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Organized under the Laws of the State of PENNSYLVANIA State of Domicile or Port of Entry PENNSYLVANIA Country of Domicile U.S. Incorporated May 23 1967 Commenced Business September 1, 1967 Statutorv Home Office 100 Erie Insurance Place Erie, PA 16530

(Slreet and Number) (City or Town. StalC and Z p Code) (Area Code) (Telephone Number)

{Slreet and Number) (dirty or Town. State and Zip Code)

Primary Location of Books and Records 100 E Insurance Place Erie. PA 16530 814-870-2000

(Street and Number) (City or Toms, State anJ Zip Code) (Area Code) (Telephone Number)

Jonathan H in Hagen. Chairman

& Chief Lxecutive Officer: 4’imothy Gerard NeCastru Executive V ice President.

& Chiei’ Information Ofticcr Parthasarathy Srinivasa Executive Vicc President: Cody William Cooke

Executive Vice President: Douglas Edward Smith Executive Vice President Sarah Jennifer Shtnc8

Senior Vice Presideni & Controller: Jorie Lee Novacek Senior Vice President & Chief Investment Officer Ronald Steven l4aburskj Senior Vice I*resident: Anthony DaBreo

Senior V ice President & Corporate Treasurer: Michael Eugene Raftis# Vice President & Appointed Actuary Christopher Adam Wheeler

I he officers ot” this reporting entity being duly swam, each depose and say that lhe} are the described officers of sa d reporting entity , and that an lhe reporting period staied above. all ol the hereln described assets were the absolute progeny of the sa d reporting entity. free and clear from any liens or claims chereon. e,xtept as here\\n stated, and that this slalement. together » Cth related exhiblis schedules and explanations therein contained, annexed or referred to. s a f\\Ill and true statement of all the assets artd liabilities and of ihe condition and afTa‹rs of the said reporting entity as of the reporting period stated above. and of its income and deductions therefrom for lhe period ended, and have been completed n accordance » ith the NAIC Annum Siaieiiten1 ltte/rocf/o/tz and .1cc-o•n/rug Practices aiid Proceduresmanual excepc cu the extent that (I I slate law may difTer or. (2l lhai state rules or regulations requ re d›tTercnces in reporting noi related la accounMng practices and procedures. according to thc hcst of their lnformati0n. knowledge and bellef respectlvely Furthermore. the scope of rhis anestation fry the described ofTicers also includes the related corresponding cleciron›c filing with the NAIC, hen required. that is an exacl copy (except for formatting differences due to electronic fillngj of the enclosed statement The electronic filing mav be requested by various regulators in lieu afar in addition to the enclosed statement

Subscribed and so om to belore me this 9th day of May, 2025.

Executive Vice President. Secretar) & General Counsel

Commonwealth of PennsyivaniaNotary SealJulie Elizabeth Oborski, Notary Public Erie County

(ii) Date litcd.

Current Statement Date

4

December 31 Prior Year Net Admitted Assets

1

Assets

2

Nonadmitted Assets

3

Net Admitted Assets (Cols. 1 – 2)

  1. Bonds ……………………………………………………………………………………………….

  2. Stocks:

    1. Preferred stocks ……………………………………………………………………………

    2. Common stocks ……………………………………………………………………………

  3. Mortgage loans on real estate:

    1. First liens ……………………………………………………………………………………..

    2. Other than first liens……………………………………………………………………….

  4. Real estate:

    1. Properties occupied by the company (less $ …………………………….. encumbrances) ……………………………………………………………………………

    2. Properties held for the production of income (less

      $ …………………………….. encumbrances) …………………………………

    3. Properties held for sale (less $ …………………………….. encumbrances) ……………………………………………………………………………

  5. Cash ($ …………….. 30,203,840 ), cash equivalents

    ($ …………….. 99,145,657 ) and short-term

    investments ($ …………………………….. ) ………………………………………….

  6. Contract loans (including $ …………………………….. premium notes) ……

  7. Derivatives ………………………………………………………………………………………..

  8. Other invested assets …………………………………………………………………………

  9. Receivables for securities ……………………………………………………………………

  10. Securities lending reinvested collateral assets ……………………………………….

  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:

    1. Uncollected premiums and agents’ balances in the course of collection

    2. Deferred premiums, agents’ balances and installments booked but deferred and not yet due (including $ ……………………………..

      earned but unbilled premiums) ……………………………………………………

    3. Accrued retrospective premiums ($ ) and

      contracts subject to redetermination ($ …………………………….. ) …….

  16. Reinsurance:

    1. Amounts recoverable from reinsurers …………………………………………….

    2. Funds held by or deposited with reinsured companies ……………………..

    3. Other amounts receivable under reinsurance contracts ……………………

  17. Amounts receivable relating to uninsured plans ……………………………………..

  1. Current federal and foreign income tax recoverable and interest thereon ….

  2. Net deferred tax asset ………………………………………………………………………..

  1. Guaranty funds receivable or on deposit ………………………………………………

  2. Electronic data processing equipment and software ……………………………….

  3. Furniture and equipment, including health care delivery assets

    ($ …………………………….. ) ……………………………………………………….

  4. Net adjustment in assets and liabilities due to foreign exchange rates ………

  5. Receivables from parent, subsidiaries and affiliates ……………………………….

  6. Health care ($ …………………………….. ) and other amounts receivable ……

  7. Aggregate write-ins for other than invested assets ………………………………….

  8. Total assets excluding Separate Accounts, Segregated Accounts and Protected Cell Accounts (Lines 12 to 25) ……………………………………………..

  9. From Separate Accounts, Segregated Accounts and Protected Cell Accounts …………………………………………………………………………………………

  10. Total (Lines 26 and 27)

. 2,770,125,199

……………………………..

. 2,770,125,199

. 2,847,489,744

. 94,006,137

……………………………..

. 94,006,137

. 22,558,387

. 21,700

……………………………..

. 21,700

. 21,700

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

. 129,349,497

……………………………..

. 129,349,497

. 85,474,535

. 30,410,415

……………………………..

. 30,410,415

. 30,298,083

……………………………..

……………………………..

……………………………..

……………………………..

. 38,793,234

……………………………..

. 38,793,234

. 38,797,141

. 491,068

……………………………..

. 491,068

. 326,465

. 178,193,393

……………………………..

. 178,193,393

. 180,407,133

……………………………..

……………………………..

……………………………..

……………………………..

. 3,241,390,643

……………………………..

. 3,241,390,643

. 3,205,373,188

……………………………..

……………………………..

……………………………..

……………………………..

. 30,952,265

……………………………..

. 30,952,265

. 33,943,221

. 2,042,447

……………………………..

. 2,042,447

. 2,343,225

. 92,430,611

……………………………..

. 92,430,611

. 98,418,581

……………………………..

……………………………..

……………………………..

……………………………..

. 2,152,919

……………………………..

. 2,152,919

. 2,421,209

……………………………..

……………………………..

……………………………..

……………………………..

. 132,085

……………………………..

. 132,085

. 152,373

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

. 672,156

. 672,156

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

. 668,660

……………………………..

. 668,660

. 290,679

……………………………..

……………………………..

……………………………..

……………………………..

. 4,735,133

. 4,228,727

. 506,406

. 642,406

. 3,375,176,919

. 4,900,883

. 3,370,276,036

. 3,343,584,882

……………………………..

……………………………..

……………………………..

……………………………..

3,375,176,919

4,900,883

3,370,276,036

3,343,584,882

DETAILS OF WRITE-INS

1101. ……………………………………………………………………………………………………….

………………………………

………………………………

………………………………

………………………………

1102. ……………………………………………………………………………………………………….

………………………………

………………………………

………………………………

………………………………

1103. ……………………………………………………………………………………………………….

………………………………

………………………………

………………………………

………………………………

1198. Summary of remaining write-ins for Line 11 from overflow page ……………….

……………………………..

……………………………..

……………………………..

……………………………..

1199. Totals (Lines 1101 through 1103 plus 1198)(Line 11 above)

2501. Prepaid Advance Commissions ……………………………………………………………..

. 4,228,727

. 4,228,727

……………………………..

……………………………..

2502. Tax Credits ……………………………………………………………………………………..

. 506,406

……………………………..

. 506,406

. 642,406

2503. ………………………………………………………………………………………………………..

………………………………

………………………………

………………………………

………………………………

2598. Summary of remaining write-ins for Line 25 from overflow page ……………….

……………………………..

……………………………..

……………………………..

……………………………..

2599. Totals (Lines 2501 through 2503 plus 2598)(Line 25 above)

4,735,133

4,228,727

506,406

642,406

  1. Aggregate reserve for life contracts $ ………… 2,653,049,360 less $ ncluded in Line 6.3

    (including $ …………………………….. Modco Reserve) …………………………………………………………………………………………….

  2. Aggregate reserve for accident and health contracts (including $ …………………………….. Modco Reserve) …………………..

  3. Liability for deposit-type contracts (including $ …………………………….. Modco Reserve)…………………………………………….

  4. Contract claims:

    1. Life ………………………………………………………………………………………………………………………………………………………………..

    2. Accident and health …………………………………………………………………………………………………………………………………………

  5. Policyholders’ dividends/refunds to members $ …………………………….. and coupons $ due

    and unpaid …………………………………………………………………………………………………………………………………………………………..

  6. Provision for policyholders’ dividends, refunds to members and coupons payable in following calendar year – estimated amounts:

    1. Policyholders’ dividends and refunds to members apportioned for payment (including $ …………………………….. Modco) ………………………………………………………………………………………………………………………………………………………….

    2. Policyholders’ dividends and refunds to members not yet apportioned (including $ …………………………… Modco) ….

    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 $ …………………. 861,181 accident and health premiums …………………….

  9. Contract liabilities not included elsewhere:

    1. Surrender values on canceled contracts …………………………………………………………………………………………………………….

    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 …………………………………………………………………………………………………………………………………………………..

    3. Other amounts payable on reinsurance, including $ …………………………….. assumed and $ …………………………….. ceded ……………………………………………………………………………………………………………………………………………………………

    4. Interest Maintenance Reserve …………………………………………………………………………………………………………………………..

  10. Commissions to agents due or accrued-life and annuity contracts $ …………………..627,417 , accident and health

    $ …………………… 28,156 and deposit-type contract funds $ …………………………….. …………………………………………..

  11. Commissions and expense allowances payable on reinsurance assumed ……………………………………………………………………

  12. General expenses due or accrued …………………………………………………………………………………………………………………………..

  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 ……………………………………………………………………

  1. Current federal and foreign income taxes, including $ …………………. 123,201 on realized capital gains (losses) …………..

  2. Net deferred tax liability ………………………………………………………………………………………………………………………………………….

  1. Unearned investment income …………………………………………………………………………………………………………………………………

  2. Amounts withheld or retained by reporting entity as agent or trustee ……………………………………………………………………………

  3. Amounts held for agents’ account, including $ …………………………….. agents’ credit balances …………………………………….

  4. Remittances and items not allocated ……………………………………………………………………………………………………………………….

  5. Net adjustment in assets and liabilities due to foreign exchange rates …………………………………………………………………………

  6. Liability for benefits for employees and agents if not included above ……………………………………………………………………………

  7. Borrowed money $ …………………………….. and interest thereon $ …………………………….. …………………………………….

  8. Dividends to stockholders declared and unpaid ………………………………………………………………………………………………………..

  9. Miscellaneous liabilities:

    1. Asset valuation reserve …………………………………………………………………………………………………………………………………

    2. Reinsurance in unauthorized and certified ($ …………………………….. ) companies ……………………………………………….

    3. Funds held under reinsurance treaties with unauthorized and certified ($ …………………………….. ) reinsurers ………

    4. Payable to parent, subsidiaries and affiliates ……………………………………………………………………………………………………

    5. Drafts outstanding ………………………………………………………………………………………………………………………………………..

    6. Liability for amounts held under uninsured plans ………………………………………………………………………………………………

    7. Funds held under coinsurance ……………………………………………………………………………………………………………………….

    8. Derivatives ………………………………………………………………………………………………………………………………………………….

    9. Payable for securities ……………………………………………………………………………………………………………………………………

24.10 Payable for securities lending ………………………………………………………………………………………………………………………..

24.11 Capital notes $ …………………………….. and interest thereon $ …………………………….. …………………………………….

  1. Aggregate write-ins for liabilities ……………………………………………………………………………………………………………………………..

  2. Total liabilities excluding Separate Accounts business (Lines 1 to 25) ………………………………………………………………………….

  3. From Separate Accounts Statement ………………………………………………………………………………………………………………………..

  4. Total liabilities (Lines 26 and 27) ……………………………………………………………………………………………………………………………..

  5. Common capital stock ……………………………………………………………………………………………………………………………………………

  6. Preferred capital stock …………………………………………………………………………………………………………………………………………..

  7. Aggregate write-ins for other than special surplus funds …………………………………………………………………………………………….

  8. Surplus notes ……………………………………………………………………………………………………………………………………………………….

  9. Gross paid in and contributed surplus ………………………………………………………………………………………………………………………

  10. Aggregate write-ins for special surplus funds ……………………………………………………………………………………………………………

  11. Unassigned funds (surplus) ……………………………………………………………………………………………………………………………………

  12. Less treasury stock, at cost:

    1. …………………………….. shares common (value included in Line 29 $ …………………………….. ) ………………………….

    2. …………………………….. shares preferred (value included in Line 30 $ …………………………….. ) ………………………..

  13. Surplus (Total Lines 31+32+33+34+35-36) (including $ …………………………….. in Separate Accounts Statement) …………..

  14. Totals of Lines 29, 30 and 37 …………………………………………………………………………………………………………………………………

  15. Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3)

1

Current Statement Date

2

December 31 Prior Year

. 2,653,049,360

. 3,622,366

. 45,812,763

. 2,631,792,682

. 3,298,633

. 46,768,370

. 12,722,999

……………………………..

. 12,211,363

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

. 2,880,190

. 2,291,907

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

. 3,715,998

……………………………..

. 3,763,109

. 655,573

……………………………..

. 7,603,725

. 1,472,894

……………………………..

. 8,406,892

……………………………..

. 2,461,847

. 6,282,557

……………………………..

……………………………..

. 667,165

……………………………..

. 688,057

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

. 4,559,596

. 1,662,817

……………………………..

……………………………..

. 665,424

……………………………..

. 290,250

……………………………..

……………………………..

……………………………..

……………………………..

. 30,318,500

……………………………..

……………………………..

. 7,228,353

……………………………..

……………………………..

……………………………..

……………………………..

. 2,015,804

. 178,193,393

……………………………..

200,957

. 31,147,371

……………………………..

……………………………..

. 6,717,170

……………………………..

……………………………..

……………………………..

……………………………..

. 8,075,520

. 180,407,130

……………………………..

209,044

2,958,119,607

2,943,740,172

……………………………..

2,958,119,607

……………………………..

2,943,740,172

. 3,780,400

……………………………..

……………………………..

……………………………..

. 305,630,600

……………………………..

. 102,745,429

. 3,780,400

……………………………..

……………………………..

……………………………..

. 305,630,600

……………………………..

. 90,433,710

……………………………..

……………………………..

408,376,029

……………………………..

……………………………..

396,064,310

412,156,429

399,844,710

3,370,276,036

3,343,584,882

DETAILS OF WRITE-INS

2501.

Interest on Unpaid Claims ……………………………………………………………………………………………………………………………………

. 200,957

. 185,044

2502.

Deferred Gains on Acquired Tax Credit ………………………………………………………………………………………………………………….

……………………………..

. 24,000

2503.

……………………………………………………………………………………………………………………………………………………………………………

………………………………

………………………………

2598.

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

……………………………..

……………………………..

2599.

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

200,957

209,044

3101.

……………………………………………………………………………………………………………………………………………………………………………

………………………………

………………………………

3102.

……………………………………………………………………………………………………………………………………………………………………………

………………………………

………………………………

3103.

……………………………………………………………………………………………………………………………………………………………………………

………………………………

………………………………

3198.

Summary of remaining write-ins for Line 31 from overflow page ………………………………………………………………………………….

……………………………..

……………………………..

3199.

Totals (Lines 3101 through 3103 plus 3198)(Line 31 above)

3401.

……………………………………………………………………………………………………………………………………………………………………………

………………………………

………………………………

3402.

……………………………………………………………………………………………………………………………………………………………………………

………………………………

………………………………

3403.

……………………………………………………………………………………………………………………………………………………………………………

………………………………

………………………………

3498.

Summary of remaining write-ins for Line 34 from overflow page ………………………………………………………………………………….

……………………………..

……………………………..

3499.

Totals (Lines 3401 through 3403 plus 3498)(Line 34 above)

  1. Premiums and annuity considerations for life and accident and health contracts ………………………….

  2. Considerations for supplementary contracts with life contingencies……………………………………………..

  3. Net investment income …………………………………………………………………………………………………………

  4. Amortization of Interest Maintenance Reserve (IMR) ………………………………………………………………..

  5. Separate Accounts net gain from operations excluding unrealized gains or losses ……………………….

  6. Commissions and expense allowances on reinsurance ceded …………………………………………………..

  7. Reserve adjustments on reinsurance ceded …………………………………………………………………………….

  8. Miscellaneous Income:

    1. Income from fees associated with investment management, administration and contract guarantees from Separate Accounts…………………………………………………………………………………

    2. Charges and fees for deposit-type contracts ………………………………………………………………………

    3. Aggregate write-ins for miscellaneous income ……………………………………………………………………

  9. Totals (Lines 1 to 8.3) …………………………………………………………………………………………………………..

  10. Death benefits ……………………………………………………………………………………………………………………..

  11. Matured endowments (excluding guaranteed annual pure endowments) …………………………………….

  12. Annuity benefits ……………………………………………………………………………………………………………………

  13. Disability benefits and benefits under accident and health contracts …………………………………………..

  14. Coupons, guaranteed annual pure endowments and similar benefits ………………………………………….

  15. Surrender benefits and withdrawals for life contracts ………………………………………………………………..

  16. Group conversions ……………………………………………………………………………………………………………….

  17. Interest and adjustments on contract or deposit-type contract funds ……………………………………………

  18. Payments on supplementary contracts with life contingencies ……………………………………………………

  19. Increase in aggregate reserves for life and accident and health contracts ……………………………………

  20. Totals (Lines 10 to 19) ………………………………………………………………………………………………………….

  21. Commissions on premiums, annuity considerations, and deposit-type contract funds (direct business only) ……………………………………………………………………………………………………………………

  22. Commissions and expense allowances on reinsurance assumed ………………………………………………

  23. General insurance expenses and fraternal expenses ………………………………………………………………..

  24. Insurance taxes, licenses and fees, excluding federal income taxes ……………………………………………

  25. Increase in loading on deferred and uncollected premiums ……………………………………………………….

  26. Net transfers to or (from) Separate Accounts net of reinsurance ………………………………………………..

  27. Aggregate write-ins for deductions ………………………………………………………………………………………….

  28. Totals (Lines 20 to 27) ………………………………………………………………………………………………………….

  29. Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28) …………………………………………………………………………………………………………………………….

  30. Dividends to policyholders and refunds to members …………………………………………………………………

  31. Net gain from operations after dividends to policyholders, refunds to members and before federal income taxes (Line 29 minus Line 30) …………………………………………………………………………………..

  32. Federal and foreign income taxes incurred (excluding tax on capital gains) …………………………………

  33. Net gain from operations after dividends to policyholders, refunds to members and federal income taxes and before realized capital gains or (losses) (Line 31 minus Line 32) ……………………………….

  34. Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of $ …………………… 19,240 (excluding taxes of $ 84

    transferred to the IMR) ………………………………………………………………………………………………………….

  35. Net income (Line 33 plus Line 34) ………………………………………………………………………………………….

    CAPITAL AND SURPLUS ACCOUNT

  36. Capital and surplus, December 31, prior year …………………………………………………………………………..

  37. Net income (Line 35) …………………………………………………………………………………………………………….

  38. Change in net unrealized capital gains (losses) less capital gains tax of $ (438,477)

  39. Change in net unrealized foreign exchange capital gain (loss) ……………………………………………………

  40. Change in net deferred income tax …………………………………………………………………………………………

  41. Change in nonadmitted assets ………………………………………………………………………………………………

  42. Change in liability for reinsurance in unauthorized and certified companies …………………………………

  43. Change in reserve on account of change in valuation basis, (increase) or decrease ……………………..

  44. Change in asset valuation reserve ………………………………………………………………………………………….

  45. Change in treasury stock ………………………………………………………………………………………………………

  46. Surplus (contributed to) withdrawn from Separate Accounts during period …………………………………..

  47. Other changes in surplus in Separate Accounts Statement ……………………………………………………….

  48. Change in surplus notes ……………………………………………………………………………………………………….

  49. Cumulative effect of changes in accounting principles ………………………………………………………………

  50. Capital changes:

    1. Paid in …………………………………………………………………………………………………………………………

    2. Transferred from surplus (Stock Dividend) ……………………………………………………………………….

    3. Transferred to surplus ……………………………………………………………………………………………………

  51. Surplus adjustment:

    1. Paid in …………………………………………………………………………………………………………………………

    2. Transferred to capital (Stock Dividend) …………………………………………………………………………….

    3. Transferred from capital …………………………………………………………………………………………………

    4. Change in surplus as a result of reinsurance …………………………………………………………………….

  52. Dividends to stockholders ……………………………………………………………………………………………………..

  53. Aggregate write-ins for gains and losses in surplus …………………………………………………………………..

  54. Net change in capital and surplus for the year (Lines 37 through 53) …………………………………………..

  55. Capital and surplus, as of statement date (Lines 36 + 54)

1

Current Year To Date

2

Prior Year To Date

3

Prior Year Ended December 31

. 65,933,427

……………………………..

. 35,637,604

. 47,427

……………………………..

. 1,400,880

……………………………..

……………………………..

……………………………..

15,416,998

. 67,156,470

……………………………..

. 34,122,666

. 52,568

……………………………..

. 1,686,455

……………………………..

……………………………..

……………………………..

558,169

. 281,987,704

……………………………..

. 139,246,397

. (256,846)

……………………………..

. 6,782,591

……………………………..

……………………………..

……………………………..

1,952,069

118,436,336

103,576,328

429,711,915

. 22,726,048

……………………………..

. 2,626,748

. 4,400,829

……………………………..

. 21,680,803

……………………………..

. 582,686

. 9,269

21,580,411

. 20,578,298

……………………………..

. 2,943,864

. 3,627,839

……………………………..

. 31,958,202

……………………………..

. 653,749

. 9,269

17,500,546

. 72,735,556

……………………………..

. 11,155,403

. 16,068,875

……………………………..

. 110,411,335

……………………………..

. 2,542,859

. 37,076

93,198,919

. 73,606,794

. 6,716,500

……………………………..

. 15,829,009

. 2,366,848

. 2,018,083

……………………………..

111,717

. 77,271,767

. 7,713,849

……………………………..

. 14,081,628

. 2,316,367

. 2,787,813

……………………………..

79,616

. 306,150,023

. 31,210,628

……………………………..

. 75,778,779

. 9,507,874

. 2,857,430

……………………………..

452,047

100,648,951

104,251,040

425,956,781

. 17,787,385

. (674,712)

. 3,755,134

. 17,787,385

4,600,416

. (674,712)

833,999

. 3,755,134

12,583,520

. 13,186,969

(19,222)

. (1,508,711)

(7,815)

. (8,828,386)

(188,333)

13,167,747

(1,516,526)

(9,016,719)

399,844,710

398,425,309

398,425,309

. 13,167,747

. (1,649,507)

……………………………..

. (438,477)

. 403,084

……………………………..

……………………………..

. 828,872

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

. (1,516,526)

. 798,153

……………………………..

. 212,167

. (3,282,996)

……………………………..

……………………………..

. (1,707,702)

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

. (9,016,719)

. 611,970

……………………………..

. 162,675

. 12,982,062

……………………………..

……………………………..

. (3,320,587)

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

12,311,719

(5,496,904)

1,419,401

412,156,429

392,928,405

399,844,710

DETAILS OF WRITE-INS

  1. Settlement Income ……………………………………………………………………………………………………………….

  2. Surrenders Charges ………………………………………………………………………………………………………………

  3. Miscellaneous Income …………………………………………………………………………………………………………..

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

08.399. Totals (Lines 08.301 through 08.303 plus 08.398) (Line 8.3 above)

. 15,000,000

. 415,728

. 1,100

. 170

15,416,998

……………………………..

. 556,099

. 1,900

. 170

558,169

……………………………..

. 1,944,690

. 6,600

. 779

1,952,069

2701. Interest on Death Claims …………………………………………………………………………………………………….

2702. Miscellaneous Expense ………………………………………………………………………………………………………….

2703. …………………………………………………………………………………………………………………………………………..

2798. Summary of remaining write-ins for Line 27 from overflow page ………………………………………………… 2799. Totals (Lines 2701 through 2703 plus 2798)(Line 27 above)

. 111,548

. 169

………………………………

……………………………..

111,717

. 79,616

……………………………..

………………………………

……………………………..

79,616

. 370,712

. 81,335

………………………………

……………………………..

452,047

5301. …………………………………………………………………………………………………………………………………………

5302. …………………………………………………………………………………………………………………………………………..

5303. …………………………………………………………………………………………………………………………………………..

5398. Summary of remaining write-ins for Line 53 from overflow page ………………………………………………… 5399. Totals (Lines 5301 through 5303 plus 5398)(Line 53 above)

……………………………..

………………………………

………………………………

……………………………..

……………………………..

………………………………

………………………………

……………………………..

……………………………..

………………………………

………………………………

……………………………..

Cash from Operations

  1. Premiums collected net of reinsurance …………………………………………………………………………………..

  2. Net investment income …………………………………………………………………………………………………………

  3. Miscellaneous income ………………………………………………………………………………………………………….

  4. Total (Lines 1 to 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 $ tax on capital

    gains (losses) …………………………………………………………………………………………………………………..

  10. Total (Lines 5 through 9) ……………………………………………………………………………………………………..

  11. Net cash from operations (Line 4 minus Line 10) …………………………………………………………………….

    Cash from Investments

  12. Proceeds from investments sold, matured or repaid:

    1. Bonds ………………………………………………………………………………………………………………………..

    2. Stocks ………………………………………………………………………………………………………………………..

    3. Mortgage loans ……………………………………………………………………………………………………………

    4. Real estate …………………………………………………………………………………………………………………

    5. Other invested assets …………………………………………………………………………………………………..

    6. Net gains or (losses) on cash, cash equivalents and short-term investments ………………………

    7. Miscellaneous proceeds ……………………………………………………………………………………………….

    8. Total investment proceeds (Lines 12.1 to 12.7) ……………………………………………………………….

  13. Cost of investments acquired (long-term only):

    1. Bonds ………………………………………………………………………………………………………………………..

    2. Stocks ………………………………………………………………………………………………………………………..

    3. Mortgage loans ……………………………………………………………………………………………………………

    4. Real estate …………………………………………………………………………………………………………………

    5. Other invested assets …………………………………………………………………………………………………..

    6. Miscellaneous applications ……………………………………………………………………………………………

    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 and Line 14) …………………………………………

    Cash from Financing and Miscellaneous Sources

  16. Cash provided (applied):

    1. Surplus notes, capital notes ………………………………………………………………………………………….

    2. Capital and paid in surplus, less treasury stock ……………………………………………………………….

    3. Borrowed funds …………………………………………………………………………………………………………..

    4. Net deposits on deposit-type contracts and other insurance liabilities …………………………………

    5. Dividends to stockholders …………………………………………………………………………………………….

    6. Other cash provided (applied) ……………………………………………………………………………………….

  17. Net cash from financing and miscellaneous sources (Line 16.1 through Line 16.4 minus Line 16.5 plus Line 16.6) ………………………………………………………………………………………………………………….

    RECONCILIATION OF CASH, CASH EQUIVALENTS AND SHORT-TERM INVESTMENTS

  18. Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17) .

  19. Cash, cash equivalents and short-term investments:

    1. Beginning of year …………………………………………………………………………………………………………

    2. End of period (Line 18 plus Line 19.1)

1

Current Year To Date

2

Prior Year To Date

3

Prior Year Ended December 31

. 70,792,375

. 38,507,037

16,817,878

. 73,529,489

. 36,122,792

2,244,624

. 281,052,305

. 139,392,817

8,734,660

126,117,290

111,896,905

429,179,782

. 50,663,772

……………………………..

. 27,446,028

……………………………..

. 55,699,203

……………………………..

. 26,723,425

……………………………..

. 210,997,148

……………………………..

. 99,604,670

……………………………..

12,452,806

78,109,800

82,422,628

323,054,624

48,007,490

29,474,277

106,125,158

. 56,367,002

……………………………..

……………………………..

……………………………..

……………………………..

……………………………..

2,213,758

. 36,357,711

. 5,000,000

……………………………..

……………………………..

……………………………..

……………………………..

16,298,529

. 260,298,668

. 9,750,000

……………………………..

……………………………..

……………………………..

……………………………..

11,853,140

. 58,580,760

. 52,617,828

……………………………..

……………………………..

……………………………..

……………………………..

6,224,319

. 57,656,240

. 65,923,500

……………………………..

……………………………..

……………………………..

……………………………..

890,400

. 281,901,808

. 363,297,946

. 1,400

……………………………..

……………………………..

……………………………..

58,842,147

66,813,900

363,299,346

112,332

301,175

1,600,332

(373,719)

(9,458,835)

(82,997,870)

……………………………..

……………………………..

……………………………..

. (1,538,292)

……………………………..

(2,220,517)

……………………………..

……………………………..

……………………………..

. (1,090,336)

……………………………..

(20,237,755)

……………………………..

……………………………..

……………………………..

. (4,987,862)

……………………………..

(10,845,586)

(3,758,809)

(21,328,091)

(15,833,448)

. 43,874,962

. 85,474,535

129,349,496

. (1,312,649)

. 78,180,695

76,868,046

. 7,293,840

. 78,180,695

85,474,535

Note: Supplemental disclosures of cash flow information for non-cash transactions:





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