
24.03 Funds held under reinsurance treaties with unauthorized and certified ($
) reinsurers
24.04 Payable to parent, subsidiaries and affiliates
24.05 Drafts outstanding
24.06 Liability for amounts held under uninsured plans
24.07 Funds held under coinsurance
24.08 Derivatives
24.09 Payable for securities
24.10 Payable for securities lending
24.11 Capital notes $
and interest thereon $
25. Aggregate write-ins for liabilities
26. Total liabilities excluding Separate Accounts business (Lines 1 to 25)
27. From Separate Accounts Statement
28. Total liabilities (Lines 26 and 27)
29. Common capital stock
30. Preferred capital stock
31. Aggregate write-ins for other than special surplus funds
32. Surplus notes
33. Gross paid in and contributed surplus (Page 3, Line 33, Col. 2 plus Page 4, Line 51.1, Col. 1)
34. Aggregate write-ins for special surplus funds
35. Unassigned funds (surplus)
36. Less treasury stock, at cost:
36.1
shares common (value included in Line 29 $
)
36.2
shares preferred (value included in Line 30 $
)
37. Surplus (Total Lines 31+32+33+34+35-36) (including $
in Separate Accounts Statement)
38. Totals of Lines 29, 30 and 37 (Page 4, Line 55)
39. Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3)
2501.
2502.
2503.
!
"
"
2598. Summary of remaining write-ins for Line 25 from overflow page
2599. Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above)
3101.
3102.
3103.
3401.
3402.
3403.
1
Current Year
2
Prior Year
SUMMARY OF OPERATIONS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
08.301.
08.302.
08.303.
08.398.
08.399.
2701.
2702.
2703.
2798.
2799.
5301.
5302.
5303.
5398.
5399.
Premiums and annuity considerations for life and accident and health contracts (Exhibit 1, Part 1, Line 20.4, Col. 1, less
Col. 11)
Considerations for supplementary contracts with life contingencies
Net investment income (Exhibit of Net Investment Income, Line 17)
Amortization of Interest Maintenance Reserve (IMR, Line 5)
Separate Accounts net gain from operations excluding unrealized gains or losses
Commissions and expense allowances on reinsurance ceded (Exhibit 1, Part 2, Line 26.1, Col. 1)
Reserve adjustments on reinsurance ceded
Miscellaneous Income:
8.1 Income from fees associated with investment management, administration and contract guarantees from Separate
Accounts
8.2 Charges and fees for deposit-type contracts
8.3 Aggregate write-ins for miscellaneous income
Total (Lines 1 to 8.3)
Death benefits
Matured endowments (excluding guaranteed annual pure endowments)
Annuity benefits (Exhibit 8, Part 2, Line 6.4, Cols. 4 + 8)
Disability benefits and benefits under accident and health contracts
Coupons, guaranteed annual pure endowments and similar benefits
Surrender benefits and withdrawals for life contracts
Group conversions
Interest and adjustments on contract or deposit-type contract funds
Payments on supplementary contracts with life contingencies
Increase in aggregate reserves for life and accident and health contracts
Totals (Lines 10 to 19)
Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) (Exhibit 1, Part
2, Line 31, Col. 1)
Commissions and expense allowances on reinsurance assumed (Exhibit 1, Part 2, Line 26.2, Col. 1)
General insurance expenses (Exhibit 2, Line 10, Cols. 1, 2, 3 and 4)
Insurance taxes, licenses and fees, excluding federal income taxes (Exhibit 3, Line 7, Cols. 1 + 2 + 3)
Increase in loading on deferred and uncollected premiums
Net transfers to or (from) Separate Accounts net of reinsurance
Aggregate write-ins for deductions
Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28)
Dividends to policyholders
Net gain from operations after dividends to policyholders and before federal income taxes (Line 29 minus Line 30)
Federal and foreign income taxes incurred (excluding tax on capital gains)
Net gain from operations after dividends to policyholders and federal income taxes and before realized capital gains or
(losses) (Line 31 minus Line 32)
Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of
$
(excluding taxes of $
transferred to the IMR)
Net income (Line 33 plus Line 34)
CAPITAL AND SURPLUS ACCOUNT
Capital and surplus, December 31, prior year (Page 3, Line 38, Col. 2)
Net income (Line 35)
Change in net unrealized capital gains (losses) less capital gains tax of $
Change in net unrealized foreign exchange capital gain (loss)
Change in net deferred income tax
Change in nonadmitted assets
Change in liability for reinsurance in unauthorized and certified companies
Change in reserve on account of change in valuation basis, (increase) or decrease
Change in asset valuation reserve
Change in treasury stock (Page 3, Lines 36.1 and 36.2, Col. 2 minus Col. 1)
Surplus (contributed to) withdrawn from Separate Accounts during period
Other changes in surplus in Separate Accounts Statement
Change in surplus notes
Cumulative effect of changes in accounting principles
Capital changes:
50.1 Paid in
50.2 Transferred from surplus (Stock Dividend)
50.3 Transferred to surplus
Surplus adjustment:
51.1 Paid in
51.2 Transferred to capital (Stock Dividend)
51.3 Transferred from capital
51.4 Change in surplus as a result of reinsurance
Dividends to stockholders
Aggregate write-ins for gains and losses in surplus
Net change in capital and surplus for the year (Lines 37 through 53)
Capital and surplus, December 31, current year (Lines 36 + 54) (Page 3, Line 38)
! "
# "$
("
%
"
% & '
% & '
Summary of remaining write-ins for Line 8.3 from overflow page

Totals (Lines 08.301 thru 08.303 plus 08.398)(Line 8.3 above)
) %
# %
+
%
*
"
%
"

,#
&
/%
$
&
/
%

1
Current Year
2
Prior Year
CASH FLOW
Cash from Operations
1.
Premiums collected net of reinsurance
2.
Net investment income
3.
Miscellaneous income
4.
Total (Lines 1 through 3)
5.
Benefit and loss related payments
6.
Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts
7.
Commissions, expenses paid and aggregate write-ins for deductions
8.
Dividends paid to policyholders
9.
Federal and foreign income taxes paid (recovered) net of $
10.
Total (Lines 5 through 9)
11.
Net cash from operations (Line 4 minus Line 10)
12.
Proceeds from investments sold, matured or repaid:
tax on capital gains (losses)
Cash from Investments
12.1 Bonds
12.2 Stocks
12.3 Mortgage loans
12.4 Real estate
12.5 Other invested assets
12.6 Net gains or (losses) on cash, cash equivalents and short-term investments
12.7 Miscellaneous proceeds
12.8 Total investment proceeds (Lines 12.1 to 12.7)
13.
Cost of investments acquired (long-term only):

13.1 Bonds
13.2 Stocks
13.3 Mortgage loans
13.4 Real estate
13.5 Other invested assets
13.6 Miscellaneous applications
13.7 Total investments acquired (Lines 13.1 to 13.6)
14.
Net increase (decrease) in contract loans and premium notes
15.
Net cash from investments (Line 12.8 minus Line 13.7 minus Line 14)
16.
Cash provided (applied):
Cash from Financing and Miscellaneous Sources
16.1 Surplus notes, capital notes

16.2 Capital and paid in surplus, less treasury stock
16.3 Borrowed funds
16.4 Net deposits on deposit-type contracts and other insurance liabilities
16.5 Dividends to stockholders
16.6 Other cash provided (applied)
17.
Net cash from financing and miscellaneous sources (Lines 16.1 to 16.4 minus Line 16.5 plus Line 16.6)
18.
Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17)
19.
Cash, cash equivalents and short-term investments:
RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS
19.1 Beginning of year

19.2 End of year (Line 18 plus Line 19.1)
Note: Supplemental disclosures of cash flow information for non-cash transactions:
!
20.0001.
!#
$
$
$
20.0002. "
%
20.0003.
!
$
! &!
$
'
Current Year
Prior Year
ANALYSIS OF OPERATIONS BY LINES OF BUSINESS

1
Total
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
2
Industrial Life
Ordinary
4
Life Insurance
Individual Annuities
6
5
Supplementary
Contracts
Credit Life (Group

and Individual)
Group
7
Life Insurance
(a)
Premiums and annuity considerations for life and accident and health
contracts
Considerations for supplementary contracts with life contingencies
Net investment income
Amortization of Interest Maintenance Reserve (IMR)
Separate Accounts net gain from operations excluding unrealized gains or
losses
Commissions and expense allowances on reinsurance ceded
Miscellaneous Income:
8.1 Fees associated with income from investment management,
administration and contract guarantees from Separate Accounts
8.2 Charges and fees for deposit-type contracts
8.3 Aggregate write-ins for miscellaneous income
Totals (Lines 1 to 8.3)
Death benefits
Matured endowments (excluding guaranteed annual pure endowments)
Annuity benefits
Disability benefits and benefits under accident and health contracts
Coupons, guaranteed annual pure endowments and similar benefits
Group conversions
Interest and adjustments on contract or deposit-type contract funds
Payments on supplementary contracts with life contingencies
Increase in aggregate reserves for life and accident and health contracts
Commissions on premiums, annuity considerations and deposit-type
contract funds (direct business only)
Commissions and expense allowances on reinsurance assumed
General insurance expenses
Insurance taxes, licenses and fees, excluding federal income taxes
Increase in loading on deferred and uncollected premiums
Net transfers to or (from) Separate Accounts net of reinsurance
Net gain from operations before dividends to policyholders and federal
income taxes (Line 9 minus Line 28)
Net gain from operations after dividends to policyholders and before federal
income taxes (Line 29 minus Line 30)
Federal income taxes incurred (excluding tax on capital gains)
Net gain from operations after dividends to policyholders and federal income
taxes and before realized capital gains or (losses) (Line 31 minus Line 32)
08.301.
! "
08.302. # " $
08.303. ("
% & '
% & '
"
%
08.398. Summary of remaining write-ins for Line 8.3 from overflow page
08.399. Totals (Lines 08.301 thru 08.303 plus 08.398) (Line 8.3 above)
) %
%
"
2701.
2702.
2703.
# %
+
2798.
2799.

Totals (Lines 2701 thru 2703 plus 2798) (Line 27 above)
(a) Includes the following amounts for FEGLI/SGLI:
Line 1
%
"
, Line 10
, Line 16
, Line 23
, Line 24
Annuities
Group
Accident and Health

10
Credit (Group and
Individual)
11
Other
12
Aggregate of All
Other Lines of
Business
ANALYSIS OF INCREASE IN RESERVES DURING THE YEAR

1
Total
2
Industrial Life
Ordinary
4
Life Insurance
5
Supplementary
Contracts
6
Credit Life (Group and
Individual)
7
Life Insurance
Group
8
Annuities
Involving Life or Disability Contingencies (Reserves)
(Net of Reinsurance Ceded)
1.
Reserve December 31, prior year
2.
Tabular net premiums or considerations
3.
Present value of disability claims incurred
4.
Tabular interest
5.
Tabular less actual reserve released
6.
Increase in reserve on account of change in valuation basis
7.
Other increases (net)
8.
9.
Tabular cost
10.
Reserves released by death
11.
Reserves released by other terminations (net)
12.
Annuity, supplementary contract and disability payments involving life contingencies
13.
Net transfers to or (from) Separate Accounts
14.
Total Deductions (Lines 9 to 13)
15.
Reserve December 31, current year
XXX
XXX
XXX
XXX
XXX
EXHIBIT OF NET INVESTMENT INCOME

1.
1.1
1.2
1.3
2.1
2.11
2.2
2.21
3.
4.
5
6
7
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
0901.
0902.
0903.
0998.
0999.
1501.
1502.
1503.
1598.
1599.
1
Collected During Year
(a)
(a)
(a)
(a)
(b)
(b)
U.S. Government bonds

Bonds exempt from U.S. tax
Other bonds (unaffiliated)
Bonds of affiliates
Preferred stocks (unaffiliated)
Preferred stocks of affiliates
Common stocks (unaffiliated)
Common stocks of affiliates
Mortgage loans
Real estate
Contract loans
Cash, cash equivalents and short-term investments
Derivative instruments
Other invested assets
Aggregate write-ins for investment income
Total gross investment income
Investment expenses
Investment taxes, licenses and fees, excluding federal income taxes
Interest expense
Depreciation on real estate and other invested assets
Aggregate write-ins for deductions from investment income
Total deductions (Lines 11 through 15)
Net investment income (Line 10 minus Line 16)
2
Earned During Year
(c)
(d)
(e)
(f)
(g)
(g)
(h)
(i)

Totals (Lines 0901 thru 0903 plus 0998) (Line 9, above)

Totals (Lines 1501 thru 1503 plus 1598) (Line 15, above)
(a) Includes $
accrual of discount less $
amortization of premium and less $
paid for accrued interest on purchases.
(b) Includes $
paid for accrued dividends on purchases.
(c) Includes $
(d) Includes $
for companys occupancy of its own buildings; and excludes $
(e) Includes $
(f) Includes $
amortization of premium.
(g) Includes $
investment expenses and $
segregated and Separate Accounts.
interest on encumbrances.
investment taxes, licenses and fees, excluding federal income taxes, attributable to
(h) Includes $
interest on surplus notes and $
(i) Includes $
depreciation on real estate and $
interest on capital notes.

depreciation on other invested assets.
EXHIBIT OF CAPITAL GAINS (LOSSES)
1.
1.1
1.2
1.3
2.1
2.11
2.2
2.21
3.
4.
5.
6.
7.
8.
9.
10.
Realized Gain (Loss)

On Sales or Maturity
Other Realized
Adjustments
Total Realized
Capital Gain (Loss)
(Columns 1 + 2)
Change in
Unrealized
Capital Gain (Loss)
Change in Unrealized
Foreign Exchange
Capital Gain (Loss)
U.S. Government bonds

Bonds exempt from U.S. tax
Other bonds (unaffiliated)
Bonds of affiliates
Preferred stocks (unaffiliated)
Preferred stocks of affiliates
Common stocks (unaffiliated)
Common stocks of affiliates
Mortgage loans
Real estate
Contract loans
Derivative instruments
Aggregate write-ins for capital gains (losses)
Total capital gains (losses)
0901.
! ""
!
0902.
0903.
0998.
0999.
Summary of remaining write-ins for Line 9 from

overflow page
Totals (Lines 0901 thru 0903 plus 0998) (Line 9,
above)
EXHIBIT - 1 PART 1 - PREMIUMS AND ANNUITY CONSIDERATIONS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
9
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
FIRST YEAR (other than single)
Uncollected
Deferred and accrued
Deferred , accrued and uncollected:
3.1 Direct
3.2 Reinsurance assumed
3.3 Reinsurance ceded
3.4 Net (Line 1 + Line 2)
Advance
Line 3.4 - Line 4
Collected during year:
6.1 Direct
6.4 Net
Line 5 + Line 6.4
Prior year (uncollected + deferred and accrued - advance)
First year premiums and considerations:
9.1 Direct
9.4 Net (Line 7 - Line 8)
SINGLE
Single premiums and considerations:
10.1 Direct
10.4 Net
RENEWAL
Uncollected
Deferred and accrued
Deferred, accrued and uncollected:
13.1 Direct
13.4 Net (Line 11 + Line 12)
Advance
Line 13.4 - Line 14
Collected during year:
16.1 Direct
16.4 Net
Line 15 + Line 16.4
Prior year (uncollected + deferred and accrued - advance)
Renewal premiums and considerations:
19.1 Direct
19.4 Net (Line 17 - Line 18)
TOTAL
Total premiums and annuity considerations:
20.1 Direct
20.4 Net (Lines 9.4 + 10.4 + 19.4)
Total
Industrial Life
Ordinary
Life Insurance
4
Individual
Annuities
Credit Life (Group

and Individual)
6
Life Insurance
Group
Annuities
Group
Accident and Health

9
Credit (Group and
Individual)
10
Other
11
Aggregate of All
Other Lines of
Business
EXHIBIT - 1 PART 2 - DIVIDENDS AND COUPONS APPLIED, REINSURANCE COMMISSIONS

AND EXPENSE ALLOWANCES AND COMMISSIONS INCURRED (Direct Business Only)
1
Total
DIVIDENDS AND COUPONS APPLIED
(included in Part 1)
21.
To pay renewal premiums
22.
All other
REINSURANCE COMMISSIONS AND
EXPENSE ALLOWANCES INCURRED
23.
First year (other than single):

23.3 Net ceded less assumed
24.
Single:
25.
Renewal:
10

26.
Totals:
26.1 Reinsurance ceded (Page 6, Line 6)
26.2 Reinsurance assumed (Page 6, Line 22)
COMMISSIONS INCURRED
(direct business only)
27.
First year (other than single)
28.
Single
29.
Renewal
30.
Deposit-type contract funds
31.
Totals (to agree with Page 6, Line 21)
Industrial Life
Ordinary
Life Insurance
4
Individual
Annuities
Credit Life (Group

and Individual)
6
Life Insurance
Group
7
Annuities
Accident and Health

9
10
Group
Credit (Group and

Individual)
Other
11
Aggregate of All
Other Lines of
Business
EXHIBIT 2 - GENERAL EXPENSES

Insurance
Accident and Health
1
Life
1.
2.
3.11
3.12
3.21
3.22
3.31
3.32
4.1
4.2
4.3
4.4
4.5
5.1
5.2
5.3
5.4
5.5
5.6
5.7
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
7.1
7.2
7.3
9.1
9.2
9.3
10.
11.
12.
13.
14.
15.
2
Cost Containment
3
All Other
4
All Other Lines of
Business
Investment
Total
Rent
Salaries and wages
Contributions for benefit plans for employees
Contributions for benefit plans for agents
Payments to employees under non-funded benefit plans
Payments to agents under non-funded benefit plans
Other employee welfare
Other agent welfare
Legal fees and expenses
Medical examination fees
Inspection report fees
Fees of public accountants and consulting actuaries
Expense of investigation and settlement of policy claims
Traveling expenses
Advertising
Postage, express, telegraph and telephone
Printing and stationery
Cost or depreciation of furniture and equipment
Rental of equipment
Cost or depreciation of EDP equipment and software
Books and periodicals
Bureau and association fees
Insurance, except on real estate
Miscellaneous losses
Collection and bank service charges
Sundry general expenses
Group service and administration fees
Reimbursements by uninsured plans
Agency expense allowance
Agents balances charged off (less $
recovered)
Agency conferences other than local meetings
Real estate expenses
Investment expenses not included elsewhere
Aggregate write-ins for expenses
General expenses incurred
General expenses unpaid December 31, prior year
General expenses unpaid December 31, current year
Amounts receivable relating to uninsured plans, prior year
Amounts receivable relating to uninsured plans, current year
General expenses paid during year (Lines 10+11-12-13+14)
(a)
09.301.
!
"
09.302.
09.303.
09.399. Totals (Lines 09.301 thru 09.303 plus 09.398) (Line 9.3 above)
(a) Includes management fees of $
to affiliates and $
to non-affiliates.
EXHIBIT 3 - TAXES, LICENSES AND FEES (EXCLUDING FEDERAL INCOME TAXES)

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Insurance
2
Life
Accident and Health
3
All Other Lines of
Business
0801.
0802.
0803.
0898.
0899.
Investment
Total
1
Life
2
Accident and Health
Real estate taxes

State insurance department licenses and fees
State taxes on premiums
Other state taxes, including $
for employee benefits
U.S. Social Security taxes
All other taxes
Taxes, licenses and fees incurred
Taxes, licenses and fees unpaid December 31, prior year
Taxes, licenses and fees unpaid December 31, current
year
Taxes, licenses and fees paid during year (Lines 7 + 8 - 9)
EXHIBIT 4 - DIVIDENDS OR REFUNDS

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
Applied to pay renewal premiums

Applied to shorten the endowment or premium-paying period
Applied to provide paid-up additions
Applied to provide paid-up annuities
Total Lines 1 through 4
Paid in cash
Left on deposit
Aggregate write-ins for dividend or refund options
Amount due and unpaid
Provision for dividends or refunds payable in the following calendar year
Terminal dividends
Provision for deferred dividend contracts
Amount provisionally held for deferred dividend contracts not included in Line 13
Total from prior year
Total dividends or refunds (Lines 9 + 15 - 16)

Totals (Lines 0801 thru 0803 plus 0898) (Line 8 above)
11
EXHIBIT 5 - AGGREGATE RESERVE FOR LIFE CONTRACTS

1
Valuation Standard
0100001.
0100002.
0100003.
0100004.
0100005.
0100006.
0100007.
0100008.
0100009.
0100010.
0100011.
0100012.
0100013.
0100014.
0100015.
0100016.
0100017.
0100018.
0100019.
0100020.
0100021.
0100022.
0100023.
0100024.
0100025.
0100026.
0100027.
0100028.
0100029.
0100030.
0100031.
0100032.
0100033.
0100034.
0100035.
0100036.
0100037.
0100038.
0100039.
0100040.
0100041.
0100042.
0100043.
0100044.
0100045.
0100046.
0100047.
0100048.
0100049.
0100050.
0100051.
0100052.
0100053.
0100054.
0199997. Totals (Gross)
0199998. Reinsurance ceded
0199999. Life Insurance: Totals (Net)
0200001.
!" # $%
0200002.
0200003.
0200004.
!"
0200005.
!"
0200006.
!"
0200007.
&&
0200008.
&&
0200009.
!"
0200010.
!"
0200011.
'
&&
0200012.
'
&&
0200013.
'
&&
0200014.
'
&&
0200015.
'
&&
0200016.
'
&&
0200017.
'
&&
0200018.
'
&&
0200019.
'
&&
0200020.
'
&&
0200021.
'
&&
0200022.
'
&&
0200023.
( )*+
&&
0200024.
(
)*+
!"
0200025.
(
!"
0200026.
(
!"
0200027.
(
)*+
&&
0200028.
'
!"
0200029.
'
!"
0200030.
'
!"
0200031.
'
!"
0200032.
'
!"
0200033.
'
!"
0200034.
'
!"
0200035.
'
!"
Total
Industrial
Ordinary
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
12
5
Credit
(Group and
Individual)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
6
Group

1
Valuation Standard
0200036.
0200037.
0200038.
0200039.
0200040.
0200041.
0200042.
0200043.
0200044.
0200045.
0200046.
0200047.
0200048.
0200049.
0200050.
0200051.
0200052.
0200053.
0200054.
0200055.
0200056.
0200057.
0200058.
0200059.
0200060.
0200061.
0200062.
0200063.
0200064.
0200065.
0200066.
0200067.
0200068.
0299999. Annuities: Totals (Net)
0300001.
0300002.
0300003.
0300004.
0300005.
0300006.
0300007.
0300008.
0300009.
0300010.
0300011.
0300012.
0300013.
0300014.
0300015.
0300016.
0300017.
0300018.
0300019.
0300020.
0300021.
0300022.
0399999. SCWLC: Totals (Net)
0400001.
!
0400002.
!
0400003.
!
0400004.
!
0400005.
!
0499999. Accidental Death Benefits: Totals (Net)
0500001.
" #
!
0500002.
$%
&'
!
0500003.
$%
&'
!
0599999. Disability-Active Lives: Totals (Net)
0600001.
" ''
#
0600002.
$% ( &'
0600003.
$% ( &'
0600004.
$% ( &'
0600005.
$% ( ) $*
+) &'
0600006.
$% ( ) $*
+) &'
0600007.
$% ( ) $*
+) &'
0600008.
$% ( ) $*
+) &'
0600009.
$% ( ) $*
+) &'
0600010.
$% ( ) $*
+) &'
0699999. Disability-Disabled Lives: Totals (Net)
0700001. , $ $ - -+(%& $
(%& $ "
) &+ '
%. &$'+ -
%+ $
Total
Industrial
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Ordinary
&+ ' % %. - %.
12.1
5
Credit
(Group and
Individual)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
6
Group

1
Valuation Standard
0700002.
0799999. Miscellaneous Reserves: Totals (Net)
9999999. Totals (Net) - Page 3, Line 1
Total
Industrial
Ordinary
12.2
5
Credit
(Group and
Individual)
6
Group
EXHIBIT 5 - INTERROGATORIES
1.1
1.2
Has the reporting entity ever issued both participating and non-participating contracts?
If not, state which kind is issued.
2.1
2.2
Does the reporting entity at present issue both participating and non-participating contracts?
If not, state which kind is issued.
3.
Does the reporting entity at present issue or have in force contracts that contain non-guaranteed elements?
If so, attach a statement that contains the determination procedures, answers to the interrogatories and an actuarial opinion as described in
the instructions.
Has the reporting entity any assessment or stipulated premium contracts in force?
If so, state:
$
4.1 Amount of insurance?
4.2 Amount of reserve?
$
4.3 Basis of reserve:
4.
4.4 Basis of regular assessments:

4.5 Basis of special assessments:
5.
4.6 Assessments collected during the year

If the contract loan interest rate guaranteed in any one or more of its currently issued contracts is less than 5%, not in advance, state the
contract loan rate guarantees on any such contracts.
!
"
6.
7.
#$
&'
#'%
Does the reporting entity hold reserves for any annuity contracts that are less than the reserves that would be held on a standard basis?
6.1 If so, state the amount of reserve on such contracts on the basis actually held:
$
6.2 That would have been held (on an exact or approximate basis) using the actual ages of the annuitants; the interest rate(s) used in 6.1; and
the same mortality basis used by the reporting entity for the valuation of comparable annuity benefits issued to standard lives. If the
reporting entity has no comparable annuity benefits for standard lives to be valued, the mortality basis shall be the table most recently
approved by the state of domicile for valuing individual annuity benefits:
$
Attach statement of methods employed in their valuation.
Does the reporting entity have any Synthetic GIC contracts or agreements in effect as of December 31 of the current year?
7.1 If yes, state the total dollar amount of assets covered by these contracts or agreements
$
7.2 Specify the basis (fair value, amortized cost, etc.) for determining the amount:
7.3 State the amount of reserves established for this business:
7.4 Identify where the reserves are reported in the blank:
8.
9.
Does the reporting entity have any Contingent Deferred Annuity contracts or agreements in effect as of December 31 of the current year?
8.1 If yes, state the total dollar amount of account value covered by these contracts or agreements:
$
$
Does the reporting entity have any Guaranteed Lifetime Income Benefit contracts, agreements or riders in effect as of December 31 of the
current year?
9.1 If yes, state the total dollar amount of any account value associated with these contracts, agreements or riders:
$
$
EXHIBIT 5A - CHANGES IN BASES OF VALUATION DURING THE YEAR

1
NONE
Description of Valuation Class
9999999 - Total (Column 4, only)
Valuation Basis
Changed From
13
3
Changed To
4
Increase in Actuarial
Reserve Due to
Change
EXHIBIT 6 - AGGREGATE RESERVES FOR ACCIDENT AND HEALTH CONTRACTS
14
1.
2.
3.
4.
5.
6.
7.
8.
9.
ACTIVE LIFE RESERVE

Unearned premium reserves
Additional contract reserves (a)
Additional actuarial reserves-Asset/Liability analysis
Reserve for future contingent benefits
Reserve for rate credits
Aggregate write-ins for reserves
Totals (Gross)
Reinsurance ceded
Totals (Net)
10.
11.
12.
13.
14.
15.
16.
CLAIM RESERVE
Present value of amounts not yet due on claims
Additional actuarial reserves-Asset/Liability analysis
Reserve for future contingent benefits
Aggregate write-ins for reserves
Totals (Gross)
Reinsurance ceded
Totals (Net)
17.
TOTAL (Net)
18.
TABULAR FUND INTEREST
Total
Group Accident
and Health
0601.
0602.
0603.
0698.
0699.

TOTALS (Lines 0601 thru 0603 plus 0698) (Line 6 above)
1301.
1302.
1303.
1399. TOTALS (Lines 1301 thru 1303 plus 1398) (Line 13 above)
(a) Attach statement as to valuation standard used in calculating this reserve, specifying reserve bases, interest rates and methods.
3
Credit Accident
and Health
(Group and Individual)
4
Collectively
Renewable
5
Non-Cancelable
6
Guaranteed
Renewable
Other Individual Contracts

7
8
Non-Renewable for
Stated Reasons Only Other Accident Only
9
All Other
EXHIBIT 7 - DEPOSIT TYPE CONTRACTS
1.
Balance at the beginning of the year before reinsurance
2.
Deposits received during the year
3.
Investment earnings credited to the account
4.
Other net change in reserves
5.
Fees and other charges assessed
6.
Surrender charges
7.
Net surrender or withdrawal payments
8.
Other net transfers to or (from) Separate Accounts
9.
Balance at the end of current year before reinsurance (Lines 1+2+3+4-5-6-7-8)
15
10.
Reinsurance balance at the beginning of the year
11.
Net change in reinsurance assumed
12.
Net change in reinsurance ceded
13.
Reinsurance balance at the end of the year (Lines 10+11-12)
14.
Net balance at the end of current year after reinsurance (Lines 9 + 13)
Total
Guaranteed
Interest Contracts
Annuities Certain
Supplemental
Contracts
5
Dividend
Accumulations or
Refunds
6
Premium and
Other
Deposit Funds
EXHIBIT 8 - CLAIMS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS

1
Total
1.
PART 1 - Liability End of Current Year
2
Industrial Life
Ordinary
4
Life Insurance
5
Supplementary
Contracts
6
Credit Life (Group
and Individual)
7
Life Insurance
Group
Annuities
Group
Accident and Health

10
Credit (Group and
Individual)
11
Other
Due and unpaid:

1.1 Direct
1.4 Net
2.
In course of settlement:
2.1 Resisted
2.11 Direct
2.14 Net
2.2 Other
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
(b)
in Column 2, $
in Column 3 and $
2.21 Direct
2.24 Net
3.
Incurred but unreported:
16
3.1 Direct
3.4 Net
4.
TOTALS
4.1 Direct
4.4 Net
(a)
(a)
(a) Including matured endowments (but not guaranteed annual pure endowments) unpaid amounting to $
(a)
in Column 7.
(b) Include only portion of disability and accident and health claim liabilities applicable to assumed "accrued" benefits. Reserves (including reinsurance assumed and net of reinsurance ceded) for unaccrued benefits for Ordinary Life Insurance $
Individual Annuities $
, Credit Life (Group and Individual) $
Credit (Group and Individual) Accident and Health $
, and Group Life $
, and Other Accident and Health $
, are included in Page 3, Line 1, (See Exhibit 5, Section on Disability Disabled Lives); and for Group Accident and Health $
are included in Page 3, Line 2 (See Exhibit 6, Claim Reserve).
EXHIBIT 8 - CLAIMS FOR LIFE AND ACCIDENT AND HEALTH CONTRACTS
1.
2.
3.
4.
17
5.
6.
Total
Industrial Life
(a)
PART 2 - Incurred During the Year
3
Life Insurance
(b)
Ordinary
4
5
Supplementary
Contracts
Credit Life (Group

and Individual)
Settlements During the Year:

1.1 Direct
1.4 Net
(d)
Liability December 31, current
year from Part 1:
2.1 Direct
2.4 Net
Amounts recoverable from
reinsurers December 31, current
year
Liability December 31, prior year:
4.1 Direct
4.4 Net
Amounts recoverable from
reinsurers December 31, prior
year
Incurred Benefits
6.1 Direct
6.4 Net
(a) Including matured endowments (but not guaranteed annual pure endowments) amounting to $
$
(b) Including matured endowments (but not guaranteed annual pure endowments) amounting to $
$
(c) Including matured endowments (but not guaranteed annual pure endowments) amounting to $
(d) Includes $
$
premiums waived under total and permanent disability benefits.
in Line 1.1, $
in Line 6.1, and $
in Line 1.1, $
in Line 6.1, and $
in Line 1.1, $
in Line 6.1, and $
in Line 1.4.
in Line 6.4.
in Line 1.4.
in Line 6.4.
in Line 1.4.
in Line 6.4.
7
Life Insurance
(c)
Group
Annuities
Group
Accident and Health

10
Credit (Group
and Individual)
11
Other
EXHIBIT OF NON-ADMITTED ASSETS
1.
Bonds (Schedule D)
2.
Stocks (Schedule D):

2.2 Common stocks
3.
Mortgage loans on real estate (Schedule B):

3.1 First liens
3.2 Other than first liens
4.
Real estate (Schedule A):

4.1 Properties occupied by the company
4.2 Properties held for the production of income
4.3 Properties held for sale
5.
Cash (Schedule E - Part 1), cash equivalents (Schedule E - Part 2) and short-term investments
(Schedule DA)
6.
Contract loans
7.
Derivatives (Schedule DB)
8.
Other invested assets (Schedule BA)
9.
10.
Securities lending reinvested collateral assets (Schedule DL)
11.
Aggregate write-ins for invested assets
12.
Subtotals, cash and invested assets (Lines 1 to 11)
13.
Title plants (for Title insurers only)
14.
Investment income due and accrued
15.
Premiums and considerations:

15.1 Uncollected premiums and agents'balances in the course of collection
15.2 Deferred premiums, agents'balances and installments booked but deferred and not yet due
15.3 Accrued retrospective premiums
16.
Reinsurance:
16.1 Amounts recoverable from reinsurers
16.2 Funds held by or deposited with reinsured companies
16.3 Other amounts receivable under reinsurance contracts
17.
Amounts receivable relating to uninsured plans
18.1 Current federal and foreign income tax recoverable and interest thereon
18.2 Net deferred tax asset
19.
Guaranty funds receivable or on deposit
20.
Electronic data processing equipment and software
21.
Furniture and equipment, including health care delivery assets
22.
Net adjustment in assets and liabilities due to foreign exchange rates
23.
Receivables from parent, subsidiaries and affiliates
24.
Health care and other amounts receivable
25.
Aggregate write-ins for other than invested assets
26.
Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts
(Lines 12 to 25)
27.
From Separate Accounts, Segregated Accounts and Protected Cell Accounts
28.
Total (Lines 26 and 27)

1101.
1102.
1103.
1198.
1199.
2501.
2502.
2503.
2598.
2599.
18
Current Year Total

Nonadmitted Assets
Prior Year Total

Nonadmitted Assets
3
Change in Total
Nonadmitted Assets
(Col. 2 - Col. 1)
NOTES TO FINANCIAL STATEMENTS

Note #
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Description
Page #
Summary of Significant Accounting Policies

Accounting Changes and Corrections of Errors
Business Combinations and Goodwill
Discontinued Operations
Investments
Joint Ventures, Partnerships and Limited Liability Companies
Investment Income
Derivative Instruments
Income Taxes
Information Concerning Parent, Subsidiaries, Affiliates and Other Related Parties
Debt
Retirement Plans, Deferred Compensation, Postemployment Benefits and Compensated Absences
And Other Postretirement Benefit Plans
Capital and Surplus, Shareholders Dividend Restrictions and Quasi-Reorganizations
Liabilities, Contingencies and Assessments
Leases
Information About Financial Instruments With Off-Balance Sheet Risk and Financial Instruments
With Concentrations of Credit Risk
Sale, Transfer and Servicing of Financial Assets and Extinguishments of Liabilities
Gain or Loss to the Reporting Entity from Uninsured Plans and the Uninsured Portion of Partially
Insured Plans
Direct Premium Written/Produced by Managing General Agents/Third Party Administrators
Fair Value Measurements
Other Items
Events Subsequent
Reinsurance
Retrospectively Rated Contracts & Contracts Subject to Redetermination
Change in Incurred Losses and Loss Adjustment Expenses
Intercompany Pooling Arrangements
Structured Settlements
Health Care Receivables
Participating Policies
Premium Deficiency Reserves
Reserves for Life Contracts and Annuity Contracts
Analysis of Annuity Actuarial Reserves and Deposit-Type Liabilities by Withdrawal Characteristics
Premium and Annuity Considerations Deferred and Uncollected
Separate Accounts
Loss/Claim Adjustment Expenses
19.1
19.2
19.2
19.2
19.3
19.5
19.6
19.6
19.7
19.11
19.14
19
19.16
19.18
19.19
19.21
19.22
19.22
19.23
19.23
19.23
19.25
19.27
19.28
19.29
19.29
19.29
19.29
19.29
19.29
19.29
19.29
19.30
19.31
19.31
19.31

1.
Summary of Significant Accounting Policies

Accounting Practices
A.
The financial statements of Bankers Life and Casualty Company (Company) are presented on the basis of
accounting practices prescribed or permitted by the Illinois Director of Insurance ("Director").
The Director recognizes only statutory accounting practices prescribed or permitted by the State of Illinois for reporting
the financial condition and results of operations of an insurance company and determining its solvency under Illinois
Insurance Law. The Accounting Practices and Procedures manual (NAIC SAP) has been adopted as a component
of prescribed or permitted practices by the State of Illinois. However, the State of Illinois may adopt certain prescribed
accounting practices that differ from those found in NAIC SAP. In addition, the Director has the right to permit other
specific practices that deviate from prescribed practices. However, the Company has no such permitted practices.
A reconciliation of the Companys net income and capital and surplus between NAIC SAP and practices prescribed
and permitted by the State of Illinois is shown below:
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
State of
Domicile
Illinois
Net Income, State of Illinois basis

State Prescribed Practices (Income):
None
State Permitted Practices (Income):
None
Net Income, NAIC SAP
Illinois
Statutory Capital and Surplus, State of Illinois basis

State Prescribed Practices (Surplus):
None
State Permitted Practices (Surplus):
None
Statutory Capital and Surplus, NAIC SAP
2014
211,647,793
2013
161,894,562
Illinois
Illinois
211,647,793
161,894,562
Illinois
1,193,076,590
1,056,951,490
Illinois
Illinois
Illinois
1,193,076,590
1,056,951,490
B.
The preparation of financial statements in conformity with NAIC SAP requires management to make estimates and
assumptions that affect the reported amounts. It also requires disclosure of contingent assets and liabilities at the
date of the financial statements. Actual results could differ from those estimates.
C.
Life premiums are recognized as income over the premium paying period of the related policies. Annuity
considerations with mortality risks are recognized as income when received. Health premiums are earned ratably
over the terms of the related insurance and reinsurance contracts or policies. Expenses incurred in connection with
acquiring new insurance business, including acquisition costs such as sales commissions, are charged to operations
as incurred.
The amount of dividends to be paid to policyholders is determined annually by the Company'
s Board of Directors.
The aggregate amount of policyholders'dividends is related to actual interest, mortality, morbidity, and expense
experience for the year and judgment as to the appropriate level of statutory surplus to be retained by the Company.
In addition, the Company uses the following accounting policies:
(1)
Short-term investments are stated at amortized cost.
(2)
Bonds are stated at amortized cost using the interest method, except those rated NAIC class 6, which are
stated at the lower of amortized cost or fair value.
(3)
Common stocks are stated at fair value except for investments in stocks of subsidiary, controlled and affiliated
(SCA) entities. The Company carries its common stock investments in SCA entities in accordance with
Statements of Statutory Accounting Principles (SSAP) No. 97, Investment in Subsidiary, Controlled and
Affiliated Entities (SSAP 97).
(4)
Preferred stocks are stated at cost or amortized cost, except those rated NAIC class 4 or lower quality, which
are carried at the lower of cost or fair value.
(5)
Mortgage loans on real estate are stated at the aggregate unpaid balance, excluding accrued interest.
(6)
Loan-backed bonds, structured securities and beneficial interests are stated at amortized cost using the interest
method, except for those rated NAIC class 6, which are stated at the lower of amortized cost or fair value. For
securities where collection of all contractual cash flows is probable, changes in currently estimated cash flows,
including the effect of prepayment assumptions, are accounted for using the retrospective method. For
securities that are not of high credit quality for which collection of all contractual cash flows is not probable,
significant increases in cash flow estimates are accounted for using the prospective method.
(7)
The Company carries its investments in certain subordinated notes with equity-like features, which have been
determined to be affiliated investments under SSAP 97, at audited GAAP equity of the investee, adjusted for
any distributions received.
(8)
The Company has minor ownership interests in joint ventures, which are classified as other invested assets on the
balance sheet. The Company carries these interests based on its proportionate share of the underlying audited
GAAP equity of the investee.
(9)
All derivatives are stated at fair value.
19.1

1.
Summary of Significant Accounting Policies, continued

(10) The Company does not utilize anticipated net investment income as a factor in the premium deficiency reserve
calculation.
(11) Unpaid losses and loss adjustment expenses include an amount determined from individual case estimates and
loss reports and an amount, based on past experience, for losses incurred but not reported. Such liabilities are
necessarily based on assumptions and estimates and while management believes the amount is adequate, the
ultimate liability may be in excess of or less than the amount reported. The methods for making such estimates
and for establishing the resulting liabilities are continually reviewed and any adjustments are reflected in the
period determined.
(12) The Company has not modified its capitalization policy from the prior period.
2.
Accounting Changes and Corrections of Errors

The Company discovered that the calculation of incentive compensation accruals was incorrect, resulting in an
understatement of accrued general expenses. Therefore, General expenses due or accrued (Liabilities, Surplus and
Other Funds, Line 12) and General insurance expenses (Summary of Operations, Line 23) were understated in 2013 by
$1,840,000. As a result, in accordance with SSAP No. 3, Accounting Changes and Corrections of Errors (SSAP 3), Line
35, Unassigned surplus was decreased, net of tax, in 2014 by $1,196,000. This decrease to surplus was reported as an
aggregate write-in on Line 53 of the Capital and Surplus Account section of the Summary of Operations in 2014.
Effective January 1, 2013, the Company adopted SSAP No. 102, Accounting for Pensions, A Replacement of SSAP No.
89 (SSAP 102). Under the transition obligation provisions of SSAP 102, the Company was required to carry a minimum
liability equal to the vested and non-vested accumulated benefit obligation for its defined benefit plan disclosed in Note
12A, effective January 1, 2013. The adoption of SSAP 102 increased aggregate write-ins for liabilities (Liabilities, Surplus
and Other Funds, Line 25) and decreased aggregate write-ins for gains and losses in surplus (Summary of Operations,
Line 53) by $9,432,623.
3.
Business Combinations and Goodwill

A.
Statutory Purchase Method

(1)
The Company purchased a 22.7% interest in CounterpartyLink, Ltd. (Link) common stock on October 31,
2011. Links primary business purpose is to collect, maintain and deliver legal entity data for the financial
services sector.
(2)
The transaction was accounted for as a statutory purchase.
(3)
At the time of purchase, the cost of Link and the amount of net goodwill were $7,738,476. At December 31,
2014, after amortization and impairments, net goodwill was $0.
(4)
Goodwill amortization was $1,349,524 for the year ended December 31, 2013.
B.
During 2014, the Company did not merge with any other insurance company.
C.
During 2014, the Company did not participate in an assumption reinsurance agreement.
D.
Impairment Loss
(1,2 During 2014, the Company recognized impairment losses on Link common stock in the amount of $3,291,076,
resulting from earnings and cash flows of Link not developing as expected. The Companys remaining
investment in Link common stock at December 31, 2014 is $0.
4.
Discontinued Operations
During 2014, the Company had no discontinued operations.
19.2

5.
Investments
A.
Mortgage Loans including Mezzanine Real Estate Loans
(1)
Twenty four new commercial loans were made in 2014 with interest rates from 3.36% to 5.50%. Fire insurance is
required on all properties covered by mortgage loans at least equal to the excess of the loan over the maximum
loan which would be permitted by law on the land without the buildings.
(2)
The maximum percentage of any one loan to the value of security at the time of the loan, exclusive of insured,
guaranteed or purchase money mortgages, was: 86.42%.
2014
(3)
(4)
Taxes, assessments and any amounts advanced and not included in the
mortgage loan total:
Age Analysis of Mortgage Loans:
Commercial
Insured
All Other
a. Current Year
1. Recorded Investment (All)
(a) Current
(b) 30-59 Days Past Due
(c) 60-89 Days Past Due
(d) 90-179 Days Past Due
(e) 180+ Days Past Due
Mezzanine
Total
$ 1,083,619,442
-
$ 1,083,619,442
-
2. Accruing Interest 90-179 Days Past Due
3. Accruing Interest 180+ Days Past Due
$ 809,764,208
-
809,764,208
-
2. Accruing Interest 90-179 Days Past Due
3. Accruing Interest 180+ Days Past Due
1,740,466
1
0.92%
4. Interest Reduced
(a) Recorded Investment
(b) Number of Loans
(c) Percent Reduced
0
0.00%
1,740,466
1
0.92%
a. Current Year
1. With Allowance for Credit Losses
2. No Allowance for Credit Losses
2,277,590
2,277,590
b. Prior Year
Investment in Impaired Loans - Average Recorded Investment, Interest Income Recognized, Recorded Investment on
Nonaccrual Status and Amount of Interest Income Recognized Using a Cash-Basis Method of Accounting:
a. Current Year
1. Average Recorded Investment
2. Interest Income Recognized
2,277,590
232,199
2,277,590
232,199
b. Prior Year
(7)
Allowance for credit losses:
(8)
Interest income on impaired loans is reported as collected when cash is received.
Debt Restructuring
The Company has no investments in restructured debt.
C.
0.00%
Investment in Impaired Loans With or Without Allowance for Credit Losses:
2014
B.
b. Prior Year
1. Recorded Investment
(a) Current
(b) 30-59 Days Past Due
(c) 60-89 Days Past Due
(d) 90-179 Days Past Due
(e) 180+ Days Past Due
(6)
4. Interest Reduced
(a) Recorded Investment
(b) Number of Loans
(c) Percent Reduced
(5)
2013
Reverse Mortgages
The Company has no investment in reverse mortgages.
19.3
2013
-

5.
Investments, continued
D.
Loan-Backed Securities
(1)
Prepayment assumptions for loan-backed and structured securities are obtained from third party vendors.
These assumptions are reviewed for consistency with the current interest rate and economic environment.
(2)
The Company did not record any other-than-temporary impairments (OTTI) in the current year under SSAP
No. 43R Revised, Loan-backed and Structured Securities (SSAP 43R), resulting from either an intent to sell
or the inability or lack of intent to retain the investment for a period of time sufficient to recover the amortized
cost basis.
(3)
The Company did not recognize any OTTI in 2014 as a result of an expected shortage of discounted future cash
flows to recover the amortized cost of the security on loan-backed securities.
(4)
Loan-backed securities owned at December 31, 2014 that have not been impaired under SSAP 43R with a fair
value lower than amortized cost are summarized below by length of time that individual securities have been in
a continuous loss position.
a.
The aggregate amount of unrealized losses:

1. Less than 12 Months $
2. 12 Months or Longer $
b.
The aggregate related fair value of securities with unrealized losses:

1. Less than 12 Months $
2. 12 Months or Longer $
(5)
E.
4,969,001
2,686,315
305,685,822
102,006,556
The Company regularly evaluates its investments for possible impairment. The Companys assessment of
whether unrealized losses are other-than-temporary requires significant judgment. Factors considered
include: (i) the extent to which fair value is less than the cost basis; (ii) the length of time that the fair value has
been less than cost; (iii) whether the unrealized loss is event driven, credit-driven or a result of changes in
market interest rates or risk premium; (iv) the near-term prospects for specific events, developments or
circumstances likely to affect the value of the investment; (v) the investments rating and whether the investment
is investment-grade and/or has been downgraded since its purchase; (vi) whether the issuer is current on all
payments in accordance with the contractual terms of the investment and is expected to meet all of its
obligations under the terms of the investment; (vii) whether or not the Company intends to retain the investment
until its anticipated recovery occurs; (viii) whether it is more likely than not that circumstances will require the
Company to sell the investment before recovery occurs; (ix) the underlying current and prospective asset and
enterprise values of the issuer and the extent to which the recoverability of the carrying value of the Companys
investment may be affected by changes in such values; (x) unfavorable changes in cash flows on structured
securities including mortgage-backed and asset-backed securities; and (xi) other subjective factors.
Repurchase Agreements and/or Securities Lending Transactions

The Company has no open repurchase agreements or securities lending transactions at December 31, 2014.
F.
Real Estate
The Company has no investments in real estate.
G. Low-Income Housing Tax Credits (LIHTC)

(1)
The Company owns LIHTC property investments as defined in SSAP No. 93, Accounting for Low Income
Housing Tax Credit Property Investments. TCF CON/GA, L.L.C. is a limited liability company which provides low
income housing tax credits in the state of Georgia. The Company'
s investment totaled $61,622 at December 31,
2014 with tax credits available through the year 2015. Boston Capital PMI Tax Credit Fund, LP is a limited
company which provides low income housing tax credits in state of Georgia. The Companys investment totaled
$179,612 with tax credits available through the year 2015.
(2)
The LIHTC investments were not subject to any regulatory reviews as of December 31, 2014.
(3)
At December 31, 2014, the Company had no investments in LIHTC that exceeded 10% of its total admitted
assets.
(4)
The Company did not recognize any impairment losses on its LIHTC investments during 2014.
(5)
The Company did not write-down or reclassify any of its LIHTC investments during 2014.
19.4

5.
Investments, continued
H.
Restricted Assets
(1)
Restricted Assets (Including Pledged)

Current Year
Restricted Asset Category
Total General
Account (G/A)
Subject to contractual
obligation for which liability
is not shown
$
b. Collateral held under
security lending
agreements
c. Subject to repurchase
agreements
d. Subject to reverse
repurchase agreements
e. Subject to dollar
f.
Subject to dollar reverse
g. Placed under option
contracts
h. Letter stock or securities
restricted as to sale excluding FHLB capital
stock
FHLB capital stock
i.
50,972,101
On deposit with states
j.
7,661,760
k. On deposit with other
regulatory bodies
Pledged collateral to
l.
FHLB (including assets
backing funding
agreements
1,116,071,953
m. Pledged as collateral not
captured in other
categories
n. Other restricted assets
o. Total Restricted Assets
$1,174,705,814
Percentage
Gross Restricted
Total From Prior

Year
Admitted
Restricted to
Gross
Total
Restricted to Admitted
Total Assets
Assets
Total Current
Year Admitted
Restricted
Increase/
(Decrease)
a.
6.
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
48,477,721
7,653,330
2,494,380
8,430
50,972,101
7,661,760
0
0.30%
0.05%
0
0.31%
0.05%
0.00%
0.00%
1,116,071,953
6.59%
6.73%
$ (51,887,855) $ 1,174,705,814
0.00%
0.00%
6.93%
0.00%
0.00%
7.08%
1,170,462,618
$1,226,593,669
(54,390,665)
(2)
The Company did not have any assets pledged as collateral not captured in other categories at December 31, 2014.
(3)
The Company had no other restricted assets at December 31, 2014.
I.
The Company held no working capital finance investments at December 31, 2014.
J.
The Company had no offsetting assets and liabilities reported net in accordance with SSAP No. 64, Offsetting and
Netting of Assets and Liabilities at December 31, 2014.
K.
The Company had no investments in structured notes at December 31, 2014.
Joint Ventures, Partnerships and Limited Liability Companies

A.
The Company has no investment in joint ventures, partnerships or limited liability companies that exceeds 10% of its
admitted assets.
B.
During 2014, the Company recognized an impairment write-down on its investment on 4360 E. Brown LLC. (Brown
LLC) in the amount of $1,191,493 due to intent to sell.
During 2013, the Company did not recognize any impairment write-down for its investments in joint ventures,
partnerships and limited liability companies.
19.5

7.
8.
Investment Income
A.
All due and accrued investment income with amounts that are over 90 days past due, with the exception of accrued
interest on mortgage loans in default, is non-admitted.
B.
The Company has no investment income due and accrued that was non-admitted as of December 31, 2014.
Derivative Instruments
Standard & Poors (S&P) 500 Index Call Options
A.
The credit risk of call options is the risk that the seller of the option will not pay the return earned through the option.
The Company limits this risk by primarily purchasing options from dealers believed to be strong and creditworthy.
Since the purchaser is not required to exercise a call option, the market risk is limited to the market value of the
option. No funds or collateral are required of the purchaser of a call option other than the initial cost of the option.
B.
The Company issues equity-indexed annuity and equity-indexed universal life products that provide a guaranteed
base rate of return and a higher potential return linked to the performance of the S&P 500 index. One-year call
options are purchased in an effort to hedge potential increases to policyholder benefits resulting from increases in the
S&P 500 Index to which the policys return is linked. The Companys hedges are categorized as fair value hedges.
C.
The S&P 500 index call options have met the criteria of a highly effective hedge and are therefore valued and
reported using hedge accounting. Under hedge accounting, the options are recorded at cost and marked to market,
with the change reported as a component of net investment income. At the time the option expires or is terminated,
any difference between cash received and the cost is recognized as investment income.
The Company monitors the hedge effectiveness of the S&P 500 index call options in accordance with SSAP No. 86,
Accounting for Derivative Instruments and Hedging, Income Generation, and Replication (Synthetic Asset)
Transactions.
Futures Contracts
A.
In 2013, the Company began selling financial futures contracts. The futures sold are standardized contracts traded
on the Chicago Mercantile Exchange and therefore the credit risk is limited. All open positions are marked to market
daily and all variation margin payments must be settled daily in cash or acceptable collateral.
B.
The Company sells futures contracts to hedge interest rate risk on funding commitments for invested assets, hedging
market interest rate fluctuations from the date of commitment to the date of funding. The Companys hedges are
categorized as fair value hedges.
C.
The futures contracts have not met the criteria of a highly effective hedge and are therefore valued and reported
using fair value accounting. Under fair value accounting, the futures are recorded at the amount of cash deposits
with a broker. Subsequent additions (reductions) in cash deposits plus any cash paid (received) as a result of the
daily mark-to-market process (i.e. variation margin) will increase (decrease) the value of the futures contract. Upon
termination, the cash received (paid) is recognized as a realized gain/ (loss).
D.
The Company recognized unrealized losses of $306,938 in 2014 resulting from the change in variation margin of
futures contracts.
19.6

9.
Income Taxes
A.
The components of the net deferred tax asset (DTA) recognized in the Companys financial statements are as
follows:
(1)
December 31, 2014

Ordinary
Gross Deferred Tax Asset
Statutory Valuation Allowance Adjustment
Adjusted Gross Deferred Tax Asset
Deferred Tax Asset Non-admitted
Admitted Deferred Tax Asset
Gross Deferred Tax Liability
Net Admitted Deferred Tax Asset (Liability)
$ 440,275,678
440,275,678
258,489,159
181,786,519
31,407,802
$ 150,378,717
Total
Capital
$
53,955,881
53,955,881
52,695,586
1,260,295
1,260,295
-
$ 494,231,559
494,231,559
311,184,745
183,046,814
32,668,097
$ 150,378,717
December 31, 2013

Ordinary
$ 406,263,506
406,263,506
243,954,014
162,309,492
24,729,170
$ 137,580,322
Total
Capital
$
72,196,080
72,196,080
67,094,633
5,101,447
5,101,447
-
$ 478,459,586
478,459,586
311,048,647
167,410,939
29,830,617
$ 137,580,322
Change
Ordinary
19.7
34,012,172
34,012,172
14,535,145
19,477,027
6,678,632
12,798,395
Capital
$ (18,240,199) $
(18,240,199)
(14,399,047)
(3,841,152)
(3,841,152)
$
- $
Total
15,771,973
15,771,973
136,098
15,635,875
2,837,480
12,798,395

9.
Income Taxes, continued

(2)
The adjusted gross DTA admitted was determined from the following calculations (the Company has no federal
income taxes paid in prior years that are recoverable through loss carrybacks):
December 31, 2014

Ordinary
The lesser of:
Adjusted gross deferred tax assets realized - three years
15% of adjusted statutory capital and surplus
Admitted amount
Remaining deferred tax assets offsetting deferred tax liabilities
Adjusted gross deferred tax assets admitted
Total
Capital
$ 150,378,717
156,030,893
150,378,717
31,407,802
$ 181,786,519
1,260,295
1,260,295
$ 150,378,717
156,030,893
150,378,717
32,668,097
$ 183,046,814
December 31, 2013

Ordinary
The lesser of:
Admitted amount
Capital
$ 148,687,934
137,580,322
137,580,322
24,729,170
$ 162,309,492
Total
5,101,447
5,101,447
$ 148,687,934
137,580,322
137,580,322
29,830,617
$ 167,410,939
Change
Ordinary
The lesser of:
Admitted amount
(3)
Capital
1,690,783
18,450,571
12,798,395
6,678,632
$ 19,477,027
Total
(3,841,152)
$ (3,841,152)
1,690,783
18,450,571
12,798,395
2,837,480
$ 15,635,875
The following amounts were used to determine the recovery period and threshold limitations used in 9A(2) above:
2014
(4)
a.
Risk Based Capital Ratio used to determine Admitted Deferred Tax Assets
b.
Total Adjusted Capital used in 9A(3)a.
731%
$ 1,194,527,188
676%
$ 1,063,233,478
Impact of Tax-Planning Strategies

a.
In 2013, the Company completed certain investment trading strategies that resulted in the realization, for
tax purposes only, of unrealized gains in its investment portfolio of approximately $215 million. Such
transactions resulted in the utilization of capital loss carryforwards (that would have otherwise expired) by
the life insurance company subgroup included in the consolidated federal income tax return of CNO
Financial Group, Inc. (CNO). No new tax planning strategies were utilized in 2014.
December 31, 2014
Ordinary
1. Adjusted Gross DTA $ 440,275,678

2. % of Adjusted Gross
0.00%
DTA
3. Net Admitted
Adjusted Gross DTA $ 181,786,519
4. % of Net Admitted
0.00%
Adjusted Gross DTA
Admitted Because
of Tax Planning
Strategies
b.
B.
2013
December 31, 2013
Change
Capital
Ordinary
Capital
Ordinary
Capital
$ 53,955,881
79.00%
$ 406,263,506
0.00%
$72,196,080
86.40%
$ 34,012,172
0.00%
$ (18,240,199)
-7.40%
$ 1,260,295
0.00%
$ 162,309,492
0.00%
$ 5,101,447
0.00%
$ 19,477,027
0.00%
$ (3,841,152)
0.00%
The Company did not utilize reinsurance related tax-planning strategies.
The Company has recognized all deferred tax liabilities as of December 31, 2014.
19.8

9.

C.
The components of current and deferred income taxes are as follows:

Current income taxes incurred consist of the following major components:
2014
97,899,967
97,899,967
2,334,657
$ 100,234,624
Federal tax expense on current year operating income

Foreign tax
Current income taxes incurred on operating income
Current income tax expense on net capital gains
Utilization of capital loss carryforward
Total current income taxes incurred
2013
$ 105,818,915
105,818,915
95,125,571
$ 200,944,486
Change
(7,918,948)
(7,918,948)
(92,790,914)
(100,709,862)
The main components of the DTA and deferred tax liabilities are as follows:
Deferred tax assets

Ordinary
Insurance reserves and liabilities
Proxy DAC
Agent balances
Agent deferred compensation
Other
Gross Ordinary DTA
2014
$
151,543,116
201,647,376
11,297,105
59,995,861
15,792,220
440,275,678
December 31
2013
$
130,762,558
200,950,406
10,811,766
47,534,890
16,203,886
406,263,506
Change
$
20,780,558
696,970
485,339
12,460,971
(411,666)
34,012,172
Valuation allowance
DTA non-admitted
258,489,159
243,954,014
14,535,145
Ordinary DTA admitted
181,786,519
162,309,492
19,477,027
Capital
Investments
Capital loss carryforward
Gross Capital DTA
53,955,881
53,955,881
67,464,004
4,732,076
72,196,080
(13,508,123)
(4,732,076)
(18,240,199)
52,695,586
67,094,633
(14,399,047)
1,260,295
5,101,447
(3,841,152)
183,046,814
167,410,939
Valuation allowance
DTA non-admitted
Capital DTA admitted
Admitted DTA
Deferred tax liabilities
Ordinary
Insurance reserves and liabilities
Life insurance premiums
due & uncollected
Prepaid commissions
Other
Gross ordinary deferred tax liabilities
122,320
Capital
Investments
Gross capital deferred tax liabilities
Gross deferred tax liabilities
Net DTA admitted
245,886
15,635,875
(123,566)
21,190,207
9,676,389
418,886
31,407,802
14,859,184
9,137,604
486,496
24,729,170
6,331,023
538,785
(67,610)
6,678,632
1,260,295
1,260,295
5,101,447
5,101,447
(3,841,152)
(3,841,152)
32,668,097
29,830,617
2,837,480
150,378,717
137,580,322
12,798,395
The change in net deferred income tax from December 31, 2013 to December 31, 2014 is comprised of the following:
Change in net DTA

Tax effect of unrealized gains (losses)
$
$
12,934,493
(3,524,183)
9,410,310
19.9

9.

D.
The provision for federal income taxes incurred is different from that which would be obtained by applying the
statutory federal income tax rate to income before income taxes. The significant items causing this difference for the
year ended December 31, 2014 were as follows:
Provision computed at statutory rate
2014
109,136,953
Effective
Tax Rate
35.0 %
Dividend received deduction

Amortization of interest maintenance reserve
Company owned life insurance
Amortization of ceding commission
Prior year true-up
Nonadmitted assets
Change in deferred compensation liability
IMR transferred on termination of coinsurance agreement
Other
(1,937,936)
(5,526,249)
(1,987,826)
(2,516,340)
(1,185,272)
(210,615)
(9,201,669)
4,463,966
(210,698)
(0.6)
(1.8)
(0.6)
(0.8)
(0.4)
(0.1)
(2.9)
1.4
(0.1)
Total federal income tax expense
90,824,314
29.1 %
%
%
%
%
%
%
%
%
%
The federal income tax expense is comprised of the following:
E.
Tax on gain from operations

Tax on current year capital gains (losses)
97,899,967
2,334,657
(9,410,310)
31.4 %
0.7 %
(3.0) %
Total federal income tax expense
90,824,314
29.1 %
(1)
The Company had no net operating loss carryforward.

As of December 31, 2014, the Company had no remaining capital loss carryforwards.
At December 31, 2014, the Company had the following LIHTC:
LIHC
LIHC
LIHC
LIHC
LIHC
LIHC
LIHC
LIHC
LIHC
LIHC
Amount
Year
Generated
Year
Expires
$ 468,464
161
260
260
260
260
260
260
260
260
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
$ 470,705
At December 31, 2014, the Company had the following foreign tax credits:
Amount
Foreign Tax Credit
Foreign Tax Credit
Foreign Tax Credit
Foreign Tax Credit
Foreign Tax Credit
Foreign Tax Credit
918
661
901
511
4,768
7,759
Year
Generated
Year
Expires
2007
2008
2009
2010
2012
2013
2017
2018
2009
2020
2022
2023
(2)
The Company had no income taxes incurred in the current and prior years that will be available for recoupment
in the event of future net losses.
(3)
At December 31, 2014, the Company had no protective tax deposits on deposit with the Internal Revenue
Service under Section 6603 of the Internal Revenue Service Code.
19.10

9.

F.
(1)
The Company files a consolidated federal income tax return with its ultimate parent, CNO, and all of its
subsidiaries, of which five are insurance companies.
(2)
The method of allocating tax expense among the companies comprising the consolidated life group and the
affiliated nonlife companies is subject to a written tax sharing agreement approved by the Board of Directors.
The allocation between the companies is based upon separate return calculations with current credit for net
losses incurred by a company subject to certain limitations. Pursuant to the tax sharing agreement, the
Company may recoup income tax sharing payments paid in prior years in the event it incurs a loss. If sufficient
tax sharing payments were not made in the prior years, such loss is carried forward as an offset to future net
income subject to income tax sharing payments. Intercompany tax balances payable under the tax sharing
agreement are settled quarterly. The federal income tax liability at December 31, 2014 and 2013 of $772,520
and $3,442,577, respectively, was payable to Conseco Life Insurance Company of Texas (Conseco Life of
Texas).
G. The Company has no federal or foreign tax loss contingencies as determined in accordance with SSAP No. 5R,
Liabilities, Contingencies and Impairment of Assets.
10. Information Concerning Parent, Subsidiaries, Affiliates and Other Related Parties
A., B., & C.
On March 2, 2014, CNO, the Companys ultimate parent, entered into a Stock Purchase Agreement (the Stock
Purchase Agreement) with Wilton Reassurance Company (Wilton Re), pursuant to which CNO agreed to sell to Wilton
Re all of the issued and outstanding shares of Conseco Life Insurance Company (Conseco Life), an indirect whollyowned subsidiary of CNO and an affiliate of the Company. The transaction closed on July 1, 2014, after the receipt of
insurance regulatory approvals and satisfaction of other customary closing conditions. After adjustments for transaction
costs and post-sale adjustments, the transaction resulted in net cash proceeds to CNO of $224.9 million, including the
impact of intercompany transactions completed in connection with the closing.
The Stock Purchase Agreement also provided that, at the closing, the Company would recapture the life insurance
business written by the Company that was reinsured by Wilton Re. The recapture agreement was conditioned on the
concurrent consummation of the closing of the sale of Conseco Life. On July 1, 2014, the Company paid $28 million
to recapture the life insurance business from Wilton Re.
On June 30, 2014 the Company purchased 10,348,509 shares of 1994 Series 9% preferred stock issued by CDOC,
Inc. (CDOC), the Companys indirect parent, from Conseco Life for $10,348,509. In addition, on June 30, 2014,
CDOC redeemed such shares from the Company for $10,348,509, resulting in no gain or loss on the transaction.
Prior to the sale of Conseco Life, the following investment transactions were also completed:
(1)
The Company purchased the principal balance of Eagle Creek CLO Ltd 06-1I S2 subordinated notes, which
were deemed to be an affiliated investment under SSAP 97, at fair value, totaling $415,965, from Conseco Life.
(2)
The Company purchased unaffiliated credit tenant loans at fair value, including accrued interest, totaling
$11,800,155, from Conseco Life.
(3)
The Company purchased certain unaffiliated commercial mortgage loans at fair value, including accrued
interest, totaling $64,368,645, from Conseco Life.
During 2014 and 2013, the Company received contributions to its surplus from its sole shareholder, Conseco Life of
Texas, as follows:
(1)
On December 23, 2014, the Company received a contribution to its surplus of $32,000,000 in cash, after
receiving acknowledgement from the Texas Department of Insurance.
(2)
On July 1, 2014, the Company received a contribution to its surplus of $28,000,000 in cash, after receiving
acknowledgement from the Texas Department of Insurance.
(3)
On December 23, 2013, the Company received a contribution to its surplus of $77,275,023 in cash, after filing
and no further action taken by the Texas Department of Insurance.
During 2014 and 2013, the Company paid dividends to its sole shareholder, Conseco Life of Texas, as follows:
(1)
On June 12, 2014, the Company paid an ordinary dividend of $55,000,000 in cash, after providing timely notice
to the Illinois Department of Insurance.
(2)
On March 11, 2014, the Company paid an ordinary dividend of $40,000,000 in cash, after providing timely
notice to the Illinois Department of Insurance.
(3)
On December 17, 2013, the Company paid an ordinary dividend of $15,000,000 in cash, after providing timely
notice to the Illinois Department of Insurance.
(4)
On June 10, 2013, the Company paid an ordinary dividend of $45,000,000 in cash, after providing timely notice
(5)
On March 7, 2013, the Company paid an ordinary dividend of $30,000,000 in cash, after providing timely notice
19.11

10. Information Concerning Parent, Subsidiaries, Affiliates and Other Related Parties, continued
In addition to the transactions above, the Company reported affiliated transactions as follows during 2014 and 2013:
D.
(1)
Effective July 1, 2010, the Company entered into a coinsurance agreement to assume 80% of new Medicare
Supplement business on an automatic basis from an affiliate, Colonial Penn Life Insurance Company (Colonial
Penn), after acceptance by the Illinois Department of Insurance. The Company assumed reserves of
$20,948,573 and $16,732,947 at December 31, 2014 and 2013, respectively, under this agreement. Premiums
received during 2014 and 2013 were $263,529,476 and $209,714,152, respectively.
(2)
In 2014, Washington National Insurance Company (Washington National), an affiliate, recaptured a block of
Medicare supplement business previously ceded to the Company, under a coinsurance agreement.
Washington National will pay a recapture fee of $25,892 to the Company in 2015 related to this transaction.
Premiums received under this agreement during 2014 and 2013 were $4,558 and $7,443, respectively.
(3)
In 2014, the Company purchased three investments from CNO for $24,244,776. The purchase included two
unaffiliated investments, Paulson Advantage L.P. and Highbridge Principal Strategies Mezzanine Partners II,
LP, for $13,171,555 and $2,814,740, respectively. The purchase also included Silver Creek CLO, Ltd. (Silver
Creek) subordinated notes, discussed in Note 10 I.-J. for $8,258,481.
(4)
Under a Stock Exchange Agreement dated September 11, 2003, the Company received 68,923 shares of the
1994 Series Preferred Stock of CDOC, the Companys indirect parent, with a statement value of $43,387,973 at
September 30, 2003. The CDOC preferred stock was received in exchange for the same number of shares of
1994 Series PIK preferred stock issued by CIHC, Incorporated (CIHC), the Companys former indirect parent.
The terms of the preferred stock exchanged were similar except that the CDOC preferred stock provides for a
5% dividend payable in cash quarterly, escalating 1% per year up to 9%. The CIHC preferred stock provided for
a 13% payment-in-kind dividend payable annually until the year 2006 and a 15% dividend payable annually in
cash thereafter. On June 22, 2004, CDOC executed a partial redemption at par value of 25,685.540 shares of
its 1994 Series preferred stock held by the Company for $25,685,540 in cash, plus accrued dividends of
$292,530. The redemption of the shares, which had a statement value of $16,312,354, resulted in realized and
unrealized gains totaling $9,373,186. However, since this investment is carried at the lower of cost or fair value,
the statement value of the remaining shares was reduced by an offsetting amount to maintain a carrying value
at the low end of the range of possible fair values of the stock, resulting in an unrealized loss of $9,373,186. As
a result, the redemption had no net effect on surplus and the remaining 51,774.143 shares had a book/adjusted
carrying value of $23,507,493 at December 31, 2014 and 2013, which represents the low end of the Companys
range of possible fair values of the stock.
The Company'
s gross receivable and payable balances with related parties are settled quarterly. Such balances,
excluding intercompany tax balances, consist of the following:
Parent
Affiliates
Total
December 31, 2014

Receivable
Payable
$
$
12,093,795
806,028
$ 12,093,795
$
806,028
December 31, 2013

Receivable
Payable
$
$
13,717,278
5,532,469
$ 13,717,278
$ 5,532,469
E.
In connection with a supplemental employment agreement by and between CNO and Gary C. Wendt, its former
Chairman and Chief Executive Officer, the Company guaranteed benefits that are payable to Mr. Wendt by CNO. If
the Company was to incur any loss under the guaranty, it would be entitled to indemnification from CNO or CNO
Services, LLC (CNO Services), an affiliate. See Note 14 A(2,3) for additional information.
F.
In October 2009, the Company and Colonial Penn, an affiliate, entered into a Services Agreement effective as of
January 1, 2010. The Companys agents will be contracted and appointed with Colonial Penn in order to sell
Medicare Supplement and graded benefit life policies underwritten and issued by Colonial Penn. Under the Services
Agreement, compensation for sales of these Colonial Penn products will be paid by the Company through its existing
commission system, and all amounts paid by the Company will be reimbursed by Colonial Penn. The Company will
also pay compensation to its managers and support staff related to the Colonial Penn products and will be
reimbursed for these amounts. The Company will also provide sales and marketing services to Colonial Penn with
reimbursement subject to mutual agreement of the parties. This agreement was accepted by the Illinois Department
of Insurance on October 7, 2009. Commissions and net expense reimbursements under this agreement totaled
$74,433,248 and $70,097,383 in 2014 and 2013, respectively.
The Company and K.F. Agency, Inc. ("K.F. Agency"), an affiliate, entered into a Services Agreement effective as of
July 1, 2009, which was approved by the Illinois Department of Insurance. K.F. Agency was formed in order to provide
a licensed insurance agency through which the Company'
s agents could sell insurance products issued and
underwritten by non-affiliated insurance companies. All agents contracted with K.F. Agency are also agents of the
Company. K.F. Agency agents are appointed with the non-affiliated companies whose products they sell.
Compensation earned by the Company'
s agents for selling other companies'products, through K.F. Agency, is paid by
the other companies to K.F. Agency. Under the Services Agreement, compensation owed to K.F. Agency agents will
be paid by the Company through its existing commission system, and all such amounts paid by the Company will be
reimbursed by K.F. Agency. The Company will also pay compensation to its managers and support staff related to the
non-affiliated products and will be reimbursed for these amounts by K.F. Agency. The Company will also provide sales
and marketing services with reimbursement subject to mutual agreement of the parties. Agent compensation
reimbursements and related expense reimbursements under this agreement totaled $13,774,848 and $12,211,008 in
2014 and 2013, respectively.
19.12

Under an investment advisory services agreement, 40|86 Advisors, Inc., an affiliate, manages the Companys
investments and provides investment accounting services for which expenses totaled $32,022,628 and $30,394,438
in 2014 and 2013, respectively. 40|86 Mortgage Capital, Inc., an affiliate, provides origination and servicing for the
Companys mortgage loans for which expenses totaled $2,233,194 and $1,872,158 in 2014 and 2013, respectively.
CNO Services, also an affiliate, provides certain administrative services to the Company. The agreement stipulates
that fees for such services will be 110% of direct and directly allocable costs plus a reasonable charge for overhead.
Expenses under this agreement totaled $209,405,706 and $195,630,412 in 2014 and 2013, respectively. The
expenses under this agreement are allocated to the appropriate expense classifications on Exhibit 2 and 3 as if they
had been borne directly by the Company.
Effective May 1, 2007, after acceptance by the Illinois Department of Insurance and no objection by the New York
Department of Insurance, the Company entered into a Services Agreement with an affiliate, Bankers Conseco Life
Insurance Company (Bankers Conseco Life). The Companys agents are contracted and appointed by Bankers
Conseco Life in order to sell certain products underwritten and issued by Bankers Conseco Life. Under the Services
Agreement, compensation for sales of certain products underwritten by Bankers Conseco Life is paid by the
Company through its existing commission system, and all amounts paid by the Company on these products are
reimbursed by Bankers Conseco Life. The Company also pays compensation to its managers and support staff
related to Bankers Conseco Life products and is reimbursed for these amounts. Commissions and net expense
reimbursements under this agreement totaled $6,129,186 and $4,997,321 in 2014 and 2013, respectively.
G. All outstanding shares of the Company are owned by Conseco Life of Texas, a Texas domiciled insurance company
and an indirect wholly-owned subsidiary of CNO.
H.
The Company does not own any common shares of an upstream intermediate or ultimate parent, either directly or
indirectly via a downstream SCA company.
I. J.
At December 31, 2014, the Company did not have an investment in a SCA entity that exceeded 10% of admitted
assets. However, the Company has investments in certain bonds, as well as preferred and common stock and joint
venture interest investments that have been determined to be affiliated investments under SSAP 97.
During 2014, the Company made a $15,000,000 investment in the newly formed Silver Creek preferred shares. On
June 26, 2014, the Companys investment was redeemed in full for proceeds of $15,000,000 resulting in no gain or
loss. On July 18, 2014, the Company purchased Silver Creek subordinated notes with a par value of $17,651,864 at
a total cost of $16,094,793. As discussed in Note 10 A., B., & C., the Company purchased from CNO an additional
$8,258,481 subsequent to the initial purchase. Silver Creek has been determined to be an affiliated investment under
SSAP 97 and was established for the express purpose to issue securities and use the proceeds to principally invest
in corporate loans and other investments. Due to the equity-like features of the subordinated notes, the Company
classifies these investments in Silver Creek as other invested assets joint venture interests common stock
affiliated on Schedule BA.
During 2014, the Company made a $7,500,000 investment in the newly formed Clear Creek CLO, Ltd. (Clear
Creek) preferred shares. Clear Creek is deemed to be an affiliated investment under SSAP 97 and was established
for the express purpose to issue securities and use the proceeds to principally invest in corporate loans and other
investments. The Company reported this investment in Clear Creek as preferred stocks parent, subsidiaries and
affiliates on Schedule D, Part 2.1.
During 2014, the Company recognized OTTI of $5,312,388 and $3,320,758 on its SCA common and preferred stock
investments in CounterpartyLink (Link) and RiskGrid Technologies (RiskGrid), respectively, as a result of earnings
and cash flows not developing as expected during 2014. The OTTI were substantially offset by the reversal of
unrealized losses previously recorded on these investments of $3,529,242 within capital and surplus, resulting in a net
pre-tax surplus impact of ($5,103,904). These investments were received as a part of the commutation of the
Companys investment in a guaranteed investment contract issued by a Bermuda insurance company in 2011.
During 2013, the Company recognized an OTTI of $154,545 on R.W. Smith & Associates, Inc., an SCA common stock
investment, due to an intent to sell. The SCA common stock was sold on March 14, 2014 for consideration of
$56,819, resulting in a favorable pre-tax surplus impact of $43,126.
On November 18, 2013, the Company acquired 100% interest in 4360 E Brown LLC (Brown), which has been
determined to be affiliated under SSAP 97. The LLC was formed solely to hold the deed for real estate acquired in
satisfaction of a debt obligation. The book/adjusted carrying value of Brown at December 31, 2013 was $2,441,493.
During 2014, the Company recognized an OTTI of $1,191,493 on 4360 E. Brown, an SCA other invested asset, due to
intent to sell.
On March 28, 2013, the Company made a $14,126,397 investment in the newly formed Cedar Creek CLO, Ltd.
(Cedar Creek) subordinated debt, with a par value of $14,890,976. Cedar Creek has been determined to be an
affiliated investment under SSAP 97 and was established for the express purpose to issue securities and use the
proceeds to principally invest in corporate loans and other investments. Due to the equity-like features of the
subordinated notes, the Company is reporting its investment in Cedar Creek as other invested assets joint venture
interests common stock affiliated on Schedule BA.
On February 28, 2012, the Company acquired a 25% interest in 2300 Berkshire Lane, LLC (LLC), which was
determined to be affiliated under SSAP 97. Of the remaining 75% interest, 50% was held by two affiliates of the
Company and 25% was held by an unaffiliated insurer. The LLC was formed solely to hold the deed for real estate
acquired in satisfaction of a debt obligation. At December 31, 2012, the book/adjusted carrying value of the
investment of $3,205,247 was based on the tendered value of the debt, which was less than the value of the real
estate as determined by an independent appraisal. On November 19, 2013, the Company sold its interest in LLC for
consideration of $3,678,724 resulting in a favorable surplus impact of $48,477.
19.13

The book/adjusted carrying values of the bond, preferred stock, common stock and joint venture interest investments
in SSAP 97 SCA entities are reported at December 31, 2014 and 2013 as follows:
Investment
2014
Eagle Creek CLO Ltd.

CounterpartyLink, Ltd.
Total affiliated bonds
RiskGrid Technologies Inc.
Clear Creek CLO, Ltd.
Total affiliated preferred stock
R.W. Smith & Associates, Inc.

Wendover Ltd.
RiskGrid Technologies Inc.
Total affiliated common stock
3,723,088
1,617,392
5,340,480
7,500,000
7,500,000
3,723,088
1,396,656
5,119,744
Schedule D - Part 1, Affiliated Bonds

Schedule D - Part 1, Affiliated Bonds
2,021,312
1,189,672
3,210,984
Schedule D - Part 2.1, Affiliated Preferred Stock

13,693
365,031
1,343,539
1,722,263
Total affiliated short-term investments
$
$
512,914
512,914
$
$
Mill Creek CLO Ltd
$ 13,081,541
$ 17,564,289
Eagle Creek CLO Ltd.
1,274,628
1,016,375
Sugar Creek CLO, Ltd.
17,054,338
23,840,299
Cedar Creek CLO, Ltd.
10,461,896
13,590,719
Silver Creek CLO, Ltd.
22,898,767
1,250,000
2,441,493
Total affiliated other invested assets
$ 66,021,170
$ 58,453,175
Total SSAP 97 SCA investments
$ 79,374,564
$ 68,506,166
4360 E Brown LLC
Annual Statement Location
2013
Schedule D - Part 2.2, Affiliated Common Stock

Schedule DA - Part 1, Affiliated Short-Term Bonds
Schedule BA - Part 1, Joint Venture Interests Common Stock - Affiliated
Schedule BA - Part 1, Joint Venture Interests Real Estate - Affiliated
K.
The Company has no investment in foreign insurance subsidiaries.
L.
The Company has no investment in downstream noninsurance holding companies.
11. Debt
A.
Capital Notes
The Company has no capital notes outstanding.
B.
Federal Home Loan Bank (FHLB) Agreements

(1)
Federal Home Loan Bank of Chicago (FHLBC)

In the third quarter of 2010, the Company became a member of the FHLBC. As a member of the FHLBC, the
Company has the ability to borrow on a collateralized basis from FHLBC. The Company uses these advances,
which take the form of insurance contracts structured as funding agreements, to earn incremental income in an
investment spread strategy. The current borrowing capacity under this agreement is $1,100,000,000, as
determined by the Company based on the current FHLBC common stock owned of $50,972,101 as of
December 31, 2014. The Company is required to hold a certain amount of FHLBC common stock as a
requirement of membership in the FHLBC, based on a minimum percentage of outstanding borrowings.
All FHLB activity is included in the Companys General Account.
19.14

11. Debt, continued
(2)
FHLB Capital Stock

The Aggregate totals of the FHLBC capital stock as of December 31, 2014 and 2013 are as follows:
Total
General
Account
Separate
Account
$ 50,972,101
$ 50,972,101
1,100,000,000
XXXXXXX
$ 48,477,721
$ 48,477,721
1,100,000,000
XXXXXXX
2014
Membership Stock - Class B
Actual or estimated Borrowing Capacity
as Determined by the Insurer
XXXXXXX
2013
Membership Stock - Class B
Actual or estimated Borrowing Capacity
as Determined by the Insurer
XXXXXXX
Membership Stock eligibility for redemption as of December 31, 2014 is as follows:
Membership Stock
Class B
(3)
Current Year
Total
Not Eligible
for
Redemption
Less Than 6
Months
$ 50,972,101
$ 50,972,101
6 Months
to Less Than
1 Year
3 to 5 Years
$
Collateral Pledged to FHLB
Collateral Pledged - General Account - December 31, 2014

Collateral Pledged - General Account - December 31, 2013
Fair
Value
Carrying
Value
$ 1,241,802,016
1,233,083,397
$ 1,116,071,951
1,170,462,618
Fair
Value
Carrying
Value
Maximum Collateral Pledged - General Account - Current Year $ 1,257,053,730

Maximum Collateral Pledged - General Account - Prior Year
1,245,701,788
(4)
1 to Less than
3 Years
$ 1,170,640,382
1,171,141,906
Aggregate
Total
Borrowings
$
1,049,513,226
1,000,114,557
Amount Borrowed at
Time of Maximum
Collateral
$
1,050,071,601
1,000,131,019
Borrowing from FHLB

The amounts borrowed as of December 31, 2014 and 2013 are as follows:
2014
(a)
(b)
(c)
(d)
Debt
Funding Agreements
Other
Aggregate Total
1,049,513,226
$ 1,049,513,226
1,049,513,226
$ 1,049,513,226
Total
General
Account
2013
(a)
(b)
(c)
(d)
Debt
Funding Agreements
Other
Aggregate Total
General
Account
Total
1,000,114,557
$ 1,000,114,557
1,000,114,557
$ 1,000,114,557
Separate
Account
$
Funding Agreements
Reserves Established
-
$
Separate
Account
$
Funding Agreements
Reserves Established
-
The maximum amounts borrowed in 2014 are as follows:
General
Account
Total
(a)
(b)
(c)
(d)
Debt
Funding Agreements
Other
Aggregate Total
1,050,071,601
$ 1,050,071,601
19.15
1,050,071,601
$ 1,050,071,601
Separate
Account
$
$
XXX
1,049,513,226
XXX
1,049,513,226
XXX
1,000,114,557
XXX
1,000,114,557

11. Debt, continued
The FHLB prepayment obligations as of December 31, 2014 are as follows:
Does the Company have prepayment

obligations under the following
arrangements (YES/NO)?
(1) Debt
(2) Funding Agreements
(3) Other
N/A
NO
N/A
12. Retirement Plans, Deferred Compensation, Postemployment Benefits and Compensated Absences and Other
Postretirement Benefit Plans
A.
Defined Benefit Plan

The Company has a noncontributory unfunded deferred compensation plan for qualifying members of its career
agency force. The benefit obligation for this plan is included in general expenses due and accrued. A summary of
obligations and assumptions under this plan are as follows at December 31, 2014 and 2013.
Deferred Compensation
2014
2013
(1)
a.
b.
c.
d.
e.
f.
g.
h.
I
j.
Change in benefit obligation

Benefit obligation at the beginning of the year
Service cost
Interest cost
Contribution by plan participants
Actuarial gain (loss)
Foreign currency exchange rate changes
Benefits paid
Plan amendments
Gain on plan terminations
Benefit obligation at the end of the year
(4)
a.
b.
c.
d.
Components of net periodic benefit cost

Service cost
Interest cost
Expected return on plan assets
Amortization of unrecognized transition
obligation or transition asset
Amount of recognized gains and losses
Amount of prior service cost recognized
Amount of gain or loss recognized due to a
settlement or curtailment
Total net periodic benefit cost
e.
f.
g.
h.
(5)
a.
b.
c.
d.
e.
f.
g.
$
$
111,990,749
4,050,632
6,623,552
3,993,184
(5,355,076)
121,303,041
4,050,632
6,623,552
-
$ 100,475,525
4,301,246
5,947,665
6,556,117
(5,289,804)
$ 111,990,749
$
892,992
3,100,192
Items not yet recognized as a component of net

periodic benefit cost
Prior year
Net transition obligation recognized
Net prior service cost arising during period
Net prior service cost recognized
Net (gain) loss arising during period
Net (gain) loss recognized
Current year
14,667,368
23,823,223
5,111,334
(3,100,192)
25,172,333
(892,992)
50,113,706
4,301,246
5,947,665
3,455,925
3,100,192
16,805,028
33,943,481
9,432,623
(3,100,192)
(12,996,764)
(3,455,925)
$ 23,823,223
The change in the projected benefit obligation at December 31, 2014 and 2013 was as follows:
2014
2013
(1)
a.
b.
c.
d.
e.
f.
g.
h.
I
j.
Projected benefit obligation

at the beginning of the year
Service cost
Interest cost
Contribution by plan participants
Actuarial gain (loss)
Foreign currency exchange rate changes
Benefits paid
Plan amendments
Gain on plan terminations
Projected benefit obligation
at the end of the year
19.16
142,685,585
4,050,632
6,623,552
(27,051,278)
(5,355,076)
-
$ 151,675,501
4,301,246
5,947,665
13,949,023
(5,289,804)
-
175,055,971
$ 142,685,585

Postretirement Benefit Plans, continued
(6)
Amounts in unassigned surplus expected to be recognized in the next year as components of net periodic
benefit cost are as follows:
Deferred
Compensation
3,100,192
4,588,105
a.
b.
c.
Net transition obligation

Net prior service cost
Net (gain) loss
$
$
$
(7)
Amounts in unassigned surplus that have not yet been recognized as components of net periodic benefit cost
are as follows:
Deferred
Compensation
$
$
$
7,316,455
42,797,251
a.
b.
c.
Net transition obligation

Net prior service cost
Net (gain) loss
(8)
Weighted-average assumptions used to determine net periodic benefit cost are as follows:
December 31,
2014
a.
b.
c.
Weighted-average discount rate

Expected long-term rate of return on plan assets
Rate of compensation increase
December 31,
2013
4.15%
N/A
4.00%
4.75%
N/A
4.00%
Weighted-average assumptions used to determine projected benefit obligations are as follows:

December 31,
2014
d.
e.
(9)
Weighted-average discount rate

Rate of compensation increase
December 31,
2013
4.15%
4.00%
4.75%
4.00%
The accumulated benefit obligation for this plan was $166,305,411 and $135,813,970 at December 31, 2014
and 2013, respectively.
(10, 11)
The health care cost trend rate does not apply to the deferred compensation plan.
(12) The benefits expected to be paid pursuant to the Companys deferred compensation plan as of December 31,
2014 were as follows:
2015
2016
2017
2018
2019
Years 2020 - 2024
Total
Deferred
Compensation
$
6,510,293
6,792,827
7,121,061
7,696,244
8,029,853
47,355,375
$ 83,505,653
(13) The Company expects to make contributions to the deferred compensation plan of $6,510,293 during the next fiscal
year.
(14) The Companys deferred compensation plan has no assets.
(15) The Company did not use any alternative method to amortize prior service amounts or unrecognized net gains
and losses.
(16) The Company did not use any substantive commitment as the basis for accounting for the benefit obligation.
(17) The Company did not provide any special or contractual termination benefits during 2014.
(18) There were no significant changes in the benefit obligation during 2014.
(19) The Companys deferred compensation plan has no assets.
19.17

Postretirement Benefit Plans, continued
(20, 21)
The following table provides the initial transition liability from the adoption of SSAP 102 as well as the full transition
surplus impact exclusive of the release of the minimum pension liability of $33,943,481 as of January 1, 2013:
Total
Transition liability
$
Amount recognized Jan 1, 2013
Remaining transition liability 12/31/13
Prior Service Cost
51,113,341 $
(43,289,468)
7,823,873
Minimum recognition - 2014

(5,111,334)
2,712,539
Minimum recognition - 2015

(2,712,539)
-
13,516,839 $
Unrealized Losses
37,596,502
B. - D.
The Companys defined benefit plan is unfunded as of December 31, 2014.
E.
Defined Contribution Plans

The Company provides payments under a deferred compensation plan to certain agents. The plan is closed and
does not accept any additional deferrals. The liability was $1,396,344 and $1,439,493 at December 31, 2014 and
2013, respectively, and was included in the liability for amounts held for agents accounts. The Company recorded
expense of $50,177 and $50,775 on the plan in 2014 and 2013, respectively.
Effective January 1, 2009, the Company provides a voluntary deferral savings program for its career agents. The
program is an unfunded non-qualified deferred compensation program, whereby participants annually elect a deferral
percentage of commissions which are allocated to various measurement funds as determined by the participants.
The participants are 100% vested in their contributions and the Company does not make any contributions into the
program. The Company invests the contributions into assets matching the measurement funds, which are held in a
rabbi trust. The Company records the assets held in the rabbi trust as an invested asset write-in, valued and
accounted for based on the specific guidance in the NAIC Accounting Practices and Procedures Manual for the
specific underlying assets. The Company records a deferred compensation liability equal to the fair value of the
measurement funds. The invested asset write-in and deferred compensation liability were equal at December 31,
2014 and 2013 and were valued at $5,683,866 and $4,456,285, respectively. The Company recorded realized and
unrealized capital gains (losses) and investment income based on the performance of the underlying assets, offset by
an equal amount of general expense for the change in fair value of the deferred compensation liability of $289,806
and $691,122 in 2014 and 2013, respectively.
F.
The Company does not participate in a multiemployer plan.
G. Consolidated/Holding Company Plans

The Company'
s employees are eligible to participate in CNOs 401(k) savings plan. In addition, certain executive officers
of the Company are included in CNOs deferred compensation plan. The Company has no legal obligation for benefits
under these plans. CNO allocates a portion of these costs to the Company based on salary ratios. The Company'
s
allocated expenses under these plans during 2014 and 2013 totaled $1,198,034 and $879,381, respectively.
H.
The Company has accrued all postemployment benefits and compensated absences.
I.
The Company does not sponsor a postretirement health care plan.
13. Capital and Surplus, Shareholders' Dividend Restrictions and Quasi-Reorganizations

(1) The Company'
s capital consists of 10,000,000 shares authorized, issued and outstanding, with a par value of $1.00
per share.
(2) The Company has no preferred stock outstanding.
(3) The maximum amount of dividends which can be paid by State of Illinois life insurance companies to shareholders
without 30-day prior notice to the Director is the greater of statutory net income for the preceding year or 10% of
statutory surplus as regards policyholders at the end of the preceding year. Statutory net income for 2014 was
$211,647,793. Statutory surplus as regards policyholders as of December 31, 2014 was $1,193,076,590. The
maximum dividend payout which may be made without prior approval in 2015 is $211,647,793.
(4) See Note #10 A., B., & C.
(5) See Note #13 (3).
(6) Unassigned surplus is held for the benefit of the Company'
s shareholder.
(7) During 2014, the Company had no advances to surplus.
(8) During 2014, the Company held no stock for special purposes.
19.18

13. Capital and Surplus, Shareholders' Dividend Restrictions and Quasi-Reorganizations, continued
(9) During 2014, the Company had no special surplus funds.
(10) As of December 31, 2014, the portion of unassigned funds (surplus) represented or reduced by cumulative unrealized
gains and (losses) was ($36,368,168).
(11) The Company has no surplus debentures or similar obligations outstanding.
(12, 13)
The Company has not restated surplus due to a quasi reorganization.
14. Liabilities, Contingencies and Assessments

A.
Contingent Commitments
(1)
The Company has given Black Diamond Capital Partners I, L.P., a limited partnership organized to make equity
investments in a variety of corporations, a standby equity commitment of $2,500,000. The Company had
funded $2,433,012 of the commitment as of December 31, 2014.
The Company has given Centerfield Capital Partners II, L.P., a limited partnership organized to make equity
The Company has given Cyprium Investors III, L.P., a limited partnership organized to make equity investments
in a variety of corporations, a standby equity commitment of $5,500,000. The Company had funded $4,955,079
of the commitment as of December 31, 2014.
The Company has given New York Life Investment Management Mezzanine Partners II, L.P., a limited
partnership organized to make equity investments in a variety of corporations, a standby equity commitment of
$5,500,000. The Company had funded $4,666,398 of the commitment as of December 31, 2014.
The Company has given Highbridge Principal Strategies - Mezzanine Fund Partners II, L.P., a limited
partnership organized to make equity investments in a variety of corporations, a standby equity commitment of
The Company has given GTCR Fund XI, L.P., a limited partnership organized to make equity investments in a
variety of corporations, a standby equity commitment of $7,500,000. The Company had funded $543,750 of the
commitment as of December 31, 2014.
The Company has given J.P. Morgan U.S. Real Estate Income and Growth Domestic, L.P., a limited partnership
organized to make investments in direct real estate and mezzanine debt, a standby equity commitment of
The Company has given Thoma Bravo Fund XI, L.P., a limited partnership organized to make equity
The Company has given Kayne Private Energy Income Fund, L.P., a limited partnership organized to make
equity investments in energy companies, a standby equity commitment of $7,500,000. The Company had
funded $0 of the commitment as of December 31, 2014.
The Company has given Kinderhook Capital Fund IV, L.P., a limited partnership organized to make equity
The Company has given NXT Senior Loan Fund III, L.P., a limited partnership organized to make debt-like
investments in a variety of private companies, a standby equity commitment of $11,250,000. The Company had
The Company has given Prime Property Fund, LLC, a limited partnership organized to make real estate and
real estate-related investments, a standby equity commitment of $7,500,000. The Company had funded $0 of
the commitment as of December 31, 2014.
Total SSAP 97 outstanding unfunded commitments as of December 31, 2014 are $ 23,370.
As of December 31, 2014, the Company had unfunded commitments on three commercial mortgage loans
totaling $39,450,500.
19.19

14. Liabilities, Contingencies and Assessments, continued
(2)
As disclosed in Note 10 E., the Company has guaranteed benefits that are payable by CNO to Gary C. Wendt, its
former Chairman and Chief Executive Officer, in connection with a supplemental employment agreement by and
between CNO and Mr. Wendt. CNO is required to make monthly payments to Mr. Wendt or his surviving spouse
in the amount of $110,417, commencing on March 13, 2007 and continuing until the later of his death and the
death of his surviving spouse. The Company would be required to perform under the guarantee should CNO
default on its obligation to make these payments to Mr. Wendt under the supplemental retirement agreement. If
the Company was to incur any loss under the guaranty, it would be entitled to indemnification from CNO or CNO
Services, an affiliate. The Company established a liability of $3,199,581 on Line 12 of Liabilities, Surplus and
Other Funds for this guarantee at December 31, 2011 in accordance with SSAP No. 5R. See the table below for
additional information on this guarantee as of December 31, 2014.
Nature and
circumstances of
guarantee and key
attributes, including
date and duration of
agreement
Liability recognition of
guarantee
Ultimate financial
statement impact if
action under the
guarantee is required.
See paragraph above
(3)
B.
a.
$1,397,600
Expense
Aggregate Maximum Potential of Future Payments of All

Guarantees (undiscounted) the guarantor could be
required to make under guarantees
b.
Current Liability Recognized in Financial Statement:

1. Noncontingent Liabilities
2. Contingent Liabilities
c.
Ultimate Financial Statement Impact if action under

the guarantee is required.
1. Investment in SCA
2. Joint Ventures
3. Dividends to Stockholders (capital contributions)
4. Expense
5. Other
6. Total
4
Maximum potential
amount of future
payments
(undiscounted) the
Company could be
required to make
under the guarantee.
$21,986,919
21,986,919
1,397,600
5
Current status of
payment or
performance risk of
guarantee.
CNO is current on the

required payments and
received an upgraded
credit rating of Ba2
from Ba3 from Moody'
s
Investor Services, Inc.
on its senior secured
credit facility and notes
in March 2014
21,986,919
21,986,919
Assessments
(1)
The Company has established a liability for guaranty fund assessments on several insolvencies of $14,068,000.
This amount represents estimated obligations to state guaranty funds to provide for covered claims and other
insurance obligations of insolvent insurers, net of the estimated offset to future premium taxes. The period over
which the assessments are anticipated to be funded varies by insolvency and is difficult to predict.
The Companys estimated probable recoveries of prior payments through premium tax credits totals
$14,940,278 and is recorded as an asset. The period over which the credits are realized varies by state but
typically ranges from five to ten years.
(2)
2014
a.
b.
c.
d.
Assets recognized from paid and accrued premium tax offsets

and policy surcharges prior year-end
$ 14,918,478
Decreases current year:

Premium tax offset applied
Change in accrual resulting from changes in liability
411,376
67,000
Increases current year:

Recoverable assessments paid
500,176
Assets recognized from paid and accrued premium tax offsets

and policy surcharges current year-end
19.20
$ 14,940,278

14. Liabilities, Contingencies and Assessments, continued
C.
Gain Contingencies
The Company has no gain contingencies.
D.
Claims Related Extra Contractual Obligation (ECO) and Bad Faith Losses Stemming From Lawsuits
The Company paid the following amounts during 2014 to settle claims related ECO or bad faith claims stemming from
lawsuits.
Claims related ECO and bad faith losses paid during the reporting period
Direct
781,168
Number of claims where amounts were paid to settle claims related ECO or bad faith claims resulting from lawsuits
during 2014.
(a)
0-25 Claims
(b)
26-50 Claims
(c)
51-100 Claims
(d)
101-500 Claims
(e)
More than 500 Claims
X
Indicate whether claim count information is disclosed per claim or per claimant.
(f) Per Claim [ X ]
(g) Per Claimant [
E.
The Company had no joint and several liabilities at December 31, 2014.
F.
All Other Contingencies

(1)
Various lawsuits against the Company have arisen in the course of the Company'
s business. Contingent
liabilities arising from litigation, income taxes and other matters are not considered material in relation to the
financial position of the Company.
(2)
At December 31, 2014 and 2013, the Company had no admitted amounts for assets covered by SSAP No. 6,
Uncollected Premium Balances, Bills Receivable for Premiums, and Amounts Due From Agents and Brokers,
No. 47, Uninsured Plans and No. 66, Retrospectively Rated Contracts.
15. Leases
A.
Lessee Leasing Arrangements

(1)
The Company leases home office space at 111 East Wacker Drive (Wacker Drive) under a long-term lease
agreement effective May 2011 and the initial term expiring in 2023. The Company also leases space for its
sales offices in various states under generally short-tem leases, which expire between 2015 and 2020.
(a) Lease expense for 2014 and 2013 was $20,681,116 and $19,009,504, respectively.
(b) There are no contingent rental payments.
(c) The Company has renewal options for two successive five-year periods on its former home office space at
600 West Chicago Avenue (600 West).
The Company has a one-time option to cancel the lease for 600 West as of November 30, 2016 upon
written notice and payment of a cancellation fee.
(d) There are no material restrictions imposed by the lease agreements.
Prior to the lease agreement for Wacker Drive, the Companys home office was located at 600 West. The
lease expires on November 30, 2018. In conjunction with the relocation of the home office, the Company
agreed to sublease this space to an unaffiliated third party through the remaining term of the lease. Upon
vacating 600 West, the Company established a liability with an offsetting charge to general insurance
expenses of $5,175,945. This liability represents the discounted anticipated net expenses through the
termination of the lease at November 30, 2018, including rent payments partially offset by the sublease
income, sublease tenant improvements and other expenses.
(2)
At December 31, 2014, the minimum future aggregate rental commitments are as follows:
Year Ending December 31
2015
2016
2017
2018
2019
2020 and thereafter
Total
19,976,170
16,069,014
13,025,158
11,626,102
3,764,818
10,968,987
75,430,249
The minimum future rentals required under non-cancelable subleases and excluding operating expenses paid
by the tenants total $19,315,548.
19.21

15. Leases, continued
(3)
B.
The Company has not entered into any material sale-leaseback transactions.
Lessor Leasing Arrangements

(1)
The Company has no operating leases as a significant part of its business activity.
(2)
The Company has no leveraged leases.
16. Information About Financial Instruments With Off-Balance Sheet Risk and Financial Instruments With
Concentrations of Credit Risk
(1) The table below summarizes the face amount (notional amount for swaps and futures and option premium for
options) of the Companys financial instruments with off-balance sheet risk as of December 31, 2014 and 2013.
Assets
Liabilities
2014
a.
b.
c.
d.
Swaps - Hedging
Futures
Options
Total
28,200,000
58,814,592
87,014,592
2013
$
18,600,000
53,983,589
72,583,589
2014
$
2013
-
See Schedule DB of this financial statement for additional detail.

(2) The Company issues equity-indexed annuity and equity-indexed universal life products that provide a guaranteed
base rate of return and a higher potential return linked to the performance of the S&P 500 index. Primarily one-year
call options are purchased in an effort to hedge potential increases to policyholder benefits resulting from increases in
the S&P 500 Index to which the policys return is linked. The Companys hedges are categorized as fair value
hedges. During 2014 and 2013, the S&P 500 index call options have met the criteria of a highly effective hedge and
are therefore valued and reported using hedge accounting.
(3) The Company is exposed to credit-related losses in the event of nonperformance by counterparties to financial
instruments, but it does not expect any counterparties to fail to meet their obligations given their high credit ratings.
If the counterparties for the derivatives that the Company holds fail to meet their obligations, the Company may have
to recognize a loss. The Company limits its exposure to such a loss by diversifying among several counterparties
generally believed to be strong and creditworthy. The credit exposure of derivatives is represented by the fair value
of contracts with a positive fair value at the reporting date.
(4) The Company utilizes futures contracts to hedge interest rate risk on funding commitments for invested assets,
hedging market interest rate fluctuations from the date of commitment to the date of funding. The Companys hedges
are categorized as fair value hedges. The futures are marked to market daily. The changes in variation margin are
settled daily with the initiating broker, minimizing off balance sheet risks.
17. Sale, Transfer and Servicing of Financial Assets and Extinguishments of Liabilities
A.
During 2014, the Company had no transfers of receivables reported as sales.
B.
During 2014, the Company had no transfers and servicing of financial assets.
C.
During 2014, the Company had no securities with NAIC designation 3 or below, or unrated securities, that were sold
and reacquired within 30 days of the sale date.
19.22

18. Gain or Loss to the Reporting Entity from Uninsured Plans and the Uninsured Portion of Partially Insured Plans
A.
ASO Plans
The gain from operations from Administrative Services Only (ASO) uninsured plans and the uninsured portion of
partially insured plans were as follows during 2014:
(1)
ASO
Uninsured
Plans
a.
b.
B.
Net reimbursement for administrative expenses

(including administrative fees) in excess
of actual expenses
(2)
Uninsured
Portion of
Partially
Insured Plans
(3)
Total
ASO
Total net other income or expenses (including

interest paid to or received from plans)
c.
Net gain or (loss) from operations
d.
Total claim payment volume
985
985
ASC Plans
The Company does not serve as an administrator of any Administrative Services Contracts (ASC) uninsured or
partially insured accident and health plans.
C.
Medicare or Similarly Structured Cost Based Reimbursement Contracts

The Company has no Medicare or similarly structured cost based reimbursement contracts on business written.
The Company assumed Medicare Part D stand alone Prescription Drug Plans (PDP) under a Quota Share
Reinsurance Agreement. Under the agreement, the Company received a quota share percentage of Reinsurance
Payments and Low Income Subsidies, which are applied directly to enrollees benefits and are accounted for under
SSAP No. 47, Uninsured Plans. There was no gain or loss generated. In August 2013, the Company received a
notice of intent to terminate the PDP quota-share reinsurance agreement. In 2014, the Company received $424,766
on such business for premiums, net of claims and expenses, related to periods prior to the termination of the
agreement. In addition, the Company received $3,000,000 as a settlement from the ceding company related to the
termination.
19. Direct Premium Written/Produced by Managing General Agents/Third Party Administrators

The Company had $537,535 in direct premiums written through one third party administrator during 2014 that did not
exceed 5% of total surplus on an individual basis.
20. Fair Value Measurements

A.
Assets and Liabilities Measured and Reported at Fair Value

The Companys financial assets measured and reported at fair value have been classified, for disclosure purposes,
based on a hierarchy defined by authoritative guidance. The hierarchy gives the highest ranking to fair values
determined using unadjusted quoted prices in active markets for identical assets (Level 1) and the lowest ranking to
fair values determined using methodologies and models with unobservable inputs (Level 3). An assets classification
is based on the lowest level input that is significant to its measurement. For example, a Level 3 fair value
measurement may include inputs that are both observable (Levels 1 and 2) and unobservable (Level 3). The levels
of the fair value hierarchy are as follows:
Level 1 includes assets valued using inputs that are quoted prices in active markets for identical assets.
Level 2 includes assets valued using inputs that are quoted prices for similar assets in an active market, quoted
prices for identical or similar assets in a market that is not active, observable inputs, or observable inputs that can
be corroborated by market data. Level 2 assets include those financial instruments that are valued by
independent pricing services using models or other valuation methodologies. These models consider various
inputs such as credit rating, maturity, corporate credit spreads, reported trades and other inputs that are
observable or derived from observable information in the marketplace or are supported by observable information
in the marketplace or are supported by transactions executed in the marketplace.
Level 3 includes assets valued using unobservable inputs that are used in model-based valuations that
contain management assumptions. Level 3 assets include those financial instruments whose fair value is
estimated based on broker/dealer quotes, pricing services or methodologies utilizing significant inputs not based
on, or corroborated by, readily available market information.
19.23

20. Fair Value Measurements, continued
At each reporting date, the Company classifies assets into the three input levels based on the lowest level of input
that is significant to the measurement of fair value for each asset reported at fair value. This classification is
impacted by a number of factors, including the type of financial instrument, whether the financial instrument is new to
the market and not yet established, the characteristics specific to the transaction and overall market conditions. The
Companys assessment of the significance of a particular input to the fair value measurement and the ultimate
classification of each asset requires judgment. The following tables provide detail on the Companys assets and
liabilities measured and reported at fair value.
(1)
Fair Value Measurements at December 31, 2014

Level 1
Description
Common stock
Industrial and miscellaneous (unaffiliated)
Level 3
$ 50,972,101
1,110,480
97,117,553
-
Total Assets at fair value
$ 1,110,480
$ 148,089,654
Total Liabilities at fair value
Derivative assets
Options
Futures
(2)
Level 2
Total
8,012
$ 50,980,113
97,117,553
1,110,480
8,012
$ 149,208,146
2014 Progression of Fair Value Measurements in Level 3
Balance at
1/1/2014
$ 1,189,672
Preferred stock
(Parent,
subsidiaries and
affiliates)
Common stock
9,165
(Industrial and
miscellaneous
(unaffiliated)
Total
$ 1,198,837
Transfers
into (out of)
Level 3
$
-
Total gains
Total gains
and (losses) and (losses)
included in
included in
Net Income
Surplus
$ (1,374,022) $
-
$ (1,374,022) $
(1,153)
Purchases
$ 184,350
(1,153) $ 184,350
Balance at
12/31/2014
$
-
8,012
Sales
8,012
(3)
Reclassifications between all levels are reported as transfers as of the beginning of the reporting period in which
reclassification occurs. There were no transfers between levels in 2014.
(4)
As of December 31, 2014, the reported fair value of the Companys investment in Level 2 common stock
consisted of $50,972,101 of Federal Home Loan Bank of Chicago (FHLBC) common stock. The stock may
only be issued, redeemed and repurchased by the FHLBC at a price equal to its par value.
As of December 31, 2014, the reported fair value of the Companys investment in Level 2 options was
$97,117,553. The Company measured the fair value of options based on the consideration of several inputs
including closing exchange or over-the-counter market price quotations; time value and volatility factors
underlying options; market interest rates; and non-performance risk.
(5)
B.
Fair value information on derivative assets is disclosed in items 1-4 above.
Fair Value of Financial Instruments

The Company determines fair value for its investments using various valuation methodologies in accordance with
those permitted by the Purposes and Procedures Manual of the NAIC Securities Valuation Office. Fair values are
based on quoted market prices when available. When market prices are not available, fair value is generally
estimated using discounted cash flow analyses, incorporating current market inputs for similar financial instruments
with comparable terms and credit quality (matrix pricing). In instances where there is little or no market activity for the
same or similar instruments, the Company estimates fair value using methods, models and assumptions that
management believes market participants would use to determine a current transaction price. These valuation
techniques involve some level of management estimation and judgment, which becomes significant with increasingly
complex instruments or pricing models. Where appropriate, adjustments are included to reflect the risk inherent in a
particular methodology, model or input used.
As the Company is responsible for the determination of fair value, monthly quantitative and qualitative analysis on the
prices received from third parties are performed to determine whether the prices are reasonable estimates of fair
value. The Companys analysis includes: (i) a review of the methodology used by third party pricing services; (ii)
where available, a comparison of multiple pricing services valuations for the same security; (iii) a review of month to
month price fluctuations; (iv) a review to ensure valuations are not unreasonably stale; and (v) back testing to
compare actual purchase and sale transactions with valuations received from third parties. As a result of such
procedures, the Company may conclude the prices received from third parties are not reflective of current market
conditions. In those instances, the Company may request additional pricing quotes or apply internally developed
valuations. However, the number of instances is insignificant and the aggregate change in value of such investments
is not materially different from the original prices received.
19.24

20. Fair Value Measurements, continued
C.
D.
As of December 31, 2014, the aggregate fair value of all financial instruments and the level within the fair value hierarchy
in which the fair value measurements in their entirety fall were as follows:
Type of
Financial
Instrument
Aggregate
Fair Value
Admitted
Assets
Bonds
Preferred stock
Common stock
Mortgage loans
Cash
Cash equivalents
Short-term investments
Contract loans
Derivatives
Hedge funds
Surplus debenture
Company-owned life insurance
$ 15,672,593,630
180,558,036
50,980,113
1,113,875,207
292,362,182
58,997,616
516,205
49,852,334
98,228,033
77,902,972
10,846,992
157,545,676
$14,024,959,698
148,095,368
50,980,113
1,083,619,441
292,362,182
58,996,143
516,204
49,781,763
98,228,033
73,781,414
10,000,000
157,545,676
Total Assets
$ 17,764,258,996
Deposit-type contracts
FHLBC Advances
Total Liabilities
$ 1,205,807,274
155,062,988
1,050,744,286
Level 1
Level 2
Level 3
292,362,182
1,110,480
-
$15,096,797,506
107,492,733
50,972,101
58,997,616
3,291
97,117,553
77,902,972
157,545,676
$ 575,796,124
73,065,303
8,012
1,113,875,207
512,914
49,852,334
10,846,992
-
$16,048,866,035
$ 293,472,662
$15,646,829,448
$1,823,956,886
151,013,017
1,049,513,226
1,050,744,286
$ 155,062,988
-
$ 1,200,526,243
$ 1,050,744,286
$ 155,062,988
None
21. Other Items

A.
Extraordinary Items
The Company had no extraordinary items.
B.
Troubled Debt Restructuring: Debtors

The Company had no troubled debt restructuring.
C.
Other Disclosures
(1)
Assets with book/adjusted carrying values totaling $7,661,758 and $7,653,330 at December 31, 2014 and 2013,
respectively, were on deposit with government authorities or trustees as required by law.
(2)
During 2006, the Company purchased a life insurance policy from a nonaffiliated insurance company insuring
the lives of certain of its Territory Vice Presidents and Branch Sales Managers. The Company is the owner and
beneficiary of the policy, which was purchased to partially fund the unfunded deferred compensation plan for
qualifying members of its career agency force. The cash surrender value of the policy is reported on Page 2,
Line 2501 as an admitted asset under SSAP No. 21, Other Admitted Assets.
(3)
In August 2011, the Company was notified of an examination to be done on behalf of a number of states for the
purpose of determining compliance with unclaimed property laws by the Company and certain affiliates. Such
examination has included inquiries related to the use of data available on the U.S. Social Security
Administration'
s Death Master File to identify instances where benefits under life insurance policies, annuities
and retained asset accounts are payable. The Company and affiliates are continuing to provide information to
the examiners in response to their requests. A total of 38 states and the District of Columbia are currently
participating in this examination.
(4)
As disclosed in Note 10 A. B. & C., on July 1, 2014, the Company incurred and paid a $28,000,000 fee to
recapture life insurance business previously ceded to Wilton Re. The following summarizes the amounts
transferred from Wilton Re to the Company during the third quarter of 2014:
Statutory reserves, net of due and deferred premiums

Policy loans, net of unearned/accrued interest
Interest maintenance reserve
Recapture fee
Cash and investments transferred
D.
$ 162,271,413
(6,314,450)
12,754,188
(28,000,000)
$ 140,711,151
The Company had no business interruption insurance recoveries.
19.25

21. Other Items, continued
E.
Transferable and Non-Transferable State Tax Credits

(1)
The table below summarizes the carrying value of transferable state tax credits gross of any related tax liabilities
and total unused transferable state tax credits as of December 31, 2014. The Company has no nontransferable state tax credits as of December 31, 2014.
Description of Transferable State Tax Credits
State
Unused Amount
Arizona School Tuition Credit Catholic

Education Arizona
AZ
375,000
375,000
Connecticut Digital Animation Production Co.

Stonehenge Capital Fund Connecticut I, LLC.
CT
176,000
176,000
Kansas State Rehabilitation Tax Credit

Kansas State University
KS
254,225
254,225
Massachusetts Low-Income Housing Tax

Credit Massachusetts Department of
Housing and Community Development
MA
2,410,808
2,410,808
(2)
The Company estimated the utilization of the remaining Transferable State Tax Credits by projecting future
premium taking into account policy growth and rate changes, projecting future tax liability based on projected
premium, tax rates and tax credits, and comparing projected future tax liability to the availability of remaining
Transferable State Tax Credits.
(3)
As of December 31, 2014, the Company did not recognize any impairment losses related to write-down as a
result of impairment analysis of the carrying amount for state transferable and non-transferable tax credits.
(4)
State Tax Credits Admitted and Nonadmitted
Total Admitted
a.
b.
F.
Carrying Value
Transferable
Non-transferable
$
$
Total Nonadmitted
3,216,033
-
$
$
Subprime Mortgage Related Risk Exposure

(1)
To identify its exposure to subprime mortgage risk, the Company obtains information regarding the weighted
average credit scores for the pool of borrowers supporting each of its mortgage-backed investments. The
Company regularly reviews its mortgage-backed investments for impairments. The Company views its
exposure to subprime mortgage risk to be low. The risk to subprime mortgage investments is mitigated through
portfolio diversification and detailed analysis of each investment.
(2)
The Company had no direct exposure through investments in subprime mortgage loans at December 31, 2014.
(3)
As of December 31, 2014, direct exposure through other investments in mortgage-backed securities are as follows:
Actual
Cost
a.
b.
c.
d.
e.
f.
g.
(4)
Residential mortgage-backed securities

Commercial mortgage-backed securities
Collateralized debt obligations
Structured securities
Equity investment in SCAs
Other assets
Total
419,160,538
$ 419,160,538
Book/Adjusted
Carrying Value
(excluding interest)
$
435,230,501
435,230,501
The Company does not write Mortgage Guaranty or Financial Guaranty insurance.
19.26
Fair
Value
$
465,947,665
$ 465,947,665
OTTI
Losses
Recognized
$
196,203
$ 196,203

21. Other Items, continued
G. Retained Assets (BenefitNow)
(1)
A BenefitNow account, which is an interest-bearing draft account, is one of several payment options available to
beneficiaries of life insurance policies. A BenefitNow account is established in the beneficiaries name at
settlement, which is recorded as a supplemental contract without life contingencies (Liabilities, Surplus and
Other Funds, Line 3) in this statement. Accounts are established within one business day of claim settlement
and the beneficiary has immediate access to the full value of the account. The BenefitNow account will begin
earning interest the day it is established. Interest is compounded daily on the balance at the end of each day
and credited to the account monthly. The interest rate changed from .75% to .50% in April 2013 and remained
at .50% in 2014.
The Company offers a BenefitNow account as one of several payment options available to beneficiaries of life
insurance policies. A BenefitNow account is established either when requested by the beneficiary, or if no other
option is requested, where allowed. A BenefitNow account provides for unlimited free draft writing privileges.
Draft re-orders and routine account services are provided at no cost. Fees apply only for services such as
copies of drafts or statements, returned drafts and stop payment orders for $2, $10 and $12, respectively,
subject to change without notice.
(2)
BenefitNow account balance information by aging category is presented below.
a.
b.
c.
d.
e.
f.
g.
(3)
Up to and including 12 Months

13 - 24 Months
25 - 36 Months
37 - 48 Months
49 - 60 Months
Over 60 Months
Total
December 31, 2014

Count
Balance
184
$3,317,992
82
1,242,402
150
1,761,084
202
2,623,693
164
1,775,637
456
4,925,222
1,238 $15,646,030
December 31, 2013

Count
Balance
170
$2,798,360
211
2,487,400
273
3,266,735
198
2,183,046
126
1,611,675
395
3,944,124
1,373 $16,291,340
A progression of BenefitNow account balances on individual contracts is presented below.
a. Beginning of the Year Account Value

b. Accounts Issued During the Year
Investment Earnings Credited to
c. Accounts During the Year
Fees and Other Charges Assessed to
d. Accounts During the Year
Accounts Transferred to State
e. Unclaimed Property During the Year
f. Accounts Closed During the Year
g. Accounts Active at the End of the Year
Count
1,373
359
494
1,238
2014
Balance
$16,291,340
Count
1,651
414
2013
Balance
$16,291,340
10,374,470
81,212
107,881
421
464
726,101
$15,646,030
692
1,373
10,481,887
$16,291,340
22. Events Subsequent

Subsequent events have been evaluated up to the issue date of this financial statement, February 28, 2015. No material
subsequent events have occurred which would require an adjustment or disclosure. Additionally, the Company is not
subject to an annual fee under Section 9010 of the Federal Affordable Care Act (ACA).
19.27

23. Reinsurance
A.
Ceded Reinsurance Report
Section 1 - General Interrogatories

1.
Are any of the reinsurers, listed in Schedule S as non-affiliated, owned in excess of 10% or controlled, either
directly or indirectly, by the Company or by any representative, officer, trustee, or director of the Company?
Yes ( ) No ( X )
If yes, give full details.
_________________________________________________________________________________________
_________________________________________________________________________________________
2.
Have any policies issued by the Company been reinsured with a company chartered in a country other than the
United States (excluding U.S. Branches of such companies) that is owned in excess of 10% or controlled
directly or indirectly by an insured, a beneficiary, a creditor or an insured or any other person not primarily
engaged in the insurance business?
Yes ( ) No ( X )
_________________________________________________________________________________________
_________________________________________________________________________________________
Section 2 - Ceded Reinsurance Report - Part A

1.
2.
Does the Company have any reinsurance agreements in effect under which the reinsurer may unilaterally
cancel any reinsurance for reasons other than for nonpayment of premium or other similar credits?
Yes ( ) No ( X )
a.
If yes, what is the estimated amount of the aggregate reduction in surplus of a unilateral cancellation by the
reinsurer as of the date of this statement, for those agreements in which cancellation results in a net
obligation of the Company to the reinsurer, and for which such obligation is not presently accrued? Where
necessary, the Company may consider the current or anticipated experience of the business reinsured in
making this estimate. $0
b.
What is the total amount of reinsurance credits taken, whether as an asset or as a reduction of liability, for
these agreements in this statement? $0
Does the Company have any reinsurance agreements in effect such that the amount of losses paid or accrued
through the statement date may result in a payment to the reinsurer of amounts that, in aggregate and allowing
for offset of mutual credits from other reinsurance agreements with the same reinsurer, exceed the total direct
premium collected under the reinsured policies?
Yes ( ) No ( X )
_________________________________________________________________________________________
_________________________________________________________________________________________
Section 3 - Ceded Reinsurance Report - Part B

1.
What is the estimated amount of the aggregate reduction in surplus, (for agreements other than those under
which the reinsurer may unilaterally cancel for reasons other than for nonpayment of premium or other similar
credits that are reflected in Section 2 above) of termination of ALL reinsurance agreements, by either party, as
of the date of the statement? Where necessary, the Company may consider the current or anticipated
experience of the business reinsured in making the estimate. $4,760,100
2.
Have any new agreements been executed or existing agreements amended, since January 1 of the year of this
statement, to include policies or contracts that were in force or which had existing reserves established by the
Company as of the effective date of the agreement?
Yes ( ) No ( X )
If yes, what is the amount of reinsurance credits, whether an asset or a reduction of liability, taken for such new
agreements or amendments? $0
B.
Uncollectible Reinsurance
During 2014, the Company did not write off any reinsurance balances due.
C.
Commutation of Ceded Reinsurance

During 2014, the Company has reported in its operations, as a result of the commutation of reinsurance with Wilton
Reassurance Company, amounts that are reflected as follows:
(a)
(b)
(c)
(d)
D.
Claims incurred
Claims adjustment expenses incurred
Premiums earned
Other
(28,000,000)
Certified Reinsurer Rating Downgraded or Status Subject to Revocation

(1)
During 2014, the Company did not cede business to any certified reinsurer.
(2)
During, 2014, the Company was not a certified reinsurer.
19.28

24. Retrospectively Rated Contracts & Contracts Subject to Redetermination
A., B. & C.
The Company has no retrospectively rated contracts or contracts subject to redetermination.
The Company assumed PDP plans under a Quota Share Reinsurance Agreement. In August 2013, the Company
received a notice of intent to terminate the PDP quota-share reinsurance agreement. In 2014, the Company received
$424,766 on such business for premiums, net of claims and expenses, related to periods prior to the termination of
the agreement. In addition, the Company received $3,000,000 as a settlement from the ceding company related to
the termination.
D.
The Company had no medical loss ratio rebates required pursuant to the Public Health Service Act.
E.
The Company had no written premium subject to the risk sharing provisions of the Affordable Care Act.
25. Change in Incurred Losses and Loss Adjustment Expenses

Reserves as of December 31, 2013 were $1,411,226,289. As of December 31, 2014, $548,206,889 has been paid for
incurred losses and loss adjustment expenses attributable to insured events of prior years. Reserves remaining for prior
years are now $862,451,217 as a result of revised estimates of unpaid losses and loss adjustment expenses. Therefore,
there has been a $568,183 favorable prior year development since December 31, 2013 to December 31, 2014. This
development is generally the result of ongoing analysis of recent loss development trends. As additional information
becomes known on individual claims experience, the original estimates are adjusted accordingly.
26. Intercompany Pooling Arrangements

The Company is not part of an affiliated intercompany pooling arrangement.
27. Structured Settlements

The Company has not reduced reserves through the purchase of an annuity as part of a structured settlement.
28. Health Care Receivables

The Company has no pharmaceutical rebate receivables or risk sharing receivables.
29. Participating Policies

As of December 31, 2014, 0.6% of in force individual and group life policies were participating policies. The Company
accounts for its policyholder dividends based upon the contribution principle using the source of earnings method. The
Company paid dividends in the amount of $192,530 to policyholders and did not allocate any additional income to such
policyholders.
30. Premium Deficiency Reserves

Premium deficiency reserves as of December 31, 2014 were as follows:
1.
Liability carried for premium deficiency reserves
2.
Date of the most recent evaluation of this liability
3.
Was anticipated investment income utilized in the calculation?
0
December 31, 2014
Yes
No
31. Reserves for Life Contracts and Annuity Contracts

(1) The Company waives deduction of deferred and fractional premiums upon death of the insured and returns any
portion of the final premium beyond the month of death. Surrender values are not promised in excess of the legally
computed reserves.
(2) For traditional life plans, substandard extra reserves are determined by taking the difference between reserves from
one valuation run, where all policies are treated as standard, and a subsequent valuation in which reserves for
substandard policies account for the extra premium and higher expected mortality. For universal life plans with
permanent extra charges, one month'
s extra cost of insurance is held as a substandard reserve.
(3) As of December 31, 2014, the Company had $1,075,512,396 of insurance in force in which the gross premiums were
less than the net premiums according to the standard valuation set by the State of Illinois. Deficiency reserves to
cover the above insurance in force totaled $10,496,302 at year-end and are reported in Exhibit 5, Miscellaneous
Reserves section.
(4) The Tabular Interest, Tabular Cost and Tabular Less Actual Reserve Released have been determined by formula as
described in the instructions.
(5) Investment earnings credited to the account (Exhibit 7, line 3) has been determined by formula, which includes each
valuation rate of interest and the mean of the funds held subject to each rate.
19.29

31 Reserves for Life Contracts and Annuity Contracts, continued
(6) Other reserve changes in 2014 are summarized below :
Ordinary
Individual
Annuities
Ordinary
Life
Recapture of traditional life reinsurance agreement
(See Note 10 A., B. & C. and Note 21C)
Annuity riders on traditional life policies
Total (Page 7, Line 7)
$ 169,440,919
2,934,398
$ 172,375,317
Total
$ 169,440,919
(2,934,398)
$ (2,934,398) $ 169,440,919
Other net reserve changes on Exhibit 7, line 4 are insignificant.
32. Analysis of Annuity Actuarial Reserves and Deposit-Type Liabilities by Withdrawal Characteristics
Withdrawal Characteristics of Annuity Actuarial Reserves and Deposit-Type Contract Funds and Other Liabilities Without
Life or Disability Contingencies as of December 31, 2014.
A.
(1)
General Account
(2)
% of Total
0.0 %
3,697,382,588
43.1 %
0.0 %
Subject to discretionary withdrawal:

1.
With fair value adjustment
2.
At book value less current surrender charge

of 5% or more
3.
At fair value
4.
Total with adjustment or at fair value

(total of 1 through 3)
3,697,382,588
43.1 %
At book value without adjustment

(minimal or no charge or adjustment)
3,564,001,270
41.6 %
5.
B.
Not subject to discretionary withdrawal
1,315,477,516
15.3 %
C.
Total (gross: direct + assumed)
8,576,861,374
100.0 %
D.
Reinsurance ceded
E.
Total (net)* (C)-(D)
20,724,854
$
8,556,136,520
*Reconciliation of total annuity actuarial reserves and deposit fund liabilities.

F.
Life & Accident & Health Annual Statement:
Amount
1.
Exhibit 5, Annuities Section, Total (net)
2.
Exhibit 5, Supplementary Contracts with

Life Contingencies Section, Total (net)
3.
Exhibit 7, Deposit-Type Contracts, Line 14, Column 1
4.
Total
7,286,078,063
69,532,214
1,200,526,243
The Company had no separate accounts at December 31, 2014.
19.30
8,556,136,520

33. Premium and Annuity Considerations Deferred and Uncollected
Deferred and uncollected life insurance premiums and annuity considerations as of December 31, 2014 were as follows:
(1)
Gross
Type
$
(2)
Net of Loading
1.
Industrial
2.
Ordinary new business
23,231,505
4,196,522
3.
Ordinary renewal
84,223,367
54,198,710
4.
Credit Life
5.
Group Life
6.
Group Annuity
7.
Totals
107,454,872
58,395,232
34. Separate Accounts

The Company has no separate accounts.
35. Loss/Claim Adjustment Expenses

The balance in the liability for unpaid accident and health claim adjustment expenses as of December 31, 2014 and 2013
was $35,245,349 and $35,937,062, respectively. The Company incurred $12,986,900 and paid $13,678,613 of claim
adjustment expenses in the current year, of which $8,296,521 of the paid amount was attributable to insured or covered
events of prior years. The Company did not change the provision for insured events of prior years. The Company does
not estimate anticipated salvage and subrogation in its determination of the liability for unpaid claims/losses.
19.31
GENERAL INTERROGATORIES
PART 1 - COMMON INTERROGATORIES
GENERAL
1.1
Is the reporting entity a member of an Insurance Holding Company System consisting of two or more affiliated persons, one or more of which
is an insurer?
If yes, complete Schedule Y, Parts 1, 1A and 2
1.2
If yes, did the reporting entity register and file with its domiciliary State Insurance Commissioner, Director or Superintendent, or with
such regulatory official of the state of domicile of the principal insurer in the Holding Company System, a registration statement
providing disclosure substantially similar to the standards adopted by the National Association of Insurance Commissioners (NAIC) in
its Model Insurance Holding Company System Regulatory Act and model regulations pertaining thereto, or is the reporting entity
subject to standards and disclosure requirements substantially similar to those required by such Act and regulations?
1.3
State Regulating?
2.1
Has any change been made during the year of this statement in the charter, by-laws, articles of incorporation, or deed of settlement of the
reporting entity?
2.2
If yes, date of change:
3.1
State as of what date the latest financial examination of the reporting entity was made or is being made.
3.2
State the as of date that the latest financial examination report became available from either the state of domicile or the reporting
entity. This date should be the date of the examined balance sheet and not the date the report was completed or released.
3.3
State as of what date the latest financial examination report became available to other states or the public from either the state of
domicile or the reporting entity. This is the release date or completion date of the examination report and not the date of the
examination (balance sheet date).
3.4
By what department or departments?

Illinois
3.5
Have all financial statement adjustments within the latest financial examination report been accounted for in a subsequent financial
statement filed with Departments?
3.6
Have all of the recommendations within the latest financial examination report been complied with?
4.1
During the period covered by this statement, did any agent, broker, sales representative, non-affiliated sales/service organization or any
combination thereof under common control (other than salaried employees of the reporting entity), receive credit or commissions for or
control a substantial part (more than 20 percent of any major line of business measured on direct premiums) of:
4.11 sales of new business?
4.12 renewals?
During the period covered by this statement, did any sales/service organization owned in whole or in part by the reporting entity or an affiliate,
receive credit or commissions for or control a substantial part (more than 20 percent of any major line of business measured on direct
premiums) of:
4.21 sales of new business?
4.22 renewals?
4.2
5.1
Has the reporting entity been a party to a merger or consolidation during the period covered by this statement?
5.2
If yes, provide the name of the entity, NAIC Company Code, and state of domicile (use two letter state abbreviation) for any entity that has
ceased to exist as a result of the merger or consolidation.
1
Name of Entity
2
NAIC Company Code
3
State of Domicile
6.1
Has the reporting entity had any Certificates of Authority, licenses or registrations (including corporate registration, if applicable) suspended or
revoked by any governmental entity during the reporting period?
6.2
If yes, give full information:
7.1
Does any foreign (non-United States) person or entity directly or indirectly control 10% or more of the reporting entity?
7.2
If yes,
7.21 State the percentage of foreign control;
7.22 State the nationality(s) of the foreign person(s) or entity(s) or if the entity is a mutual or reciprocal, the nationality of its manager or
attorney-in-fact; and identify the type of entity(s) (e.g., individual, corporation or government, manager or attorney in fact).
1
Nationality
2
Type of Entity
20
8.1
8.2
Is the company a subsidiary of a bank holding company regulated by the Federal Reserve Board?
If response to 8.1 is yes, please identify the name of the bank holding company.
8.3
8.4
Is the company affiliated with one or more banks, thrifts or securities firms?
If response to 8.3 is yes, please provide below the names and location (city and state of the main office) of any affiliates regulated by a federal
regulatory services agency [i.e. the Federal Reserve Board (FRB), the Office of the Comptroller of the Currency (OCC), the Federal Deposit
Insurance Corporation (FDIC) and the Securities Exchange Commission (SEC)] and identify the affiliate'
s primary federal regulator.
1
Affiliate Name
9.
10.1
10.2
10.3
10.4
10.5
10.6
11.
12.1
2
Location (City, State)
3
FRB
4
OCC
Has the insurer been granted any exemptions related to the other requirements of the Annual Financial Reporting Model Regulation as
allowed for in Section 17A of the Model Regulation, or substantially similar state law or regulation?
If the response to 10.3 is yes, provide information related to this exemption:
Has the reporting entity established an Audit Committee in compliance with the domiciliary state insurance laws?
If the response to 10.5 is no or n/a, please explain
The reporting entity is an indirect wholly-owned subsidiary of a SOX compliant entity.
What is the name, address and affiliation (officer/employee of the reporting entity or actuary/consultant associated with an actuarial consulting
firm) of the individual providing the statement of actuarial opinion/certification?
Mark E. Billingsley, F.S.A., M.A.A.A.-Appointed Actuary
11825 N. Pennsylvania Street
Carmel, IN 46032
Senior Vice President of Bankers Life and Casualty Company
Does the reporting entity own any securities of a real estate holding company or otherwise hold real estate indirectly?
12.11 Name of real estate holding company
"
, '
./01 &
#$ %
%
)
&
&
'(
- #$
12.12 Number of parcels involved

12.13 Total book/adjusted carrying value
13.
13.1
6
SEC
What is the name and address of the independent certified public accountant or accounting firm retained to conduct the annual audit?
PricewaterhouseCoopers, LLP
101 W. Washington St., Suite 1300
Indianapolis, IN 46204
Has the insurer been granted any exemptions to the prohibited non-audit services provided by the certified independent public accountant
requirements as allowed in Section 7H of the Annual Financial Reporting Model Regulation (Model Audit Rule), or substantially similar state
law or regulation?
If the response to 10.1 is yes, provide information related to this exemption:
12.2
5
FDIC
If, yes provide explanation:

Limited liability and limited partnership companies with real estate investments as reported on Schedule BA, part 1.
FOR UNITED STATES BRANCHES OF ALIEN REPORTING ENTITIES ONLY:
What changes have been made during the year in the United States manager or the United States trustees of the reporting entity?
13.2
13.3
13.4
14.1
Does this statement contain all business transacted for the reporting entity through its United States Branch on risks wherever located?
Have there been any changes made to any of the trust indentures during the year?
If answer to (13.3) is yes, has the domiciliary or entry state approved the changes?
Are the senior officers (principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing
similar functions) of the reporting entity subject to a code of ethics, which includes the following standards?
(a) Honest and ethical conduct, including the ethical handling of actual or apparent conflicts of interest between personal and professional
relationships;
(b) Full, fair, accurate, timely and understandable disclosure in the periodic reports required to be filed by the reporting entity;
(c) Compliance with applicable governmental laws, rules and regulations;
(d) The prompt internal reporting of violations to an appropriate person or persons identified in the code; and
(e) Accountability for adherence to the code.
14.11 If the response to 14.1 is No, please explain:
14.2 Has the code of ethics for senior managers been amended?
14.21 If the response to 14.2 is yes, provide information related to amendment(s).
14.3 Have any provisions of the code of ethics been waived for any of the specified officers?
14.31 If the response to 14.3 is yes, provide the nature of any waiver(s).
20.1
) *+ (
'
2
$
33 422 445
15.1
15.2
Is the reporting entity the beneficiary of a Letter of Credit that is unrelated to reinsurance where the issuing or confirming bank is not on the
SVO Bank List?
If the response to 15.1 is yes, indicate the American Bankers Association (ABA) Routing Number and the name of the issuing or confirming
bank of the Letter of Credit and describe the circumstances in which the Letter of Credit is triggered.
1
American
Bankers
Association
(ABA) Routing
Number
Issuing or Confirming Bank Name
Circumstances That Can Trigger the Letter of Credit
Amount
BOARD OF DIRECTORS
16.
17.
18.
Is the purchase or sale of all investments of the reporting entity passed upon either by the board of directors or a subordinate committee
thereof?
Does the reporting entity keep a complete permanent record of the proceedings of its board of directors and all subordinate committees
thereof?
Has the reporting entity an established procedure for disclosure to its board of directors or trustees of any material interest or affiliation on the
part of any of its officers, directors, trustees or responsible employees that is in conflict with the official duties of such person?
FINANCIAL
19.
20.1
20.2
21.1
21.2
22.1
22.2
23.1
23.2
Has this statement been prepared using a basis of accounting other than Statutory Accounting Principles (e.g., Generally Accepted
Accounting Principles)?
Total amount loaned during the year (inclusive of Separate Accounts, exclusive of policy loans): 20.11 To directors or other officers
$
20.12 To stockholders not officers
$
20.13 Trustees, supreme or grand
(Fraternal Only)
$
Total amount of loans outstanding at the end of year (inclusive of Separate Accounts, exclusive of
$
policy loans):
20.21 To directors or other officers
20.22 To stockholders not officers
$
20.23 Trustees, supreme or grand
(Fraternal Only)
$
Were any assets reported in this statement subject to a contractual obligation to transfer to another party without the liability for such
obligation being reported in the statement?
If yes, state the amount thereof at December 31 of the current year:
$
21.21 Rented from others
21.22 Borrowed from others
$
21.23 Leased from others
$
21.24 Other
$
Does this statement include payments for assessments as described in the Annual Statement Instructions other than guaranty fund or
guaranty association assessments?
If answer is yes:
22.21 Amount paid as losses or risk adjustment $
22.22 Amount paid as expenses
$
22.23 Other amounts paid
$
Does the reporting entity report any amounts due from parent, subsidiaries or affiliates on Page 2 of this statement?
If yes, indicate any amounts receivable from parent included in the Page 2 amount:
$
INVESTMENT
24.01 Were all the stocks, bonds and other securities owned December 31 of current year, over which the reporting entity has exclusive control, in
the actual possession of the reporting entity on said date? (other than securities lending programs addressed in 24.03)
24.02 If no, give full and complete information relating thereto
24.03 For security lending programs, provide a description of the program including value for collateral and amount of loaned securities, and
whether collateral is carried on or off-balance sheet. (an alternative is to reference Note 17 where this information is also provided)
24.04 Does the Company'

s security lending program meet the requirements for a conforming program as outlined in the Risk-Based Capital
Instructions?
24.05 If answer to 24.04 is yes, report amount of collateral for conforming programs.
24.06 If answer to 24.04 is no, report amount of collateral for other programs.
24.07 Does your securities lending program require 102% (domestic securities) and 105% (foreign securities) from the counterparty at the
outset of the contract?
24.08 Does the reporting entity non-admit when the collateral received from the counterparty falls below 100%?
24.09 Does the reporting entity or the reporting entity s securities lending agent utilize the Master Securities lending Agreement (MSLA) to
conduct securities lending?
20.2
24.10 For the reporting entitys security lending program state the amount of the following as December 31 of the current year:
24.101 Total fair value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2.
24.102 Total book adjusted/carrying value of reinvested collateral assets reported on Schedule DL, Parts 1 and 2
24.103 Total payable for securities lending reported on the liability page.
$
$
$
25.1
Were any of the stocks, bonds or other assets of the reporting entity owned at December 31 of the current year not exclusively under the
control of the reporting entity, or has the reporting entity sold or transferred any assets subject to a put option contract that is currently in
force? (Exclude securities subject to Interrogatory 21.1 and 24.03).
25.2
If yes, state the amount thereof at December 31 of the current year:
25.3
For category (25.26) provide the following:
$
25.21 Subject to repurchase agreements
25.22 Subject to reverse repurchase agreements
$
25.23 Subject to dollar repurchase agreements
$
25.24 Subject to reverse dollar repurchase agreements
$
25.25 Placed under option agreements
$
25.26 Letter stock or securities restricted as to sale $
excluding FHLB Capital Stock
25.27 FHLB Capital Stock
$
25.28 On deposit with states
$
25.29 On deposit with other regulatory bodies
$
25.30 Pledged as collateral - excluding collateral pledged to
an FHLB
$
25.31 Pledged as collateral to FHLB - including assets
$
backing funding agreements
25.32 Other
$
1
Nature of Restriction
2
Description
3
Amount
26.1
Does the reporting entity have any hedging transactions reported on Schedule DB?
26.2
If yes, has a comprehensive description of the hedging program been made available to the domiciliary state?
If no, attach a description with this statement.
27.1
Were any preferred stocks or bonds owned as of December 31 of the current year mandatorily convertible into equity, or, at the option of the
issuer, convertible into equity?
27.2
If yes, state the amount thereof at December 31 of the current year.
28.
Excluding items in Schedule E - Part 3 - Special Deposits, real estate, mortgage loans and investments held physically in the reporting entity'
s
offices, vaults or safety deposit boxes, were all stocks, bonds and other securities, owned throughout the current year held pursuant to a
custodial agreement with a qualified bank or trust company in accordance with Section 1, III - General Examination Considerations, F.
Outsourcing of Critical Functions, Custodial or Safekeeping Agreements of the NAIC Financial Condition Examiners Handbook?
28.01 For agreements that comply with the requirements of the NAIC Financial Condition Examiners Handbook, complete the following:
1
Name of Custodian(s)
+,
&
2
Custodian'
s Address
! " # $ $
. " ($) *
%& '
'
' $
($) *
/% 0 , ( 1 $2
($) * #&
' (& '
'
($) * #&
#&
28.02 For all agreements that do not comply with the requirements of the NAIC Financial Condition Examiners Handbook, provide the name, location
and a complete explanation:
1
Name(s)
2
Location(s)
3
Complete Explanation(s)
28.03 Have there been any changes, including name changes, in the custodian(s) identified in 28.01 during the current year?
28.04 If yes, give full and complete information relating thereto:
1
Old Custodian
2
New Custodian
3
Date of Change
4
Reason
28.05 Identify all investment advisors, brokers/dealers or individuals acting on behalf of brokers/dealers that have access to the investment accounts,
handle securities and have authority to make investments on behalf of the reporting entity:
1
Central Registration
Depository Number(s)
Name
3 45
,2$
Address
# )%
20.3
%6
!2 $ '
# 3
29.1
29.2
Does the reporting entity have any diversified mutual funds reported in Schedule D, Part 2 (diversified according to the Securities and
Exchange Commission (SEC) in the Investment Company Act of 1940 [Section 5(b)(1)])?
If yes, complete the following schedule:
1
CUSIP #
29.2999 - Total
29.3
30.
3
Book/Adjusted
Carrying Value
Name of Mutual Fund
For each mutual fund listed in the table above, complete the following schedule:
1
Name of Mutual Fund (from above table)
Name of Significant Holding of the

Mutual Fund
3
Amount of Mutual
Fund'
s Book/Adjusted
Carrying Value
Attributable to the
Holding
Provide the following information for all short-term and long-term bonds and all preferred stocks. Do not substitute amortized value or
statement value for fair value.
1
Statement (Admitted)
Value
Fair Value
3
Excess of Statement
over Fair Value (-), or
Fair Value over
Statement (+)
30.1 Bonds
30.3 Totals
30.4
Describe the sources or methods utilized in determining the fair values:

See Fair Value disclosure in Note 20 B of the Notes to Financial Statements
31.1
Was the rate used to calculate fair value determined by a broker or custodian for any of the securities in Schedule D?
31.2
If the answer to 31.1 is yes, does the reporting entity have a copy of the brokers or custodians pricing policy (hard copy or electronic copy) for
all brokers or custodians used as a pricing source?
31.3
If the answer to 31.2 is no, describe the reporting entitys process for determining a reliable pricing source for purposes of disclosure of fair
value for Schedule D:
See Fair Value disclosure in Note 20 B of the Notes to Financial Statements
32.1
32.2
Have all the filing requirements of the Purposes and Procedures Manual of the NAIC Securities Valuation Office been followed?
If no, list exceptions:
20.4
Date of
Valuation
OTHER
33.1
Amount of payments to trade associations, service organizations and statistical or rating bureaus, if any?
33.2
List the name of the organization and the amount paid if any such payment represented 25% or more of the total payments to trade associations,
service organizations and statistical or rating bureaus during the period covered by this statement.
1
Name
2
Amount Paid
34.1
Amount of payments for legal expenses, if any?
34.2
List the name of the firm and the amount paid if any such payment represented 25% or more of the total payments for legal expenses
during the period covered by this statement.
1
Name
2
Amount Paid
35.1
Amount of payments for expenditures in connection with matters before legislative bodies, officers or departments of government, if any?
35.2
List the name of the firm and the amount paid if any such payment represented 25% or more of the total payment expenditures in
connection with matters before legislative bodies, officers or departments of government during the period covered by this statement.
1
Name
2
Amount Paid
20.5
PART 2 - LIFE INTERROGATORIES
1.1
Does the reporting entity have any direct Medicare Supplement Insurance in force?
1.2
If yes, indicate premium earned on U.S. business only
1.3
What portion of Item (1.2) is not reported on the Medicare Supplement Insurance Experience Exhibit?
1.31 Reason for excluding:
1.4
Indicate amount of earned premium attributable to Canadian and/or Other Alien not included in Item (1.2) above.
1.5
Indicate total incurred claims on all Medicare Supplement insurance.
1.6
Individual policies:
1.7
2.
Group policies:
Most current three years:

1.61 Total premium earned
1.62 Total incurred claims
1.63 Number of covered lives
$
$
All years prior to most current three years

$
$
Most current three years:

$
$
All years prior to most current three years

$
$
Health Test:
1
Current Year
2.1
2.2
2.3
2.4
2.5
2.6
2
Prior Year
Premium Numerator
Premium Denominator
Premium Ratio (2.1/2.2)
Reserve Numerator
Reserve Denominator
Reserve Ratio (2.4/2.5)
3.1
Does this reporting entity have Separate Accounts?
3.2
If yes, has a Separate Accounts Statement been filed with this Department?
3.3
What portion of capital and surplus funds of the reporting entity covered by assets in the Separate Accounts statement, is not currently
distributable from the Separate Accounts to the general account for use by the general account?
3.4
State the authority under which Separate Accounts are maintained:
3.5
Was any of the reporting entitys Separate Accounts business reinsured as of December 31?
3.6
Has the reporting entity assumed by reinsurance any Separate Accounts business as of December 31?
3.7
If the reporting entity has assumed Separate Accounts business, how much, if any, reinsurance assumed receivable for reinsurance of Separate
Accounts reserve expense allowances is included as a negative amount in the liability for Transfers to Separate Accounts due or accrued
(net)"?
4.1
Are personnel or facilities of this reporting entity used by another entity or entities or are personnel or facilities of another entity or entities used
by this reporting entity (except for activities such as administration of jointly underwritten group contracts and joint mortality or morbidity
studies)?
4.2
Net reimbursement of such expenses between reporting entities:
5.1
Does the reporting entity write any guaranteed interest contracts?
5.2
If yes, what amount pertaining to these lines is included in:
6.
FOR STOCK REPORTING ENTITIES ONLY:
6.1
Total amount paid in by stockholders as surplus funds since organization of the reporting entity:
7.
Total dividends paid stockholders since organization of the reporting entity:
4.21 Paid
4.22 Received
$
$
5.21 Page 3, Line 1

5.22 Page 4, Line 1
$
$
7.11 Cash
7.12 Stock
21
$
$
8.1
Does the company reinsure any Workers Compensation Carve-Out business defined as:
Reinsurance (including retrocessional reinsurance) assumed by life and health insurers of medical, wage loss and death
benefits of the occupational illness and accident exposures, but not the employers liability exposures, of business
originally written as workers compensation insurance.
8.2
If yes, has the reporting entity completed the Workers Compensation Carve-Out Supplement to the Annual Statement?
8.3
If 8.1 is yes, the amounts of earned premiums and claims incurred in this statement are:
1
Reinsurance
Assumed
8.31 Earned premium
8.32 Paid claims
8.33 Claim liability and reserve (beginning of year)
8.34 Claim liability and reserve (end of year)
8.35 Incurred claims
2
Reinsurance
Ceded
3
Net
Retained
8.4
If reinsurance assumed included amounts with attachment points below $1,000,000, the distribution of the amounts reported in Lines 8.31 and
8.34 for Column (1) are:
1
2
Attachment
Earned
Claim Liability
Point
Premium
and Reserve
8.41
<$25,000
8.42
$25,000 - 99,999
8.43
$100,000 - 249,999
8.44
$250,000 - 999,999
8.45
$1,000,000 or more
8.5
What portion of earned premium reported in 8.31, Column 1 was assumed from pools?
9.1
Does the company have variable annuities with guaranteed benefits?
9.2
If 9.1 is yes, complete the following table for each type of guaranteed benefit.
1
Guaranteed
Death Benefit
10.
10.1
10.2
Type
2
Guaranteed
Living Benefit
3
Waiting
Period
Remaining
Account Value
Related to Col. 3
Total Related
Account Values
Gross Amount
of Reserve
Location of
Reserve
Portion
Reinsured
Reinsurance
Reserve Credit
For reporting entities having sold annuities to another insurer where the insurer purchasing the annuities has obtained a release of liability from the
claimant (payee) as the result of the purchase of an annuity from the reporting entity only:
Amount of loss reserves established by these annuities during the current year:
$
List the name and location of the insurance company purchasing the annuities and the statement value on the purchase date of the annuities.
1
P&C Insurance Company And Location
11.1
Do you act as a custodian for health savings accounts?
11.2
If yes, please provide the amount of custodial funds held as of the reporting date.
11.3
Do you act as an administrator for health savings accounts?
11.4
If yes, please provide the balance of funds administered as of the reporting date.
21.1
2
Statement Value
on Purchase Date
of Annuities
(i.e., Present Value)
12.1
12.2
Are any of the captive affiliates reported on Schedule S, Part 3, authorized reinsurers?
If the answer to 12.1 is yes, please provide the following:
1
Company Name
13.
2
NAIC
Company
Code
Domiciliary
Jurisdiction
Reserve
Credit
Assets Supporting Reserve Credit

5
6
7
Letters of
Trust
Credit
Agreements
Other
Provide the following for individual ordinary life insurance* policies (U.S. business only) for the current year (prior to reinsurance assumed or
ceded):
13.1 Direct Premium Written
13.2 Total Incurred Claims
13.3 Number of Covered Lives
*Ordinary Life Insurance Includes
Term (whether full underwriting,limited underwriting,jet issue,"short form app")
Whole Life (whether full underwriting,limited underwriting,jet issue,"short form app")
Variable Life (with or without secondary gurarantee)
Universal Life (with or without secondary gurarantee)
Variable Universal Life (with or without secondary gurarantee)
21.2
$
$
FIVE-YEAR HISTORICAL DATA
Show amounts in whole dollars only, no cents; show percentages to one decimal place, i.e. 17.6.
Show amounts of life insurance in this exhibit in thousands (OMIT $000)
1
2014
2
2013
Life Insurance in Force

(Exhibit of Life Insurance)
1.
Ordinary - whole life and endowment (Line 34, Col.

4)
2.
Ordinary - term (Line 21, Col. 4, less Line 34, Col.

4)
3.
Credit life (Line 21, Col. 6)
4.
Group, excluding FEGLI/SGLI (Line 21, Col. 9 less

Lines 43 & 44, Col. 4)
5.
Industrial (Line 21, Col. 2)
6.
FEGLI/SGLI (Lines 43 & 44, Col. 4)
7.
Total (Line 21, Col. 10)

New Business Issued
(Exhibit of Life Insurance)
8.
Ordinary - whole life and endowment (Line 34, Col.

2)
9.
Ordinary - term (Line 2, Col. 4, less Line 34, Col. 2)
10.
Credit life (Line 2, Col. 6)
11.
Group (Line 2, Col. 9)
12.
Industrial (Line 2, Col. 2)
13.
Total (Line 2, Col. 10)

Premium Income - Lines of Business
(Exhibit 1 - Part 1)
14.
Industrial life (Line 20.4, Col. 2)
15.1 Ordinary-life insurance (Line 20.4, Col. 3)

15.2 Ordinary-individual annuities (Line 20.4, Col. 4)
16
Credit life (group and individual) (Line 20.4, Col. 5)
17.1 Group life insurance (Line 20.4, Col. 6)

17.2 Group annuities (Line 20.4, Col. 7)
18.1 A & H-group (Line 20.4, Col. 8)
18.2 A & H-credit (group and individual) (Line 20.4,
Col. 9)
18.3 A & H-other (Line 20.4, Col. 10)
19.
Aggregate of all other lines of business (Line

20.4,Col. 11)
20.
Total
Balance Sheet (Pages 2 & 3)
21.
Total admitted assets excluding Separate Accounts

business (Page 2, Line 26, Col. 3)
22.
Total liabilities excluding Separate Accounts

business (Page 3, Line 26)
23.
Aggregate life reserves (Page 3, Line 1)
24.
Aggregate A & H reserves (Page 3, Line 2)
25.
Deposit-type contract funds (Page 3, Line 3)
26.
Asset valuation reserve (Page 3, Line 24.01)
27.
Capital (Page 3, Lines 29 and 30)
28.
Surplus (Page 3, Line 37)

Cash Flow (Page 5)
29.
Net Cash from Operations (Line 11)

Risk-Based Capital Analysis
30.
Total adjusted capital
31.
Authorized control level risk - based capital

Percentage Distribution of Cash, Cash
Equivalents and Invested Assets
(Page 2, Col. 3) (Line No. /Page 2, Line 12, Col. 3)
x 100.0
32.
Bonds (Line 1)
33.
Stocks (Lines 2.1 and 2.2)
34.
Mortgage loans on real estate(Lines 3.1 and 3.2 )
35.
Real estate (Lines 4.1, 4.2 and 4.3)
36.

(Line 5)
37.
Contract loans (Line 6)
38.
Derivatives (Page 2, Line 7)
39.
Other invested assets (Line 8)
40.
Receivables for securities (Line 9)
41.
Securities lending reinvested collateral assets (Line

10)
42.
Aggregate write-ins for invested assets (Line 11)
43.
Cash, cash equivalents and invested assets

(Line 12)
22
3
2012
4
2011
5
2010
FIVE-YEAR HISTORICAL DATA

1
2014
(Continued)
2
2013
3
2012
Investments in Parent, Subsidiaries and

Affiliates
44.
Affiliated bonds (Schedule D Summary, Line 12,

Col. 1)
45.
Affiliated preferred stocks (Schedule D Summary,

Line 18, Col. 1)
46.
Affiliated common stocks (Schedule D Summary

Line 24, Col. 1),
47.
Affiliated short-term investments (subtotal included

in Schedule DA Verification, Col. 5, Line 10)
48.
Affiliated mortgage loans on real estate
49.
All other affiliated
50.
Total of above Lines 44 to 49
51.
Total Investment in Parent included in Lines 44 to

49 above
Total Nonadmitted and Admitted Assets
52.
Total nonadmitted assets (Page 2, Line 28, Col. 2)
53.
Total admitted assets (Page 2, Line 28, Col. 3)

Investment Data
54.
Net investment income (Exhibit of Net Investment

Income)
55.
Realized capital gains (losses) (Page 4, Line 34,

Column 1 )
56.
Unrealized capital gains (losses) (Page 4, Line 38,

Column 1)
57.
Total of above Lines 54, 55 and 56

Benefits and Reserve Increases (Page 6)
58.
Total contract benefits - life (Lines 10, 11, 12, 13, 14

and 15 Col. 1, minus Lines 10, 11,12, 13, 14 and
15 Cols. 9, 10 and 11)
59.
Total contract benefits - A & H (Lines 13 & 14, Cols.

9, 10 & 11)
60.
Increase in life reserves - other than group and

annuities (Line 19, Cols. 2 and 3 )
61.
Increase in A & H reserves (Line 19, Cols. 9, 10 &

11)
62.
Dividends to policyholders (Line 30, Col. 1)

Operating Percentages
63.
Insurance expense percent (Page 6, Col. 1, Lines

21, 22 & 23, less Line 6)/(Page 6, Col. 1, Line 1
plus Exhibit 7, Col. 2, Line 2) x 100.0
64.
Lapse percent (ordinary only) [(Exhibit of Life

Insurance, Col. 4, Lines 14 & 15) / 1/2 (Exhibit of
Life Insurance, Col. 4, Lines 1 & 21)] x 100.0
65.
A & H loss percent (Schedule H, Part 1, Lines 5 and

6, Col. 2)
66.
A & H cost containment percent (Schedule H, Pt. 1,

Line 4, Col. 2)
67.
A & H expense percent excluding cost containment

expenses (Schedule H, Pt. 1, Line 10, Col. 2)
A & H Claim Reserve Adequacy
68.
Incurred losses on prior years claims - group health

(Schedule H, Part 3, Line 3.1 Col. 2)
69.
Prior years claim liability and reserve - group health

(Schedule H, Part 3, Line 3.2 Col. 2)
70.
Incurred losses on prior years claims-health other

than group (Schedule H, Part 3, Line 3.1 Col. 1
less Col. 2)
71.
Prior years claim liability and reserve-health other

than group (Schedule H, Part 3, Line 3.2 Col. 1
less Col. 2)
Net Gains From Operations After Federal
Income Taxes by Lines of Business (Page 6,
Line 33)
72.
Industrial life (Col. 2)
73.
Ordinary - life (Col. 3)
74.
Ordinary - individual annuities (Col. 4)
75.
Ordinary-supplementary contracts (Col. 5)
76.
Credit life (Col. 6)
77.
Group life (Col. 7)
78.
Group annuities (Col. 8)
79.
A & H-group (Col. 9)
80.
A & H-credit (Col. 10)
81.
A & H-other (Col. 11)
82.
Aggregate of all other lines of business (Col. 12)
83. Total (Col. 1)

NOTE: If a party to a merger, have the two most recent years of this exhibit been restated due to a merger in compliance with the disclosure
requirements of SSAP No. 3, Accounting Changes and Correction of Errors?
If no, please explain:
23
4
2011
5
2010
DIRECT BUSINESS IN THE STATE OF
NAIC Group Code
0233
DIRECT PREMIUMS
AND ANNUITY CONSIDERATIONS
1. Life insurance
2. Annuity considerations
3. Deposit-type contract funds
4. Other considerations
5. Totals (Sum of Lines 1 to 4)
DIRECT DIVIDENDS TO POLICYHOLDERS
Life insurance:
6.1 Paid in cash or left on deposit
6.2 Applied to pay renewal premiums
6.3 Applied to provide paid-up additions or shorten the
endowment or premium-paying period
6.4 Other
6.5 Totals (Sum of Lines 6.1 to 6.4)
Annuities:
7.1 Paid in cash or left on deposit
7.2 Applied to provide paid-up annuities
7.3 Other
7.4 Totals (Sum of Lines 7.1 to 7.3)
8. Grand Totals (Lines 6.5 plus 7.4)
DIRECT CLAIMS AND BENEFITS PAID
9. Death benefits
10. Matured endowments
11. Annuity benefits
12. Surrender values and withdrawals for life contracts
13. Aggregate write-ins for miscellaneous direct claims
and benefits paid
14. All other benefits, except accident and health
15. Totals
1301.
1302.
1303.
1398. Summary of Line 13 from overflow page
1399. Totals (Lines 1301 thru 1303 plus 1398) (Line 13
above)
DIRECT DEATH
BENEFITS AND
MATURED
ENDOWMENTS
INCURRED
16. Unpaid December 31, prior
year
17. Incurred during current year
Settled during current year:
18.1 By payment in full
18.2 By payment on
compromised claims
18.3 Totals paid
18.4 Reduction by compromise
18.5 Amount rejected
18.6 Total settlements
19. Unpaid Dec. 31, current
year (16+17-18.6)
No.
Ordinary
Amount
1
Ordinary
LIFE INSURANCE
2
Credit Life (Group
and Individual)
3
Group
Industrial
Total
XXX
Credit Life
3
4
No. of
Ind.Pols.
& Gr.
Amount
Certifs.
XXX
Group
No. of
Certifs.
Amount
No.
No. of
Policies
POLICY EXHIBIT
20. In force December 31, prior
year
(a)
21. Issued during year
22. Other changes to in force
(Net)
23. In force December 31 of
current year
(a)
(a) Includes Individual Credit Life Insurance prior year $
, current year $
Includes Group Credit Life Insurance Loans less than or equal to 60 months at issue, prior year $
Loans greater than 60 months at issue BUT NOT GREATER THAN 120 MONTHS, prior year $
1
Direct Premiums
Direct Premiums
Earned
Amount
3
Dividends Paid Or
Credited On Direct
Business
(b) For health business on indicated lines report: Number of persons insured under PPO managed care products
insured under indemnity only products
.
24
Industrial
8
No.
Total
10
Amount
, current year $
, current year $
ACCIDENT AND HEALTH INSURANCE
24. Group Policies (b)

24.1 Federal Employees Health Benefits Plan
premium (b)
24.2 Credit (Group and Individual)
24.3 Collectively renewable policies (b)
24.4 Medicare Title XVIII exempt from state taxes or fees
Other Individual Policies:
25.1 Non-cancelable (b)
25.2 Guaranteed renewable (b)
25.3 Non-renewable for stated reasons only (b)
25.4 Other accident only
25.5 All other (b)
25.6 Totals (sum of Lines 25.1 to 25.5)
26. Totals (Lines 24 + 24.1 + 24.2 + 24.3 + 24.4 + 25.6)
DURING THE YEAR 2014

NAIC Company Code 61263
Direct Losses Paid
Direct Losses
Incurred
and number of persons
EXHIBIT OF LIFE INSURANCE
Industrial
1
Number of Policies
1.
2.
3.
4.
5.
6.
7.
8.
9.
25
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
0801.
0802.
0803.
0898.
0899.
1901.
1902.
1903.
1998.
In force end of prior year

Issued during year
Reinsurance assumed
Revived during year
Increased during year (net)
Subtotals, Lines 2 to 5
Additions by dividends during year
Aggregate write-ins for increases
Totals (Lines 1 and 6 to 8)
Deductions during year:
Death
Maturity
Disability
Expiry
Surrender
Lapse
Conversion
Decreased (net)
Reinsurance
Aggregate write-ins for decreases
In force end of year (Line 9 minus Line 20)
Reinsurance ceded end of year
Line 21 minus Line 22
XXX
Ordinary
2
Amount of Insurance (a)
3
Number of Policies
XXX
4
Credit Life (Group and Individual)

5
6
Number of Individual
Policies and Group
Certificates
XXX
Group
Number of
10
9
Policies
Certificates
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Summary of remaining write-ins for Line 8 from overflow

page.
TOTALS (Lines 0801 thru 0803 plus 0898) (Line 8
above)
Summary of remaining write-ins for Line 19 from overflow

page.
1999. TOTALS (Lines 1901 thru 1903 plus 1998) (Line 19
above)
(a) Amounts of life insurance in this exhibit shall be shown in thousands (omit 000)
(b) Group $
; Individual $
XXX
XXX
XXX
XXX
(b)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Total
EXHIBIT OF LIFE INSURANCE (Continued)

ADDITIONAL INFORMATION ON INSURANCE IN FORCE END OF YEAR
Industrial
1
24.
25.
26.
Number of Policies
XXX
Additions by dividends
Other paid-up insurance
Debit ordinary insurance
2
Amount of Insurance
(a)
XXX
Number of Policies
XXX
27.
28.
29.
30.
31.
32.
33.
34.
35.
Term Insurance Excluding Extended Term Insurance

Term policies - decreasing
Term policies - other
Other term insurance - decreasing
Other term insurance
Reconciliation to Lines 2 and 21:
Term additions
Totals, extended term insurance
Totals, whole life and endowment
Issued During Year

(Included in Line 2)
Number of Policies
2
Amount of Insurance
(a)
4
Amount of Insurance
(a)
XXX
XXX
XXX
XXX
XXX
XXX
CLASSIFICATION OF AMOUNT OF INSURANCE (a) BY PARTICIPATING STATUS

Issued During Year
36
37.
38.
39.
40.
In Force End of Year

Number of Policies
XXX
XXX
1
Non-Participating
4
Amount of Insurance
(a)
XXX
ADDITIONAL INFORMATION ON ORDINARY INSURANCE

1
Ordinary
2
Participating
In Force End of Year

3
Non-Participating
4
Participating
Industrial
Ordinary
Credit Life (Group and Individual)
Group
ADDITIONAL INFORMATION ON CREDIT LIFE AND GROUP INSURANCE
41.
42.
NONE
Credit Life
Group
1
2
3
4
Number of Individual
Policies and Group
Amount of Insurance
Amount of Insurance
Certificates
(a)
(a)
Number of Certificates
XXX
XXX
43.
44.
45.
Amount of insurance included in Line 2 ceded to other companies

Number in force end of year if the number under shared groups is counted
on a pro-rata basis
Federal Employees Group Life Insurance included in Line 21
Servicemens Group Life Insurance included in Line 21
Group Permanent Insurance included in Line 21
46.
Amount of additional accidental death benefits in force end of year under ordinary policies (a)
47.
State basis of calculation of (47.1) decreasing term insurance contained in Family Income, Mortgage Protection, etc., policies and riders and of (47.2) term insurance on
wife and children under Family, Parent and Children, etc., policies and riders included above.
47.1
47.2
XXX
XXX
ADDITIONAL ACCIDENTAL DEATH BENEFITS
BASIS OF CALCULATION OF ORDINARY TERM INSURANCE
POLICIES WITH DISABILITY PROVISIONS
Industrial
Group
7
8
Number of
CertifiNumber of Amount of Insurance Number of Amount of Insurance Number of Amount of Insurance
Amount of Insurance
cates
Policies
(a)
Policies
(a)
Policies
(a)
(a)
1
Ordinary
Credit
Disability Provisions
48. Waiver of Premium
49. Disability Income
50. Extended Benefits
XXX
XXX
51. Other
52. Total
(b)
(b)
(b)
(a) Amounts of life insurance in this exhibit shall be shown in thousands (omit 000)
(b) See Paragraph 9 of the Annual Audited Financial Reports in the General section of the annual statement instructions
26
(b)
EXHIBIT OF NUMBER OF POLICIES, CONTRACTS, CERTIFICATES, INCOME

PAYABLE AND ACCOUNT VALUES IN FORCE FOR SUPPLEMENTARY
CONTRACTS, ANNUITIES, ACCIDENT & HEALTH AND OTHER POLICIES
SUPPLEMENTARY CONTRACTS
Ordinary
1
Involving Life
Contingencies
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Issued during year
Reinsurance assumed
Total (Lines 1 to 4)
Decreased (net)
Reinsurance ceded
Totals (Lines 6 and 7)
In force end of year
Amount on deposit
Income now payable
Amount of income payable
(a)
10.
11.
12.

Issued during year
Reinsurance assumed
Decreased (net)
Reinsurance ceded
Totals (Lines 6 and 7)
Income now payable:
Amount of income payable
Deferred fully paid:
Account balance
Deferred not fully paid:
Account balance
Group
1
Certificates
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Issued during year
Reinsurance assumed
Conversions
Decreased (net)
Reinsurance ceded
(a)
(a)
Ordinary
(a)
Group
2
Deferred
3
Contracts
XXX
XXX
(a)
4
Certificates
XXX
(a)
XXX
(a)
XXX
(a)
XXX
(a)
ACCIDENT AND HEALTH INSURANCE

Credit
2
Premiums in Force
4
Not Involving Life
Contingencies
(a)
(a)
1
Immediate
6.
7.
8.
9.
3
Involving Life
Contingencies
(a)
ANNUITIES
1.
2.
3.
4.
5.
Group
2
Not Involving Life
Contingencies
3
Policies
Other
4
Premiums in Force
XXX
XXX
5
Policies
6
Premiums in Force
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(a)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(a)
XXX
XXX
XXX
XXX
(a)
DEPOSIT FUNDS AND DIVIDEND ACCUMULATIONS
2
Dividend
Accumulations
Contracts
Deposit Funds
Contracts
1.
2.
3.
4.
5.

Issued during year
Reinsurance assumed
Deductions During Year:
6. Decreased (net)
8. Totals (Lines 6 and 7)
9. In force end of year
10. Amount of account balance
(a) See Paragraph 9 of the Annual Audited Financial Reports in the General section of the annual statement instructions.
27
(a)
(a)
FORM FOR CALCULATING THE INTEREST MAINTENANCE RESERVE

INTEREST MAINTENANCE RESERVE
1.
Reserve as of December 31, Prior Year
2.
Current years realized pre-tax capital gains/(losses) of $
3.
Adjustment for current years liability gains/(losses) released from the reserve
4.
Balance before reduction for amount transferred to Summary of Operations (Line 1 + Line 2 + Line 3)
5.
Current years amortization released to Summary of Operations (Amortization, Line 1, Column 4)
6.
Reserve as of December 31, current year (Line 4 minus Line 5)
transferred into the reserve net of taxes of $
AMORTIZATION
1
Year of Amortization
1.
2014
2.
2015
3.
2016
4.
2017
5.
2018
6.
2019
7.
2020
8.
2021
9.
2022
10.
2023
11.
2024
12.
2025
13.
2026
14.
2027
15.
2028
16.
2029
17.
2030
18.
2031
19.
2032
20.
2033
21.
2034
22.
2035
23.
2036
24.
2037
25.
2038
26.
2039
27.
2040
28.
2041
29.
2042
30.
2043
31.
2044 and Later
32.
Total (Lines 1 to 31)
1
Amount
Reserve as of
December 31,
Prior Year
28
Current Years
Adjustment for Current
Realized Capital
Years Liability
Balance Before
Gains/(Losses)
Gains/(Losses)
Reduction for Current
Transferred into the
Released From
Years Amortization
Reserve Net of Taxes
the Reserve
(Cols. 1 + 2 + 3)
ASSET VALUATION RESERVE
29
1.
Reserve as of December 31, prior year
2.
Realized capital gains/(losses) net of taxes - General Account
3.
Realized capital gains/(losses) net of taxes - Separate Accounts
4.
Unrealized capital gains/(losses) net of deferred taxes - General Account
5.
Unrealized capital gains/(losses) net of deferred taxes - Separate Accounts
6.
Capital gains credited/(losses charged) to contract benefits, payments or reserves
7.
Basic contribution
8.
Accumulated balances (Lines 1 through 5 - 6 + 7)
9.
Maximum reserve
10.
Reserve objective
11.
20% of (Line 10 - Line 8)
12.
Balance before transfers (Lines 8 + 11)
13.
Transfers
14.
Voluntary contribution
15.
Adjustment down to maximum/up to zero
16.
Reserve as of December 31, current year (Lines 12 + 13 + 14 + 15)
Default Component
2
Other Than
Mortgage Loans
Mortgage Loans
Total
(Cols. 1 + 2)
Common Stock
Equity Component
5
Real Estate and
Other Invested
Assets
Total
(Cols. 4 + 5)
Total Amount
(Cols. 3 + 6)

BASIC CONTRIBUTION, RESERVE OBJECTIVE AND MAXIMUM RESERVE CALCULATIONS
DEFAULT COMPONENT
Line
Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
30
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
NAIC
Designation
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
Description
LONG-TERM BONDS
Exempt Obligations
Highest Quality
High Quality
Medium Quality
Low Quality
Lower Quality
In or Near Default
Total Unrated Multi-class Securities Acquired by Conversion
Total Bonds (Sum of Lines 1 through 8)
PREFERRED STOCK
Highest Quality
High Quality
Medium Quality
Low Quality
Lower Quality
In or Near Default
Affiliated Life with AVR
Total Preferred Stocks (Sum of Lines 10 through 16)
SHORT - TERM BONDS
Exempt Obligations
Highest Quality
High Quality
Medium Quality
Low Quality
Lower Quality
In or Near Default
Total Short - Term Bonds (Sum of Lines 18 through 24)
DERIVATIVE INSTRUMENTS
Exchange Traded
Highest Quality
High Quality
Medium Quality
Low Quality
Lower Quality
In or Near Default
Total Derivative Instruments
Total (Lines 9 + 17 + 25 + 33)
4
Balance for
AVR Reserve
Calculations
(Cols. 1 + 2 + 3)
Book/Adjusted
Carrying Value
Reclassify
Related Party
Encumbrances
Add Third Party

Encumbrances
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Basic Contribution
6
Factor
Amount
(Cols.4 x 5)
Reserve Objective
8
Factor
Amount
(Cols. 4 x 7)
Maximum Reserve
10
Factor
Amount
(Cols. 4 x 9)
ASSET VALUATION RESERVE (Continued)

DEFAULT COMPONENT
Line
Number
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
31
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
NAIC
Designation
Description
MORTGAGE LOANS
In Good Standing:
Farm Mortgages - CM1 - Highest Quality
Farm Mortgages - CM2 - High Quality
Farm Mortgages - CM3 - Medium Quality
Farm Mortgages - CM4 - Low Medium Quality
Farm Mortgages - CM5 - Low Quality
Residential Mortgages - Insured or Guaranteed
Residential Mortgages - All Other
Commercial Mortgages - Insured or Guaranteed
Commercial Mortgages - All Other - CM1 - Highest Quality
Commercial Mortgages - All Other - CM2 - High Quality
Commercial Mortgages - All Other - CM3 - Medium Quality
Commercial Mortgages - All Other - CM4 - Low Medium
Quality
Commercial Mortgages - All Other - CM5 - Low Quality
Overdue, Not in Process:
Farm Mortgages
Commercial Mortgages - All Other
In Process of Foreclosure:
Farm Mortgages
Total Schedule B Mortgages (Sum of Lines 35 through 57)
Schedule DA Mortgages
Total Mortgage Loans on Real Estate (Lines 58 + 59)
Book/Adjusted
Carrying Value
Reclassify
Related Party
Encumbrances
Add Third Party

Encumbrances
4
Balance for
AVR Reserve
Calculations
(Cols. 1 + 2 + 3)
Basic Contribution
6
Factor
Amount
(Cols.4 x 5)
Reserve Objective
8
Factor
Amount
(Cols. 4 x 7)
Maximum Reserve
10
Factor
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Amount
(Cols. 4 x 9)

EQUITY AND OTHER INVESTED ASSET COMPONENT
Line NAIC
Num- Desigber
nation
1.
2.
3.
4.
32
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
1
2
3
4
5
6
Description
COMMON STOCK
Unaffiliated - Public
Unaffiliated - Private
Federal Home Loan Bank
Affiliated - Life with AVR
Affiliated - Investment Subsidiary:
Fixed Income - Exempt Obligations
Fixed Income - Highest Quality
Fixed Income - High Quality
Fixed Income - Medium Quality
Fixed Income - Low Quality
Fixed Income - Lower Quality
Fixed Income - In/Near Default
Unaffiliated Common Stock - Public
Unaffiliated Common Stock - Private
Real Estate
Affiliated - Certain Other (See SVO Purposes and Procedures
Manual)
Affiliated - All Other
Total Common Stock (Sum of Lines 1 through 16)
REAL ESTATE
Home Office Property (General Account only)
Investment Properties
Properties Acquired in Satisfaction of Debt
Total Real Estate (Sum of Lines 18 through 20)
OTHER INVESTED ASSETS
INVESTMENTS WITH THE UNDERLYING
CHARACTERISTICS OF BONDS
Exempt Obligations
Highest Quality
High Quality
Medium Quality
Low Quality
Lower Quality
In or Near Default
Total with Bond Characteristics (Sum of Lines 22 through 28)
Book/Adjusted
Carrying Value
Reclassify
Related Party
Encumbrances
Add Third Party

Encumbrances
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
4
Balance for
AVR Reserve
Calculations
(Cols. 1 + 2 + 3)
Basic Contribution
6
Amount
(Cols.4 x 5)
Factor
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(b)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Amount
(Cols. 4 x 7)
Factor
Maximum Reserve
10
(a)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(a)
(a)
(b)
(b)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Amount
(Cols. 4 x 9)
Factor
(a)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Reserve Objective
8
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX

Line NAIC
Num- Desigber
nation
Description
Book/Adjusted
Carrying Value
Reclassify
Related Party
Encumbrances
Add Third Party

Encumbrances
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
4
Balance for
AVR Reserve
Calculations
(Cols. 1 + 2 + 3)
Basic Contribution
6
Amount
(Cols.4 x 5)
Factor
Reserve Objective
8
Amount
(Cols. 4 x 7)
Factor
Maximum Reserve
10
Amount
(Cols. 4 x 9)
Factor
INVESTMENTS WITH THE UNDERLYING CHARACTERISTICS

OF PREFERRED STOCKS
30.
31.
32.
33.
34.
35.
36.
37.
1
2
3
4
5
6
Highest Quality
High Quality
Medium Quality
Low Quality
Lower Quality
In or Near Default
Total with Preferred Stock Characteristics (Sum of Lines 30
through 36)
XXX
XXX
XXX

OF MORTGAGE LOANS
33
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
In Good Standing Affiliated:

Mortgages - CM1 - Highest Quality
Mortgages - CM2 - High Quality
Mortgages - CM3 - Medium Quality
Mortgages - CM4 - Low Medium Quality
Mortgages - CM5 - Low Quality
Overdue, Not in Process Affiliated:
Farm Mortgages
In Process of Foreclosure Affiliated:
Farm Mortgages
Total Affiliated (Sum of Lines 38 through 55)
Unaffiliated - In Good Standing With Covenants
Unaffiliated - In Good Standing Defeased With Government
Securities
Unaffiliated - In Good Standing Primarily Senior
Unaffiliated - In Good Standing All Other
Unaffiliated - Overdue, Not in Process
Unaffiliated - In Process of Foreclosure
Total Unaffiliated (Sum of Lines 57 through 62)
Total with Mortgage Loan Characteristics (Lines 56 + 63)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
(c)
XXX
XXX
XXX
(c)
XXX
XXX
(c)
XXX
XXX

Line NAIC
Num- Desigber
nation
Description
Book/Adjusted
Carrying Value
Reclassify
Related Party
Encumbrances
Add Third Party

Encumbrances
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
4
Balance for
AVR Reserve
Calculations
(Cols. 1 + 2 + 3)
Basic Contribution
6
Factor
Amount
(Cols.4 x 5)
Reserve Objective
8
Amount
(Cols. 4 x 7)
Factor
Maximum Reserve
10
Amount
(Cols. 4 x 9)
Factor

OF COMMON STOCK
65.
66.
67.
68.
69.
70.
Unaffiliated Public
Unaffiliated Private
Affiliated Certain Other (See SVO Purposes & Procedures
Manual)
Affiliated Other - All Other
Total with Common Stock Characteristics (Sum of Lines 65
through 69)
(a)
(a)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX

OF REAL ESTATE
71.
72.
73
74.
34
75.
76.
77.
78.
79.
80.
Home Office Property (General Account only)

Investment Properties
Properties Acquired in Satisfaction of Debt
Total with Real Estate Characteristics (Sum of Lines 71 through
73)
LOW INCOME HOUSING TAX CREDIT INVESTMENTS
Guaranteed Federal Low Income Housing Tax Credit
Non-guaranteed Federal Low Income Housing Tax Credit
Guaranteed State Low Income Housing Tax Credit
Non-guaranteed State Low Income Housing Tax Credit
All Other Low Income Housing Tax Credit
Total LIHTC (Sum of Lines 75 through 79)
ALL OTHER INVESTMENTS
81.
82.
83.
84.
85.
86.
NAIC 1 Working Capital Finance Investments

NAIC 2 Working Capital Finance Investments
Other Invested Assets - Schedule BA
Other Short-Term Invested Assets - Schedule DA
Total All Other (Sum of Lines 81, 82, 83 and 84)
Total Other Invested Assets - Schedules BA & DA (Sum of Lines
29, 37, 64, 70, 74, 80 and 85)
(a) Times the companys weighted average portfolio beta (Minimum .10, Maximum .20).
(b) Determined using the same factors and breakdowns used for directly owned real estate.
(c) This will be the factor associated with the risk category determined in the company generated worksheet.
XXX
XXX
XXX
XXX
XXX

BASIC CONTRIBUTION, RESERVE OBJECTIVE AND MAXIMUM RESERVE CALCULATIONS REPLICATIONS (SYNTHETIC) ASSETS
1
RSAT Number
Type
CUSIP
Description of Asset(s)
5
NAIC Designation or
Other Description of Asset
NONE
0599999 - Total
Value of Asset
7
AVR
Basic Contribution
8
AVR
Reserve Objective
9
AVR
Maximum Reserve
35
SCHEDULE F
1
Contract
Numbers
Showing all claims for death losses and all other contract claims resisted or compromised during the year, and
all claims for death losses and all other contract claims resisted December 31 of current year
2
Claim
Numbers
3
State of
Residence
of
Claimant
4
Year of
Claim for
Death or
Disability
Amount Claimed
Amount Paid
During the Year
Amount Resisted
Dec. 31 of
Current Year
Why Compromised or Resisted
!
"
#
"
$
%
!
$
$&
'
$(
)
!
#
"
!
*
'
$
$(
"
$
*
$
+,
!$
!
!
$
0199999. Death Claims - Ordinary

0599999. Death Claims - Disposed Of
1099999. Additional Accidental Death Benefits Claims Disposed Of
1599999. Disability Benefits Claims - Disposed Of
2099999. Matured Endowments Claims - Disposed Of
2599999. Annuities with Life Contingency Claims - Disposed
Of
2699999. Claims Disposed of During Current Year
XXX
XXX
XXX
XXX
XXX
XXX
XXX
!
!
*
"
"
"
"
"
-.
-.
-.
-.
-.
/
/
/
/
/
"
-.
/ -
"
-.
/ -
%
"
!$
)
!
!$
+,
)
)
"
#
36
SCHEDULE F
1
Contract
Numbers
2
Claim
Numbers
3
State of
Residence
of
Claimant
4
Year of
Claim for
Death or
Disability
Amount Claimed
Amount Paid
During the Year
Amount Resisted
Dec. 31 of
Current Year
!
"#
$
#
%
&
'%
'%
"
"
$
'
'
'
"
!
(
"
(
')
"
"
"
(
&
*"
(
#+
#+
')
"#
'
%
"
#+
"
(
'
%
"
"
(
(
(
(
&
$
(
"
&
,-
. ,
&
,-
. ,
&
,-
. ,
"
(
(
#+
/
36.1
SCHEDULE F
1
Contract
Numbers
2
Claim
Numbers
3
State of
Residence
of
Claimant
4
Year of
Claim for
Death or
Disability
Amount Claimed
Amount Paid
During the Year
Amount Resisted
Dec. 31 of
Current Year
!
"#
"#
$
"#
&'
( &
&'
( &
&'
( &
&'
( &
%
%
%
&'
&'
&'
( &
( &
( &
%
%
%
%
&'
&'
&'
&'
(
(
(
(
%
%
&'
&'
( &
( &
&'
( &
%
%
%
%
$ &
&'
&'
&'
&'
(
(
(
(
#
"#
#
)
*+
*
,
"#
%
)
"#
"#
*
%
!
!
"#
%
,
/
2
,
01
3
2799999. Death Claims - Ordinary
3199999. Death Claims - Resisted
3699999. Additional Accidental Death Benefits Claims Resisted
4199999. Disability Benefits Claims - Resisted
4699999. Matured Endowments Claims - Resisted
5199999. Annuities with Life Contingencies Claims - Resisted
5299999. Claims Resisted During Current Year
5399999 - Totals
+ -.&
4 &
&
&
&
&
&
&
&
&
. -
( &
.
&
-1
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
36.2
SCHEDULE H - ACCIDENT AND HEALTH EXHIBIT

1
Amount
Total
2
%
Group Accident
and Health
3
4
Amount
%
Credit
Accident and Health
5
6
Amount
%
Collectively Renewable
7
8
Amount
%
Non-Cancelable
9
10
Amount
%
PART 1. - ANALYSIS OF UNDERWRITING OPERATIONS

Non-Renewable for Stated
Reasons Only
Guaranteed Renewable
11
12
13
14
Amount
%
Amount
%
Other Accident Only

15
16
Amount
%
All Other
17
Amount
18
%
1.
Premiums written
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2.
Premiums earned
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
3.
Incurred claims
4.
Cost containment expenses
5.
Incurred claims and cost

containment expenses (Lines 3
and 4)
6.
Increase in contract reserves
7.
Commissions (a)
8.
Other general insurance expenses
9.
Taxes, licenses and fees
37
10.
Total other expenses incurred
11.
12.
Gain from underwriting before

dividends or refunds
13.
Dividends or refunds
14.
Gain from underwriting after

dividends or refunds
1101.
1102.
1103.
1198.
Summary of remaining write-ins for

Line 11 from overflow page
1199.
Totals (Lines 1101 thru 1103 plus

1198)(Line 11 above)
(a) Includes $
reported as "Contract, membership and other fees retained by agents.
SCHEDULE H - ACCIDENT AND HEALTH EXHIBIT (Continued)

1
Total
Group Accident
and Health
3
Credit
Accident and Health
(Group and
Individual)
Collectively
Renewable
PART 2. - RESERVES AND LIABILITIES
Non-Cancelable
Guaranteed
Renewable
A. Premium Reserves:
1. Unearned premiums
2. Advance premiums
3. Reserve for rate credits
4. Total premium reserves, current year
5. Total premium reserves, prior year
6. Increase in total premium reserves
B. Contract Reserves:
1. Additional reserves (a)
2. Reserve for future contingent benefits
3. Total contract reserves, current year
4. Total contract reserves, prior year.
5. Increase in contract reserves
C. Claim Reserves and Liabilities:
1. Total current year
2. Total prior year
3. Increase
38
PART 3. - TEST OF PRIOR YEAR'S CLAIM RESERVES AND LIABILITIES

1.
2.
3.
Claims paid during the year:

1.1 On claims incurred prior to current year
1.2 On claims incurred during current year
Claim reserves and liabilities, December 31, current year:
2.1 On claims incurred prior to current year
2.2 On claims incurred during current year
Test:
3.1 Lines 1.1 and 2.1
3.2 Claim reserves and liabilities, December 31, prior year
3.3 Line 3.1 minus Line 3.2
PART 4. - REINSURANCE
A. Reinsurance Assumed:
1. Premiums written
2. Premiums earned
3. Incurred claims
4. Commissions
B. Reinsurance Ceded:
1. Premiums written
2. Premiums earned
3. Incurred claims
4. Commissions
(a) Includes $
premium deficiency reserve.

7
Non-Renewable
for Stated
Reasons Only
Other Accident
Only
All Other
SCHEDULE H - PART 5 - HEALTH CLAIMS

1
Medical
A. Direct:
1.
Incurred Claims
2.
Beginning Claim Reserves and Liabilities
3.
Ending Claim Reserves and Liabilities
4.
Claims Paid
B. Assumed Reinsurance:
5.
Incurred Claims
6.
7.
8.
Claims Paid
C. Ceded Reinsurance:
9.
Incurred Claims
10.
11.
12.
Claims Paid
D. Net:
13.
Incurred Claims
14.
15.
16.
Claims Paid
E. Net Incurred Claims and Cost Containment Expenses:

17.
Incurred Claims and Cost Containment Expenses
18.
Beginning Reserves and Liabilities
19.
Ending Reserves and Liabilities
20.
Paid Claims and Cost Containment Expenses
39
2
Dental
3
Other
4
Total
SCHEDULE S - PART 1 - SECTION 1
Reinsurance Assumed Life Insurance, Annuities, Deposit Funds and Other Liabilities Without Life or Disability Contingencies, and Related Benefits Listed by Reinsured Company as of December 31, Current Year
1
2
3
NAIC
Company
ID
Effective
Code
Number
Date
0399999. Total General Account - U.S. Affiliates
0699999. Total General Account - Non-U.S. Affiliates
0799999. Total General Account - Affiliates
Name of Reinsured
Domiciliary
Jurisdiction
6
7
Type of
Reinsurance Amount of In Force at
Assumed
End of Year
!
$
!
$
% &
"#
#"
#
"# "
Reserve
Premiums
10
Reinsurance Payable
on Paid and
Unpaid Losses
#
"#
#
#
0899999. General Account - U.S. Non-Affiliates

1099999. Total General Account - Non-Affiliates
1199999. Total General Account
1499999. Total Separate Accounts - U.S. Affiliates
1799999. Total Separate Accounts - Non-U.S. Affiliates
1899999. Total Separate Accounts - Affiliates
2199999. Total Separate Accounts - Non-Affiliates
2299999. Total Separate Accounts
2399999. Total U.S. (Sum of 0399999, 0899999, 1499999 and 1999999)
2499999. Total Non-U.S. (Sum of 0699999, 0999999, 1799999 and 2099999)
#
#
#
#
#
#
#
#
# "
# "
# "
# "
#"
9999999 - Totals
# "
#"
#"
#"
#"
11
Modified
Coinsurance
Reserve
12
Funds Withheld
Under Coinsurance
40
NAIC
Company
Code
ID
Number
Effective
Date
!
!
!
!!
# $ %& ' &
0299999. U.S. Affiliates - Other
0399999. Total - U.S. Affiliates
0699999. Total - Non-U.S. Affiliates
0799999. Total - Affiliates
!
"
!
& & &
!
!
* & + &$ ,
!!!
!!
$ &
/ & 0
"!
!
03 ' &
" !
!
!
4 & / ( $
&
0899999. U.S. Non-Affiliates
1099999. Total - Non-Affiliates
1199999. Total U.S. (Sum of 0399999 and 0899999)
1299999. Total Non-U.S. (Sum of 0699999 and 0999999)
9999999 - Totals
Reinsurance Assumed Accident and Health Insurance Listed by Reinsured Company as of December 31, Current Year
4
Name of Reinsured
Domiciliary
Jurisdiction
Type of
Reinsurance
Assumed
'
()
-.
'2
(
()
Premiums
Unearned
Premiums
9
Reserve Liability
Other Than for
Unearned
Premiums
10
11
12
Modified
Coinsurance
Reserve
Funds Withheld
Under Coinsurance
! "
"
" "
" "
Reinsurance Payable
on Paid and
Unpaid Losses
"
!
!
"
"
"
!
!
"
"
!
(+ 1
(+ 1
"
"
"
"
"
"
!
!
"
"
" "!
"
"
" "!
41
SCHEDULE S - PART 2
Reinsurance Recoverable on Paid and Unpaid Losses Listed by Reinsuring Company as of December 31, Current Year
1
2
3
NAIC
Company
ID
Effective
Code
Number
Date
0399999. Total Life and Annuity - U.S. Affiliates
0699999. Total Life and Annuity - Non-U.S. Affiliates
0799999. Total Life and Annuity - Affiliates
Name of Company
Domiciliary
Jurisdiction
Paid Losses
Unpaid Losses
!
#
$#
#$
$
$
#$ !
% &
'
0899999. Life and Annuity - U.S. Non-Affiliates
1099999. Total Life and Annuity - Non-Affiliates
1199999. Total Life and Annuity
1499999. Total Accident and Health - U.S. Affiliates
1799999. Total Accident and Health - Non-U.S. Affiliates
1899999. Total Accident and Health - Affiliates
&&
&
& )
'
(
#
$
$
+
'
#
$#
&&
. %
& )
'
(
&&
. %
& )
'
(
#
$
'(& '
# #
#
$ ( 0
1-& '
1999999. Accident and Health - U.S. Non-Affiliates
2199999. Total Accident and Health - Non-Affiliates
2299999. Total Accident and Health
2399999. Total U.S. (Sum of 0399999, 0899999, 1499999 and 1999999)
2499999. Total Non-U.S. (Sum of 0699999, 0999999, 1799999 and 2099999)
"
(&
"
"
"
*
,-
42
#$
#$
#$
"
"
"
"
$"
"
# "
"
"
"
"
$
#
#
#
#
$$
$"
!/
!/
9999999 Totals - Life, Annuity and Accident and Health
" #"
"
"
$" "
$" "
$" "
$"
$"
$"
$"
$"
$"
$"
$"
"
$"
"
" $$
Reinsurance Ceded Life Insurance, Annuities, Deposit Funds and Other Liabilities Without Life or Disability Contingencies, and Related Benefits Listed by Reinsuring Company as of December 31, Current Year
NAIC
Company
ID
Effective
Code
Number
Date
Name of Company
0399999. Total General Account - Authorized U.S. Affiliates
0699999. Total General Account - Authorized Non-U.S. Affiliates
0799999. Total General Account - Authorized Affiliates
5
Domiciliary
Jurisdiction
%
%
%
%
% %
&
%
% %
%
%
%
%
% %
% %
+ ,
'
'
-
% %
% %
% %
43
.
1
'
%
.
1
'
%
.
1
'
%
%% %
%
2 3
%
"
4
5" '
%
"
4
5" '
%
"
4
5" '
%
%
"
4
5" '
%
%
"
4
5" '
%%
"6
'
7 8
1
%%
%%
"6
'
7 8
1
%%
"6
'
7 8
1
%%
"6
'
7 8
1
%%
%
"6
'
7 8
1
%%
%
"6
'
7 8
1
%%
%
"6
'
7 8
1
%%
%
"6
'
7 8
1
%%
%
"6
'
7 8
1
%%
%
"6
'
7 8
1
%%
%
"6
'
7 8
1
%
9
'
0899999. General Account - Authorized U.S. Non-Affiliates
1099999. Total General Account - Authorized Non-Affiliates
1199999. Total General Account Authorized
1499999. Total General Account - Unauthorized U.S. Affiliates
1799999. Total General Account - Unauthorized Non-U.S. Affiliates
1899999. Total General Account - Unauthorized Affiliates
2199999. Total General Account - Unauthorized Non-Affiliates
2299999. Total General Account Unauthorized
2599999. Total General Account - Certified U.S. Affiliates
2899999. Total General Account - Certified Non-U.S. Affiliates
2999999. Total General Account - Certified Affiliates
3299999. Total General Account - Certified Non-Affiliates
3399999. Total General Account Certified
3499999. Total General Account Authorized, Unauthorized and Certified
3799999. Total Separate Accounts - Authorized U.S. Affiliates
4099999. Total Separate Accounts - Authorized Non-U.S. Affiliates
4199999. Total Separate Accounts - Authorized Affiliates
4499999. Total Separate Accounts - Authorized Non-Affiliates
4599999. Total Separate Accounts Authorized
4899999. Total Separate Accounts - Unauthorized U.S. Affiliates
5199999. Total Separate Accounts - Unauthorized Non-U.S. Affiliates
("
*
.
-
-+
.#
.#
.#
.#
.#
*
*
*
*
*
*
*
*
*
*
*
.-
Type of
Reinsurance
Ceded
Type of
Business
Ceded
Amount in Force
at End of Year
! "
! "
)'*
)'*
#
)'*
)'*
#
#
)'*
)'*
)'*
)'*
)'*
#
#
#
)'*
! "
#
)'*
! "
)'*
#
)'*
)'*
#
)'*
)'*
#
#
#
#
#
# / 000
#
#
#
#
#
#
000
#
#
#
#
#
# / 000
#
#
#
#
#
#
#
#
#
#
000/ 000
#
Reserve Credit Taken

9
10
Current Year
$
$
$%
$ $
% $
$ $
$ $
$ $
$ $ %
%% $
$ $ %
$
$ $%
% $ $
$
$
Prior Year
$
$
$ %
$%
%$
$
$
$
$
$%
%$
$
$
$
$
$
$
$
$
$
$
$
%%$
%%$
%%$
$
$
$
$
$
$
$
%%$
% $
% $
% $
$
% $
$
$
$
$
$
$
$
$%
$
Premiums
$
% $% $ %
$
$
$
$
$
$
%
%
%
%
Outstanding Surplus Relief

12
13
Current Year
Prior Year
$% %
%$ %
$
$%
%$
$
$
%$
$ %%
%$
$
$
$
$ %
$
%$
% $
$
$
$
$
$
%$
$
$
$
$
%$
$
$
$
$
$
$
% $
$
%$
$
$
% $
11
$
$
$
$
$
$
$
$
$
$
$
$
$
%$ %
$ %
$
% $
$ %
$
$
$
$
$
$
$
$
$
$
$
$
$
$ %
$
$ %
$
$
$
$
$
$
14
15
Modified
Coinsurance
Reserve
Funds Withheld
Under
Coinsurance
Reinsurance Ceded Life Insurance, Annuities, Deposit Funds and Other Liabilities Without Life or Disability Contingencies, and Related Benefits Listed by Reinsuring Company as of December 31, Current Year
3
5
Domiciliary
Jurisdiction
NAIC
Type of
Type of
Company
Reinsurance
Business
ID
Effective
Code
Ceded
Ceded
Number
Date
Name of Company
5299999. Total Separate Accounts - Unauthorized Affiliates
5599999. Total Separate Accounts - Unauthorized Non-Affiliates
5699999. Total Separate Accounts Unauthorized
5999999. Total Separate Accounts - Certified U.S. Affiliates
6299999. Total Separate Accounts - Certified Non-U.S. Affiliates
6399999. Total Separate Accounts - Certified Affiliates
6699999. Total Separate Accounts - Certified Non-Affiliates
6799999. Total Separate Accounts Certified
6899999. Total Separate Accounts Authorized, Unauthorized and Certified
6999999. Total U.S. (Sum of 0399999, 0899999, 1499999, 1999999, 2599999, 3099999, 3799999, 4299999, 4899999, 5399999, 5999999 and
6499999)
7099999. Total Non-U.S. (Sum of 0699999, 0999999, 1799999, 2099999, 2899999, 3199999, 4099999, 4399999, 5199999, 5499999, 6299999 and
6599999)
9999999 - Totals
Amount in Force
at End of Year
Reserve Credit Taken

9
10
Current Year
Prior Year
11
Premiums

12
13
Current Year
Prior Year
14
15
Modified
Coinsurance
Reserve
Funds Withheld
Under
Coinsurance
43.1
Reinsurance Ceded Accident and Health Insurance Listed by Reinsuring Company as of December 31, Current Year
NAIC
Company
ID
Effective
Code
Number
Date
Name of Company
0399999. Total General Account - Authorized U.S. Affiliates
0699999. Total General Account - Authorized Non-U.S. Affiliates
0799999. Total General Account - Authorized Affiliates
5
Domiciliary
Jurisdiction
Type
Type of
Business
Ceded
Premiums
Unearned
Premiums
(Estimated)
10
Reserve Credit
Taken Other
than for Unearned
Premiums
!"
! #!
! #!
! !#!
$
$
"
$!
$!
$# "
!
!
!
% & '
% & '
,
&
. /
. /
(
(
& , -
)*
)*
(
'
*+
*+
, +
"!
#
# "!
$ #""
0
0
44
" #
$" " !
(
'
1
(
, (
# #
" " !
#
$ *
& 2 & , - 3*
(
'
1
(
, +
0899999. General Account - Authorized U.S. Non-Affiliates
1099999. Total General Account - Authorized Non-Affiliates
1199999. Total General Account Authorized
1499999. Total General Account - Unauthorized U.S. Affiliates
1799999. Total General Account - Unauthorized Non-U.S. Affiliates
1899999. Total General Account - Unauthorized Affiliates
2199999. Total General Account - Unauthorized Non-Affiliates
2299999. Total General Account Unauthorized
2599999. Total General Account - Certified U.S. Affiliates
2899999. Total General Account - Certified Non-U.S. Affiliates
2999999. Total General Account - Certified Affiliates
3299999. Total General Account - Certified Non-Affiliates
3399999. Total General Account Certified
3499999. Total General Account Authorized, Unauthorized and Certified
3799999. Total Separate Accounts - Authorized U.S. Affiliates
4099999. Total Separate Accounts - Authorized Non-U.S. Affiliates
4199999. Total Separate Accounts - Authorized Affiliates
4499999. Total Separate Accounts - Authorized Non-Affiliates
4599999. Total Separate Accounts Authorized
4899999. Total Separate Accounts - Unauthorized U.S. Affiliates
5199999. Total Separate Accounts - Unauthorized Non-U.S. Affiliates
5299999. Total Separate Accounts - Unauthorized Affiliates
5599999. Total Separate Accounts - Unauthorized Non-Affiliates
5699999. Total Separate Accounts Unauthorized
5999999. Total Separate Accounts - Certified U.S. Affiliates
6299999. Total Separate Accounts - Certified Non-U.S. Affiliates
6399999. Total Separate Accounts - Certified Affiliates
6699999. Total Separate Accounts - Certified Non-Affiliates
6799999. Total Separate Accounts Certified
6899999. Total Separate Accounts Authorized, Unauthorized and Certified
6999999. Total U.S. (Sum of 0399999, 0899999, 1499999, 1999999, 2599999, 3099999, 3799999, 4299999, 4899999, 5399999, 5999999 and
6499999)
7099999. Total Non-U.S. (Sum of 0699999, 0999999, 1799999, 2099999, 2899999, 3199999, 4099999, 4399999, 5199999, 5499999, 6299999
and 6599999)
9999999 - Totals
"
$
$
$
"$
" " $
" " $
" " $
#
#
!! "
!$ "
!$ "
!$ "
$! #$ $
" " $
!$
"
$! #$ $
" " $
!$
"
$! #$ $
" " $
!$
"
$! !!
$
$! #$
$! #$
$! #$
#$#

11
12
Current Year
Prior Year
13
14
Modified
Coinsurance
Reserve
Funds Withheld
Under
Coinsurance
Schedule S - Part 4
NONE
Schedule S - Part 4 - Bank Footnote
NONE
Schedule S - Part 5
NONE
Schedule S - Part 5 - Bank Footnote
NONE
45, 46
SCHEDULE S - PART 6
Five Year Exhibit of Reinsurance Ceded Business

(000 OMITTED)
1
2014
2
2013
3
2012
4
2011
5
2010
XXX
XXX
A. OPERATIONS ITEMS
1.
Premiums and annuity considerations for life and

accident and health contracts
2.
Commissions and reinsurance expense allowances
3.
Contract claims
4.
5.
6.
7.
Increase in aggregate reserve for life and accident

and health contracts
B. BALANCE SHEET ITEMS
8.
Premiums and annuity considerations for life and

accident and health contracts deferred and
uncollected
9.
Aggregate reserves for life and accident and health

contracts
10.
Liability for deposit-type contracts
11.
Contract claims unpaid
12.
Amounts recoverable on reinsurance
13.
Experience rating refunds due or unpaid
14.
Policyholders dividends (not included in Line 10)
15.
Commissions and reinsurance expense allowances

due
16.
Unauthorized reinsurance offset
17.
Offset for reinsurance with Certified Reinsurers

C. UNAUTHORIZED REINSURANCE (DEPOSITS
BY AND FUNDS WITHHELD FROM)
18.
Funds deposited by and withheld from (F)
19.
Letters of credit (L)
20.
Trust agreements (T)
21.
Other (O)
D. REINSURANCE WITH CERTIFIED
REINSURERS (DEPOSITS BY AND FUNDS
WITHHELD FROM)
22.
Multiple Beneficiary Trust
XXX
XXX
23.
Funds deposited by and withheld from (F)
XXX
XXX
24.
Letters of credit (L)
XXX
XXX
25.
Trust agreements (T)
XXX
XXX
26.
Other (O)
XXX
XXX
47
SCHEDULE S - PART 7
Restatement of Balance Sheet to Identify Net Credit for Ceded Reinsurance

1
As Reported
(net of ceded)
2
Restatement
Adjustments
ASSETS (Page 2, Col. 3)

1.
Cash and invested assets (Line 12)
2.
Reinsurance (Line 16)
3.
Premiums and considerations (Line 15)
4.
Net credit for ceded reinsurance
5.
All other admitted assets (balance)
6.
Total assets excluding Separate Accounts (Line 26)
7.
Separate Account assets (Line 27)
8.
Total assets (Line 28)
XXX
LIABILITIES, CAPITAL AND SURPLUS (Page 3)

9.
Contract reserves (Lines 1 and 2)
10.
Liability for deposit-type contracts (Line 3)
11.
Claim reserves (Line 4)
12.
Policyholder dividends/reserves (Lines 5 through 7)
13.
Premium & annuity considerations received in advance (Line 8)
14.
Other contract liabilities (Line 9)
15.
Reinsurance in unauthorized companies (Line 24.02 minus inset amount)
16.
Funds held under reinsurance treaties with unauthorized reinsurers (Line 24.03 minus inset
amount)
17.
Reinsurance with Certified Reinsurers (Line 24.02 inset amount)
18.
Funds held under reinsurance treaties with Certified Reinsurers (Line 24.03 inset amount)
19.
All other liabilities (balance)
20.
Total liabilities excluding Separate Accounts (Line 26)
21.
Separate Account liabilities (Line 27)
22.
Total liabilities (Line 28)
23.
Capital & surplus (Line 38)
24.
Total liabilities, capital & surplus (Line 39)
XXX
NET CREDIT FOR CEDED REINSURANCE

25.
Contract reserves
26.
Claim reserves
27.
Policyholder dividends/reserves
28.
Premium & annuity considerations received in advance
29.
Liability for deposit-type contracts
30.
Other contract liabilities
31.
Reinsurance ceded assets
32.
Other ceded reinsurance recoverables
33.
Total ceded reinsurance recoverables
34.
Premiums and considerations
35.
Reinsurance in unauthorized companies
36.
Funds held under reinsurance treaties with unauthorized reinsurers
37.
Reinsurance with Certified Reinsurers
38.
Funds held under reinsurance treaties with Certified Reinsurers
39.
Other ceded reinsurance payables/offsets
40.
Total ceded reinsurance payable/offsets
41.
Total net credit for ceded reinsurance
48
3
Restated
(gross of ceded)
SCHEDULE T - PREMIUMS AND ANNUITY CONSIDERATIONS

Allocated by States and Territories
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
90.
91.
92.
93.
94.
95.
96.
97
98.
99.
States, Etc.
Active Status
Alabama
AL
Alaska
AK
Arizona
AZ
Arkansas
AR
California
CA
Colorado
CO
Connecticut
CT
Delaware
DE
District of Columbia
DC
Florida
FL
Georgia
GA
Hawaii
HI
Idaho
ID
Illinois
IL
Indiana
IN
Iowa
IA
Kansas
KS
Kentucky
KY
Louisiana
LA
Maine
ME
Maryland
MD
Massachusetts
MA
Michigan
MI
Minnesota
MN
Mississippi
MS
Missouri
MO
Montana
MT
Nebraska
NE
Nevada
NV
New Hampshire
NH
New Jersey
NJ
New Mexico
NM
New York
NY
North Carolina
NC
North Dakota
ND
Ohio
OH
Oklahoma
OK
Oregon
OR
Pennsylvania
PA
Rhode Island
RI
South Carolina
SC
South Dakota
SD
Tennessee
TN
Texas
TX
Utah
UT
Vermont
VT
Virginia
VA
Washington
WA
West Virginia
WV
Wisconsin
WI
Wyoming
WY
American Samoa
AS
Guam
GU
Puerto Rico
PR
U.S. Virgin Islands
VI
Northern Mariana Islands
MP
Canada
CAN
Aggregate Other Alien
XXX
OT
Subtotal
(a)
Reporting entity contributions for employee benefits
plans
XXX
Dividends or refunds applied to purchase paid-up
XXX
additions and annuities
Dividends or refunds applied to shorten endowment
or premium paying period
XXX
Premium or annuity considerations waived under
disability or other contract provisions
XXX
Aggregate or other amounts not allocable by State
XXX
Totals (Direct Business)
XXX
Plus reinsurance assumed
XXX
Totals (All Business)
XXX
Less reinsurance ceded
XXX
Totals (All Business) less Reinsurance Ceded
XXX
Life Contracts
2
Life Insurance
Premiums
Annuity
Considerations
Direct Business Only

4
5
Accident and
Health Insurance
Premiums,
Including Policy,
Membership
Other
and Other Fees
Considerations
Total
Columns
2 through 5
Deposit-Type
Contracts
(b)
58001.
XXX
58002.
XXX
58003.
XXX
58998. Summary of remaining write-ins for Line 58 from
overflow page
XXX
58999. Totals (Lines 58001 through 58003 plus
XXX
9401.
XXX
9402.
XXX
9403.
XXX
9498. Summary of remaining write-ins for Line 94 from
overflow page
XXX
9499. Totals (Lines 9401 through 9403 plus 9498)(Line
94 above)
XXX
(L) Licensed or Chartered - Licensed Insurance Carrier or Domiciled RRG; (R) Registered - Non-domiciled RRGs; (Q) Qualified - Qualified or Accredited Reinsurer; (E) Eligible - Reporting
Entities eligible or approved to write Surplus Lines in the state; (N) None of the above - Not allowed to write business in the state.
Explanation of basis of allocation by states, etc., of premiums and annuity considerations

Ordinary life, accident and health premiums are allocated to the address of the premium payor. Annuity considerations are allocated to the policy owner'
s address.
(a) Insert the number of L responses except for Canada and Other Alien.
(b) Column 4 should balance with Exhibit 1, Lines 6.4, 10.4, and 16.4, Cols. 8, 9, 10, or with Schedule H, Part 1, Line 1, indicate which:
49
"
SCHEDULE T - PART 2
INTERSTATE COMPACT - EXHIBIT OF PREMIUMS WRITTEN

Allocated by States and Territories
States, Etc.
1.
Alabama
AL
2.
Alaska
AK
3.
Arizona
AZ
4.
Arkansas
AR
5.
California
CA
6.
Colorado
CO
7.
Connecticut
CT
8.
Delaware
DE
9.
DC
10.
Florida
FL
11.
Georgia
GA
12.
Hawaii
HI
13.
Idaho
ID
14.
Illinois
IL
15.
Indiana
IN
16.
Iowa
IA
17.
Kansas
KS
18.
Kentucky
KY
19.
Louisiana
LA
20.
Maine
ME
21.
Maryland
MD
22.
Massachusetts
MA
23.
Michigan
MI
24.
Minnesota
MN
25.
Mississippi
MS
26.
Missouri
MO
27.
Montana
MT
28.
Nebraska
NE
29.
Nevada
NV
30.
New Hampshire
NH
31.
New Jersey
NJ
32.
New Mexico
NM
33.
New York
NY
34.
North Carolina
NC
35.
North Dakota
ND
36.
Ohio
OH
37.
Oklahoma
OK
38.
Oregon
OR
39.
Pennsylvania
PA
40.
Rhode Island
RI
41.
South Carolina
SC
42.
South Dakota
SD
43.
Tennessee
TN
44.
Texas
TX
45.
Utah
UT
46.
Vermont
VT
47.
Virginia
VA
48.
Washington
WA
49.
West Virginia
WV
50.
Wisconsin
WI
51.
Wyoming
WY
52.
American Samoa
AS
53.
Guam
GU
54.
Puerto Rico
PR
55.
U.S. Virgin Islands
VI
56.
MP
57.
Canada
CAN
58.
Aggregate Other Alien
OT
59.
Total
Life
(Group and
Individual)
Annuities
(Group and
Individual)
50
Direct Business Only

3
4
Disability
Long-Term
Income
Care
(Group and
(Group and
Individual)
Individual)
Deposit-Type
Contracts
Totals
SCHEDULE Y - INFORMATION CONCERNING ACTIVITIES OF INSURER MEMBERS OF A HOLDING COMPANY GROUP

PART 1 - ORGANIZATIONAL CHART
CNO Financial
Group, Inc.
FEIN #75-3108137
40|86 Advisors, Inc.

FEIN #22-2403791
Performance Matters
Associates of Texas, Inc.
FEIN #75-2113604
TX
40|86 Mortgage
Capital, Inc.
FEIN #51-0331205
DE
CDOC, Inc.
DE
FEIN #51-0406066
DE
American Life & Casualty

Marketing Division Co.
K.F. Agency, Inc.

DE
FEIN #36-4036794
IL
FEIN #42-1351112
51
Washington National
Insurance Company (1)
NAIC #70319
FEIN #36-1933760
IN
Conseco Life Insurance

Company of Texas
NAIC #11804
FEIN #81-0626335
TX
Bankers Conseco Life

Insurance Company
NAIC #68560
FEIN #11-2857098
NY
Colonial Penn Life

Insurance Company (1)
NAIC #62065
FEIN #23-1628836
PA
IA
CNO Management
Services Company
FEIN #74-1499663
1% 89.1% 9.9%
CNO Services,
LLC
FEIN #35-1965822
Bankers Life and

Casualty Company (1)
NAIC #61263
FEIN #36-0770740
IL
IN
1%
90% 9%
Conseco Marketing,
L.L.C.
FEIN #35-1989489
C.P. Real Estate

Services Corp.
FEIN #13-5405610
TX
NJ
NOTES:
All subsidiaries are 100% owned unless otherwise indicated.
Names of insurance companies and their parent companies are in bold letters.
(1) The following non-insurance investment entities are reported as affiliated in accordance with SSAP No. 97:
Eagle Creek CLO Ltd., Ownership interests: Bankers Life and Casualty Company 17.1%; Washington National Insurance Company 9.2%
Mill Creek CLO Ltd., Ownership interests: Bankers Life and Casualty Company 49.8%; Washington National Insurance Company 19.8%
Sugar Creek CLO Ltd., Ownership interests: Bankers Life and Casualty Company 69.9%; Washington National Insurance Company 30.1%
Cedar Creek CLO Ltd., Ownership interests: Bankers Life and Casualty Company 34.1%; Colonial Penn Life Insurance Company 2.4%; Washington National Insurance Company 11.4%
Silver Creek CLO Ltd., Ownership interests: Bankers Life and Casualty Company 67.2%; Colonial Penn Life Insurance Company 2.6%; Washington National Insurance Company 13.8%
4360 E Brown LLC, Ownership interests: Bankers Life and Casualty Company 100%
CounterpartyLink Ltd., Preferred Stock Ownership interests: Bankers Life and Casualty Company 24.6%; Colonial Penn Life Insurance Company 1.6%; Washington National Insurance Company 50.8%
RiskGrid Technologies Inc., Preferred Stock Ownership interests: Bankers Life and Casualty Company 24.6%; Colonial Penn Life Insurance Company 1.6%; Washington National Insurance Company 50.8%
Clear Creek CLO Ltd., Preferred Stock Ownership interests: Bankers Life and Casualty Company 50.0%; Washington National Insurance Company 16.6%
Wendover Limited, Common Stock Ownership interests: Bankers Life and Casualty Company 22.7%; Colonial Penn Life Insurance Company 1.5%; Washington National Insurance Company 47.0%
RiskGrid Technologies Inc., Common Stock Ownership interests: Bankers Life and Casualty Company 24.6%; Colonial Penn Life Insurance Company 1.7%; Washington National Insurance Company 50.8%
CounterpartyLink Ltd., Common Stock Ownership interests: Bankers Life and Casualty Company 24.4%; Colonial Penn Life Insurance Company 1.6%; Washington National Insurance Company 50.3%
(2) Effective July 1, 2014, CNO Financial Group, Inc. sold 100% of the common stock of Conseco Life Insurance Company to Wilton Reassurance Company, an unaffiliated company.
IN
Group
Code
Group Name
SCHEDULE Y
PART 1A - DETAIL OF INSURANCE HOLDING COMPANY SYSTEM
NAIC
Company
Code
ID
Number
Federal
RSSD
CIK
Name of Securities
Exchange
if Publicly Traded
(U.S. or
International)
+
+
+
) %
6-
Names of
Parent, Subsidiaries
Or Affiliates
! "
# $
! "
,
-$ # $
0
! "
# $
! "
# $ " ' (
4 * 5# $
0 .
/ - - 6 7
3
+ : &,7
0 " #
; --
&
+ : ; -5 5
<
&5 $
&#
! " =
3 7
; 5 # - 6
6 7
!!
6 7
!!
6 7
!!
;
- 5
;
- 5
;
- 5
+
+ +
52
+
+
+
Asterisk
-
5 / - -$ " -* > , 5
3
3
0
! "
)
)
)
)
)
)
*
*
*
*
*
*
)
)
*
*
-$ ;
7
3/
3/
3/
2 0
2 0
&
'1
3/
!
&
&
&
3
3
3
)
)
)
*
*
*
0 9
$ * ,
&
'1
&
&
&
&
&
&
&
&
3
3
3
)
)
)
)
)
)
)
)
*
*
*
*
*
*
*
*
- 5
$
! !
! !
! !
Explanation
-* 2 - # -
Directly Controlled by
(Name of Entity/Person)
! "
# $ " ' (
! "
# $ " ' (
! "
# $ " ' (
12
Type
of Control
(Ownership,
Board,
Management,
Attorney-in-Fact,
Influence,
Other)
" ' (
+
+
RelationDomiship
ciliary
to
Loca- Reporting
Entity
tion
%
&
!
./
0&
&
'1
230
&
8
&
11
/( * 5
+
+
+
10
; 5 # - 6 7
6 7
!!
5 # - 6 7
13
If
Control
is
Ownership
Provide
Percentage
14
15
Ultimate Controlling
Entity(ies)/Person(s)
NAIC
Company
Code
ID
Number
!
!
SCHEDULE Y
PART 2 - SUMMARY OF INSURERS TRANSACTIONS WITH ANY AFFILIATES
4
Names of Insurers and Parent,

Subsidiaries or Affiliates
"
%&
'
"
& (%
#
& $"
)& *
#+
)& , #
#.
Shareholder
Dividends
Capital
Contributions
Purchases, Sales
or Exchanges of
Loans, Securities,
Real Estate,
Mortgage Loans or
Other Investments
#$
53
!
!!
!
!!
9999999 Control Totals
Management
Agreements and
Service Contracts
Income/
(Disbursements)
Incurred Under
Reinsurance
Agreements
10
11
Any Other Material

Activity Not in the
Ordinary Course of
the Insurers
Business
12
13
Totals
Reinsurance
Recoverable/
(Payable) on
Losses and/or
Reserve Credit
Taken/(Liability)
!!
!
!!
'
!!
!!
!
!
!
!
! ! ! !
! !
!
(/
!
$
7
Income/
(Disbursements)
Incurred in
Connection with
Guarantees or
Undertakings for
the Benefit of any
Affiliate(s)
!
!
$"
$"'
0 1#
&
"
$"
2'*' 31
'
4 ##
& $" ,)
5'6' , $7 8 3
$
'
5 + "( 7 #1
'
, #& $" ,)
, 1
& $" ,)
6 7 1$ ) $
#
9 3"'
9 4 $1 1
$ #
'
!
!
!
!
!
!
!!
!!
XXX
SUPPLEMENTAL EXHIBITS AND SCHEDULES INTERROGATORIES
The following supplemental reports are required to be filed as part of your statement filing unless specifically waived by the domiciliary state. However, in the event that your
domiciliary state waives the filing requirement, your response of WAIVED to the specific interrogatory will be accepted in lieu of filing a NONE report and a bar code will be printed
below. If the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory
questions.
Responses
MARCH FILING
1.
Will the Supplemental Compensation Exhibit be filed with the state of domicile by March 1?
2.
Will the confidential Risk-based Capital Report be filed with the NAIC by March 1?
3.
Will the confidential Risk-based Capital Report be filed with the state of domicile, if required, by March 1?
4.
Will an actuarial opinion be filed by March 1?
5.
Will Managements Discussion and Analysis be filed by April 1?
6.
Will the Life, Health & Annuity Guaranty Association Model Act Assessment Base Reconciliation Exhibit be filed with the state of domicile and the
NAIC by April 1?
7.
Will the Adjustment Form (if required) be filed with the state of domicile and the NAIC by April 1?
8.
Will the Supplemental Investment Risks Interrogatories be filed by April 1?
9.
Will an audited financial report be filed by June 1?
APRIL FILING
JUNE FILING
10.
Will Accountant'
s Letter of Qualifications be filed with the state of domicile and electronically with the NAIC by June 1?
11.
Will Communication of Internal Control Related Matters Noted in Audit be filed with the state of domicile by August 1?
AUGUST FILING
The following supplemental reports are required to be filed as part of your annual statement filing. However, in the event that your company does not transact the type of business
for which the special report must be filed, your response of NO to the specific interrogatory will be accepted in lieu of filing a NONE report and a bar code will be printed below. If
the supplement is required of your company but is not being filed for whatever reason enter SEE EXPLANATION and provide an explanation following the interrogatory questions.
MARCH FILING
12.
Will Schedule SIS (Stockholder Information Supplement) be filed with the state of domicile by March 1?
13.
Will the Medicare Supplement Insurance Experience Exhibit be filed with the state of domicile and the NAIC by March 1?
14.
Will the Trusteed Surplus Statement be filed with the state of domicile and the NAIC by March 1?
15.
Will the actuarial opinion on participating and non-participating policies as required in Interrogatories 1 and 2 to Exhibit 5 be filed with the state of
domicile and electronically with the NAIC by March 1?
16.
Will the actuarial opinion on non-guaranteed elements as required in interrogatory #3 to Exhibit 5 be filed with the state of domicile and electronically
with the NAIC by March 1?
17.
Will the actuarial opinion on X-Factors be filed with the state of domicile and electronically with the NAIC by March 1?
18.
Will the actuarial opinion on Separate Accounts Funding Guaranteed Minimum Benefit be filed with the state of domicile and electronically with the
NAIC by March 1?
19.
Will the actuarial opinion on Synthetic Guaranteed Investment Contracts be filed with the state of domicile and electronically with the NAIC by
March 1?
20.
Will the Reasonableness of Assumptions Certification required by Actuarial Guideline XXXV be filed with the state of domicile and electronically with
the NAIC by March 1?
21.
Will the Reasonableness and Consistency of Assumptions Certification required by Actuarial Guideline XXXV be filed with the state of domicile and
electronically with the NAIC by March 1?
22.
Will the Reasonableness of Assumptions Certification for Implied Guaranteed Rate Method required by Actuarial Guideline XXXVI be filed with the
state of domicile and electronically with the NAIC by March 1?
23.
Will the Reasonableness and Consistency of Assumptions Certification required by Actuarial Guideline XXXVI (Updated Average Market Value) be
filed with the state of domicile and electronically with the NAIC by March 1?
24.
Will the Reasonableness and Consistency of Assumptions Certification required by Actuarial Guideline XXXVI (Updated Market Value) be filed with the
state of domicile and electronically with the NAIC by March 1?
25.
Will the C-3 RBC Certifications required under C-3 Phase I be filed with the state of domicile and electronically with the NAIC by March 1?
26.
Will the C-3 RBC Certifications required under C-3 Phase II be filed with the state of domicile and electronically with the NAIC by March 1?
54

27.
Will the Actuarial Certifications Related to Annuity Nonforfeiture Ongoing Compliance for Equity Indexed Annuities be filed with the state of domicile
and electronically with the NAIC by March 1?
28.
Will the actuarial opinion required by the Modified Guaranteed Annuity Model Regulation be filed with the state of domicile and electronically with the
NAIC by March 1?
29.
Will the Actuarial Certifications Related to Hedging required by Actuarial Guideline XLIII be filed with the state of domicile and electronically with the
NAIC by March 1?
30.
Will the Financial Officer Certification Related to Clearly Defined Hedging Strategy required by Actuarial Guideline XLIII be filed with the state of
31.
Will the Management Certification That the Valuation Reflects Managements Intent required by Actuarial Guideline XLIII be filed with the state of
32.
Will the Actuarial Certification Related to the Reserves required by Actuarial Guideline XLIII be filed with the state of domicile and electronically with the
NAIC by March 1?
33.
Will the 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 be filed with the state of domicile and electronically with the NAIC by
March 1?
34.
Will the Worker'

s Compensation Carve-Out Supplement be filed by March 1?
35.
Will Supplemental Schedule O be filed with the state of domicile and the NAIC by March 1?
36.
Will the Medicare Part D Coverage Supplement be filed with the state of domicile and the NAIC by March 1?
37.
Will an approval from the reporting entitys state of domicile for relief related to the five-year rotation requirement for lead audit partner be filed
38.
Will an approval from the reporting entitys state of domicile for relief related to the one-year cooling off period for independent CPA be filed
39.
Will an approval from the reporting entitys state of domicile for relief related to the Requirements for Audit Committees be filed electronically with the
NAIC by March 1?
40.
Will the confidential Regulatory Asset Adequacy Issues Summary (RAAIS) required by Actuarial Opinion and Memorandum Regulation (Model 822),
Section 7A(5) be filed with the state of domicile by March 15?
41.
Will the Long-Term Care Experience Reporting Forms be filed with the state of domicile and the NAIC by April 1?
42.
Will the Interest-Sensitive Life Insurance Products Report Forms be filed with the state of domicile and the NAIC by April 1?
43.
Will the Credit Insurance Experience Exhibit be filed with the state of domicile and the NAIC by April 1?
44.
Will the Accident and Health Policy Experience Exhibit be filed by April 1?
45.
Will the Analysis of Annuity Operations by Lines of Business be filed with the state of domicile and the NAIC by April 1?
46.
Will the Analysis of Increase in Annuity Reserves During the Year be filed with the state of domicile and the NAIC by April 1?
47.
Will the Supplemental Health Care Exhibit (Parts 1, 2 and 3) be filed with the state of domicile and the NAIC by April 1?
48.
Will the regulator only (non-public) Supplemental Health Care Exhibits Expense Allocation Report be filed with the state of domicile and the NAIC by
April 1?
49.
Will the confidential Actuarial Memorandum required by Actuarial Guideline XXXVIII 8D be filed with the state of domicile by April 30?
50.
Will the Supplemental XXX/AXXX Reinsurance Exhibit be filed with the state of domicile and the NAIC by April 1?
51.
12.
Will Managements Report of Internal Control Over Financial Reporting be filed with the state of domicile by August 1?
Explanations:
None
None
No new participating policies are being issued and the participating business in-force is less than 1% of total life insurance in-force.
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
The Company'
s closed blocks of major medical business cover less than 1,000 lives. In accordance with the NAIC guidance, the Company requested
a waiver from this filing which was approved by its state of domicile.
The Company'
s closed blocks of major medical business cover less than 1,000 lives. In accordance with the NAIC guidance, the Company requested
a waiver from this filing which was approved by its state of domicile.
None
Bar Codes:
SIS Stockholder Information Supplement [Document Identifier 420]
14.
Trusteed Surplus Statement [Document Identifier 490]
18.
Actuarial Opinion on Separate Accounts Funding Guaranteed Minimum Benefit

[Document Identifier 443]
19.
Actuarial Opinion on Synthetic Guaranteed Investment Contracts

20.
Reasonableness of Assumptions Certification required by Actuarial Guideline

XXXV [Document Identifier 445]
22.
Reasonableness of Assumptions Certification for Implied Guaranteed Rate

Method required by Actuarial Guideline XXXVI [Document Identifier 447]
24.
Reasonableness and Consistency of Assumptions Certification required by

Actuarial Guideline XXXVI (Updated Market Value) [Document Identifier 449]
26.
C-3 RBC Certifications Required Under C-3 Phase II [Document Identifier 451]
27.
Actuarial Certifications Related to Annuity Nonforfeiture Ongoing Compliance

for Equity Indexed Annuities [Document Identifier 452]
APRIL FILING
AUGUST FILING
12.
14.
15.
18.
19.
20.
22.
24.
26.
27.
28.
29.
30.
31.
32.
33.
37.
38.
39.
43.
47.
48.
49.
54.1

28.
Modified Guaranteed Annuity Model Regulation [Document Identifier 453]
29.
Actuarial Certifications Related to Hedging required by Actuarial Guideline XLIII

30.
Financial Officer Certification Related to Clearly Defined Hedging Strategy

required by Actuarial Guideline XLIII [Document Identifier 437]
31.
Management Certification That the Valuation Reflects Managements Intent

required by Actuarial Guideline XLIII [Document Identifier 438]
32.
Actuarial Certification Related to the Reserves required by Actuarial Guideline

XLIII [Document Identifier 439]
33.
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
Relief from the five-year rotation requirement for lead audit partner
37.
38.
Relief from the one-year cooling off period for independent CPA
39.
Relief from the Requirements for Audit Committees [Document Identifier 226]
43.
Credit Insurance Experience Exhibit [Document Identifier 230]
49.
Actuarial Memorandum Required by Actuarial Guideline XXXVIII 8D

54.2
OVERFLOW PAGE FOR WRITE-INS

Additional Write-ins for Summary of Operations Line 8.3
1
Current Year
08.304.
08.305.
2
Prior Year
!!
55
OVERFLOW PAGE FOR WRITE-INS
Additional Write-ins for Analysis of Operations Line 8.3

1
Total
08.304.
08.305.
Industrial Life
Ordinary
4
Life Insurance
6
5
Supplementary
Contracts
Credit Life (Group

and Individual)
Group
7
Life Insurance
(a)
Annuities
Group
Accident and Health

10
Credit (Group and
Individual)
11
Other
12
Aggregate of All
Other Lines of
Business
55L
SUMMARY INVESTMENT SCHEDULE

Gross Investment Holdings
1
2
Investment Categories
1.
Amount
Percentage
Amount
Admitted Assets as Reported

in the Annual Statement
4
5
Securities
Lending
Total
Reinvested
(Col. 3 + 4)
Collateral
Amount
Amount
Percentage
Bonds:
1.1 U.S. treasury securities
1.2 U.S. government agency obligations (excluding mortgage-backed
securities):
1.21 Issued by U.S. government agencies
1.22 Issued by U.S. government sponsored agencies
1.3 Non-U.S. government (including Canada, excluding mortgaged-backed
securities)
1.4 Securities issued by states, territories, and possessions and political
subdivisions in the U.S. :
1.41 States, territories and possessions general obligations
1.42 Political subdivisions of states, territories and possessions and
political subdivisions general obligations
1.43 Revenue and assessment obligations
1.44 Industrial development and similar obligations
1.5 Mortgage-backed securities (includes residential and commercial
MBS):
1.51 Pass-through securities:
1.511 Issued or guaranteed by GNMA
1.512 Issued or guaranteed by FNMA and FHLMC
1.513 All other
1.52 CMOs and REMICs:
1.521 Issued or guaranteed by GNMA, FNMA, FHLMC or VA
1.522 Issued by non-U.S. Government issuers and collateralized
by mortgage-backed securities issued or guaranteed by
agencies shown in Line 1.521
1.523 All other
2.
Other debt and other fixed income securities (excluding short-term):

2.1 Unaffiliated domestic securities (includes credit tenant loans and hybrid
securities)
2.2 Unaffiliated non-U.S. securities (including Canada)
2.3 Affiliated securities
3.
Equity interests:
3.1 Investments in mutual funds
3.2 Preferred stocks:
3.21 Affiliated
3.22 Unaffiliated
3.3 Publicly traded equity securities (excluding preferred stocks):
3.31 Affiliated
3.32 Unaffiliated
3.4 Other equity securities:
3.41 Affiliated
3.42 Unaffiliated
3.5 Other equity interests including tangible personal property under lease:
3.51 Affiliated
3.52 Unaffiliated
4.
Mortgage loans:
4.1 Construction and land development
4.2 Agricultural
4.3 Single family residential properties
4.4 Multifamily residential properties
4.5 Commercial loans
4.6 Mezzanine real estate loans
5.
Real estate investments:

5.1 Property occupied by company
5.2 Property held for production of income (including
$
of property acquired in satisfaction of
debt)
5.3 Property held for sale (including $
property acquired in satisfaction of debt)
6.
Contract loans
7.
Derivatives
8.
9.
Securities Lending (Line 10, Asset Page reinvested collateral)
10.
11.
12.
Total invested assets
XXX
SI01
XXX
XXX
SCHEDULE A - VERIFICATION BETWEEN YEARS

Real Estate
1.
Book/adjusted carrying value, December 31 of prior year
2.
Cost of acquired:
2.1 Actual cost at time of acquisition (Part 2, Column 6)
2.2 Additional investment made after acquisition (Part 2, Column 9)
3.
Current year change in encumbrances:

3.1 Totals, Part 1, Column 13
NONE
4.
Total gain (loss) on disposals, Part 3, Column 18
5.
Deduct amounts received on disposals, Part 3, Column 15
6.
Total foreign exchange change in book/adjusted carrying value:

7.
Deduct current years other than temporary impairment recognized:

8.
Deduct current years depreciation:

9.
Book/adjusted carrying value at the end of current period (Lines 1+2+3+4-5+6-7-8)
10.
Deduct total nonadmitted amounts
11.
Statement value at end of current period (Line 9 minus Line 10)
SCHEDULE B - VERIFICATION BETWEEN YEARS

Mortgage Loans
1.
Book value/recorded investment excluding accrued interest, December 31 of prior year
2.
Cost of acquired:
3.
Capitalized deferred interest and other:

4.
Accrual of discount
5.
Unrealized valuation increase (decrease):

6.
7.
8.
Deduct amortization of premium and mortgage interest points and commitment fees
9.
Total foreign exchange change in book value/recorded investment excluding accrued interest:
10.

11.
Book value/recorded investment excluding accrued interest at end of current period (Lines 1+2+3+4+5+6-7-8+9-10)
12.
Total valuation allowance
13.
Subtotal (Line 11 plus 12)
14.
15.
Statement value of mortgages owned at end of current period (Line 13 minus Line 14)
SI02
SCHEDULE BA - VERIFICATION BETWEEN YEARS

Other Long-Term Invested Assets
1.
2.
Cost of acquired:
3.
Capitalized deferred interest and other:

4.
5.
Accrual of discount
6.
7.
8.
Deduct amortization of premium and depreciation
9.

10.

11.
Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5+6-7-8+9-10)
12.
13.
SCHEDULE D - VERIFICATION BETWEEN YEARS

Bonds and Stocks
1.
2.
Cost of bonds and stocks acquired, Part 3, Column 7
3.
Accrual of discount
4.

4.1. Part 1, Column 12
4.2. Part 2, Section 1, Column 15
5.
6.
Deduction consideration for bonds and stocks disposed of, Part 4, Column 7
7.
Deduct amortization of premium
8.

9.

10.
Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9)
11.
12.
SI03
SCHEDULE D - SUMMARY BY COUNTRY

Long-Term Bonds and Stocks OWNED December 31 of Current Year
Description
BONDS
Governments
(Including all obligations guaranteed
by governments)
U.S. States, Territories and
Possessions
(Direct and guaranteed)
U.S. Political Subdivisions of States,
Territories and Possessions (Direct
and guaranteed)
U.S. Special revenue and special
assessment obligations and all nonguaranteed obligations of agencies
and authorities of governments and
their political subdivisions
1.
2.
3.
United States
Canada
Other Countries
4.
Totals
5.
Totals
6.
Totals
7.
Totals
Industrial and Miscellaneous and

Hybrid Securities (unaffiliated)
8.
9.
10.
United States
Canada
Other Countries
11.
Totals
Parent, Subsidiaries and Affiliates
12.
Totals
13.
Total Bonds
14.
15.
16.
United States
Canada
Other Countries
17.
Totals
18.
Totals
19.
Total Preferred Stocks
20.
21.
22.
United States
Canada
Other Countries
23.
Totals
24.
Totals
25.
Total Common Stocks
26.
Total Stocks
27.
Total Bonds and Stocks
PREFERRED STOCKS
Industrial and Miscellaneous
(unaffiliated)
COMMON STOCKS
Industrial and Miscellaneous
(unaffiliated)
1
Book/Adjusted
Carrying Value
SI04
Fair Value
Actual Cost
Par Value of Bonds
SCHEDULE D - PART 1A - SECTION 1
Quality and Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Types of Issues and NAIC Designations
1
SI05
NAIC Designation
1. U.S. Governments
1.1 NAIC 1
1.2 NAIC 2
1.3 NAIC 3
1.4 NAIC 4
1.5 NAIC 5
1.6 NAIC 6
1.7 Totals
2. All Other Governments
2.1 NAIC 1
2.2 NAIC 2
2.3 NAIC 3
2.4 NAIC 4
2.5 NAIC 5
2.6 NAIC 6
2.7 Totals
3. U.S. States, Territories and Possessions etc.,
Guaranteed
3.1 NAIC 1
3.2 NAIC 2
3.3 NAIC 3
3.4 NAIC 4
3.5 NAIC 5
3.6 NAIC 6
3.7 Totals
4. U.S. Political Subdivisions of States, Territories and
Possessions , Guaranteed
4.1 NAIC 1
4.2 NAIC 2
4.3 NAIC 3
4.4 NAIC 4
4.5 NAIC 5
4.6 NAIC 6
4.7 Totals
5. U.S. Special Revenue & Special Assessment
Obligations, etc., Non-Guaranteed
5.1 NAIC 1
5.2 NAIC 2
5.3 NAIC 3
5.4 NAIC 4
5.5 NAIC 5
5.6 NAIC 6
5.7 Totals
1 Year or Less
2
Over 1 Year
Through 5 Years
3
Over 5 Years
Through 10 Years
4
Over 10 Years
Through 20 Years
Over 20 Years
Total Current Year
7
Col. 6 as a % of
Line 9.7
8
Total from Col. 6
Prior Year
9
% From Col. 7
Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed (a)
SCHEDULE D - PART 1A - SECTION 1 (Continued)
1
SI06
NAIC Designation
6. Industrial & Miscellaneous (Unaffiliated)
6.1 NAIC 1
6.2 NAIC 2
6.3 NAIC 3
6.4 NAIC 4
6.5 NAIC 5
6.6 NAIC 6
6.7 Totals
7. Hybrid Securities
7.1 NAIC 1
7.2 NAIC 2
7.3 NAIC 3
7.4 NAIC 4
7.5 NAIC 5
7.6 NAIC 6
7.7 Totals
8. Parent, Subsidiaries and Affiliates
8.1 NAIC 1
8.2 NAIC 2
8.3 NAIC 3
8.4 NAIC 4
8.5 NAIC 5
8.6 NAIC 6
8.7 Totals
1 Year or Less
2
Over 1 Year
Through 5 Years
3
Over 5 Years
Through 10 Years
4
Over 10 Years
Through 20 Years
Over 20 Years
Total Current Year
7
Col. 6 as a % of
Line 9.7
8
Total from Col. 6
Prior Year
9
% From Col. 7
Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed (a)
1
2
Over 1 Year
Through 5 Years
3
Over 5 Years
Through 10 Years
4
Over 10 Years
Through 20 Years
7
Col. 6 as a % of
Line 9.7
8
Total from Col. 6
Prior Year
9
% From Col. 7
Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed (a)
SI07
NAIC Designation
1 Year or Less
Over 20 Years
Total Current Year
9. Total Bonds Current Year
9.1 NAIC 1
(d)
XXX
XXX
9.2 NAIC 2
(d)
XXX
XXX
9.3 NAIC 3
(d)
XXX
XXX
9.4 NAIC 4
(d)
XXX
XXX
9.5 NAIC 5
(d)
(c)
XXX
XXX
9.6 NAIC 6
(c)
XXX
XXX
(d)
9.7 Totals
(b)
XXX
XXX
9.8 Line 9.7 as a % of Col. 6
XXX
XXX
XXX
10. Total Bonds Prior Year
10.1 NAIC 1
XXX
XXX
10.2 NAIC 2
XXX
XXX
10.3 NAIC 3
XXX
XXX
10.4 NAIC 4
XXX
XXX
10.5 NAIC 5
XXX
XXX
(c)
10.6 NAIC 6
XXX
XXX
(c)
10.7 Totals
XXX
XXX
(b)
10.8 Line 10.7 as a % of Col. 8
XXX
XXX
XXX
11. Total Publicly Traded Bonds
11.1 NAIC 1
XXX
11.2 NAIC 2
XXX
11.3 NAIC 3
XXX
11.4 NAIC 4
XXX
11.5 NAIC 5
XXX
11.6 NAIC 6
XXX
11.7 Totals
XXX
11.8 Line 11.7 as a % of Col. 6
XXX
XXX
XXX
XXX
11.9 Line 11.7 as a % of Line 9.7, Col. 6,
Section 9
XXX
XXX
XXX
XXX
12. Total Privately Placed Bonds
12.1 NAIC 1
XXX
12.2 NAIC 2
XXX
12.3 NAIC 3
XXX
12.4 NAIC 4
XXX
12.5 NAIC 5
XXX
12.6 NAIC 6
XXX
12.7 Totals
XXX
12.8 Line 12.7 as a % of Col. 6
XXX
XXX
XXX
XXX
12.9 Line 12.7 as a % of Line 9.7, Col. 6,
Section 9
XXX
XXX
XXX
XXX
(a) Includes $
freely tradable under SEC Rule 144 or qualified for resale under SEC Rule 144A.
(b) Includes $
current year, $
prior year of bonds with Z designations and $
, current year $
prior year of bonds with Z* designations. The letter "Z" means the NAIC designation was not
assigned by the Securities Valuation Office (SVO) at the date of the statement. "Z*" means the SVO could not evaluate the obligation because valuation procedures for the security class are under regulatory review.
current year, $
prior year of bonds with 5* designations and $
, current year $
prior year of bonds with 6* designations. "5*" means the NAIC designation was assigned by the
(c) Includes $
(SVO) in reliance on the insurer'
s certification that the issuer is current in all principal and interest payments. "6*" means the NAIC designation was assigned by the SVO due to inadequate certification of principal and interest payments.
(d) Includes the following amount of non-rated short-term and cash equivalent bonds by NAIC designation: NAIC 1 $
; NAIC 2 $
; NAIC 3 $
; NAIC 4 $
; NAIC 5 $
; NAIC 6 $
SCHEDULE D - PART 1A - SECTION 2
Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Type and Subtype of Issues
1
SI08
Distribution by Type
1. U.S. Governments
1.1 Issuer Obligations
1.2 Residential Mortgage-Backed Securities
1.3 Commercial Mortgage-Backed Securities
1.4 Other Loan-Backed and Structured Securities
1.5 Totals
2. All Other Governments
2.5 Totals
3. U.S. States, Territories and Possessions, Guaranteed
3.5 Totals
4. U.S. Political Subdivisions of States, Territories and Possessions, Guaranteed
4.5 Totals
5. U.S. Special Revenue & Special Assessment Obligations etc., NonGuaranteed
5.5 Totals
6. Industrial and Miscellaneous
6.5 Totals
7. Hybrid Securities
7.5 Totals
8. Parent, Subsidiaries and Affiliates
8.5 Totals
1 Year or Less
2
Over 1 Year
Through 5 Years
3
4
Over 5 Years
Over 10 Years
Through 10 Years Through 20 Years
Over 20 Years
Total Current Year
7
Col. 6 as a % of
Line 9.5
8
Total from Col. 6
Prior Year
9
% From Col. 7
Prior Year
10
Total Publicly
Traded
11
Total Privately
Placed
Maturity Distribution of All Bonds Owned December 31, at Book/Adjusted Carrying Values by Major Type and Subtype of Issues
1
SI09
Distribution by Type
9. Total Bonds Current Year
9.5 Totals
9.6 Line 9.5 as a % of Col. 6
10. Total Bonds Prior Year
10.5 Totals
10.6 Line 10.5 as a % of Col. 8
11. Total Publicly Traded Bonds
11.5 Totals
11.6 Line 11.5 as a % of Col. 6
11.7 Line 11.5 as a % of Line 9.5, Col. 6, Section 9
12. Total Privately Placed Bonds
12.5 Totals
12.6 Line 12.5 as a % of Col. 6
12.7 Line 12.5 as a % of Line 9.5, Col. 6, Section 9
1 Year or Less
2
Over 1 Year
Through 5 Years
3
4
Over 5 Years
Over 10 Years
Through 10 Years Through 20 Years
Over 20 Years
Total Current Year
XXX
XXX
XXX
XXX
XXX
XXX
7
Col. 6 as a % of
Line 9.5
8
Total from Col. 6
Prior Year
9
% From Col. 7
Prior Year
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
10
Total Publicly
Traded
11
Total Privately
Placed
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
SCHEDULE DA - VERIFICATION BETWEEN YEARS

Short-Term Investments
1.
2.
Cost of short-term investments acquired
3.
Accrual of discount
4.
Unrealized valuation increase (decrease)
5.
Total gain (loss) on disposals
6.
Deduct consideration received on disposals
7.
8.
Total foreign exchange change in book/adjusted carrying value
9.
Deduct current years other than temporary impairment recognized
SI10
10.
Book adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9)
11.
12. Statement value at end of current period (Line 10 minus Line 11)
(a) Indicate the category of such assets, for example, joint ventures, transportation equipment:
Total
Bonds
Mortgage Loans
4
Other Short-term
Investment Assets (a)
5
Investments in Parent,
Subsidiaries and Affiliates
SCHEDULE DB - PART A - VERIFICATION BETWEEN YEARS

Options, Caps, Floors, Collars, Swaps and Forwards
1.
Book/adjusted carrying value, December 31, prior year (Line 9, prior year)
2.
Cost paid/(consideration received) on additions:

2.1 Current year paid/(consideration received) at time of acquisition, still open, Section 1, Column 12
2.2 Current year paid/(consideration received) at time of acquisition, terminated, Section 2, Column 14
3.
Unrealized valuation increase/(decrease):

3.1 Section 1, Column 17
4.
Total gain (loss) on termination recognized, Section 2, Column 22
5.
Considerations received/(paid) on terminations, Section 2, Column 15
6.
Amortization:
7.
Adjustment to the book/adjusted carrying value of hedged item:

8.

9.
Book/adjusted carrying value at end of current period (Lines 1+2+3+4-5+6+7+8)
10.
Deduct nonadmitted assets
11.
SCHEDULE DB - PART B - VERIFICATION

Futures Contracts
1.
Book/Adjusted carrying value, December 31 of prior year (Line 6, prior year)
2.
Cumulative cash change (Section 1, Broker Name/Net Cash Deposits Footnote - Cumulative Cash Change Column)
3.1 Add:
Change in variation margin on open contracts - Highly effective hedges
3.11 Section 1, Column 15, current year minus
3.12 Section 1, Column 15, prior year
Change in variation margin on open contracts - All other
3.13 Section 1, Column 18, current year minus
3.2 Add:
Change in adjustment to basis of hedged item
3.21 Section 1, Column 17, current year to date minus
Change in amount recognized
3.23 Section 1, Column 19, current year to date minus
3.3 Subtotal (Line 3.1 minus Line 3.2)
4.1 Cumulative variation margin on terminated contracts during the year (Section 2, Column 15)
4.2 Less:
4.21 Amount used to adjust basis of hedged item (Section 2, Column 17)
4.22 Amount recognized (Section 2, Column 16)
4.3 Subtotal (Line 4.1 minus Line 4.2)
5.
Dispositions gains (losses) on contracts terminated in prior year:

5.1 Total gain (loss) recognized for terminations in prior year
5.2 Total gain (loss) adjusted into the hedged item(s) for terminations in prior year
6.
Book/Adjusted carrying value at end of current period (Lines 1+2+3.3-4.3-5.1-5.2)
7.
8.
SI11
Schedule DB - Part C - Section 1 - Replication (Synthetic Asset) Transactions (RSATs) Open
NONE
Schedule DB-Part C-Section 2-Reconciliation of Replication (Synthetic Asset) Transactions Open
NONE
SI12, SI13
SCHEDULE DB - VERIFICATION
Verification of Book/Adjusted Carrying Value, Fair Value and Potential Exposure of all Open Derivative Contracts
Book/Adjusted Carrying Value Check
1.
Part A, Section 1, Column 14
2.
Part B, Section 1, Column 15 plus Part B, Section 1 Footnote - Total Ending Cash Balance
3.
Total (Line 1 plus Line 2)
4.
Part D, Section 1, Column 5
5.
6.
Total (Line 3 minus Line 4 minus Line 5)
7.
8.
Part B, Section 1, Column 13
9.
Total (Line 7 plus Line 8)
Fair Value Check
10.
11.
12
Total (Line 9 minus Line 10 minus Line 11)
Potential Exposure Check

13.
14.
Part B, Section 1, Column 20
15.
16.
Total (Line 13 plus Line 14 minus Line 15)
SI14
SCHEDULE E - VERIFICATION BETWEEN YEARS

(Cash Equivalents)
1.
2.
Cost of cash equivalents acquired
3.
Accrual of discount
4.
Unrealized valuation increase (decrease)
5.
Total gain (loss) on disposals
6.
Deduct consideration received on disposals
7.
8.
Total foreign exchange change in book/adjusted carrying value
9.
Deduct current years other than temporary impairment recognized
10.
Book/adjusted carrying value at end of current period (Lines 1+2+3+4+5-6-7+8-9)
11.
12. Statement value at end of current period (Line 10 minus Line 11)
(a) Indicate the category of such assets, for example, joint ventures, transportation equipment:
SI15
Total
Bonds
Other (a)
Schedule A - Part 1 - Real Estate Owned
NONE
Schedule A - Part 2 - Real Estate Acquired and Additions Made
NONE
Schedule A - Part 3 - Real Estate Disposed
NONE
E01, E02, E03
SCHEDULE B - PART 1
Location
3
Loan Number
Showing All Mortgage Loans OWNED December 31 of Current Year
Code
City
State
! " #
"
#
$
#
#
"
"
% &
!
"!
% &
&
"
"
"
#'# '#
% "
! &
"
"
# #
E04
#&%
#
"
%
(
(
"
%# %
%
&
"
!
"
&
(
)
(
%# %
! " #
#
%#
%
*
( "
$
"
!
!
&
*
& "
&
%
(
"
&
! "
"
!
&
(
!
&
Loan
Type
Date
Acquired
Rate of
Interest
8
Book
Value/Recorded
Investment
Excluding
Accrued
Interest
9
Unrealized
Valuation
Increase
(Decrease)
Change in Book Value/Recorded Investment

10
11
12
Current Years
Other-ThanTemporary
Current Years
Capitalized
Impairment
(Amortization)/
Deferred Interest
Recognized
Accretion
and Other
13
Total Foreign
Exchange
Change in
Book Value
14
15
Value of
Land and
Buildings
Date of
Last
Appraisal
or
Valuation
SCHEDULE B - PART 1
Location
3
Loan Number
Code
City
State
!
"
!
# "
"
#
!
$
"
#
$
" "
!
!
E04.1
"
"
"
"
$
% $
"
#
"
&
"
!
'
% $
"
$
'
"
% $
!
"
!
!
"
'
#
'#$
&
#
#
#
!
$
Loan
Type
Date
Acquired
Rate of
Interest
8
Book
Value/Recorded
Investment
Excluding
Accrued
Interest
9
Unrealized
Valuation
Increase
(Decrease)

10
11
12
Current Years
Other-ThanTemporary
Current Years
Capitalized
Impairment
(Amortization)/
Deferred Interest
Recognized
Accretion
and Other
13
Total Foreign
Exchange
Change in
Book Value
14
15
Value of
Land and
Buildings
Date of
Last
Appraisal
or
Valuation
SCHEDULE B - PART 1
Location
Loan Number
Code
City
State
0599999. Mortgages in good standing - Commercial mortgages-all other

0899999. Total Mortgages in good standing
1699999. Total - Restructured Mortgages
2499999. Total - Mortgages with overdue interest over 90 days
3299999. Total - Mortgages in the process of foreclosure
3399999 - Totals
General Interrogatory:
1. Mortgages in good standing $
unpaid taxes $
2. Restructured mortgages $
unpaid taxes $
3. Mortgages with overdue interest over 90 days not in process of foreclosure $
unpaid taxes $
4. Mortgages in process of foreclosure $
Loan
Type
Date
Acquired
Rate of
Interest
8
Book
Value/Recorded
Investment
Excluding
Accrued
Interest
9
Unrealized
Valuation
Increase
(Decrease)

10
11
12
Current Years
Other-ThanTemporary
Current Years
Capitalized
Impairment
(Amortization)/
Deferred Interest
Recognized
Accretion
and Other
13
Total Foreign
Exchange
Change in
Book Value
14
15
Value of
Land and
Buildings
Date of
Last
Appraisal
or
Valuation
XXX
XXX
XXX
XXX
XXX
XXX
interest due and unpaid.
unpaid taxes $
E04.2
SCHEDULE B - PART 2
Loan Number
City
Location
Showing All Mortgage Loans ACQUIRED AND ADDITIONS MADE During the Current Year
3
State
!
"
$
"
!
#
%
#
#
$
"
#
"
#
!
$
"
E05
"
$
&
"
"
%
&
#
&
&
$
'
0599999. Mortgages in good standing - Commercial mortgages-all other

0899999. Total Mortgages in good standing
1699999. Total - Restructured Mortgages
2499999. Total - Mortgages with overdue interest over 90 days
3299999. Total - Mortgages in the process of foreclosure
3399999 - Totals
Loan
Type
Date Acquired
Rate of Interest
Actual Cost at
Time of Acquisition
8
Additional
Investment Made
After Acquisition
9
Value of Land
and Buildings
SCHEDULE B - PART 3
Loan Number
City
Location
State
! !
0199999. Mortgages closed by repayment

!
!
" # $
#
$!
%
$
$
#
"
#
!
#
E06
&
#"
"
!
!
$'$ '$
! #
" &
! #
#
! $ $
$&
$
#
!
!
#
!$!
!
"
"
&
!
#
#
&
!
!$!
" # $
! $
!$
(
# !
" !
"
!
!
!
%
#
&
(
!
!
!
!
&
!
!
!
!
!
!
#
!
Loan
Type
Showing All Mortgage Loans DISPOSED, Transferred or Repaid During the Current Year
5
Date
Acquired
Disposal
Date
7
Book Value/
Recorded
Investment
Excluding
Accrued
Interest
Prior Year

14
Book Value/
9
10
11
12
13
Recorded
Current
Investment
Years OtherTotal
ThanUnrealized
Current
Capitalized
Change
Total Foreign Excluding
Accrued
Temporary
Valuation
Years
Deferred
in
Exchange
Interest on
Increase (Amortization) Impairment Interest and Book Value
Change in
Disposal
Recognized
(Decrease)
/Accretion
Other
(8+9-10+11) Book Value
8
15
16
17
18
Consideration
Foreign
Exchange
Gain
(Loss) on
Disposal
Realized
Gain
(Loss) on
Disposal
Total
Gain
(Loss) on
Disposal
SCHEDULE B - PART 3
Loan Number
City
Location
State
Loan
Type
Showing All Mortgage Loans DISPOSED, Transferred or Repaid During the Current Year
5
Date
Acquired
Disposal
Date
7
Book Value/
Recorded
Investment
Excluding
Accrued
Interest
Prior Year

14
Book Value/
9
10
11
12
13
Recorded
Current
Investment
Years OtherTotal
ThanUnrealized
Current
Capitalized
Change
Total Foreign Excluding
Accrued
Temporary
Valuation
Years
Deferred
in
Exchange
Interest on
Increase (Amortization) Impairment Interest and Book Value
Change in
Disposal
Recognized
(Decrease)
/Accretion
Other
(8+9-10+11) Book Value
8
15
16
17
18
Consideration
Foreign
Exchange
Gain
(Loss) on
Disposal
Realized
Gain
(Loss) on
Disposal
Total
Gain
(Loss) on
Disposal
!
"
#
$
%
"
$%
$
!
&
E06.1
"
&%
!
$
%
%
%
$
&
'%
!
!
&
&
0299999. Mortgages with partial repayments

%
$
&
0399999. Mortgages disposed

0599999 - Totals
(
(
(
)
)
)
)
(
(
)
)
)
(
(
)
)
SCHEDULE BA - PART 1
Location
4
CUSIP
Identification
Name or Description
# $ % & '
# ,&
# / 0
' 1
'
1 '
2 '
3
& ( /
% $ / 3
5
7.
/
(
'& 6 $,
) 8 1 ' *(
; ., , ' % &
;3
1 '
E07
),
)3
A
@,
Code
City
( '
/
6 ,
(((
4
'
(
40
)
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$ 1 '
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$, % 5
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1 '
4 ,
1 '
@ ' ' 1 '
& # / 1 ' *( " "
1 '
$
((
' 7 .3 % &
$
Name of Vendor
or General Partner
State
. )
((
NAIC
Designation
Date
Originally
Acquired
# $ % & '
# ,& - . &
# / 0
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6 &&
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6
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<"6"
@
<"6"
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+
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C- 7
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+ ! +!
+
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+ !+ !
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:
+! :
9 +
:
9 !
+ :
9! +
:
9 !
:
!
!
+ !+!
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"
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"
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XXX
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"
+ "
+ "
+
+ !!
+
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+
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+
+ 7 #
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+
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5
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State
Date
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10
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12
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CUSIP
Identification
Description
C
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Codes
4
5
F
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i
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n
Bond
Char
NAIC
Des.
Actual
Cost
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9
Rate
Used to
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Value
10
11
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Value
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Value

12
13
14
15
Total
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Exchange
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Year'
s
in
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16
Rate
of
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18
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SCHEDULE D - PART 1
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Codes
4
5
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CUSIP
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C
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CUSIP
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CUSIP
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12
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Value
10
11
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Value
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Value

12
13
14
15
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Exchange
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SCHEDULE D - PART 1
CUSIP
Identification
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20
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21
Dates
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22
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Date
SCHEDULE D - PART 1
CUSIP
Identification
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SCHEDULE D - PART 1
CUSIP
Identification
Description
C
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Codes
4
5
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Char
NAIC
Des.
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Rate
Used to
Obtain
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Value
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Value
10
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Value
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Adjusted
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Value

12
13
14
15
Total
Foreign
Exchange
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Change
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tization)
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4
5
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Par
Value
Book/
Adjusted
Carrying
Value

12
13
14
15
Total
Foreign
Exchange
Current
Change
Year'
s
in
OtherCurrent
Book/
ThanYear'
s
Unrealized
Temporary Adjusted
(AmorValuation
Impairment Carrying
tization)
Increase/
Value
16
Rate
of
17
18
Effective
Rate When
of
Paid
Interest
19
20
Admitted
Amount
Due and
Accrued
Amount
Received
During Year
21
Dates
Acquired
22
Stated
Contractual
Maturity
Date
SCHEDULE D - PART 1
CUSIP
Identification
'
%
"
)
! %
+
% "
% *
'
+ ,
Description
C
o
d
e
Codes
4
5
F
o
r
e
i
g
n
Bond
Char
NAIC
Des.
E10.34
&
%& &
Fair Value
9
Rate
Used to
Obtain
Fair
Value
Fair
Value
10
11
Par
Value
Book/
Adjusted
Carrying
Value

12
13
14
15
Total
Foreign
Exchange
Current
Change
Year'
s
in
OtherCurrent
Book/
ThanYear'
s
Unrealized
Temporary Adjusted
(AmorValuation
Impairment Carrying
tization)
Increase/
Value
16
Rate
of
17
18
Effective
Rate When
of
Paid
XXX
XXX
XXX
XXX
--
,
$
%$
"
&&
$ &
* &
*
"
.
#
'
"
*
+
Actual
Cost
Interest
19
20
Admitted
Amount
Due and
Accrued
Amount
Received
During Year
21
Dates
22
Acquired
Stated
Contractual
Maturity
Date
XXX
XXX
! "
# $ % & "$
&
!
! "
&"% % % & "$
&
!
(
(
(
(
(
(
(
( & ) %( **
!
*
)
* ( &"
(
&
(
&
(%$
&* !
$ (
#$ $
!% $
* *
3499999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) Commercial Mortgage-Backed Securities
*
)
.
&$
&$
&$
! *
!
&
$
&
&
%(
&
&
"
*
"
(
.
.
---
"
"
%
"%
)
$ &$
$ &$
$ &$
$ &$
$ )
- -&&
- - -
*
*
*
*
&& &
" * && &
$
&&
" * #$ $ $ *
" &.
" .
*
%
"$
$ &&
%"
% &
!$
$ "
%
---
- --
SCHEDULE D - PART 1
CUSIP
Identification
$
)
)
+
E10.35
, $
Description
!
" # # "
#
#
% %% ""
"
%
%
% " #
%)
# &
'
"
# "*
"
%
#
#
#
#
#
#
#) )
# "
#
#
#
#- %
C
o
d
e
Codes
4
5
F
o
r
e
i
g
n
Bond
Char
NAIC
Des.
Actual
Cost
Fair Value
9
Rate
Used to
Obtain
Fair
Value
Fair
Value
10
11
Par
Value
Book/
Adjusted
Carrying
Value

12
13
14
15
Total
Foreign
Exchange
Current
Change
Year'
s
in
OtherCurrent
Book/
ThanYear'
s
Unrealized
Temporary Adjusted
(AmorValuation
Impairment Carrying
tization)
Increase/
Value
16
Rate
of
17
18
Effective
Rate When
of
Paid
&
'
&
&
'
'
&
&
&
&
&
&
&
$
$
$ $
$#
$#
'
'
'
'
'
'
'
$ $
!
(
-
%
! % !
!"
! #
! #
#
"
##
) #
+ #
,
,
)
#
- #
)
#
..
..
$ #.
%.
)
.
%
%
% ##
&
&
#
. , "% #
. , "% #
'
'
$$
$
$$
$$
$
&
'
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ $
$ $
$ $
$ $
$
$
$
$
$
$
$
$
$#
$ $
$#
$ $
Interest
19
20
Admitted
Amount
Due and
Accrued
Amount
Received
During Year
21
Dates
Acquired
22
Stated
Contractual
Maturity
Date
SCHEDULE D - PART 1
CUSIP
Identification
Description
C
o
d
e
Codes
4
5
F
o
r
e
i
g
n
Bond
Char
NAIC
Des.
Actual
Cost
Fair Value
9
Rate
Used to
Obtain
Fair
Value
Fair
Value
10
11
Par
Value
Book/
Adjusted
Carrying
Value

12
13
14
15
Total
Foreign
Exchange
Current
Change
Year'
s
in
OtherCurrent
Book/
ThanYear'
s
Unrealized
Temporary Adjusted
(AmorValuation
Impairment Carrying
tization)
Increase/
Value
16
Rate
of
17
18
Effective
Rate When
of
Paid
Interest
19
20
Admitted
Amount
Due and
Accrued
Amount
Received
During Year
21
Dates
22
Acquired
Stated
Contractual
Maturity
Date
XXX
XXX
XXX
XXX
!
" "#! ## #! !
%
&
$
!
$ !
$ #
$#
$
'&"
$
(
!
!
!
#!
E10.36
3599999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) - Other

Loan-Backed and Structured Securities
3899999. Total - Industrial and Miscellaneous (Unaffiliated) Bonds
%
XXX
XXX
# ! )
!
! '
!
"%
#
!!
##
& !
& !
! # !'#
#! ! #
! #! ! #
$#
#!& &
!$
*
*
%!
#!
*
*
+
+
+
+
+
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
4999999. Subtotal - Bonds - Parent, Subsidiaries and Affiliates - Issuer Obligations
XXX
&
5299999. Subtotal - Bonds - Parent, Subsidiaries and Affiliates - Other LoanBacked and Structured Securities
5599999. Total - Parent, Subsidiaries and Affiliates Bonds
7799999. Total - Issuer Obligations
7899999. Total - Residential Mortgage-Backed Securities
7999999. Total - Commercial Mortgage-Backed Securities
8099999. Total - Other Loan-Backed and Structured Securities
8399999 - Total Bonds
XXX
XXX
*
*
XXX
XXX
XXX
XXX
4299999. Subtotal - Bonds - Hybrid Securities - Issuer Obligations

4899999. Total - Hybrid Securities
&
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
SCHEDULE D - PART 2 - SECTION 1

1
CUSIP
Identification
Codes
3
4
Description
ForCode eign
Number
of
Shares
Par
Value
Per
Share
Rate
Per
Share
Showing All PREFERRED STOCKS Owned December 31 of Current Year

8
Book/
Adjusted
Carrying
Value
Fair Value
10
Rate
Per
Share
Used to
Obtain
Fair
Value
Fair Value
11
Actual Cost
12
Dividends
13
Declared
but Unpaid
Amount
Received
During Year
14
15
Unrealized
Nonadmitted Valuation
Declared But Increase/
(Decrease)
Unpaid

16
17
18
19
Total
Foreign
Exchange
Current
Current
Year'
s
Total Change Change in
Book/
Year'
s
Other-Thanin
(AmorTemporary Book/Adjusted Adjusted
tization)
Impairment Carrying Value Carrying
Value
Accretion Recognized (15 + 16 - 17)
20
21
NAIC
Designation
Date
Acquired
!"
%
#
!
#
!
!
(
$ "
""
" )
E11
#
#
#
%
%
'*
'
"
"
'"
)
"
) +
"
'
# #
# #
* "
) '
$
"
#
! '" #
"
'"
*
'
#
'* #
)
)
*
"
*
'
"
'
"
+
#
&
,
" # *
'
&'
&'
'
8499999. Subtotal - Preferred Stock - Industrial and Miscellaneous (Unaffiliated)

,
&'
! "
'"
XXX
" *
# "
* *
8599999. Subtotal - Preferred Stock - Parent, Subsidiaries and Affiliates

8999999 - Total Preferred Stocks
XXX
XXX
XXX
.
.
.
.
/
/
/
/
XXX
&
&
&
XXX
XXX
XXX
XXX

1
CUSIP
Identification
Codes
3
4
Description
&
!"
'
""
"
ForCode eign
Number
of
Shares
Book/
Adjusted
Carrying
Value
*$
'
!
# ! & !+
"
+ "
!
Fair Value
7
8
Rate
Per
Share
Used to
Obtain
Fair
Value
Fair Value
Actual Cost
10
Declared
but Unpaid
Dividends
11
Amount
Received
During Year
12
Nonadmitted
Declared But
Unpaid

14
15
13
Unrealized
Valuation
Increase/
(Decrease)
(
(
XXX
17
16
18
Total Foreign
Current Year'
s
Exchange
NAIC
Other-Than- Total Change in
Change in
Temporary
Book/Adjusted Book/Adjusted Market
Indicator
Date
Impairment
Carrying Value
Carrying
(a)
Acquired
Recognized
(13 - 14)
Value
"!
9099999. Subtotal - Common Stock - Industrial and Miscellaneous (Unaffiliated)

"
Showing All COMMON STOCKS Owned December 31 of Current Year
)
)
(
(
(
)
)
)
#
#
XXX
XXX
"
9199999. Subtotal - Common Stock - Parent, Subsidiaries and Affiliates
E12
9799999 - Total Common Stocks

9899999 - Total Preferred and Common Stocks
(a) For all common stock bearing the NAIC market indicator "U" provide: the number of such issues
XXX
(
(
)
)
XXX
XXX
XXX
XXX
(
(
)
)
XXX
XXX
XXX
XXX
, the total $ value (included in Column 8) of all such issues $
SCHEDULE D - PART 3
Showing All Long-Term Bonds and Stocks ACQUIRED During Current Year
CUSIP
Identification
Description
Foreign
Date
Acquired
Name of Vendor
Number of Shares
of Stock
Actual Cost
Par Value
! " #
$ $
#
" &
!&
'
%
! " #
! " #
&
&
"
"
'
0599999. Subtotal - Bonds - U.S. Governments

! ' " !
1099999. Subtotal - Bonds - All Other Governments

'
"
'
"
1799999. Subtotal - Bonds - U.S. States, Territories and Possessions

"
&
'
$
'
" &
&
! "
(
!
&
2499999. Subtotal - Bonds - U.S. Political Subdivisions of States, Territories and Possessions
) "
! "
E13
! &
!
%
#
"
&
&
'
"
#
"
& &
'
"
)%
)
'
!
%!
' !
!
&
&
!
'
'
'
'
'
'!
'!
'!
'
'
'
'
'
'
'
'
'
'!
'
" #
" #
!
"
"
"
'
"
"
&
& #
)
"
! &
& '
& '
!
!
'
'
'
'
""
"
$
"
% !
% !
&
&
'
"
"
"
&
&
'
'
"
'
'
&
!
! !
'
'
! # *
+ + +
9
Paid for Accrued
Interest and
Dividends
SCHEDULE D - PART 3
CUSIP
Identification
Description
Foreign
Date
Acquired
Name of Vendor
Number of Shares
of Stock
Actual Cost
Par Value
3199999. Subtotal - Bonds - U.S. Special Revenues

!
"
#
!
9
Paid for Accrued
Interest and
Dividends
!
! !
!
$
$
$
"
!
!
! !
%%
%%
&
$
'
&
!
(
!!
!!
!!
!
! +
#
&
!!
$
$
!
!
!
+
'
!
!
!
"
!
&
&
'
!
!
!!
!
!
!
& $
E13.1
&
$
+ $
'
&
&
!
'
!
!
&
! $
! (
!#
!!
&
)
!
! +
! !
&
&
,
!!
$
$
!
$
!
$
+ $
&
!
&
!
&
&
!
! !
$
$
$
!
!
!
! !
& +
!
!
!
!!
!
) *
) *
+
+
+ &
+ &
$
$
$
!
!
!
!
&
&
!
! !
$
.
&
'
(
-
$
$
!
!
! !!
$
!
+
+ +
+
'
# $
#
!!
!!
&
&
&
&
#
#
!
!
!
!
!
!
!
%
%
%
%
%
!
!
$
$
!
!
!
!
SCHEDULE D - PART 3
CUSIP
Identification
Description
Foreign
Date
Acquired
Name of Vendor
Number of Shares
of Stock
Actual Cost
Par Value
9
Paid for Accrued
Interest and
Dividends
!
!# "
"
$"
"
"
"
"
%
%
%
%
"
&
'
$
"
"
#
!
!
'!
#
&
#
&
&
&
&
" "
!
!
"
""
""
&
"
"
&
'!
" "
"
&
"
" "
% &
!
"
'
&
&
"
" ' "
"
(
'! (
"
"
&
!
!
!
&
"
"
""
"
"
(
% &
E13.2
&
&
$
" )
&
&
"
&
!
"
"
"
"
"$
"
!
"
" !
"
" !
" !
"
""
&
' !
&
&
&
&
&
&
&
(
&
&!
&! ,
&
%
# &
"
"
"
!
!
"
"
"
!
!
!
!
&
"
!
!
&
$
$
'
"
"
#
#
# "
"
!
"
"
& !
"
"
#
(
""
!
"
(
&
"
"
!
!
"
'
"
(
!
"
""
"
!
&
$
-
"
#
(
& !
&
"
"
!
&
"
""
"
"
"
"
""
"
" '
"
"
&
'!
'!
$ #
"
'
" $
"
"
" "
"
"
!
!
""
"
* !
&
&
!
!
"
""
SCHEDULE D - PART 3
CUSIP
Identification
Description
Foreign
#
%
Date
Acquired
Name of Vendor
Number of Shares
of Stock
Actual Cost
Par Value
! !
!
!
!!!
&
"
& #
! #
'
"
#
!
# !
#
#
#
#
(! !
#
!
!
#
#
!
!
#
!
#
!#
%
(!
!
"
%
) %
%
E13.3
!
"
"
"
!
! !$
& #
!
"
" # %
!
"
"
! #
!
!
( ! "
!
!
!
!
!
%
" !
" !
(!
'
"
( %
!
!
%
# #
#!
%
!
%
!
!
(!
"
#
#!
%
!
!
(
!
!
" " ! "
" !
! !
!
# #
!
!
%
"
%
( ! "
! !$
!
& #
!
)"
!
" $
%
"
"
& #
&
&
&
&
!
%
%
%
#
!
!
& #
!
%"%
!
" !
"
"
"
"
!
!
"
!
( ! "
#
&
!
! ! "
!
!
&
&
%#
%
"
!
!$
!
(
! (
!(
!
!
!$
"
!
!
& #
!
"
"
"
!
! "!
( ! "
! #
!
!
"
"
!
( ! "
!
!
! #
"
"
#
!
!
!
"
"
"
9
Paid for Accrued
Interest and
Dividends
SCHEDULE D - PART 3
CUSIP
Identification
Description
Foreign
!
!
"
'
"
)
)
)
'
Date
Acquired
Name of Vendor
Number of Shares
of Stock
Actual Cost
Par Value
"
""
""
" '
"
"% !
( '
( '
( '
% " "
$ "
$ "
$ "
"
"
"
% '
"
"
!""
"
"
$
$
&
!
'
"
" % '
" "#
!
"
"
"
"
"
"
% '
$
$
" "
""
""
!
+
(
!
+
E13.4
!
'
+
'
'
)
!!
$
'
'
%
) &
&
"
'
" "
"* *
" +
"
"
" *
"
"
"
"*%
"*%
"*
"
"
"
"
"
"
"
+"
!"!
" ")
"
!
!
!
'
*
$
$
&
$
"
" "
!
" % '
!
%
'
"
" *
'
%
* !
$
!
$
$
$
$
"
+ %
'
$
$
$
&
"
)
""
""
""
" '
( '
$
"
"
"
- !
!
'
"
'
$
$
*
$
"
+"
"%
"
"
"
%
%
"
" ""
""
""
"
"
"
"
"
""
"
"
"
"
"
+ %
+ %
!
%
.
. '
.
. %
&
""
""
% "
""
" %"
""
'
$
$
"
"
"
""
""
""
""
"
"
,
*
*
'"
"
*
'"
"
*
*
* (
"
*
" " "
*
*
$ !"
'
"
"
"
%#
' #
*#
*
$
$
'
'
'
'
"
""
""
""
""
""
""
'
" ""
"
&
$
% "
""
' " ""
!
"
' "% !
$ "
'
9
Paid for Accrued
Interest and
Dividends
SCHEDULE D - PART 3
CUSIP
Identification
Description
Foreign
Date
Acquired
Name of Vendor
Number of Shares
of Stock
Actual Cost
Par Value
!
"
#
! $
! !
#
! $
!
! "
%
#
$ !
#
!!
# "
$
$! ! # ! !
! %
&
#
!
!#
! $
(
$ "
!
!
#
#
!
! !
)
$
#
#
(
(
#
$
!'
$ #
$ #
E13.5
* )
)
)
(
)
"
$
!
# !
! ($ !
$
)
$
#
)
$
#
)
"
"
!
# !
#
)
!
!
!$ !
!$#
$
!
!
"
* #
! "
!
!
* #
! "
% " !
"
! !
$! !
$ !
! "
$
!
!
!
!
!
$ !
$
$ " !
!
!
(
(
!
,
.
)
#
, !
,
$ !
$
!
#
#
"
$ !
"
* #
! "
* #
! "
% " !
# !
"
$
$
)
$
$
!
$ !
!
$ !
!
$ !
"
$
$ !
$ !
$
" " !
!
!
! !
)
+)+
"!
"
* #
#
-
% #
! "
% " !
% " !
#
!
!
* #
! "
)
$
"
$
! !
"
$ !
# !
) !
)
# "
+)+
3899999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated)

!
!
!
!!
$ !
!!
!
$ !
9
Paid for Accrued
Interest and
Dividends
SCHEDULE D - PART 3
CUSIP
Identification
Description
Foreign
Date
Acquired
Name of Vendor
Number of Shares
of Stock
Actual Cost
Par Value
9
Paid for Accrued
Interest and
Dividends
4899999. Subtotal - Bonds - Hybrid Securities

!
"
5599999. Subtotal - Bonds - Parent, Subsidiaries and Affiliates

8399997. Total - Bonds - Part 3
8399999. Total - Bonds
$$%
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+
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&
&
&
&
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&
&
&
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&
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&
&
8499999. Subtotal - Preferred Stocks - Industrial and Miscellaneous (Unaffiliated)

+
"
,
"
#&
XXX
#
#
'
&
&
E13.6
8599999. Subtotal - Preferred Stocks - Parent, Subsidiaries and Affiliates

8999997. Total - Preferred Stocks - Part 3
8999999. Total - Preferred Stocks
,
,
# '
# '
$ " '
$ " '
"
$
$
'
!
"
9199999. Subtotal - Common Stocks - Parent, Subsidiaries and Affiliates

9799997. Total - Common Stocks - Part 3
9799999. Total - Common Stocks
9899999. Total - Preferred and Common Stocks
9999999 - Totals
&
&
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XXX
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XXX
( '
&
&
9099999. Subtotal - Common Stocks - Industrial and Miscellaneous (Unaffiliated)

,
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SCHEDULE D - PART 4
CUSIP
Identification
" $
#
(#
For- Disposal
eign
Date
Description
"
"
"
"
"
"
"
Showing All Long-Term Bonds and Stocks SOLD, REDEEMED or Otherwise DISPOSED OF During Current Year
6
Name
of Purchaser
#
#
#
#
Number of
Shares of
Stock
$
$
$
$
Consideration
#
#
'
0599999. Subtotal - Bonds - U.S. Governments
(
(
(
'
(
2499999. Subtotal - Bonds - U.S. Political Subdivisions of States, Territories and Possessions
)
E14
$
(
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10
Actual Cost
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11
Prior Year
Book/
Adjusted
Carrying
Value
Unrealized
Valuation
Increase/
Decrease
Change In Book/Adjusted Carrying Value

12
13
14
Current
Year'
s
(Amortization)/
Accretion
!
!
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% &
&
% &
&
%
!
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&
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!
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16
% &
! &
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&
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% &
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% &
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% &
%
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&
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% &
% &
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% &
% &
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% &
% &
% &
17
Book/
Adjusted
Carrying
Value at
Disposal
Date
!
%
%
%
!
!
!
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!
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!
!
!
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Current
Total
Year'
s
Change in
OtherBook/
ThanAdjusted
Temporary
Carrying
Impairment
Value
Recognized (11+12-13)
15
Total
Foreign
Exchange
Change in
Book/
Adjusted
Carrying
Value
!
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18
19
Foreign
Exchange
Gain
Realized
Total Gain
(Loss) on Gain (Loss) (Loss) on
Disposal on Disposal Disposal
20
21
Bond
Interest/
Stock
Dividends
Received
During
Year
Stated
Contractual
Maturity
Date
!
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!
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XXX
XXX
SCHEDULE D - PART 4
CUSIP
Identification
"
For- Disposal
eign
Date
Description
Name
of Purchaser
$
'
'
% &'
'

(
# +
)
'
"
#
'
"
"
"
"
"
"
#
"
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'
$ $
'
"
% &'
"
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# +
# %
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$
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%
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$
#
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$
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"
#
#
Number of
Shares of
Stock
Consideration
! "!
!
! #
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10
11
Actual Cost
Prior Year
Book/
Adjusted
Carrying
Value
!
!
! #
! #!
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Unrealized
Valuation
Increase/
Decrease

12
13
14
Current
Total
Year'
s
Change in
OtherBook/
ThanAdjusted
Temporary
Carrying
Impairment
Value
Current
Year'
s
(Amortization)/
Accretion
"#!$
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16
Book/
Adjusted
Carrying
Value at
Disposal
Date
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!"
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17
18
!
$ !
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! " ! ##
19
Foreign
Exchange
Gain
Realized
Total Gain
) ! #*
!#
! "
!# !
15
Total
Foreign
Exchange
Change in
Book/
Adjusted
Carrying
Value
"!
"!
"!
"!
$"!$ "
!
$"!$ "
!
$$ !$$$
!$ !##
$$ !$$$
!$ !##
!#$$
!#$$
20
21
Bond
Interest/
Stock
Dividends
Received
During
Year
Stated
Contractual
Maturity
Date
"! #"
!#$
!#
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# #!"#
# !"$
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$
$
XXX
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#
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"
$ "
"
"
"
"
"
"
"
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$
$
#
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#
$
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"
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#
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#
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"
"
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#
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#
SCHEDULE D - PART 4
CUSIP
Identification
!
!
!
!
For- Disposal
eign
Date
Description
! #
'
"
$
$
$
$ )
$
$ **
6
Name
of Purchaser
Number of
Shares of
Stock
Consideration
Par Value
Actual Cost
10
Prior Year
Book/
Adjusted
Carrying
Value
11
Unrealized
Valuation
Increase/
Decrease

12
13
14
Current
Total
Year'
s
Change in
OtherBook/
ThanAdjusted
Temporary
Carrying
Impairment
Value
Current
Year'
s
(Amortization)/
Accretion
! ""
!$
( "" %
"
!&
!
# )
%
! !
&
&
&
&
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)
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)
)
%
&
"
+
+
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)
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( (
(
%
)
)
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# )
)
# !
! !
#$
'
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&
&
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!
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% &
"
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(
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)
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,
,
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(! ! "" % &
.
%
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%
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% " !! &
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&
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15
Total
Foreign
Exchange
Change in
Book/
Adjusted
Carrying
Value
16
Book/
Adjusted
Carrying
Value at
Disposal
Date
17
18
19
Foreign
Exchange
Gain
Realized
Total Gain
20
21
Bond
Interest/
Stock
Dividends
Received
During
Year
Stated
Contractual
Maturity
Date
SCHEDULE D - PART 4
CUSIP
Identification
For- Disposal
eign
Date
Description
Name
of Purchaser
6
Number of
Shares of
Stock
Consideration
Par Value
Actual Cost
10
Prior Year
Book/
Adjusted
Carrying
Value
11
Unrealized
Valuation
Increase/
Decrease

12
13
14
Current
Year'
s
(Amortization)/
Accretion
"
$
%
#
"
"
%
&
&
& '$
Current
Total
Year'
s
Change in
OtherBook/
ThanAdjusted
Temporary
Carrying
Impairment
Value
"
#
#
#
"
#
#
"
"
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&
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$
$
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+
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15
Total
Foreign
Exchange
Change in
Book/
Adjusted
Carrying
Value
16
Book/
Adjusted
Carrying
Value at
Disposal
Date
17
18
19
Foreign
Exchange
Gain
Realized
Total Gain
20
21
Bond
Interest/
Stock
Dividends
Received
During
Year
Stated
Contractual
Maturity
Date
SCHEDULE D - PART 4
CUSIP
Identification
For- Disposal
eign
Date
Description
6
Number of
Shares of
Stock
Name
of Purchaser
Consideration
Par Value
Actual Cost
10
Prior Year
Book/
Adjusted
Carrying
Value
11
Unrealized
Valuation
Increase/
Decrease

12
13
14
Current
Year'
s
(Amortization)/
Accretion
!
#
%&
Current
Total
Year'
s
Change in
OtherBook/
ThanAdjusted
Temporary
Carrying
Impairment
Value
"
15
Total
Foreign
Exchange
Change in
Book/
Adjusted
Carrying
Value
16
Book/
Adjusted
Carrying
Value at
Disposal
Date
17
18
19
Foreign
Exchange
Gain
Realized
Total Gain
"
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20
21
Bond
Interest/
Stock
Dividends
Received
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CUSIP
Identification
For- Disposal
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Date
Description
6
Name
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Stock
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SCHEDULE D - PART 4
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Date
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ThanAdjusted
Temporary
Carrying
Impairment
Value
Current
Year'
s
(Amortization)/
Accretion
15
Total
Foreign
Exchange
Change in
Book/
Adjusted
Carrying
Value
16
17
Book/
Adjusted
Carrying
Value at
Disposal
Date
18
19
Foreign
Exchange
Gain
Realized
Total Gain
!!
20
21
Bond
Interest/
Stock
Dividends
Received
During
Year
Stated
Contractual
Maturity
Date
!!
!!
"
! !
! !
! !
!
!
"
(
"
* *
"
&
!
"
"
!
!
"
"
&
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"
' ! (
'
'
'
!
!
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(
(
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!
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& $
& $
' ! (
'
!
!
!
!
! !
!
!
$
$
! *
*!
!
!
!
"
"
$
9199999. Subtotal - Common Stocks - Parent, Subsidiaries and Affiliates

9999999 - Totals
!
' !
!
!
!
!
! !
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
'
!
!
XXX
XXX
XXX
XXX
XXX
XXX
!
!
(
!
!
!
!
XXX
*
*
*
!
' !
XXX
XXX
XXX

,
,
Unrealized
Valuation
Increase/
Decrease

12
13
14

!,
!,
!!
"#
"#
# $
#
11
'
! !
!
! (
(
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!
! !
! !
! !
!
!
! !
!
XXX
XXX
XXX
XXX
XXX
XXX
SCHEDULE D - PART 5
CUSIP
Identification
Description
Showing All Long-Term Bonds and Stocks ACQUIRED During Year and Fully DISPOSED OF During Current Year
ForDate
eign Acquired
Name of Vendor
Disposal
Date
Name of
Purchaser
Par Value
(Bonds)
or
Number of
Shares
(Stock)
10
Actual Cost
#
#
#
"
1799999. Subtotal - Bonds - U.S. States, Territories and Possessions

&
# #
##
%
%
# #
#
#
#
# #
#
#
"$ & ' $

)
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# %
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%
#
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#
&
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+ $
%
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(
$
&
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"
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&
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$
$
$
% "
#
#
#
$
*
*
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$
$
&
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$
$
%
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$
&
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$
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&
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%
&
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$
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$
$
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&
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!
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#
#
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#
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#
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##
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*
&
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)
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#
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&
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&
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#
$
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%
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$
#
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$
$
#
#
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!
!
!
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!
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(
"
#
' $
)
(
&$
$
&
!
!
!
#
#
Paid for
Accrued
Interest
and
Dividends
#
#
!
!
$
&
(
&
(
(
$
(
Total Gain
(Loss) on
Disposal
Interest
and
Dividends
Received
During
Year
#
#
#
%
%
$
$
(
&
&
&
%
%
%
21
#
!
!
#
#
20
#
#
#
#
19
!
!
!
#
&
,
$ &
Realized
Gain
(Loss) on
Disposal
#
$
Current
Year'
s
(Amortization)/
Accretion
18
&$
(
##
##
%
$
$
Unrealized
Valuation
Increase/
(Decrease)
Current
Total
Year'
s
Change in
OtherBook/
ThanAdjusted
Temporary Carrying
Impairment Valu (12 +
Recognized 13 - 14)
17
16
Total
Foreign
Exchange
Change in Foreign
Book/
Exchange
Adjusted
Gain
Carrying (Loss) on
Value
Disposal
#
#
#
## #
# #

$
$
$

13
14
15
1099999. Subtotal - Bonds - All Other Governments

%
12
Book/
Adjusted
Carrying
Value at
Disposal
Consideration
"
# # $
11
# !
# !
#
!
#
# #
SCHEDULE D - PART 5
CUSIP
Identification
Description
ForDate
eign Acquired
Name of Vendor
Disposal
Date
Name of
Purchaser
Par Value
(Bonds)
or
Number of
Shares
(Stock)
10
Actual Cost
11
12
Book/
Adjusted
Carrying
Value at
Disposal
Consideration

13
14
15
Unrealized
Valuation
Increase/
(Decrease)
Current
Year'
s
(Amortization)/
Accretion
!
$ %
$ %
$ %
#
#
#
#
) &
&
&
&
#
#
#
&
&
&
&
#
#
&
&
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&$
&
*
, #
$
$
( *
&
(&
&
&
&
&
# #
# '
(
&
E15.1
&
&
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&
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*
)
&
+
+
$
'
*
*
*
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#
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&
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&
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+
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#
&
+
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)
$ &
$ &
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+
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&
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#
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Interest
and
Dividends
&
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&
+
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&
$ '
## #
# # #
#
#
##
#
#
#
&
&
'
#
#
#
#
(
Total Gain
(Loss) on
Disposal
Interest
and
Dividends
Received
During
Year
##
$
$
$
#
#
! "
#
)
)
21
"
#
&
$
$
$
#
#
##
###
#
#
#
# #
### #
&
&
&
&
20
&
&
Realized
Gain
(Loss) on
Disposal
19
&
+
,
#
# #
#
+ #
#
# #$
##
##
# #
#
#
#
#
(
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&
#
&
(
#
#
##
###
#
#
#
# #
### #
&'
*
*
$
$
$
$ &
"
18
#
( &
*
&
&'
&
&
Current
Total
Year'
s
Change in
OtherBook/
ThanAdjusted
Temporary Carrying
Recognized 13 - 14)
17
16
Total
Foreign
Exchange
Change in Foreign
Book/
Exchange
Adjusted
Gain
Carrying (Loss) on
Value
Disposal
"
!
!
"
!
!
"
"
##"
# #
#
!
"
"
"
"
#
#
##
&
&
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+
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#
!
"
"
##"
"
"
"
"
"
"
SCHEDULE D - PART 5
CUSIP
Identification
Description
ForDate
eign Acquired
6
Disposal
Date
Name of Vendor
Name of
Purchaser
Par Value
(Bonds)
or
Number of
Shares
(Stock)
Actual Cost
10
Consideration
11
Book/
Adjusted
Carrying
Value at
Disposal
12

13
14
15
Unrealized
Valuation
Increase/
(Decrease)
Current
Total
Year'
s
Change in
OtherBook/
ThanAdjusted
Temporary Carrying
Recognized 13 - 14)
Current
Year'
s
(Amortization)/
Accretion
!
$
$
&
!
$
' $
(
(
'
'
'
+!+
* '
'
E15.2
,
+
"
"
"
"
"
"
4899999. Subtotal - Bonds - Hybrid Securities

-
'
+
+
8599999. Subtotal - Preferred Stocks - Parent, Subsidiaries and Affiliates

.
.
$
$
21
Total Gain
(Loss) on
Disposal
Interest
and
Dividends
Received
During
Year
Paid for
Accrued
Interest
and
Dividends
"
"
"
"
"
"
#
#
#
#
"
"
"
"
#
#
#
#
'
20
Realized
Gain
(Loss) on
Disposal
19
!
'
'
) *
18
$
'
&
&
!
17
16
Total
Foreign
Exchange
Change in Foreign
Book/
Exchange
Adjusted
Gain
Carrying (Loss) on
Value
Disposal
/
/

9999999 - Totals
/
/
+
+
Valuation of Shares of Subsidiary, Controlled or Affiliated Companies
Description,
Name of Subsidiary,
Controlled
or Affiliated Company
CUSIP
Identification
NAIC
Valuation
Method
NAIC
(See SVO
Company
Purposes
Code or
and
Alien Insurer
Identification Procedures
Manual)
Foreign Number
6
Do Insurer'
s
Assets
Include
Intangible
Assets
Connected
with Holding
of Such
Company'
s
Stock?
Total
Amount of Such
Intangible Assets
Book/Adjusted
Carrying Value
Stock of Such Company Owned by

Insurer on Statement Date
9
10
Number
of Shares
% of
Outstanding
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1999999 - Totals
XXX
1. Amount of insurer'
s capital and surplus from the prior period'
s statutory statement reduced by any admitted EDP, goodwill and net deferred tax assets
included therein: $
2.Total amount of intangible assets nonadmitted $
XXX
0199999. Subtotal - Preferred Stock - Parent

!
"
#%
0899999. Subtotal - Preferred Stock - Other Affiliates

0999999. Total Preferred Stocks
!
&
&
'
"
$ !
#
1799999. Subtotal - Common Stock - Other Affiliates

1899999. Total Common Stocks
CUSIP
Identification
Name of Lower-Tier Company
0399999 - Total
Name of Company Listed in Section 1 Which

Controls Lower-Tier Company
4
Total
Amount of Intangible
Assets Included in
Amount Shown in
Column 7, Section 1
NONE
E16
Stock in Lower-Tier Company Owned

Indirectly by Insurer on
Statement Date
5
6
% of
Number of Shares
Outstanding
XXX
XXX
SCHEDULE DA - PART 1
Codes
CUSIP
ForIdentiDate
Code eign Acquired
fication
Description
Name of Vendor
4999999. Subtotal - Bonds - Parent, Subsidiaries and Affiliates - Issuer Obligations

8399999. Total Bonds
8699999. Total - Parent, Subsidiaries and Affiliates
E17
" #
8899999. Subtotal - Exempt Money Market Mutual Funds
9199999 - Totals
"
Showing All SHORT-TERM INVESTMENTS Owned December 31 of Current Year

7
Maturity
Date
XXX
Book/
Adjusted
Carrying
Value

9
10
11
12
Total
Foreign
Current
Exchange
Year'
s
Change in
Current
OtherBook/
Unrealized
Year'
s
ThanValuation
(AmorTemporary Adjusted
Increase/
tization)/ Impairment Carrying
Value
13
14
15
16
Amount Due
and Accrued
Dec. 31 of
Current
Year on
Bonds not
in Default
NonAdmitted
Due and
Accrued
Interest
17
21
18
19
Rate
of
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Effective
Rate
of
XXX
XXX
XXX
XXX
XXX
XXX
XXX
When
Paid
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
Par Value
Actual Cost
20
Amount
Received
During
Year
Paid for
Accrued
Interest
SCHEDULE DB - PART A - SECTION 1
Description
2
Description
of Item(s)
Hedged,
Used for
Income
Generation
or Replicated
Schedule/
Exhibit
Identifier
Showing all Options, Caps, Floors, Collars, Swaps and Forwards Open as of December 31 of Current Year
Type(s)
of
Risk(s)
(a)
Exchange, Counterparty
or Central Clearinghouse
!
!
1
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15
Code
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22
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2
Description
of Item(s)
Hedged,
Used for
Income
Generation
or Replicated
Schedule/
Exhibit
Identifier
Type(s)
of
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(a)
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0019999. Subtotal - Purchased Options - Hedging Effective - Call Options and Warrants
0079999. Subtotal - Purchased Options - Hedging Effective
Trade
Date
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Date of
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Price,
Rate or
Index
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(Paid)
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Year(s)
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14
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15
Code
XXX
XXX
16
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17
18
19
20
Unrealized
Valuation
Increase/
(Decrease)
Total
Foreign
Exchange
Change in
B./A.C.V.
Current
Years
(Amortization)/
Accretion
Adjustment
to Carrying
Value of
Hedged
Item
(& +& %
() +*
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21
Potential
Exposure
22
23
Credit
Hedge
of
at Inception
Referand at
ence
Year-end
Entity
(b)
(
(
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(
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XXX
XXX
E18.3
2
3
4
Description
of Item(s)
Hedged,
Used for
Type(s)
Income
Schedule/
of
Generation
Exhibit
Risk(s)
or Replicated
Description
Identifier
(a)
0149999. Subtotal - Purchased Options - Hedging Other
0219999. Subtotal - Purchased Options - Replications
0289999. Subtotal - Purchased Options - Income Generation
0359999. Subtotal - Purchased Options - Other
0369999. Total Purchased Options - Call Options and Warrants
0379999. Total Purchased Options - Put Options
0389999. Total Purchased Options - Caps
0399999. Total Purchased Options - Floors
0409999. Total Purchased Options - Collars
0419999. Total Purchased Options - Other
0429999. Total Purchased Options
0499999. Subtotal - Written Options - Hedging Effective
0569999. Subtotal - Written Options - Hedging Other
0639999. Subtotal - Written Options - Replications
0709999. Subtotal - Written Options - Income Generation
0779999. Subtotal - Written Options - Other
0789999. Total Written Options - Call Options and Warrants
0799999. Total Written Options - Put Options
0809999. Total Written Options - Caps
0819999. Total Written Options - Floors
0829999. Total Written Options - Collars
0839999. Total Written Options - Other
0849999. Total Written Options
0909999. Subtotal - Swaps - Hedging Effective
0969999. Subtotal - Swaps - Hedging Other
1029999. Subtotal - Swaps - Replication
1089999. Subtotal - Swaps - Income Generation
1149999. Subtotal - Swaps - Other
1159999. Total Swaps - Interest Rate
1169999. Total Swaps - Credit Default
1179999. Total Swaps - Foreign Exchange
1189999. Total Swaps - Total Return
1199999. Total Swaps - Other
1209999. Total Swaps
1269999. Subtotal - Forwards
1399999. Subtotal - Hedging Effective
1409999. Subtotal - Hedging Other
1419999. Subtotal - Replication
1429999. Subtotal - Income Generation
1439999. Subtotal - Other
1449999 - Totals
6
Trade
Date
Date of
Number
Maturity
of
or
10
Notional
Amount
Strike
Price,
Rate or
Index
Received
(Paid)
11
12
Cumulative
Current
Prior
Year Initial
Year(s)
Cost of
Initial Cost
of Premium Premium
Paid
Paid
13
Current
Year
Income
14
Book/
Adjusted
Carrying
Value
(a)
Code
Description of Hedged Risk(s)
(b)
Code
Financial or Economic Impact of the Hedge at the End of the Reporting Period
15
Code
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
16
Fair Value
17
18
19
20
Unrealized
Valuation
Increase/
(Decrease)
Total
Foreign
Exchange
Change in
B./A.C.V.
Current
Years
(Amortization)/
Accretion
Adjustment
to Carrying
Value of
Hedged
Item
21
Potential
Exposure
22
23
Credit
Hedge
of
at Inception
Referand at
ence
Year-end
Entity
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Showing all Options, Caps, Floors, Collars, Swaps and Forwards Terminated During Current Year
1
Description
2
Description
of Item(s)
Hedged,
Used for
Income
Generation
or Replicated
Schedule
/
Exhibit
Identifier
Type(s)
of
Risk(s)
(a)
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Indicate
Exercise,
Expiration,
Maturity or
Sale
10
Number
of
Contracts
&*
'*
%*&
(*%
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Index
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18
Code
19
20
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21
Current
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23
Adjustment
to Carrying
Value of
Hedged
Item
24
25
Gain
(Loss)
on
Termination
Deferred
Hedge
Effectiveness
at Inception
and at
Termination
(b)
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1
Description
2
Description
of Item(s)
Hedged,
Used for
Income
Generation
or Replicated
Schedule
/
Exhibit
Identifier
Type(s)
of
Risk(s)
(a)
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Expiration,
Maturity or
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10
Number
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11
12
Notional
Amount
Strike
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Rate or
Index
Received
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14
15
Cumulative
Initial Cost
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Code
19
20

Valuation
Exchange
Increase/
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(Decrease)
B./A.C.V.
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21
Current
Years
(Amortization)/
Accretion
22
Gain
(Loss)
on
Termination
Recognized
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23
Adjustment
to Carrying
Value of
Hedged
Item
24
25
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.&#&,' /
.+$, $#/
.#$, $(/
.& &, *'/
.)&,$*&/
.) ,&($/
. &,') /
.# ,*' /
.& #, +#/
.&##,+* /
.+',#*'/
.$',&&#/
.&+#,)(&/
.&*(,&$'/
.#',##'/
.#'(/
.(* ,$$ /
.(#,(*+/
#($
.'*, $/
21
Current
Years
(Amortization)/
Accretion
22
Gain
(Loss)
on
Termination
Recognized
$ , #+
' ),&)$
&,#'*, &#
)*,*(
+ ,((#
+ $,&)#
&,&*',+&#
$(*,*)*
')*,('(
#,+*(,()
&#$,$)
& , &'
((&, &)
&,&'),(&'
*#,) )
$(, )(
*&#, ((
#,& *,
$&, &&
((+,++*
+ *,)
&,&*',($&
)#,( #
& ,+$*
+$,( &
#,*+*,&&(
&#$,&#&
'(*,# '
#)),+*)
),
&((,&)'
+#$, +
$$*,(*
&,(# ,#''
$$,( '
( &,$ )
** ,&&&
'(, '
$&*,($
()(, *+
**(,)'*
$(,')'
((*,))*
)', **
+' ,((
((),++
+ ),+ +
#&&,*$&
+$*,&+*
*($,&#+
&&&,*)(
( (,()(
&*&,&$+
+*$,))$
&+#, )
# $, ((
+# , &
+) ,)(+
#+(,*++
#(#,(#+
&(',$(
(**,* (
&#,(++
#( ,$'&
##),&*)
*, &$
('$,+
&( ,)('
##),$ )
&,&* ,*$
#&&, *$
&#$,$'
& (,$
(# ,)++
23
Adjustment
to Carrying
Value of
Hedged
Item
24
25
Gain
(Loss)
on
Termination
Deferred
Hedge
Effectiveness
at Inception
and at
Termination
(b)
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
#
#
#
#
#
+
#
#
+
+
+
+
+
+
+
+
+
&
+
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
&
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
+
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
(
1
Description
2
Description
of Item(s)
Hedged,
Used for
Income
Generation
or Replicated
Schedule
/
Exhibit
Identifier
Type(s)
of
Risk(s)
(a)
!" #
"
!" #
!" #
!" #
"&
"
$% %
+ $#&2
$% %
$% %
$% %
(-! -&
E19.3
0019999. Subtotal - Purchased Options - Hedging Effective - Call Options and Warrants
0079999. Subtotal - Purchased Options - Hedging Effective
0149999. Subtotal - Purchased Options - Hedging Other
0219999. Subtotal - Purchased Options - Replications
0289999. Subtotal - Purchased Options - Income Generation
0359999. Subtotal - Purchased Options - Other
0369999. Total Purchased Options - Call Options and Warrants
0379999. Total Purchased Options - Put Options
0389999. Total Purchased Options - Caps
0399999. Total Purchased Options - Floors
0409999. Total Purchased Options - Collars
0419999. Total Purchased Options - Other
0429999. Total Purchased Options
0499999. Subtotal - Written Options - Hedging Effective
0569999. Subtotal - Written Options - Hedging Other
0639999. Subtotal - Written Options - Replications
0709999. Subtotal - Written Options - Income Generation
0779999. Subtotal - Written Options - Other
0789999. Total Written Options - Call Options and Warrants
0799999. Total Written Options - Put Options
0809999. Total Written Options - Caps
0819999. Total Written Options - Floors
0829999. Total Written Options - Collars
0839999. Total Written Options - Other
0849999. Total Written Options
0909999. Subtotal - Swaps - Hedging Effective
0969999. Subtotal - Swaps - Hedging Other
1029999. Subtotal - Swaps - Replication
1089999. Subtotal - Swaps - Income Generation
1149999. Subtotal - Swaps - Other
1159999. Total Swaps - Interest Rate
1169999. Total Swaps - Credit Default
1179999. Total Swaps - Foreign Exchange
1189999. Total Swaps - Total Return
1199999. Total Swaps - Other
1209999. Total Swaps
1269999. Subtotal - Forwards
1449999 - Totals
!& &
2
!& &
!& &
!& &
&
! '
+ )+-+
! '
! '
! '
% '*
Trade
Date
%(
%(
%(
%(
%
%
(
%'
(1
(1
(
-
(
(
(
(
(
(
%)
%)
%)
%)
%*
%*
Date of
Maturity
Terminaor
tion
ExpiraDate
tion
%(
%(
%(
%(
%(
%(
%'
%'
((((-
(
(
(
(
(
(
%*
%*
%*
%*
%*
%*
%(
%(
%(
%(
%(
%(
%+
%+
(*
(*
(*
(*
(
(
(
(
(
(
%*
%*
%*
%*
%*
%*
10
Indicate
Exercise,
Expiration,
Maturity or
Sale
Number
of
Contracts
+,
%,
),
%1,
),
%,
11
12
Notional
Amount
Strike
Price,
Rate or
Index
Received
(Paid)
%*, *-, %,+ ',, (*,(

)%,) ),+
, (*,(
%+,*%*,
%,+%+.)(
%,+ '.%,+*%.*
%,+*%.*
%,+*%.*
%,+*%.*
13
14
15
Cumulative
Initial Cost
tion
Received
(Paid) on
Paid
Paid
Termination
*(',%()
),'(% 1,''(
+' ,(++
),'+), +'
),'+), +'
%*',++
)(1, 1%
',1 '
',1 '
16
Current
Year
Income
' ,+(%(*,+'+
) (,((
%,1%(,- '
) (,((
1%(,
% ',(-(,%(%
% ',(-(,%(%
17
Book/
Adjusted
Carrying
Value
',1 '
% ',(-(,%(%
% ',(-(,%(%
),'+), +'
',1 '
% ',(-(,%(%
% ',(-(,%(%
),'+), +'
',1 '
% ',(-(,%(%
% ',(-(,%(%
),'+), +'
',1 '
% ',(-(,%(%
% ',(-(,%(%
Code
(b)
Code
Code
' ,+(%(*,+'+
) (,((
%,1%(,- '
) (,((
1%(,
% ',(-(,%(% XXX
% ',(-(,%(% XXX
),'+), +'
(a)
18
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
19
20

Valuation
Exchange
Increase/
Change in
(Decrease)
B./A.C.V.
/'', *+0
/%-,( %0
/% ,))*0
/ +, -(0
21
Current
Years
(Amortization)/
Accretion
22
Gain
(Loss)
on
Termination
Recognized
/+%, '',*--0
/+%, '',*--0
(-,1 )
1 ,'1(
%**,())
+%1,)(%
% (,)*
)+*,'1'
% *,1%+,11)
% *,1%+,11)
/+%, '',*--0
% *,1%+,11)
/+%, '',*--0
% *,1%+,11)
/+%, '',*--0
% *,1%+,11)
/+%, '',*--0
% *,1%+,11)
23
Adjustment
to Carrying
Value of
Hedged
Item
24
25
Gain
(Loss)
on
Termination
Deferred
Hedge
Effectiveness
at Inception
and at
Termination
(b)
%
%
%
%
%
%
)
)
)
)
)
)
%
%
%
%
%
%
*
*
)
)
)
)
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
SCHEDULE DB - PART B - SECTION 1

1
Number
of
Contracts
Ticker
Symbol
Notional
Amount
Description
Description
of Item(s)
Hedged,
Used for
Income
Generation
or Replicated
Schedule/
Exhibit
Identifier
Type(s)
of
Risk(s)
(a)
Date of
Maturity
or
Expiration
Futures Contracts Open December 31 of Current Year

9
10
11
Transaction
Price
Trade
Date
Exchange
12
13
Reporting
Date
Price
14
Fair Value
Book/
Adjusted
Carrying
Value
Highly Effective Hedges

18
19
15
16
17
Change in
Change in
Variation
Variation
Margin
Margin
Gain
Gain
(Loss) Used Cumulative
Variation
(Loss)
to Adjust
Margin for Recognized
Cumulative Deferred
Basis of
All Other
in Current
Variation
Variation
Hedged
Hedges
Year
Margin
Margin
Item
20
21
22
Potential
Exposure
Hedge
Effectiveness
at
Inception
and at
Year-end
(b)
Value of
One (1)
Point
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1329999. Subtotal - Long Futures

!
" "
# $# %& '"
%("% #
%(')%)
1349999. Subtotal - Short Futures - Hedging Other

1389999. Subtotal - Short Futures
1449999 - Totals
Broker Name
E20
" )#
" )#
" )#
" )#
" )#
" )#
" )#
" )#
" )#
" )#
" )#
" )#
#
#
#
''
''
''
" )#
" )#
" )#
" )#
''
XXX
XXX
XXX
XXX
XXX
XXX
XXX
" )#
" )#
" )#
" )#
''
XXX
Beginning
Cash Balance
Cumulative
Cash Change
%" '%%
%" '%%
Total Net Cash Deposits

(a)
Code
(b)
Code
#'' ' "

#'' ' "
Ending
Cash Balance
#')
#')
SCHEDULE DB - PART B - SECTION 2

1
Number
of
Ticker
Notional
Symbol Contracts
Amount
1329999. Subtotal - Long Futures
5
Description
of Item(s)
Hedged,
Used for
Income
Generation
or Replicated
Description
Future Contracts Terminated December 31 of Current Year
Schedule/
Exhibit
Identifier
Type(s)
of
Risk(s)
(a)
Date of
Maturity
or
Expiration
10
Trade
Date
Exchange
11
12
Transaction
Price
13
Termination
Termination
Date
Price
14
15
Change in Variation Margin

16
17
18
Indicate
Exercise,
Expiration,
Maturity or
Sale
Cumulative
Variation
Margin at
Termination
Gain
Gain (Loss)
(Loss)
Used to
Recognized Adjust Basis
in Current
of Hedged
Year
Item
Deferred
19
Hedge
Effectiveness at
Inception
and at
Termination
(b)
XXX
20
Value of
One (1)
Point
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
! "
#
&
'(
$) %
* %$ %
$) '
$$
&
'(
* %$ %
*)* $
*)' '
$$
%
&
'(
%%
%%
! "
(
#
,
! "
#
,
%)
% % %
%')% %
%) ' *
% % %
% )'%
'
'
'
'
% ) $%
' % %
% )'
* %
'
* %
'
! "
#
&
'(
'
&
'(
$ %
&
'(
* %% %
% )$ $*
* %$ %
%')
&
'(
% )' $
%')*$ *
! "
#
! "
*$
*$
! "
(
E21
1349999. Subtotal - Short Futures - Hedging Other

1389999. Subtotal - Short Futures
1449999 - Totals
(a)
Code
(b)
Code
$ % $
'
'
$ % $
'
'
'
'
'
'
SCHEDULE DB - PART D - SECTION 1
2
Master
Agreement
(Y or N)
XXX
Description of Exchange,
Counterparty or Central Clearinghouse
0199999 - Aggregate Sum of Exchange Traded Derivatives
! "
# !
% #
# $
"
!
! !
&$
" $ &
&
0299999. Total NAIC 1 Designation

$
0399999. Total NAIC 2 Designation

0899999. Aggregate Sum of Central Clearinghouses
0999999 - Totals
Counterparty Exposure for Derivative Instruments Open December 31 of Current Year
3
Credit
Support
Annex
(Y or N)
XXX
Fair Value of
Acceptable
Collateral
Book/Adjusted Carrying Value

5
6
7
Contracts With
Contracts With
Book/Adjusted
Book/Adjusted
Exposure Net of
Carrying Value >0 Carrying Value <0
Collateral
Fair Value
9
10
Contracts With
Fair Value >0
Contracts With
Fair Value <0
Exposure
Net of Collateral
11
12
Potential
Exposure
Off-Balance
Sheet Exposure
E22
SCHEDULE DB - PART D - SECTION 2

Collateral for Derivative Instruments Open December 31 of Current Year
Collateral Pledged by Reporting Entity

1
Type of Asset Pledged
CUSIP
Identification
Description
Fair Value
Par Value
7
Book/Adjusted
Carrying
Value
0199999 - Total
8
Maturity
Date
9
Type of
Margin
(I, V or IV)
XXX
XXX
Collateral Pledged to Reporting Entity
E23
0299999 - Total
Type of Asset Pledged
CUSIP
Identification
Description
Fair Value
Par Value
NONE
7
Book/Adjusted
Carrying
Value
Maturity
Date
9
Type of
Margin
(I, V or IV)
XXX
XXX
XXX
Schedule DL - Part 1 - Reinvested Collateral Assets Owned
NONE
Schedule DL - Part 2 - Reinvested Collateral Assets Owned
NONE
E24, E25
SCHEDULE E - PART 1 - CASH
1
Depository
& '
(
*+ #
0-
! !
!" #
!" #
!" #
'
Code
Rate of
Interest
4
Amount of Interest
Received During
Year
5
Amount of Interest
Accrued December 31
of Current Year
Balance
%,
. % /
,% % %
., $/ $ ,
/% , /
*
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
$%
"
0599999 Total - Cash
January
February
March
! !
! !
- 1 +
!
!" #
! !
2 2 34
! #
!" #
! !
0199998 Deposits in ...
depositories which do not exceed the
allowable limit in any one depository (See instructions) - open
depositories
0199999. Totals - Open Depositories
0299998 Deposits in ...
depositories which do not exceed the
allowable limit in any one depository (See instructions) - suspended
depositories
0299999. Totals - Suspended Depositories
0399999. Total Cash on Deposit
0499999. Cash in Company'
s Office
1.
2.
3.
1 %
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
$,
$,
$,
XXX
%$
%$
%$
XXX
$,
XXX
XXX
XXX
XXX
XXX
TOTALS OF DEPOSITORY BALANCES ON THE LAST DAY OF EACH MONTH DURING THE CURRENT YEAR
%,
$
/$
/
$
/
$
.
4.
5.
6.
April
May
June
% ,$ . %
%$ .,.
,$ /
7.
8.
9.
E26
July
August
September
%/. , %,
$
,
%% $ / ./%
10.
11.
12.
October
November
December
. $
/,
.
$%
, .
%$
SCHEDULE E - PART 2 - CASH EQUIVALENTS

1
Description
3299999. Subtotal - Bonds - Industrial and Miscellaneous (Unaffiliated) - Issuer Obligations

8399999. Total Bonds
E27
8699999 - Total Cash Equivalents
Show Investments Owned December 31 of Current Year

2
Code
Date Acquired
Rate of Interest
Maturity Date
6
Book/Adjusted
Carrying Value
7
Amount of Interest
Due and Accrued
8
Amount Received
During Year
SCHEDULE E - PART 3 - SPECIAL DEPOSITS

1
Type of
Deposit
Purpose of Deposit
XXX
XXX
XXX
XXX
5898. Summary of remaining write-ins for

Line 58 from overflow page
XXX
XXX
5899. Totals (Lines 5801 thru 5803 plus

XXX
XXX
States, Etc.
1.
Alabama
AL
2.
Alaska
AK
3.
Arizona
AZ
4.
Arkansas
AR
5.
California
CA
6.
Colorado
CO
7.
Connecticut
CT
8.
Delaware
DE
9.
DC
10.
Florida
FL
11.
Georgia
GA
12.
Hawaii
HI
13.
Idaho
ID
14.
Illinois
IL
15.
Indiana
IN
16.
Iowa
17.
Kansas
KS
18.
Kentucky
KY
19.
Louisiana
LA
20.
Maine
ME
21.
Maryland
MD
22.
Massachusetts
MA
23.
Michigan
24.
Minnesota
25.
Mississippi
MS
26.
Missouri
MO
27.
Montana
MT
28.
Nebraska
NE
29.
Nevada
NV
30.
New Hampshire
NH
31.
New Jersey
NJ
32.
New Mexico
NM
33.
New York
NY
34.
North Carolina
NC
35.
North Dakota
ND
36.
Ohio
OH
37.
Oklahoma
OK
38.
Oregon
OR
39.
Pennsylvania
PA
40.
Rhode Island
41.
South Carolina
SC
42.
South Dakota
SD
43.
Tennessee
TN
44.
Texas
TX
45.
Utah
UT
46.
Vermont
VT
47.
Virginia
VA
48.
Washington
WA
49.
West Virginia
WV
50.
Wisconsin
WI
51.
Wyoming
WY
52.
American Samoa
AS
53.
Guam
GU
54.
Puerto Rico
PR
55.
U.S. Virgin Islands
56.
57.
Canada
58.
Aggregate Alien and Other
59.
Subtotal
IA
MI
MN
RI
VI
MP
CAN
OT
5801.
5802.
5803.
E28
Deposits For the

Benefit of All Policyholders
3
4
Book/Adjusted
Carrying Value
Fair Value
All Other Special Deposits

5
6
Book/Adjusted
Carrying Value
Fair Value
ANNUAL STATEMENT BLANK
ALPHABETICAL INDEX
Analysis of Increase in Reserves During The Year

Analysis of Operations By Lines of Business
Asset Valuation Reserve Default Component
Asset Valuation Reserve Equity
Asset Valuation Reserve Replications (Synthetic) Assets
Asset Valuation Reserve
Assets
Cash Flow
Exhibit 1 - Part 1 - Premiums and Annuity Considerations for Life and Accident and Health Contracts
Exhibit 1 - Part 2 - Dividends and Coupons Applied, Reinsurance Commissions and Expense
Exhibit 2 - General Expenses
Exhibit 3 - Taxes, Licenses and Fees (Excluding Federal Income Taxes)
Exhibit 4 - Dividends or Refunds
Exhibit 5 - Aggregate Reserve for Life Contracts
Exhibit 5 - Interrogatories
Exhibit 5A - Changes in Bases of Valuation During The Year
Exhibit 6 - Aggregate Reserves for Accident and Health Contracts
Exhibit 7 - Deposit-Type Contracts
Exhibit 8 - Claims for Life and Accident and Health Contracts - Part 1
Exhibit 8 - Claims for Life and Accident and Health Contracts - Part 2
Exhibit of Capital Gains (Losses)
Exhibit of Life Insurance
Exhibit of Net Investment Income
Exhibit of Nonadmitted Assets
Exhibit of Number of Policies, Contracts, Certificates, Income Payable and Account Values
Five-Year Historical Data
Form for Calculating the Interest Maintenance Reserve (IMR)
General Interrogatories
Jurat Page
Liabilities, Surplus and Other Funds
Life Insurance (State Page)
Notes To Financial Statements
Overflow Page For Write-ins
Schedule A - Part 1
Schedule A - Part 2
Schedule A - Part 3
Schedule A - Verification Between Years
Schedule B - Part 1
Schedule B - Part 2
Schedule B - Part 3
Schedule B - Verification Between Years
Schedule BA - Part 1
Schedule BA - Verification Between Years
Schedule D - Part 1
Schedule D - Part 1A - Section 1
Schedule D - Part 1A - Section 2
Schedule D - Part 2 - Section 1
Schedule D - Part 3
Schedule D - Part 4
Schedule D - Part 5
Schedule D - Summary By Country
Schedule D - Verification Between Years
Schedule DA - Part 1
Schedule DA - Verification Between Years
Index 1
7
6
30
32
35
29
2
5
9
10
11
11
11
12
13
13
14
15
16
17
8
25
8
18
27
22
28
20
1
3
24
19
55
E01
E02
E03
SI02
E04
E05
E06
SI02
E07
E08
E09
SI03
E10
SI05
SI08
E11
E12
E13
E14
E15
E16
E16
SI04
SI03
E17
SI10
ANNUAL STATEMENT BLANK (Continued)

Schedule DB - Part A - Section 1
E18
Schedule DB - Part A - Section 2
E19
Schedule DB - Part A - Verification Between Years
SI11
Schedule DB - Part B - Section 1
E20
Schedule DB - Part B - Section 2
E21
Schedule DB - Part B - Verification Between Years
SI11
Schedule DB - Part C - Section 1
SI12
Schedule DB - Part C - Section 2
SI13
Schedule DB - Part D - Section 1
E22
Schedule DB - Part D - Section 2
E23
Schedule DB - Verification
SI14
Schedule DL - Part 1
E24
Schedule DL - Part 2
E25
Schedule E - Part 1 - Cash
E26
Schedule E - Part 2 - Cash Equivalents
E27
Schedule E - Part 3 - Special Deposits
E28
Schedule E - Verification Between Years
SI15
Schedule F
36
Schedule H - Accident and Health Exhibit - Part 1
37
Schedule H - Part 2, Part 3 and Part 4
38
Schedule H - Part 5 - Health Claims
39
Schedule S - Part 1 - Section 1
40
41
Schedule S - Part 2
42
43
44
Schedule S - Part 4
45
Schedule S - Part 5
46
Schedule S - Part 6
47
Schedule S - Part 7
48
Schedule T - Part 2 Interstate Compact
50
Schedule T - Premiums and Annuity Considerations
49
Schedule Y - Information Concerning Activities of Insurer Members of a Holding Company Group
51
Schedule Y - Part 1A - Detail of Insurance Holding Company System
52
Schedule Y - Part 2 - Summary of Insurers Transactions With Any Affiliates
53
Summary Investment Schedule
SI01
Summary of Operations
Supplemental Exhibits and Schedules Interrogatories
54
Index 1.1

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BLC 2014 Annual STMT - v001 - G9q7io PDF

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ANNUAL STATEMENT FOR THE YEAR 2014 OF THE BANKERS LIFE AND CASUALTY COMPANY

Stocks (Schedule D):

Mortgage loans on real estate (Schedule B):

Real estate (Schedule A):

4.3 Properties held for sale (less $

, Schedule E - Part 1), cash equivalents

, Schedule E - Part 2) and short-term

Contract loans (including $

Derivatives (Schedule DB)

Other invested assets (Schedule BA)

Receivables for securities

Securities lending reinvested collateral assets (Schedule DL)

Aggregate write-ins for invested assets

Subtotals, cash and invested assets (Lines 1 to 11)

Title plants less $

charged off (for Title insurers

Investment income due and accrued

Premiums and considerations:

Amounts receivable relating to uninsured plans

Guaranty funds receivable or on deposit

Electronic data processing equipment and software

Furniture and equipment, including health care delivery assets

Net adjustment in assets and liabilities due to foreign exchange rates

Receivables from parent, subsidiaries and affiliates

Aggregate write-ins for other than invested assets

) and other amounts receivable

Total assets excluding Separate Accounts, Segregated Accounts and

From Separate Accounts, Segregated Accounts and Protected Cell

Total (Lines 26 and 27)

Summary of remaining write-ins for Line 11 from overflow page

Totals (Lines 1101 thru 1103 plus 1198)(Line 11 above)

Summary of remaining write-ins for Line 25 from overflow page

Totals (Lines 2501 thru 2503 plus 2598)(Line 25 above)

LIABILITIES, SURPLUS AND OTHER FUNDS

Aggregate reserve for life contracts $

Summary of remaining write-ins for Line 8.3 from overflow page

Summary of remaining write-ins for Line 27 from overflow page

Summary of remaining write-ins for Line 53 from overflow page

Premiums collected net of reinsurance

Net investment income

Total (Lines 1 through 3)

Benefit and loss related payments

Commissions, expenses paid and aggregate write-ins for deductions

Dividends paid to policyholders

Federal and foreign income taxes paid (recovered) net of $

Total (Lines 5 through 9)

Net cash from operations (Line 4 minus Line 10)

Proceeds from investments sold, matured or repaid:

tax on capital gains (losses)

Cash from Investments

Cost of investments acquired (long-term only):

Net increase (decrease) in contract loans and premium notes

Cash provided (applied):

Cash from Financing and Miscellaneous Sources

16.1 Surplus notes, capital notes

Cash, cash equivalents and short-term investments:

RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

19.1 Beginning of year

ANALYSIS OF OPERATIONS BY LINES OF BUSINESS

Credit Life (Group

Summary of remaining write-ins for Line 27 from overflow page

Accident and Health

ANALYSIS OF INCREASE IN RESERVES DURING THE YEAR