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December 31, 2007 Annual Filing Period
Insurers filing Property/Casualty Annual Statement Blank-No RRGs
Year CoCode Company Name DOM Group Code
2007 10030 Ace Ind Ins Co PA 626
2007 10103 American Agricultural Ins Co IN
2007 10140 Optima Ins Co PR
2007 10166 Accident Fund Ins Co of Amer MI 572
2007 10191 MO Employers Mut Ins Co MO
2007 10227 Munich Reins Amer Inc DE 361
2007 10247 MGIC Reins Corp of WI WI 105
2007 10252 MGIC Residential Reins Corp WI 105
2007 10315 Civic Prop & Cas Co CA 212
2007 10317 Neighborhood Spirit Prop & Cas Co CA 212
2007 10318 Exact Prop & Cas Co Inc CA 212
2007 10364 Genesee Patrons Coop Ins Co NY
2007 10370 Washington County Co-Operative Ins NY
2007 10371 Broome Co Operative Ins Co NY
2007 10372 Chautauqua Patrons Ins Assoc NY
2007 10520 Care W Ins Co CA
2007 10659 Diamond Ins Co IL
2007 10666 MGIC Mortgage Reins Corp WI 105
2007 10682 MGIC Credit Assur Corp WI 105
2007 10693 Civil Serv Employees Ins Co CA 323
2007 10699 Florida Hospitality Mut Ins Co FL
2007 10704 Builders Ins GA 1302
2007 10724 Eastern Alliance Ins Co PA 3158
2007 10726 Somerset Cas Ins Co PA 457
2007 10751 NHRMA Mut Ins Co IL
2007 10758 Colonial Surety Co PA
2007 10783 Cornerstone Natl Ins Co MO
2007 10807 ACCC Ins Co TX
2007 10818 Facility Ins Corp TX 181
2007 10847 Cumis Ins Society Inc IA 306
2007 10873 Farmers Reins Co CA 212
2007 10900 Preferred Employers Ins Co CA 98
2007 10975 Amerihealth Cas Ins Co DE 936
2007 10992 CMG Mortgage Reins Co WI 306
2007 11004 Alfa Specialty Ins Corp AL 5
2007 11021 Indiana Old Natl Ins Co VT
2007 11042 Stonetrust Commercial Ins Co LA
2007 11070 Safeco Lloyds Ins Co TX 111
2007 11090 Worth Cas Co TX 2438
2007 11100 Safeco Surplus Lines Ins Co WA 111
2007 11105 A Central Ins Co NY 2518
2007 11242 Allied Eastern Ind Co PA 3158
2007 11266 Global Reins Corp US Branch NY 604
2007 11530 Healthcare Providers Ins Exch PA
2007 11821 Vantage Cas Ins Co IN 304
2007 11908 Mercury Cas Co CA 660
2007 11989 Advocate MD Ins of the SW Inc TX
2007 12188 Alfa Vision Ins Corp AL 5
2007 12230 Nevada Direct Ins Co NV
2007 12235 National Builders & Contractors Ins NV
2007 12360 Ocean Harbor Cas Ins Co FL 4051
2007 12502 Dongbu Ins Co Ltd HI
2007 12536 Homeowners of Amer Ins Co TX
2007 12957 Modern USA Ins Co FL
2007 13366 American Steamship Owners Mut Prot NY
2007 13765 Farm Bureau Mut Ins Co Of ID ID 842
2007 13803 Farm Family Cas Ins Co NY 408
2007 14265 Indiana Lumbermens Mut Ins Co IN 246
2007 14583 Millers First Ins Co IL 855
2007 14834 New York Central Mut Fire Ins Co NY 2518
2007 14931 Pawtucket Ins Co RI 497
2007 14990 Pennsylvania Natl Mut Cas Ins Co PA 271
2007 15040 Providence Mut Fire Ins Co RI 382
2007 15296 Upland Mut Ins Inc KS
2007 15407 Wolverine Mut Ins Co MI
2007 15474 National Lloyds Ins Co TX 732
2007 15725 Cameron Mut Ins Co MO 532
2007 16047 Southern Pioneer Prop & Cas Ins Co AR
2007 16470 MGIC Reins Corp WI 105
2007 16691 Great Amercian Ins Co. OH 84
2007 17558 Old Guard Ins Co OH 228
2007 17930 Philadelphia Contributionship for In PA 308
2007 18023 Star Ins Co MI 748
2007 18279 Bankers Standard Ins Co PA 626
2007 18430 Agricultural Workers Mut Auto Ins TX 2438
2007 18708 Ambac Assur Corp WI 1248
2007 18732 Commercial Loan Ins Corp WI 1135
2007 18740 MGIC Ind Corp WI 105
2007 18939 United Heritage Prop & Cas Co ID 2878
2007 18953 CSE Safeguard Ins Co CA 323
2007 18961 Crestbrook Ins. Co. OH 140
2007 19135 Alfa Mut Ins Co AL 5
2007 19143 Alfa Mut Fire Ins Co AL 5
2007 19151 Alfa Mut Gen Ins Co AL 5
2007 19232 Allstate Ins Co IL 8
2007 19269 Danielson Natl Ins Co CA 930
2007 19285 Danielson Ins Co CA 930
2007 19380 American Home Assur Co NY 12
2007 19399 AIU Ins Co NY 12
2007 19402 AIG Cas Co PA 12
2007 19410 Commerce & Industry Ins Co NY 12
2007 19429 Insurance Co Of The State Of PA PA 12
2007 19445 National Union Fire Ins Co Of Pitts PA 12
2007 19453 Transatlantic Rein Co NY 12
2007 19488 Amerisure Ins Co MI 124
2007 19631 American Road Ins Co MI 18
2007 19887 Trinity Universal Ins Co TX 215
2007 19895 Atlantic Mut Ins Co NY 24
2007 19909 Centennial Ins Co NY 24
2007 19917 Liberty Ins Underwriters Inc NY 111
2007 19992 American Select Ins Co OH 228
2007 20028 Beacon Natl Ins Co TX 175
2007 20141 National Trust Ins Co TN 474
2007 20311 Syncora Guarantee Inc NY
2007 20451 Midstates Reins Corp IL
2007 20591 Bankers Standard Fire & Marine Co PA 626
2007 20699 Ace Prop & Cas Ins Co PA 626
2007 20702 Ace Fire Underwriters Ins Co PA 626
2007 20966 Cotton States Mut Ins Co GA 50
2007 21032 Global Reins Corp Of Amer NY 604
2007 21202 Auto Club Ins Assoc MI 55
2007 21210 Auto Club Grp Ins Co MI 55
2007 21229 Memberselect Ins Co MI 55
2007 21652 Farmers Ins Exch CA 212
2007 21660 Fire Ins Exch CA 212
2007 21687 Mid Century Ins Co CA 212
2007 21709 Truck Ins Exch CA 212
2007 21849 American Automobile Ins Co MO 761
2007 21857 American Ins Co OH 761
2007 21865 Associated Ind Corp CA 761
2007 21873 Firemans Fund Ins Co CA 761
2007 21881 National Surety Corp IL 761
2007 22039 General Reins Corp DE 31
2007 22179 Republic Ind Co Of Amer CA 84
2007 22314 RSUI Ind Co NH 501
2007 22330 Alfa Ins Corp AL 5
2007 22667 Ace Amer Ins Co PA 626
2007 22705 R&Q Reins Co PA 4234
2007 27213 Insurance Co of N Amer PA 626
2007 22748 Pacific Employers Ins Co PA 626
2007 22810 Chicago Ins Co IL 761
2007 22829 Interstate Fire & Cas Co IL 761
2007 22837 AGCS Marine Ins Co IL 761
2007 22870 Ontario Ins Co NY
2007 22945 Texas Mut Ins Co TX
2007 23329 Merchants Mut Ins Co NY 226
2007 23361 Shelter General Ins Co MO 123
2007 23388 Shelter Mut Ins Co MO 123
2007 23396 Amerisure Mut Ins Co MI 124
2007 23663 National Amer Ins Co OK
2007 23779 The Nationwide Mutual Fire Ins Co OH 140
2007 23787 The Nationwide Mutual Ins Co OH 140
2007 23841 New Hampshire Ins Co PA 12
2007 23914 Northwestern Natl Ins Co Milwaukee WI 143
2007 24047 Surety Bonding Co Of Amer SD 218
2007 24104 Ohio Farmers Ins Co OH 228
2007 24112 The Westfield Ins Co OH 228
2007 24120 The Westfield National Ins Co OH 228
2007 24147 Old Republic Ins Co PA 150
2007 24341 Pemco Mut Ins Co WA 157
2007 24961 Connie Lee Ins Co WI 1248
2007 25070 Clearwater Ins Co DE 158
2007 25151 State Farm General Ins Co IL 176
2007 25364 Swiss Rein America Corp NY 181
2007 25941 USAA TX 200
2007 26263 Erie Ins Co PA 213
2007 26271 Erie Ins Exch PA 213
2007 26700 Insurance Co Of IL IL 111
2007 26835 Midrox Ins Co NY
2007 27065 Rockford Mut Ins Co IL
2007 27170 Texas Builders Ins Co TX
2007 28517 Victore Ins Co OK
2007 29114 CMG Mortgage Assur Co WI 306
2007 29610 Germania Farm Mut Ins Assoc TX 171
2007 29858 Mortgage Guar Ins Corp WI 105
2007 29963 United Farm Family Ins Co NY 408
2007 30058 Scor Reins Co NY 749
2007 30317 Hospitals Ins Co Inc NY
2007 30953 Ace Ins Co PR 626
2007 31046 California Gen Underwriters Ins Co CA 660
2007 31208 American Gen Prop Ins Co TN 12
2007 32433 Medical Ins Exch Of CA CA 608
2007 32441 Penn Natl Security Ins Co PA 271
2007 32514 Texas Hospital Ins Exch TX
2007 32603 Berkley Ins Co DE 98
2007 33049 State Volunteer Mut Ins Co TN
2007 33499 Dorinco Reins Co MI
2007 34029 Michigan Basic Prop Ins Assn MI
2007 34762 Brentwood Natl Ins Co TN
2007 34835 National Reins Corp DE 31
2007 35114 PMSLIC Ins Co PA 1282
2007 35130 Century Reins Co PA 626
2007 35505 Rockwood Cas Ins Co PA 457
2007 35599 Highmark Cas Ins Co PA 812
2007 36102 State Ins Fund NY
2007 36103 State Ins Fund Disability Benefits NY
2007 36412 Claremont Liab Ins Co CA 608
2007 37850 Pacific Specialty Ins Co CA 2898
2007 38687 Alaska Timber Ins Exch AK
2007 38865 California Ins Co CA 31
2007 39322 General Security Natl Ins Co NY 749
2007 39594 Physicians Liab Ins Co OK 4661
2007 39640 Firemans Fund Ins Co Of OH OH 761
2007 40266 CMG Mortgage Ins Co WI 306
2007 40371 Columbia Mut Ins Co MO 807
2007 40568 Seguros Triples Inc PR
2007 40789 American Bus & Personal Ins Mut Inc DE 150
2007 41114 Atlantic Bonding Co MD
2007 41297 Scottsdale Ins Co OH 140
2007 41653 Milbank Ins Co SD 175
2007 41661 Alfa Gen Ins Corp AL 5
2007 42269 Majestic Ins Co CA
2007 42498 Cameron Natl Ins Co MO 532
2007 42552 Nova Cas Co NY 4257
2007 43290 Wayne Cooperative Ins Co NY
2007 43320 Eastern Mut Ins Co NY 195
2007 43389 Service Lloyds Ins Co TX 681
2007 43753 Republic Ind Co of CA CA 84
2007 43826 Central Co Operative Ins Co NY
State Prescribed State Permitted
Capital and Practices Practices Impact
Group Name Net Income Surplus Impact Income Income
Ace Ltd Grp 1,470,000 14,201,000 (313,000)
68,168,638 553,270,163 3,200,000
(276,934) 2,703,799
BCBS OF MI GRP 55,743,709 656,849,330 (130,206)
21,372,222 133,485,517
Munich Re Grp 456,487,086 4,321,634,756 10,279,987
MGIC GRP (34,939,313) 341,294,119 84,849,384
MGIC GRP 1,097,028 16,580,987 (1,507,116)
ZURICH INS GRP 7,362,877 76,667,673
ZURICH INS GRP 7,196,445 78,466,520
ZURICH INS GRP 7,073,629 76,801,098
525,253 3,817,517
92,390 4,279,655
463,998 10,133,451
899,966 8,869,282
2,980,438 23,249,371
2,141,878 18,223,723 15,271
MGIC GRP 1,204,919 17,070,897 (1,507,116)
MGIC GRP 1,075,809 39,883,364 124,653
CIVIL SERV EMPLOYEE GRP 11,535,617 84,821,972 (110,000)
1,944,943 49,283,851
BUILDERS INS GRP 8,993,740 149,926,132
Eastern Holding Co Grp 14,792,188 49,749,012 106,549
ARGONAUT GRP 1,100,951 8,985,765 68,182
1,109,016 3,347,621 151,565
1,618,859 10,392,903 (39,732)
(3,570,195) 13,038,565 57,146
8,822,955 45,807,594
SWISS RE GRP 1,604,046 76,289,843 (8,536,000)
CUNA MUT GRP 80,680,009 508,366,348
ZURICH INS GRP 55,795,818 1,054,662,876
WR Berkley Corp GRP 5,947,953 38,744,460
INDEPENDENCE BLUE CROSS GRP 7,877,306 61,959,727 355,550
CUNA MUT GRP (283,297) 6,493,227 (4,967,273)
ALFA INS GRP 1,007,099 19,236,784
52,992,845 1,972,133,549
2,117,725 16,490,170 191,016
LIBERTY MUT GRP 538,157 9,462,274
Ag Workers Ins Grp (255,931) 3,565,817
LIBERTY MUT GRP 1,243,634 28,882,049
Central Serv Grp 371,903 11,100,247 (1,643)
Eastern Holding Co Grp 2,035,661 9,453,592 18,453
GERLING GLOBAL RE GRP (10,224,628) 36,399,486
2,784,299 18,176,129 479,860
PRUDENTIAL OF AMER GRP 7,346,745 57,333,569
MERCURY GEN GRP 210,415,482 1,391,584,182
5,250,809 20,176,800
ALFA INS GRP 4,921,780 53,666,279
(395,193) 1,110,840
656,593 3,212,481 (62,192)
Ocean Harbor Grp 2,051,115 30,793,394
1,926,827 18,087,782
237,599 3,968,523
(715,599) 13,517,610
(6,916,800) 36,603,199
FARM BUREAU GRP 18,808,234 200,860,040
AMERICAN NATL FIN GRP 38,428,008 280,845,341 (13,922)
INDIANA LUMBERMENS GRP 2,463,305 48,555,778 (592,316)
MILLERS FIRST INS CO GRP 1,246,760 21,200,380
Central Serv Grp 25,631,767 355,633,071 (16,343)
Blackstone Fin Grp (306,120) 4,513,281 (57,500)
PENNSYLVANIA NATL INS GRP 14,600,211 439,920,988 1,356,789
PROVIDENCE GRP 5,042,686 113,066,245
883,273 10,630,057 23,722
649,168 15,315,802 (260,000)
NLASCO GRP 17,092,353 99,228,722 14,729
CAMERON MUT GRP 3,134,468 36,263,472
1,422,592 12,373,803 (124,501)
MGIC GRP (1,778,866) 80,234,834 118,175,342
American Financial Grp 149,318,441 1,359,835,798
Westfield Grp 6,385,388 106,371,792
Philadelphia Contributionship GRP 1,022,301 208,150,366
Meadowbrook Ins Grp 13,893,409 188,380,573
Ace Ltd Grp 13,425,000 105,417,000 (3,283,000)
Ag Workers Ins Grp 2,184,015 27,490,267
AMBAC ASSUR CORP GRP 53,963,982 3,316,142,651 (379,086,843)
PMI GRP 637,090 11,054,426 63,248
MGIC GRP 775,552 23,055,689 (12,138)
United Heritage Mut Grp 1,049,804 9,809,752 (23,954)
CIVIL SERV EMPLOYEE GRP 5,865,121 29,265,204
Nationwide Corp. Group 9,355,594 160,827,180
ALFA INS GRP 50,773,724 974,148,561
ALFA INS GRP 43,129,413 657,900,621
ALFA INS GRP (554,838) 40,771,167
Allstate Ins Grp 4,958,224,429 18,034,537,621
DHC GRP (883,604) 8,336,011
DHC GRP (762,078) 6,003,425
AMERICAN INTL GRP 1,347,742,227 7,296,956,336 21,300,511
AMERICAN INTL GRP 47,922,153 1,398,492,328 591,681
AMERICAN INTL GRP 180,705,910 1,884,024,451 11,739,866
AMERICAN INTL GRP 1,012,447,984 2,687,933,985 5,916,808
AMERICAN INTL GRP 207,773,621 1,900,373,159 11,739,866
AMERICAN INTL GRP 1,284,907,182 12,156,994,126 89,222,974
AMERICAN INTL GRP 391,665,716 3,368,801,351 916,316
AMERISURE CO GRP 17,494,095 166,796,449 34,650
AMERICAN ROAD GRP 99,685,679 366,368,664 3,287,589
UNITRIN GRP 109,798,517 1,145,422,221
ATLANTIC CO GRP (30,403,165) 39,324,176
ATLANTIC CO GRP (20,241,851) 15,154,756
LIBERTY MUT GRP 7,506,370 86,446,824
Westfield Grp 5,393,009 60,573,766
STATE AUTO MUT GRP 2,029,587 13,453,983
FCCI MUT INS GRP 332,723 14,990,579
(522,304,707) 138,880,511
1,745,938 64,006,503 (2,597,000)
Ace Ltd Grp 5,561,000 48,271,000 (1,407,000)
Ace Ltd Grp 316,167,000 1,880,058,000 (54,710,000)
Ace Ltd Grp 2,971,000 58,608,000 (313,000)
Country Ins & Fin Serv Grp 7,742,546 69,905,927
GERLING GLOBAL RE GRP 1,615,701 131,961,734 (3,505,454)
AUTOMOBILE CLUB MI GRP 90,519,125 1,726,905,921 114,769,430
AUTOMOBILE CLUB MI GRP 5,064,714 86,706,211 6,375,761
AUTOMOBILE CLUB MI GRP 6,371,331 137,635,571 6,375,761
ZURICH INS GRP 154,450,686 3,446,738,483
ZURICH INS GRP 27,369,138 595,140,765
ZURICH INS GRP 102,525,644 724,354,786
ZURICH INS GRP 47,671,273 504,086,390
ALLIANZ INS GRP 22,595,728 196,678,205 (315,225)
ALLIANZ INS GRP 110,774,192 656,412,840 (1,450,035)
ALLIANZ INS GRP 6,396,380 71,836,172 (126,090)
ALLIANZ INS GRP 415,460,607 2,894,209,152 (9,456,746)
ALLIANZ INS GRP 36,790,575 218,981,950 (504,359)
BERKSHIRE HATHAWAY GRP 763,059,637 9,887,606,700 (8,112,000)
American Financial Grp 56,617,901 323,043,893
Alleghany Grp 216,395,604 1,084,043,617
ALFA INS GRP 37,050,898 217,196,134
Ace Ltd Grp 252,718,000 1,976,240,000 (57,513,000)
Randall & Quilter Invesment Grp (538,556) 25,347,825 9,541,892
Ace Ltd Grp 48,457,000 233,112,000 (7,815,000)
Ace Ltd Grp 112,519,000 694,525,000 (27,818,000)
ALLIANZ INS GRP 11,168,567 132,424,450 (189,135)
ALLIANZ INS GRP 20,106,190 325,605,258 (441,315)
ALLIANZ INS GRP 5,961,505 71,813,510 (100,872)
321,246 7,140,761
68,120,450 1,306,020,182
MERCHANTS MUT GRP 25,612,481 126,805,281
SHELTER INS GRP 11,159,602 97,326,934 (440,776)
SHELTER INS GRP 138,924,140 1,351,908,840 (18,894,342)
AMERISURE CO GRP 48,064,111 594,760,470 80,850
1,036,953 50,249,535
Nationwide Corp Grp 197,351,961 2,060,620,411
Nationwide Corp Grp 813,410,471 11,361,457,047
AMERICAN INTL GRP 189,821,529 1,369,299,721 11,739,866
ARMCO INS INC GRP 44,471,300 (2,776,679) (17,411,781)
CNA INS GRP 556,250 7,459,278 (437,830)
Westfield Grp 12,793,139 1,265,366,324
Westfield Grp 56,463,521 727,274,872
Westfield Grp 15,984,192 178,957,406
OLD REPUBLIC GRP 128,531,802 872,885,363 (2,259,608)
PUBLIC EMPLOYEES GRP 22,089,895 238,746,777
AMBAC ASSUR CORP GRP 10,708,346 147,563,706 (1,761,821)
FAIRFAX FIN GRP 82,373,488 670,192,304 (1,375,000)
STATE FARM GRP 93,626,582 1,863,520,027 (2,177,778)
SWISS RE GRP 219,442,968 4,065,026,866 (4,675,294)
UNITED SERV AUTOMOBILE ASSN GRP 659,255,337 12,896,562,700
ERIE INS GRP 28,092,744 215,438,793 496,430
ERIE INS GRP 620,076,528 4,767,523,989 15,275,000
LIBERTY MUT GRP 1,447,672 31,307,041
399,922 2,421,386
4,316,099 30,445,471 508,816 111,497
1,402,273 4,926,098 14,379
721,597 3,004,654 43,337
CUNA MUT GRP (730,052) 7,299,115 (356,370)
GERMANIA INS GRP 20,115,364 218,979,358
MGIC GRP 537,126,656 1,258,530,020 1,185,482,668
AMERICAN NATL FIN GRP 1,103,122 7,602,292 326
SCOR GRP 10,980,482 491,654,661 1,150,000
14,901,684 261,606,748
Ace Ltd Grp 577,803 13,402,065
MERCURY GEN GRP 868,797 14,178,367
AMERICAN INTL GRP 1,062,540 40,574,723
MEDICAL INS EXCH OF CA GRP 18,697,956 143,611,166
PENNSYLVANIA NATL INS GRP 24,491,092 207,801,992 987,372
755,281 9,916,871
WR Berkley Corp GRP 452,920,432 2,210,120,141 46,209,287
30,462,932 245,198,279
114,766,953 589,287,879
(21,389,496) (19,455,466) (36,611)
(435,472) 4,361,177
BERKSHIRE HATHAWAY GRP 21,251,483 622,095,928 189,000
Norcal GRP 13,709,756 154,821,416 (953,000)
Ace Ltd Grp 1,818,313 88,294,754 (251,000)
ARGONAUT GRP 15,397,883 81,292,209 (1,271,158)
HIGHMARK GRP 12,383,160 86,834,053 268,972
357,489,751 2,699,685,005
11,755,212 90,301,334
MEDICAL INS EXCH OF CA GRP 1,793,990 13,845,898
Western Serv Contract Grp 15,491,116 137,104,849
1,535,341 8,872,550
BERKSHIRE HATHAWAY GRP 14,125,773 110,208,256
SCOR GRP 17,493,150 91,288,032 550,000 28,063,000
Plico Cos Grp 29,250,581 8,118,706
ALLIANZ INS GRP 1,881,504 32,160,288 (25,218)
CUNA MUT GRP 9,613,231 77,011,865 (30,534,115)
COLUMBIA INS GRP 15,595,724 184,797,981 (28,732)
14,607,994 95,106,005
OLD REPUBLIC GRP 2,541,373 21,488,682 (404,271)
(32,233) 10,821,026 48,165
Nationwide Corp Grp 46,717,003 534,037,787
STATE AUTO MUT GRP 25,883,087 176,843,516
ALFA INS GRP 37,585,247 222,870,317
11,034,510 63,175,642
CAMERON MUT GRP 395,949 5,199,157
AIX Grp 3,376,621 65,559,714 265,000
453,716 8,269,289
UNION MUTUAL FIRE INS GRP 836,825 7,966,873 (44,052)
SERVICE LIFE GRP 6,624,952 88,953,461
American Financial Grp 1,865,617 22,416,831
618,787 4,116,212 25,285
61 46
Permitted Practices Surplus Impact Breakdown
State
Permitted
State Prescribed Practices
Practices Impact
Impact Surplus Surplus DTA Other Assets Reserves Other
(585,000)
3,200,000 (4,266,667)
1,546,614
(2,324,579)
882,732 882,732
143,753,098 143,753,098
(2,259,894) (2,259,894)
(603,000)
(603,000)
(603,000)
(17,984)
(10,976)
(100,000)
(28,259)
(407,000)
(2,259,894)
284,000 (165,000)
1,500,000 1,500,000
13,011,512 13,011,512
(1,345,516)
1,090,640
(143,522)
(57,146)
341,272
458,194,413 3,504,413 24,441,000 430,253,000
449,000
(7,962,781)
3,487,250 3,487,250
(2,322,000)
968,342
(1,443,811)
17,196
(454,375)
1,199
198,452
7,285,863
2,547,279
19,250,000
(2,716,000)
104,904
122,613
823,949 56,518 767,431
11,000,000 11,000,000
39,788
20,549,152 20,549,152
895,003
4,691,269 3,237,893 1,453,376
2,000,000
956,895
1,931,588 1,931,588
17,110,107 17,110,107
1,296,707 1,296,707
637,428 637,428
(1,369,000) (1,369,000)
14,729
202,002
44,844 44,844
(15,344,013)
(99,000)
6,142,000
116,208
(333,458)
87,414
(148,000)
(2,823,267)
(45,000)
(42,000)
723,999,637 30,616,094 30,616,094
105,354,767
165,947,444
197,130,080 59,838,525 59,838,525
69,441,169
1,261,200,578 68,351,589 68,351,589
(1,451,860)
(4,023,721) (4,023,721)
(40,188,748) (40,188,748)
1,350,606
1,564,689
391,172
78,824
1,377,369
28,403,000 28,403,000
2,632,000
254,683,000
585,000
5,262,757 5,262,757
12,542,287
(495,923) 212,497,864 212,497,864
(27,551) 11,461,897 11,461,897
(27,551) 11,461,897 11,461,897
(31,190,000)
(4,520,000)
(9,643,000)
(4,671,000)
6,258,512 6,258,512
28,789,156 28,789,156
2,503,405 2,503,405
352,260,221 164,504,855 187,755,366
10,013,620 10,013,620
863,484,000 863,484,000
(213,000)
25,140,601 25,140,601
107,653,000
65,154,108
14,626,000
52,072,000
3,755,107
8,761,917 8,761,917
2,002,724 2,002,724
(27,625)
4,321,468
(1,425,119) 680,285 680,285
(496,978) 267,603 (764,581)
(24,428,146) (46,799,863) 25,203,003 (72,002,866)
(13,305,388) (13,305,388)
304,964
165,947,445 9,430,804 9,430,804
7,621,345 7,621,345
1,714,419 1,714,419
36,584,578
(980,530)
35,103,000 17,450,000 17,653,000
121,994,084
12,379,193 12,379,193
5,023,942
460,773,000
(454,375)
(15,916)
86,119
303,330 303,330
563,106
4,758,000
(2,369,399)
(347,000)
(1,907,128)
(553,000)
20,774,309 20,774,309
12,601
237,338,204 237,338,204
(208,114)
(3,045,777)
161,979 161,979
51,141,000 51,141,000
1,009,000
6,978,788
7,306,660
6,714,285 1,343,031 6,271,254 (900,000)
5,500 5,500
(12,876,602)
1,679,480
(4,055,943)
2,466,000 7,149,000 7,149,000
775,678
500,681
482,368 1,284,087 1,284,087
4,810,722
4,755,047 4,755,047
(116,621)
(1,108,220)
10,729,000 2,300,000
553,771
(100,057)
6,285
(7,000)
(53,210)
116 63
Related to
CSR WG RBC Event
Proposal Avoided
Description (Y/N) (Y/N)
Discounting of Non-Tabular WC
Prescribed
Amortization of goodwill and Write-off
of Goodwill
Surplus Adjustment Pursuant to Rule 78
of PR Insurance Code N N
Real estate historical cost depreciation
difference from fair value at time of
BCBSM purchase. N N
MO permits automobiles to be admitted. N N
WORKERS' COMP. DISCOUNTING N N
CHANGE IN CONTINGENCY LOSS
RESERVES N N
CHANGE IN CONTINGENCY LOSS
RESERVES, ACCUMULATED
DIFFERENCE IN CONTINGENCY
LOSS RESERVES N N
Excess of statutory reserves N N
Excess of statutory reserves N N
Excess of statutory reserves N N
EDP EQUIPMENT N N
EDP EQUIPMENT N N
NY N/A CASH IN FED. Credit Union
EDP EQUIPMENT N N
CALIFORNIA REDUCTION OF
ADMITTED EDP EQUIPMENT AND
SOFTWARE
Unapproved accrued interest on surplus
note N N
CHANGE IN CONTINGENCY LOSS
RESERVES N N
CHANGE IN CONTNGENCY LOSS
RESERVES N N
No federal income taxes
Nonadmitted retrospective premium
receivable N N
Policyholder Deposits Recorded as
Surplus Notes N N
Non-tabular discount N N
Non-tabular discount of Workers'
Compensation reserves. N N
Interest on surplus notes N N
Unearned Premiums N N
Accrual of Unapproved Interest on
Surplus Note N N
FURNITURE AND EQUIMPMENT
ADMITTED N N
DISCOUNTING OF LOSS RESERVES,
INVESTED ASSETS VALUED AT
FAIR MARKET, PROSPECTIVE
REINSURANCE TREATEMENT N N
None in 2007
Excess of Statutory Reserves N N
EDP EQUIPMENT & CA Statutory
Reserve N N
Discount of Nontabular Reserves N N
Change in contingency reserve N N
None in 2007
Non-admitted assets (private bonds) N N
DEPRECIATION EXPENSE,
ADMITTED COMPUTER SOFTWARE N N
Non-Admitt Bond Per State Regulation N N
Furniture and Fixtures N N
Non-Admitted Bond Per State Regulation N N
DEPRECIATION OF EDP
EQUIPMENT AND OPERATING
SOFTWARE N N
Non-tabular discount N N
Provision for reinsurance N N
Unearned management fee
PFI Agreement - Reimbursement
Excess statutory reserves over statement
reserves N N
Furniture is an admitted asset in Texas N N
None in 2007
Difference in admitted EDP N N
DTA, Schedule P Penalty, Prepaid
Expenses, Letter of Credit, and Deferred
policy acquisition costs N N
None in 2007
Letter of Credit Admitted N N
TX admits Furniture and Fixtures
None in 2007
Future Assessment up to difference in
ultimate & present value of losses N N
Home office property
Prepaid Expenses N N
BAIL BOND PREMIUM, NET V.
GROSS, Unaudited Affiliates N N
Admitted Guaranty Fund Certificate N N
DEPRECIATION OF EDP
EQUIPMENT AND OPERATING
SOFTWARE N N
Land and buildings recorded at fair
market value N N
Non-tabular discounting of loss reserves N N
Record unaudited subsidiary as an
admitted asset N N
Asset recognition - sale-leaseback; Net
book value of building N N
Pension liability for nonvested benefits N N
Non-admitted assets for furniture and
equipment N N
Automabiles admitted N N
Calculation of Unearned Premium
CHANGE IN CONTINGENCY LOSS
RESERVES N N
None in 2007
None in 2007 N N
Pennsylvania limits investments in non-
insurance subsidiaries to 10% of prior yr
net admitted assets. N N
Difference in provision for reinsurance
due to ceded balances payable N N
Discounting of non tab workers'
compensation reserves
TX PRESCRIBED PRACTICE
ADDMISSION OF FURN & EQUIP N N
Contribution to contingency reserves via
change to surplus (Note: Permitted
practice is from state statute and results
with being consistent with SAP) N N
Contingency Reserve in Underwriting
Income N N
Contingency Loss Reserves N N
Fixed assets, net and Depreciation of
Fixed Assets N N
No federal income taxes - tax sharing
with GMFF N N
None in 2007
None in 2007
None in 2007
Admission of Miscellaneous Investments
None in 2007 N N
Escess statutory reserves over statement
reserves N N
Excess Statutory reserves over statement
reserves N N
NON TABULAR DISCOUNTING,
REGULATION 20 - OTHER
REINSURANCE CREDITS/Parental
Letters of Credit, Valuation of SCA
Entities N N
NON-TABULAR DISCOUNTING,
Regulation 20 - Other Reinsurance
Credits / Parental Letters of Credit N N
NON-TABULAR DISCOUNTING,
Regulation 20 - Other Reinsurance
Credits / Parental Letters of Credit N N
NON-TABULAR DISCOUNTING,
Regulation 20 - Other Reinsurance
Credits / Parental Letters of Credit,
Valuation of Joint Ventures and
Valuation of SCA Entities N N
NON-TABULAR DISCOUNTING,
Regulation 20 - Other Reinsurance
Credits / Parental Letters of Credit N N
NON-TABULAR DISCOUNTING,
Regulation 20 - Other Reinsurance
Credits / Parental Letters of Credit,
Valuation of Joint Ventures and
Valuation of SCA Entities N N
EDP EQUIPMENT, NET N N
Dividend Accrual N N
Effect of Michigan Permitted Practice on
Earned Premiums N N
EQUIPMENT, FURNITURE, NET
GOODWILL, NET N N
Reg. 20 Provision of Reinsurance
Allowance, Reg. 20 Subsidiary's
Provision for Reinsurance Allowance, N N
Reg. 20 Provision for Reinsurance
Allowance N N
None in 2007
None in 2007 N N
Furniture, Fixtures and Equipment N N
Statutory deposits classified as Not for
the Benefit of All Policyholders are non-
admitted to the extent that the book value
of the security
None in 2007
Accrued Investment Income from Loss
Reserve Discounting N N
Discounting of non-tabular Workers'
Compensation reserves
Discounting of non-tabular Workers'
Compensation reserves N N
Discounting of non-tabular Workers'
Compensation reserves N N
INVESTMENT IN AFFILIATED
PARTNERSHIP
GEORGIA STATE OF DOMICILE N N
Fixed assets, Nontabular discount on
workers' compensation, Provision for
reinsurance N N
Loss and LAE reserve discounting, net of
tax, Provision for Reinsurance N N
Provision for reinsurance, Loss and LAE
reserve discounting N N
Provision for reinsurance, Loss and LAE
reserve discounting N N
Excess of statutory reserves N N
Excess of statutory reserves N N
Excess of statutory reserve N N
Excess of statutory reserve N N
Discounted losses under FFIC structured
settlement program N N
Discounted losses under FFIC structured
settlement program N N
Discounted losses under FFIC structured
settlement program N N
Discounted losses structured settlement
program, Keep Well commitments as
surplus contributions N N
Discounted losses under FFIC structured
settlement program N N
Movement from prior year-end of non-
tabular reserves discount, Non-tabular
reserves discount N N
Minimum Reserves Requirement CICS
11558 N N
Admission of an unaudited subsdiary N N
None in 2007
Discounting of Non-Tabular Workers'
Compensation Reserves N N
Discounting of (A&E) reserves N N
Discounting of non tabular workers'
compensation reserves
Discounting of Non-Tabular Workers'
Compensation Reserves N N
Discounted losses structured settlement
program N N
Discounted losses structured settlement
program N N
Discounted losses structured settlement
program N N
EDP Equipment N N
Texas allows admitting of office furniture
and EDP equipment. N N
EDP Equipment and Investment in Sub N N
CATASTROPHE RESERVE and
Deferred Tax - Cat Reserve N N
CATASTROPHE RESERVE and
Deferred Tax - Cat Reserve N N
Dividend Accrual, Equity in Subsidiaries N N
Furniture and Equipment, net N N
None in 2007
None in 2007
VALUATION OF JOINT VENTURES,
LIMITED PARTNERSHIPS, AND
HEDGE FUNDS, NON-TABULAR
DISCOUNTING, REGULATION 20 -
PARENTAL LETTER OF CREDIT N N
Discounting Loss Reseves N N
Change in liability for excess ceded
commission over acquistion cost N N
None in 2007 N N
None in 2007 N N
None in 2007
DISCOUNTING OF NON-TABULAR
RESERVES, NET OF FEDERAL
INCOME TAXES N N
Admission of Investments - Per RCW
48.13.030(1) Washington State N N
Contribution to contingency reserves via
charge to surplus N N
Loss Reserve Discount and Provision for
Reinsurance N N
Interest expense on surplus debenture N N
DISCOUNT OF MED MAL RESERVES N N
Admission of unaudited investments N N
Nontabular Worker's Compensation
Discount N N
Unearned subscriber fees, nontabular
workers comp discount N N
Non-Admitted Bonds Per State
Regulation N N
EDP EQUIPMENT
Depreciation of fixed assets and home
office property N N
Furniture and Equipment and
Discounting on Reserves for Death
Claims N N
UNEARNED PREMIUM
DIFFERENCES N N
Change in contingency reserve N N
Fixed Assets - Furniture, Fixtures and
Equipment N N
CHANGE IN CONTINGENCY LOSS
RESERVES N N
Prepaid Expenses N N
Discount of workers' compensation
reserves N N
None in 2007
CAT REserve
Excess of statutory reserves over
statement reserves N N
NONADMIT DEPOSITS N N
Excess Statutory Loss Reserve N N
Non-tabular discounting of loss reserves N N
Furniture & Office Equipment N N
Discount of nontabular Reserves, hold
assets with nonqualified custodian N N
Nonadmit Special Deposits N N
Difference in provision for reinsurance
due to ceded balances payable N N
EDP Equipment, Depreciation - EDP
Equipment
None in 2007
Discount non-tabular reserves N N
Discounting of Medical Malpractice Los
Reserves N N
Discounting of non A&E loss and ALAE
reserves, Discounting of retroactive
reinsurance
Non-tabular discount on Workers'
Compensation reserves, Non-tabular
discount on Workers' Compensation
reserves of wholly owned subsidiary N N
Discount non-tabular reserves N N
Discount loss reserves, assignment of
surplus, and admission of assets N N
Assignment for Securities Fluctuation
and Catastrophes N N
None in 2007
Schedule P Penalty N N
Reserve for Policy Deposit N N
Schedule P provision N N
Retroactive reinsurance with Parent and
Disounting of Workers Comp Reserves N N
Admission of Furniture & Fixtures and
admission of IT Equipment N N
Discounted losses structured settlement
program N N
Chg in contingency reserve N N
Home Office Depr/Autos allowed/DTA N N
Deferred tax provision resulting from
additions to the catastrophe loss
reservewhich are deductible for tax
purpose N N
CHANGE IN NON-TABULAR
DISCOUNTING OF MEDICAL
RESERVES N N
Mortgage int >180 days & Nonadmitted
portion of Suntrust Stock & nonadmitted
int N N
None in 2007
Nonadmitted Home Office Real Estate N N
None in 2007
Reserve Deficiency CA Basis Not
Recorded and Schedule P Penalty N N
None noted in 2007
NYS did not adopt SSAP Nos 16 and 79 -
depreciation differences N N
EDP Equipment up to 3% N N
PREPAID EXPENSES N N
Effect of admitting other assets N N
Excess of statutory over statement
reserves N N
Admittted EDP Equipment N N
December 31, 2007 Annual Filing Period
Insurers filing Life Annual Statement Blank
Reporting
Period CoCode Company Name DOM Group Code
2007 11121 Unified Life Ins Co TX 0
2007 11997 Caterpillar Life Ins Co MO 3569
2007 12321 American Continental Ins Co TN 4011
2007 31119 Medico Ins Co NE
2007 35963 AF&L Ins Co PA 1289
2007 60004 American Farmers & Ranchers Life Ins OK 1321
2007 60140 Jackson Natl Life Ins Co Of NY NY 918
2007 60142 TIAA Cref Life Ins Co NY 1216
2007 60176 SBLI USA Mut Life Ins Co Inc NY 1347
2007 60186 Allstate Life Ins Co IL 8
2007 60216 Amalgamated Life Ins Co NY
2007 60256 Automobile Club Of Southern CA Ins CA 1318
2007 60305 American Comm Mut Ins Co MI
2007 60380 American Family Life Assur Co of Col NE 370
2007 60488 American Gen Life Ins Co TX 12
2007 60577 American Income Life Ins Co IN 290
2007 60593 National States Ins Co MO
2007 60631 American Investors Life Ins Co KS 44
2007 60682 Conseco Ins Co IL 233
2007 60690 American Life Ins Co DE 12
2007 60992 First Metlife Investors Ins Co NY 241
2007 61050 MetLife Investors USA Ins Co DE 241
2007 61115 Atlantic Coast Life Ins Co SC
2007 61212 Baltimore Life Ins Co MD
2007 61263 Bankers Life & Cas Co IL 233
2007 61271 Principal Life Ins Co IA 332
2007 61476 Boston Mut Life Ins Co MA 581
2007 61689 Aviva Life & Ann Co IA 44
2007 61921 Citizens Security Life Ins Co KY 1310
2007 61999 Americo Fin Life & Ann Ins Co TX 449
2007 62057 Lincoln Life & Ann Co of NY NY 20
2007 62383 Centurion Life Ins Co IA 471
2007 62510 Equitrust Life Ins Co IA 513
2007 62596 Union Fidelity Life Ins Co IL 350
2007 62626 Cuna Mut Ins Society IA 306
2007 62952 Equitable Life & Cas Ins Co UT
2007 63088 Farm Bureau Life Ins Co IA 513
2007 63126 Farm Family Life Ins Co NY 408
2007 63177 Farmers New World Life Ins Co WA 212
2007 63290 Fidelity Life Assn A Legal Reserve L IL
2007 63312 Great Amercian Life Ins. Co. OH 84
2007 63487 Investors Life Ins Co N Amer TX 449
2007 63665 General Amer Life Ins Co MO 241
2007 63983 United Heritage Life Ins Co ID 2878
2007 64130 Life Investors Ins Co Of Amer IA 468
2007 64190 Allianz Life Ins Co Of NY NY 761
2007 65056 Jackson Natl Life Ins Co MI 918
2007 65099 John Hancock Life Ins Co MA 904
2007 65242 Lafayette Life Ins Co IN 836
2007 65676 Lincoln Natl Life Ins Co IN 20
2007 65722 Loyal Amer Life Ins Co OH 84
2007 65838 John Hancock Life Insurance Company (U.S.A.) MI 904
2007 65900 Conseco Life Ins Co IN 233
2007 65978 Metropolitan Life Ins Co NY 241
2007 66168 Minnesota Life Ins Co MN 869
2007 66281 Monumental Life Ins Co IA 468
2007 66370 Mony Life Ins Co NY 968
2007 66427 MTL Ins Co IL
2007 66583 National Guardian Life Ins Co WI 1211
2007 66613 Lifere Ins Co TX 943
2007 66850 National Western Life Ins Co CO
2007 66915 New York Life Ins Co NY 826
2007 67091 The Northwestern Mutual Life Insurance Company WI 860
2007 67121 Transamerica Occidental Life Ins Co IA 468
2007 67466 Pacific Life Ins Co NE 709
2007 67539 Pan Amer Life Ins Co LA 525
2007 68136 Protective Life Ins Co TN 458
2007 68241 Prudential Ins Co Of Amer NJ 304
2007 68560 Bankers Conseco Life Ins Co NY 233
2007 68632 VantisLife Ins Co CT 4668
2007 68772 Security Mut Life Ins Co Of NY NY
2007 68985 Starmount Life Ins Co LA
2007 69116 State Life Ins Co IN 619
2007 69345 Teachers Ins & Ann Assoc Of Amer NY 1216
2007 69396 Texas Life Ins Co TX 241
2007 69833 Lincoln Memorial Life Ins Co TX 722
2007 70319 Washington Natl Ins Co IL 233
2007 70432 AIG Ann Ins Co TX 12
2007 70815 Hartford Life and Accident Insurance Company CT 91
2007 71153 Hartford Life & Ann Ins Co CT 91
2007 71420 Sierra Health & Life Ins Co Inc CA 707
2007 72664 Sun Life Ins & Annuity Co Of NY NY 549
2007 72958 Canyon State Life Ins Co AZ
2007 73121 Champions Life Ins Co TX 526
2007 74365 Southern Pioneer Life Ins Co AR 361
2007 74780 Integrity Life Ins Co OH 836
2007 74900 Brokers Natl Life Assur Co AR
2007 75221 Melancon Life Ins Co LA
2007 77151 Service Life & Cas Ins Co TX 681
2007 77690 Trans City Life Ins Co AZ
2007 77976 Gulf Guar Life Ins Co MS 948
2007 78972 Healthy Alliance Life Ins Co MO 671
2007 79065 Sun Life Assur Co Of Canada US DE 549
2007 79227 Pruco Life Ins Co AZ 304
2007 79715 Cooperativa De Seguros De Vida PR
2007 80578 Physicians Mut Ins Co NE 367
2007 80993 Western American Life Ins Co TX 526
2007 81434 First Rehab Life Ins Co Of Amer NY
2007 82252 Landmark Life Ins Co TX
2007 82430 Southwest Service Life Ins Co TX 1339
2007 83160 Texas Service Life Ins Co TX
2007 85472 National Security Life & Ann Co NY 704
2007 86169 Texas Intl Life Ins Co TX
2007 86231 Transamerica Life Ins Co IA 468
2007 86630 Prudential Ann Life Assur Corp CT 304
2007 87645 United Fidelity Life Ins Co TX 449
2007 87963 National Teachers Assoc Life Ins Co TX
2007 88072 Hartford Life Ins Co CT 91
2007 89003 Destiny Hlth Ins Co IL
2007 89004 Reinsurance Co Of MO Inc MO 4639
2007 90212 Great Southern Life Ins Co TX 449
2007 93572 RGA Reins Co MO 4639
2007 93629 Prudential Retirement Ins & Anuty Co CT 304
2007 93661 Annuity Investors Life Insurance Co. OH 84
2007 94188 Lifewise Assur Co WA 962
2007 97780 AGC Life Ins Co MO 12
2007 99538 Employees Life Ins Co TX
2007 99775 Funeral Directors Life Ins Co TX 801
2007 99937 Columbus Life Ins Co OH 836
State Prescribed
Practices Impact
Group Name Net Income Capital and Surplus Income
1,651,662 12,705,387
Caterpillar Grp 5,623,184 50,282,059 1,682,508
Genworth Fin Grp (226,208) 8,498,556
32,698,453 49,306,058
AMERICAN FIDELITY & LIBERTY INC GRP (1,359,444) 1,598,557
American Farmers & Ranchers Grp 112,816 2,940,555
JACKSON NATL GRP (4,139,458) 132,086,103 (2,748,475)
TIAA FAMILY GRP 10,098,432 332,130,292 (103,273)
SBLI USA GRP 4,541,665 129,484,475
ALLSTATE INS GRP 141,732,754 2,622,498,777
4,134,527 30,019,310
Auto Club Enterprises Ins Grp (4,767,727) 32,200,346
($5,935,527) $102,388,694
AMERICAN FAMILY CORP GRP 1,790,158,523 4,208,297,341
AMERICAN INTL GRP 862,282,853 5,694,834,433
LIBERTY NATL GRP 96,321,934 221,186,415
$458,616 $16,940,412
Aviva Grp 100,939,186 641,711,774
CONSECO GRP (10,788,162) 232,968,150 (1,400,000)
AMERICAN INTL GRP 736,918,227 6,720,960,915
METROPOLITAN GRP (42,253,403) 58,866,910 (3,526,347)
METROPOLITAN GRP (1,106,497,053) 584,168,235
210,241 15,712,412
8,465,638 72,388,795
CONSECO GRP 113,730,083 685,898,631
PRINCIPAL FIN GRP 540,156,190 3,694,985,690 13,419,266
BOSTON MUT GRP 10,334,878 102,138,936
Aviva Grp (3,386,060) 549,018,109
CITIZENS FIN INC GRP 857,302 10,683,890
FINANCIAL HOLDINGS GRP 8,617,991 225,448,421
LINCOLN NATL GRP (187,823,415) 832,792,903 (7,310,602)
Wells Fargo Grp 45,024,860 949,938,891
IOWA FARM BUREAU GRP 22,284,795 391,638,440
($41,027,007) $414,434,443
CUNA MUT GRP 10,604,577 1,035,434,780
3,158,403 40,223,281
IOWA FARM BUREAU GRP 55,152,945 364,915,073
AMERICAN NATL FIN GRP 11,539,076 125,126,884 40,101
ZURICH INS GRP 97,945,425 641,255,432
(76,295) 275,248,235
American Financial Grp 43,977,966 732,327,785
FINANCIAL HOLDINGS GRP 3,872,333 47,754,789
METROPOLITAN GRP 106,023,387 2,279,712,297
United Heritage Mut Grp 1,704,265 41,633,535 24,085
Aegon US Holding Grp 119,132,265 422,474,219
ALLIANZ INS GRP 2,171,592 50,337,281
JACKSON NATL GRP 490,010,567 4,024,056,717 (3,270,263)
JOHN HANCOCK GRP 1,123,491,112 4,407,485,181
WEST SOUTHERN GRP (639,621) 118,208,363
LINCOLN NATL GRP 1,204,807,938 4,957,875,132 19,328,292
American Financial Grp 4,903,815 41,794,807
JOHN HANCOCK GRP (9,844,003) 1,523,302,923
CONSECO GRP (54,328,946) 148,159,558 876,145
METROPOLITAN GRP 2,123,094,783 13,003,979,094 65,000,000
MINNESOTA MUT GRP 181,759,711 1,818,067,196 175,000
Aegon US Holding Grp 361,381,408 731,778,971
AXA INS GRP 130,418,707 961,273,907
(812,303) 105,276,363 (121,358)
NATIONAL GUARDIAN LIFE INS GRP 16,536,058 167,449,565
Unifi GRP (470,368) 11,385,559
32,289,502 710,934,692
NEW YORK LIFE GRP 856,434,864 11,959,229,547
NORTHWESTERN MUT GRP 1,003,783,633 12,105,969,694
Aegon US Holding Grp (97,985,519) 3,597,938,261
PACIFIC LIFE GRP 362,189,921 3,707,975,134 (1,447,054)
PAN AMER LIFE GRP 25,696,813 306,483,159
PROTECTIVE LIFE INS GRP 350,916,547 1,796,944,586
PRUDENTIAL OF AMER GRP 1,274,293,279 6,980,794,502
CONSECO GRP (17,273,286) 21,388,839 10,397
VantisLife Grp 1,113,654 67,313,683 1,917,437
5,716,525 114,730,013
2,201,215 11,725,310
OneAmerica Fin Partners Grp 19,514,558 150,798,626
TIAA FAMILY GRP 1,428,745,752 17,827,119,872 (490,981,185)
METROPOLITAN GRP 13,247,197 45,713,783
MEMORIAL GRP (3,570,697) 8,518,822
CONSECO GRP (45,205,617) 435,585,526 (2,979,000)
AMERICAN INTL GRP (104,377,027) 3,731,274,583
HARTFORD FIRE & CAS GRP 776,752,714 5,783,572,703
HARTFORD FIRE & CAS GRP 284,516,373 2,556,587,807 7,492,658
UNITEDHEALTH GRP (11,103,417) 63,061,075
SUN LIFE ASSUR CO OF CN GRP (25,380,367) 206,951,788 1,005,673
282,493 3,932,817 (1,224,433)
MAXIMUM CORP GRP 1,060,658 5,181,195 4,315
Munich Re Grp 1,540,081 11,822,548
WEST SOUTHERN GRP 30,505,933 355,341,338
3,350,129 15,834,458
21,859 820,007
SERVICE LIFE GRP 2,846,236 34,205,790
957,931 7,810,745
NATL GEN GRP (175,043) 7,523,931
Wellpoint Inc Grp 83,029,497 213,983,279
SUN LIFE ASSUR CO OF CN GRP (55,000,122) 1,167,707,018
PRUDENTIAL OF AMER GRP 60,627,374 772,859,672
(504,022) 38,786,250
PHYSICIANS MUT GRP 32,352,716 760,026,809
MAXIMUM CORP GRP 1,145,773 2,489,162
4,858,915 35,512,199 1,911,856
511,416 3,073,630
CROY HALL MGMT GRP 863,273 4,532,778 4,979
353,774 1,232,896
OHIO NATL LIFE GRP (799,024) 19,217,788
(1,750,947) 1,450,590 10,262
Aegon US Holding Grp 241,492,069 1,989,749,498
PRUDENTIAL OF AMER GRP 105,999,774 438,348,646 (29,554,747)
FINANCIAL HOLDINGS GRP 212,181 226,062,104
1,722,395 26,872,703
HARTFORD FIRE & CAS GRP 191,482,710 4,448,473,729 4,977,911
(4,155,996) 10,852,094
RGA Inc Grp 5,166,888 1,184,135,201 8,310,000
FINANCIAL HOLDINGS GRP (334,232) 31,058,327
RGA Inc Grp (41,535,175) 1,184,133,665 7,188,000
PRUDENTIAL OF AMER GRP 118,011,222 945,615,428
American Financial Grp (1,201,657) 55,935,947
PREMERA BLUE CROSS GRP 5,551,334 39,394,503
AMERICAN INTL GRP 1,257,732,864 7,743,405,952 195,537,000
1,183,090 7,683,754
DIRECTORS INVESTMENT GRP 3,831,111 48,511,125
WEST SOUTHERN GRP 15,904,611 229,060,827
32
Permitted Practices Surplus Impact Breakdown
State Permitted State Prescribed State Permitted
Practices Impact Practices Impact Practices Impact
Income Surplus Surplus DTA Other Assets Reserves
(1,682,508)
(338,210)
(168,869) 4,503,178
(332,000) 624,000 624,000
294,869
14,969 (17,673,535) 118,113 118,113
(24,770,108)
(818,390)
218,191 218,191
40,614,934
(669,876) 35,386,208 35,386,208
(8,320,993)
(4,300,000)
147,000,000
(12,970,579)
308,400
(23,727) 1,945,617 1,945,617
236,359,826
360,073
(10,300,281)
(1,217,565) (1,217,565) (1,217,565)
(32,556,419)
(250,001) (115,640,649) 877,900 102,764,346
(24,290,629)
(117,016)
885,116
(5,061,988)
2,000,000 2,000,000
130,914
(4,419,323)
1,992,865
104,706,637
(7,974)
151,489,191 (49,148,067)
12,605,862
795,633
232,178,785
(8,679,365)
(287,000,000)
1,924,000 (3,094,000) 2,736,000
26,573,147
(3,084,791)
(721,195)
1,720,247
26,769
(1,206,120) 12,775,000 12,775,000
496,914,771
63,410,000 (130,140,000) (130,144,000)
1,708,191,614 16,158,760 $16,158,760
50,825,115 (8,714,167) 53,584,461 53,584,461
(9,322,000)
43,768,686
159,506
16,577,735
(97,000)
35,854
(196,747) 20,376,198
(3,423,204,190)
204,171
(70,959)
5,300,000
(13,116,528) (199,900,906) (199,900,906)
248,182,472
(211,000)
(115,830)
(32,021)
895,093
50,688 50,688
37,367
(119,325)
(4,666,940)
(22,983,085)
113,058,000 113,058,000
811,510 14,500,000 14,500,000
7,155,880
5,923
1,911,856
6,399
11,631
174,047
(71,764)
286,392,312
119,415,588
13,473
95,337 95,337
111,885,929
1,096,050
(21,792)
(1,656,938) (113,544,621)
(507,770)
10,831
(20,189) 190,406
21 69 24
us Impact Breakdown
Related to
CSR WG RBC Event
Proposal Avoided
Other Description (Y/N) (Y/N)
Interest on surplus note N N
Nonadmit special deposits in excess
of premiums N N
Sale and Leaseback of home office
4,503,178 property N N
Reduction to active life reserves
amortized over 4 years N Y
Nonadmission of Goodwill, net N N
(INCREASE)/DECREASE IN
FEDERAL INCOME TAXES, TAX
EFFECT OF CHANGE IN
RESERVES TO REFLECT
CURATE CARVM,
ADJUSTMENTS CONTINUOUS
CARVM PER NEW YORK STATE
BASIS, LESS: ADJUSTMENTS
CURATE CARVM PER NAIC SAP,
ADJUSTMENTS CONTINUOUS
CARVM PER NEW YORK STATE
BASIS, LESS: ADJUSTMENTS
CURATE CARVM PER NAIC SAP N N
Additional Reserves for Term
Conversions, Additional Reserves for
Deferred and Payout Annuities,
Deferred Premium Asset Limitation,
Additional Reserves for Term
Conversions, Additional Reserves for
Deferred and Payout Annuities N N
Goodwill N N
Capitalize leasehold improvements N N
40,614,934 Refundable lease payments - Japan N N
Recorded Home Office at MV in
1984. N N
Investment Limitations N N
CONTINUOUS CARVM
RESERVING METHOD N N
Prescribed local statutory audited
financial valuation of foreign
subsidiaries N Exempt
DEFERRED ANNUNITIES
BETWEEN CONTINUOUS
CARVM RESERVES N N
Permitted to record income taxes on
the sale of a large tract of property as
current in the year disposed and not
the NAIC basis which would record
308,400 taxes as deferred. N N
Prepaid land lease N N
Bulletin 06-01, Reserve Credit N N
Group Waiver of Premium Claim
Reserves
Modular Furniture Allowed as an
Asset N N
Annuity reserves calculated on
continuous CARVM on benefit N N
STATE PEMITTED PRACTICES -
1958 CET N N
Unrealized gain/loss on call options
in Net Investment Income N N
Premium recognition, Income Tax
Impact, Premium Recognition,
Carrying Value of Mortgage
Insurance Affiliates, Carrying Value
11,998,403 of Separate Account Assets N N
Treat Investment in Parent Co Stock
(24,290,629) as Treasury Stock N N
Unrealized gain/loss on call options
in Net Investment Income N N
Prepaid Expenses, Depreciation on
EDP Equipment N N
FOREIGN INVESTMENTS N N
Related Party note as admitted asset -
parent company N N
No variations in 2007 N N
Modular furniture allowed as an asset N N
SURPLUS NOTES 1ST YEAR
INTEREST LIABILITY and accrued
interest N N
Difference in depreciable lives - EDP
equipment, Admission of fixed assets,
net N N
Reserve credit N N
EDP equipment and software N N
INCREASE/(DECREASE) IN
MARKET VALUES OF
FINANCIAL DERIVATIVES USED
TO HEDGE EQUITY-INDEX
LINKED LIABILITIES, XXX and
XXXV adjustments, LESS TAX
(49,148,067) EFFECTS N N
Goodwill N N
Changes in FV of Derivative reported
in investment Income - MVA N N
Universal Life Reserves Calculated
on Indiana UL Method, Conservative
Valuation Interest Rate for On
Benefit SPIAs, Universal Life
Reserves Calculated on Indiana UL
Method, Conservative Valuation
Interest Rate for On Benefit SPIAs N N
UNIVERASAL LIFE RESERVES -
LESSER OF MAXIMUM
VALUATION RATE UNDER
STANDARD VALUATION LAW
OR THE GUARANTEED
ACCUMULATION RATE
SPECIFIED IN THE POLICY N N
GOODWILL, DEFERRED
ANNUITIES USING
CONTINUOUS CARVM
RESERVES N N
Permitted use of modified 1959 ADB
Table, Reserves in excess of
prescribed reserves per A-820 N N
Reserve credit for secondary
guarantee reinsurance treaty N N
Goodwill written off to surplus in
year of acquisition N N
Policy Reserves N N
Surplus Note N N
Admitted EDP and F&F. N N
Life interest in trust, Valuation
allowance on mortgage loans N N
EDP equipment, net, Aircraft owned
by subsidiary, net, Goodwill of non-
insurance subsidiaries, Surplus notes
indemnity reserve, Prepaid real estate
taxes N N
Value its subsidiary, Frank Russell
Company (FRC) based on NML's
share of FRC's GAAP Equity, without
adjusting for the Goodwill included in
the GAAP Equity Y N
Prescribed Reinsurance reserves,
admitting a Bermuda sub permitted N N
Separate account funding agreements,
Synthetic GICs, California Insurance
Code requirements pertaining to
universal life reserves (retained upon
redomestication to Nebraska) N N
Company lists several permitted
practices related to Latin American
investments and unaudited
subsidiaries, but does not list amounts N N
GOODWILL ASSET NON-
ADMITTED, BOND TO PLC ESOP
PLAN NON-ADMITTED, NAIC 6
BONDS NON-ADMITTED, NON-
ADMIT LEASEHOLD
IMPROVEMENTS N N
NJ admits leasehold improvements N N
CONTINUOUS CARVM
RESERVING METHOD N N
GPV -v - XXX Reserves N N
Goodwill N N
EDP equipment and software N N
regarding avoiding INTEREST
20,376,198 MAINTENANCE RESERVE N N
Term conversions, Deferred & Payout
Annuities, Deferred Premium Asset
Limitation, Goodwill Limitation N N
TX Admit Furniture & Equipment N N
Texas limits on goodwill N N
COMPANY PRACTICES:
CONTINOUS CARVM
RESERVING METHOD N N
Co exceeds the Minimum Life and
Annuity Reserve Standards N N
None N N
Reinsurance credit for reinsurance
treaty which has a limited right of
unilateral cancellation by the
reinsurer. N N
CA difference on edp equipment N N
Regulation 147 NY on Premium
deficiency reserves N N
COMMON STOCK IN EXCESS OF
ARIZONA STATUTORY LIMITS,
LIMITED PARTNERSHIP
INTEREST WITH THE
CHARACTERISTICS OF
COMMON STOCK N N
IMR liability amortization, Difference
related to IMR liability and
amortization N N
Admitted unaudited Investment in
Subsidiary N N
No differences in 2007 N N
Loan receivable from parent not
collateralized in a manner indicated in
SSAP 21 and carried as admitted
asset. N N
Company is exempt from RBC no
other permitted practices N N
Effect of TX prescribed practice for
admitting other assets N N
State investment limits Purchased
Patent, Service Mark and Goodwill N N
non-admitted C/S per MS Inv Law
and effect on AVR N N
Nonadmittance of amounts due from
affiliates N N
None N N
Taiwan Assumption Reinsurance N N
Home office 85% of FV, recog.
dividends early, commissions N N
State prescribed admits Ariplanes N N
increase due to AVR timing N N
Commission expense- net of tax
effect N N
Fixed Assets, net N N
Cost of furniture acquired,
Depreciation of Furniture,Furniture
allowed as an admitted asset N N
FURNITURE AND EQUIPMENT N N
NY nonadmits goodwill N N
Admission of furniture and equipment N N
IA Code allows the company to take
reserve credit for contracts with
secondary guarantees N N
RESERVES, Future Fees Payable to
PAI N N
Modular furniture allowed as an asset N N
Non-admissible fixed assets N N
Reinsurance credit for reinsurance
treaty which has a limited right of
unilateral cancellation by the
reinsurer. N N
Interest on Surplus Notes N N
Surplus note interest N N
Modular furniture allowed as an asset N N
Surplus note interest N N
DEFERRED GAIN FROM
(113,544,621) ASSUMPTION REINSURANCE N N
No variations in 2007 N N
Negative impact requirement to non-
admit investments originating in
countries with other than NAIC
sovereign debt rating of 2 N N
Interest on Surpius Notes in surplus
instead of income N N
TX admits Furniture fixutres and equipmentN N
Depreciation of EDP, EDP Net Fixed
Assets N N
No variations in 2007 N N
December 31, 2007 Annual Filing Period
Insurers filing Fraternal Annual Statement Blank
NONE
December 31, 2007 Annual Filing Period
Insurers filing Health Annual Statement Blank
Group
CoCode Company Name DOM Code Group Name
10772 Children's Comm Hlth Plan Inc TX 3387 Bravo Hlth Inc Grp
11246 Group Dental Hlth Administrators Inc NJ
11560 Total Dental Administrators of UT PA 3387 Bravo Hlth Inc Grp
11602 Rochester Area HMO Inc NY 3481 Preferred Care Grp
11699 Essence Hlthcare Inc MO 4597 Essence Grp
12193 OmniCare Hlth Plan Inc MI 1137 COVENTRY CORP GRP
12575 SilverScript Ins Co TN 4667 CVS Caremark Grp
48160 Dental Source of MO & KS Inc MO 4506 Dental Economics GRP
49948 Hawaii Medical Serv Assn HI
49964 Preferred Assur Co NY 3481 Preferred Care Grp
52015 Compbenefits Co FL 119 HUMANA GRP
52120 TOTAL DENTAL ADMIN HLTH PLAN INC TX 3387 Bravo Hlth Inc Grp
52633 LifeWise Hlth Plan of WA TX 3387 Bravo Hlth Inc Grp
52635 El Paso First Hlth Plans Inc TX
53287 BCBSD Inc DE
53589 BCBS of AZ Inc AZ
53902 Regence BlueShield WA 1207 REGENCE GRP
54291 BCBS of MI MI 572 BCBS OF MI GRP
54518 BCBS of TN Inc TN 3498 BCBS of TN Grp
54704 Independence Blue Cross PA 936 INDEPENDENCE BLUE CROSS GRP
55093 Empire Healthchoice Assur Inc NY 671 Wellpoint Inc Grp
55107 Excellus Hlth Plan Inc NY 3481 Preferred Care Grp
55204 Health Now NY Inc NY
55239 Group Hlth Inc NY 1304 GHI SERV GRP
55247 Health Ins Plan of Greater NY MI 572 BCBS OF MI GRP
55271 Pupil Benefits Plan Inc NY
55891 Noridian Mut Ins Co ND
60007 Primary Hlth Network Inc ID
60040 Cox Hlth Systems Ins Co MO 1203 COX INS GRP
60067 Dean Hlth Ins Inc WI 1294 DEAN HLTH GRP
60131 Regence Blueshield Of ID Inc ID 1207 REGENCE GRP
60321 Mamsi Life & Hlth Ins Co MD 707 UNITEDHEALTH GRP
81200 Louisiana Hlth Serv & Ind Co MI 572 BCBS OF MI GRP
95006 Aetna Hlth Inc TN Corp TN 1 AETNA GRP
95019 Health First Hlth Plans Inc FL
95088 Aetna Hlth Inc FL Corp FL 1 AETNA GRP
95089 Health Options Inc FL 536 BCBS OF FL GRP
95103 United Healthcare Of NC Inc MI 572 BCBS OF MI GRP
95138 SHA LLC TX 3549 Firstcare Grp
95232 Medica Hlth Plans of WI MI 572 BCBS OF MI GRP
95270 Humana Medical Plan Inc FL 119 HUMANA GRP
95311 Group Hlth Coop of S Central WI MI 572 BCBS OF MI GRP
95342 Humana WI Hlth Org Ins Corp MI 572 BCBS OF MI GRP
95358 Hmo MO Inc MO 671 Wellpoint Inc Grp
95433 Empire Healthchoice HMO Inc NY 671 Wellpoint Inc Grp
95433 Empire Healthchoice HMO Inc NY 671 Wellpoint Inc Grp
95521 MVP Hlth Plan Inc NY 1198 MVP GRP
95584 Vantage Health Plan Inc LA
95584 Vantage Health Plan Inc LA
95609 Alliance For Comm Hlth LLC MI 572 BCBS OF MI GRP
95636 Childrens Mercys Family Hlth Partner MO
95693 Compcare Hlth Serv Ins Corp WI 671 Wellpoint Inc Grp
95732 Carolina Care Plan Inc SC 730 MEDICAL MUT OF OH GRP
95737 Network Hlth Plan of WI Inc WI 2678 Network Hlth Grp
95737 Network Hlth Plan of WI Inc WI 2678 Network Hlth Grp
95754 Cariten Hlth Plan Inc MI 572 BCBS OF MI GRP
95782 Medical Assoc Clinic Hlth Plan of WI MI 572 BCBS OF MI GRP
95812 Southeastern IN Health Org IN
95835 GHI Hmo Inc NY 1304 GHI SERV GRP
96156 Dean Hlth Plan Inc WI 1294 DEAN HLTH GRP
96342 Health Plan Of NV NV 707 UNITEDHEALTH GRP
96475 Healthlink Hmo Inc MI 572 BCBS OF MI GRP
96940 Optimum Choice Inc MD 707 UNITEDHEALTH GRP
98167 BCBS Of FL FL 536 BCBS OF FL GRP
Permitted Practices Surplus Impact Breakdow
State State State State
Prescribed Permitted Prescribed Permitted
Practices Practices Practices Practices
Capital and Impact Impact Impact Impact
Net Income Surplus Income Income Surplus Surplus DTA Other Assets
$1,010,484 $3,106,331
$12,467 $160,347 $18,105
$80,766 $192,291
$77,912,122 $183,334,542 $503,167
$2,912,165 $10,837,678 $130,361 $130,361
$8,445,739 $26,608,936 $16,678
$23,006,606 $68,318,075 $2,785,364
109,628 587,896 (100,566) (100,566)
($22,588,286) $569,096,550
$400,315 $1,423,059 $182,960
$4,017,126 $12,563,529 ($7,588,620)
$290,151 253,608
$1,148,708 31,402,826 (715,329)
$5,258,080 $9,475,439 $512,469
$15,524,753 $160,001,826 $33,720 ($1,049,611)
$95,602,514 $648,346,401 $14,093
66,598,417 924,880,273
$16,184,425 ###########
########### ############ ($4,943,814)
$16,055,722 ############ $40,000,000 $40,000,000
########### ############ $49,250,399
$84,256,005 ############ (5,500,000)
$75,745,770 $496,427,835 $87,058 ($803,632)
$27,722,064 $311,695,783 ($26,216) $5,095,587 $79,310,178 $79,310,178
$54,880,861 993,704,998 ######## (61,805,477)
($483,812) $2,364,355 $23,233 $23,971
$18,012,414 $236,335,027 643,211 $6,673,605
$553 $2,984,611 $43,162
$1,139,838 $8,098,634 $258,055
($2,106,930) $49,170,752 ($1,280,137)
($902,403) $125,506,052 $2,480,297
$47,653,944 $143,516,059 $6,260,314
$55,009,495 523,994,245 10,479,884
$4,863,811 $12,733,466 $644,315
$4,513,122 $26,523,731 $725,000 ########### ###########
########### $188,429,985 $45,390,683
$49,500,531 $224,986,657 ########## ($7,468,133) ($7,468,133)
$55,417,668 217,155,338 -
$1,574,400 $21,658,867 $574,470
$364,642 2,776,679
########### $292,312,972 ###########
$4,026,473 61,289,408 1,170,586 1,170,586 1,170,586
($7,750,865) 14,387,165 (2,766,712)
$15,951,400 $32,285,345 ###########
143,755,341 433,202,713 42,512,624
########### $433,202,713 $42,512,624
$2,909,783 $138,719,155 $5,596,343
1,092,692 10,088,423 339,253
$1,094,692 $10,088,423 $339,253
$7,982,608 22,485,953 (235,104) 857,922
$27,037,682 $35,313,918 $57,392
$7,537,857 $59,051,378 ###########
($16,891,313) $22,182,240 ##########
(1,758,095) 30,315,710 (154,290)
($1,756,095) $30,315,710 $154,016
$16,361,440 108,321,488 (24,176,833)
$44,804 2,090,672 (57,430)
$689,175 $3,833,529 $542,983 ($542,983) $1,305,088 $1,305,088
$1,428,121 $17,509,387 ($367,977) ($4,837,342)
($227,876) $53,018,546 ($523,713)
$42,985,511 $139,136,096 ($2,440,132) ($2,440,132)
$11,929,371 24,963,584
$80,451,327 $190,981,232 $22,448,413
########### ############ $2,984,184
10 5 39 7
Practices Surplus Impact Breakdown
Related to RBC
CSR WG Event
Proposal Avoided
Reserves Other Description (Y/N) (Y/N)
None N N
Premiums Receivable over 90 days N N
None N N
Premiums due from state government N N
Fixed Assets, net N N
Non-admitted Provider Advance N N
Receivables from parent, subsidiarie,
Deferred tax effect N N
N N
Nonadmitted Affiliated Common Stock, EDP Equipment-Acc. Depreciation (positive)
None N N
Admitted Market Stabilization and
Timothy's Law Reimbursement
receivables N N
Nonadmitted Receivable from
Humana Inc. N N
None N N
Requirement to non-admit
investments originating in countries
with other than NAIC sovereign debt
rating of 1 N N
Electronic Data Processing
Equipment N N
Health care receivable admittance N N
Depreciation, EDP & Software
capital N N
None N N
None N N
BCBS Florida Surplus Notes Non-
admitted by State Requirement N N
Admission of Surplus Note N N
Stop Loss Recoverables, BCA
Investment Guaranty Fund N N
Community Health Foundation
liability N N
Guaranty Fund & Other Assessment;
Depreciation of Fixed Assets; N N
Real Estate Occupied by the
Company, Depreciation of Fixed
Assets, Goodwill, Premiums Due,
Health Care Delivery Assets N N
Provider Obligations, Section 332
reefund assessment receivable over
90 days, Premium receivable from
municipalities over 90 days, Provider
obligations N N
No recognition of deferred income ta N N
Depreciation of EDP Equipment,
Invested Assets - Basket Clause,
EDP Equipment N N
Furniture & Fixtures N N
Accrued Interest - Surplus Notes N N
Receivable from Affiliate N N
Admission of Furniture and
Equipment N N
Hospital Deposits N N
EDP Equipment and Software
admitted allowance N N
Deferred tax assets N N
statutes 341.35 (2)(i)3 loans to aff,
641.35 12 (J), may not exceed 10 per N N
Health Care and Other Amounts
Receiv, Amounts Recoverable from
Reinsurers, Net Deferred Tax Asset,
Receivables from Parent, Subsidiarie N N
Admission of Pre 01/01/01 Goodwill
A N N
None N N
Allow Furniture & Fixtures as
admissible asset N N
None N N
Nonadmitted Receivable from
Humana Inc. N N
AMORTIZATION OF PREPAID
LEASE (15 YEARS VS 30 YEARS) N N
State Prescribed Practices (Surplus) N N
Amounts due from Affiliates N N
N
Stop loss recoverables, BCA Investment Guaranty Fund N
Stop Loss Recoverables, BCA
Investment Guaranty Fund N N
11 NYCCR 83.4(c) - SSAP No 16
Electr N N
Fixed assets, net N N
Fixed assets, net N N
Amortization of Intangible Asset,
fixed assets N N
Fixed Assets N N
Nonadmittance of amounts due from
affiliates pursuant to Ins. 9.10 (
WellPoint Helathcare Rec),
Nonadmittance of amounts due for
federal and foreign income tax
recoverable from affiliates,
Nonadmittance of amounts due from
affiliates pursuant to Ins. 9.10 N N
Unpaid Claim and Claim Adjustment
Ex, Aggregate Health Policy
Reserves N N
Affiliated Receivables are Non-Admitted N N
Affiliated Receivables are Non-
Admit N N
Non admitted receivable from parent
Intercompany receivable from parent N N
Receivable from Affiliates N N
Affiliated Company Premiums -
SIHOPS, Note Receivable N N
Goodwill amortization, Premiums
over 90 days due from munic N N
Related party pharmacy rebate
receivables and related party
receivables are non admitted N N
EDP-State statue N N
None N N
Admit Hospital Deposits N N
Amortization of Pre2001 Goodwill N N
December 31, 2007 Annual Filing Period
Insurers filing Title Annual Statement Blank
Group Capital and
CoCode Company Name DOM Code Group Name Net Income Surplus
50121 Stewart Title Guaranty Co TX 340 STEWART TITLE GRP ($6,458,657) ###########
50067 Ticor Title Ins Co CA 670 FIDELITY NATL FIN GRP 16,674,345 67,686,913
50229 Chicago Title Ins Co NE 670 FIDELITY NATL FIN GRP ########## 274,482,538
50598 Alamo Title Ins TX 670 FIDELITY NATL FIN GRP 3,298,904 26,226,592
50857 Security Union Title Ins Co CA 670 FIDELITY NATL FIN GRP 3,611,410 46,565,183
51020 National Title Ins Of NY Inc NY 146,157 6,713,364
51101 Nations Title Ins Of NY Inc NY 670 FIDELITY NATL FIN GRP 865,565 12,627,192
51195 LandAmerica NJ Title Ins Co NJ 670 FIDELITY NATL FIN GRP 2,974,997 33,132,445
51535 Ticor Title Ins Co of FL NE 670 FIDELITY NATL FIN GRP (10,924,392) 25,586,476
51586 Fidelity Natl Title Ins Co CA 670 FIDELITY NATL FIN GRP 58,097,256 237,682,104
50002 Land Title Ins Corp CO 1,358,724 9,842,596
50024 Lawyers Title Ins Corp NE 670 FIDELITY NATL FIN GRP (27,207,305) 162,181,444
50028 Ace Capital Title Reins Co NY 626 Ace Ltd Grp 2,190,857 26,265,749
50041 United Capital Title Ins Co CA 670 FIDELITY NATL FIN GRP (942,258) 22,767,542
50083 Commonwealth Land Title Ins Co NE 670 FIDELITY NATL FIN GRP 62,784,680 254,092,477
50725 Arkansas Title Ins Co AR 340 STEWART TITLE GRP 371,309 2,388,523
51063 Monroe Title Ins Corp NY 340 STEWART TITLE GRP 446,971 11,498,870
51187 New Jersey Title Ins Co NJ 4255 CATIC FIN Grp (405,519) 4,846,328
51195 LandAmerica NJ Title Ins Co NJ 670 FIDELITY NATL FIN GRP 2,974,997 33,132,445
51420 Stewart Title Ins Co NY 340 STEWART TITLE GRP $11,724,163 $34,515,499
TOTAL COUNT OF INSURERS:
Permitted Practices Surplus Impact Breakdown
State State State
Prescribed Permitted State Permitted
Practices Practices Prescribed Practices
Impact Impact Practices Impact Other
Income Income Impact Surplus Surplus DTA Assets Reserves Other
424,117
(3,027,558) (19,554,067)
######### ##########
(180,185) (1,407,736)
(690,543) (5,036,195)
(63,019) (716,206)
(138,073) (2,171,176)
(304,591) (1,770,773)
(3,062,299) (12,937,783)
######### (97,309,359)
6,704
######### (56,805,880)
(139,434) (4,229,329)
1,514,717 1,514,717
######### 48,711,283
182,481 ######## 2,041,271
(221,648) (2,444,462)
(198,176) (2,031,208)
(304,591) (1,770,773)
799,654 (1,412,701)
17 1 19 1
Related to RBC
CSR WG Event
Proposal Avoide
Description (Y/N) d (Y/N)
Home office Furniture & Fixtures and
real estate N N
Statuotry Premium Reserve
Recovery N N
Statuotry Premium Reserve
Recovery N N
Statutory Premium Reserve
Recovery, title plants N N
Statutory Premium Reserve
Recovery N N
Statutory Premium Reserve
Recovery, title plants N N
Statutory Premium Reserve
Recovery, Title Plants Amort N N
Release of SPR N N
Statutory Premium Reserve
Recovery N N
Statutory Premium Reserve
Recovery, Title Plants N N
Title prem receivable admitted if
less than 90 days from notification N N
Release of SPR N N
Increase in statutory premium
reserve, Non-admitted excess
investments N N
Release of SPR N N
Release SPR N N
Release SPR N N
Amortization of title Plant,
Depreciation of EDP Equipment,
Release of SPR N N
Cumulative difference in STAT
Premium Reserve adjustments,
Surplus Cumulative effect of
amortization of certain intangibles N N
Release of SPR N N
Goodwill and Title Plant Amortization,
net of tax N N
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