Mutual Savings Life Insurance Company
*66397202320100102*
LIFE, ACCIDENT AND HEALTH COMPANIES/FRATERNAL BENEFIT SOCIETIES - ASSOCIATION EDITION
QUARTERLY STATEMENT
AS OF
OF THE CONDITION AND AFFAIRS
NAIC Group Code |
0215 0215 NAIC Company Code |
66397 Employer's ID Number63............................................-0148960 |
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(Current) (Prior) |
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Organized under the Laws of |
AL |
State of Domicile or Port of Entry |
AL |
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Country of Domicile |
US |
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Licensed as business type: |
LIFE, ACCIDENT AND HEALTH |
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Incorporated/Organized |
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Commenced Business |
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Statutory Home O3ce |
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Main Administrative O3ce |
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314-819-4300 |
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(Telephone Number) |
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Mail................................................................Address |
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Primary Location of Books and |
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Records |
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312-661-4564 |
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Internet Website Address |
(Telephone Number) |
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Statutory Statement Contact |
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312-661-4564 |
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(Telephone Number) |
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314-819-4789 |
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(E-Mail Address) |
(Fax Number) |
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OFFICERS |
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JENNFER MARIE KOPPS-WAGNER, Secretary |
................................................................................................................. |
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................................................................................................................. |
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DIRECTORS OR TRUSTEES |
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................................................... |
JOHN MICHAEL BOSCHELLI |
...................................................MATTHEW JOSEPH VARAGONA# |
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................................................... |
FREDERICK GEORGE STUCKEL# |
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State of |
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County of |
St................................................................Louis |
SS |
The o cers of this reporting entity being duly sworn, each depose and say that they are the described o cers of said reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures manual except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described o cers also includes the related corresponding electronic ling with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic ling) of the enclosed statement. The electronic ling may be requested by various regulators in lieu of or in addition to the enclosed statement.
x
JENNIFER MARIE KOPPS-WAGNER Secretary
Subscribed and swoto before me
this |
day of |
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x
x |
x |
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|
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Treasurer |
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a. Is this an original |
ling? Yes |
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b. If no: |
- State the amendment number:
- Date led:
- Number of pages attached:
Quarterly Statement as of
ASSETS
Current Statement Date |
4 |
|||||
1 |
2 |
3 |
||||
Net Admitted |
|
|||||
Nonadmitted |
Assets |
Prior Year Net |
||||
Assets |
Assets |
(Cols. 1 - 2) |
Admitted Assets |
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1. |
............................................................................................................................................Bonds |
90,377,811 |
............................... |
90,377,811 |
88,354,020 |
|
2. |
Stocks: |
|||||
2.1 |
Preferred.................................................................................................................................stocks |
............................... |
............................... |
............................... |
................................ |
|
2.2 |
Common stocks |
3,922,094 |
............................... |
3,922,094 |
4,022,480 |
|
3. |
Mortgage loans on real estate: |
|||||
3.1 |
First.................................................................................................................................liens |
............................... |
............................... |
............................... |
................................ |
|
3.2 |
Other than rst liens |
............................... |
............................... |
............................... |
................................ |
4. Real estate:
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 (
(............................................................................................................................................$ ) |
8,738,147 |
8,738,147 |
7,002,735 |
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6. |
Contract loans (including $ |
premium notes) |
............................... ............................... |
............................... |
................................ |
|
7. |
Derivatives |
............................... ............................... |
............................... |
................................ |
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8. |
Other invested assets |
......................................................................................... |
............................... ............................... |
............................... |
................................ |
|
9. |
Receivables for securities |
......................................................................................... |
...............................57,400 |
...............................57,400 |
................................ |
|
10. |
Securities lending reinvested collateral assets |
............................... ............................... |
............................... |
................................ |
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11. |
Aggregatewrite-insfor invested.........................................................................................assets |
............................... ............................... |
............................... |
................................ |
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12. |
......................................Subtotals, cash and invested assets (Lines 1 to 11) |
103,095,452 |
103,095,452 |
99,379,235 |
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13. |
Title plants less $ |
charged off (for Title insurers only) |
............................... ............................... |
............................... |
................................ |
|
14. |
Investment income due and accrued |
1,315,697 |
1,315,697 |
1,275,939 |
15. Premiums and considerations:
15.1 |
Uncollected premiums and agents' balances in the course of collection |
(3,336,793) |
(3,336,793) |
(3,339,806) |
|
15.2 |
Deferred premiums, agents' balances and installments booked but |
||||
deferred and not yet due (including $ |
earned but unbilled premiums) |
............................... ............................... |
............................... |
................................ |
|
15.3 |
Accrued retrospective premiums ($ |
) and contracts subject to |
|||
redetermination ($ ) |
............................... ............................... |
............................... |
................................ |
16. Reinsurance:
16.1 Amounts recoverable from reinsurers |
2,157,851 |
............................... |
2,157,851 |
2,322,454 |
|
16.2 Funds held by or deposited with reinsured companies |
............................... |
............................... |
............................... |
................................ |
|
16.3 Other amounts receivable under reinsurance contracts |
...............................328,084 |
............................... |
...............................328,084 |
................................352,241 |
|
17. |
Amounts receivable relating to uninsured plans |
............................... |
............................... |
............................... |
................................ |
18.1 |
Current federal and foreign income tax recoverable and interest thereon |
2,218,997 |
............................... |
2,218,997 |
2,251,814 |
18.2 |
Net deferred tax asset |
............................... |
............................... |
............................... |
................................ |
19. |
Guaranty funds receivable or.........................................................................................on deposit |
...............................7,012 |
............................... |
...............................7,012 |
................................7,012 |
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 a liates |
...............................6,510 |
............................... |
...............................6,510 |
................................535,051 |
24. |
Health care ($ ) and other amounts receivable |
............................... |
............................... |
............................... |
................................ |
25. |
Aggregate write-ins for other-than-invested assets |
...............................207,014 |
...............................325 |
...............................206,689 |
................................86,314 |
26. |
Total assets excluding Separate Accounts, Segregated Accounts and |
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Protected Cell Accounts (Lines.........................................................................................12 to 25) |
105,999,825 |
...............................325 |
105,999,500 |
102,870,254 |
|
27. |
From Separate Accounts, Segregated Accounts and Protected Cell Accounts |
............................... |
............................... |
............................... |
................................ |
28. |
.........................................................................................Total (Lines 26 and 27) |
105,999,825 |
325 |
105,999,500 |
102,870,254 |
Details of Write-Ins |
|||||
1101. |
............................................................................................................................................ |
............................... |
............................... |
............................... |
................................ |
1102. |
............................................................................................................................................ |
............................... |
............................... |
............................... |
................................ |
1103. |
............................................................................................................................................ |
............................... |
............................... |
............................... |
................................ |
1198. Summary of remaining write-ins for Line 11 from over ow......................................page |
............................... |
............................... |
............................... |
................................ |
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1199. Totals (Lines 1101 through 1103 plus 1198) (Line 11 above) |
............................... |
............................... |
............................... |
................................ |
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2501. OTHER ASSETS |
...............................207,014 |
...............................325 |
...............................206,689 |
................................86,314 |
|
2502. |
............................................................................................................................................ |
............................... |
............................... |
............................... |
................................ |
2503. |
............................................................................................................................................ |
............................... |
............................... |
............................... |
................................ |
2598. Summary of remaining write-ins for Line 25 from over ow......................................page |
............................... |
............................... |
............................... |
................................ |
|
2599. Totals (Lines 2501 through 2503 plus 2598) (Line 25 above) |
...............................207,014 |
...............................325 |
...............................206,689 |
................................86,314 |
2
Quarterly Statement as of
LIABILITIES, SURPLUS AND OTHER FUNDS
1 |
2 |
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Current |
|
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Statement Date |
Prior Year |
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1. |
Aggregate reserve for life contracts $ 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 (including $ |
|
..................................- |
4. Contract claims:
4.1 |
Life |
.................................. ..................................- |
|
4.2 |
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:
6.1 |
Policyholders' dividends and refunds to members apportioned for payment (including $ |
|
.................................. |
.................................. |
|||||
6.2 |
Policyholders' dividends and refunds to members not yet apportioned (including $ ....................................................................................................................... |
.................................. |
.................................. |
||||||
6.3 |
Coupons and similar bene ts (including $ |
|
.................................. |
.................................. |
|||||
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 |
.................................. |
.................................. |
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9. |
Contract liabilities not included elsewhere: |
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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 |
5,990,331 |
..................................4,451,313 |
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9.4 |
Interest Maintenance Reserve |
1,906,783 |
..................................2,275,460 |
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10. |
Commissions to agents due or accrued-life and annuity contracts $ |
, accident and health $ |
and deposit-type contract funds $ |
............................... |
.................................. |
.................................. |
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11. |
Commissions and expense allowances payable on reinsurance assumed |
..................................................................................................................................... |
.................................. |
.................................. |
|||||
12. |
General expenses due or accrued |
377,188 |
..................................395,723 |
||||||
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 |
..................................................................................................................................... |
91,177 |
..................................70,341 |
|||||
15.1 |
Current federal and foreign income taxes, including $ |
on realized capital gains (losses) |
.................................. |
.................................. |
|||||
15.2 |
Net deferred tax liability |
12,665,164 |
12,553,846 |
||||||
16. |
Unearned investment income |
.................................. |
.................................. |
||||||
17. |
Amounts withheld or retained by reporting entity as agent........................................................................................................................................................................................or trustee |
19,252 |
..................................19,316 |
||||||
18. |
Amounts held for agents' account, including $ |
agents' credit balances |
..................................................................................................................................... |
.................................. |
.................................. |
||||
19. |
Remittances and items not...........................................................................................................................................................................................................................................allocated |
267,426 |
..................................513,927 |
||||||
20. |
Net adjustment in assets and liabilities due to foreign exchange........................................................................................................................................................................................rates |
.................................. |
.................................. |
||||||
21. |
Liability for bene ts 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 |
1,066,545 |
..................................1,143,632 |
||||||
24.02 |
Reinsurance in unauthorized and certi ed ($ |
) companies |
.................................. |
.................................. |
|||||
24.03 |
Funds held under reinsurance treaties with unauthorized and certi |
ed ($ ) reinsurers |
.................................. |
.................................. |
|||||
24.04 |
Payable to parent, subsidiaries and a liates |
.......................................................................................................................................................................... |
2,784,159 |
..................................2,406,920 |
|||||
24.05 |
Drafts outstanding |
.................................. |
.................................. |
||||||
24.06 |
Liability for amounts held under uninsured plans |
.................................. |
.................................. |
||||||
24.07 |
Funds held under coinsurance |
60,511,767 |
60,511,767 |
||||||
24.08 |
Derivatives |
.................................. |
.................................. |
||||||
24.09 |
Payable for securities |
.................................. |
..................................(57,400) |
||||||
24.10 |
Payable for securities lending |
.................................. |
.................................. |
||||||
24.11 |
Capital notes $ and interest thereon $ |
.......................................................................................................................................................................... |
.................................. |
.................................. |
|||||
25. |
Aggregate write-ins for liabilities |
..................................7,397,482 |
..................................6,734,195 |
||||||
26. |
........................................................................................................................................................................................Total liabilities excluding Separate Accounts business (Lines 1 to 25) |
93,077,275 |
91,019,039 |
||||||
27. |
From Separate Accounts statement |
.................................. |
.................................. |
||||||
28. |
...........................................................................................................................................................................................................................................Total liabilities (Lines 26 and 27) |
93,077,275 |
91,019,039 |
||||||
29. |
Common capital stock |
2,093,426 |
..................................2,093,426 |
||||||
30. |
Preferred capital stock |
.................................. |
.................................. |
||||||
31. |
Aggregatewrite-insforother-than-specialsurplus funds |
.................................. |
.................................. |
||||||
32. |
Surplus..............................................................................................................................................................................................................................................................................................notes |
.................................. |
.................................. |
||||||
33. |
Gross paid in and contributed...........................................................................................................................................................................................................................................surplus |
7,706,695 |
..................................7,706,695 |
||||||
34. |
Aggregate write-ins for special surplus funds |
........................................................................................................................................................................................ |
.................................. |
.................................. |
|||||
35. |
Unassigned funds (surplus) |
3,122,104 |
..................................2,051,094 |
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) |
10,828,799 |
..................................9,757,789 |
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38. |
...........................................................................................................................................................................................................................................Totals of Lines 29, 30 and 37 |
12,922,225 |
11,851,215 |
|||
39. |
Totals of Lines 28 and 38 (Page 2, Line 28, Col. 3) |
........................................................................................................................................................................................ |
105,999,500 |
102,870,254 |
||
Details of Write-Ins |
||||||
2501. |
RESERVE FOR ESCHEAT FUNDS |
..................................7,161,693 |
..................................6,513,037 |
|||
2502. |
OTHER LIABILITIES |
..................................235,789 |
..................................221,158 |
|||
2503 |
||||||
2598. |
Summary of remainingwrite-insfor Line 25 from over ........................................................................................................................................................................................ow page |
.................................. |
.................................. |
|||
2599. |
Totals (Lines 2501 through 2503 plus 2598) (Line 25 above) |
..................................7,397,482 |
..................................6,734,195 |
|||
3101 |
||||||
3102 |
||||||
3103 |
||||||
3198. |
Summary of remainingwrite-insfor Line 31 from over ........................................................................................................................................................................................ow page |
.................................. |
.................................. |
|||
3199. |
Totals (Lines 3101 through 3103 plus 3198) (Line 31 above) |
.................................. |
.................................. |
|||
3401 |
||||||
3402 |
||||||
3403 |
||||||
3498. |
Summary of remainingwrite-insfor Line 34 from over ........................................................................................................................................................................................ow page |
.................................. |
.................................. |
|||
3499. |
Totals (Lines 3401 through 3403 plus 3498) (Line 34 above) |
.................................. |
.................................. |
3
Quarterly Statement as of
SUMMARY OF OPERATIONS
1 |
2 |
3 |
|||
Current Year To |
Prior Year To |
Prior Year Ended |
|||
Date |
Date |
|
|||
1. |
Premiums and annuity considerations for life and accident and health contracts |
.................................. |
.................................. |
..................................- |
|
2. |
Considerations for supplementary contracts with life contingencies |
.................................. |
.................................. |
.................................. |
|
3. |
Net investment income |
..................................2,356,399 |
..................................2,140,652 |
..................................4,294,070 |
|
4. |
Amortization of Interest Maintenance Reserve (IMR) |
..................................368,677 |
..................................502,162 |
..................................845,583 |
|
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: |
||||
8.1 |
Income from fees associated with investment management, administration and contract guarantees from Separate Accounts |
.................................. |
.................................. |
.................................. |
|
8.2 |
Charges and fees fordeposit..........................................................................................................................................................................................-typecontracts |
.................................. |
.................................. |
.................................. |
|
8.3 |
Aggregatewrite-insfor miscellaneous income |
.................................. |
.................................. |
.................................. |
|
9. |
........................................................................................................................................................................................................Totals (Lines 1 to 8.3) |
2,725,076 |
2,642,814 |
5,139,652 |
|
10. |
........................................................................................................................................................................................................................................................... ..................................Death bene ts |
.................................. |
.................................. |
||
11. |
Matured endowments (excluding guaranteed annual pure.....................................................................................................................................................endowments) |
.................................. |
.................................. |
.................................. |
|
12. |
...........................................................................................................................................................................................................................................................Annuity bene ts |
.................................. |
.................................. |
..................................- |
|
13. |
Disability bene ts and bene ts under accident and health.....................................................................................................................................................contracts |
.................................. |
.................................. |
..................................- |
|
14. |
Coupons, guaranteed annual pure endowments and similar.....................................................................................................................................................bene ts |
.................................. |
.................................. |
.................................. |
|
15. |
Surrender bene ts and withdrawals for life contracts |
.................................. |
.................................. |
.................................. |
|
16. |
Group conversions |
.................................. |
.................................. |
.................................. |
|
17. |
Interest and adjustments on contract ordeposit-typecontract.....................................................................................................................................................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. |
Aggregatewrite-insfor deductions |
..................................1,486,631 |
..................................2,153,372 |
..................................3,004,475 |
|
28. |
........................................................................................................................................................................................................Totals (Lines 20 to 27) |
..................................1,486,631 |
..................................2,153,372 |
..................................3,004,475 |
|
29. |
...............................................Net gain from operations before dividends to policyholders and federal income taxes (Line 9 minus Line 28) |
..................................1,238,445 |
..................................489,442 |
..................................2,135,177 |
|
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) |
..................................1,238,445 |
..................................489,442 |
..................................2,135,177 |
|
32. |
Federal and foreign income taxes incurred (excluding tax on capital gains) |
..................................32,817 |
..................................(163,980) |
..................................267,867 |
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) |
1,205,628 |
..................................653,422 |
..................................1,867,310 |
|||
34. |
Net realized capital gains (losses) (excluding gains (losses) transferred to the IMR) less capital gains tax of $ |
(excluding taxes of $ |
||||
transferred to the IMR) |
.................................. |
..................................1,902 |
.................................. |
|||
35. |
........................................................................................................................................................................................................Net income (Line 33 plus Line 34) |
1,205,628 |
..................................655,324 |
..................................1,867,310 |
||
36. |
Capital and Surplus Account |
|||||
Capital and surplus, December........................................................................................................................................................................................................31, prior year |
11,851,215 |
22,030,670 |
22,030,670 |
|||
37. |
........................................................................................................................................................................................................Net income (Line 35) |
1,205,628 |
..................................655,324 |
..................................1,867,310 |
||
38. |
Change in net unrealized capital gains (losses) less capital gains tax of |
(101,451) |
..................................(107,887) |
..................................(44,924) |
||
39. |
Change in net unrealized foreign exchange capital gain (loss) |
.................................. |
.................................. |
.................................. |
||
40. |
Change in net deferred income........................................................................................................................................................................................................tax |
(110,253) |
..................................(125,635) |
..................................35,322 |
||
41. |
Change in nonadmitted assets |
.................................. |
..................................116 |
..................................116 |
||
42. |
Change in liability for reinsurance in unauthorized and certi ed companies |
.................................. |
.................................. |
.................................. |
||
43. |
Change in reserve on account of change in valuation basis, (increase) or decrease |
.................................. |
.................................. |
.................................. |
||
44. |
Change in asset valuation reserve |
77,087 |
..................................53,786 |
..................................(37,280) |
||
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: |
|||||
50.1 |
Paid.............................................................................................................................................................................................................................................in |
.................................. |
.................................. |
.................................. |
||
50.2 |
Transferred from surplus (Stock..........................................................................................................................................................................................Dividend) |
.................................. |
.................................. |
.................................. |
||
50.3 |
Transferred to surplus |
.................................. |
.................................. |
.................................. |
||
51. |
Surplus adjustment: |
|||||
51.1 |
Paid.............................................................................................................................................................................................................................................in |
..................................- |
.................................. |
.................................. |
||
51.2 |
Transferred to capital (Stock..........................................................................................................................................................................................Dividend) |
.................................. |
.................................. |
.................................. |
||
51.3 |
Transferred from capital |
.................................. |
.................................. |
.................................. |
||
51.4 |
Change in surplus as a result..........................................................................................................................................................................................of reinsurance |
.................................. |
.................................. |
.................................. |
||
52. |
Dividends to stockholders |
.................................. |
.................................. |
(12,000,000) |
||
53. |
Aggregatewrite-insfor gains and losses in surplus |
.................................. |
.................................. |
.................................. |
||
54. |
.....................................................................................................................................................Net change in capital and surplus (Lines 37 through 53) |
..................................1,071,010 |
..................................475,704 |
(10,179,455) |
||
55. |
.....................................................................................................................................................Capital and surplus as of statement date (Lines 36 + 54) |
12,922,225 |
22,506,374 |
11,851,215 |
||
Details of Write-Ins |
||||||
08.301. |
........................................................................................................................................................................................................................................................... |
.................................. |
.................................. |
.................................. |
||
08.302. |
........................................................................................................................................................................................................................................................... |
.................................. |
.................................. |
.................................. |
||
08.303. |
........................................................................................................................................................................................................................................................... |
.................................. |
.................................. |
.................................. |
||
08.398. Summary of remainingwrite-insfor Line 8.3 from over ow.....................................................................................................................................................page |
.................................. |
.................................. |
.................................. |
|||
08.399 |
Totals (Lines 08.301 through 08.303 plus 08.398) (Line 8.3....................................................................................................................................................above) |
.................................. |
.................................. |
.................................. |
||
2701. |
INTEREST CREDITED TO REINSURERS |
1,486,631 |
..................................2,153,372 |
..................................3,004,475 |
||
2702 |
||||||
2703 |
||||||
2798. |
Summary of remainingwrite-insfor Line 27 from over ow.....................................................................................................................................................page |
.................................. |
.................................. |
.................................. |
||
2799. |
Totals (Lines 2701 through 2703 plus 2798) (Line 27 above) |
1,486,631 |
..................................2,153,372 |
..................................3,004,475 |
||
5301 |
||||||
5302 |
||||||
5303 |
||||||
5398. |
Summary of remainingwrite-insfor Line 53 from over ow.....................................................................................................................................................page |
.................................. |
.................................. |
.................................. |
||
5399. |
Totals (Lines 5301 through 5303 plus 5398) (Line 53 above) |
.................................. |
.................................. |
.................................. |
4
Quarterly Statement as of
CASH FLOW
1 |
2 |
3 |
||
Prior Year Ended |
||||
Current Year To Date |
Prior Year To Date |
|
||
Cash from Operations |
||||
1. |
Premiums collected net of reinsurance |
......................................(3,013) |
65,589 |
......................................(3,006,486) |
2. |
Net investment income |
......................................2,173,231 |
2,200,459 |
......................................4,263,712 |
3. |
Miscellaneous income |
......................................- |
......................................- |
......................................- |
4. |
Total..........................................................................................................................................................(Lines 1 to 3) |
2,170,218 |
2,266,048 |
1,257,227 |
5. |
Bene t and loss related payments |
......................................(216,990) |
(459,324) |
......................................(2,487,312) |
6. |
Net transfers to Separate Accounts, Segregated Accounts and Protected Cell Accounts. |
...................................... |
...................................... |
...................................... |
7. |
Commissions, expenses paid and aggregate write-ins for deductions |
......................................(94,226) |
(11,732,389) |
......................................(11,902,599) |
8. |
Dividends paid to policyholders |
...................................... |
...................................... |
...................................... |
9. |
Federal and foreign income taxes paid (recovered) net of $ tax on capital gains (losses) . |
......................................- |
......................................- |
......................................(1,635,952) |
10. |
Total (Lines 5 through 9) |
......................................(311,215) |
(12,191,713) |
......................................(16,025,863) |
11. |
Net cash from operations (Line 4.......................................................................................................minus Line 10) |
2,481,433 |
14,457,761 |
17,283,090 |
Cash from Investments |
||||
12. |
Proceeds from investments sold, matured or repaid: |
|||
12.1 Bonds |
......................................41,781 |
592,515 |
......................................62,125,921 |
|
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 |
......................................57,400 |
......................................- |
......................................- |
|
12.8 Total investment proceeds (Lines.....12.1.........................................................................................to 12.7) |
......................................99,181 |
592,515 |
......................................62,125,921 |
|
13. |
Cost of investments acquired (long-term only): |
|||
13.1 Bonds |
......................................1,989,930 |
11,925,905 |
......................................73,676,210 |
|
13.2 Stocks |
...................................... |
...................................... |
...................................... |
|
13.3 Mortgage..................................................................................................................................................loans |
...................................... |
...................................... |
...................................... |
|
13.4 Real..................................................................................................................................................estate |
...................................... |
...................................... |
...................................... |
|
13.5 Other invested assets |
...................................... |
...................................... |
...................................... |
|
13.6 Miscellaneous applications |
......................................57,400 |
57,400 |
......................................57,400 |
|
13.7 Total investments acquired (Lines......13.1........................................................................................to 13.6) |
2,047,330 |
11,983,305 |
73,733,610 |
|
14. |
Net increase (or decrease) in contract loans and premium notes |
...................................... |
...................................... |
...................................... |
15. |
Net cash from investments (Line 12.8 minus Line 13.7 and Line 14) |
(1,948,149) |
(11,390,790) |
(11,607,689) |
Cash from Financing and Miscellaneous Sources |
||||
16. |
Cash provided (applied): |
|||
16.1 Surplus notes, capital notes |
...................................... |
...................................... |
...................................... |
|
16.2 Capital and paid in surplus, less treasury...............................................................................................stock |
......................................- |
......................................- |
......................................- |
|
16.3 Borrowed..................................................................................................................................................funds |
...................................... |
...................................... |
...................................... |
|
16.4 Net deposits on deposit-type contracts and other insurance liabilities |
......................................- |
...................................... |
......................................- |
|
16.5 Dividends to stockholders |
...................................... |
...................................... |
......................................6,922,127 |
|
16.6 Other cash provided (applied) |
......................................1,202,128 |
1,014,596 |
......................................2,921,348 |
|
17. |
Net cash from nancing and miscellaneous sources (Line 16.1 through Line 16.4 minus Line 16.5 |
|||
plus..........................................................................................................................................................Line 16.6) |
......................................1,202,128 |
1,014,596 |
......................................(4,000,779) |
|
Reconciliation of Cash, Cash Equivalents and |
||||
18. |
Net change in cash, cash equivalents and short-term investments (Line 11, plus Lines 15 and 17) . |
......................................1,735,412 |
4,081,567 |
......................................1,674,622 |
19. |
Cash, cash equivalents and short-term investments: |
|||
19.1 Beginning..................................................................................................................................................of year |
......................................7,002,735 |
5,328,113 |
......................................5,328,113 |
|
19.2 End of period (Line 18 plus Line 19...1) |
......................................8,738,147 |
9,409,680 |
......................................7,002,735 |
|
Note: Supplemental disclosures of cash ow information for non-cash transactions: |
||||
...............................................................................................20.0001.NON-CASHDISPOSAL |
...................................... |
...................................... |
......................................5,077,873 |
5
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